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:
AA00010654:00078

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


C01R,'ALNIC L DISEASE


MElrose 4-5131


For Release November 23, 1962


ATLANTA 22, GEORGIA


Vol. 11, No. 46


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED NOVEMBER 17, 1962


POLIOMYELITIS The week which ended November 17,
1962, accounted for 18 cases of poliomyelitis (14 para-
lytic). These totals are again well below those for the
comparable week in 1961 which brought reports of 32
cases, 25 paralytic, and are only half as great as those
noted last week.
Only 8 States reported cases this week. The reports
from Arkansas and West Virginia represent continued
reporting from the Type I outbreaks in those States which
were described in the MMWR No. 45, Page 353. No new
case concentrations have been noted in the remaining
States.
The Poliomyelitis Surveillance Unit of the Communi-
cable Disease Center has received individual case re-


ports on 449 paralytic cases which had onset in 1962.
Fifty percent of these cases have been among those in
the 0-4 age group. Seventy percent of these children had
received no poliomyelitis vaccinations.
The cumulative totals for 1962 remain well below
the totals for any previous year. A tabular presentation
of these fig i he 1st through the 46th week for
1962 an (e R./gL3 ~ appears below.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
46th Week Cumulative
Disease Ended Ended First 46 weeks
Disease Median ____---
November 17, November 18, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis................ 45 49 -- 2,295 2,941 ---
Brucellosis ..................... 3 9 8 352 520 674
Diphtheria ..................... 16 12 33 399 506 711
Encephalitis, infectious .......... 24 32 31 1,561 1,493 1,653
Hepatitis, infectious and serum... 815 1,224 583 48,030 65,142 19,810
Measles........................ 2,565 2,678 2,678 455,742 399,815 407,506
Meningococcal infections......... 41 44 44 1,879 1,893 2,028
Poliomyelitis, total.............. 18 32 63 789 1,242 5,444
Paralytic .................... 14 25 48 624 812 2,715
Nonparalytic. ........ ........* 3 3 11 114 296 1,909
Unspecified. ................. .1 4 4 51 134 820
Streptococcal sore throat
and Scarlet fever ............ 5,753 5,596 -274,949 279,603
Tetanus ........................ 6 -- 256 -
Tularemia...................... 2 --- --- 255
Typhoid.fever ................... 13 29 22 563 744 773
Typhus fever, tick-borne,
(Rocky Mountain spotted)......- --- -- 214
Rabies in Animals ............... .. 62 59 59 3,281 3,049 3,449


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis:
Botulism: Rabies in Man:
Malaria: N. C. 2, Hawaii 1, Calif. 1 Smallpox:
Plague: Typhus, murine: N. Y. 1, Tex. 1


W k







362


Morbidity and Mortality Weekly Report


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS


OCTOBER 1962 OCTOBER 1961


CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area October 1962 and October 1961 Provisional Data

