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:
AA00010654:00091

Related Items

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

Full Text






Morbidity and Mortality


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

PUBLIC HEALTH SERVICE


Prepared by the


634-5131


For release September 13; 1963 ATLANTA, GEORGIA 30333 Vol. 12, No. 36
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED SEPTEMBER 7, 1963


POLIOMYELITIS Eight cases of poliomyelitis, seven
paralytic, were reported during the week ending Sep-
tember 7. For the year, 237 cases have now been reported,
less than half the number reported during a comparable
period last year. Pennsylvania with 73 cases and Ala-
bama with 39 cases account for 47% of the total.
Of the four cases reported from Alabama this week,
two are unvaccinated children from Lawrence County
where on August 24 a mass oral immunization program
was conducted; the others are from neighboring Blount
and Morgan Counties.
In Grand Rapids, Michigan, three paralytic cases of
poliomyelitis have occurred among unvaccinated preschool


age children with onsets on August 10, 27, and 28. Type
I poliovirus has been recovered from two of these cases.
Utilizing, in part, vaccine from the CDC epidemic reserve,
a mass oral poliomyelitis vaccine program will be
initiated by early next week.
In Philadelphia, where 42 cases have been reported
to date, an iru ,nifi' 1,i ircr.rm was begun
on Septem-br ..'... '. health centers,
utilizing v3a.: rh '-:.7Ilr rn;c reserve. On
September 2 ommugy-wide p gr will be under-
taken which i. include 3,500,0 sons in Phila-
delphia an cent Bucs, Delaw nd Montgomery
Counties, P vania a rCamde Co ty, New Jersey.


Table 1. CASES-OF SPECIFIED NOTIFIABLE DISEASLs. LMTTD STATES
(Cumulative totals include revised and delayed reports through previous week)
36th Week Cumulative
Disease Ended Ended First 36 weeks
Disease Median 3 wek
September 7, September 8, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis ............... 34 112 -- 1,102 1,470 --
Brucellosis ..................... 12 7 7 260 291 519
Diphtheria ...................... 1 8 9 160 262 421
Encephalitis, infectious .......... 22 69 68 1,073 1,259 1,259
Hepatitis, infectious and serum... 681 762 679 30,393 39,218 25,625
Measles........................ 664 748 748 357,657 441,884 394,990
Meningococcal infections ......... 25 39 29 1,740 1,537 1,621
Poliomyelitis, total.............. 8 31 153 237 504 1,739
Paralytic .................... 7 26 109 203 393 1,195
Nonparalytic................. 1 4 27 24 81 377
Unspecified................... 1 17 10 30 167
Streptococcal sore throat
and Scarlet fever ............ 2,930 3,085 -- 247,717 229,462 .
Tetanus ........................ 5 6 --- 170 181
Tularemia ..................... 2 5 --- 196 212 --
Typhoid fever ................... 19 11 22 336 406 542
Typhus fever, tick-borne,
(Rocky Mountain spotted) ..... 4 6 -- 145 178 ---
Rabies in Animals ............... 65 42 57 2,670 2,781 2,691

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Ant :Ohio 1 CCum.
Anthrax: Ohio- 1 C3 Psittacosis: Calif. 1 43
Botulism: w. Va. 1 6 Rabies in Man: Ala. 1 1
Malaria: d. 1, Va. 64 Smallpox:
Plague: Typhus, murine: 15


0
r Weekly
Re P o rt


I CO MUNIABLEDISESE


*=~S .GO/7// ^









Morbidity and Mortality Weekly Report



VIRAL HEPATITIS
CHILDHOOD AND ADULT ATTACK RATES
AND ADULT/CHILDHOOD ATTACK RATE RATIO
BY WEEK -1963


V


0


-I


WEEK;


I 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
JANUARY FEBRUARY MARCH APRIL


HEPATITIS Hepatitis attack rates for each of the two
age groups (under 20 and over 20), as well as the ratio of
the adult to childhood cases, through the 33rd week are
shown in the accompanying figure.
The childhood rate reached its peak during the week
ending January 25, while the maximum adult rate was not
attained until the week ending March 8. Both rates reached
their seasonal low simultaneously in the week ending
luly 6, 1963.


