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:
AA00010654:00111

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 OM UNCALEDsISESECETF


634-5131


For release August 23, 1963


ATLANTA, GEORGIA 30333


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE Ur
DEATHS IN SELECTED CITIES FOR WEEK ENDED AUGUST 17,.1963


POLIOMYELITIS The 20 cases of poliomyelitis, all
paralytic, reported for the week ending August 17, bring
to a total of 173 the number reported thus far in 1963.
This total remains well below one-half the level reported
for the comparable period in 1962, and represents an all
time recorded low for the United States.
Seven cases were reported from Alabama. Two cases
each were reported from Pennsylvania and Illinois, while
single cases were reported from Ohio, Wisconsin, Dela-
ware, Georgia, Florida, Tennessee, Mississippi, Texas,
and California.
In Alabama, a mass immunization program has been
held in Walker County (See MMWR, Vol. 12, pp. 221, 229,
245, 253, and 261). Immunization of the 62,000 residents
of three neighboring counties, Winston, Marion and


Lawrence, will be conducted August 24, using Type I
vaccine from the Communicable Disease Center epidemic
reserve. Ten cases of poliomyelitis have occurred in
these 3 counties.



Poliomyelitis (Cumulated Weekly) Ist Through 33rd Week

1963 1962 1961 1960 1959

Paralytic 148 297 322 874 2,201
Total 173 389 482 1,224 3,401
Poliomyelitis (Six Week Totals) 28th Through 33rd Week
Paralytic 64 122 160 489 1,396
Total 72 162 233 706 2,198


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
33rd Week Cumulative
DiseaseEnded Ended Median First 33 weeks
August 17, August 18, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis. ............... 44 93 --- 955 1,167 ---
Brucellosis ..................... 7 10 12 232 267 495
Diphtheria...................... 1 4 10 154 244 383
Encephalitis, infectious .......... 26 55 57 984 1,042 1,058
Hepatitis, infectious and serum... 746 761 737 28,349 36,921 23,621
Measles ........................ 1,183 1,407 1,466. 355,333 439, 271 391,982
NMeninnocccsl infections ......... 25 30 32 1,662 1,448 1,556
l'l 1 ri, total .............. 20 25 150 173 389 1,227
I i -',. .................. 20 22 97 148 297 874
-.r ...... ... 3 35 15 66 260
n ." Il ......... ...... 18 10 26 93
Streptococcal sore throat
and Scarlet fever ............. 2,828 3,003 --- 238,851 220,232
Tetanus ........................ 1 4 --- 153 159
Tularemia.................. .. 10 11 -_ 185 196
Typhoid fever ................... 17 21 21 280 354 471
T.'-hui f~.,-r lci.-borne,
I oci.', I l:.u.-ira, spotted) ...... 14 6 -- 124 158
Rabies in Animals............... 78 51 63 2,501 2,653 2,527


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: cu2 Psittacosis: 3u
Botulism: 5 Rabies in Man:
Malaria: s. c. 1 58 Smallpox:
Plague: Typhus, murine: Ala. 15








Morbidity and Mortality Weekly Report


REPORTED CASES HUMAN ANTHRAX U.S.A., 1962


Sex Age State Material Occupation Site


55
52
52
47
72


approx. 6


6


46
42
42


Del.
Moss.
Penna.no
Penna.
Miss.
N. Mex.
N. Mex.
N. Mex.
N. Mex.
N. Mex.
Mass.
Texas
Mass.


Leather
Wool
Goat hair
1 dead steer
3 dead cattle
dead cow
dead cow
dead cow
dead cow
dead cow
Wool
Deer
Wool


Machinist
Drawer
Butcher
Farmer
Housewife


Blender
Hunter
Foreman


Rt. forearm
Cheek
Rt. forearm
Finger
L. arm
forearm
face
hand
face
hand
chin
hand
cheek


