Morbidity and mortality

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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:
AA00010654:00069

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


S1V'JC M )SAECHE


U.


MElrose 4-5131


For release October 26, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 42
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED OCTOBER 20, 1962


POLIOMYELITIS Twenty-seven cases of poliomyelitis occurred in the 0-4 age group. Seventy percent of the
(21 paralytic) were reported for the week ending October patients in this age group had not received any polio-
20, 1962, remaining at the same level as the previous two myelitis vaccine.
weeks. These totals contrast favorably with the 59 cases Cumulative totals through the 42nd week in 1962 re-
(39 paralytic) reported for the comparable week in 1961. main well below those for any previous year. The compar-
able figures for 1962 and the previous four years are
Of the 14 States reporting cases this week shown in the following tabulation:
shown in the following tabulation:
Illinois, Mississippi, and Texas, reported shw io
cases. Five cases from Illinois and 3 f d Week (19
represent largely delayed reports, while i (4 cases) oliomyelitis, 1st Through 42nd Week (1958-1962)
no new case concentrations have been te
The Poliomyelitis Surveillance Ut othe Con ni- 1962 1961 1960 1959 1958
cable Disease Center has received indi du case reports 6 70 1 4
,%_rrp I y 1 546 700 1850 4709 2300
on 80% of the cases reported to date in Almost alf /I 2
,. \ 694 1086 2680 7204 4744
(49.7%) of the 1962 cases of paralytic p iomyelitis have -




Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
42nd Week Cumulative
Disease Ended Ended Median First 42 weeks
Disease Median
October 20, October 21, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis................ 63 98 --- 2,082 2,667 --
Brucellosis ................... .. 12 3 11 336 484 635
Diphtheria...................... .8 11 26 349 448 572
Encephalitis, infectious .......... 37 47 47 1,452 1,346 1,500
Hepatitis, infectious and serum... 877 1,191 433 44,536 60,641 17,816
Measles ....................... 1,325 1,336 1,331 447,932 391,530 400,500
Meningococcal infections ......... 42 43 43 1,744 1,734 1,858
Poliomyelitis, total............... 27 59 140 694 1,086 4,672
Paralytic .................... 21 39 97 546 700 2,229
Nonparalytic.................... 3 14 22 104 261 1,731
Unspecified.................. 3 6 21 44 125 712
Streprococcal sore throat
and Scarlet fever ............ 4,354 4,752 --- 253,926 258,816 .
Tetanus ........................ 8 --- -- 229 ....
Tularemia...................... 3 --- --- 239
Typhoid fever ................... 9 18 25 507 656 688
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... 3 --- --- 204 --- -.
Rabies in Animals ............... 40 57 57. 3,073 2,834 3,143

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis: Penn. 1, Ariz. 1
Botulism: Rabies in Man: Ida. 1
Malaria: Hawaii 2, Calif 1, Fla. 1 Smallpox:
Plague: Typhus, murine: Tex. 1


is l2 ,//i/. ,,-








Morbidity and Mortality Weekly Report




SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS


SEPTEMBER 1961 SEPTEMBER 1962


CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area September 1962 and September 1961 Provisional Data

