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:
AA00010654:00083

Related Items

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

Full Text


0.L0/91 IPp




Morbidity and Mortalik



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

PUBLIC HEALTH SERVICE -,*


Prepared by the C D 634-5131


For release July 5, 1963 ATLANTA 22, GEORGIA Vol. 12, No. 26

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JUNE 29, 1963


TULAREMIA The five cases of tularemia reported for
the week ending June 29 brings the total for the first 26
weeks of 1963 to 119 cases, as compared to 131 cases
for the same period in 1962. All 5 cases this week were
from Arkansas. In the table below are shown cumulative
totals for the United States through .the 26th week of
1962 and 1963, and annual totals for the years 1959
hiouch 1962.

1963 1962 1961 1960 1959
21st through 26th week 47* 39* -
1st through 26th week 119* 131* -
Annual Total 308* 365 390 459
*Preliminary figure for these years.


The total number of cases of tularemia reported each
year has shown a consistent decline since 1948 as seen
in the accompanying graph (Figure 2). Geographic distri-
bution of cases continues to show a concentration in the
southeastern quadrant of the United States and is shown
in the map on page 214 (Figure 1).

The seasonal distribution of tularemia cases, seen
in Figure 3, shows two distinct peak periods of activity.
The increased incidence during summer months is due
primarily to cases acquired from infected ticks and flies,
while the late fall and winter peak which occurs each
year represents those cases caused by exposure to in-
fected wildlife.


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


Disease



Aseptic meningitis. ..............
Brucellosis .....................
Diphtheria ...................
Encephalitis, infectious..........
Hepatitis, infectious and serum...
M easles............... .........
Meningococcal infections .........
Poliomyelitis, total ..............
Paralytic.....................
Nonparalytic. ................
Unspecified..................
Streptococcal sore throat
and Scarlet fever ...........
Tetanus ....... ................
Tularemia .....................
Typhoid fever ...................
Typhus fever, tick-borne,
(Rocky Mountain spotted)......

Rabies in Animals...............


Ended

June 29,
1963

35
6
2
40
647
7,199
35
5
2
2
1

4,245
8
5
11

6

74


26th


Week


Ended

June 30,
1962

58
9
6
29
764
7,525
34
21
17
3
1

3,750
13
10
19

18

73


Median
1958 1962


14
6
30
588
8,198
38
41


Cumulative
First 26 weeks
Median
1962 1958 1962


627
169
132
779
23,639
335,217
1,445
81
68
5
8

214,879
112
119
182

51

2,041


606
204
219
782
31,654
416,423
1,215
207
161
29
17

196,749
106
131
246

75

2,157


379
327
758
19,253
365,536
1,337
469


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 2 Psittacosis: calif. 1 30
Botulism: 5 Rabies in Man:
Malaria: La. 2, Va. 1, Calif. 1 47 Smallpox:
Plague: Typhus, murine: Texas 1 7








Morbidity and Mortality Weekly Report



FIGURE 1
GEOGRAPHIC DISTRIBUTION OF TULAREMIA CASES
1961


FIGURE 2
TULAREMIA CASES U. S. 1948-1962


1200-

1000

800-
-

S600-

E 400
z
200


'48 '50 '52 '54 '56 '58 '60 62
year
*Preliminary Data for 1962
Source: Annual Summary CDC and NOVS



EPIDEMIOLOGICAL REPORTS

Tularemia Pennsylvania

On October 19, 1962 a 37-year-old industrial plant
manager developed fever, a small ulcer on his right thumb
and a painful swelling of his right axillary lymph glands.
On October 21, the patient complained of generalized
malaise, weakness, loss of appetite, and an extremely


FIGURE 3
SEASONAL DISTRIBUTION OF TULAREMIA CASES
U.S. 1960-1961"


'F 'M'A 'M'J A S O NDJ 0 'F'M 'A J'JM 'A SO' N'D
1960 1961
Sourcen Annuol Summy CDC





painful arm. Two days later he was hospitalized with
102.50 fever, swollen axillary lymph gland, and severe,
shaking chills. The patient was treated with tetracycline
and responded quickly. After 3-4 days of antibiotic ther-
apy, the lymph glands were opened and drained, however,
the ulcer on the right thumb persisted for approximately
one month before healing. Cultures for P. tularensis were
negative. Agglutination tests for Pasteurella tularensis


214








Morbidity and Mortality Weekly Report


antibodies, however, revealed the following titers:


