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:
AA00010654:00055

Related Items

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

Full Text

/ 2, / /



Morbidity and Mortality


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


Prepared by the


MElrose 4-5131


For release August 3, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 30
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JULY 28, 1962


POLIOMYELITIS Nineteen cases of poliomyelitis, 16
paralytic, were reported for the 30th week of the year
ending July 28. This represents a slight drop in reported
cases as compared to the 23 cases, 19 paralytic, reported
last week.
Sir of the paralytic cases were from Texas with the
Dallas area remaining the most active focus of polio-
myelitis in the State. Dallas County reported an addi-
tional 2 paralytic cases bringing the yearly total to 14 in
that county. These cases have occurred as follows:


Week of Onset
Week Ending: 6/2 6/9 6/16 6/23 6/30 7/7 7/14 7/21
Paralytic Cases* 0 2 1 0 4 2 1 2
*Two cases with unknown onset not shown, one reported week
ending July 14 and one reported week ending July 21.

Over 2 million persons have been fed Type I oral
vaccine in Texas during the past two weeks. Harris
County (Houston), w its eighth paralytic case
this week, hel pro m for thi d adjacent counties


Table I CASES OF sPECIFIED NOTIFIABLE DIE NDV 5TA T E S
(Cumulatl.e totals include re'-,edt and dela)ed report rhr ou.hi, -_ i,
30th Week Cumulative
Disease Ended Ended First 30 weeks
Disease Median
July 28, July 29, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningit................. 87 68 --- 875 1,032
Brucellosis ..... .............. 10 13 14 242 354 468
Diphtheria.. .................. 2 12 12 231 330 371
Encephaliis, infectious .......... 31 30 42 916 867 889
Heat i i. infectious and serum.. 799 L,118 325 34,608 47,321 13,232
.1easlez ........................ 2,601 3,052 3,093 434,130 378,007 385,955
Meningococcal infections ......... 32 49 35 1,349 1,352 1,483
Poliomyelitis, total.............. 19 39 140 291 327 1,051
Paralytic................... 16 27 72 222 213 509
Nonparalytic................ 3 5 47 47 71 363
Unspecified.................. 7 21 22 43 179
Streptococcal sore throat
and-Scarlet fever ............ 3,321 2,639 --- 210,350 219,211
Tetanus ........................ 8 --- --- 131
Tularemia...................... 14 --- 171 ... -.
Typhold le.er ................... 13 21 21 302 376 414
T)phu5 lever, tick-borne,
(Rocky Mountain spotted)...... 15 --- --- 126 ---
Rabies in Animals............... 81 66 66 2,472 2,107 2,310

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis: Wis. 1
Botulism: Rabies in Man:
Malaria: Mich. 1, Nebr. 1 Smallpox:
Plague- Typhus, murine:


Wekl


C0,,)-'UIICAL DSESE_=Ed-LEP








Morbidity and Mortality Weekly Report




SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS


JUNE 1962 JUNE 1961


CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area June 1962 and June 1961 -


