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:
AA00010654:00082

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


CO. r IA D


MElrose 4-5131


For release January 4, 1963


ATLANTA 22, GEORGIA


Vol. 11, No. 52


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASE'S IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED DECEMBER 29, 1962


POLIOMYELITIS The 707 cases of paralytic polio-
myelitis' reported for the 52 weeks of 1962 represent 177
fewer cases than were reported by weekly telegram during
1961. The 886 total cases of poliomyelitis represent a
35% drop from the record low in 1961 of 1,364 total cases.



Poliomyelitis (Cumulated Weekly) Through 52nd Week
for Post Five Years

1962 1961 1960 1959 1958
Paralytic 707 884 2292 5715 3150
Total 886 1364 3301 8573 6092


Texas alone accounted for 28% of the total cases.
Limited outbreaks in 1962 were recognized in Alabama,
Arkansas, California, Kentucky, Oklahoma, Pennsyl-
vania, Texas, Virginia, and West Virginia. As has been
true since 1955, the cases of poliomyelitis have occur-
red primarily in unimmunized, pre-school age children.
During 1962, Type III oral vaccine was licensed,
and all three types of oral vaccine were widely used. It
is estimated that during 1962 over 35,000,000 persons
received Type I oral vaccine, approximately 19,000,000
Type II oral vaccine, and 15,000,000 Type III oral vac-
cine. The vaccine was used largely in community pro-
grams and was not uniformly distributed throughout the
United States.


e 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)


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 29,
1962

18
8
10
18
726
4,388
37
8
7
1


5,473
1
5
10


52nd Week
Ended
December 30,
1961

27
15
25
19
1,364
4,278
69
30
15
11
4

6,094


Median
1957 1961


7
25
19
441
4,272
46
54
29
6
19



13


Cumulative
First 52 weeks


1962


2,535
397
458
1,784
53,218
476,616
2,122
886
707
125
54

312,426
285
304
622

214

3,548


3,140
581
594
1,649
72,790
421,847
2,188
1,364
884
324
156

317,079


828



3,411


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 6 Psittacosis: Ill. 1 82
Botulism: 9 Rabies in Man: 2
Malaria: N.Y. 1 112 Smallpox:
Plague: Typhus, murine: 31


Median
1957 1961


729
907
1,809
23,016
429,840
2,268
5,946
2,162
2,825
959



851



3,919


-- --
- ~--


Wekl


~d








Morbidity and Mortality Weekly Report


INFLUENZA No confirmed outbreaks of influenza have
vet been observed during the 1962-1063 influenza season.
The last confirmed outbreak of influenza in the I'. S. was
an Asian influenza outbreak involving 8( cases at a
Minnesota hospital in May.

HEPATITIS A preliminary total of 53,218 cases of
hepatitis was reported for the year 1962. While this was
a drop from the 72,651 cases during the record year of
10,1, 1062 still represents the second highest hepatitis
year since hepatitis was first nationally reported in 1952.

ENCEPHALITIS- There were 1,784 cases of encephalitis
reported during 1962. During the last 10 years, the num-
ber of cases reported yearly has ranged from 1,912 to
2,624.
The one large epidemic of arthropod-horne encepha-
litis in 1962 occurred in the Tampa Bay area in Florida.
Between July 1 and October 22, 455 human illnesses
were reported as possible encephalitis. Highest attack
rates for the disease, confirmed as St. Louis Encepha-
liti, occurred among persons 50 years of age and over.
Reports of the outbreak have appeared in previous issues
of MMW R (Vol. 11, Nos. 34-37 and 42).

DIPHTHERIA The number of cases of diphtheria drop-
ped to its lowest recorded level with 458 cases reported.
during 1962. The previous low was recorded in 1961 with
617 cases. As in previous years, cases occurred pri-
marily in the South and among unimmunized school child-
ren. Small outbreaks occurred in the fall of 1962 in
Sioux City, Iowa, Huntsville, Alabama, and New York
City.





