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:
AA00010654:00077

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


MElrose 4-5131


For release June 22, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 24
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JUNE 16, 1962


POLIOMYELITIS A total of 16 cases, 13 paralytic,
was reported during the week ending June 16. Fourteen
cases, 12 paralytic, were reported from Texas and 2
eases, 1 paralytic, were reported by Louisiana. This
brings the 1962 cumulative total of cases in the U. S. to
173, 134 of which are paralytic; Of the 134 paralytic
cases, 111 have had onset since January 1. Sixty-four


of these (58 percent) have occurred in Texas.
The 12 paralytic cases this week from Texas in-
cluded four from Bexar County (San Antonio), two from
Collin County (near Dallas), and one each from six other
counties. Over half of the Texas cases have occurred in
Bexar, Frio, and Webb County. These three counties
were scenes of intensive community immunization pro-


PARALYTIC CASES BY DATE OF ONSET IN THREE TEXAS COUNTIES


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES" '
(Cumulative totals include revised and delayed reports through previous week)
24th Week Cumulative
Disease Ended Ended ian First 24 weeks
June 16, June 17, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis................ 28 36 --- 506 642 ---
Bruceiloss E .................... .. 10 11 16 183 256 347
Diphtheria ................... .. 4 7 8 204 297 325
Encephalir infectious .......... 36 26 35 696 684 680
Hepatitis, infectious and serum... 815 1,333 339 30,048 40,671 11,375
Measles ........................ 13,188 15,040 14,469 399,312 340,473 346,559
Meningococcal infections ......... 38 36 38 1,136 1,138 1,262
Poliomyelitis, total.............. 16 7 55 173 203 496
Paralytic .................... 13 4 25 134 138 246
Nonparalytic.................. 3 1 22 22 38 167
Unspecified.................. 2 8 17 27 83
Streptococcal sore throat
and Scarlet fever ............ 4,634 4,479 -- 189,039 200,591 .
Tetanus ........................ 11 --- -- 85
Tularemia ...................... 6 --- 116
Typhoid fe.cr .................. 9 15 17 209 252 265
Tiphui fe.er [ick borne,
(Rock, Mountain spotted)..... 10 --- --- 50
Rabies in Animals............... 63 62 79 1,997 1,686 1,933

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Anthrax: Psittacosis: Conn. 1
Botulism: Rabies in Man:
Malaria: Mo. 1, N. C. 1, Fla. 1 Smallpox:
Plague: Typhus, murine:


112y


I DISEASE CIrJTEP


/.y 3 46


W el

Reor







Morbidity and Mortality Weekly Report




REPORTED PARALYTIC POLIO IN U. S. BY COUNTY-1962 onset through June 16


a -


e* o




I I oa, l. c ea
2 arOItllc case
0 3 omor mparalyI


_ ---- '- -- L' '
_-- _-: -_. -_ _- :.. .

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--:---~,-- -~ -:_" -- 'T -- '- --" :-' -



.^ I .

-. -----_--'

-J^ -
.^ -_ .-: _, -. ..- .: : -
: = --- --o-j .-:: -: "
nc_ -- ,.


Puer Rico
o


grams with epidemic reserve Type I vaccine 'between
May 27 and June 4. Paralytic cases in these three coun-
ties are shown on the preceding page.
Six of the 9 cases with onsets since the oral vac-
cine program had received oral vaccine. Five of the 6 had
onset of illness within 9 days of receiving the vaccine.
A seven-year-old boy had onset 13 days after receiving
the vaccine.


HEPATITIS The number of hepatitis cases reported for
the week ending June 16 fell to 815, 161 cases fewer
than reported for the preceding week. The weekly hepati-
tis level has now fallen well below the 995 cases re-
ported for the week ending September 9, 1961, the week
which marked the beginning of the seasonal rise on
hepatitis.


