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:
AA00010654:00113

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


634.5131


For release December 6, 1963 ATLANTA, GEORGIA 30333 Vol. 12, No. 48

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED NOVEMBER 30, 1963


DIPHTHERIA Two cases of diphtheria were reported for
the week ended November 30. These two cases bring the
cumulative total to 248 thus far in 1963.

The 1963 total represents the lowest number of cases
of diphtheria ever recorded in the United States for a
comparable period. The cases for each year since 1950
are shown in the table (right).

Louisiana has reported 33 cases, the greatest number
for any one State this year. Georgia, South Carolina,
Illinois, Florida, Alabama, and Minnesota each have
reported 15 or more cases. These 7 States have accounted


for 132 cases. The 116 remaining cases have been re-
ported from 24 States. No diphtheria has been reported in
19 States.

Year Cases Year Cases
1950 6059 1957 1209
1951 4127 1958 947
1952 3114 1959 935
1953 2380 1960 926
1954 2098 1961 594
1955 2044 463
10c 15w y 1. w-- ;:-*


--


Tablc 1. CASES OF SPECIFIED NOTIFIABLE DISEASE:: UN't.IED ST EtS
(Cumulative totals include revised and delayed reports through p. .:
48th Week native
disease Ended Ended First 48 weeks
Disease Median __ __
November 30, December 1, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis............... 27 47 --- 1,705 2,398 ---
Brucellosis ..................... 2 8 10 335 362 675
Diphtheria ...................... 2 10 20 248 423 737
Encephalitis, infectious .......... 16 24 29 1,431 1,704 1,703
Ilepatitis, infectious and serum.. 554 912 912 39,644 49,748 36,027
Measles........................ 2,315 2,907 3,582 373,628 461,136 413,445
MNeningococcal infections ........ 25 44 44 2,164 1,958 2,080
Poliomyelitis, total.............. 1 22 56 402 848 3,124
Paralytic .................... 1 20 45 344 673 2,167
Nonparalytic. ................. 1 6 40 122 631
Unspecified..................- 1 5 18 53 326
Streptococcal sore throat
and Scarlet fever ............ 5,560 6,125 -- 309,452 286,546 .
Tetanus ........................ 5 9 --- 261 274 -
Irularemia ...................... 5 8 --- 269 269 -
Typhoid fever ................... 8 7 15 496 589 775
Typhus Cever. tick-borne,
-(Rocky Mountain spotted)...... 1 -- 174 214
Rabies in Animals ............... 41 52 52 3,458 3,365 3,365


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 4 Psittacosis: Wis. 1 70
Botulism: 39 Rabies in Man: 1
Malaria: 97 Smallpox:
Plague: Typhus, murine: 27


CONNI NCALEDIEAE EN IR


Zr ; # o0 7 -,/;-,L/1


*TO--wr ... / K -







Morbidity and Mortality Weekly Report


DENGUE-LIKE ILLNESS
BY WEEK OF ONSET

GUAYNABO, PUERTO RICO
AUG. I, 1963-NOV. 16, 1963


number
of cases
25]



15
IS999


DENGUE-LIKE ILLNESS
By week of onset
AUG. I NOV 16, 1963


BARRIADA
MARRERO


S 3 10 17 24
wee ended AUGUST
AUGCUST


f 14 21I 5 1? 19 261 2 9 Ib 2 3
SEPTEMBER OCTOBER NOVEMBER


BARRIADA
FRAILES
LLANOS


mek ended
AUGUST SEPTEMBER


EPIDEMIOLOGICAL REPORTS

Dengue Fever Puerto Rico
During the week ended November 30, 473 cases of
dengue fever were officially reported to the Puerto Rico
Department of Health. This brings the 1963 total to 21,861
cases.
A follow-up morbidity survey was conducted in the
township of Guaynabo on November 20. The attack rate of
dengue-like illness has risen to 36.2 percent for the period
August 1 through November 16. Previous surveys on Octo-
ber 15 and October 29 revealed attack rates of 26.7 percent
and 32.3 percent, respectively.

