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:
AA00010654:00071

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


I IA DIS I


U
Wekl


MElrose 4-5131


For release November 30, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 47
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED NOVEMBER 24, 1962


POLIOMYELITIS The week ending November 24, 1962,
brought reports of 19 cases of poliomyelitis (14 paralytic),
totals almost identical to those noted the preceding week
and similar to the 20 cases (10 paralytic) noted for the
comparable week in 1961.
Twelve States reported cases this week, most cases
representing delayed reports. Oklahoma and West Virginia
each accounted for 3 cases. The cases from West Virginia
represent delayed reporting of cases from the Type I out-
break in Boomer (pop. 2,091) and nearby Carbondale
where a total of 10 cases of paralytic poliomyelitis has
been noted among the Negro children in these communi-


ties. The cases from Oklahoma represent delayed re-
porting, with the last case having onset during the first
week in November. No new case concentrations have been
noted in the remaining States.
Reports of virologic studies have been received on
238 of the cases of paralytic poliomyelitis reported to
the Poliomyelitis Surveillance Unit with onsets this year.
These cases have yielded: jiOi-.rhw. lri; isolates, 155
Type 1, 46 Type III, an 1 3'Te U. :'i he type I isolates,
69 have been repi're4 from Texas, scene of several
Type I outbreaks ,jTM'er.
The cumulatrve umber ofs.c this y; r remains


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UL El
(Cumulative totals include revised and delayed reports through previous week)
47th Week Cumulative
Disease Ended Ended First 47 weeks
Disease Median
November 24, November 25, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis ............... 39 34 --- 2,347 2,975 ---
Brucellosis ................... .. 1 15 9 353 535 682
Diphtheria...................... 14 8 28 413 514 758
Encephalitis, infectious .......... 24 22 21 1,585 1,515 1,674
Hepatitis, infectious and serum... 781 1,139 456 48,818 66,281 20,266
Measles........................ 2,460 2,183 2,320 458,216 401,998 409,863
Meningococcal infections......... 30 43 43 1,909 1,936 2,058
Poliomyelitis, total.............. 19 20 59 811 1,262 5,579
Paralytic.................... 14 10 43 643 822 2,804
Nonparalytic................. 2 6 10 116 302 1,934
Unspecified .................. 3 4 6 52 138 841
Streptococcal sore throat
and Scarlet fever ............ 5,372 4,855 -280,325 284,458 ---
Tetanus ........................ 4 ------ 260 --- ---
Tularemia ...................... 6 --- --- 261 --- ---
Typhoid fever ................... 6 11 12 569 755 785
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... -- 214 ...
Rabies in Animals ............... 28 69 65 3,309 3,118 3,514

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis: Ill. 1, Ohio 1, Calif. I
Botulism: Rabies in Man:
Malaria: Minn. 1 Smallpox:
Plague: Typhus, murine: Puerto Rico 2









Morbidity and Mortality Weekly Report


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


A1961


.... ..* ..- / V I
,'X/> ,i ,


400 ,\/," ,
200 1957 ,,
200. .--. -- \ -/ \

Week Ending Jon Feb Mar Apr May June July Aug Sept Oct Nov Dec
S20 3 17 3 17 31 14 28 i2 26 23 7 1 4 18 15 29 13 27 10 24 8 2


well below that for any previous years. Poliomyelitis
incidence through the 47th week in 1962 and the pre-
ceding four years is shown below:

Poliomyelitis (1st through 47th Week) 1958-1962


1962 1961 1960 1959 1958
Paralytic 643 822 2137 5387 2879
Total 811 1262 3065 8134 5655





HEPATITIS The cases of hepatitis for the first ten
months of 1962 are approximately 25% below the level of
1961. The accompanying graph shows the consistently
lower level during 1962.
Nine States and the District of Columbia have expe-
rienced an increase in cases during 1962. Increases have
been seen in the New England States of Maine, New
Hampshire, and Massachusetts; in the Western States of
Idaho, Oregon, and Washington; and also in Wisconsin,
North Dakota, and Louisiana. The percent increases
through October have ranged from 13% to 57% in these
areas except for Maine where a five-fold increase has
been seen.

