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:
AA00010654:00180

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 COMMUNICABLE DISEASE CENTER


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


Vol. 17, No. 2


WEEKLY

REPORT

Week Ending

January 13, 1968



PUBLIC HEALTH SERVICE


BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL CONTROL


EPIDEMIOLOGIC NOTES AND REPORTS
PNEUMONIA OUTBREAK
Pine Ridge Indian Reservation, South Dakota

An outbreak of pneumonia which to date has affected
approximately 75 children, requiring hospitalization for
approximately 30, is occurring at Pine Ridge Indian Reser-
vation, South Dakota. There have been two fatalities.
The illness is characterized by abrupt onset of fever,
cough, and dyspnea, and the diagnosis of pneumonia has
been established by physical examination or chest x-ray.
'Approximately 50 percent of the children hospitalized have
Been under age 2. The epidemic began November 23, and
the peai incidence occurred during the period of Decem-
ber 21-28.


CONTENTS
Epidemiologic Notes and Reports
Pneumonia Outbreak Pine Ridge
Indian Reservation, South Dakota . ... 13
Echinococcosis New York City . ... 20
Summary of Reported Cases of Infectious Syphilis 11
Current Trends
Influenza January 7-13, 196 . ... 11
International Notes
Quarantine Measures .... . . 20

In most cases, chest x-rays have showed infiltrates
that were hazy and perihilar in location. White blood cell
counts have been normal to slightly elevated with normal
differentials, and no bloody or purulent sputa have been
observed. To date, two agents resembling rhino- and adeno-
viruses have been isolated from throat washings of two
(Continued on page 14)


TABLE I. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
2nd W r%?M Rl A E I CUMULATIVE, FIRST 2 WEEKS
MEDIAN
DISEASE JANUARY ANUA 163 1967 MEDIAN
196 1967 1968 1967 1963 1967
Aseptic meningitis ..................... -J 27 30 53 48 49
Brucellosis............................. n 3 2 6
Diphtheria. ...................... ..... J AN 2968 l 2 1 2 9
Encephalitis, primary:
Arthropod-borne & unspecified .......... 23 35 39 --
Encephalitis, post-infectious ............. 8 19 13 -
Hepatitis, serum ........................ 5 42 101 79
Hepatitis, infectious .................... 759 795 1,316 1270483
Malaria ............................... 57 76 40 4
Measles (rubeola)....................... 480 5,682 722 2,566 9,428
Meningococcal infections, total ........... 67 6 74 108 118 118
Civilian ........................... 67 68 107 109 -
Military .............................. 8 1 9
Mumps ........................ ........ 4,424 --- 7,014 -
Poliomyelitis, total..................... 1
Paralytic ............................. -- -
Rubella (German measles) ................ 447 503 746 752 -
Streptococcal sore throat & scarlet fever .. 11,024 10,254 9,441 19,667 18,574 16,835
Tetanus ................................. 2 5 3 8
Tularemia .............................. 1 3 6 1 5 13
Typhoid fever .......................... 5 2 5 7 4 7
Typhus, tick-borne (Rky. Mt. spotted fever) 2 3 2
Rabies in animals ..................... 68 66 70 133 134 134

TABLE II. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ......................... ........- Rabies in man:............. .................
Botulism: .................. ....................... Rubella, Congenital Syndrome: ................... ...
Leptospirosis: ................................ .... Trichinosis: Calif.-l ................. ............. .
Plague: .................. ...................... Typhus, murine: ....... ...................... ... -
P sittacosis ............ .... ............. ..i 2 Polio, Unsp ....... ... ........ ... .. -









Morbidity and Mortality Weekly Report


.JANtAR 13, 1968


PNEUMONIA OUTBREAK i('antinaud from frent /pay

patient-, lis;-logi'arl examination of lung and bronchial (Reporlted by Robert r'\lson, V.I1). Chief of/ ,' and
ti.-ue- fro onii fatal case. a l-year-old female patient. Garrrtt Adal .s. Y.I)., ('hief f Pedia'mtri.. PIlS IIi. i tal,

rerealre intranucle'ar inclusion bodies inmilar to thosgeI'o kilhd* Indian ReI.crratio,. South Dakota: Virus Di-
s'eon itlh adrenoiiras infection. A irbsieli t pn'iwmorin r ea'se Se(tion. Ecoloyiala Inr'sigyai.ion.s. Program a.d an

\\a-, iolalted from the respiratory tract of the second fatal EIS 0," ', ana0, s K( 'ansas.)
ea-se. I:urilt r rp(ierniolo it inicn -tig'ationis are in progrc ss.