SURVEILLANCE SUMMARIES

Human Anthrax United States 1962
Thirteen cases of human anthrax, all cutaneous,
were reported during 1962 to the Anthrax Investigations
Unit, Communicable Disease Center. There were no
fatalities. Five of the cases occurred in New Mexico,
three in Massachusetts, two in Pennsylvania, and one
case each in Mississippi, Delaware, and Texas. A line
listing of these cases appears above.
Five of the 13 cases were industrially acquired,
with three of the patients having contact with raw im-
ported wool, one with raw imported goat hair, and one
with imported hides. The remaining 8 cases were
agriculturally-associated, 7 of the 8 having contact with
dead cows or steers, and one having contact with a deer.
The predominance of agriculturally-associated cases
reflects a change occurring over the past five years,
in large part due to the use of anthrax vaccine in the
majority of goat-hair processing plants in this country.
Previously, industrially acquired cases accounted for
approximately 70% of all human cases, but now consti-
tute less than 40% of the total. In 1962, only one case
was reported from a goat-hair processing mill. This case
occurred in a recently employed unvaccinated woman.
Five of the 8 agriculturally-related human cases
occurred in association with a single outbreak of animal
anthrax it New Mexico, in which at least 12 cattle died
with symptoms consistent with anthrax (See MMWR, Vol.
12, p. 149). The human cases all had contact with the


dead animals. Several other individuals ate uncooked
meat obtained from these animals which died of anthrax.
Although samples of this meat were later found to con-
tain spores of Bacillus anthracis, there was no evidence
of any cases of gastrointestinal anthrax.








EPIDEMIOLOGICAL REPORTS

Dengue Fever Michigan
Four cases of clinical Dengue Fever have been
reported from Michigan. Affected were four members of
a family from Jamaica who were visiting in Michigan at
the time of the onset of clinical Dengue Fever. The dates
of onset were July 14, 19, 21, and 22, 1963, respectively.
The family left Jamaica July 12, 1963. An epidemic of
Dengue Fever is in progress in Jamaica (see International
Notes).
The symptoms were constant for all four victims -
headache, muscle pains, nausea, vomiting, a fever rang-
ing from 1000 I,"'', and a rash on the third and fourth
days.
(Reported by Thomas S. Davies. M.D., Director. Grosse
Pointe-Harper Woods District of the A ... .. County De-
parti ent of Health, and George H. Agate, M.D., Director,
Division of Epidemiology, Michigan Department of Healtb).


270









Morbidity and Mortality Weekly Report


Salmonellosis California


Ninteen of 22 persons who attended a Little League
baseball team party on August 9, 1963, subsequently be-
came ill with salmonellosis. Incubation periods ranged from
a minimum of 15 hours to a maximum of 7 days following
the party.
Characteristic symptoms included severe diarrhea,
vomiting, chills, temperature elevation, abdominal cramps,
and nausea. The average duration of symptoms was from
1-7 days. Two of the patients required hospitalization.
Salmonella thompson was recovered from 2 of 4 ill indi-
viduals from whom stool cultures were obtained. The 2
persons with negative cultures had received previous
antibiotic therapy.
Food served at the party included cake, cookies,


punch, coffee, brownies, and homemade ice cream. All 19
persons who became ill had eaten the homemade ice cream,
while the three individuals who did not eat ice cream
remained well. The ice cream had been made from com-
mercial milk, canned milk, sugar, a commercial junket
with vanilla in it, and fresh eggs (including both com-
mercial eggs and some from a per chicken, an Easter
gift).
Salmonella thompson was obtained from cultures of
both the homemade ice cream and from a fresh egg from the
pet hen from which some of the eggs were obtained for
the ice cream.


(Reported by Al. I Slitor, Kern County Health Department,
and Philip K. Condit, A.D.., California State Department of
Public Health.)


TOTAL DEATHS REPORTED IN 108 CITIES

The weekly average number of total deaths in 108
cities for the four-week period ending August 17 was
10,901 as compared with an expected weekly average
of 10,686.


13,500,


13,000


NUMBER

OF

DEATHS


WEEK ENDING
WEEK ENDING 4 Week Weekly
7/27 8/3 8/10 8/17 Total Average
Observed 11,044 11,274 10,624 10,664 43,606 10,901
Expected 10,764 10,715 10,660 10,607 42,746 10,686
Excess 280 559 -36 57 860 215


TOTAL DEATHS RECORDED IN 108 U S. CI
Average number per week by four-week peru


-I


''"": I I i
Period n.-'. -
1960 961
'BY -CE OF OCCURRENCE "LCULATE FROM 954-~ EXPER-ENCE


(See Table, page 275)


1962 1 963










272 Morbidity and Morlalil W eekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DIS CASES: I UNITED STATES

FOR WEEKS ENDED

AUGUST 17, 1963 AND AUGUST 18, 1962



Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative.
Area
33rd week First 33 weeks 33rd week First 33 weeks 33rd week 33rd week

