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:
AA00010654:00065

Related Items

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

Full Text







Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


6~raar~llaP


MElrose 4-5131


For release October 19, 1962 ATLANTA 22, GEO k Vol. 11, No. 41


PROVISIONAL INFORMATION ON SELECTED NOTIFIABL DI CASES I.THE UNIl D STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK IDBD OCTO.IP 13, 1962---


OLIOMYELITIS Twenty-eight cases of poliomyelitis yea On undred and ni of these have been type I,
22 paralytic) were reported for the week ending October 2 typ
3. The total shows a continued decline from the 34 The frsWt 6 for poliomyelitis incidence
ases reported the previous week and the 43 cases for through the 41st wee in 1962 are shown in the following
he last week in September. The comparable week in 1961 table. The totals for the preceding four years are also
accounted for 35 cases (19 paralytic). shown.


Seventeen States reported cases this week with only
Texas and Michigan reporting as many as three. No case
concentrations were noted in these States. The case
reported from Colorado represents the second clinical
case of poliomyelitis caused by type II poliovirus in 1962.
Thus far in 1962 poliovirus isolates have been reported
from 154 of the 522 paralytic cases having onset this


Poliomyelitis, 1st through the 41st Week (1958-1962)

1962 1961 1960 1959 1958
Porolytic 522 661 1752 4515 2156
Total 663 1027 2540 6956 4454


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
41st Week Cumulative
Disease Ended Ended First 41 weeks
Disease Median
October 13, October 14, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis .............. 84 98 --- 2,019 2,569 -
Brucellosis ..................... 4 14 14 324 481 615
Diphtheria .. .. ............ ... .17 16 16 340 437 536
Encephalitis, infectious.......... 36 27 45 1,415 1,299 1,460
Hepatitis, infectious and serum... 791 1,130 451 43,658 59,450 17,383
Measles ........................ 913 911 1,109 446,607 390,194 399,169
Meningococcal infections ......... 42 34 42 1,702 1,691 1,820
-',il i-n ,.: !r,- total.............. 28 35 169 663 1,027 4,384
Paralytic .................... 22 19 88 522 661 2,087
Nonparalytic. ................. 2 9 64 101 247 1,641
Unspecified.................. 4 7 17 40 119 656
Streptococcal sore throat
and Scarlet fever ............ 3,879 4,075 --- 249,571 254,064
Tetanus ........................ 8 --- --- 220 ..
Tularemia ...................... 6 --- -- 236 .....
Typhoid fever ................... 12 25 22 498 638 667
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... 4 ----- 201 ....
Rabies in Animals ............... 57 82 60 3,033 2,777 3,068


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis: Tenn. 1, Calif 1
Botulism: Alaska 1, Tenn. 3 Rabies in Man:
Malaria: N. c. N. Mex. 2 Smallpox:
Plague: Typhus, murine:


P
(2
1
c;
t
a


rR







322


1,8001 1961
/1961


1,600


1,400

1,200
C_-,
-0
1,000

- 800


600

400

200.


Morbidity and Mortality Weekly Report


Figure 1. Current U. S. Hepatitis Incidence
Compared With Years 1961, 1960, and 1957
SOURCE DATA NOVS-CDC


x/ -'\ ,c
1957 ..' \ /-A


Week Ending Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
6 20 3 17 3 17 31 14 28 12 2' 6 9 23 7 21 4 18 1 15 29 13 27 10 24 8'2


The number of cases of poliomyelitis during the last
six weeks is compared with the same periods for prev-
ious years in the table below:

Poliomyelitis, 36th through the 41st Week (1958-1962)

1962 1961 1960 1959 1958
Paralytic 154 244 662 1687 1048
Total 193 410 958 2511 2173



HEPATITIS The 791 cases of viral hepatitis reported
for the week ending October 13 shows a moderate de-
cline from the total of 942 cases for the previous week.
Hepatitis incidence for 1962 is compared with pre-
vious years in the graph above.



