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:
AA00010654:00054

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


Vol. 16, No. 20



IWe :E


Week Ending


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

BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTROL


EPIDEMIOLOGIC NOTES AND REPORTS
LEUKEMIA Missouri, Kansas, and Georgia

Since the inception of the NCDC leukemia case-
reporting program in 1966, three instances of multiple
cases of leukemia occurring among occupants of a single
house have been reported from three different areas.
An 18-year-old man who moved into a second floor
apartment in North Kansas City, Missouri, in April 1964
(see Table 3, page 168) developed acute lymphocytic
leukemia in January 1966. A 28-year-old woman who lived
on the first floor of the same building from June 1962 to
June 1966 developed acute myelocytic leukemia in Jan-
uary 1967.


Epidemiologic Notes ... I tc
Leukemia Miss.... Gorg
Typhoid Fever i.... *
Surveillance Summar,
influenza United Stitcs, i9( f l .0 1 6 1 62
International Notes
Quarantine Measures ... . . 16S

A 41-year-old man developed chronic myelocytic Ilu-
kemia in February 1961, 13 months after moving out of a
house in Prairie Village. Kansas. Another family moved
into that house in January 1960 and lived there until
October 1966. A 15-year-old girl in this family developed
acute myelocytic leukemia in January 1967.
(Continued on page 168)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
20th WEEK ENDED CUMULATIVE, FIRST 20 WEEKS
MEDIAN
DISEASE MAY 20, MAY 21, 1962 1966 MEDIAN
1967 1966 1967 1966 1962 1966
Aseptic meningitis ...................... 62 27 27 624 551 550
Brucellosis. .. ........ .... ......... 6 5 8 86 81 130
Diphtheria........... .......... 1 11 7 40 64 98
Encephalitis, primary:
Arthropod-borne & unspecified .......... 29 22 --- 493 482
Encephalitis, post-infectious ..... .... 25 23 -- 335 341 -
Hepatitis, serum ................... ...... 40 26 755 763 496 17,
Hepatitis, infectious .................... 843 591 15,830 13,469
Malaria ............................... 37 5 4 758 107 34
Measles (rubeola)....................... 1,825 7,348 16,213 46.301 149,761 263.488
Meningococcal infections, total ........... 63 75 53 1,176 1,962 1,302
Civilian .............. ............. 57 70 -- 1,087 1,732 -
Military .............................. 6 5 --- 89 230 -
Poliomyelitis, total .................... ... 2 1 2 8 9 26
Paralytic. .......................... 2 1 2 7 8 21
Rubella (German measles) ................ 2,118 1,945 --- 26,919 30,388 "
Streptococcal sore throat & scarlet fever .. 9,564 7,989 7,884 234.868 223,959 209.913
Tetanus................................ 2 5 56 42 76
Tularemia.............................. 1 2 3 55 54 75
Typhoid fever .......................... 6 9 11 123 113 133
Typhus, tick-borne (Rky. Mt. spotted fever). 5 5 5 31 16 16

Rabies in animals ....................... 91 68 100 1,794 1,753 1,753

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: Tex.-l ................... ................... 2 Rabies in man ..
Botulism ......... ........................... Rubella, Congenital Syndrome: Colo.-1 ............ 3
Leptospirosis: Hawaii-2 ................... .......... 14 Trichinosis .......... .. .. ... .... .. 32
Plague .............................................. Typhus, murine: Tex.- .... ....... .................. 13
Psittacosis:N.J.-l. Penn.-l. Wisc.- .................. 17 Polio, Unsp .. .. .. ... ... .. ...


