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:
AA00010654:00099

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


I D634-5131


F"r rel _a- J-ur.- 2-"1, 1P63 ATLANTA 22. GEORGIA. ...
PRO\ SION L INFORMATION ON SEI ECTED NOTIFI BLE DISlAE'1 IN'THE UNITED" 'Z1.'TFl. AND )N
DEATHS IN SELFCTFD ( ITIES FOR % EFk FNDFD JUNE 15. 9..s'


TETANUS The 9 cases of tetanus reported for the
week ending June 15, 1963, brings the total number of
reported cases during the first 24 weeks of the current
year to 99, a 10 percent increase over the corresponding
number of cases, 89, reported for the similar period during
1962.

In the table (right) are shown the annual totals of
tetanus cases and tetanus deaths in the United States for
the years 1958-1962.


National tetanus morbidity and mortality trends.
have been slowly decreasing since 1952. The ratio of
deaths to cases during the same period has remained
constant. (see graph, page 198).
TETANUS UNITED STATES
1962 1961 1960 1959 1958
Total Cases 291* 379 368 445 445
Total Deaths ** 231 283 303
* Preliminary total
** Data not yet available


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
24th Week Cumulative
Ended Ended First 24 weeks
Disease Median
June 15, June 16, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis ............... 37 28 --- 567 507 ---
Brucellosis ..................... 8 10 11 156 183 340
Diphtheria...................... 6 4 7 126 204 318
Encephalitis, infectious .......... 33 36 35 696 715 685
Hepatitis, infectious and serum... 659 825 599 22,313 30,102 18,055
Measles ........................ 12,223 13,202 13,889 319,028 399,357 346,559
Meningococcal infections......... 47 38 38 1,358 1,137 1,258
Poliomyelitis, total.............. 6 17 37 67 175 387
Paralytic.................... 5 14 31 57 135 284
Nonparalytic................ .1 3 4 3 24 66
Unspecified.................. 2 7 16 37
Streptococcal sore throat
and Scarlet fever ............ 4,851 4,638 --- 206,237 189,047
Tetanus ........................ .9 11 -- 99 89 ..
Tularemia................ ...... 9 6 --- 102 116
Typhoid fever ................... 6 9 15 161 213 259
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... 7 10 --- 37 50 -
Rabies in Animals............... 70 63 63 1,869 1,997 1,933

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 2 Psittacosis: 29
Botulism: 5 Rabies in Man:
Malaria: 41 Smallpox:
Plague: Typhus, murine: 5


Wekl


FL% O// '.









Morbidity and Mortality Weekly Rep


TETANUS U.S.-1952-1962


Rate per
100.000 pop,
a5T


Morbidity Rote
_- Mortality Rote
- Death-Cose Rolio


..
N'm
S \
I -





Dota for 1962 are preliminary
*Daoto for 1961 S 1962 are not avoiloble


Source, Annual Summary CDC & NOVS


1952 '53 '54 55 56 '57 '58 '59 '60 '61 '62


Percent

90

80

70

60 ,g

50

40

30

20

to10


EPIDEMIOLOGICAL REPORTS
Salmonellosis California
Two outbreaks of salmonellosis due to S. heidelberg
occurred in a California city in March 1963. Both were
traced to a common source, .French vanilla ice cream,
prepared by a local manufacturer.
The first outbreak occurred among 29 persons who
ate food served at a birthday party on March 16, 1963.
Twenty-two of the 29 persons subsequently became ill,
with onset of symptoms between 12 and 51 hours after
attending the party. Characteristic symptoms included
stomach cramps, diarrhea, muscular aches, and fever in
some to 1040 F.
All of the food served at the party was prepared at
the home where the party was held with the exception of
of the French vanilla ice cream. The attack rates for 27
persons, who ate or did not eat the various foods served
at the party, are shown in the table (right). The high
attack rate among those eating ice cream suggested this
to be the source of infection.
The only samples of food available from the meal for
analysis were three of the eight pints of ice cream pur-
chased for the party. Samples from all three pints remain-
ing were positive for S. heidelberg. Each sample also
contained coagulase positive staphylococci, with plate
counts ranging from 10.5 x 106/gram to 11.7 x 106/gram.