10/24

10/31

11/7


1:80

1:160

1:360


The patient was an ardent hunter but had not had
contact with animals for many months prior to his illness.
His neighbor possesses a dog and also a domesticated
rabbit, but the patient has had no direct contact with
either animal. He has had no experience with ticks or
tick bites this year.
The patient recalled that on October 10th or llth,
while walking through his plant, his right thumb was
pierced by a small steel thread from a spooled cable.
The slight cut was washed and no further treatment given.
About 4 days later he visited a neighboring house for a
short period. On returning home he discovered a flea on
his leg and two others on his clothes. He destroyed the
fleas by grinding and crushing them between his right
thumb and forefinger. Since the patient had no direct
contact with animals or arthropods except the fleas, the
latter must be considered as the possible vector.
(Reported by Dr. William D. Schrack, Jr., Director, Divi-
sion of Communicable Disease Control, Pennsylvania
Department of Health.)


Salmonella heidelberg Washington

On January 1, nine of 13 persons from four families
became ill following a New Year's Eve party at the home
of one of the families. All in the host family developed
the disease. The illnesses were characterized by fever,
cramps, diarrhea, vomiting and headache. From eight of
the nine who were ill and from one of those not expe-
riencing illness, Salmonella heidelberg was recovered.

The dinner consisting of eggnog, rye crackers, cheese
and pizza pie was served at 6:00 p.m.; a separate prepa-
ration of eggnog was served at 11:00 p.m. The eggnog
'as prepared in the home from fresh eggs, milk, sugar,
vanilla and nutmeg. All who became ill had consumed
eggnog at 11:00 p.m.; two of these persons had not con-
sumed food or eggnog at 6:00 p.m. Assuming the eggnog
served at 11:00 p.m. to have been the vehicle, incubation
periods ranged from 16 to 40 hours.

The source of the eggs were traced and cultures
were obtained of eggs taken from the nest, cloacal drop-
pings, and feed. All, however, failed to yield Salmonella
isolates.
(Reported by Dr. Ernest Ager, Head, Communicable Dis-
ease Control, State of Washington Department of Health
and W. J. Poss, Kittitas County Health Department.)

(Continued on page 220)


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS

The weekly average number of pneumonia-influenza deaths
for the four-week period ending June 29 was 374 as com-
pared with an expected weekly average of 408.





PNEUMONIA-INFLUENZA DEATHS IN 108 CITIES

WEEK ENDING
4 Wepk Weekly
6/8 6/15 6/22 6/29 Total Average
Observed 391 387 361 358 1,497 374
Expected 419 412 405 398 1,634 408
Excess -28 -25 -44 -40 -137 -34


215


PNEUMONIA-INFLUENZA DEATHS IN 108 U.S CITIES


(See table, page 219)


I










216 Morbidity and Mortality Weekly Report



Table (. CASES OF SPECIFIED NOTIFIABLE DISEASES: C UNITED STATES

FOR WEEKS ENDED

JUNE 29, 1963 AND JUNE 30, 1962



Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis


Area


Cumulative Cumulative
26th week First 26 weeks 26th week First 26 weeks 26th week 26th week


Puerto Rico .............. 1 4 7 4 7 I I


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


UNITED STATES...... 5 21 81 207 2 17 68 161 2 3 35 58

NEW ENGLAND.............. 3 3 2
Maine .................. -
New Hampshire......... -
Vermont ............... -
Massachusetts......... 2 2 2
Rhode Island.......... -
Connecticut .......... 1 1-

MIDDLE ATLANTIC.......... 1 1 15 34 1 12 21 1 2 3
New York.............. 1 5 33 1 5 20 1
New Jersey............ 1 1 1 1 -
Pennsylvania 1 9 6 1 2 2

EAST NORTH CENTRAL...... 1 1 17 11 1 12 7 1 11 3
Ohio.................. 1 1 5 5 1 3 5 1 2 1
Indiana............... 2 3 2 2
Illinois.............. .- 7 2 6 1
Michigan.............. 2 2 3 1
Wisconsin............. 1 1 1 4

WEST NORTH CENTRAL....... 3 8 3 5 4 1
Minnesota............. 2 2 2 2 3
Iowa.................. 3 2 1
Missouri................ 1 3 1 1 1
North Dakota ......... -
South Dakota.......... -
Nebraska..... ........ -
Kansas................ -

SOUTH ATLANTIC........... 3 1 12 12 2 1 9 10 3 6
Delaware ............ -
Maryland............... -
District of Columbia.. -
Virginia.............. 2 2 1 2 3
West Virginia......... 1 1 1 1 1 1
North Carolina........ 1 3 2 1 3 2
South Carolina........ 2 2 1 1 -
Georgia................ 1 2 2
Florida............... 3 4 3 3 6