F S6 2 /6 /








Morbidity and Mortality Weekly Report


TYPHOID FEVER Washington


A case of typhoid fever occurred in a 21-month-old
child following exposure to a known typhoid carrier. The
typhoid carrier was the child's _-i. ,i-r -..I .i,..-r who had
a colostomy performed for a carcinoma of the colon three
years previously. It had been customary to observe strict
precautions when the boy made infrequent visits to his
great-grandmother. H.. *-'. .r. on one visit 16 days prior to
onset of his, illnes- thei- ,ptient managed to enter a nor-


mally locked bathroom and was discovered chewing on the
colostomy irrigation tube.
It is interesting to note that the cr--t i. tr:irjlr,,ioth-r was
found to be a carrier in 1963, when another member of the
same family contracted typhoid fever. The ri ii rnrini,,Ib.,r
gave a history of having had typhoid fever in 1925.
(Reported by Byron J. Francis, M.D., Head, Communicable Dis-
ease Control Section, Washington State Department of Ii.-.". )


SURVEILLANCE SUMMARY
INFLUENZA United States, 1966-67


A review of the [nr~irrrni j-lafluJ.-r, I mortality reports
from 122 U.S. cities ijF.gur- ,'I f..r itm. 1966-67 influenza
season reveals that, for the country as a whole, at no
time ... deaths exceeded the epidemic threshold. Fur-
*i,.-r i cr in none of the geographic regions, also shown
in Figure.3, have deaths exceeded this threshold for 2
consecutive weeks.
This is consistent with information obtained from a
10 percent systematic sampling of all death certificates
(Tables 1 and 2). In January and February 1967 (latest
data available), there were fewer deaths due to all causes
and fewer deaths due to pneumonia and influenza than in
the same months in 1966.

Table 1
Deaths due to all causes by month September-February 1965-67
based on a 10 percent sample of death certificates by the
National Center for Health Statistics, Washington, D.C.*
19S5 166
Menth No of Bates on an annual No. of Rates on an annual
dOaths basi, per IS.110 1 death basis per 100I 00
Sept. 11.400 B5.9 14,053 872 7
Oct. 14.842 9121 15.235 915.8
Nor. 15,036 951 0 5.001 922.0
Dec. 16,252 3S1 I 16,372 111.5
------ --- (96 ------- 7 ---- 19
Jan. 1,514 1021.5 16,D54 918 8
Feb. 15,40I I018. 1t,4311 919.1


Only 18 states (according to information available to
the NCDC through May 10) have reported laboratory-
confirmed cases of influenza in the past 6 months. The
patterns of distribution of influenza virus types A2 and B
are shown in Figures 1 and 2. Georgia was the only state
that reported widespread influenza A2, that is, more than
isolated cases or well defined isolated outbreaks. Only
two states, Arizona and California, reported similar dis-
tribution of influenza B.


(Reported by Respiratory Diseases Unit. Epidemiology
Program. NCDC.)

Table 2
Pneumonia and influenza deaths for all ages by month
September-February 1965-67 based on a 10 percent sample
of death certificates by the National Center for Health
Statistics, Washington, D.C.*
1965 1966
Mont No. of Raits en an annual No. of Rates on a annual
death balls per 1 ,8000 deaths basis per 100,000
Sept. 374 23.0 325 20.2
Ot. 485 29.8 459 21.6
Nov. 490 31.4 50 27.6
Dec., 08 36.0 531 31.5
------ -1966 1---------- ----- 1961 ------------
Jan. 64 40.0 603 31.1
Feb. 635 42.0 525 35.5
1


*Source of data: Monthly Vital Statistics Report, National Vital Statistics Division, National Center for Health Statistics


Figure 1 Figure 2
DISTRIBUTION OF INFLUENZA A, UNITED STATES DISTRIBUTION OF INFLUENZA B, UNITE[
1966 1967 .as. 1966 1967
.r-


_j -I. -0


a ---- C----

BE^ON-l iNtHVME? ** ar I--I


MAY 20, 1967


ESTATES









Morbidity and Mortality Weekly Report




Figure 3
PNEUMONIA-INFLUENZA DEATHS IN 122 UNITED STATES CITIES


ALL CITIES


EPIDEMIC THRESHOLD -----
EXPECTED NUMBER -


WEEK NO 40 44 48 53 4 8
WK ENDED 3 31 28 2 30 27
MONTH 0 N J F
196411965


12 16 20 24 28 32 36 40 44 48 52 4 8 12 16 20 24 28 32 36 40 44 48 52 4 8 12 16 20 24 28 32 36
27 24 22 19 17 14 II 9 4 1 1 29 2626 23 21 18 16 13 10 8 5 3 31 28 25 25 22 20 17 15 12 9
M A M J J A S O N D J F M A M J J A SO N D J F MA M J J A S
196511966 1966 1967