Reporting Area September Cumulative Reporting Area September Cumulative
1962 1961 1962 1961 1962 1961 1962 1961
NEW ENGLAND ............... 44 37 392 385 EAST SOUTH CENTRAL......... 132 115 883 957
Maine .................... 0 0 6 2 Kentucky ................. 17 17 102 135
New Hampshire ............ 1 1 8 9 Tennessee................. 36 40 229 347
Vermont .................. 0 0 0 4 Alabama .................. 49 48 441 370
Massachusetts............ 22 25 253 264 Mississippi............... 30 10 111 105
Rhode Island............. 1 3 21 19
Connecticut................ 20 8 104 87 WEST SOUTH CENTRAL........ 262 291 2,128 2,517
Arkansas................ 30 31 162 234
MIDDLE ATLANTIC........... 451 480 4,353 4,126 Louisiana................ 111 121 891 1,107
Upstate New York......... 49 53 446 442 Oklahoma................. 17 6 105 56
New York City............ 211 288 2,342 2,502 Texas .................... 104 133 970 1,120
Pa. (Excl. Phila.)...... 13 17 110 134
Philadelphia............. 71 57 600 447 MOUNTAIN................. 25 19 266 173
New Jersey............... 107 65 855 601 Montana.................. 1 1 3 3
Idaho.................... 0 0 2 9
EAST NORTH CENTRAL........ 110 157 1,224 1,363 Wyoming.................. 0 0 0 2
Ohio ...................... 22 21 245 178 Colorado................... 2 2 47 13
Indiana.................. 7 11 72 79 New Mexico............... 7 5 48 29
Downstate Illinois....... 9 12 88 112 Arizona ................. 11 8 109 101
Chicago .................. 45 81 584 702 Utah..................... 1 0 6 5
Michigan................. 23 28 202 241 Nevada ................... 3 3 51 11
Wisconsin.................. 4 4 33 51
PACIFIC................... 167 120 1,347 1,176
WEST NORTH CENTRAL......... 45 32 313 291 Washington............... 3 6 26 68
Minnesota ................ 6 9 46 88 Oregon................... 4 3 38 32
Iowa ..................... 5 1 35 12 California................ 156 110 1,263 1,070
Missouri................ 24 17 150 131 Alaska.................... 0 1 5 4
North Dakota............. 0 0 4 5 Hawaii................... 4 0 15 2
South Dakota............. 2 0 28 8
Nebraska ................ 2 2 8 11 U. S. TOTAL............... 1,738 1,684 15,341 14,682
Kansas ................... 6 3 42 36
TERRITORIES............... 44 37 384 300
SOUTH ATLANTIC............. 502 433 4,435 3,694 Puerto Rico.............. 40 31 363 275
Delaware.................. 3 4 33 23 Virgin Islands........... 4 6 21 25
Maryland................. 41 41 393 364
District of Columbia..... 61 61 549 469
Virginia ................. 40 31 317 274
West Virginia............ 10 6 35 38
North Carolina............ 78 57 579 416 Note: Monthly figures for 1961 are estimated from quarterly
South Carolina........... 58 50 620 458 reports.
Georgia.................. 78 78 720 806 Cumulative Totals include revised and delayed reports
Florida................... 133 105 1,189 846 through previous months.


HEPATITIS The total of 877 cases of viral hepatitis
reported for the week ending October 20, 1962, remains at
the level of the previous week (791) and well below the
1,191 cases for the corresponding week in 1961.





EPIDEMIOLOGICAL REPORTS
St. Louis Encephalitis Florida
The epidemic of St. Louis Encephalitis in four
counties of the Tampa Bay region of Florida during the
months of August and September has been described in
previous issues of the MMWR (Vol. 11, Nos. 34-37). During
the period July 1 to October 22, 455 human illnesses were
reported as possible encephalitis. Cases first occurred in
Pinellas County (St. Petersburg) and reached a peak on
the 19th of August. The onset of the first case of encepha-
litis in the Manatee County and Sarasota County area was
on August 18, with the peak incidence occurring approxi-


mately three weeks after that of Pinellas County. In Hills-
borough County (Tampa), although 69 suspect cases were
under surveillance during this period, only six cases have
been confirmed by serologic testing. Five other cases in
Hillsborough County are considered presumptive and, of
these, three had substantial exposure in Pinellas County.
During the month of September, there was a steady decline
in the number of cases and, by the 28th of September, the
major wave of illness appeared to have terminated.
The establishment of the Tampa Bay Regional Enceph-
alitis Laboratory (TABREL) in September enabled rapid
serologic testing of human and avian blood specimens
and identification and processing of mosquito collections.
Twelve hundred and seventy specimens of human blood,
including both single and paired blood sera specimens,
have been received for diagnostic studies. Results of
testing completed to date are summarized in Table I.
Blood samples from 630 birds collected in this area
have been examined at the Tampa Bay Regional Laboratory.


