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:
AA00010654:00187

Related Items

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


This item is only available as the following downloads:


Full Text



NATIONAL COMMUNICABLE DISEASE CENTER


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


EPIDEMIOLOGIC NOTES AND REPORTS
SALMONELLOSIS Pennsylvania


An outbreak of febrile gastroenteritis occurred among
a group of high school students, their- parents, and teach-
ers in Cumberland County, Pennsylvania, on March 10 and
11. This group had visited a resort in western Pennsyl-
'vania, the week-end of March 9 and 10. Of the 48 members
of the group, 29 (60 percent) became ill. Major symptoms
were diarrhea (23 persons), fever (19 persons), vomiting
(18), abdominal pain (16), and prostration (7). Eight per-
sons sought medical attention and one person was hos-
pitalized. Duration of illness was from 1 to 10 days with
a mean of 2.8 days. To date, Salmonella bredeney has


Epidemiologic Notes and Reports
Salmonellosis Pennsylvania . . 121
Current Trends
Viral Hepatitis United States 1968 ................ 122
Measles United States ................... ..... 123
International Notes
Quarantine Measures .................. .. .. 12S



been isolated from stool cultures of 20 patients.
The group had eaten three meals at the resort cafe-
teria-breakfast and dinner on March 9 and breakfast on
March 10. A detailed food history implicated turkey and

(Continued on page 128)


TABLE I. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)

14th WEEK ENDEDAN CUMULATIVE, FIRST 14 WEEKS
MEDIAN
DISEASE APRIL 6, APRIL 8, 193 1967 MEDIAN
1963- 1967
1968 1967 1968 1967 1963- 1967

Aseptic meningitis ...................... 31 31 28 384 390 390
Brucellosis ............................ 3 4 4 26 53 58
i ,hrr r,a ............................ 5 1 4 42 35 52
Encephalitis, primary:
Arthropod-borne & unspecified ........... 22 32 209 324 -
Encephalitis, post-infectious ............. 7 22 -- 121 194 --
Hepatitis, serum ........................ 95 39 1,010 527
Hepatitis, infectious .................... 938 646 725 11,726 11.041 11.568
Malaria ................................ 35 31 3 620 560 28
Measles rubeolaa) ....................... 947 2,594 11,920 9,055 32.563 128,735
Meningococcal infections, total ........... 72 53 78 1,079 821 875
Civilian .............................. 65 51 980 757 -
Military ............................... 7 2 99 64 -
Mumps ................................. 4,942 -- 71,017 -
Poliomyelitis, total .............. ........ .- 15 3 6
Paralytic ............................. 15 3 5
Rubella (German measles) ............... 2,465 1,795 16,645 15.424 -
Streptococcal sore throat & scarlet fever.... 10,672 12.080 11.553 160.398 171,730 157,837
Tetanus ............................... 1 3 3 27 41 46
Tularemia .............................. 3 3 18 35 54
Typhoid fever .......................... 9 12 8 65 82 88
Typhus, tick-borne (Rky. Mt. spotted fever) 1 1 4 9 6
Rabies in animals ....................... 72 110 110 1,001 1,205 1.185

TABLE II. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: .......................................... 1 Rabies in man: ......................................
Botulism: .................. .... ................ .. Rubella, Congenital Syndrome: ......................... 3
Leptospirosis: ...................................... 6 Trichinosis: R .I.- 1 .................................. 12
Plague: ....... ..................................... Typhus, marine: Va.-- ....... -.................... 3
P sittacosis: ....................................... 11






Morbidity and Mortality Weekly Report


CURRENT TRENDS

VIRAL HEPATITIS


United States 1968


During the winter quarter (13-week period from De-
cember 31, 1917., through March 30. 1968) of the current
epidemiologic year 1967-6 *, 11,703 cases of viral he-
patitis (5.9 cases per 100,(000 population) were reported
in the United States (Table 1). This rate of 5.9 is an
increase of 5 percent over the rate of 5.6 (10,bb3 cases)
reported during the corresponding quarter of the previous
year. However, the number of reported cases of serum
hepatitis (915) for winter quarter 1967-6b 6was approxi-
mately twice the shh cases reported for the winter quarter
1966-67.