An Analysis of Maine Hepatitis

The table (at right) shows the number of cases by county
during each month from January through October 1962.
From February through September 1962, the monthly varia-
tion in total cases was minimal and failed to show the


usual seasonal decline. More detailed analysis reveals
that Androscoggin County in particular experienced an
unusual upswing in hepatitis in the spring and summer at
a time when some other counties showed the expected
seasonal decrease.
The cases in the Lewiston-Auburn area in Andro-
scoggin County occurred predominantly in school-age
children in the poorer socio-economic area. This age
selection and the prolonged duration of the outbreak
indicate person-to-person transmission. There has been
no evidence to suggest common source outbreaks.
The table indicates that a number of separate local
outbreaks have occurred throughout Maine during the year.










MAINE HEPATITIS BY COUNTY AND MONTH, 1962


COUNTY n. Fe. Mr. Apr. May Jun. ly Aug.
nd oin 7 1 22 16 17 16
A 1 3 toc 1 2
Cumbeland 12 10 4 2 B 6
Franklin I7 2 3 4 4 4 5 10
Honcock 13 1 3 3 1 1 2 -
Kenn. bc 2 1 2 2 2 4 4 2
Kno 18 12 8 5 11 12 It 3
L2on 3 2 3
O.od 1 7 7 6 3 4 2 3 3
Penob.co, 7 2 2 1 3 2 1 4
Piscotoqui. -
SgOho I
Somers17 15 17 4 7 7 12
Wldo I 6 12 7 7
Washington 1 2 1 2
To, __ 3 2 I 4
TOTAL 112 5I 58 80 73 77 54 72


Sept. Oct. Total
30 40 181
8 22
15 47 107
6 7 62
1 25
2 6 27
1 2 73
6
8 21 74
4 11 37
2 2
S 2
7 4 115
3 5 56
5 13
1 4 1a
87 153 820


370


2,000


1,800


1,600-


1,400


S1200


iooo.
C
1,000
800








Morbidity and Mortality Weekly Report


The table below presents the annual total of reported
hepatitis cases in Maine since 1952:


YEAR TOTAL CASES PERCENT 20 YEARS AND OLDER
1952 306
1953 725
1954 785
1955 399
1956 308 53.0
1957 240 45.7
1958 87 60.9
1959 96 54.1
1960 89 57.7
1961 215 47.4
1962* 820* 40.2*
Preliminary figures for the first 10 months only.


Since 1956, there have been four years in which there
were 200 or more cases. The percent of adults during
these 4 years ranged from 40.2 to 53.0%, with an average
of 46.6%. During 1962, in which the largest number of
cases occurred, the percentage of adult cases was lowest.
In the 3 "non-epidemic" years of 1958, 1959, and 1960,
when there were fewer than 100 cases annually, adult
cases represented from 54.1 to 60.9% of total cases, with


an average of 57.6%. It has been noted elsewhere in the
country that a decrease in the proportion of adults is
commonly seen as the total number of hepatitis cases
rises.

(Reported by Dr. Dean Fisher, Commissioner Department
of Health and Welfare and Mrs. Margaret H. Oakes, As-
sistant to the Director, Division of Communicable Dis-
ease Control, State of Maine.)




EPIDEMIOLOGICAL REPORT

Acute Respiratory Disease Indiana
A notable respiratory disease outbreak recently oc-
curred at DePauw University in Greencastle, Indiana. The
outbreak which began on Friday, November 7, rose to a
peak by November 12 and 13 and subsided by November
17. During this time, some 200 students reported to the
infirmary. The illnesses were characterized by acute on-
sets of malaise, fever, sore throat, and myalgia. There


(Continued on page 376)


INFANT DEATHS IN 108 CITIES

The weekly average number of infant deaths in 108 cities
for the four-week period ending November 24 was 733 as
compared with an expected 787 weekly average.


