Morbidity and mortality

-, /~; A


NATIONAL COMMUNICABLE DISEASE CENTER


C;



01


1 --
0-



=-


U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE / PUBLIC HEALTH SERVICE 'HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION
DATE OF RELEASE: MARCH 28, 1969 ATLANTA, GEORGIA 30333


SURVEILLANCE SUMMARY
FOODBORNE DISEASE OUTBREAKS 1968
During 19I;s. 3:.1 outbreaks of food poisoning af-
feeling 17,1;7il people ('Tanle 1) were reported from 42
s-tale (Figure 1). 13B contrast, in 1967 only 201 outbreaks
\,ere reported from 41 states- but 22,102 persons Nere af-
fected.' In 196h. -taphylococcal food poisoning wxa thli
mno-t cotinionly reported type and accounted for nearly 25
percent of all outbreaks and 25 percent of Ihe cases. In
19i67. staphylococcal enterotoxins also accounted for
approximately\ 25 percent of outbreaks hut for onl\ 9 per-
cent of cases. In 196h. (Clostridiu Pm perfrinigen food
poisoning a\\ the second most commonly reported Itype
and reprIesented 16 percent of total outbreaks and :34 per-
cent of cases. In 1967. the percentages were 14 and 16,
resprct.nely. In 196S. salmonella accounted for 12 por-
cent of the reported outbreaks and 7 percent of cases, a
decrease from 196(7 when it accounted for 19 percent of
outhreakk and 6(i percent of cases. The high percentage


( (N I I'l91
sur\ I itrni Summ.iri
I`icidbirn r )- [)I-1,1:-- ()utbrl k -) i9(; ........ ..... 1)7
SI i rni i ai, Io tl Nolo-
Inl iiu t. i I9I) ....... .. ...... .... ....... (. i



of cases due to salmonella in 1967 reflected -se\xra
large outbreaks, one of which aff(icted 9.000 individual-.
In confirmed outbreaks, attack rate- ,were exceiedinr-
1 high ( _ntl percent) for Etche'ricia (ii ul and chreical
food poisoning, moderately high ( 20 percent) for ('. per-
fringens, salmonella. shigella. slaphy lcooct al. and strep-
toc od poisoning, and ilot ( 10 percent) for hepa-
i ing.
UP oopay, 9Si


TABLE I. CASES OF SPECIFIED N LE DISEASES: STATES
(Cumulative totals include revised a I y reports through p weeks)

12th WEE LN ED' I CUMULATIVE, FIRST 12 WEEKS
DISEASE March 22, arch 23. MEDIANg
\a 19 9 MEDIAN
1969 \ 1968 1 1969 1968 1964- 1968
Aseptic meningitis ........................ 32 \ 27 / 350 327 335
Bruci ellosis .............................. 2 19 19 46
Diphtheria.............................. 3 S 6 32 36 36
Encephalitis, primary:
Arthropod-borne & unspecified ........... 19 12 28 236 172 281
Encephalitis, post-infectious ............. 10 12 17 58 105 152
Hepatitis, serum ........................ 98 82 1,191 826
Hepatitis, infectious ....... ............. 1.011 868 933 11048 98929.988
Malaria ................................ 56 40 5 553 531 68
Measles rubeola) ....................... 808 928 9,479 5.878 7.136 85 084
Meningococal infections, total .......... 118 38 79 987 920 920
Civilian ....... ..................106 36 928 839 -
Military ... ... ........1 2 2 59 81
Mumps ....e... ........ ........ 3.046 5.295 28.358 60.932
Poliomclitiis, total ........................ .1
Paralytic 1 1 14 5
................... ......... 4 1 1 14 4
Rubella (German meals) ... 2,381 1,700 11818 12,30 -
Streptocccal sore throat & scarl t fever .... 12.750 11,831 11.974 139.744 138,745 138,745
Tetanus ............................... 4 3 2 22 25 34
Tulamia 4 3 2 22 25 34
Tularm ,mia .............. .. .
Typhoid ver 1 3 23 17 4y
T pl old I er ............................ 7 35 47 49 63
Typhus, tirk-borne iRky. Mt. spotted fever) 1 3 6
Rabies in animals ......... .. .. ...... 73 7 828 9 3 -

