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:
AA00010654:00072

Related Items

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

Full Text






Morbidity and



U. S. DEPARTMENT OF HEALTH, EDUCATION,

PUBLIC HEALTH SERVICE


Prepared by the


For release Augus 2


PRO ISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED AUGUST 25, 1962


POLIOMYELITIS Reports were received for the week
ending August 25, 1962, of 43 cases of poliomyelitis
(37 paralytic). Although the totals for this week reflect
the expected seasonal rise, they are still below the
figures for the comparable week in 1961 when 74 cases
(58 paral. uc) were reported.
Sixteen States reported cases this week, with Texas
accounting for 10, California 6, Kentucky 6, and Alabama
and Pennsylvania 4 each. The Texas cases occurred in
" different counties and include one case each from Harris
(Houston) and Dallas counties, in which mass immuniza-
zation programs with oral polio vaccine were recently


conducted. Patients from these counties had not received
oral vaccine.
In California, all 5 cases were from Los Angeles
County, which has thus far reported 12 cases in 1962.
There has been no localization of cases within the county
and both Type I and Type III virus strains have been re-
covered. The Alabama cases include two cases each from
Houston (Dothan) and Mobile Counties. The four cases
from Pennsylvania and four of the Kentucky cases were
discussed in the previous weekly report.
The national incidence of poliomyelitis thus far in
1962 has been the lowest ever recorded. The cumulative


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
34th Week Cumulative
Disease Ended Ended irst 34 weeks
Disease .Median
August 25, August 26, 1957 1961 Median
_1962 1961 1962 1961 1957 1961
Aseptic meningitis .............. 97 103 --- 1,252 1,522 _..
BruoI:11,o E ... ............. .. 11 14 14 278 402 533
Diphch. r,......................... 6 13 13 251 365 402
Encephalitis, infectious .......... 22 31 52 1,037 1,030 1,110
Hepatitis, infectious and serum... 745 1,051 343 37,587 51,699 14,669
Measles ........................ 1,084 1,017 1,150 440,354 384,757 393,037
Meningococcal infections ......... 24 32 32 1,471 1,485 1,595
Poliomyelitis, total.............. 43 77 304 430 559 1,942
Paralytic .................... 37 60 144 336 382 926
Nonparalytic................. 5 11 120 67 116 713
Unspecified.................. 1 6 40 27 61 303
Streptococcal sore throat
and Scarlet fever ............ 3,093 2,825 -223,322 230,973
Tetanus .............. ......... 10 --- --- 163 .
Tularemia ..................... 4 --- -- 199
Typhoid fever. ................ ..24 29 29 374 480 500
Typhus fever, tick-borne,
(PRo. Mountain spotted)...... 7 --- -- 165 .
Rabies in Animals............... 49 62 67 2,697 2,335 2,594


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis: N.Y. 1, Penn. 1
.ubl)mri Rabies in Man:
Malaria: Ala. 1, Calif. 1 Smallpox:
Plague: Typhus, murine:


MElrose 4-5131


~WB~IA~18~1~I~


Wekl


ATLANTA 22, GEORGIA


vol 11 No 34









266


CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area July 1962 & July 1961 Provisional data