EPIDEMIOLOGICAL REPORTS

Stophylococcal Food Poisoning Florida

On November 21, 1962, an explosive outbreak of food
poisoning occurred at four adjacent schools in a Florida
city. Before the investigation was concluded, 898 cases
of illness with varying degrees of abdominal cramps, diar-
rhea, dizziness, nausea, and vomiting were noted. The
total enrollment of the four schools involved was 2500,
giving an attack rate of 35.9%.The first case occurred
about one hour after food ingestion, while the median onset
of illness was five hours after ingestion in 28 cases cho-
sen for study. One child was hospitalized but was dis-
charged in three hours.
The investigation revealed that the food for the four
schools involved was prepared in the kitchen in one school
and then distributed to the three adjoining schools for
serving. The attack rates were comparable in all the
schools, suggesting contamination in the central kitchen.
The central kitchen employed 18 persons. These were all


examined and the chief cook was found to have a chronic
appearing paronychia of one finger. This was cultured and
the laboratory reported growth of coagulase-positive
staphylococci.
The meal had consisted of baked turkey, dressing,
string beans, cherry sauce, cake with candied fruit and
raisins, mashed potatoes, and giblet gravy. The turkeys
had been prepared in stages and, during their preparation,
were left at room temperature for varying lengths of time.
A few of the turkeys were heated before serving, but most
of them were served cold with piping hot gravy poured
over the turkey. The chief cook made the giblet gravy and
helped in the preparation of the turkey. Samples of the
giblet gravy, potatoes, and dressing were not available for
laboratory study, while the remaining food showed no
positive findings. A review of the food ingested by those
ill revealed that all had eaten the turkey over which the
gravy had been poured.
It would appear likely that the outbreak was caused
by staphylococcal enterotoxin contamination of the turkeys
and/or giblet gravy by a cook with a staphylococcal
paronychia.
.(Abstracted from ( ommunicable Disease Notes, Bureau of
Preventable Diseases, Flurida State Board of Health.)





Typhus Fever New York State

A 56-year-old man, who had immigrated from Hungary
many years ago, had onset of an illness on March 2, 1962,
characterized by headache, sore eyes and fever, followed
by a generalized spotty rash. He was a small dealer in
local and imported hides and skins, and was reported to
have scratched his hand on the claw of a local raccoon
pelt in the middle of February. lie was admitted to a
hospital on March 15, thirteen days after the onset of
illness. By March 23, following streptomycin and chlor-
amphenicol therapy, the patient was afebrile and no
longer had a rash.
Laboratory tests for leptospirosis and tularemia
were negative; however, the Proteus OX19 tests were
positive. Agglutination of Proteus OX19 was 1:1200 on
March 23, and 1:160 on May 7. Clinically, epidemiologi-
cally and by laboratory tests there was no evidence to
suggest Rocky Mountain Spotted Fever. Complement
fixation tests for typhus, performed at the State Labora-
tory, showed a rise in titer from 64 to 799 between
March 15 and March 20, and a fall to 287 on June 19.
An effort to differentiate between Brill's Disease and
marine typhus by means of a toxin neutralization test
was unsuccessful because of high titers against both
toxins.
(Reported by Dr. Robert M. Albrecht, Director, 0,r.-. of
Epidemiology, and the Division of Laboratories and Re-
search, State of New York Department of Health.)


410








Morbidity and Mortality Weekly Report


Response to Oral Sabin Program Columbus, Ohio,
Health Department
The Columbus, Ohio, Health Department carried out
an oral Sabin program for Type I polio vaccine on Sep-
tember 30, 1962. At that time, approximately 536,000
doses were administered. The recipients of the vaccine
were residents primarily of Columbus and Franklin Coun-
ties, since the surrounding counties carried out similar
type programs at the same time.
Following the administration of the vaccine, an
attempt was made to determine which groups had been
reached in the immunization program. Sample surveys were
were conducted of responses to the program in the vari-
ous census tracts throughout Columbus and Franklin
Counties. The best responses were in school-age groups,
although a fair proportion of those in the 1-5 year age
group did get immunized as well. The accompanying
graph shows the responses of the populations in Colum-
bus and Franklin County for the various age groups.
The census tract data revealed that the poorest
responses to the immunization campaign came from the
(Continued on page 416)


MI/PAAIMTION IN OA4RI POIO IfNINIAZ4/ATO# PAO'RAM
/IN COIUNr/M OrdS /RA,4"l/ CO4',1T1af

POPULATION BY AGE GROUP


100I






60%


40%


20%


766 Z7















II 1-5 6-14 15-19 20-39 40*


All A2g






AllAfa


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 December 29 was 6,626 as compared with an ex-
pected 6,710 weekly average.