EPIDEMIOLOGICAL REPORTS

Food Poisoning of Undetermined Etiology Aboard a Plane-
California.
On July 24, 1962, officials of a commercial airline
received two separate reports of illness from persons who
had traveled from Los Angeles to Seattle on June 22, 1962.
The plane left Los Angeles at 6:00 P.M. and dinner was
served to both tourists and first class passengers enroute.
Reports of illness were received only from among the
tourist passengers.


Of the 75 tourist passengers, seventeen (from 6 dif-
ferent households) were interviewed. Sixteen of those
interviewed had experienced a mild illness with onsets
ranging from 3 to 27 hours following the meal served
aboard the plane. The illness was characterized by diar-
rhea in all 16 persons, abdominal cramps in 12, nausea
in 4, and weakness and vomiting in one each. Medical
attention was not required. Symptoms persisted for as
long as six hours to two days.
The menu for dinner included roast turkey, dressing,
cranberry sauce, yams, peas, salad, and jelly roll. Ex-
cept for the salad and peas, foods served to the first
class passengers, where no illness occurred, were dif-
ferent. Food histories obtained from 13 of the persons
who became ill are shown in the table below for those
foods served only in the tourist'section. The one person
interviewed who did not become ill ate all of the foods
served. The highest attack rate was for tne turkey, which
all the individuals ate.

FOOD HISTORIES FOR 13 ILL PERSONS INTERVIEWED

Food Ate Did Not Eat Could Not Attack
Remember Rate
Turkey
With Gravy 13 0 100%
Dressing 10 3 77%
Cranberry
Sauce 7 5 1 58%
Yams 9 4 69%
Jelly Roll 10 3 76%








Morbidity and Mortality Weekly Report


Meals served on the airline flights are prepared by a
commercial catering concern. None of the foods served
on this flight were available for bacteriological exami-
nation. Stool specimens collected from 7 of the sick in-
dividuals were negative for enteric pathogens. In view of
the common onset of symptoms among 16 of the 17 per-
sons interviewed, with only the meal aboard the airplane
in common, it appears that this was a food associated
outbreak. The food with the highest attack rate and most
likely involved as the vehicle was turkey.
(Reported by Mr. F. A. Listick, Assistant Supervising
Sanitarian, Los Angeles City Health Department, Cali-
fornia.)


Salmonellosis Louisiana
Two separate outbreaks of salmonellosis occurring
in July and August, 1962, involved two related families
in a community in Louisiana.
On July 22, six persons were admitted to the hospi-
tal between 12 and 24 hours after eating a meal at the
home of 4 of the patients on July 21, 1962. The illness


was characterized by nausea and vomiting, abdominal
cramps, diarrhea and fever. One of the patients experi-
enced hallucinations, visual disturbances and mild respi-
ratory difficulty. A seventh person who ate the meal was
not hospitalized but had mild abdominal cramps and
slight nausea.
The meal eaten by the seven individuals, including
the family of four and their three guests, consisted of
barbecued chicken, barbecued ribs, and homemade ice
cream.
The chicken and ribs were barbecued beginning at
10:00 A.M. on July 21. The four family members ate bar-
becue at 12:00 noon, along with a lettuce, relish and
cucumber salad. Following lunch the barbecue was placed
in a home refrigerator until the evening meal at 7:30 P. M.
At 6:00 P.M. the ice cream was made using eggs, sugar,
vanilla, condensed milk, evaporated milk, and raw milk
from their private cow. Eggs used in the ice cream were
from chickens owned by the involved family and from
another family. Meats for the barbecue were purchased at
a local food store.
(Continued on page 328)


TOTAL DEATHS REPORTED IN 108 CITIES

The weekly average number of total deaths in 108
cities for the four-week period ending October 13, was
10,717 as compared with an expected 10,647 weekly av-
erage.


