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:
AA00010654:00052

Related Items

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

Full Text



NATIONAL COMMUNICABLE DISEASE CENTER


SVol. 16, No. 35
I




dad
V3:... AC] Week Ending

September 2, 1967



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

BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTROL

EPIDEMIOLOGIC NOTES AND REPORTS CONTENTS
BRUCELLOSIS Virginia '. i -. Notes nd Reports
I Virginia .. ............ ......... 293
From June 1966 through May 1967. 43 cases of brucel- As ptic Meningatis Baliimorn. Marylant.d .. ... 2.9.1
Surveillance Summary
losis were associated with a single meat packing plant in Salmonellosis April, May, and June 1967 ... 291
Virginia. Forty-one of the cases occurred among employees
who worked in the beef and pork kill areas of the plant, ache, night sweats, loss of appetite (each 44.7 percent),
one case in a USDA veterinarian, and one case in a USDA weight loss (36.9 percent), malaise (34.2 percent), chills
meat inspector. For the 11 years prior to June 1966, 10 (18.4 percent), dizziness. weakness. nausea (each 8.0 per-
cases of brucellosis had been reported at this plant; seven cent), and stiffness. sore throat, diarrhea, minor dysuria
were reported between January 1 and July 18, 1960, two each 2.6 percent). Of the four patients who required hos-
in the fall of 1964, and one case in January 1966. pDA action, three were confined for approximately one
As shown in Figure 1 (page 300), cases appeared -- a one, who had suffered from an attack of viral
month of the 12-month period, with the maximum r, .'.. hepatiti'n months prior to onset of brucellosis, was hos-
six cases in both July 1966 and January 1967. e nes prized f 55 days. Almost all of the patients were
was characterized by fever (71 percent), hen theb joint \ (Continued on page 300)
CASES OF SPE NOThFIABLE DISEASE :. CITED STATES
(Cumulative totals inc 4 r vi and delayed report ough previous weeks)
WEEK ENDED CUMULATIVE, FIRST 35 WEEKS
MEDIAN
DISEASE SEPTE P 1962- 1966 MEDIAN
196 00U 1967 1966 1962- 1966
Aseptic meningitis ........ .... .. .. ... 121 127 68 1,620 1,604 1,234
Brucellosis.............................. 6 7 6 176 163 248
Diphtheria ............................ 5 7 3 71 120 158
Encephalitis, primary:
Arthropod-borne & unspecified ........... 70 194 1,042 1,305 ---
Encephalitis, post-infectious ........... .10 9 -- 614 569 --
Hepatitis, serum ................... ..... .45 20 556 1,440 932 26,540
Hepatitis, infectious .................... 638 498 25,585 21,724
Malaria ................................ 47 10 2 1,320 240 60
Measles (rubeola)....................... 172 516 663 57,422 188,681 357,005
Meningococcal infections, total ........... 30 27 27 1.655 2,670 1,977
Civilian ............................ 29 27 1,542 2.398 -
Military................................ 1 -- 113 272- -
Poliomyelitis, total ..................... 5 5 23 66 71
Paralytic ............................. 5 5 19 62 62
Rubella (German measles) ................ 133 225 39.600 41,346 "
Streptococcal sore throat & scarlet fever .. 4,098 4,047 3,534 318.923 302,167 280,208
Tetanus ................................ 5 5 6 147 115 175
Tularemia.............................. 5 4 7 123 118 195
Typhoid fever ................... ....... 15 9 11 269 245 275
Typhus, tick-borne (Rky. Mt. spotted fever) 16 5 6 229 186 172
Rabies in animals ...................... 66 71 47 3,035 2,917 2,917

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ......... ............ .......... ......... 2 Rabies in man: ..................... ............... 2
Botulism: ......................................... 2 Rubella, Congenital Syndrome: ........................ 4
Leptospirosis: ....................................... 25 T richinosis: Il .-3 ........... ....... ............. 48
Plague: ............................................. 2 Typhus, murine: Texas-1 ............................ 30
Psittacosis: ........................................ 31 Polio, Unsp.................... .... ............ 4







