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:
AA00010654:00125

Related Items

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

Full Text
/ o ^ y/%/9L//#


Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


634-5131


For release November 22, 1963 ATLANTA, GEORGIA 303333 Vol. 12, No. 46
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED NOVEMBER 16, 1963


POLIOMYELITIS- Ten cases of poliomyelitis, all para-
lytic, were reported for the week ending November
16. Three cases were reported from Florida and
one each from Pennsylvania, Wisconsin, South Da-
kota, North Carolina, Alabama, Louisiana, and
Oklahoma. The nation's total thus far in 1963 re-
mains well below one-half that reported for a
comparable period last year.

The three cases reported from Florida this
week all occurred in Jacksonville, bringing the
total in that city to 7 cases thus far in 1963. Six
of these cases have occurred since mid-October
and 3 of these have died. Type I poliovirus has


been recovered from all 7 cases. Additional sus-
pect cases are under surveillance in Jacksonville.

POLIOMYELITIS CUMULATEDD WEEKLY) 1ST THROUGH 46TH WEEK
1963 1962 1961 1960 1959


*Paralytic
Total


323 632 812 2101 5310
380 798 1242 3025 8029


POLIOMYELITIS (SIX WEEK TOTALS) 41ST THROUGH 46TH WEEK

Paralytic 56 125 170 1
Total 66 153


DEC 963
Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: U STATES /C
(Cumulative totals include revised and delayed reports through previo we
46th Week umul
Disease Ended Ended MedianFirst
November 16, November 17, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis................ 23 45 -- 1,650 2,312 ---
Brucellosis ..................... 9 3 8 325 353 646
Diphtheria................... ..5 16 28 237 398 674
Encephalitis, infectious .......... 32 24 31 1,393 1,655 1,654
Hepatitis, infectious and serum... 793 817 815 38,292 48,060 34,049
Measles........................ 1,885 2,565 2,678 368,871 455,762 407,506
Meningococcal infections......... 30 41 41 2,101 1,882 2,006
Poliomyelitis, total .............. 10 21 63 380 798 3,030
Paralytic.................... 10 17 48 323 632 2,090
Nonparalytic ................- 3 11 38 117 624
Unspecified .................. 1 4 19 49 316
Streptococcal sore throat
and Scarlet fever ............ 6,282 5,767 -- 297,366 275,011
Tetanus ........................ 9 6 --- 251 257
Tularemia...................... 1 2 --- 260 255 -
Typhoid fever.................... 10 14 20 481 568 744
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... --- 172 214
Rabies in Animals............... 71 63 63 3,353 3,285 3,285


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY


Anthrax:
Botulism: N.Y. 2
Malaria: Calif. 1
Plague:


Cum.
4 Psittacosis:
36 Rabies in Man:
94 Smallpox:
- I Typhus, murine:


- Typhus, murine: 27


(A)NIN I \ IAMA I I I


S27j







Morbidity and Mortality Weekly Report


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS

The weekly average number of pneumonia-
influenza deaths for the four-week period ending
November 16 was 399 as compared with an expected
weekly average of 455.
PNEUMONIA-INFLUENZA DEATHS IN 108 CITIES

WEEK ENDING 4 Week Weekly
10/26 11/2 11/9 11/16 Total Average

Observed 386 401 405 404 1,596 399
Expected 438 449 461 473 1,821 455

Excess -52 -48 -56 -69 -225 -56


NUMBER '
OF
DEATHS ,


PNEUMONIA-INFLUNZA DEATHS IN 108 US CITIES
Average nMmber pwr ek by four-week period.

lT n1


L .


, I **5 I .


1. **LY~ L


(See table, page 391)


BOTULISM Two cases of botulism were reported
from New York City for the week ending November
16. Both cases were related to the ingestion of
Paragon label canned liver paste, processed by
Delicious Foods Products, Ltd., Montreal. These
represent the first two cases of botulism in the
U. S. A. related to this product. Three cases, in-
cluding one death, occurred in Canada (See MMWR,
Vol. 12, p. 357).
A full epidemiologic report on this incident
will be included in a future MMWR issue.


