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:
AA00010654:00086

Related Items

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

Full Text

;G-VS GO/z / /Z/0%


Morbidity and Mortali


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

PUBLIC HEALTH SERVICE


Prepared by the


SFEB 1963
634 31


For release February 8, 1963 ATLANTA 22, GEORGIA 1Vd j 12, No. 5
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UN S AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED FEBRUARY 2, 1963


INFLUENZA Outbreaks of acute febrile respiratory
disease have been reported from the District of Columbia
and ten States, including Maine, Vermont, Delaware,
Maryland, Virginia, North Carolina, South Carolina, Geor-
gia, Illinois, and Kansas.
Influenza A2 virus has been isolated or confirmed by
serologic titer rises as the causative agent of outbreaks
in the District of Columbia, Maryland, Kansas, North
Carolina and at the Great Lakes Naval Training Station
in Illinois.
The number of pneumonia-influenza deaths reported
weekly by 108 cities has remained above the epidemic
threshold for the past four weeks.


Excess deaths for two or more consecutive weeks
have been reported from the Mountain, West South Central
and South Atlantic States. During the week ending Febru-
ary 2, deaths in the West North Central and Middle Atlan-
tic States exceeded the epidemic threshold for the first
time in 1963.


Maryland Influenza in Baltimore continues to be
epidemic with some indication that the peak of the epi-
demic curve has passed. The Baltimore Police Depart-
ment has had over 300 absentees during the month of
January from a total of 3,740 men.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
5th Week Cumulative
Disease Ended Ended Median First 5 weeks
February 2, February 3, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis................ 24 18 -- 130 74 ---
Brucellosis ..................... 4 1 13 22 23 58
Diphtheria ...................... 9 13 22 32 73 107
Encephalitis, infectious .......... 26 35 26 86 132 111
Hepatitis, infectious and serum... 1,207 1,699 775 5,305 7,420 3,564
Measles ........................ 9,297 10,166 10,219 39,342 41,627 42,728
Meningococcal infections ......... 64 54 57 264 252 272
Poliomyelitis, total.............. 3 15 15 17 46 106
Paralytic .................... 3 11 11 15 30 58
Nonparalytic................. 3 3 2 8 37
Unspecified................... 1 1 8 11
Streptococcal sore throat
and Scarlet fever ............ 9,039 9,728 --- 41,906 40,133
Tetanus ........................ 1 6 --- 20 15 .
Tularemia ..................... 5 4 --- 23 34
Typhoid fever ................... 4 10 10 25 34 39
Typhus fever, tick-borne,
(Rocky Mountain spotted) ..... --- 2
Rabies in Animals ............... 54 73 81 266 301 373


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: Psittacosis: N.C. 1, W. Va. 1 8
Botulism: Rabies in Man:
Malaria: Ky. 1 10 Smallpox:
Plague: Typhus, murine:


k.-OMML,NICABLE I)IS EASE CENTFR








Morbidity and Mortality Weekly Report


INFLUENZA AND INFLUENZA-LIKE DISEASE OUTBREAKS U. S. A.
January I through February 5, 1963 By State


o Outbreaks characteristic of influenza
0 with laboratory confirmation
Outlr-kiL! .r i:ri "i .i-aill. characteristic
Sof u-.l...r:. : i.rcr.'.ir confirmation
Outbreaks of febrile respiratory disease resembling influenza
0 Adequate epidemiologic characterization lacking. No laboratory confirmation


Results of a telephone survey of absenteeism at the
Robert Poole Elementary and Junior High School for the
month of January is shown in the figure below. At the
time of the survey, approximately 70% of school absentees
were shown to be ill with disease compatible with
influenza.
Two more A2 isolations have been obtained from
throat washings from two employees at the Johns Hopkins
Hospital, an epidemic focus. Isolations were confirmed at
the Maryland State Laboratories.



District of Columbia Siie January 15th, five in-
influenza A2 isolates have been obtained from individuals
with acute febrile respiratory disease. Two of the iso-
lates were from 79-year-old and 86-year-old males who
subsequently expired with death attributed to influenza-
pneumonia and pneumonia, respectively.
School and industrial absenteeism in the District
of Columbia has been somewhat higher for the month of
January than in the same months in 1962 and 1961.



Virginia Thirty-nine of V\reinia' 97 counties re-
ported outbreaks of influenza-like illness for the week
ending February 2, with a total of 4,535 cases compared
to 1,000 for the previous week. School absentee rates as
high as 20% were reported from several rural counties
bordering known sites of epidemic influenza in North
Carolina. A Lenif:j3r, titer rise to Type A influenza has
been obtained in one of eleven pairs of sera tested. Labor-
atory studies are continuing.


