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:
AA00010654:00131

Related Items

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

Full Text


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Morbidity and Mortality


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


Prepared by the


I OMNCBEDSAECNE


63 31


For release January 3, 1964


ATLANTA, GEORGIA 30333


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES INJ
DEATHS IN SELECTED CITIES FOR WEEK ENDED DECEMBI


INDEX ISSUE


BOTULISM -Two cases of botulism were reported for the
week ended December 28. Both cases occurred in Cali-
fornia, and are believed related to the ingestion of home
processed figs.
These cases bring the cumulative total to 46 cases
thus far in 1963. This figure is the highest since 1939
when 47 cases were reported. A total of 46 cases were
reported in 1932. These two cases from California bring
its total to 10 thus far in 1963, which is the highest for
that State since 1951, when 14 cases were reported.
(See table right)
An epidemiologic report of the above outbreak will be
included in a future issue of the MMWR.


CALIFORNIA BOTULISM*


33 62
* Source: California State Deportment of Health


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
52nd Week Cumulative
Ended Ended First 52 weeks
Disease Median
December 28, December 29, 1958 1962 Median
1963 1962 1963 1962 1958 1962
Aseptic meningitis ............... 34 19 --- 1,831 2,537 --
Brucellosis ..................... 6 21 13 364 412 718
Diphtheria ...................... 4 14 24 294 463 906
Encephalitis, infectious .......... 25 20 19 1,539 1,790 1,789
Hepatitis, infectious and serum... 786 804 804 42,826 53,306 40,179
Measles...................... .. 3,321 4,492 4,272 387,568 476,721 429,840
Meningococcal infections ......... 49 46 46 2,348 2,138 2,242
Poliomyelitis, total .............. 3 21 54 431 902 3,301
Paralytic.................... 3 16 29 368 717 2,292
Nonparalytic................. -5 6 45 132 649
Unspecified ................. 19 18 53 360
Streptococcal sore throat
and Scarlet fever ............ 6,753 6,092 --- 339,316 313,056 .
Tetanus ....................... 4 3 --- 278 292 -
Tularemia...................... 7 9 --- 293 308 --
Typhoid fever ................... 5 13 12 525 632 828
Typhus fever, tick-borne;
(Rocky Mountain spotted)...... 5 3 -- 182 217 ---
Rabies in Animals............... 48 49 72 3,680 3,556 3,556

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 4 Psittacosis: 79
Botulism: calif. 2 46 Rabies in Man: 1
Malaria: Calif. 2 Ohio 1 105 Smallpox:
Plague: 1 Typhus, murine: Ohio 1 29


Reotmel








Morbidity and Mortality Weekly Report


EPIDEMIC CURVE
CASES OF SHIGELLOSIS AND SALMONELLOSIS BY FORTNIGHT
U.S. NAVY MOROCCO 1962


S GASTROENTERITIS CASES CULTURED
M BACTERIOLOGICALLY PROVEN SHIGELLOSIS
OR SALMONELLOSIS


70-
65 -

60 -

55-
50-

45-
40 -

35 -
30 -

25 -

20 -
15 -

10 -
5 -

FORTNIGHT
ENDED


Shigellosis and Salmonellosis Morocco


Between July 1, 41962 and January 1, .1963 a total
of 169 bacteriologically confirmed cases of Salmonella
typhimurium and Shigella flexneri occurred among U. S.
Naval dependents living in Morocco. During this 6 month
period, 481 individuals were treated for gastroenteritis
at the outpatient department of the station hospital,
U. S. Naval Air Station, Port Lyautey, Morocco. Several
hospitalizations were required because of dehydration.
One death was recorded due to the outbreak.
The symptoms experienced by these individuals in-
cluded nausea, vomiting, diarrhea, abdominal cramps, and
fever to 1010 for a duration of 24-48 hours. Most of the
victims were wives and children living in Kenitra, a town
adjacent to the Naval Air Station.
Cultures of 481 cases of gastroenteritis revealed
136 patients harboring S. flexneri, Type Ila, and 33
S. typhimurium.
The victims had access to 2 water supply systems:
the Naval Air Station, which had its own water treatment
plant and separate water distribution system, and that of
the neighboring town (Kenitra).
Epidemiologically, 154 (91 percent) of those with
positive cultures had used the Kenitra water supply,
which was obtained from either surface supply (the river)