Encephalitis Kansas
Eight cases of infectious encephalitis were re-
ported from Kansas for the week ending November
16. This brings to 34 the total number of cases in
Kansas thus far in 1963. This week's cases are
from scattered areas of the State and are all be-
lieved to be of viral etiology, type undetermined.
Several of this week's cases represent delayed
reports.
More than 120 cases of laboratory confirmed
Western Equine Encephalitis have occurred in horses
over scattered regions of Kansas thus far in 1963.
Laboratory studies on second blood specimens of
many of the human cases have demonstrated only
a two-fold titer rise of antibody against this agent.
Blood studies on a third blood specimen will be per-
formed later.
(Reported by Dr. Don E. Wilcox, State Epidemiologist,
Kansas State Board of Health.)


Typhoid Fever
Ten cases of typhoid fever were reported for
the week ending November 16. Five were reported
from North Carolina, while single cases were re-
ported from New York, Illinois, Tennessee, Arkan-
sas, and California.

The five cases from North Carolina represent
a delayed report. All occurred within one family
of 10 residing in a suburb of a North Carolina city.
The patients were all 18 years of age or under;
6, 7, and 18 year old daughters and 9 and 12 year
old sons. They all became ill over a 2-day period
in July with fever, headache, nausea, and diarrhea.
Two experienced vomiting as well. None were hos-
pitalized and all recovered.

Cultures on the 5 patients grew Salmonella
typhosa.Phage type degraded Vi was demonstrated
for all 5 at the Communicable Disease Center
laboratories. The 5 well members of the family each
had 6 negative stool cultures. None of family were
known to have experienced typhoid fever previously.

The family always drank water supplied by
the city. A sewage line located across the street
from this family's home, however, had been broken
for the 3 weeks prior to the onset of the patient's
symptoms. A sanitarian found gross sewage con-
tamination of the family's lawn. No screens were
used in the home, and a large number of flies
were present at the time of the investigation. The
sewage and water were not tested for S.typhosaa


386


l-ftH+H


I****hH H


ixi;ii
Irai

~iI








Morbidity and Mortality Weekly Report



EPIDEMIC CURVE OF STREPTOCOCCAL PHARYNGITIS
DARTMOUTH COLLEGE


Antibiotic
prophylaxis


Although there are 2 known typhoid carriers
in the county, neither harbor this phage type. The
source of the organism, therefore, is unknown, but
North Carolina officials presumed that the children
acquired the infection while playing on the lawn,
which had been contaminated by the sewage seeping
from the broken line.

No additional cases related to this outbreak
are known to have occurred.

(Reported by W. L. Norville, M.D., Alamance County
Health Officer, and Dr. Jacob Koomen, Asst. Secretary
and State Health Director, North Carolina State Board
of Health.)




EPIDEMIOLOGICAL REPORTS


Streptococcal Infection New Hampshire

Dartmouth College has experienced an outbreak
of 155 cases of streptococcal pharyngitis since the
college reconvened in mid-September. The 155 cases
reported through November 11 contrast to the 20-30
cases which have occurred during comparable peri-
ods in the previous 2 years. The epidemic curve
shows a week to week variation through November 9
(see graph). An additional 9 cases were reported
during the day November 11.


While there has been about a five-fold rise in
the number of streptococcal cases among the Dart-
mouth College population, there has been no signifi-
cant rise in the number of cases reported among
residents of the town of Hanover.

The attack rate for the lower two classes is
5 percent, as compared to 2 percent in the upper
two classes. Yet, there is no evidence as yet of
a common source origin. The epidemic has demon-
strated a marked variation from dormitory to
dormitory. Members of all 4 classes reside in each
dormitory.