October Cumulative A October Cumulative
Reporting Area _____________ Reporting Area Calav
1962 1961 1962 1961 1962 1961 1962 1961
NEW ENGLAND............... 60 64 452 449 EAST SOUTH CENTRAL......... 114 94 995 1,051
Maine.................... 0 2 6 4 Kentucky................. 11 17 113 152
New Hampshire............ 1 1 9 10 Tennessee................ 44 26 273 373
Vermont.................. 0 1 0 5 Alabama .................. 52 38 492 408
Massachusetts............. 33 44 286 308 Mississippi.............. 7 13 117 118
Rhode Island.............. 3 2 24 21
Connecticut.............. 23 14 127 101 WEST SOUTH CENTRAL......... 263 262 2,392 2,779
Arkansas................. 24 17 186 251
MIDDLE ATLANTIC.......... 637 518 4,997 4,644 Louisiana................ 91 105 980 1,212
Upstate New York......... 71 47 517 489 Oklahoma................. 12 13 118 69
New York City........... 340 294 2,691 2,796 Texas..................... 136 127 1,108 1,247
Pa. (Excl. Phila.)....... 29 21 139 155
Philadelphia ............ 61 69 661 516 MOUNTAIN.................. 32 22 301 195
New Jersey............... 136 87 989 688 Montana.................. 4 0 7 3
Idaho.................... 1 0 4 9
EAST NORTH CENTRAL......... 186 142 1,398 1,505 Wyoming.................. 0 0 0 2
Ohio....................... 31 23 276 201 Colorado................. 6 5 62 18
Indiana.................. 6 4 78 83 New Mexico............... 9 8 57 37
Downstate Illinois....... 12 12 100 124 Arizona .................. 6 8 109 109
Chicago.................. 90 75 662 777 Utah..................... 1 0 6 5
Michigan ................. 33 24 235 265 Nevada................... 5 1 56 12
Wisconsin................ 14 4 47 55
PACIFIC................... 237 166 1,583 1,342
WEST NORTH CENTRAL........ 25 35 337 326 Washington .............. 5 6 31 74
Minnesota ................ 5 10 50 98 Oregon ................... 3 2 40 34
Iowa..................... 3 2 38 14 California.............. 228 157 1,491 1,227
Missouri...................... 8 16 159 147 Alaska.................... 0 0 5 4
North Dakota.............. 0 0 4 5 Hawaii.................... 1 1 16 3
South Dakota.............. 1 1 29 9
Nebraska ................. 4 1 12 12 U. S. TOTAL............... 2,118 1,723 17,428 16,405
Kansas ................... 4 5 45 41
TERRITORIES............... 55 38 439 338
SOUTH ATLANTIC............. 564 420 4,973 4,114 Puerto Rico............... 49 35 412 310
Delaware ................. 2 3 35 26 Virgin Islands........... 6 3 27 28
Maryland................... 48 56 439 420
District of Columbia..... 58 50 607 519
Virginia.................. 47 36 365 310
West Virginia............. 1 4 36 42
North Carolina............ 93 45 647 461 Note: Monthly figures for 1961 are estimated from quarterly
South Carolina........... 66 54 686 512 reports.
Georgia.................. 107 81 827 887 Cumulative Totals include revised and delayed reports
Florida.................. 142 91 1,331 937 through previous months.


EPIDEMIOLOGICAL REPORTS

Central Nervous System Disease Following Duck Embryo
Rabies Injection New York City

A case of transverse myelitis following use of duck
embryo rabies vaccine has been reported in New York
City. Details of this case are summarized herein because
of the rarity of this syndrome.
On April 19, 1962, four days following a dog bite on
the right thigh, a 33-year-old Brooklyn resident was re-
ferred to the New York City Health Department. Since he
could not identify the dog, anti-rabies treatment was
begun. The treatment consisted of daily injections of
1 cc. duck embryo vaccine subcutaneously in the upper
arms.


On the morning of May 4, following the 13th in-
jection, he experienced difficulty in voiding. He slept
through the rest of the morning and late on May 4 went
to the clinic and received his last injection. His only
complaints during the series concerned local reactions
at the sites of vaccine injections. At 9:00 p.m. that night,
he walked with difficulty and could not urinate. He was
catheterized by his private physician who also gave him
six sulfa tablets. The following day, the patient noticed
increased weakness in his legs and continuing difficulty
in urination. He also complained of anorexia and fever.
On May 6, he was hospitalized with weakness and de-
creased sensitivity of his extremities, headache, stiff-
ness and pain in the neck, urinary retention, and fever up
to 1020F.








Morbidity and Mortality Weekly Report


Examination of the patient on May 7 showed him to
be somewhat apprehensive and alert. There was a loss of
sensation over the lower half of his abdomen and lower
extremities, accompanied by a sensation of fullness of
the bladder. There was extreme weakness of both lower
extremities and the patient was unable to stand or use
his legs. Further examination revealed an absence of
sensation and reflexes from the L2 level, absent patellar,
cremasteric, and abdominal reflexes, and no Babinski.
The patient had no history of allergies. A spinal tap
performed on admission showed the cerebro-spinal fluid
to be clear in appearance with a cell count of 3 WBC's
per cc. and a Pandy showing traces of albumen. Blood
chemistries and counts on May 7 were essentially normal;
however, on May 12, a differential white blood count re-
vealed 72% polys, 21% lymphs, and 7% eosinophils. Addi-
tional laboratory examinations of acute and convalescent
blood specimens, cerebro-spinal fluid and of stools gave
no evidence of bacterial or viral involvement of the
nervous system.
Follow-up examinations after May 9 indicated pro-
gressive improvement. By May 17, the patient was able
to walk and had had complete return of sensation. A
slight foot drop on both sides was still evident. When


the patient was discharged on May 23, his bladder func-
tion, sensory modalities, and deep and superficial re-
flexes were all normal. However, he still walked with an
awkward gait. Examination of the patient at the end of
July revealed complete recovery.
(Reported by Dr. Harold Fuerst, Chief, Bureau of Preventable
Diseases, City of New York Department of Health.)