WN. CENTRAL
10 CITIES 200


150


1.. I 00


40 44 48 52 4 8
196611967


MOUNTAIN
8 CITIES


12 16 20 24 28 32

150

125-


100


75.


~~VN~W5


WEEK NO. 40 44 48 52 4 8 12 16 20 24 28 32
19661 1967


E.N. CENTRAL
21 CITIES


NEW ENGLAND
1251 14 CITIES


40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 28 32 36
1966 11967 196611967


E. S. CENTRAL
8 CITIES


250-

200-

150I

100-

50-


J


40 44 48 52 4 8 12 16 20 24 28 32
1966 11967


MIDDLE ATLANTIC
20 CITIES


40 44 48 52 4
196611967


8 12 16 20 24 28 32 36


PACIFIC
16 CITIES


100




,*,h ,T .i ,hT'-h,, I,,hh h 50 0I

abshsiest vlssin^^iehaial.


W.S. CENTRAL
13 CITIES


100-



S50-



realisalonisashesitua~rll.ls..Idei.sainst


SOUTH ATLANTIC
12 CITIES












esI ..sh1ai na1 I lltlll...b~e lanioninl~ nltn uI.


WEEK NO 40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 28 32 36
196611967 196611967 196611967


MAY 20, 1967


500

400

300


125

100

75

50
I-
? 25
w
o
U.1
0 WEEK NC
0:tr
UJ
ID
S100



75



50



25.


.1 ......








164 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 20, 1967 AND MAY 21, 1966 (20th WEEK)


ENCEPHALITIS HEPATITIS

ASEPTIC Primary
AREA MENINGITIS BD CELLOS1I DIPiHII liA including PoSt- Serum Infectious
unsp. cases Infectious
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966
UNITED STATES... 62 27 6 1 29 22 25 40 26 843 591

NEW ENGLAND.......... 1 1 2 33 20
Maine.............. 3 2
New Hampshire...... 1 -
Vermont............ 1
Massachusetts..... 1 10 16
Rhode Island....... 1 1 6
Connecticut........ 1 12 2

MIDDLE ATLANTIC...... 3 5 5 16 3 13 14 109 105
New York City...... 1 2 3 2 3 10 6 18
New York, up-State. 1 7 35 27
New Jersey......... 1 2 1 13 3 1 27 27
Pennsylvania....... 1 1 1 3 3 41 33

EAST NORTH CENTRAL... 8 5 1 8 2 3 2 125 108
Ohio............... 1 2 2 2 31 47
Indiana............. 1 1 3 8 11
Illinois........... 6 2 1 35 7
Michigan............ 3 1 3 1 42 39
Wisconsin......... 9 4

WEST NORTH CENTRAL... 1 1 2 1 62 44
Minnesota.......... 2 13 6
Iowa............. 8 13
Missouri............. 1 1 35 19
North Dakota....... 1 -
South Dakota....... -1 1
Nebraska........... 3
Kansas............. 4 2

SOUTH ATLANTIC....... 2 3 1 3 2 4 1 1 96 76
Delaware........... 1 7 -
Maryland............ 2 2 17 29
Dist. of Columbia.. 1 2
Virginia........... 1 1 1 1 1 26 9
West Virginia...... 4 5
North Carolina..... 2 2 6
South Carolina..... 1 1
Georgia............. 26 5
Florida............ 3 1 1 12 19

EAST SOUTH CENTRAL... 5 1 2 2 1 51 37
Kentucky............. 3 -- 1 14 8
Tennessee.......... 2 2 18 16
Alabama............ 2 -- 9 11
Mississippi........ 1 10 2

