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:
AA00010654:00149

Related Items

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

Full Text


NATIONAL COMMUNICABLE DISEASE CENTER
NATIONAL COMYUNICABLE DISEASE CENTER


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


Vol. 17, No. 8


WEKi.Y




Week Ending
February 24, 1968




PUBLIC HEALTH SERVICE


BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTROL


EPIDEMIOLOGIC NOTES AND REPORTS
POLIOMYELITIS Texas

For the week ending February 24, 1968. three cases
of paralytic poliomyelitis were reported from Texas. These
cases plus an additional paralytic case subsequently
notified to the state are all from Hidalgo County (South-
eastern Texas). Three patients resided in the city of Pharr
(1967 population estimate 16,304) and one was from the town
of Hidalgo (population 1,078). All caseswere in previously
unimmunized children less than 2 years of age. Dates of
onset were between January 30 and February 11, 1968.
There has been one fatality.
No virus isolations have been made to date; however.
preliminary serologic results on specimens from three


patients indic epI etiolg, -jh 'si-e immuniza-
tion of I.. ,... ,/ .i1 'J unity utilizing
vaccinee -,1,. ..I Ir... .. Stockpile will
begin on Friday, March 1. 1968.
(Reported by Dr. M. S. Dickerson, Epidemiologist. Texas
State Department of Health.)


TABLE I. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Totals include revised and delayed reports)
8th WEEK ENDED CUMULATIVE, FIRST 8 WEEKS
MEDIAN
DISEASE FEBRUARY 24, FEBRUARY 25, 1963 1967 MEDIAN
1968 1967 1968 1967 1963 1967
Aseptic meningitis ... ................ .. 22 20 26 207 217 217
Brucellosis ............................ 1 2 5 7 25 30
Diphtheria. ............................. 3 2 5 15 24 28
Encephalitis, primary:
Arthropod-borne & unspecified ........... 14 26 113 173 -
Encephalitis, post-infectious ............. 2 5 --- 60 73 -
Hepatitis, serum ........................ 67 29 8 520 281 6,
Hepatitis, infectious ......... .......... 894 783 6,438 6,146
Malaria ........................ .. ..... 54 35 2 360 263 18
Measles rubeolaa) ............. .......... 593 2,759 9,531 4,132 16.051 59,109
Meningococcal infections, total .......... 92 54 70 666 464 464
Civilian ...................... :....... 72 53 --- 617 437
Military ............... ... ............. 20 1 -- 49 27 -
Mumps ................................. 5,352 37,851
Poliomyelitis, total ............ .:...... 3 3 1 2
Paralytic ....................... ...... 3 3 1 2
Rubella (German measles) ............... 1,119 973 5,648 6,191 -
Streptococcal sore throat & scarlet fever.... 11,636 12.333 11,828 90,364 92,496 84.360
Tetanus ................................ 4 4 13 25 26
Tularemia .............................. 2 2 3 14 19 38
Typhoid fever ........................... 1 3 6 26 41 41
Typhus, tick-borne (Rky. Mt. spotted fever) 3 6 6
Rabies in animals ....................... 72 83 83 557 591 573

TABLE II. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ......................................... Rabies in man: ..................................... -
Botulism: ......................................... Rubella, Congenital Syndrome:......................... 1
Leptospirosis: ...................................... 2 Trichinosis: ....................................... 6
Plague: ......................................... Typhus, murine: ..................................... 2
Psittacosis: ....................................... 5
*Delayed report: Okla. 1 case 1967







Morbidity and Mortality Weekly Report


EPIDEMIOLOGIC NOTES AND REPORTS
MEASLES Chicago, Illinois


Betr1 e n October 1. 1967. and F'eruary -i1. 196ti. the
( hicaio Board of Ihealh rn'ported h"2' c-as- of mea,-le.
( ii"gure 1). Tht increa-. In tlh n lumber of reported icase
hlan in early October :lad ontinued into Dcri her
'.11l'q l V \ol, 17. No. 5). For the past (; veek-. caL- ro-
port- haI e lcv Ilted off to aippro\iniately 57 per \\eck. The
ak incidence e o f 13( cae--. report'tl for the \\rek endlintg
S.ianuar 1 3 ma\ repri-c- nl. in part. delaY i t reports from
the holilda -.eason. Proliiinary data recording actual
datet- of onset indicate that a peak of such mai:niude i-
proliba ly artifal ual.

