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:
AA00010654:00134

Related Items

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

Full Text



NATIONAL COMMUNICABLE DISEASE CE.NT
NATIONAL COMMUNICABLE DISEASE CENTER


Vol. 16, No. 10


*2i


:..4 '
<'****


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


BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTROL


CURRENT TRENDS MEASLES-1967

The total number of measles cases reported for the
0lih Neek (ending March 11. 1967) is -2,7. which exceeds
the total for the previous week by 117 but is 6(,360 less
than the 8,897 cases notified during the comparable week
of 1966. Five states reported 56 percent of the total cases:
Nlabama -175: California -235; Texas 668; iii -
115; ,- i rliion 231. New Hampshire reported 54 cases,
52 of which were delayed reports. The greatly decreased
number of reported cases of measles for the current epi-
diemiological year. compared with epidemiologic years
1965-66. 1964-65, and 1963-64, is shown in Figure 1.
Figures 2, 3, and 4 show the trends of reported mea-
sles from 1962 through the 8th week of 1967 for the East
South Central, West North Central, and East North Central
Regions, respectively. In these figures the trends shown
for the states in each of these Regions may be compared
with that of the Region as a whole. In the East South
Central and in the "'est North Central Regions, the trend
of measles has been very similar, with the epidemic year

F
32.000 REPORTED MEASLES IN
COMPARED WIT
28000 -- 1963 64
--*--. 1964 65
S 1965 66
--- 1966 -67
24.000


4 20,000


16.000
0


S2,000


8,000 .


4.000- /


('ONT IN'r
(urreon Tr'nTds
Mlosle, 1967 ...... 77
Inltrnltilonial Notes
Smnallil\ Retcilshaurg, Federal tlpuli of in(; rman. s I


1963-i4 preceded and followed by two non-epidemic cars.
In the East North Central Region, there appears to ba\ e
been two successive epidemic years followed by two non-
epidemic years. \n examination of the curves of the states
within this Region reveals that cases in Mlichigan and
Wisconsin during epidemiologic year 1962-63 largely ac-
count for the il ...... pattern of the East North Central
Region. Because of the generally known one-to-two-year
cyclic pattern of measles. 1966-67 might he expected to
be an epidemic year in all three of these Regions. There
is no indication, however, in the presently available data
that this expectation will become fact as epidemiologic
year 1966-6;7 advances.
(Reported by tie Childhood Viral Dis'eases Unit, Epi-
demiology Program, NCDC).


igure 1
THE UNITED STATES, 1966-67
*H 1963-64 TO 1965-66


- ^ -------^ .-


3 20 27
MAN


Week Ending

March 11, 1967



PUBLIC HEALTH SERVICE


,0 17 24 31 7 14 21 28 4 II 18 25 4 I 18 25 I 8 15 22 29 6
DEC JAN FEB MAR APR


4Cdc









Morbidity and Mortality Weekly Report




Figure 2
MEASLES RATES BY FOUR-WEEK PERIODS
EAST SOUTH CENTRAL REGION BY STATES, 1962-1967

EAST SOUTH CENTRAL REGION









l wl Ao .


MARCH 11. 1967


KENTUCKY


MISSISSIPPI






"'__ '" "" _A'9L


Figure 3
MEASLES RATES BY FOUR-WEEK PERIODS
WEST NORTH CENTRAL REGION BY STATES, 1962-1967


WEST NORTH CENTRAL REGION









9n A


MISSOURI








NEBRASKA



- --


SOUTH DAKOTA



19is 1I6'; e64 Ws |G 1967


ALABAMA




4000
39
60
g






i



'' .` "" "


MINNESOTA


t-Is







MARCH II, 1967


Morbidity and Mortality Weekly Report



Figure 4
MEASLES RATES BY FOUR-WEEK PERIODS
EAST NORTH CENTRAL REGION BY STATES, 1962.1967


EAST NORTH CENTRAL REGION


'WISC NONSI




?' "";