WEST SOUTH CENTRAL... 6 2 1 2 3 2 95 47
Arkansas............ 1 1 5
Louisiana.......... 3 1 2 1 12 6
Oklahoma........... 4 1
Texas.............. 2 2 1 1 1 1 78 35

MOUNTAIN............. 1 1 1 46 17
Montana............ 4
Idaho.............. 3 -
Wyoming.............. 2 1
Colorado............. 11 7
New Mexico......... 1 5 1
Arizona............. 1 8 4
Utah................ 1 17
Nevada............ -

PACIFIC.............. 38 9 1 9 2 9 18 8 226 137
Washington.......... 1 1 1 72 10
Oregon............. 1 12 19
California......... 12 8 1 6 2 8 18 8 142 106
Alaska.............. -
Hawaii............. 25 2 -- -

Puerto Rico 20 24








Morbidity and Morlality Weekly Report 165


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 20, 196' AND MAY 21. 1966 (20th WilK) (ONTINI I)



MALARIA MEASLES (Rubeola) MENINGOCOCCAL INFECTIONS, POLIOMYELITIS RUBELLA
AREA .. ........... ........ Total Par lyt e
Cumulative Cumulative Total P
I-' I Cuu .
___ __ ii Is, I,,, ~ IrI I' .


UNITED STATES... 37 1,825 46,301 149,761 63 1,176 1,962 2 2 7 2,118

NEW ENGLAND........... 25 579 1,724 3 52 87 164
Maine.............. 140 170 3 8 16
New Hampshire...... 71 39 -2 8
Vermont............ 36 209 3 2
Massachusetts...... 14 223 644 2 25 35 38
Rhode Island ....... 8 46 68 3 7 40
Connecticut ........ 3 63 594 1 19 26 68

MIDDLE ATLANTIC...... 6 66 1,561 16,018 9 179 213 2 127
New York City...... 1 16 276 7,743 3 31 33 1 37
New York, Up-State. 16 360 1,874 1 43 59 55
New Jersey......... 2 16 378 1,674 2 69 58 -
Pennsylvania....... 3 18 547 4,727 3 36 63 1 35

EAST NORTH CENTRAL... 233 3,864 54,667 13 142 303 413
Ohio................ 56 695 5,215 4 54 83 20
Indiana............. 30 458 4,074 5 21 53 20
Illinois........... 56 644 10,237 3 30 58 139
Michigan........... 34 805 9,391 1 28 78 94
Wisconsin.......... 57 1,262 25,750 9 31 140

WEST NORTH CENTRAL... 124 2,062 6,986 3 51 108 133
Minnesota.......... 9 103 1,519 11 26 -
Iowa................ 74 575 4,120 1 11 16 71
Missouri............ 5 144 389 11 43 57
North Dakota....... 14 707 885 5 5
South Dakota....... 46 4 6 3
Nebraska........... 16 480 69 8 8
Kansas............. 6 7 NN 2 4 7

SOUTH ATLANTIC....... 4 238 5,380 11,482 11 226 313 1 157
Delaware............. 1 36 189 5 3 I
Maryland............ 10 98 1,690 27 31 1 15
Dist. of Columbia.. 12 351 1 8 7 -
Virginia........... 1 58 1,673 1,329 3 21 42 28
West Virginia ..... 48 1,020 4,070 1 17 10 56
North Carolina..... 3 24 792 225 1 46 77 -
South Carolina..... 5 423 503 3 23 41 -
Georgia............. 23 218 33 44 -
Florida............ 92 1,303 2,907 2 46 58 57

EAST SOUTH CENTRAL... 16 68 4,351 16,398 104 173 206
Kentucky............ 16 9 1,101 4,236 29 70 162
Tennessee.......... 44 1,503 9,962 44 53 44
Alabama............ 11 1,124 1,372 19 38 -
Mississippi........ 4 623 828 12 12 -