Figure 1
MEASLES CASES BY WEEK OF REPORT
CHICAGO, ILLINOIS
OCTOBER 1, 1967 THROUGH FEBRUARY 24, 1968
A tlEO C Mr US s a EicTo coMMuSe V A" s I
T. E 7r Ofl .. ,,


Table 1
Reported Cases of Measles with Age and Race Known
Chicago, Illinois October 1, 1967, through January 31, 1968


A~e G(roup
(Years)
Under 1
1 4
- & o\ er

TOTAL


Percnlt of
lhite Non -hile Tolal Total
lI 92 10(1 I .1
6tis 2 311 55.6
53 95 14S 26.3
131 4 32 563t 100.0


preschool children was documented. This occurred in
several high-rise urban renewal apartment buildings where
a- many a- six or more children of working mother- are
cared for Li olher Nwxomen.
On February 15. Il. 19. and 20t. 196iS. an epidemic
control program was conlducled in all 334 public and paro-
chial elementary schools located in the 21 community
areas of Chicago which reported four or more cases of
masle-s during January 1961N. A. total of 35.242 children
in kindergarten through thee third grade(as well asi affiliated
Head Start programs) were iiimnunized hy personnel from
the (hicago Board of Health and a team of 3: FIS Officers
and Public Health A\dtisors from NCDC. Measles atccine
was supplied from the NCDC Epidemic Stockpile. Vaccine


Figure 2
CHICAGO, ILLINOIS COMMUNITY AREAS
INTENSIVE SCHOOL MEASLES IMMUNIZATION AND
SPECIAL EPIDEMIOLOGIC INVESTIGATION
FEBRUARY 1968


OCT Ov ..EC
.cc. MI.


Although cases occurred throughout all of Chicago.
the largest concentration was noted in several lo wer socio-
economic areas. Of Chicago's 76 community areas, five
areas. containing 12 percent of the 19(60 population. ac-
counted for 36(i (45 percent) of the S25 reported cases.
Careful epidemiologic in\esticalion in these five com-
munity areas resulted in the recognition of approximately
200 additional case(i which ha\e not yet been reported.
\ge and race data for 563 of Ithe 631 cases reported from
October 1967 through January 1!)9ih are presented in Table 1.
Of the 563 cases, 115 cases (74 percent) occurred in chil-
dren less than 5 years of age: of the 14h cases in children
age 5 years or older. 130 were in children between 5 and
h years of age. Non-w whites account for 76 percent of the
case-. and in this group. 21 percent of the cases were in
children less than 1 year of age.
Detailed epidemiologtic inxe-tigations of cases from
the fi\e community areas of highest incidence (Figure 2)
showed the time course of the epidemic to parallel that of
the city a-s a whole. With the addition of unrecorded cases
in these areas the age distribution in these areas differed
from that for the entire city. In these five community areas,
.40 percent of all recognized case-s occurred in school age
children. In at lhast one of these areas, spread among


I:I' RI'U IRY 24 1968


JAN rEI











is continuing to be administered in schools in other areas
by the Chicago Board of Health. An additional 3,379 doses
of vaccine were given by the Board of Health at special
clinics for preschool children conducted in areas of high
reported incidence on February 17 and 18, 1968.


(Reported by Samuel L. Andelman. 4M.D.. tl.P./I.. C'ommix-
sioner of lIealth, William I. Fi.shbein, 11.).. fildi, al Direc-
tor, Bureau of Health Servric, c and Ilyman ; Orbach,
Ph.D., Epidemiiologist. ('hicao Board of lealh; and a
team from \('Dl).)