17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
MAY JUNE JULY AUGUST



As in previous years, the childhood rate has varied
considerably in contrast to the adult rate which has re-
mained relatively constant over the entire period. As a
result, the ratio of adult to childhood attack rates varies
as an inverse function of the childhood rate. As seen
previously, the seasonal fluctuation in the incidence of
viral hepatitis is primarily a reflection of swings in the
rate of hepatitis in the younger segment of the
population.


EPIDEMIOLOGICAL REPORTS

Dengue Fever Puerto Rico

A total of 7,589 cases of dengue fever had been
officially reported to the Commonwealth Department of
Health as of noon, September 10. (See MMWR, Vol. 12,
pp. 278, 286.) Of the total, 3,426 were reported during
September. Of the 77 municipios on the island, 48 have
now reported cases, 17 of these for the first time during
the past week.
Outbreaks consisting of 250 or more officially re-
ported cases have been recognized in 8 municipios, as
shown in the table (right).
It is believed that the disease incidence is consider-
ably under reported and may well be present in other
areas not yet reporting cases.


Reported Cases
Municipio Population* Through September 10
Arecibo 69,879 1,225
Barceloneto 19,334 1,100
Guayama 33,678 489
Juncos 21,486 688
Manati 29,354 1,141
Morovis 18,094 394
Rio Piedros 251,384 372
Vego Baja 30,189 489
*1960 census

Preliminary analysis of a detailed morbidity survey
carried out'in the township of Guaynabo, eight miles
south of San Juan, reveals an attack rate for dengue-like
illness of 9.8%. Attack rates are somewhat higher among
those in the 40 to 59 year age groups, but are generally
remarkably similar for all ages.
(Continued on page 300)


294











295


Morbidity and Mortality Weekly Report





SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS

AUGUST 1963 AND AUGUST 1962


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

August Cumulative August Cumulative
Reporting Area Jan Aug Reporting Area JI an Aug
1963 1962 1963 1962 1963 1962 1963 1962


NEW ENGLAND............... 43 37
Maine.................... 2 0
New Hampshire............ 3 1
Vermont .................. 3 0
Massachusetts............. 30 25
Rhode Island............. 3 3
Connecticut............... 2 8

MIDDLE ATLANTIC........... 555 480
Upstate New York.......... 73 53
New York City............ 290 288
Pa. (Excl. Phila.)....... 7 17
Philadelphia............. 50 57
New Jersey................ 135 65

2AST NORTH CENTRAL........ 198 158
Ohio............... ...... 38 21
Indiana ................... 1 11
Downstate Illinois.... ... 11 12
Chicago.................. 85 81
Michigan................. 52 29
Wisconsin ................ 11 4

WEST NORTH CENTRAL........ 49 32
Minnesota ................ 7 9
Iowa..................... 1 1
Missouri ................. 25 18
North Dakota............. 0 0
South Dakota............. 3 0
Nebraska ................. 11 1
Kansas ................... 2 3

0OUTH ATLANTIC............ 649 437
Delaware................. 6 4
Maryland................. 114 41
District of. Columbia..... 41 61
Virginia ................. 27 31
West Virginia............. 2 6
North Carolina........... 74 58
South Carolina............ 65 50
Georgia.................. 107 78
Florida.......... ........ 213 108


5
186
11
88

3,965
437
2,186
94
475
773

1,316
256
37
77
613
287
46

324
53
19
151
4
21
40
36

4,182
33
440
447
203
28
605
484
707
1,235


348
6
8
0
240
18
76

3,758
377
2,137
109
469
666

1,134
190
62
95
560
194
33

246
44
13
127
2
18
7
35

3,696
26
351
491
262
33
428
496
625
984


EAST SOUTH CENTRAL.......
Kentucky .................
Tennessee .................
Alabama .................
Mississippi..............

