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:
AA00010654:00117

Related Items

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

Full Text
40S eu/W/


Ivy


Morbidity and Mortality


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

PUBLIC HEALTH SERVICE


Prepared by the


LFARE//A -'


(AAR1963
634-5131 / >


For release March 1, 1963 ATLANTA 22, GEORGIA ol. o. 8
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNI ID ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED FEBRUARY 23, 1963


INFLUENZA One or more outbreaks of influenza-like
disease have now been reported from 30 States and the
District of Columbia. States reporting outbreaks for the
first time this week include Alabama, Arkansas, Con-
necticut, Iowa, Louisiana, Mississippi, Missouri, Penn-
sylvania, and Texas. Influenza A2 virus has been iso-
lated or confirmed by serologic'titer rise as the causative
agent of one or more outbreaks in Connecticut, Delaware,
the District of Columbia, Georgia, Illinois, Iowa, Kansas,
Maryland, Massachusetts, Michigan, Minnesota, New Jer-
sey, New York, North Carolina, Ohio, South Carolina, and
Virginia. The pattern of spread of disease continues to
show evidence of a westerly course. (See map, page 62).
However, the occurrence of influenza-like illness in Mid-


dle Western States is presently showing a scattered geo-
graphic distribution, with major portions of many of these
States still unaffected. The West Coast and Rocky Moun-
tain States continue to report no more than the usual
seasonal evidence of acute respiratory disease.
The number of pneumonia-influenza deaths reported
weekly for 108 cities has remained above the epidemic
threshold since the week ending January 12, and this
week demonstrates a continued rise. Total deaths among
those age 65 and older shows an excess of 4,218 since
the beginning of the year. (See page 63).
The following reports are from areas of the country
currently experiencing new or widening outbreaks of
influenza-like disease.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
8th Week Cumulative
Disease Ended Ended MiFirst 8 weeks
February 23, February 24, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis................ 19 21 --- 183 125 --
Brucellosis ..................... 8 8 10 47 45 82
Diphtheria...................... 5 6 16 44 101 155
Encephalitis, infectious .......... 19 24 24 148 203 176
Hepatitis, infectious and serum... 1,063 1,346 754 8,894 11,799 5,732
Measles........................ 10,775 12,814 12,814 72,881 79,935 79,935
Meningococcal infections ......... 47 56 61 428 418 424
Poliomyelitis, total.............. 2 4 10 28 59 148
Paralytic.................... 2 1 10 25 35 83
Nonparalytic................ 3 2 11 47
Unspecified ..................- 1 13 18
Streptococcal sore throat
and Scarlet fever ............ 9,707 8,667 --- 73,857 67,508 -
Tetanus ........................ 2 3 --- 25 20 -
Tularemia ...................... 7 1 --- 39 45 .
Typhoid fever ................... 6 10 10 40 58 74
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... 2
Rabies in Animals ............... 61 75 75 452 520 627

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. cuC.
Anthrax: Psittacosis: 11.-l, Calif.-1 13
Botulism: Rabies in Man:
Malaria: N.Y.-1, N.C.-2, Calif.-1 17 Smallpox:
Plague: Typhus, murine: 2


I CONINIL NICABLF DISFASF ( I-NI I R








Morbidity and Mortality Weekly Report



INFLUENZA AND INFLUENZA-LIKE DISEASE OUTBREAKS, U.S.A.
January I through February 27, 1963 By County


