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:
AA00010654:00188

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


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

BUREAU OF DISEASE PREVENTION AND ENVIRONMENTAL


Vol. 17, No. 15



SEnding



S Ending


SERVICE


CURRENT TRENDS
MEASLES United States


For the week ending April 13, 1968 (week 15), 786
cases of measles were reported to NCDC. This is a de-
crease of 161 cases from the total of-947 cases reported
for the preceding week. Since mid-January. the number of
measles cases reported each week has ranged from 532
(week ending February 17) to 949 (week ending March 23).
However, these 786 cases for the current week are only
29 percent, 10 percent, 7.2 percent, and 2.9 percent of the
..cases reported for the corresponding week in the years
- 1967, 1966, 1965, and 1964, respectively.
The striking decrease in measles cases reported
during the current year compared with cases reported dur-
ing the 4 previous years (December-June, weeks 49-24) is


Current Trends
Measles United States ..................... 129
Meningococcal Disease United States ... 131
Summary of Reported Cases of Infectious Syphilis 130
Surveillance Summary
Tetanus- 1965 and 1966 Part I . .... 131
Epidemiologic Notes and Reports
Follow-Up Measles Rockport, Montana . 136


readily apparent in Figure 1. A total of 9.880 cases of
measles have been reported for the first 15 weeks of 1968.
This total is 25,395 cases, 99,503 cases, 129,714 cases.
and 186,004 cases fewer than the totals for the comparable
15 weeks in 1967-1964. respectively.


(Reported by State Services Section,
tion, Epidemiology Program, NCDC.)


and Statistics Sec-


Figure 1
REPORTED CASES OF MEASLES BY WEEK, UNITED STATES 1967-68
COMPARED WITH 1963-64 TO 1966-67 (DECEMBER-JUNE)



- 1963 64
-*--* 1964 65
1-- 965 66
1------ 966 67
---- 1967 68














-- ------ -

"f '" ". .. ..


32,000-
jeo-



28,000-



24,000-



20,000-


0
I-

16,000-


-
m 12.000-



8,000-


4,000-
4.000-


49 50 51 52 1 2 3 4 5 6 7 B 9 10 II 12 13 14 15 16 17 18 19 20 21 22 23 24
DEC JAN FEB. MAR APR MAY JUNE
WEEK AND MONTH







Morbidity and Mortality Weekly Report



SUMMARi OF REPORTED CASES OF INFECTIOUS SYPHILIS


APRIL 13, 1968


' I. ......... ........I
v- ,id '.....r....





V,-.r i ...................

1 1
hiDP AA f .... ...........





FA









ilrti ... ..... ...........
Ch li~dg... .. .. ... ...

"!LTh'T Ei^RHI LF:NT'AL, .,.,.














!r th idd. ..a ............
i 1.; .. ................
1ilr:i '.1......


IT) I.l 1.1.......

i1,44


I 7

i i- 8

+s I
7i






-t7 I 1 7
2i i 7 i
iL 7 j
Iri 6 .
?~ I i


AC IFIC .......... .
hi.: o p. ..... ..
UE'I i..( : CTr........






li...t.. ..............
P t, Al ,i ...............


RTia A...................


. TOTAL ...........
IERRITORIE .............
Prgn I ias...........
Virin Ulandr...........


Not 1 Cumulatxve Totalis tnclud rivisd and delayed reports
through previous rath.


