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:
AA00010654:00075

Related Items

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

Full Text


~'';4)"Q1-


U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WEL]

PUBLIC HEALTH SERVICE


Prepared by the


CO M NIAL DIES CIT


FARE



f JAN 1963
MElrose 4-51 \co
A^


For release December 28, 1962 ATLANTA 22, GEORGIA ol l,.

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED IS A
DEATHS IN SELECTED CITIES FOR WEEK ENDED DECEMBER 22, 1962


POLIOMYELITIS The week ending December 22, 1962,
brought reports of 19 cases of poliomyelitis (16 paralytic).
This is a marked increase over the 6 cases (5 paralytic)
noted the previous week, but can be attributed to a large
number of delayed reports submitted this week. The com-
parable week in 1961 accounted for 13 cases (10 paralytic).
Nine States reported cases this week with Pennsyl-
vania and Illinois accounting for 5 and 4 cases respec-
tively. No new case concentrations have been noted.
The poliomyelitis incidence for 1962 remains well
below that for the comparable period in preceding years as
is shown in the following table.


Poliomyelitis (Cumulated Weekly) Through 51st Week
for Past Five-Years


1962 1961


1960 1959 1958


Poralytic 701 869 2256 5676 3113
Totol 879 1334 3240 8518 6034


INFLUENZA No confirmed outbreaks have been ob-
served in any of the 13 States reporting for the week
ending December 21.


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 22,
1962


I I 5


43
3
5
18
886
3,460
39
19
16
2
1

6,717
1
8
7


51st Week


Ended
December 23,
1961


20
4
5
23
1,199
4,050
49
13
10
1
2

5,997


-r 1


Median
1957 1961


Cumulative


First 51 weeks
Median
1962 1961 1957 1961


2,517
389
447
1,766
52,484
472,227
2,085
879
701
124
54

306,935
284
299
612

214

3,504


3,113
566
569
1,630
71,426
417,569
2,119
1,334
869
313
152

310,985


3,332


717
883
1,788
22,575
425,602
2,225
5,914
2,143
2,819
952



844


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis: Md. 1, Conn. 1, Minn. -
Botulism: Rabies in Man:
Malaria: N. C. 4 Smallpox:
Plague: Typhus, murine:


I


1' 'LE;i'68


Morbidity and Mortality









Morbidity and Mortality Weekly Report


Throat washings and sera obtained from an outbreak
of acute febrile respiratory disease involving 200 students
at DePauw University la Greencastle, Indiana, during mid-
November (See MMWR Vol. 11, p. 371, November 30, 1962)
have been received at the Respirovirus Unit of the Com-
municable Disease Center. Studies performed to date have
yielded the following results: no virus has been recovered
from any of the throat washings received; complement
fixation tests on paired sera showed no significant titer
rises to influenza A or B; serologic tests for infection
with parainfluenza types 1, 2, and 3, adenovirus and
respiratory syncytial virus have also yielded negative
results.




SPECIAL REPORT
Poliomyelitis and Polio-like Disease Following Oral
Vaccine
On December 17 and 18, the Surgeon General's
Special Advisory Committee on Oral Poliomyelitis Vac-
cine met for the fifth time to review in detail all cases of
suspected polio-like illness currently known to have been
associated in time with the administration of oral polio
virus vaccine of all three types in non-epidemic areas.
The report of the Committee's findings and recom-
mendations were made public by the Surgeon General on
December 19 and is here reproduced in full. The cases
considered by the Committee are presented as a line list-
ing in the accompanying table. Many of these cases had
previously been presented and discussed in the technical
report by Dr. Luther Terry entitled "The Association of
Cases of Poliomyelitis with the Use of Type III Oral
Poliomyelitis Vaccines" (See MMWR Vol. 11, 298-304,
1962, September 28, 1962).




Report of the Special Advisory Committee on Oral Polio-
myelitis Vaccine to the Surgeon General, Public Health
Service. December 18, 1962.

The Committee met to review all cases of suspect
polio-like illness currently known to have been associ-
ated with the administration of oral poliovirus vaccine of
all three types in non-epidemic areas. These included, in
addition to cases previously considered, 25 cases newly
discovered among persons fed vaccine and four cases
among individuals in contact with vaccinated persons.
Some of the cases previously accepted as "compatible"
have been dropped from this category because of addi-
tional clinical and laboratory evidence that has become
available. New cases have been added to the "compati-
ble" group where careful review has justified such
action.