Alabama Outbreaks of influenza-like illness were
reported from 5 widely separated counties during the week
ending February 23. Case reports for that week totaled
approximately 8,800 as compared to previous weekly
totals averaging 150. Illness has caused temporary school
closings in two counties thus far. Laboratory studies
are in process.
(Reported by W. HI. Y. Smith, M.D., M.P.H., Director,
Bureau of Preventable Diseases. Alabama State Health
Department).
Arkansas Respiratory disease outbreaks were re-
ported from 16 of the State's 75 counties during the past
week. Twenty percent absenteeism was noted in elemen-
tary and high schools in Union County on the Louisiana
border. Excess absenteeism with school closings were
observed in at least 3 other counties as well. The epi-
demic illness was clinically compatible with influenza
in most areas, although laboratory confirmation is not
available.
(Reported by J. T. Herron. M.D., State Health Officer, and
lilliam L. Bunch, Jr., M.D., Director, Division of Com-
municable Disease Control, Arkansas State Health De-
partment.)
Connecticut An outbreak of respiratory illness con-
sistent with influenza occurred in early February among
elderly patients in a convalescent home in the western
part of the State. Paired sera obtained from 4 patients
during the outbreak showed significant rises in influenza
A2 antibody titer. Despite increased respiratory disease
incidence in other areas of the State, laboratory evidence


of A2 influenza infection has not been demonstrated in
these areas.
(Reported by Dr. James C. Hart, Director, Division of
Preventable Diseases. Connecticut Department of Health.)
Georgia Influenza A2 virus has been recovered
from 3 cases seen during recent outbreaks in the Atlanta
area. Serologic evidence implicating the Asian virus has
been obtained in 1 additional case in this population.
Community-wide outbreaks were reported from 2 additional
counties (Screven and Douglas) during the past week.
Laboratory specimens have been obtained from these
areas and are currently being processed in the State
laboratories.
(Reported by W. J. Murphy, M.D., Director, Epidemiology,
Georgia Department of Public Health.)
Iowa On February 8 about 12 cases of influenza-
like illness suddenly occurred in a State hospital and
school in central Iowa. The illness was self-limited and
did not spread to other patients in the institution which
has a total population of 1,290. Three serum pairs from
the cases showed a 4-fold or greater rise in influenza A2
antibody titer. The institution has conducted an intensive
influenza immunization program for the last few years,
and it is believed that this program has been directly
responsible for the failure of the illness to become more
widespread. Other areas of the State have, to date, failed
to show more than sporadic occurrences of febrile respira-
tory illness.
(Reported by Dr. Ralph H. Heeren, Director, Division of
Preventable Diseases, Iowa State Department of Health.)








Morbidity and Mortality Weekly Report


Kansas Outbreaks of influenza-like illness continue
in Douglas County. School absenteeism has risen as high
as 14 percent in some instances. To date, six A2 influenza
isolates have been obtained from ill individuals in this
county. Outbreaks of influenza-like disease have also
been noted in 6 additional counties during the last week
with school absenteeism running as high as 17 percent in
some areas. Laboratory confirmation of A2 influenza virus
infection has been obtained in 3 separate instances in
Chautauqua county. In general, high school students seem


to be more severely affected than elementary school stu-
dents in all areas.
(Reported by Dr. Don E. Wilcox, State Epidemiologist,
Kansas State Boardof Health.)
Kentucky- Extensive community-wide outbreaks con-
tinue to be reported from almost all parts of the State.
Type A2 influenza virus has been isolated in one case
from the Louisville area.
(Reported by J. Clifford Todd. State Epidemiologist,
Kentucky State Department of Health.)
(Continued on page 68)


WEEKLY PNEUMONIA AND INFLUENZA DEATHS


UNITED STATES
108 cities


PNEUMONIA-INFLUENZA MORTALITY Excess pneu-
monia-influenza deaths in the 108 cities increased during
the week ending February 23, 1963. The reported excess
of 251 deaths is probably below the true number because
of the February 22 holiday.
Since the week ending January 15, a total of 980
excess pneumonia-influenza deaths has been observed in
the 108 cities. As shown below in the comments on deaths


among those age 65 and older, pneumonia-influenza deaths
reflect only part of the total mortality associated with
the epidemic.

During the week ending February 23, significant in-
creases in mortality occurred in New England, and East
North Central divisions. A slight decrease was observed
in the South and Middle Atlantic divisions.


