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:
AA00010654:00115

Related Items

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

Full Text
F5 2 .o( Iy:/2.150

Morbidity and Mortality



U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

PUBLIC HEALTH SERVICE


Prepared b, the


N~


63 -3.1.11


F,r r-iLt-a [, c.t-.,er '.1, 1i o ATLANTA. GEORGIA 30333 v,1. :, r.
PRO ISIONAL INfORMATlION ON 'ELI( TEI) NOTIFY BLI 1)ISAO'E N IN THE U.NI ITE-i T A TI AND ON
DEATH- IN SELECTED ( T1l1 FOR H E[[EK ENDED DECEMBER 14. I'6.___


PLAGUE One case of plague was reported for the week
ended December 14. The case, fatal, was reported from
Arizona. No additional cases are known or suspected.
(See Epidemiological Report, page 423).
This is the first case of plague reported in the United
during 1963. It is also the first case since July and
August 1961, when 3 cases were reported from New Mexico.
In the past 30 years, 36 cases of plague have been
officially reported in the United States. California has
reported 15, New Mexico 12, and Arizona 2 of these cases.
(See table, page 423.)

DIPHTHERIA A total of 21 cases of diphtheria were
reported for the week ended December 14. This brings the


cumulative total to 281 cases thus far in 1963 and repre-
sents the lowest number of diphtheria cases ever recorded
for the country. For a comparable period in 1962, 444
cases were reported.
Of this week's cases, 13 were reported from Okla-
homa. All 13 cases occurred in Adair County, and had on-
sets from late October through early December. An epi-
demiologic report is included in this issue on page 422.
Oklahoma thus far in 1963 has reported a total of
20 cases of diphtheria, which makes it third highest in
the nation. Louisiana has reported 33 cases (12 percent
of the national total), .Florida has reported 24 cases (9
percent.) Oklahoma's 20 cases account for 7 percent
of the national total.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
50th Week Cumulative
SEnded Ended First 50 weeks
Disease Median
December 14, December 15, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis ............... 30 34 -- 1,772 2,475 --
Brucellosis ................... .. 4 12 12 344 388 710
.Diphtheria ...................... 21 12 21 281 444 809
Encephalitis, infectious.......... 29 20 27 1,492 1,752 1,751
Hepatitis, infectious and serum... 857 945 945 41,376 51,604 38,361
Measles........................ 3,440 3,939 4,348 380,772 468,768 421,463
Meningococcal infections ......... 45 39 46 2,251 2,048 2,176
Poliomyelitis, total.............. 5 6 39 422 862 3,213
Paralytic .................... 3 5 24 358 683 2,225
Nonparalytic................. 2 1 7 46 126 644
Unspecified. .................. 8 18 53 344
Streptococcal sore throat
and Scarlet fever ............ 8,232 6,698 --- 325,372 300,236 ---
Tetanus ........................ 4 10 --- 270 288 ---
Tularemia...................... 5 11 --- 277 291 ---
Typhoid fever ................... 5 6 13 517 611 798
Typhus fever, tick-borne,
(Rocky Mountain spotted) ...... --- 176 214
Rabies in Animals............... 51 45 53 3,589 3,470 3,470

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 4 Psittacosis: Calif. 1 79
Botulism: 41 Rabies in Man:
Malaria: N.C. 1, Calif. 1 103 Smallpox:
Plague: Ariz. 1 1 Typhus, murine: 27


