Morbidity and mortality

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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:
AA00010654:00204

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


.t,~~ .,-


Cd


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


HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION


EPIDEMIOLOGIC NOTES AND REPORTS
DIPHTHERIA Austin, Travis County, Texas
From January 1962 through September 1967, only
eight case s of diphtheria were rpotrtedl f1ronm \utin.
T'ra\is Countyl T \Ix Bp egnninning in October 1 ti) Iho -
oI'r, a trend ltowards increased nunilitrs of' x*ase s per
inonth \ las noted and the niumbier of reported causes: reached
outbreak proportions- in (October 196h8 \hen 17 cases \ire
reported (Table 1). \lthougl most of the 62 cae,- reported
hbtween October 1967 and October 196b were clinically
mild, t(\o deaths did occur in February 196h. No late
comiplication- s.condar\y lI the diphtheria exotoxin haeIr
heen reported in Ihe last 6 months.
Epidenmiologic in testigation of the first 60 cases re,
ported -ince October 1967 showed that 26 werie \eogro and


I x\ l11' I

lx)phtherit i l i ......... ,7
('irrenl Tro nirn
M rt-h.- .- I'n d St ;it." . . .. ',
%1-- V" t-1
:r I L:Ix .swunm tr%
'I xrr ul, ,- I n d I P 1 x ,

:I1 were whilt: of the latter. 30 were oxf Me\ic an- \mIenr ;in
,Ii i I i I I of the x p Iroii t[ l.x 'l


..i ...I x <"\lo-1 ofi the ca-,-



S 0v .all ran lat
front ct and carrier i \ppro imaiel -2:
S..... !;1,q, d pq :l c


TABLE I. CASES OF SPECIFIED NOTIFIABLE U1,S: UNITED STT
(Cumulative totals include revised and delayed repo
43rd WEEK ENDt:) ATI +. Fl 1ST 43 \ K:S*h
DISx: ASEI
DISEASE: October 26, October 28, P)63 1967 DI
1968 19 7 I uo'l;, ji
A lctii mniningitis ......... ....... .... 137 90 53 3.696 2.500 1.770
Bru -'tl~ is ................ .... .... 4 4 4 189 210 210
Dipiih ria. ............... ... ... .... 2 5 7 183 121 165
ErT phalitis, primary:
Arthropod-bornr & unspr cilid l .......... 69 47 1.187 1,367
Enr cphaliith. p t- t' ii u .... .. ... 8 10 413 680
Hllpatitis, c lruf ... .............. 115 47 1 3,749 1.810
H pat~ii inf lii l.i ...... .. 935 740 37.286 31, 781
Mal:lria ....... ...... ... 49 55 2 1,923 1,689 89
MNJ -I :ru u, dl a) ......... ... 155 300 1,056 20.389 59,379 45, 83
M nin u(x o cal i1l t n tal ..... ... 26 26 41 2 190 1.838 7
Ci ilialn .. .. ......... .. .... ... 25 5 2.003 1 ,720
Mi litarl .... ...... ...... 1 1 5 1 18
'Miii.s ...... ...... 1,249 130.808 -9
P linimyvhtis, itot I ........ ...... 4 1 4 54 29 82
Paralvtie .. .. ....... .. 4 1 1 54 2-5 7
Rulb l la i r ma ii te iix s .......... .. 270 28 43 444 4 1,27
IStril .irl r lit t r ir t fl ,, r 7.654 7.654 6.041 34 .33 ( .415 32ti 64
Ttal ......... ...... .......... 1 3 4 145 182
TIula ii a ....... ....... .... .... 3 7 157 150 21
TIphoil I ,ver ........ ..... .. .. 11 7 6 325 330 3
Tiphus. tick-born,- tRk Ml. itte I ,er 2 26 2 9 229
Rai bD: in an. I '

TABLE II. NOTIFIABLE DISEASES OF LOW FREQUENCY


B thri : ........ .... P. 3 lu .
Bctul :ii:'.. ........ .. .. .6 H .3
I p iii.spirMs: W'.Va.-l ........ ... ... ...... 39 : Ca .-1
Pl'a : ... r : T x 1
P itti i l i >: C alif.-2 ........ 41
*Delayed Reports: Botulism: Mich. 1