Reporting Area July Cumulative Reporting Area Jul Cumulatlve
1962 1961 1962 1961 1b_ 1961 1962 1961
NEW ENGLAND............... 12 37 286 312 EAST SOUTH CENTRAL........ 7 115 648 728
Maine.................... 0 0 6 2 Lt.j:kL ................. 11 17 74 10q
New Hampshire............ 0 1 6 8 T-r ................. 23 40 170 268
Vermont.................. 0 0 0 3 Alabama.................... 43 48 346 274
Massachusetts............ 25 190 215 Mississippi.............. 20 10 58 86
Rhode Island............. 2 3 14 13
Connecticut.............1..... 0 8 70 71 WEST SOUTH CENTRAL........ 209 291 1,620 1,933
Arkansas................. 13 31 119 173
MIDDLE ATLANTIC........... 566 480 3,386 3,166 Louisiana................ 79 121 694 864
Upstate New York......... 56 53 327 337 Oklahoma ................. 14 6 69 43
New York City............ 323 288 1,884 1,926 Texas.................... 103 133 738 853
Pa. (Excl. Phila.)....... 10 17 107 100
Philadelphia ............. 70 57 425 332 MOUNTAIN.................. 15 19 201 136
New Jersey............... 107 65 643 471 Montana.................. 0 1 0 1
Idaho.................... 1 0 2 8
EAST NORTH CENTRAL........ 128 157 950 1,048 Wyoming.................. 0 0 0 1
Ohio .................... 35 21 183 137 Colorado................. 1 2 41 11
Indiana................... 16 11 56 58 New Mexico................ 0 5 29 20
Downstate Illinois....... 4 12 79 87 Arizona .................. 7 8 83 85
Chicago.................. 51 81 449 541 Utah...................... 1 0 3 4
Michigan.................. 20 28 156 183 Nevada................... 5 3 43 6
Wisconsin................ 2 4 27 42
PACIFIC................... 129 120 991 936
WEST NORTH CENTRAL........ 40 32 222 228 Washington ............... 6 6 19 57
Minnesota.................. 6 9 32 70 Oregon................... 7 3 32 25
Iowa..................... 12 1 23 10 California............... 114 110 926 851
Missouri................. 16 17 107 96 Alaska ................... 0 1 3 2
North Dakota.............. 2 0 4 5 Hawaii................... 2 0 11 1
South Dakota............ 3 0 21 8
Nebraska................. 1 2 6 9 i,. TOTAL ............... 1,715 1, 8. 11 .645 11.31.
Kansas................... 0 3 29 30
TERRITORIES............... 41 35 251 228
SOUTH ATLANTIC............. 519 433 3,341 2,827 Puerto Rico.............. 41 30 241 214
Delaware................. 8 4 26 16 Virgin Islands........... 0 5 10 14
Maryland................. 49 41 318 281
District of Columbia..... 63 61 432 348
Virginia................. 43 31 243 212
West Virginia............. 2 6 23 27
North Carolina........... 92 57 404 300 Note: Monthly figures for 1961 are estimated from quarterly
South Carolina............ 76 50 472 358 reports.
Georgia.................. 72 78 541 650 Cumulative Totals include revised and delayed reports
Florida.................. 114 105 882 635 through previous months.


figures for total and paralytic cases :hrough the 34th week
are shown in the following tabulation. Of the totals
shown, Texas has accounted for 187 cases (147 paralytic).

Poliomyelitis, 1st Through the 34th Week (1958-1962)

1962 1961 1960 1959 1958
Paralytic 336 382 966 2531 981
Total 430 559 1368 3922 1997


Politmi)rlinr incidence during the last 6 weeks is
compared with previous years in the table below:

Poliomyelitis, 29th Through 34th Week (1958-1962)

1962 1961 1960 1959 1958
Paralytic 147 202 512 1557 565
Total 179 282 756 2464 1179


HEPATITIS The 745 cases of viral hepatitis reported
for the week ending August 25, 1962, continues at the
level of the previous two weeks.

EPIDEMIOLOGICAL REPORTS
Encephalitis Florida

An outbreak of encephalitis which began during the
fourth week of July has been reported from Pinellas
County, Florida. Between July 20 and Autu.l 23, a pre-
sumptive diagnosis of arthropod-borne encephalitis has
been made in a total of 76 cases. Eight deaths have
occurred. Dates of onset for the cases in which this is
known are shown in the graph below. The peak incidence
of the outbreak appears to have been reached during the
3rd week of August. A secondary rise noted during the
fourth week of August may represent in part delayed
reports.


Morbidity and Mortality ~ eekly Report






SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS


JULY 1962 JULY 1961









Morbidity and Mortality Weekly Report 267


PRESUMPTIVE ARTHROPOD-BORNE ENCEPHALITIS


NO. of
CASES


En mr 1 rflr


u. r
20 25 30 5 '10 15 20
JULY DATE OF ONSET AUGUST


Cases have been reported from most areas of the
county without demonstrating any geographic concen-
tration. No multiple cases have been noted in families.
The illness has involved all age groups; however, the
majority of cases have occurred in older individuals.
There have been eight deaths attributed to the illness in
elderly individuals, including two males and six females.
The age and sex of cases with a presumptive diagnosis
of arthropod-borne encephalitis are shown in the table
(see p. 272).