Provisional Data


Reporting Ae June Cumulative Reporting Area June Cumulative
1962 1961 1962 1961 1962 1961 1962 1961
NEW ENGLAND............... 27 45 280 275 EAST SOUTH CENTRAL..... 91 100 554 613
Maine................... 2 0 6 2 Kentucky.................. 10 14 63 83
New Hampshire............. 0 1 4 7 Tennessee.................. 21 31 147 228
Vermont ................. 0 0 0 3 Alabama.................. 56 41 305 226
Massachusetts............ 20 32 193 190 Mississippi.............. 4 14 39 76
Rhode Island............. 0 1 12 10
Connecticut.............. 5 11 65 63 WEST SOUTH CENTRAL........ 265 286 1,409 1,642
Arkansas.................. 21 21 106 142
MIDDLE ATLANTIC........... 512 412 2,792 2,686 Louisiana................ 120 136 622 743
Upstate New York......... 37 50 268 284 Oklahoma................. 12 6 55 37
New York City............ 289 238 1,566 1,638 Texas..... .............. 112 123 626 720
Pa. (Excl. Phila.)....... 25 14 74 83
Philadhlphia ............. 49 50 355 275 MOUNTAIN.................... 36 18 195 117
N1w Jrsey ............... 112 60 529 406 Montana................... 0 0 0 0
Idaho....................... 0 1 1 8
EAST NORTH CENTRAL........ 119 159 825 891 Wyoming.................. 0 0 0 1
Ohio.................... 25 24 147 116 Colorado................. 14 1 40 9
Indiana ................. 11 9 40 47 New Mexico................. 6 2 30 15
Downstate Illinois ...... 5 14 70 75 Arizona.................. 8 12 83 77
Chicago................... 50 81 403 460 Utah...................... 0 1 3 4
Michigan ................ 21 26 135 155 Nevada .................. 8 1 38 3
Wisconsin................ 7 5 30 38
PACIFIC................... 175 130 865 -816
WEST NORTH CENTRAL........ 50 35 180 196 Washington............... 2 6 15 51
Minnesota................ 6 11 23 61 Oregon ................... 6 3 27 22
Iowa ..................... 8 2 11 9 California............... 164 121 812 741
Missouri ................. 26 13 91 79 Alaska................... 0 0 2 1
North Dakota............. 0 0 2 5 Hawaii................... 3 0 9 1
South Dakota.............. 2 2 18 8
Nebraska.................. 1 1 5 7 U. S. TOTAL................ 1741 1.587 10.004 9.630
Kansas ................... 7 6 30 27
.TERRITORIES............... 41 37 210 193
SOUTH ATLANTIC............ 466 402 2,904 2,394 Puerto Rico.............. 38 35 200 184
Delaware................. 1 3 18 12 Virgin Islands............ 3 2 10 9
Maryland................. 47 34 279 240
District of Columbia..... 56 55 369 287
Virginia................ 29 26 222 181
West Virgt nia ........... 5 5 21 21
North Carolina............ 42 41 363 243 Note: Monthly figures for 1961 are estimated from quarterly
South Carolina........... 55 52 396 308 reports.
*c~ri .. ........... .. 82 97 467 572 Cumulative Totals include revised and delayed reports
rlridr .................. 149 89 769 530 through previous months.


on July 22 and 29 reaching 1,200,000 persons. In North
Texas, 1,400,000 doses were fed in 20 counties on
Sunday, July 29. This included 600,000 doses in Dallas
County and 285,000 in neighboring Tarrant County (Fort
Worth).
The remaining 10 paralytic cases reported throughout
the Nation were from 9 States. Only Mississippi reported
more than one case, and these were delayed reports with
March and May onsets in Forrest and Tate Counties,
respectively.
The number of paralytic cases in the Nation con-
tinues to exceed the paralytic total at this time last year.
Comparable totals for the past 5 years are shown below:

Polio (Cumulated Weekly) thru 30th Week for Post Five Years

1962 1961 1960 1959 1958
Paralytic 222 213 609 1342 550
Total 291 327 837 2040 1092


EPIDEMIOLOGICAL REPORTS


Carbon Monoxide Poisoning Oklahoma

In early January, 1962, repeated episodes of an ob-
scure illness occurred in a family in Oklahoma City, Okla-
homa. All three members of the family were involved but
to different degrees. The disease was manifested by re-
peated episodes of a mild headache of sudden onset that
rapidly progressed to one of unusual violence. Other as-
sociated symptoms were nausea, lethargy, weakness,
incoordination, and difficulty in concentration. No relief
was obtained by salicylates.
The family related that during extremely cold weather
they frequently supplemented their heat by leaving the
oven on continuously. Both adults in the family spent the
majority of time during the week at their respective jobs.
However, the wife, a school teacher, was at home during
the week on two occasions when bad weather forced the


234







Morbidity and Mortality Weekly Report


dosing of schools. Both of these dates coincided with
attacks of this disease. Data on the daily maximum temper-
atures in Oklahoma City when correlated with dates of
attacks revealed that all disease-free weekends occurred
when die family was out of Oklahoma City, or when the
outside temperature was in the 60s. On the weekend of
the last attack, carbon monoxide intoxication was sug-
gested to the family and they consequently had their gas
appliances checked. The oven was apparently improperly
adjusted. Blood specimens obtained from the wife 24 hours
after an episode of illness revealed a 12% carbon monoxide
content. No symptoms have been noted in members of the
family since the oven was adjusted.
(Reported by Dr. Kirk Mosley, Commissioner of Health,
Oklahoma State Department of Health.)