WEST SOUTH CENTRAL........
Arkansas ................
Louisiana...............
Oklahoma................
Texas....................

MOUNTAIN..................
Montana..................
Idaho....................
Wyoming .................
Colorado ................
New Mexico ..............
Arizona...................
Utah.....................
Nevada...................

PACIFIC..................
Washington ..............
Oregon...................
California ..............
Alaska...................
Hawaii...................

U. S. TOTAL ................


TERRITORIES ...............
Puerto Rico...............
Virgin Islands...........


1,034
102
269
452
211

1,855
145
387
125
1,198

324
5
5
8
26
83
141
13
43

1,454
83
41
1,312
3
15

14,757


-V -----3--


775
91
227
399
58

1,993
168
857
67
901

220
2
1
0
42
39
92
2
42

1,061
25
31
991
5
9

13,231


280
260
20


Note: Cumulative Totals include revised and delayed reports
through previous months.


SUMMARY OF DEATHS AMONG PERSONS 65 YEARS

AND OVER IN 108 U. S. CITIES


The weekly average number of deaths among persons

65 years and over in 108 cities for the four-week period

ending September 7 was 5,571 as compared with an ex-

pected weekly average of 5,960.




WEEK ENDING [
----- -- _4 Week I Weekly
8/18 8/24 8/31 9/7 Total I Average

Observed 5,636 5,656 5,635 5,358 22,285 5,571
Expected 5,936 5,947 5,965 5,992 23,840 5,960


Excess -300 -291 -330 -634 -1,555 -389


DEATHS AT AGE 65 AND OVER IN 108 U S CITIES
Average number er week by ur-week periods


See Table. page 2')











29), .Morbidit and .Mortaliti Weekly Reporl



1Taihle CASES F0 SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 7, 1963 AND SEPTEMBER 8, 1962



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


Area




UNITED STATES......

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

MIDDLE ATLANTIC ..........
New York..............
New Jersey............
Pennsylvania

EAST NORTH CENTRAL.......
Ohio ..................
Indiana...............
Illinois.............
Michigan..............
Wisconsin.............

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

SOUTH ATLANTIC............
Delaware.............
Maryland .............
District of Columbia,.
Virginia .............
West Virginia.........
North Carolina........
South Carolina........
Gcorgia ..............
Florida ...............

EAST SOUTH CENTRAL.......
Kentucky.............
Tennessee .............
Alabama ...............
Mississippi ..........

WEST SOUTH CENTRALI.......
Arkansas..............
Louisiana............
Oklahoma...............
Texas .................

MOUNTAIN.................
Montana ...............
Ida h ................
Wyominrg...............

Col orad ................


Neadna................


PACIFIC ..................

Oregon .............
California ............
Alaska. ..............
Hawaii ...... .......

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


4


Cumulative Cumulative
36th week First 36 weeks 36th week First 36 weeks 36th week 36th week

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


8 31 237 504 7 26 203 393 1 4 34 112

2 5 2 5


I 1
S 1 4 1 4

1

5 81 57 4 63 39 1 7 1
1 7 43 1 5 27 6 1
1 5 1 5
4 73 9 3 57 7 1 1

6 30 51 4 22 37 1 6 12
2 8 14 2 4 13 2
2 2 7 1 1 5 1
1 12 21 11 12 2 3
4 6 4 6 4 6
1 4 3 1 2 1 1

S 4 22 4 12 2 16
3 6 3 6 2 16
S5 -2 1 2
7 2- 2
3 1

1 I I 1 1


1 3 29 35 1 3 26 30 1 10
1 1 1


S2 7 1 7 1 1
1 1 5 1 1 5 1
1 3 4 1 3 4 -
5 4 4 4
1 11 6 1 10 5
1 6 8 1 6 5 -

6 4 50 41 6 4 48 33 5 28
S 1 19 1 14 4
2 1 8 7 2 1 8 4 28
4 2 39 13 4 2 37 13 1
3 2 3 2 -

1 11 23 231 9 22 182 1 2 1 10
1 4 5 3 5 1 -
3 14 14 3 14 12- -
2 9 2 7 1 3
6 5 203 4 5 158 2 7