PRELIMINARY SUMMARY
ENCEPHALITIS 1967


For 1967, a total of 1,561* cases of primary encepha-
litis and 759 cases of post-infectious encephalitis were
reported to NCDC. In 1966. primary and post-infectious
totals were 2,177 and 713 cases, respectively. The 1967
total of 2,320 cases represents the lowest total number
of encephalitis cases reported since 1963. Post-infectious
encephalitis showed similar seasonal distribution in 1966
and 1967; however, the prominent summer peak of primary
encephalitis noted in 1966 and r. fl.. i -.. in part, outbreaks
of arbovirus encephalitis, is absent in 1967 (Figure 3).
The etiologic agents responsible for the 99 cases of
post-infectious encephalitis reported'in the fourth quarter
of 1967 are enumerated in Table 2. Reported measles en-
cephalitis by quarter. 1964-1967, is tabulated in Table 3.
During the 4th quarter of 1967. no measles encephalitis
cases were reported. This is the only quarter, since this
form of reporting began in 1964, in which no measles
cases encephalitis were reported.


*Numbers of cases of primary and post-infectious encephalitis
reported in this article nre preliminary data.


Table 2
Reported Cases of Post-Infectious Encephalitis
Fourth Quarter of 1966 and 1967 (Weeks 40-52)

Etiology
Other
Mumps Measles Chickenpox Specified Total

1966 87 7 7 7 10b
1967 90 0 2 7 99


Table 3
Reported Cases of Measles Encephalitis
By Quarter, 1964-1967

1st 2nd 3rd 4th
Quarter Quarter Quarter Quarter Total
Week Nos. 1-13 14-26 27-39 40-52

1964 28 123 22 9 182
1965 31 29 24 12 96
1966 62 67 30 8 167
1967 17 13 9 0 39

(Reported by Viral Diseases Section, Neurotropic Viral
Diseases Unit, and Statistics Section. NCDC.)


Figure 3
REPORTED CASES OF
PRIMARY AND POST-INFECTIOUS ENCEPHALITIS
1966-1967


TOTAL
-------- PRIMARY
- -- POST-INFECTIOUS


- -, ---.....


FEBRUARY 24, 1968


Morbidity and Mortality Weekly Report


600-



S500-
0
0
w
a.
W 400-
w



m 300-
U)


200-
0
W

2 100-

-


-I-


4 8 12 16 20 24 28 32 36 40 44 48 521 4 8 12 16 20' 24 28 32 36 40' 44 48 52
J F M A M J J A S O N D J F M A M J J A S O N D
1966 1967








7" Itrbliility and Mortality Weekly Report


1 ABI. III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
FEBRUARY 24, 1968 AND FEBRUARY 25, 1967 (8th WEEK)


ENCEPHALITIS HEPATITIS
ASEPTIC Pr imary
AREA Nc lading MPos- ALARIA
A.RiEA f TIN S """l-l>-'S is lu g Infectious Serum Infectious
unsp. cases


UNITED STATES... 22 20 1 3 14 26 2 67 894 783 54

NEW ENGLAND.......... 3 4 41 47
Maine............... -. *4 4
New Hampshire .....
V rmont............ 1
Massachusetts......... 1 6 20
Rhode Island....... 3 *19 7
C necticut........ 3 11 16

MIDDLE ATLANTIC...... 4 2 5 22 119 101 6
New York City...... 4 17 52 33 2
New York, up-State. 1 1 2 *27 29
New Jersey.......... 2 3 20 9 1
Pennsylvania....... 1 1 I 20 30 3

EAST NORTH CENTRAL... 1 1 7 2 148 111 2
Ohio............... I 5 47 26 1
Indiana............ I 20 9
Illinois............ 35 30
Michigan........... 1 1 1 32 34 1
Wisconsin .......... 1 14 12

WEST NORTH CENTRAL... 2 1 1 1 2 1 63 83
Minnesota .......... 2 5 10
Iowa................ 2 17 12
Missouri .. ........ 35 56 *-
North Dakota....... -
Fouth nia'ta .....-. 2
Nebraska........... 1 1
Kansas............. 1 5 2