ATE FOOD DID NOT EAT FOOD
FOOD No. No.
No. Not Percent No. Not Percent
III III Total III III III Total III
Turkey 19 7 26 73 1 1 100
Dressing 11 4 15 73.5 9 3 12 75
Mixed
vegetables 18 4 22 82 2 3 5 40
Salad 13 3 16 81 7 4 11 64
Mashed
Potatoes 20 4 24 81 3 3 0
Gravy 17 4 21 81 3 3 6 50
Ice Cream 19 1 20 95 1 6 7 14
Cake 15 4 19 79 5 3 8 62



Stool specimens were obtained from 19 persons who
had eaten the suspect food. Eight of these were positive
for salmonella, of which six were salmonella Group B
(S. heidelberg) and two were salmonella Group C (S.
in/antis).
The second outbreak, reported on March 21, 1963,
involved four men who had shared a common meal on
March 17, 1963. The meal included beef stew, strawberry
shortcake, and French vanilla ice cream of the same
brand involved in the outbreak reported above. All four
persons became ill 25-29 hours after eating, with symp-
toms including nausea, headache, stomach cramps, diar-
rhea, and fever. One of two stool specimens obtained
from two of these individuals was positive for S.heidel-
berg.
Prior to laboratory confirmation of S. heidelberg in
the ice cream samples obtained in the first outbreak, all
of the French vanilla ice cream in jobber and retail out-
lets was recalled by the manufacturing concern. The last
batch of French vanilla ice cream had been prepared on
February 26, 1963. Laboratory examination of eight pints
of the ice cream collected from the manufacturing plant
and one of two pints collected from the store from which
ice cream in the first outbreak was obtained were found
to contain S. heidelberg and coagulase positive staphylo-
cocci.
One of 9 food handlers at the manufacturing plant
was found, on stool culture, to be positive for salmonella
Group C (S. infantis). This employee, however, handled
neither the ice cream nor the immediate containers. His
job is to place the exterior cartons, packed with pint
containers, into the freezer. He denied other contact
with the product, and stated that he did not eat French
vanilla ice cream from the suspect batch produced on
2/26 and had not had any recent illness.
Investigation of the materials and methods for pre-
paring the ice cream showed that the separate custard
mix used, was made without provisions for recording the
the temperature achieved and maintained during process-
ing. Bacteriologic examination of two samples of frozen


198








Morbidity and Mortality Weekly Report


egg yolks used in making custard were obtained from the
same source as those used in the contaminated lot of ice
cream. These contained coagulase positive staphylo-
cocci with plate counts of 1.2 and 1.4 x 106/gram, re-
spectively. Bacteriologic analysis of the stock coloring
solution used in the ice cream indicated that this was
capable of supporting bacterial growth. Samples of color-
ing stock solution prepared on 2/27/63 revealed a total
plate count of 4.5 x 106/gram, compared to a plate count
of less than 100 per gram of the powder used in preparing
the stock solution and 5 per gram of the water used in
its preparation.
It appears that the egg yolks used in the lot of French
vanilla ice cream prepared on 2/26/63 were the most likely
source of the salmonella organisms while the preparation
of separate custard mix without provisions for recording
temperatures during processing may have permitted under-
processing to occur.
(Reported by F. A. Listick, Sanitarian, Los Angeles City
Health Department, California; and, Dr. Philip K. Condit,
Bureau of Communicable Diseases, California Department
of Public Health.)



Anthrax North Carolina
The case of human anthrax from North Carolina re-
ported in MMWR, Vol. 12, No. 23, page 189, was in a
33-year-old female who worked in a goat hair processing
mill. On April 7, 1963, two weeks after beginning work
at the mill, she developed a "sore" on her neck, which
subsequently was diagnosed as cutaneous anthrax. The
patient was seen by her local physician, hospitalized and
given penicillin. Recovery was uneventful. Smears and


cultures were not obtained prior to antibiotic therapy, but
the clinical course was typical of cutaneous anthrax.
The patient worked in the spinning department, and
because of her recent employment had not received the
initial inoculation of the anthrax vaccine prior to develop-
ment of the lesion. This is the first reported case of
anthrax among employees of the mill since the establish-
ment of an immunization program two years ago.
(Reported by Dr. Z. P. Mitchell, Cleveland County Health
Officer, Shelby, North Carolina; and Dr. Jacob Koomen,
Jr., Assistant Director, Communicable Disease Section,
State Board of Health, Raleigh, North Carolina.)