EPIDEMIOLOGICAL REPORTS

Hepatitis Oregoo Regional Primate Center
Within a 10-day period, in April of this year, four
workers at the Oregon Regional Primate Center became
icteric; their illnesses were characteristic of infectious
hepatitis. The dates of onset of illness of the four cases
were April 12, 16, 17, and 22. Two illnesses which may
have been cases of anicteric hepatitis also occurred at
the Center at about the same time. No hepatitis cases
were found in the families or neighborhoods of the cases.
The Primate Center houses a variety of monkeys and
apes for investigational purposes. The Animal Bulding
of the Center consists of a north and south wing housing
the animals and a central area for the laboratory, X-ray,


and clerical group. Six individuals work in the south end,
6 in the north end, and 7 in the central area. The two most
recent shipments to the Center included chimpanzees and
Celebes apes, (Cynopitbecus niger). Two chimpanzees
arrived on February 23, one on March 7, and one on March
12. Seventy Celebes apes arrived in December and five
in February. The relationships between the patients with
hepatitis, where they worked, and the animals with whom
they were in contact are shown in the table below:

Number Icteric Possible Contact Contact With
Section of Cases Anicteric With Celebes
Workers Cases Chimps Apos
North 6 4 1 ++ ++++
Control 7 0 + +
Seuth 6 0 0 ++++ +
*This worker had more contact than other workers in the central
area with the chimps and apes.

These preliminary data raise the possibility that the
Celebes apes rather than the chimpanzees were respon-
sible for the hepatitis in these workers.
(Reported by Grant Skinner. M.D., Director, Epidemiology
and VD Sections, Oregon State Board of Health and Dr.
Donald Pickering, Director, Oregon Regional Primate
Center).
Editor's Note: Prior to the Oregon outbreak, the Communi-
cable Disease Center had obtained reports of 12 outbreaks
with 54 cases of human hepatitis in which sub-human
primates were implicated as the source of infection. The
first of these cases occurred in 1953. Forty-six have oc-
curred since 1958. Chimpanzees were the source of in-
fection in 45 cases and wooly monkeys in 9. The Oregon


186








Morbidity and Mortality Weekly Report


outbreak is the first one suggesting Celebes apes as a
possible source of hepatitis infection.
All human cases to date have been indistinguishable
from infectious hepatitis. These cases have appeared
among persons having intimate contact three to six weeks
prior to the onset of their illness with young animals
newly imported into this country. A variety of clinical
illnesses has been observed in the associated animals,
but these illnesses have not been clinically similar to
infectious hepatitis in man.


Parathion Deaths Florida

Ten Florida residents, most of them small children,
lost their lives in 1961 from contact with the organic
phosphate insecticide, Parathion. A brief discussion of
the circumstances leading to the deaths is presented
below.
Several cases and two deaths occurred in Tampa
among five children who took an innocent-looking burlap
bag from a trashpile. The bag had previously been placed
around a sack of fertilizer taken from a watermelon field


and transported to Tampa. The children filled the bag
with rags and used it as a swing. Approximately 8 hours
after swinging from the bag, one little girl was taken to
the hospital and died soon after admission. Her little
brother became ill shortly thereafter and died in the
hospital during that same night. Three other children who
had played with the swing were taken to the hospital but
recovered. The burlap bag upon chemical examination by
the United States Public Health Service was found to
have been contaminated with an oil solution of parathion.
A third death resulted when a child was exposed to 15%
parathion and chlordane dust which had been applied
inside the home by an unlicensed pest control operator;
he was untrained and offered his services illegally. The
most recent death in Tampa occurred in a 17-year-old
boy who was handling empty parathion drums which had
not been decontaminated before their sale to a junk
dealer. Six other children died during 1961 from contact
with parathion, which in most cases had been taken into
the home.

Note: While an extremely useful pesticide, the organic
phosphate, Parathion, is an extremely toxic agent easily
(Continued on page 84)


SUMMARY OF DEATHS AMONG PERSONS 65 YEARS AND OVER IN 108 U. S. CITIES


The weekly average number of deaths among persons
65 years and over in 108 cities for the four-week period
ending June 16 was 6,011 as compared with an expected
6,108 weekly average.


