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:
AA00010654:00210

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



w --- .












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

HEALTH SERVICES AND MENTAL HEALTH A[


17, No. 51







Ending
.i% r 21, 1968


EPIDEMIOLOGIC NOTES AND REPORTS
INFLUENZA United States


As of December 21, 196h,. 17 states (all but Hawaii.
Louisiana, and Mississippi) lhaie reported one or more
outbreaks of influenza-like illness in the civilian popula-
tion. HIidespread occurrence has been reported in 23 states.
regional occurrence in 10 states, and isolated occurrence
in 11 states (Figure 1). The states \with wiidespread occur-
rence are located predominantly in the Middle \tlanlic.
Mountain, and Pacific Di isions. while the South Atlantic.
East South Central, and West South Central Divisions ha\
the least influenza act-iiti.
Figure 1
INFLUENZA UNITED STATES
S SEPTEMBER 2, 1968-DECEMBER 14, 1968


D -

D-1 '" -" -' """


I lIo -up of l lu F rt OIr I | 1 .. .t 'I
1Mi1n l, -, I n i Mu t, i < i rlh. .. r.. .. . 1.o -Ii
A"I'i i < .................... i)
mm:ir\t i d ( ,- of i o iil



Sonme exces- school al-tenti-ei-n ha- toccurrod in :9
-tate-, hut only i) -tate- ha'e reported ex\trn-i -chool
ah-senteeism. A few public or parochial -chool- in 17
tatle- and one or More colletge'- or unii\or-iitr- in 22 -Ltan'
dismi--ed cila-.e-s earl\ for the C'hrie tmia \a;t i(o E'\-
('e-- industrial ab)sente lsm ha- hieen reported in i 27 l{at
\lthouah -one increase in hospital adli-i- on hla- biin
ob erred in 2() -tate-s to datle ihriho oii unit ho-plial
facilitie- hat\e -ho n ail to handle th,' i nrr,.i- d load.
The i -t %t eek I \\; the third uc ' tE i-x(,-- total mortality and ( *- pn ulllionl;:-ITnfl Dn;/Z
nm trtalit \tr, -r o('n for Ihl country\ a- a ;lhol i (VIriir' 2rt.
Excei )neuriin lnia-inf luInz a mort alit \ i Mi o rTI' i d in .ill
-eoaraphic diN i.-ion- e\xc pt ti h Eal -t S-outh I ( ntral. Tli-
wa- ilhle first r i..-k of (exce- niurtiliti\ in The Souh i t anit'
and Pacific Dii Ions.
(RelportrJ by espiratory Viral .i) *. \ 'l / '. I
Editorial Note
The inforinalion in Ihi- report i- a-e ,; t on daia de-
ri ed from the regular sur\villance \--teri in atdilion to a
f < i,,, 7'/.', iin 1,', /is i .. .; ~


EDITOR'S NOTE: PNEUMONIA-INFLUENZA DEATHS IN 122 UNITED STATES CITIES


The M\I\VR periodically publishes graphic material
representing the trends in mortality statistics compiled
from 122 United States cities of 100,000 population or
greater.* This information is an integral part of the sur-
\eillance of influenza in the United States.
Excess mortality is a reliable index of the extent and
impact of influenza epidemics in the United States. The
"expected" number of deaths and the normal \ariabilit
(termed the "epidemic threshold") are derived frotr the
previous fi% e->ear mortality reports, eliminating the effects
of influenza epidemics.** Excess mortality occurs when
the number of reported deaths exceeds the "epidemic
threshold" for two or more consecutive weeks. Projection-


from tihe-se data of the e\xpcted nuimher of dteait- for their
country :it a \holeh and for the 9 nmaijtr ieolraphil di-l i
-ions arte depicted in Figur-e 2.
Interpretation of the information can ionl lhi made in
terms of trends, and not absolute numler-. Tihe i information I
should not Ie related to iany sinfle reporting area. Durnni I
the remainder of this influenza seiaon and as- a part of
general influenza sur\- illance, hlie \M\\\R will contulin, tlo
publish tlesie data periodically\ to document the occurrence.
\etent. and iiimpact, of influenza outlbriak-.