WEEK ENDING
WEEK ENDING -4 Week Weekly
9/22 9/29 10/6 10/13 Total Average
Observed 10,571 10,842 11,094 10,360 42,867 10,717
Expected 10,502 10,591 10,692 10,804 42589 10,647
Excess 69 251 402 -444 278 70


TOTAL DEATHS RECORDED IN 108 U.S. CITIES
Average number per week by four-week periods


*BY PCE OF OCCURRENCE


"CALCULATD FROM 1954-'6 EXPERIENCE


(See table, page 327)


323








324 Mlorhidilt and lorlalit, \A evkly Reporl



Table i CASIS OF SPECIFIED NOTIFIABLE I)ISI AS'1 : I NITlF) STATES

FOR WEEKS ENDED)

OCTOBER 14, 1961 AND OCTOBER 13, 1962


Polinmyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis
Cumulative Cumulative
Area
41st week First 41 weeks 41st week First 41 weeks 41st week 41st week

1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961

UNITED STATES...... 28 35 663 1,027 22 19 522 661 2 9 84 98

NEW ENGLAND.............. 4 7 31 1 7 21 2 1 3
Maine.................. --- 4 -
New Hampshire......... -
Vermont................ 1 6 5 1 -
Massachusetts......... 2 6 14 6 8 1 1
Rhode Island .......... I 1 1 1 2
Connecticut........... 1 5 1 3 -

MIDDLE ATLANTIC.......... 4 11 68 267 3 6 48 172 4 1 4
New York............... 2 9 52 196 2 4 35 124 4 1 4
New Jersey............ 6 33 6 26
Pennsylvania 2 2 10 38 1 2 7 22 -

EAST NORTH CENTRAL....... 7 6 87 119 5 1 60 73 1 9 45
Ohio................... 5 17 36 15 17 1 3 6
Indiana............... 2 16 11 9 6 4
Illinois.............. I 36 25 1 24 12 10
Michigan.............. 3 1 12 25 3 1 9 21 6 25
Wisconsin............. 1 6 22 1 3 17 -

WEST NORTH CENTRAL....... 1 31 59 21 25 1 6 12
Minnesota............. 6 6 6 6 4 12
Iowa.......... .......... 5 18 2 9
Missouri............. .... 1 9 16 4 3 -
North Dakota.......... 3 3 -
South Dakota .......... 1 1 I -
Nebraska............... 7 8 7 4
Kansas ............... 7 3 2 -

SOUTH ATLANTIC ........... 4 4 54 171 3 3 48 130 1 1 3 9
Delaware.............. 2 1 1
Maryland .............. 1 26 1 25
District of Columbia.. 1 2 3 1 1 3 -
Virginia................. 8 11 8 11 1 3
West Virginia......... 1 6 24 1 6 16 2
North Carolina........ 2 10 17 1 7 10 1 -
South Carolina........... 2 6 31 1 6 23 1
Georgia............... 2 14 28 2 13 21 -
Florida............... 7 29 6 20 1 3

EAST SOUTH CENTRAL....... 3 3 60 83 3 2 51 45 4 3
Kentucky.............. 1 1 24 27 1 20 5 -
Tennessee............. 8 24 3 9 2
Alabama............... 22 9 22 9 1
Mississippi........... 2 2 6 23 2 2 6 22 4

WEST SOUTH CENTRAL....... 6 2 275 133 4 2 214 69 1 21 3
Arkansas.............. 1 1 12 17 1 1 12 7 1 1
Louisiana............. 1 1 20 44 1 1 18 34 -
Oklahoma.............. 1 16 4 12 9
Texas................. 3 227 68 2 172 28 1 11 2

MOUNTAIN................. 2 14 42 2 10 24 1
Montana............... 1 4 3 1 3 2 -
Idaho.................. 2 14 1 6 -
Wyoming............... 2 1- -
Colorado.............. 1 2 6 1 1 6 1
New Mexico............ 3 -
Arizona............... 3 8 3 6 -
Utah.................. 1 8 1 4 -
Nevada................ -

PACIFIC.................. 2 4 67 122 2 4 63 102 38 19
Washington ............ 2 21 2 21 1
Oregon................ 5 14 5 7
California............. 2 4 60 83 2 4 56 70 38 18
Alaska................ -
Hawaii................. 4 4

Puerto Rico.............. 11 6 11 6








Morbidity and Mortality Weekly Report 325


Table i. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

OCTOBER 14, 1961 AND OCTOBER 13, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Area
Cumu- umu- 41st week
lative lative Under 20 &
41st week 41 weeks 41st week 41 weeks 41st week 20 yr. over Total Total 41st week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 4 324 17 340 36 27 413 329 791 1,130 913 911