or shallow wells. The river was always considered to be
contaminated as were many wells, which were not capped
or covered and may have been drilled at the lower edge of
farm land slopes or in valleys. In many places wells
were entirely open. The water was inadequately chlori-
nated. Water in sewer mains ran in the same underground
channels. The sewer pipes had only mud seals at their
joints. Often the water in the American occupied villas
was grossly silty or smelled of sewage. Furthermore,
local sanitary practices were meager; animal and human
defecation took place in any convenient vacant field or
farmland. Flies were abundant. Little rain fell between
March and November 1962; from November 1 through
January 15, 1963 (during which the peak number of cases
occurred) 18.42 inches of rain fell, which is more than
twice the average rate of 8.77 inches for that period.
The remaining 15 cases (9 percent) involved indivi-
duals who lived on the base. They are believed to have
acquired their illness either by eating in restaurants in
Kenitra, by contact with infected children at the base
nursery, or from ice made in a machine which was at-
tended by a Moroccan employee who was proved to be a
carrier.
Water specimens were obtained by random selection
for analysis from 58 homes in the European section of
Kenitra, where most off-base American homes are located.


438


14 Z8 I 11 I 25 8 I 22 I 6 I 21 3 1 17 I 1 15
JUL AUG SEP OCT NOV DEC



EPIDEMIOLOGICAL REPORTS









Morbidity and Morta


WATER SPECIMENS KENITRA
October 13 December 8, 1962

Organism Number Positive Cultures
Salmonella 5
Shigella 18
Salmonella and Shigella 22
Shigella and E. coli 3
E. coli 1
No Growth (48 hrs.) 9




All water tested for residual chlorine content, no
matter what the original source, was negative. There was
no .distinct geographic distribution of the positive cul-
tures obtained from house faucets. No particular water
sources could be excluded.
At the time of their arrival new residents were told
that the water, except that from the Naval Air Station,
must be considered contaminated and that it must be
chlorinated before use for drinking, cooking, brushing
teeth, or making ice cubes. They were advised to carry
water for such purposes from the base to home.
A questionnaire answered by 29 randomly selected
cases indicated that at least two breaks in recommended
health practices occurred for each case. Basic sanitary


lity Weekly Report 439




practices were given greater publicity, as a result of
this survey.

(Reported by Lt. H. L. Metcalf, MC, USN. Station Hospi-
tal, Naval Air Station, Port Lyautey, Morocco, in U.S.
Navy Medical News Letter, Vol. 42, No. 9, Nov. 1,
1963, and Capt. Jack W. Millar, Director. Preventive
Medicine Dzvision, Department of the Navy, Washington,
D.C.)

Editor's Note: This outbreak is of unusual interest
because of the reported isolation of both Shigellosis and
Salmonellosis from a community water supply on repeated
occasions. Selective media for these isolations were
used. Routine coliform counts were not reported.




Dengue Puerto Rico

For the week ended December 28, 520 cases of
dengue-like illness were reported to the Puerto Rico
Department of Health. The total reported to date is
25,453 cases.
(Reported by Rafael Timothee, M.D., Director, Preventive
Medical Services, Puerto Rico Department of Health, and
a team from the Communicable Disease Center.)


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

The weekly average number of deaths among persons
65 years and over in 108 cities for the four-week period
ending December 28 was 6,880 as compared with an ex-
pected weekly average of 6,871.