Table 1 lists by division the number of reported
cases of infectious and serum hepatitis for the winter
quarters of epidemiologic years 1966-67 and 1967-68.
total number of cases, rates based on total cases, change
in number of cases, and percent change in rates. Decreases
in rates, ranging from 2 to 15 percent, were observed in
five divisions. No change was observed in the West North
Central Di\ision. Increases were observed in three divi-
sions with the greatest increase in the Pacific Division.
This increase was in large part a reflection of a threefold
increase (514 compared with 176) in the number of re-
ported cases of serum hepatitis. Of these514 cases in the


Pacific Division. 95 percent were reported from California.

Figure 1 presents the number of reported cases of
viral hepatitis per 100,000 population by 4-week periods
from July 1952 through the 14th week of 196h (week z irihne
April -.. The figure demonstrates only slight increases in
rates during the first 14 weeks of 1968 over those of the
comparable period in 1967; however, preceding the peak
(1960-61) of the last epidemic cycle, the rates observed
during the first 14 weeks of 1960 were markedly higher
than those observed in the comparable period in 1959.
Although at the present time. the reversal of the down-
ward trend** observed during 1966-67 is continuing in
1967-6b, the extent of this reversal is not as great as
as that observed in 1959-60.

(Reported by Hepatitis Unit. Viral Diseases Section,
N'CD.)



*'Iepati;tis morlidity i irtare summariztd interrmof nm "epidemioloie
,ear." ,luehi runs from the 27th week of ieach yexi through the 26th
weik of the sueeti dini yir.


**I'Th prortessive d1erfias, in hepatite incidence evi peak year ( 1960-6 ) of the Last epidtnit em cycle.





ABLE 1


REPORTED CASES AND RATES OF VIRAL HEPATITIS BY GEOGRAPHIC DIVISION
WINTER QUARTER 1967-1968 COMPARED WITH WINTER QUARTER 1966-1967


WINTER Q'A \RTIiR INTER QC'ARTER C(HA1NGE FROM
January 1, 1967 rDecemlTr 31, 1967- WINTER QUARTER
GEOGRAPHIC April 1. 1967 March 30, 196S 1966-1967
DIVISIONN (CA. CASES percent

Serum Infectis Inf Re* ru Infectious Rlate* Cases change
Total Total
IHepati tis lhpatitis l patitis h fl titis in rate

Iotal Unitird States 1s8 10,: 39 10,S 3 5.6 915 10.7S, 11.703 5.9 +S20 + 5
New Ene land 19 511 530 1.7 29 .122 151 4.0 79 15
Middrl Atlantic 235 1,624 1 .559 5.1 276 1,517 1,793 4.9 66 4
E1-t North ( ontral 1s 1,692 1.710 1.1 26 1.19 1,115 4.7 +135 + 7
",s t North central l I 710 711 4.5 10 705 715 1.5 + 1 0
South Atlantic 22 1,1t2 1,161 4.0 1002 1,0 36 3.5 128 13
Eitt South Central 5 S03 ;l OS 6.3 5 933 93h 7.2 + 130 + 14
*h ,South Central h 1,02 1,0103' 5.5 15 1.011 1,029 5.1 3 2
Mountain 1 565 566 7.3 t6 5S 511 6. 52 10
P'.ifid 176 2.321 2,500 10.1 511 2.16S 3,312 13.4 +882 +33


* iRieport~id cai.- i,*r 100.000 population biasd on U.S. Census mid-year estinmats.d.