A study of the student population revealed an
overall carrier rate of 11 percent for Group A beta
hemolytic streptococcus. The carrier rate paralleled
the marked variation from dormitory to dormitory.
Because of the high attack rate during a season in
which a low incidence is expected, a decision was
made to provide antibiotic prophylaxis on voluntary
basis beginning November 12. Of the entire student
body, 90 percent responded.
Further surveillance of the streptococcal epi-
demic, as well as epidemiologic study of associated
non-suppurative sequellae and drug reactions are in
progress.

(Reported by Mary M. Atchison, M.D., M.P.H., Director,
Division of Public Health, Dr. William Prince, Director,
Bureau of Communicable Disease, New Hampshire State
Health Department, and an EIS Officer.)


387










388 Mlorbidity and Mlortality W4ekly IReporl


Thbic CASIS OF SPE(IIFllI) NOTIFIABLE DISEASES: UNITED STATES

FOR WElKS ENDED

NOVEMBER 16, 1963 AND NOVEMBER 17, 1962


Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Area
46th week First 46 weeks 46th week First 46 weeks 46th week 46th week
1963 1962 1963 1962 1963 1962 1963 1962 1963 1962 1963 1962


UNITED STATES...... 10 21 380 798 10 17 323 632 3 23 45

NEW ENGLAND.............. 8 8 8 7 I
Maine... ........... 2 2
New Hampshire.........- -
Vermont................ 1 1 1
Massachusetts......... 3 6 3 6
Rhode Island.......... 1
Connecticut........... 2 1 2 1

MIDDLE ATLANTIC.......... 1 3 115 78 1 2 91 56 3
New York............... 1 9 58 6 39 3
New Jersey............. 4 7 3 7 -
Pennsylvania 1 2 102 13 1 2 82 10 -

EAST NORTH CENTRAL....... 1 3 54 122 1 3 43 91 1 8
Ohio................... 8 19 4 17 1
Indiana................ 4 20 3 16 -
Illinois............. 3 17 56 3 16 40 3
Michigan.............. 16 19 16 15 1 4
Wisconsin.............. 1 9 8 1 4 3

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

SOUTH ATLANTIC............ 4 2 72 69 4 2 61 59 4 2
Delaware.............. 1 -
Maryland.............. 3 2 1 1
District of Columbia.. 1 2 1 -
Virginia.............. 19 8 13 8
West Virginia.......... 2 3 11 2 3 11 1
North Carolina........ 1 4 13 1 4 11
South Carolina......... 7 6 6 6 1 1
Georgia ............... 21 16 20 13 -
Florida............... 3 13 11 3 13 8 3

EAST SOUTH CENTRAL....... 1 70 70 1 65 58 3
Kentucky.............. 1 29 1 23 2
Tennessee............. 8 10 8 5 1
Alabama ............... 1 53 22 1 48 22
Mississippi........... 8 9 -8

WEST SOUTH CENTRAL....... 2 9 28 311 2 6 27 241 3 1 10
Arkansas .............. 3 5 21 1 4 18 2 -
Louisiana.............. 15 25 1 15 22 -
Oklahoma.............. 1 2 1 23 1 2 1 18 1 7
Texas................. 4 7 242 3 7 183 1 3

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

PACIFIC................... 4 21 84 4 18 79 8 21
Washington.............. 2 5 2 5 I 1
Oregon................ 2 6 1 5 1
California............ 4 17 73 4 15 69 6 21
Alaska................ -
Hawaii................ -


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











Morbidity and Mortality Weekly Report 389



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 16, 1963 AND NOVEMBER 17, 1962 (Continued)



Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area Cumu- Cumu- 46th week
lative lative Under 20 &
46th week 46 weeks 46th week 46 weeks 46th week 20 yr. over Total 46th week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962
UNITED STATES...... 9 325 5 237 32 24 407 337 793 817 1,885 2,565

NEW ENGLAND .............. 8 3 2 79 45 131 107 166 140
Maine................. 55 25 80 52 3 41
New Hampshire.......... 8 7 15 4 11
Vermont .............. 1 3 1 8 2 10 -
Massachusetts......... 6 2 7 6 14 42 22 33
Rhode Island.......... 2 1 1 1 3 1 22
Connecticut........... 1 6 5 11 6 109 55

