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:
AA00010654:00067

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


MElrose 4-5131


For release September 21, 1962 _JLANTA
PRO\ ISIONAL INFORMATION N T
DEATHS IN D CITIES OR


POLIOMYELITIS The weekly i h ended member 5,
1962, brought reports of 29 of poliompelitis 1
paralyric). This is below the us week's to
30 cases, 25 of which were para nce
the unusually low level of case o ent
when these totals are compared with the s received
for the corresponding week in 1961 when 98 cases (63
paralytic) were reported.
Of the eleven States -reporting paralytic cases this
week, only California, Nebraska, and Texas reported
over two cases. In California, all of the cases were from


_Vol. 11. No. 37


IFIABLE DISEASES IN THE UNITED
VEEK ENDED SEPTEMBER 15, 1962


STATES AND ON


Los Angeles County; however, only two were from Pasa-
dena, where Type I oral polio vaccine was used as an
epidemic deterrent. These cases had onset before the
oral vaccine was administered. The remaining cases from
Los Angeles County were scattered geographically.
The cases from Nebraska represent delayed reports
while in Texas no new case concentrations have been
noted.
The poliomyelitis incidence for the United States
in 1962 is the lowest ever reported. The cumulative totals
for the nation from the 1st through the 37th week in 1962


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
37th Week Cumulative
Disease Ended Ended n First 37 weeks
Median
September 15, September 16, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis................ 164 139 -- 1,622 2,010 .
,br jL llCo :i ..................... 7 9 15 298 439 562
D'phrr er .a......... ............ 12 9 18 275 388 443
Encephalitis, infectious.......... 35 37 50 1,191 1,135 1,273
Hepatitis, infectious and serum... 892 1,129 442 40,090 54,829 15,769
Met1d-lr- ....................... 842 734 945 442,723 387,062 395,788
Sleninococ alI infections......... 27 26 35 1,565 1,561 1,674
PolI orr, i ii, total.............. 29 98 282 529 780 2,937
Parsalric .. ................ 21 63 90 414 517 1,398
Nonrpara .! ,: ................. 4 28 148 82 179 1,098
Unir,:ec ed- .. ............... 4 7 44 33 84 441
Streptcloccal *ore throat
and Scarlet fever ............ 3,487 3,072 -- 232,932 239,723 .
Tetanus ........................ 2 --- 182 .
Tularemia ..................... 2 ------ 214
Typhoid fever ................... 26 17 24 433 559 566
T iphui fi.er, tick-borne,
(6.ock Mountain spotted)...... 8 --- 184
Rabies in Animals ................1 .51 51 54 2,828 2,511 2,769


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Anrl-ra'. Psittacosis: N.Y. 1, Colo. i
sot d I'c" 11T. Rabies in Man:
Malari3: Smallpox:
Plague. Typhus, murine:


Wekl


C0,A',~rJCA[LEDISASECEITa







Morbidity and Mortality Weekly Report


Figure 1. Current U. S. Hepatitis Incidence
\i .. Compared With Years 1961, 1960, and 1957
I$ OUNCE oATA. NOVs.CDC








V1
.A


\i/


Mar Apr May June July Aug


Seot Oct Nov Dec


6 20' 3 17 '3 17 31 14 28 26 3 7 21 '4 18 I 5 13 2 I 4 S 2'


are compared to the preceding four years in the table
shown below:

Polio (Cumulated Weekly)
Through the 37th Week (1958-1962)

1962 1961 1960 1959 1958
Paralytic 414 517 1312 3455 1461
Total 529 780 1908 5474 3000



HEPATITIS There was a moderate increase in total re-
ported cases for the week ending September 15, 1962, with
892 cases, as compared to 755 cases for the previous
week. The increase is primarily in the Middle Atlantic
(New York), East North Central (Michigan and Illinois) and
South Atlantic Regions (Maryland and West Virginia).
The accompanying graph compares current U. S. hepa-
titis incidence with previous years.