330








Morbidity and Mortality Weekly Report


Table I
Serologic Status of Cases Under Observation
for St. Louis Encephalitis
Florida July 1 October 22, 1962

Laboratory Confirmed* ......... ... ...... ........... ... 137
Laboratory Presumptive** ...... ... ..........7 73
Negative ................ .... ............... .... ..177
Others ........ ...... ....... .......... ... .... .... 68

455

*Four-fold rise in antibody titre by HI method.
**Only 1 serum tested (antibodies for SLE present).


Of these, 157 showed evidence of recent or past infection
with SLE virus. As yet no single species of bird has been
demonstrated as the most likely source of infection. The
Tampa Bay Laboratory has processed more than 12,000
mosquitoes and an additional 12,000 have been examined


at the Communicable Disease Center Laboratories in
Atlanta. Seventeen viruses, identified either definitely or
presumptively as St. Louis Encephalitis virus, have been
isolated from Culex nigripalpus mosquitoes.
Continued intensive surveillance of the four county
area surrounding Tampa Bay is planned for the coming
years, and serum surveys to measure subclinical infection
rates in the population are already in progress. Vector
analysis, in terms of breeding, ;1i,. range, and possible
resistance to insecticides, and other allied studies have
been instituted. A study of migration patterns and periodic
bleeding of both migrant and domestic birds is also in
process.
(Reported by Dr. H. C. Oard, Director of Communicable
Disease Control, Pinellas County Health Department and
James 0. Bond, M.D., Director, Bureau of Preventable
Diseases, Florida State Board of Health, Florida; and a
team from the Communicable Disease Center.)

(Continued on page 336)


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS

The weekly average number of pneumonia-influenza
deaths for the four-week period ending October 20 was 355
as compared with an expected 394 weekly average.


WEEK ENDING 4 Week
9/20 10/6 10/13 10/20 Total


Observed 311
Expected 381
Excess -70


353 353 404 1,421 355
389 399 409 1,578 394
-36 -46 -5 -157 -39


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












-AI









13 7 13 7 19763 1
960 1961 1962 163


B P CE uRE, E C.IUL TED F M 95-2 6 Ex0 ENCE


331


Weekly
Average


NUMBER ':
OF
DEATHS ,


(See Table, page 335)









332 MIorlidlit. and .Morlalit\ Weekly Report



T.ablc ( CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEFKS ENDED

OCTOBER 21, 1961 AND OCTOBER 20, 1962


Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis


Area


Cumulative Cumulative
42nd week First42 weeks 42nd week First 42 weeks 42nd week 42nd week


1962 1961 1962 1961 1962 1961 1962 1961 1967 1961 1962 1961

UNITED STATES....... 27 59 694 1,086 21 39 546 700 3 14 63 98

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

MIDDLE ATLAITIC.......... 1 10 69 277 1 8 49 180 3 3
New York............... 1 9 53 205 1 7 36 131 2
New Jersey............. 1 6 34 1 6 27
Pennsylvania 10 38 7 22 3 1

EAST NORTH CENTRAL ....... 9 16 96 135 8 10 68 83 3 13 31
Ohio................. 5 17 41 2 15 19 1 2 1
Indiana............... 2 4 18 15 2 2 11 8 I 1
Illinois.............. 5 41 25 4 28 12 7 12
Michigan.............. 2 2 14 27 2 2 11 23 4 11
Wisconsin.............. 5 6 27 4 3 21 1 6