It should be emphasized that the committee does not
consider that an individual case can be proved to be
caused by the vaccine and no laboratory test has thus
far provided a definitive answer. However, it has at-
tempted to decide for each case whether or not it is
"compatible" with the possibility of having been induced
by the vaccine. Cases have been judged as "compatible"
when three criteria were met: (1) onset within a period
(4-30 days after feeding) consistent with a reasonable
incubation period; (2) an illness clinically consistent
with paralytic polio; and (3) laboratory findings which
do not exclude a vaccine relationship.
On the basis of data now available the total number
of cases associated in time with the direct administra-
tion of Type II vaccine and considered by a committee
majority as "compatible" is now 11, of which 8 are
over 30 years of age. Four cases were excluded as
clearly unrelated to Type III vaccination; and seven
cases were considered inconclusive as to a possible
vaccine relationship.
The total number of cases associated with the ad-
ministration of Type I vaccine and considered as "com-
patible" is seven, of which 4 are over 30 years of age.
Ten cases were excluded; six were considered incon-
clusive. None of the three Type II associated cases was
judged to be "compatible."
It should be noted that the total number of doses of
oral vaccine given in non-epidemic areas during 1962 is
approximately 31 million Type I, 19 million Type II and
15 million Type III. Hence, the maximum potential risk
for Types I and III is of the order of one per million or
less over-all, but higher for those over 30 years of age.
For Type II there is still no indication of risk.
Consideration of the four cases in unvaccinated
persons in household contact with vaccinees resulted in
two being judged "compatible" and two "excluded."
One additional "compatible" case occurred in a non-
household contact. Considering the large amount of
vaccine administered and the known frequency of vaccine
virus spread from vaccinated to unvaccinated persons,
particularly within homes, it is concluded that contact
spread has posed no significant hazard.
It is therefore recommended: (1) that community plans
for immunization be encouraged, using all three types;
and, (2) that immunization be emphasized for children in
whom the danger of naturally occurring poliomyelitis is
greatest and who serve as the natural source of polio-
myelitis infection in the community. Because the need
for immunization diminishes with advancing age and
because potential risks of vaccine are believed by some
to exist in adults, especially above the age of 30, vacci-
nation should be used for adults only with the full recog-
nition of its very small risk. Vaccination is especially
recommended for those adults who are at higher risk of
naturally occurring disease; for example, parents of young
(Continued on page 408)


402










MIrliilily and Mortality 1Weekly Report 103

CASES OF POLIO-LIKE ILLNESS FOLLOWING ORAL POLIO VACCINES OCCURRING OUTSIDE OF EPIDEMIC AREAS IN 1962
REVIEWED BY THE SURGEON GENERAL'S ADVISORY COMMITTEE ON POLIOMYELITIS VACCINES


Doses
Age Sex IPV


8 Mn
11 M
32 M
42 M
2 F
58 M
3 M
7 F
33 M
30 M
4 F
11 M
33 M
37 MI
35 M
16 M



14 F
7 M
11 M
3 M
16 M
25 M
6 M


Days from J... ofOPV
to Onset of Ill.
I II Ill


2(7)
?(4)
(14)
8(11)
18(19)
25(26)
9(40)
22(25)
-2(12)
14 (23)
-4(8)
-8(6)
9(18)
(97)
9(11)
4(6)



(9)
(27)
16(30)
(23)
28(43)
4(11)
(37)


Virus Isolate3
Type Character


0
I **

I **
ii**
I **
115




0
(1) (48)

I Non-Vacc. like
(3 Specimens)
Vaccine-like
(1 Specimen)
I Vaccine-like
I Vaccine-like

