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:
AA00010654:00112

Related Items

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

Full Text






Morbidity and Mortali t



U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE DEC 19G63

PUBLIC HEALTH SERVICE '

Prepared by the C 634-5131

For release December 2, 1963 ATLANTA, GEORGIA 30333 Vol. 12, No. 47"
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED NOVEMBER 23, 1963


POLIOMYELITIS Twenty paralytic and 2 non-paralytic
cases of poliomyelitis were reported for the week ended
November 23. Fourteen cases, including a non-paralytic
case, were reported from Florida; 3 from Virginia; 2 from
Pennsylvania; and one each from North Carolina, Soutl
Carolina, and Mississippi. The nation's total-of 401
cases thus far in 1963 remains below one-half that re-
ported for a comparable period last year.
Florida
All the cases reported from Florida this week oc-
curred in the Jacksonville-Duval County area bringing the
total there to 21 cases, 20 of which are paralytic. Three
deaths have occurred and additional suspects are under
surveillance. Type I poliovirus has been isolated from 15


cases, including the 3 fatalities. Onset dates and para-
lytic status of the cases are shown graphically on
page
Eighteen of the 21 cases occurred in Negroes.
Although immunization data are not complete, preliminary
information indicates that a large majority of the cases
were inadequately immunized. Geographically, the cases
were widely scattered throughout Jacksonville and Duval
Counties.
Of the 21 cases, 20 occurred in pre-school age
children; 13 cases occurred in children 2 years of age
or younger.
On Sunday, November 24, a mass immunization pro-
gram utilizing Type I oral polio vaccine was carried out.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
47th Week Cumulative
Disease Ended Ended Median First 47 weeks
November 23, November 24, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis................ 28 39 --- 1,678 2,351 .
Brucellosis ..................... 8 1 9 333 354 659
Diphtheria.................... 8 15 28 246 413 702
Encephalitis, infectious .......... 17 25 22 1,414 1,680 1,679
Hepatitis, infectious and serum... 797 776 776 39,090 48,836 34,917
Measles........................ 2,442 2,467 2,371 371,313 458,229 409,863
Meningococcal infections ......... 42 32 37 2,143 1,914 2,043
Poliomyelitis, total.............. 22 28 40 401 826 3,070
Paralytic.................... 20 21 36 343 653 2,124
Nonparalytic................. 2 4 2 40 121 626
Unspecified...................- 3 2 18 52 320
.Streptococcal sore throat
and Scarlet fever ............ 6,416 5,410 ..- 303,824 280,421
Tetanus ........................ 5 8 -- 256 265
Tularemia...................... 4 6 --- 264 261
Typhoid fever................... 7 14 12 488 582 755
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... 1 --- 173 214 --
Rabies in Animals ............... 64 28 65 3,417 3,313 3,313


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 4 Psittacosis: Ill. 1 69
Botulism: Ala. 2, Minn. 1 39 Rabies in Man: 1
Malaria: N.C. 1, Pa. 2 97 Smallpox:
Plague: Typhus, murine: 27


Fs 5, 60/7 1f 2./Y7







394


0 Nonporalytic Case
-Paralytic Case
a Fatal Case
B =Type I Isolated


number
of cases
4.

3-

2week ended

I -

0w e
week ended


TYPE I OPV
FED ON 11/24
ZI


20 27 3'10'17 2431 7 14 2128
July Aug Sept


About 420,000 of the 470,000 Duval County residents
(89 percent) received the vaccine, by estimate.
(Reported by C. M. Sharp. M.D., Assistant State Health
Officer, Florida State Board of Health, Edward R. Smith,
M.D., City Health Officer, Jacksonville Department of
Health; and Thomas E. Morgan, M.D., M.P.H., Director,
Duval County Health Department.)

Virginia
The 3 cases from Virginia were all paralytic and
represent a geographic clustering of Type I cases in a
small community in Goochland County.



Paralytic Virus
Case No. Age Race Sex Status Onset IPV Isolation

I 15 N M P 11/11 3 I
2 8 N M P 11/12 0 I
3 7 N F P 11/19 0



Case 2 and Case 3 live in the same household and
Case 1 lives across the street.
Type I oral polio vaccine was administered to school
children, neighbors and household contacts of the cases.
A community-wide Type I oral polio vaccine program is
planned for December 8.
(Reported by Dr. James B. Kenley, Director, Bureau of
Epidemiology, Virginia State Department of Health.)