Morbidity and Mortality Weekly Report


SEPTEMBER 2, 1967


ASEPTIC MENINGITIS Baltimore, Maryland


Since July 1, 1967, 85 cases of aseptic meningitis
have been reported to the Baltimore City Health Depart-
ment. These cases are characterized clinically by the
abrupt onset of fever and frontal headache, followed by
meningeal signs without CNS involvement. The illness is
mild, lasting only 3 to 5 days. The cerebrospinal fluid
characteristically contains abundant lymphocytes; how-
ever, early in the course of the illness there may be a
significant polymorphonuclear pleocytosis.
The 85 cases are shown by week of onset in Figure 2.
Cases have appeared throughout the summer, but have been
more frequent in August. The patients range in age from
3 weeks to 65 years, although about 70 percent of all
cases have occurred in children less than 15 years of age.
The male to female ratio is 3:2. The cases are widely dis-
tributed throughout the city.
Enterovirus isolations have been obtained from 12
patients. Four have been identified as Coxsackie B5, three
as ECHO 9, and five are as yet unidentified.
Further epidemiologic and laboratory studies are in
progress.
(Reported by James Peterman, M.D., Chief, Communicable
Diseases, Baltinore City Health Department; John H.
Janney, M.D., Acting Chief, Communicable Disease Division,
Maryland State Department of Health; and EIS Officers.)


Figure 2
REPORTED CASES OF ASEPTIC MENINGITIS
BALTIMORE, MARYLAND BY DATE OF ONSET

18-


3 10 17 24 I 8 15 22 29 5 12 19 26 2 9 16 23 30 7 14
JUNE JULY AUG SER OCT.
DATE OF ONSET


SURVEILLANCE SUMMARY
SALMONELLOSIS April, May, and June 1967


For the months of April, May, and June 1967, the total
numbers of salmonellae reported from human sources were
1,256, 1,788, and 1,473, respectively. The weekly averages
for the 3 months (314, 358*, and 368, respectively) demon-
*Weekly average for May is figured on a 5-week period; those
for April and June are based on 4-week periods.


state the expected seasonal pattern (Figure 3). The age
and sex distribution were similar to those of previous
months. In Table 1, the seven most frequently reported
serotypes from human sources for the 3 months are listed.
In April, 30 states reported a total of 659 nonhuman
isolations of salmonellae, representing 55 serotypes.


Figure 3
REPORTED HUMAN ISOLATIONS OF SALMONELLA
IN THE UNITED STATES


1964 1965


294


1966 1967








Morbidity and Mortality Weekly Report


Reports of 553 nonhuman isolation were received from 29
states in May, again including 55 serotypes; the May total
represents 16.1 percent decrease from that of April. A
further decrease of 0.05 percent from the May total was


observed in June when 550 nonhuman isolates (59 sero-
types) were notified from 30 states (Table 2).
(Reported by the Salmonella Unit, Epidemiology Program,
NCDC.)


Table 1
Seven Most Frequently Reported Serotypes from Human Sources
April, May, and June 1967

April May June
Serotypes
Rank Number Percent Rank Number Percent Rank Number Percent

S. typhi-murium and S. typhi-murium 1 396 31.5 1 602 33.7 1 467 31.7
var. copenhagen
S. heidelberg 2 136 10.8 2 191 6.8 2 123 8.4
S. enteritidis 3 92 7.3 3 101 5.6 3 107 7.3
S. blockley 4 65 5.2
S. infants 5 62 4.9 4 89 5.0 7 65 4.4
S. typhi 6 53 4.2 6 69 4.7
S. newport 7 45 3.6 4 89 5.0 4 101 6.9
S. montevideo 6 70 3.9 7 65 4.4
S. san-diego 7 58 3.2
S. saint-paul 5 76 5.2