ROBERT POOLE ELEMENTARY a JUNIOR HIGH SCHOOL
BALTIMORE INFLUENZA OUTBREAK
ELEMENTARY SCHOOL
No-fran Its" R,
P-- Pne Ab.ln Mi y Doa
JUNIOR HIGH SCHOOL
SI Normst Abont arng
Percenl Albutelain By Oa

/L 'N



S- -


'AY OF ABSENTEE
TELEPHONE SURVEY


JANUARY


Georgia An outbreak of acute febrile respiratory
disease began at the University of Georgia, in Athens,
about January 22-24.
At the height of the epidemic (January 28-30), ap-
proximately 150 new cases mere seen each day at the
University Infirmary. The illness, lasting 4-5 days, is
characterized by sudden onset of myalgia, weakness.
anorexia, sore throat, nasal congestion and temperatures
between 100 and 1020. An abrupt decline in the number of
patients reporting to the Infirmary was noted on Febru-
ary 1. PFractiiin physicians in the surrounding community
of Athens are now beginning to see a similar illness
among their patients. Laboratory studies are under way.








Morbidity and Mortality Weekly Report


South Carolina Increased school absenteeism due
to acute febrile respiratory disease is reported from Con-
way in Horry County, near the North Carolina border.
Conway schools reported 20% absenteeism on February 4.
Epidemiologic data and specimens are being collected.

North Carolina Epidemic influenza has continued
to spread in North Carolina and has involved most parts
of the State. Seventy-one of North Carolina's 100 counties
submitted reports for the week ending February 2. Of
these, 55 indicated that outbreaks of influenza-like dis-
ease were current. In Robeson and Hoke Counties, two
of the earliest to be affected, the epidemic has passed
its peak. The western and west central portions of the
State are the only areas which have been free of
community-wide outbreaks, although sporadic cases have
been reported.


Vermont An outbreak of influenza-like illness last-
ing 3-4 days and characterized by sudden onset of fever,
chills, headache, sore throat, and myalgia is occurring in
Island Pond, Essex County. School absenteeism and lab-
oratory studies are in progress.

Maine An influenza-like illness characterized by
fever (102-1030), weakness, sore throat, cough and rhini-
tis, appeared at Colby College in Kennebec County during
the 4th week of January. Admissions to the infirmary for
this illness rose from 6 on 1/25 to 27 on 1/30. There has
been no evidence of spread to the population outside the
school. Laboratory studies are in progress.

Great Lakes Naval Training Station Illinois -
Since January 21, an outbreak clinically characteristic of
of influenza, involving some 150 cases, has occurred in
(Continued on page 40)


TOTAL DEATHS RECORDED IN 108 U. S. CITIES


The weekly average number of total deaths in 108
cities for the four-week period ending February 2 was
13,030 as compared with an expected 12,227 weekly aver-
age, an excess of an average of 803 deaths each week, or
3,211 excess deaths for the four-week period. This is the
first four-week period of the current year to show an ex-
cess and this is the largest excess during a comparable
four-week period since the A2 influenza epidemic of 1960.


WEEK ENDING 4 Week Weekly
1/12 1/19 1/26 2/2 Total Average
Observed 13,322 12,699 13,023 13,076 52,120 13,030
Expected 12,239 12,246 12,229 12,195 48,909 12,227

Excess 1,083 453 794 881 3,211 803


TOTAL DEATHS RECORDED IN 108 U.S. CITIES
Average number per week by four-week periods


'B PLACE OF OCCURRENCE


U-LUL -TED PROM 954-' EXPERIENCE


(See table, page 39)










36 1Morbidity and lMortali ~ Weekly Reporl



Tablc 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 3, 1962 AND FEBRUARY 2, 1963



Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Area
5th week First 5 weeks 5th week First 5 weeks 5th week 5th week
1963 1962 1963 1962 1963 1962 1963 1962 1963 1962 1963 1962


UNITED STATES..... 3 15 17 46 3 11 15 30 3 24 18

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

MIDDLE ATLANTIC.......... 1 6 2 20 1 4 2 12 2
New York.............. 1 6 1 20 1 4 1 12 2
New Jersey............ -
Pennsylvania 1 -

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

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

SOUTH ATLANTIC........... 1 2 1 4 1 2 1 4 2 2
Delaware.............. 1
Maryland. ............. .-
District of Columbia.. -
Virginia............... 1 1 1
West Virginia.......... 2
North Carolina........ 1 1 1 1 1 1 1
South Carolina........
Georgia .............. -
Florida............... 1 2 1 2

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

WEST SOUTH CENTRAL....... 1 2 5 5 1 1 5 4 1 1
Arkansas........ .. ...
Louisiana............. 1 5 1 1 5 1
Oklahoma .............. .
Texas................. 2 4 1 3 1 1

MOUNTAIN.................. 3 2 10 1
Montana............... 2 1
Idaho ................. -
Wyoming...............
Colorado ................ 8 1
New Mexico ............ .-
Arizona................
Utah................... 1 -
Nevada................ 2

PACIFIC................... 2 4 2 2 7 6
Washington........ -
regon. .............
California............- 2 4 2 2 7 6
Alaska...................
Hawaii. ...............