12 18 '26' 2' 9 16'23
Oct Nov


Pennsylvania
The 2 cases from Pennsylvania represent delayed
reports of paralytic cases, both with Type I isolates,
which occurred in September. One case occurred in
Lancaster County. The other case occurred in Philadel-
phia, bringing the total to 55 in that city thus far in 1963.
Of the 55 Philadelphia cases, 42 have been paralytic.
(Reported by Dr. W. D. Schrack, Jr., Director, Division of
Communicable Disease Control, Pennsylvania State
Department of Health.)



BOTULISM Three cases of botulism were reported for
the week ended November 23. Two cases were reported
from Alabama and one case from Minnesota. The 3 cases
bring the total to 39 thus far in 1963.

Alabama.
The 2 cases from Alabama are delayed reports and
were related to the smoked whitefish chub incident (See
MMWR, Vol. 12, pp. 329, 337, 345, 358, and 3"'8. The
patients ate the smoked whitefish chub on October 4 and
October 6, respectively, and were treated in a Tennessee
hospital. Neither case was fatal.
These cases bring the corrected total for the smoked
whitefish outbreak to 17 cases, including 7 deaths. In
addition to this outbreak, a separate outbreak which oc-
curred in Michigan, also of Type E botulism related to
smoked whitefish, accounted for 2 cases, both fatal.'
These Michigan cases have not been epidemiologically
(Continued on page 400)


Morbidity and Mortality Weekly Report



POLIOMYELITIS By Week of Onset
Duval County, Florida 1963








395


Morbidity and Mortality Weekly Report




SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS

OCTOBER 1963 AND OCTOBER 1962


CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area October 1963 and October 1962 Provisional Data
Cumulative Cumulative
Reporting Area October Jan Oct Reporting Area October Jan Oct
1963 1962 1963 1962 1963 1962 1963 1962
NEW ENGLAND............... 56 60 398 452 EAST SOUTH CENTRAL........ 144 114 1,305 995
Maine.................... 2 9 6 Kentucky................. 15 11 134 113
New Hampshire............ 1 8 9 Tennessee ................ 38 44 339 273
Vermont................. 1 7 Alabama................... 71 52 584 492
Massachusetts........... 36 33 247 286 Mississippi.............. 20 7 248 117
Rhode Island............. 2 3 15 24
Connecticut.............. 15 23 112 127 WEST SOUTH CENTRAL........ 240 263 2,298 2,392
Arkansas................. 13 24 173 186
MIDDLE ATLANTIC........... 703 637 5,111 4,997 Louisiana............... 54 91 476 980
Upstate New York......... 86 71 586 517 Oklahoma................. 21 12 164 118
New York City........... 415 340 2,860 2,691 Texas..................... 152 136 1,485 1,108
Pa. (Excl. Phila.)....... 34 29 143 139
Philadelphia............. 41 61 547 661 MOUNTAIN.................. 47 32 406 301
New Jersey............... 127 136 975 989 Montana .................. 3 4 9 7
Idaho.................... 1 6 4
EAST NORTH CENTRAL........ 186 186 1,651 1,411 Wyoming.................. 5 15
Ohio...................... 34 31 321 276 Colorado................. 3 6 31 62
Indiana................... 7 6 46 78 New Mexico............... 17 9 109 57
Downstate Illinois....... 15 12 101 100 Arizona ................. 13 6 171 109
Chicago................... 86 90 764 672 Utah..................... 2 1 15 6
Michigan................. 37 33 367 238 Nevada................... 4 5 50 56
Wisconsin................ 7 14 52 47
PACIFIC................... 254 237 1,878 1,561
WEST NORTH CENTRAL........ 44 25 414 337 Washington............... 17 5 106 31
Minnesota................ 8 5 64 50 Oregon................... 8 3 55 40
Iowa..................... 1 3 25 38 California............. 226 228 1,694 1,469
Missouri................. 22 8 191 159 Alaska.................... 1 6 5
North Dakota............. 4 4 Hawaii................... 2 1 17 16
South Dakota............... 2 1 26 29
Nebraska ................. 2 4 52 12 U. S. TOTAL............... 2,274 2,118 18,711 17,422
Kansas ................... 9 4 52 45
TERRITORIES............... 128 55 698 439
SOUTH ATIANTIC............ 600 564 5,250 4,976 Puerto Rico............. 126 49 683 412
Delaware................. 5 2 44 35 Virgin Islands........... 2 6 15 27
Maryland................. 51 48 474 439
District of Columbia..... 46 58 551 610
Virginia.................. 36 47 279 365
West Virginia............ 7 1 37 36
North Carolina........... 74 93 754 647 Note: Cumulative Totals include revised and delayed reports
South Carolina........... 58 66 607 686 through previous months.
Georgia.................. 106 107 912 827
Florida.................. 217 142 1.592 1,331