Vol. 17, No. 43







Week Ending

October 26, 1968




PUBLIC HEALTH SER .I t






Morbidity and Mortality Weekly Report


OCTOBER 26, 1968


CURRENT TRENDS
MEASLES United States


During the 4-week period, September 8 through Octo-
ber 5 (weeks 37-40), 1968, measles was reported from 149
counties or health districts; 231 counties or health dis-
tricts reported measles in that 4-week period in 1967. Of
these 149 counties, six (4.0 percent) reported a total of
10 or more cases (Figure 1) compared with 15 of 231 (6.5
percent) in the corresponding 4-week period in 1967
(Figure 2).
The nation as a whole showed a 37 percent reduction
in the number of areas reporting measles in this 4-week
period in 1968 from those reporting measles in that 4-week
period in 1967. Only four divisions (West North Central,
South Atlantic, East South Central, and Mountain) had as
great a decrease (Table 3). The Middle Atlantic, East
North Central, and West South Central, each showed a
slight decrease; however, the New England divisions re-
corded no change, and the Pacific division showed a slight
increase in the number of counties reporting measles in
this 4-week period in 1968 from that same 4-week period
in 1967.
(Reported by State Services Section, aid Statistics See-
tion, Epidemiology Program, N(')('.)

Figure 1
COUNTIES OR HEALTH DISTRICTS REPORTING A TOTAL
OF 10 OR MORE CASES OF MEASLES
SEPTEMBER 8 THROUGH OCTOBER 5, 1968


Table 3
Number of Counties or Health Districts Reporting
Measles During Weeks 37-40, 1967 and 1968
by Geographic Divisions

Number of Counties or Health
Districts Reporting
Total of 10 or
Geographic 1 or More Cases More se
Divisin More Cases
Divisions
1968 1967 1968 1967
Sept. 8- Sept. 10- Sept. 8- Sept. 10-
Oct. 5 Oct. 7 Oct. 5 Oct. 7
United States 149 231 6 15
New England -
Middle Atlantic 16 19 2
East North Central 33 36 2 3
West North Central 5 17 1
South Atlantic 8 33 -
East South Central 2 22 -
West South Central 27 32 1 7
Mountain 14 29
Pacific 36 35 1 4
Puerto Rico 4 5 1 1
Virgin Islands


Figure 2
COUNTIES OR HEALTH DISTRICTS REPORTING A TOTAL
OF 10 OR MORE CASES OF MEASLES
SEPTEMBER 10 THROUGH OCTOBER 7, 1967


P..... Rs-.


V.g..Ib,..d,,
El


*i ^ -sf 2'-y-.

'I~
i I'- /


: *( \ / ,,.......
*t : \ a


SURVEILLANCE SUMMARY
TUBERCULOSIS United States and Puerto Rico 1967


During 1967 state health departments in the United
States reported 45,647 nevw active tuberculosis cases, a
decline of 2 0.1 cases (4.4 percent) from the 47,767 cases
reported in 1966 (Table 1). The reduction in new active
ca e'. occurred in o\ r t\ o-thirds of the states. New
active cases were reported from o\er 2,4-0 counties and
miscellaneous adnministraii\e areas. No nei\ cases were
recorded during the year in 62S counties.
\ corresponding reduction w\as shown in tuberculosis
new case rates for the nation as a a\hole. 23.1 cases per


100.000 population in 1967 compared with 24.4 in 1966.
In 35 states, case rates were lower, in 1967 than in 1966:
in 14 states, the rates were higher; and in one state, there
was no change. The case rates for states ranged from a
high of 45.7 cases per 100.000 population in Hawaii to a
low of 5.5 in Iowa. The District of Columbia had a rate of
52.4 and Puerto Rico, a rate of 44.2 per 100,000.


(Reported by Tuber'ulosiis Program, NCDC.)


398








OCTOBER 26. 1968


Morbidity and Mortality Weekly Report


Table 4
New Active Tuberculosis Cases and Case Rates: United States and Puerto Rico, 1966 and 1967


S( ate


I united States Total
Continental United States

Al abamal
Alaska
Arizona
Arkansas
Cali fornia
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgi a
Hawai i
Idaho
Illinois
Indiana
lowa
Kansas-
Kentucky
Louisi ana
Maine
\arr land
Massachusetts
Michigan
Minnesota
lississippi
Missouri
Montana
Nebraska
Ne ad a
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsyl\ ania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
'tah
\'errnont
Virginia
a shington
e-st Virginia
Hi-consin
t Coming

Puerto Rico (b)


New active ca-ses


1966 1967


47,767
47,361

1,21 1
1.17
503:
51s7
4,(65S
92:1
293(a)
173
553
1,573
1,273
259
65
2,93,S
1,051
1. I
lhS4
279
1,241
1,0:29
12h
1,217
910
2,263
400
654
1.049
105
132
231
54
1,592
:267
5.296
1,266
12
1,639
53f
3h6
2.664
140)
690
15h
1,3h(:
3.037



5517:


I5)
l0)
'h


45,647
45, 19

1,379
110
436
497
1,171
256
411
12:2
423
1,601
1,223
34h
5.5
:2,999
1,069
150
223
1.071
966
1"20
l,lh7
9101
1,930
394
616
s82
109
lio
121
147
11
1,4.55
24s
5,069
1.,247
49
1,5-4s
442
322
2,736

716
119
1,199
3,209
65
44
1.521
5)07
539
163
311

1. 191


C('ae rate per
100,000) populati


on


11967


Rank iacrording
to rant

!96i6 1967




7 3
I 2

12 19
24 25
40 3S
12 :17
b :23

20 16;
14 13
4 1
13 46
lh 12'
30 26
49 5(0

3 ti
15 17
37 :19
9 7
33 31
19 -21
41 41
17 1S
27 2h
:36 35)
44 I5

47 4,1
26 -7
"2"2 .21
13 11
03 20
5() 17
34 :6(i



35

21 i1



16 ill



ti I

11 1
lii to
39 (it
1 II


f 11\. I : 2:1 1 n-i
{1b N t un< hud, in m tw,&i-
I' 1)t-tr-ta -1 ( ',umbl-<


399


Population
-Iii) 1 19r67

197,S3,O00:
1 91; 30.000

31.5' 1,00O

l,4l 1,000
1,995,000
18,.99.000
2. 01Uth.000
2,O96,OO0
52 1 .000

6,04I 6000
41,509,000

71)3. 00

510. 1.00(0
2.7 1 0.oo

2.2 11.00()
3, 20'.000
3.670,000
3.(il .000

3, I I .()0i)
S.41 i.0(lll
3.612i.000



4.5')9.00(l
.9' ,112,00)

4 )10.(11)






'1 I in
6!h.0 1)0











42 0.1 10
2 0 .,000

1,91 .1000



.31.0(17)10
10.497.000


2 I 1,000
11 )670.001




1 3.93).(000
1 '-,|7.000

1 1 7.001,1
1.: |1 .00t )


**- -- 1 0 -- *
,2(}" ( {

] C.B, / it


I ( 1 /


rt r"'k, [ "oh rh,








400 Morbidity and Mortality Weekly Report


TABLE II1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

OCTOBER 26, 1968 AND OCTOBER 28, 1967 (43rd WEEK)

ENCEPHALITIS HEPATITIS
ASEPTIC i Primary Post-
AREA MENINGITIS including ious Seru Infectious ALARIA
Infectious Serum Infectious
unsp. cases




NEW ENGLAND.......... 5 2 2 53 32
Maine .............. -
New Hampshire...... -
Vernont ........... -
Massachusetts...... 3 1 1 32 13
Rhode Island....... 2 1 1 10 1
Connecticut ........ 1 10 16

MIDDLE ATLANTIC...... 38 29 3 5 37 176 107 1
New York City...... 15 3 1 22 58 41
New York, tp-State. 3 1 1 1 5 31 14
New Jersey. ...... 10 23 2 -2 7 44 27 -
Pennsylvania....... 10 2 2 3 3 43 25 1

EAST NORTH CENTRAL... 25 6 34 19 2 2 136 124 7
Ohio............... 15 -- -15 15 1 1 48 30 3
Indiana........ 4 18
Illinois........... 16 2 1 31 18 3
Michizan ........... 6 5 2 1 9 3 1
Wisconsin......... 1 I 4 5 -

kEST NORTH CENTRAL... 7 5 3 2 53 32 1
"innresta .......... 7 4 2 2 1 12 10
i va .............. 1 9 1
Mi.s: rl ........... 15 12 1
North Dakota....... 3- -
tca t-. ... I I '
Nebra ........... 3
Ka ........ 1 13

SOUTH ATLANTIC....... 5 17 1 5 2 3 101 89 18
Delaware............ 4 3
Maryland ........... 15 3 2
Dist. of Columbia.. 1 1
Virginia ........... 1 1 12 20
West Virginia...... 1 5 13
North Carlina..... 2 2 18 2 14
South Car lina...... 1 6 2
Georgia............ 1 16 5 3
Florida ............ -2 1 17 21

EAST OVTHF CENTRAL... 7 1 1 3 58 53
Kentuc,........... 18 23 -
Tenr esse ...... .... 4 1 3 25 13
Alab ... ...... .. 2 1 3 9
M.issls ip i ........ 1 12 8

WE SOT-T CENTRAL.. 5 5 1 3 -2 53 80
Arkans ........... 4
L ui iara.......... 2 2 1 1 I 1 12 12
Okianc-.......... 3 8
Texas.............. 3 2 1 1 38 56 -

MOUNTAIN ............. I 1 2 2 30 32 2
Montana ..... ... ... .- 2
Idaho ............. 2 1
Wvahin............ 1
C,.Iorad.............. 1 I 1 2 14 19 1
Ne Mexico......... 3 1
A iz na ............ -
ah ............... 2 1
N t'va da ............. I I

PACIFIC .............. 4 6 12 15 6 67 275 191 20
Washington......... 30 13 2
Oregon ............. 3 2 -1 1 4 26 11
California.......... -0 8 1 14 6 63 213 166 14
Alaska ............. .- 3 -
Haai i............... 3 1

S...... 29 14

: Ucd r-,rt-: Func-phalitis, primary: Ioa 3
H-Fin t it s, e cru: i : li. I
!iptinia nfe it'u,: N.J. 48








Morbidity and Mortality WVeekly Report 401


TABLE 111. CASES OF SPECIFIC) NOTIFIABLE DISEASES: UNITED Sl AITS

FOR WEEKS ENDED

OCTOBER 26, 1968 AND OCTOBER 28, 1967 (43rd WEEK) CONTINUED


MEASLES (Rub,.ola) MENINGOCOCCAL INFECTIONS, MuNS PIl 1 Y I IT I R BI I.
TOTAL
AREA it.1 I
AREA Cumulative Cumulative t


S.1 '' I ''


NEW ENGLAND.......... 9 1,181 883 4 129 73 11H1
Maine ............. 38 48 6 3
New Hampshire .. 141 77 7 2
Vermont ............ 2 34 1
Massachusetts ...... 5 370 371 2 66, i14
Rhode Island ...... 6 62 -9 4 7
Connect t i t ........ 4 614 91 2 40 18

MIDDLE ATLANTIC...... 53 4,215 2,344 5 395 301 41 1
New York City...... 30 2,226 478 80 53 31
New York, Up-State. 10 1,249 602 2 71 73 N 1
New Jersey......... 10 622 513 2 138 99 12
Pennsylvania ....... 3 118 751 1 106 76 NN I

EAST NORTH CENTRAL... 27 3,940 5,732 5 266 252 312 3 3 7 7
Ohio................. 10 309 1,163 1 73 89 31 1 2
Indiana.......... ... 693 621 36 26 23 -1 7
Illinois........... 3 1,384 1,028 2 60 57 14 1 2
Michigan............ 3 294 970 2 77 62 71 1 1
Wisconsin........... 11 1,260 1,950 20 18 173 -

WEST NORTH CENTRAL.. 394 2,904 3 118 83 111 1)
Minnesota.......... 16 134 2 7 21
Iowa* ............. 103 760 8 16 100 -
Missouri........... 81 338 2 39 16
North Dakota....... 137 874 3 3 2 3
South Dakota....... 4 55 5 6 NN
Nebraska........... 43 649 1 9 13
Kansas...... ... .. 10 94 27 8 7 1

SOUTH ATLANTIC....... 8 1,541 7,064 3 435 360 86 3 3
Delaware........... 16 50 8 7 -
Maryland............ 103 168 36 50 I0 2
Dist. of Columbia.. 6 23 1 16 13 1 -
Virginia.......... 301 2,216 1 41 42 6 8
West Virginia...... 3 297 1,427 13 34 24 1 7
North Carolina..... 284 914 83 71 NN 1
South Carolina..... 12 511 58 30 4 3
Georgia............ 4 36 1 87 55
Florida............ 5 518 1,719 93 58 41 11

EAST SOUTH CENTRAL... 1 501 5,349 1 197 143 '42 2 7
Kentucky........... 103 1,396 90 42 117 I
Tennessee.......... 62 1,946 1 58 61 22 5
Alabama............ 95 1,336 26 26 1 -
Mississippi........ 1 241 671 23 14

WEST SOUTH CENTRAL... 24 4,942 17,738 320 234 b2 2 .1
Arkansas........... 2 1,404 20 33 i
Louisiana .......... 24 156 92 93 1
Oklahoma ........... 125 3,358 50 17 2
Texas.............. 24 4,791 12,820 158 91 59 -1 11

MOUNTAIN............. 8 1,023 4,757 1 39 35 85 1 1 24
Montana ............ 58 318 6 3 16 -
Idaho.............. 21 393 11 3 14 3
Wyoming............. 1 54 181 1 3 1
Colorado............. 2 518 1,594 11 13 13
New Mexico......... 5 122 591 18-
Arizona. .......... 224 1,028 5 12 1 1
Utah........... ... 21 383 1 4 -
Nevada............. 5 269 3 3

PACIFIC .............. 25 2,65h 12,608 4 291 357 29 1
Washington ......... 6 557 5,555 5 3 -
Oregon ............. 2 542 1,667 22 27 3 13
California......... 16 1,508 5,068 3 208 280 04 11 2S
Alaska............ 1 10 140 3 11 7 7
Hawaii.............. 35 178 113 4 1

Puerto Rico .......... 5 441 ,212 20 1 i -

*Delayed reports: Measles: Ariz. delete I
meningococcal infections: Iowa I
Mumps: Me. 1
Rubella: Me. 13







402 Morbidity and Mortality Weekly Report


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

OCTOBER 26, 1968 AND OCTOBER 28, 1967 (43rd WEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE RABIES IN
AREA SCARLET FEVER (Rky. Mt. Spotted) ANIMALS
Cum. Cum. Curi. Cum. Cum.
.968 1968 1968 1968 1968 1968 1968 1968 1968 1968 1968
UNITED STATES... 7,654 1 145 157 11 325 265 43 2,869

NEW ENGLAND.......... 876 1 4 47 11 1 72
Maine .............. 6 2 53
New Hampshire...... 27 1 1 1 2
Vernont............ 47 11
Massachusetts...... 124 1 5 1 5
Rhode island....... 59 -
Connecticut........ 660 2 3 1

MIDDLE ATLANTIC...... 254 18 7 4 31 21 3 48
New York City...... 5 11 15 -
New York, Up-State. 189 4 7 2 7 5 1 39
New Jersey......... NN 4 7
Pennsylvania....... 60 3 2 5 9 2 9

EAST NORTH CENTRAL.. 453 14 11 3 43 9 5 263
Ohi ............... 82 2 1 2 19 7 2 88
ndiana? ........... 80 2 1 3 3 86
Illinois........... 50 6 8 -19 2 37
Michigan........... 160 3 1 -- 14
W1-consin.......... 81 1 1 2 38

WET NORTH CENTRAl...' 274 14 15 34 9 14 714
Minn -ta .......... 128 2 1 8 226
wa............... ll 4 2 1 1 112
.s u i........... 1 5 7 25 3 1 102
N rth Dakta....... 43 --- 2 111
t ,1 20 3 1 4 97
Nebra ka .......... 60 3 3 1 25
Kan; s .... .. ..... 11 5 2 2 41

SO'TH ATLANTIC ...... 907 32 11 1 55 140 5 338
Delaware ........... 8 -
Maryland........... 148 3 9 18 5
Dist. of C,lumba.. 1 2 I 1
Virginia.......... 199 4 3 1 10 43 3 120
West Virginia...... 191 2 2 2 45
N rth Caroln....... 15 2 2 2 39 12
South Carlina....... 130 4 1 9
Gereia............. 7 3 4 14 26 62
Florida ............ 208 -12 2 18 3 92

EAST OLTH CENTRAL... 1,150 15 8 38 51 10 611
K ntu k ........... 119 1 1 9 10 5 312
Snnesser .......... 847 6 5 16 35 4 268
Alabama ............ 97 5 2 4 1 24
Mis issippi........ 87 3 2 11 2 7

F qT 1O'iT CENTRAL... 54 27 46 1 46 28 3 445
Arkan as ........... 28 4 15 1 15 6 1 57
L.ui iana.......... 12 10 7 6 1 41
k ah ma ........... 8 14 13 1 118
lexas ........... .. 50 13 16 11 8 1 229

MO'NTAI .... ........ 1,703 1 8 1 16 5 80
Ida ............ -
OIdlg... ..... 11 1
Wvc.ing........... 258 1 1 3
Clorad .... ....... 1,040 3 2 4 4
SM xico ......... 137 8 33
,rizona............. 3 1 1 4 36
i.'. ... .. .............. 8.. 4 1
Nevada.... ..... I 3

PACIFIC .............. 1,-93 20 4 1 51 1 3 298
W h ng t. ......... 67 2 2
lr cI n. ... .. .... 1 5 6
Califrnia ........ 368 18 3 1 44 1 3 290
P Alr i ............ 3 1 1
l ..Ri ..........1 -18


'I Lav Id reprt-: ST: 5: 6. Wy. 649
TIetanu : nd. delete 1
Tvyph id: ',I .







M1orbiiti and i lorlalilty N ekl Report


TABI.I: IV. 1) A I S IN 122 1 NITI1I) STATES CI(TIS H)R WI IK I NI)II) OCTOBER 26, 1968


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


Area


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, I11.-----------
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.--------


701
223
46
24
'7
76
27
20
35
48
51
10
36
32
44

3,293
56
28
154
46
35
40
75
92
1,669
38
478
178
48
108
28
46
56
46
35
37

2,600
71
37
766
127
209
143
95
348
31
58
45
41
41
153
39
126
29
41
45
100
55

825
65
14-
40
130
35
111
78
229
70
53


65 years
and over


445
119
16
17
20
49
19
12
29
25
32
7
24
22
34

1,933
33
21
94
24
23
28
46
42
963
23
268
102
32
74
22
32
35
28
25
18

1,428
38
23
383
86
107
71
55
188
25
25
26
18
22
94
21
77
15
24
34
60
36

497
44
8
19
70
28
68
41
138
50
31


and
Influenza
All Ages


] year
All
Causes


Area


SOUTH ATLANTIC:
Atlanta, Ca.-----------
Baltimore, M 1.---------
Charlotte, N. (.-------
Jacksonvill,, Fla.----
Miami, Fla.------------
Norfolk, Va.-----------
Richmond, Va.----------
Savannah, (a.----------
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.---------
Clendale, 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.----------


65 years
and over


1,133
144

17

113


95
50
85
75
118
36

670
76
61
58
134
124
49
43
105

1,070
47
42
27
146
42
70
196
57
159
75
108
39
62

426
46
21
123
15
110
21
37
53

1,657
26
47
29
57
85
497
86
34
139
78
93
208
38
146
54
40


248
24
8
76
11
63
17
22
27

1 ,009
17
29
23
32
54
297
44
25
88




92
38


and
Influenza
All Ages


Total 12,375 7,ni2 38

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages --------------------------- 545,7
All Causes, Age 65 and over------------------- 1,7
Pneumonia and Influenza, All Ages------------- 21,
All Causes, Under 1 Year of Age--------------- 5,8


Week No


1 yAar
All
Causes


1 I








Morbidity and Mortality Weekly Report


OCTOBER 26. 196f


DIPHTHERIA i /ofiin d from frrin pa ye)
Toble 1
Diphtheria Coses by Month, Austin, Texas
October 1967-October 1968


Month

()croher
No,' ember
Dece niber

January\
Fehruar\
March
Aprill
\1 a .

J une
July
Auu.-t
September
Octolor

Total


Year

19ti7

l4t;


Cases

4



0
1



4


17
6-)


percent of throat cultures positiXe for Corypge ,ac 'rium
dipih ari ac from ca-e- reported through September 19(i6
weire also po tile for beta hemolytic streptococci.
\n intensive -earch for contacts and carriers x\as
conducted d anld a ias>.- ITiimunlliatiOn clrampaign %\a- in-ti-
utid. The ioiiniuzation campaign ha- been directed pri-
marily at the loiser -ocioeconomic group. a high risk

group. a- indiraten h y the geographic distribution of
case- and i\ an immunization status survey conducted
in \pril 191sj (Taill. 2). Since June 196S. 3>.000 person-
h we been inoculated bi the health department and 30.)000
of these in October. In addition. private physicians haxe
al-o gi\en inoxulations. Dail! clinics at the health de-

parLtmnt r iill he continued and nma-- immunization and
foilo\\-up clinw \\il 1 he held on No\emsher 3 and Decem-
her 1. 1965i. and on ,J nuariy 5. 196(9.
Table 2
Diphtheria-Tetanus Immunization Status*
by Socioeconomic Group and Age Group
Austin, Texas April 1968**
.1 '1 1" il i' i 1 -i

SPercent
ilOIECONO\Il( i x"ith Percent xith Td hooster or
GROI'P Ir tmor ries in past 7 year-
DPT

I- i i7 :> II a g>4
1 1-

I lper t7 90 6 :5 I 47
Middle 0 91 26 06
Lo\ er 1 i 6 :!1 1) 17
Total Cit\ 71 '2 1 5 1 0 :1












',* tr, i n f i
Ilm u ln ur n l t i Ir 1
n Fir iirtc i ,2 .1. ). ['ru "y. }1.1).. .I II.. 1)C u mi n.iu /,ir / i.
I/'n t,. \1. H. D .. ,,, fl ., M .t'./t.. n1rr..il ur. ,/n ,,, t:-




/.t .r 'o I ,, i r I, l r,, ri i,, i t I .




\tt ? I [ r 1 t t D ~ t [ r : ,? ,


TiON OF 17 SO iS PUBLISHED AT S TH NA IO', C l COMMU: CABLE
ODSEASE CENTER ATLAnTA GEORGI
DIRECTOR NAT ONAL COMMUNICABLE DISEASE CENTER
dOAVD J. SENCER, M D.
CHIEF EPiDEMKOLO, PROGRAM A.D. LANGM R M.D.
CH EF STATISTICS SECTION ID L. SAC ERMAN M.S
EDITOR MICHAEL B GREGG. MO

iN AODDT ON TO THE ESTABLiSHED PROCEDURES FOR REPORTING
MORBID T ANDMORTALITY, THE NAT -. D -r DISEASE
CENTER WELCOMES ACCOUNTS OF INT' -- -* OR CASE
INVEST NATIONS WHICH ARE OF CURRENT iNTEREST TO HEALTH
OFF CIALS AND WHICH ARE DIRECTLY RELATED TO THE CONTROL
OF COMMUNICABLE DISEASES SUCH COMMUNICATIONS SHOULD BE
ADDRESSED TO:
NATIONAL COMMON CABLE DISEASE CENTER
ATLANTA GEORG A 30333
ATTN: THE ED TOR
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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