WekM

ReportH


I O MU IALEDSES EN F








Morbidity and Mortality Weekly Report


DIPHTHERIA ADAIR COUNTY, OKLAHOMA
1963
CLINICAL IMMUNIZATION
CASE NO. ONSET AGE SEX RACE SCHOOL CHARACTERISTICS TREATMENT STATUS COMMENT
Family A Severe sore throat,
1 10/26 13 F W A palatal paralysis, Penicillin 0 Died Nov. 6
cardiac arrhythmia
Family B Tonsillitis, res. Classmate
2 11/6 11 F W A ponded to antibiotic Penicillin Inadequate Case #1
3 11/9 S F W Pre- Pharyngitis, Penicillin 0 Died
school myocarditis Achromycin Nov. 22
4 11/12 7 M W A Pharyngitis, res. Penicillin 0
ponded to antibiotic
5 11 27 3 M W Pre- Pharyngitis Penicillin and 0
school antitoxin
6 12/3 8 M W A Membranous Penicillin and 0
pharyngitis antitoxin
7 12/6 3 M W Pre- Pharyngitis Penicillin and 0 Cousin
school antitoxin Cases 2-6
Family C No Membranous Penicillin and
8 12 1 13 M W school pharyngitis antitoxin Inadequate Mongolism
Family D Pharyngotracheitis Penicillin and
9 12/2 6 M W B with obstruction antitoxin 0
10 12 3 10 M W B Membranous Penicillin and 0
pharyngitis antitoxin
Family E Membranous Penicillin and
11 12/2 8 F W B pharyngitis antitoxin 0
Family F Membranous phar. Penicillin and
12 12/5 32 F Y/ No yngitis, palatal antitoxin 0
school paralysis
Family G No Dysphogia, ton- Penicillin and
13 12/7 14 M W school sillar e-xudate antitoxin 0


EPIDEMIOLOGICAL REPORTS


Diphtheria Oklahoma
An epidemic of diphtheria, with 13 clinical cases,
including 2 deaths, occurred in Adair County, Oklahoma,
between late- October and early December. An additional
12 carriers were discovered in the course of investigation.
The epidemic was discovered when 2 brothers (Cases
5 and 6) were hospitalized in Arkansas with membranous
pharyngitis in early December. Diphtheria was suspected
clinically, and confirmed by culture. Then, it was learned
that an older sister (Case 3) had experienced a sore throat
in early November. She was treated with penicillin; the
pharyngitis appeared improved. Three days later, however,
she developed cardiac failure. She died 13 days after the
onset of her illness. An autopsy was not -performed.
Diphtheria was not suspected.
A physician remembered a 13-year-old girl (Case
No. 1) whom he had treated with penicillin for a severe
sore throat in late October. Cultures, taken prior to anti-
biotic therapy, were interpreted as growing normal flora;
cultures were not taken specifically for diphtheria. De-
spite antibiotic therapy for 6 days, she developed nasal
regurgitation and a cardiac arrhythmia. She died 11 days
after the onset of symptoms.
These 2 fatal cases had attended the same school,


where a D-P-T immunization drive had been held during
the fall. A 90 percent response of school age children
resulted; the 2 girls were among the 10 percent not re-
ceiving vaccine.
After the first case in Family B was recognized, a
nurse went ro the home to immunize the remaining family
members.
Intensive investigations by health department au-
thorities have subsequently revealed 9 additional cases,
all but two of whom thus far can be traced to direct or
indirect contact with recognized cases. Notably, 6 of the
13 cases occurred in a family of 13 children. Of the 13
cases, 11 had not received primary immunization; 2 were
inadequately immunized (no booster dose within the past
4 years).
Oklahoma Public Health officials cultured all stu-
dents at the 2 schools and all known contacts. Of 12
carriers detected, most were siblings or close contacts
of the known cases.
A county-wide immunization program was held when
the epidemic was recognized. Approximately 7,000 of the
county's 13,000 residents responded.
tReporti d hy Dr. Kirk T. .Mosl r c(.ommssioner of Health,
Oklahoma Sltae neparmnrr t ouf Halth, and an EISO/ficer.)