Venereal Disease Summary high of primary and secondary syphilis was 2,118 cases
The 2,274cases of infectious syphilis forOctober 1963, reported in October 1962.


represent the largest number of cases for any one month


The 18,711 cases reported through October 1963,


since these reports were first submitted to the Communi- represent an increase of 7 percent over the number of
cable Disease Center in July 1961. The previous monthly cases reported for a comparable period in 1962.


INFANT DEATHS IN 108 CITIES


SThe weekly average number of infant deaths in 108
cities for the four-week period ending November 23 was
730 as compared with an expected weekly average of 770.




OF

TOTAL DEATHS UNDER ONE YEAR OF AGE IN 108 CITIES EATHS

WEEK ENDING 4 Week Weekly

11/2 11/9 11/16 11/23 Total Average

Observed 767 753 693 707 2,920 730
Expected 769 770 770 770 3,079 770 o

Excess -2 -17 -77 -63 -159 -40


DEATHS UNDER ONE YEAR OF AGE IN 108 U.S. CITIES


(See table page 399)









396 Morbidity and M11rtality W weekly Report


Table c CASFS OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 23, 1963 AND NOVEMBER 24, 1962


Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
47th week First 47 weeks 47th week First 47 weeks 47th week 47th week

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

UNITED STATES...... 22 28 401 826 20 21 343 653 2 4 28 39

NEW ENGLAND............. 1 8 9 1 8 8 2 3
Maine.................. 2 2 1
New Hampshire ........ -
Vermont............... 1 1 1-
Massachusetts ......... 1 3 7 1 3 7 1
Rhode Island......... 2 1
Connecticut........... 2 1 2 1 -

MIDDLE ATLANTIC.......... 2 1 116 79 2 1 93 57 3 4
New York.............. 1 9 59 1 6 40 3 4
New Jersey............ 4 7 3 7 -
Pennsylvania 2 103 13 2 84 10 -

EAST NORTH CENTRAL....... 6 54 128 5 43 96 1 5 2
Ohio.................. 1 8 20 1 4 18 1
Indiana.. ........... 4 20 3 16
Illinois ............ 2 17 58 1 16 41 1 1
Michigan.............. 1 16 20 1 16 16 3 2
Wisconsin............. 2 9 10 2 4 5- -

WEST NORTH CENTRAL........ 7 38 6 27 2
Minnesota............ 4 7 4 7 2
Iowa .................. 7 3
Missouri.............. 10 5 -
North Dakota.......... 1 5 3 -
South Dakota.......... 1 1 1 1
Nebraska.............. 1 8 1 8
Kansas............... -

SOUTH ATLANTIC........... 19 4 90 73 17 4 78 63 2 1 1
Delaware.............. 1 1 1 1
Maryland.............. 3 2 1 1
District of Columbia.. 1 2 -
Virginia .............. 3 21 8 3 16 8 -
West Virginia......... 3 3 14 3 3 14 -
North Carolina ....... 1 5 13 4 11 1
South Carolina........ 1 8 6 1 7 6 -
Georgia............... 1 21 17 1 20 14 --
Florida............... 14 27 11 13 26 8 1

EAST SOUTH CENTRAL....... 1 7 72 77 1 6 66 64 1 4 12
Kentucky.............. 29 23 9
Tennessee............. 1 10 11 9 5 1 2 1
Alabama................ 53 22 48 22 -
Mississippi........... 1 6 9 15 1 6 9 14 2 2

WEST SOUTH CENTRAL....... 8 28 319 3 27 244 2 3
Arkansas.............. 5 21 4 18 -
Louisiana.............. 15 25 15 22 -
Oklahoma.............. 6 1 29 2 1 20 1
Texas.................. 2 7 244 1 7 184 1 3

MOUNTAIN.................. 5 18 4 14 2 1
Montana............... 4 3
Idaho ................. 1 2 1 1
Wyoming............... 2 1
Colorado.............. 3 2 2 1
New Mexico........... .- 1 2 2
Arizona ............... 3 3 3 3
Utah.................. 2 2 2
Nevada ...............

