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:
AA00010654:00079

Related Items

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

Full Text
^ ^ &0I


Morbidity and Mortality


U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WEI

PUBLIC HEALTH SERVICE


Prepared by the


For release February 1, 1963


ATLANTA 22, GEORGIA


FARE I



6345131 FEB 1963

*. Vol.- 4


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNI ST ES A ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JANUARY 26, 1963


INFLUENZA Respiratory disease outbreaks are cur-
rently in progress in several areas of Maryland, Virginia,
and North Carolina. Isolates of the Asian Influenza virus
or serologic titer rises to Asian Influenza virus have been
reported from outbreaks in each of these States. In addi-
tion, a confirmed Asian Influenza outbreak has been re-
ported from a convalescent home in Kansas. These are
the only four States of the country which have reported
outbreaks of Asian Influenza during the current influenza
season.
The weekly deaths from pneumonia and influenza
have exceeded the epidemic threshold for the third suc-
cessive week. The excess reflects an excess mortality
in sample cities from the Northern States, West South


Central States, and South Atlantic States (currently the
focus of recognized influenza activity).
Reports of the influenza outbreaks in the affected
areas follow.
EPIDEMIOLOGICAL REPORTS
Influenza-like Illness Follow-up Baltimore
School and industrial absenteeism in the Baltimore
area continues high and there is as yet no conclusive
evidence of decline. In addition, a sudden outbreak of
febrile illness clinically compatible with influenza has
occurred at the Maryland State House of Correction in
Jessup. Since January 23rd approximately 350 inmates in
a total population of 1800 have been affected.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
4th Week Cumulative
Disease Ended Ended Median First 4 weeks
January 26, January 27, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis ............... 26 17 --- 106 56
Brucellosis ..................... 6 1 9 18 22 43
Diphtheria ...................... 8 20 22 24 60 83
Encephalitis, infectious .......... 21 29 27 59 97 88
Hepatitis, infectious and serum.. 1,123 1,566 711 4,095 5,721 2,809
Measles........................ 8,932 10,671 9,432 30,017 31,461 31,461
Meningococcal infections......... 41 44 52 200 198 219
Poliomyelitis, total.............. 6 6 4 19 14 31 87
Paralytic.................... 5 4 10 12 19 63
Nonparalytic .............. .. 1 6 2 5 11
Unspecified. ................. 3 7 13
Streptococcal sore throat
and Scarlet fever ............ 9,368 8,534 -- 32,860 30,405 -
Tetanus ........................ 6 5 --- 19 9
Tularemia............. .........2 4 --- 18 30
Typhoid fever ................... 9 9 11 21 24 31
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... 1 2- 2 -
Rabies in Animals............... 52 57 73 212 228 292


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. cum.
Anthrax: Psittacosis: 6
Botulism: Rabies in Man:
Malaria: N.C.-4 9 Smallpox:
Plague: Typhus, murine: N.C.-l 1


-- -


I CONINIUNIABLI: I)ISESE CFNTFR


~~K
rrr /2/'







Morbidity and Mortality Weekly Report


WEEKLY PNEUMONIA AND INFLUENZA DEATHS


"I








In order to more fully assess school absenteeism, an
elementary and junior high school in central Baltimore
was chosen for more intensive study. The school has a
total enrollment of 1400 in the age groups 6 through 15.
Increased absenteeism began about January 14th reaching
a rate of 30 percent on January 25th.
On January 26th a sample of 89 children absent on
January 25th were surveyed by telephone. Of the 89, 14
(16%) were absent for reasons unrelated to illness. Sixty-
five children (73%) were absent because of illness clini-
cally compatible with influenza. The symptomatology
elicited for 35 absent children between the ages of 12
15 is given below.
Symptomotology Number Percent
Malaise 34 97
Cough 33 94
Fever 32 92
Headache 26 74
Myalgia 23 66
Sore throat 22 63
Coryza 20 57
GI complaint 13 37

The symptomatology is similar to that reported from
the outbreak in Pembroke, North Carolina, in MMWR,
Vol. 12. No. 2.
(Reported by Dr. John H. Janney, Acting Chief, Division
of Epidemiology, Maryland Department of Health, and
Dr. Matthew Tayback, Assistant Commissioner of Health,
Baltimore City Health Department.)