Total 849 67.6 1,130 63.2 1,073 72.8

Total all serotypes 1,256 1,788 1,473

Table 2
Seven Most Frequently Reported Serotypes from Nonhuman Sources
April, May, and June 1967

April May June
Serotypes
Rank Number Percent Rank Number Percent Rank Number Percent

S. saint-paul 1 110 16.7 4 30 5.5
S. typhi-murium and S. typhi-murium 2 85 12.9 1 101 18.3 1 79 14.4
var. copenhagen
S. heidelberg 3 58 8.8 2 39 7.1
S. anatum 4 54 8.2 6 25 4.5 5 27 4.9
S. senftenberg 5 27 4.1 4 27 4.9
S. derby 6 25 3.8 6 25 4.5
S. infants 7 23 3.5 6 25 4.5
S. montevideo 3 29 5.2 3 36 6.5
S. thompson 4 27 4.9
S. tennessee 2 74 13.5
S. newington 7 24 4.4

Total 382 58.0 273 49.4 295. 53.6

Total all serotypes 659 553 550

Most Common Sources of Nonhuman Isolations
Swine 1 123 18.7
Turkey 2 109 16.5 1 93 16.8 1 91 16.5
Bone meal/meat scraps 3 54 8.2 4 47 8.5 4 37 6.7
Dry milk 4 51 7.7 5 43 7.8 2 86 15.6
Chickens 5 35 5.3 2 54 9.8
Cattle 2 54 9.8
Animal feed 3 62 11.3
Eggs 5 32 5.8


295


SEPTEMBER 2, 1967









296 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 2, 1967 AND SEPTEMBER 3, 1966 (35th WEEK)

ENCEPHALITIS HEPATITIS
ASEPTIC Primary
AREA MENINGITIS BRUCELLOSIS DIPHTHERIA including Po't- Serum Infectious
unsp. cases
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966
UNITED STATES... 121 127 6 5 70 194 10 45 20 638 498

NEW ENGLAND.......... 2 22 2 2 I 30 25
Maine.............. I 2 3
New Hampshire...... 1
Vermont............. -
Massachusetts...... 13 1 9 12
Rhode Island....... 2 7 2 1 1 2 2
Connecticut........ 1 17 7

MIDDLE ATLANTIC...... 5 9 6 4 1 13 11 109 89
New York City..... 1 6 1 11 6 43 17
New York, Up-State. 1 -- 1 1 2 29 22
New Jersey......... 3 2 2 2 2 3 24 10
Pennsylvania....... 1 4 13 40

EAST NORTH CENTRAL... 9 10 1 35 25 3 108 84
Ohio............... 2 1 29 23 51 19
Indiana............. 2 1 2 9 11
Illinois........... 5 2 1 3 2 3 12 16
Michigan........... 5 1 30 34
Wisconsin.......... 1 6 4

WEST NORTH CENTRAL... 3 2 8 16 29 13
Minnesota........... 2 2 2 3 7
Iowa............... 1 1 4 3
Missouri........... 1 4 16 3
North Dakota....... 4 -
South Dakota....... 3 -
Nebraska........... -
Kansas............. 5 3 5 -

SOUTH ATLANTIC....... 50 19 1 1 9 4 1 3 67 47
Delaware........... 2
Maryland............ 46 2 3 1 1 7 14
Dist. of Columbia.. 1 1
Virginia............ 3 1 2 1 7 6
West Virginia...... 2 2 4 1
North Carolina..... 2 1 9 8
South Carolina..... 1 1
Georgia.............. 19 8
Florida............. 4 10 1 2 1 1 20 7

EAST SOUTH CENTRAL... 9 16 2 1 9 1 1 27 33
Kentucky........... 1 2 9
Tennessee.......... 7 10 1 9 1 1 18 14
Alabama............ 5 2 6 4
Mississippi........ 2 1 6

WEST SOUTH CENTRAL... 4 10 2 2 2 113 74 48
Arkansas............ 3 1 1 7
Louisiana,.......... 3 2 1 13 7
Oklahoma............ 13
Texas.............. 1 7 2 1 111 47 34