DEATHS UNDER ONE
Average number




Et


NUMBER

OF

DEATHS '







PERIOD NC -
1960
*Br PLCE O ocCUarEnce


WEEK ENDING 4 Week Weekly
11/3 11/10 11/17 11/24 Total Average

Observed 759 762 731 680 2,932 733
Expected 786 787 787 787 3,147 787
Excess -27 -25 -56 -107 -215 -54


YEAR OF AGE IN 108 U.S. CITIES
per week by four-week periods


1961 i 196e
SCIUTED FaoM 7-'1 af RIENCE


(See Table, page 375)


371









372 "lIrbidil amd Mortalil % ce'kly {Relorl


Tiblc ,. (.ASIS ()F SPF( IIlll) N()1I IHABL 1)1D AIS I NI lI ) SI AT S

F()R \\ Fl Ks I NDI)D

NOVEMBER 25, 1961 AND NOVEMBER 24, 1962



P Ii,my liti s, Asept i
P limylli is Ttal Cases Poliomyelitis, Paralytic Nonparalytic Menin1itis
Cuiu a t ive Cumu lat ive
Area
47th week First47 weeks 47th week First47 weeks 47th week 47th week

1962 1961 1962 1961 1962 1961 1962 1961 1962 196 1962 1

UNITED STATES...... 19 20 811 1,262 14 10 643 822 2 6 39 34

NEW ENGLAND.............. 1 8 41 7 28 3 1
Ma ne........ ....... 5 5 1
New liampshire......... 2 -
Vermont............... 1 12 10-
Massachusetts......... 1 6 16 6 9 1
Rhode Island............ 1 1 1i
Conec ticut. ........ 1 5 1 3 -

MIDDLE ATLANTIC.......... 1 4 76 327 1 2 55 215 1 4 3
New York.............. 1 2 56 244 1 38 155 1 4 1
New Jersey............ 7 35 7 28 -
Pennsylvania 2 13 48 2 10 32 2

EAST NORTH CENTRA ........ 6 7 129 171 5 2 97 106 1 3 2 8
Ohi ................... 1 1 20 47 1 18 21 -
Indiana............... 2 21 18 1 17 10 1 2
Illnois .............. 2 1 58 35 1 1 41 18 1 3
Michigan .............. 1 3 20 39 1 16 32 2 2 3
Wis onsin ............. 2 10 32 2 5 25

WEST NORTH CENTRAL....... 1 37 73 1 26 33 2 3
Minnesota..... ...... 7 6 7 6 2 3
Iowa ................ 1 7 19 1 3 10
Miss ............... .. 10 24 5 7
North Dakota ......... 4 4 2 1
South Dakota.......... -1 3 1
Nebraska.............. 8 8 4
Kansas........ .... ... 9 4

SOUTH ATLANTIC............ 4 2 72 218 4 2 64 161 1 2
Delaware......... 2 I -
Maryland .............. 2 41 1 31
District of Columbia.. 2 3 1 3
Virginia.............. 1 9 14 1 9 14 -
Wet Virginia......... 3 15 32 3 15 22
North Carolina........ 13 21 11 11
South Carolina........ 6 35 6 27
Georgia............... I 17 30 1 14 23
Florida ............... 1 8 40 1 7 29 1

EAST SOUTH CENTRAL....... 3 73 91 2 60 51 1 12 3
Kentucky............... 29 27 23 5 9 -
Tennessee............. 1 11 26 5 10 1 1 1
Alabama ............... 22 11 22 11 1
Mississippi........... 2 11 27 2 10 25 2 1

WEST SOUTH CENTRAL....... 4 1 313 151 1 1 240 84 3
Arkansas.. ........... 1 22 21 1 19 10 -
Louisiana............. 25 54 22 43 -
Oklahoma.............. 3 26 4 18 -
Texas ................ 1 240 72 1 181 31 3

MOUNTAIN................. 18 45 14 26 1 1
Montana ........ .... 4 4 3 2 -
Idaho ................. 2 14 1 6
Wyoming ............... 2 I 1
Colorado................ 3 8 2 8 1
New Mexico............ 2 3 2
Arizona ............... 4 8 4 6 1
Utah............ .. 1 8 1 4
Nevada ..............