DENGUE-LIKE ILLNESS BY AGE AND SEX
GUAYNABO. PUERTO RICO
AUGUST 1 NOVEMBER 16, 1963
Population Cases Attack Rotes (%)
Age MoIe Female Total Mole Female Total Mole Female Total
0.9 143 136 279 36 51 87 25.2 37.5 31.2
10.19 109 89 198 32 43 75 29.4 48.3 37.9
20.29 58 60 118 26 30 56 44.8 50.0 47.5
30.39 48 53 101 17 25 42 35.4 47.2 41.6
40-49 42 47 89 10 18 28 23.8 38.3 31.5
50-59 23 22 45 9 8 17 39.1 36.4 37.8
60+ 30 32 62 12 7 19 40.0 21.9 30.6
Unk. I 3 4 1 0 0 0 -
Total 454 442 896 142 182 324 31.3 41.2 36.2


The Guaynabo cases are shown above by age group
and sex. There is a significantly higher total attack rate
for females as compared to the total attack rate in males.
The highest attack rate continued to occur among the 20
to 29-year-old age group. The overall incidence of dengue-
like illness in the Township of Guaynabo is compared to
Barriada Frailes Llanos, located in the northern part of


Guaynabo, and Barriada Marrero, in the
Guaynabo, below:


southern part of


Dengue-like Attack
Time Period Location Population Illness Rates (%)
Aug. 1 -
Nov. 16 Guaynabo Township 896 324 36.2
Aug. 1 Barrioda Frailes
Nov. 16. Llonos 491 222 45.2
Aug. 1 -
Nov. 16 Barrioda Marrero 204 91 44.6


The 317 cases in Guaynabo with known onset are
shown in the above histogram by week of onset. The out-
break reached a definite peak during the week ended Sep-
tember 21 and has slowly declined since that date.
The epidemic curves for Barriadas Frailes Llanos and
Marrero are also shown above. There has been a decline in
incidence in Barriada Frailes Llanos during November and
only 4 cases have occurred in Barriada Marrero in November.
(Reported by Rafael Timothee, M.D., Director, Preventive
Medical Services, Puerto Rico Department of Health, and
a team from the Communicable Disease Center.)



Dengue-like Illness Illinois
A clinical case of dengue fever has been reported
from Illinois in a 38-year-old female, who moved to Chicago
from Puerto Rico.
In Puerto Rico, the patient had been caring for her
parents, both of whom were convalescing from dengue
fever.


402


NUMBER
OF CASES
60,


OCTOBER NOV.








Morbidity and Mortality Weekly Report


On September 5, the patient left Puerto Rico by air,
In flight, she developed a headache and fever. In Chicago,
she experienced muscle aches and pains, also. She was
hospitalized at Cook County Hospital from September 6
to September 13, 1963, where she was not noted to develop
a rash.
Laboratory studies are in progress.
(Reported by Norman J. Rose, M.D., Chief. Bureau of
Epidemiology, Illinois State Department of Public Health.)

Editor's Note: This is the 17th imported case of clinical
dengue fever reported to the Communicable Disease Center
thus far in 1963. All victims are believed to have acquired
the disease while in either Jamaica or Puerto Rico, where
there have been epidemics of dengue-like illness. For
previous reports, see MMWR, Vol. 12, pp. 270, 308, 310,
and 378.


Rabies Washington
Rabid bats attacked and bit two individuals in sepa-
rate incidents in the State of Washington recently. Both
victims were given prophylactic immunization. Neither
developed rabies.
On August 14, 1963, a bat attacked and bit on the
right, upper eyelid a 4%-year-old girl, who was sleeping
in her second floor bedroom, in Porter, Washington. The
unscreened window near the child's bed was partially
open; when the parents responded to their daughter's
screams, they found, sitting on the floor of the room,
a bat, which the father immediately killed with a broom.
Four small, diagonal puncture wounds, bleeding slightly
were nbted on her upper eyelid.
The family consulted a physician two days later. At
the request of their private physician, the bat was sent
to the Washington State Department of Health Laboratory,
arriving August 19. The specimen was in unsatisfactory
condition for histopathological and fluorescent antibody