.-,.. M\t\l V\ol. 17. N 10t is, 14. mnd .50 .
** *iS \M \Mft \.1 1I. No. t .


[]T mco







470


telephone questionnaire survey conducted on December 19,
196S. The information was obtained with the cooperation


DECEMBER 21, 1968


of epidemiologists in all 50 states, the District of Columbia,
and several major cities.


Figure 2
PNEUMONIA-INFLUENZA DEATHS IN 122 UNITED STATES CITIES


MOUNTAIN ES CENTRAL MIDDLE ATLANTIC
8 CITIES 8 CITIES 20 CITIES


PACIFIC
16 CITIES




2o0 6c 0

50U 50-II I Ii, na


W S CENTRAL SOUTH ATLANTIC
13 CITIES 12 CITIES







o 1 s B
t9e| V~L~ ff69 1^ 119


FOLLOW-UP OF TYPHOID FEVER OUTBREAK Missouri


Stool cultures performed on 175 of the lb9 persons who
attended the Church of God -ummer camp in Audrain County.
Mi--ouri. in earl\ \ugu-I (IMM\ R. \'ol. 17. Nos. 36 and
40). lha\e revealed Salmoineli typhi phage type C1 in four
of the 16i; ai smptoniitic per-ons. Three of these are young
-iblings of documented case The fourth is a 65-year-old
man \\ho .ga\ e a history of clinically diagnosed typhoid
fe\ r 30 years ago. Four stool cultures from the man (the
last performed 3-1 2 months after the camp meeting) have
all been positi\ e. One urine culture \was negati e. Serologic
studie- hnas re t sealed a Vi antibody titer of' l:h0,a typhoid
O of 1:2'0. and a typhoid H of 0. The patient gas e no his-
tory of gallbladder dis-ease or typhoid immunization. He is


presently receiving a course of high dosage ampicillin
therapy in an attempt to eradicate the probable chronic
carrier state.
The man was present at the camp during the entire
11-day meeting and helped install the water pump and
pipes into the well the day before the camp opened. He
also participated in the following. possibly significant
activities: drying dishes, chipping ice for the water keg.
and shucking corn.
Although it is quite likely that this probable carrier
introduced the organism into the camp environment, the
vehiclee of spread remains uncertain. Epidemiologic evi-
(Continued on page 476)


Morbidity and Mortality Weekly Report


INFLUENZA (Continued from front page)








I)D:('MIB'R 21, 1i968


Morbidity and Mortality Weekly Report


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS

CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Areas November 1968 and Nd vNmber 1967 Pr vt. Imal Dita

Cumu live I Cu7 l.itive

I.,


NEW E iNLAND ..............
M.nc................... ..
New Hlmpshir ............
Verm ont.. ;.... ..........
Massac hus tc ts ..... .....
Rhod, Island ..... ...
COnLnnetua .............

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

EAST NORTH CENTRAL.......
Ohlt .......... ..........
Indiana ..................
Downstate Illinois.......
Chi ago.................
Michigiln .................
Wisronsn ..............

WEST NORTH CENTRAL.......
Minnesota .............

SIow ... ...... ....
North Dakota...........
Suth Dakota ...........
N,- raska ................
klnsas ............

iOLTH ATLANTIC. ...........
Delaware ................
Marvland ................
District .f Columbia.....

Wet Virginia ...........
North Car Iina ... ....
Fouth Carolina ..........
Georgla. ............
Florida ..................


