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:
AA00010654:00073

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 COMMUICAL DISE


MElrose 4-5131


For release December 14, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 49

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED DECEMBER 8, 1962


POLIOMYELITIS Eight cases of poliomyelitis (6 para-
lytic) were reported for the week ending December 8,
1962. This is markedly lower than the total of 19 cases
(14 paralytic) noted last week, and is the lowest number
of reported cases since the second week in June. The
comparable week in 1961 brought reports of 19 cases
(11 paralytic).
The cases this week occurred in only four States.
No new case concentrations have been noted, and the low
seasonal incidence continues.
The figures on the following pages show total and
paralytic cases for 1962 and three of the preceding years


(1957, 1 "'. reported cases this
year j 3/ 1 I .. t h3 "'
Ti ul a,: r.i3l; t.-r t'. are compared to the
precerd rur .Ei0 ru shown below:




Po e sl (1st th h Week) 1958-1962

S1960 1959 1958

Paralytic 677 846 2215 5553 3011
Total 851 1299 3170 8352 5867


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)


Disease


Aseptic meningitis...............
Brucellosis .....................
Diphtheria......................
Encephalitis, infectious ..........
Hepatitis, infectious and serum...
M easles ........................
Meningococcal infections .........
Poliomyelitis, total..............
Paralytic.....................
Nonparalytic.................
Unspecified. .................
Streptococcal sore throat
and Scarlet fever ............
Tetanus ........................
Tularem ia......................
Typhoid fever ...................
Typhus fever, tick-borne,
(Rocky Mountain spotted)......

Rabies in Animals...............


Ended
December 8,
1962

43
14
9
28
905
3,693
51
8
6
2


6,992
4
11
16


49th Week
Ended
December 9,
1961

42
11
27
30
1,367
3,646
52
19
11
3
5

7,454


Median
1957 1961


Cumulative
First 49 weeks
Median
1962 1961 1957 1961


2,437
375
432
1,727
50,657
464,822
2,007
851
677
121
53

293,480
273
280
595

214

3,422


3,052
556
554
1,574
68,943
409,236
2,023
1,299
846
309
144

298,310


3,232


701
831
1,744
21,431
417,027
2,159
5,791
2,936
1,974
881



822


3,686


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis: Pa. 2
Botulism: Rabies in Man:
Malaria: Ala. 1 Smallpox:
Plague: Typhus, murine: Tex. 1


Wkeek


#/










Morbidity and Mortality Weekly Report




CURRENT U.S. POLIO INCIDENCE
COMPARED WITH YEARS 1957, 1959 and 1961
April December, by week

ran P FviD T ne N NATIONAL OFCFE c VT AL STAsTICS ANO COMMUNICABLE DiSEASE CENTER


TOTAL


f .-~


J
r
/
/
!
I
I
I


19591 / ";
/ 9
/ /'
1/ 1957
i ;
/ .*
/ ;*
i !'


week number 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51


EPIDEMIOLOGICAL REPORT

Gastroenteritis Due to Salmonella typhimurium- Kansas


Kansas experienced one of the largest common-source
outbreaks of gastroenteritis in its history in early Sep-
tember, 1962. Approximately two-thirds of 1300 persons
attending a political banquet became ill with a diarrheal
disease after eating dinner at a local Wichita ballroom on
September 8, 1962. Beginning Sunday, September 9, many
of this same group appeared at physicians' offices
throughout the State with symptoms of gastroenteritis.
Salmonella typhimurium was isolated from many who at-
tended the dinner, and turkey was strongly implicated as
the vehicle responsible for the outbreak.
A total of 455 clinical and food histories were ob-
tained from persons who attended the banquet. Of these,
285 (63%) had developed symptoms. Of the 285 who re-
ported symptoms, 210 were sufficiently ill to consult a
physician. At least 12 persons were hospitalized. There
were no known fatalities. The most prominent symptoms
were diarrhea (88%), stomach cramps (41%), fever (39%),
nausea (35%), headache (23%), chills (18%), general
aching (17%), vomiting (14%), and prostration (12%).
Onsets of illness varied from 9 hours to 12 days after
the suspect meal. The median time for onset was 52 hours;
the mode, 12-17 hours. The figure (right) shows the onsets
of illness by day for the first 12 days after eating the
suspect meal.