EPIDEMIOLOGICAL REPORTS

Arbovirus Encepholitis Florida
From July 24 to September 17, 1962, a total of 244
cases of encephalitis-like illness have been investigated
as possible cases of arbovirus encephalitis. Of these, 176
have been classified as laboratory confirmed, clinically


confirmed, or clinically possible, as shown in Table I.

TABLE I ENCEPHALITIS CASES FLORIDA
7/24/62 9/17/62

OTHER FLORIDA COUNTIES
Category Pinella With Exposure Without Exposure Total
Co. In Pinellas Co. Pinellos Co.
Laboratory
Confirmed 87 3 8 98
Clinically
Confirmed 36 4 7 47
Clinically
Possible 21 1 9 31
Total 144 8 24 176

Twelve patients classified as laboratory confirmed have
had acute and convalescent sera showing an H.A.I. titer
rise to Group B Arbovirus. The remainder of the cases
considered 'laboratory confirmed" have had a single sera,
either acute or during convalescence, with an H.A.I. titer
of 1 to 20 or greater. Nineteen deaths have been reported,
as shown in Table II.
The Florida State Board of Health, with the assist-
ance of the Communicable Disease Center of the USPHS,
has established a regional laboratory for the study of
arbovirus infections in the Tampa Bay area of Florida.
Dr. James 0. Bond is director of the combined epidemi-
ological and laboratory field office.


290


2,000

1800

1600

1,400

1200

1.000

S800


Week Endin


a


Jan Feb


1957 V" ..-









Morbidity and Mortality Weekly Report


TABLE II ENCEPHALITIS DEATHS FLORIDA
7/24/62 9/17/62

Pinel- Outside Co With Outside Co. With-
Category las Exposure in out Relation to Total
Co. Pinellas Co. Pinellas Co.
Laboratory
Confirmed
only 5 0 1 6
Autopsy
Confirmed
only 1 1 2 5
Lab and
Autopsy
Confirmed 3 1 0 3
Clinically
Encephalitis 5 0 0 5
(Without Lab
or Autopsy
Confirmation
Total 14 2 3 19


Isolations of viral agents from mosquitoes collected
in the Pinellas County area have been reported; however,
identification of the viral agents has not been completed.
(Reported by Dr. H. C. Oard, Director of Communicable
Disease Control, Pinellas County Health Department,


Florida; Division of Epidemiology and Bureau of Lab-
oratories, Florida State Board of Health; and a team from
the Communicable Disease Center.)


Shigellosis Among Hospital Employees New York State
Between July 18 and July 29, 1962, a total of 125
cases of gastroenteritis occurred in a hospital in New
York State. Of the involved persons, 124 were hospital
personnel, including 23 house physicians, 33 student
nurses, and 13 dietary personnel. One case occurred in
a hospitalized patient.
Two-thirds of the cases had onset during the first
four days of the outbreak. Dates of onset for the cases
are shown in the table below. The date of onset for the
hospitalized patient is not known.

Shigellosis Cases by Date of Onset


July
Date 18 19 20 21 22 23 24 25 26 27 28 29
Cases 19 43 14 7 12 15 3 3 2 3 2 1


(Continued on page 296)


TOTAL DEATHS REPORTED IN 108 CITIES

The weekly average number of total deaths in 108
cities for the four-week period ending September 15 was
10,548 as compared with an expected 10,363 weekly
average.