APRIL 6, 1968







APRIL 6, 1968


Morbidity and Mortality Weekly Report

507 T-,
Figure 1
REPORTED CASES
o40 --- OF VIRAL HEPATITIS ----
SCase Rate by Four-Week Periods
U.S. since July 1952


'n]
lip


Week Numer 27 I 27 1 27 1 2 27 2 27 1 27 27 27 27 27 i 27
Yer: 1952 953 94 19955 1956 957 1958 1959 960 1961 962 19 63

MEASLES United States


All geographic divisions, except one, showed a de-
crease in the number of counties or health districts re-
porting measles during the 4-week period, February 25
'through March 23, 1968, from those reporting in the com-
parable 4-week period in 1967 (Table 1). However, two
divisions showed an increase in the number of counties
or health districts reporting a total of 10 or more cases
.in this 4-week period in 1968 over the corresponding
4-week period in 1967.
From February 25 through March 23 (weeks 9-12),
measles was reported from 387 counties or health districts,
whereas 717 counties reported measles during the compa-
rable period in 1967. Of these 387 counties, 73 (19 per-
cent) reported a total of 10 or more cases (Figure 2) as
contrasted with 238 of 717 counties (33 percent) reporting
a similar numberof cases during the corresponding 4-week
period in 1967 (Figure 3). In addition, the percentageof
counties or health districts reporting fewer than three
cases of measles during this 4-week period in 1968 in-
creased to 47 percent from the 33 percent for the corres-
ponding 4-week period in 1967.
(Reported by State Services Section and Statistics Section,
(Reported by State Services Section and Statistics Section,
NCDC.)
Figure 2
COUNTIES OR HEALTH DISTRICTS REPORTING A
TOTAL OF 10 OR MORE CASES OF MEASLES,
FEBRUARY 25-MARCH 23, 1968

c7r^~~~--- --- r




t\ i *--- I
o\ f- 7


27 I 27 1 27 I 27 I Z2
1964 1 1965 I 1966 7 1967 I 1968 I


Table 1
Number of Counties or Health Districts Reporting
Measles During Weeks 9-12, 1968 and 1967,
by Geographic Divisions


Number of Counties or
Health Districts Reporting:
Geographic 1 or more cases 10 or more cases
Geographic
Division 1968 1967 1968 1967
Feb. 25- Feb. 26- Feb. 25- Feb. 26-
Mar. 23 Mar. 25 Mar. 23 Mar. 25
New England 20 23 4 2
Middle Atlantic 51 42 15 9
East North Central 75 105 12 23
West North Central 19 61 1 15
South Atlantic 48 101 5 24
East South Central 21 77 2 25
West South Central 64 159* 17 80*
Mountain 32 63 4 21
Pacific 57 86 13 39
U.S. Total 387 717 73 238

*Includes Louisiana Special Surveillance Program, not included
in official reports.
Figure 3
COUNTIES OR HEALTH DISTRICTS REPORTING A
TOTAL OF 10 OR MORE CASES OF MEASLES,
FEBRUARY 26-MARCH 25, 1967


: \-4 -4 ---
Q W c "-';- ,^ \ /
a ~ Jr


&--L`i:7-


~







124 Morbidity and Mortality Weekly Report


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 6, 1968 AND APRIL 8, 1967 (14th WEEK)


ENCEPHALITIS HEPATITIS
ASEPTIC Primary
AREA MENINGI 1AI FIIncluding Post- MALARIA
REA MENINGITIS including Infectious Serum Infectious
unsp. cases
Lt; .1 I I, I ,r ? L +r I i r L l I ] .
I ; T .. 71 ,1 *. ; f *

NEW ENGLAND........... 1 3 3 1 33 39 2
Maine............... 2 7
New Hampshire...... 1
Vermont............
Massachusetts...... 1 2 9 18 1
Rhode Island....... 1 2 14 4
Connecticut........ 1 1 8 9 1

MIDDLE ATLANTIC...... 7 16 1 16 11 29 142 94 12
New York City...... 10 4 18 47 30
New York, up-State. 2 1 1 6 26 23 2
New Jersey ........ 4 14 1 5 3 38 18 4
Pennsylvania....... 1 1 5 2 2 31 23 6

EAST NORTH CENTRAL... 2 4 6 137 119 2
Ohio................ 3 33 25
Indiana............ 1 7 17 1
Illinois............ 2 44 45 -
Michigan........... 1 3 40 23 1
Wisconsin........... 13 9

WEST NORTH CENTRAL... 1 2 67 64
Minnesota.......... 21 8 -
Iowa ............... 22 13
Missouri........... 22 41
North Dakota....... -
South Dalota ....... 1 -
Nebraska ........... -
Kansa .... .......... 1 1