Stool cultures were obtained from 212 symptomatic
cases. Of these, 125(59') yielded Salmonella typhimurium.
Fifty asymptomatic individuals who participated in the
banquet submitted stool specimens. Sixteen (32%) of these
yielded S. typhimurium.
An analysis of 455 food histories was made for both
those who reported symptoms consistent with salmonel-
losis and those asymptomatic individuals from whom
S. typhimurzum was isolated. The data in the table (p. 392)
strongly suggests that turkey was the vehicle of the out-
break. The attack rate for those eating turkey was 75.7%,
with an attack rate of only 20.5% for those who did not


120










aii



.;.


ONSET OF ILLNESS BY DAY
AFTER EATING SUSPECT MEAL















-.. e ----o-l---a.
ii .^ i ; : p1 is 1' i 14 %r d i .1 c,' i 1i 4 l 1 20

(Continued on page 392)


386


550

500

450

400

350

300

250

200

150

100


1961 `


/962


T j--


~
I \
i


,1










Morbidity and Mortality Weekly Report








CURRENT U.S. POLIO INCIDENCE
COMPARED WITH YEARS 1957, 1959 and 1961
April-December, by week


DATA PROVIDED aB NATIONAL OFFICE OF VITAL STATISTICS AND COMMUNICABLE DISEASE CENTER


yi
0
W
in
4
U
0
Alj
I-
a
0
a
W
(r
a
0
a:


J
23


APR MAY


I959/~
I-


JUN JUL AUG SEP OCT NOV DEC


TOTAL DEATHS REPORTED IN 108 CITIES


The weekly average number of total deaths in 108

cities for the four-week period ending December 8 was

11,610 as compared with an expected 11,695 weekly
average.


WEEK ENDING 4 Week Weekly

11/17 11/24 12/1 12/8 Total Average

Observed 11,455 10,188 12,636 12,161 46,440 11,610
Expected 11,507 11,641 11,762 11,870 46,780 11,695

Excess -52 -1,453 874 291 -340 -85


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


13,000 .I LUENA A


'8Y PCE OF OCCURRENCE


"CALCULATD FROM 1954- 0 EXPERIENCE


(See Table, page 391)


387











388 lorbhilit a.ld lortalitl \\ 'ekly Ielorlt



Sah.il ( ASI (F SPE( I )FD No III 1ABII DISF A*Es I NIIE1) 1 A I S

FOR \\ El KE I N)DE)

DECEMBER 9, 1961 AND DECEMBER 8, 1962



Po ] i-omv itis, Aseptic
P il- lit is, T tal Cas7. s Polio myclitis, Paralytic Nonparalytic Meningitis
Cu lat iv+ Cumulative
49th :,., First49 we.ks 49th week First 49 weeks 49th weei 49th week

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

UNITED TAThE:. ..... 8 19 851 1,299 6 11 677 846 2 3 43 42

;:: ENcLA~ D ............. 2 9 46 1 8 30 2 2
Sn: ......... 6 6
S2ipsh 2
V r, nt ........... 1 12 10
-, .. ......... 1 7 20 7 10
S I-1a: .......... I 2
St ...........i 5 3

:DLE ATLA' NTIC.......... 5 80 336 4 59 222 3
S*-, York.............. 5 57 250 4 39 160
S Jers ........... 9 35 9 28 -
Pr sinsvani a ........ 14 51 11 34 3

EAi ;IRTi CENTRAL....... 3 1 134 177 3 1 101 111 7 10
hi, .... ............. ... 20 48 18 22 -
Indiana............... 2 1 23 19 2 1 18 11 -
Illinois........ 59 36 42 19 4 6
Mi higa ..... ... 1 21 40 1 17 32 3 4
Wis nsin........ ... 11 34 6 27 -

