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:
AA00010654:00050

Related Items

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

Full Text
rS2,4


NATIONAL COMMUNICABLE DISEASE CENTER


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


Vol. 16, No. 17







Week Ending

- April 29, 1967




PUBLIC HEALTH SERVICE


BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTROL


EPIDEMIOLOGIC NOTES AND REPORTS
INFLUENZA Pinol County, Arizona

In mid-A\pril 1967. a threefold increa-e in -chool ah-
senteeism occurred in Pinal County. Arizona. Inestniga-
tion revealed that ithe increase \\ta- due to influ nza-like
illtnsses. The earliest reports \w re relcoited from the
towtn of Stanfield \ here school ahbsnt.ei.ism rose from ai
normal of 6 percent to 2'2 percent in the first ekek of
\pril. Suht.equently, school diitricis in ( ast Grande.
Coolidgil. and I noticed equi alont ahisentee rate-. Thi
laIt epidemic in Arizona, confirmed as. influenza A.), oc-
curred in March and April 1966.
The in\-etigation of the current outbreak indicated
that both sexes -were equally affected and adults were ill


C" ON" I NT







I) n, I .1

Irholii. 1l .-- "l.l Irgi i ri
(Q..l. t -* ..







rhonchl. Ihe it orago duration o ri Ir


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
17th WEEK ENDED CUMULATIVE FIRST 17 WEEKS
MEDIAN
DISEASE APRIL 29. APRIL 30, 1962 1966 MEDIAN
1967 1966 1967 1966 1962 1966
Aseptic meningitis .... ...... 34 18 20 495 464 461
Brucellosis .. ... ...... ........ 9 5 5 69 67 111
Diphtheria ........ ... .... 1 3 35 50 72
Encephalitis, primary:
Arthropod-borne & unspecified ...... 23 18 404 416
Encephalitis, post-infectious ..... ... 20 14 -- 263 285 -
Hepatitis, serum ............ ..... 31 16 824 635 416 15,401
Hepatitis, infectious .................... 760 533 7 13,448 11,610
Malaria ............................ 42 5 2 665 91 30
Measles rubeolaa) ....................... 2,433 8,163 16,295 39,759 126.061 212.000
Meningococcal infections, total ...... 63 65 65 1,013 1,694 1135
Civilian ...... ............... .... 60 58 937 1.482
Military .............................. 3 7 76 212 -
Poliomyelitis, total.. ........ .. .... .- 1 5 7 23
Paralytic. .. .. ...... ..... ......... 1 5 6 18
Ruoella (German measles) ..... 1,886 2,021 20,911 24,701 -
Streptococcal sore throat & scarlet fever 9,995 10,658 8,079 204.223 197.902 183,748
Tetanus ......... .. 1 1 3 50 35 57
Tularemia. .. ........... .. .. 3 1 3 44 51 64
Typhoid fever ............... ....... 8 11 4 109 92 105
Typhus, tick-borne (Rky. Mt, spotted fever) 3 13 10

Rabies in animals ........ .... 96 117 117 1,509 1,521 1,490

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum Cum.
Anthrax: .......... .1.. 1 Rabies in man: .
Botulism: ........... ................ .. Rubella, Congenital Syndrome: .. 1
Leptospirosis: La.-1 .. .. . .... 11 Trichinosis: Md.-1. N.J.-l. Pa.-1 29
Plague: ............. ........ ... ..... Typhus. marine: Tex.-l ....................... 8
P sittacosis: ........... .... ...... ......... ...... 11 ......... .














3 to 4 day.. Although the school absentee rates were as
elevated as those during the influenza A. epidemic last
year, the mild character of the current illness has caused
no appreciable increase in either hospital admissions or
mortality. Throat sabs and blood specimens from pa-
tients throughout the County will be processed at the
NCDC.


APRIL 29, 1967


Because of the mild nature of the illness and the
presence of influenza A) in the previous year, it has been
speculated that this illness might represent influenza
type B.

(Reported by Dr. Philip 41. otchkiss, Arizona State De-
partmeni of Health; and an EIS Officer.)