SOUTH ATLANTIC....... 5 1 1 2 4 3 1 86 48 16
Delaware........... 1 1 5 4
Maryland.......... 1 1 22 11 -
Dist. of Columbia.. 1 I 2 2
Virginia........... 1 4 5
West Virginia...... 8 5 -
North Carolina..... 2 7 7
South Carolina..... 1 1 1
Georgia............. 29 3 8
Florida............ 2 1 3 15 10 -

EAST SOUTH CENTRAL... 1 1 1 1 3 58 37
Kentucky............ 1 1 2 14 17
Tennessee............ 1 1 1 32 16 -
Alabama........... 4 3
Mississippi........ 8 1

WEST SOUTH CENTRAL... 1 1 2 1 2 1 67 76
Arkansas........... 2 2
Louisiana........... 1 1 1 8 8
Oklahoma.A.......... 1- -3 6
Texas* ............ 1 2 54 60

MOUNTAIN.............. 2 1 1 77 31
Montana............ 13 5
Idaho............... 1 2
Wyoming.*........... 2
Colorado.............. 1 1 40 2
New Mexico.......... 8 11 -
Arizona............. I 9 6
ltah............... 3
Nevada............ 3 3

PACIFIC.............. 15 8 1 2 4 57 271 138 3
Washington.......... 1 I 2 19 15
Oregon............. 2 21 14
California......... 13 6 2 4 53 229 109 2
Alaska............. 2
Hawaii............. 1 2 I

Puert Ri. ... .. 1 11 21
*Delayed reports: Aseptic meningitis: Wyo. 2 cases 1967.
Brucellosis: Tex. 1 case 1967.
Hepatitis infectious: Ala. 1, Okla. I case 1967, 4 cases 1968.
Malaria: N.J. 1 case 1967.








Morbidity and Mortality Weekly Report 125


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 6, 1968 AND APRIL 8,1967 (14th WEEK) CONTINUED


MEASLES (Rubecla) MENINGOCOCCAL INFECTIONS, MUMPS POLIOMYELITIS RUBELLA
TOTAL
AREA Total Paralytic
Cumulative Cumulative Total Para yic
Cum.
1968 1968 1967 1968 1968 1967 1968 1968 1968 1968 1968
UNITED STATES... 947 9,055 32,563 72 1,079 821 4,942 15 2,465

NEW ENGLAND.......... 38 410 367 3 53 30 585 400
Maine. ............ 1 11 79 2 1 13 5
New Hampshire...... 5 53 68 6 1 4 3
Vermont ............ 20 1 52 3
Massachusetts...... 10 195 137 2 26 13 335 121
Rhode Island ....... 3 25 4 1 49 141
Connecticut........ 22 148 38 1 14 14 132 127

MIDDLE ATLANTIC...... 197 1,278 1,028 21 169 106 280 367
New York City. .... 73 328 166 4 32 18 140 136
New York, Up-State. 102 658 240 9 27 30 NN 62
New Jersey.A....... 16 208 260 5 63 44 140 169
Pennsylvania....... 6 84 362 3 47 14 NN -

EAST NORTH CENTRAL... 129 2,089 2,500 6 113 84 1,060 557
Ohio................ 16 162 406 1 27 33 113 163
Indiana............ 12 328 293 1 17 13 214 39
Illinois........... 36 878 375 27 17 135 205
Midhigan........... 14 135 540 1 30 15 598 43
Wisconsin.......... 51 586 886 3 12 6 107

WEST NORTH CENTRAL... 7 205 1,442 3 48 38 713 131
Minnesota.......... 6 55 2 12 8 29 3
Iowa.'............... 1 41 352 3 8 557 123
Missouri........... 1 59 53 1 10 9 2 -
North Dakota....... 5 65 570 2 44 5
South Dakota....... 3 29 4 5 NN -
Nebraska............ 24 373 4 7 28 -
Kansas ............. 7 NN 13 1 53 -