-11 8 1
3 2- -
2 1
I 1
1 1

3 3
-I 1 1


2 18 51 2 16 47 12 34
1 1 1 1 5 3
2 5 1 5 1 1
2 15 45 2 14 41 6 30



S 1 4 11 1 4 11










Morbidity and Mortality Weekly Report 297


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 7, 1963 AND SEPTEMBER 8, 1962 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area Cumu- Cumu- 36th week
lative lative Under 20 &
36th week 36 weeks 36th, week 36 weeks 36th week 20 yr. over Total 36th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 12 260 1 160 22 69 366 280 681 762 664 748

NEW ENGLAND .............. -1 8 1 1 94 24 120 91 31 50
Maine ............... 46 11 57 24 3 9
New Hampshire.......... 34 4 38 11 1
Vermont.............. 1 2 2 4 8
Massachusetts.......... 6 1 1 7 6 13 44 21 22
Rhode Island........... .2 2 3 1 3
Connecticut............ 5 1 6 9 5 8

MIDDLE ATLANTIC............ 5 21 5 5 63 62 125 129 105 43
New York.............. 3 13 2 5 30 36 66 57 69 24
New Jersey............. 3 12 17 29 21 18 4
Pennsylvania.......... 2 5 3 21 9 30 51 18 15

EAST NORTH CENTRAL....... 2 26 23 5 44 35 82 114 106 226
Ohio.................. 1 4 18 9 30 51 18 27
Indiana............... 1 5 5 3 3 6 12 7 7
Illinois............. 1 15 12 3 5 8 23 14 14
Michigan.............. 5 3 1 15 16 31 26 25 96
Wisconsin .......... 1 2 5 2 7 2 42 82

WEST NORTH CENTRAL ....... 5 149 37 2 3 14 3 23 33 25 25
Minnesota............. 8 15 1 3 1 6 6 1
Iowa................... 5 110 1 1 3 1 5 13 19 5
Missouri.............. 11 1 1 1 4 2
North Dakota.......... 1 1 2 1 6 15
South Dakota.......... 8 11 4 7 4 2
Nebraska.............. 6 8 3
Kansas................ 6 3 2 2 2 NN NN

SOUTH ATLANTIC........... 1 14 1 34 2 43 47 28 80 76 81 53
Delaware.............. 11 11 1
Maryland.............. 1 3 1 4 3 15
District of Columbia.. -
Virginia .............. 1 6 1 6 8 19 12 11 14
West Virginia......... 1 5 3 8 6 37 26
North Carolina........ 4 2 15 5 20 28 1
South Carolina......... 9 4 4 5 10 3
Georgia................. 3 1 12 1 1 5 6 5 2
Florida................. 1 9 42 2 6 8 17 5 9

EAST SOUTH CENTRAL....... 13 10 1 1 39 35 75 89 58 29
Kentucky ............. 3 9 6 16 38 21 12
Tennessee............. 6 2 1 1 16 12 28 24 30 8
Alabama............... 4 8 10 10 20 22 5 7
Mississippi........... 4 7 11 5 2 2

WEST SOUTH CENTRAL....... 1 30 20 1 1 24 27 53 69 65 90
Arkansas .............. 5 2 1 3 5 1
Louisiana.............. 1 8 5 9 7 16 10 1 -
Oklahoma.............. 5 6 1 2 3 5 3
Texas................. 12 8 1 1 12 17 31 49 60 90

MOUNTAIN ................. 9 4 5 1 7 9 32 46 55 117
Montana............... 3 4 4 10 2 21 44
Idaho.................. 4 5 3 15
Wyoming............... 1 1 1-
Colorado.............. 3 2 5 10 1 23
New Mexico............ 1 1 1 4 NN NN
Arizona............... 3 1 6 20 21 22
Utah ................ 5 1 3 2 5 3 7 13
Nevada................ 1 1 2

