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:
AA00010654:00110

Related Items

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

Full Text








Morbidity and Morri4y 7




U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WE A

PUBLIC HEALTH SERVICE


Prepared by the


I 0CO MUNIABLEDISESE CNTE


634-5131


For release August 16, 1963 ATLANTA, GEORGIA 30333 Vol. 12, No. 32

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED AUGUST 10, 1963


POLIOMYELITIS The 12 cases of poliomyelitis, 11
paralytic, reported for the week ending August 10, bring to
a total of 153 the number of cases reported thus far in
1963. This figure remains well below one-half the level
reported in 1962.
Five cases, all paralytic, were reported from Alabama.
South Carolina and Illinois reported two cases each.
Single cases occurred in five other States.
All of the Alabama cases have occurred in the north-
west part of the State, with two cases in Lawrence
County, and one each in Cullman, Madison, and Shelby
Counties. Lawrence and Cullman Counties both border on
Walker County, where 7 cases, with Type I poliovirus
recovered from 2, have occurred (See MMWR, Vol. 12,
pages 221, 229, 245, and 253).
Approximately 44,000 Walker County residents (about


85% of the population) have received type I oral polio-
myelitis vaccine in a mass immunization program, utiliz-
ing vaccine from the Communicable Disease Center epi-
demic reserve. Plans are currently being formulated to
give vaccine in the counties contiguous to Walker County
where poliomyelitis cases have occurred.


Poliomyelitis (Cumulated Weekly) Ist Through 32nd Week


Paralytic
Total


1963 1962 1961 1960 1959

128 275 274 777 1,892
153 364 413 1,074 2,924


Poliomyelitis (Six Week Totals) 27th Through 32nd Week
Paralytic 60 114 119 431 1,198
Total 73 157 174 605 1,898


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


Disease


Aseptic meningitis..............
Brucellosis .....................
Diphtheria.......................
Encephalitis, infectious ..........
Hepatitis, infectious and serum...
Measles ........... .......
Meningococcal infections.........
Poliomyelitis, total..............
: i 4],i.. ........ .......
*"*-uf' [ dlj7 Li. ................
Unspecified .................
Streptococcal sore throat
and Scarlet fever ............
Tetanus ......................
Tularemia ......................
Typhoid fever ...................
Typhus fever, tick-borne,
(Rocky Mountain spotted)......

Rabies in Animals...............


Ended
August 10,
1963


57
9
1
19
802
1,528
22
12
11

1

3,363
7
5
15

6

48


32nd Week
Ended
August 11,
1962


Median
1958 1962


11
9
52
645
1,746
30
127


Cumulative
First 32 weeks
12 Median
1963 1962 1958 1962


911
225
153
958
27,597
354,109
1,636
153
128
15
10

236,002
152
175
263

110

2,423


1,074
257
240
987
36,160
437,864
1,418
364
275
63
26

217,229
155
185
333

152

2,602


481
378
999
22,896
390,448
1,534
1,076


2,449


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 2 Psittacosis: Ill. 1 39
Botulism: 5 Rabies in Man:
Malaria: N.Y. 1, Md. 1, Hawaii 1, S. C. 1 57 Smallpox:
Plague: Typhus, murine: 14


Figures for current week exclude missing report from Alaska









262


Cumulative Cumulative
Reporting Area July Jan July Reporting Area July Jan July
1963 1962 1963 1962 1963 1962 1963 1962


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

MIDDLE ATLANTIC...........
Upstate New York.........
New York City...........
Pa. (Excl. Phila.).......
Philadelphia............
New Jersey................

EAST NORTH CENTRAL........
Ohio .....................
Indiana.................
Downstate Illinois......
Chicago..................
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 ...........
Georgia..................
Florida...................