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

15th WEEK ENDED C('UMULI.ATIVE, FIRST 15 WEEKS
MEI)IAN
DISEASE April 13, April 15. 1963 197 MEDIAN

1968 1967 1968 1967 1963 1967

Ase pic m ingitis ....... ...... ..... 42 33 31 426 423 423
B ric ll s ........................... 6 4 4 32 57 60
Dip th ria............................. 3 3 45 35 55
Encrehalits. I rimary:
Arthropod- brne & unslpeciiid ........ 18 31 226 355 -
Enc ha ti s. p ost-inlct ious .......... 7 29 -- 128 223 -
paitis rum .............. .... 93 41 5 1.103 568 12,459
Hepatitis. infecti us ......... ........... 801 850 12.528 11.891
Malaria ................................ 43 22 3 663 582 32
Mlasles trubeola ....................... 786 2,712 10,859 9,880 35.275 139,594
Me ninoocc al infections, total ........... 70 71 100 1.149 892 975
Ci ilian ............ ................ 58 63 1,038 820
Milit ary ... ............... .. ....... 12 8 111 72
Mu.mps ... ................. .... .... 5.124 76.143
Poliomyt litis, total ...... ................ 1 1 14 4 7
Paralytl c ..................... ..... 1 1 14 4 6
Rubella (Grrman mn asles) ............... 2,607 1.701 19,256 17.125
Stre-kococcal sor, throat & scarlet I*ver.... 9,110 11.823 10.854 169,680 183.553 167,786
Ti.anus ............................... 4 5 4 31 46 50
Tulai rnm i a .............................. 1 4 3 19 39 57
Typhoid flver ............................ 1 11 6 66 93 94
Typhus. lick-borie (Rky. Mt. spotted tfvcr) 1 4 10 6
r,. ,| "79 96 10i2, 1 .14 1.301 1.291

TABLE II. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.
Anthrax: ...................................... ..... 1 Rabies in m man: ............ ........... ......... --
Botulism: ........ ...... ....... Rubella, Congenital Syndrome: ... ..... .......... 3
Leptmospir-sis: ...................................... 6 Trichinosis: ............................. ........ .. 12
P league: ............ .......................... T yphus, urin : .... ....... ...... ........... 3
Psittacosis: N.Y.C.-1 ............................... 12














The Iius-i..l incidence rate of meningococcal infec-
tions for March 1968 is 1.89 cases per 100.000 population.
This rate is higher than the rate of 1.59 cases per 100.000
population for March 1967: however, it is well below the
1966 rate of 3.20 cases per 100,000 population and the
mean monthly rate of 2.10 for March 1960-66 (Figure 2).
A total of 1,079 cases of meningococcal infection
have been reported for the first 14 weeks of 1968; this is
31 percent more than the 821 cases reported for the corre-
-p.:."n r,_ period in 1967. Of the 1968 total to date. 99
cases (9 percent) were military cases: in the correspond-
ing period for 1967. military cases comprised 8 percent of
the total cases.


(Reported by Special Pathogens Unit. Bacterial Diseases
Section, and Statistics Section, NCDC.)


Figure 2
MONTHLY INCIDENCE OF MENINGOCOCCAL INFECTIONS
3oo UNITED STATES
MEAN MONTHLY RATE


MONTHLY RATE
S-- ~~ --- 1966-t96
1967-1961
5

I 0

7 '' / '-^


MONTH


SURVEILLANCE SUMMARY
TETANUS 1965 and 1966
Part I*


During 1965 and 1966, a total of 535 tetanus cases
were reported to NCDC. Tetanus surveillance forms with
additional epidemiologic and clinical information were re-
ceived on 507 of these cases. A history of immunization
was unknown, suggested inadequate protection, or was not
obtained in 96 percent of the cases.
Tetanus morbidity and mortality rates have continued
to decrease gradually in a parallel pattern since 1950
(Fiiur- 3). Thus the case fatality ratio has remained vir-


1.00







o
o
0
0
0
o
w
(C
O4


tually unchanged at approximately 65 percent during this
17-year period.
Non-neonatal tetanus cases in 1965 and 1966 showed
a wide geographic distribution (Figure 4). Only 14 states


Figure 4
GEOGRAPHIC DISTRIBUTION OF TETANUS
CASES AND INCIDENCE RATES BY STATE
UNITED STATES, 1965-1966*


Figure 3
TETANUS MORBIDITY AND MORTALITY
UNITED STATES, 1950-1966

INCIDENCE RATE
MORTALITY RATE


- '

N
-... '


50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66
YEARS
SOURCE: Annual Supplement Morbidity and Mortolity Weekly Report

*This is the first part of a three part series on tetanus sur-
veillance. Parts II and III will appear in subsequent issues
of the MMNWR.


reported no cases in 1965 and 1966. All of these states
were either in the western United States or in New Eng-
land. The highest attack rates occurred in the southern
United States. Arkansas. Louisiana. Florida. Georgia.
and Alabama had rates greater than 0.25 cases per 100,000
population per year over the 2-year period.


