Morbidity and mortality

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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:
AA00010654:00106

Related Items

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

Full Text

FS 01/&2 /014/ y/





Morbidity and Mortal Lo



U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFA SEP 1963

PUBLIC HEALTH SERVICE

Prepared by the 634-5131


For release August 30, 1963


ATLANTA, GEORGIA 30333


Vol. 12, No. 34


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED AUGUST 24, 1963


POLIOMYELITIS A total of 24 cases of poliomyelitis,
21 paralytic, were reported for the week ending August 24,
1963. Sixteen cases were reported by Pennsylvania, all
but one from the city of Philadelphia. Alabama accounted
for five cases, all paralytic.
Of 198 cases reported this year to date in the United
States, 82 (41%) are from Pennsylvania and Alabama. In
Alabama, the 35 cases reported through the 34th week
have been primarily in rural areas in the northwest portion
of the State. Mass oral immunization programs, utilizing
CDC epidemic reserve vaccine, have now been carried out
in Walker, Winston, Marion, and Lawrence Counties. More
than 80,000 persons received vaccine in these programs.
The 15 cases from Philadelphia raise the city's total
to 21, 16 of which are paralytic. Following the occurrence
of sporadic cases during June and July, there was an
abrupt increase in cases in early August. (See figure, page 278).
Geographically, the cases are mainly clustered in the


north central portion of the city, fifteen of the cases
having occurred in one of Philadelphia's 10 health dis-
tricts. The cases have occurred primarily among inade-
quately vaccinated, pre-school age children as shown in
the following table:
POLIOMYELITIS, PHILADELPHIA, 1963
BY AGE AND INACTIVATED VACCINE STATUS*

AGE OV 1-2V 3V 4 + V Unknown Total
Under I 1 1
1 4 1 1 6
2 2 1 3
3 3 1 4
4 1 1
5-9 2 1 1 4
10-19 1 -
20 and over I 1
TOTAL 12 4 2 1 2 21
* None of the children ore known to have received oral polio vaccine.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
34th Week Cumulative
Ended Ended First 34 weeks
Disease Median
August 24, August 25, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis ............... 57 97 --- 1,013 1,264 ---
Brucellosis ..................... .10 11 11 243 278 502
Diphtheria ...................... 3 6 9 157 250 402
Encephalitis, infectious .......... 33 70 52 1,021 1,112 1,030
Hepatitis, infectious and serum... 684 749 677 29,035 37,670 24,298
Measles ........................ 996 1,084 1,084 356,334 440,355 393,037
Meningococcal infections......... 23 24 28 1,685 1,472 1,578
Poliomyelitis, total.............. 24 47 144 198 436 1,371
,iI ................ 21 39 89 170 336 963
I'..':"I-,i l, iC ......... .... 3 5 39 18 71 299
Unspecified. .................. 3 16 10 29 109
Streptococcal sore throat
and Scarlet fever ............ 2,831 3,104 -- 241,796 223,336 .
Tetanus ........................ 3 10 --- 156 169 -
Tularemia....................... 1 4 --- 186 200 -
Typhoid fever ................... 15 24 24 296 378 494
T:,ilu': C.- .'er, tick-borne,
(P ..-i Mountain spotted)...... 8 8 --- 132 166
Rabies in Animals............... 58 49 62 2,561 2,702 2,594


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cuia.
Anthrax: 2 Psittacosis: Ariz. 1, Calif. 1 41
Botulism: 5 Rabies in Man:
Malaria: s.c. 1 59 Smallpox:
.'l,"- Typhus, murine: 15







Morbidity and Mortality Weekly Report



PHILADELPHIA POLIOMYELITIS 1963
BY WEEK OF ONSET OF ILLNESS


= Paralytic
= Non Paralytic

I =Type I Isolation


Week I 8 15 22 29 6 13 20 27 3 10 17 24
of June July August
Onset


EPIDEMIOLOGICAL REPORTS

Encephalitis Texas

Forty suspect clinical cases, including two deaths,
characterized by fever, headache, and central nervous
system findings characteristic of encephalitis are under
investigation in Hale County, Texas. Cases were first
noted in late June, but the majority have occurred during
August. Additional suspect cases are also being investi-
gated in the surrounding counties.
Concurrent with the human cases, 14 cases of horse
encephalitis have occurred in Hale County, while 17
additional cases have been reported from neighboring
counties. This represents an unusual incidence of horse
encephalitis for the area.
Three sets of paired sera have demonstrated signifi-
cant titer rises to Western Encephalitis. Additional lab-
oratory studies are in progress.
Children, age 10 and under, comprised the majority
of victims until mid-August. Since then, less than one-
quarter of the cases have been among this age group.
The change in age pattern has been coincident with a
decline in cases reported among horses, and an apparent
change in the relative prevalence of the mosquito species
population. Culex tarsalis has decreased sharply, while
Culex quinquefasciatus has been increasing. C. tarsalis
has been found to be a carrier of Western Encephalitis in
the past in this area; C. quinquefasciatus is the sus-
pected vector of St. Louis Encephalitis.