WEST SOUTH CENTRAL... 2 373 15,183 18,604 6 171 288 2 2 4 22
Arkansas............ 9 1,368 730 1 20 17 -
Louisiana.......... 3 120 76 3 66 111
Oklahoma........... 2 6 3,285 402 1 11 16 -
Texas............. 355 10,410 17,396 1 74 144 2 2 3 22

MOUNTAIN ............. 1 149 3,522 8,902 3 24 69 142
Montana............ 8 246 1,385 4 6
Idaho.............. 6 334 897 1 5 -
Wyoming.............. 25 46 103 1 1 3
Colorado........... 1 36 1,003 884 10 37 93
New Mexico......... 32 522 919 3 9 -
Arizona............. 32 818 4,364 2 4 8 38
Utah............... 10 289 317 3 5
Nevada............. 264 33 2 3 -

PACIFIC.............. 8 549 9,799 14,980 15 227 408 754
Washington.......... 4 241 4,636 2,587 1 22 31 179
Oregon............. 44 1,276 1,044 3 21 27 26
California........ 3 259 3,678 11,162 11 175 332 535
Alaska.............. 112 101 8 15 -
Hawaii............... 1 5 97 86 1 3 14


Puerto Rico.......... 1 135 1,661 1,883 8 5 1 2









166 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 20, 1967 AND MAY 21, 1966 (20th WEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE RAIS 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... 9,564 2 56 1 55 6 123 5 31 91 1,794

NEW ENGLAND........... 1,502 1 42
Maine.............. 75 10
New Hampshire...... 13 25
Vermont............ 23 7
Massachusetts...... 239 1
Rhode Island....... 83 -
Connecticut........ 1,069 -

MIDDLE ATLANTIC...... 670 5 1 15 32
New York City...... 36 3 9 -
New York, Up-State. 587 1 1 4 23
New Jersey......... NN 1
Pennsylvania....... 47 1 1 9

EAST NORTH CENTRAL... 988 1 3 8 10 1 5 14 162
Ohio................ 209 4 1 4 2 73
Indiana............. 101 1 1 1 23
Illinois........... 221 1 3 7 1 4 29
Michigan........... 299 4 7 12
Wisconsin.......... 158 I 25

WEST NORTH CENTRAL... 449 1 10 2 23 392
Minnesota.......... 13 1 2 73
Iowa............... 210 1 -2 2 43
Missouri........... 36 3 4 85
North Dakota....... 65 2 65
South Dakota...... 26 7 57
Nebraska........... 35 1 27
Kansas.............. 64 6 5 42

SOUTH ATLANTIC....... 905 13 7 16 2 12 10 242
Delaware........... 12 -
Maryland............ 167 2
Dist. of Columbia.. i 1
Virginia........... 267 4 2 2 4 127
West Virginia...... 251 I i 2 41
North Carolina..... 45 4 2 2 9 1 2
South Carolina..... 8 2 3
Georgia............ 1 1 3 1 1 1 47
Florida............. 154 4 1 4 2 25

EAST SOUTH CENTRAL... 1,036 1 15 7 5 17 4 13 410
Kentucky........... 7 1 4 8 2 4 79
Tennessee.......... 925 1 8 4 1 5 2 9 300
Alabama............ 83 5 4 29
Mississippi........ 21 2 2 -- 2

WEST SOUTH CENTRAL... 789 11 1 13 17 2 4 23 355
Arkansas........... 3 1 2 3 1 54
Louisiana.......... 1 2 11 30
Oklahoma............ 101 6 1 3 14 101
Texas.............. 688 7 3 3 1 1 8 170

MOUNTAIN............. 1,496 7 15 3 3 53
Montana............ 53 I 1 -
Idaho .............. 89 -
Wyoming............. 49 2 4
Colorado........... 791 1 11 3 5
New Mexico ........ 191 3 15
Arizona.............. 133 3 29
Utah................ 190 3
Nevada.............- -