(Continued on page 136)


APRIL 13, 1968


Morbidity and Mortality Weekly Report



MENINGOCOCCAL DISEASE United States


NEC 1o0 -1


TOTAL LUMBER OF REpORTED TETANUS CASES
C-U 'G 1965 NO .66







1:2 Morbidity and Mortality Weekly Report


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 13, 1968 AND APRIL 15, 1967 (15th WX'ElKI

ENCEPHALITIS HEPATITIS
ASEPTIC HBC I.OM )Pi A Primary
AREA MENINGITIS including ious Seru InfectioMALARIA
Infectious Serum Infectious
unsp. cases
1968 1967 1968 1968 1968 1967 1968 1968 1968 1967 1968
UNITED STATES... 42 33 6 3 18 31 7 93 801 850 43

NEW ENGLAND.......... 1 2 2 16 33 -
Maine.............. 2
New Hampshire...... 1
Vermont............ -
Massachusetts...... 1 10 22
Rhode Island....... I 2 4 5
Connecticut ........ 2 3

MIDDLE ATLANTIC...... 6 6 6 6 22 130 174 4
New York City...... 2 1 2 1 18 40 52 -
New York, up-State. 1 2 3 37 42 1
New Jersey ........ 3 3 1 3 -1 25 42 2
Pennsylvania....... 2 3 28 38 1

EA I *.'Ii CENTRAL... 6 4 1 5 6 6 124 141 -
S.......... 5 5 3 1 56 36
Indiana.......... 1 3 5 14 -
Illinois........... 2 -- 41 38 -
Michigan........... 1 2 5 7 43
Wisconsin .......... 15 10 -

WEST NORTH CENTRAL... 2 1 1 54 61 1
Minnesota .......... 1 1 1 12 13 -
Iowa................ 22 2
Missouri........... 8 38 -
North Dakota....... 1 4 1 -
South Dakota ..... -
Nebraska............. 5 3 1
Kansas............. 2 4 -

SOUTH ATLANTIC....... 6 1 2 1 7 2 6 93 108 7
Delaware. .......... 1
Maryland.t........ 1 17 19
Dist. of Columbia.. 1 -
Virginia........... 1 1 2 10 30 1
West Virginia...... 2 1 8
North Carolina..... 6 9 5
South Carolina..... 1 1 -
Georgia............ 28 23 1
Florida............ 3 1 6 2 4 30 17

EAST SOUTH CENTRAL... 6 7 1 1 1 59 61 21
Kentucky........... 1 1 26 23 19
Tennessee.......... 3 1 1 1 16 14
Alabama............ 5 2 4 12
Mississippi ........ 1 13 12 2

WEST SOUTH CENTRAL... 4 4 2 1 1 62 91
Arkansas........... 4 3 -
Louisiana.......... 12 11
Oklahoma.*........... 2 1 4 10
Texas............. 2 4 2 1 42 67

MOUNTAIN............ 1 2 1 38 31 3
Montana.............. 1 5 5
Idaho.............. -
Wyoming............ -
Colorado........... 2 1 9 3 3
New Mexico......... 7 14
Arizona............ 9 7
Utah............... 7 1
Nevada............. 1 1

PACIFIC.............. 14 11 5 5 4 54 225 150 7
Washington......... I 8 13
Oregon............. 1 1 14 9 1
California......... 13 10 5 4 4 54 193 127 6
Alaska.............. I-
Hawaii............. 10 -

Puert, Ri ......... 26 35


*Delayed reports:


Encephalitis, primary: Ind. delete 1
Hepatitis, infectious: N.J. delete 1, Ohio 1, Md. 2 cases 1967, Okla. I






Morbidity and Mortality Weekly Report 133


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 13, 1968 AND APRIL 15, 1967 (15th WEEK) CONTINUED


MEASLES (Rubeola) MENINGOCOCCAL INFECTIONS, MUMPS POLIOMYELITIS RUBELLA
TOTAL
AREA Total Pralyic
Cumulative Cumulative Total Paralytic
Cum.
1968 1968 1967 1968 1968 1967 1968 1968 1968 1968 1968
UNITED STATES... 786 9,880 35,275 70 1,149 892 5,124 14 2,607