I Non-Vacc. like
1(15)
I Non-Vacc. like
(5) 1 Vaccine-like


II. Cases Following Type II Vaccine


(>90) 16(23) (>90)
(85) (8) III
(64) (8) (36) 0


Inconclusive Inconclusive
Excluded
Inconclusive Inconclusive


III. Cases Following Type Ill Vaccine

Mass. 4 M 4
Mass. 54 F 0
Mich. (4) 23 M 2 or 4

Mich. (5) 36 F 0
Neb.(6) 18 F 5
Neb. (7) 51 M 0
Neb.(8) 37 M 0
Neb. 50 F 4
Neb. 57 M 0
Neb. 6 M 3
Neb. 13 F 3
Neb. 55 M 0
N. Y. (9) 49 M 0
Ohio7 67 M 0
Ohio(10) 16 M 0
Ohio(ll)9 36 M 0
Oregon(12) 48 F 0
Oregon(13) 39 M 0
Oregon(14) 6 M 0

Oregon(15) 52 M 0
Pa. 6 M 5
Wash.(16)6 6 M 4


54(64)

76(80)


34(42)
51(54)
43(48)
61(69)
49(57)
49(56)
41(44)
46(52)
(>90)
(64)
28(43)

34(38)
50(51)
(54)

52(53)
(55)
(37)


26(36)
22(24)
16(20)

22(28)
7(15)
22(25)
15(20)
19(27)
12(20)
7(14)
16(19)
10(16)
26(29)
(8) (36)
1(15)
21(25)
7(11)
23(24)
(27)

19(20)
(8)
(5)


IV. Cases Among Household Contacts of Vaccinees


La.
Mass.
Mass.

N. Y1
Ohio 0


21 M 0
42 F 4
18/12 M 0

29 M 0
6/12 M 0


0
0
III Intermediate to
Non-Vacc. like
III Vaccine-like
III Vaccine-like
0

0
0
II8
III Vaccine-like

0
0

0
III Vaccine-like
III Vaccine-like
I Non-Vacc. like
III Vaccine-like
III Vaccine-like
III Vaccine-like
I Vaccine-like



I **

1 Intermediate to
Non-Vacc.like
III Vaccine-like
III Vaccine-like


1. The numbers in parentheses following State designation corresponds with the numbers of the cases in the technical
report of the Surgeon General September 20, 1962. (NR) California cases not yet officially reported but considered
from a special report submitted by the California State Department of Public Health.
2. The numbers in parentheses indicate intervals from feeding to onset of paralysis.
3. Key: No specimen; 0 No isolate obtained; ** In process. Virus character was determined by the modified Wecker
and McBride tests.
4. Considered a "compatible" case if laboratory work in process is not inconsistent with a vaccine relationship.
5. Type II vaccine fed 2 days before specimen collected.
6. Considered (and listed) with relation to Type I and Type III vaccine administration.
7. Considered (and listed) with relation to Type II and Type III vaccine administration.
8. Type II vaccine fed 8 days before specimen collected.
9. Also compatible with Type I household contact spread.
10. Contact in adjacent apartment.


State


Calif.
Calif. (NR)
Calif. (NR)
Calif.
Calif.
Calif.
Calif. (NR)
Calif.
Calif. (NR)
Calif. (NR)
Calif. (NR)
Calif. (NR)
Calif. (NR)
Calif. (NR)
Calif. (NR)
Ill.



Iowa
Mass.
Mass.
N. Y. (1)
Ohio6
Tenn. (2)
Wash.6


Antihody 3
Response



Inc live

Inconclusive
I
I
I

Inconclusive
Inconclusive
Inconclusive
Inconclusive
Inconclusive
Inconclusive



I



1. I1
Inconclusive

III
I, 11, III
I


Committee
Appraisal



Excluded
Inconclusive
Compatible
Compatible
Compatible
Compatible4
Excluded
Inconclusive
Excluded
Exclude 'd
Excluded
Excluded
Inconclusive
Excluded
Compatible
Compatible



Compatible
Excluded
Inconclusive
Excluded
Inconclusive
Inconclusive
Excluded


Neb.
Ohio 3)
Ohio


5 F 4
2 F 2
67 M 0


Inconclusive

III
Inconclusive
Inconclusive
Inconclusive
I, II, III
I
Inconclusive
Inconclusive
Inconclusive
I, II, Ill
Inconclusive
III
I, III
I, II, III
Inconclusive
Inconclusive

Inconclusive
Inconclusive
I


Excluded
Inconclusive
Compatible

Compatible
Compatible
Compatible
Compatible
Compatible
Inconclusive
Inconclusive
Compatible
Inconclusive
Inconclusive
Inconclusive
Inconclusive
Compatible
Compatible
Compatible
Excluded