WEST NORTH CENTRAL....... 4 4 35 63 3 3 24 28 1 4 8
Minnesota............. 1 7 6 1 7 6 4 6
Iowa .................. 1 6 18 2 9 1
Missouri.............. 1 4 10 20 1 3 5 6 1
North Dakota............ 3 3 1 -
South Dakota.......... 1 1 I -
Nebraska.............. 1 8 8 1 8 4
Kansas............... .. 7 3 -

SOUTH ATLANTIC ........... 1 14 55 185 1 7 49 137 7 1 10
Delaware............... 2 -
Maryland.............. 1 1 27 1 1 26 -
District of Columbia.. 2 3 1 3 -
Virginia................. 1 9 11 1 9 11 8
West Virginia......... 5 6 29 3 6 19 2 -
North Carolina......... 4 10 21 1 7 11 3 -
South Carolina........ 1 6 32 1 6 24 -
Georgia ............... 14 28 13 21 -
Florida............... 3 7 32 1 6 21 2 1 2

EAST SOUTH CENTRAL ....... 3 64 83 2 53 45 8 2
Kentucky.............. 25 27 20 5 -
Tennessee............. 8 24 3 9 -
Alabama............... 22 9 22 9 2
Mississippi ........... 3 9 23 2 8 22 8

WEST SOUTH CENTRAL....... 7 5 285 138 4 5 221 74 2 5 5
Arkansas................ 12 17 12 7 -
Louisiana............. 2 4 22 48 2 4 20 38 -
Oklahoma.............. 1 17 4 12 2 1
Texas.................. 4 1 234 69 2 1 177 29 2 3 4

MOUNTAIN................. 2 14 44 1 10 25 1 1
Montana .............. 1 4 4 3 2 -
Idaho............ ..... 2 14 1 6 -
Wyoming................ 2 -
Colorado............... 1 2 7 1 1 7 1
New Mexico ............ 3- -
Arizona ............... 3 8 3 6
Utah .................. 1 8 1 4 -
Nevada......... ...... -

PACIFIC.................. 2 8 69 130 2 5 65 107 3 27 33
Washington.............. 1 2 22 1 2 22 1 1
Oregon................ 2 5 16 1 5 8 1
California............ 2 5 62 88 2 3 58 73 2 26 32
Alaska ............... -
Hawaii................ 4 4- -

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









Morbidity and Mortality Weekly Report 333


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES. (INITEI) STATES

FOR WEEKS ENDED

OCTOBER 21, 1961 AND OCTOBER 20, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectinfec tios fectious and serum
Area
Cumu- Cumu- 42nd week
lative lative Under 20 &
42nd week 42 weeks 42nd week 42 weeks 42nd week 20 yr. over Total Total 42nd week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 12 336 8 349 37 47 459 352 877 1,191 1,325 1,336

NEW ENGLAND............. 1 4 2 2 67 31 101 68 67 178
Maine................. 19 6 25 11 15 84
New Hampshire.......... 16 9 25 13 6 2
Vermont............... 1 1 1 2 2
Massachusetts......... 1 1 1 28 14 45 31 26 64
Rhode Island.......... 1 1 1 3
Connecticut ........... 1 2 2 1 3 8 20 28

MIDDLE ATLANTIC.......... 8 2 12 6 13 83 81 164 157 159 133
New York.............. 4 2 10 4 11 31 45 76 84 37 73
New Jersey............ 1 1 22 15 37 39 38 13
Pennsylvania.......... 3 1 2 2 30 21 51 34 84 47

EAST NORTH CENTRAL....... 5 74 9 4 5 89 50 145 225 319 304
Ohio.................. 1 1 2 28 16 47 66 19 17
Indiana.............. 5 4 13 3 16 21 5 37
Illinois.............. 3 53 2 3 2 15 12 28 56 45 153
Michigan ............. 1 5 3 26 16 42 72 100 64
Wisconsin............. 1 10 1 7 3 12 10 150 33