SOUTH ATLANTIC ....... 5 2 3 4 1 3 83 94 23
Delaware ........... 1 4 1
Maryland.............. 1 1 12 20 1
Dist. of Columbia.. 1 1 1 2
Virginia.............. 2 7 10 3
West Virginia...... 10 11 -
North Carolina..... 1 1 11 19 14
South Carolina....
Georgia.............. 2 29 19 4
Florida ............ 8 12 1

EAST SOUTH CENTRAL... 2 6 1 1 65 60 15
Kentucky........... I 26 27 15
Tennessee............ 3 1 28 19
Alabama........... 3 13 4
Mississippi........ 8 10 -

WEST SOUTH CENTRAL... 4 6 1 135 86 2
Arkansas ........... 4 5 6
Louisiana ......... 20 8
Oklahoma............ .. 2 *2 1 *34 13 *2
Texas ............... 2 76 59

MOUNTAIN ............ 51 48 2
Montana............ 7
Idaho................4 14
Wyoming............ 4
Colorado........... 9 5 2
New Mexico......... 13 14
Arizona.............. 8 7
Utah ............... 10 4
Nevada ............

PACIFIC............... 8 6 3 3 -35 189 153 4
Washington......... 1 1 11 35 -
Oregon............... 14 15 -
California ......... 5 4 2 3 35 161 103 2
Alaska ............ 2
Hawaii.............. 2 2 1 2


Puerto Rico........... -- I 19 20


* Delayed Reports: Aseptic meningitis: Okla. 3 cases 1967
Encephalitis, primary: Okla. 1, 19 cases 1967
Hepatitis infectious: Me. 2, R.I. 7, N.Y. Upstate 1
Malaria: Mo. 26 cases 1967, Okla. 1


case 1967, Okla. 8, 8 cases 1967








Morbidity and Mortality Weekly Report 73


TABLE II1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 24, 1968 AND FEBRUARY 25, 1967 (8th WEEK) CONTINUED


MEASLES (Rubeola) MENINGOCOCCAL INFECTIONS, MUMPS POLIOMYELITIS RUBELLA
TOTAL
AREA Total Paralytic
AREA Cumulative Cumulative Total Paralytic

1968 1968 1967 1968 1968 1967 1968 1968 1968 1968 1968
UNITED STATES... 593 4,132 16,051 92 666 464 5,352 3 3 3 1,119

NEW ENGLAND.......... 35 187 177 5 35 16 597 201
Maine............... 7 8. 2 1 *38 *5
New Hampshire...... 12 28 48 2 *11 3
Vermont............ 5 16 1 34 3
Massachusetts...... 13 96 66 3 16 6 382 78
Rhode Island....... 1 20 *2 4 40 *42
Connecticut........ 10 50 19 10 9 92 70

MIDDLE ATLANTIC...... 46 473 563 18 91 59 200 112
New York City...... 22 91 88 13 30 11 77 29
New York, Up-State. 17 249 133 2 6 18 NN 22
New Jersey.......... 5 88 150 3 26 22 123 60
Pennsylvania....... 2 45 192 29 8 NN 1

EAST NORTH CENTRAL... 163 1,139 1,287 5 66 45 2,000 339
Ohio................ 7 98 207 2 17 15 121 56
Indiana............. 49 166 163 1 10 5 204 33
Illinois........... 51 526 140 11 9 439 116
Michigan........... 9 70 280 2 22 12 673 59
Wisconsin.......... 47 279 497 6 4 563 75

WEST NORTH CENTRAL... 10 106 729 1 29 24 528 63
Minnesota............ 2 28 5 5 16 -
Iowa................ 4 37 117 1 3 3 463 53
Missouri........... 2 6 15 4 7 6 -
North Dakota....... 3 41 264 1 33 9
South Dakota....... 3 15 3 3 NN -
Nebraska........... 1 10 290 1 5 10 1
Kansas............. 7 NN 12 1 -