Compatible
Excluded
Excluded



Excluded
Excluded
Compatible

Compatible
Compatible


I. C c.,. i .i T p.. I ._.. ,












404 11Orlbiilit a;d or11141 alil it vkly HIeport



Tihic ( ASI S ()F S1F( IIIF) N)IIFI\ABI.F 1)SI ASFS I NIT E) STATE FS

FOR WH\\ I KSI- ENDED

DECEMBER 23, 1961 AND DECEMBER 22, 1962



SPoliomyelitis, Aseptic
P- 11, :C1lt s, Ti tadl Case- Poli-myelitis, Paralytic Nonparalytic Meningitis


Arc i




tI7ITED SIATES......

:TE ENGLAN.T ..............
-i noin ................

V, rnoot . .
Rh,&de iTland .........
S...........





'IDDIL ATIATIC..........
N:"' Yr.k ..............
New Jersey .... ....
Pn-nsylvania

EAS'L NORTH CENTRAL ......
Ohi.: .................
Ind iit ...............
lllinois..............
Miihi an.............
iscon in .............

WEST NORTI CENTRAL.......
'linn t a. .........
Iowa ..................
M i ur i ..............
N rth Dal lota. .. ..... ..
South Dakot ... ......
N bras; .............
nsc .........i ......


SO ITH ATIANTIC ..........
De l a ar-. .. ......
Maryland ..............
District ,f Colunbia .
Virgi nia ..............
W ist Virginia .........
North Caroli na........
South Carolini ........
Georgia...............
Florida ..............

EAST SOUTH CENTRAL .......
Kentucky ..............
Tenncssee .............
Alabama ...........
Mississippi ...........

WEST SOUTH CENTRAL ......
Arkansas...............
Louis iana.............
Oklahoma ..............
Texas .................

IOUNTAIN.................
Iontana ...............
Idaho .................
Wyoming...............
Coi orado..............
New Hexico............
Arizona ..............
Utah..................
Nevad ...............

PACIFIC..................
Washingtn ............
Oregn ................
Cali rnia ............
Alask. ..............
Haw i i ................

Puerto Ri ... ..........


Cunulative Cumulative
51st v e Fir5t 51 wueks 51st week First 51 weeks 51st week 51st week


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


19 13 879 1,334 16 10 701 869 2 1 43 20

2 9 50 2 8 33 1 1
7 7 1
1 3 1 1
1 1 13 1 11
7 21 7 10
1 1
1 5 1 3

5 2 86 344 5 1 65 226 1 10 -
S58 256 40 163 8
S 9 35 9 28 -
5 2 19 53 5 1 16 35 1 2

5 1 140 180 3 105 111 1 5 9
S20 48 18 22 1 4
1 1 24 20 18 11 -
4 63 37 3 45 19 1 4 4
S21 41 17 32 1
12 34 7 27 -

3 41 80 3 30 36 2 -
7 6 7 6 2
7 21 3 10
2 12 27 2 7 9
5 5 3 1
1 2 4 1 2 2
8 8 8 4
9 4- -

2 77 224 2 69 166 2 1
2 1
2 44 1 33
2 3 1 3
10 14 10 14 1
18 33 18 23 1
13 21 11 11
6 35 6 27
17 30 14 23
2 9 42 2 8 31 1

1 1 81 94 1 1 68 54 6
1 30 27 1 24 5 1
12 26 6 10 -
22 11 22 11 2
1 17 30 1 16 28 3

3 333 156 2 256 88 1 -
23 23 20 12 -
2 32 55 2 29 44 -
32 4 23
1 246 74 184 32 1 -

3 19 54 2 15 32 6 3
4 4 3 2
1 2 15 1 6
2 1 1
1 4 11 1 3 11 5
2 6 2 2
1 4 9 1 4 7 1 3
1 8 1 4


2 2 93 152 2 2 85 123 11 6
S5 32 5 30 2
7 17 5 8
2 2 81 98 2 2 75 80 9 6

5 -

1 13 7 1 13 7
iJ










Morbidity and Mortality Weekly Report 405


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 23, 1961 AND DECEMBER 22, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and Serum
Area
Cumu- Cumu- 51st week
lative lative Under 20 &
51st week 51 weeks 51st week 51 weeks 51st week 20 yr. over Total Total 51st week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED TATES...... 3 389 5 447 18 23 506 324 886 1,199 3,460 4,050