NEW ENGLAND.............. 3 1 1 61 39 102 38 34 99
Maine.................. 21 11 32 3 4 45
New Hampshire......... 9 3 12 2 4
Vermont ............... 1 1 4
Massachusetts......... 1 1 1 23 19 43 22 19 39
Rhode Island......... 2 2 5 2 1 1
Connecticut ........... 1 6 4 10 9 5 10

MIDDLE ATLANTIC.......... 8 3 10 5 11 64 55 119 108 51 88
New York.............. 4 3 8 4 9 29 26 55 38 22 55
New Jersey.............. 1 7 11 18 21 12 19
Pennsylvania.......... 3 1 1 2 28 18 46 49 17 14

EAST NORTH CENTRAL ...... 1 69 9 2 3 86 62 153 197 199 226
Ohio................... 1 1 3 29 23 54 46 31 17
Indiana............... 5 4 6 2 8 34 14 -
Illinois.............. 1 50 2 1 15 12 28 47 20 134
Michigan.............. 4 3 26 20 46 62 134 46
Wisconsin ............ 9 10 5 17 8 29

WEST NORTH CENTRAL ....... 128 12 84 2 3 10 12 29 107 20 4
Minnesota.............. 12 6 24 1 2 2 6 36 2 -
Iowa.................. 76 14 1 2 4 9 32 2
Missouri................ 4 5 1 1 2 1 3 24 1 -
North Dakota.......... 2 7 1 1 14 1
South Dakota.......... 10 1 15 2 3 1
Nebraska.............. 11 5 18 2 4 7 -
Kansas................ 13 1 1 3 3 6 6 NN NN

SOUTH ATLANTIC........... 25 2 85 9 5 52 29 87 171 97 70
Delaware..............2 1
Maryland .............. .- 9 1 10 15 9 8
District of Columbia.. 2 2 2 2 1 -
Virginia.............. 12 11 7 7 15 26 7 5
West Virginia......... -2 6 15 3 22 19 57 47
North Carolina........ 2 8 1 12 10 22 38 1 1
South Carolina........ 1 9 1 1 2 6 4 1
Georgia............... 3 1 25 2 2 4 38
Florida............... 8 28 1 5 6 3 10 25 17 8

EAST SOUTH CENTRAL ....... 15 22 4 1 37 26 67 219 51 43
Kentucky................ 4 5 5 14 43 29 7
Tennessee............. 7 7 1 20 6 26 85 21 36
Alabama ............... 6 8 -- 5 7 12 37 -
Mississippi........... I 7 7 8 15 54 1 -

WEST SOUTH CENTRAL....... 1 32 109 4 1 37 21 61 72 56 88
Arkansas................ 1 7 18 1 7 2 9 12 -
Louisiana............. 8 8 -- 9 6 15 12 1 2
Oklahoma.............. 6 6 4 1
Texas................. 11 77 4 21 13 37 44 55 85

MOUNTAIN.................. 12 9 2 11 7 36 74 171 100
Montana.............. 1 6 2 2 52 43
Idaho................. 1 1 8 21 23
Wyoming............... 8 1 -
Colorado.............. 2 1 9 26 28 8
New Mexico............... 2 2 2 1 3 7 NN NN
Arizona................. 3 9 19 36 15
Utah................... 4 8 4 12 6 31 11
Nevada................ 2

PACIFIC.................. 2 32 11 7 3 55 78 137 144 234 193
Washington.............. 15 20 36 15 58 49
Oregon.................. 3 1 11 4 16 26 14 23
California............ 2 27 6 7 1 27 50 79 95 74 97
Alaska................. 1 5 2 1 3 6 64 18
Hawaii................. 1 1 3 3 2 24 6