SOUTH ATLANTIC....... 47 324 1,654 20 150 91 255 42
Delaware........... 15 4 7 -
Maryland............ 8 28 28 9 13 58 12
Dist. of Columbia.. 4 4 3 9 -
Virginia........... 16 58 427 12 11 19 4
West Virginia...... 8 79 373 3 11 80 14
North Carolina..... 4 37 402 6 34 18 NN -
South Carolina..... 1 13 24 11 33 5 1 -
Georgia ............ 2 9 2 19 11 1 -
Florida............. 10 103 372 1 37 18 80 12

EAST SOUTH CENTRAL... 23 92 2,206 8 52 50 297 66
Kentucky............ 14 39 798 6 18 14 98 27
Tennessee.......... 15 669 14 23 148 32
Alabama............ 4 19 334 *2 9 8 *47 7
Mississippi........ 5 19 405 11 5 4 -

WEST SOUTH CENTRAL... 145 963 5,554 26 169 77 340 3 3 3 55
Arkansas........... 905 2 9 1 -
Louisiana.......... 1 28 5 41 31 1
Oklahoma............ *11 47 1,622 *11 35 3 *8 -
Texas............... 134 915 2,999 8 84 42 332 3 3 3 54

MOUNTAIN............. 38 177 961 6 13 315 36
Montana............ 9 161 1 17 6
Idaho............... 1 7 107 2 1 26 1
Wyoming............. 2 26 12 4 -
Colorado............ 26 71 196 2 6 169 17
New Mexico......... 23 143 3 34 2
Arizona ............ 9 38 174 1 1 64 6
Utah................ 1 45 1 1 4
Nevada.............. 2 123 -

PACIFIC.............. 86 671 2,920 9 68 89 820 -- -205
Washington.......... 19 205 1,593 3 12 6 335 61
Oregon.............. 15 163 394 5 8 48 27
California.......... 52 283 844 6 49 73 399 92
Alaska.............. 59 2 25 23
Hawaii.............. 20 30 1 2 13 2

Puerto Rico.......... 13 55 436 3 6 5 17 3

* Delayed Reports: Measles: Okla. 6
Meningococcal infections: R.I. 2, Ala. 2, Okla. 7, 1 case 1967
Mumps: Me. 10, N.H. 2, Ala. 1, Okla. 2
Rubella: Me. 1, R.I. 28







7,1 Morbidity and Mortality Weekly Report


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 24, 1968 AND FEBRUARY 25, 1967 (8th WEEK) CONTAINED


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE RABIES IN
AREA SCARLET FEVER (Rky. Mt. Spotted) ANIMALS
Cum. Cum. Cum. Cum. Cum.
1968 1968 1968 1968 1968 1968 1968 1968 1968 1968 1968
UNITED STATES... 11,636 13 2 14 1 26 3 72 557

NEW ENGLAND.......... 1,924 2 4 11
Maine....... ...... *39 4 11
New Hampshire...... 48
Vermont ............ 13
Massachusetts ...... 294 -
Rhode Island....... *128
Connecticut........ 1,402 1

MIDDLE ATLANTIC...... 346 5 5 1 4
New York City...... 21 3 4 4
New York, Up-State. 285 2 1 1 3
New Jersey.......... NN -
Pennsylvania....... 40 1

EAST NORTH CENTRAL... 1,303 2 1 2 4 6 35
Ohio............... 271 -- 4 3 18
Indiana............ 336 6
Illinois........... 204 1 1 1 4
Michigan.......... 226 1 1 1 3
Wisconsin.......... 266 2 4

WEST NORTH CENTRAL... 742 1 4 2 16 111
Minnesota.......... 36 2 27
Iowa ................ 209 6 28
Missouri............ 28 1 2 2 3 27
North Dakota........ 99 3 19
South Dakota ....... 35 I -
Nebraska............ 177 1 5
Kansas... ......... 158 1 1 5

SOUTH ATLANTIC....... 1,189 1 3 4 2 9 67
Delaware........... 26 -
Maryland........... *463 1 -1 1
Dist. of Columbia.. -
Virginia........... 404 1 1 2 3 35
West Virginia...... 2 8
North Carolina..... 28 2 1 2
South Carolina..... 46 -
Georgia............. 22 1 1 1 5
Florida............. 200 2 16