Morbidity and Mortality Weekly Report


REPORTED CASES OF PLAGUE UNITED STATES 1933-1963

Year Total United States Arizona California Idaho Maryland Nevada New Mexico Oregon Texas Utah
1963 1 1
1961 3 3
1960 2 2
1959 4 2 1 1
1957 1 1
1956 1 1
1951 1 1
1950 3 1 2
1949 3 3
1947 1 1
1944 1 1
1943 1 1
1942 1 1
1941 2 2
1940 1 1
1939 1 1
1937 2 1 1
1936 4 3 1
1934 2 1 1
1933 1 1
Total 36 2 15 1 1 1 12 1 1 2
In the past 30 years, 36 cases of plague have been officially reported in the Hnited States.
Al of New Mexico's 12 cases have occurred since 1949, and account for 63 percent of the nation's total of 19 cases
during the past 15 years.


Plague Arizona
The case of bubonic plague reported for the week
ended December 14 occurred in a 28-year-old male, Indian
sheepherder, who resided in IHouck, Arizona. He died in
the Gallup, New Mexico, Indian hospital, December 7.
On December 1, the patient had killed and skinned
a wild rabbit near his home in eastern Arizona. He fed
the rabbit to his dog. Four days later, he experienced the
onset of fever, malaise, and generalized toxicity. He was
admitted to the Gallup Indian Hospital on December 7.
On admission to the hospital, a large node, believed to
be a bubo clinically, was discovered in his left axilla.
He died 5 hours after admission.
Blood cultures taken both before and after death have


yielded Pasteurella pestis. Mice, which had been injected
with his blood samples, died quickly. The diagnosis was
confirmed by fluorescent antibody study, agglutinations
and hemorrhagic lesions in guinea pigs considered typical
for P. pestis, at the U. S. Public Health Service Plague
Laboratory in San Francisco. P. pestis has been con-
firmed on culture at the New Mexico Public Health Labo-
ratory.
There are no additional cases of suspected plague
in Arizona. Further field investigations are in progress.
(Reported by Dr. Lloyd M. Farner, Commissioner of Pub-
lic Health. Arizona State Department of Health; Dr. Leo
D). Okane, New Mexico Public Health Laboratory; and
the CDC Plague Laboratory, San Francisco.).


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS

The weekly average number of pneumonia-influenza
deaths for the four-week period ending December 14 was
439 as compared with an expected weekly average of
502.


PNEUMONIA-INFLUENZA DEATHS IN 108 CITIES

WEEK ENDING
WEEK ENDING 4 Week Weekly
11/23 11/30 12/7 12/14 Total Average

Observed 416 368 469 504 1757 439
Expected 484 496 508 519 2007 502

Excess -68 -128 39 -15 250 63


PNEUMONIA-INFLUENZA DEATHS IN 108 U.S. CITIES
Average number per week by four-week periods


(See Table, page 42')


423










121 olIrbhidity and IM rltalit NN vcekly IReport



TabIhi (iSI 1 o( SPE( IIIEl) NOTIFIABLE 1) I AiF S: I NITEI) STATES

FOR W\l\IK. INI)I)

DECEMBER 14, 1963 AND DECEMBER 15, 1962



Poliomyelitis, Aseptic
Polio:ycllti, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
50th weuk First 50 weeks 50th week First 50 weeks 50th week 50th week
I ,, 4 l,+r. ,,' L dr _


U1ITED STATES...... 5 6 422 862 3 5 358 683 2 1 30 34

E: EX:C................. 8 9 8 8 1


Vilr- i ............... I 1
:I2 i 2 ......... 3 7 3 7
RhI and ......... 1
C. i c il... 2 1 2 1

MIDDLEi ALA 1IC........... 1 118 84 1 94 62 2 3
1N York............... 1 11 61 1 7 42 2 3
N ,i; Jers y ............ 4 9 3 9
Pennsylvania 103 14 84 11

EAST NORTH CENTRAL...... 1 58 135 1 47 102 5
Ohi ......... ........ 8 20 4 18 2
Ind i na............ 4 23 3 18 -
Illinois.............. 17 59 16 42 2
Michigan.......... .. 20 21 20 17 1
Wisconsin............. 1 9 12 1 4 7 -