WEST NORTH CENTRAL....... 2 130 84 3 1 24 19 48 81 123 43
Minnesota............. 12 24 2 2 4 25 10 3
Iowa................... 76 14 2 8 7 16 21 34 17
Missouri.............. 4 5 13 6 22 21 2
North Dakota.......... 2 7 75 18
South Dakota........... 1 11 15 7 4 3
Nebraska.............. 11 18 1 2 4 3 -
Kansas ................ 1 14 1 1 1 2 2 4 NN NN

SOUTH ATLANTIC............ 1 26 5 90 6 5 44 26 70 174 99 69
Delaware............... 3 3 6 1 7
Maryland .............. 1 5 4 9 13 5 31
District of Columbia.. 2 3 3
Virginia.............. 1 13 1 12 3 5 4 9 30 16 5
West Virginia......... 2 11 2 13 17 61 12
North Carolina........ 2 8 5 1 19 6 25 60 1 5
South Carolina........ 1 10 9 5 6
Georgia............... 3 25 1 1 9
Florida............... 8 3 31 1 1 6 7 32 4 7

EAST SOUTH CENTRAL....... 1 16 22 8 3 47 22 69 169 36 95
Kentucky.............. 1 4 14 3 17 52 1 36
Tennessee............... 7 7 1 1 23 8 31 53 33 47
Alabama ............... 6 8 5 5 32 1 8
Mississippi........... 1 2 7 3 2 5 11 16 32 1 4

WEST SOUTH CENTRAL....... 1 33 1 110 3 9 31 19 52 83 96 150
Arkansas.............. 1 8 18 3 1 3 3 6 15
Louisiana.............. 8 8 2 5 7 9
Oklahoma ............... 6 6 3 4 5
Texas................. 11 1 78 8 23 11 35 54 96 150

MOUNTAIN ................ 12 9 2 1 16 6 68 50 137 51
Montana............... 1 6 2 4 2 8 4 62
Idaho................. 1 4 4 19 6
Wyoming............... 1 4 1 5 4 15
Colorado.............. 2 12 21 18 8
New Mexico............ 2 1 6 3 10 11 NN NN
Arizona............... 3 27 6 22 13
Utah.................. 4 2 2 16 9
Nevada.........,..... -

PACIFIC ................. 1 33 11 3 10 58 98 160 184 289 313
Washington............ 1 17 16 34 23 115 118
Oregon................ 3 5 9 15 35 34 44
California ............ 1 28 6 3 9 30 64 94 120 68 135
Alaska................ I 5 5 5 12 4 38 13
Hawaii................ 1 1 4 5 2 34 3

Puerto Rico.............. 35 10 6 1616 6 11 69


I -- I I


4.______ _______ _____ I I ______ __ ..... ___ 1 ____ ___.


I










334 IMorbility and Mortality Weekly Report


lablc ( CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS FNDED


OCTOBER 21, 1961 AND OCTOBER 20, 1962 (Continued)


Heningococal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cumu- Cumu-
lative lative lative
42nd wk. 42 weeks 42nd week 42nd wk. 42nd 4 2wk nd wk. 42nd wk. 42 weeks 42nd week 42 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES.... 42 1,744 4,354 4,752 8 3 3 9 507 40 57 3,073

NEW ENGLAND......... 3 104 348 171 1 11 1
Maine............. 16 119 8 2- -
New Hampshire...... 3 6 3 -
Vermont............ 3 3 2 -
Massachusetts...... 1 41 40 41 8 1
Rhode Island....... 11 16 11 1 -- 1 -
Connecticut........ 2 30 164 106 -

MIDDLE ATLANTIC .... 4 305 142 148 2 1 2 53 2 2 125
New York........... 135 84 101 1 1 1 26 1 1 82
New Jersey......... 1 78 26 22 12 I
Pennsylvania ...... 3 92 32 25 1 1 15 1 1 42