4- C -4-


323


EAST SOUTH CENTRAL ........ 120 110 1, 2. 1 ,
Kentu ky................. i 0 i1 (,f
Tcni ss-ee .. .......... .. 24 28 793 8)
Alabama................... 31 48 8 8A32
Miss ssippi... ........... 54 14 )43 Q2

WEST SOUTH CENTRAL........ 298 26b 1.228 2. 8
Arkansas................. 6 11 112 12i
.ultsana ................ 52 63 769 i
Oklah ma ................. 5 11 74 106
Texas ..... .............. 235 181 ,273 2, 09

MOUNTAIN.................. 42 42 .44 539
Monrana ............... 1 A
Idaho .................... 16
Wyoming .........
Colorado ................ 3 2 2U A7
New Mexic ............... 19 1 4 151 166
Arizona.................. 16 21 216 2'0
Utah..................... 1 9 h
tIevada................... 1 3 36 6 3

PACIFIC................... 152 157 1,698 1,662
Wahington............. 3 6 42 56
Oregon ........... ...... I 39 41
California.............. 148 149 1,608 1.554
Alaska. ... ....... .
Ha a ii. ................ .. 1 1 8

U. S. TOTAL ............... 1,6.12 1,737 17,847 19,481

TERRITORIES.............. 81 112 1,037 883
Puerto Rico............ 79 108 989 844
Virgin Islands........... 2 4 4H




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


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

51st WEEK ENDED CUMULATIVE. FIRST 51 WEEKSS
MEDIAN
DISEASE DECEMBER 21, DECEMBER 23, 1963 19 MEDIAN

1968 1967 1968 1967 1963 1967

Ase'ptic m inl s .. ... .... .... .. 42 33 33 4,291 2,969 2,115
Bruiell~ is ............ ... .. ..... 3 8 224 244 248
Diphtherl ................... .. .... 2 5 7 240 204 204
Enm plialiht, primary:
ArthropoJ-borni, & unspe ed .. 31 25 1,428 1,566
Encep[ halitis post-inte(ti-ousl ............. 5 11 457 750 -
Heptitils, s ,rum ................ .... 71 48 664 4,607 2,312
37,137
tHepatit.i int 1tious ................... 732 794 i 44,797 38,054
Malaria .......... ......... .. ..... 27 35 3 2.314 2,058 103
Me a>les I rl ol ..... ..... ... ... 231 343 2,775 22,279 61,856 262,101
Menin1 cwccal infections, total .......... 33 42 50 2,497 2.113 2.762
CiilianI ...... .. ..... .. ....... 30 41 2.288 1,983 -
Military ...... ....... ... ... ........ 3 1 209 130
Mumps ...... .......................... 2.203 -- 146,948
Piomy, litis, total .................... 1 1 56 46 99
Paraht5 ic ................. ....... 1 1 56 33 90
Rubella i G. romann meashs) ............... 404 375 48,134 43,853 -
Streptoc. .cal s7re that & scarlet Ihver.... 10,029 8,372 8,372 425.241 438.654 387,809
Tetanus ......................... ... 2 3 3 158 226 266
Tularmia .... ..................... 3 4 172 165 238
Typhoid Lt-. r ............. .......... 8 4 402 392 442
Tiphus, tick-bornv ,Rky. Mt. spotted tever) 1 1 277 298 252
Rabio s in animals ........ ......... ... 50 44 44 3,278 4,112 4,112


TABLE II. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.

Anthrax: .......... .... .. .... ......... 3 Rabies in m an: ............ ........ ..... ... .. 1
Brtullsm: .. ... ... ...... ................. .... 7 Rubella, Congenital Syndromn.,: Miss-1l .. ....... 6
.ptospir : ......... .................. 56 Trichinosis: ..... ...... ...... ....... ........ 64
P agu : .... ..... ........ ... ........... 3 Typhus, m urine: ... ............... 33
Psittacosis: ............ ......... ..... .. ....... 42

Excludes Reports From Florida And Texas Holiday






472 Morbidity and Mortality Weekly Report


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 21, 1968 AND DECEMBER 23, 1967 (51st WEEK)

ENCEPHALITIS HEPATITIS
ASEP BRITCELLOlS DIPHTHERIA rary Post- MLA
AREA MENINGITIS including nfectious Serum Infectious MAARIA
unsp. cases
1968 1967 1968 1968 1968 1967 1968 1968 1968 1967 1968
UNITED STATES... 42 33 3 2 31 25 5 71 732 794 27