WEST NORTH CENTRAL....... 4 38 79 1 27 35 1 7 3
linnesota.... ... .....- 7 6 7 6 6 3
Iia. .................. 2 7 21 3 10 -
Nisseuri............. 10 26 5 8
North Dakota.........- 1 5 5 3 1 -
Soth Da ota.......... 1 1 4 1 1 2
Nebraska ............. 8 8 8 4
Kansa ............... 9 4 1

SOUTH ATLANTIC .......... 1 1 76 220 1 1 68 163 2 15
Delawar. .............. 2 1 1
aryland .............. 1 2 42 1 1 32 1
District f Clumbia. 2 3 1 3
Virinia.......... ....... 1 10 14 1 10 14 1
Wst Virginia........ 18 33 18 23
North Carolna....... 13 21 11 11
SuLth Carolina...... 6 35 6 27
Georgia......... ..... 17 30 14 23
Florida............... 8 40 7 29 14

EAST SOUTH CENTRAL....... 78 91 65 51 4 1
Kentcky................ 29 27 23 5 2
Tennessee............. 12 26 6 10 1
Alabaa ............... 22 11 22 11 1
Mississippi........... 15 27 14 25 1 -

EST SOUTH CENTRAL....... 4 326 155 3 251 87 1 3
Arkansas ............. 2 23 23 2 20 12 -
Lu isiana............. 1 28 55 1 25 44 -
Olahona ............. 31 4 22 2
Texas ................. 1 244 73 184 31 1 -

MOUNTAIN................. 1 19 48 15 28 2 1
Mintana............... 4 4 3 2
Idai ................. 2 14 1 6
Wyoin ............... 1 2 1 1
Colorado.............. 4 10 3 10 -2 -
Nw Me:iico ............ 2 3 2
Arizona.............. 4 8 4 6 1
itah .................. 1 8 1 4- -
NSvada................ -

PACIFIC................. 4 1 91 147 2 83 119 2 1 16 7
Washing ............ 5 31 5 29 1
Oregon................ 7 17 5 8 -
Caliifrni ............ 4 1 79 94 2 73 77 2 1 15 7
Alask a................. -
Haii i ............... 5 5

Puerto Riv ............... 11 7 11 7










Morbidity and Mortality Weekly Report 389


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: I:NITED) STATES

FOR WEEKS ENDED

DECEMBER 9, 1961 AND DECEMBER 8, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and Serum
Area
Cumu- Cumu- 49th week
lative lative Under 20 &
49th week 49 weeks 49th week 49 weeks 49th week 20 yr. over Total Total 49th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 14 375 9 432 28 30 491 341 905 1,367 3,693 3,646

NEW ENGLAND.............. 4 1 4 2 66 48 116 67 171 601
Maine................. 29 19 48 10 37 169
New Hampshire........... 1 3 1 6 4 67
Vermont................. 1 2 1 3 2 59 28
Massachusetts......... 1 1 2 1 26 16 42 40 32 258
Rhode Island.......... 1 4 5 9 2 18
Connecticut........... 2 1 2 6 8 9 43 61

MIDDLE ATLANTIC.......... 9 20 11 8 67 72 139 121 508 500
New York............... 4 18 5 8 40 42 82 43 163 329
New Jersey............. 1 5 15 20 27 74 70
Pennsylvania ......... 4 1 6 22 15 37 51 271 101

EAST NORTH CENTRAL....... 1 81 1 12 3 3 84 62 152 315 1,507 819
Ohio................... 1 25 16 42 117 104 40
Indiana............... 1 7 5 12 11 26 40 32 51
Illinois.............. 56 2 3 2 15 17 32 49 88 452
Michigan.............. 6 1 4 1 26 18 44 86 448 161
Wisconsin............. 11 I 6 8 23 835 115

WEST NORTH CENTRAL....... 8 152 3 94 1 24 11 45 128 326 77
Minnesota............. 13 3 29 5 1 8 51 50 7
Iowa.................. 3 84 15 1 2 3 5 18 120 23
Missouri.............. 4 5 8 3 12 41 43 4
North Dakota.......... 2 8 2 1 3 2 107 30
South Dakota.......... 13 17 1 1 2 4 1 13
Nebraska.............. 1 14 18 7 7 5
Kansas................ 4 22 2 6 2 8 5 NN NN