WEEK ENDING 4 Week Weekly
12/8 12/15 12/22 12/29 Total Average
Observed 6,570 6,405 7,067 6,462 26,504 6,626
Expected 6,617 6,682 6,743 6,797 26,839 6,710
Excess -47 -277 324 -335 -335 -84


(See table, page 415)


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


8,500


8,000--


RECOROEO
DEATHS'
NUMBER

OF

DEATHS :.i 1 "




55 ,, 00 FM


PER 00 N MBER---S___
NUMBERPERIOD NUMBER
1 960 196 1962 963


411











412 lorbidit[ and Vlortalit' Weekly Reporl


Table CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 30, 1961 AND DECEMBER 29, 1962



Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis


Area




UNITED STATIC

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 Col
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.........

Puerto Rico.......


Cumulative Cumulative
52nd week First 52 weeks 52nd week First 52 weeks 52nd week 52nd week


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


ES...... 8 30 886 1,364 7 15 707 884 1 11 18 27

........ 9 50 8 33
....7 7
......- 3 1
...... 1 13 11
........ 7 21 7 10
........ 1i -1 1
........ 1 5 1 3

....... 2 3 88 347 2 1 67 227 -1
....... 3 58 259 1 40 164 1
....... 9 35 9 28
2 21 53 2 18 35

....... 1 140 181 105 111 2 2
........ 20 48 18 22
..... 1 24 21 18 11
...... 63 37 45 19 1 1
....... 21 41 17 32 1 1
....... 12 34 7 27

...... 3 41 83 1 30 37 2 1 2
....... 2 7 8 7 6 2 1 2
....... 7 21 3 10
....... 1 12 28 1 7 10
...... 5 5 3 1
2 4 2 2
8 8 8 4
S 9 4

....... 2 4 78 228 1 3 69 169 1 1 1 9
2 1 1 -
1 2 45 1 1 34 7
umbia.. 2- 2 3 1 3
....... 9 14 9 14
....... 2 18 35 2 18 25
....... 13 21 11 11 -
....... 6 35 6 27
....... 2 19 30 1 15 23 1 -
....... 1 9 43 8 31 I 2

....... 1 1 82 95 1 1 69 55 2 4
....... 30 27 24 5 1
....... 12 26 6 10 1
....... 1 1 23 12 1 1 23 12 2 1
....... 17 30 16 28 1

....... 1 6 334 162 1 5 257 93 1 3 2
...... 23 23 20 12 I
....... 1 1 33 56 1 1 30 45
....... 32 4 23
....... 5 246 79 4 184 36 1 3 1

....... 8 19 62 1 15 33 6 1
....... 4 4 3 2 1
....... 2 15 1 6
2 1 1
....... 11 3 11
....... 7 2 13 1 2 3 5
....... 4 9 4 7
....... 1 8 1 4
.... 1 1

....... 2 4 95 156 2 3 87 126 1 9 6
....... 5 32 5 30 1 -
....... 7 17 5 8
...... 2 3 83 101 2 2 77 82 1 8 6

....... 61 1 -

...... 13 7 13 7










Morbidity and Mortality Weekly Report 413


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 30, 1961 AND DECEMBER 29, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and Serum
Area
Cumu- Cumu- 52nd week
lative lative Under 20 &
52nd week 52 weeks 52nd week 52 weeks 52nd week 20 yr. over Total Total 52nd week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 8 397 10 458 18 19 399 280 726 1,364 4,388 4,278

NEW ENGLAND.............. 4 4 2 3 53 40 99 58 282 744
Maine................. 28 12 40 12 12 236
New Hampshire......... 3 6 9 3 25 15
Vermont ............... 1 6 7 1 15 2
Massachusetts......... 1 2 11 19 31 35 164 353
Rhode Island.......... 1 2 2 4 2 47
Connecticut........... 2 1 1 5 3 12 3 64 91