NEW ENGLAND.......... 35 443 392 7 60 32 627 403
Maine.*............ 11 84 2 4 2 1 -10
New Hampshire...... 3 56 68 6 1 8 1
Vermont............. 1 1 21 1 27 5
Massachusetts...... 12 207 150 2 28 14 335 172
Rhode Island. ..... 1 27 4 1 38 79
Connecticut........ 19 167 42 3 17 14 218 136

MIDDLE ATLANTIC...... 98 1,376 1,132 10 179 130 228 330
New York City...... 51 379 180 32 20 127 144
New York, Up-State. 24 682 264 3 30 33 NN 61
New Jersey......... 17 225 278 3 66 54 101 124
Pennsylvania....... 6 90 410 4 51 23 NN 1

EAST NORTH CENTRAL... 171 2,260 2,735 14 127 91 1,674 602
Ohio................ 23 185 467 6 33 37 52 83
Indiana............ 29 357 312 17 13 170 32
Illinois........... 63 941 416 3 30 17 241 295
Michigan........... 7 142 579 5 35 17 683 50
Wiseonsin............ 49 635 961 12 7 528 142

WEST NORTH CENTRAL... 9 229 1,559 1 49 39 522 125
Minnesota......... 6 68 1 13 8 1
Iowa.. ............. 56 367 3 9 443 120
+Missouri............ 1 60 111 10 9 1 1
North Dakota....... 4 69 585 2 24 3
South Dakota ..... 1 4 39 4 5 NN -
Nebraska........... 3 27 389 4 7 54 -
Kansas............. 7 NN 13 1 -

SOUTH ATLANTIC....... 69 871 3,904 18 256 172 266 217
Delaware............ 7 27 1 3 5 5 -
Maryland............ 9 50 68 1 16 20 33 19
Dist. of Columbia.. 5 11 9 3 2 -
Virginia........... 9 160 1,219 3 19 13 30 28
West Virginia...... 1 149 694 6 15 55 45
North Carolina..... 18 220 685 4 57 34 NN -
South Carolina..... 16 253 2 46 14 1 1
Georgia............. 3 23 2 47 30 -
Florida............. 32 261 924 5 53 38 140 124

EAST SOUTH CENTRAL... 54 308 3,638 10 99 88 176 290
Kentucky............ 19 97 1,015 8 40 25 64 173
Tennessee.......... 43 1,216 1 29 38 94 40
Alabama.......... 5 71 843 14 16 14 77
Mississippi........ 30 97 564 1 16 9 4 -

WEST SOUTH CENTRAL... 219 2,478 12,726 4 223 146 443 6 90
Arkansas........... 1,312 1 13 16 -
Louisiana.......... 2 3 82 56 55 1 1
Oklahoma..*......... 83 3,210 41 8 4
Texas..*............ 217 2,392 8,122 3 113 67 438 6 89

MOUNTAIN............. 35 468 2,520 1 14 19 277 94
Montana............ 1 63 183 1 30 3
Idaho............... 11 275 1 3 1 16 -
Wyoming............. 1 40 14 11 -
Colorado............ 13 193 622 7 10 96 62
New Mexico......... 4 45 393 3 16 5
Arizona............. 12 108 579 1 2 78 24
Utah................ 1 3 224 1 12
Nevada............. 3 5 230 2 2 18 -

PACIFIC.............. 96 1,447 6,669 5 142 175 911 8 456
Washington.......... 16 352 3,274 1 24 18 245 67
Oregon.............. 21 317 818 14 13 10 9
California.......... 59 751 2,420 4 95 136 609 8 355
Alaska.............. 87 8 35 14
Hawaii............. 27 70 9 12 11

Puerto Rico.......... 35 195 1,205 15 7 33 4

*Delayed reports: Measles: R. I. delete 2, Iowa 15, Okla. 26
Mumps: Me. 2
Poliomyelitis, paralytic: Tex. delete 1
Rubella: Me. 4







131 hItrlidlity and Mortality Weekly Report


1ABlI- III (CASFS OF SPCI(IFE) NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 13. 9, AND APRIL 15, IX%7 (15th X III k CONTINUED


iTREITOCCC AL TYPHUS FEVER
ORE :THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE RABIES IN
AREA SARIET FEVER (Rky. Mt. Spotted) ANIMALS
Cu:i. Cur. Cuo. Cu,. Cum.