MOUNTAIN............. 1 9 21 21
Montana............ -
Idaho............. 3 1
Wyoming............. 1 1
Colorado ........... 6 7 5
New Mexico ........ 2 1
Arizona............ I 2 6 7
Utah................ 1 2 6
Nevada............. -

PACIFIC............... 39 38 2 7 12 4 28 8 173 138
Washington ......... 5 15 11
Oregon............. 12 29
California......... 37 38 2 7 12 4 28 3 146 98
Alaska............ -
Hawaii............. 2 -

Puerto Rico 1 36 19









Morbidity and Mortality Weekly Report 297


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 2, 1967 AND SEPTEMBER 3, 1966 (35th WEEK) CONTINUED



MALARIA MEASLES (Rubeola) MENINGOCOCCAL INFECTIONS, POLIOMYELITIS RUBELLA
TOTAL
AREA Cumulative Cumulative Total Paralytic
Cum.
1967 1967 1967 1966 1967 1967 1966 1967 1967 1967 1967
UNITED STATES... 47 172 57,422 188,681 30 1,655 2,670 19 133

NEW ENGLAND.......... 2 1 845 2,243 1 68 118 16
Maine.............. 238 196 3 9 2
New Hampshire...... 74 80 2 9
Vermont............ 42 231 1 4
Massachusetts...... 2 1 340 776 32 48 2
Rhode Island....... 62 72 4 13
Connecticut........ 89 888 1 26 35 12

MIDDLE ATLANTIC ...... 9 10 2,246 17,977 4 270 318 5 29
New York City...... 1 3 450 8,274 48 45 1 22
New York, Up-State. 2 4 578 2,525 66 89 1 7
New Jersey.......... 4 2 486 1,845 1 93 97 -
Pennsylvania....... 2 1 732 5,333 3 63 87 3 -

EAST NORTH CENTRAL... 3 24 5,342 68,427 8 235 414 1 30
Ohio................ 1 2 1,139 6,333 4 79 113 4
Indiana............. 1 593 5,674 3 34 73 1
Illinois........... 2 4 942 11,332 1 54 77 3
Michigan........... 2 919 14,316 52 109 1 2
Wisconsin.......... 15 1,749 30,772 16 42 20

WEST NORTH CENTRAL... 3 2,831 8,666 1 71 142 3 3
Minnesota.......... 120 1,639 17 34 -
Iowa............... 1 747 5,303 14 22 1
Missouri........... 332 530 1 15 55
North Dakota....... 2 861 1,078 1 9 3
South Dakota....... 52 40 6 4
Nebraska........... 626 76 12 8
Kansas............. 93 NN 6 10 2 -

SOUTH ATLANTIC....... 18 18 6,854 15,132 6 315 448 2 8
Delaware............ 45 256 6 4 -
Maryland............ 1 2 154 2,096 1 39 46 1 2
Dist. of Columbia.. 22 382 10 11 -
Virginia........... 2 2,181 2,146 1 39 53 1
West Virginia...... 5 1,382 5,210 21 21 3
North Carolina..... 16 847 479 66 114 1
South Carolina..... 510 655 29 47 1
Georgia.............. 34 234 2 49 63 -
Florida............ 1 9 1,679 3,674 2 56 89 1

EAST SOUTH CENTRAL... 18 5,167 19,624 1 128 234 1 2
Kentucky........... 1,321 4,699 35 85 -
Tennessee.......... 18 1,862 12,236 1 54 77 2
Alabama............. 1,322 1,678 26 50
Mississippi........ 662 1,011 13 22 I -

WEST SOUTH CENTRAL... 7 70 17,283 24,326 3 218 367 7 -
Arkansas........... 1,404 971 2 30 33 -
Louisiana.......... 1 153 99 1 86 137 -
Oklahoma............ 7 2 3,350 480 16 18 1
Texas............... 67 12,376 22,776 86 179 6