WEEK ENDING 4 Week Weekly
8/25 9/1 9/8 9/15 Total Average
Observed 10,855 10,611 9,983 10,744 42,193 10,548
Expected 10,338 10,336 10,363 10,416 41,453 10,363
Excess 517 275 -380 328 740 185


TOTAL DEATHS RECORDED IN 108 U.S. CITIES
Average number per week by four-week periods
13,500


13,000 INFLUENZA A2




NUMBER
12,000 = ---- ------^ ----
RECORDEDO
OF DEATHS"

DEATHS

EXPECTED" I I
NUMBER I





P.rlodpTMf *3. -3. *3.
1960 1 1961 1 1962 1
SY PLCE OF OCCURRENCE '*CALCULATED FROM 1954-'0 EXPERIENCE
(See Table, page 295)


291


1963 i










M11urbidity and inrtalilt Weekly Report



Table 43 CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 16, 1961 AND SEPTEMBER 15, 1962


Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meninglrls
Cumulative Cumulative
37th week First 37 weeks 37th week First 37 weeks 37th week 37th week
1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961

UNITED STATES ..... 29 98 529 780 21 63 414 517 4 28 164 139

NEW ENGLAND............... 2 6 20 2 6 16 8
Maine................ 2 2
New Hampshire......... 1 1
Vermont............... 1 4 1 4
Massachusetts......... 1 4 9 1 4 7 4
Rhode Island......... 3
Connecticut........... 2 4 2 3 -

MIDDLE ATLANTIC.......... 2 51 56 183 2 32 39 130 19 10 4
New York.............. 2 46 44 132 2 27 29 88 19 8 3
New Jersey............ 3 4 28 3 4 25 -
Pennsylvania 2 8 23 2 6 17 2 1

EAST NORTH CENTRAL....... 4 13 54 85 1 9 38 50 3 1 36 37
Ohio.................. 2 3 16 22 1 1 14 11 1 22 2
Indiana............... 2 7 10 5 5 1 2
Illinois.............. 1 1 21 20 1 12 9 1 15
Michigan.............. 1 4 7 18 4 6 15 1 14 18
Wisconsin............. 3 3 15 3 1 10 -

WEST NORTH CENTRAL....... 4 3 26 43 4 2 16 20 24 18
Minnesota............. 6 5 6 5 6 5 7 12
Iowa.................. 1 5 13 1 2 6 1 3
Missouri.............. 1 7 11 1 2 3 1 3
North Dakota.......... 1 3 2 1
South Dakota.......... 1 1 1 1 1 -
Nebraska.............. 3 4 4 3 4 3
Kansas................ 7 3 15

SOUTH ATLANTIC........... 1 7 35 135 1 3 31 101 3 5 11
Delaware.............. 2 1 -
Maryland.............. 22 22 -
District of Columbia.. 1 2 1 1 1 1 1
Virginia.............. 1 8 8 1 8 8 4 3
West Virginia......... 1 5 18 5 12 1 2
North Carolina........ 2 4 13 1 3 7 1
South Carolina........ 3 4 15 1 4 10 2
Georgia................ 6 27 5 20
Florida............... 6 29 5 20 5

EAST SOUTH CENTRAL....... 4 7 44 63 1 5 34 38 8 12
Kentucky.. ............ 2 17 21 14 5 2
Tennessee............. 3 10 15 3 7 5
Alabama............... 1 1 14 9 1 1 14 9 1 12
Mississippi........... 4 3 18 4 3 17 -

WEST SOUTH CENTRAL....... 7 7 238 109 6 3 188 56 1 4 27 4
Arkansas.............. I 6 12 1 6 4 3 1
Louislana............. 3 14 35 2 12 26 1 -
Oklahoma .............. 2 11 3 2 9 -
Texas................. 4 4 207 59 3 1 161 26 1 3 24 3

MOUNTAIN ................. I 12 40 8 23 2 3
Montana ............... 3 3 2 2
Idaho.................. 2 13 1 6
Wyominrg............... I 2 I -
Colorado.................- 1 6 6 2
New Mexico............ 3
Arizona................ 3 7 3 5
Utah.................. 1 8 1 4 1
Nevada................. ._ 2

PACIFIC................... 6 8 58 102 6 7 54 83 1 52 42
Washington............. 1 2 2 18 1 2 2 18 4 6
Oregon................ 5 12 5 5 1
California............ 5 5 50 69 5 4 46 57 1 47 36
Alaska.................. -
Hawail................ 1 1 3 1 1 3