PACIFIC.................. 3 13 3 5 9 34 57 91 115 138 115
Washington ............ 1 13 17 30 29 6 13
Oregon ................ 2 2 3 5 15 16 38
California............ 3 10 3 5 8 19 36 55 71 52 38
Alaska................ 1 1 59 12
Hawaii................ 1 5 14

Puerto Rico.............. 12 9 4 13 17 9 14









11orbidity and Mortality W1eekly Report


able 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITI)D STATES

FOR WEEKS ENDED


SEPTEMBER 7, 1963 AND SEPTEMBER 8, 1962 (Continued)


Area


UNITED STATES...

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

MIDDLE ATLANTIC....
New York..........
New Jersey.........
Pennsylvania ......

EAST NORTH CENTRAL.,
Ohio..............
Indiana............
Illinois...........
Michigan...........
Wisconsin..........

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

SOUTH ATLANTIC......
Delaware...........
Maryland ..........
Dist. of Columbia.,
Virginia...........
West Virginia......
North Carolina.....
South Carolina.....
Georgia............
Florida ...........

EAST SOUTH CENTRAL..
Kentucky...........
Tennessee..........
Alabama............
Mississippi........

WEST SOUTH CENTRAL..
Arkansas...........
Louisiana..........
Oklahoma..........
Texas..............

MOUNTAIN...........
Montana............
Idaho.............
Wyoming............
Colorado...........
New Mexico.........
Arizona...........
Utah..,...........
Nevada...... ......


Infections

Cumu-
lative
36th wk. 36 weeks


I- +


.4 4. 4


25










3
2
1


1
1





4



2

2


3



2



1


2
1
1



1

1


PACIFIC.................. 11

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

Alaska.............
Hawaii... ..........


1,740

109
17
4
4
51
10
23

243
114
34
95

264
76
31
49
81
27

113
22
6
33
12
5
24
11

319
2
49
6
74
16
55
15
25
77

127
27
57
21
22

164
11
67
29
57

59
3
6
4
16
4
9
14
3

342
26
25
271
12
8


T. f L iL I
Sore Throat & tetanus
Scarlet Fever


36Lh week 36th wk.


2,930

154
11
3
16
9
12
103

53
45
8
10

147
19
36
24
40
28

78
3
7

65

2
1

350
7
3

87
120
8
43

82

669
80
543
9
37

526


11
515

538
42
40
2
136
138
71
109


405
70
6
291
18
20

5


Typhus Tularemia Typhoid Fever Rabies in Animals
(Rcky Mt. ____
Spotted) Cumu- Cumu-
lative lative
36th wk. 36th wk. 36thwk. 36 weeks 36th week 36 weeks


I, ,


I 'r I Ir


+ 4 4 4 .4.


I ,- ..


1 1 12 1 I 11


1....


3,085

171
66
2
15
8
18
62

89
68
9
12

217
5
59
20
72
61

107
5
13
2
85
1
1


291

2
1
62
88
5
34

99

750
56
620
10
64

467

1
3
463

650
45
52
3
171
234
67
73
5

343
47
10
272
11
3


i


Puerto Rico......... 6


2W 8


336

10
2

1
5

2

67
29
3
35

32
13
4
8
2
5

20
3
2
12

1
I
1


1
8

7
6
6
2
2
13

39
8
20
8
3

63
22
19
5
17

15


I
6
2
6



45
2
2
38
1
2


2,670

26
1
12
12
1



84
62

22

430
253
40
62
41
34

679
161
263
115
28
76
22
14

372
1


132
103
10
7
52
67

217
103
97
17


515
52
41
42
380

89



15
27
41

6

258

4
245
9


I










Morbidity and Mortality Weekly Report





Table 4 (D). TOTAL DEATHS AMONG PERSONS 65 YEARS AND OVER IN REPORTING CITIES



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


Area For weeks ending Area For weeks ending
Area 8/2 1 97 8Area/7
8/17 8/24 8/31 9/7 I8/17 8/24 8/31 9/7


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...........
Cary, 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............