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


UNITED STATES...... 20 25 173 389 20 22 148 297 3 44 93

NEW ENGLAND.............. 1 5 1 5 2
Maine.................- -
New Hampshire.........-
Vermont ..............
Massachusetts......... 1 4 1 4
Rhode Island......... 2
Connecticut.............. 1 1

MIDDLE ATLANTIC.......... 2 2 39 43 2 1 29 28 1 5
New York.............. 2 7 39 1 5 24 1 5
New Jersey............ 1 3 1 3 -
Pennsylvania .......... 2 31 1 2 23 1

EAST NORTH CENTRAL....... 4 1 27 33 4 1 19 22 9 20
Ohio.................. 1 8 8 1 4 7 1 6
Indiana............... 2 5 1 4 1
Illinois.............. 2 1 11 13 2 1 10 6 3 3
Michigan............. 2 5 2 5 4 11
Wisconsin.............. 1 4 2 1 2 -

WEST NORTH CENTRAL....... 2 5 17 2 5 10 3 6
Minnesota............. 2 3 5 2 3 5 3 6
Iowa............... 5 2
Missouri.............. 1 5 1 2 -
North Dakota........... 2 -
South Dakota........... -
Nebraska.............. 1 -
Kansas............... -

SOUTH ATLANTIC........... 3 3 24 26 3 3 21 21 4 4
Delaware.............. 1 I 1 1- -
Maryland..............- -
District of Columbia.. 1 2 -
Virginia.............. 2 5 1 5 1
West Virginia......... 1 3 1 3 1
North Carolina........ 3 2 3 2
South Carolina........ 2 5 3 2 4 3
Georgia............... 1 1 6 5 1 1 5 4
Florida............... 1 6 7 1 6 4 4

EAST SOUTH CENTRAL....... 9 1 38 18 9 1 36 13 5 6
Kentucky............. 9 6 4 -
Terinn.sse- ............. 1 5 4 1 5 2 3
Alabama ............... 7 30 3 7 28 3 1
Mi sissippi........... 1 1 3 2 1 1 3 2 1 2

WEST SOUTH CENTRAL....... 1 13 22 198 1 11 22 155 2 6 18
Arkans 1.............. 1 3 4 1 3 4 3 1
Louis iaa............. 1 14 11 1 14 9
Okl. 1.h.n ............... 2 5 2 3 1 2
Tix.I .................. 1 9 5 178 1 7 5 139 2 2 15

1OU0TAIN................. 10 8 1
Mle l a.......... .... 3 2-
Idi ................. 1- 1 1
Wy ............... 1 1
(71 0 .r.ii ... ... 1
N)iv xki i ............ -
Art i ) ............... 33
i .............. .... 1
Sv. i ................

PA(i l .................. .. 1 3 17 39 1 3 15 35 14 34
Si n.t Cn............ 1 1 1
................ 2 5 5
C 1 n........ ... 1 2 15 33 1 2 14 29 14 34

AI P til ..i............ -
---i i --................

Pcorlt i ............ 1 4 10 1 1 4 10










Mlorbidity and lortalily Weekly Rerort 273


Taihle CASIS OF SPECIIIID NOTIFIABLE DISEASES: UNITED) STATES

FOR WEEKS ENDED

AUGUST 17, 1963 AND AUGUST 18, 1962 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area ----
Cumu- Cumu- 33rd week
lative lative Under 20 &
33rd week 33 weeks 33rd week 33 weeks 33rd week 20 yr. over Total 33rd week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 7 232 1 154 26 55 352 360 746 761 1,183 1,407

NEW ENGLAND.............. 1 8 2 2 31 26 60 56 31 97
Maine................. 17 8 25 18 5 10
New Hampshire......... 5 2 7 6 1
Vermont............... 1 2 2 1 1 18
Massachusetts......... 6 1 3 11 16 22 14 53
Rhode Island .......... 2 2 1 1 2 2 2
Connecticut........... 4 5 9 7 9 13

MIDDLE ATLANTIC........ 5 21 9 6 98 88 186 177 212 247
New York.............. 3 13 7 4 57 66 123 77 141 165
New Jersey............ 3 5 8 13 35 35 52
Pennsylvania.......... 2 5 2 2 36 14 50 65 36 30