MIDDLE ATLANTIC.......... 9 22 8 3 75 70 145 172 374 768
New York............... 4 18 6 2 40 40 80 90 162 423
New Jersey............. 2 11 12 23 14 54 246
Pennsylvania.......... 4 2 2 1 24 18 42 68 158 99

EAST NORTH CENTRAL....... 1 82 1 14 2 2 84 54 146 296 1,954 796
Ohio.................. 1 22 11 34 85 224 61
Indiana............... 7 5 9 7 17 33 55 26
Illinois.............. 1 57 1 4 1 1 31 17 52 53 139 474
Michigan.............. 6 4 1 1 20 18 38 117 497 133
Wisconsin............. 11 1 2 1 5 8 1,039 102

WEST NORTH CENTRAL ...... 6 164 2 101 1 1 24 9 38 155 298 107
Minnesota............. 14 30 2 3 6 60 20 11
Iowa.................. 2 87 15 1 5 2 7 38 226 47
Missouri.............. 4 5 11 2 13 23 14 2
North Dakota......... 2 1 9 22 33 46
South Dakota........... 15 1 22 5 5 1
Nebraska............... 1 16 18 4 2 5
Kansas ................ 3 26 2 1 1 2 3 10 NN NN

SOUTH ATLANTIC........... 27 4 135 1 2 30 20 54 161 533 307
Delaware.............. 1 1 1 6 -
Maryland............... 1 3 2 5 68 14 33
District of Columbia.. 2 2 2 4 5 2 29
Virginia.............. 13 4 18 1 3 4 7 32 161 158
West Virginia......... 2 1 9 1 13 22 304 72
North Carolina........ 2 12 8 3 11 24 16 1
South Carolina........ 10 1 2 4 1 3
Georgia................ 3 46 4 -
Florida................ 8 44 1 4 5 9 5 30 11

EAST SOUTH CENTRAL....... 1 20 1 35 40 21 61 244 56 516
Kentucky ............. 1 20 7 27 153 28 173
Tennessee.............. 1 10 7 15 3 18 58 23 308
Alabama............... 7 1 20 1 4 5 26 4 15
Mississippi........... 2 8 4 7 11 7 1 20

WEST SOUTH CENTRAL....... 39 2 124 4 23 9 32 71 101 440
Arkansas.............. 11 20 10 1 31
Louisiana................ 9 1 12 6 2 8 18 1 8
Oklahoma.............. 8 8 1 2 4
Texas................. 11 1 84 4 17 7 24 42 97 397

MOUNTAIN ................ 16 12 22 7 46 69 434 197
Montana................ 1 6 9 4 13 12 212 49
Idaho.................. 1 1 4 11 54 13
Wyoming............... 1 -- 4 1
Colorado.............. 2 5 10 13 83 66
New Mexico............ 5 3 3 3 NN NN
Arizona................ 6 8 20 45 29
Utah .................. 5 5 3 8 6 39 39
Nevada................. 1

PACIFIC.................. 36 11 4 4 48 50 105 138 356 403
Washington ............ 1 9 9 19 32 46 138
Oregon ................ 3 6 10 16 60 58
California............ 30 6 4 3 32 39 73 89 249 123
Alaska................. 2 5 1 2 3 1 1 78
Hawaii ..1............. --- 1 --- --- -- -- --- 6

Puerto Rico................ 36 1 4 5 19 5 23










4Morbidity and Mortality eekly Report



lahli (.A ES OF ,SP (.II.ID NO'Il-1 ABLL DISEASES. ('NITI ) S TATES

FOR W IEKS FNDD)t


DECEMBER 30, 1961 AND DECEMBER 29, 1962 (Continued)


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............
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.............


Infections Sore Throat &
Scarlet Fever


52nd wk.