SOUTH ATLANTIC....... 83 802 3,400 16 238 162 293 168
Delaware ........... 2 7 26 2 5 11 I
Maryland............ 1 41 63 15 20 40 4
Dist. of Columbia.. 1 5 11 1 9 3 13 2
Virginia........... 12 151 989 1 16 13 31 27
West Virginia...... 16 148 643 6 14 96 20
North Carolina..... 17 202 644 3 53 32 NN -
South Carolina..... 16 155 3 44 12 16 56
Georgia............. 3 14 5 45 30 -
Florida............. 34 229 855 3 48 33 86 58

EAST SOUTH CENTRAL... 18 254 3,478 8 89 82 223 88
Kentucky. ......... 5 78 995 3 32 23 52 12
Tennessee.......... 3 43 1,135 4 28 37 152 62
Alabama........ .. 2 66 798 14 13 9 14
Mississippi........ 8 67 550 1 15 9 10 -

WEST SOUTH CENTRAL... 295 2,233 12,022 11 219 135 546 7 193
Arkansas........... 1,305 12 14 2
Louisiana .......... 70 4 56 51 1 1
Oklahoma........... 2 57 3,174 1 41 7
Texas............... 293 2,175 7,473 6 110 63 545 7 190

MOUNTAIN ............. 48 433 2,221 13 17 418 84
Montana............ 62 181 1 6 2
Idaho.............. 11 216 2 1 31 2
*; -. r.i ............ 5 39 14 3 3
Colorado.: ......... 32 180 536 7 8 115 55
New Mexico......... 1 41 349 3 47 2
Arizona............ 10 96 520 1 2 101 17
Utah............... 2 217 1 35 3
Nevada............. 2 188 2 2 80 -

PACIFIC.............. 132 1,351 6,105 4 137 167 824 8 477
Washington......... 17 336 3,068 23 16 195 81
Oregon............ 42 296 720 1 14 13 21 19
California........ 69 692 2,168 3 91 131 529 8 343
Alaska.............. 81 7 30 8
Hawaii.............. 4 27 68 9 49 26

Puerto Rico........... 17 160 1,069 15 7 11
*Delayed reports: Measles: Vt. 5 cases 1967, delete 5 cases 1968, N.J. delete 5, Mo. 49, Ky. 13, Colo. delete 5,
Calif. 3 cases 1967
Meningococcal infections: N.Y. City delete 39, Ala. 1, Okla. 1 case 1967, delete 1 case 1968
Mumps: Me. 19
Rubella: Me. 7, Colo. 5







126 Morbidilt and Mortality Weekly Report


IABL11 I1l. (ASIS OF SPECIIEI) NOTIFIABLE DISEASES: UNITED STATES
FOR WEEKS ENDED

APRIL 6, 1968 AND APRIL 8, 1967 (14th WEEK) CONTINUED


STRETCoC'.AL TYPHUS FEVER
iORE THROA & TETANUS TULAREMIA TYPHOID TICK-BORNE RABIES IN
AREA SCARLET FEVER (Rky. Mt. Spotted) ANIMALS



'NITED STATE ... 10,672 1 7 18 9 65 4 72 1,001

SEW ENGLAD ......... 1,75 2 2 40
ain ......... .. 8 2 39

Vc TO .-t ............ 59
s c34-hu-et ...... 1 347 1
RhCde landi ....... 109
C.nnet t llt ........ 1,188 1 -

MIDDLE ATLANTIC...... 719 6 7 10
SYork City...... 3 3 5
Nec York, Up-Statr. 636 3 i- 1 6
Sw Jrsey ......... NN -
Pennsylvania....... 52 1- I 4

EAS 3 ORTI CENTRAL... 1,123 3 3 9 2 61
Ohi .. ... ...... 125 1 6 29
Indiana........... 243 1 2 15
Illin.i ........... 228 2 1 1 -- 7
Michigan.......... 297 1 1 3
Wisconsin.......... 230 7

WEST NORTH CENTRAL.. 467 2 4 1 4 18 187
Minneps ta .......... 15 6 48
Iowa............... 105 -- 2 39
Missouri.......... 25 2 2 1 3 2 43
Nrrth Dakota....... 179 5 38
uth Ddk t ....... 27 1 -
Nebraska....... .... 6 -1 9
Kansas............. 110 1 2 10