The disease in the majority of individuals is charac-
terized by sudden onset of fever, with temperature eleva-
tions as high as 1050, headache, tremors, and a pleocyto-
sis of the spinal fluid ranging from 10 to 400 cells,
predominantly lymphocytes. Spinal fluid protein is eleva-
ted. Additional manifestations of the illness in some
include drowsiness, spasticity, lethargy, mental confu-
sion, mild ataxia, and occasional paralysis. Recovery
from the illness has not been accompanied by residual
manifestations.
Autopsies, on four of the eight individuals who died,
confirmed pathologically the diagnosis of encephalitis.
Preliminary laboratory results showed an elevated H.A.I.
antibody titer to St. Louis Encephalitis in one individual
who died. High H.A.I. antibody titers were found in
single acute specimens from twelve other cases. No virus.
isolations have been made from 2 brain specimens
examined.
A detailed census of the bird population in Pinellas
County revealed an unusual concentration of certain
species, including three colonies of parakeets and large
numbers of mourning doves, in addition to quail and
ducks. Serologic and virus isolation studies of the bird
(Continued on page 272)


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS
The weekly average number of pneumonia-influenza
deaths for the four-week period ending August 25 was 332
as compared with an expected 357 weekly average.


Week Ending 4 Week Weekly
8/4 8/11 8/18 8/25 Total Average
Observed 306 347 313 360 1,326 332
Expected 358 356 356 357 1,427 357
Excess -52 9 -43 3 -101 -25


NUMBER
OF
DEATHS


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


B LacE -O OCCRRENCE "CLCTED F l95I s- EoexRENCE


(See Table, page 271)


, ,


*










Mliirlility and lorilalit Weekly RIeporl



Table i, CASIS OF SPECIFIED NOTIFIABLE I)ISIASES: UNITED) STATES

FOR WEIKS INDEED)

AUGUST 26, 1961 AND AUGUST 25, 1962


Area


UNITED STATES......

EW ENGLAND..............
Maine.................
New Hampshire.........
Vermont................
Massachusetts.........
Rhode Island..........
Connecticut ...........

MIDDLE ATLANTIC..........
New York...............
New Jersey...........
Pennsylvania

EAST NORTH CENTRAL.......
Ohio ..................
Indiana..............
Illinois..............
Michigan..............
Wisconsin.............

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

SOUTH ATLANTIC...........
Delaware... ..........
Maryland..............
District of Columbia..
Virginia..............
West Virginia.........
North Carolina........
South Carolina........
Georgia ..............
Florida.... ..........

EAST SOUTH CENTRAL.......
Kentucky................
Tennessee.............
Alabama..............
Mississippi...........

WEST SOUTH CENTRAL.......
Arkans.as...,..... ....
Louisiana ............
Oklahoma..............
Texa. ................

MOUNTAIN................
Montana...............
Idaho ................
Wyoming...............
Colorado.............
New M xi co...........
Arizon.a..............
Utah .................
Nevada........ .......

PACIFIC..................
Washington.. .........
Oregon..... .....
Califrnia..............
Alaska... ...........
Hawaii................

Puert Rico.............


Poliomyelitis, Total Cases Poliomyelitis, Paralytic


34th week


First 34 weeks


1962 I 19ul I I r:


43










8
2
2
4

3
1

2



1



1




3



1

1

1


II



1




10
I
1











5


5


430

6



4

2

48
40
4
4

35
9
5
14
5
2

18
5
5
5
3




29


1
7
3
3
3
6
6

29
14
5
7
3

209
5
11
6
187

11
3
2
1
1

3
1


45
1
5
38

1

10


I l I I '


34th week


First 34 weeks

I r.7 I1 -,1


i0 336

2 6
1 -


1 4

2

!7 32
!1 25
2 4
4 3

8 25
4 8
1 4
8
3 5


2 10
1 5
- 2
S 2
- 1

1 -


.0 25




2 3
2
1 3
1 5
5

1 24
S 12
2- 2
7
1 3

5 165
5
4 9
4
1 147

1 8
2
1
1


3
1


4 41
2 1
- 5
2 34

S 1

10


382

9
1

3
3

2

70
42
18
10

32
10
4
7
9
2

15
4
4
2


3
2

92
1
21
I
7
9
6
9
20
18

23
4
6
6
7

48
4
21

23

23
2
6

6

5
4


70
14
4
50

2

5


I -."