WEEK ENDING 4 Week Weekly
12/7 12/14 12/21 12/28 Total Averag
Observed 7,150 6,938 6,804 6,628 27,520 6,880
Expected 6,778 6,843 6,904 6,958 27,483 6,871
Excess 372 95 -100 -330 37 9


8.500


DEATHS AT AGE 65 AND OVER IN 108 U S CITIES
Average number per week by four- week periods









Morbidity and Mortality Weekly Report


POLIOVIRUS ISOLATIONS 1962

Reports of attempted virus isolations on specimens
from 580 poliomyelitis cases with onset during the year
1962 were received by the Poliomyelitis Surveillance
Unit of the Communicable Disease Center. This repre-
sents isolation attempts from 64 percent of the total of
909 cases reported to the Poliomyelitis Surveillance Unit.
Of these 580 specimens, 464 (66 percent) yielded a
poliovirus. Of those with virus type specified, 344 (75
percent) were Type I and 110 (24 percent) were Type III.
Type II was isolated from only 8 cases. The number of
specimens studied and the type distribution for the past
five years are shown in the following table:




Total Number Percent Poliovirus Type Percent
Year Cases* Studied** Studied 1 2 3 1 2 3

1958 6,125 2,470 40 1,171 36 256 80.0 2.5 17.5
1959 8,635 4,222 49 2,464 11 300 88.8 0.4 10.8
1960 3,304 1,595 48 813 2 281 74.2 0.2 25.6
1961 1,356 735 54 290 6 185 60.3 1.2 38.5
1962 909 580 64 344 8 110 74.5 1.7 23.8


Cases reported as poliomyelitis on preliminary Poliomyelitis
Surveillance Case Records.

**Includes all cases on which one or more fecal specimens were
examined for virus isolation. State and local health department
laboratories and the laboratories in academic centers reported
these results through State Epidemiologists to the Poliomyelitis
Surveillance Unit.

From the 683 paralytic cases reported to the Polio
Surveillance Unit in 1962 (See MMWR, Vol. 12,p. 379),
there were 397 poliovirus isolates reported. The geo-
graphic breakdown of these isolates are shown in the
following table by State. Of the type I isolates 31 per-
cent were from Texas.




PERCENT POLIOVIRUS ISOLATIONS BY FINAL CLASSIFICATION


Percent of Specimens Yielding Poliovirus
Final Classification
1958 1959 1960 1961 1962

Nonporalytic, aseptic
meningitis syndrome 32.7 40.3 48.7 34.7 57.6

Paralytic, no residual
paralysis 59.3 58.5 60.5 45.8 56.6

Paralytic with residual
paralysis 77.4 78.1 76.6 78.3 85.8

(For a more detailed presentation of poliovirus isolations and the
occurrence of poliomyelitis during the years 1958-61, see: Surveil-
lance of Poliomyelitis in the United States, 1958-61. Pub. Health
Rep. 77:1011-1020, December 1962).


The table below left compares the clinical classifi-
cation of polio with the percent of specimens yielding
poliovirus, as reported to the Poliomyelitis Surveillance
Unit from 1958 to 1962. This final classification is based
upon a clinical examination 60 days or longer following
onset of illness. A markedly higher percentage of virus
isolations from paralytic cases with residual paralysis
has been consistently observed in all years.





PARALYTIC POLIOMYELITIS BY STATE 1962
LABORATORY STUDIES AND POLIOVIRUS ISOLATIONS
REPORTED ON PSU FORMS

Total I Total Cases
Paralytic Studied Poliovirus Isolations
State Cases in Lob. I II III