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS


CASES OF PRIMARY AND SECONDARY SYPHILIS:


BY REPORTING AREAS NOVEMBER 1967 AND NOVEMBER 1966 PROVISIONAL DATA


Reporting Area


November
67 1966


Cumulative
January-November
1967 1966


Reporting Area


November


1967


1966


__ __ __ __ 1 __ F 4 F


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

MIDDLE ATLANTIC..........
Upstate New York........
New York City...........
Pa. (Excl. Phila.).......
Philadelphia............
New Jersey...............

EAST NORTH CENTRAL.......
Ohio....................
Indiana......... ........
Downstate Illinois......
Chicago..................
Michigan ...............
Wisconsin ..............

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

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


427
5
12
3
282
26
99

3,700
347
2,266
182
243
662

2,973
587
86
162
954
1,096
88

378
31
69
136
5
31
50
56

5,679
49
525
470
291
69
783
807
938
1,747


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

U. S. TOTAL ...............


Cumulative
January-November


1967


1,596
162
280
832
322

2,948
121
612
106
2,109

539
6
16
13
57
166
250
8
23

1,662
56
41
1,554
3
8

is us.


1966


2,046
129
275
1,162
480

2,564
141
602
129
1,692

427
28
20
1
46
103
198
10
21

1,591
39
44
1,473
11
24

1la0 7


rERRITORIES............... 112 68 883 910
Puerto Rico.............. 108 65 844 883
Virgin Islands............ 4 3 39 27




Note: Cumulative Totals include revised and delayed reports
through previous months.


CURRENT TRENDS
INFLUENZA January 7-13, 1968


During the w ek of January 7-13, 1961', there was in-
creased excess pneumonia and influenza mortality for the
I united Sates as a a hole. Of the nine major geographic'

regions, only the Pacific Region did not exceed the opi-
de(mic threshold (Figure 2). To date, the occurrence of out-
breaks of A influenza has been documented in 27 states.
In addition. 10 states have reported one or more outbreaks

of influenza-like illness. The majority of outbreaks have
Ieen in th( eastern and central United States. (Figure 1).

Also for the second consecutive w~rk. the number of
death- from all cu us- and in the age group, 65 and over.
exceeded the exp crted number of deaths for this .week
(T ABLE IV).
(Reported by te Rrespiratory Viral Diserases Section,
,\('vc.)


Figure 1
INCIDENCE OF INFLUENZA AND INFLUENZA-LIKE
DISEASE BY STATE AS REPORTED TO NCDC
OCTOBER 29, 1967 THROUGH JANUARY 13, 1968









i







Q "' ",,.. .., .-.










JANUARY 13, 1968


Morbidity and Mortality Weekly Report




Figure 2
PNEUMONIA-INFLUENZA DEATHS IN 122 UNITED STATES CITIES


WEEK NO 40 44 48 52 4 8 12
WK.ENDED 9 6 4 I 29 26 26
MONTH 0 N D J F M
1965 11966 -


16 20 24 28 32 36 40 44 48 52 4 8 12 16 20 24 28 32 36 40 44 48 52 4 8 12 16 20 24 28 32 36
23 21 18 16 13 10 8 5 3 31 28 25 25 22 20 17 15 12 9 7 4 2 30 27 24 23 20 18 15 13 10 7
A M J J A S O N D J F M A M J J A S 0 N D J F M A M J J A S
196611967 1967 1968


0 WEEK NO. 40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 28 32 36
(T 196711968 1967 1968 196711968
UJ
2 125 3501
D MOUNTAIN i5 E.S. CENTRAL MIDDLE ATLANTIC
8 CITIES 8 CITIES 300 20 CITIES
100 125
250

75 100
75200 --


75-
50


25 5--25



WEEK NO. 40 44 48 52 4 8 12 16 20 24 28 32
196711968


PACIFIC
16 CITIES


100,



50


I,,h,,h,,h,,In+H,,,h,,h,,l,,,h,,l,,,l,,,


150




50
t100......