PACIFIC................... 1 21 85 1 18 80 11 11
Washington............ 2 5 2 5 2 1
Oregon ................ 2 6 1 5 -
California............ 1 17 74 1 15 70 9 10
Alaska................ -
Hawaii ................ -

Puerto Rico............... 5 12 4 12










Morbidity and Mortality Weekly Report 397


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 23, 1963 AND NOVEMBER 24, 1962 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area
Cumu- Cumu- 47th week
lative lative Under 20 &
47th week 47 weeks 47th week 47 weeks 47th week 20 yr. over Total 47th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962


UNITED STATES...... 8 333 8 246 17 25 391 358 797 776 2,442

NEW ENGLAND............... 1 8 58 51 109 87 230
Maine................. 26 22 48 36 4
New Hampshire......... 11 7 18 3 -
Vermont ............... 1 3 1 4 2 65
Massachusetts......... 6 9 11 20 32 35
Rhode Island........... 2 4 4 5 34
Connecticut........... 9 6 15 9 92

MIDDLE ATLANTIC.......... 8 22 6 7 85 102 187 154 634
New York............... 4 13 6 7 51 54 105 97 274
New Jersey............ 1 4 9 21 30 16 211
Pennsylvania .......... 3 5 25 27 52 41 149

EAST NORTH CENTRAL........ 3 46 2 34 4 64 39 117 127 471
Ohio................... 1 1 22 14 44 50 82
Indiana................ 6 10 12 1 13 15 55
Illinois .............. 22 2 17 1 6 10 16 25 169
Michigan .............. 6 4 1 23 14 37 32 112
Wisconsin............. 3 12 2 1 1 7 5 53

WEST NORTH CENTRAL....... 3 174 41 3 31 17 51 18 40
Minnesota............. 9 15 1 3 5 2 2
Iowa.................. 2 130 I 2 4 6 3 15
Missouri.............. 12 1 5 7 13 6 5
North Dakota........... 2 1 13 13 18
South Dakota........... 1 11 12 4 5 3
Nebraska.............. 6 10 3 3 6 3 -
Kansas ................ 6 2 3 3 1 NN

SOUTH ATIANTIC........... 1 22 2 58 1 2 34 32 68 74 143
Delaware.............. 2 1 3 1 12
Maryland............... 7 2 9 6 29
District of Columbia.. 1 3 13
Virginia .............. 11 1 2 3 9 -
West Virginia......... 1 4 6 11 10 49
North Carolina........ 1 5 5 1 18 13 31 19 18
South Carolina........ 17 1 1 1 3 20
Georgia .............. 3 18 1 1 1 -
Florida................ 3 2 16 1 1 7 9 22 2

EAST SOUTH CENTRAL......... 14 1 21 1 3 16 9 27 61 266
Kentucky.............. 3 2 8 3 13 27 216
Tennessee............. 6 3 1 1 6 2 8 23 47
Alabama............... 5 1 15 1 2 3 8 -
Mississippi............ 3 1 2 3 3 3

WEST SOUTH CENTRAL........ 1 36 3 53 2 36 21 58 35 55
Arkansas.............. 8 1 3 1 1 2 5 -
Louisiana............. 8 2 33 4 7 11 2 -
Oklahoma .............. 5 6 4 2
Texas................. ] 15 11 2 31 13 45 24 53

MOUNTAIN ................. 9 5 1 1 10 5 40 51 235
Montana............... 1 2 3 4 167
Idaho........... *..... -- 11 7 14
Wyoming............... 1 1 1 1 5 6
Colorado............... 3 2 1 3 11 14
New Mexico............ 2 3 1 4 7 NN
Arizona.........*..*... 3 14 9 5
Utah.................. 5 1 4 4 8 29
Nevada............ -

PACIFIC......... ......... 23 4 1 10 57 82 140 169 368
Washington............ 6 6 12 21 85
Oregon .........,...... 3 6 10 17 16 45
California............ 18 4 1 10 39 60 99 110 203
Alaska................. 6 5 11 19 35
Hawaii ................ 2 -I 1 1 3 -