MIDDLE ATLANTIC........... 1 8 22 3 8 70 74 144 131 271 271
New York.............. 4 13 3 39 46 85 71 134 96
New Jersey............. 1 4 8 11 19 24 56 34
Pennsylvania.......... 1 3 5 3 5 23 17 40 36 81 141

EAST NORTH CENTRAL....... 3 43 3 32 2 5 56 45 115 143 394 919
Ohio.................. 1 1 4 9 12 29 49 81 89
Indiana................ 6 10 9 8 19 5 74 40
Illinois.............. 1 22 2 15 8 6 14 35 127 120
Michigan............... 1 6 1 4 1 1 27 19 47 43 63 276
Wisconsin............. 1 9 2 3 6 11 49 394

WEST NORTH CENTRAL....... 3 171 2 41 9 27 6 36 57 27 230
Minnesota............... 9 15 1 1 3 14 1 29
Iowa................... 3 128 1 1 3 3 11 13 170
Missouri.............. 12 1 6 5 11 22 6 4
North Dakota........... 2 3 3 2 7 24
South Dakota........... 10 12 4 4 5 1
Nebraska.............. 6 2 10 1 2
Kansas................ 6 8 10 12 2 NN NN

SOUTH ATLANTIC........... 21 56 3 2 50 41 93 97 260 147
Delaware .............. 3 3
Maryland.............. 5 5 10 12 21 6
District of Columbia.. -- 1 2 9
Virginia.............. 11 1 10 4 16 20 15 36
West Virginia......... 1 8 7 15 24 72 79
North Carolina........ 4 5 22 13 35 28 4 6
South Carolina........ 17 1 1 2 123 3
Georgia ............... 3 18 3 -
Florida............... 3 14 3 1 4 11 15 5 13 17

EAST SOUTH CENTRAL....... 14 20 39 24 65 73 233 55
Kentucky ............. 3 23 6 31 14 185 7
Tennessee............. 6 3 6 5 11 27 43 38
Alabama ............... 5 14 6 9 15 19 1 7
Mississippi........... 3 4 4 8 13 4 3

WEST SOUTH CENTRAL....... 35 49 1 1 12 21 33 50 72 65
Arkansas .............. 8 2 2 2 4 2 2
Louisiana............. 8 31 2 6 8 7 2
Oklahoma............... 5 6 1 1 2 -
Texas................. 14 10 1 1 8 14 22 37 70 61

MOUNTAIN................. 9 5 1 22 8 50 43 119 328
Montana ............... 1 1 4 13 89 145
Idaho ................ 5 3 5 13
Wyoming................ 1 1 1 2 1 -
Colorado.............. 3 3 3 8 3 9 88
New Mexico ............ 2 14 1 15 12 NN NN
Arizona............... 3 10 7 11 19
Utah.................. 5 3 3 6 3 4 63
Nevada................ -- 1 1 -

PACIFIC.................. 2 23 4 10 6 52 73 126 116 343 410
Washington............ 1 6 7 14 13 129 117
Oregon................. 3 4 5 9 20 25 39
California............. 1 18 4 9 5 40 57 97 76 153 136
Alaska............. 2 3 5 6 32 24
Hawaii................. 1 2 1 1 1 1 4 94

Puerto Rico.............. 1 12 7 2 9 31 83 25










Morbidity and 1Mortality Weekly Report


abic '. (,ASES OF SPICI:I)ED NOTIFIABLI: DISI ASIS. 'NITI:) STATES

FOR \X1EI:KS FNDFD

NOVEMBER 16, 1965 AND NOVEMBER 17, 1962 (Continued)


Area


UNITED STATES....

NEW ENGLAND.........
Maine..............
New Hampshire ......
Vermont............
Massachusetts......
Rhode Island.......
Connecticut........

MIDDLE ATLANTIC.....
New York.........
New Jersey.........
Pennsylvania.......

EAST NORTH CENTRAL..
Ohio................
Indiana............
Illinois,..........
Michigan..........
Wisconsin.........

