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:
AA00010654:00105

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 ith


634-.131


U
Wekl


-
/' .


For release June 28, 1963 ATLANTA 22. GEORGIA
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DIiEA.SE IN THE L \ TED TT A TF D ON
DEATHS 'IN SELECTED CITIES FOR WEEK ENDED JUNE 22. 1963


Poliomyelitis The 9 cases of poliomyelitis, all
paralytic, reported this week represent the greatest num-
her of cases reported for any single week this year.
Illinois, Tennessee, Alabama and Arkansas each reported
one case. Five of the cases reported were from Pennsyl-
vania.
The Pennsylvania cases occurred in the Carlisle,
Pennsylvania, area, and had onsets of illness between
April 23 and June 12. This geographic clustering occurred
early in the usual enterovirus season, and represented
the heaviest experience with poliomyelitis by this com-
munity in over ten years. A mass community program was
conducted in the Carlisle area on June 22, with 65,000
persons receiving Type I oral vaccine.


Reco cases of poliomyelits for he entire Uited
States during 1963 continue o n well below previous
years as shown in the tables below:


Polioayelitis (Cumulative Totals) ist Through 25th Week

1963 1962 1961 1960 1959
Paralytic 66 144 144 312 585
Total 76 186 217 428 854
Poliomyelitis (Six Week Totals) 20th Through 25rh Week
Paralytic 22 60 48 111 276
Total 26 71 71 147 409


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and reports r previous week)


Asepic menninr s. .....
BruceLlo .
Diphter a ...... ...... ...
Encephalins.. ii -uou .. .
Hepnniz. 1i r-cou- zand erim..
M caile-_ ... ......... ... ..
Menigococcai infetnonz ..... ..
Pollomin1elIu total .. ..........
Parai% c ........... ... .
Noniiaral rc.n .... ......
L'rnspecifi o.. .
Srrepiococcal sorie throat
and Scarlet 'eler .. ..
Tetanus ........
Tularerrn a .......... ... ...
T.phoid fever ....... ..... ....
Typhus lever uck-birne.
(Rock% Mountain it-,d. .


67!
,1
:3


Ratbi in Anir na .......... ... -.. T- 6 :-

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

A n:hrsa _- P -- .. "
Bomuist:. 5 ?ar %I- ._ MiL
Malari. C. c- Oia 1. -3 -s.^:t .
Plague: Typhus, murne: s. 1. 6


I OMUN(ALEDEAE(EN7 M


Iit~
-'---C --r


7 1160o/,1 1. /l/ZS








Morbidity and Mortality Weekly Report



FIGURE 1


INFLUENZA Epidemics of influenza-like disease first
appeared and became widespread in the Eastern United
States during January 1963. The first confirmed outbreak
due to Influenza A2 began in early January in Robeson
County, North Carolina. Shortly thereafter adjacent coun-
ties in North Carolina and contiguous counties in South
Carolina were progressively involved, and by February 15
outbreaks of influenza-like illness had been reported from
the District of Columbia and 15 States. During January,
the spread of the disease to the North and South along the
Atlantic Seaboard resulted in community-wide outbreaks
in these areas.
Confirmed outbreaks in the Kansas City and Chicago
areas occurred during January in rather specialized popu-
lation groups; however, it was not until February that
community-wide outbreaks were seen in these areas. The
appearance of outbreaks in early February in West Virginia,
Kentucky, and Ohio marked the beginning of a westerly
spread of the disease and, by late February, large seg-
ments of the middle western and south central States were
involved. By the first week of March, outbreaks of
influenza-like disease had occurred and were subsiding
in the District of Columbia and 35 States, all east of
the Rocky Mountain.
The pattern of epidemic spread continued a westerly
course, although the extensive, often State-wide, involve-
which characterized earlier outbreaks on the Eastern Sea-
board were not as frequently observed as the epidemic
moved westward. The mountain States of Colorado, Idaho,
and Utah reported influenza-like disease outbreaks for
the first time in early March, and the West Coast States
of Alaska and California began to experience focal out-
breaks of the disease. In mid-March, small focal outbreaks
occurred in Washington and Wyoming.


With the exception of Alaska, where widespread com-
munity epidemics occurred during March and April, the
West Coast States were notable for the lack of demon-
strable widespread community involvement. In California,
the presence of Influenza A2 virus was demonstrated in
many areas of the State through serologic confirmation in
sporadic cases; however, outbreaks could be demonstrated
largely only in institutional environments.
By late April, one or more outbreaks of influenza-like
disease had been reported in the District of Columbia and
45 States. Increased incidence of this syndrome was no:
reported in the States of Florida, Hawaii, Nebraska, Neva-
da, and New Mexico. The accompanying map (Fig. 1P
shows the distribution of outbreaks of influenza-like ill-
ness and those with laboratory confirmation of influenza,
from January 1 through May 24, 1963. In general, the force
of the epidemic, in its capacity for large-scale community
involvement, tended to dissipate as the epidemic moved
west. Conspicuously absent during the 1963 epidemic was
the widespread excess secondary school absenteeism.
which was noted during the 1957 Influenza A2 epidemic.
Surveys of age specific attack rates in selected areas of
epidemic prevalence showed marked flattening of the at-
tack rate curves in the age groups 10-19. (See MMWR,
Vol. 12, Page 95).
Pneumonia-influenza deaths in the 108 U. S. cities
first exceeded the epidemic threshold in early January and
reached a peak during the week ending March 16. Deaths
fell to below threshold levels during the week ending
April 13 and have remained so to the present. Excess
pneumonia-influenza mortality for the 9 geographic divi-
sions of the United States during the epidemic was shown
in MMWR, Vol. 12, Page 135. High levels occurred in all
but the Mountain and Pacific Divisions.


206









Morbidity and Mortality Weekly Report




FIGURE 2 EXCESS MORTALITY IN 108 U. S. CITIES
LEGEND= --1963 -----1960
ALL CAUSES OF DEATH


AGE 65 AND OVER


ALL AGES



A


CALENDAR WEEK NUMBER
1960 WEEK I ENDS JAN. 9 1963 WEEK I ENDS JAN. 5


Influenza A2 virus was implicated as the causative
agent of one or more outbreaks in the District of Columbia
and in 34 of the 45 States reporting outbreaks of influenza-
like illness. No isolations of Influenza B virus were re-
ported during the entire season. The contemporary isolates
of Influenza Type A strains showed relation through
hemagglutination inhibition to the A2/Jap 305/57 proto-
type, and are members of the A2 sub-type. Although de-
tailed antigenic analyses have not been made on all
viruses isolated in 1963, there is evidence of some anti-
genic change away from the 1957 prototype strain.


Pneumonia-Influenza Mortality

The 1963 Influenza A2 epidemic resulted in an ex-
cess pneumonia-influenza death rate of 5.9 per 100,000
population for the entire United States during the three
month period January March. This rate was somewhat
lower than the excess rate of 6.7 per 100,000 during the
1960 Influenza A2 epidemic. For deaths from all causes
the 1963 excess rate of 25.5 per 100,000 was considerably
above the comparable rate of 15.0 in 1960.
In Figure 2 excess deaths reported by the 108 cities
are presented for 1960 and 1963. The period of highest
(Continued on page 212)


TOTAL DEATHS REPORTED IN 108 CITIES



The weekly average number of total deaths in 108
cities for the four-week period ending June 22 was 11,112
as compared with an expected weekly average of 11,057.


Observed
Expected
Excess


WEEK ENDING
6/1 6/8 6/15 6/22


4 Week
Total


Weekly
Average


PNEUMONIA-INFLUENZA DEATHS


207


stoo .


9,971 11,942 11,558 10,978 44,449 11,112
11,166 11,090 11,019 10,952 44,227 11,057
-1,195 852 539 26 222 55


(See table, Page 211)


2,000


20.0w,,











208 Morbidity and Mortality Weekly Report


Tabic ,. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 22, 1963 AND JUNE 23, 1962



Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Area
25th week First 25 weeks 25th week First 25 weeks 25th week 25th week

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

UNITED STATES...... 9 11 76 186 9 9 66 144 2 25 41

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

MIDDLE ATLANTIC........... 5 14 33 5 12 20 1
New York............... 5 32 5 19 I
New Jersey............. 1 1 1 1
Pennsylvania 5 8 5 6 -

EAST NORTH CENTRAL...... 1 16 10 1 12 6 4 2
Ohio.................. 4 4 3 4 2 -
Indiana............... 2 3 2 -
Illinois.............. 1 7 2 1 6 I
Michigan............... 2 2 2 1
Wisconsin............. 1 1 1 -

WEST NORTH CENTRAL........ 1 3 8 1 3 5 1
Minnesota............ 1 2 2 1 2 2 -
Iowa.................. 3 2 -
Missouri.............. 1 3 1 1 -
North Dakota........... -
South Dakota..........
Nebraska................ -
Kansas.................. -

SOUTH ATLANTIC............ 9 11 7 9 5 3
Delaware.............. -
Maryland............... -
District of Columbia.. 1
Virginia.............. 2 2 1 2 1 1
West Virginia........ 1 -
North Carolina....... 2 2 2 2 -
South Carolina........ -
Georgia................ 1 2 2 -
Florida............... 3 4 3 3 3 2

EAST SOUTH CENTRAL...... 2 1 6 6 2 1 5 4 1 -
Kentucky............... 2 2 1
Tennessee.............. 1 2 2 1 2 -
Alabama............... 1 1 3 2 1 1 2 2
Mississippi........... -

WEST SOUTH CENTRAL ...... 1 6 16 90 1 4 16 76 2 3 23
Arkansas.............. 1 1 1 1 1 -
Louisiana.............. 13 7 13 6
Oklahoma.............. 1
Texas................. 6 2 81 4 2 69 2 3 23

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

PACIFIC.................. 1 12 17 1 11 14 9 10
Washington............. 2 2
Oregon ............... 1 1 11 -
California............ 1 11 16 1 10 13 7 8
Alaska................ -
Hawaii ................. -

Puerto Rico.............. 1 4 7 1 4 7 -











Morbidity and Mortality Weekly Report 209


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 22, 1963 AND JUNE 23, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area
Cumu- Cumu- 25th week
lative lative Under 20 &
25th week 25 weeks 25th week 25 weeks 25th week 20 yr. over Total 25th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 5 163 4 130 42 38 326 283 671 788 8,794 9,541

NEW ENGLAND .............. 4 3 1 35 19 57 46 338 1,433
Maine................. 29 9 38 18 8 151
New Hampshire........ 2 2 6 3 2
Vermont ............... 3 15 9
Massachusetts......... 2 1 2 8 11 12 198 639
Rhode Island.......... 2 2 1 2 2 16 112
Connecticut............ 2 2 4 5 98 520

MIDDLE ATLANTIC.......... 4 20 11 7 66 61 127 150 1,718 2,114
New York............... 3 13 8 7 45 34 79 68 759 1,135
New Jersey............ 2 7 12 19 39 449 773
Pennsylvania .......... 1 5 3 14 15 29 43 510 206

EAST NORTH CENTRAL....... 1 13 4 16 4 2 81 52 136 139 3,091 1,886
Ohio.................. 1 16 10 27 31 261 234
Indiana............... 2 3 1 2 16 102 125
Illinois.............. 9 4 7 2 26 18 44 39 219 531
Michigan.............. 1 2 3 1 2 33 23 56 47 1,481 698
Wisconsin ............ 2 1 6 7 6 1,028 298

WEST NORTH CENTRAL....... 3 111 36 4 4 18 13 41 45 359 338
Minnesota.............. 7 15 1 3 4 18 46 94
Iowa.................. 3 81 1 3 1 2 4 14 15 65 176
Missouri.............. 5 1 5 3 8 2 197 6
North Dakota.......... 1 3 2 50 61
South Dakota.......... 7 10 1 2 2 -
Nebraska.............. 5 8 1 3 3 1 1
Kansas................ 6 8 2 10 5 NN NN

SOUTH ATLANTIC........... 4 26 9 6 29 27 62 77 844 511
Delaware.............. 1 2 3 20 19
Maryland.............. 2 3 10 1 11 11 61 74
District of Columbia. 3 2 7
Virginia.............. 2 1 3 7 15 8 151 156
West Virginia......... 1 3 1 4 12 431 141
North Carolina........ 1 1 2 6 3 9 20 13 7
South Carolina........ 9 1 1 4 83 45
Georgia ............... 7 1 4 5 6 4 25
Florida............... 1 8 4 2 5 9 14 13 79 37

EAST SOUTH CENTRAL....... 1 7 9 19 22 41 113 410 479
Kentucky.............. 2 5 2 7 40 181 137
Tennessee............. 1 4 2 11 11 22 37 201 294
Alabama............... 1 7 1 6 7 19 20 27
Mississippi........... 2 3 5 17 8 21

WEST SOUTH CENTRAL....... 12 16 2 25 13 40 73 480 660
Arkansas.............. 3 1 4 4 6 105 13
Louisiana................ 2 6 4 10 17 1 -
Oklahoma................ 3 6 1 3 49 9
Texas................... 6 7 1 15 9 26 47 325 638

MOUNTAIN................. 5 1 1 1 6 2 26 36 598 912
Montana.... ........... 1 1 1 57 104
Idaho................. 5 3 98 54
Wyoming................. 1 24 3
Colorado............. 2 13 104 380
New Mexico............ 1 3 1 4 4 NN NN
Arizona............... 3 11 11 279 231
Utah................... 1 1 2 1 3 5 36 140
Nevada................ -

PACIFIC.................... 7 2 10 15 47 74 141 109 956 1,208
Washington ........... 4 10 10 38 37 84 106
Oregon................ 2 8 8 18 9 139 356
California............ 4 2 10 11 28 54 82 60 680 609
Alaska................. 3 23 11
Hawaii................ 1 1 2 3 30 126

Puerto Rico.............. 1 10 13 4 17 20 27 87










21)0 Morbidity and Mortality Weekly Report


Tablh 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 22, 1963 AND JUNE 23, 1962 (Continued)


Meningococcal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cumu- Cumu-
lative lative lative
25th wk. 25 weeks 25th week 25th wk. 25th wk. 25th wk. 25th wk. 25 weeks 25th week 25 weeks
1963 1963 1963 1962 1963 1963 1963 1963 1963 1963 1962 1963


UNITED STATES.... 49 1,402 4,398 3,952 6 8 12 10 171 98 87 1,967

NEW ENGIAND........... 1 87 554 254 1 6 20
Maine.............. 15 81 1 1
New Hampshire...... 4 1 12
Vermont............ 3 1 7
Massachusetts...... 1 38 44 65 1 4 -
Rhode Island....... 9 37 23 -
Connecticut........ 18 392 163 1 -

MIDDLE ATLANTIC..... 8 192 215 242 1 3 23 2 3 55
New York............ 4 86 143 166 2 16 2 2 41
New Jersey......... 1 27 42 40 1 2 -
Pennsylvania....... 3 79 30 36 1 5 1 14

EAST NORTH CENTRAL.. 6 228 459 294 1 3 11 51 38 329
Ohio................ 2 64 40 16 1 1 3 45 27 206
Indiana............ 2 29 64 81 1 1 3 31
Illinois........... 2 39 77 50 2 5 3 3 46
Michigan........... 69 198 78 1 2 3 30
Wisconsin.......... 27 80 69 1 2 16

WEST NORTH CENTRAL.. 3 83 114 70 2 10 22 18 467
Minnesota.......... 16 18 14 3 4 2 125
Iowa............... 4 37 33 1 14 5 175
Missouri........... 2 30 5 1 2 6 2 6 82
North Dakota....... 4 41 19 1 2 14
South Dakota....... 4 10 2 2 54
Nebraska........... 19 1 1 1 9
Kansas............. 1 6 2 1 8

SOUTH ATLANTIC...... 11 258 349 339 1 4 1 34 6 6 302
Delaware............ 2 1 3 1 -
Maryland............. 1 41 10 23 3 -
Dist. of Columbia.. 4 1 -
Virginia........... 64 135 82 1 2 4 2 3 111
West Virginia...... 13 84 54 6 1 1 88
North Carolina .... 4 43 14 10 1 5 5
South Carolina..... 13 36 22 2 6
Georgia............. 6 22 10 1 2 2 37
Florida............. 56 69 134 1 11 1 2 55

EAST SOUTH CENTRAL.. 1 109 747 502 1 2 1 15 3 6 161
Kentucky........... 24 90 25 1 2 1 76
Tennessee.......... 1 47 633 466 1 2 1 10 1 3 71
Alabama............ 21 10 4 4 2 14
Mississippi........ 17 14 7 -

WEST SOUTH CENTRAL.. 3 141 596 542 3 1 7 3 31 3 14 394
Arkansas........... 1 9 1 8 5 1 15 2 1 26
Louisiana.......... 1 58 3 2 5 1 1 36
Oklahoma........... 1 28 39 1 1 1 2 2 33
Texas.............. 46 553 531 2 2 9 12 299

MOUNTAIN............ 6 49 669 887 1 5 6 45
Montana............ 3 22 21 -
Idaho.............. 3 44 74 -
Wyoming............ 3 4 12 1
Colorado........... 1 12 161 306 2 2 2
New Mexico......... 3 218 192 1 21
Arizona............ 7 111 156 2 4 22
Utah............... 2 14 112 126 -
Nevada ............. 3 1 -

PACIFIC.............. 10 255 695 822 36 5 2 194
Washington.......... 18 81 47 -
Oregon ............. 15 10 15 2 1
California......... 9 208 537 690 31 5 2 184
Alaska............. 1 7 26 53 1 9
Hawaii.............. 7 41 17 2 -


Puerto Rico......... 4 [ 4 2 14 2 2 2 10- 2 6










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

For weeks ending For weeks ending
Area __ 6/15 1Area 1 6/8 6/

6/1 6/8 6/15 6/22 6/1 6/8 6/15 6/22


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, Il ..............
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. ............


225
24
22
28
36
21
27
20
38
63
14
30
31
55


38
33
117
35
29
44
65
61
1,554
25
372
182
38
115
31
26
54
41
19
37


46
31
658
134
153
124
66
258
35
33
36
23
49
129
33
96
27
29
39
72
54


46
21
38
107
25
96
52
185
74
34


279
51
33
25
63
22
15
35
48
53
15
42
34
47


47
41
151
37
23
40
61
119
1,580
34
436
238
40
119
17
23
54
52
20
32


53
34
777
210
239
124
77
368
40
49
51
49
59
168
25
145
26
27
47
120
74


55
30
40
155
26
149
72
290
73
36


237
45
36
24
57
23
30
33
59
57
12
35
24
62


34
26
138
46
29
39
61
86
1,582
32
481
119
37
110
21
32
71
67
15
29


64
44
786
147
245
131
61
428
37
56
46
34
38
153
54
144
37
37
47
129
74


67
30
48
111
29
105
74
297
77
59


188
35
36
22
46
19
19
24
37
85
12
35
29
49


45
35
132
42
25
38
62
72
1,575
36
464
158
45
95
29
38
61
32
26
34


58
31
655
153'
204
112
71
320
31
46
29
31
45
127
30*
113
25
26
35
106
56


62
19
31
118
22
130
57
214
68
51


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


93
176
40
64
44
40
78
41
58
58
188
18


80
46
26
66
99
36
45
80


30
25
24
131
33
82
182
56
184
59
87
55
53


41
19
103
13
74
14
50
44


20
49
27
45
41
438
78
29
95
52
94
183
46
128
58
37


76
38
45
127
117
37
37
99


35
25
26
133
43
77
188
60
163
82
113
29
63


28
17
124
19
97
13
59
57


17
46
45
44
82
525
104
53
116
52
94
214
48
181
34
51


133 125
213 248
58 24
56 59
66 96
44 61
87 84
33 31
81 77
66 81
206 193
46 37


89 105
50 32
32 44
93 128
151 135
40 56
43 34
99 83


31 38
29 27
19 31
143 134
32 44
58 66
139 165
58 73
184 190
106 77
115 100
58 70
54 43


27 37
16 19
108 110
20 12
81 94
13 18
49 59
41 39


17 19
55 45
33 39
31 43*
55 53
525 546
83 96*
37 39*
108 125
56 59
90 105
224 164
34 36
145 139
58 47
34 45


San Juan, P.R................ 30 23 33 30


oCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages.................... 10,978
4(B) Pneumonia-Influenza Deaths, all ages........ 360
4(C) Total Deaths under 1 Year of Age............ 695
4(D) Total Deaths, Persons 65 years and over..... 6,076


NOTF: All deaths by place of occurrence.


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




UNIVERSITY OF FLORIDA


3 1262 08864 1245IIIII
3 1262 08864 1245


Morbidity and Mortality Weekly Report


excess mortality was noticeably later in 1963 than in
1960. Cumulative excess mortality, shown in the lower
part of the figure,was similar to that for the entire United
States, with excess pneumonia-influenza mortality lower,
but excess mortality from all causes higher in 1963 than
in 1960.
The total number of excess deaths from pneumonTa-
influenza is estimated at 11,125 in comparison with
12,000 deaths during the 1960 epidemic. For all causes
of death the excess number during the 1963 epidemic is
estimated to be 53,000, a considerably larger number
than the 27,000 excess deaths from all causes estimated
to have occurred during the epidemic of 1960. However,
as illustrated in Figure 3, there was a noticeable excess



FIGURE 3
EXCESS MORTALITY BY MONTH, UNITED STATES, 1957-1963
EXCESS RATE PER I00O00o-ADJUSTED TO AN ANNUAL BASE
A2. B L--ABOATOFnr RECOVERIES OF VIRUS





A2
EXCESS NATE
ploo.ooo 0 50



ALL CAUSES I






INFLUENZA 1

-251 1957 1958 1959 1960 1961 1962 1963




in deaths from all causes during December and January
when excess pneumonia-influenza mortality was at low
levels. Using the February ratio of excess deaths from
all causes to pneumonia-influenza deaths as a basis for
adjustment, the excess deaths from all causes during
January would be reduced by 5,000 leaving a total of
48,000 excess deaths from all causes as the total as-
sociated with the influenza epidemic. The above estimates
are all based on the 10% U. S. Mortality Sample.









INTERNATIONAL NOTES QUARANTINE MEASURES

Smallpox Sweden

Two additional cases of smallpox in Stockholm were
reported on June 20 and June 24, 1963, respectively. A
total of 23 confirmed cases, with four deaths, has occur-
red to date.


ERRATUM
The graph of tetanus mortality and morbidity which
appeared in Vol. 12, Page 198, indicated rates/100,000,
but erroneously showed rates/1,000,000. The vertical
axis should have read .10, .20, .30, etc., to show rates/
100,000.


Uiroiv OF FL Lie
DOCL'M.ENT CD PT






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