Alabama 20 15 10 1 1
Alaska
Arizona 3 2 2 -
Arkansas 19 10 7 1
California 68 44 26 1 13
Colorado 4 3 1 2 -
Connecticut 0 -
Delaware -
District of Columbia 2 1 1
Florida 11 3 1 1
Georgia 18 11 7 2
Hawaii -
Idaho 1 1 -1
Illinois 48 42 31 8
Indiana 22 11 6 2
Iowa 3 2 1 -
Kansas -
Kentucky 14 12 11 I
Louisiana 36 34 20 9
Maine -
Maryland 1 1 1 -
Massachusetts 6 3 3 -
Michigan 17 13 8 5
Minnesota 5 5 3 -
Mississippi 22 12 2 8
Missouri 6 3 1 2 -
Montana 2 1 1 -
Nebraska 7 2 1
Nevada -
New Hampshire 3 3 1 2
New Jersey 8 6 3 1
New Mexico 2 2 2 -
New York 27 20 7 7
North Carolina 11 6 3 -
North Dakota 3 2 -
Ohio 18 17 9* 4*
Oklahoma 28 9 5 3
Oregon 4 4 2
Pennsylvania 16 11 4 3
Rhode Island -
South Carolina 6 6 2 3
South Dakota 1 -
Tennessee 7 5 2 1 1
Texas 174 107 92 8
Utah 1 1 1 -
Vermont 1 1 1
Virginia 8 4 1 3
Washington 5 5 3 1
West Virginia 16 15 12 1
Wisconsin 8 8 5 3
Wyoming 1 1 1 -
TOTAL 683 464 295 8 96
*Includes one case from which both types I and III were isolated.


440












Morbidity and Mortality Weekly Report


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Morbidity and Mortality Weekly Report




INDEX 1963 VOLUME 12


SUMMARIES


DISEASE

Anthrax


Aseptic Meningitis


Botulism





Brucellosis


Page 270

Page 309

Pages 59,302,321,329,
337,345,357,358,378,
386,394,400, 409,437


STATE REPORTS

Pages 149,199,349

Page 309

Pages 95,124,302,
311,322,329,337,
345,357,386,394,
400,410


INTERNATIONAL


Page 357


Page 165


Pages 220,244,320,
328,356,392


Pages 40,99


Pages 2,149,401,410,
412,421

Pages 237,238


Erythema Infectiosum


Page 182

Page 133


Pages 270,278,286
294,302,310,323,
331,344,346,359,
370,378,392,400,
402,411, 428, 439

Pages 19,422


Pages 278,287,386

Page 123


Pages 276,284,292,
328,336,344,356,
370,392,400,408,
428


Food-borne Disease Outbreaks


Chemical


Plant Poisoning


Unknown Etiology
(See also Botulism, Clostridium
perfringens. Hepatitis,
Salmonellosis, Shigellosis,
Staphylococcus, and Typhoid Fever)


Hepatitis




Influenza


Pages 40,99



Pages 148,156


Pages 1,11,40,99,
107,141,142,189,
254,268,294

Pages 1,9,17,25,33,
41,49,61,69,77,85,
93,105,113,121,133,
141,157,167,182,206,
207


Page 10


Pages 9,17,18,25,26,
27,33,34,35,42,50,51,
62,63,68,69,70,76,77,
78,84,85,86,87,92,93,
94,95,105,106,107,113,
114,121,123,142,157,167,
172,180,182


442


Cholera


Clostridium perfringens


Conjunctivitis

Dengue Fever


Diphtheria


Encephalitis


Page 126

Page 126


Page 40








Morbidity and Mortality Weekly Report


INDEX 1963 VOLUME 12 (Continued)


DISEASE

Leptospirosis

Malaria

Meningococcal Infections

Microsporum canis

Plague

Poliomyelitis







Psittacosis

Puerperal Sepsis

Q Fever

Rabies

Salmonellosis


~


Pages 40,59


Shigellosis

Smallpox


STATE REPORTS


SUMMARIES

Page 239

Pages 247,365

Page 181



Page 421

Pages 1,133,173,181
205,221,229,237,245,
253,261,269,277,285,
293,301,309,321,330,
339,346,357,365,377,
379,385,393