r
i.JM



*a


U4iNOiS


iA


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
10th WEEK ENDED CUMULATIVE, FIRST 10 WEEKS
MEDIAN
DISEASE MARCH 11, MARCH 12, 1962 1966 MEDIAN
1967 1966 1967 1966 1962- 1966
Aseptic meningitis .............. 28 25 25 264 283 259
Brucellosis ... .. ........ .... 6 4 5 36 38 56
Diphtheria .. .... ......... 3 2 4 28 27 42
Encephalitis, primary:
Arthropod-borne & unspecified .. ..... 21 18 --- 213 227 -
Encephalitis, post-infectious ........ ... 14 20 106 158 -
Hepatitis, serum .............. .. 43 36 9 361 222 7
Hepatitis, infectious .................... 858 700 7.825 7,152
Malaria .................. ............ 62 4 1 381 51 19
Measles (rubeola)....................... 2.537 8,897 13.880 20.161 65,953 85,605
Meningococcal infections, total .......... 76 120 83 601 946 587
Civilian ..... .................... 69 108 554 804 -
Military..............................- 7 12 --- 47 142 -
Poliomyelitis, total ...... .......... 2 1 2 11
Paralytic ...... .................. 2 1 1 7
Rubella (German measles) ............ ... 1,655 1,732 9,055 11,503
Streptococcal sore throat & scarlet fever .. 13,838 14,678 12,830 120,932 112,127 103,216
Tetanus ................... ........ 3 2 2 29 20 35
Tularemia ........................... 3 2 4 22 42 47
Typhoid fever ...................... 8 8 14 55 52 64
Typhus, tick-bome (Rky. Mt. spotted fever). 1 1 7 9 3

Rabies in animals .................. 87 84 84 778 730 722

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: Mass.-l ............... ... .. ...... 1 Rabies in man ........... .... ..
Botulism .......................................... Rubella, Congenital Syndrome .................
Leptospirosis ............... ................ .. 8 Trichinosis: Mich.-l, NJ-2............ .. .. .... 17
Plague ............................................. Typhus, marine .................. .... .......... 4
P s i tt a c o s i s .- .... . . . 7 . .. . .


>{


iNDIANA


MCHIGAN


OHIO




""


.i
'"


~v "' ~" '"~ "'* "' "; I~ 'U 'x` U '"








80 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 11, 1967 AND MARCH 12, 1966 (10th WEEK)


ENCEPHALITIS HEPATITIS

ASEPTIC Primary
AREA MENINGITIS EILOSIS U I including I ioSerum Infectious
unsp. cases Infectious
1967 1966 1967 1967 1967 1966 1967 1967 1966 1967 1966
UNITED STATES... 28 25 6 3 21 18 14 43 36 858 700

NEW ENGLAND........... 1 1 4 1 1 29 23
Maine................ 1 3 3
New Hampshire...... 1 4
Vermont.............. 3
Massachusetts...... 2 1 16 10
Rhode Island...... 1 3
Connecticut........ 1 1 6 3

MIDDLE ATLANTIC...... 2 6 4 5 25 20 130 76
New York City...... 2 2 4 3 16 11 44 24
New York, up-State. 2 43
New Jersey.......... 2 2 7 9 19 18
Pennsylvania....... 2 24 34

EAST NORTH CENTRAL... 3 2 1 1 2 1 1 1 129 166
Ohio.............. .. 1 2 34 45
Indiana ........... 9 12
Illinois........... 2 1 1 1 1 53 22
Michigan............ 1 1 27 80
Wisconsin.......... 6 7

WEST NORTH CENTRAL... 2 2 2 1 2 48 37
Minnesota.......... 2 2 -1 15 9
Iowa.................. 2 1 17 10
Missouri .......... 15 13
North Dakota.......
South Dakota .......
Nebraska........... 1 1
Kansas.............. 4

SOUTH ATLANTIC ....... 4 3 2 4 2 4 1 2 94 92
Delaware ...........
Maryland........... 3 2 1 1 17 23
Dist. of Columbia.. -
Virginia........... 1 12 23
West Virginia...... 8 11
North Carolina..... 7 7
South Carolina..... 1 4
Georgia............ .. i 29 3
Florida............. 3 2 1 1 1 15 20

EAST SOUTH CENTRAL.. 1 1 153 79
Kentucky.......... 1- 28 32
Tennessee ......... 1 1 1 18 28
Alabama............. 3 14
Mississippi........ 4 5

WEST SOUTH CENTRAL... 2 6 1 3 1 1 1 3 116 57
Arkansas........... 1 8
Louisiana.......... 1 1 1 8 7
Oklahoma ........... 1 5
Texas................ 1 5 3 1 2 102 42

MOUNTAIN .............. 63 37
Montana............
Idaho................
Wyoming............ 2 1
Colorado............7 14
New Mexico......... 23 9
Arizona............. 15 7
Utah ...............-
Nevada............. 8

PACIFIC............... 13 4 6 5 5 14 9 196 133
Washington.......... 2 2 1 22 10
Oregon.............. 28 5
California......... 11 4 4 5 5 13 8 145 106
Alaska ............. 11
Hawaii.............