1962


Cumu-
lative
52 weeks 52nd week

1962 1962 1961

2,122 5,473 6,094


Puerto Rico........ -
Puerto Rico.......... 1 9


464 303
93 10
20 2
4
91 112
29 27
231 148

330 281
187 157
63 50
80 74

707 439
60 60
142 58
197 123
161 76
147 122

175 208
15 21
50 28
3 7
95 77
5
1
6 75

496 366
2 5
37 13
1 2
217 149
157 107
11 14
33 17
3 7
35 52

820 1,250
57 158
651 1,048
13 8
99 36

607 901
7
9 2
13 8
585 884

1,202 1,455
104 83
122 121

467 655
219 252
104 259
186 83
S 2

672 891
153 213
20 19
499 597
S 49
--- 13
1 7


Te tanus


Typhus Tiilaremia Typhoid Fever
(Rcky Mt.
Spotted) iCumu-
Ilative


52nd wk.- 52nd k

1962 1962


52nd wk.
1962


52nd wk. 52 weeks

1962 1962


10 622

11
2


8



2 69
1 35
1 14
20

1 93
44
12
1 18
12
7

32

2
25
2
1
2


4 107
2
3
10
19
5
4 10
9
24
25

1 76
1 27
29
S 12
S 8

1 127
1 34
32
7
54

48
10
I
3
8
13
11
2


1 59
3
1

1
1

17
I F


Rabies in Animals


52nd week


Cumu-
lative
52 weeks


1962 1961 1962


44 79


3,548

2








169
111

57

742
380
186
93
47
36

943
240
352
161
54
108
21
7

371

11

137
146
1

12
64

370
137
210
23


609
70
25
31
483

41



4
13
24



301

17
284


I I 1 20


1 20


I I 1


~--T-=~


414











Morbidity and Mortality Weekly Report





T.ihl 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.)o


415


Area For weeks ending Area For weeks ending

S12/8 12/15 12/22 12/29 12/8 12/15 12/22 12/29


NEW ENGLAND:
Boston, Mass..............
Bridgeport, Conn..........
Cambridge, Mass...........
Fall River, Mass..........
; l: 1 -J, ; ............
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............


148
36
24
11
27
10
24
17
36
43
13
38
20
43


21
23
86
19
21
36
49
60
994
33
294
135
17
81
18
22
40
15
21
12


24
20
371
97
121
47
53
202
22
20
29
14
42
84
27
86
12
20
15
56
31


36
15
20
85
19
72
50
121
42
23


147
37
25
18
23
23
18
20
34
45
13
37
23
42


23
20
99
28
15
30
62
62
1,082
28
274
112
15
73
13
33
44
30
20
20


35
21
439
106
128
80
56
188
36
30
33
14
22
88
40
69
16
23
40
66
48


34
16
22
86
19
67
36
169
57
25


1 .'



Jb
14
17
22
34
45
10
23
20
38


39
18
-'1



39
46
1,104
24
275
62
19
101
20
19
47
31









1'
74..:


..i








21
28
94



58
27

74
21
18
29
58
32




23
10
12
79
23
76
31
144
52
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, 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.............


62
141
10
22
33
25
33
28
68
45
104
21


42
28
15
86
77
25
13
39


13
8
5
68
13
57
69
41
68
51
50
20
50


18
21
61
8
43
11
19
30


21
21
23
8
25
281
48
29
83
24
70
119
21
83
31
12


60
160
17
36
63
31
36
16
85
57
107
12


55
25
19
77
43
27
16
37


31
20
16
86
20
35
91
33
81
38
68
41
24


20
17
65
15
62
10
24
26


17
25
28
17
23
327
42
23
65
43
45
135
18
93
34
22


San Juan, P.R.............. 17 12 17 (---)


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages.................... 11,118
4(B) Pneumonia-Influenza Deaths, all ages........ 451
4(C) Total Deaths under 1 Year of Age............. 613
4(D) Total Deaths, Persons 65 years and over..... 6,462


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

NOTE: All deaths by place of occurence.




r- Ei RS IT L CF L*ZRDA


3 1262 08864 1658

416 Morbidity and Mortality Weekly Report




central areas of the city which housed the lowest socio-
economic group. Under 50% of the population in these
high risk areas responded. These were the same areas
which responded poorly to an immunization campaign
in 1959.
(Reported by 0. M. Goodloe, M. D., Commissioner, Colum-F T
bus, Health Department, and H. J. Leuchter, M.D., Medi-
cal Service Chief.)



INTERNATIONAL NOTES -QUARANTINE MEASURES
No Report.


















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