Page 409





Pages 114,157

Pages 40,159,167,173,
182,199,220,230,348


INTERNATIONAL


Page 365

Page 344

Page 378

Pages 84,120,423

Pages 277,285,293,
393,394






Pages 369,410

Page 134

Page 303

Pages 300,364,403

Pages 159,167,173,
182,198,215,230,
246,271,279,347

Pages 165,166


Sporotrichosis

Staphylococcus


Streptococcus

Syphilis



Tetanus

Trichinosis

Tularemia

Typhoid Fever


Yellow Fever


Page 40


Pages 40,59

Pages 18,58,86,127,
158,190,222,262,295,
302,350,351,395, 441

Pages 197,212

Pages 40,59

Pages 213,346

Pages 40,59,98,112,
115,134,386,410


Pages 142,223

Pages 2,263,311,
347,370,411

Pages 134,387


Page 151

Pages 158,190

Pages 214,346

Pages 98,112,115,
120,164,230,238,386


Pages 92,98,112,
182

Pages 140,356


443


Page 365





Page 120

Pages 328,344,356,
364,392,408,420,
428













Page 438



Page 438

Pages 140,148,172,174,
183,191,212,220,236,
244,252,255,268,276,
284,292,300,320,328









444 IMorbidit and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 28, 1963 AND DECEMBER 29, 1962



Poliomyelitis, Aseptic
Poliomyelitis, total cases Poliomyelitis, paralytic nonparalytic Meningitis
Cumulative Cumulative
Area
52nd week First 52 weeks 52nd week First 52 weeks 52nd week 52nd week
1963 1962 1963 1962 1963 1962 1963 1962 1963 1962 1963 1962

UNITED STATES...... 3 21 431 902 3 16 368 717 5 34 19

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

MIDDLE ATLANTIC.......... 1 3 121 92 1 3 96 70 I
New York............... 12 61 7 42 1
New Jersey........... 1 4 10 1 3 10 -
Pennsylvania ........ 1 2 105 21 1 2 86 18

EAST NORTH CENTRAL......... 58 139 47 106 5 2
Ohio.................. 8 20 4 18 -
Indiana................ 4 24 3 19 -
Illinois.............. 17 62 16 45 2 1
Michigan .............. 20 21 20 17 3 1
Wisconsin ............. 9 12 4 7 -

WEST NORTH CENTRAL....... 8 41 6 30 1 1
Minnesota.............. 4 7 4 7 1 1
Iowa........ ..... ..... 7 3 3
Missouri .............. 1 12 7 -
North Dakota......... 1 5 3 -
South Dakota.......... 1 2 1 2 -
Nebraska.............. 1 8 1 8 -
Kansas................ -

SOUTH ATLANTIC............. 1 3 102 79 1 2 89 68 1 4 1
Delaware .............. 1 1 1
Maryland .............. 1 2 1 1 -
District of Columbia.. 1 2 I -
Virginia.............. 21 8 16 8 -
West Virginia......... 1 4 18 1 4 18 -
North Carolina........ 6 13 5 11 -
South Carolina........ 9 6 8 6 -
Georgia ............... 2 22 19 1 21 15 1
Florida.............. 1 37 11 1 33 8 4 -

EAST SOUTH CENTRAL........ 1 2 75 84 1 1 69 70 1 4 2
Kentucky .............. 1 31 24 -
Tennessee............. 12 12 11 6 -
Alabama ............... 1 53 23 1 48 23 2
Mississippi........... 1 10 18 1 10 17 4 -

WEST SOUTH CENTRAL....... 11 29 343 8 28 263 3 2 3
Arkansas.............. 3 5 25 2 4 21 1
Louisiana............. 3 14 35 2 14 31 1
Oklahoma .............. 1 32 1 23 -
Texas................. 5 9 251 4 9 188 1 2 3

MOUNTAIN................. 7 20 5 15 2 -
Montana................ 4 3
Idaho................. 1 2 1 1
Wyoming............... 2 1 1
Colorado.............. 1 4 3 -
New Mexico............ 1 2 2 -
Arizona............ ....... 3 4 3 3
Utah.................... 2 2
Nevada ................ 1 1

PACIFIC..................... 2 23 95 2 20 87 15 10
Washington.............. 2 5 2 5 4 1
Oregon................ 2 7 1 5 1 -
California............ 2 19 83 2 17 77 6 8
Alaska ................. .
Hawaii................ 4 1

