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:
AA00010654:00089

Related Items

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

Full Text





Morbidity and Mortajt


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

PUBLIC HEALTH SERVICE

Prepared by the II


w V",
|(^ 2Y


For release January 11, 1963 ATLANTA 22, GEORGIA V Vol. 12. No. 1
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE U1rATATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JANUARY 5, 1963


POLIOMYELITIS With the beginning of the new report-
ing year, the number of polio cases fell to its lowest
level since the Spring of 1962. Only one paralytic case
was reported last week. On the basis of past experience,
reports of fewer than ten cases weekly can be expected
at least until the seasonal polio rise in the Spring.

HEPATITIS- For the second successive week, there
has been a drop in the number of reported hepatitis
cases. The 679 cases reported last week represent 472


cases fewer than were reported during the corresponding
week last year.



INFLUENZA No influenza outbreaks have as yet been
confirmed in the United States during the 1962-1963
influenza season. Influenza outbreaks in 1957-58, 1959-60,
and 1960-61 on a community-wide basis had already been
identified in August, November, and December of those
three respective influenza seasons.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
1st Week Cumulative
Disease Ended Ended M n First week
Disease Median
January 5, January 6, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis................ 15 10 --- 15 10 ---
Brucellosis ..................... 3 4 9 3 4 9
Diphtheria ...................... 3 15 21 3 15 21
Encephalitis, infectious .......... 8 18 23 8 18 23
Hepatitis, infectious and serum... 679 1,151 594 679 1,151 594
Measles........................ 4,823 5,895 6,261 4,823 5,895 6,261
Meningococcal infections......... 47 46 46 47 46 46
Poliomyelitis, total.............. 1 7 17 1 7 17
Paralytic .................... 1 3 12 1 3 12
Nonparalytic. ................. 3 3 1
Unspecified. .................. 1 4 1 4
Streptococcal sore throat
and Scarlet fever ............ 5,900 5,987 -- 5,900 5,987
Tetanus ................. .. 3 2 --- 3 2 ---
Tularemia...................... 6 10 --- 6 10 ---
Typhoid fever ................... 2 5 6 2 5 6
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... ---
Rabies in Animals ............... 42 55 67 42 55 67

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: Mass. 1 1 Psittacosis:
Botulism: Rabies in Man:
Malaria: Smallpox:
Plague: Typhus, murine:


L1'








Morbidity and Mortality Weekly Report


1954 1955 1956 1957 1958 1959 1960 1961 1962 1963


EPIDEMIOLOGICAL REPORT

Staphylococcal Food Poisoning Louisiana
Approximately 52% of an estimated group of 100 individ-
uals became ill 3-6 hours after eating a meal at a meeting held
in a Louisiana Parish on Sunday, October 14, 1962. Twenty-
eight (52%) of 54 individuals interviewed reported gastrointes-
tinal symptoms during the night of Sunday, October 14. Symp-
toms included nausea 25 (89%), vomiting 22 (79%), abdominal
cramps 21 (75%), and diarrhea 20 (71%). Fever was not re-
ported. Incubation periods for 25 of the 28 ranged between 3
and 6 hours. Food histories pointed to barbecued chicken as
the offending food item.
Samples of left-over chicken and potato salad, which had
been stored under refrigeration, were obtained for bacteri-
ologic examination in the State Board of Health Laboratory.
Examination of the barbecued chicken showed coagulase
positive Staphylococci in excess of 3,000,000 organisms per
gram. The potato salad contained less than 3,000 coagulase
positive Staphylococci per gram. Left-over cake and punch
also served at the dinner were not available for sampling.
Fecal specimens from 22 patients were obtained and bacte-
riologic examination demonstrated the presence of coagulase
positive Staphylococci in four.
The barbecued chickens, 25 fryers, were obtained from a
supermarket. According to employees at this supermarket, the
chickens were barbecued in the store Saturday night, October
13. They were refrigerated overnight and then reheated Sunday
morning. After reheating, they were cut into quarters, utilizing


the butcher's meat saw. They were then packed in a paste-
board box and were picked up at approximately 10:00 A.M. and
carried to the home of one of the lodge members. From here,
they were taken to the church where the meeting was held.
There was no refrigeration from early Sunday morning when the
chickens were reheated until they were served at approxi-
mately 5:00 P.M. Sunday afternoon. The source of contamina-
tion was not established but was felt to have been either the
meat saw or a cook's hands which contained numerous, small,
healed abrasions.
(Reported by Charles T. Carraway, D.V.M., Assistant Chief,
Section of Epidemiology, Louisiana State Board of Health.)



PRELIMINARY REPORT ON 1962 DIPHTHERIA
There was a moderate drop in 1962 in number of cases
diphtheria reported in the country. Weekly telegraphic
reports indicated that in 1962, 458 cases of diphtheria
were reported in the United States compared to final
totals of 617 in 1961 and 918 in 1960. The seasonal in-
cidence and geographic distribution of cases in 1962
were similar to the past experience in the United States.
The accompanying graph shows the cases of diphtheria
by four-week periods for the past three years. The peak
incidence has consistently occurred late in the year.
The Southern States accounted for 64 percent of the
cases reported in 1962 as compared to 76 percent in
1961 and 81 percent in 1960. Cases in the States of










Morbidity and Mortality Weekly Report


DIPHTHERIA CASES*
by 4-week periods
1960-1962

*WEEKLY TELEGRAPHIC REPORTS


125i


75 F


1962


Texas (84), Georgia (46), and Florida (44) alone ac-
counted for 40 percent of the 1962 national total.
The age and vaccination status of 280 diphtheria
cases reported thus far to the Diphtheria Surveillance
Unit is shown in the table. As in past years, most of the
cases were under the age of 15 (72%) and only six percent
were considered fully immunized (series or booster com-
pleted during past 4 years).

1962 DIPHTHERIA CASES* BY AGE AND VACCINATION STATUS
PRELIMINARY DATA

AGE VACCINATION STATUS
GROUP ADEQUATE" LAPSED INADEQUATE NONE UNKNOWN TOTAL
1 5 2 7
1-4 3 7 55 5 70
5 9 7 3 5 46 8 69
10-14 5 6 6 31 8 56
15-19 2 0 6 6 22
2029 1 7 7 15
3 39 1 1 10 1 13
40 3 1 14 10 28

TOTAL 17 (6.1%) 21 (7. 5%) 21 (7.5%) 174 (62.11) 47 (16.8%) 280 (100%)
Rported to Diphthlero Survelince Unit.
-* Defined here as series or booster completed wIthln past 4 yerm.


I 2 3 4 5 6 7 8 9 10 IIi 12 13
FOUR WEEK PERIOD


(Continued on page 8)


TOTAL DEATHS REPORTED IN 108 U. S. CITIES



The weekly average number of total deaths in 108
cities for the four-week period ending January 5 was
11,977 as compared with an expected 12,077 weekly
average.


WEEK ENDING 4 Week Weekly

12-15 12-22 12-29 1-5 TOTAL Average

Observed 11,624 12,467 11,118 12,700 47,909 11,977
Expected 11,965 12,049 12,120 12,174 48,308 12,077

Excess -341 418 -1,002 526 -399 -100


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


I'Y RAc OF OCCURRENCE


*CALCULATE FROM t954-'0 EXPERIENCE


(See table, page 7)










1 Morbidity and MIorlalitl Weekly Report



Table CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 6, 1962 AND JANUARY 5, 1963



Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Area
1st week First week 1st week First week 1st week 1st week

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


UNITED STATES...... 1 7 1 7 1 3 1 3 3 15 10

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

MIDDLE ATLANTIC.......... 3 3 1 1 1 2
New York.............. 3 3 1 1 1 1
New Jersey........... -
Pennsylvania 1

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

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

SOUTH ATLANTIC........... 7 1
Delaware.............. 4
Maryland............. -
District of Columbia.. -
Virginia.............. 3
West Virginia......... -
North Carolina........ -
South Carolina........ -
Georgia ...............
Florida................ 1

EAST SOUTH CENTRAL...... 1 1 1 1 1 1
Kentucky............. .- _
Tennesse ..........
Alabama............... 1 1 1
Mississippi ..........

WEST SOUTH CENTRAL....... 1
Arkansas ............. -
Louisiana........... -
Oklahoma............. -
Texas................. I

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

PACIFIC ................. 1 1 i 1 1 1 1 4 3
Washington ............
Oregon................
Caliorni.................... 1 1 1 1 1 1 4 3
Alaska ...............
Hawai i .... ..........

Puerto Rico.............










Morbidity and Mortality Weekly Report 5


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 6, 1962 AND JANUARY 5, 1963 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area
Cumu- Cumu- Ist week
lative lative Under 20 &
1st week 1st week 1st week 1st week 1st week 20 yr. over Total 1st week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962


UNITED STATES...... 3 3 3 3 8 18 364 258 679 1,151 4,823 5,895

NEW ENGLAND.............. 3 54 45 100 61 205 1,019
Maine................... 1 35 22 57 20 29 299
New Hampshire......... 3 3 7 3 1 75
Vermont................. 1 1 2 19 3
Massachusetts......... 15 14 29 26 48 396
Rhode Island.......... 1 1 1 3 31 108
Connecticut........... 1 4 4 9 77 138

MIDDLE ATLANTIC.......... 1 9 97 73 170 157 261 778
New York............... 1 9 39 38 77 87 128 439
New Jersey............. 8 12 20 30 46 251
Pennsylvania.......... 50 23 73 40 87 88

EAST NORTH CENTRAL....... 2 25 30 57 192 1,793 457
Ohio ................. 9 9 18 120 169 42
Indiana............... 1 35
Illinois.............. 5 5 6 55 248
Michigan ............. 16 16 32 58 436 73
Wisconsin.............. 2 2 7 1,098 94

WEST NORTH CENTRAL...... 1 1 1 1 1 20 9 34 143 549 242
Minnesota............. 6 4 10 28 41 9
Iowa.................. 1 1 6 2 8 55 391 109
Missouri.............. 5 3 9 32 19 1
North Dakota ..........* 1 1 3 87 57
South Dakota.......... 1 1 4 4 11 66
Nebraska.............. 5
Kansas................ 1 2 2 16 NN NN

SOUTH ATLANTIC........... 2 54 33 91 158 485 736
Delaware .............. 1 1 3 12 3
Maryland.............. 1 3 1 4 1 5 38
District of Columbia.. 2 1 3 3 28
Virginia.............. 19 12 34 37 17 374
West Virginia......... 6 7 13 47 411 208
North Carolina ........ 1 22 11 33 29 13 13
South Carolina ........ 1 10 1 6
Georgia ............... 11 2
Florida............... 2 2 17 26 64

EAST SOUTH CENTRAL....... 1 1 1 1 49 16 72 177 238 617
Kentucky.............. 14 21 62 123 183
Tennessee............... 24 5 29 50 99 291
Alabama.............. 1 1 1 1 6 5 11 51 11 136
Mississippi............... 5 6 11 14 5 7

WEST SOUTH CENTRAL....... 1 1 1 2 25 26 53 67 234 1,115
Arkansas .............. 1 1 3 3 6 16 41 158
Louisiana ............. 2 4 6 3 2
Oklahoma .............. 1 2 2 8 24
Texas................. 1 20 17 39 40 191 933

MOUNTAIN................. 1 1 2 13 6 43 62 740 283
Montana............... 6 3 9 3 244
Idaho................. 8 3 35 39
Wyoming................ 1 1 4 35
Colorado.............. 1 5 18 262 47
New Mexico............ 2 2 4 5 NN NN
Arizona............... 9 20 94 84
Utah.................. 1 1 2 4 4 7 104 53
Nevada................ 3 2 1 25

PACIFIC.................. 3 27 20 59 134 318 648
Washington............ 2 2 22 56 215
Oregon................ 4 16 25 34 159
California............ 3 20 19 39 81 93 259
Alaska................ 1 1 2 1 -
Hawaii................ 5 135 15


Puerto Rico.............. 4 1 5 8 18 36









{6 lorbidity and Mortality Weekly Report


Table i CASES OF SPECIFIED NOTIFIABLE DISEASES: UINITID STATES

FOR WEEKS ENDED

JANUARY 6, 1962 AND JANUARY 5, 1963 (Continued)


Area


Meningococal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Cumu- Spotted) Cumu- Cumu-
lative lative lative
1st wk. 1stweek 1st week 1st wk. 1st wk. 1st wk. 1st wk. 1stweek ist week Istweek


A J S L A I .L....~


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

UNITED STATES.... 47 47 5,900 5,987 3 6 2 2 42 55 42

NEW ENGLAND.......... 5 5 427 264 -
Maine............... 13 18 -
New Hampshire...... 8 7 -
Vermont............. 1 1 30 4 -
Massachusetts...... 2 2 98 54 -
Rhode Island....... 2 2 42 37 -
Connecticut........ 236 144 -

MIDDLE ATLANTIC..... 3 3 261 272 1 1 1 2 3 2
New York........... 2 2 169 181 1 1 2 2 2
New Jersey.......... 50 42 -
Pennsylvania....... 1 1 42 49 1 -

EAST NORTH CENTRAL.. 7 7 542 372 2 8 2 8
Ohio............... 2 2 91 94 I 7 7
Indiana............ 1 1 40 61 2
Illinois............ 1 1 66 44 -
Michigan........... 2 2 172 91 1 1
Wisconsin............ 1 1 173 82 -

WEST NORTH CENTRAL.. 2 2 221 291 2 8 21 8
Minnesota.......... 9 1 3 1
Iowa............... 74 61 4 4 4
Missouri........... 1 1 5 9 1 2 7 2
North Dakota....... 107 154 4 -
South Dakota....... 1 1 3 4 1 2 1
Nebraska ............ 1
Kansas............. 32 54 -

SOUTH ATLANTIC...... 10 10 538 572 1 1 8 4 8
Delaware............ 6 9 -
Maryland.......... I 4 1
Dist. of Columbia.. 1 1 3 4
Virginia........... 5 5 142 212 1 7 3 7
West Virginia...... 2 2 212 142 1 1
North Carolina..... 1 1 23 14
South Carolina .... 77 47
Georgia ........... 5
Florida............ 75 135 1 -

EAST SOUTH CENTRAL.. 4 4 994 1,003 4 5 4
Kentucky........... 2 2 63 94 1 3 1
Tennessee.......... 2 2 752 763 3 2 3
Alabama ............ 52 92 -
Mississippi........ .- 127 54 -

WEST SOUTH CENTRAL.. 6 6 1,098 957 1 1 1 1 5 17 5
Arkansas........... 3 -- 1 3
Louisiana.......... 1 1 5 3 1 1
Oklahoma ........... 1 1 4 15
Texas.............. 4 4 1,089 936 1 1 1 4 14 4

MOUNTAIN............ 4 4 1,111 1,431 -- -
Montana............ 37 71 -
Idaho.............. 123 113 -
Wyoming............. 18 5 -
Colorado ........... 2 2 381 395 -
New Mexico........... 266 371 -
Arizona............ 1 1 154 290 1
Utah............... 1 1 115 183 -
Nevada............. 17 3 -

PACIFIC............. 6 6 708 825 7 2 7
Washington......... 144 262 -
Oregon.............. 1 1 15 27 -
California......... 5 5 538 523 7 2 7
Alaska............. 3 6 -
Hawaii............. .. 8 7 -
Puerto Rico......... 3 -











Morbidity and Mortality Weekly Report




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


Area For weeks ending ea For weeks ending
Area 12/22 12/29 1/5 12/15 12/22 Area2/29 1/5

12/15 12/22 12/29 1/5 12/15 12/22 12/29 1/5


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


238
42
23
23
69
21
33
23
57
73
11
47
46
51


46
30
138
43
34
41
67
100
1,726
45
431
201
21
102
20
56
73
50
18
32


68
48
761
131
191
110
79
388
56
39
45
27
39
165
33
123
33
27
38
100
51


57
18
35
148
36
121
63
248
82
46


262
62
32
24
56
37
26
34
57
73
17
49
37
57


37
30
158
55
32
47
106
104
1,853
44
495
197
25
113
22
44
71
56
31
32


63
35
816
169
223
142
84
368
52
60
53
28
42
148
74
126
28
34
59
109
68


54
24
45
166
27
96
64
296
76
50


267
42
40
40
64
21
21
34
51
68
13
39
35
60


53
34
112
52
31
43
67
78
1,901
53
433
107
29
139
34
28
71
49
20
29


72
35
802
159
164
119
69
334
32
32
29
32
40
152
41
124
42
32
42
86
46


33
15
30
130
35
106
59
224
72
40


254
51
36
30
69
36
26
24
47
62
17
46
29
67


50
34
162
44
36
41
102
107
2,010
49
466
188
23
110
26
40
72
45
47
44


66
33
824
189
232
166
84
392
45
45
30
19
48
159
73
142
32
30
30
122
68


57
36
41
138
22
134
104
268
73
63


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


130
248
44
57
90
51
81
39
88
75
188
44


88
42
25
130
125
39
53
63


35
28
27
136
44
60
188
57
171
67
108
64
55


41
17
127
20
86
20
53
47


14
45
32
31
62
569
87
32
110
69
86
186
37
132
60
43


136
289
39
62
109
63
76
35
111
95
221
26


109
49
37
146
86
50
34
81


44
35
33
150
40
61
193
63
195
74
124
67
42


40
24
108
23
114
22
40
48


106
257
33
58
76
46
93
22
88
71
187
55


64
32
17
81
105
61
30
45


36
33
9
139
41
65
142
46
207
69
88
39
48


46
16
83
13
70
16
52
51


143
280
53
56
82
58
109
33
69
85
234
40


107
52
36
78
131
71
45
77


30
23
55
146
48
78
185
46
179
83
134
61
39


39
13
133
13
99
24
49
54


San Juan, P.R. .............. 26 39 22 17


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 12,700
4(B) Pneumonia-Influenza Deaths, all ages........ 552
4(C) Total Deaths under 1 Year of Age............ 756
4(D) Total Deaths, Persons 65 years and over..... 7,170


NOTF: All deaths by place ol qcurrence.


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




UNIVERSITY OF FLORIDA


3 1262 08864 1807


Morbidity and Mortality Weekly Report


Most of the cases reported represented sporadic
isolated or familial occurrences of diphtheria. Clustering
of cases were noted in areas of Iowa, Alabama, Georgia,
Arkansas, Texas, South Dakota, Minnesota, and New
York City.


INTERNATIONAL NOTES QUARANTINE MEASURES

Designated Yellow Fever Vaccination Center
The Dulles International Airport Yellow Fever Vac-
cination Center, Herndon Medical Center Annex, Dulles
International Airport, Chantilly, Virginia, has been desig-
nated as a Yellow Fever Vaccination Center. This brings
the total number of centers to 176; of these, 116 are open
to the public and listed in section 5 of the booklet "Im-
munization Information for International Travel." The
new center is established for a "specific employee
group."



The Morbidity and Mortality Weekly Report is published
by the Communicable Disease Center, Atlanta, Georgia,
and as of January 1, 1963 had a circulation of 10,200
copies.


Chief, Communicable Disease
Center
Chief, Epidemiology Branch
Chief, Statistics Section
Asst. Chief, Statistics Section
Chief, Surveillance Section
Editor, MMWR


In addition to the established procedures for reporting
morbidity and mortality, the Communicable Disease Center
welcomes accounts of interesting outbreaks or cases.
Such accounts should be addressed to:
Editor, Morbidity and Mortality Weekly Report
Communicable Disease Center
Atlanta 22, Georgia


L __ _
S.o. CF ^ L

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James L. Goddard, M.D.
A. D. Langmuir, A.D.
R. E. Serfling, Ph.D.
I. L. Sherman, M.S.
D. A. Henderson, M.D.
P. R. Joseph, M.D.


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