SUMMARY OF DEATHS AMONG PERSONS 65 YEARS AND OVER IN 108 U. S. CITIES


The excess of 2,574 deaths among older persons dur-
ing the second four-week period of 1963 may be compared
to the excess of 772 deaths during the comparable period
of the 1962 influenza B epidemic and to the excess of
3,320 deaths during the same period of the 1960 influenza
A2 epidemic.
For the first eight weeks of the three epidemic years,
1963, 1962, and 1960, excess deaths amounted to 4,218,
2,359, and 6,160, respectively.

WEEK ENDING 4 Week Weekly
4 Week Weekly
2-2 2-9 2-16 2-23 Total Average
Observed 7,530 7,824 7,601 7,458 30,413 7,603
Expected 6,955 6,963 6,964 6,957 27,839 6,960
Excess 575 861 637 501 2,574 643


(See table, page 67)


DEATHS AT AGE 65 AND OVER IN 108 US CITIES
Average number per wek by four-eek periods


EIDEMIC
.^_^ TRESHOLD











64 Morbidity and Mortality Weekly Report



Table 3, CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 23, 1963 AND FEBRUARY 24, 1962



Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Are 8th week First 8 weeks 8th week First 8 weeks 8th week 8th week

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


UNITED STATES...... 2 4 28 59 2 1 25 35 3 19 21

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

MIDDLE ATLANTIC.......... 1 4 25 4 13 1
New York............... 1 3 25 3 13 1
New Jersey............ -
Pennsylvania 1 -

EAST NORTH CENTRAL....... 1 7 6 6 4 1 1
Ohio................... 2 3 1 3 1
Indiana................ 1 1 -
Illinois.............. 1 4 2 4 1
Michigan.............. 1 1 -
Wisconsin.............. -

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

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

EAST SOUTH CENTRAL ....... 1 2 1 1 6
Kentucky................. 4
Tennessee............. -
Alabama............... 1 1 -
Mississippi........... 1 2

WEST SOUTH CENTRAL....... 2 9 10 1 9 8 1 2 1
Arkansas................ -
Louisiana............. 1 8 3 1 8 3 -
Oklahoma..............
Texas ................ 1 1 7 1 5 1 2 1

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

PACIFIC.................. 1 4 4 1 3 2 6 6
Washington............ 1 1
Oregon................ 1 1 -
California............. 3 4 2 2 5 5
Alaska ................ -
Hawaii................ -

Puerto Rico............... -









Morbidity and Mortality Weekly Report 65


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
FOR WEEKS ENDED

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


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area Cumu- Cumu- 8th week
lative lative Under 20 &
8th week 8 weeks 8th week 8 weeks 8th week 20 yr. over Total 8th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 8 47 5 44 19 24 541 433 1,063 1,346 10,775 12,814

NEW ENGLAND .............. 1 1 2 65 55 120 48 409 1,732
Maine................. 28 27 55 11 12 249
New Hampshire......... 3 4 7 1 27
Vermont .............. 1 1 4 12 6
Massachusetts......... 1 1 21 13 34 22 120 906
Rhode Island.......... 1 1 1 4 61 47
Connecticut........... 1 11 11 22 6 204 497

MIDDLE ATLANTIC.......... 1 3 7 3 7 102 103 205 137 868 1,811
New York............... 2 2 2 3 52 61 113 71 482 1,092
New Jersey........... ... 1 18 26 44 32 113 441
Pennsylvania.......... 1 1 4 1 4 32 16 48 34 273 278

EAST NORTH CENTRAL....... 2 4 2 2 1 107 63 179 294 4,772 1,600
Ohio.................. 1 51 17 70 111 593 130
Indiana............... 11 5 17 35 152 221
Illinois.............. 2 4 2 24 18 43 49 210 409
Michigan ............. 2 21 23 44 88 1,098 684
Wisconsin...............- 5 11 2,719 156