260
3
5
2
156
8
86

3,416
367
1,892
87
425
645

1,117
216
36
71
524
235
35

276
46
18
127
4
18
29
34

3,531
27
333
395
176
26
531
419
603
1,021


311
6
7
0
215
15
68

3,278
324
1,849
92
412
601

976
169
51
83
479
165
29

214
35
12
109
2
18
6
32

3,259
22
310
430
231
27
370
446
547
876


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


139
19
33
64
23

247
13
48
11
175

31
2
3
1
1
9
10
I
4

226
15
4
204
0
3

1,890


112
14
40
48
10

291
31
121
6
133

17
1
0
0
1
5
8
0
2

120
6
3
110
i
0

1,684


903
85
234
406
178

1,663
131
348
104
1,080

274
5
4
6
23
70
116
12
38

1,324
74
32
1,201
3
14

12,764


663
77
187
351
48

1,702
137
736
61
768-

203
1
1
0
41
34
84
2
40

941
19
28
881
4
9

11,547


TERRITORIES............... 44 35 452 245
Puerto Rico............... 44 30 441 230
Virgin Islands............ 0 5 11 15




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


INFECTIOUS SYPHILIS One thousand eight hundred
and nine cases of primary and secondary infectious
syphilis j .-re reported for the month of July 1963. This
represents an increase of 12% as compared to July 1962,
when 1,684 cases were reported. This rise is consistent
with the upward trend of reported cases of infectious
syphilis, a trend which has been evident in the United
States for the past six years. The national per annum
increases during the past two years have been about
10-12%.


With the exception of the New England and the West-
South Central States, all geographic regions reported
more cases during the period January-July 1963, than
for the similar period of 1962. The decrease in reports
of infectious syphilis in the West-South Central States is
accounted for primarily by Louisiana where the 348 cases
reported during January-July 1963, is less than one-half

the 736 cases reported for the same period during
1962.


Morbidity and Mortality Weekly Report









SUMMARY OF RkPORTI)D CAMSI 01) INH1CI-( 101 S SYPHILIS

JULY 1963 AND JULY 1962


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








Morbidity and Mortality Weekly Report


EPIDEMIOLOGICAL REPORT

Staphylococcal Food Poisoning Ohio

On April 18, 1963, two men, both of whom had eaten
ham sandwiches and coffee at a small restaurant in an
Ohio town, suddenly developed marked pain and vomiting
1% hours following lunch. On April 19, a third man de-
veloped similar symptoms 4% hours following ingestion of
a ham sandwich at this same restaurant. Two others, also
known to have eaten ham sandwiches April 19, did not
develop illness. In addition, the five employees of this
restaurant also consumed the ham on April 18 without
be coming ill.
The ham served at these meals had been deboned and
excess fat trimmed off before baking on the morning of
April 18. Allowed to cool, it was sliced before serving.
An undetermined number of sandwiches were prepared


from this ham, but no additional cases were uncovered on
further investigation.
Samples of this ham as well as throat and stool cul-
tures from all five employees were obtained for bacte-
riologic studies. Coagulase positive staphylococci, type
83A, were recovered both from the ham and the throat of
one waitress. An untypable staphylococcus was cultured
from another waitress' throat. Untypable staphylococci
were recovered from the stools of four of the five
employees.
The three men who became ill recovered rapidly, but
no specimens were obtained for culture from them.

(Reported by Martha Laffey, RN, Findlay Health Com-
missioner; Division of Communicable Diseases and
Division of Laboratories, Ohio Department of Health;
and an EIS Officer from the Communicable Disease
Center)


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 ini 108 cities for the four-week period
ending August 10 was 6,070 as compared with an expected
weekly average of 5,956.