137
20
16
16
13
18
11
19
17
36
12
24
17
37


26
18
78
27
12
23
30
39
742
17
312
100
30
60
14
16
32
25
10
20


16
22
315
80
92
44
44
153
20
19
40
18
21
69
15
57
14
12
25
50
33


31
13
15
74
13
74
37
130
45
25


102
22
11
20
33
14
15
14
23
33
10
18
13
45


29
17
66
17
15
24
37
44
816
15
313
100
22
63
11
31
28
16
18
20


30
14
337
93
100
53
38
151
19
27
23
14
22
67
17
64
16
13
20
50
38


37
14
18
66
17
49
40
127
48
27


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, Tenrm...........
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..............


46
99
16
30
48
29
35
16
60
45
86
21


24
30
25
55
55
20
11
37


15
12
5
66
12
48
72
26
101
27
55
30
23


7
10
64
8
41
9
33
23


13
22
18
18
32
280
42
23
72
20
56
90
21
69
38
14


38
92
16
25
47
22
35
21
54
27
58
13


42
17
14
66
50
20
13
39


26
13
8
66
22
32
67
25
84
45
49
27
31


11
11
61
11
45
5
27
26


11
21
25
16
35
286
55
19
63
26
39
101
12
77
33
17


29
23
17
36
52
19
13
45


20
9
7
62
18
48
89
15
71
26
69
24
29


11
13
55
11
39
6
19
21


4
25
21
21
33
252
60
12
42
41
38
106
29
79
27
19


299


54
102
8
32
44
24
29
14
60
26
80
17


43
21
18
41
56
19
21
35


21
17
6
55
15
26
52
34
107
31
41
23
22


11
7
44
6
43
6
28
18


10
18*
18
15*
28
218
36
24
57
26*
44
100
15
61
23
32


San Juan, P.R............... 18 0 1 4


0Current Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 10,030
4(B) Pneumonia-Influenza Deaths, all ages........ 302
4(C) Total Deaths under 1 Year of Age............. 706
4(D) Total Deaths, Persons 65 years and over..... 5,358


*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

I 0II IIlI IDI III I II l IIIIlI
3 1262 08864 0478

Morbidity and Mortality Weekly Report


Age No. Surveyed No. III* Attack Rate (%)
0-9 713 65 9.1
10-19 528 48 9.1
20-29 389 35 9.0
30-39 255 23 9.0
40-49 225 29 12.9
50-59 163 25 15.3
60-69 110 9 8.2
70+ 81 8 9.9
Unknown 7 1 -
Totals 2,471 243 9.8

*Febrile illness within preceding three weeks, generally
characterized by chills, myalgia, etc.


Entomological studies in Guaynabo reveal a breeding
index for Aedesaegypti of 44% and an adult index of 68%.
It is felt that the peak of the epidemic in Guaynabo has
not yet been reached.
Epidemiological and virological studies are con-
tinuing; mosquito control activities are in progress.
(Reported by Victor Gonzales. M.D., Director, Bureau of
health, Puerto Rico Department of Health, and a team
from the Communicable Disease Center.)


Human Rabies Death Alabama

The first human rabies death in the country for 1963
was reported from Alabama this week. A 52-year-old
woman from Aliceville, in Pickens County, Alabama, died
with classical symptoms of rabies in the University
Hospital, Birmingham, on September 4 after a seven-day
course of illness. The clinical diagnosis was confirmed
by the Alabama State Health Department laboratory after
examination of portions of brain tissue taken at autopsy.
Investigation of the case revealed that the probable
source of the infection was a non-vaccinated family dog
which had been in a fight with another dog on May 30.
The family dog died August 10 and was disposed of and
was, therefore, not available for laboratory examination.
(Reported by Dr. Ira L.. Myers, State Health Officer,
Alabama State Health Department.)





INTERNATIONAL NOTES
East Berlin One imported suspect case of smallpox
was reported September 9 from East Berlin.


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