Influenza-like Illness Virginia
A sharp increase in total influenza-like cases re-
ported to State health officials was noted for the week
ending January 26. Approximately 1,000 cases were re-
ported by physicians throughout the State as compared
with recent weekly totals averaging 60-70. Cases were
scattered over most of the 33 counties reporting, with
the greatest concentration occurring in the Richmond
area. Physicians working with the Home Service Program
of a large medical center in Richmond have noted a re-
cent increase in influenza-like illness among their pa-
tients. Paired sera have demonstrated a significant titer


rise to type A2 influenza from one case in this group.
School absenteeism in Goochland County, a suburban
area adjoining Richmond, has risen from usual levels of
about 5% to 18.5% during the past week, largely due to
influenza-like illness. Neighboring communities in Hen-
rico and Caroline Counties have also accounted for a
large percentage of the total cases reported. Local and
State health officials are presently attempting to obtain
further laboratory confirmation for this outbreak.
(Reported by James B. Kenley, M.D., Director, Bureau of
Epidemiology, Virginia State Department of Health.)


Influenza North Carolina Follow-up Report

During the past week, new cases of influenza-like
illness continued to be reported from communities in and
around Robeson County, scene of a recent influenza out-
break (MMWR Vol. 12, Nos. 2 and 3). In addition, new
epidemic foci have been observed in three northern
counties near the Virginia border, as well as in Wake
County in the central part of the State.
The first evidence of a significant outbreak occur-
ring outside the Robeson County area came from the
town of Enfield in Halifax County, about 35 miles from
the Virginia State line. School absenteeism reached peak
levels of 40% during the period January 17-21, most
absence being attributed to illness clinically consistent
with influenza. At about the same time, local health
officials in adjoining Nash and Edgecombe Counties
noted a definite increase in influenza case reports
coming from physicians in these areas.
A sudden increase in absenteeism, reaching peak
levels of 40%, during the period January 25-28, was
also observed in schools serving the town of Fuquay
Springs in Wake County, about 20 miles south of Raleigh.
Absenteeism was attributed to a "flu-like" illness.
Throat washings and acute sera have been obtained by
local health officials in each of these areas.
The epidemic continued to decline at its point of
origin in Robeson County. New cases continue to be
seen in neighboring Hoke and Cumberland Counties, most


1'W UNITED STATES
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V-:-' -, :
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Morbidity and Mortality Weekly Report


of these apparently representing limited outbreaks con-
fined largely to areas close to the Robeson County line.
Additional laboratory data obtained this week has
further confirmed type A2 (Asian) influenza as the etio-
logic agent in the Robeson County outbreak. Of 9 sets
of paired sera submitted to the Respirovirus Laboratory,
CDC, 8 showed greater than fourfold titer rises to the
Asian antigen, when tested for H.I. (hemagglutination
inhibition) antibody. The remaining pair demonstrated a
significant titer rise to parainfluenza virus, type 1.
Parainfluenza virus type 1 was also recovered from throat
washings obtained from this patient. Thus far, A2 in-
fluenza virus has been recovered from one case in the
epidemic. Hemagglutinating agents have been found in
throat washings obtained from 4 other cases. These are
presumed to represent influenza A2 on the basis of the
serologic evidence now: available, although definite
characterization of these isolates must await serial
passage of the virus.
No outbreaks have been reported in the neighboring


States of South Carolina, Tennessee, and Georgia.
(Reported by Jacob Koomen, M.D., Asst. State Health
Director, North Carolina.)