WEST NORTH CENTRAL ....... 5 36 2 11 1 36 25 68 114 662 393
Minnesota.............. 1 3 2 3 4 2 8 23 123 38
Iowa .................. 3 26 1 5 2 7 28 194 251
Missouri.............. 1 23 18 44 30 73 15
North Dakota.......... 2 1 3 8 272 70
South Dakota.......... 2 6 1 2 16
Nebraska.............. 1 2 1 2 2 3
Kansas ............... 2 2 2 4 21 NN NN

SOUTH ATLANTIC........... 1 10 2 3 41 43 91 193 940 951
Delaware.............. I 1 28 6
Maryland .............. 5 5 27 33 86
District of Columbia.. 2 2 4 1 58
Virginia.............. 1 2 3 3 8 43 94 371
West Virginia ......... 14 3 17 18 315 297
North Carolina........ 1 15 19 34 59 63 26
South Carolina ........ 2 1 1 2 3 12 121 12
Georgia............... 1 2 4 4 4 25 3
Florida............... 4 1 4 9 17 26 260 92

EAST SOUTH CENTRAL....... 1 1 7 1 74 50 133 226 381 1,379
Kentucky.............. 1 25 10 44 116 172 115
Tennessee............. 1 23 29 52 52 162 1,051
Alabama ............... 1 1 6 3 3 6 32 33 109
Mississippi........... 23 8 31 26 14 104

WEST SOUTH CENTRAL....... 2 1 5 1 39 26 69 106 867 2,825
Arkansas .............. 1 1 11 5 16 9 32 -
Louisiana ............. 8 1 9 25 7 14
Oklahoma .............. 1 1 1 2 168
Texas................. 3 1 20 20 44 70 828 2,643

MOUNTAIN ................. 1 1 16 6 74 82 716 606
Montana............... 4 2 7 3 79 233
Idaho................. 23 13 154 32
Wyoming............... 1
Colorado.............. 15 14 218 166
New Mexico............ 7 1 9 6 NN NN
Arizona............... 11 28 192 111
Utah................. 1 1 5 3 8 18 73 63
Nevada. ............... 1 -

PACIFIC................... 1 8 10 61 62 124 146 1,160 1,517
Washington............ 13 8 22 17 147 469
Oregon................ 7 12 19 12 279 263
California............ 1 8 9 41 40 81 105 500 763
Alaska................ 10 28 3
Hawaii ................ 1 2 2 2 206 19

Puerto Rico.............. 1 5 6 11 14 15 73











1lorbidit% and Mortality N eekl% Report



Taibl i (CASES OF SPECIFIED NOTIFIABLE DISEASES: I NITED STATES

FOR WEEKS FUNDED


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


.________ !... [..
'-ch ,... c. -* : St."' -.,- r-h =- :- .. 8ch B ih '-. .- s &oi .... 8 .. ...


.... .



i T-.. ... .........
.-. .- ......




.. ........
6

!. __:-........ I



1
EAST NRTH ,'-.-_ .. 7
Ohi ...............
: -............ 2
-. .: .........



WEST NRT CENTRAL.. 4
Minnesota.......... 1
Io a. ............. -
issuri ........... 3
North -. :i .... -
South :- .i ......

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

S.. .....: .... 17

.-- -..... ......
..- ... ........ 2

S..- ............ 6

North .: : :. ..... 4
SCuch :~ ..-........ 2
.orgia............ 2
Florida............ 1

EAST S E CES-A..I 3

aa ': -. ...........

ississippi .........