study when received by the laboratory, but mouse inocula-
tion tests proved positive for rabies September 4.
Therapy consisting of 1,000 units of antirabies serum
and 21 daily doses of duck embryo vaccine were begun,
16 days after the bite occurred. The child has remained
asymptomatic.
Epidemiological investigation revealed that only the
dog on the family farm had been vaccinated for rabies
(four years previously), but that none of the other animals
on the farm had been immunized. Although the mother of
the victim had noted as many as 70 bats leaving the house
at night prior to this incident, no bats were found at the
time of the epidemiological investigation. On at least two
other occasions, the bats were noted to behave abnormally
(one was seen sitting on the lawn at midday, another was
seen sitting under the ivy in daylight).
The second incident occurred on September 8, 1963,
when a Washington hunter was attacked and bitten on the
forearm by a bat while the victim was asleep in a State
park. The victim received three small puncture marks and
subsequently developed surrounding inflammation. The
bat was killed and was taken to the Okanogan Health
Department.
Therapy consisting of 5,000 units of antirabies serum
and a 21-day course of vaccine was started 43 hours after
the bite occurred. The bat was proved rabid by the State
Laboratory by both Negri body and fluorescent antibody
examination.
The last human case of rabies in the State of Wash-
ington occurred in 1939 as a result of a bite from a rabid
dog. In the past few years, the only animals found rabid
have been bats from scattered sections of the State. There
were no animal rabies cases during 1962. These two have
been the only cases reported thus far in 1963.


(Reported by Ernest A. Ager, M.D., Chief, Division of
Epidemiology, Department of Health, Olympia, Washington.)


DEATHS AT AGE 65 AND OVER IN 108 U S. CITIES
Average number per week by four-week periods
SUMMARY OF DEATHS AMONG PERSONS 65 YEARS *500
AND OVER IN 108 U.S. CITIES ___

The weekly average number of deaths among persons 7,00 /_____
RECORDED u z a
65 years and over in 108 cities for the four-week period orn.s-
yer NUMBER
ending November 30 was 6,025 as compared with an NUBE o
expected weekly average of 6,600. OF
expected weekly average of 6,600.


WEEK ENDING
4 Week Weekly
11/9 11/16 11/23 11/30 Total Average
Observed 6,187 6,062 6,457 5,395 24,101 6,025
Expected 6,494 6,564 6,636 6,706 26,400 6,600
Excess -307 -502 -179 -1,311 -2,299 -575


(See table, page 407)


403








404 Morbiditv and Mortality Weekly Report


Table CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 30, 1963 AND DECEMBER I, 1962


Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Area
48th week First 48 weeks 48th week First 48 weeks 48th week 48th week
1963 1962 1963 1962 1963 1962 1963 1962 1963 1962 1963 1962

UNITED STATES...... 1 22 402 848 1 20 344 673 1 27 47

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

MIDDLE ATLANTIC.......... 4 116 83 4 93 61 1 2
New York............... 1 9 60 1 6 41 1 2
New Jersey............ 2 4 9 2 3 9
Pennsylvania 1 103 14 1 84 11 -

EAST NORTH CENTRAL....... 3 54 131 2 43 98 4 4
Ohio.................. 8 20 4 18 1 1
Indiana ............... 1 4 21 3 16 -
Illinois............... 1 17 59 1 16 42 2 1
Michigan.............. 16 20 16 16 1 2
Wisconsin............. 1 9 11 1 4 6 -

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

SOUTH ATLANTIC.......... 3 90 76 3 78 66 4 3
Delaware............... 1 1 3 2
Maryland............... 3 2 1 1
District of Columbia.. 1 2 1
Virginia............. 21 8 16 8 1
West Virginia ......... 3 3 17 3 3 17
North Carolina ........ 5 13 4 11
South Carolina........ 8 6 7 6
Georgia............... 21 17 20 14
Florida ............... 27 11 26 8 1

EAST SOUTH CENTRAL ...... 1 3 73 80 1 3 67 67 3 8
Kentucky.............. 29 23 1 1
Tennessee............. 1 1 11 12 1 1 10 6 -
Alabama................. 53 22 48 22 2 -
Mississippi........... 2 9 17 2 9 16 7

WEST SOUTH CENTRAL....... 6 28 325 6 27 250 4 4
Arkansas.............. 1 5 22 1 4 19 -
Louisiana............. 3 15 28 3 15 25 -
Oklahoma.............. 2 1 31 2 1 22 3 1
Texas................. 7 244 7 184 1 3

MOUNTAIN................... 1 5 19 1 4 15 5
Montana................. 4 3
Idaho................... 1 2 1 1
Wyoming............... 2 1 -
Colorado................ 1 4 1 3 4
New Mexic............... 1 2 2
Arizona.............. 3 3 3 3 1
Utah ....................- 2 2 -
Nevada....................