I I JL ,
Nonparalytic


34th week
I I

5 11










2 3
1 -
1
1 2

1

1




1 2



1 -




2




1
1 -1





1 2

1 2




2
-

1 -


I


,'., p t.
Meningitis


34th week
ih: lsi l

97 103

1 15



1 5
S 10


5 14
3 13

2 1

16 29
2 5
4
4 9
10 10
1

10 13
6 13

1



3

10 4

1

7 4




2

2 2
1
I 1

-

19 2
2 1

5
12 1

1 1
S I


1





33 23
3 3

30 20








Morbidity and Mortality Weekly Report 269


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

AUGUST 26, 1961 AND AUGUST 25, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Cumu- Cumu- 34th week
lative lative Under 20 &
34th week 34 weeks 34th week 34 weeks 34th week 20 yr. over Total Total 34th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 11 278 6 251 22 31 350 337 745 1,051 1,084 1,017

NEW ENGLAND .............. 1 2 1 1 2 25 23 48 46 57 99
Maine............... ..... 1 6 3 9 1 6 9
New Hampshire........... 4 1 5 10 1
Vermont............... 2 2 2 13
Massachusetts......... 1 1 1 1 10 7 17 23 31 48
Rhode Island.......... 2 4 6 5 11
Connecticut ........... 1 1 1 8 9 5 20 17

MIDDLE ATLANTIC........... 6 5 3 12 71 92 163 131 122 230
New York............... 2 3 1 11 28 54 82 59 59 140
New Jersey............. 1 1 12 21 33 30 43 24
Pennsylvania .......... 3 1 2 1 31 17 48 42 20 66

EAST NORTH CENTRAL....... 1 65 1 7 7 2 44 63 111 206 251 195
Ohio.................. 1 6 13 20 34 65 19 13
Indiana.............. 5 3 2 5 8 28 17 19
Illinois.............. 1 47 1 1 1 1 15 18 35 42 73
Michigan.............. 4 3 1 9 18 27 69 130 48
Wisconsin ............. 8 5 2 7 2 85 42

WEST NORTH CENTRAL....... 4 109 55 1 20 19 44 78 35 14
Minnesota.............. 9 17 4 6 13 14 4
Iowa............. ..... 4 68 1 4 5 9 19 8 9
Missouri.............. -. 3 5 3 2 5 28 2 -
North Dakota.......... 1 7 3 2 5 1 24 -
South Dakota.......... 4 11 1 3 1 -
Nebraska.............. 11 13 1 3 4 1
Kansas................ 13 1 6 3 9 9 NN NN

SOUTH ATLANTIC........... 1I 21 4 54 3 40 37 78 114 59 102
Delaware.............. .- 8 8 3 13
Maryland............. 6 6 12 6 6 10
District of Columbia.. 1 2 1 3 1 1 5
Virginia.............. 10 10 4 6 10 19 26 31
West Virginia......... 1 7 2 9 18 12 21
North Carolina ........ 2 6 1 14 7 21 28 1
South Carolina ....... 5 2 1 2 3 3 3 1
Georgia............... 1 3 4 12 2 3 5 2 -
Florida............... 6 19 4 10 15 29 8 20

EAST SOUTH CENTRAL....... 2 14 16 1 2 53 29 82 112 116 50
Kentucky.............. 1 22 6 28 29 66 10
Tennessee............... 2 6 7 1 14 10 24 53 27 36
Alabama............... .. 6 3 10 3 13 19 4 3
Mississippi ........... 1 6 2 7 10 17 11 19 1

WEST SOUTH CENTRAL....... 2 24 1 94 4 42 18 63 64 125 64
Arkansas.............. 1 5 1 11 4 4 12 -
Louisiana............ 1 5 8 5 1 6 8 1
Oklahoma .............. 3 6 1 1 12 1
Texas................. 11 69 4 33 16 52 32 124 63

MOUNTAIN ................ 10 9 2 11 46 40 105 68
Montana................ 1I 6 3 2
Idaho................... .- 1 115 4 21 14
Wyoming................ 1 4 4 4 1 -
Colorado.............. 2 3 15 13 17 36
New Mexico............ .- 2 2 2 2 4 NN NN
Arizona............... 2 8 4 37 12
Utah.................. 3 2 2 6 27 6
Nevada.............