TABLE II. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ......... ... ... ....... n m .......... .. ........ Rabie nman:
Botulism: ..... ............ .. ... ..... ....... .. Rubella congenital syndrome: C I .... ...... .
Leptospirosis: ('ail I .... ........... ............ T richinosis: N.Y.C. 2 ............... .... .-. ...
Plague: .... .......... ........ T T hu: marine: Chl o 1 ........ .. ..............
P sittacosis: ....... ... 3..... ......

Data exclude r ,port from Maryland.


Vol. 18, No. 12

WEEKLY

REPORT

For
Week Ending

March 22, 1969







Morbidity and Mortality Weekly Report


MARCH 22 1969


FOODBORNE DISEASE OUTBREAKS (Coninued from front page



Table 1
Division by Specific Etiology of Reported Outbreaks and Cases of Foodborne Illness 1967-1968


' 'it. -


I .I 1 1. r P r' ,. h. r 1
S- r r T,,, ,,r r .


I.. 'l
I' r I I, ~


P. r. !,I


BACTERIAL
1' I


II-


"' r


PARASITIC




VIRAL
II ,

CHE w ICAL
M, .:iellancou
Uln nr,-n
'1


In 196 a- in ltli. ith three most common\ in-
irnm inaitd \hic I *Ire hlef. pork. and turke\ (Table 2).
\1l k .nd i Hrliorni, ,ulr' k- 'r continued to he fewer than
foodhori uAlthret1k- (F1 ure 2). O\er 43 percent of the
le- i per'n \\terr ri-handrild in food procerssinng es-tahli-h-
r'terj-. and ai 9 percent rn re mishandled in hone-.
Hostier. a(pro\ (iateli It percent of the outhreak-.
iI ^,- of r 'i-}ind iiii -outln t not Iln d termin od (Table :5).
\l ()ii n' :ijor iL of foodhornr outireak,- (- ) per-
-nt') ot'r irr- hi and re-(aturan n tI -ae includihd

Figure 1
NUMBER OF OUTBREAKS- OF
FOODBORNE ILLNESS BY STATE
ANNUAL SUMMARY 1968

----------- I -i "


Figure 2
RELATIVE IMPORTANCE OF FOODBORNE vs
MILK- AND WATER-BORNE DISEASE
OUTBREAKS IN THE UNITED STATES, 1938-1968











/


n- .

V ii

~i i



ii


fCs e .211. ? rn i gr i *,,Z, a s 5~34S4i* 4$ i isZ i-C,$.* s 6


S--


S
:> -


. r T. i ,
I ,. L .


I ) 1 II


, 0 ,.


4 I I


' 4 .

I"''


''
1111111


'' II


1 f--wr"
I







Morbidity and Mortality Weekly Report


Table 2
Vehicles Associated With Foodborne Illness of Specific Etiologyl 1968 and


Total Outbreaks 1967


Turkey* chicken Egg Milk lHor-if Pork Otheri Meal


Sigeta illft
and frui


Sh. llfit h (hor t -rf h IIi at (r (hll r I nknoAn


BACTERIAL
Brucilla
C'. botultnumr
('. pi'rfrf/in nsl
E. coli
Salmonella3
Shigella"
Staphyloocecuis I
Streptococcus
PARASITIC
TrI'hinella
spirali"
VIRAL
Hlpatitis
CHEMICAL5
Mi.cvllanetous
I nkno\ ni;
Total 196,h
Total 1967


10 2


K 6


1 1 2
21 2 1 3
1 1I
4 -1 1 6


3 4 1 24 2 9
3 4 3 1 3


4 I
3 2 9


'2 1 2
1 1
6 4 1 15
6 16 11 65
7 5 9 35


S utiilrlk- i u th I th Ii.
1; oultrI Lk vith 2 h l atnd 1 ouilr iak hlli I 3 l iih ba >
I ... r ur k with 2 w hlch-.
I outIrihmi kk ith 2 v-thi le,
in 1d.- ite otltr.- du te .ndm ot r m rdor v (td or drn -


Table 3

Place Where Food Was Mishandled in Foodborne Outbreaks
Reported By Specific Etiology 1968


BACTERIAL
Brucetilla


f.'. E.
Saln olmifl la
II

Starphilocov u.