Puerto Rico.... ....... 1 1 13 14 1 15 9 85


i


2,467

161
17
2
16
42

84

181
74
36
71

944
68
35
22
182
637

125
8
60
3
54


NN

123
2
4
6
11
89
11




152
35
116

1

93
50


43

301
76
30
1
62
NN
11
121


387
108
54
161
14
50

35









3 8l Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED


NOVEMBER 23, 1963 AND NOVEMBER 24, 1962 (Continued)


Meningococcal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
ea Cumu- Spotted) Cumu- Cumu-
lative lative lative
47th wk. 47 weeks 47th week 47th wk. 47th wk. 47th wk. 47thwk. 47 weeks 47th week 47 weeks
1963 1963 1963 1962 1963 1963 1963 1963 1963 1963 1962 1963

UNITED STATES.... 42 2,143 6,416 5,410 5 1 4 7 488 64 28 3,417

NEW ENGLAND......... 3 130 657 459 12 32
Maine.............. 19 96 60 2 2
New Hampshire...... 4 11 15
Vermont............. 6 9 6 1 14
Massachusetts...... 58 75 60 -- 6 1
Rhode Island....... 1 12 26 28 -
Connecticut......... 2 31 451 294 3 -

MIDDLE ATLANTIC..... 6 298 386 210 1 87 1 1 112
New York............ 2 139 295 151 45 1 1 83
New Jersey......... 3 47 53 32 1 6 -
Pennsylvania........ 1 112 38 27 36 29

EAST NORTH CENTRAL.. 9 332 612 498 1 2 63 8 3 515
Ohio................ 5 90 85 72 1 27 2 301
Indiana............ 2 48 60 71 1 7 3 1 50
Illinois........... 1 67 116 73 1 13 2 1 73
Michigan........... 1 94 254 148 11 1 1 48
Wisconsin.......... 33 97 134 5 43

WEST NORTH CENTRAL. 4 131 156 110 1 27 23 8 902
Minnesota.......... 1 26 10 8 3 7 5 244
Iowa................ 7 22 39 3 4 316
Missouri........... 2 38 62 1 17 8 1 159
North Dakota....... 1 15 32 58 1 35
South Dakota....... 7 6 3 1 1 2 93
Nebraska............ 25 1 1 1 32
Kansas.............. 13 24 1 2 1 23

SOUTH ATLANTIC...... 10 399 649 325 1 1 71 7 4 489
Delaware........... 4 12 4 4 1
Maryland........... 4 57 43 16 11 2
Dist. of Columbia.. 8 1 -
Virginia........... 86 228 132 8 3 4 190
West Virginia...... 1 21 229 120 7 1 112
North Carolina..... 3 75 28 30 1 16 16
South Carolina..... 22 34 23 6 10
Georgia............ 33 5 2 1 80
Florida............ 2 93 69 1 17 2 78

EAST SOUTH CENTRAL.. 1 146 1,122 793 1 1 2 69 8 2 260
Kentucky........... 31 44 118 13 2 2 117
Tennessee.......... 1 68 1,008 645 2 29 6 123
Alabama............ 24 7 22 1 11 20
Mississippi........ 23 63 8 1 16 -

WEST SOUTH CENTRAL.. 5 194 617 522 2 85 8 6 650
Arkansas........... 14 2 1 34 5 1 81
Louisiana.......... 4 78 15 2 25 2 49.
Oklahoma............ 1 34 26 3 6 1 56
Texas............... 68 574 516 2 20 5 464

MOUNTAIN............ 2 75 1,363 1,422 1 18 1 132
Montana............ 3 73 59 -
Idaho .............. 6 105 153 -
Wyoming............ 7 192 -
Colorado........... 20 422 552 1 6 16
New Mexico......... 4 365 207 5 40
Arizona............ 11 115 110 7 1 62
Utah............... 2 20 283 149 3
Nevada............. 4 11

PACIFIC.............. 2 438 854 1,071 3 56 9 3 325
Washington......... 39 121 310 3
Oregon............. 32 28 10 2 13
California......... 2 342 620 710 3 48 9 3 303
Alaska.............. 12 38 38 1 9
Havai............... 13 47 3 2 -
Puerto Rico......... 8 5 1 13 13









Morbidity and Mortality Weekly Report





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


399


For weeks ending For weeks ending
Area 1 1 11 Area19
11/2 11/9 11/16 11/23 11/2 11/9 11/16 11/23