WEEK ENDING
WEEK ENDING 4 Week Weekly

7/20 7/27 8/3 8/10 Total Average
Observed 6,197 6,141 6,217 5,725 24,280 6,070
Expected 5,982 5,959 5,944 5,937 23,822 5,956
Excess 215 182 273 -212 458 114


DEATHS AT AGE 65 AND OVER IN 108 U.S. CITIES
Average number per week by four-week periods
8,500



8,000

INFLUENZA A2
7,500
RECORDED INFLUENZA a
DEATHS*
NUMBER 7,000
7,000

OF

DEATHS "EXPECTED"
NUMBER"




5 I00 [ -

5,000 -- ------- -----------
5,000 ._L -L l_ .. ..- i t I I I_.-- -^ ^ -^ -^ -_JL-- .J. ---


PERIOD NUMBER I 7
S 1960
SBY PLACE OF OCCURRENCE


7
1961


13 I 7
1962


CALCULATEDO FROM 1957- 965 EXPERIENCE


(See table, page 267)


263


13 I I 1
1963









21, 1 Morbidity and iortalit \ ('ekly R'lport


T1hblc i ( ASIS OF SP 1( I111) NOT LIABLE DISElASES: I NITH) SATI S

FOR WEIKS IINI)EI)

At G;ST 10, 1963 AND AlU GUST 11, 1962


Poliomyclitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
AreX
32nd week First 32 weeks 32nd week First 32 weeks 32nd week 32nd wtck

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

UNITED STATES....... 12 30 153 364 11 21 128 275 9 57 122

SEW ENGLAND)............. 1 5 1 5 2 2
caint ................
New Hampshir.........
Veron ............... -
Massachusetts......... 1 4 1 4 1 1
Rhode Island .......... 1 1
Conet icut .............. 1 -

MIDDLE ATLANTIC.......... 2 37 41 1 27 27 1 3 2
New York .............. 2 7 37 1 5 23 1 2 2
New Jerse,............ 1 3 1 3 -
Pennsylvania 29 1 21 1 1

EAST NORTH CENTRAL........ 3 5 23 32 2 5 15 21 12 9
Ohio .................. 7 8 3 7 5
Indiana............... 1 2 5 1 1 4 4 1
Illinois.............. 2 1 9 12 2 1 8 5 5
Michigan.............. 3 2 5 3 2 5 3 3
Wisconsin............. 1 3 2 1-

WEST NORTH CENTRAL....... 5 15 5 8 1 7
Minnesota............. 3 3 3 3 1 6
Iowa .................. 5 2 1
Missouri............... 1 5 1 2 -
North Dakota........... 2 1 -
South Dakota.......... -
Nebraska............. 1 -
Kansas................

SOUTH ATLANTIC........... 3 4 21 23 3 3 18 18 1 10 12
Delaware.............. -
Maryland............... -
District of Columbia.. -
Virginia.............. 2 2 5 2 1 5 2 4
West Virginia......... 1 3 1 3 -
North Carolina........ 3 2 3 2 -
South Carolina........ 2 5 1 2 4 1 1
Georgia................ 1 2 5 4 1 1 4 3 1 -
Florida............... 5 7 5 4 7 7

EAST SOUTH CENTRAL ...... 5 1 29 17 5 1 27 12 5 3
Kentucky .............. 9 6 3 2
Tennessee............. 1 4 4 1 4 2 -
Alabama............... 5 23 3 5 21 3 2 1
Mississippi........... 2 1 2 1 -

WEST SOUTH CENTRAL........ 1 17 21 185 1 10 21 144 7 11 42
Arkansas............... 1 1 3 3 1 1 3 3 2 2
Louisiana .............. 14 10 14 8 -
Oklahoma .............. 3 -
Texas................. 16 4 169 9 4 132 7 9 40

MOUNTAIN................. 10 8 1 3
Montana............... 3 2 --
Idaho.................. 1 1 -
Wyoming ................- 1 1 -
Colorado................ 1 2
New Mexico............- -
Arizona ............... 3 3
Utah ................... 1 1
Nevada................. -

PACIFIC.................. 1 16 36 1 14 32 12 42
Washington............. 1 -
Oregon............... .. 2 5 1 5 -
California............ 1 14 31 1 13 27 11 42
Alaska................ -- --- --- -
Hawaii................ -

Puerto Rica.............. 4 9 4 9









Morbidity and Mortality Weekly Hepolr 265


Table 3. CASES OF SPECIFIED) NOTIFIABLE DISEASES: I UNITED STATES

FOR WEEKS ENDED

AUGUST 10, 1963 AND AUGUST 11, 1962 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area Cumu- Cumu- 32nd week
lative lative Under 20 &
32nd week 32 weeks 32nd week32 weeks 32nd -week 20 yr. over Total 32nd week