PACIFIC ................. 2 21 87 1 18 81 1 9 20
Washington............ 2 5 2 5 2
Oregon ................ 1 2 7 1 5 1
California............ 1 17 75 1 15 71 9 18
Alaska .............. -
Hawaii ............... -

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










Morbidity and Mortality Weekly Report 405


Taihle CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 30, 1963 AND DECEMBER 1, 1962 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area
Cumu- Cumu- 48th week
lative lative Under 20 &
48th week 48 weeks 48th week 48 weeks 48th week 20 yr. over Total 48th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 2 335 2 248 16 24 273 247 554 912 2,315 2,907

NEW ENGLAND............... 1 8 2 42 30 72 110 144 111
Maine................. 26 16 42 47 12
New Hampshire......... 6 6 12 6 4 16
Vermont............... 1 2 1 3 1 10 11
Massachusetts......... 6 7 6 13 42 24 71
Rhode Island.......... 2 2 1 1 3 32 1
Connecticut........... 1 1 11 74

MIDDLE ATLANTIC............. 8 22 4 9 53 39 92 198 405 404
New York............... 4 13 2 7 35 22 57 91 183 149
New Jersey............ 1 4 4 8 12 45 62 68
Pennsylvania.......... 3 5 2 2 14 9 23 62 160 187

EAST NORTH CENTRAL....... 46 34 1 3 41 30 73 123 437 934
Ohio.................. 1 1 1 10 10 21 36 118 117
Indiana............... 6 10 7 8 15 14 70 28
Illinois.............. 22 17 2 6 3 9 29 155 63
Michigan................ 6 ,4 18 9 27 42 51 218
Wisconsin............. 12 2 1 2 43 508

WEST NORTH CENTRAL....... 2 176 41 1 14 12 30 42 161 132
Minnesota............. 9 15 1 3 6 6 26
Iowa.................. 1 131 1 2 2 7 4 62
Missouri............... 12 1 2 5 7 13 3 24
North Dakota......... 2 1 2 3 154 19
South Dakota........... 11 12 5 5 10 -
Nebraska.............. 6 10 1 3 2 1
Kansas................ 1 7 -- 1 4 4 4 NN NN

SOUTH ATLANTIC............ 22 1 59 4 1 29 24 56 96 337 205
Delaware .............. 1 1 4 1
Maryland.............. 1 3 3 6 19 32 7
District of Columbia.. 1 2 2 2 19
Virginia .............. 11 2 6 4 10 24 85 27
West Virginia......... 1 6 2 9 22 53 138
North Carolina........ 5 5 1 7 3 10 16 18 13
South Carolina........ 17 2 1 4 4 121
Georgia............... 3 18 1 6 -
Florida................ 3 1 17 1 5 8 14 4 3 19

EAST SOUTH CENTRAL....... 14 21 3 21 16 38 128 172 127
Kentucky............... 3 3 2 6 62 127 42
Tennessee............. 6 3 1 6 5 11 27 41 74
Alabama............... 5 15 10 7 17 22 4 3
Mississippi........... 3 2 2 2 4 17 8

WEST SOUTH CENTRAL....... 36 1 54 14 14 28 59 52 113
Arkansas............. 8 3 2 2 11 1 1
Louisiana............. 8 33 1 2 3 11 2
Oklahoma.............. 5 1 7 1 1 2 8 -
Texas................. 15 11 10 11 21 29 51 110

MOUNTAIN................... 9 5 12 12 48 30 89 413
Montana............... 2 5 14 3 51 54
Idaho................. -- 2 4 3 39
Wyoming............... 1 3 3 1 2
Colorado............. 3 1 2 3 6 6 88
New Mexico............ 2 8 8 7 NN NN
Arizona............... 3 15 5 15 42
Utah.................. 5 -- 1 2 3 4 4 186
Nevada ............... 8 4

PACIFIC.................. 23 4 7 5 47 70 117 126 518 468
Washington............ 1 5 10 15 26 195 142
Oregon ................ 3 4 8 12 14 34 73
California............. 18 4 7 4 33 50 83 80 241 136
Alaska................ 5 2 7 6 46 2
Hawaii ................ 2 2 115

Puerto Rico............... 1 13 9 2 11 13 84 16









1l1( Mlorbidity and Mortality Weekly Report


Sabhl i ( CASES OF SPI(CI IEiD NOTIFIABLEI DISEASES: U NITII) STATES

FOR ~X\':KS NI)DFD

NOVEMBER 30, 1963 AND DECEMBER 1, 1962 (Continued)