EAST NORTH CENTRAL.. 10 340 530 320 1 2 82 7 8 684
Ohio................ 3 101 55 48 41 4 2 344
Indiana............ 1 27 43 81 11 1 180
Illinois........... 77 68 53 I 16 1 87
Michigan........... 5 113 292 63 2 10 3 2 39
Wisconsin.......... 1 22 72 75 4 2 34

WEST NORTH CENTRAL.. 4 94 144 148 1 1 24 14 15 813
Minnesota.......... 1 18 19 9 -- 7 6 187
Iowa................ 11 43 39 2 5 2 316
Missouri........... 21 15 1 17 3 137
North Dakota....... 7 47 48 2 48
South Dakota....... 6 4 1 2 4 97
Nebraska............ 2 17 2 21
Kansas............. 1 14 16 51 1 1 7

SOUTH ATLANTIC...... 4 266 319 404 1 94 9 6 309
Delaware............ 34 2 1 2
Maryland........... 2 19 38 8 3 2
Dist. of Columbia.. 7 2 3 7 -
Virginia........... 55 76 110 1 16 2 121
West Virginia...... 13 124 132 5 5 1 118
North Carolina .... 2 66 14 41 6 -
South Carolina..... 16 36 22 9- -
Georgia............ 11 1 13 23 1 9
Florida............ 45 26 74 23 4 2 59

EAST SOUTH CENTRAL.. 2 111 610 979 2 45 2 4 316
Kentucky........... 30 34 50 10 1 3 111
Tennessee.......... 1 45 503 883 17 1 1 183
Alabama............ 19 18 18 11 22
Mississippi........ 1 17 55 28 2 7 -

WEST SOUTH CENTRAL.. 5 146 646 518 2 1 3 117 2 17 556
Arkansas............ 15 1 1 1 31 1 4 64
Louisiana........... 3 66 7 2 1 30 1 18
Oklahoma........... 7 12 5 6 1 25
Texas.............. 2 58 627 511 2 50 12 449

MOUNTAIN............ 4 56 923 1,094 38 1 1 28
Montana............ 4 44 33 10 -
Idaho.............. 3 55 47 i -
Wyoming............. 5 65 76 3
Colorado........... 1 9 309 265 5 1
New Mexico......... 2 6 208 363 12 1 13
Arizona............ 1 14 190 161 6 1 14
Utah............... 8 52 149 1
Nevada,............. 7

PACIFIC............. 6 322 692 970 1 2 43 3 4 241
Washington......... 21 146 252 1 I -
Oregon............. 19 15 31 1 17
California......... 6 270 470 632 2 40 3 4 224
Alaska............. 8 7 14 -
Hawaii............... -_ 4 1 54 41 1 I 1 -
Puerto Rico......... 8 7 2 16 18










Morbidity and Mortality Weekly Report 335





Table 4 (B) REPORTED PNEUMONIA-INFILUENZA DEATHS IN REPORTING CH IIlS



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


For weeks ending For weeks ending
Area 10/6 Area 99
9/29 10/6 10/13 10/20 9/29 10/6 10/13 10/20


NEW ENGLAND:
Boston, Mass............... 3 1 3 2
Bridgeport, Conn.......... 5 0 1 1
Cambridge, Mass............ 0 0 0 0
Fall River, Mass.......... 0 3 0 1
Hartford, Conn............ 0 2 4 0
Lowell, Mass............... 3 1 4 1
Lynn, Mass................ 0 0 1 1
New Bedford, Mass ......... 0 1 1 1
New Haven, Conn........... 0 1 2 2
Providence, R.I........... 0 5 1 2
Somerville, Mass.......... 0 0 0 1
Springfield, Mass.......... 7 3 5 7
Waterbury, Conn........... 0 1 0 0
Worcester, Mass............ 2 4 5 6