SOUTH ATLANTIC........... 27 3 127 2 4 78 41 124 176 173 257
Delaware.............. 2 1 3 3 4
Maryland.............. 1 6 2 8 8 5 39
District of Columbia.. 2 1 4 4 5 10
Virginia.............. 13 14 12 6 21 36 34 95
West Virginia......... 2 10 1 11 20 66 60
North Carolina........ 2 11 32 20 52 62 9 3
South Carolina........ 10 1 1 2 12 1 2
Georgia............... 3 2 44 2 3 7 6 1 -
Florida............... 8 1 44 2 3 9 7 16 24 53 48

EAST SOUTH CENTRAL....... 1 17 1 32 3 2 52 17 69 208 99 301
Kentucky.............. 1 1 14 1 15 73 13 45
Tennessee............. 7 7 1 1 25 6 31 83 80 231
Alabama ............... 1 7 1 17 8 2 10 25 4 15
Mississippi........... 2 8 1 1 5 8 13 27 2 10

WEST SOUTH CENTRAL....... 1 36 122 4 1 29 18 48 73 93 284
Arkansas .............. 1 11 20 1 7 4 11 12 3
Louisiana............. 8 3 4 7 7 2 1
Oklahoma.............. 6 8 3 1 4 8 5
Texas................. 11 83 4 16 9 26 46 88 278

MOUNTAIN.................. 2 14 10 1 17 2 44 88 248 234
Montana................ 1 6 3 28 120
Idaho................. 1 1 1 3 31 9
Wyoming................ 1 7 7 1 3 1
Colorado .............. 2 3 13 29 100 19
New Mexico............ 3 5 2 7 6 NN NN
Arizona............... 1 4 1 13 19 42 21
Utah .................. 1 5 2 2 18 44 54
Nevada................. 1 9 10

PACIFIC.................... 1 35 11 5 8 74 70 168 191 568 573
Washington............ 1 17 19 40 21 150 209
Oregon................ 3 14 33 32 42 67
California............ 1 29 6 5 7 42 47 90 135 181 255
Alaska................ 2 5 1 4 5 2 15 37
Hawaii ................ i- 1 1 180 5

Puerto Rico............... 36 27 3 30 24 10 26










390 Morbiidit and Mortality Weekly Report


Tabl ( CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES

FOR WEEKS ENDED

DECEMBER 9, 1961 AND DECEMBER 8, 1962 (Continued)


Si.-.-. Streptococcal Tickborne
?* r : Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cumu- Cumu-
lative lative lative
49th wk. 49 weeks 49th week 49th wk. 4th w. 49th wk. 49th wk. 49 weeks 49th week 49 weeks

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

UNITED STATES.... 51 2,007 6,992 7,454 4 11 16 595 60 53 3,422

NEW ENGLAND.......... 2 120 577 314 11 2
Maine.............. 19 62 13 2 1
New Hampshire ...... 4 9 1
Vermont ............ 4 1
Massachusetts...... 1 48 91 83 8 -
Rhode Island....... 13 74 42 -- 1 -
Connecticut........ 1 32 341 174 -

MIDDLE ATLANTIC..... 14 359 380 217 1 3 64 5 1 159
New York........... 4 156 219 134 1 2 34 5 1 105
New Jersey......... 2 84 74 27 12 1
Pennsylvania....... 8 119 87 56 1 18 53

EAST NORTH CENTRAL.. 11 392 772 546 1 92 5 8 733
Ohio............... 1 118 136 69 44 2 1 376
Indiana............ 30 109 98 12 1 1 186
Illinois........... 5 88 140 99 17 1 91
Michigan........... 5 134 224 110 12 2 5 44
Wisconsin.......... 22 163 170 1 7 36

WEST NORTH CENTRAL.. 5 106 252 1,029 4 31 24 11 909
Minnesota.......... 1 20 14 727 9 2 227
Iowa............... 13 63 63 2 8 2 345
Missouri........... 1 25 14 19 24 3 3 155
North Dakota....... 8 126 92 2 3 52
South Dakota....... 2 8 6 4 1 1 4 102
Nebraska............ 17 1 2 21
Kansas............. 1 15 28 124 4 7

SOUTH ATLANTIC...... 6 301 617 455 2 103 4 3 355
Delaware........... 35 1 5 2
Maryland........... 24 9 16 1 3 11
Dist. of Columbia.. 7 1 1 10
Virginia........... 2 69 130 97 1 19 134
West Virginia ..... 1 18 138 147 5 3 2 136
North Carolina..... 1 68 31 22 6 -
South Carolina.... 20 24 7 9 -
Georgia........... 11 2 2 24 1 11
Florida............ 2 49 281 158 25 1 63

EAST SOUTH CENTRAL.. 128 1,001 1,252 2 4 7 68 5 12 349
Kentucky........... 42 90 95 6 20 3 4 126
Tennessee.......... 48 803 1,070 4 28 2 6 200
Alabama............ 21 11 42 1 12 2 23
Mississippi........ 17 97 45 1 1 8

WEST SOUTH CENTRAL.. 2 164 815 825 2 125 12 14 593
Arkansas........... 17 2 4 2 33 3 67
Louisiana.......... 68 6 5 32 1 22
Oklahoma............ 8 21 5 6 28
Texas.............. 2 71 786 811 54 12 10 476

MOUNTAIN............ 3 67 1,220 1,493 3 48 39
Montana............ 1 6 25 56 10
Idaho.............. 3 103 143 i 1
Wyoming............ 5 109 7 3 -
Colorado............ 1 10 373 551 8 4
New Mexico.......... 1 9 299 363 13 13
Arizona........... 15 188 222 3 11 22
Utah............... 10 118 148 2 -
Nevada .............. 9 5 3

PACIFIC............. 8 370 1,358 1,323 1 1 53 5 4 283
Washington......... 25 330 464 -
Oregon.............. 1 22 32 36 1 17
California.......... 6 307 770 752 1 1 50 5 4 266
Alaska............. 1 9 116 21 -
Hawaii............. 7 110 50 I 1
Puerto Rico ......... .- 9 1 17 1 20









Morbidity and MortalitN N ecklh Report




Table i (A) TOTAL DEATHS IN RI PORTIING( CITIES


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


391


For weeks ending For weeks ending
Area 1/7 _______ 1Area 11/17 11/24

11/17 11/24 12/1 12/8 11/17 11/24 12/1 12/8


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. ........
Waterbery, 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. ............


260
35
28
38
54
23
29
29
49
65
10
52
29
51


42
35
160
32
25
32
73
94
1,732
34
427
175
23
100
25
32
64
66
28
26


57
29
738
164
194
149
74
372
34
35
41
22
66
144
52
127
31
26
43
101
53


55
15
44
111
28
120
78
258
77
38


249
36
22
27
63
20
15
21
54
69
12
39
22
63


45
37
123
40
21
48
72
66
1,644
39
362
135
18
104
26
20
68
44
38
24


43
34
667
138
201
108
98
371
41
28
40
18
53
166
53
114
21
28
47
77
52


42
25
31
103
27
110
60
205
57
44


282
59
26
29
53
27
21
26
53
63
14
41
39
59


39
23
148
37
45
49
72
98
1,734
42
455
234
26
115
32
52
75
47
26
25


74
35
826
184
218
128
93
323
41
56
47
56
51
144
37
115
20
31
47
112
66


55
37
47
163
32
149
75
280
77
68


262
62
33
17
58
17
28
25
69
75
15
51
31
59


50
32
147
37
41
54
89
139
1,817
52
540
245
23
115
28
39
66
28
30
22


37
33
739
152
211*
99
94
396
32
36
47
28
73
151
50
139
18
28
36
91
56


51
28
52
155
29
112
83
218
64
36


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


153
256
41
92
75
50
83
34
71
87
192
43


82
37
52
161
108
40
35
81


37
45
11
124
42
67
173
51
163
65
96
38
50


31
15
114
14
97
14
67
49


19
56
48
44
63
450
109
35
80
77
98
217
26
144
56
33


93
223
25
54
55
39
84
36
80
68
195
31


79
36
31
61
76
49
17
60


35
13
16
127
26
46
150
48
182
51
83
51
35


27
14
97
9
66
18
35
51


14
37
36
28
45
436
99
26
95
47
86
157
32
113
43
38


147
282
47
81
82
71
88
31
83
65
233
45


102
48
37
73
181
50
37
74


49
44
20
126
47
62
241
63
182
95
121
65
73


36
19
152
12
114
19
62
57


20
45
33
31
99
619
92
47
138
74
98
228
38
185
60
58


134
277
36
53
69
60
92
49
89
80
209
39


103
62
39
168
168
48
25
73


35
23
16
147
40
96
155
74
161
94
114
44
78


46
26
108
12
96
19
46
55


30
31
33
32
51
483
95
37
133
45
131
221
38
139
48
40*


San Juan, P.R. .............. 32 38 41 31


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages.................... 12,161
4(B) Pneumonia-Influenza Deaths, all ages........ 479
4(C) Total Deaths under 1 Year of Age............. 971
4(D) Total Deaths, Persons 65 years and over..... 6,577


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

NOTE: All deaths by place o occurrence.







3 1262 08864 1773

392 Morbidity and Mortality Weekly Report





eat turkey. A similarly high attack rate (76(.5") was noted INTERNATIONAL NOTES QUARANTINE MEASURES
for those eating dressing. However, the attack rate of No additional pertinent information or changes.
S2.1 percent for those not eating dressing tends to make
this a less likely vehicle.


ATTACK RATE FOR CONSUMPTION OF SPECIFIC FOOD ITEMS
SERVED AT THE POLITICAL RALLY

Ate Suspect Item Did Not Eat Suspect Item
Total III % III Total III % III
Sliced Turkey 376 285 75.7 78 16 20.5
Dressing 264 202 76.5 190 99 52.1
Gravy 158 103 65.1 297 198 66.6
Ham 310 183 59.0 145 118 81.3
Green Beans 363 231 63.6 92 70 76.0
Boiled Potatoes 323 215 66.5 132 86 65.1
Lettuce Salad 327 204 62.3 128 97 75.7
Shortcake 362 233 64.3 93 68 73.1


Eighteen persons involved in the preparation and
serving of the dinner were interviewed. Only one reported
illness after eating the suspect meal. None gave a history
of gastroenteritis in the months preceding the banquet.
Salmonella typhimurium was isolated from only one food
handler, the co-owner of the catering firm who personally
cooked all of the turkeys served. Although she sampled
cooked meat from many of the turkeys she denied illness
before or after the banquet.
Surveys were conducted at a local turkey farm and
turkey processing plant, each of which were known to
have supplied the caterers. Forty cloacal swab cultures
and 60 environmental cultures were obtained. No isola-
tions of S. typhimurium were made from either source, or
from a single processed turkey known to have originated
from the same lot as those served. A surface swab culture
taken 9 days after the banquet from the serving table used
at the banquet grew S. typhimurium.
Though all the details around the preparation, stor-
age, and transport of the turkey are not clear, it was
established that the facilities for cooking and refrigera-
tion of the turkeys were inadequate.
Two possibilities remain as a source of introduction
of the organism into the sliced turkey: (1) an infected
flock of turkeys and (2) an asymptomatic carrier involved
in the preparation of the turkeys. One month after the out-
break, many persons still harbored the organism and
secondary outbreaks were reported from at least three
families.
(Reported by Dr. Leon Bauman, Director, Wichita-Sedgwick
County Health Department, Dr. Donald E. Wilcox, Director,
Division of Preventable Diseases, Kansas State Board of
Health, and a team from the Communicable Disease Center.)


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