ENTEROVIRUS SURVEILLANCE
UNITED STATES 1961

During 1961, 39 States and the District of Columbia
reported a total of 1,321 non-polio enterovirus isola-
tions to the CDC Poliomyelitis Surveillance Unit. The
predominant type encountered was Coxsackie B-5 which
accounted for approximately 57% of isolates reported.
Numerous family and neighborhood clusters of aseptic
meningitis, pleurodynia, and obscure febrile illness were
ultimately attributed to this organism. A wide geographic
range was evident with Coxsackie B-5 isolates reported
from the eastern Seaboard through the mid-west and
northwest.
Coxsackie B-2 and B-4 were found much less fre-
quently. A mid-year outbreak of febrile illness in rural

(Continued on page 240)


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS


The weekly average number of pneumonia-influenza
deaths for the four-week period ending July 28 was 358
as compared with an expected 366 weekly average.


WEEK ENDING 4 Week Weekly
7/7 7/14 7/21 7/28 Total Average
Observed 350 368 386 330 1,434 358
Expected 373 368 364 360 1,465 366
Excess -23 0 22 -30 -31 -8


PNEUMONIA-INFLUENZA DEATHS IN 108 U.S. CITIES
Average number per week by four-week periods
I,000







NUMBER "-
OF













(See Table, page 239)
DEALTHS q ------- -- -_ ------











(See Table, page 239)


235








236 %lnrlbiiily and Morlalilt % rekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 29, 1961 AND JULY 28, 1962


Poliomyelitis, Aseptic
Pc.l:-mvycl ii i T--l.ta Cjss P'..li[mclitis, Paralhtic Nonparalytic Meningirls
Area Cumulative Cumulative
30th week First 30 weeks 30th week First 30 weeks 30th week 30th week
1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961

UNITED STATES...... 19 39 291 327 16 27 222 213 3 5 87 68

NEW ENGLAND.............. 5 4 5 4 1 10
Maine................. 2
New Hampshire.......... .
Vermont................ 1 -
Massachusetts.......... 3 2 3 2 1 5
Rhode Island.......... 3
Connecticut.............. 2 1 2 1 -

MIDDLE ATLANTIC......... 5 35 27 5 22 24 3 2
New York.............. 2 35 11 2 22 9 2 1
New Jersey............. 10 9 -
Pennsylvania 3 6 3 6 1 1

EAST NORTH CENTRAL....... 4 2 17 32 3 12 19 1 15 9
Ohio .................. 1 1 6 13 1 6 6 5 -
Indiana............... 1 4 4 1 3 3 3
Illinois.............. 1 1 5 9 1 3 6 3 4
Michigan .............. 3 3 4 5
Wisconsin............. 1 2 3 1 1

WEST NORTH CENTRAL........ 2 13 20 7 9 2 3 3
Minnesota.............. 3 3 3 3 3 3
Iowa................... 1 5 2 2 1
Missouri.............*. 5- 5 8 2 2
North Dakota..........
South Dakota .........
Nebraska .............. 2 2
Kansas................... 1 5 2 1

SOUTH ATANTIC........... 2 10 16 56 2 7 13 38 I
Delaware............. 2 1
Maryland.............. 3 6 3 6
District of Columbia.. 1
Virginia............... 1 3 1 3
West Virginia......... 3 7 3 4
North Carolina....... 2 2 7 2 1 5
South Carolina....... I 2 4 1 2 4
Georgia............... 1 2 17 1 2 11
Florida................ 4 3 13 1 2 7 I

EAST SOUTH CENTRAL ....... 4 5 14 34 4 5 10 17 5 4
Kentucky............... 1 2 6 18 1 2 4 4 -
Tennessee......... ... 1 3 6 1 1 3 1 2
Alabama............... 1 1 3 5 1 1 3 5 1
Mississippi............ 2 1 2 5 2 1 2 5 4 1

WEST SOUTH CENTRAL....... 8 6 148 57 6 3 116 31 2 2 33 6
Arkansas.............. 1 2 1
Louisiana............. 1 2 9 15 2 7 12 1
Oklahoma .............. 1 2 2 2 -
Texas ................. 7 3 136 38 6 1 108 19 1 2 31 6

MOUNTAIN................. 3 9 27 2 7 16 1
Montana............... 3 2 2 2
Idaho................. 2 7 2 4
Wyoming................. 1 1
Colorado.............. 1 3 3 -
New Mexico............. 1 3 -
Arizona............... 3 5 3 3 -
Utah.................. 1 7 1 4 -
Nevada.................