PACIFIC.................. 27 10 6 7 44 56 110 260 214 195
Washington............. 1 15 6 28 11 32 8
Oregon............... 3 5 4 9 22 36 47
California............ 22 5 6 6 24 42 69 124 83 121
Alaska................ i1 5- 97 8 13
Hawaii ................ 1I -- 4 4 6 55 6

Puerto Rico............... 4 9 In2 -2 4


_______*______ ______ _____ I. _____ I ______ L....... I ____ ____L___ I _____


-I .-- I ~-'U I LI_


I _I










%orliilii and Mortality Weekly Report


IahI, 4 ( CASES O(F SPECIFII D NOTIFIABI DISIIASI S I NITD STATES

FOR WEEKS INDI)


AUGUST 26, 1961 AND AUGUST 25, 1962 (Continued)


c ,..,,


Area
34e1 %-


UNITED STATES.... 24

NEW ENGLAND.......... -
Maine.............. -
New Hampshire......
Vernont......... -
Massachusetts.....
Rhode Island ......
Connecticut........

MIDDLE ATLANTIC..... 7
New York........... 5
New Jersey......... 2
Pennsylvania ......

EAST NORTH CENTRAL.. 3
Ohio...............
Indiana.............
Illinois...........
Kichigan ........... 3
Wisconsin,..........

WEST NORTH CENTRAL.. 3
Minnesota.......... -
Iowa...............
Missouri.,.........
North Dakota ......
South Dakota ....... .
Nebraska ........... 2
Kansas.............. 1

SOUTH ATLANTIC ......
Delaware........... 1
Maryland...........
Dist. of Columbia..
Virginia*...........
West Virginia ......
North Carolina .....
South Carolina ....
Georgia. ..........
Florida.............

EAST SOUTH CENTRAL.. ]
Kentucky ...........
Tennessee.......... I
Alabama..............
iss issippi..........

WEST SOUTH CENTRAL., 3
Arkansas........... 1
Louisiana.......... 1
Oklahom............
Texas.............. 1

MOUNTAIN............
nM tanA............
IE'. ............

(.s A lrI ,.... ....... 1



Ari..a............




4
AClIC.............


., I


Cumu-
lative
b ;i -,.-


i


tI .- r r .
Sore Throat &
Scarlet Fever


l'th -.yrl-


ri L l r,-r., [ I
Tetanus Typhus I1Il.-r .I Typhoid Fever
(Rcky Mt.
Spotted) Camu-
lative


Rabies in Animals


3,rh -- 1


_____ ______ I* I -9---l $


1,471

86
12
3
2
36
8
25

256
115
71
70

298
89
24
66
98
21

81
15
10
20
6
5
14
11

233
32
15
7
51
12
54
12
9
41

90
20
38
18
14

119
14
54
6
45

48
3
3
4
8
4
13
8
5

260
19
15
216
6


3,093

159
4

56
7
6
86

95
82
5
8

238
12
91
25
55
55

43
2
9
2
30




177

1
2
77
72
3
7
2
13

807
43
682
8
74

465
1


464

675
3
37
4
329
170
76
56


434
63
8
359


lqf1


Cumu-
lative
3- Is


2,825

95
5

17
10
4
59

110
99
3
8

189
13
72
24
45
35

67
4
13

46
3

1

218
2
1
1
101
63
4
4
1
41

631
39
574
2
16

529
3
3
2
521

809
40
77

331
175
124
62


177
47
10
91
27


_ 1 f 4 __ .; I *I :] _1 L


270


I


1 r r I r 1 1


374

5
1


3
1


37
20
9
8

62
35
6
13
5
3

12

1
7
2
1
1


73
1
3
6
16
6
3
4
15
19

33
5
13
10
5

92
19
23
6
44

29
10

3
3
9
4



31
1

30


2,697

I



1



89
61
1
27

639
323
172
83
32
29

699
159
278
114
45
81
17
5

248

1

104
91


6
46

290
100
170
20


509
57
18
22
412

22



1
11
10



200

11
189


1


L


--- .