PACIFIC.............. ....... 1 4 85 145 1 2 80 118 2 11 13
Washlngton .......... 4 5 30 2 5 28 2 1
Ore.on........... ... 6 17 5 8
California ............. i 74 93 1 70 77 10 13
Alaska................
Hawi i................ 5 5

Puerto Rico....... ... ... 11 7 11 7









Morbidity and Mortality Weekly Report 373


Table 3. CASES OF SPFCIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 25, 1961 AND NOVEMBER 24, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and Serum
Area
Cumu- Cumu- 47th week
native lative Under 20 &
47th week 47 weeks 47th week 47weeks 47th week 20 yr. over Total Total 47th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 1 353 14 413 24 22 403 326 781 1,139 2,460 2,183

NEW ENGLAND.............. 4 3 1 51 34 87 51 161 372
Maine................... 27 9 36 7 17 89
New Hampshire......... -- 2 3 4 2 61
Vermont ............... 1 1 1 2 1 16 4
Massachusetts......... 1 1 19 13 32 27 42 198
Rhode Island......... 1 1 3 5 4 3
Connecticut........... 2 1 1 1 8 9 8 84 17

MIDDLE ATLANTIC.......... 9 4 19 7 2 72 82 154 143 181 261
New York.............. 4 4 17 7 2 44 53 97 70 74 144
New Jersey............ 1 1 7 9 16 42 36 75
Pennsylvania.......... 4 1 21 20 41 31 71 42

EAST NORTH CENTRAL....... 80 11 3 55 63 127 250 944 331
Ohio.................. 1 23 23 50 96 68 28
Indiana............... 6 5 9 4 15 27 35 21
Illinois.............. 56 2 2 5 20 25 29 22 151
Michigan.............. 6 3 1 16 16 32 87 182 68
Wisconsin.............. 11 1 2 5 11 637 63

WEST NORTH CENTRAL....... 137 1 88 2 9 3 18 122 125 132
Minnesota............. 13 1 25 1 2 57 8 19
Iowa.................. 80 15 1 3 23 60 34
Missouri............... 4 5 5 1 6 18 3 1
North Dakota........... 2 8 7 54 48
South Dakota.......... 1 15 2 1 3 3 30
Nebraska............. 13 18 1 3 6 -
Kansas.................... 14 2 2 1 8 NN NN

SOUTH ATLANTIC........... 27 4 120 2 5 34 37 74 195 123 159
Delaware............... 1 4 2 3
Maryland .............. 1 1 5 6 15 6 26
District of Columbia.. 2 2 1 3 5 4 3
Virginia ............. 13 13 2 6 9 24 11 39
West Virginia......... 2 6 3 10 24 89 42
North Carolina........ 2 11 1 1 11 8 19 73 11 25
South Carolina........ 10 1 2 1 3 29 -
Georgia............... 3 1 40 1 1 1 3
Florida............... 8 3 42 4 10 11 22 20 18

EAST SOUTH CENTRAL ....... 16 2 31 2 2 48 12 60 129 145 183
Kentucky............... 1 I 19 7 26 34 28 35
Tennessee.............. 7 7 1 18 5 23 60 116 134
Alabama................. 6 1 16 8 8 23 12
Mississippi........... 2 1 8 2 3 3 12 1 2

WEST SOUTH CENTRAL ....... 34 3 120 2 1 20 14 35 40 93 151
Arkansas.............. 9 20 1 3 2 5 10 50 14
Louisiana............. 8 1 1 2 2 3 1
Oklahoma .............. 6 2 8 1 3 4 2 12
Texas................. 11 81 2 16 7 24 25 43 124

MOUNTAIN ................. 12 10 1 1 31 6 57 63 301 116
Montana............... 1 6 4 4 4 76
Idaho................. 1 1 7 18 30 5
Wyoming................ 1 1 8 2 11 2 1 35
Colorado............... 2 8 11 22 62 21
New Mexico............ 3 6 1 7 3 NN NN
Arizona................ 3 9 4 11 26
Utah................... 4 1 5 3 8 4 121 29
Nevada................ 6 -

PACIFIC.................. 1 34 11 10 5 83 75 169 146 387 478
Washington............. 10 11 21 16 108 213
Oregon.................. 3 8 16 23 54 65
California............. 28 6 10 5 53 57 110 99 161 147
Alaska............... 1 2 5 12 4 19 7 14 49
Hawaii................ 1 --- 3 3 1 50 4

Puerto Rico............... 35 7 1 8 7 35 30









374 Morbidity and Mortality Weekly Report


Tablk 4 (.ASE OF PI[CIFIED NOTIFIABLE DISEASES: INITIl) S'IATE

FOR WEEKS FNDED

NOVEMBER 25, 1961 AND NOVEMBER 24, 1962 (Continued)