MIDDLE ATLANTIC:
Albany, N.Y ............... 1 1 2 1
Allentown, Pa............. 2 0 0 3
Buffalo, N.Y............... 4 6 3 6
Camden, N.J............... 0 4 2 1
Elizabeth, N.J............ 0 3 1 1
Erie, Pa .................. 5 2 4 1
Jersey City, N.J.......... 1 5 2 4*
Newark, N.J............... 3 2 0 3
New York City, N.Y......... 44 57 47 55
Paterson, N.J............. 0 2 5 5
Philadelphia, Pa.......... 9 12 7 18
Pittsburgh, Pa............ 1 6 6 4
Reading, Pa............... 0 2 1 0
Rochester, N.Y............. 10 11 6 12
Schenectady, N.Y.......... 0 0 1
Scranton, Pa.............. 3 5 2 3
Syracuse, N.Y.............. 0 2 3 2
Trenton, N.J................ 1 0 3 1
Utica, N.Y................ 0 2 0 1
Yonkers, N.Y............... 2 5 1 2

EAST NORTH CENTRAL:
Akron, Ohio................ 0 0 0 1
Canton, Ohio............... 1 1 1 2
Chicago, Ill.............. 24 26 24 38
Cincinnati, Ohio........... 4 7 4 4
Cleveland, Ohio............ 1 7 4 2
Columbus, Ohio............. 3 3 5 7
Dayton, Ohio............... 2 0 0 2
Detroit, Mich............. 6 6 8 13
Evansville, Ind........... 3 2 1 1
Flint, Mich............... 0 4 1 4
Fort Wayne, Ind........... 5 2 2 1
Gary, Ind.................. 1 1 1 1
Grand Rapids, Mich........ 0 2 2 4
Indianapolis, Ind......... 19 3 8 5
Madison, Wis.............. 0 0 5 2
Milwaukee, Wis............ 5 5 3 9
Peoria, Ill............... 1 1 0 0
Rockford, Ill............ 2 1 3 0
South Bend, Ind........... 0 1 2 3
Toledo, Ohio.............. 5 4 4 5
Youngstown, Ohio........... 1 0 0 1

WEST NORTH CENTRAL:
Des Moines, Iowa........... 0 0 1 1
Duluth, Minn.............. 1 0 2 1
Kansas City, Kans......... 4 2 1 2
Kansas City, Mo........... 4 5 3 6
Lincoln, Nebr ............. 0 1 0 1
Minneapolis, Minn......... 0 2 2 2
Omaha, Nebr............... 2 2 0 0
St. Louis, Mo............. 3 4 6 3
St. Paul, Minn............ 0 1 2 1
Wichita, Kans............. 4 2 4 2


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


SOUTH ATLANTIC:
Atlanta, Ga................ 4 3 4 5
Baltimore, Md............ 6 4 9 4
Charlotte, N.C........... 0 2 3 1
Jacksonville, Fla........ 1 1 0 0
Miami, Fla............... 0 0 0 0
Norfolk, Va.............. 4 8 5 4
Richmond, Va............. 1 2 1 i
Savannah, Ga............. 2 2 2 6
St. Petersburg, Fla...... 2 5 9 5
Tampa, Fla............... 3 0 1 0
Washington, D.C ......... 6 7 5 9
Wilmington, Del.......... 2 3 3 2

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 0 2 0 0
Chattanooga, Tenn........ 2 0 5 4
Knoxville, Tenn........... 0 0 0 0
Louisville, Ky........... 8 12 13 8
Memphis, Tenn............ 2 7 3 5
Mobile, Ala.............. 1 1 1 i
Montgomery, Ala.......... i 1 1 0
Nashville, Tenn.......... 2 1 2 1