1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 9 225 1 153 19 46 390 368 802 734 1,528 1,660

NEW ENGLAND.............. 1 1 8 1 3 52 44 103 62 88 113
Maine................. 28 19 47 21 1 12
New Hampshire......... 10 10 20 13 1
Vermont.............. 1 1 2 1 3 2 5 1
Massachusetts......... 6 1 8 9 19 15 34 55
Rhode Island .......... 2 3 2 5 12
Connecticut........... 4 5 12 11 43 32

MIDDLE ATLANTIC.......... 5 21 2 12 88 72 160 135 255 231
New York.............. 3 13 2 12 50 39 89 70 166 169
New Jersey............ 3 6 16 22 24 51 52
Pennsylvania.......... 2 5 32 17 49 41 38 10

EAST NORTH CENTRAL....... 1 19 1 23 2 4 74 56 138 124 409 354
Ohio................... 1 2 23 11 36 37 90 23
Indiana............... 4 5 3 9 13 7 22 7
Illinois.............. 1 12 1 12 1 2 21 13 35 36 49 48
Michigan.............. 2 3 1 26 22 48 40 171 155
Wisconsin............. 1 2 1 1 6 4 77 121

WEST NORTH CENTRAL....... 5 138 37 1 2 13 12 27 43 42 65
Minnesota............ 8 15 3 2 5 5 1 12
Iowa.................. 4 100 1 1 7 8 5 17 18
Missouri.............. 1 10 1 2 3 2 7 15 8
North Dakota.......... 1 1 1 1 3 24 23
South Dakota........... 8 11 1 1 1 4
Nebraska.............., 6 8 1 1 9 -
Kansas ................ 6 4 4 5 NN NN

SOUTH ATLANTIC............. 2 12 31 5 7 29 31 61 107 216 124
Delaware .............. 1 1
Maryland.............. 1 2 4 6 12 31 8
District of Columbia.. 1 1 5 1
Virginia.............. 1 4 1 5 6 11 18 25 47
West Virginia......... 1 4 3 7 10 53 32
North Carolina........ 1 4 2 1 16 3 19 34 1
South Carolina........ 9 1 1 2 10 9 2
Georgia................. 3 10 1 1 4 11 -
Florida............... 1 9 3 5 1 13 14 14 86 32

EAST SOUTH CENTRAL....... 10 10 2 36 25 61 79 74 74
Kentucky.............. 3 17 7 24 22 28 8
Tennessee............. 5 2 1 9 7 16 38 38 59
Alabama............... 2 8 7 7 14 6 1 3
Mississippi........... 1 3 4 7 13 7 4

WEST SOUTH CENTRAL....... 25 17 1 4 33 28 62 65 109 123
Arkansas.............. 4 1 1 1 2 5 7 13 1 -
Louisiana............. 6 2 9 11 20 3 1 -
Oklahoma.............. 5 6 2 2 4 1 8
Texas .............. 10 8 3 20 10 31 48 99 123

MOUNTAIN................. 7 4 2 27 26 76 28 130 187
Montana............... 1 4 7 2 12 61
Idaho.................. 7 2 11 15
Wyoming................ 1 -
Colorado.............. 3 1 7 8 31 36
New Mexico............ 1 2 1 3 5 NN NN
Arizona............... 3 1 8 7 45 49
Utah................... 3 -- 1 23 21 44 3 29 26
Nevada................. 1 2 -

PACIFIC.................. 8 2 7 10 38 74 114 91 205 389
Washington ............ 5 10 17 21 15 28
Oregon ............... 2 1 1 6 7 6 21 48
California............. 5 2 7 9 32 56 88 62 161 167
Alaska .............. --- -- --- -- --- 2 --- 34
Hawaii.................. 1 2 2 8 112