Puerto Rico 1 11 27








Mlorbidity and Mortality ~Weekly Report 81


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH II 1967 AND MARCH 12, 1966 (1tth WEEK) CONTINUED



MALARIA MEASLES (Rubola) MENINGOCOCCAL NFECTIOS, POLIOMYELITIS RUBELLA
AREA Total Paralyt i-
Cumulative Cumulative Tota Prlyt.
Cum.

UNITED STATES... 62 2,537 20,161 65,953 76 601 946 1 1,655

NEW ENGLAND.......... 2 10 161 822 6 23 52 118
Maine............... 24 106 1 5 19
New Hampshire...... 2 2 11 7 1
Vermont............. 21 161 1 -
Massachusetts...... 1 5 71 308 6 12 21 51
Rhode Island....... 1 20 47 3 2
Connecticut ........ 3 23 189 10 15 45

MIDDLE ATLANTIC ..... 6 74 687 9,265 8 78 104 1 43
New York City...... 13 111 4,555 2 14 18 1 27
New York, Up-State. 1 4 158 1,042 2 22 22 15
New Jersey.......... 4 22 169 971 2 31 35
Pennsylvania....... 1 35 249 2,697 2 11 29 1

EAST NORTH CENTRAL... 205 1,701 26,660 7 55 142 232
Ohio............... 34 278 1,691 5 22 36 12
Indiana............. 13 202 1,776 5 18 25
Illinois........... 41 215 5,807 2 11 33 20
Michigan.......... 50 374 3,946 12 42 79
Wisconsin.......... 67 632 13,440 5 13 96

WEST NORTH CENTRAL... 134 940 2,792 3 30 51 111
Minnesota.......... 13 42 849 5 10 7
Iowa............... 11 166 1,160 2 5 10 101
Missouri............ 6 21 180 1 9 18 -
North Dakota....... 81 379 566 3 3
South Dakota....... 19 35 2 4 1
Nebraska........... 4 297 35 6 3 -
Kansas.............. NN NN NN 1 6

SOUTH ATLANTIC ...... 33 331 2,177 5,005 9 113 159 203
Delaware........... 4 20 68 1 5 3
Maryland............. 1 2 39 901 14 17 85
Dist. of Columbia.. 6 255 2 -
Virginia........... 3 115 585 381 11 16 32
West Virginia...... 46 458 2,091 1 12 7 7
North Carolina..... 7 76 522 56 1 26 36
South Carolina..... 1 13 43 252 1 8 25 32
Georgia............ 21 9 125 2 13 24
Florida............ 75 495 876 3 24 32 44

EAST SOUTH CENTRAL... 293 2,690 7,815 4 61 86 148
Kentucky........... 37 883 2,724 2 18 46 105
Tennessee.......... 64 796 4,267 2 28 21 39
Alabama............. 175 561 566 9 15 4
Mississippi........ 17 450 258 6 4

WEST SOUTH CENTRAL... 2 761 6,560 5,598 16 103 146 31
Arkansas............. 1 12 1,112 102 4 8 9
Louisiana.......... 1 9 39 47 6 42 50 -
Oklahoma........... 72 987 102 1 5 5
Texas............... 668 4,422 5,347 5 48 82 31

MOUNTAIN ............. 8 219 1,336 3,204 3 16 32 221
Montana............ 3 170 515 2 7
Idaho.............. 7 133 432 1 1 -
Wyoming............ 12 46 1 -
Colorado........... 8 78 304 323 1 7 19 126
New Mexico............ 26 202 77 3 4 -
Arizona............ 67 293 1,705 1 2 4 86
Utah............... 18 79 99 I 2
Nevada............... 20 143 7 1 2 1 -

PACIFIC............... 11 510 3,909 4,792 20 122 174 548
Washington......... 1 231 1,992 1,198 1 8 10 163
Oregon.............. 38 486 405 10 6 57
California......... 10 235 1,321 3,137 19 102 148 315
Alaska............. 5 64 18 2 8 3
Hawaii.............. 1 46 34 2 10
,,-Pu to Ri 1151 618 757 7 1 -





___ I ___ I __


er








82 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 11, 1967 AND MARCH 12. 1966 (10th WEEK) CONTINUED

STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE RABIES IN
AREA SCARLET FEVER (Rky. Mt. Spotted) ANIMALS
1967 1967 Cum. 1967 Cum. 1967 Cum. 1967 Cum. 1967 Cum.
1967 1967 1967 1967 1967
UNITED STATES... 13,838 3 29 3 22 8 55 1 7 87 778

NEW ENGLAND .......... 2,118 3 12
Maine.............. 115 2 4
New Hampshire...... 28 1 3
Vermont............. 56 5
Massachusetts...... 372 -
Rhode Island....... 92
Connecticut........ 1,455 -