MEASLES Wyandotte County, Kansas


Investigation of measles activity reported from Hyan-
dotte County.' Kansas (population V15.495). revealed 97
cases confirmed by history which occurred from March (26
through April 21. 1967. Forty-nine of the cases were in
children aged 7 months through 5 years and 46 cases were
in children age8 6 through 12 years (Figure 1). Two adults
were confirmed as having contracted measles from their
children.
A total of 28 children were exposed at school with an
additional .'4. .... irl i iy exposed at home. Unknown
means of contact accounted for illness in 31 children and
the remaining 14 cases were exposed as follows: 11 at
home, one at a physician's office, and 2 at a hospital.
Complications included four cases of otitis media and
three cases of pneumonia among the 49 preschool chil-
dren. Six cases of pharyngitis and one case of pneumonia
were reported among school children.
A 20 percent sample telephone survey was conducted
on 806 households in six Kansas City school districts. No
cases of measles were confirmed by sur\ne although three
of the school districts were in areas of increased measles
incidence. Table 1 shows susceptibility status among 6(51
children aged 7 months through 12 years. Fifty-nine per-
cent of the school children surveyed had a history of mea-
sles, whereas 22 percent of the preschool group had a
similar record. Measles vaccination was noted in 47 per-
cent of the younger age group and 21 percent of the older
children. Susceptibility level was 22 percent by history
for all 651 children surveyed.
During a community-wide vaccination program held
Sunday, April 16, 2,497 children in Kansas City were im-

* Kansas City located in Wyandotte County.


Figure 1
CONFIRMED MEASLES CASES BY AGE
WYANDOTTE COUNTY, KANSAS
MARCH 26 APRIL 21, 1967


munized with Schwarz strain measles vaccine using jet
injector guns. This community effort was sponsored by the
ilyandotte County Medical Society and the Kansas City-
Ayandotte County Health Department. Personnel from the
Kansas State Department of Health, Kansas City school
nurses, Kansas Jaycees and Jaycee Jaynes, and the
Kansas ( i Association for Mental Retardation assisted
with this measles eradication program. Of 651 children
surveyed following the campaign. 41 (6 percent) were im-
munized on April 16.
(Reported by Dr. i'. G. Walker, Director of Health, Wyan-
dotte County Health Department; Dr. Donald E. Wilcox,
Director of Division of Disease Prevention and Control,
Kansas State Department of Health: and an EIS Officer.)


Table 1
Susceptibility Status of 651 Children from Sample Survey
Wyandotte County, Kansas April 1967

Immune Status
Immune Susceptible U'nknown
Age Group Total
Age GHist. of Hist. of Susc. by Total
Measles Vaccine History Number
7 mos. 5 yrs. . 49 105 47 65 29 6 2 225
6 yrs. 12 yrs. . .... 250 59 91 21 79 19 6 1 426

7 mos. -12 yrs. . .. 299 46 196 30 144 22 12 2 651


Morbidity and Mortality Weekly Report




INFLUENZA Arizona (Continued from front page)








Morbidity and Mortality Weekly Report


CURRENT TRENDS
MENINGOCOCCAL INFECTION 1967


A\ toal of 953(0 cases of umlinocoxr't'al infection. 73
of Nxhich ar 0 niliin r > hc a- to-n replorlodl in hlie
I united Stauis through thi -irt It; wI\\ k- of' li11)7. For ihe
, iconlparailx period iin G. r,i'!) casel incliudin "20.5 in
mnilitiIar pI r- i int l wcre inotlfitid. The numbiher- of cases-
\\th 1hi r -Icpcl'ti\ 'e ;iiitarl\ breal' kdox\n arlr pri siontl*d for
uach 'ooiIralphli division for tho Iirs- 16 x\x'k.- of 1967
and 19li1 in Tahl- 2. The o\rall d- crease ir s sI rising and
is roefit ild in all areas of th l I.. 1n holh the fiiliiarx
and civilian populations.
Ti'h mionh I rat'- of' nmoninocicalid infection per
100,0)0 population iinci 1910) art, ho\wn in Figure 2. .\
general increase in incildenxie i in the latie k intor and spring
months occuirred from 19):i through 1!;ii. Ialis in lhe
-pring of 1967. ho e hi rax\l shoxxn a sharp decrease in
comparison to thosi of pre ioux ai-rs.
(Riieportd by the KBaitri!t I)ci.a/(.1 s e S ctioni, Epideimi-
oloxiy Program, \f')C'.)