WEEK ENDING 4 Week Weekly
5/26 6/2 6/9 6/16 Total Average
Observed 6,328 5,823 6,175 5,718 24,044 6,011
Expected 6,194 6,135 6,079 6,026 24,434 6,108
Excess 134 -312 96 -308 -390 -97


DEATHS AT AGE 65 AND OVER IN 108 U.S. CITIES
Average number per week by four-week periods
8,500


8,000
INFLUENZA A,

RECORDED
DEATHS"


,-

6,500 "EXPECTED"
NUMBER".



S,50--0 ----- ~----r--


5,WOO--- ------- -----


PERIO .UME 1960 7
S1960
R CE OF OCURR ME


1963


cALriJIATNo FrO'O ANT A(P DEIIEItNaE


(See Table, Page 91)


187


NUMBER

OF

DEATHS


----- -










188 11orbidity and Mortalit, Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 17, 1961 AND JUNE 16, 1962



Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparal7tic Meningitis


Area




UNITED STATES......

NEW 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 ......
Arkansas..............
Louisiana ............,
Oklahoma..............
Texas ............... .

MOUNTAIN..................
Montana...............,
Idaho................
Wypming..............
Colorado..............
New Mexico...............
Arizona................
Utah..................
Nevada................

PACIFIC..................
Washington............
Oregon.................
California ...........
Alaska................
Hawaii................


Cumulative Cumulative
24th week First 24 weeks 24th week First 24 weeks 24th week 24th week
1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961

16 7 173 203 13 4 134 138 3 1 28 36

S 1 3 1 3 1 -
1 -


2 2 -

1 1 1 -

1 31 20 1 18 18 1 2
1 31 7 1 18 6 2
9 -
3 3 -

1 9 24 1 6 16 7 4
1 4 9 1 4 5 2
3 3 2 2
1 7 6 1
2 2 4 2
1 3 1 1 1

7 9 4 5 3
1 3 1 3 3
3 1 2 -
3 3 1


2 2


1 11 20 1 8 16 3 1
2 1 -


2 4 I -
2 2
2 4 1- 3 -
1 2 1 2 -
1 2 6 1 2 6 -
3 3 2 2 3

2 7 20 5 6 1 8
1 2 15 2 2 1 7
1 2 2 1- -
1 1
S 2 3 2 3 1

16 1 82 34 13 1 71 19 3 3 2
1 1 1
2 7 7 1 6 5 1
2
14 1 73 26 12 1 64 14 2 3

8 20 7 12 4 2
3 1 2 1 1
4 -
-
3 3 4 1
1 -
3 5 3 3- -
1 6 1 4- -


1 17 53 14 43 1 8 14
-7 7 2
1 4 1 1 1 -
1 15 40 12 33 1 7 12

1 2 1 2 -


Puerto Rico.............. 6 4 6 4 I-








Morbidity and Mortality Weekly Report 189


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 17, 1961 AND JUNE 16, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Area _-----
Cumu- Cumu- 24th week
lative lative Under 20 &
24th week 24 weeks 24th week 24 weeks 24th week 20 yr. over Total Total 24th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 10 183 4 204 36 26 400 365 815 1,333 13,18E 15,040

NEW ENGLAND.............. 1 3 1 27 19 46 52 1,859 1,967
Maine................ 13 7 20 8 106 118
New Hampshire.......... 1 1 2 1 14 40
Vermont............... 1 2 3 4 87 44
Massachusetts......... 1 2 10 8 18 26 865 1,106
Rhode Island........... 1 1 1 5 113 183
Connecticut ........... 1 1 1 2 8 674 476

MIDDLE ATLANTIC........... 4 4 10 3 67 73 140 178 3,020 3,323
New York............... 1 2 9 3 31 39 70 82 1,560 1,608
New Jersey............ 1 1 12 11 23 42 1,229 725
Pennsylvania .......... 2 -1 1 24 23 47 54 231 990