Both Western and St. Louis Encephalitis are endemic
to the area, which is irrigated from underground sources,
and where mosquitoes (especially the Culex tarsalis and
Culex quinquefasciatus) are a chronic problem.
(Reported by Dr. J. E. Peavy, State Commissioner of
Health, Texas Department of Public Health, and a team
from the Communicable Disease Center.)





Suspect Dengue Fever Puerto Rico
During the past three weeks, several hundred cases
of illness clinically simulating deague have been reported
in Puerto Rico. This illness is characterized by a sud-
den onset, very severe back and muscle pain, headache,
stiff neck, chills and high fever, and occasionally a skin
rash varying in extent, type, and time of appearance.
Often prostrating in severity, the illness lasts almost
a week. No deaths or severe complications have been
reported. Clinical signs except for conjunctivitis, evi-
dent during the period of fever, are minimal.
Initial cases were noted early in August along the
north central coast. Subsequently, cases have been re-
ported from other communities along the northern coast
and central mountain area. Aedes aegypti mosquitoes are
prevalent in many areas.
Laboratory and epidemiological investigations are
actively in progress.


278


Number
of Cases
8]

7,









Morbidity and Mortality Weekly Report


Notably, an illness apparently clinically identical
is occurring currently in Jamaica (See International
Notes).
(Reported by Dr. Guillermo Arbona, Secretary of Health.
Puerto Rico Department of Health, and a team from the
Communicable Disease Center.)




Salmonellosis California
Eighty-eight of 129 wedding guests acquired a mixed
type of salmonella infection within 12 hours to five days
following a catered dinner in San Jose. Six guests were
known to have been hospitalized. There were no deaths.
Characteristic symptoms included nausea, vomiting,
fever and, in some cases, bloody and mucous diarrhea.
The average duration of symptoms ranged from 3-5 days.
In some cases, the symptoms recurred the following week.
Food specific attack rates did not clearly implicate
a single food as the responsible article.
Of the food served at this dinner, only one turkey
remained for culture. This turkey, one of two served at


the wedding reception, had been refrigerated from the
time of the meal until the initial investigation. The two
turkeys arrived frozen at the caterers four days prior to
the reception, and were immediately refrigerated. They
were removed-and cooked the evening before the wedding.
After cooling, they were refrigerated. The turkey was
sliced the morning of the reception and then refrigerated
again. The turkey was served cold.
Forty-three individuals who became ill submitted
specimens for laboratory culture. Thirty-one of these
cultures were positive for Salmonella newington and/or
Salmonella poona. Cultures of the turkey also revealed
S. newington and S. poona.
All five food handlers had positive salmonella
cultures, but all denied having been ill.
The failure to implicate, by history, a single food
as the vehicle and the absence of illness in the food
handlers suggested the possibility of the contamination
of several foods by infected fopd handlers.
(Reported by D. M. Bissell, M.D., City Health Officer,
San Jose, and Philip K. Condit, M.D., California Depart-
ment of Public Health.)


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS

The weekly average number of pneumonia-influenza
deaths for the four-week period ending August 24 was
358 as compared with an expected weekly average of 376.



PNEUMONIA-INFLUE
Average number
1,000

INFLUENZA A2
900 -l--


800



NUMBER 700
OF RECORDED
DEATHS ;. -.,,


'":" J___LL- j t ft ji -I IJII_!J/ .
PERIOD NUMBER 7 13 I 7 13 I
1960 1961
BY PLACE OF OCCURRENCE *CALCULATED FROM 1954-60 EXPERIENCE
(See table, page 283)