Puerto Rico................. 1 35 16 5 21 15 46 80









326 Nlorbiditx and Mortality eekly Report


Tahlt ( CASES OF SPCIFID NIFI N FIABLF DISEASES [ NITEID) S1AIF1,

FOR \'FFKS MINDED

OCTOBER 14, 1961 AND OCTOBER 13, 1962 (Continued)



ir, r,-... Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Ar Cumu- Spotted) Cumu- Cumu-
lative lative lative
41st wk. 41 weeks 41st week 41st wk. 4s- wk. 41st wk. 41st wk. 41 weeks 41st week 41 weeks

1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES.... 42 1,702 3,879 4,075 8 4 6 12 498 57 82 3,033

NEW ENGLAND......... 2 101 318 132 1 11 1
Maine.............. 1 16 116 20 2
New Hampshire...... 3 12 -
Vermont ............ 3 5 7 -
Massachusetts...... 40 48 23 1 8 1
Rhode Island....... 1 11 17 19 1 -
Connecticut........ 28 120 63 -

MIDDLE ATLANTIC..... 5 301 110 78 1 51 5 4 123
New York............ 3 135 58 52 1 25 1 4 81
New Jersey......... 77 35 19 12 1
Pennsylvania....... 2 89 17 7 14 4 41

EAST NORTH CENTRAL.. 6 330 326 266 2 1 80 5 10 677
Ohio................ 98 43 33 41 2 1 340
Indiana............ 26 72 34 2 11 4 180
Illinois........... 2 77 49 35 1 16 1 3 87
Michigan........... 4 108 117 95 8 1 36
Wisconsin.......... 21 45 69 4 1 2 34

WEST NORTH CENTRAL.. 2 90 94 134 1 2 24 18 27 799
Minnesota.......... 17 12 4 1 6 4 180
Iowa............... 11 40 30 2 4 8 311
Missouri........... 21 2 13 2 17 4 8 137
North Dakota....... 7 16 41 2 1 1 48
South Dakota....... 1 6 4 1 2 6 95
Nebraska........... 1 15 1 2 1 21
Kansas............. 13 20 45 7

SOUTH ATLANTIC...... 5 262 349 190 2 3 3 94 6 7 300
Delaware........... 34 2 2 2 -
Maryland .......... 17 1 4 3 2
Dist. of Columbia.. 7 2 7 7
Virginia........... 1 55 110 74 16 1 2 121
West Virginia...... 1 13 90 55 5 4 113
North Carolina..... 2 64 15 13 2 2 6 -
South Carolina.... 16 18 17 1 9 -
Georgia............ 1 11 4 2 1 23 1 9
Florida............ 45 109 23 23 1 4 55

EAST SOUTH CENTRAL.. 1 109 630 1,101 1 45 5 5 314
Kentucky........... 1 30 22 111 10 1 3 110
Tennessee.......... 44 582 934 17 3 1 182
Alabama............ 19 13 6 11 1 1 22
Mississippi........ 16 13 50 1 7 -

WEST SOUTH CENTRAL.. 3 141 582 607 2 1 3 3 114 9 18 554
Arkansas........... 15 1 3 1 1 2 30 5 63
Louisiana.......... 1 63 3 6 1 30 1 18
Oklahoma........... 1 7 1 1 1 6 24
Texas............... 1 56 578 597 1 1 48 9 12 449

MOUNTAIN ............ 52 818 947 3 38 1 27
Montana............ 4 47 55 10 -
Idaho............... 3 139 76 1 -
Wyoming............. 5 9 5 3 3 -
Colorado............ 8 244 300 5 1
New Mexico......... 4 198 235 12 1 12
Arizona............. 13 111 216 6 14
Utah................ 8 69 58 1 -
Nevada............. 7 1 2 -

PACIFIC............. 18 316 652 620 1 41 8 11 238
Washington......... 1 21 144 217 1
Oregon.............. 1 19 18 18 1 17
California.......... 16 264 470 325 1 38 8 11 221
Alaska.............. 8 9 23 -
Hawaii............. I 4 11 37 1
Puerto Rico......... 8 3 4 1 14 1 18









Morbidity and Mortality W'cekl ReKport




Tablk -I (A). TOTAL 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 9/22 10/ 103 Area 9 16
9/22 9/29 10/6 10/13 9/22 9/29 10/6 10/13


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. ............