Influenza Kansas

A convalescent home in Johnson County, Kansas,
experienced an outbreak of febrile respiratory disease
which began on January 18. Eleven of 64 elderly resi-
dents, most of whom have chronic debilitating disease,
developed illnesses characterized by acute onset of
fever, malaise, headache, myalgia, and cough. Hemagglu-
tinating agents have been recovered in monkey kidney
tissue in three of eight individuals from whom throat
washings were obtained. One of these agents has been
typed as Asian influenza by both hemagglutination in-
hibition and hemadsorption inhibition tests. One of the
cases from whom an agent was not isolated expired on
January 26.
(Reported by Dr. Don E. Wilcox, State Epidemiologist,
Kansas State Board of Health, and the Kansas City
Field Station of CDC.)
(Continued on page 32)


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 January 26 was 7,311 as compared with an ex-
pected 6,900 weekly average.


WEEK ENDING 4 Week Weekly
1-5 1-12 1-19 1-26 Total Average
Observed 7,171 7,473 7,221 7,378 29,243 7,311
Expected 6,850 6,889 6,919 6,941 27,599 6,900
Excess 321 584 302 437 1,644 411


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


8,000
INFLUENZA AZ
7,500
RECORDED
DEATHS'
7,000


S "EXPECTED" -
NUMBER"




6,5000 -- ---- -- _- --- -- --...._- ---r--


5,000 ::- -
5,0 ii


-"*CACLTED F-Om 1i9S-lseI EP -IENcE


(See table, page 31)


NUMBER

OF

DEATHS








PERIOD NU


UMBER I


7 ,S
1963


I


17 962
1962


* B y clE o OCCURRENCe











28 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 27, 1962 AND JANUARY 26, 1963



Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Area
4th week First 4 weeks 4th week First 4 weeks 4th week 4th week

1963 1962 1963 1962 1963 1962 1963 1962 1963 1962 1963 1962


UNITED STATES...... 6 4 14 31 5 4 12 19 1 26 17

NEW ENGLAND.............. -
Maine................. -
New Hampshire......... -
Vermont............... -
Massachusetts......... -
Rhode Island.........
Connecticut ........... -

MIDDLE ATLANTIC.......... 1 1 14 1 1 8 -
New York............... 14 8 -
New Jersey............. -
Pennsylvania 1 1 1 1 1

EAST NORTH CENTRAL....... 2 6 1 2 5 1 2 2
Ohio.................. 2 1 1 1 1 -
Indiana............... 1
Illinois .............. 2 4 2 4 -
Michigan.............. -- 1
Wisconsin............ 1

WEST NORTH CENTRAL....... 3 1
Minnesota........ .. -
Iowa................ .... 1 1
Missouri.............. 2- -
North Dakota........... -
South Dakota........... -
Nebraska...............- -
Kansas................ -

SOUTH ATLANTIC........... 1 2 1 2 1 2
Delaware.............. -
Maryland.............. ..- -
District of Columbia... .. -
Virginia.............. 1 I 1
West Virginia......... -
North Carolina........ -
South Carolina........ -
Georgia............... -
Florida ............... 1 1 1 2

EAST SOUTH CENTRAL ....... 1 1 1 1 3 2
Kentucky.............. 2
Tennessee............. .- 1 -
Alabama................ 1 1 1 1 2 -
Mississippi........... -

WEST SOUTH CENTRAL....... 2 2 4 3 2 2 4 3 3 2
Arkansas............. .... .
Louisiana............. 2 1 4 1 2 1 4 1 -
Oklahoma ............... 1
Texas ................. 1 2 1 2 3 1

MOUNTAIN ................. I 3 I 2
Montana............... 2 I -
Idaho ................. -
Wyoming................ -
Colorado ............ 2
New Mexico............ .
Arizona............... .. -
Utah .................. 1 1 I 1 -
Nevada.................. -

PACIFIC.................. 2 4 2 2 16 6
Washington............ 4
Oregon............... -
California.............. 2 4 2 2 12 6
Alaska................ -
Hawaii.................. -

Puerto Rico............... -










Morbidity and Mortality Weekly Report 29


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 27, 1962 AND JANUARY 26, 1963 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area Cumu- Cumu- 4th week
lative lative Under 20 &
4th week 4 weeks 4th week 4 weeks 4th week 20 yr. over Total 4th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 6 18 8 24 21 29 622 403 1,123 1,566 8,932 10,671

NEW ENGLAND .............. 1 1 4 4 82 48 133 82 316 1,698
Maine ................. 1 39 16 55 19 15 182
New Hampshire......... 1 1 5 5 3 56
Vermont............... 1 23 6
Massachusetts......... 1 1 1 3 27 24 51 49 62 1,005
Rhode Island......... -- 3 4 4 8 2 32 43
Connecticut........... 11 3 14 6 181 406

MIDDLE ATLANTIC............ 2 1 3 8 107 93 200 156 563 1,245
New York............... 2 1 3 4 60 60 120 77 244 601
New Jersey............. 9 15 24 28 119 459
Pennsylvania .......... 4 38 18 56 51 200 185

EAST NORTH CENTRAL....... 1 1 3 1 114 64 185 285 3,776 1,569
Ohio .................. 2 55 26 83 101 740 110
Indiana.............. -- 6 1 8 31 244 92
Illinois................ 1 1 13 17 33 52 238 764
Michigan .............. 1 1 37 19 56 93 757 411
Wisconsin............. -- 3 1 5 8 1,797 192

WEST NORTH CENTRAL....... 5 13 2 6 3 5 31 16 52 125 1,186 214
Minnesota.............. 1 1 5 4 2 8 28 84 15
Iowa................... 2 9 1 2 7 4 12 38 689 105
Missouri.............. 1 16 8 25 18 37 4
North Dakota........... 1 1 19 362 76
South Dakota........... 2 2 2 4 4 8 12
Nebraska .............. 1 1 1 2 3 6 2
Kansas................ 3 1 4 15 NN NN

SOUTH ATLANTIC........... 9 3 6 89 51 145 200 661 638
Delaware................ 2 27 2
Maryland.............. 1 3 1 4 35 21 68
District of Columbia.. 3 1 2 5 7 4 2 31
Virginia.............. 1 37 19 59 42 127 238
West Virginia......... 13 1 15 25 350 191
North Carolina........ 1 24 16 40 66 30 41
South Carolina........ 1 1 6 15 14
Georgia................ 1 4 4 8 4 6 5
Florida............... 5 4 5 5 11 16 83 48

EAST SOUTH CENTRAL...... 1 3 4 2 62 27 93 339 411 1,303
Kentucky.............- 11 15 207 126 106
Tennessee............. 1 1 1 32 18 50 74 272 630
Alabama ............... 1 2 3 1 2 1 3 29 6 299
Mississippi........... 17 8 25 29 7 268

WEST SOUTH CENTRAL ....... 2 3 1 1 42 23 69 139 494 1,760
Arkansas.............. 1 5 2 7 56 130 4
Louisiana ............ .. 6 3 9 9 1 4
Oklahoma .............. 1 2 10 3 50
Texas.................. 2 2 1 1 31 17 51 64 360 1,702

MOUNTAIN................. 1 1 27 16 103 84 756 189
Montana................. 7 1 9 12 86
Idaho....................... 4 8 78 13
Wyoming .............. .- 1 1 1 14 20
Colorado.............. 1 35 30 173 42
New Mexico............. 4 1 5 15 NN NN
Arizona................. 21 14 214 82
Utah.................. .- 1 15 13 28 4 191 32
Nevada................**** 1

PACIFIC................. 2 3 68 65 143 156 769 2,055
Washington............. 12 9 21 29 160 1,176
Oregon ............... 10 20 20 115 160
California ............ 2 3 44 55 99 97 299 663
Alaska............... 2 2 9 36 51
Hawaii................ 1 1 1 159 5

Puerto Rico.............. 12 1 13 6 14 219









30 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 27, 1962 AND JANUARY Z6, 1963 (Continued)


Meningococal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cumu- Cumu-
lative lative lative
4th wk. 4 weeks 4th week 4th wk-. th wk. 4th wk. 4th wk. 4 weeks 4th week 4 weeks
1963 1963 1963 1962 1963 1963 1963 1963 1963 1963 1962 1963

UNITED STATES... 41 200 9,368 8,534 6 2 9 21 52 57 212

NEW ENGLAND......... 6 20 1,054 568 1 -
Maine............. 1 3 100 28 -
New Hampshire...... 14 10 -
Vermont............ 1 2 19 -
Massachusetts...... 3 7 144 166 l -
Rhode Island....... 3 121 40 1 -
Connecticut........ 2 6 673 305 -

MIDDLE ATLANTIC..... 6 21 509 496 1 4 2 2 9
New York........... 4 10 286 303 1 4 2 9
New Jersey......... 1 1 131 91 -
Pennsylvania ...... 1 10 92 102 2 -

EAST NORTH CENTRAL.. 16 40 1,017 744 5 5 28
Ohio............... 5 12 186 113 3 14
Indiana............ 6 10 203 135 1 4 4
Illinois............ 1 3 123 211 1 1 1
Michigan........... 3 9 224 285 7
Wisconsin.......... 1 6 281 2

WEST NORTH CENTRAL.. 7 384 355 1 1 1 10 15 47
Minnesota.......... 1 26 32 2 1 13
Iowa............... 84 92 1 2 10 12
Missouri........... 2 19 11 1 1 5 2 12
North Dakota....... 1 127 177 2
South Dakota....... 1 19 7 1 1 8
Nebraska........... 2 1 -
Kansas............. 109 36 -

SOUTH ATLANTIC...... 6 42 931 782 3 1 2 4 10 5 39
Delaware........... 16 5 -
Maryland........... 4 28 30 1 1 1 -
Dist. of Columbia.. 1 3 -
Virginia........... 2 10 362 159 1 2 2 14
West Virginia...... 1 6 164 208 5 1 11
North Carolina..... 3 9 41 28 1 1 2
South Carolina..... 2 50 188 -
Georgia............ 8 -
Florida............ 10 259 164 1 1 2 3 1 12

EAST SOUTH CENTRAL.. 4 17 1,302 1,931 1 1 3 4 12 19
Kentucky........... .- 6 68 158 1 2 5
Tennessee.......... 2 8 1,147 1,623 1 1 3 2 10 13
Alabama............. 1 2 18 23 1 1
Mississippi........ 1 1 69 127 -

WEST SOUTH CENTRAL.. 2 21 1,042 973 1 3 5 8 14 36
Arkansas........... 2 3 3 4 2 4
Louisiana.......... 1 4 3 8 1 1 3
Oklahoma............ 1 6 17 13 1 1 4
Texas .............. 9 1,022 949 1 1 6 10 25

MOUNTAIN............ 6 1,688 1,129 1 1 1
Montana............ 54 90 -
Idaho............... 160 157 -
Wyoming............ 98 12 -
Colorado........... 2 441 319 -
New Mexico......... 497 259 1 1 -
Arizona............. 1 153 171 1
Utah............... 3 284 120 -
Nevada............. 1 -

PACIFIC............. 1 26 1,441 1,556 2 13 4 33
Washington......... 1 3 388 612 -
Oregon............. 2 39 53 1
California......... 18 911 830 2 13 4 32
Alaska............. 3 65 24 -
Hawaii............. 38 37 I -
Puerto Rico......... 8 1 1









Morbidity and Mortality Weekly Report 31





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 j Area For weeks ending
1/5 1/12 1/19 1/26 __ 1 1/5 1/12 1/19 1/26


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, Iow .........
Duluth, Minn..............
Kansas City, Kans........
Kansas City, Mo..........
Lincoln, Nebr............
Minneapolis, Minn........
Omaha, Nebr...............
St. Louis, Mo.............
St. Paul, Minn...........
Wichita, Kans............