P ,rt .. ... 1 10 6 1 10 6


__ I_ I I __ i .1 L I ____


I


i









Morbidity and Mortality Weekly Report 293


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 16, 1961 AND SEPTEMBER 15, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Cumu- Cumu- 37th week
lative lative Under 20 &
37th week 37 weeks 37th week 37 weeks 37th week 20 yr. over Total Total 37th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 7 298 12 275 35 37 464 371 892 1,129 842 734

NEW ENGLAND.............. 2 1 1 34 24 61 51 62 28
Maine................... 12 8 20 6 16 2
New Hampshire.......... 2 2 7 10 4
Vermont ................. 1 1 1 2 2
Massachusetts......... 1 1 11 9 20 28 24 11
Rhode Island.......... 1 1 1 2 2 -
Connecticut............ 1 7 4 11 6 18 9

MIDDLE ATLANTIC.......... 1 7 5 11 7 89 83 174 156 116 116
New York............... 1 3 3 9 7 43 52 97 86 77 67
New Jersey............. 1 1 13 11 24 28 26 33
Pennsylvania .......... 3 1 2 33 20 53 42 13 16

EAST NORTH CENTRAL....... 1 68 8 5 6 93 89 192 210 216 215
Ohio.................. 1 3 6 30 22 59 55 13 16
Indiana................. 5 3 13 3 17 29 10 37
Illinois.............. 49 2 1 14 32 46 47 11 83
Michigan.............. 4 3 1 35 28 63 70 110 47
Wisconsin............. 1 9 1 4 7 9 72 32

WEST NORTH CENTRAL;...... 1 114 1 56 3 5 16 20 41 94 22 43
Minnesota................. 9 17 6 1 8 22 5
Iowa................... 1 71 1 1 5 8 16 31 10 9
Missouri.............. 3 5 1 2 5 7 7 2 1
North Dakota.......... 1 7 2 2 2 4 10 10
South Dakota.......... 6 1 12 1 1 1 1
Nebraska.............. 11 13 4 1 10 17
Kansas................ 13 1 3 3 6 19 NN NN

SOUTH ATLANTIC........... 1 23 6 66 1 6 69 38 112 145 72 44
Delaware .............. .- 2 4 1
Maryland .............. 2 6 6 13 6 4 6
District of Columbia.. 1 2 2 2 -
Virginia .............. 1 12 12 9 7 17 17 10 4
West Virginia......... 1 1 13 6 20 17 39 13
North Carolina........ 2 6 3 24 8 32 54 7 13
South Carolina ....... 5 1 2 3 12 1
Georgia .............. 3 1 16 3 3 6 1
Florida............... 6 4 24 1 13 6 19 37 6 5

EAST SOUTH CENTRAL ....... 15 16 2 4 59 25 84 138 51 54
Kentucky .............. 1 17 3 20 46 5 8
Tennessee............. 7 7 1 21 8 29 37 35 39
Alabama................ 6 3 3 12 6 18 23 10 -
Mississippi........... 1 6 1 1 9 8 17 32 1 7

WEST SOUTH CENTRAL....... 1 27 5 104 5 2 27 13 40 82 105 86
Arkansas .............. 5 4 15 1 1 2 21 5
Louisiana............. 1 6 8 8 2 10 6 1 1
Oklahoma.............. 5 6 1 3 2 1
Texas.................. 11 1 75 5 1 18 10 28 52 102 79

MOUNTAIN................. 1 13 9 2 12 8 43 48 64 57
Montana ............... 1 6 2 1 1 2 10 20 6
Idaho................ 1 1 2 2 13 2
Wyoming ............... 1 1 1 1
Colorado.............. 2 1 1 7 21 16 22
New Mexico............ 2 6 2 8 5 NN NN
Arizona............... 1 4 16 7 7 9
Utah.................. 4 3 4 7 3 7 17
Nevada................ -