NEW ENGLAND .............. 4 4 1 59 45 104 54 119 686
Maine................. 32 18 50 11 1 164
New Hampshire......... 1 5 6 1 18 57
Vermont............... 1 1 1 18 1
Massachusetts ......... 1 2 22 14 36 28 33 377
Rhode Island.......... 1 1 1 1 6 8 31
Connecticut........... 2 1 3 7 10 8 41 56

MIDDLE ATLANTIC.......... 9 22 3 5 148 75 223 191 399 699
New York.............. 4 18 2 4 51 43 94 77 212 421
New Jersey............ 1 2 12 17 29 53 97 186
Pennsylvania.......... 4 2 1 1 85 15 100 61 90 92

EAST NORTH CENTRAL....... 81 13 3 1 86 57 151 287 1,438 644
Ohio.................. 1 i 27 16 47 118 255 37
Indiana............... 7 5 13 6 19 23 42
Illinois.............. 56 3 2 1 16 16 33 33 81 300
Michigan.............. 6 4 29 16 45 105 245 217
Wisconsin............. 11 1 1 3 7 8 815 90

WEST NORTH CENTRAL....... 2 158 2 99 1 1 16 12 32 142 178 82
Minnesota.............. 14 30 6 3 11 63 121 17
Iowa.................. 85 15 2 3 5 45 22 6
Missouri.............. 4 5 1 2 4 19 16 1
North Dakota.......... 2 8 7 19 57
South Dakota........... 1 15 2 21 1
Nebraska.............. 1 15 18 1 5 3 9 4 -
Kansas................ 23 2 1 2 1 3 4 NN NN

SOUTH ATLANTIC........... 27 1 130 2 9 54 31 88 149 283 285
Delaware .............. 2 1 3 1 1
Maryland............... 1 4 6 10 13 3 25
District of Columbia.. 2 4 4 5 3 20
Virginia.............. 13 14 1 8 4 14 25 78
West Virginia......... 2 11 3 14 28 206 66
North Carolina........ 2 12 1 16 6 22 40 13 21
South Carolina........ 10 1 1 10 4 9
Georgia............... 3 1 46 3 3 8 2
Florida .............. 8 44 2 7 5 11 17 20 51 65

EAST SOUTH CENTRAL....... 19 34 1 42 20 62 83 66 386
Kentucky.............. 1 2 2 4 15 3
Tennessee............. 9 7 1 32 12 44 40 60 310
Alabama............... 7 19 5 5 6 1 1
Mississippi............ 2 8 3 6 9 22 2 75

WEST SOUTH CENTRAL....... 1 39 122 1 2 33 27 60 37 103 234
Arkansas.............. 11 20 1 7 1 8 5 101
Louisiana............. 1 9 11 4 6 10 8 1
Oklahoma ............. 8 8 5 1 6 2 4
Texas.................. 11 83 1 1 17 19 36 22 102 129

MOUNTAIN................ 16 2 12 4 8 38 55 439 232
Montana............... 1 6 1 1 2 124 51
Idaho................... 9 49 22
Wyoming ............... 1 1 1 7 35
Colorado.............. 2 11 25 104 8
New Mexico............ 2 5 2 5 8 2 NN NN
Arizona.............. 6 14 13 67 87
Utah.................. 5 1 2 3 4 88 29
Nevada................ -

PACIFIC.................. 36 11 7 4 64 49 128 201 435 802
Washington............. 1 12 14 26 41 84 328
Oregon ................ 3 16 28 16 52 89
California............ 30 6 6 4 28 33 64 128 163 153
Alaska................. 2 5 8 2 10 15 1 232
Hawaii................ 1 1 135

Puerto Rico.............. 36 9 4 13 24 22 32










406 MlorbiditN and Mortality Weekl Report


Iablc i ( ASE, OF SPICIFIFD NOTIlHABLF DISEASES I NIT1) STATES

FOR WEEKS ENDED

DECEMBER 23, 1961 AND DECEMBER 22. 1962 (Continued)