F
REPORTED CASES OF MENINGOCOCC,
341 MONTHLY RATES PER 100,000 POPU

m 32

30

2



20
0
(-
o
0
x 24

22















8-
-20


0 16
o 1

214




I


Table 2
Meningococcal Infection United States
First 16 weeks of 1966 and 1967


United States

New England
Middle Atlantici
East North (Crnlral
'Wos North (ontral
South Atlantic
East South central l
'\\est South Central
Mountain
Pacific


191; 7

Total \Mi


1. 6 29


17:

lxl
24.
S7

14ff
24li


figuree 2
AL INFECTION, UNITED STATES, 1960-1967*
LATION ADJUSTED TO AN ANNUAL BASE


J M 4j S N 'J M M N J M U M J N J M M i M .
1960 1961 1962 1963 1964 1965 1966 !967 1968
*THRU APRIL


EPIDEMIOLOGIC NOTES AND REPORTS
DIPHTHERIA Los Angeles, California


In January 1967. an outbreak of diphtheria occurred
in a Mexican-American family from a low socio-economic
area of Los Angeles. The index case was a 7-year-old
girl who had had a low grade fever and a sore throat for


2 weeks. With the subsequent development of marked
generalized muscle weakness and dyspnea on exertion,
the child was hospitalized. On admission she was noted
(Continued on page 140)


\hlitIar




Ih
31



:1


;6
:iMi


APKIL 29, 1967








136 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 2'9. (,- ANI) APRIL. i. 9(,6 (lfth WEEIK)


ENCEPHALITIS HEPATITIS
ASEPTIC Primary
AREA MENINGITIS 4ni(1 tIuls 'ill101 including Post Serum Infectious
unsp. cases
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966
UNITED STATES... 34 18 9 23 18 20 31 16 760 533

NEW ENGLAND.......... 2 1 1 32 25
Maine.............. 2
New Hampshire...... 2
Vermont...........
Massachusetts...... 1 12 18
Rhode Island ...... 3
Connecticut........ 1 15 5

MIDDLE ATLANTIC...... 5 3 1 7 3 1 11 5 147 69
New York City...... 1 3 1 7 3 36 12
New York, up-State. 1 2 1 45 17
New Jersey......... 3 1 1 2 1 21 13
Pennsylvania....... 1 4 1 1 2 45 27

EAST NORTH CENTRAL... 7 1 2 8 5 2 5 3 118 164
Ohio................ 1 2 2 3 1 26 29
Indiana............. 3 3 2 27 5
Illinois........... 3 1 1 2 2 39 63
Michigan........... 1 2 2 2 21 60
Wisconsin.......... 5 7

WEST NORTH CENTRAL... 1 1 55 24
Minnesota........... 5 6
Iowa.............. 9 9
Missouri........... 1 35 4
North Dakota....... 2
South Dakota ...... -
Nebraska ........... 2
Kansas............. I 3 3

SOUTH ATLANTIC....... 1 4 2 8 1 64 70
Delaware ........... 3 -
Maryland ........... 5 1 10 21
Dist. of Columbia.. 1 1 1
Virginia............ 1 23 14
West Virginia...... 1 7 1
North Carolina..... 3 4 8
South Carolina..... i- 1
Georgia............ -- 9 12
Florida............ 1 3 7 12

EAST SOUTH CENTRAL... 5 2 -- 2 49 24
Kentucky........... 2 18 8
Tennessee.......... 3 2 15 8
Alabama............. 2 9 4
Mississippi ........ 7 4

WEST SOUTH CENTRAL... 1 3 1 1 2 1 1 99 45
Arkansas........... 5 9
Louisiana.......... 1 1 1 1 9 14
Oklahoma ........... 1 1 5 1
Texas.............. 3 1 80 21

MOUNTAIN ............ 1 1 39 14
Montana............ I 5 -
Idaho.............. -- 4 1
Wyoming.............. -
Colorado............ 1 3 2
New Mexico......... 14 8
Arizona............. 11
Utah................ 2 3
Nevada.............

PACIFIC............... 15 9 3 4 7 12 7 157 98
Washington.......... 1 1 15 7
Oregon............. 1 1 18 11
California.......... 12 9 2 3 6 12 7 124 78
Alaska.............. --- --- --- --- --- .- 1
Hawaii............. 2 .