WEST SOUTH CENTRAL:
Austin, Tex.............. 5 1 5 3
Baton Rouge, La.......... 1 0 0 2
Corpus Christi, Tex...... 0 0 1 2
Dallas, Tex .............. 4 2 2 1
El Paso, Tex.............. 2 3 1 2
Fort Worth, Tex.......... 0 0 4 2
Houston, Tex.............. 0 4 2 2
Little Rock, Ark...... 3 4 3 5
New Orleans, La.......... 6 3 8 5
Oklahoma City, Okla...... 3 1 1 1
San Antonio, Tex......... 4 3 5 4
Shreveport, La........... 5 5 7 5
Tulsa, Okla............... 3 0 4 2

MOUNTAIN:
Albuquerque, N. Mex...... 0 4 2 3
Colorado Springs, Colo... 0 0 1 1
Denver, Colo............. 4 1 4 7
Ogden, Utah............... 2 4 1 1
Phoenix, Ariz............ 4 3 8 3
Pueblo, Colo ............. 1 0 2 1
Salt Lake City, Utah..... 2 1 0 2
Tucson, Ariz ............. 0 0 1 1

PACIFIC:
Berkeley, Calif.......... 0 0 0 0
Fresno, Calif............ 2 2 2 1
Glendale, Calif.......... 1 0 0 0
Honolulu, Hawaii.......... 2 3 2 0
Long Beach, Calif........ 0 0 0 0
Los Angeles, Calif....... 5 12 13 13
Oakland, Calif........... 5 0 1 1
Pasadena, Calif.......... O 1 1 0
Portland, Oreg ........... 2 2 1 3
Sacramento, Calif........ 2 2 3 1
San Diego, Calif......... 3 2 1 2
San Francisco, Calif ..... 2 4 2 7
San Jose, Calif.......... 3 3 0 0
Seattle, Wash............ 2 3 2 7
Spokane, Wash............. 0 0 1 2
Tacoma, Wash............ O 1 1 5

San Juan, P.R.............. 2 4 6 4


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 11,743
4(B) Pneumonia-Influenza Deaths, all ages........ 404
4(C) Total Deaths under 1 Year of Age.......... 779
4(D) Total Deaths, Persons 65 years and over..... 6,533




UNIVERSITY OF FLORIDA

II I 1111lllll Ill I 11111I
3 1262 08864 1609

336 Morbidity and Mortality Weekly Report




Botulism Tennessee

Three members of a non-white family living in a rural
area near Memphis, Tennessee, had onsets of an illness
diagnosed clinically as botulism, between September 23 ---.
and September 25, 1962.
The 43-year-old mother of the family first became ill
on September 23 with pain in the abdomen, diplopia, and
difficulty in swallowing. She was admitted to the hospital
on September 25 with respiratory paralysis and died
shortly after being admitted. A diagnosis of poliomyelitis
was considered. However, on September 25, the 17-year-
old daughter of the first patient was admitted to the hos-
pital with a history of onset the previous day of gener-
alized weakness, difficulty in swallowing, diplopia, and
respiratory embarrassment. Spinal fluid findings were
negative. Clinical manifestations of illness in this patient
were typical of botulism. This patient, although gradually
recovering from the poisoning, died of a complicating
illness on October 10. The third case, a 22-month-old child
in this family, became ill on September 25 with mild
symptoms of botulism and recovered.
The mother customarily prepared corn on the cob by
placing ears of corn in large jars which were then placed
in a can and boiled for an indefinite period. The jars were
then sealed. Several jars of this corn were prepared some m
time before the patients became ill. It was the custom of
this family to carry a jar of the corn to the cotton patch R
while picking cotton, opening up the jar and eating the > S C i
corn in the field without reheating it. Since corn had been c
eaten over several days from several different cans, it was I g > m
not possible to determine the incubation period of the M >
cases. No samples of the corn were available for labora- -1
tory examination. D > m
(Reported by L. M. Graves, M.D., Director, Memphis.- .
Shelby County Health Department, and C. B. Tucker, M.D., O
Director, Division of Preventable Diseases, Tennessee M 0
Department of Public Health.) "






INTERNATIONAL NOTES QUARANTINE MEASURES
No Report.



0

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