Probable Clostridium perfringens Food Poisoning -
Minnesota
On Sunday, October 21, 1962, an outbreak of an
estimated 55 cases of gastroenteritis occurred in 150
persons who partook of a church dinner. Onset of symp-
toms occurred from 7-12 hours after eating. Symptoms con-
sisted of abdominal cramps, nausea, and severe diarrhea,
with the greatest severity in children. The main dish
was creamed chicken prepared in a local restaurant and
transported to the church in portable electric ovens.
Some of the left-over chicken was taken home by par-
ishioners and on Monday appeared spoiled with gas
fermentation.

(Continued on page 3I8)


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS


The weekly average number of pneumonia-influenza
deaths for the four-week period ending November 17 was
403 as compared with an expected 436 weekly average.


WEEK ENDING 4 Week Weekly
10/27 11/3 11/10 11/17 Total Average
Observed 381 422 400 409 1,612 403
Expected 419 430 442 453 1,744 436
Excess -38 -8 -42 -44 -132 -33


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


NUMBER
OF
DEATHS









PERIOD NU


'a. MCE OF QCCFO,,rOCr CALLCA~AEO 0009 950 SO 50060,05C


(See Table, page 367)


363









364 l1orlbiditi a.dl Mortalilt \N ekly Report


Tliblc i ( ASI S OF SPE( IFIE) NOTIIIABI F DISI AS1A ( Nil Fl ) S' ATES

FOR W'El K I t NI)E1)

NOVEMBER 18, 1961 AND NOVEMBER 17, 1962



Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis
Cumulative Cumulative
ArX.
46th week First 46 weeks 46th week First 46 weeks 46th week 46th week
1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961

UNITED STATES...... 18 32 789 1,242 14 25 624 812 3 3 45 49

NEW ENGIAND.............. 2 8 40 2 7 28 3
Maine................. 5 5
New Hampshire........ 2 -
Vermont ............... 1 1 12 1 10
Massachusetts......... 1 6 15 1 6 9 2
Rhode Island......... I-
Co necticut........... 1 5 1 3

MIDDLE ATLANTIC.......... 3 10 75 323 2 6 54 213 1 3
New York............... 1 9 55 242 5 37 155 1 1
New Jersey............ 7 35 7 28
Pennsylvania 2 1 13 46 2 1 10 30 2

EAST NORTH CENTRAL....... 3 7 123 164 3 6 90 104 8 17
Ohio.................. 1 19 46 17 21 1
Indiana............... 21 16 15 9 3
Illinois.............. 3 1 56 34 3 1 40 17 3 9
Michigan.............. 5 19 36 5 15 32 4 4
Wisconsin............. 8 32 3 25 1

WEST NORTH CENTRAL....... 37 72 26 32 4 3
Minnesota .......... 7 6 7 6 4 2
Iowa ................... 7 18 3 9 -
Missouri............... 10 24 5 7 1
North Dakota.......... 4 4 2 1 -
South Dakota.......... 1 3 1 -
Nebraska.............. 8 8 8 4
Kansas............... 9 4 -

SOUTH ATLANTIC............ 2 7 68 216 2 7 60 159 2 2
Delaware .............. 2 1
Maryland .............. 2 2 41 2 1 31
District of Columbia. 2 3 1 3
Virginia............... 9 13 9 13
West Virginia......... 2 1 12 32 2 1 12 22 1
North Carolina ........ 13 21 11 11
South Carolina........ 1 6 35 1 6 27 1
Georgia............... 16 30 13 23
Florida............... 3 8 39 3 7 28 2

EAST SOUTH CENTRAL....... 1 70 91 58 51 1 1
Kentucky.............. 29 27 23 5
Tennessee. ............ 10 26 5 10
Alabama.............. 22 11 22 11
Mississippi........... 1 9 27 8 25 1 1

WEST SOUTH CENTRAL....... 6 5 308 150 3 4 238 83 3 1 10 1
Arkansas............... 3 22 20 1 18 9 2
Louisiana........... 3 25 54 3 22 43 -
Oklahoma .............. 2 23 4 2 18 7
Texas................. 1 2 238 72 1 180 31 1 1 3 1