PACIFIC .................. 1 29 10 8 4 65 71 145 205 134 91
Washington ............ 1 1 23 18 45 26 30 7
Oregon................ 3 10 10 20 33 30 13
California ........... 1 24 5 7 3 26 39 67 130 45 53
Alaska................ 1 5 6 4 13 13 5 14
Hawaii................I 1 3 24 4

Puerto Rico...... ......... 34 17 2 19 33 17 40










Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 16, 1961 AND SEPTEMBER 15, 1962 (Continued)


Men ng
Lniec I

Area
37th uk.
1962

UNITED STATES.... 27

NEW ENGLAD........ -
Maine.............. -
New Hampshire ..... -
Vermont...........
Massachusetts...... -
Rhode Island.......
Connecticut.......

MIDDLE ATLANTIC..... 7
New York............ 3
New Jersey......... 1
Pennsylvania....... 3

EAST NORTH CENTRAL.. 2
Ohio...............
Indiana............ 1
Illinois.......... -
Michigan........... 1
Wisconsin..........

WEST NORTH CENTRAL.. 3
Minnesota.........*
Iowa............... 1
Missouri........... .
North Dakota....... 1
South Dakota .......
Nebraska...........
Kansas............. 1

aOUTH ATLANTIC...... 5
Delaware .......... -
Maryland........... 1
Dist. of Columbia..
Virginia............
West Virginia......
North Carolina..... 2
South Carolina.....
Georgia ............ i
Florida............ 1

EAST SOUTH CENTRAL.. 3
Kentucky...........* 1
Tennessee.......... 2
Alabama............
Mississippi..........

WEST SOUTH CENTRAL.. 1
Arkansas............
Louisiana..........
Oklahoma............
Texas.............. 1

MOUNTAIN.*............ 1
Montana............
Idaho..............
Wyoming............
Colorado,..........
New Mexico........
Arizona...........
Utah...............
Nevada............. 1

PACIFIC............. 5
Washington.........
Oregon,............
C. 1If. rni! .......... 4
~.:ai .............
Hawailt.............


iococal Streptococcal Tickborne
Lton Sore Throat & Tetanus Typhus lTlaremia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
SCulu- Spotted) C.J'.- Cumu-
It Le",- lar ve ilati.e
37 uceks th wek 37h wl 37th c. 37th uk. 3?th .k. 37 uee.e 3'[h iek ? we7kh
[9b2 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962