40 44 48 52 4 8 12 16 20 24 28 32
1967 11968


W.S. CENTRAL
13 CITIES


100





, h ,h ,- --50


40 44 48 52 4 8 12 16 20 24 28 32 36
196711968


SOUTH ATLANTIC
12 CITIES












~~1~,~~1~~ ~~~~1~~~~1 ~1~~~11II1~~


WEEK NO, 40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 28 32 40 44 48 52 4 8 12 16 20 24 28 32 36
196711968 196711968 196711968








t1 Morbidity and Mortality Weekly Report


TABFI. III CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANU ARY 1., 19%8 AND JAN ARY 14, 1 9 (2nd WEEK)

ENCEPHALITIS HEPATITIS
ASEPTIC Primary Post-
AREA MENINGITIS including infectious Seum Infectious MALARIA
unsp. cases
1968 1967 1968 1968 1968 1967 1968 1968 1968 1967 1968
UNITED STATES... 25 27 1 21 23 10 55 759 718 57

NEW ENGLAND.......... 3 39 41
Maine............... 1 2 5
New Hampshire...... 1 1
Vermont............ I
Massachusetts...... 19 16
Rhode Island ....... 1 4 6
Connecticut........ 12 13

MIDDLE ATLANTIC...... 4 3 4 5 1 13 103 83 7
New York City...... 1 2 2 4 30 27 1
New York, up-State. 2 2 1 5 17 1
New Jersey.......... 2 1 1 7 57 17 3
Pennsylvania ....... 1 2 1 1 11 22 2

EAST NORTH CENTRAL... 5 7 5 2 4 119 118 1
Ohio ............. 1 5 5 1 2 52 31
Indiana............ 1 4 1
Illinois........... 2 15 16
Michigan................ 3 1 1 38 62 1
Wisconsin.......... 1 10 8

WEST NORTH CENTRAL.. 1 39 52 2
Minnesota ........... 9 2
Iowa............... 10 10 -
Missouri .......... 4 28 1
North Dakota ....... 1 2
So tH Da a t .. I -
NebrasKa........... .- 3 3
Kanss................ 11 7 1

SOUTH ATLANTIC....... 1 3 4 1 2 75 81 33
Delaware............ 1 2
Maryland ........... 1 1 1 15 21
Dist. of Columbia.. 1 1
Virginia..... ....... 8 22 1
West Virginia ...... 4 13
North Carolina ..... 3 6 2 12
South Carolina..... 1
Georgia............. 34 14 12
Florida............ 2 1 2 6 5 8

EAST SOUTH CENTRAL... 2 1 1 1 71 63
Kentucky............ 1 37 39 -
Tennessee............. 1 1 23 14
Alabama............ 1 6 3
Mississippi........ 1 5 7

WEST SOUTH CENTRAL... 1 2 3 2 1 63 58
Arkansas........... 1 5
Louisiana.......... ~ 13 7
Oklahoma........... 1 3 1 9 2
Texas............... I 1 1 40 44

MOUNTAIN............. 3 1 44 46 -
Montana............ 1 5 5
Idaho.............. 8 8 -
Wyoming............ -
Colorado........... 1 -
New Mexico......... 2 14 11 -
Arizona............ 1 15 16
Utah.............. 2 5 -
Nevada... .... ..... -

PACIFIC.............. 11 18 3 2 5 35 206 176 14
Washington.......... 1 1 9 19
Oregon.............. 1 14 39
California.......... 9 16 2 2 5 35 182 116 10
Alaska............. 1-
Hawaii............. 1 1 2 4

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









Morbidity and Mortality Weekly Report 17


TABLE Ill.CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 13, 1968 AND JANUARY 14, 1967 (2nd WEEK) CONTINUED



MEASLES (Rubeola) MENINGOCOCCAL INFECTIONS, MUMPS POLIOMYELITIS RUBELLA
TOTAL
AREA Cumulative Cumulative Total Paralytic
Cum.
1968 1968 1967 1968 1968 1967 1968 1968 1968 1968 1968
UNITED STATES... 480 722 2,566 67 108 118 4,424 447