EAST NORTH CENTRAL ....... 5 44 6 1 3 79 84 164 256 2,768 3,759
Ohio.................. 1 23 28 52 73 375 1,087
Indiana............... 3 3 9 5 14 28 185 125
Illinois.............. 3 35 1 17 15 32 43 364 294
Michigan............. 1 2 3 2 28 34 62 105 1,389 1,337
Wisconsin............. 1 4 2 2 4 7 455 916

WEST NORTH CENTRAL....... 2 72 45 6 2 46 18 72 165 376 246
Minnesota............. 4 16 10 5 21 45 110 9
Iowa............... 1 41 1 19 7 27 41 202 118
Missouri ............. 2 5 1 7 5 13 33 16 53
North Dakota.......... 1 I 1 1 6 47 55
South Dakota.......... 4 11 1 1 1 1
Nebraska............... 1 7 11 1 1 1 10 11
Kansas................... 13 1 4 9 9 29 NN NN

SOUTH ATLANTIC........... 1 15 2 39 3 2 43 47 94 180 839 1,379
Delaware................ 2 2 2 11 27
Maryland .............. 2 1 2 7 9 5 68 152
District of Columbia.. 1 3 4 3 1 7
Virginia.............. 1 7 2 7 8 8 20 33 306 472
West Virginia......... 10 1 11 20 310 378
North Carolina ........ 2 4 1 11 8 19 25 6 115
South Carolina........ 5 2 2 11 20 50
Georgia............... 2 4 3 6 9 34 7 5
Florida............... 4 17 6 12 18 47 110 173

EAST SOUTH CENTRAL....... 1 9 14 44 36 81 168 467 832
Kentucky.............. 13 17 30 62 131 252
Tennessee............. 1 4 6 17 11 29 56 275 527
Alabama............... 4 3 6 4 10 37 28 39
Mississippi........... I 5 8 4 12 13 33 14

WEST SOUTH CENTRAL ...... 1 11 2 77 2 2 28 17 47 88 941 447
Arkansas.............. 1 2 10 1 7 3 10 11 5 17
Louisiana ..... .......1 3 3 5 2 1
Oklahona............. 1 1 5 1 8
Texas................. 8 55 1 2 21 11 34 71 926 429

MOUNTAIN................. 7 8 1 6 7 41 73 1,153 601
Montana............... 1 6 1 1 2 8 208 39
Idaho ................. 1 1 13 5 70 56
Wyoming .................. 4 25
Colorado .............. 2 2 2 2 11 25 338 214
New Mexico............ 1 1 1 2 3 5 NN NN
Arizona................ 2 7 14 202 240
Utah................... 1 2 2 4 11 199 26
Nevada................ 1 1 136 1

PACIFIC.................. 21 10 10 13 60 64 130 173 1,765 2,486
Washington............ 1 1 4 15 19 15 236 260
Oregon ................ 1 1 10 5 15 27 497 208
California............ 18 5 9 11 41 43' 84 130 955 2,009
Alaska ................ 1 5 5 1 12 2 5
Hawaii ................ 1 1 75 4