MIDDLE ATLANTIC...... 652 3 8 1 17
New York City...... 32 2 6 -
New York, Up-State. 485 i 10
New Jersey......... NN
Pennsylvania....... 135 1 1 1 7

EAST NORTH CENTRAL... 1,804 1 2 1 4 3 1 1 6 56
Ohio............... 222 1 1 1 3 25
Indiana............. 469 1 1 14
Illinois........... 295 1 2 1 3 1 9
Michigan........... 561 1 1
Wisconsin.......... 257 1 1 7

WEST NORTH CENTRAL... 749 1 1 7 2 12 184
Minnesota.......... 14 1 5 46
Iowa............... 290 1 1 2 17
Missouri........... 7 3 2 41
North Dakota....... 279 3 38
South Dakota....... 20 2 22
Nebraska........... 5 8
Kansas............. 134 3 12

SOUTH ATLANTIC....... 1,401 1 5 1 4 1 5 4 11 97
Delaware........... 28 -
Maryland........... 226
Dist. of Columbia.. -
Virginia........... 392 2 1 6 49
West Virginia...... 417 1 1 1 15
North Carolina..... 66 1 2 1 3 1
South Carolina..... 7 2 -
Georgia............ 15 1 1 5 20
Florida............ 250 1 1 2 12

EAST SOUTH CENTRAL... 1,638 1 9 2 4 8 1 30 210
Kentucky........... 225 4 4 3 40
Tennessee.......... 1,223 1 5 2 1 1 27 164
Alabama............ 123 3 3 5
Mississippi....... 67 1 1

WEST SOUTH CENTRAL... 1,076 3 1 2 16 16 137
Arkansas.......... 1 3 28
Louisiana.......... 2 11 3 15
Oklahoma............ 91 1 3 25
Texas .............. 983 3 1 2 10 69

MOUNTAIN ............. 2,169 4 1 3 15
Montana............ 74 1 I I
Idaho.............. 79 -
Wyoming............ 90 -
Colorado........... 1,138 1 1 1 -
New Mexico......... 395 5
Arizona............ 216 1 10
Utah............... 162 2 -
Nevada ............. 15 -

PACIFIC .............. 2,231 6 10 1 8 50
Washington......... 596 -
Oregon ............. 74 1 1
California.......... 1,390 5 9 1 7 49
Alaska................ 133 -
Hawaii ............. 38 1 1

Puerto Rico.......... 13 1 2 3 1 5








Morbidity and .Mortality Weeklh Report


DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED MARCH II. 1967


(By place of occurrence and week of filing certificate. Excludes fetal deaths)

All Causes Pneumonia Under All Causes Pneumonia Under
Area All 65 years and 1 year Area All 65 years and 1 year
Ages and over Influenza All Ages and ove Influenza All
Ages ano All Ages Causes Ages and ovr All Ages Causes
Inlunz I l


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.--------


*Estimate based on average percent of divisional total.


797
243
48
34
38
63
18
24
28
70
62
16
46
39
68

3,572
64
58
147
50
35
51
72
115
1,756
49
585
184
52
100
28
41
71
43
33
38

2,768
76
30
690
193
247
130
83
384
54
65
47
8
70
167
39
152
53
39
25
145
71

843
48
20
46
131
26
134
80
257
61
40


489
144
29
28
23
33
11
17
22
34
38
10
27
27
46

2,109
37
36
85
31
21
31
37
59
1,038
25
334
115
31
66
15
25
43
31
23
26

1,671
51
23
391
136
146
83
52
225
40
29
33
5
47
99
22
90
31
22
17
89
40

525
33
15
31
81
19
84
46
149
44
23


SOUTH ATLANTIC:
Atlanta, Ga.-----------
Baltimore, Md.---------
Charlotte, N. C.-------
Jacksonville, Fla.-----
Miami, Fla.------------
Norfolk, Va.-----------
Richmond, Va.----------
Savannah, Ca.-----------
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.----------

Total


Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 131,452
All Causes, Age 65 and over------------------- 76,013
Pneumonia and Influenza, All Ages------------- 5,397
All Causes, Under 1 Year of Age--------------- 6.689


Week No.
10


1,191 61
135 6
241 11
47 2
116 5
100 5
51 2
75 4
35 1
82 6
77 4
191 9
41 2

651 36
108 6
58 3
47 3
94 5
166 71
38 1
48 2.
92 6

1,169 61'
51 31
45 2
26 11
157 8;
30 11
80 4!
211 91
56 31
166 7(
97 5(
130 61
34 21
86 5:

452 256
45 2C
27 17
113 62
21 12
103 55
30 19
49 29
64 41

1,551 926
34 25
40 17
36 28
51 26
86 51
499 300
75 42
38 27
98 59
51 31
107 55
196 116
36 25
105 57
57 42
42 25

12,994 7,569


4
1

1

45

1
2
2
4
8
3

3

4
9
1
6
1


542















INTERNATIONAL NOTES
SMALLPOX Regensburg, Federal Republic of Germany


An imported case of smallpox in Regensburg. a city of
125,000 in the state of Bavaria. was reported to the World
Health Organization by the West German Federal Ministry
of Health on March 11, 1967. The infection has occurred in
a 58-year-old German woman who manages a toy shop in
Regensburg. She had been on vacation in India with a tour
group during the first weeks of February. The last 3 days
before her return to Germany had been spent in Bombay, an
area declared by WHO as locally infected with smallpox.
On February 20, she began her return trip home, arriv-
ing February 22. She remained in good health until March 2
when she complained of feeling indisposed. On March 4
she became febrile and complained of severe headache and
aching of her limbs. On March fi she consulted a physician
who made the diagnosis of a flu-like illness. On March 8,
4 days after the onset of fever, the patient noted a skin rash.
By March 10, she had been hospitalized and a diagnosis
of smallpox, fulminating type with secondary hemorrhage,
had been presumptively confirmed by electronmicroscopic
visualization of pox\irus particles in scrapings made from
vesiculo-pustular skin lesions. Similar lesion material
inoculated on the chorio-allantoic membrane of embryonated
eggs was reported positive for variola virus on March 13,
confirming the presumptive findings. All diagnostic stu-
dies have been performed at the Bavarian Vaccine Institute
laboratories under the direction of Professor A. Herrlich.
The patient is isolated at the Regensburg Hospital
where she remains critical ill. She reportedly had been
vaccinated as a child and revaccinated 2 years ago when
she made another trip abroad; however, examining physi-
cians have not been able to discern an old primary vacci-
nation scar or locate a certificate of vaccination.
A total of 119 persons have been quarantined in a
local school. They include all known face-to-face contacts
since March 2 and all persons living in the eight apart-
ments of the 3-story building where the patient resides
and has her shop. As of March 14, no secondary cases
have been reported.
A total of 16,000 persons have been vaccinated in
Regensburg; eight of the initial 11 vaccination stations
opened on March 11 remain active. Vaccine supplies are
ample to provide for all exigencies.
All 35 air travelers on her return flight from Bombay
have been located in Germany, France, and Switzerland
and their local health authorities notified. None of these
persons nor any contacts of the patient in Regensburg are
known to have subsequently traveled to the United States.
Regensburg is to be considered a noninfected local
area as the one case is an importation from India.
(Compiled from telegraphic report of March 12, 1967, from
WHO; Dr. Huston K. Spangler, MOC, PHS Foreign Quar-
antine Program, American Consulate, Munich, Germany.)


THE MORBIDITY AND MORTALITY WEEKLY REPC'i i r r : -r-. r L
TION OF 17,000" IS PUBLISHED AT THE NATI r .L : ,""'.'I.: AoiL
DISEASE CENTER. ATLANTA. GEORGIA.
DIRECTOR. NATIONAL COMMUNICABLE DISEASE : i'E
CHIEF, EPIDEMIOLOGY PROGRAM i.- *:*i MC,
ACTING CHIEF, STATISTICS SECTION *,C L -"'lM N M
IN ADDITION TO THE ESTABLISHED PROCEDU .-: ." :, T CI
MORBIDITY AND MORTALITY, THE NATIONAL CO"*'. :- L u 1:
CENTER WELCOMES ACCOUNTS OF INTERESTING '. : : .
INVESTIGATIONS WHICH ARE OF CURRENT INlT I: : .
OFFICIALS AND WHICH ARE DIRECTLY RELATED T : ; :
COMMUNICABLE DISEASES. SUCH COMMUNIC- T rj.; -C B
ADDRESSED TO:
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY T-, I
NATIONAL COMMUNICABLE DISEASE ': i.
ATLANTA, GEORGIA 30333
NOTE: THE DATA IN THIS REPORT ARE PF -. -L C,
BASED ON WEEKLY TELEGRAMS TO THE NCDC TE 'NC. .l-,UiL
STATE HEALTH DEPARTMENTS. THE REPORTING: ,i-" : _'~ Lu E:
ON SATURDAY; COMPILED DATA ON A NATIONAL '_: '-i".c-
ON THE SUCCEEDING FRIDAY.










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UNIVERSITY OF FLORIDA

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