146
33
27
18
34
23
18
15
28
35
15
34
19
40


27
25
89
23
22
21
55
58
1,127
24
285
97
18
69
13
24
46
20
37
30


36
19
417
108
143
79
56
222
27
25
20
8
33
76
51
87
15
16
19
79
39


40
25
28
78
17
86
61
156
53
38


159
22
20
21
41
17
21
18
23
49
8
31
28
54


21
15
99
31
21
20
43
45
1,142
30
312
141
16
101
15
29
41
30
22
15


35
22
407
120
111
67
83
202
34
25
25
25
37
116
39
89
15
20
20
76
48


41
22
19
84
20
84
52
167
69
37


169
26
24
26
36
25
14
25
38
53
11
26
19
47


39
22
92
27
15
31
57
75
1,072
21
318
111
16
73
14
30
40
25
29
25


37
35
438
107
105
65
45
211
26
26
21
14
48
101
19
84
13
19
24
60
36


28
23
26
83
16
74
45
137
47
29


167
29
21
25
25
21
21
16
16
35
8
29
19
51


30
22
89
31
14
29
50
64
1,164
27
352
90
26
71
22
31
39
38
22
23


35
23
506
92
101
71
42
250
27
16
33
15
29
91
23
65
14
22
32
59
33


41
29
30
115
24
79
35
136
44
42


SOUTH ATLANTIC:
Atlanta, Ga...............
Baltimore, Md............
Charlotte, N.C...........
Jacksonville, Fla........
Miani, 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..............


72
152
27
26
61
23
55
10
42
52
120
23


56
30
20
52
63
31
20
41


20
13
34
85
26
41
73
22
86
43
69
30
23


14
7
75
8
51
16
28
28


20
23
23
22
28
305
44
31
73
36
46
155
35
94
21
35


68
141
11
50
54
36
57
28
78
51
101
27


63
32
29
60
79
21
21
34


38
18
12
59
25
47
81
36
82
41
75
27
63


27
13
91
11
50
17
33
30


13
36
39
22
50
325
63
27
78
49
67
142
21
81
41
28


76
158
16
24
46
23
35
10
80
27
111
22


46
32
14
114
61
24
13
38


28
14
12
72
18
49
75
25
97
65
84
22
37


27
17
77
19
40
13
40
38


16
23
34
25
36
340
65
31
87
38
58
112
19
88
21
27


50
198
18
26
55
28
42
21
62
65
110
20


50
23
17
81
66
25
26
44


20
21
15
72
21
43
80
37
96
58
72
40
39


13
9
63
6
69
14
28
24


8
24
37
27
50
323
64
30
62
44
74
111
21
83
40
23


San Juan, P.R.............. 5 14 23 5


oCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 13,023
4(B) Pneumonia-Influenza Deaths, all ages........ 611
4(C) Total Deaths under 1 Year of Age............ 790
4(D) Total Deaths, Persons 65 years and over..... 7,378


Totals for previous weeks include reported corrections.

NOTE: All deaths by place of occurrence.




S UNIVERSITY OF FlORIDA


3 1262 08864 1351


Morbidity and Mortality Weekly Report


INTERNATIONAL NOTES QUARANTINE MEASURES
Immunization Information for International Travel
1962 edition
Public Health Service Publication No. 384
The following name should be added to the list of Yellow
Fever Vaccination Centers in Section 6:


CITY:
CENTER:


CLINIC HOURS:

FEE:


USIO ST.
CA


Chantilly, Virginia
Dulles International Airport
Herndon Medical Center Annex
Tel. 661-888 or 437-1100
1st Tuesday of each month, 3-4 pm
or by appointment
Yes


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