MOUNTAIN ................ 16 45 12 26 10
M ntana ............... 4 4 3 2
Idaho................. .. 2 14 1 6
Wyoming............... 2 1
Colorad............... 3 8 2 8
New Mexico.............. 3 1
Arizona................. 4 8 4 6 9
Utah................. 1 8 1 4
Nevada............... ..-

PACIFIC.................. 4 84 141 4 79 116 21 9
Washington ............ 5 26 5 26 1
Oregon................ 6 17 5 8 -
California............ 4 73 93 4 69 77 21 8
Alaska ...............- -
Hawaii.......... ...... 5 5 -

Puerto Rico................. 11 7 11 7 1


i i I I I I i I I I I









Morbidity and Mortality Weekly Report 365


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 18, 1961 AND NOVEMBER 17, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and Serum
Area ,
Cumu- Cumu- 46th week
lative lative Under 20 &
46th week 46 weeks 46th week 46 weeks 46th week 20 yr. over Total Total 46th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 3 352 16 399 24 32 444 315 815 1,224 2,565 2,678

NEW ENGLAND.............. 4 3 2 2 64 43 107 46 140 527
Maine.................. 1 37 15 52 4 41 171
New Hampshire......... 2 2 4 6 11 59
Vermont............... 1 1 1 1 2 12
Massachusetts......... 1 1 20 22 42 29 33 231
Rhofe Island......... 1 1 1 1 1 4
Connecticut........... 2 1 1 3 3 6 6 55 50

MIDDLE ATLANTIC.......... 9 3 15 8 9 72 59 131 125 271 231
New York.............. 4 3 13 3 7 35 36 71 49 96 117
New Jersey............ 1 1 9 15 24 34 34 51
Pennsylvania.......... 4 1 5 2 28 8 36 42 141 63

EAST NORTH CENTRAL....... 2 80 1 11 5 7 66 69 143 257 919 356
Ohio.................. 1 4 2 27 21 49 85 89 21
Indiana............... 1 6 5 3 2 5 24 40 49
Illinois.............. 1 56 2 4 14 19 35 42 120 124
Michigan.............. 6 3 1 1 18 25 43 96 276 102
Wisconsin............. 11 1 1 4 2 11 10 394 60

WEST NORTH CENTRAL....... 1 137 1 87 1 32 16 57 160 230 193
Minnesota............. 13 24 4 2 14 62 29 11
Iowa................... 80 15 7 4 11 18 170 102
Missouri.............. 4 5 16 5 22 38 4
North Dakota........... 2 1 8 1 1 2 2 24 36
South Dakota........... 11 15 2 3 5 2 1 44
Nebraska.............. 1 13 18 1 1 1 9 2
Kansas................ 14 2 1 1 2 29 NN NN

SOUTH ATLANTIC........... 27 6 116 2 3 65 32 97 167 147 184
Delaware.............. -- 1 2 1 3 1 2
Maryland................ 1 8 4 12 11 6 25
District of Columbia.. 2 2 2 3 3
Virginia............... 13 1 13 1 8 12 20 37 36 51
West Virginia......... 2 23 1 24 26 79 76
North Carolina........ 2 11 18 10 28 54 6 11
South Carolina........ 10 9 3 1
Georgia ............... 3 2 39 2 1 3 10 -
Florida............... 8 3 39 1 1 2 3 5 16 17 15

EAST SOUTH CENTRAL....... 16 29 48 23 71 154 55 203
Kentucky.............. 1 8 6 14 45 7 31
Tennessee............. 7 7 20 7 27 69 38 139
Alabama............... 6 15 12 5 17 18 7 12
Mississippi........... 2 7 8 5 13 22 3 21

WEST SOUTH CENTRAL....... 34 4 117 1 4 24 19 50 83 65 255
Arkansas.............. 9 2 20 1 1 3 4 19 2 2
Louisiana.............. 8 10 5 2 7 18 2
Oklahoma............... 6 6 2 2 7 52
Texas ................. 11 2 81 1 3 16 14 37 39 61 201

MOUNTAIN................... 12 1 10 1 24 5 43 60 328 263
Montana .............. 1 6 12 1 13 5 145 100
Idaho ................. 1 3 2 13 11
Wyoming ............... .i I i 30
Colorado.............. 2 3 25 88 28
New Mexico.............. 1 3 1 9 3 12 1 NN NN
Arizona............... 7 15 19 26
Utah................... 4 3 3 12 63 68
Nevada................ 1