WEST 5 ':'*--.: 4
Arkansas........... -
uisiaa............
Oklahoa~a........... 1
Texas............... 2


MO4 1........... 14 1,675 1,294 1 1 8
-t-ana............ 50 84 -
Idaho.............. 168 152 -
ycing.............. 115 36 -
Colorado.......... 3 797 432 -
New Mexico......... 2 325 264 i 4
Arizona.......... 3 110 175 1 4
tah........... .. 5 110 149 -.
.Nevada............ 1 2 2

............. 4 62 917 1,584 6 3 5 51
S. .-..... 1 6 489 603 603
Oregan............. 2 31 48 1 1
Califrnia.......... 3 50 256 893 5 3 5 50
............. 4 72 21
.--....... ......... 69 19 I
_.__ _.. ........._ 7 I_ I __ I -


., 6:3






* 'sA6 -16

51 582 565 -
19 340 340 -
10 169 86
22 73 139 -

73 1,445 1,087
21 279 171 -
13 213 135 -
12 202 202 -
18 374 327 -
9 377 252 -

23 287 248 -
4 27 34
87 86 -
10 33 28 -
1 74 80 -
2 27 4 -
6 -
39 16 -

101 818 695 1
1 12 4
16 45 17 -
1 1 -
25 274 259 -
7 182 133 -
18 71 59 -
8 51 89
6 2 5 -
19 180 129 1

28 1,329 1,681 1
7 147 155 -
14 1,032 1,265
4 70 41 1
3 80 220

41 1,332 910 -
3 211 -
13 12 3 -
8 4 51 -
17 1,105 856 -


7 o -. 61 75











- 5 2 1
- 5 1 1

- 1

- -- 9 8
- 1 1
- 1 5
- 5 2

- 2 -
2


- 3 1 2 16 24
- 5 2
- 1 1 7 14
- 2 1 1 4
- 2
- 3 1




1 4 11 16 7


- 2 -

5 3
3 5 7 1


- 1 1 1 1
2 2 3

1 5 3 10
- 1 1 2
- 1 4 2 8



- 3 8 11 20
- i 6 1 5
- 2 1
- 1 -
- 1 2 8 13









Morbidity and Mortality Weekly Report 67





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.)0


Area For weeks ending Area For weeks ending
2/2 2/9 2/16 2/23 2/2 2/9 2/16 2/23


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


155
14
17
18
24
14
11
23
42
43
9
41
20
28


32
28
116
26
21
45
43
61
1,154
29
352
126
16
73
10
20
39
23
12
16


43
23
459
128
121
69
57
199
26
24
26
19
29
105
10
94
19
14
21
46
45


40
21
29
119
19
70
58
167
52
25


155
30
18
21
38
19
20
18
29
35
13
36
18
40


44
24
90
28
20
29
61
60
1,248
21
361
115
19
69
12
21
41
32
28
37


38
23
442
97
112
75
59
235
36
25
35
17
37
96
7
88
23
27
30
70
36


44
22
31
119
22
80
36
163
42
32


162
22
22
23
44
23
13
24
27
52
8
42
24
38


34
18
94
33
25
29
48
66
1,336
19
188
81
17
71
15
28
60
34
22
35


57
25
492
135
128
78
56
198
30
24
21
10
33
74
22
74
13
15
36
70
34


41
18
32
113
26
89
40
180
43
28


187
29
13
31
27
17
18
24
25
48
6
38
16
33


25
21
97
25
24
32
40
61
1,141
23
547
155
24
80
15
47
43
29
20
20


38
25
491
119
128
60
58
222
20
25
30
16
26
97
19
96
21
8
15
52
29


32
15
19
83
14
78
47
143
38
21


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


58
228
21
35
41
19
74
12
68
28
116
22


66
26
21
84
86
31
20
34


22
14
17
81
24
51
114
24
103
42
78
35
31


25
7
81
10
54
6
30
28


18
31
21
18
44
298
84
27
69
41
53
134
20
88
42
28


75
223
18
37
60
32
82
17
72
43
135
43


62
39
21
76
66
15
18
48


23
19
11
77
15
46
86
47
133
44
54
25
61


25
9
90
9
62
16
28
28


16
26
48
19
48
367
55
16
68
39
52
126
17
101
27
33


58
225
10
37
51
30
71
15
59
53
131
43


47
35
24
71
78
20
19
27


28
14
17
73
15
47
96
38
92
52
52
39
39


22
8
65
7
42
12
29
17


San Juan, P.R............... 15 10 4 (---)


oCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages.................... 12,755
4(B) Pneumqnia-Influenza Deaths, all ages........ 796
4(C) Total Deaths under 1 Year of Age............. 701
4(D) Total Deaths, Persons 65 years and over..... 7,458


Totals for previous weeks include reported corrections.