PARASITIC
T-r L .
i*, l l.

VIRAL
liopatit
CHEMICAL
Misct'llant ou-
Total


3















1i
1








1


onluy pIercent of tihe total people ill. ihil food lpmo>on-
ino in -choil- accountedi for 1 ) percent of th! o utibrtiak-.
neairl\ 40 pi'rcenit of all pertron i affei-ctid %('rr -chool
fhi iron. IIIn(-' du(e to hrucella '. d au t. and 7"Tri n -
,i la peradi tm(nded to o uit ir at hamo,' that Sdu' it ('.
perfrhi '..ei aay fromin hlome. and that du' to ;. oivro'u
in public facilities (Tua le l-), \lthouIh the ni onthl \ in-
cid(ti-cw of food poi-oning appitar- to wb rather uniform
an t-x.l)('t-' d ri-, i1 -(api)h' louoccr al food p)oi-oninu, duirini
the umlimer month- \ a- n)ottd (Tahhl ,).


J ____ A _______


M 1A1 III 22 li)


.1


2 1


;inB


It< ,(), t
>4 'F< 1 ('t


BT<,,A,








100 Morbidity and Mortality Weekly Report


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 22, 1969 AND MARCH 23, 1968 (12th WEEK)


"EPTIK ENCEPHALITIS HEPATITIS
"IT;- R(-iTi.- tD[HPfHI Primary including P'-it MALARIA
AREA II unsp. cases h Serum Infectious
Cum.



NEW ENGLA D.......... 1 8 84 31 1 27
Maine. ............ 2 -
New Hampshire...... 4 2 2
Vernont............ -
Massachusetts...... 1 1 37 16 22
Rhode Island....... 1 2 21 4 -
Connecticut........ 5 19 9 1 3

MIDDLE ATLANTIC...... 9 5 4 38 202 122 10 58
NeV York City...... 2 3 25 70 40 4 4
New York, up-State. 2 3 26 30 3 13
New Jersey.*....... 6 8 32 28 17
Pennsylvania....... 3 1 2 74 24 3 24

EAST NORTH CENTRAL... 8 7 3 12 218 154 2 36
Ohio............... 1 3 2 49 37 1 3
Indiana............ 1 1 1 8 9 1 3
Illinois........... 4 -2 3 84 44 16
Michigan........... 3 3 6 60 39 13
Wisconsin .......... 17 25 1

WEST NORTH CENTRAL... 1 1 2 36 70 3 40
Minnesota ......... 1 1 11 15 3
Iowa.*............ 5 22 1 4
Missouri........... 2 6 13 1 10
North Dakota....... 1 4 1
South Dakota....... 1 2 -
Nebraska............ 3 3
Kansas............. 12 11 1 19

SOUTH ATLANTIC....... 3 1 1 3 6 53 66 15 189
Delaware........... I 5 1
Maryland............ --- --- --- --- 1 --- --- --- 17 --- 5
Dist. of Columbia.. I -
Virginia........... 1 5 9 1 10
West Virginia. .... 3 5
North Carolina..... 1 12 2 8 93
South Carolina..... -- 12 1 17
Georgia............. 1 4 4 50
Florida............ 3 3 4 20 22 2 13

EAST SOUTH CENTRAL... 3 1 1 53 75 8 22
Kentucky........... 3 1 26 33 7 17
Tennessee.......... 1 17 15 -
Alabama............. 6 12 1 5
Mississippi........ 4 15 -