NEW ENGLAND:
Boston, Mass............... 17 12 16 14
Bridgeport, Conn......... 1 3 4*
Cambridge, Mass........... 2 3
Fall River, Mass.......... 2 3
Hartford, Conn............ 4 6 4 6
Lowell, Mass............... 1 2 2
Lynn, Mass ................ 1 -
New Bedford, Mass.......... 3 1 1 1*
New Haven, Conn............ 2 2 17 6
Providence, R.I........... 6 9 4 3
Somerville, Mass......... -
Springfield, Mass......... 2 3 1
Waterbury, Conn........... 7 2 5
Worcester, Mass........... 3 1 3

MIDDLE ATLANTIC:
Albany, N.Y............... 4 2 1
Allentown, Pa............. 2 1
Buffalo, N.Y.............. 7 4 8 6
Camden, N.J................ 5 3 4 5
Elizabeth, N.J............ 2 2 1 2
Erie, Pa.................. 1 4 1
Jersey City, N.J.......... 3 3 5 7
Newark, N.J............... 4 29 6 4
New York City, N.Y........ 78 80 75 91
Paterson, N.J............. 3 2 1 4
Philadelphia, Pa.......... 19 37 19 28
Pittsburgh, Pa............ 10 7 10 9
Reading, Pa............... 1 1 3
Rochester, N.Y............. 5 6 8 5
Schenectady, N.Y.......... 1 -
Scranton, Pa.............. 1
Syracuse, N.Y.............. 7 5 1 5
Trenton, N.J.............. 3 2 4 1
Utica, N.Y................ 1 1 2
Yonkers, N.Y............... 1 1 1 -

EAST NORTH CENTRAL:
Akron, Ohio................ 4 3 3 6
Canton, Ohio............... 1 1 -
Chicago, Ill.............. 49 50 46 49
Cincinnati, Ohio.......... 7 8 12 13
Cleveland, Ohio............ 14 23 8 17
Columbus, Ohio........... 7 7 8 13
Dayton, Ohio............... 4 6 4 4
Detroit, Mich............. 30 18 20 18
Evansville, Ind........... 4 5 2
Flint, Mich................ 2 4 8
Fort Wayne, Ind............ 3 6 2 2
Gary, Ind.................. 9 3 1 7
Grand Rapids, Mich........ 6 2 6 4
Indianapolis, Ind......... 18 10 13 5
Madison, Wis............. 10 4 5 6
Milwaukee, Wis............. 6 8 7 7
Peoria, Ill................ 4 2 7 4
Rockford, Ill............. 3 1 2*
South Bend, Ind........... 1 3 2 4
Toledo, Ohio............... 5 6 3 6
Youngstown, Ohio........... 2 2 2 1

WEST NORTH CENTRAL:
Des Moines, Iowa.......... 6 2 3 1
Duluth, Minn.............. 1 1 -
Kansas City, Kans.......... 1 6 1 3*
Kansas City, Mo............ 16 3 6 2
Lincoln, Nebr............. 1 2 3 2
Minneapolis, Minn......... 7 6 6 10
Omaha, Nebr............... 4 13 4 6
St. Louis, Mo............. 22 12 11 11
St. Paul, Minn............ 7 2 3 4
Wichita, Kans.............. 4 4 1 4

*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.............. 18 6 7 20
Baltimore, Md............ 18 17 20 16
Charlotte, N.C........... 5 3 3 4
Jacksonville, Fla........ 2 7 5 4
Miami, Fla............... 2 6 6 1
Norfolk, Va.............. 3 7 4 2
Richmond, Va.............. 8 11 4 7
Savannah, Ga.............. 3 3 3 1
St. Petersburg, Fla...... 2 3
Tampa, Fla ............... 4 3 3 3
Washington, D.C.......... 28 19 11 13
Wilmington, Del.......... 4 2 2 4

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 3 8 6 3
Chattanooga, Tenn........ 1 5 2 2
Knoxville, Tenn.......... 2 3 1 2
Louisville, Ky............ 17 6 7 15
Memphis, Tenn............. 11 14 12 15
Mobile, Ala............... 1 4 4 2
Montgomery, Ala.......... 2 1 4
Nashville, Tenn.......... 5 5 5 4