WEEK ENDING
WEEK EN G 4 Week Weekly
8/3 8/10 8/17 8/24 Total Average

Observed 365 365 373 331 1,434 358
Expected 378 376 376 376 1,506 376

Excess -13 -11 -3 -45 -72 -18

NZA DEATHS IN 108 U.S. CITIES
per week by four-week periods


279










SBll llorbidit% anld Mlorlalil, eekly Ieporl



T1.ibl CASI-S f SPI'E(11-1l) NOTIFIABI.I 1)IStASES. I NIT D STATES

FOR WEl KS IFNI)'l)

AL'GLST 24, 1963 AND AUG(;ST 25. 1962



Polionmelitis, Asptic
Pli omylitis, total cases Polio:myelitis, paralytic nonparalytic Meninit is
Cumulative Cumulative
34th week First 34 weeks 34th week First 34 weks 34th week 34th week

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


LUITED STATES..... 24 47 198 436 21 39 170 336 3 5 57 97

NEW ENCIANI .............. 1 5 1 5 1 1
Marine ............. -
New Hampshire.........
V r ont ............... -
Massachusett......... 1 4 1 4 1 I
Rhode I ind ......... -
Connecticut.......... --

1IDDIF ATLANTIC........... 16 8 55 51 13 6 42 34 3 2 8 5
New York.............. 2 7 41 1 5 25 1 7 3
New Jer-y ........... 2 1 5 2 1 5 -
Pcnnsylvania 16 4 47 5 13 3 36 4 3 1 1 2

EAST NORTH CENTRAL........ 3 29 36 1 3 21 25 5 16
Ohio......... I ...... 1 8 9 1 4 8 2 2
Indiana............... 2 5 1 4 -
Illinois.............. 2 11 15 2 10 8 2 4
Michigan.............. 1 4 5 1 4 5 1 10
1Wisconsin............. 4 2 2

WEST NORTH CENTRAL....... 1 5 18 5 10 1 6 10
Minnesota............. 3 5 3 5 6 6
Iowa.................. 5 2
Mi ssouri............... 1 5 1 2 1
N~rth Dkta .......... 1 3 1 1
South Dkiiota.......- -
Nebraska .............. 1 1
Kisats ............. .. 3

SOUTH ATLNTIC........... 2 3 26 29 2 3 23 24 7 10
Delawari ................ 1 I- 2
I,tryland ........ ...... 1
Ditric o if Columbia.. -
Virini.................. 1 2 6 1 1 6 1 7
W st Vir inia ......... 1 3 1 3 -
rth Car, nai........ 1 3 3 1 3 3
aS l h Carolina........ 5 3 4 3
Srgia ............ 2 1 8 6 2 1 7 5
Fl rida............... 6 7 6 4 3 2

EAST SOUTH CENTIRAL....... 5 14 43 32 5 11 41 24 1 2
~ nick. .......... 8 17 6 12 1
Tenm-ss .. .... .. 2 5 6 1 5 3 1 1
labama.............. 5 4 35 7 5 4 33 7
Missi Pppi ........... 3 2 3 2

l.i:T iOTH CENTRAl ....... 12 22 210 11 22 166 1 4 19
ans .............. 3 4 3 4 2
Lui ia.i ............. 14 11 14 9
I J o .............. 1 6 1 4 2 5
Ta, ........ ...... 11 5 189 10 5 149 1 2 12

A ................. 1 11 -- 8 2 1
-,. .3.-.- 2 -..-2
Wv I i : ............... 1 2
...... 1.- 2 -

1 .......... 2 1
i 3 2 1

........ ... 3 3
33.................. I -
-v -1 -I............. -

P i ................. 5 17 44 5 15 40 24 33
1 ... .......-. 3
2 5 1 5
............ 5 15 38 5 14 34 24 30
i ....


4 10


4 10 -










Morbidity and Mortality Weekly Report 281


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

AUGUST 24, 1963 AND AUGUST 25, 1962 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area Cumu- Cumu- 34th week
lative lative Under 20 &
34th week 34 weeks 34th week 34 weeks 34th week 20 yr. over Total 34th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 10 243 3 157 33 70 339 313 684 749 996 1,084

NEW ENGLAND............. 1 8 1 32 14 49 48 28 57
Maine................. 1 16 3 19 9 1 6
New Hampshire......... 4 2 6 5 -
Vermont............... 1 2 5
Massachusetts......... 6 8 5 16 17 8 31
Rhode Island........... 2 6 3
Connecticut........... 4 4 8 9 11 20

MIDDLE ATLANTIC.......... 5 21 4 3 85 82 167 161 194 122
New York.............. 3 13 2 1 64 46 110 82 125 59
New Jersey............. 3 2 18 20 33 56 43
Pennsylvania.......... 2 5 2 2 19 18 37 46 13 20