EAST NORTH CENTRAL....... 1 20 23 2 12 78 65 146 138 282 375
Ohio................... 1 2 4 26 18 47 56 61 29
Indiana................ 4 5 1 8 9 9 15 16
Illinois.............. 1 13 12 1 16 17 33 28 27 42
Michigan............... 2 3 4 31 21 52 39 125 174
Wisconsin............. I 2 3 4 1 5 6 54 114

WEST NORTH CENTRAL...... 138 37 1 13 13 30 29 28 64
Minnesota................. 8 15 1 5 8 7 1 17
Iowa.................. 100 1 1 2 4 6 12 5
Missouri.............. 10 1 2 5 7 6 3
North Dakota......... 1 6 12 33
South Dakota.......... 8 11 6 6 2 9
Nebraska.............. 6 8 1 1 -
Kansas................ 6 1 3 4 2 NN NN

SOUTH ATLANTIC........... 12 1 32 21 28 46 76 90 100 129
Delaware .............. 1 2 1 4
Maryland.............. 1 5 4 9 11 29 8
District of Columbia.. 1 1 1 1 1 2 2 -
Virginia.............. 4 1 4 7 13 20 19 13
West Virginia......... 1 8 4 12 5 37 42
North Carolina ........ 4 2 7 20 27 17 8 6
South Carolina........ 9 1 1 2 6 1 6
Georgia............... 3 10 6 1
Florida............... 1 9 18 1 9 10 21 5 49

EAST SOUTH CENTRAL....... 2 12 10 1 1 23 19 44 60 83 20
Kentucky.............. 3 6 3 11 18 50 1
Tennessee............. 1 6 2 1 6 5 11 14 28 13
Alabama............... 1 3 8 -2 3 5 19 4 2
Mississippi......... ..... 1 9 8 17 9 1 4

WEST SOUTH CENTRAL....... 1 26 17 1 3 24 30 56 56 70 115
Arkansas.............. 4 I 2 6 8 9
Louisiana............. 6 2 1 5 6 9
Oklahoma .............. 5 6 5 3
Texas................. 1 11 8 1 3 21 19 42 33 67 115

MOUNTAIN ................. 2 9 4 1 1 4 8 30 41 89 120
Montana............,... 4 24 33
Idaho................. -6 2 6 4
Wyoming ............... 1 1 1 -
Colorado .............. 3 1 3 3 25 20
New Mexico............ 3 3 3 NN NN
Arizona............... 3 6 23 15 39
Utah................... 2 5 1 4 4 8 5 17 24
Nevada.................* 3 2

PACIFIC................... 9 2 9 9 53 65 118 114 288 240
Washington............. 1 10 11 21 16 8 8
Oregon................. 2 4 9 13 14 28 45
California............ 1 6 2 8 8 38 44 82 77 105 115
Alaska................. 1 1 1 2 7 131 45
Hawaii ................ -1- -- 16 27

Puerto Rico................ 10 16 2 18 27 19 24









M1orbiditN anti Morlaliti \\eek lI eleport



l 1.1I A ( A s ()1 SPl (I ll11) NO III IAIH .I DI)NI A l I N II I) 1 1 l 1

I ()R I KS I NI) 1)


AI (GUST 1, 1963 AND Al'GUST Ix, 1962 ((ontinucd)


Meningococcal
Inf CL is


I ativ
?i. My .. IE


UNITED STATES....


i E...L .........
?;sw Hiampshire .....
Vermont ...........
Mussac' ......
wh d i .. ....
C nn cti .t t........

MIDDLE ATLCT .....
Ncw Y'irk ...........
Nw J rscy .......
Pennsylvania .......

EAST NORTH CENTRAL..
Ohi ..............
Ind ia n ............
Illii is ...........
lichi ii. ..........


IET NORTH CENTRAL..
Iw 11i i. .........
l a i ..............
is ouri ...........
:North Dai1,1 .......
u t .. I
Ni iiras a ..........


OiTHi AATINTIC .....
Dila anr ..........


Vi r inia.... ...... .
L r in 1;i ia. ... .
:. t Vir inia......
North CarolDin.....
Aiiut Carlina1.....
( rg .ia............


EAIT SOu'Jli C(ETRAL..

T-n s 7...........
Tln ss .........
iaba. ..........
i .sii sii ppi.......

TTST SOiUTH CENRIIAL..
Arkansa... ...... ...
I L~ i si.n, ..........
,, :r; l ............
I I ..............

IOUTIlN ............
Ilsntana....A...
dah i .. ..........


Nkw H -exic .........





P .F C.............
Washington........