SOUTH ATLANTIC....... 987 2 4 2 18 3 11 126
Delaware .. ........ 13 -
Maryland........... 24 4 2
Dist. of Columbia.. 5
Virginia........... 283 1 1 3 2 6 67
West Virginia...... 220 1 14
North Carolina..... 5 1 2 2 1 1 3
South Carolina....... 2
Georgia............ 33 1 2 6 2 10
Florida............ 202 3 1 30

EAST SOUTH CENTRAL... 1,521 2 4 1 10 1 15 308
Kentucky............ 96 1 7 140
Tennessee.......... 1,202 3 1 7 7 155
Alabama.. ......... 97 1 13
Mississippi........ 126 1 I

WEST SOUTH CENTRAL ... 653 5 1 4 17 195
Arkansas ........... 7 5 25
Louisiana.......... I 4 23
Oklahoma........... 28 5 63
Texas.............. 617 1 2 7 84

MOUNTAIN. ............ 1,875 2 4 5- 1 12
Montana............ 35
Idaho.............. 125 -
Wyoming........... 88
Colorado..*......... 1,231 1 2 -
New Mexico.......... 143 -3 3 4
Arizona............. 135 1 6
Utah................ 112 1
Nevada............... 6

PACIFIC............. 1,572 1 7 1 6 6 62
Washington.......... 342 -
Oregon.............. 188 -
California......... 893 1 7 1 6 6 62
Alaska............. 71
Hawaii............. 78

Puerto Rico........... 48 1 1 1

Rabies in animals: Colo.








Morbidity and Mortality Weekly Report






TABLE IV. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED APRIL 6, 1968


(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 year Area All 65 years an y
Influenza All Influenza All
Ages and over A CuAges and over Inluena Aue
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.----
gewark, N. J.---------
-iew 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.--------


666
195
43
25
24
46
26
24
27
47
51
18
55
20
65

3,264
43
33
129
43
23
35
65
73
1,576
36
639
186
55
108
27
35
49
38
28
43

2,624
67
36
786
144
197
112
96
360
36
37
38
23
45
163
26
151
46
21
52
117
71

864
68
22
53
115
35
138
66
248
65
54


409
106
32
16
16
25
18
17
20
25
31
14
37
15
37

1,940
24
21
74
21
12
22
45
36
949
20
366
107
36
66
15
24
30
23
23
26

1,477
39
16
448
82
90
59
51
204
22
12
22
9
26
90
19
94
26
13
33
71
51

542
51
11
26
80
26
85
46
147
39
31


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.----------


1,163
113
250
50
73
87
47
79
47
95
93
187
42

688
93
59
50
153
145
47
25
116

1,101
37
38
26
148
30
80
215
49
140
85
128
50
75

447
47
20
122
11
125
17
51
54

1,620
21
57
32
51
85
494
103
44
123
62
104
184
37
128
53
42


Total 12,437 7.155 468 516

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 192,401
All Causes, Age 65 and over------------------- 114,153
Pneumonia and Influenza, All Ages------------- 9,877
All Causes, Under 1 Year of Age--------------- 8,393


Wee No.








128 Morbidity and Mo


SALMONELLOSIS Pennsylvania
('olininid from front p ;aI )

turkey gral y senr ed at dinner on March 9 a's the vehicle of
infection. Incubaion periods of the illness ranged be-
tween 10 and 1. hours after dinner on March 9; the mean
incuation period was 29 hours.
The resort lodge records showed that two other
group-s aere at lhe lodge on the samne week-end. In the
first group oe 40 persons alho did not eat dinner at the
lodge on March 9, no cases of gastroenteritis were re-
ported. Homwexer, in the other group of 31 newspaper boys
and their relate i\es ho did eat dinner at the lodge on
March 9. 19 people developed illness. To date. stool cul-
tures from 13 to these 19 patients were positive for S.
brhde'ncy.
According to resort personnel. the frozen turkey
breasts \werei cooked at 370) F on March 9. air-cooled for
I hour, and then refrigerated overnight. The meat was
re-heated at 350) F just before serving and then sliced.
The gramy was boiled just before serving. Although no
food from the implicated meal awas available for culture.
cultures of frozen turkey breasts from one of two lots
served at the meal yielded S. s. Stool cultures
from three food handlers yielded S. bredeney. Further
studies are in progr-es. .
(Reported by tilliam 1). Schrock. Jr., W.V... D.P.ll.. iirec-
tor, ad I. F. Uratch. M.)., Epidcemiologist, Communicable
Pisieas.e, Vtiision, and William J Veyer. M.).. Assistant
Vedical director and Evan Rhie/, V.)., Reqion I1' Offire,
Pennsy/iraia )D department of llhelthl; and an EIS Officer.)