EAST SOUTH CENTRAL... 1,724 1 1 3 4 1 15 182
Kentucky........... 118 1 1 9 76
Tennessee........... 1,453 2 4 6 98
Alabama............ 79 1 8
Mississippi........ 74 1 -

WEST SOUTH CENTRAL... 931 1 1 2 15 110
Arkansas........... 12 3 9
Louisiana.......... 2 1 5 16
Oklahoma........... 67 1 1 2 33
Texas.............. 850 1 5 52

MOUNTAIN.............. 1,872 2 6
Montana............ 63 -
Idaho .........
Wyoming............. *335
Colorado........... 1,168 1 -
New Mexico......... 177 1 1
Arizona............ 86 5
Utah............... 43 1
Nevada ........

PACIFIC............. 1,605 2 3 6 31
Washington......... 408 -
Oregon.............. 153 -
California......... 923 2 3 6 31
Alaska ............. 38 -
Hawaii ............. 83 -

Puerto Rico.......... 8 1 3

* Delayed Reports: SST: Me. 10, R.I. 2, Md. 79, 56 cases 1967, Wyo. 193








Morbidity and Mortality Weekly Report






TABLE IV. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED FEBRUARY 24, 1968

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


All Causes Pneumonia Under All Causes Pneumonia Under
Area All 65 year and year Area All 65 years and yea
Age and over Influenza All Ages and ver Influenza All
All Ages Causes All Ages Causes


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.------


704
226
43
30
30
54
23
15
31
40
50
16
49
29
68

3,326
37
42
131
45
25
48
70
78
1,705
41
492
185
63
138
21
41
49
42
36
37

2,577
68
46
732
165
213
142
80
344
44
57
36
55
38
143
41
129
34
32
29
84
65

730
45
25
25
133
10
100
60
227
59
46


435
125
26
20
17
30
17
13
21
26
34
13
25
18
50

2,018
23
30
79
24
17
33
41
34
1,028
25
291
111
45
82
17
29
32
26
26
25

1,481
36
27
404
95
110
89
45
198
30
30
23
20
26
82
20
83
24
16
20
58
45

452
40
13
15
95
7
56
39
125
39
23


*Estimate based on average percent of divisional total.


SOUTH ATLANTIC:
Atlanta, Ga.-----------
Baltimore, Md.---------
Charlotte, N. C.-------
Jacksonville, Fla.-----
Miami, Fla.------------
Norfolk, Va.-----------
Richmond, Va.-----------
Savannah, Ga.----------
St. Petersburg, Fla.---
Tampa, Fla.------------
Washington, D. C.------
Wilmington, Del.-------

EAST SOUTH CENTRAL:
Birmingham, Ala.--------
Chattanooga, Tenn.-----
Knoxville, Tenn.--------
Louisville, Ky.--------
Memphis, Tenn.---------
Mobile, Ala.-----------
Montgomery, Ala.-------
Nashville, Tenn.-------

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

MOUNTAIN:
Albuquerque, N. Mex.---
Colorado Springs, Colo.
Denver, Colo.----------
Ogden, Utah------------
Phoenix, Ariz.---------
Pueblo, Colo.----------
Salt Lake City, Utah---
Tucson, Ariz.-----------

PACIFIC:
Berkeley, Calif.-------
Fresno, Calif.---------
Glendale, Calif.-------
Honolulu, Hawaii-------
Long Beach, Calif.----
Los Angeles, Calif.----
Oakland, Calif.--------
Pasadena, Calif.-------
Portland, Oreg.--------
Sacramento, Calif.----
San Diego, Calif.------
San Francisco, Calif.--
San Jose, Calif.-------
Seattle, Wash.---------
Spokane, Wash.--------
Tacoma, Wash.--------"--