PACIFIC.................. 1 6 34 70 1 5 30 55 1 26 33
Washington............ 3 11 3 11 7
Oregon................ 1 5 8 1 5 2
California............ 1 2 28 49 1 1 24 40 1 26 26
Alaska ................ -
Hawaii................ 1 2 1 2 -

Puerto Rico.............. 8 5 8 5










Morbidity and Mortality Weekly Report 237


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
FOR WEEKS ENDED

JULY 29, 1961 AND JULY 28, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Area
Cumu- Cumu- 30th week
lative lative Under 20 &
30th week 30 weeks 30th week 30 weeks 30th week 20 yr. over Total Total 30th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 10 242 2 231 31 30 378 379 799 1,118 2,601 3,052

NEW ENGLAND.............. 1 1 1 2 3 27 30 58 34 214 333
Maine................. -- 8 7 15 6 42 34
New Hampshire......... 1 1
Vermont............... 2 2 2 9 2
Massachusetts......... 1 2 3 18 16 34 12 96 225
Rhode Island.......... 1 1 4 16 8
Connecticut........... 1 1 1 4 5 9 51 64

MIDDLE ATLANTIC.......... 5 4 13 7 87 84 175 126 495 722
New York............... 1 2 10 4 48 44 96 61 330 336
New Jersey ............ 1 1 14 15 29 19 109 249
Pennsylvania .......... 3 1 3 3 25 25 50 46 56 137

EAST NORTH CENTRAL....... 60 6 3 4 67 73 148 216 634 724
Ohio................... 1 2 24 27 51 78 56 69
Indiana............... 5 3 5 7 12 37 33
Illinois.............. 44 1 2 15 11 31 37 51 232
Michigan .............. 3 3 2 20 26 46 62 291 215
Wisconsin.............. 7 3 2 8 2 203 208

WEST NORTH CENTRAL.... .. 3 96 1 54 2 25 18 48 99 26 97
Minnesota............... 8 1 17 3 3 7 16 9 2
Iowa................... 2 58 1 4 6 11 36 11 24
Missouri.............. 2 5 6 3 11 23 61
North Dakota.......... 1 6 1 7 3 10 4 6
South Dakota.......... 4 11 1 1 2
Nebraska.............. 1 10 13 1 1 1 3 10 10
Kansas................ 13 1 3 1 4 10 NN NN

SOUTH ATLANTIC........... 1 19 43 2 1 45 30 81 129 218 288
Delaware .............. 1 1 2 2 10 7
Maryland ............... 1 8 5 13 11 19 30
District of Columbia.. 1 1 2 1 3 1 8
Virginia.............. 1 10 9 5 9 16 19 71 138
West Virginia......... 1 6 2 11 20 81 65
North Carolina ........ 2 4 14 2 16 27 5 14
South Carolina........ 5 2 1 4 5 7 5
Georgia.............. 2 4 2 2 4 5 2 2
Florida............... 5 19 1 5 7 .12 39 23 19

EAST SOUTH CENTRAL....... 11 16 1 2 46 24 70 130 100 151
Kentucky.............. 1 12 6 18 52 10 27
Tennessee ............. 4 7 17 7 24 42 80 96
Alabama ............... 5 3 10 9 19 24 9 16
Mississippi............ 1 6 1 2 7 2 9 12 1 12

WEST SOUTH CENTRAL....... 1 17 1 88 2 26 24 54 92 203 176
Arkansas.............. 1 10 3 5 8 21 1 -
Louisiana............. 1 3 8 5 5 11 11 3 1
Oklahoma............... 2 1 6 1 2 3 6 4 1
Texas................. 11 64 2 17 12 32 54 195 174

MOUNTAIN ................. 1 8 9 1 9 6 26 78 241 214
Montana.............. I 1 6 2 2 3 34 38
Idaho................. 1 1 4 14 13 28
Wyoming............... 1 1 1 2 3 1 4 1
Colorado.............. 2 1 5 21 92 43
New Mexico............ 2 1 2 11 NN NN
Arizona................ 2 1 2 22 34 88
Utah................... 1 6 2 8 6 64 13
Nevada................ 3

PACIFIC.................. 3 25 10 8 10 46 90 139 214 470 347
Washington ............ 1 15 21 37 18 40 29
Oregon................ 1 1 4 7 11 20 129 80
California ........... 3 22 5 7 9 27 59 86 160 234 229
Alaska................ I 5 2 4 13 14 8
Hawaii................... 1 1 1 3 53 1