Meninococcal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
SCumu- Spotted) Cumu- Cumu-
lative lative lative
48th wk. 48 weeks 48th week 48th wk. 48th wk. 48th wk. 48th wk. 48 weeks 48th week 48 weeks
1963 1963 1963 1962 1963 1963 1963 1963 1963 1963 1962 1963

UNITED STATES.... 25 2,164 5,560 6,125 5 1 5 8 496 41 52 3,458

NEW ENGLAND......... 130 401 482 1 1 13 32
Maine.............. 19 17 77 2 2
New Hampshire ...... 4 12 15
Vermont ........... 6 1 1 14
Massachusetts...... 58 75 103 -- 6 1
Rhode Island....... 12 87 34
Connecticut........ 31 221 256 1 1 4

MIDDLE ATLANTIC..... 3 301 104 308 87 6 112
New York........... 139 64 144 45 4 83
New Jersey......... 1 48 18 92 6 -
Pennsylvania....... 2 114 22 72 36 2 29

EAST NORTH CENTRAL.. 6 334 503 564 1 63 7 13 522
Ohio................ 5 95 102 83 27 2 12 303
Indiana............ 44 60 54 7 2 1 52
Illinois........... 67 45 101 13 1 74
Michigan........... 1 95 213 199 1 11 1 49
Wisconsin........... 33 83 127 5 1 44

WEST NORTH CENTRAL.. 2 133 236 197 1 3 1 28 16 13 918
Minnesota.......... 1 27 18 13 I 3 3 4 247
Iowa............... 7 71 61 1 3 6 5 322
Missouri........... 1 39 1 1 18 3 3 162
North Dakota......... 15 56 67 3 38
South Dakota....... 7 19 8 1 1 1 94
Nebraska ........... 25 1 1 32
Kansas.............. 13 71 47 2 2 23

SOUTH ATLANTIC...... 2 401 573 424 1 1 1 72 5 5 494
Delaware ........... 4 4 3 4 1
Maryland............ 57 8 16 11 2
Dist. of Columbia.. 8 2 -
Virginia........... 86 196 176 1 9 5 195
West Virginia...... 21 178 121 7 3 112
North Carolina..... 1 76 33 49 1 16 16
South Carolina..... 22 28 25 6 10
Georgia............ 1 34 21 2 1 80
Florida............. 93 105 32 1 17 1 78

EAST SOUTH CENTRAL.. 1 147 867 1,329 1 69 3 6 263
Kentucky........... 31 31 184 13 2 3 119
Tennessee.......... 1 69 766 993 1 29 1 3 124
Alabama............ 24 59 24 11 20
Mississippi........ 23 11 128 16 -

WEST SOUTH CENTRAL.. 2 196 716 706 2 1 86 6 2 656
Arkansas........... 14 8 2 34 1 82
Louisiana.......... 2 80 2 22 1 26 2 49
Oklahoma............. 34 23 5 1 6 2 58
Texas............. 68 683 677 1 20 3 467

MOUNTAIN............ 1 76 1,054 1,096 1 19 1 132
Montana............ 3 86 45 -
Idaho.............. 6 78 80 -
Wyoming............ 7 49 63- -
Colorado........... 20 413 348 6 16
New Mexico......... 4 238 268 1 6 40
Arizona............ 11 80 114 7 1 62
Utah.............. 20 103 177 3
Nevada............. 1 5 7 1 11

PACIFIC................. 8 446 1,106 1,019 3 59 4 6 329
Washington ........ 1 40 407 445 3 -
Oregon............. 1 33 15 14 2 13
California.......... 6 348 594 530 3 51 4 6 307
Alaska............. 12 68 5 -- 1 9
Hawaii................ 13 22 25 2
Puerto Rico......... 8 6 1 1 13 1 14









Morbidity and Mortality Weekly Report





Table 4 (D). TOTAL DEATHS AMONG PERSONS 65 YEARS AND OVER IN REPORTING CITIES



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


407


Area For weeks ending Area For weeks ending
11/9 11/16 11/23 11/30 11/9 11/16 11/23 11/30


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


128
24
18
17
20
11
14
20
40
47
9
27
22
28


29
18
72
21
21
21
38
43
909
21
270
88
21
57
24
19
38
24
23
25


29
15
395
89
93
54
51
188
30
15
27
18
41
101
12
63
15
19
23
57
30


36
17
23
87
16
66
40
108
45
27


119
26
19
21
30
20
11
21
28
45
15
27
16
39


22
22
78
18
18
29
40
40
972
15
292
110
46
64
21
22
39
25
16
23


34
23
444
98
109
48
55
169
19
14
26
11
39
72
20
75
16
30
24
70
31


47
19
19
89
13
77
48
157
48
35


133
15
21
11
27
26
24
13
21
42
8
25
10
34


22
27
50
18
16
24
38
44*
843
18
265
29
14*
63
13
26
35
10
15
19


27
20
370
72
80
66
39
159
18
35
25
16
27
51
15
63
14
17
19
55
49


26
19
19
64
16
65
30
111
49
25


NOTE: All deaths by place of occurrence.