Cal i forni i........
Alaska,..........
Hawaii............
Puerto Rico........


25 L,662

- 103
17
3

50
9
20

3 231
S 107
32
3 92

5 258
S 73
31
5 48
79
27

4 104
21

33
3 8
| 5
21
1 11

3 313

6
1 i49

72
16
52
15
1 24
1 77

1 123
26
1 54
21
22

1 160
11
65
29
S 55

55
3
4
4
14
4
9
14
3

8 315
25
1 23
7 248
11
8
5


Strcptoco f .ii Tic born |
Sort Tlir cl & Tetaxu s T:'phiu: Tl.'l r:l ia Typh.it FI vr RI l l s in Aninals
Scarit FL ir (Rc l t
-- ] "-F1) 7- .. i .

4, .


2,828 3,

166
5


22
9
130

99
78
9
12

139
9
30
21
50
29





1
110
4
27
4

51

184
1
5

84
60
36
16

82

662
38
592
7
25

441

2
6
433

516
30
64
13
100
142
67
99
1

411
59
1
315
21
15
6


003

193
60


31
7
95

91
64
13
14

204
37
62
35
39
31

94
4
19
2
56


13

256
|
6
3
58
59
6
18
1
105

672
63
577
6
26

568
2

3
563

440
26
27
4
108
118
81
76


485
47
13
385
27
13

I


14 i i


I

- I



S I 4
- I
1I
1I



2









10 4 1



4 4
-

6

4
- 4 -











2 4
- 1 -








1 -


78 51





1 -





1 2
1 1
- 1


5 6
3 4


1 1


1-i 1 12 10


2,501

26
1
12






76
56

20

413
242
40
60
40
31

632
154
237
111
25
73
20
12

352
1


128
101
6
6
47
63


96
92

17


476
44
39
38
355

74



13
22
39



247

1
237
9


t


--


---~









Morbidity and MIortality W~eeklN Report 275




Tahbl -i (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


Area For weeks ending Area For weeks ending

7/27 8/3 8/10 8/17 1 1 7/27 8/3 8/10 8/17


NEW ENGLAND:
Boston, Mass...............
Bridgeport, Conn..........
Cambridge, Mass...........
Fall River, Mass..........
Hartford, Conn...........
Lowell, Mass...............
Lynn, Mass................
New Bedford, Mass.........
New Haven, Conn............
Providence, R.I...........
Somerville, Mass..........
Springfield, Mass.........
Waterbury, Conn ..........
Worcester, Mass............

MIDDLE ATLANTIC:
Albany, N.Y................
Allentown, Pa.............
Buffalo, N.Y...............
Camden, N.J...............
Elizabeth, N.J............
Erie, Pa..................
Jersey City, N.J..........
Newark, N.J...............
New York City, N.Y........
Paterson, N.J.............
Philadelphia, Pa.........
Pittsburgh, Pa............
Reading, Pa...............
Rochester, N.Y.............
Schenectady, N.Y.,........
Scranton, Pa..............
Syracuse, N.Y..............
Trenton, N.J...............
Utica, N.Y................
Yonkers, N.Y..............

EAST NORTH CENTRAL:
Akron, Ohio................
Canton, Ohio...............
Chicago, Ill..............
Cincinnati, Ohio...........
Cleveland, Ohio..........
Columbus, Ohio............
Dayton, Ohio..............
Detroit, Mich.............
Evansville, Ind...........
Flint, Mich...............
Fort Wayne, Ind...........
Cary, Ind.................
Grand Rapids, Mich........
Indianapolis, Ind.........
Madison, Wis.............
Milwaukee, Wis............
Peoria, 111...............
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.............


216
27
30
29
40
23
15
24
46
53
20
43
32
41


34
35
138
50
24
41
70
75
1,552
38
510
208
51
88
22
47
69
55
27
22


49
31
692
131
217
115
91
318
40
44
32
25
45
155
19
95
24
26
37
86
65


55
14
40
125
31
126
71
224
62
59


322
44
38
22
61
40
40
38
62
68
22
51
33
67


52
27
151
39
30
37
70
81
1,693
41
533
184
46
104
25
31
60
30
20
33


46
33
680
156
170
127
74
358
40
55
46
38
36
118
40
107
24
40
38
108
55


52
31
37
124
22
133
82
206
72
44


240
33
29
22
54
32
12
21
44
44
12
33
21
47


35
27
103
35
30
30
60
82
1,437
29
589
180
50
106
29
33
52
50
18
22


55
35
665
159
193
109
76
313
33
55
45
30
56
165
44
112
29
24
28
101
60


51
19
38
130
36
113
51
219
59
49


239
35
24
21
37
26
14
24
32
59
16
39
23
61


55
33
154
52
24
43
61
107
1,379
36
595
180
48
96
23
23
53
45
18
30


40
39
645
149
181*
89
80
294
26
37
71
32
35
143
29*
106
24
19
41
79
49


53
17
32
134
24
123
63
239
69
46


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, Galif..........
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...........