Puerto Rico.............. 5 13 4 13 -











Morbidity and Mortality Weekly Report 445


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 28, 1963 AND DECEMBER 29, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
infectious infectious and serum
Area Cumu- Cumu- 52nd week
lative lative Under 20 &
52nd week 52 weeks 52nd week 52 weeks 52nd week 20 yr. over Total 52nd week
1963 1963 1963 1963 1963 1962 1963 1963 1963 1962 1963 1962


UNITED STATES...... 6 364 4 294 25 20 359 362 786 804 3,321 4,492

NEW ENGLAND............... 1 8 1 2 28 33 63 100 138 282
Maine................. 16 17 33 41 6 12
New Hampshire......... 5 2 7 9 1 25
Vermont.................. 1 2 3 7 42 15
Massachusetts......... 6 3 6 9 31 29 164
Rhode Island.......... 2 1 2 3 3 7 2
Connecticut............. 3 3 8 12 53 64

MIDDLE ATLANTIC........... 8 24 7 8 84 95 179 145 758 374
New York............... 4 13 7 6 52 48 100 80 380 162
New Jersey........... I 4 12 18 30 23 174 54
Pennsylvania.......... 3 7 2 20 29 49 42 204 158

EAST NORTH CENTRAL ....... 1 51 35 5 2 97 74 180 146 688 1,954
Ohio.................. 1 2 19 24 48 34 137 224
Indiana.............. 6 10 7 5 12 17 97 55
Illinois.............. 1 24 17 1 1 8 9 18 52 163 139
Michigan.............. 6 5 2 1 63 34 97 38 233 497
Wisconsin............... 15 2 2 5 5 58 1,039

WEST NORTH CENTRAL....... 2 190 48 1 27 7 41 42 73 307
Minnesota............. 10 15 3 2 6 8 29
Iowa.................. 2 141 1 1 12 12 7 31 226
Missouri.............. 13 1 4 3 7 13 26 14
North Dakota........... 6 1 16 33
South Dakota.......... 12 14 4 2 6 5 -
Nebraska.............. 6 11 5 5
Kansas................ 8 4 10 3 NN NN

SOUTH ATLANTIC........... 1 24 2 75 2 23 40 71 95 584 535
Delaware.............. 1 3 4 1 5 6
Maryland................- 3 2 5 36 80 14
District of Columbia.. -- 1 1 1 10 15 2
Virginia.............. 12 1 2 3 2 7 7 186 161
West Virginia......... I 5 2 13 14 206 305
North Carolina........ 5 5 4 10 14 11 9 16
South Carolina. ...... 17 1 1 2 4 61
Georgia............... 3 1 24 3 19 1
Florida............... 1 4 25 2 6 19 25 9 3 30

EAST SOUTH CENTRAL....... 14 22 3 22 17 47 70 111 72
Kentucky.............. 3 1 13 6 27 36 45 44
Tennessee............. -. 6 3 4 6 10 18 64 23
Alabama............... 5 16 4 4 8 5 2 4
Mississippi........... 3 2 1 1 2 11 1

WEST SOUTH CENTRAL ....... 38 2 73 1 1 10 19 29 37 160 102
Arkansas.............. 9 1 4 1 1 2 3 1
Louisiana............. 9 1 37 2 5 7 11 2
Oklahoma.............. 5 20 1 10 2
Texas ................. 15 12 1 8 13 21 24 147 97

MOUNTAIN................. 10 5 24 10 63 62 231 434
Montana ............... 3 4 7 13 119 212
Idaho .................. 3 4 57 54
Wyoming................ 1 1 1
Colorado ............ 3 5 2 28 10 24 83
New Mexico............ 1 2 13 2 15 3 NN NN
Arizona............... 3 5 24 23 45
Utah .................. 5 2 2 4 8 8 39
Nevada................ -