WEST NORTH CENTRAL....... 1 8 38 6 27 1 1 2
Minnesota......... .. 4 7 4 7 1 1
I wa................ 7 3
Mits our i .............. .. 1 1 10 5 1
North Dakota ......... 5 3
South Dakota.......... 1 1 1 1 -
Nebraska.............. 8 1 8
Kansas ................ 1

SOUTH ATLANTIC........... 2 101 76 2 86 66 1 4
Delaware.. .. ..... ..... 1 1 2
Maryland.............. 3 2 1 1
District f Columbia.. 1 2 1
Virginia.............. 21 8 16 8
Wl t Virginia........... I 4 17 1 4 17
Nrth Carolna ........ 5 13 4 11
South Cirolin-a........ 8 6 7 6
C< ,rgia. .............. 1 22 17 1 21 14 -
l rtda. ............... 36 11 32 8 1 2

EAST SOUTH CENTRAL ...... 73 80 67 67 1 7
K nt ucky........... 29 23 1 3
liT n .. .. ............. 11 10 6
Slaba a ... ........... 53 22 48 22 3
ii si fspp ........... 9 17 -- 9 16 1

EST IOUtH CENTRA....... 4 27 329 3 26 253 1 2 1
Atr ans. ............. 5 22 4 19 -
I. isia............ 2 14 30 2 14 27 -
O.hM .. .......... 1 32 1 1 23 2
T s .............. 1 7 245 7 184 I 1

MOUNTAIN................ 2 7 20 1 5 I 1 4 3
I .... .....................- 4 -.3 -
Idah ................. 1 2 1
Wy ming .... ...... ... 2 1 -
(CoI rid ............. 1 1 4 3 1 4 3
NoW Mexic ......... 2 2
Ariona............. 3 4 3 3
tah.................. 2 2
Nevada ... ............ i 1 -

PACIFIC................... 22 91 19 83 13 14
Wasi lngtn............ 2 5 5 1 1
Oregon ................. 2 7 5 -
Calif rnia........ ... 18 79 16 73 11 13
Alaska ....... .......
P ert Ric............... 5 1

Puerto Rico ............. 5 2 4 2









Mlorbidilv and Mortalit \XWcklv Rcport


Table 3. CASES OF SPECIFIED NOTIFIABLE DISI:ASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 14, 1963 AND DECEMBER 15, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Mcaslcs
infectious infectious and scrum
Cumu- Cumu- 50th week
lative lative Under 20 &
50th week 50 weeks 50th week 50 weeks 50th week 20 yr. over Total 50th week

1963 1963 1963 1963 1963 1962 1963 1963 1963 1 1962 .1963 1962


UNITED STATES...... 4 344 21 281 29 20 424 372 857 945 3,440

NEW ENGLAND.............. 1 8 4 83 56 140 128 157
Maine................. 30 27 57 62 3
New Hampshire......... 20 3 24 1 -
Vermont............... 1 7 8 15 2 64
Massachusetts......... 6 1 10 11 21 54 34
Rhode Island........... 2 2 4 2 6 2 3
Connecticut........... 1 12 5 17 7 53

MIDDLE ATLANTIC.......... 8 24 10 7 80 101 181 205 714
New York............... 4 13 8 4 47 61 108 142 443
New Jersey............ 1 4 3 16 19 28 144
Pennsylvania.......... 3 7 2 3 30 24 54 35 127

EAST NORTH CENTRAL...... 49 35 1 2 61 51 117 123 597
Ohio.................. 1 1 17 15 33 53 136
Indiana............... 6 10 7 5 12 9 100
Illinois.............. 23 17 8 10 19 29 244
Michigan.............. 6 5 1 28 20 48 31 75
Wisconsin............. 14 2 1 1 1 5 1 42