NITED STATES... 9,110 4 31 1 19 1 66 4 79 1,114

SEW ENCIS.AI........... 1,61 2 6 46
Mitr 33 5 44
--ir-hir e...... 80 1 2

Rh Il29and....... -
R; ..1 an 209 -
.nn, t i ut........ 977 I

M1DDLE ATIANTIC...... 261 6 7 10
N.v Y Nu York, Up-State. 179 3 1 6
SJersey......... NN -
Pennsylvania....... 46 1 4

EAST NORTH CENTRAL... 1,067 3 1 4 9 3 64
Oh i ............. 244 1 6 29
Indiana............ 278 1 2 17
Illintsi .......... 159 2 1 2 1 7
MichiRan........... 238 1 I 3
Wis c in............ 148 1 8

WEST NORTH CENTRAL... 500 2 4 4 24 245
Minnesota.......... 47 6 54
Iowa............... 140 4 43
Missouri........... 4 2 -2 3 1 44
North Dakota........ 64 8 46
South Dakota*...... 42 1 1 34
Nebraska........... 156 2 11
Kansas............. 47 3 13

SOUTH ATLANTIC....... 988 2 4 4 18 3 8 134
Delaware... ....... I- -
Maryland........... 49 4 2
Dist. of Columbia.. 1 -
Virginia........... 304 I 1 3 2 2 69
West Virginia...... 218 4 18
North Carolina..... 26 1 2 2 2 1 1 4
South Carolina..... 7 -
Georgia............ 15 1 6 10
Florida............. 368 3 1 31

EAST SOUTH CENTRAL... 1,255 2 4 4 1 11 1 19 327
Kentucky........... 78 1 1 1 1 10 150
Tennessee.......... 892 3 7 8 163
Alabama............ 122 1 1 14
Mississippi......... 163 1 2 1 3 I

WEST SOUTH CENTRAL... 446 5 1 4 14 209
Arkansas ........... 13 2 27
Louisiana.......... 4 4 1 1 24
Oklahoma............ 24 1 3 66
Texas............... 405 1 2 8 92

MOUNTAIN.............. 1,523 2 5 4 16
Montana............ 33 -
Idaho.............. 113 -
Wyoming.............. 96 1
Colorado........... 826 1 2 1 1
New Mexico ......... 102 3 2 6
Arizona............ 148 2 8
Utah............... 205 -
Nevada............. -

PACIFIC.............. 1,457 7 6 1 63
Washington ........ 287 -
Oregon............. 181 -
California......... 847 7 6 1- 63
Alaska............ 63 -
Hawaii............. 79

Puerto Rico.......... 7 1 11

*Delayed reports: SST: Me. 8, Ohio delete 1, Wyo. 165
Rabies in animals: S.D. 34







Morbidity and Mortality Weekly Report






TABLE IV. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED APRIL 13, 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 ad year Area All 65 years and I year
Ages and over Influenza All Ages and over Influenza Al
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.--------


658
253
30
27
34
45
20
24
22
33
49
8
46
21
46

3,211
46
30
124
39
35
34
60
72
1,664
26
510
182
48
106
26
29
57
51
30
42

2,582
63
36
695
176
203
124
85
348
37
30
49
33
60
173
39
129
41
37
34
126
64

749
71
23
31
138
23
93
75
163
67
65


40
19

1
1
3
2
3

2
3

1
1
4

115
5

9
1


3
2
53

23
9

4



2
1
2

118
7
1
18
8
6
9
4
11
2
2
1
3
8
15
5
6
4
1
2
2
3

33
3
3
3
3
1
4
8
3
3
2


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


1,037
118
201
44
69
99
56
22
25
89
75
198
41

596
70
38
37
136
129
48
37
101

1,145
41
36
48
172
43
81
223
47
145
71
118
68
52

399
41
19
100
15
92
29
45
58

1,568
22
52
18
37
79
504
109
28
116
63
101
164
40
146
59
30


Total 11,945 6,858 453 537


Cumulative Totals
including reported corrections for


previous weeks


All Causes, All Ages -------------------------204,346
All Causes, Age 65 and over------------------- 121,011
Pneumonia and Influenza, All Ages------------- 10,330
All Causes, Under 1 Year of Age--------------- 8,930