EAST NORTH CENTRAL....... 2 22 23 4 7 55 46 103 111 249 251
Ohio................... 1 2 6 15 11 26 34 21 19
Indiana................ 4 5 8 3 11 8 10 17
Illinois.............. 1 14 12 2 1 14 12 26 35 18
Michigan.............. 1 3 3 15 18 33 27 147 130
Wisconsin............. 1 2 3 2 7 7 53 85

WEST NORTH CENTRAL....... 5 143 37 3 25 7 35 44 15 35
Minnesota............. 8 15 1 1 13
Iowa.................. 5 105 1 3 4 9 6 8
Missouri............... 10 1 10 3 13 5 3 2
North Dakota.......... 1 1 6 6 5 6 24
South Dakota.......... 8 11 3 3 1
Nebraska................ 6 8 1 1 2 3 -
Kansas................ 6 2 4 6 9 NN NN

SOUTH ATLANTIC........... 1 13 32 4 48 26 41 71 78 115 59
Delaware.............. 1 1 1 3
Maryland.............. 2 7 6 13 12 17 6
District of Columbia.. 1 1 1 3 1
Virginia.............. 1 5 2 5 8 10 31 26
West Virginia........... 1 2 3 5 8 9 35 12
North Carolina........ 4 2 9 8 17 21 10
South Carolina........ 9 1 3 7 3 4 3
Georgia................. 3 10 1 1 2 5 -
Florida............... 1 9 48 2 12 14 15 17 8

EAST SOUTH CENTRAL....... 1 13 10 2 1 34 19 53 88 73 116
Kentucky.............. 3 6 3 9 34 22 66
Tennessee............. 6 2 2 1 12 7 19 24 40 27
Alabama ............... 1 4 8 10 6 16 13 5 4
Mississippi........... 6 3 9 17 6 19

WEST SOUTH CENTRAL....... 1 28 3 20 3 4 36 30 68 63 78 125
Arkansas................ 4 1 1 6 5 11 4 -
Louisiana............. 1 7 3 5 8 13 22 6 1
Oklahoma ............ 5 6 2 2 1 4
Texas................. 12 8 2 4 22 10 33 52 74 124

MOUNTAIN................. 9 4 2 5 5 27 46 68 105
Montana ............... 25 2
Idaho.................. 1 1 15 4 21
Wyoming................ 1 4 1
Colorado................ 3 7 15 9 17
New Mexico............ 1 1 2 2 5 2 NN NN
Arizona............... 3 8 8 22 37
Utah .................. 5 3 3 6 2 8 27
Nevada...............- -

PACIFIC.................. 9 2 11 6 41 69 111 110 176 214
Washington............ 8 11 20 28 13 32
Oregon ................ 2 2 5 7 9 21 36
California............. 6 2 11 6 30 51 81 69 87 83
Alaska................ 1 1 2 53 8
Hawaii................ 1 1 1 4 2 55

Puerto Rico.............. 1 11 24 2 26 20 21 24










282 11orlidilt and Mortalily WeeklA Report


labl< ( CAiS OF SPI CIF( I1) NOTIIIAlil DISI ASIS: I NTI I1) SIA Al*'

IIOR \W I IKS I NI)ID

AUGUST 24. 1963 AND AUGUST 25, 1962 (Continued)


Meningococcal Strptococcal Ticborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Ht,
SCumu- Spotted) Cumu- Cumu-
lative lative lative
34th wk. 34 weeks 34th week 34th wk. 34th wk. 34th wk. 34thwk. 34weeks 34th week 34 weeks
1963 1963 1963 1962 1963 1963 1963 1963 1963 1963 1962 1963

UNITED STATES.... 23 1,685 2,831 3,104 3 8 1 15 296 58 49 2,561

NEW ENGLAND......... 3 106 163 159 1 10 1 26
Maine.............. 17 5 4 2 1
New Hampshire...... 4 12
Vermont............ 1 4 3 56 1 12
Massachusetts...... 50 14 7 1 5 1 1
Rhode Island....... 9 16 6 -
Connecticut ........ 2 22 125 86 2

MIDDLE ATLANTIC .... 3 234 78 95 1 59 2 3 78
New York.......... 2 109 68 82 1 21 2 3 58
New Jersey......... 32 7 5 3 -
Pennsylvania....... 1 93 3 8 35 20

EAST NORTH CENTRAL.. 3 261 160 238 1 23 8 6 421
Ohio................ 73 18 12 1 10 4 2 246
Indiana............ 31 24 91 2 1 40
Illinois........... 1 49 23 25 7 2 1 62
Michigan........... 2 81 85 55 2 2 40
Wisconsin.......... 27 10 55 2 2 33

WEST NORTH CENTRAL.. 2 106 44 43 1 18 16 18 648
Minnesota.......... 21 3 2 3 2 5 156
Iowa................ 1 6 13 9 2 11 9 248
Missouri.......... 33 3 2 1 11 2 1 113
North Dakota ....... 8 23 30 1 26
South Dakota....... 5 2 1 2 73
Nebraska........... 1 22 1 1 20
Kansas ............. 11 12

SOUTH ATLANTIC...... 1 314 262 177 2 5 1 3 45 7 8 359
Delaware........... 2 13 1 1
Maryland........... 49 13 1 1 8 -
Dist. of Columbia.. 6 1 2 -
Virginia .......... 72 110 77 3 2 7 1 4 129
West Virginia...... 16 54 72 6 1 3 102
North Carolina..... 1 53 8 3 1 1 6 2 8
South Carolina..... 15 31 7 2 6
Georgia............ 24 2 1 1 1 2 2 49
Florida............ 77 32 13 13 1 1 64

EAST SOUTH CENTRAL.. 123 621 818 1 3 2 32 2 2 207
Kentucky ........... 26 68 54 2 3 1 97
Tennessee.......... 54 515 682 1 3 18 1 2 93
Alabama............. 21 10 8 8 17
Mississippi........ 22 28 74 3 -

WEST SOUTH CENTRAL.. 1 161 435 465 5 52 12 9 488
Arkansas........... 11 1 3 22 2 46
Louisiana.......... 1 66 1 2 13 1 39
Oklahoma ........... 29 35 4 1 39
Texas.............. 55 399 464 13 9 8 364

MOUNTAIN............ 3 58 697 675 1 14 9 85
Montana............ 3 26 3 -
Idaho.............. 1 5 42 37
Wyoming............ 4 2 4 1
Colorado........... 2 16 308 329 6 1 14
New Mxico ......... 4 194 170 2 4 26
.r .... .... 9 49 76 I 1 5 2 41
'' ............... 14 76 56 -
Nevada............. 3 -- 2 4

PACIFIC............. 7 322 371 434 43 2 2 249
.25 45 63 I -
1..... 24 8 8 2 1
California......... 5 253 273 359 37 2 2 239
Alaska............. 1 12 25 I 9
Hawaii.............. 8 20 4 2 -


Puerto Rico......... 1 6


L I


i


- 12


9 | 2


-


- 10











Morbidity and Mortality Weekly Report 283





Table 4 (B). REPORTED PNEUMONIA-INFLUENZA DEATHS IN REPORTING CITIES



(Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period.)0


SFor weeks ending For weeks ending
Area ____________ Area 8
8/3 8/10 8/17 8/24 8/3 8/10 8/17 8/24


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

MIDDLE ATLANTIC:
Albany, N.Y................ 2 0 1 2
Allentown, Pa............. 1 1 3 1
Buffalo, N.Y............... 7 2 6 4
Camden, N.J............... 1 4 3 1
Elizabeth, N.J........... 0 1 0 2
Erie, Pa .................. 1 3 6 2
Jersey City, N.J.......... 8 6 7 2
Newark, N.J................ 2 3 2 6
New York City, N.Y........ 67 49 54 51
Paterson, N.J............. 3 1 0 2
Philadelphia, Pa.......... 15 23 22 9
Pittsburgh, Pa ............ 6 1 4 2
Reading, Pa............... 4 4 4 1
Rochester, N.Y............. 11 8 4 7
Schenectady, N.Y.......... 0 0 0 1
Scranton, Pa.............. 1 1 0 1
Syracuse, N.Y............. 1 0 1 1
Trenton, N.J.............. 1 1 1 4
Utica, N.Y .............. 0 1 1 2
Yonkers, N.Y.............. 1 4 1 4

EAST NORTH CENTRAL:
Akron, Ohio................ 0 1 0 1
Canton, Ohio.............. 2 2 4 3
Chicago, Ill.............. 30 27 29 31
Cincinnati, Ohio.......... 7 5 2 2
Cleveland, Ohio........... 0 6 4 1
Columbus, Ohio........... 1 1 3 0
Dayton, Ohio.............. 1 1 2 1
Detroit, Mich............. 7 6 5 5
Evansville, Ind ........... 1 1 1 0
Flint, Mich............... 5 5 1 4
Fort Wayne, Ind ........... 0 0 4 0
Gary, Ind.................. 3 1 1 5
Grand Rapids, Mich........ 0 3 2 1
Indianapolis, Ind......... 3 3 3 7
Madison, Wis............... 0 0 0 0
Milwaukee, Wis............ 1 5 1 0
Peoria, Ill............... 0 I0 1
Rockford, Ill............. 4 7 0 1*
South Bend, Ind ........... 3 0 2 2
Toledo, Ohio............... 1 1 3 2
Youngstown, Ohio.......... 0 0 1 0

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

*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.............. 1 1 7 1
Baltimore, Md............. 6 3 1 2
Charlotte, N.C............ 0 1 2 4
Jacksonville, Fla........ 0 0 2 2
Miami, Fla............... 0 2 0 0
Norfolk, Va.............. 0 0 3 5
Richmond, Va............. 4 3 1 0
Savannah, Ga.............. 6 4 1 2
St. Petersburg, Fla...... 5 8 7 7
Tampa, Fla ............... 0 2 4 2
Washington, D.C.......... 13 11 5 7
Wilmington, Del.......... 2 3 2 0

EAST SOUTH CENTRAL:
Birmingham, Ala .......... 1 0 0 2
Chattanooga, Tenn......... 5 2 10 1
Knoxville, Tenn........... 2 3 3 1
Louisville, Ky............ 6 6 9 13
Memphis, Tenn............. 4 4 6 2
Mobile, Ala............... 2 1 0 1
Montgomery, Ala.......... 3 5 0 2
Nashville, Tenn........... 4 3 2 2

WEST SOUTH CENTRAL:
Austin, Tex............... 3 2 4 7
Baton Rouge, La...... .... 2 0 1 0
Corpus Christi, Tex...... 0 0 0 1
Dallas, Tex............... 7 1 2 8
El Paso, Tex.............. 2 2 0 1
Fort Worth, Tex.......... 0 0 2 1
Houston, Tex.............. 1 6 5 6
Little Rock, Ark.......... 6 2 1 3
New Orleans, La.......... 4 6 6 1
Oklahoma City, Okla...... 1 1 0 4
San Antonio, Tex.......... 1 2 2 2
Shreveport, La........... 8 6 9 4
Tulsa, Okla.............. 1 1 1 1

MOUNTAIN:
Albuquerque, N. Mex...... 0 7 0 2
Colorado Springs, Colo... 2 2 2 2
Denver, Colo.............. 0 4 3 8
Ogden, Utah............... 0 0 1 2
Phoenix, Ariz............ 4 4 2 1
Pueblo, Colo ............. 0 0 0 0
Salt Lake City, Utah..... 1 0 2 1
Tucson, Ariz.............. 1 0 3 3

PACIFIC:
Berkeley, Calif.......... 0 0 0 0
Fresno, Calif............. 0 0 1 1
Glendale, Calif.......... 0 0 0 0
Honolulu, Hawaii.......... 1 0 0 1
Long Beach, Calif........ 1 0 0 1
Los Angeles, Calif....... 10 10 19 15
Oakland, Calif........... 3 1 1 3
Pasadena, Calif......... 0 2 0 0
Portland, Oreg........... 2 0 2 0
Sacramento, Calif........ 3 4 2 1
San Diego, Calif......... 1 1 3 3
San Francisco, Calif ..... 1 4 1 3
San Jose, Calif.......... 9 0 6 1
Seattle, Wash............. 0 0 3 3
Spokane, Wash........... 0 1 0 0
Tacoma, Wash.............. 2 2 0 0

San Juan, P.R............... 8 2 4


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.....


10,461
331
806
5,642




UNIVERSITY OF FLORIDA

0IIII11II 1III IIIIII
3 1262 08864 0320

281 Mlrliidily and Mortality Weekly Report





INTERNATIONAL NOTES
Dengue Fever Jamaica
One hundred and nine cases of Dengue Fever have
been reported during 1963, as of the week ending
August 10. Twenty-nine cases of Dengue were reported p
for the week ending August I'1, according to the 't... l i
Epidemiological Report, Pan American Sanitary Bureau,
August 21.

Smallpox Poland
No further cases of smallpox have been reported
from Poland.






QUARANTINE MEASURES

No additional pertinent information or changes.











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