WEST NORTH CENTRAL ....... 1 178 4 46 2 3 33 7 50 38 123
Minnesota............. 9 15 2 2 5 4 6
Iowa.................. 1 133 1 6 2 8 5 43
Missouri.............. 12 1 2 2 2 5 18 10
North Dakota.......... 4 6 2 1 4 4 1 64
South Dakota.......... 11 13 3 4 4 -
Nebraska.............. 6 10 1 1 2 2
Kansas ............... 7 15 22 4 NN

SOUTH ATLANTIC........... 1 23 3 68 1 1 40 34 78 103 439
Delaware.............. 4 4 5 10
Maryland.............. 1 7 5 12 13 60
District of Columbia. 1 4 26
Virginia.............. 1 12 1 1 1 6 7 18 90
West Virginia......... 1 13 7 24 18 204
North Carolina........ 5 5 1 13 5 18 27 12
South Carolina........ 17 2 2 4 19
Georgia................. 3 1 19 3 3 7 11
Florida............... 3 1 24 3 5 8 7 7

EAST SOUTH CENTRAL...... 14 22 1 30 8 47 97 413
Kentucky............. 3 11 4 24 34 298
Tennessee............. 6 3 15 2 17 38 98
Alabama ............... 5 16 1 1 2 11 2
Mississippi.......... 3 1 3 1 4 14 15

WEST SOUTH CENTRAL....... 37 14 69 3 3 25 26 51 59 182
Arkansas.............. 9 1 4 3 4 7 4 1
Louisiana............. 8 33 5 7 12 5 1
Oklahoma.............. 5 13 20 1 34
Texas................. 15 12 3 3 17 15 32 49 146

MOUNTAIN.......... ....... 1 10 5 1 14 8 51 57 260
Montana............... 1 2 1 3 23 128
Idaho................. 8 *3 44
Wyoming................. 1 1 1 3 6
Colorado.............. 3 2 15 9 6
New Mexico............ 1 1 2 7 6 13 4 NN
Arizona................ 3 8 12 36
Utah.................. 5 2 2 3 23
Nevada................ 1 1 17

PACIFIC.................. 1 24 4 7 3 58 81 142 135 555
Washington............ 2 2 6 21 88
Oregon................ 3 6 8 14 15 117
California............ 1 19 4 7 3 46 71 117 86 273
Alaska......... ,...... 4 5 11 73
Hawaii................ 2 2 4


3,939

127
13
4
9
28
13
60

533
209
47
277

1,420
128
105
90
341
756

485
43
385
6
50
1

NN

277
9
2
2
47
148
17
1
2
49

94
31
56
6
1

131
8


123

355
25
54
1
93
NN
47
132
3

517
141
60
220
6
90


Puerto Rico............., I 1 13 8 2


192 19


10 16









Mlorbidity ami Mortality 1Weekly Report


Table i. (CASES OF SPI( IFIED NOTIFIABL DISIIASIS: I'NI'AI ) STATES

FOR WI:EKS NI) I:D

DECEMBER 14, 1963 AND DECEMBER 15, 1962 (Continued)


Area


Meningococcal
Infections

Cumu-
lative
50th wk 50 weeks


1963

UNITED STATES.... 45

NEW ENGIAND......... 1
Iai line.............. -
New Hampshire......
Vermont............
Massachusetts ..... 1
Rhode Island.......
Connecticut........

MIDDLE ATLANTIC .... 9
New York.......... 4
New Jersey......... 2
Pennsylvania....... 3

EAST NORTH CENTRAL.. 10
Ohio ............... 1
Indiana ........... 1
Illinois........... 2
Michigan........... 4
Wisconsin........... 2

WEST NORTH CENTRAL.. 4
Minnesota,.........
Iowa................
Missouri........... 2
North Dakota....... 1
South Dakota......
Nebraska...........
Kansas............. 1

SOUTH ATLANTIC...... 9
Delaware.......... .
Maryland........... 1
Dist. of Columbia..
Virginia........... 2
West Virginia...... 2
North Carolina..... 3
South Carolina..... 1
Georgia............
Florida.............

EAST SOUTH CENTRAL.. 1
Kentucky........... 1
Tennessee.......... -
Alabama............ -
Mississippi ........