Week No.
15











TETANUS ((iC, fii ,cd from paf 1.1)


Th, eo geiraphic di-trihution of neonatal totanus clearly
intil,.it(r l (ih;t tlh probllmr is- local izi l I to the South At-
lantic anid South C intral divisions (Figurie5). \II but three
ca-e- \ Iet e reported from these (lit iiions and Texas alone
'ccounl'd for .10 perceIni of the l t tol numiit er of cases.


Figure 5
GEOGRAPHIC DISTRIBUTION OF CASES
OF NEONATAL TETANUS 1965-1966


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(kepotrtced by Special Pathoiiyell Unit, Bacterial lDisrases
Section, aid Statisti. Se'c, ion. Epidemioloyy Program,








EPIDEMIOLOGIC NOTES AND REPORTS
FOLLOW-UP MEASLES Rockport, Montana


The outbreak in the Montana. Hutterite colony known
as Rockport (M11MR. Vol. 17. No. 13) has been confirmed
serologically as consistent with measles. On March 26.
s-era were obtained from 33 previously ill colony members.
\ sample of 12 sera. including sera from the index case.
cases in the firHst and second waves of the epidemic. the
most severe clinical cases. and the last cases, were tested
for rubella and ru beola antibodies by the hem agglutination
inhibition (HAl)test. \ll 12 sera were positive for rubeola:
nine \were positive for rubeola at 1:(6 and three were posi-
tive at 1::32. Of the 12, eight sera had no HAI antibody
for rubella at 1:10 and four had tigers of 1:8.0 1:320, 1:640,
and 1:12S). respectively. Of these four sera, three were
from patients with documented fevers of 1051F. One of
thes three patients was seen by a physician who made
the diagnosis of measles based on fever. conjunctivitis.
ra-h, cough. coryza. and Koplik's spots: this patient was
hospital ed because of a complicating bronchitis.
Further evaluation of this epidemic is in progress.
(Rkeported by State Services Section, Epidemiology Pro-
gram, and Viral Immniunoserology Unit, Virology Section,
Labratory Program, N('I)'.)


-C a
APRIL 13, 1968 U '_ )

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THE** '- **.. AND MORTALITY WEEIl.r REPORT. WITH A CRCULCA
TION *. S PUBLISHED AT THE NAT ONAL COMMON CABLE
DISEASE CENTER ATLANTA, GEORGIA.
DIRECTOR, NATIONAL COMMUNICABLE DISEASE" ,r
CHIEF EPIDEMIOLOGY PROGRAM ... '.. N.D.
ACTING CHIEF STATISTICS SECTION IDA L SHERMAN M.S
EDITOR MICHAEL B GREGO, MD

IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
AND MORTALITY, THE .L .. .. .%* Llt a
7 WELCOMESS ACCOUNTS OF ". r. .= .. *..
INVESTIGATIONS WHICH ARE OF CURRENT INTEREST TC C L -
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OF COMMUNICABLE DISEASES. SUCH COMMUNICATION SHOULD BE
ADDRESSED TO:
NATIONAL ..** .,.- ~ D EASE CENTER
ATLANTA r :
ATTN: THE EDITOR
MORBIDITY ANDMORTALITY WEEKLY REPORT

NOTE: THE DATA IN THIS REPORT ARE PROVISIONAL AND ARE
BASED ON WEEKLY TELEGRAMS TO ,: '. d *r ~* -1
STATE HEALTH ..riI.-., THE '. 'I
ON SATURDAY; .*i ..i- i ON A NATIONAL BASISm QEiO-iEC
ON THE SUCCEEDING FRIDAY








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