Salmonella derby Epidemic Follow-up Report -
There have now been a total of 515 human isolations of
Salmonella derby reported from 24 States and the District
of Columbia since March 1, 1963. Previous reports ap-
peared in MMWR, Vol. 12, pp. 182, 173, 167, and 159.
Three hundred and seventy two of the isolates have
been from patients who acquired their infection in hospi-
tals, having been admitted for reasons other than gastro-
enteritis. The hospital-acquired cases have been reported
from 10 States, 7 of them in the northeastern part of the
county, accounting for all but six of the cases. These six
cases have been reported from Ohio (4), Illinois (1), and
Indiana (1).
Twenty hospitals have been involved, with 84 percent
(314) of the cases being reported from among 9 Pennsyl-
vania hospitals.
Sixty-six cases have not been related to hospitaliza-
tion. These community-acquired cases appear to represent

(Continued on page 204)


SUMMARY OF DEATHS AMONG PERSONS 65 YEARSAND
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 June 15 was 6,154 as compared with an expected
weekly average of 6,270.



WEEK ENDING
WEEK ENDING 4 Week Weekly
5/25 6/1 6/8 6/15 Total Average
Observed 6,093 5,498 6,584 6,441 24,616 6,154
Expected 6,355 6,296 6,240 6,187 25,078 6,270
Excess -262 -798 344 254 -462 -116


DEATHS AT AGE 65 AND OVER IN 108 U S CITIES
Average number per weCk by four-eek periods


(See table. Page 203)










2110 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 15, 1963 AND JUNE 16, 1962



Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Area
24th week First 24 weeks 24th week First 24 weeks 24th week 24th week
1963 1962 1963 1962 1963 1962 1963 1962 1963 1962 1963 1962

UNITED STATES...... 6 17 67 175 5 14 57 135 1 3 37 28

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

MIDDLE ATLANTIC.......... 1 9 33 1 7 20 4 1
New York.............. 1 5 32 1 5 19 2 -
New Jersey............. 1 1 1 1 -
Pennsylvania 3 1 2 1

EAST NORTH CENTRAL....... 15 10 11 6 7 7
Ohio................... 4 4 3 4 1 2
Indiana ............... 2 3 2 2 -
Illinois............. .. 6 2 5 -
Michigan.............. 2 2 3 4
Wisconsin ............. 1 1 1 1 1

WEST NORTH CENTRAL....... 3 7 3 4 3
Minnesota............. 2 1 2 1 2
Iowa................... 3 2 1
Missouri................ 1 3 1 1 -
North Dakota.......... ..
South Dakota.......... .
Nebraska............... .
Kansas................ .

SOUTH ATLANTIC............ 2 9 11 1 7 9 1 3
Delaware ................
Maryland ................
District of Columbia.. 1
Virginia.............. 1 2 2 1 2 1
West Virginia......... .. 1 I -
North Carolina........ 2 2 2 2 -
South Carolina........ ..
Georgia................ 1 2 2
Florida............... 1 3 4 1 3 3 3

EAST SOUTH CENTRAL ....... 1 4 5 1 3 3 2 1
Kentucky............... 2 2 2 1
Tennessee............. 1 2 1 -
Alabama............... 2 i i 1
Mississippi........... 1 I 1 1 -

WEST SOUTH CENTRAL....... 1 17 15 84 1 14 15 72 3 5 3
Arkansas.............. 1 1
Louisiana.............. 1 2 13 7 1 1 13 6 1 -
Oklahoma.............. 1 2 -
Texas.................. 15 2 75 13 2 65 2 3 3

MOUNTAIN................. 8 7 5 4
Montana............... 3 2 -
Idaho.................... -
Wyoming............... 1 -
Colorado.............. 4 4
New Mexico............ -
Arizona............... 3 3 1 -
Utah.................. 1 1 -
Nevada............... -

PACIFIC.................. 1 12 16 1 11 13 9 8
Washington ........... --
Oregon................ 1 1 -
California............. 1 11 15 1 10 12 9 7
Alaska ................ -
Hawaii.................. -

Puerto Rico............... 4 6 4 6









Morbidity and Mortality Weekly Report 201


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
FOR WEEKS ENDED

JUNE 15, 1963 AND JUNE 16, 1962 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area
Cumu- Cumu- 24th week
lative lative Under 20 &
24th week 24 weeks 24th week 24 weeks 24th week 20 yr. over Total 24th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 8 156 6 126 33 36 310 293 659 825 12,223 13,202