NEW ENGLAND............ 15 21 24 2 5 4 541 58
Maine.............. 1 1 4 1 37 7
New Hampshire....... 0 10
Vermont............ 1 29 -
Massachusetts...... 6 12 16 2 2 271 18
Rhode Island ....... 2 50 7
Connecticut........ 8 8 1 2 3 1 144 26

MIDDLE ATLANTIC...... 70 102 123 13 18 21 145 79
New York City...... 6 12 13 1 4 28
New York, Up-State. 63 75 29 1 1 6 42
New Jersey.......... 14 60 5 7 10 145 8
Pennsylvania....... 1 1 21 7 9 1 1

EAST NORTH CENTRAL... 136 179 252 11 17 8 1,611 102
Ohio............... 28 36 19 2 4 5 56 8
Indiana............ 7 23 41 1 2 149 4
Illinois........... 69 74 18 3 3 1 68 25
Michigan........... 10 12 72 5 8 1 693 25
Wisconsin.......... 22 34 102 1 645 40

WEST NORTH CENTRAL... 21 31 89 7 10 7 108 26
'Minnesota.......... 4 1 1 1 5 1
Idwa............... 10 13 14 2 16
jMissouri........... 1 2 2 2 2 4 -
North Dakota....... 3 9 37 23 5
South Dakota...;... 1 1 1 2
Nebraska ........... 1 1 32 1 1 2 39
Kansas............. 6 6 NN 2 4 37 4

SOUTH ATLANTIC....... 43 71 247 12 19 24 479 22
Delaware............ 1
Maryland............. 3 4 1 1 51 1
Dist. of Columbia.. 4 1 15
Virginia........... 5 10 46 2 27 2
West Virginia...... 11 24 44 1 2 3 351 6
North Carolina..... 2 2 43 4 4 6
South Carolina..... 2 2 1 5 6 1 4 3
Georgia............ 1 1 4
Florida............ 20 29 108 1 5 7 30 10

EAST SOUTH CENTRAL... 11 21 273 3 5 6 321 39
Kentucky............ 3 5 33 1 2 1 160 9
Tennessee........... 5 13 121 2 3 4 120 30
Alabama............ 2 2 34 1 14 -
Mississippi........ 1 1 85 27 -

WEST SOUTH CENTRAL... 86 138 768 12 19 19 252 10
Arkansas........... 66 1 -
Louisiana.......... 1 1 9 1 2 8 -
Oklahoma........... 28 34 134 4 6 4 -
Texas............... 57 103 559 7 10 11 248 10

MOUNTAIN ............. 23 37 234 2 2 139 20
Montana............ 56 1 15 3
Idaho.............. 2 6 22 31
Wyoming............ 4 11 27
Colorado............. 8 10 33 6
New Mexico ......... 6 6 29 2 16 1
Arizona............ 3 4 43 1 38 -- 10
Utah............... 4 12 -
Nevada............. 47 -

PACIFIC.............. 75 122 556 7 13 27 828 -- 91
Washington........... 17 32 269 1 1 1 259 28
Oregon.............. 18 31 140 1 3 33 18
California......... 32 48 112 6 11 23 480 40
Alaska.............. 31 7 2
Hawaii ............. 8 11 4 49 3

Puerto Rico.......... 50 16









18 Morbidity and Mortality Weekly Report


I AHI. Ill CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANI'ARY i. Ii AN AND JANUARY 1I. 1X,7 (2nd WEEK) CONTINIEI


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE RABIES IN
AREA SCARLET FEVER (Rky. Mt. Spotted) ANIMALS
Cum. Cum. Cum. Cum. Cum.
r I la* lr "rr I J." l Ir 1 I-CE
U'NITED STATEl... 11,024 1 5 7 2 68 133

NEW EN LAND........... 1,121 2
Ma-inc............. 34 1- 2
7New Hampshire....
Vermoit ............ 70
Ma sstchusets...... 168
Rhod Island....... 82
C Jone tcut ........ 767

MIDDLE ATLANTIC...... 343 1- -
New York City...... 13 -
New York, Up-State. 265 1 1 I
New Jersey......... NN
Pennsylvania ...... 65 -

EAST NORTH CENTRAL... 1,014 1 1 9 13
Ohio................ 112 1 1 3 7
Indiana ............ 175 '- 4 4
Illinois........... 193
Michigan........... 345 1 1
Wisconsin ........ .. 189 -1 1