Puerto Rico 29 23









~lorbidity and 'IM rtalilv Weekly Report 137


CASESS OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WIEEKS ENDIiD

APRII. 21. 19' AND) APRII. i(, ( (1i96 \ K) (I \ IK) (ONTINI II)



MALARIA MEASLES (Rubola) MFNINCOOCCA IF1 I POLIOMYEITIS RBELA
TOTAL,
A R E A ..-.- -- .- ... ....-- ..- ----- -- ---pa 1 v t f
ARCumulative Cum. ulative T" 1 P ralyt c
Cum.
_967 19196 7 961966 1967 9 67 1966 1967 1967 1967 1967
UNITED STATEF... 42 2,433 39,759 126,061 63 1,013 1,694 5 1,886

NEW ENGIAND........... 64 485 1,459 4 41 75 156
Main .............. 34 122 162 2 7 19
New Hampshire. .... 69 26 1 7 3
V rm.-n ............. 1 35 204 3 7
Massahusetts...... 20 179 564 2 19 30 52
Rhode I l.d d....... 27 62 1 7 11
ConnLcticu ........ 9 53 441 2 18 21 64

MIDDLE ATLANTIC...... 4 89 1,298 14,412 13 151 182 2 80
New York City...... 26 226 7,202 3 24 26 1 41
New York, Up-State. 1 12 298 1,639 2 36 51 37
New Jersey.......... 22 309 1,507 6 62 52 -
Pennsylvania....... 3 29 465 4,064 2 29 53 1 2

EAST NORTH CENTRAL... 153 3,161 46,871 10 112 256 311
Ohio................ 62 552 4,062 1 41 70 21
Indiana............. 34 375 3,168 1 15 40 28
Illinois........... 23 484 9,149 4 23 50 41
Michigan........... 76 683 7,672 3 24 71 104
Wisconsin.......... 58 1,067 22,820 1 9 25 117

WEST NORTH CENTRAL... 1 87 1,757 5,951 3 43 93 167
Minnesota.......... 84 1,385 9 24
Iowa................ 30 418 3,346 9 13 159
Missouri........... 1 12 129 376 2 11 35 2
North Dakota....... 16 642 796 4 6
South Dakota........ 3 45 4 1 6 3
Nebraska........... 26 439 44 6 7 -
Kansas............. NN NN NN 2 7 -

SOUTH'ATIANTIC....... 10 316 4,601 9,647 13 199 268 1 115
Delaware........... 27 134 5 3 1
Maryland............. 6 81 1,457 2 25 25 1 18
Dist. of Columbia.. 1 12 326 2 5 6 -
Virginia........... 71 1,417 1,022 1 16 36 12
West Virginia...... 106 854 3,615 16 9 14
North Carolina..... 18 746 167 3 41 54 -
South Carolina..... 66 344 451 4 19 39 8
Georgia............. 10 23 185 33 41 -
Florida............. 48 1,097 2,290 1 39 55 62

EAST SOUTH CENTRAL... 12 164 3,917 14,132 4 95 144 320
Kentucky........... 12 39 1,065 3,979 3 29 66 248
Tennessee............ 81 1,344 8,177 39 41 69
Alabama ............ 32 915 1,267 1 17 28 3
Mississippi........ 12 593 709 10 9 -

WEST SOUTH CENTRAL... 623 13,735 15,074 3 153 259 2 31
Arkansas........... 25 1,348 523 16 14 -
Louisiana.......... 2 87 72 59 103 -
Oklahoma........... 5 3,192 323 2 10 11 1
Texas............... 591 9,108 14,156 1 68 131 1 31

MOUNTAIN.............. 2 200 2,913 7,064 1 20 60 100
Montana............ 20 204 1,C73 4 2
Idaho............... 15 310 712 1 3 2
Wyoming............ 20 93 1 -
Colorado............ 1 88 791 737 10 33 25
New Mexico......... 1 42 456 530 3 9
Arizona............. 17 645 3,679 2 8 69
Utah................ 9 243 216 1 2 2
Nevada.............. 9 244 24 2 2 -

PACIFIC.............. 13 637 7,892 11,451 12 199 357 606
Washington.......... 1 265 3,781 1,960 20 22 130
Oregon.............. 104 1,020 843 3 17 24 22
California.......... 7 265 2,915 8,514 9 153 294 444
Alaska.............. --- --- 96 58 --- 8 14 --- --- -
Hawaii............. 5 3 80 76 1 1 3 -10
Puerto Rico.......... 117 1,366 1,553 1 8 3 5









138 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 29. 1967 AND APRIL 30. 1966 (17th 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 Gum. 1967 Cum. 1967 Cum.
1967 1967 1967 1967 1967
UNITED STATES... 9,995 1 50 3 44 8 109 3 13 96 1,509