WEST SOUTH CENTRAL... 3 3 1 2 87 82 2 14
Arkansas........... 2 9 4
Louisiana. ........ 1 10 6 8
Oklahoma ........... 5 9 2 2
'exas.............. 3 3 1 1 70 58

MOUNTAIN............. 1 3 42 29 3 40
Montana ......... 3 3 4
Idaho ..............- 3 -
Wyoming.............. 1 1
Colorado........... 15 2 2 36
New Mexico.......... 10 7 1 2
Arizona............ 6 8 1
Utah................ 7 4
Nevada.............. -

PACIFIC............... 4 2 2 4 32 236 239 12 127
Washington......... 25 29 1 4
Oregon............. 15 15 5
California.......... 4 2 2 4 32 194 191 11 107
Alaska ............. 1 3
Hawaii............. 1 1 11

Puerto Ric ........... 27 16


delayed reports: Encephalitis, primary: Iowa 1
Encephalitis, po t-infectious: Mont.
Hepatitis, infectious: Me. 3, N.J. 5


t, W. Va. 1, La. delete 1







Morbidity and Mortality Weekly Report 101


IAII.I III. CASlS OF SPECIFIED NOTIFIABLE DIISEASES: i NIITI) SITAIS

FOR WEEKS INDI)D

MARCH 22, 1969 AND MARCH 23, 1968 (12th WEEK) CONTINUED)


HMASLES (Rubeola) MENIN(OCOCCAL INFECTIONS, UMPS P IMYEL ITS KIEI
TOTAL
AREA
ARE Cuimulativei Cumulative it e J y


UNITED STATES... 808 5,878 7,136 118 987 920 3,046 2,38

NEW ENGLAND .......... 17 261 285 2 30 46 166 133
Maine..*............ 2 10 1 2 26
New Hampshir .... 60 47 -- 3 5 8
Vrmont ........... 1 1 38
Ma sachus etts ...... 7 51 118 1 15 24 161 69
Rhode ind ....... 3 1 3 4 50 11
Colnectict ut ...... 9 144 109 1 11 12 86 62

MIDDLE ATLANTIC...... 225 1,704 945 12 122 126 137 116
New York City...... 150 1,147 188 4 26 23 78 45
New York, Up-State. 30 173 543 2 19 16 NN 27
New Jersey......... 23 202 170 3 40 46 59 36
Pennsylvania....... 22 182 44 3 37 41 NN -

EAST NORTH CENTRAL... 140 754 1,770 13 119 96 762 90
Ohi ................. 12 75 127 4 35 20 71 75
Indiana............ 59 257 281 1 21 13 179 76
II in, i ............. 23 136 763 4 19 25 105 7
Michigan......... 14 78 111 2 36 29 134 0
Wis- onsin ........... 32 208 488 2 8 9 273 122

WEST NORTH CENTRAL... 28 191 174 4 53 40 164 115
Minnesota......... 1 6 1 9 6 2 4
I,.a ............... 18 105 24 1 7 3 138 86
Missouri ........... 11 58 21 8 1 -- -
North Dakota....... 5 55 2 12 16
South Dakota .... 3 4 NN
Nebraska........... 10 69 21 2 6 4 3 6
Kansas ........... 7 10 13 8 -

SOUTH ATLANTIC....... 79 1,006 542 18 187 202 236 441
Delaware ........... 6 22 5 3 1 1 5
Maryland............ --- 8 39 --- 16 14 -----
Dist. .f Columbia.. 4 1 3 7
Vir inia........... 39 390 124 29 15 29 100
Wst Virginia ...... 21 101 124 1 8 4 111 178
North Car l ina..... 5 85 59 9 28 45 NN
South Carolina..... 2 49 8 2 28 39 20 12
C org a ........... 1 3 28 34 -
Florida ........... 6 350 176 5 44 43 75 146