INTERNATIONAL NOTES
QUARANTINE MEASURES

.dditional Imimuiniiaetion! Information for International
lTrareIl-1967-68 edition-Public Health Seririce Publication
No. 384

The following information should he added to the list of
Yellow Fe er Vaccination (enters in Section 6:

Poge 93
inder Gastonia, North Carolina. Gaston County Health
Department. note the following: As of April 1, 196S, the
('lime Hours will be Friday. :2 p.m. by appointment.

Poge 94
UInder Erie. Pennsylvania. Erie County Department
of Health and under clinic hours.
Delete 2101 Peach Street, 16504 Telephone: h66-9151
Insert: 60i6 West Second Street. 165l07
Delete: 1-t and 3rd Tuesday. 10):30-12 a.m.
Insert: For appointment, call Visiting Nurse Association:
15tI-5l 1

Page 98
itnder Wichita Falls, Texas. ichita Falls Cit\-
%licliita County Health U'nit.
Delete: Telephone: 322-52.'5
Insert: Telephone :322-51611. Extensions 371. 372. 373.
and 3171.


irtali


ty Weekly Report APRIL 6. 1968


L -
THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCULAR
TION OF 17000 15 *5 b.b -.-L' IHE NATIONAL COMMUNICABLE
DISEASE CENTER A1n i.''- ". -
I- -l
DIRECTOR, NATIONAL COMMUNICABLE DISEASE 'tr. t'
..-,,o bt".'.t r MO ____--
CHIEF EPIDEMIOLOGY PROGRAM A.D -iU..i MD
ACTING CHIEF, STATISTICS SECTION IDA L SHERMAN, M.S.
EDITOR MICHAEL 8, GREGG. M Za

IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
%C UI.-* -.L. RTALITY. THE NATIONAL COMMUNI.. i..E DiE A.E
..E'f .i L *' ACCOUNTS OF INTERESTING OUTB tr -- i :- ., -
INVESTIGATIONS WHICH ARE OF CURRENT *'.' .;I 4 E' L E L r,
OFFICIALS AND WHICH ARE DIRECTLY RELATi 7 'HE LOrTGL
OF COMMUNICABLE DISEASES. SUCH COMMUNICATIONS .OuLL. at
ADDRESSED TO:
NATIONAL COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
ATTN: THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT

NOTE: THE DATA IN THIS REPORT AiRE PROVISIONAL AND ARE
BASED ON WEEKLY TELEGRAMS TO THE NCDC BY THE INDIVIDUAL
STATE HEALTH DEPARTMENTS THE t'' ii-"'. tEK CONCLUDES
ON SATURDAY; COMPILED DATA ON A'.-'r ..-,' l-:: ARE RELEASED
ON THE SUCCEEDING FRIDAY


M
C
a
c
re
c
o




< =
K m





I0 1-





m m
? "S;5?








z m
0 0






z
-4
I-

0
I-


DOu.MENTS EPT






t N"Ij QL .
I u l:-o n:q


C
-S
0
F




m
n

;I
'I U




Full Text
xml version 1.0 encoding UTF-8
REPORT xmlns http:www.fcla.edudlsmddaitss xmlns:xsi http:www.w3.org2001XMLSchema-instance xsi:schemaLocation http:www.fcla.edudlsmddaitssdaitssReport.xsd
INGEST IEID EOX9TPX4Y_UZVSLS INGEST_TIME 2012-07-16T17:01:26Z PACKAGE AA00010654_00187
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES