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:
AA00010654:00090

Related Items

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

Full Text






FS QSo/f;//iV
Morbidity and Mortalit



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

PUBLIC HEALTH SERVICE J g1963

Prepared by the C D 634-5131

For release July 12, 1963 ATLANTA 22, GEORGIA Vol. o 27
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JULY 6, 1963


Poliomyelitis The 21 cases of poliomyelitis, including
16 paralytic, reported for the week ending July 6, 1963, is
the largest number of cases reported for any week during
the current year. During the corresponding week in 1962,
a total of 20 cases (14 paralytic) was reported.
Fifteen cases were reported this week from Pennsyl-
vania, 5 from Alabama, and one from California. Twelve of
the Pennsylvania cases occurred in Cumberland County,
and two in adjacent Perry County, with onset of illness in
the last case on July 2, 1963. A total of 19 cases have
occurred in the area since April 23, 1963 (See MMWR, Vol.
12, Page 205), and mass community programs with Type I
oral vaccine were conducted in these counties during the
last two weeks of June 1963.
Three of the five cases reported from Alabama occur-


red in Walker County, with onsets of illness on June 3,
June 5, and June 27. The two other cases were in Birming-
ham and in Winston County, respectively.
Cumulative cases for the first 27 weeks of 1963 and
the preceding four years are shown in the table below,
together with the most recent six-week totals.

Polio (Cumulated Weekly) through 27th Week for Post Five Years

1963 1962 1961 1960 1959
Paralytic 84 175 162 385 805
Total 102 227 249 518 1,203
Six Week Totals (22nd thru 27th Week) for Post Five Years
Paralytic 37 80 49 160 435
Total 49 97 80 206 673


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
27th Week Cumulative
Disease Ended Ended Median First 27 weeks
Disease Median --___
July 6, July 7, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis................ 29 51 --- 656 657 ---
Brucellosis ..................... 5 8 10 174 212 401
Diphtheria ...................... 5 3 5 137 222 335
Encephalitis, infectious .......... 34 30 30 813 812 791
Hepatitis, infectious and serum... 516 621 513 24,159 32,275 19,766
Measles....................... 4,574 6,559 6,559 339,792 422,982 372,229
Meningococcal infections ......... 28 28 29 1,474 1,243 1,366
Poliomyelitis, total.............. 21 20 49 102 227 518
Paralytic.................... 16 14 39 84 175 385
Nonparalytic................. 5 5 10 10 34 95
Unspecified .................. 1 8 18 38
Streptococcal sore throat
and Scarlet fever ............ 3,387 3,533 --- 218,271 200,282 ---
Tetanus ................ 6 8 -- 121 114
Tularemia...................... 8 5 -- 127 136
Typhoid fever ................... 11 15 19 193 261 331
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... 3 11 -- 54 86
Rabies in Animals............... 53 70 72 2,095 2,227 2,101


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 2 Psittacosis: 30
Botulism: 5 Rabies in Man:
Malaria: Ark. 1 48 Smallpox:
Plague: Typhus, murine: Ga. 8








222


Morbidity and Mortality Weekly Report





SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS

JUNE 1963 AND JUNE 1962

CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area June 1963 and June 1962 Provisional Data


Cumulative June Cumulative
Reporting Area June Jan June Reporting Area Jan June
~____~___061______1 __ I IIt, I r 1L
.T' .. -: ^ ." ; l i .. i :t:' I ........ I'- 7" i I
Maine .................... 1 2 3 6 Kentucky................. 19 10 66 63
New Hampshire............. 0 0 4 6 Tennessee................ 26 21 201 147
Vermont.................. 0 0 1 0 Alabama.................. 55 56 342 303
Massachusetts............ 18 20 119 190 Mississippi............... 34 4 155 38
Rhode Island............. 1 0 12 12
Connecticut .............. 7 5 92 60 WEST SOUTH CENTRAL......... 246 265 1,418 1,411
Arkansas................. 24 21 118 106
MIDDLE ATLANTIC............ 467 512 2,954 2,798 Louisiana................ 38 120 303 615
Upstate New York.......... 50 37 297 271 Oklahoma................. 15 12 93 55
New York City............ 269 289 1,666 1,561 Texas.................... 169 112 904 635
Pa. (Excl. Phila.)....... 8 25 74 75
Philadlphia........... 47 49 372 355 OUNTAIN................ 7 4 3 3 36 36 255 186
New Jersey............... 93 112 545 536 Montana.................... 2 0 4 0
Idaho.................... 0 0 1 1
EAST NORTH CENTRAL ........ 154 119 980 818 Wyoming.................. 1 0 5 0
Ohio .................... 20 25 185 148 Colorado................. 2 14 22 40
Indiana................... 7 11 29 40 New Mexico............... 17 6 64 29
Downstate Illinois....... 9 5 63 71 Arizona.................. 12 8 114 76
Chicago .................. 81 50 451 398 Utah...................... .0 0 11 2
Michigdn................ 31 21 214 136 Nevada................... 2 8 34 38
Wisconsin................ 6 7 38 25
PACIFIC................... 196 175 1,098 821
WEST NORTH CENTRAL........ 55 50 245 182 Washington............... 2 2 59 13
Minnesota................... 9 6 40 26 Oregon................... 8 6 28 25
Iowa.................... 1 8 18 11 California............... 185 164 997 771
Missouri................... 32 26 108 91 Alaska....................... 0 0 3 3
North Dakota............. 1 0 5 2 Hawaii........................ 1 3 11 9
South Dakota............. 8 2 17 18
Nebraska ................ 1 1 26 5 U. S. TOTAL.............. 1.763 1,741 10,912 9.863
Kansas................... 3 7 31 29
TERRITORIES............... 81 41 405 210
SOUTH ATLANTIC............ 448 466 2,967 2,822 Puerto Rico.............. 80 38 397 200
Delaware................. 1 1 20 18 Virgin Islands.............. 1 3 8 10
Maryland................. 42 47 266 269
District of Columbia..... 54 56 351 369
Virginia ................. 29 29 151 200
West Virginia............ 2 5 24 21
North Carolina............ 72 42 443 312 Note: Cumulative Totals include revised and delayed reports
South Carolina........... 45 55 324 396 through previous months.
Ccergia.................. 84 82 500 469
Visrida.................. 119 149 888 768


iNFECTIOUS SYPHILIS One thousand seven hundred
and sixty-three cases of primary and secondary infectious
syphilis were reported for the month of June, 1963. A total
of 10,912 cases have been reported during the first 6
months of 1963, an increase of 10.6 percent over the
9,863 cases reported during the corresponding period
in 1962.
During the early 1940's, the number of cases of in-
fectious syphilis reported annually increased progres-
sively, reaching a peak of 106,539 cases in 1947, shortly
after World War II. Since then, the number of cases re-
ported declined rapidly each year to 6,516 cases in 1955,
and remained at approximately this same level until 1959,
as shown in the accompanying figure. Reported cases of
infectious syphilis increased by approximately 50 percent
each year during 1960 and 1961, with a total of 18.-1
cases reported in 1961. Total cases of primary and in-
fectious syphilis during 1962 increased only 6.9 percent


over the 1961 total; however, the number of cases reported
thus far during 1963 continues this slow but definite
increase.


PRIMARY AND SECONDARY SYPHILIS
Reported Cases,
Unied States. 1950-1963


l/j///////(llj/







Morbidity and Mortality Weekly Report


The trend of syphilis cases in the primary and sec-
ondary stage of disease is interpreted as paralleling the
actual incidence of syphilis, subject to consideration of
any changes in disease reporting practices and case-
finding efforts which would cause the reported trend to
depart from the actual incidence trend. Although activity
in the United States has been directed toward better
reporting and casefinding, these two factors alone do not
account for the trebling of cases during the past 4 years.
Geographic distribution of primary and secondary
syphilis cases is depicted in the map below. The highest
rates are noted generally in the Southern portion .of the
United States, and principally in coastal areas and those
with major urban populations.


EPIDEMIOLOGICAL REPORT

Sporotrichosis Northern Vermont

In mid-June, the Division of Communicable Disease
Disease Gontrol of the Vermont Department of Health
learned of the occurrence of six cases of an indolent
infection involving the upper extremities of six young men,
all of whom had worked planting white spruce, white pine
and other conifers obtained from a regional tree nursery.
The infections were characterized by an unhealing
primary lesion on the thumb or lower forearm, and a chain
of subcutaneous nodules, often with thickened lymphatics,


(Continued on page 228)


PRIMARY AND SECONDARY SYPHILIS
Case Rates, All Age Groups, By State
Fiscal Year 1962
United States


-DC.


CASES per 100,000 POPULATION
0 80 25.0
1


SOURCE; DHEW-PHS-CDC


TOTAL DEATHS UNDER ONE YEAR OF AGE IN 108
CITIES

The weekly average number of infant deaths in 108
cities for.the four-week period ending July 6 was 717 as
compared with an expected weekly average of 728.



WEEK ENDING
4 Week Weekly
6/15 6/22 6/29 7/6 Total Average
Observed 776 696 747 652 2,871 717
Expected 727 728 729 730 2,914 728
Excess 49 -32 18 -78 -43 -11


DEATHS UNDER ONE YEAR OF AGE IN 108 U.S. CITIES
Average number per week by four-week periods


223


(See table, page 227)








224 lorbiditl and Mortalitl Weekly Repol rl



Tablc CASFS OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR W\ IIKS ENDED)

JULY 6, 1963 AND JULY 7, 1962



Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Area
27th week First 27 weeks 27th week First 27weeks 27th week 27th week
1963 1962 1963 1962 1963 1962 1963 1962 1963 1962 1963 1962


UNITED STATES....... 21 20 102 227 16 14 84 175 5 5 29 51

NEW ENGLANDI.............. 3 3 1
Maine ................- -
New Hampshire........ -
Vermont .............. -
Massachusetts......... 2 2 1
Rhode Island.........- -
Connecti.ut.......... 1 -

MIDDLE ATLANTIC ......... 15 30 34 11 23 21 4 2
New York............... 5 33 5 20 1
New Jersy ............ 1 1 1 1 -
Pennsy vania 15 24 11 17 4 1

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

WEST NORTH CENTRAL....... 2 3 10 1 3 6 4 -
Minneslaa ............. 1 2 3 1 2 3 3 -
lowa.................. 3 2 1 -
Miss uri ............. 1 1 4 -
North Dakota.......... -
Siith Dakota.......... -
Ntbraska... ...... .. -
KAnsas ................

SOUTH ATLANTIC........... 3 12 15 2 9 12 1 3 1
Delaware............. 1
-arvyIand .............. -
District of Columbia.. 1
Virginia.............. 2 2 1 2 2 -
West Virginia.......... 1 1 2 1 1-
North Carolina........ 3 2 -3 2 3
South Carolina........ 2 1
Georgia............... 1 2 2
Florida ............... 2 3 6 1 3 4 1 1

EAST SOUTH CENTRAL....... 5 11 8 4 9 5 1 1 1
Ke1 nttu .............. 3 2
Tennsse .......... 2 3 2 1 1 1
Alabama.............. 5 8 2 4 6 2 1
Missis ippi........... 1 -

WEST SOUTH CENTRAL ....... 13 16 114 9 16 93 4 4 34
Aransas .............. 1 1 1 1
ouisiana............... 13 7 13 6
h)i a .n... .............. 1
TXa .................. 13 2 105 9 2 86 4 4 34

MOUNTAIN................. 8 7 1 1
Mont ................ 3 -
Id ahi................. .
Wyom i. n ................. 1 -
Calori.............. .. 1 1
Niw ...xim .. ..... .
Ariz os ................. .- -
Utah ................... .
N .-v d: .. ..... .... .. .

PACI IC ................... I 2 13 24 1 2 12 21 10 4
Wm ihin.gto ...........
S............... 1 2 1 2
Caliorni............. 1 2 12 22 1 2 11 19 10 4
Alaska .............
Hawa i i...............

Puert RicRi............ 4 7 4 7








Miorbidilt and Mortalit y Weekly Reporl 225


Tahbic 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 6, 1963 AND JULY 7, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area "
Cumu- Cumu- 27th week
lative lative Under 20 &
27th week 27 weeks 27th week 27 weeks 27th week 20 yr. over Total 27th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962


UNITED STATES...... 5 174 5 137 34 30 219 245 516 621 4,574

NEW ENGLAND.............. 2 6 2 3 23 20 44 33 226
Maine............ .... 10 9 19 11 9
New Hampshire........... 3 3 6 -
Vermont............... 1 1 1 64
Massachusetts......... 2 4 1 1 7 8 16 9 84
Rhode Island........... 2 1 2 4 21
Connecticut........... 2 2 8 48

MIDDLE ATLANTIC.......... 4 21 6 6 42 55 97 92 840
New York............... 3 13 4 4 22 32 54 43 450
New Jersey............. 3 5 14 19 25 203
Pennsylvania.......... 1 5 2 2 15 9 24 24 187

EAST NORTH CENTRAL....... 1 15 16 4 1 36 45 89 131 1,345
Ohio................... 1 7 15 24 49 172
Indiana .............. 2 3 5 3 8 13 81
Illinois.............. 10 7 4 6 10 13 108
Michigan.............. 2 3 3 19 20 45 52 393
Wisconsin............. 1 1 2 1 1 1 1 2 4 591

WEST NORTH CENTRAL....... 3 117 36 1 5 8 15 24 30 195
Minnesota............... 7 15 2 2 9 15
Iowa...................... 1 85 1 5 1 1 14 114
Missouri.............. 2 7 1 4 9 13 2 8
North Dakota.............. 1 1 54
South Dakota.......... 7 10 1
Nebraska............... 5 8 1 3 3
Kansas................ 6 4 3 7 2 NN

SOUTH ATLANTIC........... 5 2 29 1 4 29 18 48 85 394
Delaware.............. 1 1 1 11
Maryland.............. 1 3 4 40 33
District of Columbia.. 2 2 1 2
Virginia.............. 3 3 3 6 12 119
West Virginia......... 1 5 2 7 7 159
North Carolina........ 1 1 14 2 16 16 25
South Carolina........ 9 2 2 4 2 16
Georgia............... 2 10 1 1 2 3
Florida................ 1 8 1 4 2 3 6 6 26

EAST SOUTH CENTRAL....... 7 1 10 1 1 20 13 55 65 227
Kentucky................. 2 4 1 5 22 123
Tennessee............... 4 2 13 10 23 20 89
Alabama............... 1 1 8 22 11 15
Mississippi........... 1 1 3 2 5 12 -

WEST SOUTH CENTRAL....... 13 16 1 3 15 24 40 52 223
Arkansas................ 3 1 2 2 2 4 4 2
Louisiana............. 2 4 2 6 15 -
Oklahoma.............. 4 6 1 1 2 -
Texas ................. 6 7 1 1 8 19 28 33 221

MOUNTAIN................. 1 6 1 3 10 6 34 21 614
Montana................. 2 2 2 56
Idaho.................. 6 52
Wyoming ................ 1 i 1 1 2 7
Colorado.............. ... 3 3 9 7 113
New Mexico............ .. -- 1 1 3 1 5 3 NN
Arizona............... .. 3 8 1 189
Utah.................. 1 2 2 1 2 3 5 197
Nevada............... _

PACIFIC.................. 7 2 15 7 36 49 85 112 510
Washington............. 3 4 10 14 19 17
Oregon................ 2 2 1 3 14 58
California............ 4 2 12 7 30 38 68 74 396
Alaska................. -- 5 23
Hawaii................. 1 16


Puerto Rico............. 10 17 6 23 22


I


6,559

978
122

98
580
49
129

1,459
904
471
84

1,475
168
79
104
636
488

112
11
23
12
65

1
NN

290
26
31
2
82
94
10
16
3
26

386
80
227
42
37

496
5
11
8
472

578
136
52
2
168
NN
120
69
31

785
43
247
384
16
95

73








226(


Meningococcal
Infections


27th k. 27 v
27th wk. 27 weeks


UNITED STATES.... 28 1,474

NEW ENGLVAD ......... 91
: inel.............. 15
Ne..' Hampshire ...... 4
Vi-r ont............ 3
-iassachs tt s...... 42
Rh, I1land....... 9
C ni l t .. .... 18I

IDnDDL ATA:NTIC..... 5 202
N Sw Y r ........... 5 95
New J rscy......... 27
P nn slvani....... 80

EAST NORTH CENTRAL., 1 235
Ohi,......... .... 1 68
Indiana ........... 29
Illinois......... 40
Michig. n....... .... 71]
Wisconsin.......... 27

3?1' NORTH CENTRAL.. 2 89
Mininesota .......... 1 18
I wn......... .... 1 5
Mis souri ........ .. 30
North D ako ....... 4
South Dak t ....... 5
bras ............. 19
Kansas.... ....,.. -

SOUTH ATLANTIC...... 6 280
Delaware............ 2
Maryland........... 2 43
Dist. of Columbia-. 4
Virginia............ 1 68
West Virgini ...... 13
North Carolina..... 3 50
S.... 13
S ...... 22
Florida............. 65

EAST SOUTH CENTRAL.. 2 113
Kentui cky.......... 25
Tennessee.......... 1 49
Alabama ............ 21
Mississippi........ 1 18

WEST SOUTH CENTRAL.. 3 146
Arkansas........... 9
L isi a .............. 59
0 lahm................ 29
Texas.............. 2 49

MOUNTAIN............ 1 52
Mon tana............ 3
Idaho.............. 4
Wyoming............ 4
Colorado............ I 12
New fsxic ......... 4
Arizona.......... 8
Utah................ 14
Nevada............. 3

PACIFIC............. 8 266
ashington ....... 19
Oregon.. ........* 17

Alaska............. 7
Hawaii............. 7
Puerto Rico ......... 1 5


Streptococcal Tickborne
Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.__
Spotted) I I Cumu-
27-- we lative
27th we1k 27th wk. :-.. .- -. k. 27thwk. 27th week 27 weeks
wk. 27t wk 7 ek


3,387 3,533 6


7


207
4

2
34
16
151

114
98
9
7

233 1
20
59 1
32
66
56

72
7
26

32
6

1 -

303 3
1
10 2

83 1
72
4
32
23
78

755
36
630
4
85

456 1

1 -
4 -
451 1

726 -
26
63
6
251
209
111
59
1

667 1
63
9
568 1
7
20
3


Mlorlililt and Mortality Weekly Report


laiblh (ASLI OF PI1(II111D NOTIIIIABLI I)ISI-ASFS: INITI1) STATES

IOR WFIKS INI)Nl)


JI'LY 6, 1963 AND JULY 7, 1962 (Continued)


I ( I I


3 8 11 193 53 70 2,095

S 6 2 22

12
1 2 9




1 3 29 4 5 61
17 4 2 47

1 3 10 3 14

1 12 12 20 353
3 5 12 216
-1 1 5 32
5 4 53
1 2 31
1 2 2 1 21

1. 3 13 12 11 497
3 3 6 131
S 1 7 4 185
1 2 8 89
15
1 1 58
S1 1 10
- 9

35 9 5 318

- 3

-5 4 2 118
6 2 3 93
-5 5
2 6
-2 2 39
11 1 57

1 1 19 3 9 170
1 6 80
12 2 3 75
4 15
1 1 2

1 7 1 36 6 10 424
- 6 17 1 32
-7 37
1 1 1 3 1 33
9 6 8 322

1 6 45



1 3 2
21
2 22



1 37 5 10 205

2 1 1
1 32 5 9 195
- 1 9
S- -

1 11 2 8








Morbidity and Mortality Weekly Report 227





Tahle 4 (C). TOTAL DEATHS L UNDER I YEAR OF AGE IN REPORTING CITIESS



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


For weeks ending For :ecis _i ::
Area 1 6/22 6/29 76 Area /2 1 6
6/15 6/22 6/29 7/6 6/15 6/22 6/29 7/6


NEW ENGLAND:
Boston, Mass............... 18 16 15 9
Bridgeport, Conn.......... 4 2 2 3
Cambridge, Mass............ I 0 1 0
Fall River, Mass.......... 0 2 0 1
Hartford, Conn............ 6 4 3 6
Lowell, Mass.............. 0 3 2 4
Lynn, Mass................. 0 0 1 1
New Bedford, Mass ........ 4 1 1 1
New Haven, Conn............ 5 7 3 1
Providence, R.I............ 4 3 2 6
Somerville, Mass.............. 0 0 1 0
Springfield, Mass......... 2 0 1 2
Waterbury, Conn............ 5 2 1 3
Worcester, Mass........... 8 5 2 4

MIDDLE ATLANTIC:
Albany, N.Y............... 1 6 4 1
Allentown, Pa............. 1 0 3 2
Buffalo, N.Y.............. 8 10 7 11
Camden, N.J............... 3 5 4 3
Elizabeth, N.J............ 4 4 3 2
Erie, Pa............ ..... 2 4 2 3
Jersey City, N.J.......... 1 2 5 2
Newark, N.J............... 4 4 32 1
New York City, N.Y........ 87 76 85 78
Paterson, N.J............. 2 4 3 4
Philadelphia, Pa.......... 28 25 42 24
Pittsburgh, Pa........... 6 9 12 11
Reading, Pa............... 1 0 3 1
Rochester, N.Y............ 9 7 9 8
Schenectady, N.Y.......... 1 0 2 3
Scranton, Pa.............. 2 0 1 1
Syracuse, N.Y............. 4 8 8 8
Trenton, N.J............... 4 1 4 1
Utica, N.Y................ 0 5 1 0
Yonkers, N.Y.............. 1 1 1 0

EAST NORTH CENTRAL:
Akron, Ohio............... 4 4 8 1
Canton, Ohio.............. 1 i 0 4
Chicago, I................... 39 24 36 36
Cincinnati, Ohio .......... 9 4 10 5
Cl-veland, Ohio........... 20 15 10 11*
Columbus, Ohio ............ 19 10 13 2
Dayton, Ohio................ 5 6 2 7
Detroit, Mich............. 19 17 16 24
Evansville, Ind ........... 1 3 5 1
Flint, Mich............... 6 3 3 4
Fort Wayne, Ind........... 1 1 3 1
Gary, Ind.................. 3 5 1 2*
Grand Rapids, Mich........ 4 1 3 3
Indianapolis, Ind......... 7 11 5 5
Madison, Wis............. 7 6 2 1
Milwaukee, Wis............ 6 9 23 1
Peoria, Ill............... 6 5 5 6
Rockford, Ill............... 1 5 3 3
South Bend, Ind........... 4 1 5 2
Toledo, Ohio.............. 8 6 4 1
Youngstown, Ohio........... 4 2 3 1

WEST NORTH CENTRAL:
Des Moines, Iowa.......... 4 4 2 4
Duluth, Minn.............. 0 0 0 3
Kansas City, Kans......... 4 3 3 3
Kansas City, Mo........... 6 11 9 7
Lincoln, Nebr............. 1 2 5 2
Minneapolis, Minn......... 9 8 10 12
Omaha, Nebr................ 5 3 6 2
St. Louis, Mo............. 12 6 15 12
St. Paul, Minn............ 6 8 8 5
Wichita, Kans............. 5 7 2 2

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

NOTE: All deaths by place of occurrence.


SOUTH ATLANTIC:
Atlanta, Ga.............
Baltimore, Md............
Charlotte, N.C...........
Jacksonville, Fla........
Miani, Fla...............
Norfolk, Va.............
Richmond, Va..............
Savannah, Ga .............
St. Petersburg, Fla......
Tampa, Fla ...............
Washington, D.C...........
Wilmington, Del..........

EAST SOUTH CENTRAL:
Birminghan, Ala..........
Chattanooga, Tenr........
Knoxville, Tenn..........
Louisville, Kv............
Memphis, Tem .............
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. Melx......
Colorado Springs, Colo...
Denver, Col...............
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.............

San Juan, P.R..............


7
15
0
5
4
4
8
3
2
7
23
8


7
2
2
6
13


10


1
1
4
13
11
1
11
4
14
9
6
6
3


1
1
8
0
10
3
3
2


0
6
3
8
4
29
5
2
6
4
8
4
1
6
3
2

2


12
12
3
3
7
2
6
3
2
2
11
4


6
2
0
8
7
3
2
7


1
2
0
10
6
4
16
4
17
5
9
0
8


2
1
12
2
8
1
3
1


0
5
3
5
1
30
3
0
3
6
10
8
0
3
5
4

9


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.....


7
14
3
5
1
5
6
2*
1*
5
13
0


8
3
4
9
14
4
2
5


2
0
2
11
3
4
9
1
20
5
11
9
2


6
2
10
2*
9
0
5
6


2
2
1
1
I
5
18
4
0
6
4
4
9
2
7
4
1*

(---)


10,988
427
652
6,339




UNIVERSITY OF FLORIDA


3 1262 08864 1377


Morbidity and Mortality Weekly Report


extending up the forearm and upper arm. Many of th e
nodules were dusky red in color. Clinically the infections
appeared to be sporotrichosis. No systemic symptoms
were noted and leukocyte counts were normal.
Cultures positive for Sporotrichum schenckii were
obtained in five cases, and smears of exudate have been
positive by the fluorescent antibody test in three of the
five cases. All persons known to have worked with the
seedlings are being checked and to date a total of eleven
cases has been found. These include nursery workers,
planters, and foresters who have received shipments of
the trees. There is a marked similarity in the cases, ten
of whom worked with the trees during the latter part of
April. The primary lesion was on the thumb in two cases
and in all cases there had been exposure to the moss. One
case with onset last fall, and with existing scarring
lesions, has been located at the nursery.
Cultures are being made of the sphagnum moss used
to pack the seedlings for shipment, of the :e.-jlir,: them-
selves, and of the soil of the nursery.
Efforts are continuing to locate all personnel who
may have handled the ti:c.lini.. and to determine the
common source of the outbreak.
(Reported by Linus J. Leavens, Al.B.. Director, Division
of Communicable Disease Control, State of Vermont
Department of Health; and a team from the Communicable
Disease Center.)



INTERNATIONAL NOTES QUARANTINE MEASURES

No additional pertinent information or changes.


Notes: Tbese provisional data are based os weekly telegrams to the Communi-
cable Disease Center by the individual State health departments.
Symbol: --D Data noi available
Quantity zero
Procedures for construction of various mortality curves may be obtained from
Statistics Section, Communicable Disease Center, Public Health Service,
U. S. Department of Health, Education, and Welfare, Atlanta 22, Georgia.


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