Puerto Rico.............. 10 I 10 3 13 23 7


63









24t1 lorlbililt and Mortality \Weeklh Report


labl h (AIi CA OF SPlfII-II D NOIIIIABII- DIS1ASIS I NIIllI) SI Al lF

FOR W 'II KS 1N )11)

AUGUST 10, 1963 AND AU(GUST 11, 1962 (Continud)


1 ] I '' 1 1 [ .
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever R.bies in Animals
ScarlIt Fever (Rcky Mt.
Ar.. Cumu-. Spotted) Cu lu Cumu-
lative lative 1 ti.
32nd wk. 32weeks 32nd week 32nd wk. 32nd k. 32nd wk. 32ndwk. 32 weeks 32nd week ks
1963 1963 1963 1962 1963 1963 1963 1963 1963 1963 1962 1963

NI'TED STATES.... 22 1,636 3,363 3,426 7 6 5 15 263 48 60 2,423

NEW Ei:LIAD)......... 2 103 247 101 1 1 7 25
:L.in .............. 17 63 4 1
New Hampshire...... 4 7 2 12
Vrront ............ 3 2 1 1 11
assaichusetts ...... 2 50 30 19 1 4 1
RhdiJ Island....... 9 19 9 -
Conne ticut....... 20 126 66 1 2

MIDD)LE ATLATIC..... 5 228 83 83 1 1 57 1 75
New York........... 4 107 68 68 1 19 1 55
New Jersey......... 32 9 10 3 -
Pcnnsylvania....... 1 89 6 5 1 35 20

EAST NORTH CENTRAL.. 1 253 195 195 3 1 1 18 12 17 408
Ohio............... 73 15 10 1 1 8 8 10 239
Indiana............ 31 50 48 3 1 3 40
Illinois........... 43 46 44 6 3 60
Michigan ........... 1 79 55 52 1 4 39
isconsin .......... 27 29 41 2 1 30

WEST NORTH CENTRAL.. 2 100 124 82 1 1 1 17 11 9 609
Minnesota.......... 1 21 9 5 1 3 3 2 148
Iowa............... 5 29 28 2 4 1 234
Missouri........... 1 33 4 1 1 10 1 106
North Dakota....... 5 79 44 23
South Dakota ...... 5 6 1 1 3 4 69
Ncbras ka........... 21 I 17
Kansas............. 10 1 1 1 12

SOUTH ATLANTIC...... 6 309 421 362 1 4 1 41 5 9 345
Delaware........... 2 1 1 1
Maryland........... 47 9 6 I 1 7 -
Disk. of Columbia.. 6 -
Virginia........... 72 62 77 1 1 5 2 125
West Virginia...... 16 112 77 1 6 2 7 100
North Carolina .... 52 3 8 6 6
South Carolina..... 1 15 33 8 2 6
Georgia............ 23 2 87 2 1 45
Florida............ 5 76 200 99 12 2 62

EAST SOUTH CENTRAL.. 1 122 657 852 1 4 26 3 3 200
Kentucky........... 1 26 46 14 1 1 95
Tennessee.......... 53 567 755 I 4 18 2 2 88
Alabama............ 21 7 17 4 1 17
Mississippi........ 22 37 66 3 -

WEST SOUTH CENTRAL.. 3 159 474 598 2 3 42 7 10 464
Arkansas............ 1 11 1 2 18 3 1 40
Louisiana.......... 2 65 4 1 3 11 38
Oklahoma........... 29 19 -- 3 1 36
Tex :as .............. 54 451 596 10 4 8 350

MOUNTAIN ............ 55 741 673 2 2 13 4 61
Montana............. 3 33 19 -
Idaho............... 4 27 99 -
Wyoming............... 4 7 6 2 1 1 -
Colo.rad.......... 14 303 235 1 6 1 7
New :iexic........... 4 211 178 2 21
Arizona............ 9 41 99 4 3 33
Utah............... 14 119 37 -
evada............... 3 -