WEST SOUTH CENTRAL.. 1
Arkansas............
Louisiana.......... -
Oklahoma ........... -
Tcxas.............. 1

MOUNTAIN............... 2
Montana.............
Idaho ..............
Wy ming ............ -
C olorado..........
N: w Mexico .........
Arizona....... ......
tah.................
N vadaa.............

PA ICFIC............. 8
Washington........ -
Orgon............. 1
California......... 5
Alaska............. 2
Hawaii .............


1963

2,251

131
19
4
6
59
12
31

320
151
50
119

351
99
46
72
99
35

138
28
7
41
16
7
25
14

413
4
58
8
88
23
80
24
34
94

150
32
70
25
23

203
14
81
35
73

80
3
6
7
21
5
13
20
5

465
40
34
362
15
14


Puerto Rico.........| 8


Streptococcal
Sore Throat & Tetanus
Scarlet Fever


50th week 50th wk,


1963 1962

8,232 6,698

572 578
80 71
15
17 6
92 109
34 46
349 331

323 323
205 167
61 73
57 83

811 786
100 149
93 125
104 178
341 182
173 152

262 192
24 15
65 60
48 13
105 70
10 2
1
10 31

727 637
2 14
17 26
5 4
368 225
200 147
34 18
39 50
12
50 153

1,708 1,066
227 108
1,338 905
13 16
130 37

908 670
1 -
6 11
40 5
861 654

1,897 1,248
78 54
90 104
144 24
633 534
517 236
187 165
247 131
1 -

1,024 1,198
160 357
30 31
742 711
53 23
39 76
10


Tickborne
Typhus
(Rcky Mt.
Spotted)

50th wk.

1963


Tularrmi{


50th wk.


Typhoid Fever Rabies in Animals


50th wk.


1963 1963


Cumu-
lative
50 weeks


50th week


Cumu-
lative
50weeks


4 5 5 517 51 45 3,589

13 32
2 2
15
S 14
-- 6 1



1 89 4 118
1 46 3 89

37 1 29

1 1 1 67 3 3 532
1 29 2 308
S1 7 52
1 13 1 75
-13 2 49
-5 1 48

29 22 12 966
S3 11 6 266
3 9 2 334
19 2 1 174
S 39
S 1 3 98
S1 32
2 23

1 1 82 16 7 526
4 1
S 12 2

1 13 9 2 216
7 2 114
17 1 16
9 10
2 3 1 85
18 4 1 82

2 1 2 71 5 5 276
2 13 3 122
1 2 31 5 2 134
11 20
16 -

-86 2 8 670
-34 1 1 88
-26 1 50
6 59
20 7 473

S1 20 3 1 135
- 1- -


S- 16
-6 1 41
-7 2 1 64
3
S- 11

1 1 60 5 334

2 13
S1 52 5 312
9

1 14 14


__









Morbidity and Mortality Weekly Report





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


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


427


For weeks ending For weeks ending
Area _____________ Area 1/0
11/23 11/30 12/7 12/14 11/23 11/30 12/7 12/14


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

MIDDLE ATLANTIC:
Albany, N.Y............... 2 4 1'
Allentown, Pa............. 2 1 4
Buffalo, N.Y............... 4 3 11 7
Camden, N.J............... 2 3 2 3
Elizabeth, N.J........... 3 3 2
Erie, Pa................... 3 3 2
Jersey City, N.J........... 4 5 4 7
Newark, N.J................ 1 4 5 8
New York City, N.Y........ 59 55 51 58
Paterson, N.J............ 3 5 1 1
Philadelphia, Pa.......... 15 10 16 7
Pittsburgh, Pa............ 5 8 8
Reading, Pa.............. 3 1 6 1
Rochester, N.Y............. 7 13 5 11
Schenectady, N.Y.......... 1 1 1 1 *
Scranton, Pa.............. 1 2 1 3
Syracuse, N.Y............. 1 1 3 1
Trenton, N.J.............. 4 1 2
Utica, N.Y................. 1 2
Yonkers, N.Y............... 2 2 2 3