PACIFIC.................. 33 11 6 5 49 49 116 172 410 466
Washington.............. 6 6 13 19 117 202
Oregon................. 3 11 20 28 39 70
California............ 28 6 5 5 30 41 76 113 136 168
Alaska.................. 5 2 1 6 7 24 25
Hawaii................ 1 5 94 1

Puerto Rico.............. 35 21 10 31 19 25 34









Morbidit and Mortality 11eekl Report


I.abhe ( A'Es OF PI( IHIID NOTIFIABLI DISEASES. UNIT[) STATES

FOR WF EKS I NDID


NOVEMBER 18, 1961 AND NOVEMBER 17, 1962 (Continued)


Area


UNITED STATES....

NEW ENGLIAND.........
3Maine..............
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...........
Dist. 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.............
Wyoming.............
Colorado..........
New Mexico.........
Arizona............
Utah...............
Nevada.............

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


. 1


46th wk


Cumu-
lative
46 weeks


1962 1962

41 1,879

3 113
1 17
1 4
4
1 44
13
31

4 330
1 146
1 81
2 103

13 368
6 111
30
2 82
5 123
S 22

3 101
19
2 13
1 24
8
6
17
14

4 286
35
1 23
7
1 63
16
1 66
18
11
1 47

1 119
34
47
1 21
17

3 154
16
66
1 8
2 64

2 61
S5
3
S5
9
6
1 15
9
1 9

8 347
1 23
21
4 288
8
3 7


Streptococcal
Sore Th rat &
Scarlet Fever


46th week

1962 1961

5,753 5,596

354 239
66 8
2 2
2 2
73 32
25 22
186 173

210 192
89 110
63 24
58 58

444 294
78 52
64 56
108 61
100 51
94 74

206 204
25 23
78 33
5 14
68 85
2

28 49

597 515
6
8 8
7
205 107
244 139
33 41
21 15
2 1
78 197

898 965
44 62
732 846
53 17
69 40

616 743
16 17
2 4
7 23
591 699

1,138 1,405
74 75
63 74
31 37
301 411
462 351
72 245
135 212


1,290 1,039
308 274
39 31
718 673
173 34
52 27

I_____


Tetanus


Tickborne
Typhus
(Rcky Mt.
Spotted)


46th wk. 46th wk.


Tularemia




46th wk.


1962 1962


Typhoid Fever Rabies in Animals


16th wk.
1962


Cumu-
lative
k6 weeks
1962


46th week


Cumu-
lative
46 weeks


1962 1961 1962


3,281

2
1







147
95
1
51

712
362
183
90
41
36

864
209
332
148
49
98
21
7

342

11

130
130


9
62

336
118
195
23


573
66
20
28
459

36



4
13
19



269

17
252


2 16 1 2 20


Puerto Rico......... 9


366









Morbidity and Mortality Wekl Report





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

11/3 11/10


11/17


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

MIDDLE ATLANTIC:
Albany, N.Y................ 1 3 2 1
Allentown, Pa ............. 0 1 0 1
Buffalo, N.Y............... 3 3 7 4
Camden, N.J................ 1 2 5 0
Elizabeth, N.J............ 0 1 1 1
Erie, Pa................. 4 3 2 3
Jersey City, N.J.......... 2 9 5 4
Newark, N.J............... 4 5 4 3
New York City, N.Y........ 52 50 50 71
Paterson, N.J............. 0 0 1 2
Philadelphia, Pa.......... 11 14 11 13
Pittsburgh, Pa............ 9 7 3 3
Reading, Pa............... 0 0 0 0
Rochester, N.Y............. 15 9 19 12
Schenectady, N.Y.......... 1 0 1 1
Scranton, Pa............... 0 2 4 21
Syracuse, N.Y.............. 2 5 3 4
Trenton, N.J............. 2 0 3 3
Utita, N.Y................. 0 3 1 0
Yonkers, N.Y............... 1 1 2 4