' I I ', I 1 [ "1 1 I .1 1 I f _


l r.'









Morbidity and Mortality Weekly Report 271





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


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


For weeks ending a For weeks ending
Area ____________ Area __
8/4 8/11 8/18 8/25 8/4 8/11 8/18 8/25


NEW ENGLAND:
Boston, Mass............. 10 8 4 9
Bridgeport, Conn.......... 6 5 0 0
Cambridge, Mass........... 0 0 0 2
Fall River, Mass.......... 1 1 0 1
Hartford, Conn........... 0 1 3 4
Lowell, Mass............... 1 0 1 2
Lynn, Mass.................. 0 2 1 2
New Bedford, Mass......... 1 0 1 0
New Haven, Conn............ 1 0 0 3
Providence, R.I........... 0 1 0 1
Somerville, Mass.......... 0 0 2 1
Springfield, Mass.......... 3 2 1 3
Waterbury, Conn............ 1 0 1 1
Worcester, Mass............ 3 4 2 1

MIDDLE ATLANTIC:
Albany, N.Y................ 0 0 1 1
Allentown, Pa ............. 1 0 1 1
Buffalo, N.Y............... 9 5 3 2
Camden, N.J................ 1 2 1 2
Elizabeth, N.J............ 1 1 0 1
Erie, Pa................. 2 2 1 1
Jersey City, N.J .......... 1 2 1 9
Newark, N.J............... 2 2 4 2
New York City, N.Y......... 33 41 32 49
Paterson, N.J............. 0 2 1 0
Philadelphia, Pa.......... 9 15 7 12
Pittsburgh, Pa............ 9 1 10 10
Reading, Pa............... 0 1 0 0
Rochester, N.Y............ 5 4 5 7
Schenectady, N.Y.......... 1 2 0 1
Scranton, Pa.............. 1 0 6 5
Syracuse, N.Y.............. 4 5 0 2
Trenton, N.J.............. 1 0 0 1
Utica, N.Y................. 0 4 1 1
Yonkers, N.Y............... 1 3 2 3

EAST NORTH CENTRAL:
Akron, Ohio................ 2 0 0 0
Canton, Ohio............... 3 2 1 1
Chicago, Ill.............. 22 24 27 40
Cincinnati, Ohio........... 1 3 5, 3
Cleveland, Ohio............ 1 1 3 1
Columbus, Ohio............. 3 0 3 0
Dayton, Ohio.............. 4 2 2 0
Detroit, Mich.............. 0 5 5 7
Evansville, Ind........... 1 5 3 4
Flint, Mich............... 2 4 2 2
Fort Wayne, Ind........... 2 2 1 2
-Gary, Ind................. 3 3 1 6
Grand Rapids, Mich........ 3 0 0 2
Indianapolis, Ind......... 0 4 4 3
Madison, Wis............... 0 0 0 0
Milwaukee, Wis............ 1 2 2 4
Peoria, Ill............... 0 0 0 0
Rockford, Ill............. 0 2 3 1*
South Bend, Ind........... 3 1 3 3
Toledo, Ohio.............. 1 4 1 1
Youngstown, Ohio.......... 1 1 0 0

WEST NORTH CENTRAL:
Des Moines, Iowa.......... 1 0 0 0
Duluth, Minn.............. 1 0 0 0
Kansas City, Kans......... 2 10 1 0
Kansas City, Mo........... 6 4 8 3
Lincoln, Nebr............. 1 1 2 0
Minneapolis, Minn......... 1 3 2 1
Omaha, Nebr .............. 0 0 1 2
St. Louis, Mo............. 4 7 5 5
St. Paul, Minn............ 5 1 2 0
Wichita, Kans.............. 4 8 6 0


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


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

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 2 2 0 2
Chattanooga, Tenn......... 0 3 2 5
Knoxville, Tenn.......... 0 0 0 1
Louisville, Ky........... 7 7 5 8
Memphis, Tenn............ 3 2 2 4
Mobile, Ala.............. 1 0 0 1
Montgomery, Ala.......... 1 2 6 0
Nashville, Tenn.......... 5 3 5 4