"" Streptococcal Tickborne
[ .' Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
AreaCumu- Spotted) Cumu- Cumu-
lative lative lative
51st wk. 51 weeks 51st week 51st wk. 51st wk. 51st wk. 51st wk. 51 weeks 51st week 51 weeks

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

UNITED STATES.... 39 2,085 6,717 5,997 1 8 7 612 37 47 3,504

NEW ENGLAND......... 2 124 523 268 11 2
Maine.............. 19 12 5 2 1
New Hampshire ...... 4 19 1 -
Vermont............. 4 2
Massachusetts...... 1 51 100 80 8 1
Rhode Island....... 13 60 34 1
Connecticut........ 1 33 332 146 -

MIDDLE ATLANTIC..... 10 370 335 262 1 67 2 165
New York........... 1 158 189 136 34 1 109
New Jersey......... 6 91 73 62 13 1
Pennsylvania....... 3 121 73 64 1 20 1 55

EAST NORTH CENTRAL.. 8 407 642 462 1 1 92 12 736
Ohio............... 2 121 105 77 44 3 376
Indiana............ 31 84 106 1 12 5 186
Illinois........... 2 91 134 62 1 17 1 92
Michigan .......... 4 140 192 91 12 2 46
Wisconsin.......... 24 127 126 7 1 36

WEST NORTH CENTRAL.. 2 115 71 119 2 1 32 13 8 934
Minnesota.......... 1 25 10 24 5 2 238
Iowa............... 13 27 18 2 4 1 351
Missouri............ 1 27 6 7 1 1 25 2 158
North Dakota....... 8 6 40 2 52
South Dakota....... 10 8 5 1 2 3 107
Nebraska........... 17 2 1 21
Kansas............. 15 14 25 1 1 7

SOUTH ATLANTIC...... 5 314 595 587 103 7 6 369
Delaware........... 35 13 4 2 -
Maryland ........... 1 26 20 8 3 11
Dist. of Columbia.. 7 1 1 10
Virginia........... 74 127 72 19 1 3 137
West Virginia...... 18 127 111 5 6 2 144
North Carolina..... 2 71 80 49 6 1
South Carolina..... 21 32 6 9- -
Georgia............ 1 12 1 24 12
Florida............. 1 50 194 336 25 1 64

EAST SOUTH CENTRAL.. 3 135 913 1,025 3 1 75 6 3 360
Kentucky........... 42 32 2 26 6 1 135
Tennessee.......... 3 54 835 947 3 1 29 2 202
Alabama............ 21 11 8 12 23
Mississippi........ 18 35 68 8 -

WEST SOUTH CENTRAL.. 4 177 596 722 1 1 126 4 13 605
Arkansas........... 3 21 1 1 33 1 1 69
Louisiana.......... 75 9 5 32 3 1 25
Oklahoma............ 8 2 2 1 7 28
Texas............... 1 73 584 715 54 11 483

MOUNTAIN............. 1 68 1,824 1,048 1 48 1 40
Montana............ 6 27 35 10 -
Idaho.............. 3 142 176 1-
Wyoming............. 5 154 46 3
Colorado............ 1 11 707 163 8 4
New Mexico......... 9 395 233 13 1 13
Arizona............. 15 238 223 1 11 23
Utah................ 10 161 172 2 -
Nevada............ 9 -

PACIFIC............. 4 375 1,218 1,504 3 58 5 4 293
Washington......... 1 26 337 525 2 3
Oregon............. 22 49 26 1 17
California......... 3 310 820 847 1 52 5 4 276
Alaska............. 9 1 88 1 -
Hawaii............. 8.. -ll 1 8 1- 1 -
Puerto Rico....... 9 2 1 17 20










Morbidity and Mortality Weekly Report 407





Table 4 ((C) TOTAL DEATHS UNI)ER I YEAR OF AGE IN REPORTING CITIES



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


For weeks ending For weeks ending
Area 1 1 2/22 Area12
12/1 12/8 12/15 12/22 12/1 12/8 12/15 12/22


NEW ENGLAND:
Boston, Mass............... 20 10 12 17
Bridgeport, Conn........... 4 5 4 4
Cambridge, Mass........... 0 1 0 0
Fall River, Mass........... 2 2 0 0
Hartford, Conn............ 7 6 3 10
Lowell, Mass.............. 0 2 1 5
Lynn, Mass................ 0 0 0 2
New Bedford, Mass......... 2 2 1 1
New Haven, Conn............ 1 11 1 2
Providence, R.I........... 5 6 3 3
Somerville, Mass........... 1 1 0 1 0
Springfield, Mass.......... 3 1 0 4
Waterbury, Conn........... 1 1 4 4
Worcester, Mass............ 5 1 1 0