NEW ENGLAND .............. 4 2 3 36 30 67 46 493 1,859
Maine................. 20 11 31 20 14 106
New Hampshire.......... 3 2 5 2 1 14
Vermont............... 3 110 87
Massachusetts......... 2 2 6 11 17 18 246 865
Rhode Island.......... 2 2 1 1 26 113
Connecticut........... 1 7 6 13 2 96 674

MIDDLE ATLANTIC.......... 4 20 6 10 54 54 108 139 2,269 3,020
New York............... 3 13 5 9 37 30 67 70 1,125 1,560
New Jersey............. 2 8 12 20 23 656 1,229
Pennsylvania .......... 1 5 1 1 9 12 21 46 488 231

EAST NORTH CENTRAL....... 2 12 1 12 3 1 49 44 100 167 4,666 2,768
Ohio................... 1 1 13 20 36 52 657 375
Indiana ............... 1 2 3 4 2 7 14 106 185
Illinois.............. 1 9 3 2 9 9 20 35 167 364
Michigan .............. 1 3 1 23 12 35 62 1,998 1,389
Wisconsin ............. 1 2 1 2 4 1,738 455

WEST NORTH CENTRAL....... 3 108 1 36 2 6 10 10 23 72 337 376
Minnesota............. 7 15 2 3 21 61 110
Iowa.................. 2 78 1 3 2 7 27 150 202
Missouri .............. 1 5 1 1 4 2 6 13 100 16
North Dakota..*....... 1 1 1 24 47
South Dakota........... 7 1 10 1 2 1
Nebraska.............. 5 8 1 2 3 1 -
Kansas................. 6 1 4 2 2 4 9 NN NN

SOUTH ATLANTIC........... 4 3 26 3 3 39 25 71 94 995 839
Delaware.............. 2 34 11
Maryland.............. 1 2 5 6 11 9 84 68
District of Columbia.. 4 2 1
Virginia.............. 2 3 8 16 20 354 306
West Virginia......... 1 4 3 8 11 399 310
North Carolina........ 1 1 10 3 13 19 20 6
South Carolina........ 3 9 2 3 2 32 20
Georgia................ 7 5 1 6 9 7
Florida............... 1 2 10 4 14 18 70 110

EAST SOUTH CENTRAL....... 4 9 1 28 23 51 88 678 481
Kentucky ............... 15 6 21 37 391 145
Tennessee............. 3 2 1 5 8 13 29 259 275
Alabama............... 1 7 1 5 6 10 6 28
Mississippi........... 7 4 11 12 22 33

WEST SOUTH CENTRAL ....... 2 12 1 16 1 2 26 25 51 47 401 941
Arkansas.............. 3 1 1 1 1 10 5 5
Louisiana............. 2 10 2 12 3 2 2
Oklahoma.............. 1 3 1 6 15 8
Texas................. 1 6 7 1 1 16 22 38 34 379 926

MOUNTAIN................. 1 5 1 1 11 4 50 42 1,070 1,153
Montana.............. 2 2 2 55 208
Idaho................. 14 13 159 70
Wyoming .............. 1 3 -
Colorado............... 6 14 11 278 338
New Mexico............ 1 1 2 2 4 3 NN NN
Arizona................... 1 3 13 8 539 202
Utah.................. 1 1 2 3 4 36 199
Nevada................ 1 136

PACIFIC.................. 7 2 15 10 57 78 138 130 1,314 1,765
Washington............ 1 1 8 5 16 19 41 236
Oregon................ 2 4 6 10 15 142 497
California ............ 4 2 14 9 45 65 110 84 1,032 955
Alaska............... 12 20 2
Hawaii................ 2 2 79 75

Puerto Rico .............. 9 18 5 23 10 20 102









202 Morbidity and Mortality Weekly Report


Tahli 3. CASES OF SPICIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 15, 1963 AND JUNE 16, 1962 (Continued)


Meningococcal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
AreaCumu- Spotted) Cumu- Cumu-
lative lative lative
24th wk. 24 weeks 24th week 24th wk. 24th wk. 24th wk. 24thwk. 24 weeks 24th week 24 weeks
1963 1963 1963 1962 1963 1963 1963 1963 1963 1963 1962 1963

UNITED STATES.... 47 1,358 4,851 4,638 9 7 9 6 161 70 63 1,869

NEW ENGLAND......... 4 86 528 321 6 2 20
Maine.............. 1 15 5 5 1
New Hampshire...... 2 4 7 1 12
Vermont............. 3 6 17 1 2 7
Massachusetts...... 37 80 56 4 -
Rhode Island....... 1 9 30 16
Connecticut........ 18 400 226 -