NEW ENGLAND.......... 3 1 2 43 42 2
Maine.*............... 2 3
New Hampshire.....- 1 2
Vermont............ 1
Massachusetts...... 1 1 24 16 1
Rhode Island....... 2 11 5
Connecticut........ 1 5 16 1

MIDDLE ATLANTIC..... 11 1 2 1 17 118 110 -
New York City...... 3 1 11 16 16
New York, up-State. I 1 45 34
New Jersey.......... 4 3 23 20
Pennsylvania........ 3 2 1 2 34 40

EAST NORTH CENTRAL... 12 4 5 7 3 123 120 1
Ohio.*.............. 5 2 2 35 46
Indiana............ 2 1 9 18
Illinois............ 2 I 30 19 1
Michigan............ 3 4 2 5 2 44 36
Wisconsin.......... 5 1 -

WEST NORTH CENTRAL... 1 11 3 2 10 2 1 35 47 1
Minnesota .......... 2 1 7 23 1
Iowa.*.............. 1 1 1 1 10 11 6 -
Missouri........... 12 9
North Dakota....... 2
South Dakota........ -
Nebraska........... 3
Kansas............ 10 1 4 6

SOUTH ATLANTIC....... 3 2 3 56 73 7
Delaware.......... -
Maryland........... 2 12 10
Dist. of Columbia.. 1 -
Virginia............ 2 2 12 10
West Virginia...... 1 2 4
North Carolina ..... 13 2 7
South Carolina..... 5 -
Georgia............ 12 41
Florida ........... --- --- --- --- --- --- --- 6 ---

EAST SOUTH CENTRAL... 3 2 1 3 3 36 61
Kentucky............ 1 2 10 33
Tennessee........... I 3 17 18
Alabama............ 1 1 7 4
Mississippi ........ 3 2 6

WEST SOUTH CENTRAL... 1 1 1 1 3 26 81 1
Arkansas........... 6 -
Louisiana:.*........ 1 3 18 14 1
Oklahoma........... 1 1 1 8 28
Texas.............. --- --- --- --- --- --- --- 33 ---

MOUNTAIN ............ 1 9 1 70 65
Montana............ 1 6
Idaho.............. 3 1
Wyoming*........... 7 -
Colorado........... 1 2 1 26 7
New Mexico......... 25 5
Arizona. .*........ 9 41
Utah............... 6 5 -
Nevada............. -

PACIFIC............... 13 11 8 2 41 225 195 15
Washington.......... 1 24 16
Oregon............. 2 2 13 20 1
California.......... 10 9 8 2 39 186 155 14
Alaska.............. 2 -
Hawaii............. 2 2 2

Puert R ...... 23 15

*Delayed reports: Aieptic meningitis: La. delete 4
Diphtheria: Ariz. 3
Encephalitis, primary: Ohio delete 1, Iowa 2, La. 4
Fticephalitis, post-infectious: N.H. 1, Iowa 1
.-patitis, serum: Wyo. 3
hepatitis, infectious: Me. 5







Morbidity and Mortality Weekly Report 173


TABLE I11. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 21, 1968 AND DECEMBER 23, 1967 (51st WEEK) CONTINUED


MEASLES (Rubcola) MENINGOCOCCAL INFECTIONS, MIMPS POLIOMYELITIS RCBELLA
TOTAL
AREA Total Paralyti
RCumulative Cumulative




NEW ENGLAND........... 21 1,321 946 139 84 344 2
aine. ............ 38 262 6 3 28 -
New Hampshire...... 150 78 8 4
Vermont ............ 3 34 1 2 1 -
Massachusetts. .... 4 387 409 74 38 180 I 20
Rhode Island....... 10 65 62 9 6 -
Connecticut........ 7 678 101 41 31 135 22

MIDDLE ATLANTIC...... 80 4,697 2,618 7 444 352 110 1 35
New York City...... 24 2,408 523 89 68 25 11
New York, Up-State. 24 1,371 657 2 74 87 NN 1 13
New Jersey......... 19 721 651 4 160 111 85 11
Pennsylvania....... 13 197 787 1 121 86 NN

EAST NORTH CENTRAL... 56 4,229 6,285 4 313 290 654 10 79
Ohio............... 2 331 1,218 84 95 60 2 10
Indiana............. 10 740 673 1 45 31 153 3 10
Illinois........... 7 1,437 1,242 1 71 67 2 15
Michigan............ 15 343 1,039 89 76 153 3 19
Wisconsin.......... 22 1,378 2,113 2 24 21 288 -25

WEST NORTH CENTRAL... 31 484 3,003 1 139 101 338 3 89
Minnesota.......... 19 139 29 22 3 -
Iowa............... 19 165 818 14 22 289 1 83
Missouri........... 81 340 1 49 22 2 1
North Dakota....... 4 142 891 4 3 26 5
South Dakota....... 4 58 5 7 NN -
Nebraska........... 8 63 660 9 15 18 -
Kansas............. 10 97 29 10 -

SOUTH ATLANTIC....... 4 1,796 7,385 6 498 414 121 3 25
Delaware........... 1 20 51 12 8 1 2
Maryland............ 103 182 44 57 28 -
Dist. of Columbia.. 6 26 17 16 I
Virginia.*......... 425 2,342 2 50 47 5 7
West Virginia...... 326 1,484 14 38 63 1 13
North Carolina..... 1 322 939 1 99 88 NN -
South Carolina...... 2 28 514 63 34 24 3
Ceorgia............ 4 42 3 96 60 -
Florida............ --- 562 1,805 --- 103 66 ----

EAST SOUTH CENTRAL... 2 508 5,518 3 222 168 56 1 11
Kentucky............ 1 107 1,433 98 48 28 1 7
Tennessee.......... 1 65 2,050 2 70 74 25 4
Alabama............ 95 1,357 1 29 29 2 -
Mississippi........ 241 678 25 17 1 -

WEST SOUTH CENTRAL... 2 5,270 18,210 3 358 271 27 24 9
Arkansas........... 2 1,404 21 41 1
Louisiana.......... 25 159 3 103 104 -
Oklahoma........... 2 132 3,359 56 19 27 2 9
Texas.............. --- 5,111 13,288 --- 178 107 --- --- --- 21

MOUNTAIN.............. 8 1,095 4,905 1 46 40 101 1 28
Montana............ 58 337 1 7 5 9 -
Idah............... 21 409 12 3 2 1
Wyoming ........... 55 206 3 1 1
Colorado.*......... 525 1,632 14 13 38 14
New Mexico......... 8 172 609 1 5 24 -- 4
Arizona............. 235 1,060 5 6 23 4
Utah............... 21 383 1 4 5 3
Nevada............. 8 269 3 3

PACIFIC............... 27 2,879 12,986 8 338 393 452 12 86
Washington......... 4 605 5,681 51 38 172 1 41
Oregon............. 4 592 1,713 25 31 24 5
California.......... 19 1,636 5,269 8 244 309 233 11 40
Alaska............. 11 141 4 11 13
Hawaii............. 35 182 14 4 10

Puerto Rico.......... 13 512 2,243 1 21 15 18
*Delayed reports: Measles: Mass. delete 3, Va. 77, Colo. 1
Mumps: Me. 2
Rubella: Me. I






474 Morbidity and Mortality Weekly Report


TABLE II. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 21, 1968 AND DECEMBER 23, 1967 (51st WEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE RABIES IN
AREA SCARLET FEVER (Rky. Mt. Spotted) ANIMALS
Cum. Cum. Cum. Cum. Cum.
1968 1968 1968 1968 1968 1968 1968 1968 1968 1968 1968
UNITED STATES... 10,029 2 158 3 172 8 402 277 50 3,278

NEW ENGLAND.......... 1,387 4 47 13 2 74
Maine. ............. 20 2 55
New Hapshire...... 44 1 2
Vermont ............ 1 47 11
Massachusetts...... 342 1 7 2 5
Rhode Island.......- -
Connecticut........ 980 2 3 1

MIDDLE ATLANTIC...... 322 19 10 35 22 55
New York City...... 9 11 18 -
New York, Up-State. 258 4 7 8 5 45
New Jersey........ NN 1 4 7 -
Pennsylvania. .... 55 3 3 5 10 10

EAST NORTH CENTRAL... 953 17 11 1 50 9 284
Ohio............... 148 2 1 20 7 93
Indiana............. 268 2 1 7 90
Illinois........... 184 8 8 20 2 39
Michigan........... 187 3 1 1 1 17
Wisni n .......... 166 2 2 45

WEST NORTH CENTRAL... 415 15 17 1 46 9 22 823
Minne -ta.......... 28 2 2 5 265
Iwa. .............. 170 4 2 1 4 125
Miss uri......... 8 5 8 30 3 7 124
North Dakota....... 104 1 4 135
South Dakota....... 46 3 2 4 97
N r ka ........... 10 3 1 1 5 1 27
Kansas.. .......... 49 5 4 2 50

SOUTH ATLANTIC....... 692 32 12 64 142 3 403
Delaware........... 14 I
Maryland........... 29 3 9 18 6
Dist. of Columbia.. 2 1 2
Virginia........... 241 4 3 10 44 3 141
Vest Vireinia...... 179 2 2 51
N rth Car lina..... 47 2 3 4 39 12
south Carolina..... 171 4 4 9 -
Gria .......... 11 3 4 15 27 83
Florida............. -- --- 12 --- 2 --- 21 --- 3 --- 107

EAST cOUTH CENTRAL... 1,408 2 19 11 2 50 57 5 700
Kentucky ........... 167 1 2 12 10 4 378
Tennessee.......... 1,044 1 8 7 1 22 39 1 288
Alabama............ 74 1 7 1 3 5 27
M ssissippi........ 123 3 2 13 3 7

WE T SOUTH CENTRAL... 82 31 3 51 54 30 1 494
Arkansas........... 5 5 15 20 6 62
Louisiana.......... 5 10 7 6 1 48
Oklahoma........... 72 3 12 15 14 1 125
Texas.............. --- --- 16 --- 17 --- 13 --- 9 --- 259

MOUNTAIN ............. 2,676 1 9 1 22 5 2 92
Montana .......... 51 -
Idaho ............. 2. 24 1
Wv min ............ 669 1 -1 4
C lorad ........... 926 3 5 4 4
New Mexico......... 546 1 9 1 40
Arizona............ 121 1 6 1 40
itah............... 138 5 1
N vada............. I 3

PACIFIC ............. 2,094 20 4 3 68 1 17 353
1ashington......... 1,236 1 2 2
Oregon............. 92 1 5 6
California......... 701 18 3 3 60 1 17 345
Alaska............. 19 -- 1- -
Hawaii ............. 46 -

Puerto Rio. ......... 3 1 13 5 20
*Delayed reports: SST: Me. 14






Morbidity and Mortality Weekly Report


475


Week No. TABLE IV. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED DECEMBER 21, 1968

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

All Causes Pneumonia Under All Causes Pneumonia Under
Area A 1 Inda 1yar 1 year
Area All 65 years and 1 year Area All 65 years Iand 1 year
Ages and over Influenza All Inluenza All
All Ages Causes All Ages Causes


NEW ENGLAND:
Boston, Mass.-------..
Bridgeport, Conn.---..
Cambridge, Mass.----..
Fall River, Mass.-----
Hartford, Conn.-------
Lowell, Mass.---------
Lynn, Mass.-----------
New Bedford, Mass.----
New Haven, Conn.------
Providence, R. I.-----
Somerville, Mass.-----
Springfield, Mass.----
Waterbury, Conn.------
Worcester, Mass.------

MIDDLE ATLANTIC:
Albany, N. Y.---------
Allentown, Pa.--------
Buffalo, N. Y.--------
Camden, N. J.---------
Elizabeth, N. J.------
Erie, Pa.-------------
Jersey City, N. J.----
Newark, N. J.---------
New York City, N. Y.--
Paterson, N. J.-------
Philadelphia, Pa.-----
Pittsburgh, Pa.------
Reading, Pa.--------
Rochester, N. Y.------
Schenectady, N. Y.----
Scranton, Pa.----------
Syracuse, N. Y.-------
Trenton, N. J.---------
Utica, N. Y.----------
Yonkers, N. Y.--------

EAST NORTH CENTRAL:
Akron, Ohio-----------
Canton, Ohio----------
Chicago, Ill.---------
Cincinnati, Ohio------
Cleveland, Ohio-------
Columbus, Ohio--------
Dayton, Ohio----------
Detroit, Mich.--------
Evansville, Ind.------
Flint, Mich.----------
Fort Wayne, Ind.------
Gary, Ind.------------
Grand Rapids, Mich.---
Indianapolis, Ind.----
Madison, Wis.---------
Milwaukee, Wis.-------
Peoria, Ill.----------
Rockford, Ill.--------
South Bend, Ind.------
Toledo, Ohio----------
Youngstown, Ohio------

WEST NORTH CENTRAL:
Des Moines, Iowa------
Duluth, Minn.---------
Kansas City, Kans.*---
Kansas City, Mo.------
Lincoln, Nebr.--------
Minneapolis, Minn.----
Omaha, Nebr.----------
St. Louis, Mo.--------
St. Paul, Minn.-------
Wichita, Kans.--------


823
279
50
27
28
58
34
17
28
45
67
17
67
31
75

4,328
55
49
182
44
43
48
79
107
2,342
40
593
224
66
129
27
44
109
71
27
49

3,268
89
44
1,012
147
264
134
93
494
44
73
44
31
72
213
52
172
44
43
34
89
80

950
72
15
46
162
34
141
77
284
64
55


507
146
25
17
21
36
25
11
20
31
45
11
44
23
52

2,538
36
30
109
22
25
35
40
58
1,361
24
332
125
45
87
18
33
66
39
18
35

1,819
43
26
527
90
150
71
57
282
31
42
28
8
57
122
25
96
23
19
21
53
48

537
43
11
23
87
23
85
43
154
41
27


*Estimate based on average percent of divisional total.


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

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

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

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

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


1,427
132
301
59
121
128
46
104
45
100
80
248
63

700
122
57
31
146
156
51
36
101

1,212
37
46
28
184
32
84
238
52
157
91
134
59
70

612
88
51
149
22
136
28
66
72

1,899
19
61
32
57
93
599
113
53
133
81
108
237
39
165
67
42


755
63
157
28
56
71
16
60
20
76
55
117
36

374
63
35
22
79
75
36
21
43

630
23
30
11
97
17
48
93
23
83
49
86
29
41

345
46
31
81
13
77
17
35
45

1,148
13
37
18
28
68
363
69
40
84
42
54
138
27
96
43
28


Total 15,219 8,653 1,051 603

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 651,945
All Causes, Age 65 and over------------------- 374,375
Pneumonia and Influenza, All Ages------------- 26,391
All Causes, Under 1 Year of Age--------------- 30,672







476


Morbidity and Mortality Weekly Report


TYPHOID FEVER ('onii i,dl from paoe 70)

dence implLicate- the water -upply a, the most likelly
vehicle but h ac rterolog confirmation of this could not
Obtained. Te ined po-ssiility that contaminated food con-
trihuted to the transmission cannot he definitely excluded.
(lrporil' b1y K. A. Helden, .ID.. M.P.II., State Epidemi-
o/oqis.t, a/id E/'lmcr Spurrier, Or. P.t., Oirrctor, CePntra/
,btrahitor y i, Vfissoiri )cpartmeit of f'ltl/h anId Welfare;
lr. William JohnoI/i.s. Sanitarianl, Audraiiin County Health
Oeipartnit; : Nurmin J. Rose, M.0)., M.P.II., S/ate Epidemi-
olo/iFt, and Vlary Louis / Brown. 41.8.. Diri/ion of Labora-
tor'ics, l/ihoi. Department of Public llralth: V. L. Car-
pire ter. 1.I).. .1'..1.. St/ali Epidlfnuiolo/'ist, Ka'nsas Slate
Department uf Healil: ,ll. l!. 1,'uoodwi, Ph.D.. State Epi-
deniinonitt. Arizonai Staite Department of Health;: D. L.
Bliiary. l.D., l.P.ll.. State Epiidemioloffist. Vississiippi
StatE HPoird of le altlih: EpidemiiolotIical Serrices Laboratory
Se EIS 1offitrCer.)


MEASLES Rocky Mount, North Carolina

From mid-Octoher through earlN December 196h. a
tltal of 3 ca-,0- of me: a-, ls were reported from Rockv
Mount. North C'arolin. population 40().000 (Figure 3). Of
thee ca.,-e. 24 occurred in preschool age children. A
nursery schooll \\ith ain enrollment of 15 accounted for 15
of these 14 c se-. tMo t of the school agIe children who
were ill attended an elementlarl school located les- thIan
1 Lock from the nursery school.

Figure 3
MEASLES CASES BY WEEK OF ONSET
ROCKY MOUNT, NORTH CAROLINA
SEPTEMBER-DECEMBER 1968
SAEEW OF A 'iRST CASE REPORT
CEK OF A SECOND CASE REPORT

S SCHOOL AGE

I | E SCHOOL ---


28 5 2 t9 26 9 16 23 30 7 4
SEPT OCT NOV DEC
ONSF T
\ meahle, immunization program had been conducted
in the first three grades of all Rocky Mount elementary
schools in the spring of 196ih. Because the distribution
of cases indicated that this epidemic occurred primarily
in a nursery school setting, an intensive immunization
program Aas planned for preschool children. During the
/woek of November .5, approximately .570 individuals were
immunized. No measles casIes have l'een reported from
Rocky Mount since Deceniber 7. 196S.
(Reported by J. S. C'hambh le. .I).. Healthif director, 'ash
and Edqgerombe C'outrlitse; arlin P. Liness, D.V.M.,
tl.P.H.. Director, liris'ion of Epile nmilogjy, orth C(arolina
Statie Board of Health; and two EIS Officers.)


DECEMBER 21, 1968


THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCULA-
TION OF 17.000 IS PUBLISHED AT THE NATIONAL COMMUNICABLE
DISEASE CENTER, ATLANTA, GEORGIA.
DIRECTOR. NATIONAL COMMUNICABLE DISEASE CENTER
DAVID J. SENCER, M.D.
CHIEF, EPIDEMIOLOGY PROGRAM A. 0D LANGMUIR. M D.
CHIEF. STATISTICS SECTION IDA L. SHERMAN, M.S.
EDITOR MICHAEL B8 GREGG, M.D.
MANAGING EDITOR PRISCILLA B. HOLMAN

IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY, THE NATIONAL COMMUNICABLE DISEASE
CENTER WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE
INVESTIGATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH
OFFICIALS AND WHICH ARE DIRECTLY RELATED TO THE CONTROL
OF COMMUNICABLE DISEASES. SUCH COMMUNICATIONS SHOULD' BE
ADDRESSED TO:
NATIONAL COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
ATTN THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
NOTE: THE DATA IN THIS REPORT ARE PROVISIONAL AND ARE
BASED ON WEEKLY TELEGRAMS TO THE NCDC BY THE INDIVIDUAL
STATE HEALTH DEPARTMENTS. THE REPORTING WEEK CONCLUDES
AT CLOSE OF BUSINESS ON FRIDAY; COMPILED DATA ON A NATIONAL
BASIS ARE RELEASED ON THE SUCCEEDING FRIDAY.


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