EAST SOUTH CENTRAL ...... 2 6 8 1 5 5 1 4
Kentucky.............. 1 3 2 1 4
Tennessee............. 1 2 3 1 2 1
Alabama................... 3 2 2 2
Mississippi............ 1 1 -

WEST SOUTH CENTRAL....... 11 16 101 8 16 84 3 4 15
Arkansas............... 1 1 1 1
Louisiana............. 13 7 13 6
Oklahoma ................ 1 1 1
Texas.................. 11 2 92 8 2 77 3 3 14

MOUNTAIN ................ 8 7 2
Montana................ 3 2 -
Idaho......... ........... -
Wyoming............... 1 I 1
Colorado.............. 1
New Mexico.............
Arizona ............... 3 3 1
Utah.................. 1 1
Nevada...............

PACIFIC.................. 5 12 22 5 11 19 8 24
Washington............ -
Oregon................ 1 1 2 1 1 2
California............ 4 11 20 4 10 17 7 24
Alaska ................
Hawaii..................









Morbidity and Mortality Weekly Report 217


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 29, 1963 AND JUNE 30. 1962 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area Cumu- Cumu- 26th week
lative lative Under 20 &
26th week 26 weeks 26th week 26 weeks 26th week 20 yr. over Total 26th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962


UNITED STATES...... 6 169 2 132 40 29 295 304 647 764 7,199 7,525

NEW ENGIAND................ 4 4 1 32 23 56 33 259 1,004
Maine................. 16 10 26 10 4 131
New Hampshire......... 9 5 14 1 1 6
Vermont .............. 2 2 1 32 115
Massachusetts......... 2 1 3 6 10 14 138 452
Rhode Island........... 2 2 1 2 32 71
Connecticut........... 1 2 2 4 5 52 229

MIDDLE ATLANTIC............ 4 1 21 9 8 49 59 108 163 1,252 1,593
New York............... 3 13 7 5 31 40 71 77 682 904
New Jersey............. 1 3 6 11 17 32 301 557
Pennsylvania.......... 1 5 2 3 12 8 20 54 269 132

EAST NORTH CENTRAL....... 1 14 16 1 1 59 62 132 128 2,506 1,514
Ohio.................... 1 11 12 24 37 243 359
Indiana............... 2 3 8 7 15 8 63 73
Illinois............... 1 10 7 6 13 19 24 145 221
Michigan .............. 2 3 1 1 33 29 72 49 1,235 565
Wisconsin............. 2 1 1 2 10 820 296

WEST NORTH CENTRAL........ 3 114 36 4 1 7 7 15 27 294 225
Minnesota............. 7 15 12 4 38
Iowa.................. 3 84 I 3 3 2 134 55
Missouri.............. 5 1 5 2 7 8 104 32
North Dakota.......... 1 1 50 91
South Dakota............ 7 10 3 1 1 2 1 2 8
Nebraska.............. 5 8 1 1 2 2 1
Kansas................ 6 1 1 2 N NN

SOUTH ATLANTIC........... 1 5 1 27 8 9 31 21 55 81 660 457
Delaware.............. 3 5
Maryland.............. 6 3 2 4 6 7 80 39
District of Columbia.. 1 1 1 1 4
Virginia .............. 1 3 2 1 2 4 9 14 220 114
West Virginia......... 1 7 4 11 11 243 177
North Carolina......... 1 1 1 6 3 9 24 18 19
South Carolina......... 9 6 2 8 4 40 8
Georgia............... 1 8 5 5 6 9
Florida............... 1 8 4 2 4 6 14 55 82

EAST SOUTH CENTRAL....... 7 9 1 22 13 37 84 372 372
Kentucky............... 2 5 4 11 37 218 59
Tennessee ........... 4 2 10 3 13 31 121 232
Alabama............... 1 7 3 3 9 9 17
Mississippi........... 1 4 6 10 7 24 64

WEST SOUTH CENTRAL....... 1 13 16 1 32 24 56 60 206 565
Arkansas.............. 3 1 2 2 7 31
Louisiana............. 2 5 11 16 15 1 -
Oklahoma .............. 1 4 6 3 1 4 3 6
Texas................ 6 7 1 22 12 34 38 202 528