Puerto Rico.............. 26 6 3 9 30 1 02 2


- I -


~~~~~ ~ ~ ~ ____________ ____ _____ ____ i..... ___3 ___ __ ___


I =~~d' _lal,- s' I_


___I


I










190 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 17, 1961 AND JUNE 16, 1962 (Continued)


Meningococal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cmu- Spotted) Cumu- Cumu-
lative native lative
24th wk 24 weeks 24th week 24th wk. Z 2 4th wk.th wk. 24th wk. 24 weeks 24th week 24 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962
UNITED STATES.... 38 1,136 4,634 4,479 11 10 6 9 209 63 62 1,997

NEW ENGIAND......... 1 71 321 305 3 -
Maine.............. 12 5 20 I1
New Hampshire...... 3 1 5
Vermont............ 2 17 5
Massachusetts...... 1 29 56 98 2
Rhode Island....... 6 16 18 -
Connecticut........ 19 226 159

MIDDLE ATLANTIC..... 15 189 237 460 1 1 24 4 49
New York........... 9 86 136 306 1 14 2 32
New Jersey......... 2 46 42 66 1 7
Pennsylvania....... 4 57 59 88 3 2 17

EAST NORTH CENTRAL.. 1 226 451 575 5 1 1 2 29 13 6 434
Ohio............... 69 47 80 1 2 17 2 225
Indiana............ 20 37 65 3 7 2 142
Illinois........... 1 40 65 70 1 1 5 2 1 33
Michigan.......... 79 174 229 4 3 1 17
Wisconsin.......... 18 128 131 1 3 1 17

WEST NORTH CENTRAL.. 4 64 95 90 1 1 6 17 22 531
Minnesota.......... 1 11 10 4 3 1 111
Iowa............... 9 31 20 7 7 222
Missouri........... 1 18 11 5 1 5 6 9 87
North Dakota....... 1 6 24 31 -- 1 39
South Dakota....... 2 1 5 58
Nebraska........... 8 1 12
Kansas............. 1 10 18 30 1 2

SOUTH ATLANTIC...... 3 190 368 322 1 5 1 3 41 6 6 165
Delaware........... 25 1 3 1 -
Maryland........... 10 11 8 1 2 1
Dist. of Columbia.. 7 2 4 1 1 4
Virginia........... 2 39 109 53 2 1 1 7 3 4 76
West Virgina ...... 10 86 88 1 2 57
North Carolina..... 48 2 14 1 2 1
South Carolina..... 1 12 10 18 4 -
Georgia............ 6 41 1 14 5
Florida............ 33 106 134 1 6 1 1 26

EAST SOUTH CENTRAL.. 69 587 755 1 1 1 16 3 6 245
Kentucky........... 15 48 68 2 2 82
Tennessee.......... 29 492 663 1 1 1 8 5 150
Alabama............ 15 2 1 6 1 1 13
Mississippi........ 10 45 23 -

WEST SOUTH CENTRAL.. 7 100 481 603 1 2 2 57 16 14 418
Arkansas........... 1 1 2 7 1 49
Louisiana........... 4 45 1 1 1 15 1 13
Oklahoma........... 5 8 2 2 3 2 17
Texas.............. 2 39 473 598 1 32 13 13 339

MOUNTAIN............ 2 38 1,041 942 2 19 1 2 20
Montana............ 3 15 15 10
Idaho............. 3 95 69 -
Wyoming............ 2 6 1 3 -
Colorado........... 1 8 409 282 1 -
New Mexico......... 3 229 278 3 1 10
Arizona............ 9 194 213 2 1 1 10
Utah............... 6 91 84 -
Nevada.............. 1 4 2 1 -

PACIFIC............. 5 189 1,053 427 2 1 14 3 6 135
Washington......... 17 113 106 1-
Oregon............. 1 15 10 19 1 4
California......... 3 149 867 286 2 13 3 6 131
Alaska............. 5 51 15 -
Hawaii............. 1 3 12 1 I .. -
Puerto Rico......... 7 1 1 3 2 9










Morbidity and Mortality Weekly Report 191





Table 4 (D). TOTAL DEATHS AMONG PERSONS 65 YEARS AND OVER IN REPORTING CITIES



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


Area For weeks ending Area For weeks ending

5/26 6/2 6/9 6/16 5/26 6/2 6/9 6/16


NEW ENGLAND:
Boston, Mass..............
Bridgeport, Conn..........
Cambridge, Mass...........
Fall River, Mass..........
Hartford, Conn............
Lowell, Mass..............
Lynn, Mass...............
New Bedford, Mass.........
New Haven, Conn...........
Providence, R.I...........
Somerville, Mass..........
Springfield, Mass.........
Waterbury, Conn...........
Worcester, Mass...........

MIDDLE ATLANTIC:
Albany, N.Y................
Allentown, Pa.............
Buffalo, N.Y...............
Camden, N.J...............
Elizabeth, N.J............
Erie, Pa.................