EAST NORTH CENTRAL:
Akron, Ohio............... 1 2
Canton, Ohio............... 4 3 4 2
Chicago, Ill.............. 33 37 30 50
Cincinnati, Ohio........... 5 4 6
Cleveland, Ohio............ 2 2 4 4
Columbus, Ohio............. 6 2 4 5
Dayton, Ohio............... 2 2 6 1
Detroit, Mich............. 10 17 16 16
Evansville, Ind........... 2 2 1 2
Flint, Mich............... 2 4 4 2
Fort Wayne, Ind........... 6 1 4 4
Gary, Ind................. 4 6 2 5
Grand Rapids, Mich........ 4 2 3 7
Indianapolis, Ind......... 3 2 3 4
Madison, Wis.............. -
Milwaukee, Wis............ 2 1 4 2
Peoria, Ill............... 3 2 -
Rockford, Ill............. 1 2 3 4
South Bend, Ind........... 2 3 2 3
Toledo, Ohio............... 4 3 4 6
Youngstown, Ohio........... 1 2 1

WEST NORTH CENTRAL:
Des Moines, Iowa........... 4 1 1 2
Duluth, Minn............... 1
Kansas City, Kans......... 3 2 4 3
Kansas City, Mo........... 5 5 5 8
Lincoln, Nebr............. 1 3
Minneapolis, Minn......... 1 2 2
Omaha, Nebr................ 3 4 2 3
St. Louis, Mo............. 8 6 12 16
St. Paul, Minn ............ 4 6 4 6
Wichita, Kans.............. 6 6 4 5

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

NOTE: All daIlhs by pIace 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.............


1
5
12
1


2
4

18
3
1
4
5


5
2

4
2
4
1
7
5
3
7
7
7


1
1
7

11
2
1
1








14
1

5
1
1


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


0Current 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.....


12,383
504
821
6,921








Morbidity and Mortality Weekly Report


Dengue Fever Puerto Rico
During trhe week ended December 14, 1,278 cases of
dengue-like illness were officially reported to the Puerto
Rico Department of Health. This brings the 1963 total to
24,150 cases.
Rciporttl i h1 Ralae'l Ti: 1r I1.D.. i:r+rcl!t r. P're i cnti
M hd if a' Sr : <'.s, Ilu, rto RIC i [,1*cr:: f tl altlh, atnd
a Stffi r n'





INTERNATIONAL NOTES QUARANTINE MEASURES

Dengue Fever Jomoico

For the week ended November 30, 88 cases of dengue
fever were officially reported in Jamaica. These cases
bring the cumulative total to 1,326 thus far in 1963.
Rt tprtcd fi, h r. th Pu tt/r, Pan An' t a tin 1Halth Orgu
n z a toli iinht:lIati.gton. )


Poliomyelitis Peru


A total of 274 cases of paralytic poliomyelitis were
admitted to hospitals in Lima and Callao, Peru, during
an epidemic which began in luly and reached its peak in
late September and early October.
According to the date of admission to the hospitals,
46 cases occurred in July, 60 in August, 72 in September,
96 in October, and 30 during the first half of November.
The 274 cases reported from July through October
compare with 133 cases for the comparable period of 1962.
SR, ,p"' rt d ii tt crki/ I:p1 d, :ii,~i. i l a! i, ip rt, I' r n i Amcr: art
\an latter lurtiu, n ,, ht'r q. i.)


The Morbidity and Mortality Weekly Report, with a circu-
lation of 10.500) is published by the Communicable Dis-
Center, Alranta, Georgia.


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


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


In addition to the established procedures for
reporting ni,.l.'.liit 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 .\ '. I I. Report
Communicable Disease Center
Atlanta, ti .... -i 30333


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UNIVERSITY OF FLORIDA


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