WEST SOUTH CENTRAL:
Austin, Tex.............. 5 1 3 3
Baton Rouge, La.......... 3 2 2
Corpus Christi, Tex...... 5 2 1 5
Dallas, Tex.............. 11 15 11 10
El Paso, Tex.............. 2 4 5 6
Fort Worth, Tex.......... 4 5 2 3
Houston, Tex............. 26 12 10 3
Little Rock, Ark.......... 3 3 6
New Orleans, La.......... 14 20 23 9
Oklahoma City, Okla...... 2 10 10 5
San Antonio, Tex......... 6 3 11 12
Shreveport, La........... 5 7 3 4
Tulsa, Okla............... 3 8 4 3

MOUNTAIN:
Albuquerque, N. Mex...... 4 8 3 3
Colorado Springs, Colo... 1 2 -
Denver, Colo.............. 9 6 9 10
Ogden, Utah............... 2 2 1
Phoenix, Ariz............. 8 6 5 14
Pueblo, Colo.............. 2 1 1 1
Salt Lake City, Utah..... 3 6 4 2
Tucson, Ariz.............. 1 3 3 4

PACIFIC:
Berkeley, Calif .......... 2 1 2 1*
Fresno, Calif............ 2 2 3 6
Glendale, Calif.......... 1 -
Honolulu, Hawaii.......... 10 5 7 7
Long Beach, Calif........ 1 2 5 6
Los Angeles, Calif....... 38 36 40 32
Oakland, Calif........... 9 4 8 3
Pasadena, Calif.......... 2 3
Portland, Oreg............ 8 5 5
Sacramento, Calif........ 1 2 1
San Diego, Calif......... 6 4 4 4
San Francisco, Calif ..... 7 14 13 12
San Jose, Calif........... 6 4 2 2
Seattle, Wash............ 9 4 6 7
Spokane, Wash........... 3 2 3 1
Tacoma, Wash.............. 1 2 4 1

San Juan, P.R............... (---) (---) (---) (---)


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.....


11,454
413
707
6,455




UNIVERSITY OF FLORIDA

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Morbidity and Mortality Weekly Report


tied with the outbreak in Kentucky, Tennessee, and
Alabama.
(Reported by Dr. W. H. Y. Smith, M.P.H., Director, Bureau
of Preventable Disease, and Ira L. Myers, M.D., State
Health Officer, Alabama Department of Public Health.)
Minnesota
A single case of botulism related to the consumption
of non-commercially processed smoked fish was reported
this week from Minnesota.
On November 11, the patient, a 65-year-old man, was
given a box containing several smoked ciscoes by a
hunting companion. Upon returning home, he refrigerated
them. Three days later, he consumed three of the fish and
gave two to his dog. Before finishing the meal, the man
became nauseated and attempted, unsuccessfully, to in-
duce vomiting. His dog acted peculiarly after eating the
fish and was allowed to sleep in the house that night.
During the night, the dog was heard to yelp and was found
to be vomiting and apparently convulsing. The dog was
led out of the house to recover. He eventually recovered
uneventfully.
The following morning, the patient noted symptoms
of diplopia and difficulty in walking and swallowing. He
did not, however, seek medical attention. On November 16,
upon a neighbor's insistence, he was taken to a hospital
in a nearby town for examination. Symptoms by this time
had diminished. The patient was found to have a slow
pulse, no fever and no evident paralysis. Botulism was
suspected and antitoxin administered.
No fish were available for examination; the remainder
having been burned by the patient.
(Reported by Dr. C. B. Nelson, Chief, Section of Acute
Diseases, Minnesota Department of Health.)


EPIDEMIOLOGICAL REPORT

Dengue Fever Puerto Rico
During the week ended November 23, 1,733 cases of
dengue fever were officially reported to the Puerto Rico
Department of Health. This brings the 1963 total to 21,388
cases.
(Reported by Rafael Timothee, M.D., Director, Preventive
Medical Services. Puerto Rico Department of Health, and
a team from the Communicable Disease Center.)



INTERNATIONAL NOTES QUARANTINE MEASURES

Dengue Fever Jamaica
For the week ending November 9, 29 cases of dengue
fever were officially reported in Jamaica. These cases
bring the cumulative total to 1,087 thus far in 1963.
(Reported by Dr. Ruth Puffer, Pan American Health Organ-
ization, Washington.)

Quarantine Measures
No additional pertinent information or changes.


In addition to the established procedures for
reporting morbidity and mortality, the Com-
municable Disease Center welcomes accounts of
interesting outbreaks or cases. Such accounts
should be addressed to:

Lawrence K. Altman, M.D., Editor
Morbidity and Mortality Weekly Report
Communicable Disease Center
Atlanta, Georgia 30333


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