NEW ENGLAND........... 1,849 1 1 2 40
Maine.............. 61 1 8
New Hampshire...... 18 25
Vermont............. 31 1 7
Massachusetts...... 304 1 -
Rhode Island....... 133 -
Connecticut ........ 1,302 -

MIDDLE ATLANTIC...... 615 5 1 13 4 32
New York City...... 21 3 1 8 -
New York, Up-State. 499 1 3 3 23
New Jersey......... NN 1
Pennsylvania....... 95 1 1 1 9

EAST NORTH CENTRAL... 849 2 5 9 1 2 11 123
Ohio.............. .. 124 3 1 2 7 57
Indiana............. 157 1 20
Illinois............ 151 2 4 1 2 20
Michigan............ 252 4 4
Wisconsin.......... 165 1 2 22

WEST NORTH CENTRAL... 418 1 1 10 2 21 323
Minnesota.......... 6 1 3 65
Iowa............... 208 1 2 5 36
Missouri........... 17 3 5 75
North Dakota....... 92 54
South Dakota..... 20 7 46
Nebraska........... 70 1 21
Kansas............. 5 1 6 26

SOUTH ATLANTIC....... 785 1 12 5 4 14 1 5 15 209
Delaware........... 22 -
Maryland........... 160 1 1
Dist. of Columbia.. 3 1 1
Virginia........... 161 3 2 5 108
West Virginia...... 229 1 1 2 36
North Carolina..... 10 1 4 2 1 4 1
South Carolina..... 25 2 2 2 -
Georgia............ 8 1 2 1 1 8 41
Florida............. 167 4 4 23

EAST SOUTH CENTRAL... 1,390 12 1 6 12 1 16 365
Kentucky........... 182 1 4 5 70
Tennessee.......... 1,027 6 1 4 4- 1 9 266
Alabama............ 129 4 4 2 27
Mississippi........ 52 2 1 2

WEST SOUTH CENTRAL... 766 10 11 1 17 2 25 283
Arkansas........... 3 1 3 2 43
Louisiana.......... 1 1 2 11 28
Oklahoma........... 94 5 2 12 70
Texas............... 671 6 3 1 3 11 142

MOUNTAIN ............. 1,376 1 6 14 1 1 2 41
Montana........... 67 1 1-
Idaho .............. 113 -
Wyoming........... 56 1 1 -
Colorado........... 697 1 11 1 1 5
New Mexico......... 289 1 9
Arizona............ 95 2 1 27
Utah............... 57 3 -
Nevada............. 2 -

PACIFIC.............. 1,947 8 1 1 27 2 93
Washington......... 622 -
Oregon ............ 79 1
California.......... 1,155 6 1 24 2 92
Alaska ............. ---- --- -
Hawaii............. 91 2 1 3

Puerto Rico.......... 3 3 4 1 14








Morbidity and Mortality Weekly Report


DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED APRIL 29, 19'7

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


Area


NEW ENGTAND:
Boston, Mass.---------
Bridgeport, Conn.-----
Cambridge, Mass.------
Fall River, Mass.-----
Har ford, 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.--------


causes Pneumonia Under .1All Causes Pneumonia Under

65 years and 1 year Area All 65 years and l yeal
and over Influenza All Ages an ver luenza All
All Ages Causes All Ages Causes


All C.

All
Ages


812
247
75
37
29
47
24
27
32
49
68
19
60
35
63

3,188
44
27
124
40
35
39
55
87
1,665
44
447
200
44
106
27
41
55
53
21
34

2,457
67
28
706
168
216
112
88
365
48
37
46
32
39
104
26
119
30
29
34
97
66

797
55
26
26
154
11
107
62
227
87
42
I


*Estimate based on average percent of divisional total.


522
144.
51
25
21
31
18
19
27
27
38
13
40
24
44

1,882
30
20
79
22
17
23
36
51
974
28
251
111
30
65
19
32
32
24
16
22

1,344
43
13
405
95
106
60
48
186
27
19
20
15
22
52
15
71
21
18
19
54
35

485
35
16
14
90
4
66
34
142
62
22


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.---
S .. ,, .' Tex.------
.. F ,r La.--------
Tulsa, Okla.-----------

MOUNTAIN:
Albuquerque, N. Mex.---
Colorado Springs, Colo.
L... Colo.----------
"L-.J.r., 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.----------