MIDDLE ATLANTIC:
Albany, N.Y................ 3 7 3 2
Allentown, Pa............. 0 0 1 2
Buffalo, N.Y............... 10 7 4 8
Camden, N.J................ 3 5 5 5
Elizabeth, N.J............ 2 2 2 4
Erie, Pa.................. 1 3 3 1
Jersey City, N.J......... 3 3 3 9
Newark, N.J............... 7 22 4 5
New York City, N.Y......... 76 100 105 85
Paterson, N.J............. 3 2 1 2
Philadelphia, Pa.......... 28 36 25 39
Pittsburgh, Pa............ 17 18 9 12
Reading, Pa............... 1 0 2 1
Rochester, N.Y............. 9 10 3 8
Schenectady, N.Y.......... 0 2 1 1
Scranton, Pa.............. 3 1 3 1
Syracuse, N.Y.............. 5 6 4 8
Trenton, N.J.............. 2 4 3 4
Utica, N.Y................ 1 1 1 1
Yonkers, N.Y............. 1 1 2 1

EAST NORTH CENTRAL:
Akron, Ohio................ 5 1 3 3
Canton, Ohio............... 4 5 3 3
Chicago, Ill.............. 45 61 53 39
Cincinnati, Ohio........... 17 8 3 7
Cleveland, Ohio............ 16 8 21 7
Columbus, Ohio............. 9 12 12 11
Dayton, Ohio............... 10 6 9 8
Detroit, Mich.............. 24 45 29 26
Evansville, Ind........... 2 2 3 2
Flint, Mich................ 10 1 3 6
Fort Wayne, Ind........... 6 2 3 1
Gary, Ind................. 3 3 0 5
Grand Rapids, Mich........ 6 5 4 3
Indianapolis, Ind......... 9 7 11 13
Madison, Wis............. 5 6 2 3
Milwaukee, Wis............. 3 7 8 9
Peoria, Ill ............ 0 1 2 4
Rockford, Ill............. 3 2 3 1
South Bend, Ind........... 0 2 3 3
Toledo, Ohio............... 2 6 5 4
Youngstown, Ohio........... 3 6 1 3

WEST NORTH CENTRAL:
Des Moines, Iowa........... 4 2 2 3
Duluth, Minn .............. 1 1 0 2
Kansas City, Kans......... 2 10 3 3
Kansas City, Mo............ 10 30 8 11
Lincoln, Nebr.............. 1 0 1 1
Minneapolis, Minn......... 7 9 7 6
Omaha, Nebr................ 5 7 8 4
St. Louis, Mo.............. 19 17 14 16
St. Paul, Minn............ 2 3 4 5
Wichita, Kans.............. 8 4 3 6


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


SOUTH ATLANTIC:
Atlanta, Ga.............. 3 9 12 12
Baltimore, Md............. 29 24 5 16
Charlotte, N.C............ 4 7 4 5
Jacksonville, Fla........ 8 2 4 7*
Miami, Fla............... 4 8 2 6
Norfolk, Va.............. 7 10 4 16
Richmond, Va.............. 11 22 5 9
Savannah, Ga.............. 2 4 2 3
St. Petersburg, Fla...... 1 4 1 5
Tampa, Fla............... 1 5 5 9
Washington, D.C.......... 25 13 31 20
Wilmington, Del........... 4 2 2 3

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 12 9 6 14
Chattanooga, Tenn......... 4 6 4 4*
Knoxville, Tenn.......... 1 3 0 2
Louisville, Ky............ 1 20 7 6
Memphis, Tenn............ 17 27 6 15
Mobile, Ala.............. 4 5 5 1
Montgomery, Ala........... 6 2 4 5
Nashville, Tenn.......... 12 7 4 8