WEST NORTH CENTRAL... 440 -- 1 8 14
Minnes ta.......... 24 4 4
Iowa............... 121 -- 1 2
Miss ur ... ....... 1 1 3
North Dakota....... 122 1 3
South Dakotl ....... 41
Nebraska........... 88 -
Kansas............. 43 1 2

SOUTH ATLANTIC....... 1,207 1 1 -2 10 17
Delaware ... .... -
Maryland........... 379 1 1
Dist. of Columbia.. 3 -
Virginia............ 351 2 3 8
West Virginia...... 251 1 2
North Carolina..... 13 -
South Carolina..... 99 -
Georgia ............ 17 1 2
Florida ........... 93 5 5

EAST SOUTH CENTRAL... 2,063 2 2 26 58
Kentucky ........... 764 -- 11 16
Tennessee .......... 1,152 2 2 15 41
Alabama............. 78 I
Mississippi......... 69 -

WEST SOUTH CENTRAL... 1,302 -- 10 24
Arkansas........... I
Louisiana..........- 2 2
Oklahoma .......... 72 1 7
Texas.............. 1,229 6 14

MOUNTAIN. ............ 1,821 1 1 1 1
Montana........... 64 -
Idaho.............. 146 -
Wyoming. ............. 160 -
Colorado............ 999 -
New Mexico......... 270 -
Arizona............ 94 1 1
Utah............... 88 1 1 -
Nevada....... ....- -

PACIFIC.............. 1,713 1 3 4
Washington......... 577 -
Oregon............ 162 -
California......... 911 3 4
Alaska ............. 24 -
Hawaii ............. 39

Puerto Rico.......... 4







Morbidity and Mortality Weekly Report p






Week No. TABLE IV. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JANUARY 13, 1968
2
(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 I year Area All 65 years and I year
Ages nd over Influenza All Ages and over 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.-
Phila&elphia, 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.--------


958
319
59
31
40
87
39
30
26
67
72
22
58
38
70

4,356
68
42
217
40
33
60
87
148
2,354
S52
454
292
63
137
24
58
82
48
52
45

3,150
70
30
882
219
241
142
82
394
48
61
76
31
49
229
38
193
53
42
47
141
82

1,298
96
40
60
208
43
167
90
391
98
105


643
192
40
23
34
55
24
21
17
49
51
15
42
24
56

2,771
38
25
127
30
21
45
53
82
1,537
33
251
170
45
98
15
40
60
28
42
31

1,903
44
18
514
131
134
90
56
213
34
39
50
18
33
139
25
109
31
30
29
102
64

852
70
28
32
133
29
112
54
254
66
74


79
S19
12

4
7

3
2
3
10
4
8

7

307
1
3
8
2
1
5
10
15
181
5
13
11
2
25

2
6
3
9
5

144

1
51
2
8
5
2
12
2
3
9
6
6
5

10
1
7
7
4
3

131
9
2
9
10
4
11
10
51
4
21


*Estimate based on average percent


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.-----------


1,541
183
314
46
102
109
68
105
59
113
110
263
69

789
131
57
48
150
145
65
57
136

1,473
53
72
66
251
39
119
291
54
132
133
111
62
90

524
56
29
141
25
96
27
75
75

1,793
22
51
32
65
96
544
107
38
148
61
103
238
48
150
50
40


852
104
184
22
46
59
33
51
31
92
63
125
42

419
70
32
23
93
64
34
27
76

870
35
40
35
144
21
81
152
40
82
85
64
28
63

311
33
20
86
15
53
21
42
41

1,121
14
30
23
35
72
354
69
24
91
33
60
144
33
84
34
21


Total 15,882 9,742 1,054 647

Estimated expected number 13,294 7,700 594 647
Cumulative Totals
including reported corrections for previous weeks
All Causes, All Ages ------------------------- 30,226
All Causes, Age 65 and over------------------- 18,380
Pneumonia and Influenza, All Ages------------- 1,859
All Causes, Under 1 Year of Age--------------- 1,225


*


of divisional total.