Total 12,007 6,838 421 603

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 219,411
All Causes, Age 65 and over------------------- 126,903
Pneumonia and Influenza, All Ages------------- 8,722
All Causes, Under 1 Year of Age--------------- 11,030


Week No.
17


1,113
107
241
43
55
84
54
80
31
91
59
221
47

576
66
41
41
146
125
39
33
85

1,130
41
40
20
130
43
77
246
59
168
87
127
46
46

397
39
20
122
16
94
19
42
45

1,537
16
35
46
58
84
473
101
37
109
53
89
171
40
136
53
36
















DIPHTHERIA Los Angeles, California
(Continued from page 135)

to have a hemorrhagic pharyngitis, palatal paralysis and
acute myocarditis in association with early congestie
heart failure. Despite immediate, il. -;. ., antitoxin and
antibiotic therapy, she expired 4 days later f .I.. ;. a
cardiac arrest.-
\irulent Corynebacteerum diphtheriae were isolated
from the index case. from a 17-year-old sister with pharyn-
gitis. and from an asymptomatic 8-year-old brother. Anti-
biotics were given to both siblings and. in addition, the
r.-i r,.i ved antitoxin therapy. They both recovered
I,-l ,i'jiil The index case had received only one pre-
S.r-' DT immunization, and the two siblings had each
,received two do.-,e in the past. Twenty other contacts
were found to 1 .4 ,. ,r...- throat cultures.
After the dci; .'.- of the index case. the health
department carried ~ht* an emergency vaccination program
in the di I.i. t..'r. II: patient lived. Over 1,000 doses
of PFiT *.. n.i,,,' -. .! to the residents.
(Reporti'd -.+ ./ ''.. 1 K Ioyal. Chief, Ilirision of Acute
C'onuunicabi. .4 Control. (ouity of Los AIyg/ele -
lHealth Iepirtmenii: Pr. Philip K. Condit, Chief. Bureau
of ('ommunicable Dis rases. State of California Depart-
ment of Public Health: Und an EIS Officer.i


INTERNATIONAL NOTES
QUARANTINE MEASURES


Immulniaition Information for International Trar, el
195-66G edition-Publicflealth Sereice) Publication V o. 384.


The l.... r, information should be added to the list of I1
vellow fever vaccination centers in r'ection 6:


Page 77


City:


Center:


Amherst. Massachusetts


University Health Services.
University of Massachusetts


Clinic Hours: Wednesday 2 p.m.


Fee: No


THE MORBIDITY AND MORTALITY WEEKLY REPORT, W1i :uL..
TON OF i- ** IS PUBLISHED AT THE NATIONAL :*: ..,rC nai.
DISEASE C.INTiET ATLANTA, GEORGIA.
DIRECTOR NATIONAL COMMUNICABLE DISEASE CENTE"
DAVID '..-. C'.
CHIEF, EPIDEMIOLOGY PROGRAM A.D. .-.N .M. M D
ACTING CHIEF, STATISTICS SECTION IDA L .-EtM.N M

4N ADDITION TO THE ESTABLISHED PROCEDURES F-A :, r ..
MORBIDITY AND MORTALITY. THE NATIONAL COMMUNI:. 6L F ,-EL i
CENTER WELCOMES ACCOUNTS OF INTERESTING OUTB ;- 'C- -:*t
INVESTIGATIONS WHICH ARE OF-C'-IRRFNT INTEDECi 7 -EAL tr-
OFFICIALS AND WHICH ARE DIRECTLY -. ~ L-i' T T : ,TQCL j.
: .r_',. L_- DISEASES. SUCH C .,..M T, r, ILL B-
THE EDITOR
MOeBIDITY AND MORTALITY WEEKLY REPC"
NATtONAL ., ,u ..j' a EL DISEASE CENTER&
ATLANTA, : .*"** ,.
NOTE: THE DATA IN THIS REPORT ARE PROVISICN-L -PlC' A
BASE-D ON WEEKLY TELEGRAMS TO THE NCDC BY T"L "*D'.'.'uL
STATE HEALTH DEPARTMENTS. THE REPORTING WE' -'-*."T
ON SATURDAY; COMPILED DATA ON A NATIONAL BASIS *Y fLE iE_
ON THE SUCCEEDING FRIDAY.


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Morbidity and Mortality Weekly Report


UNIVERSITY OF FLORIDA

IIIHIIIINI HIIilll
3 1262 08864 2243
APRIL 29, 1967


3
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U.S ODEPC S'TDR9'