Puerto Rico.............. 1 29 2 2 15 15 14








238 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 29, 1961 AND JULY 28, 1962 (Continued)


Meningococcal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area u- Spotted) Cumu- Cuu-
lative lative lative
30th wk. 30 weeks 30th week 30th wk. 3th- w. 30th wk. 30th wk. 30 weeks 30th week 30 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

NITD STATES.... 32 1,349 3,321 2,639 8 15 14 13 302 81 66 2,472

NEW ENGIAND......... 2 85 171 112 1 5 -
Maine.............. 12 34 5 1
New Hampshire ..... 3 1 2
Vermont............. 2 1 -
Massachusetts...... 36 18 24 1 3
Rhode Island....... 7 11 -
Connecticut........ 2 25 106 81 -

MIDDLE ATLANTIC..... 9 231 76 106 2 1 1 33 7 3 81
New York............ 6 106 55 94 2 18 5 1 56
New Jersey......... 2 57 9 6 8 -
Pennsylvania....... 1 68 12 6 1 1 7 2 2 25

EAST NORTH CENTRAL.. 8 268 201 177 1 1 2 50 34 9 597
Ohio............... 4 81 18 24 1 27 24 301
Indiana............ 22 23 38 1 3 2 3 163
Illinois........... 4 59 30 21 1 12 1 3 79
Michigan........... 86 81 68 1 5 1 25
Wisconsin.......... 20 49 26 3 7 2 29

WEST NORTH CENTRAL.. 2 76 96 73 3 10 23 21 637
Minnesota.......... 1 15 3 3 10 2 140
Iowa............... 10 19 23 -- 1 8 9 259
Missouri........... 1 20 4 2 7 3 7 104
North Dakota....... 6 43 30 1 1 45
South Dakota....... 3 2 1 1 1 71
Nebraska........... 12 1 15
Kansas............. 10 29 13 1 3

SOUTH ATLANTIC...... 3 219 454 67 9 3 4 56 9 8 213
Delaware........... 29 3 4 -- I- -
Maryland........... 1 13 11 9 3 3 1
Dist. of Columbia.. 7 1 1 5
Virginia........... 46 67 1 2 3 1 12 2 1 93
West Virginia...... 12 134 1 3 2 2 78
North Carolina..... 1 53 5 5 2 3 -
South Carolina..... 12 129 8 4
Georgia............ 8 3 15 1 1 6
Florida............ 1 39 102 40 1 1 10 4 4 35

EAST SOUTH CENTRAL.. 87 746 655 3 6 2 25 3 7 277
Kentucky............ 19 29 15 1 4 1 4 97
Tennessee.......... 37 648 625 6 10 1 2 161
Alabama............ 17 8 7 1 1 19
Mississippi........ 14 61 15 2 2 4 -

WEST SOUTH CENTRAL.. 114 560 565 2 5 3 76 11 469
Arkansas........... 12 4 1 12 2 54
Louisiana.......... 53 4 1 19 16
Oklahoma........... 6 1 3 1 4 20
Texas.............. 43 559 558 2 1 41 9 379

MOUNTAIN............ 42 565 630 1 25 1 1 22
Montana............ 3 21 24 10 -
Idaho.............. 3 63 77 -
Wyoming............ 4 8 3
Colorado........... 8 194 176 3 1 1
New Mexico.......... 3 161 160 7 11
Arizona............ 10 70 119 2 1 10
Utah............... 6 48 74 1- -
Nevada............ 5 -

PACIFIC............. 8 227 452 254 22 4 6 176
Washington......... 18 34 49 1- -
Oregon............... 15 14 15 8
California......... 8 184 390 169 21 4 6 168
Alaska.............. 6 12 16 -
Hawaii ............ 4 1 2 5 --
Puerto Rico......... 8 1 4 1 4 13











239


Morbidity and Mortality Weekly Report





Table 4 (B). REPORTED PNEUMONIA-INFLUENZA DEATHS IN REPORTING CITIES


(Tables 4(A). 4(B). 4(C). and 4(D) will be published in sequence covering a four-week period.0


For weeks ending For weeks ending
Area Area
7/7 7/14 7/21 7/28 7/7 7/14 7/21 7/28


NEW ENGIAND:
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, onn ...........
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 NOTH 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.............