WEST SOUTH CENTRAL:
Austin, Tex.............. 3 3 3 0
Baton Rouge, La.......... 4 5 4 2
Corpus Christi, Tex...... 1 1 0 5
Dallas, Tex............... 10 16 12 9
El Paso, Tex.............. 8 10 6 8
Fort Worth, Tex.......... 7 7 6 10
Houston, Tex.............. 20 18 16 19
Little Rock, Ark.......... 3 5 5 4
New Orleans, La.......... 18 11 15 21
Oklahoma City, Okla...... 8 7 5 6
San Antonio, Tex......... 10 11 15 14
Shreveport, La........... 6 4 12 2
Tulsa, Okla.............. 1 3 4 3

MOUNTAIN:
Albuquerque, N. Mex...... 10 15 10 6
Colorado Springs, Colo... 3 2 0 1
Denver, Colo.............. 11 7 3 11
Ogden, Utah............... 0 0 0 1
Phoenix, Ariz............. 5 9 7 9
Pueblo, Colo.............. 2 3 2 2
Salt Lake City, Utah..... 3 7 7 2
Tucson, Ariz.............. 1 4 1 4

PACIFIC:
Berkeley, Calif.......... 0 1 1 4
Fresno, Calif............ 1 1 5 7
Glendale, Calif.......... 1 3 1 1
Honolulu, Hawaii.......... 2 9 3 3
Long Beach, Calif........ 10 3 4 2
Los Angeles, Calif....... 52 23 49 40
Oakland, Calif .......... 10 7 7 7
Pasadena, Calif.......... 1 1 3 3
Portland, Oreg............ 7 7 6 9
Sacramento, Calif........ 4 4 2 5
San Diego, Calif.......... 9 13 7 7
San Francisco, Calif ..... 10 13 5 17
San Jose, Calif.......... 4 7 5 8
Seattle, Wash............. 12 14 8 11
Spokane, Wash............ 1 1 3 1
Tacoma, Wash............. 4 3 1 4

San Juan, P.R.............. 2 4 3 2


0Current 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.....


12,470
505
855
7,070




i.IJ .E, iT .E.R fL.",iT L


3 1262 08864 1641
3 1262 08864 1641


Morbidity and Mortality Weekly Report


children, pregnant women, persons in epidemic situations
and those planning foreign travel.
Of greatest importance is the continuing vaccination
of oncoming generations.

Committee Members

Members of the Surgeon General's Committee are:
Dr. David Bodian, The Johns Hopkins School of Medicine;
Dr. John Fox, Public Health Research Institute of the
City of New York; Dr. Archie L. Gray, Secretary and
Executive Officer, Mississippi State Board of Health;
Dr. William McD. Hammon, University of Pittsburgh;
Dr. Hugh Hussey, Dean, School of Medicine, Georgetown
University; Dr. Alexander Langmuir, Public Health
Service, Communicable Disease Center, Atlanta, Georgia;
Dr. Roderick Murray, Public Health Service, National
Institutes of Health, Bethesda, Md; Dr. John Paul, Yale
University School of Medicine; Dr. Albert Sabin, Univer-
sity of Cincinnati; Dr. Edward D. Shaw, University of
California School of Medicine; and Dr. Joseph E. Smadel,
Public Health Service, National Institutes of Health,
Bethesda, Md.



INFANT DEATHS IN 108 CITIES
The average number of infant deaths in 108 cities
for the four-week period ending December 22 was 858, as
compared with an expected average of 786, an excess of
72 deaths per week above the expected number. This
figure, however, reflects delayed notifications of infant
deaths for the previous four-week period when the ob-
served number declined to an average of 54 per week
below the expected number. The average excess for the
two periods is not unduly great when compared to pre-
vious fluctuations. Examination of infant death reports
by geographic division and by city showed no concen-
trations.




DEATHS UNDER ONE YEAR OF AGE IN 108 US CITIES
Average number r week by fr-wee periods


._ l I


060o 196! i962


Total Deaths Under One Year of Age Recorded in 108 Cities


Observed
Expected
Excess


Week Ending

4 Week Weekly
12/1 12/8 12/15 12/22 Totol Average
850 962 765 855 3,432 858
786 -1786 786 785 3,143 786

64 i 176 21-- 70_ 289 __72


INTERNATIONAL NOTES QUARANTINE MEASURES
No Report.










5i- E1OSTORY


r


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Cm





M m
f0 0
S D' Z

a z


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n


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H a4


(See table, page 407)


408


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