MIDDLE ATLANTIC ... 7 190 288 237 1 20 6 4 53
New York............ 6 82 211 136 14 4 2 39
New Jersey......... 26 47 42 1
Pennsylvania....... 1 82 30 59 1 5 2 2 14

EAST NORTH CENTRAL.. 9 222 584 451 2 8 6 13 278
Ohio................ 2 62 64 47 2 161
Indiana............ 2 27 49 37 1 1 7 30
Illinois........... 2 37 72 65 3 4 2 43
Michigan............ 2 69 310 174 1 1 2 3 28
Wisconsin.......... 1 27 89 128 1 1 16

WEST NORTH CENTRAL.. 80 90 95 2 1 10 15 17 445
Minnesota.......... 16 14 10 2 3 7 3 121
Iowa............... 4 18 31 1 5 7 161
Missouri........... 28 1 11 1 6 1 6 80
North Dakota....... 4 56 24 1 13
South Dakota....... 4 1 1 54
Nebraska........... 19 1 8
Kansas............. 5 1 18 8

SOUTH ATLANTIC...... 11 247 312 368 1 2 2 34 8 6 296
Delaware........... 2 6 1 1
Maryland........... 2 40 8 11 3
Dist. of Columbia.. 4 2 2
Virginia........... 5 64 113 109 2 4 3 3 109
West Virginia...... 13 51 86 1 6 2 2 87
North Carolina.... 39 19 2 1 5 1 5
South Carolina ..... 13 29 10 2 6
Georgia............ 4 16 3 41 2 1 35
Florida............ 56 81 106 1 11 1 1 54

EAST SOUTH CENTRAL.. 3 107 848 591 1 3 14 5 3 158
Kentucky........... 1 23 91 52 1 1 2 74
Tennessee.......... 1 46 665 492 2 9 2 70
Alabama............ 21 6 2 1 1 4 2 1 14
Mississippi........ 1 17 86 45 -

WEST SOUTH CENTRAL.. 1 138 499 481 1 2 6 28 21 16 391
Arkansas........... 8 2 5 14 1 24
Louisiana .......... 1 57 2 5 35
Oklahoma........... 27 1 8 2 1 2 1 2 33
Texas............... 46 494 473 1 7 20 13 299

MOUNTAIN............ 1 43 921 1,041 1 3 3 5 1 39
Montana ............ 3 40 15
Idaho.............. 3 91 95 -
Wyoming............ 1 13 6 2 -
Colorado............ 11 444 409 1 1 2
New Mexico......... 3 186 229 1 21
Arizona............ 7 92 194 1 2 2 1 18
Utah............... 1 12 55 91 -
Nevada............. 3 2 -

PACIFIC............. 11 245 781 1,053 36 7 3 189
Washington.......... 1 18 93 113 -
Oregon.............. 1 15 5 10 2 1
California......... 7 199 602 867 31 7 3 179
Alaska.............. 1 6 30 51 1 9
Hawaii.............. 1 7 51 12 2 -
Puerto Rico......... 1 4 13 1 1 8 6








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 a For weeks ending

5/25 6/1 6/8 6/15 5/25 6/1 6/8 6/15


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


135
19
16
10
24
7
16
23
22
35
6
33
16
31


26
22
73
21
16
25
31
63
877
25
219
80
28
81
11
17
33
22
14
18


30
24
398
93
97
74
50
170
19
27
16
13
27
77
23
72
21
19
28
58
38


34
16
24
60
20
54
47
135
50
27


156
28
24
20
35
14
9
20
24
28
11
27
19
34


29
17
85
24
15
25
32
60
883
17
258
124
25
78
11
13
36
27
13
21


31
20
393
114
130
62
45
205
28
27
33
24
40
85
14
95
16
18
29
72
41


36
20
22
96
18
73
46
163
45
20


135
28
21
15
31
14
21
22
28
36
8
17
13
41


20
15
74
30
16
19
31
47
854
16
261
79
25
72
11
24
49
39
10
17


33
28
454
87
140
58
31
244
24
32
27
16
22
88
30
82
23
32
34
71
44


42
16
23
68
17
65
51
192
44
34


SOUTH ATLANTIC:
Atlanta, Ga.............. 62 48 44 66
Baltimore, Md............ 112 93 133 109
Charlotte, N.C............ 15 11 23 29
Jacksonville, Fla........ 30 23 15 32
Miami, Fla............... 41 24 55 36
Norfolk, Va.............. 16 15 16 19
Richmond, Va.............. 39 41 46 46
Savannah, Ga.............. 15 21 13 16
St. Petersburg, Fla...... 52 42 53 58
Tampa, Fla............... 45 30 44 28
Washington, D.C ......... 83 77 85 91
Wilmington, Del.......... 28 11 18 15