PACIFIC.................... 2 28 4 8 4 44 67 113 107 578 432
Washington ............ 1 4 8 14 19 260 46
Oregon................ 3 2 6 8 10 196 60
California ............ 2 23 4 7 4 36 52 88 73 118 249
Alaska................ 3 1 1
Hawaii ................ 2 2 1 3 2 3 76


Puerto Rico.............. 1 13 17 8 25 5 26 5










446 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED


DECEMBER 28, 1963 AND DECEMBER 29, 1962 (Continued)


Meningococcal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
AreaCumu- Spotted) Cumu- Cumu-
lative lative lative
52nd wk 52 weeks 52nd week 52nd wk. 52nd week 52nd wk. 52ndwk. 52weeks 52nd week 52weeks
1963 1963 1963 1962 1963 1963 1963 1963 1963 1963 1962 1963

UNITED STATES.... 49 2,348 6,753 6,092 4 5 7 5 525 48 49 3,680

NEW ENGLAND......... 133 428 464 13 32
Maine............... 19 31 93 2 2
New Hampshire...... 4 3 20 15
Vermont............. 6 8 1 14
Massachusetts...... 59 68 91 6 1
Rhode Island....... 13 73 29 -
Connecticut........ 32 245 231 -

MIDDLE ATLANTIC..... 8 337 324 330 89 1 4 119
New York........... 1 154 211 187 46 1 2 90
New Jersey......... 4 57 51 63 6 -
Pennsylvania....... 3 126 62 80 37 2 29

EAST NORTH CENTRAL.. 10 363 757 707 1 2 69 5 6 541
Ohio............... 6 105 107 60 2 31 2 4 311
Indiana............ 47 65 142 7 52
Illinois........... 72 117 197 1 13 2 1 77
Michigan............ 4 104 338 161 13 1 1 51
Wisconsin.......... 35 130 147 5 50

WEST NORTH CENTRAL.. 8 149 276 176 29 14 10 999
Minnesota.......... 3 31 7 16 3 7 3 277
Iowa............... 1 8 34 50 3 2 1 343
Missouri........... 3 44 6 3 19 3 3 180
North Dakota....... 17 85 95 2 41
South Dakota....... 7 15 5 1 2 1 102
Nebraska........... 25 1 33
Kansas.............. 1 17 129 6 2 23

SOUTH ATLANTIC...... 5 427 527 518 1 1 3 83 2 6 531
Delaware............ 4 2 2 4 1
Maryland............ 58 14 54 1 12 2
Dist. of Columbia.. 1 9 1 1 -
Virginia........... 90 144 217 13 2 221
West Virginia...... 23 165 161 7 6 114
North Carolina..... 82 11 11 18 16
South Carolina..... 24 16 33 9 10
Georgia............ 2 36 19 4 1 3 2 85
Florida............ 2 101 155 35 18 82

EAST SOUTH CENTRAL.. 3 155 780 842 4 2 1 73 6 10 286
Kentucky............ 33 119 79 1 14 2 126
Tennessee........... 1 72 623 651 31 6 8 140
Alabama............ 1 26 25 13 11 20
Mississippi ........ 1 24 13 99 4 1 1 17 -

WEST SOUTH CENTRAL.. 6 218 901 616 1 86 17 4 694
Arkansas............ 14 3 1 34 4 1 95
Louisiana.......... 3 89 8 18 26 1 52
Oklahoma........... 36 13 6 4 3 66
Texas.............. 3 79 890 585 20 8 481

MOUNTAIN............ 2 87 2,186 1,659 20 1 139
Montana............. 1 5 106 104 1 -
Idaho............... 6 44 122 -
Wyoming............ 7 15 457 -
Colorado........... 1 26 1,459 467 6 16
New Mexico......... 5 294 219 6 41
Arizona............. 13 143 104 7 1 68
Utah............... 20 125 186 3
Nevada............. 5 11