MOUNTAIN ................ 5 1 3 1 8 10 47 56 651 663
Montana............... -- 3 2 7 2 38 108
Idaho.................. 6 4 118 28
Wyoming............... 1 1 2 10 2
Colorado.............. 1 11 9 162 201
New Mexico............ 1 1 4 5 6 NN NN
Arizona............... 3 2 11 25 287 150
Utah.................. 1 1 4 3 7 8 34 167
Nevada ............... 2 7

PACIFIC.................. 7 2 10 7 55 85 141 132 999 1,132
Washington............. 1 1 17 11 28 42 40 252
Oregon................ 2 7 12 20 13 106 306
California............. 4 2 9 6 30 61 91 71 488 446
Alaska................ 1 1 2 5 20 21
Hawaii ................ 1 1 345 107

Puerto Rico.............. 0 6 2 8 15 7 81









218


1963


I
UtNITED 7 ....

NEW ENGLA N....... 4
Mtaine ............. -
New Hampshire.....
Vermont............ -
nassachus etts...... 4
Rhode Island...... -
Connecticut....... -

MIDDLE ATLANTIC..... 5
New Y.srk........... 4
New Jersey......... -
Pennsylvania....... 1

EAST NORTH CENTRAL.. 5
Ohi ................ 3
Indiana........... -
TI1 -i ........... .
'. .. ........... 2
Wisconsin...........

WEST NORTH CENTRAL.. 4
Minnesota.......... 1
Iowa................
Missouri...........
North ..
South .- L ... ..
Nebraska...........
Kansas............. 2

SOUT71 ATLA.NTIC..... 8
Delaware........... -
Maryland........... -
Dist. of Columbia..
Virginia........... 3
West Virginia......
North Carolina.... 4
South Carolina.... -
Georgia............ -
Florida............ 1

EAST SOUTH CENTRAL.. 2
Kentucky ........... 1
Tennessee......... 1
Alabama............
iss issippi........ -

WEST SO1TH CENTRAL.. 2
Arkansas...........
Louisiana.......... -
Oklah ma........... 1
Texas.............. 1

MOUNTAIN ........... 2
Montana........... -
Idah............... 1
Wyoi in............ "
Colorado ........... -
New 'L i ii....... -
Ariz na.......... .. 1
Utah................ -
Nevad..............

PACIFIC............... 3
Washington......... 1
Oregon............. 2
California..........
Alaska.............
Hawaii..............
Puerto Rico.........


zl


3 1963 1963 1963 1963 1963 1962 1963


'. .:,, 1962 196



91 541 373 -
15 89 109 -
4 2 4
3 5 -
42 74 59
9 29 43
18 347 153 -

197 204 164 -
9C 166 115
27 21 24
80 17 25

233 294 296 3
67 49 26 2
29 65 44 -
39 42 95 1
71 102 62 -
27 36 69 -

87 97 82 2
17 4 6 1
4 22 27 -
30 2 -
4 36 35 -
5 9 1 1
19 -
8 24 13 -

274 317 394 1
2 2 -
41 10 7 -
4 3 -
67 133 57
13 60 82
47 6 12
13 15 1 -
22 43 -
65 93 187 1

111 856 552 -
25 66 15 -
48 715 509 -
21 10 4 -
17 65 24 -

143 450 510 2
9 -
58 2 1
29 10 2 -
47 438 508 1

51 921 499 -
3 29 10 -
4 114 42
4 4 -
12 392 261
3 219 -
8 94 91 -
14 69 93
3 2 -

258 565 880 -
19 119 156
17 9 13 -
208 390 681
7 21 6 -
7 26 24 -
4 11 4 1


6

- I
1
4

1

3 26
1 17
2
2 7

11
3
1
5
1
1

10
3
1
6





1 35
1
3

1 5
6
5
2
2
11

3 18
1-
2 12
4
1 1

4 35
2 17
2 7
2
9

5



2
1
2



36

2
31
1
2
S 10


- I 1 6


Mlorbidit- and Mlortality W1eekly Report


Tabhl ( AS'd OF 1SPI IFIF) NNOTIFIABIL DISIASIS: INITTI) STATES

FOR W' FEKS FNI))


Il'NE 29, 1963 AND JUNI 30. 1962 (Continued)


t r : I i r ,

Scarlet Fever (Rcky Mt.
[ 6 Spotted) Cumu- Cumu-
Il -- lative lative
96th wk 2wceks 2,6rh week 26th wk. 26thwk. 26)h uwl 26thul wk 2.6wk 26th w.,e.L 26 .k..