Jersey City, N.J..........
Newark, N.J...............
New York City, N.Y........
Paterson, N.J.............
Philadelphia, Pa..........
Pittsburgh, Pa............
Reading, Pa...............
Rochester, N.Y.............
Schenectady, N.Y.,........
Scranton, Pa....... ......
Syracuse, N.Y..............
Trenton, N.J..............
Utica, N.Y................
Yonkers, N.Y...............

EAST NORTH CENTRAL:
Akron, Ohio................
Canton, Ohio...............
Chicago, Ill..............
Cincinnati, Ohio...........
Cleveland, Ohio............
Columbus, Ohio.............
Dayton, Ohio...............
Detroit, Mich.............
Evansville, Ind...........
Flint, Mich...............
Fort Wayne, Ind...........
Gary, Ind.................
Grand Rapids, Mich........
Indianapolis, Ind.........
Madison, Wis...............
Milwaukee, Wis.............
Peoria, 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 ............


134
14
25
10
32
18
17
16
17
39
9
24
18
29


25
17
84
25
11
23
45
48
951
25
244
143
17
76
18
21
24
19
22
29


25
15
438
95
123
79
53
226
25
17
21
15
28
90
19
79
25
19
18
89
38


27
12
21
76
13
73
38
125
47
33


133
23
21
11
39
11
9
13
16
35
8
31
15
31


32
23
71
13
15
14
34
47
868
24
273
53
15
56
16
19
36
17
13
23


26
23
332
68
117
58
37
189
21
25
27
20
26
66
14
70
13
16
17
67
24


30
8
23
70
17
71
52
129
37
22


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, Term.......
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.............


58
116
14
21
37
28
32
17
40
32
69
27


63
14
11
75
75
15
21
41


14
24
6
52
12
44
82
28
92
37
45
14
36


15
13
54
12
48
10
22
15


17
23
21
19
40
281
47
16
64
27
53
100
18
80
35
15


61
112
11
34
35
20
43
9
57
37
74
18


45
32
17
28
52
21
22
21


13
19
7
68
8
36
83
36
74
34
61
35
34


5
13
54
16
34
17
31
17


12
33
21
19
36
258
46
27
47
32
46
98
21
82
27
20


San Juan, P.R............... 3 0 1 3


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 10,611
4(B) Pneumonia-Influenza Deaths, all ages........ 355
4(C) Total Deaths under 1 Year of Age............ 761
4(D) Total Deaths, Persons 65 years and over..... 5,718


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

NOTE: All deaths by place of occurrence.




tIIIIV RS11 OF FLORIDA

II I 12 I 8 I 4 l lll IIill I ii1111115
3 1262 08864 1815


Morbidity and Mortality Weekly Report


absorbed through the unbroken skin. The minimal lethal
dose of parathion for an adult is 300 milligrams or less.
The fatal dosage for children is extremely low. The
organic phosphate insecticides produce their symp-
tomatology through inactivation of the enzyme cholines-
terase. Early symptoms of phosphatic poisoning in man
are nausea, tightness in the chest, giddiness, abdominal
pain, headaches, excessive sweating, twitching of
muscles, and salivation. Frequently the eyes will have
pinpoint, non-reactive pupils. Other symptoms include
slowed heartbeat, loss of reflexes, convulsions, and
coma. Phosphatic poisoning in the early stages is some-
times mistaken for heat exhaustion, severe respiratory
infection, or asthma.
(Abstracted from Florida Health Notes, May 1962, pub-
lished by the Florida State Board of Health.)




INTERNATIONAL NOTES QUARANTINE MEASURES
Smallpox
Poland declared Nowy Port free of smallpox on June
9. For the first time since January of this year, there are
no areas in Europe considered smallpox infected.


*': ... EPT




J S DEPOSITOR,


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Symboleo --- Doe ae available
oQu sity sor
Procri s br coa utreml of vrlose mortality cur v may be obtained fba
Sllde Secin. Comm-nulble Disease Center. Public ealth Service,
0. S, Depuumen of Helhl. EdUrtaul, rad *Well e. Alents IL Georgia.


192


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