Puerto Rico.............. 1









Morbidity and Mortality Weekly Report 37


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 3, 1962 AND FEBRUARY 2, 1963 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area -----
Cumu- Cumu- 5th week
lative lative Under 20 &
5th week 5 weeks 5th week 5 weeks 5th week 20 yr. over Total 5th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 4 22 9 32 26 35 680 443 1,207 1,699 9,297 10,166

NEW ENGLAND.............. 1 97 54 152 80 456 1,635
Maine................. 66 26 92 17 18 385
New Hampshire......... 6 6 12 9 5
Vermont ............... 2 1 3 2 24 3
Massachusetts......... 1 8 17 26 32 170 759
Rhode Island.......... 2 1 3 12 37 111
Connecticut........... 13 3 16 8 207 372

MIDDLE ATLANTIC.......... 2 2 3 3 9 110 108 218 187 622 1,293
New York............... 2 1 2 2 5 75 61 136 100 246 678
New Jersey............ 14 26 40 38 129 381
Pennsylvania.......... 1 1 1 4 21 21 42 49 247 234

EAST NORTH CENTRAL....... 1 2 2 3 1 115 75 197 411 3,722 1,285
Ohio.................. 40 27 69 173 232 104
Indiana ............... 3 2 6 37 128 80
Illinois.............. 1 2 2 1 20 17 40 50 187 430
Michigan.............. 1 1 48 27 75 131 1,373 494
Wisconsin............. 1 4 2 7 20 1,802 177

WEST NORTH CENTRAL....... 2 15 3 9 2 4 44 26 71 150 531 171
Minnesota............. 1 1 6 4 11 30 127 17
Iowa.................. 2 11 1 10 7 17 57 130 54
Missouri.............. 2 23 11 34 17 40 12
North Dakota.......... 1 2 221 74
South Dakota........... 2 2 6 1 1 1 2 3 2 8
Nebraska.............. 1 1 1 1 1 2 8 11 6
Kansas................ 2 3 2 5 33 NN NN

SOUTH ATLANTIC........... 1 9 6 3 77 33 116 203 1,311 878
Delaware.............. 2 2 1 8 6
Maryland .............. I 6 4 11 27 24 119
District of Columbia.. 1 4 4 1 3 22
Virginia.............. 1 16 9 26 36 146 355
West Virginia......... 8 1 10 40 564 258
North Carolina........... 1 5 2 29 4 33 57 77 13
South Carolina........ .- 1 2 3 1 5 9 157 7
Georgia............... 1 2 2 4 7 6 12
Florida............... 4 13 6 21 25 326 86

EAST SOUTH CENTRAL....... 1 1 5 1 2 95 32 138 271 509 1,090
Kentucky.............. 1 1 35 45 130 361 90
Tennessee ............. 1 1 30 11 42 78 112 703
Alabama............... 1 1 .4 15 3 18 36 27 91
Mississippi........... 15 18 33 27 9 206

WEST SOUTH CENTRAL....... 2 2 3 2 41 37 82 108 522 1,839
Arkansas .............. 1 -1 i 1 7 1 8 29 50 9
Louisiana............. 7 8 15 9 6 5
Oklahoma .............. 1 1 1 1 1 4 8 6 84
Texas ................. 2 26 27 55 62 460 1,741

MOUNTAIN................. 31 15 91 84 833 471
Montana............... 16 6 22 5 132 253
Idaho.................. 7 8 70 4
Wyoming.............. 1 155 2
Colorado.............. 2 2 24 32 222 30
New Mexico............ 10 6 16 10 NN NN
Arizona................. 15 19 185 143
Utah.................. 3 1 4 9 69 39
Nevada................. 2 1

PACIFIC..................... 11 14 70 63 142 205 791 1,504
Washington ............. 4 12 8 20 49 161 635
Oregon................ 5 14 22 109 169
California............ 7 14 52 54 106 117 319 603
Alaska................ I- 1 15 10 94
Hawaii..................... 1 1 2 192 3

Puerto Rico.............. 2 2 16 17 38










38 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITI I) STATES

FOR WEEKS FNDED

FEBRUARY 3, 1963 AND FEBRUARY 2, 1963 (Continued)


Meningococcal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Aa Cumu- Spotted) Cumu- Cumu-
lative lative lative
5th wk. 5 weeks 5th week 5th wk. 5th wk.5th wk. 5th wk. 5 weeks 5th week 5 weeks
1963 1963 1963 1962 1963 1963 1963 1963 1963 1963 1962 1963

UNITED STATES.... 64 264 9,039 9,728 1 5 4 25 54 73 266

NEW ENGLAND......... 2 22 960 640 1 -
Maine............... 3 26 24 .
New Hampshire..... 7 5 -
Vermont............ 1 56 32
Massachusetts...... 1 8 157 146 1- -
Rhode Island....... 3 125 54 -
Connecticut........ 1 7 589 379 1 -

MIDDLE ATLANTIC..... 13 34 664 630 4 2 11
New York........... 2 12 305 399 4 1 10
New Jersey......... 6 7 162 118 -
Pennsylvania....... 5 15 197 113 1 1

EAST NORTH CENTRAL.. 6 46 962 866 1 5 5 33
Ohio................ 2 14 117 200 14
Indiana............ 1 11 136 150 2 4
Illinois........... 1 4 108 197 1 3 4
Michigan........... 2 11 366 135 2 1 9
Wisconsin.......... 6 235 184 2 2

WEST NORTH CENTRAL.. 7 14 289 385 1 12 30 59
Minnesota.......... 1 2 17 38 2 9 15
Iowa............... 123 88 4 13 16
Missouri........... 5 7 5 10 -- 1 3 5 15
North Dakota....... 1 110 151 2
South Dakota...... 1 2 15 3 3 11
Nebraska........... 2 1 1 -
Kansas............. 18 97 -

SOUTH ATLANTIC...... 16 58 765 762 3 4 10 2 49
Delaware........... 7 4 -
Maryland........... 3 7 50 43 -
Dist. of Columbia.. 1 1 -
Virginia........... 1 11 272 233 1 4 1 18
West Virginia...... 6 152 181 6 17
North Carolina..... 1 10 61 32 1 1 2
South Carolina..... 3 5 61 66 1 -
Georgia............. 12 26 -
Florida............ 8 18 149 177 2 1 12

EAST SOUTH CENTRAL.. 5 22 1,207 1,782 3 5 12 24
Kentucky........... 6 84 123 3 3 8
Tennessee.......... 2 10 948 1,517 3 1 9 14
Alabama............ 1 3 57 28 1 2
Mississippi........ 2 3 118 114 -

WEST SOUTH CENTRAL.. 7 28 1,007 1,017 1 2 7 13 16 49
Arkansas........... 2 52 7 1 1 5 1 4 5
Louisiana.......... 3 7 17 6 4 7
Oklahoma ........... 1 7 22 54 4
Texas.............. 3 12 916 950 1 2 8 12 33

MOUNTAIN ............ 1 7 1,658 1,921 1 4 1 5
Montana ............ 55 80
Idaho.............. 165 186 -
Wyoming........... 116 -
Colorado........... 2 804 590
New Mexico......... 365 367 -- 1 2 1 2
Arizona............ 1 2 175 242 2 3
Utah............... 3 86 338
Nevada ............. 8 2

PACIFIC................. 7 33 1,527 1,725 2 4 3 7 36
Washington......... 3 609 624
Oregon.............. 2 43 59 1 1 1
California.......... 7 25 847 904 1 3 3 7 35
Alaska............. 3 3 87 -
Hawaii.............. 25 51- -
Puerto Rico......... 3 1









Morbidity and Mortality Weekly Report 39




Table 4 (A). TOTAL 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

For weeks ending For weeks ending
Area 1 1/19 1 1/26 2/2 1/12 1Area /19

1/12 1/19 1/26 2/2 1/12 1/19 1/26 2/2


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


271
38
34
33
64
24
28
26
46
85
12
45
40
71


44
23
177
54
32
35
74
126
1,988
41
551
227
27
144
23
49
69
58
27
27


61
34
807
207
227
129
121
365
50
49
50
43
58
190
61
142
25
33
39
103
66


273
48
35
40
66
35
20
36
53
75
13
34
27
75


58
37
134
55
21
41
95
167
1,835
45
604
208
25
111
25
47
67
46
40
36


72
47
787
172
185
137
81
374
48
48
35
31
73
176
35
138
24
27
40
91
62


276
46
36
37
48
33
24
31
33
63
12
51
31
65


54
39
145
54
29
43
81
113
1,944
48
598
191
30
102
26
45
70
65
33
33


59
40
877
163
177
114
88
459
47
38
47
24
48
166
36
111
21
37
43
105
57


71 55 55
36 32 40
44 48 57
143 137 176
37 28 44
128 118 115
87 70 69
287 243 232


111
63


75 66
52 65


272
31
21
31
44
20
26
34
66
83
13
62
34
45


55
43
188
43
35
58
81
108
1,989
45
599
242
27
126
21
39
65
34
19
35


77
32
823
200
228
135
99
346
45
47
40
44
45
163
24
143
32
19
31
86
68


54
35
61
183
31
116
80
273
77
48


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


157
303
31
91
97
73
102
62
98
91
269
50


133
55
38
111
153
45
39
76


65
36
35
137
55
79
192
62
179
91
133
60
101


46
22
155
18
101
23
54
61


19
65
58
50
82
555
110
37
121
86
112
226
36
131
68
40


163
300
40
59
84
55
79
33
100
68
210
35


95
69
28
200
128
57
39
78


52
26
26
140
46
86
177
57
184
104
145
42
68


46
30
144
28
69
19
66
65


123
379
46
53
88
54
78
42
89
123
231
40


111
41
39
163
150
52
48
82


41
47
29
148
38
81
191
62
172
95
123
67
62


29
16
114
9
134
20
54
49


138
382
52
56
75
43
97*
36
75
61
257
40


116
47
39
148
170
56
36
66


32
30
34
165
42
89
221
39
207
78
129
63
64


48
13
137
18
102
13
46
53


San Juan, P.R. .,............ 32 38 19 (---)


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 13,076
4(B) Pneumonia-Influenza Deaths, all ages........ 644
4(C) Total Deaths under 1 Year of Age............ 758
4(D) Total Deaths, Persons 65 years and over..... 7,503


NOTF: All deaths by place of occurrence.


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




UNIVERSITY OF FLORIDA

III I 1262 08864 1484111111111111111
3 1262 08864 1484


Morbidity and Mortality Weekly Report


newly arriving recruits. The Training Station receives
500-600 new recruits per week from all areas of the
country. Influenza A2 virus has been isolated from 19
throat specimens obtained from clinical cases. Present
information indicates that the illness has not spread
beyond the recruit population. All other base military
personnel have had influenza vaccine.


Information for this summary was received from the State
Epidemiologists and Laboratories in the involved States
and the District of Columbia; Cmdr. B. F. Gundelfinger,
MC, USN, Head, Communicable Disease Branch, Preventive
Medicine Division, U. S. Navy; and a team from the Com-
municable Disease Center.




Summary of Food and Water-borne Disease Outbreaks -
1961
One hundred and ninety-eight outbreaks of food- and
water-borne disease involving 7,972 cases were reported
to the Communicable Disease Center in 1961. A tabulation
of the number of outbreaks and cases by etiology is shown
below:

1961 SUMMARY OF FOOD-BORNE AND WATER-BORNE
DISEASE OUTBREAKS

Outbreaks Cases
1. Staphylococcal 46 1,503
2. Salmonellosls 20 750
3. Typhoid 4 12
4. Shigellosis 3 169
5. Streptococcal 3 786
6. Trichinosis 3 35
7. Botulism 6 14
8. Clostrldlum perfringens 6 523
9. Viral Hepatitis 6 719
10. Chemical-Noxious Foods 6 370
11. Unknown 95 3,091
Total 198 7,972


Previous listings of food- and water-borne disease
outbreaks reported in 1961 appeared in MMWR Vol. 10,
Nos. 12, 27, 28, and Vol. 11, Nos. 12 and 14. During
subsequent weeks, line listings of the remaining 1961
outbreaks will appear on the back page of the Morbidity
and Mortality Report.


INTERNATIONAL NOTES QUARANTINE MEASURES

Influenza Netherlands

Twenty cases of influenza-like illness were reported
in January from a mental disease institute near Utrecht
(WHO Weekly Epidemiological Record, No. 4, January 25,
1963). Hemagglutination inhibition tests on paired sera
from two patients showed serologic titer rises to influenza
virus A2.

A report received at the WHO Influenza Center for the
Americas from Prof. Dr. J. Mulder, Academisch Ziekenhuis,
Leiden, indicates that, during the week of January 20,
1963, foci of influenza were reported from two military
units. Five strains of influenza A2 virus have been
isolated. Influenza A2 virus was also isolated from a case
of pneumococcal pneumonia in Leiden. The strains iso-
lated are reported as clearly related to the 1957 A2 virus.


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