NOTE: All deaths by place of occurrence.




UNIVERSITY OF FLORIDA

11111111111 62 08864 1336Il
3 1262 08864 1336


Morbidity and Mortality Weekly Report


Louisiano Three Louisiana parishes reported
influenza-like illness during the week ending February 16,
with school absentee rates as high as 30 percent in some
areas. Cases are described as typical of influenza. Lab-
oratory studies are in progress.
(Reported by John M. Bruce, M.D., Chief, Section of Epi-
deriology. Louisiana State Board of Health.)
Michigan The small industrial outbreak recently
described in Lansing (MMWR Vol. 12, No. 7) has slowly
spread to involve the surrounding city during the past
week, although the extent of community involvement re-
mains limited. The Detroit epidemic clearly appears to be
waning. The epidemic has now progressed about halfway
up the State's lower peninsula, with the western part of
the State still free of outbreaks thus far.
(Reported by George H. Agate, M.D., Epidemiologist,
Michigan Department of Health.)
Mississippi Localized outbreaks were reported last
week from three counties in the northwestern part of the
State. Two of these areas are adjacent to sites of a simi-
lar epidemic illness in Arkansas and Tennessee. The ill-
nesses were described as clinically compatible with
influenza. Laboratory specimens are being obtained.
(Reported by Durward L. Blakey, M.D., Director, Prevent-
able Disease Control, Mississippi State Board of Health.)
Missouri Epidemic respiratory disease, compatible
with influenza, has been reported from the city of St.
Joseph in western Missouri, and at a military base in
neighboring Jackson County. These areas lie adjacent to
sites of laboratory confirmed influenza in eastern Kansas.
Additional outbreaks, largely confined to school popula-
tions, have occurred in 2 other widely separated counties.
Laboratory specimens are being collected.
(Reported by E. A. Belden, M.D., Communicable Disease
Consultant, Missouri Department of Health.)
New Jersey Influenza A2 infection has been con-
firmed serologically in five patients from the city of
Paterson in Passaic County. Limited, mild outbreaks of
respiratory disease continue to be described in scattered
areas. No abnormal school absenteeism has been reported.
(Reported by W. J. Dougherty, M.D., Director, Division of
Preventive Disease, New Jersey State Department of
Health.)
Pennsylvania Montgomery County, in southeastern
Pennsylvania, has reported an outbreak of influenza-like
illness thus far confined to school age children in a
single community. School absenteeism reached 33 percent
during the epidemic's peak period. Specimens have been
obtained and are being processed.
(Reported by W. D. Schrack, Jr., M.D., Director, Division
of Communicable Disease Control, Pennsylvania Depart-
ment of Health.)
South Carolina- An increased incidence of influenza-
like illness has been reported among students at a medi-
cal school in Charleston. Serologic evidence of influenza


A2 infection has been obtained from 4 serum pairs ob-
tained from ill individuals at the school.
(Reported by Dr. G. E. McDaniel, Director, Division of
Disease Control, South Carolina State Board of Health.)
Texas Three counties in southeastern Texas re-
ported extensive community-wide o-utbreaks of influenza-
like illness last week with excessive school absenteeism
and school closings in several areas. The clinical syn-
drome is typical of influenza although confirmatory lab-
oratory studies are still in progress.
(Reported by Dr. Van C. Tipton, Director, Communicable
Disease Division, Texas State Department of Health.)


INTERNATIONAL NOTES QUARANTINE MEASURES
No additional pertinent information or changes.


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