EAST NORTH CENTRAL:
Akron, Ohio................ 0 1 0 2
Canton, Ohio.............. 2 1 0 1
Chicago, Ill.............. 27 47 44 30
Cincinnati, Ohio.......... 2 5 3 6
Cleveland, Ohio............ 4 1 5 4
Columbus, Ohio............ 0 0 10 7
Dayton, Ohio............... 4 1 1 2
Detroit, Mich............. 9 14 9 9
Evansville, Ind............... 0 1 1 2
Flint, Mich................ 6 3 2 3
Fort Wayne, Ind........... 3 4 5 2
Gary, Ind.................. 2 2 2 1
Grand Rapids, Mich........ 1 1 1 1
Indianapolis, Ind......... 2 6 6 3
Madison, Wis.............. 3 0 0 0
Milwaukee, Wis............ 2 2 2 5
Peoria, Ill............... 0 1 1 0
Rockford, Ill............. 5 2 1 4
South Bend, Ind........... 11 2 3 3
Toledo, Ohio.............. 1 3 4 3
Youngstown, Ohio.......... 0 1 0 1

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


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

NOTE: All deaths by place of occurrece.


Area


For weeks ending


10/27 11/3


11/10


11/17


SOUTH ATLANTIC:
Atlanta, Ga.............. 4 2 1 11
Baltimore, Md............ 9 9 3 8
Charlotte, N.C............ 1 1 1
Jacksonville, Fla........ 2 2 4 2
Miami, Fla............... 0 2 1 1
Norfolk, Va.............. 1 3 1 2
Richmond, Va............. 3 1 1 2
Savannah, Ga............. 5 2 4 2
St. Petersburg, Fla...... 3 6 2 4
Tampa, Fla............... 3 5 0 3
Washington, D.C.......... 6 7 14 8
Wilmington, Del.......... 1 5 2 3

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 2 0 1 3
Chattanooga, Tenn........ 9 5 6 5
Knoxville, Tenn........... 0 1 1 0
Louisville, Ky ........... 14 5 9 13
Memphis, Tenn............ 5 1 6 2
Mobile, Ala................ 1 2 3 1
Montgomery, Ala.......... 3 4 1 2
Nashville, Tenn........... 3 4 4 8

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

MOUNTAIN:
Albuquerque, N. Mex...... 4 3 13 1
Colorado Springs, Colo... 1 2 2 2
Denver, Colo............. 13 3 3 5
Ogden, Utah.............. 3 0 2 0
Phoenix, Ariz ............ 4 5 1 3
Pueblo, Colo............. 0 0 1 1
Salt Lake City, Utah..... 1 2 1 1
Tucson, Ariz............. 2 3 0 1

PACIFIC:
Berkeley, Calif.......... 2 1 0 0
Fresno, Calif............ 5 3 2 3
Glendale, Calif.......... 0 0 0 0
Honolulu, Hawaii......... 3 0 1 2*
Long Beach, Calif........ 0 0 0 0
Los Angeles, Calif....... 14 20 9 10
Oakland, Calif........... 1 2 1 4
Pasadena, Calif.......... 1 0 1 1
Portland, Oreg............. 3 4 0 2*
Sacramento, Calif........ 1 1 2 1
San Diego, Calif......... 0 2 4 2
San Francisco, Calif ..... 8 3 3 0
San Jose, Calif.......... 5 3 2 0
Seattle, Wash............ 7 5 1 5
Spokane, Wash............. 2 1 2 3
Tacoma, Wash............. 3 3 0 1

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


0 Current Week Mortality for 108 Selected Cities


4(A) Total Mortality, all ages...................
4(B) Pneumonia-Influenza Deaths, all ages........
4(C) Total Deaths under I Year of Age ............
4(D) Total Deaths, Persons 65 years and over .....


11,488
409
731
6,520


367








368


Morbidity and Mortality Weekly Report


On bacteriological examination smears showed
numerous Gram-positive bacilli, Gram-positive cocci in
pairs and short chains. Cultures showed (1) Gram-positive
spore-formine non-motile bacilli which were morphological-
Iv and biologically indistinguishable from Clostridium
per/rinrgens. (2) Streptococcus 'iridans, and (3) non-
hemolytic, coagulase negative, Staphylooccus alhus.
fReport id i D. riFrl ng, I1.P.. Director, Division of
Pzsc as PreTention and Control, State Department of
IHealth, Vinneapolis, Iinnesota.)


'H -- I


INTERNATIONAL NOTES QUARANTINE MEASURES

No report.


)c

-


UNIVERSITY OF FLORIDA


3 1262 08864 1625