239
49
22
31
60
22
22
23
41
50
10
41
18
52


43
30
138
36
24
45
74
67
1,520
33
379
177
17
95
27
41
63
52
28
30


36
28
721
140
184
94
73
327
50
59
30
30
29
155
27
108
35
30
36
100
56


36
15
46
152
34
104
52
221
51
56


228
73
23
30
47
23
26
24
42
73
8
47
32
48


45
33
143
33
35
44
56
97
1,650
27
512
199
19
106
24
33
59
46
31
34


50
29
727
151
193
101
77
328
38
31
46
27
35
134
31
109
37
24
31
98
50


53
29
37
107
30
98
68
223
47
46


259
40
38
39
54
36
27
17
33
75
14
41
25
56,


53
38
139
46
40
31
67
92
1,717
24
525
216
25
103
25
23
41
42
30
28


54
38
720
143
222
128
78
350
33
48
36
30
45
165
34
134
18
21
29
97
50


52
23
29
113
22
117
75
188
72
44


233
40
24
21
55
19
19
19
45
52
12
52
15
45


66
33
119
26
25
30
92
62
1,502
33
408
114
21
87
19
28
92
53
23
26


51
28
597
148
199
94
77
297*
34
46
40
29
30
156
37
114
33
23
40
68
45


60
26
35*
113
22
102
94
213
60
43


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. .............


106
215
28
58
68
31
105
27
60
51
189
36


83
30
34
150
97
40
38
69


42
25
20
133
35
71
171
62
169
80
97
56
41


26
10
106
9
91
19
50
37


16
50
35
31
56
467
113
33
122
49
100
183
42
125
50
32


99
243
35
66
75
63
78
34
59
53
180
39


77
48
17
89
115
42
24
58


38
31
16
107
34
65
168
52
153
58
88
44
58


24
25
119
15
79
21
53
35


24
34
45
48
55
485
111
43
104
58
82
197
42
130
64
33


88
261
47
61
83
62
75
40
64
63
182
33


84
35
28
116
139
39
34
53


29
37
26
115
34
57
174
54
126
80
79
45
47


31
21
117
20
82
14
40
25


20
43
34
48
48
446
80
26
137
55
116
192
36
136
46
43


118
243
38
50
69
44
101
25
66
52
223
38


99
55
25
141
130*
49
22
77


37
13
30
144
29
70
127
42
169
68
135
50
59


20
22
101
14
75
19
47
43


15
35
26
51
52
457*
91
28
132
49
93
150
30
112
46
26


San Juan, P.R. .............. 42 31 23 (---


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages.................... 10,360
4(B) Pneumonia-Influenza Deaths, all ages........ 348
4(C) Total Deaths under 1 Year of Age............. 731
4(D) Total Deaths, Persons 65 years and over..... 5,612


*Estimate based on average percent of divisional total
Totals for previous weeks include reported corrections.

NOTF: All deaths by place of occurrence.


~----------------




UNIVERSITY OF FLORIDA


3 1262 08864 1732


Morbidity and Mortality Weekly Report


Stool cultures from the hospitalized patients were
positive for Salmonella typhimurium. S. typhimurium was
also isolated from the leftover barbecued beef, barbecued
chicken and ice cream, but not from the milk and barbecue
sauce used in their preparation.
Approximately 3 weeks after this episode, another
outbreak of salmonellosis occurred in the same com-
munity, at the home of relatives of the first group.
S. typhimurium was isolated from three of the six persons
who became ill after a meal consisting of barbecued
chicken and pork. No food was available for examination.
There was no food source common to both outbreaks. No
one involved in the first outbreak was present at or
assisted in the preparation of the meal involved in the
second outbreak. However, the relationship of the two
families suggests the possibility of spread from the first
to the second family.
(Reported by Herbert E. Cannon, M.D., Director, St. Tam-
many Parish Health Unit, Covington, La.; and Division
of Laboratories, Louisiana State Board of Health.)


I-T --
ii iIEO ITO


INTERNATIONAL NOTES QUARANTINE MEASURES

No Report.


328


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