SSore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cumu- Cumu-
lative lative lative
47th wk. 47 weeks 47th week 47th wk. 47th wk 47th wk. 47th wk. 47 weeks 47th week 47 weeks

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

UNITED STATES.... 30 1,909 5,372 4,855 4 6 6 569 28 69 3,309

NEW ENGLAND......... 113 459 244 11 2
Maine.............. 17 60 3 2 I
New Hampshire...... 4 11 2 -
Vermont ............ 4 6 1
Massachusetts...... 44 60 63 8 -
Rhode Island....... 13 28 41 -
Connecticut........ 31 294 134 -

MIDDLE ATIANTIC..... 7 337 210 173 1 2 60 1 3 148
New York............ 4 150 151 107 1 31 1 3 96
New Jersey......... 1 82 32 37 12 -
Pennsylvania....... 2 105 27 29 1 1 17 51

EAST NORTH CENTRAL.. 3 371 498 498 2 92 3 8 715
Ohio................ 2 113 72 76 44 2 362
Indiana............. 30 71 98 2 13 1 3 184
Illinois........... 82 73 59 17 1 1 91
Michigan........... 1 124 148 148 12 1 2 42
Wisconsin.......... 22 134 117 6 36

WEST NORTH CENTRAL.. 101 110 201 31 8 15 872
Minnesota........... 19 8 22 5 6 214
Iowa................ 13 39 36 2 2 332
Missouri........... 24 1 24 1 3 149
North Dakota....... 8 58 52 2 49
South Dakota....... 6 3 1 2 2 100
Nebraska........... 17 1 2 2 21
Kansas............. 14 1 90 7

SOUTH ATLANTIC...... 4 290 325 230 2 1 101 4 5 346
Delaware............ 35 4 2 2 -
Maryland............ 23 16 8 3 11
Dist. of Columbia.. 7 1 1 9
Virginia........... 3 66 132 75 18 4 4 134
West Virginia...... 16 120 56 1 5 1 130
North Carolina..... 66 30 22 1 6 -
South Carolina..... 1 19 23 17 9 -
Georgia............. 11 3 24 9
Florida............. 47 46 25 62

EAST SOUTH CENTRAL.. 5 124 755 817 1 1 56 2 6 338
Kentucky........... 4 38 80 56 1 11 2 3 120
Tennessee.......... 1 48 645 724 26 3 195
Alabama............ 21 22 10 1 12 23
Mississippi....... 17 8 27 7 -

WEST SOUTH CENTRAL.. 4 158 522 560 3 1 122 6 24 579
Arkansas........... 1 17 1 7 31 1 12 67
Louisiana.......... 2 68 2 3 1 1 32 1 20
Oklahoma............. 8 3 7 6 28
Texas.............. 1 65 516 543 2 53 5 11 464

MOUNTAIN............ 61 1,422 1,081 1 43 1 2 37
Montana ............. 5 59 61 10 -
Idaho.............. 3 153 83 -
Wyoming............. 5 192 54 3 -
Colorado.......... 9 552 261 8 4
New Mexico......... 6 207 273 12 2 13
Arizona............ 15 110 201 8 1 20
Utah............... 9 149 146 1 1-
Nevada............. 9 2 -

PACIFIC ............. 7 354 1,071 1,051 1 53 3 6 272
Washington......... 1 24 310 318 1 -
Oregon.............. 21 10 38 1 17
California......... 6 294 710 596 1 50 3 6 255
Alaska.............. 8 38 14 -
Hawaii.............. 7 3 85 1 I
Puerto Rico......... .- 9 6 16 20










Morbidity and Mortality Weekly Report





Table .c (C). TOTAL DEATHS UNDER I YEAR OF AGE IN REPORTING CITIESS



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


375


For weeks ending For weeks ending
Area 1 11 11/17 1 4 Area 11/3 1/ 11
11/3 11/10 11/17 11/24 11/3 11/10 11/17 11/24


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, 111...............
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.............