Area


20
1
12
7




57
43

14

341
211
31
49
31
19

485
128
178
89
14
57
10
9

308



114
91
5
6
37
55

167
79
73
15


418
32
37
33
316

45



2
21
22



200

1
190
9


I I


1-~-T--T~









Morbidity and Mortality Weekly Report





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


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


219


For weeks ending For weeks ending
Area 6/15 6/29 Area 6/15

6/8 6/15 6/22 6/29 __6/8 6/15 6/22 6/29


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


8
6
8
1
0
3
1
3
0
1
1
6
0
3


2
2
5
5
1
0
4
3
56
1
13*
6
3
7
1
0
2
2
2
0


0
0
28
3
4
3
0
8
2
4
1
3
5
1
0
4
1
2
2
0
1


2
2
6
2
1
3
1
3
0
3


SOUTH ATLANTIC:
Atlanta, Ga.............. 1 9 4 1
Baltimore, M ............ 5 5 6 2
Charlotte, N.C........... 0 0 1 0
Jacksonville, Fla........ 1 3 2 1
Miami, Fla............... 0 0 0 2
Norfolk, Va............... 4 3 3 2
Richmond, Va.............. 5 1 2 0
Savannah, Ga............. 3 1 3 8
St. Petersburg, Fla...... 4 3 4 12
Tampa, Fla............... 3 5 5 3
Washington, D.C.......... 12 9 8 7
Wilmington, Del.......... 4 5 4 0

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 2 2 0 0
Chattanooga, Tenn ........ 0 2 1 3
Knoxville, Tenn.......... 1 0 0 1
Louisville, Ky............ 5 10 7 10
Memphis, Tenn............ 6 4 3 5
Mobile, Ala............... 2 1 1 2
Montgomery, Ala .......... 2 0 4 2
Nashville, Tenn.......... 2 9 4 0

WEST SOUTH CENTRAL:
Austin, Tex.............. 4 5 7 3
Baton Rouge, La.......... 1 3 2 1
Corpus Christi, Tex...... 1 0 1 0
Dallas, Tex............... 1 5 3 3
El Paso, Tex............. 0 4 1 3
Fort Worth, Tex.......... O 1 1 0
Houston, Tex.............. 4 0 5 8
Little Rock, Ark......... 2 2 4 4
New Orleans, La.......... 5 3 7 7
Oklahoma City, Okla...... 3 3 1 0
San Antonio, Tex......... 2 4 6 4
Shreveport, La........... 7 6 4 7
Tulsa, Okla............... 2 2 1 2

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

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

San Juan, P.R.............. 3 1 0 4


OCurrent Week Mortality for 108 Selected Cities


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


11,443
358
743
6,346


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

NOTE: All deaths by place of occurrence.




UNIVERSITY OF FLORIDA


3 1262 08864 1385
220 Morbidity and Mortality Weekly Report




Salmonella derby Epidemic Follow-up Report -

Seven hundred thirty-six isolations of Salmonella
derri have been reported from 25 States and the District ~
of Columbia since March 1, 1063. Previous reports ap-
peared in MMWR, Vol. 12, pp. 199, 182, "- 167, and 1 P75 r,
159.
Five hundred sixty-six of the isolates have been
from hospitalized patients who were admitted for reasons
other than salmonellosis and acquired their infection in
hospitals. Sixty-six isolations have been reported from
patients whose initial contact with the organism was
outside of the hospital, 28 patients have had unknown
contact and 76 patients are under investigation.
Ten States have reported hospital-associated in-
fections. Of these, 7 are in the northeastern United States.
Thirty-seven hospitals have been involved, with ten
of these being in Pennsylvania, and nine in New York.
Sixteen patients have died, primarily from other diseases,
but have had associated S. derby gastroenteritis.
(Reported bi the epidemniologists of the various State
Departments of IIealth and teams /rom the Communicable
Disease (Center).


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INTERNATIONAL NOTES QUARANTINE MEASURES :
Cholera M -1 1
Hong Kong was declared infected with cholera on a
June 29, 1963, following the report of one case. Macao o C W C
was declared infected with cholera on July 1, 1963, with i-
four cases reported to date. Cholera was last reported O
from Hong Kong in October 1962, and Macao in September
1961.

Smallpox, Sweden
No new cases have been reported during the past
week. The total number of confirmed cases remains at
23, including four deaths. The fourth death reported in-
volved an unvaccinated 47-year-old male who died on
June 15, 25 days after onset of illness. He was the father
of case 7, also a fatality (See MMWR, Vol. 12, No. 21,
pp. 174 and 183). ,

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