MOUNTAIN ............. 1 11 4,613 11,899 3 30 85 13
Montana............ 282 1,808 4 -
Idaho............... 1 378 1,552 2 3 5 -
Wyoming.............. 180 159 1 6 -
Colorado........... 2 1,546 1,299 1 13 46 7
New Mexico......... 1 579 1,130 3 10 -
Arizona............ 3 1,014 5,280 4 10 6
Utah................ 1 4 365 628 4 -
Nevada............. 269 43 2 4 -

PACIFIC.............. 7 17 12,241 20,387 3 320 544 32
Washington........... 1 5,419 3,525 28 37 5
Oregon.............. 7 1,579 1,746 25 34 3
California.......... 7 8 4,947 14,512 3 254 454 21
Alaska.............. 133 471 9 15 2
Hawaii............. 1 163 133 4 4 1
Puerto Rico........... 2 2,103 2,652 12 11 -








298 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 2, 1967 AND SEPTEMBER 3, 1966 (35th 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... 4,098 5 147 5 123 15 269 16 229 66 3,035

NEW ENGLAND............ 420 2 1 3 1 74
Maine............ 10 16
New Hampshire...... 11 37
Vermont............ 10 18
Massachusetts...... 70 1 1 2 1 2
Rhode Island....... 26 1
Connecticut........ 293 1 1 -

MIDDLE ATLANTIC...... 65 1 12 1 24 3 25 4 66
New York City...... 3 1 6 12 -
New York, Up-State. 59 1 7 7 4 56
New Jersey......... NN 1 2 3 10 -
Pennsylvania....... 3 4 1 3 8 10

EAST NORTH CENTRAL... 297 16 12 2 23 2 20 4 303
Ohio............... 48 4 1 6 1 11 103
Indiana............ 51 3 2 1 8 1 3 69
Illinois........... 77 7 10 2 1 8 1 61
Michigan............ 63 2 6 20
Wisconsin.......... 58 1 50

WEST NORTH CENTRAL... 121 10 1 21 14 3 15 719
Minnesota.......... 1 3 1 3 138
Iowa............... 38 1 I 2 5 96
Missouri........... 5 5 8 7 1 1 131
North Dakota....... 22 128
South Dakota....... 8 1 2 92
Nebraska........... 3 2 4 48
Kansas.............. 47 1 10 1 2 86

SOUTH ATLANTIC....... 667 1 34 9 7 40 6 95 7 393
Delaware........... 1
Maryland............ 63 2 2 18 2
Dist. of Columbia.. 10 1-
Virginia............ 183 7 3 2 23 1 180
West Virginia...... 156 1 2 1 1 1 57
North Carolina..... 14 6 3 2 40 3
South Carolina..... 13 1 2 2 9 4 -
Georgia............. 6 3 4 4 13 9 2 92
Florida............. 221 1 16 1 1 8 3 59

EAST SOUTH CENTRAL... 982 23 9 1 45 2 43 12 577
Kentucky........... 35 3 1 18 13 4 132
Tennessee.......... 792 8 6 1 9 2 23 6 397
Alabama............ 96 9 9 7 1 39
Mississippi........ 59 3 2 9 1 9

WEST SOUTH CENTRAL... 457 3 34 3 59 2 32 3 26 17 643
Arkansas........... 5 2 36 2 9 1 7 3 89
Louisiana.......... 2 3 4 13 56
Oklahoma........... 16 1 2 1 15 6 13 8 222
Texas.............. 439 2 24 4 4 2 6 6 276

MOUNTAIN............. 611 1 8 16 8 3 95
Montana............ 22 1 -
Idaho ............. 47 -
Wyoming............. 12 2 5
Colorado............ 362 1 11 8 10
New Mexico......... 106 I 1 1 29
Arizona............. 34 3 43
Utah................ 28 1 4 3
Nevada.............. 2 5

PACIFIC .............. 478 16 4 2 72 8 4 165
Washington......... 42 2 1 1 1
Oregon............. 24 1 1 3
California......... 387 13 2 2 68 6 4 161
Alaska.... ........ 24
Hawaii............ 1 2 3 ---