19
2
2
1
5
1
0
1
2
4
0
2
2
2


2
2
6
5
0
3
3
4
90
6
24
12
1
6
1
0
4
2
0
1


4
2
58
14
18
11
7
21
3
3
2
3
1
17
1
6
1
2
4
6
3


3
1
3
3
2
4
3
19
2
6


SOUTH ATLANTIC:
Atlanta, Ga............. 11 9 10 5
Baltimore, Md............. 12 8 27 14
Charlotte, N.C........... 7 10 2 3
Jacksonville, Fla........ 8 7 17 2
Miami, Fla............... 2 6 7 1
Norfolk, Va.............. 10 4 8 3
Richmond, Va.............. 6 8 5 9
Savannah, Ga.............. 1 2 7 5
St. Petersburg, Fla...... 5 1 1 4
Tampa, Fla............... 3 5 12 7
Washington, D.C.......... 22 8 8 26
Wilmington, Del.......... 5 2 2 2

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 8 9 4 7
Chattanooga, Tenn ....... 3 2 4 4
Knoxville, Tenn.......... 1 1 1 4
Louisville, Ky........... 10 4 19 6
Memphis, Tenn............. 5 6 6 6
Mobile, Ala............... 4 8 2 5
Montgomery, Ala.......... 6 3 4 1
Nashville, Tenn........... 4 3 6 8

WEST SOUTH CENTRAL:
Austin, Tex .............. 1 2 2 4
Baton Rouge, La.......... 1 5 3 0
Corpus Christi, Tex...... 4 4 3 1
Dallas, Tex............... 12 12 10 8
El Paso, Tex ............. 5 7 9 4
Fort Worth, Tex.......... 11 11 1 2
Houston, Tex ............. 21 14 9 19
Little Rock, Ark......... 9 6 5 3
New Orleans, La.......... 18 20 14 14
Oklahoma City, Okla ..... 5 5 6 5
San Antonio, Tex ........ 10 4 4 10
Shreveport, La........... 6 7 3 9
Tulsa, Okla............... 5 6 3 1

MOUNTAIN:
Albuquerque, N. Mex ..... 5 9 5 8
Colorado Springs, Colo... 0 1 1 2
Denver, Colo.............. 11 10 7 6
Ogden, Utah.............. 1 0 2 2
Phoenix, Ariz............ 9 6 4 8
Pueblo, Colo............. 0 1 3 3
Salt Lake City, Utah..... 3 9 4 4
Tucson, Ariz.............. 4 2 3 2

PACIFIC:
Berkeley, Calif.......... O 2 0 0
Fresno, Calif............ 4 5 2 2
Glendale, Calif.......... 1 2 0 1
Honolulu, Hawaii......... 6 9 13 2
Long Beach, Calif........ 6 10 4 5
Los Angeles, Calif....... 32 29 20 33
Oakland, Calif........... 5 6 4 6
Pasadena, Calif.......... 1 1 1 1
Portland, Oreg............ 4 5 4 6
Sacramento, Calif........ 3 3 8 5
San Diego, Calif......... 6 5 4 4
San Francisco, Calif ..... 5 15 6 7
San Jose, Calif.......... 3 4 4 2
Seattle, Wash............. 5 9 8 8
Spokane, Wash........... 2 3 4 2
Tacoma, Wash.............. 0 0 0 1

San Juan, P.R.............. 3 3 5 4


OCurrent Week Mortality for 108 Selected Cities


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


10,151
350
680
5,729


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




UNIVERSITY OF FLORIDA

3 11262 088 Ill 765 I I IilI
3 1262 08864 1765


Morbidity and Mortality Weekly Report


was no cough or chest pain. Oral temperatures ranged
between 1010 and 1040 F. The syndrome was severe
enough to confine many to bed, hut the total duration of
illness did not exceed 3 to 4 days. The impression was
that only college students were involved, as no faculty
members reported illness. There were approximately equal
numbers of cases among males and females.
DePauw University has a population of approxi-
mately 2400 students, most of whom reside on campus.
It is located in Greencastle, Indiana, which has a popu-
lation of some 8,000. It was the impression of the local
health officer that the epidemic did not involve the town
or surrounding county.
Both throat washings and acute and convalescent
sera were collected during the epidemic and have been
sent to CDC for laboratory documentation.
(Reported by Dr. A. L. Marshall, Jr., Dzrector, Division
of Communicable Dzsease Control. State Roard of Health,
Indianapolis, Indiana.)


I -.
rJ z> ,


INTERNATIONAL NOTES QUARANTINE MEASURES
No Report.


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