PACIFIC............. 2 307 421 480 1 42 5 12 236
Washington........... 1 25 51 60 -
Oregon............. 22 4 7 2 2 1
California......... 1 241 320 387 1 36 5 10 226
Alaska............. --- 11 --- 11 --- --- --- -- I1 --- 9
Hawaii.............. 8 46 15 2
Puerto Rico......... 5 17 1 1 11 10









Morbidity and Mortality Weekly Report 267





Table 4 (C). TOTAL DEATHS UNDER 1 YEAR OF AGE 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 7/2 83 80 Area7/ 83
7/20 7/27 8/3 8/10 7/20 7/27 8/3 8/10


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


133
31
22
14
39
12
19
17
32
27
12
32
13
22


21
15
72
19
17
25
44
59
859
23
316
128
27
67
18
19
32
19
25
19


27
20
368
94
98
54
56
167
23
14
29
9
26
73
13
64
16
12
34
43
37


32
21
14
100
16
72
54
126
38
44


124
14
17
16
22
14
13
16
25
36
11
29
24
31


19
21
77
24
12
26
40
35
865
15
304
107
29
52
15
28
42
38
22
15


23
16
339
76
110
63
49
160
27
24
19
8
25
86
13
50
15
16
24
53
39


31
7
28
80
19
83
43
124
40
47


183
24
23
19
39
28
30
26
30
45
14
32
20
46


28
17
89
19
17
19
43
42
992
26
301
101
31
78
17
17
32
16
13
19


27
12
351
92
102
68
44
204
22
28
24
20
21
51
21
63
9
26
23
62
31


29
21
20
66
13
84
37
115
52
26


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


43
118
13
22
47
21
52
12
37
31
79
10


35
16
18
62
66
13
15
45


18
9
17
60
19
35
72
38
85
47
48
37
21


7
6
54
14
45
10
34
26


12
33
18
21
34
278
40
19
65
28
39
87
15
87
29
18


54
91
17
37
42
25
49
9
59
32
76
22


35
13
13
41
53
24
11
43


19
6
12
44
12
27
73
25
93
42
45
31
36


12
12
57
10
43
11
35
14


10
25
20
17
27
271
55
25*
65
31*
49
108
19
78*
26
31


San Juan, P.R............... 18 12 13 (---)


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 10,620
4(B) Pneumonia-Influenza Deaths, all ages........ 361
4(C) Total Deaths under 1 Year of Age............. 702
4(D) Total Deaths, Persons 65 years and over..... 5,725


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

NOTE: All deaths by place of occunence.









268


Morbidity and Mortality Weekly Report


l *..


LU.S DEPOSITORY
u.s, DEPOSITORY


INTERNATIONAL NOTES
Smallpox Sweden
Sweden declared Stockholrr free of smallpox as of
August 5, 1963. The total number of cases reported in
this outbreak was 26. with 4 deaths. (Previous reports
appeared in MMWR, Vol. 12, pp. 174, 183, and 236.)

Smallpox Poland
No new cases have been reported in Wroclaw (Bres-
lau) or elsewhere in Poland, according to the information
received from the World Health Organization as of August
12. (Previous reports appeared in MMWR. Vol. 12, pp. 244,
252, and 255.)







QUARANTINE MEASURES
Immunization Information for International Travel
1962 Edition
Public Health Service Publication No. 384

Section 6, Page 69 Under Los Angeles, California,
delete all information concerning the U. S. Public Health
Service Outpatient Clinic.


ERRATUM
In the Hepatitis Morbidity Report published last
week (Vol. 12, No. U1, page 254), it was incorrectly
stated that Louisiana was among those States in which
hepatitis rates were higher in 1963 than during the three
previous years. The peak year for Louisiana occurred in
1961-1962.


In addition to the established procedures for report-
ing '71rb, ill and mortality, the Communicable Disease
Center welcomes accounts of interesting outbreaks or
cases. Such accounts should be addressed to:

Editor, Morbidity and Mortality Weekly Report
Communicable Disease Center
Atlanta, Georgia 30333


UNIVERSITY OF FLORIDA

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