1,565

91
13
3
3
38
9
25

278
124
74
80

312
91
26
72
102
21

87
16
11
21
7
5
14
13

248
32
17
7
53
12
58
15
10
44

96
23
41
18
14

127
15
58
6
48

51
3
3
5
8
4
13
8
7

275
19
16
229
7


3,487

351
170
7
14
40
19
101

99
59
30
10

239
18
55
51
71
44

65
3
13

42
7



318

1

64
201
13
7
2
30

709
19
630
5
55

638

2
1
635

638
26
99
17
159
143
100
94


430
55
8
320
31
16


3,072

95
7

I
30
12
45

89
61
16
12

168
16
79
23
19
31

91
1
11

60


19

309
3
2
2
52
79
13
22

136

796
83
676
8
29

393
1
2
9
381

860
64
59

230
281
125
98
3

271
90
11
131
39


2,828

1



I



99
67
1
31

656
329
177
84
35
31

744
169
291
125
46
87
19
7

274

2

112
100


8
52

299
106
173
20


524
58
18
22
426

22



1
11
10



209

14
195


-I -I I I I I


Puerto Rico......... 8 1 2 1 6 1 3 1 4


294


I


- 1


i








295


Morbidity and Mortality Weekly Report




Table 4 (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


Area For weeks ending Area For weeks ending
Area 9/1 8/25 9/1 9Area/8 9/15

8/25 9/1 9/8 9/15 8/25 9/1 9/8 9/15


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


222
17
29
21
62
28
22
21
47
56
16
44
22
45


47
31
124
42
32
30
67
94
1,500
40
365
230
22
110
27
40
69
44
22
26


64
33
661
155
165
150
70
326
39
42
46
37
39
136
27
108
29
24
33
76
36


40
31
68
119
19
137
55
214
64
50


234
47
24
32
57
17
23
19
24
73
14
37
31
55


48
35
130
30
27
31
60
95
1,441
40
389
228
21
117
20
35
50
43
29
30


59
26
728
134
191
121
80
310
40
42
29
37
52
143
33
119
25
19
48
107
61


64
38
81
124
34
121
77
234
59
44


207
32
22
19
54
28
18
37
72
51
7
45
20
46


43
27
152
34
27
40
51
77
1,507
28
398
184
18
99
21
22
73
41
34
24


55
27
657
142
178
88
72
312
30
46
44
32
53
133
25
120
18
22
31
92
54


52
20
32
104
20
94
57
191
75
45


230
37
29
29
49
13
27
24
42
55
11
34
27
52


34
21
127
45
22
29
71
100
1,539
41
500
213
21
94
20
31
64
33
29
29


57
45
662
172
198
126
75
363
41
54
47
28
40
141
35
95
21
21
41
88
60


42
21
34
112
23
122
76
228
77
44


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


141
238
22
43
70
42
90
27
62
62
161
34


90
60
37
145
121
59
33
70


70
30
24
140
38
56
172
48
175
104
134
55
62


33
21
116
14
92
21
48
35


14
44
32
40
59
483
93
47
108
57
98
188
39
145
57
36


131
224
34
73
75
61
66
27
67
71
185
40


71
34
22
88
102
44
30
59


35
17
13
123
28
55
210
90
88
65
108
54
65


23
15
106
9
91
29
49
40


122
236
24
69
81
47
79
32
73
94
194
43


70
58
40
100
123
37
30
72


29
20
21
117
27
53
169
72
173
73
71
43
51


24
9
110
15
63
17
38
39


16
30
33
47
57
478
95
22
96
50
66
197
19
153
56
43


San Juan, P.R. .............. 28 32 24 30


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages.................... 10,744
4(B) Pneumonia-Influenza Deaths, all ages........ 338
4(C) Total Deaths under 1 Year of Age............. 797
4(D) Total Deaths, Persons 65 years and over..... 5,768


NOTF: All deaths by place of occurrence.


Totals for previous weeks include reported corrections.




UNIVERSITi OF FLORIDA

IlI IIIU I Mlll ll IlIlI
3 1262 08864 1716
296 Morbidity and Moriality Weekly Report




The illness was characterized in most cases by
diarrhea, abdominal cramps, headache, nausea, fever, rc -.-
chills, and muscular aches. Anorexia and vomiting oc- r p-
curred in fewer than half of the cases. Shrgella sonnei
was isolated from stool cultures of four dietary personnel ." ** .
and from 17 other personnel.
The characteristics of the outbreak, with over two- u /
thirds of the cases having onset within an initial four- STOR
day period, suggest a common source of infection. Food
for both hospital personnel and patients is prepared in
the same kitchen; however, the hospital personnel have
different menus than do the patients. Although the source
of infection was not determined, interviews with 114 of
the persons affected suggest that lunch served on July
17, 1962, was the suspect meal. Lunch consisted of
chicken noodle soup, hamburger and bun, American
cheese sandwiches, chopped tomato and lettuce salad,
and tapioca pudding. No cultures were available from
foods which had been consumed.
(Reported by Wallace Font, M.D., Deputy Director, Mon-
roe County Health Department, New York; and Virginia
L. Oliver, M.D., Epidemiologist, New York State Depart-
ment of Health.)

m
A-
0-
INTERNATIONAL NOTES QUARANTINE MEASURES .~
No Report. 0

-- im -

o -


s m

m






m

S9




*M