1,206
140
232
54
85
118
78
65
34
103
72
189
36

611
112
48
42
127
100
44
36
102

1,186
42
53
19
165
32
77
243
81
171
89
93
60
61

436
40
24
128
17
101
24
52
50

1,664
17
37
34
54
63
548
91
55
107
58
104
174
37
173
68
44


642
65
123
22
44
70
36
37
16
85
33
90
21

335
69
21
25
71
53
17
22
57

618
26
32
9
82
19
38
119
44
92
45
46
32
34

245
21
16
75
12
46
19
28
28

1,038
11
20
26
24
42
353
58
41
61
30
63
100
23
107
44
35


Total 12,440 7.264 542 560

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages -------------------------114,565
All Causes, Age 65 and over------------------- 68,831
Pneumonia and Influenza, All Ages------------- 6,799
All Causes, Under 1 Year of Age--------------- 4,898


Week No.
8












CURRENT TRENDS
MEASLES United States


lf) 0 rh 1h 1-e('ck -period. J11nuary :' i2 hrouih Fl b-
ru:r1 2 t, !>(s (w >k\ .-k ). .31, ca ->s of !-le.-'s were
re*()rt i lo N (`') Thhi i an inrcra- c of w(tib cas-e- oler
Ih' pr < (inr w e1 k piril., lIut is only) JS percent of the
i). 11-(1 rai-'~ r'port(ld f fuor Iho omiparoahll 4 weeks in 1967
( igcluro |). 'r i' ,ittrni of1 n gradual in hr of ca-' s in the l-eek periods is continuing.


Figure 4
REPORTED CASES OF MEASLES BY 4-WEEK PERIODS
UNITED STATES
EPIDEMIOLOGIC YEAR 1967-68, COMPARED WITH 1966-67


FEIBRIAR 24. 1968 __
-I


THE MORBIDITY AND MORTALITY WEEKLY REPORT WITH A CIRCULA
TION OF !7 000, IS FP. 1 HE NATIONAL COMMUNICABLE
DISEASE CENTER, ATL a-. F: -
DIRECTOR, NATIONAL COMMUNICABLE DISEASE CENTER
OAVID J. SENCER MD,
CHIEF, EPIDEMIOLOGY PROGRAM A.. LANGMUIR, MID.
ACTING CHIEF, STATISTICS SECTION IDA L SHERMAN MS.
EDITOR MICHAEL B GREGGC MD

IN ADD TION TO THE ESTABLISHED PROCEl cE. ... i POnr .,:
MORBOI TY ANDMORIr i L ,-: r. T ..,. .L ..: .. -.. .* d 1b-,,t a5F
CENTER WELCOMES .. .*. :; '.C 'E t .. T rc... .: E
INVESTIGATIONS WHICH *r, OF CURRENT 1't-t 'O n-aLii
OFFICIALS AND WHICH -AF DIRECTLY RELA-': v.. -"t C',~ L
OF COMMUNICABLE DISEASES- SUCH COMMUNICATIONS SHOULD BE
ADDRESSED TO:
NATIONAL COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
ATTN: THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT

NOTE: THE DATA IN THIS REPORT ARE PROVISIONAL ANO ARE
BASED ON WEEKLY TELEGRAMS TO THE NCDC BY T,-_. ,.0. .,. '
STATE HEALTH CLt p. THE REPORTING WEE. :r- .,[.
ON SATURDAY; ..'" r L ON A NATIONAL BASIS -rF iL'F EC
ON THE SUCCEEDING FRIDAY


= --4
O

X


The cumunlarie number of cases reported for the first
h weeks of 19(ti, is .1.132. During the comparable ,-,Ieek
period in 19)(i7. the reported cases totaled 1;,0.51. For the
previous 3 %ears (1966I. 196). and 1964) the totals were
4~,392L. f61,51.5. and '9.,109. r'-spleti\ely. Measles con-
tinues to I)e a problem in a number of are-s during the
current y('ar. \out i60 percent o f the reported cases were
notified from -ix s states ((alifornia. Illinois. New York.
Texas. \iashinpron. and Wisconsin).
(lieported by State Serivicres Srction and the Statistics
Section. \V')C.)



















ERRATUM, Vol. 17, No. 7, p. 63
In the second column, second paragraph. in the sen-
tence. "Analysis of ages for 168 of the 174 patients ...."
16h should be changed to 165.


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%Morbidity and Mortality Weekly Report