EAST SOUTH CENTRAL:
Birmingham, Ala......... 50 38 37 50
Chattanooga, Tenn........ 18 17 18 27
Knoxville, Tenn.......... 26 16 27 11
Louisville, Ky........... 61 29 69 52
Memphis, Tenn............ 68 46 59 72
Mobile, Ala.............. 16 15 17 22
Montgomery, Ala.......... 19 18 17 22
Nashville, Tenn.......... 65 41 56 60

WEST SOUTH CENTRAL:
Austin, Tex.............. 16 17 22 21
Baton Rouge, La.......... 18 15 14 15
Corpus Christi, Tex...... 9 10 14 6
Dallas, Tex.............. 64 57 66 59
El Paso, Tex............. 17 16 21 16
Fort Worth, Tex.......... 41 44 45 29
Houston, Tex.............. 70 76 74 72
Little Rock, Ark ......... 46 23 30 34
New Orleans, La.......... 68 70 90 94
Oklahoma City, Okla...... 40 32 39 63
San Antonio, Tex......... 45 53 56 58
Shreveport, La........... 27 34 17 32
Tulsa, Okla............... 28 28 41 36

MOUNTAIN:
Albuquerque, N. Mex...... 8 13 9 10
Colorado Springs, Colo... 8 18 13 12
Denver, Colo............. 62 60 66 51
Ogden, Utah............... 9 7 11 7
Phoenix, Ariz............. 37 38 48 37
Pueblo, Colo.............. 5 6 8 9
Salt Lake City, Utah..... 41 27 29 24
Tucson, Ariz............. 28 23 26 19

PACIFIC:
Berkeley, Calif.......... 11 14 11 15
Fresno, Calif............. 23 24 25 34
Glendale, Calif.......... 33 20 31 21
Honolulu, Hawaii.......... 19 22 17 14
Long Beach, Calif........ 38 29 51 37
Los Angeles, Calif....... 292 231 305 310
Oakland, Calif........... 67 46 55 53
Pasadena, Calif.......... 24 17 39 28
Portland, Oreg........... 67 56 73 53
Sacramento, Calif........ 32 29 32 30
San Diego, Calif............ 51 65 47 40
San Francisco, Calif..... 115 120 127 124
San Jose, Calif.......... 22 23 28 22
Seattle, Wash............ 87 64 107 85
Spokane, Wash............ 35 44 21 48
Tacoma, Wash.............. 29 23 39 27

San Juan, P.R............... 19 20 11 15


0Current Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 11,558
4(B) Pneumonia-Influenza Deaths, all ages........ 387
4(C) Total Deaths under 1 Year of Age............ 776
4(D) Total Deaths, Persons 65 years and over..... 6,441


Totals for previous weeks include reported corrections.

NOTE: All deaths by place of occusreece.




UNIVERSITY OF FLORIDA

3 IIII 1262 08864 13931111111
3 1262 08864 1393


Morbidity and Mortality Weekly Report


the expected isolations of Salmonella derby unrelated to
the outbreak. An additional 27 cases may have been as-
sociated with hospitalization, and 50 cases are currently
under study.
Approximately one-half of the hospitals are still ex-
periencing a small number of new cases.








INTERNATIONAL NOTES QUARANTINE MEASURES
Immunization Information for International Travel
1962 Edition
Public Health Service Publication No. 384
The following information should be added to the list of
Yellow Fever Vaccination Centers in Section 6:
CITY: University Pork, New Mexico
CENTER: Student Health Service
New Mexico State University
Tel. 526-6611, Ext. 451
CLINIC HOURS: By Appointment
FEE: Yes


Notes: These provisional data are based on weekly telegums to lke Commeala
cable Disease Center by the individual State besith department.
Sybols: --- DOta no svantble
Qoatily zero
Procedures for conbtractioe of vios imotality crve. may be obtl.aed frea
Statistics Sectio. Connmmicble ee Dis e enter. Public Bellh Service,
U. S. Depurtaeat of Bealth, Eduction, and Welfare, Atlarta 22 Georgia


I ...JI. O L LIS



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