WEST SOUTH CENTRAL:
Austin, Tex............... 8 4 6 5
Baton Rouge, La.......... 2 0 1 0
Corpus Christi, Tex...... 2 0 0 0
Dallas, Tex............. 3 1 1 5
El Paso, Tex.............. 0 0 0 0
Fort Worth, Tex.......... 0 1 2 1
Houston, Tex............. 2 6 2 4
Little Rock, Ark.......... 2 6 4 4
New Orleans, La.......... 5 9 13 8
Oklahoma City, Okla...... 1 1 1 5
San Antonio, Tex......... 10 5 5 7
Shreveport, La........... 5 9 3 6
Tulsa, Okla.............. 1 1 2 2

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

PACIFIC:
Berkeley, Calif.......... 0 0 0 0
Fresno, Calif............ 2 0 2 1
Glendale, Calif.......... 0 0 1 0
Honolulu, Hawaii.......... 1 3 1 1
Long Beach, Calif........ 0 0 0 0
Los Angeles, Calif....... 9 15 16 15
Oakland, Calif........... 2 2 3 0
Pasadena, Calif.......... 0 0 2 1
Portland, Oreg........... 2 0 1 2
Sacramento, Calif........ 3 0 0 2
San Diego, Calif......... 1 5 0 3
San Francisco, Calif ..... 6 1 6 7
San Jose, Calif.......... 5 4 0 0
Seattle, Wash............. 4 2 7 3
Spokane, Wash........... 1 1 1 0
Tacoma, Wash.............. 1 0 2 1

San Juan, P.R .............. 1 2 3 1


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.....


10,891
360
820
5,876




uNIVERSITY OF FLORIDA.

IIIl 12 lllIIIIIIII61
3 1262 08864 1567


Morbidity and Mortality Weekly Report


PRESUMPTIVE CASES OF ARTHROPOD-BORNE
ENCEPHALITIS

Sex
Age Group Male Female Unknown Total
0-9 6 1 7
10-19 1 5 6
20-29 0 3 3
30-39 4 4 8
40-49 2 1 3
50-59 4 3 7
60-69 6 11 17
70-79 7 11 18
80+ 3 1 4
Unknown 3 3
Total 33 40 3 76


and animal populations are being performed and mosquito
vector studies are underway.
(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.)

Editor's Note: Previous outbreaks of arthropod-borne
encephalitis (SLE) occurred in Pinellas County in Sep-
tember and October of 1959 and during October and
November of 1961. In 1960, both Eastern Equine and
Western Equine Encephalitis virus were isolated from
birds; however, no human cases were reported.





Smallpox Surveillance of Recent Case Contacts -
United States
Continuing surveillance is being conducted of con-
tacts of the two cases of smallpox previously reported
from Canada and Great Britain (MMBR August 24, 1962
Vol. 11 No. 33).
Contacts of the Toronto patient (who came through
Idlewild Airport (and New York City) August 11 after on-
set on August 9), include 74 airline passengers and over
200 train passengers and other contacts. These persons
have been intensively sought, placed under :ur'eitllance
and followed to date.
The case in Great firirain developed aboard the SS
Oronsay August 9 and was removed from the ship August
15 on arrival in London. One hundred forty passengers
who were on the ship at some time between August 8 and
August 15 have arrived in the United States and have been
placed under close surveillance.
To date no suspicious illness has been reported in
any of the contacts of the two cases.
Canadian officials have indicated that the patient in
Toronto is convalescing satisfactorily. Virologic cludtes
of isolates from the case have confirmed the disease as
alastrim.


Vaccination efforts in Canada and the United Stares
have been directed primarily at contacts of the cases as
well as hospital personnel in view of the fact that if
secondary cakes occur hospital employees would be at
increased risk.


INTERNATIONAL NOTES QUARANTINE MEASURES
No Report.




NOTICE
Fue to observance of Labor Pax on September 3, the
report for the week ending Sepiember I. (Vol. 1I, No. 35)
atll be matle.1 on Friday, September ", rather than Thurs-
day. September 6.


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