108
270
37
46
73
54
89
28
56
73
184
46


88
60
37
128
123
34
42
110


32
33
28
145
37
83
165
58
176
83
83
51
43


36
18
133
12
111
8
48
44


20
38
31
45
72
513
83
27
120
54
78
171
36
127
48
43


116
235
45
46
83
41
98
39
61
50
180
24


67
35
30
122
146
36
33
79


30
19
38
130
43
66
172
74
176
84
99
65
36


19
13
109
19
81
12
55
46


19
50
29
51
63
509
88
28
108
65
75
169
31
131
41
29


107
206
33
69
79
59
85
31
84
91
192
39


65
46*
42
111
108
41
26
88


24
20
21
136
42
82
173
45
222
62
108
56
50


25
17
119
15
79
12
47
51


18
36
30
36
62
513
80
27
120
45
87*
177
41
118
59
29


San Juan, P.R.............. 24 31 34 38


0Current Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 10,664
4(B) Pneumonia-Influenza Deaths, all ages........ 377
4(C) Total Deaths under 1 Year of Age............. 802
4(D) Total Deaths, Persons 65 years and over..... 5,732


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

NOTE: All deaths by place of occurrence.




UNIVERSITY OF FLORIDA


3 1262 08864 0460


Morbidity and Mortality Weekly Report


INTERNATIONAL NOTES
Smallpox Poland
The smallpox epidemic in Poland has increased to a
total of 110 cases, including 7 deaths, according to infor-
mation received from the World Health Organization, as
of August 15.
Three districts have been declared infected with
smallpox. From Wroclaw, where the first case occurred,
patients were transferred to the Opole and Wieruszow
Districts. Smallpox has now spread within these Districts.
Poland's first case occurred in a man who arrived
from India May 25, 1963, and who was hospitalized in
Wroclaw June 2 for malaria. His mild case was retrospec-
tively diagnosed. A secondary case occurred June 15 in a
hospital employee, in whom chickenpox was initially
diagnosed. Three third generation cases had onsets of
illness on June 30 and July 1.
The first case recognized as smallpox was a child
who had been hospitalized for chickenpox June 24. This
was a third generation case. The dates of onset of 12
fourth generation cases were July 10 through 20.
One of the fatalities was a physician who attended a
smallpox patient. At least four other hospital employees
also have been infected.
In Poland, an estimated total of 3,500,000 vaccina-
tions had been performed as of August 1. Vaccinations
for school age children had been compulsory prior to this
epidemic. For previous reports see MMWR, Vol. 12,
pp. 244. 252, 255, and 268.


ERRATUM

The heading for Table 4, MMWR, Vol. 12, p. 267,
incorrectly indicated that the table listed total deaths
under 1 year of age. The figures in the table are correct
but the heading should read Table 4 (D). "TOTAL
DEATHS AMONG PERSONS 65 YEARS AND OVER IN
REPORTING CITIES."


,ir,. "- CL L'e
UOCS EPOSITT EPT





I U.S DEPOSITORY


Dengue Fever Jamaica
Eighty cases of Dengue Fever have been reported
during the period from March 31, 1963, to August 3, 1963,
according to the World Health Organization.
Approximately 50 percent of these cases were re-
ported during the last three weeks of this 18 week period.
Sixteen cases were reported for the week ending August 3.





QUARANTINE MEASURES
Immunization Information for International Travel
1962 Edition
Public Health Service Publication No. 384
The following information should be noted in the
list of Yellow Fever Vaccination Centers in Section 6:
Delete
CITY: Phoenix, Arizona
CENTER: Public Health Service Indian Hospital


I
m
rn
C C
.

a m







-4
-n

m


Add
CITY:
CENTER:
CLINIC HOURS:
FEE:


Phoenix, Arizona
Maricopa County Health Department
Monday thru Friday 1 to 2 p.m.
No


276