WEST NORTH CENTRAL..
Minnesota..........
Iowa...............
Missouri...........
North Dakota.......
South Dakota.......
Nebraska..........
Kansas.............

SOUTH ATLANTIC......
Delaware...........
Maryland...........
Dist. of Columbia..
Virginia...........
West Virginia......
North Carolina....
South Carolina.....
Georgia...........
Florida............

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

WEST SOUTH CENTRAL..
Arkansas...........
Louisiana.........
Oklahoma............
Texas.............

MOUNTAIN............
Montana............
Idaho..............
Wyoming.............
Colorado...........
New Mexico.........
Arizona...........
Utah..,..........
Nevada.............

PACIFIC.............
Washington.........
Oregon.............
California.........
Alaska.............
Hawaii............


Infect



46th wk.


1963


30

2
1

1




8
2
3
3

6
2

3
1


1
I
1








6



1

2
2










3


2
1












4


3

1


Puerto Rico.........


i Sore T
Scarle
Cumu-
lative
46 weeks 46th
1963 1963

2,101 6,282

127 478
19 13
4 12
6 11
58 87
11 20
29 335

292 228
137 162
44 25
111 41

323 595
85 85
46 116
66 79
93 191
33 124

127 211
25 23
7 84
36 8
14 76
7 14
25
13 6

389 573
4 3
53 19
8 1
86 153
20 218
72 14
22 35
33 5
91 125

145 1,401
31 273
67 1,055
24 18
23 55

189 554
14 5
74 11
33
68 538

73 1,396
3 53
6 66
7 86
20 657
4 304
11 124
18 105
4 1

436 846
39 303
32 40
340 486
12 17
13
8 10


hroat & Tetanus
t Fever


week


Typhus
(Rcky Mt.
Spotted)


46th wk. 46th wk.


1962 1963


Tularemia Typhoid Fever Rabies in Animals


46th wk. 46th wk.
1963 .1


Cumu- Cumu-
lative lative
46 weeks 46th week 46 weeks


71 63 3,353

1 32
2
15
1 14
I


I IR .


1 i 11cJ


5,767

354
66
2
2
73
25
186

210
89
63
58

444
78
64
108
100
94

206
25
78
5
68
2

28

611
6
22

205
244
33
21
2
78

898
44
732
53
69

616
16
2
7
591

1,138
74
63
31
301
462
72
135


1,290
308
39
718
173
52


481

12
2

1
6

3

86
45
5
36

61
26
7
12
11
5

26
3
3
16

1
1
2

70
4
11

8
7
15
6
2
17

67
13
27
11
16

85
34
25
6
20

18



6
5
7



56
3
2
48
1
2


1 1 13 1 13


314ll










Morbidity and Mortality Weekly Report 391





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.)0


For weeks ending For weeks ending
Area 11/2 11/ 11Area 10/26 11/2
10/26 11/2 11/9 11/16 10/26 11/2 11/9 11/16


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


5
2
4
1

2

2
2
3
1
13
2
6



1
4
3
1

4
2
53
3
8
7
2
11

2

4
2
3



3
32
3
4


16
1
5

5

6
2
3


5
3



2

2
3

3
1
2
2
6


SOUTH ATLANTIC:
Atlanta, Ga............... 5 4 5 4
Baltimore, Md............ 8 5 7 3
Charlotte, N.C............ 1 1 -
Jacksonville, Fla........ 1 2 1
Miami, Fla................. 2 2 3
Norfolk, Va............... 2 2 4 2
Richmond, Va.............. 5 1 2 3
Savannah, Ga.............. 2 2 2 2
St. Petersburg, Fla...... 6 2 3
Tampa, Fla................ 2 4 1 1
Washington, D.C........... 6 11 17 9
Wilmington, Del........... 1 1 1 1

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 2 2 5 1
Chattanooga, Tenn........ 6 3 2 2
Knoxville, Tenn........... 1 2 1 -
Louisville, Ky............ 10 11 5 11
Memphis, Tenn............. 4 7 5 4
Mobile, Ala............... 3
Montgomery, Ala........... 3 2 2 2
Nashville, Tenn........... 4 4 7 4

