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:
AA00010654:00074

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


C01,VAUI DISASE ENTE I


For release December 21, 1962


ATLANTA 22, GEORGIA


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED
DEATHS IN SELECTED CITIES FOR WEEK ENDED DECEMBER 15, 1962


POLIOMYELITIS A total of 6 cases of poliomyelitis
(5 paralytic) was reported for the week ending December
15, 1962. Twenty-two cases (13 paralytic) occurred during
the corresponding period in 1961.
Cumulative totals for 1962 and similar periods for
the past 5 years are shown in the following tabulations:



Poliomyelitis (1st through 50th Week) 1958-1962

1962 1961 1960 1959 1958
--- ---- ---
Paralytic 685 859 2240 5624 3071
Total 860 1321 3210 8448 5958


Poliomyelitis (45th through 50th Week) 1958-1962

1962 1961 1960 1959 1958
Paralytic 99 95 243 580 486
Total 124 141 324 777 758



INFLUENZA-During the first week (ending December 15)
of the national influenza surveillance program a total of
12 States, representing the East, South, Midwest, and
Rocky Mountain areas, have so far reported. All 12 have
indicated that no known outbreaks of influenza have oc-
curred within their borders during the week of the re-
porting period.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
50th Week Cumulative
Disease Ended Ended First 50 weeks
Disease Median
December 15, December 16, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis................ 34 41 --- 2,474 3,093
Brucellosis ..................... 11 6 12 386 562 710
Diphtheria ....... .............. 11 10 36 442 564 852
Encephalitis, infectious.......... 20 33 27 1,749 1,607 1,766
Hepatitis, infectious and serum... 944 1,284 699 51,602 70,227 22,130
Measles. ....................... 3,938 4,283 4,348 468,766 413,519 421,463
Meningococcal infections ......... 39 47 47 2,046 2,070 2,192
Poliomyelitis, total.............. 6 22 43 860 1,321 5,881
Paralytic .................... 5 13 27 685 859 2,995
Nonparalytic................. 1 3 15 122 312 1,989
Unspecified ............... 6 1 53 150 897
Streptococcal sore throat
and Scarlet fever ............ 6,680 6,678 --- 300,189 304,988
Tetanus ........................ 10 --- --- 283 ..
Tularemia...................... 11 -- 291 2
Typhoid fever................... 4 13 13 605 798 837
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... --- --- 214 -
Rabies in Animals ............... 45 53 56 3,467 3,285 3,765


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

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









Morbidity and Mortality Weekly Report


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS


CASES OF PRIMARY AND SECONDARY SYPHILIS:


NOVEMBER 1962 NOVEMBER 1961
By Reporting Area November 1962 and November


1961 Provisional Data


Reporting Area November Cumulative Reporting Area November Cumulative
1962 1961 1962 1961 1962 1961 1962 1961
NEW ENGLAND ............... 47 64 499 513 EAST SOUTH CENTRAL........ 90 94 1,085 1,145
Maine. .................. 2 2 8 6 Kentucky................. 10 17 123 169
New Hampshire ............ 3 1 12 11 Tennessee ................ 32 26 305 399
Vermont................... 1 1 1 6 Alabama .................. 43 38 535 446
Massachusetts ............ 23 44 309 352 Mississippi.............. 5 13 122 131
Rhode Island............. 3 2 27 23
Connecticut............... 15 14 142 115 WEST SOUTH CENTRAL........ 237 262 2,629 3,041
Arkansas................... 41 17 227 268
MIDDLE ATLANTIC............. 610 518 5,607 5,162 Louisiana................ 60 105 1,040 1,317
Upstate New York......... 67 47 584 536 Oklahoma................. 23 13 141 82
New York City............ 367 294 3,058 3,090 Texas ................... 113 127 1,221 1,374
Pa. (Excl. Phila.) ...... 14 21 153 176
Philadelphia ............. 53 69 714 585 MOUNTAIN .................. 42 22 343 217
New Jersey ............... 109 87 1,098 775 Montana................... 0 0 7 3
Idaho .................... 0 0 4 9
EAST NORTH CENTRAL........ 186 142 1,623 1,647 Wyoming.................. 0 0 0 2
Ohio ..................... 25 23 301 224 Colorado ................. 3 5 65 23
Indiana................... 9 4 87 87 New Mexico ............... 11 8 68 45
Downstate Illinois....... 14 12 114 136 Arizona.................. 18 8 127 117
Chicago................ 94 75 756 852 Utah...................... 1 0 7 5
Michigan .................. 35 24 309 289 Nevada ................... 9 1 65 13
Wisconsin ................ 9 4 56 59
PACIFIC................... 163 166 1,724 1,508
WEST NORTH CENTRAL........ 37 35 374 361 Washington............... 3 6 34 80
Minnesota ................ 6 10 56 108 Oregon..................... 4 2 44 36
Iowa........................ 6 2 44 16 California................. 156 157 1,625 1,384
Missouri................. 12 16 171 163 Alaska.................... 0 0 5 4
North Dakota ............. 0 0 4 5 Hawaii.................... 0 1 16 4
South Dakota............. 1 1 30 10
Nebraska.................. 8 1 20 1 U. S. TOTAL............. 1,943 1,723 19,391 18,128
Kansas................. 4 5 49 4
TERRITORIES................. 35 38 474 376
SOUTH ATLANTIC............. 531 420 5,507 4,534 Puerto Rico.............. 34 35 446 345
Delaware................. 2 3 37 29 Virgin Islands............. 1 3 28 31
Maryland................. 42 56 481 476
District of Columbia..... 60 50 670 569
Virginia ................. 27 36 392 346
West Virginia............ 8 4 44 46
North Carolina........... 71 45 718 506 Note: Monthly figures for 1961 are estimated from quarterly
South Carolina........... 56 54 742 566 reports.
Georgia .................. 87 81 914 968 Cumulative Totals include revised and delayed reports
Florida.................. 178 91 1,509 1,028 through previous months.


EPIDEMIOLOGICAL REPORTS

Botulism New Jersey

On November 23, at about 7 P.M., a woman in Bridge-
ton, New Jersey, opened a jar of red peppers which were
home preserved in oil by a friend at an unknown time in
the past. A strange odor and the presence of bubbling
was noted on opening the jar. She ate only a very small
amount of one piece because she didn't like the taste.
Her husband, however, ate three or more strips of the
pepper.
The following morning,November 24, the husband felt
nauseated and weak, about 12 hours after eating the
pepper. He went to work, but, because of nausea, retch-
ing, and dizziness, he was taken to a physician at noon-
time. Food poisoning was diagnosed and he was given
atropine, belladonna tincture, and phenobarbital. At 4:00
P.M., he was admitted to a hospital with slurred speech,
diplopia and inability to swallow. A diagnosis of botu-
lism was made on admission. After some difficulty,


polyvalent botulinus antitoxin was obtained and 10,000
units were given intravenously at 12:45 A.M., November
25, approximately 5 hours after the onset of classical
symptoms. Antitoxin, 10,000 units, was given at 4 hour
intervals, thereafter, to a total of 90,000 units. Massive
doses of chloramphenicol and penicillin were given
intravenously. Severe respiratory depression necessitated
a tracheostomy and the use of a respirator. A severe
pneumonitis developed, followed by shock unresponsive
to levarterenol and steroids. He expired on November 26,
three days after eating the contaminated peppers.
The patient's wife, although appearing well at the
time, was also admitted for observation at 4:00 P.M. on
November 24 since she had eaten a small portion of the
pepper. At about 6:00 P.M. the same evening, she noted
a "sandy" feeling in her eyes and at 7:00 to 8:00 P.M.,
possibly experienced some difficulty in swallowing. She
was given 10,000 units of polyvalent botulinus antitoxin
at 12:45 A.M. on November 25 and every 4 hours for a
total of 70,000 units. Diplopia, the first objective symp-


394









Morbidity and Mortality Weekly Report


tom of illness, was noted by her physician approximately
4 hours after the administration of the first dose of anti-
toxin, and approximately 33 to 34 hours after eating the
peppers. Later on the same morning, loss of reflexes was
noted, and she developed paralysis of the tongue and
muscles of the neck. Her condition, after initial deteri-
oration, improved although she has remained quite ill.
After the suspect food was eaten the peppers had
been washed in running water for an undetermined length
of time and then replaced in the jar. The presence of
toxin on the initial examination of the peppers could not
be demonstrated, and larger quantities of the peppers are
being retested at present. A gram stain of the suspect
peppers failed to show gram positive rods. The bottle of
peppers was one of 12 quarts and 4 pints that had been
canned. One of these had been consumed about one
month previously, without ill effects. The remaining jars
were confiscated and the contents are being examined at
the State Laboratory.
(Reported by: W. P. Doherty, D.V.M., Public Health
Coordinator, Cumberland County, New Jersey; W. J.
Dougherty, M.D., Director, Division of Preventable
Disease Control, New Jersey State Department of Health;


and an E.I.S. Officer from the Communicable Disease
Center assigned to the New Jersey State Department
of Health.)




Human Rabies Idaho
The first recorded death due to rabies in Idaho oc-
curred on October 8, 1962. The patient was an 11-year-old
white boy living in a small, agricultural town in moun-
tainous, southeastern Idaho.
On August 20, 1962, while sleeping out in the back-
yard, the boy was awakened by a bite on the left cheek
but did not see an animal. The wound was washed the
following morning. No further treatment was given. His
mother described the wound as consisting of five small,
relatively insignificant puncture wounds. The boy first
became ill, on October 1, 41 days after the bite, with
fever and sore throat. He was treated by a physician the
following day for pharyngitis. A throat culture taken at
this time revealed group A beta-hemolytic streptococci.


(Continued on page 400)


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS


The weekly average number of pneumonia-influenza deaths
for the four-week period ending December 15 was 444 as
compared with an expected 482 weekly average.


1,000








NUMBER
OF
DEATHS .,,-


Week Ending -4 Week Weekly
11/24 12/1 12/8 12/15 Total Average
Observed 350 500 478 447 1,775 444
Expected 464 476 488 499 1,927 482
Excess -114 24 -10 -52 -152 -38


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






NL- NI -r -


960 1961 1962 1963


(See table, page 3CCC CCCEDo 99) ex
(See table, page 399)


395


*V'."


PERIOD NUMBER












396 MorhidiI 1 and Mortaliil \\ weekly Report


Table ( CASES OF SPECIFIED NOTIFIABLE DISEASES NITEl) STATI1S

FOR XWEl Kh FNI)EI)

DECEMBER 16, 1961 AND DECEMBER 15, 1962



Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis
Cumulative Cumulative
Area
50th week First 50 weeks 50th week First 50 weeks 50th week 50th week

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

UNITED STATES...... 6 22 860 1,321 5 13 685 859 1 3 34 41

NEW ENGLAND.............. 2 9 48 1 8 31
Maine ................. 1 7 1 7
New Hampshire......... 2 -
Vermont................ 1 12 10
Massachusetts.......... 1 7 21 7 10
Rhode Island ......... 1 1
Connecticut............ 1 5 1 3

MIDDLE ATLANTIC.......... 1 6 81 342 1 3 60 225 3 5
New York............... 1 6 58 256 1 3 40 163 3
New Jersey........... 9 35 9 28
Pennsylvania 14 51 11 34 5

EAST NORTH CENTRAL....... 1 2 135 179 1 102 111 1 6
Ohio........... ...... 20 48 18 22 1
Indiana............... 23 19 18 11 -
Illinols.............. 1 59 37 42 19 5
Michigan .............. 1 21 41 17 32 -
Wisconsin............. 1 12 34 1 7 27

WEST NORTH CENTRAL....... 1 38 80 1 27 36 2 10
Minnesota.............. .- 7 6 7 6 1 1
Iowa.................. 7 21 3 10
Missouri.............. 1 10 27 1 5 9
North Dakota.......... 5 5 3 1
South Dakota.......... 1 4 1 2
Nebraska.............. 8 8 8 4
Kansas................ 9 4 1 9

SOUTH ATLANTIC........... 2 77 222 1 69 164 1 4
Delaware............. 2 1 2
Maryland.............. 2 2 44 1 1 33 1
District of Columbia.. 2 3 1 3
Virginia.............. 10 14 10 14 -
West Virginia.......... 18 33 18 23 -
North Carolina........ 13 21 11 11 -
South Carolina........ 6 35 6 27
Georgia............... 17 30 14 23 -
Florida............... 9 40 8 29 2

EAST SOUTH CENTRAL....... 2 80 93 2 67 53 7 9
Kentucky.............. 29 27 23 5 3 2
Tennessee............. 12 26 6 10 2
Alabama ............... 22 11 22 11 3 2
Mississippi........... 2 17 29 2 16 27 1 3

WEST SOUTH CENTRAL....... 4 1 330 156 3 1 254 88 1 1 1
Arkansas.............. 23 23 20 12 -
Louisiana............. 2 30 55 2 27 44 -
Oklahoma .............. 1 32 4 1 23 -
Texas................. 1 1 245 74 1 184 32 1 1 1

MOUNTAIN................. 3 19 51 2 15 30 3 2
Montana ............... 4 4 3 2 -
Idaho.................. 2 14 1 6 -
Wyoming ............... 2 1 -
Colorado.............. 4 10 3 10 3 1
New Mexico............ 3 2 6 2 2 2 -
Arizona................. 4 8 4 6 1
Utah ................. 1 8 1 4 -
Nevada...............- -

PACIFIC.................. 3 91 150 2 83 121 1 14 8
Washington............ 1 5 32 1 5 30 1 2
Oregon................ 7 17 5 8 1
California.............. 2 79 96 1 73 78 1 13 5
Alaska .......... ....
Hawaii................ 5 5 -

Puerto Rico.............. 12 7 12 7 -











Morbidity and Mortality Weekly Report 397


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

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


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and Serum
Area
Cumu- Cumu- 50th week
lative lative Under 20 &
50th week 50 weeks 50th week 50 weeks 50th week 20 yr. over Total Total 50th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961


UNITED STATES...... 11 386 11 442 20 33 503 374 944 1,284 3,938 4,283

NEW ENGLAND.............. 4 4 79 48 128 60 127 602
Maine................. 41 21 62 20 13 165
New Hampshire......... 1 1 4 39
Vermont .............. 1 2 2 4 9 7
Massachusetts......... 1 2 34 20 54 25 28 246
Rhode Island.......... 2 2 1 13 7
Connecticut........... 2 1 4 2 7 10 60 138

MIDDLE ATLANTIC.......... 9 2 22 7 7 117 88 205 151 533 506
New York................ 4 18 4 4 81 61 142 65 209 298
New Jersey............. 1 1 2 14 14 28 46 47 107
Pennsylvania .......... 4 1 2 3 3 22 13 35 40 277 101

EAST NORTH CENTRAL....... 81 2 13 2 1 75 45 123 257 1,420 707
Ohio................... 1 1 33 18 53 80 128 47
Indiana............... 7 1 5 6 3 9 28 105 49
Illinois.............. 56 1 3 1 16 13 29 63 90 415
Michigan.............. 6 4 20 11 31 69 341 95
Wisconsin............. 11 1 1 1 17 756 101

WEST NORTH CENTRAL....... 4 156 3 97 3 3 18 17 38 124 485 182
Minnesota............. 1 14 1 30 1 3 4 45 43 18
Iowa.................. 1 85 15 1 2 3 5 26 385 126
Missouri............... 4 5 2 11 7 18 34 6 6
North Dakota.......... 2 8 1 1 1 2 50 24
South Dakota.......... i 14 2 19 2 4 1 1 7
Nebraska.............. 14 18 1 2 6 1
Kansas................ i 23 2 2 1 3 4 10 NN NN

SOUTH ATLANTIC........... 27 2 129 1 9 65 34 103 123 277 372
Delaware.............. 2 3 5 9 1
Maryland.............. I 1 1 7 6 13 8 2 55
District of Columbia.. 2 1 2 2 4 5 2 18
Virginia.............. 13 14 9 5 18 25 47 107
West Virginia......... 2 17 1 18 36 148 85
North Carolina........ 2 1 12 16 11 27 26 17 21
South Carolina........ 10 4 4 11 1 3
Georgia................. 3 1 45 5 2 7 3 2 -
Florida................ 8 44 8 3 4 7 9 49 82

EAST SOUTH CENTRAL....... 2 19 2 34 1 2 55 41 96 212 93 537
Kentucky............... 1 1 10 23 33 81 30 160
Tennessee.............. 2 9 7 1 28 10 38 77 56 243
Alabama ............... 7 2 19 10 1 11 29 6 33
Mississippi ........... 2 8 1 7 7 14 25 1 101

WEST SOUTH CENTRAL....... 2 38 122 3 4 26 22 59 102 131 375
Arkansas .............. 11 20 1 3 4 35 8 61
Louisiana............ 8 11 1 4 5 11 1
Oklahoma ............. 2 8 8 1 1 1 1
Texas................. 11 83 3 4 23 15 49 55 123 312

MOUNTAIN................. 2 16 10 1 20 12 57 84 355 321
Montana............... 1 6 15 8 23 4 25 161
Idaho.................. 1 I 3 9 54 52
Wyoming................ 1 1 2 3 1 1 2
Colorado.............. 2 9 19 93 5
New Mexico............ 3 2 1 4 3 NN NN
Arizona................ 2 6 12 21 47 64
Utah.................. 5 1 2 1 3 27 132 37
Nevada................. 3 -

PACIFIC.................. 1 36 11 3 6 48 67 135 171 517 681
Washington ........... 1 7 11 21 14 141 281
Oregon................ 3 7 15 21 60 84
California............ 1 30 6 3 5 34 52 86 135 220 316
Alaska ................ 25 2 11 1 6 -
Hawaii ................ 2 2 90 -

Puerto Rico............... 36 12 4 16 3 19 53











3lorbiditl and Mortality V eeklN Report



Tahle i ( ANES OF SPECIFIED NOTIFIABLE DISEASES. INIT:)D STATES

FOR WtEKS FNDED


DECEMBER 16, 1961 AND DECEMBER 15. 1962 (Continued)


UNITED STATS ....

EW ENGLAND.........
Mainie .. ........ ..
New lHa pshire ......
Vermont ............
Massachus Lt ts......
Rhod Island .......
Conn t ii u ........

MIIDDIL ATLANTIC....
New York...........
Nev J rsey .........
Penns lvania .......

EAST NORTH CENTRAL..
Ohi o...............
Indiana ...........
11linois ..........
Mich itan ..........
Wisconsin..........

WETST NORTH CENTRAL..
:innesota .........
Iowa...............
Miissouri ..........
North Dakota......
South Dakota ......
Nebraska ...........
Kansas ............

SOUTH ATLANTIC......
De lawar<............
Maryland...........
Dist. of Columbia..
Virginia...........
Wist Virginia......
North Carolina.....
South Carolina....
Georgia ...........
Florida............

EAST SOUTH CENTRAL..
Kentuc ky...........
Tennessee...........
Alabama................
Mississippi........

WEST SOUTn CENTRAL..
Arkansas.........
Louisiana..........
Oklahoma ..........
Texas..............

MOUNTAIN............
Montana...........
Idah........... ....
Wyoming ...........
Colorado..........
New Mexic .........
Arizona,............
Utah..............
Nevada ............

PACIFIC.............
Washington.........
Oregon.............
California.........
Alaskal............
Hawaii ............
Puerto Rico.........


Meningnc",-li
Infect io~ns


Slativi
50th wk. 50 weii


St rn-ptoco~cal
Srrc Throat &
Scarlet Fever


50th week


1962 1962 1962 1961


39 2,046

2 122
S 19
4
4
2 50
S 13
132

2 360
1 157
1 85
118

7 399
1 119
1 31
1 89
2 136
2 24

6 113
3 24
13
1 26
8
2 10
17
15

8 309
35
1 25
7
5 74
18
1 69
1 21
11
49

4 132
42
3 51
21
1 18

9 173
1 18
7 75
8
1 72

67
6
3
5
10
9
15
10
9

1 371
25
22
307
9
1 8
9


6,680 6,678

578 335
71 4
15 3
6 26
109 77
46 19
331 206

323 284
167 181
73 60
83 43

786 695
149 77
125 83
178 131
182 296
152 108

192 178
15 i 20
60 43
13 4
70 57
2 3
1 -
31 51

637 372
14 3
26 4
4 1
225 63
147 170
18 36
50 22
14
153 59

1,048 929
90 75
905 835
16 6
37 13

670 839
I
11 3
5 4
654 831

1,248 1,669
54 62
104 80
24 120
534 371
236 674
165 207
131 155


1,198 1,377
357 473
31 42
711 823
23 1
76 38

S 1


Tetanus


1962


Tickborne
Typhus
(Rcky Mt.
Spotted)


1962


Tularemia




50th wk.
1962


Typhoid Fever

Cumu-
lative
50th wk. 50 weeks

1962 1962


2_-


4 605

- 11
2


8
1


2 66
- 34
1 13
1 19

- 92
- 44
- 12
- 17
S 12
7

31

2
24
2
1
2


103
2
3
10
19
5
6
9
24
25

74
26
28
12
8

125
S 33
32
6
54

48
10
1
3
8
13
11
2


2 55
1
1
1 51
1 1
1

17


Rabies in Animals


50th week


Cumu-
lative
50 weeks


1962 1961 1962

45 53 3,467

2
1


I



4 163
3 108
1
1 54

3 11 736
2 376
3 186
1 2 92
2 3 46
1 36

12 16 921
6 1 233
2 6 347
1 2 156
2 52
3 5 105
21
7

7 3 362

11

2 2 136
2 1 138
1 1

1 12
1 64

5 6 354
3 3 129
2 3 202
23


8 14 601
1 6 68
S 22
28
7 8 483

1 1 40



4
13
1 1 23



5 2 288

S 17
5 2 271


- 20


1


398


50th wk.[ 5 wt-h W










1Morbidity and Mortality W\eekly IReort





Tablc (B). REPORTED PNIEMONIA-INFL.'ENZA DEATHS IN RIPORTI ING (CITI1



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


Area


For weeks ending

12/1 12/8 12/15


NEW ENGLAND:
Boston, Mass............... 3 3 7 11
Bridgeport, Conn.......... 3 5 5 3
Cambridge, Mass............ 0 0 0 0
Fall River, Mass........... 1 1 0 2
Hartford, Conn............ 2 1 0 0
Lowell, Mass............... 1 2 4 2
Lynn, Mass................. 1 0 3 2
New Bedford, Mass......... 0 2 1 2
New Haven, Conn............ 2 1 1 1
Providence, R.I........... 1 1 6 4
Somerville, Mass........... 1 0 0 2
Springfield, Mass......... 5 3 5 6
Waterbury, Conn............ 1 0 2 0
Worcester, Mass............ 6 6 5 5

MIDDLE ATLANTIC:
Albany, N.Y............... 1 1 2 3
Allentown, Pa............. 1 2 1 1
Buffalo, N.Y............... 5 5 6 3
Camden, N.J............... 5 5 3 1
Elizabeth, N.J............ 0 0 0 2
Erie, Pa.................. 3 2 1 0
Jersey City, N.J.......... 5 4 4 5
Newark, N.J................ 2 4 2 4
New York City, N.Y......... 46 69 67 60
Paterson, N.J............. 7 7 5 4
Philadelphia, Pa.......... 8 10 11 16
Pittsburgh, Pa............ 1 9 14 5
Reading, Pa............... 0 1 0 1
Rochester, N.Y............. 11 11 10 12
Schenectady, N.Y........... 0 0 1 0
Scranton, Pa.............. 1 7 2 4
Syracuse, N.Y ............. 1 1 1 1
Trenton, N.J.............. 1 5 5 1
Utica, N.Y................. 2 1 2 2
Yonkers, N.Y............... 0 2 3 3

EAST NORTH CENTRAL:
Akron, Ohio............... 1 0 0 1
Canton, Ohio.............. 5 3 2 3
Chicago, Ill.............. 37 47 38 39
Cincinnati, Ohio.......... 2 3 3 3
Cleveland, Ohio............ 2 1 2 4
Columbus, Ohio............ 5 3 5 1
Dayton, Ohio ............. 1 2 2 0
Detroit, Mich............. 11 6 12 11
Evansville, Ind........... 0 2 1 2
Flint, Mich............... 2 3 9 3
Fort Wayne, Ind........... 2 4 2 1
Gary, Ind................... 0 10 1 6
Grand Rapids, Mich........ 3 3 3 2
Indianapolis, Ind......... 4 6 3 14
Madison, Wis.............. 0 0 0 0
Milwaukee, Wis.......... 3 2 1 3
Peoria, Ill............... 0 0 1 1
Rockford, Ill............. 2 4 2 5
South Bend, Ind........... 2 2 0 3
Toledo, Ohio............... 6 3 3 4
Youngstown, Ohio.......... 0 1 1 1*

WEST NORTH CENTRAL:
Des Moines, Iowa.......... 2 4 3 2
Duluth, Minn.............. 0 0 0 0
Kansas City, Kans ......... 0 1 5 1
Kansas City, Mo........... 5 5 11 7
Lincoln, Nebr............. 1 3 1 2
Minneapolis, Minn......... 2 0 5 3
Omaha, Nebr............... 2 3 0 1
St. Louis, Mo.............. 2 11 10 5
St. Paul, Minn............ 1 3 3 3
Wichita, Kans............. 2 3 11 4


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


Area


SOUTH ATLANTIC:
Atlanta, Ca .............
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..............

San Juan, P.R...........


For weeks endi


11/241 12/1


4
6
0
1
0
3
1
4
7
3
7
4


3
6
0
9
2
1
1
1


2
0
0
3
2
1
2
6
2
1
1
2
2


7
2
3
1
1
1
1
1


1
7
0
0
0
11
3
0
1
1
5
3
0
5
0
1

1


13
11
4
4
0
2
1
3
4
1
10
3


5
3
1
13
6
2
3
6


7
4
0
5
2
3
4
2
5
1
4
5
1


8
3
10
2
5
1
1
2


0
1
0
1
0
24
3
1
8
4
2
5
2
10
0
2

3


12/8


-- I I I I II I I 1


0 0
1 6
0 0
0 3
0 1*
9 15
2 1
0 0
2 2
2 3*
3 1
2 5
2 2
9 6
1 1
1 I*

4 2


o Current Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 11,618
4(B) Pneumonia-Influenza Deaths, all ages........ 447
4(C) Total Deaths under 1 Year of Age............ 768
4(D) Total Deaths, Persons 65 years and over..... 6,398


399


12/15


3
5
2
0
2
4
3
5
5
2
9
4


4
2
0
15
3
0
1
3


5
1
0
6
1
4
3
4
7
1
6
4
2


5
3
7
2
2
0
1*
1








Morbidity and Mortality Weekly Report


Later on the same day, October 2, he developed photo-
phobia and dizziness, and did not want his head touched.
He was hospitalized on the 3rd day of illness with a
temperature of 1050 to 1060 and shaking chills. Symptoms
noted during the course of the disease included blotchy
rash on the face, continuous shaking and thrashing about,
opisthotonos, twitching of skin on the face and extremi-
ties, severe dizziness and fear of anything close to his
face.
A clinical diagnosis of encephalitis was made. Labo-
ratory studies on October 4 are representative of others
performed during his illness. Spinal fluid showed six
cells (4 polys, 2 lymphs). Protein was 72 mgr%, sugar
115 mg%, and culture was negative. The white blood cell
count was elevated (19,600), with segmented neutrophils
predominating. The urine showed a 3+ albuminuria, and
contained 6-8 white blood cells per/hpf and 8-10 casts/hpf.
Convulsions and coma supervened as his condition pro-
gressively worsened, and death occurred on October 8 on
the 8th day of his illness. The diagnosis of rabies was
confirmed by fluorescent antibody examination of brain
tissue and by mice inoculation tests at the Communicable
Disease Center.
No rabies has been demonstrated in wild or domestic
animals from this area during subsequent investigation,
and a bat is believed to be the possible cause of the bite.
It is of interest that bat rabies was found in Idaho for the
first time in late August 1962, in a bat submitted from
southwestern Idaho.
(Reported by John A. Mather, M.D., Chief, Section of
Preventive Medicine and Division of Laboratories, Idaho
Department of Health; and the Communicable Disease
Center, U(. S. Public Health Service.)


INTERNATIONAL NOTES QUARANTINE MEASURES
Immunization Information for International Travel 1962
edition Public Health Service Publication No. 384.
The following information should be added to the list of
Yellow Fever Vaccination Centers in Section 6:
City San Luis Obispo, California
Center San Luis Obispo County Health Department
2191 Johnson Avenue
Tel. LI 3-1200
Clinic Hours Monday, 1 3 p.m.
Fee Yes


400


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