PACIFIC............... 7 479 574 780 2 1 2 63 3 8 339
Washington.......... 40 319 153 3 -
Oregon............. 35 20 20 1 1 1 3 13
California......... 7 373 192 499 1 54 3 8 317
Alaska.............. 17 1 50 1 9
Hawaii............. 14 42 58 1 -- 1- 2 -
Puerto Rico......... 8 1 6 1 14 1 17










Morbidity and Mortality Weekly Report 44'





Tahbi 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

12/7 12/14 12/21 12/28 12/7 12/14 12/21 12/28


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


146
18
27
18
32
8
14
13
27
37
9
31
14
35


25
23
72
23
11
18
32
55
1,010
22
309
82
50
72
17
20
44
17
18
25


32
27
446
76
78
60
45
195
34
33
34
25
40
80
25
89
22
23
35
79
28


35
23
18
99
17
90
27
157
46
24


164
22
27
15
35
26
20
31
36
49
7
37
21
34


35
29
88
31
20
38
49
51
1,097
24
236
59
36
69
25
31
32
34
20
19


36
27
462
111
82
93
43
213
30
28
34
25
26
78
15
75
22
27
19
55
43


31
18
21
97
13
95
57
148
70
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.............


75
144
17
30
54
22
49
24
48
53
98
17


47
26
29
102
63
18
25
71


14
16
17
67
15
49
79
36
80
58
62
31
51


18
15
70
11
56
7
34
36


18
30
21
22
36
351
67
28
85
30
53
123
22
126
40
37


64
126
19
36
50
25
62
12
62
56
85
14


42
21
28
70
66
23
18
62


19
12
8
86
21
43
89
39
96
48
61
30
22


14
19
75
11
40
11
39
31


12
38
25
17
44
337
55
31
60
42
48
128
26
93
44
32


51
127
4
33
40
17
54
21
63
39
94
19


30
19
16
34
34
23
9
34


26
12
8
59
14
38
61
30
116
33
75
19
44


22
9
34
7
63
8
34
26


14
42
27
18
35
281
56
29
24
30
45
117
14
79
24
26


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


0Current Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 11,541
4(B) Pneumonia-Influenza Deaths, all ages........ 529
4(C) Total Deaths under 1 Year of Age............. 627
4(D) Total Deaths, Persons 65 years and over..... 6,628


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

NOTE: All deaths by place of occurrence.




UNIVERSITY OF FLORIDA

II 3 1262 08864 055111 I 1III
3 1262 08864 0551


Morbidity and Mortality Weekly Report


INTERNATIONAL NOTES QUARANTINE MEASURES

Suspect Smallpox Peru

four cases of suspect smallpox have been reported
in Lima by the Peruvian Embassy. The first case is
believed to have been exposed in Pucallpa, Peru (near
the Brazilian border). Mandatory smallpox vaccinations
are in progress.
No cases of smallpox had been reported in Peru
during 1963, prior to the above suspect cases.

(Reported by Division of Foreign Quarantine, U. S.
Public Health Service.)



Smallpox Nepal

A total of 3,112 cases of smallpox have been re-
ported in an epidemic in Katmandu during the week ended
December 14. Only 93 cases were reported during the
period November 10 to December 7.

(Reported in the Weekly Epidemiological Record of the
World Health Organization, December 20, 1963.)




Immunization Information for International Travel
PHS 384, 1963-64 Edition

The following information should be added to the list
of Yellow Fever Vaccination Centers in Section 6:


CITY:


CENTER:


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


Sacramento, California


Sacramento County Health Department
2221 Stockton Blvd. Tel. 454-2121


0
O







0CD
o


(C
11
g
^s1


CLINIC HOURS: Wednesday 2 p.m. by appointment


FEE:


Immunization Information for International Travel
PHS 384, 1963-64 Edition

Please change the clinic hours for the Henry Ford Hos-
pital, Preventive Medicine Clinic, 2799 West Grand
Boulevard from:

Monday and Friday, 8 a.m. 3 p.m.
by appointment only.


to read:


Wednesday, 2 p.m.
by appointment only.


448


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