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SOUTH ATIANTIC:
Atlanta, Ga..............
Baltimore, Md...........
Charlotte, N.C...........
Jacksonville, Fla........
Miami, Fla..............
Norfolk, Va..............
Richaond, 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 Chbsti, 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 .............


2
4
0
6
4
3
2
2


7
7
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2
1
1
1
1
7
0
8
5
3


1
0
3
4
3
2
2
2


6
8
2
0
1
4
2
2
9
3
6
1


2
6
0
11
4
0
1
1




0





5
0
0
8
5


2
2
3
2
2
1
4
0


6
4
2
0
0
2
1
4
5
4
8
0


4
7
1
8
10
0
2
7


3
4
2
3
2
0
0
1
18
4
5
8
6


2
0
5
1
1
0
1
0


0
2
0
2
0
21
4
0
3
3
4
4
2
8
2
2


San Juan, P.R.............. 2 1 (---)


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 10,613
4(B) Pneumonia-Influenza Deaths, all ages ........ 330
4(C) Total Deaths under 1 Year of Age........... 788
4(D) Total Deaths, Persons 65 years and over..... 5,704


0
0
1
1
0
13
4
0
0
0
2
5
0
I
1
1*


*Estimate based on average percent of divisional total
Totals for previous weeks include reported corrections.
NOTE: All dert by place of ocurmne.


I




UNIVERSITY OF FLORIDA

I III IIII IIIIIII111IIII1
3 1262 08864 1542


Morbidity and Mortality Weekly Report


Washington State accounted for roughly 50% of B-2 iso-
lates reported, while B-4 was encountered largely in the
Hartford and New Haven areas in Connecticut, in New
Jersey, and in Tennessee.
ECHO virus isolates were generally scattered.
Notable exceptions were the repeated isolations of
ECHO 11 in Eastern Minnesota and ECHO 10 in Illinois.
Several specimens from a sizable outbreak of aseptic
meningitis in Howard County, Texas, yielded ECHO 9.
The accompanying table presents a listing of non-
polio enteroviruses isolated during 1961.


NON-POLIO ENTEROVIRUS ISOLATIONS FROM 1961 SPECIMENS

COXSACKIE
Other and
State ECHO* 82 B4 5B Unsp. Total
Alabama 3 2 6 11
Arkansas 1 1
California 9 5 2 10 4 30
Colorado 3 2 5
Connecticut 1 1 35 21 1 59
D.C. 1 1
Florida 2 1 1 4
Georgia 4 4
Hawaii 4 1 8 13
Idaho 7 7
Illinois 44 3 37 3 87
Indiana 4 2 2 8
Iowa 1 1 46 48
Kansas 4 5 24 2 35
Kentucky 2 1 2 5
Louisiana 5 2 7
Maryland 2 1 5 55 1 64
Massachusetts 4 2 4 53 12 75
Michigan 2 1 6 1 10
Minnesota 81 18 3 53 5 160
Mississippi 1 1
Missouri 2 2
Montana 12 12
New Hampshire 1 1
New Jersey 4 12 59 1 76
Nes York 8 1 7 42 12 70
North Carolina 5 2 1 8
North Dakota 29 29
Ohio 14 5 24 3 46
Oklahoma 7 1 8
Oregon 6 6
Pennsylvania 8 7 104 1 120
Rhode Island 42 42
South Carolina 1 2 1 4
Tennessee 2 9 12 2 25
Texas 31 17 1 3 13 65
Utah 3 1 18 22
Virginia 27 27
Washington 3 58 15 76
Wisconsin 11 1 4 24 7 47
Total 254 119 112 747 89 1,321
*Specific types Include sixty.lght ECHO 11 In Mlnnee>tp, two In Penssylvenl
and In Michigan, and one in Wiconsin; twenty ECHO 9 In Texas, four seac In
Califorli and Ohio, rAe soah In Loulsiana, Mesehdlusetts and Wisconsin,
two each In Utah and New York, and one in ew Jersey. Other types reported
include ECHO 2, 3, 4, 6, 7, 14, 18, 21, 22 and 25.


INTERNATIONAL NOTES QUARANTINE MEASURES
Cholera Taiwan
Taiwan has reported to the World Health Organiza-
tion cases of cholera beginning in mid-July. Initially in-
volving provinces on the southwestern coast, unofficial
reports indicate that the disease has spread to a number
of provinces within the country. Mass immunization
programs have been initiated.


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