Puerto Rico ......... 2 1 11 4 26








Morbidity and Mortality Weekly Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED .SEPTEMBER 2, 1967

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


299


All Causes Pneumonia Under All Causes Pneumonia Under
d and i Ca Area yand I year
Area All 65 years and f year Area All 65 years Influenza All
SInfluenza All flAe All
Ages and over Influenza A Ages and over
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.--------


681
245
30
24
17
63
31
15
24
45
61
9
47
26
44

2,840
48
49
150
33
24
41
55
62
1,442
29
324
179
49
106
24
43
56
54
36
36

2,461
63
29
747
175
154
106
82
318
41
53
40
27
53
155
24
128
39
31
51
79
66

752
45
15
52
117
32
94
81
196
69
51


396
132
19
19
10
34
20
9
18
23
34
6
28
15
29

1,648
27
31
81
19
11
23
32
40
811
16
198
107
30
75
12
26
34
34
25
16

1,382
36
11
392
105
79
57
47
184
26
22
22
14
37
87
13
88
26
16
34
48
38

461
28
11
29
72
18
62
49
120
42
30


SOUTH ATLANTIC: 1,068 546 39 59
Atlanta, Ga.----------- 142 69 10 13
Baltimore, Md.---------- 224 111 5 11
Charlotte, N. C.------- 48 22 1 3
Jacksonville, Fla.----- 64 29 1 1
Miami, Fla.------------ 95 52 7
Norfolk, Va.----------- 41 21 2 2
Richmond, Va.----------- 68 35 6
Savannah, Ga.----------- 35 14 2 1
St. Petersburg, Fla.--- 71 61 4 1
Tampa, Fla.------------ 61 33 2 4
Washington, D. C.------ 177 83 9 7
Wilmington, Del.------- 42 16 3 3

EAST SOUTH CENTRAL: 537 275 18 43
Birmingham, Ala.------- 91 45 3 4
Chattanooga, Tenn.----- 47 22 3 7
Knoxville, Tenn.------- 37 22 2
Louisville, Ky.--------- 87 44 5 4
Memphis, Tenn.---------- 120 62 2 14
Mobile, Ala.----------- 32 13 2
Montgomery, Ala.------- 33 16 1 3
Nashville, Tenn.------- 90 51 2 9

WEST SOUTH CENTRAL: 1,113 552 27 88
Austin, Tex.----------- 30 22 3 1
Baton Rouge, La.------- 36 20 I
Corpus Christi, Tex.--- 22 10 2
Dallas, Tex.----------- 146 55 2 15
El Paso, Tex.----------- 55 29 7 8
Fort Worth, Tex.------- 70 32 2
Houston, Tex.----------- 218 101 3 20
Little Rock, Ark.------ 68 32 4 4
New Orleans, La.-------- 171 85 2 17
Oklahoma City, Okla.--- 75 46 2
San Antonio, Tex.------ 122 72 2 8
Shreveport, La.-------- 51 21 4 5
Tulsa, Okla.----------- 49 27 3

MOUNTAIN: 388 219 15 23
Albuquerque, N. Mex.--- 33 14 2 3
Colorado Springs, Colo. 23 12 -
Denver, Colo.---------- 101 58 3 7
Ogden, Utah----------- 23 14 1 2
Phoenix, Ariz.--------- 90 43 8 8
Pueblo, Colo.---------- 36 24 1
Salt Lake City, Utah--- 44 31 2
Tucson, Ariz.---------- 38 23 -