EPIDEMIOLOGIC NOTES AND REPORTS
ECHINOCOCCOSIS New York City


A case of echinococcosis has been reported in a 72-
evar-old Armenian Vwomian, a resident of Neiw York ('ity.
IlHr exposure to echiinomi(cosis occurred 56ti ears prior
to the onset of her illness. between 1907 and 191 1 in Pal-
estin, wlero, sie had tenided( -heep x hlie a student in a
con t e ool. The patnt -hool 1Th patient reported a history of good
health until Januar\ 1967. hen hor preso e illness first
hbecamle mni.tifeI. She wa:, hospitalized, and upon exarninla-
lion. 1a- found to have dialte,-. glaucoma, congestix e
hear failure,, abnormal li\er function tests, and a large
defect iin ihe loft lobh of ihe lixer, d illonstrated by lier
-scan. A carcinoma was diagnosed a- lhe result of a needle
hiiop1 of he defectie area.
From January to Auigu-t 1967. the patient was soon in
-sexeral hospitals. On the third hospitalization, ihe under-
iwentl an exploratory laparoitinm and cholec\.stectoimy.
Following hospital nation. while convalescing at a nurs-
ing home for 2 months, the patient complained of occa-
sional abdominal pain. Increasing right upper quadrant pain
neces-italted a fourth hospitalization. A liver scan again
show-ed a defect in the left lobe of the li er. and a selec-
tii\e cooliac arterY angiogirani showed Ita massli lesion in the
right lo e of the liir. Th(. lihemiiaigluiniition inhibition and
hentonito floiculation test for echinococcosis were per-
formed, and were strongly\ positive. The patient underwent
M-irger -. at \ hich time ihe -secondarily infected echinococcus
uvsis \w%,ere drained. iiu she died shortly aller surgery front
gastrointestinal hemorrhage and axiute pulmioniary iedoma.
(keporteid b!y Hlrnard L. A.lbert, 4.i., Bronx.. \iT Yhork;
anid H11ow rd B. Shoo )Discxse, \xrx York Ci/t Departmrnt' (if Health.)
Editorial Note:
Because an echinoloco-si.s c\slt ian per-ist for a pro-
longed or indefinite period of time before beconiing symp-
itonatic. a history of residence of a patient in ani area.
endtmic for ochinococcoi-is. -ihould cause consideration
of the diagnosis of hidatid dise-ase.


INTERNATIONAL NOTES
QUARANTINE MEASURES


Jlddi/i'/ l 1/ iflmu mx n' nation Ilifo/rm/tioixn foxr l er ational
Tracx'l 196t;7 8 rditioin Public lc/aillb ,Srri'e
P'I/blicoiion \Vo. .8`1'


Th1e following information should he addod to the list of
'ellowh Fexer Vaccination Cent(er- in Section 6:


Page 85
I nder San Pedro, ( alifornia. I.S. Public He alth Serx-
i(, O(itpatient ( lini. Clinic Hours.

Delete: wledni( da-i y. l a.m. bi y appointment.
Insert: Monday through Friday. I p.mn. to 2 p.m.


JANUARY 13 1968


THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCULAR*
TION OF 17,000, IS PUBLISHED AT THE NATIONAL COMMUNICABLE
DISEASE CENTER, ATLANTA. GEORGIA.
DIRECTOR, NATIONAL COMMUNICABLE DISEASE CENTER
DAVID. -,.tR MO.
CHIEF EPIDEMIOLOGY PROGRAM A D. I M._, M 0
ACTING CHIEF, STATISTICS SECTION IDA L. SHERMAN, M.S.
EDITOR MICHAEL B GREGG, M.O0
IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY ANDOMORTALITY THE .- '. I. BLF 1 -
CENTER WEL COMES ACCOUNTS OiF_ L '.
INVESTIGATIONS WHICH ARE OF CURRENT INTEREST ;.atl
OFFICIALS AND WHICH ARE DIRECTLY RELATED TO THF *: )OT DO
OF COMMUNICABLE DISEASES, SUCH COMMUNICATIONS '-*-, LC. Frs
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 AND ARE
BASED ON WEEKLY TELEGRAMS TO THE NCDC BY THE INDIVIDUAL
STATE HEALTH DEPARTMENTS THE REPORTING WEEK CONCLUDES
ON SATURDAY; COMPILED DATA ON A NATIONAL BASIS ARE RELEASED
ON THE SUCCEEDING FRIDAY






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