WEST SOUTH CENTRAL:
Austin, Tex............... 6 5 4 1
Baton Rouge, La.......... 1 2 1
Corpus Christi, Tex...... 1 1 -
Dallas, Tex............... 4 5 7
El Paso, Tex............. 1 -
Fort Worth, Tex.......... 2 -
Houston, Tex............. 4 6 1 1
Little Rock, Ark.......... 1 4 3 2
New Orleans, La.......... 4 4 6 6
Oklahoma City, Okla...... 2 2 2 2
San Antonio, Tex.......... 4 1 2
Shreveport, La ........... 2 3 5 4
Tulsa, Okla............... 3 3 4 5

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

PACIFIC:
Berkeley, Calif.......... 1
Fresno, Calif............ 1 2 -
Glendale, Calif.......... 1 2
Honolulu, Hawaii.......... 1 1 1 -
Long Beach, Calif........ 1 2 1
Los Angeles, Calif....... 11 15 6 15
Oakland, Calif........... 1 3 5 1
Pasadena, Calif .......... -
Portland, Oreg............ 4 6 2
Sacramento, Calif........ 1 3 1
San Diego, Calif......... 1 1 3
San Francisco, Calif ..... 6 4 4 4
San Jose, Calif.......... 2 2 1
Seattle, Wash........... 9 6 4 4
Spokane, Wash............ 1 2 1 2
Tacoma, Wash.............. 2 2 1 1*

San Juan, P.R............... 3 (--) (---) (---)


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 ....


11,072
404
692
6,066


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

NOTE: All deaths by place oloccrrence.




UNIVERSITY OF FLORIDA

3 1i262 0 4 0 8lii ll
3 1262 08864 0528


Morbidity and Mortality Weekly Report


Dengue-like Illness Puerto Rico
For the two week period ending November 15,
1,878 cases of dengue-like illness were reported to
the Puerto Rican Department of Health. This brings
the total to 19,655 cases thus far in 1963.
(Reported by Dr. Victor A. Gonzalez, Director, Bureau of
Health, Puerto Rico Department of Health.)



INTERNATIONAL NOTES
Poliomyelitis Canada
Eleven cases of paralytic poliomyelitis were
reported in Canada for the three-week period
ending November 9. All 11 cases were reported
from Quebec. Canada, thus far in 1963, has had
103 cases of paralytic poliomyelitis, 96 of which
have been in Quebec. For comparable periods in
1962 and 1961, 97 and 186 cases were reported
from the entire nation, 61 and 116 of which were
in Quebec.
(Reported in Canadian Department of National Health
and Welfare Weekly Report, November 14).


Dengue Fever Jamaica
A total of 1,058 cases of dengue fever have
been reported officially from Jamaica through
November 2. Of these cases, 37 were reported for
the week ending November 2; St. Andrews Parish
reported 17 and Kingston 7. All other parishes
reported 5 or less cases.
(Reported by Division of Foreign Quarantine, U. S. Public
Health Service.)


Cholera Japan
One confirmed case of Cholera El Tor (Ogawa
strain) was imported at Itazuke (Airport of Fukuoka)
on November 9. The patient was one of 24 American
tourists who had visited Hong Kong from November
3-7, arriving from Okinawa (Ryukyu Islands) by
Japan Airlines Flight 906. On board were 97 passen-
gers. The patient was isolated and the other tourists
of the group were placed under surveillance.
(Reported in Weekly Epidemiological Record of the World
Organization, November 15.)


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
Atlanta, Georgia 30333

S r'i OF -~ Z L


.I C ,- -L

U.S DEPOSITORY


34
>-


ICS


x
m
>
o
>


rJ5. 3 z
> 5 B
ES g- c



o a 0 -.
5D CD > rn
C.0 S0 m1

CD rnO
~Im
Soi3



i ,









1I1
m







C




03
5a
0M
CA
??o
,v5


392