PACIFIC: 1,462 868 32 61
Berkeley, Calif.------- 28 18 -
Fresno, Calif.--------- 42 22 1 2
Glendale, Calif.------- 19 15 1 1
Honolulu, Hawaii------- 62 36 4 3
Long Beach, Calif.---- 70 43 1 5
Los Angeles, Calif.---- 401 249 6 18
Oakland, Calif.-------- 90 53 2 4
Pasadena, Calif.------- 39 31 -
Portland, Oreg.-------- 105 60 5
Sacramento, Calif.----- 51 30 1 2
San Diego, Calif.------ 102 57 4 5
San Francisco, Calif.- 164 86 3 3
San Jose, Calif.------- 46 25 2 4
Seattle, Wash.--------- 151 81 5 5
Spokane, Wash.--------- 44 29 1 1
Tacoma, Wash.---------- 48 33 1 3

Total 11,302 6,347 346 607

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 432,867
All Causes, Age 65 and over------------------- 247,149
Pneumonia and Influenza, All Ages------------ 15,448
All Causes, Under 1 Year of Age------------- 22,022


Week No.
35







300


Morbidity and Mortality Weekly Report


BRUCELLOSIS (Continued from page 293)

Figure 1
CASES OF BRUCELLOSIS IN MEAT PACKING PLANT
VIRGINIA, JUNE 1966 MAY 1967


JUNE JULY AUG SEPT OCT NOV DEC
1966


JAN FEB MAR


MAY JUNE


MONTH OF ONSET


treated by the plant physician who prescribed 500 mg Tetra-
cycline q.i.d. and 1 gm ,.-'j.* .. .ir. daily for 21 days.
The number of days lost from work ranged from 7 to 56
with an average of 19.9 days.
Of the 400 or more male employees in the plant, ap-
proximately 130 had worked either full time or part time in
the beef or pork kill areas; all 43 persons infected had
worked in one or the other of these areas. The cases were
plotted by specific work location; of 20 different sites in-
criminated, 7 locations accounted for 30 cases. Illness by
number of years employed ranged from 3 months to 25
years (mean 9.9 years); 12 persons had been employed for
less than one year. The age range was 22 to 57 years with
a mean age of 33.8 years.
The cases were diagnosed on the basis of both clinical
and laboratory findings. Forty-two patients exhibited
agglutination titres of 1:160 or greater; one had a titre
of 1:80 but had a positive culture. Cultures were prepared
from the clots of blood specimens on all cases; Brucella
suis was isolated from four of the cultures.
Maximum daily operating capacity for the plant is ap-
proximately 1,600 swine, 150 to 300 of which are sows, in
addition to 150 cattle. In May 1967, blood specimens were
obtained from randomly selected sows which were being
processed in the plant. The brucella reactor rate for the
sows examined ranged from 2.7 to 58.1 percent, depending
on the source of supply. During the same month, a com-
prehensive study was initiated to evaluate the problem
within the plant and attempt to seek a solution. Included
in the study were an analysis in depth of the human cases,
serological survey of the employees and processed animals,
bacteriological air sampling, air flow studies, and water
sampling within the plant. Results of these studies are
not yet available.
(Reported by Paul C. White, Jr., M.D., Director, Bureau of
Epidemiology, Virginia State Department of Health; S. A.
Graham, Jr., M.)., Iealth Director, City of Richmond
Health Department; representatives from the USDA and the
State Department of Agriculture; and a team from NCDC.)


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 PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY, THE NATIONAL COMMUNICABLE DISEASE
CENTER WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE
INVESTIGATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH
OFFICIALS AND WHICH ARE DIRECTLY RELATED TO THE CONTROL OF
COMMUNICABLE DISEASES. SUCH COMMUNICATIONS SHOULD BE
ADDRESSED TO:
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
NATIONAL COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
NOTE: THE DATA IN THIS REPORT ARE PROVISIONAL AND ARE
BASED ON WEEKLY TELEGRAMS TO THE NCDC BY THE INDIVIDUAL
STATE HEALTH DEPARTMENTS. THE REPORTING WEEK CONCLUDES
ON SATURDAY; COMPILED DATA ON A NATIONAL BASIS ARE RELEASED
ON THE SUCCEEDING FRIDAY.


UNIV. OF FL LIE.
DOCUMENTS DEPT.






U.S. DEPOSITORY


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