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


55
121
10
35
42
25
37
16
47
32
76
19


38
28
19
59
62
28
10
47


23
17
8
72
28
35
65
20
83
36
53
32
33


18
8
75
8
54
8
30
28


7
18
16
20
40
307
55
15
79
32
47
112
17
84
24
29


63
109
15
27
37
17
36
18
59
34
81
24


30
24
15
53
65
15
18
39


12
24
17
68
16
25
78
20
81
36
65
24
24


13
7
65
11
43
7
28
24


15
31
40
15
33
265
55
26
51
40
45
105
27
75
42
29


70
133
13
26
42
34
36
27
76
43
101
19


49
25
16
89
67
15
12
46


19
11
12
64
15
30
71
23
88
46
53
25
20


11
6
70
7
51
6
29
29


16
11
15
65
10
32
60
10
85
15
38
15
11


10
11
56
14
45
7
31
15


San Juan, P.R............... 21 9 21 (---)


0Current Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages.................. 9,614
4(B) Pneumonia-Influenza Deaths, all ages........ 367
4(C) Total Deaths under 1 Year of Age............. 622
4(D) Total Deaths, Persons 65 years and over..... 5,395


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







-o08 Morbidity and Mo




INTERNATIONAL NOTES QUARANTINE MEASURES

Dengue Fever Jamaica

For the 2 week period ended November 23, 151 cases
of dengue fever were officially reported in Jamaica. Forty
cases were reported for the week ended November 16.
A total of 111 cases, including delayed reports, were
recorded during the week ended November 23.
These cases bring the cumulative total to 1,238
cases thus far in 1963.
(Reported by Dr. Ruth Puffer, Pan American Health Or-
ganization, Washington.)

Poliomyelitis Canada

Five cases of paralytic poliomyelitis were reported
from Canada for the week ended November 23. This brings
the cumulative total to 109 paralytic cases thus far
in 1963.
Of the week's total, 3 were reported from New Bruns-
wick, 2 from Quebec. New Brunswick's 1963 total is now
6 cases. In each of the past 2 years, New Brunswick has
experienced one case of paralytic poliomyelitis for com-
parable periods. Quebec's 1963 total is 99 cases. For
comparable periods in 1962 and 1961, 52 and 108 cases
were reported, respectively.
(Reported in the Weekly Bulletin, Canadian Department of
National Health and Welfare.)

QUARANTINE MEASURES
Immunization Information for International Travel
PHS 384, 1963-64 Edition
Page 9 insert under the list of 'approved stamps and
seals' "The Impression Seal of the Public
Health Service."

Page 73 insert the yellow fever vaccination centers for
the Mayo Clinic, Rochester, Minnesota, and the
Gallatin County Health Department, Bozeman,
Montana, as listed in the "Morbidity and
Mortality Weekly Report" for the week ended
November 8, 1963, Vol. 12, p. 376.
The hours for the Mayo Clinic should be changed to
Tuesday, 11:00 A.M., by appointment only.



The Morbidity and Mortality Weekly Report, with a circu-
lation of 10,500 is published by the Communicable Dis-
ease Center, Atlanta, Georgia.


Chief, Communicable Disease Center
Chief, Epidemiology Branch
Chief, Statistics Section
Asst. Chief, Statistics Section
Chief, Surveillance Section
Editor, MMWR


rtali


UNIVERSITY OF FLORIDA

l 1 II lllllmlllllll I 1 1 II I
3 1262 08864 0538
ty Weekly Report




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


, U C. 0ENTS I TORp

I- c DEPOSITORY


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James L. Goddard, M.D.
A. D. Langmuir, M.D.
R. E. Serfling, Ph.D.
1. L. Sherman, M.D.
D. A. Henderson, M.D.
L. K. Altman, M.D.