PACIFIC ............. 1,729 8 3 30 3 5 106
Washington......... 493 2 -
Oregon.............. 70 1
California......... 992 6 1 27 3 5 105
Alaska............. 33 -
Hawaii.............. 141 2 3 -

Puerto Rico.......... 10 4 4 16









Morbidity and Mlortalit~ Wekl Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED MAY 20'. 196'


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

All Causes Pneumonia Under All Causes Pneumonia Under

Area All 65 years and I year Area All 65 year and year
and over Influenza All and overInfluenza All
Ages nd overCauses Ages Causesover
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. 1.-----
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.--------


709
227
32
29
24
58
28
24
26
55
51
12
53
24
66

3,267
71
34
156
35
29
41
55
95
1,647
43
470
182
47
110
18
36
84
57
25
32

2,550
67
29
723
152
217
121
82
378
35
42
41
31
65
161
42
114
33
26
42
92
57

757
49
31
35
123
17
102
72
242
46
40


421
125
17
20
18
25
18
16
17
26
32
8
32
18
49

1,909
39
25
93
20
18
22
35
44
972
22
257
104
37
65
11
24
47
36
21
17

1,454
30
16
406
96
107
69
45
220
23
25
22
12
41
93
19
70
18
14
29
63
36

479
33
24
24
80
11
60
45
149
33
20


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

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

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

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

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


1,118
122
229
43
71
96
64
86
20
76
68
196
47

586
91
43
39
127
130
47
39
70

1,156
41
33
44
150
32
83
229
48
162
92
129
53
60

387
38
20
103
14
98
19
60
35

1,508
21
55
39
43
77
443
65
49
121
76
90
194
33
129
43
30


Total 12,038 6,904 379 617

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 256,186
All Causes, Age 65 and over------------------- 148,032
Pneumonia and Influenza, All Ages------------- 9,982
All Causes, Under 1 Year of Age--------------- 12,835


Week No.
20










168


L KEMIA Missouri, Kansas, and Georgia
S (Continued from front page)

F Fita4ly, one member of each of the last three families
that hs lived in a small house in Douglas, Georgia, has
developed acute leukemia. A 7-year-old boy became ill
in'July 1958, 13 months after his family moved out. A
.o*. ir"..r.1.1 woman developed leukemia in March 1963 after

livihg in the house for 6 years. In October 1964 another
family moved into this house, and in December 1966 the
5-year-old boy in this family had the onset of leukemia.
Radiation levels in the apartment house in North
Kansas City were studied and found to be normal. The
house in Douglas will he investigated in a similar manner;
also. prior occupants of the house will be traced in a
search for other cases of neopiastic disease.

Table 3
Three Houses with Multiple Leukemia Cases among Occupants

Period Date Type
House
o o Age* Sex Occupied of of
Location
the House Onset Leukemia

North Kansas
City,Missouri 18 1 4 64- 6 '66 1/66 acute lympho-
cytic
28 F 6 62- 6 66 1/67 acute myelo-
cytic

Prairie Village,
Kansas 41 M ? 1/60 2 61 chronic mye-
locytic
15 F 1/60-10 66 1 67 acute mye-
locytic

Douglas,
Georgia 7 M 4/57- 6/57 7/58 acute lympho-
cytic
36 F 6/57- 4/63 3/63 acute lympho-
cytic
5 M 10/64-present 12 66 chronic mye-
locytic

*Age at diagnosis.

(Reported by the Leukemia Section, Epidemiology Program,
NCDC.)


INTERNATIONAL NOTES
QUARANTINE MEASURES

Immunization Information for International Travel
1965-66 edition-Public Health Service Publication No. 384

The following information should be added to the list of
Yellow Fever Vaccination Centers in Section 6:


Page 76


City:
Center:


Clinic Hours:
Fee:


New Orleans, Louisiana
Immunization Clinic
Tulane University School of Medicine
Tuesday, p.m.
Yes


UNIVERSITY OF FLORIDA

ll I Il l IIllI l III I lII II IIIIIlll l
3 1262 08864 2391

MAY 20, 1967


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.


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