EAST S(UTH CENTRAL. .. 2 44 163 8 49 75 152 222
Kentucky. .......... 1 18 41 3 13 28 64 151
Tenn ssee.......... 1 11 38 2 23 21 62 53
Alabama ............ 39 1 8 13 26 4
Mississippi ..... 15 45 2 5 13 -14

WEST SOUTH CENTRAL... 242 1,469 1,778 18 134 198 417 -- 1 366
Arkansas............ 2 15 10 3
Loui siana........ 8 1 4 37 46 -
Oklah1ma........... 1 104 82 2 8 42 43 166
Texas .............. 241 1,355 1,695 12 74 100 371 199

MOUNTAIN I............. 39 134 341 27 13 242 85
Montana ........... 3 54 2 1 13 -
Idah .............. 29 29 10 5 2 13
Wyoming ............ 33
Colorado........... 15 123 6 7 37 59
Nev Mexic. ......... 7 48 36 5 50 9
Arizona............ 3 37 81 6 1 112 9
Utah............... 1 2 1 17
Nevada.............. 1 2 2 2

PACIFIC............. 36 315 1,138 43 266 124 570 491
ashnctn. ...... 3 27 305 10 24 21 176 -5
Oregon ............. 1 37 238 7 11 12 7
California......... 29 236 574 31 227 83 289 378
Alaska............. 3 13 2 90 18
Hawaii ............. 2 21 -6 __6 9 3 6

Puerto Ri ,. .......... 11 136 128 3 i 16 8 -

*Delayed reports: humps: Me. 54
Rubella: Me. 5







102 Morbidity and Mortality Weekly Report


TABLE II1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 22, 1969 AND MARCH 23, 1968 (12thWEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE RABIES IN
AREA SCARLET FEVER FEER (Rky. Mt. Spotted) ANIMALS
Cum. Cum. Cum. Cum. Cum.
1969 1969 1969 1969 1969 1969 1969 1969 1969 1969 1969
UNITED STATES... 12,750 4 22 23 2 47 1 73 828

NEW ENGLAND .......... 1,803 2
Maine. ... ..... .... 12 1
New Hampshire...... 20 -
Vermont............ 21 1
Massachusetts..... 351 -
Rhode Island....... 118 -
Connecticut........ 1,281 -

MIDDLE ATLANTIC...... 611 2 4 1 7 2 14
New York City...... 28 2 2 1 5 -
New York, Up-State. 417 2 2 14
New Jersey ....... NN -
Pennsylvania....... 166 I -

EAST NORTH CENTRAL... 1,971 3 2 1 3 1 35
Ohio................ 390 2 1 7
Indiana............. 568 1 6
Illinois............ 536 I 1 5
Michigan........... 329 2 1 1 -
Wisconsin.......... 148 16

WEST NORTH CENTRAL... 421 1 1 3 13 143
Minnesota.......... 23 3 42
Iowa ............... 83 2 26
Missouri........... 11 3 5 48
North Dakota........ 81 3 21
South Dakota........ 15 -
Nebraska............ 168 -
Kansas............. 40 1 1 6

SOUTH ATLANTIC ..... 1,143 6 10 5 21 276
Delaware ........... 12 -
Maryland............ --- --- --- --- 1 --- -
Dist. of Columbia.. 2 -
Virginia........... 376 11 183
West Virginia...... 334 2 3 35
North Carolina..... 43 1 4 1 1
South Carolina..... 133 1 1
Georgia............ 4 1 2 18
Florida........... 241 2 4 1 -5 39

EAST SOUTH CENTRAL... 1,979 1 1 3 1 7 1 16 155
Kentucky........... 289 1 1 7 91
Tennessee.......... 1,416 3 1 6 1 8 52
Alabama............ 166 1 12
Mississippi........ 108 -

WEST SOUTH CENTRAL... 1,092 3 2 7 11 100
Arkansas........... 23 4 4
Louisiana.......... 14 2 2 6
Oklahoma........... 46 1 2 2 16
Texas............... 1,009 3 7 74

MOUNTAIN............. 2,182 2 10 2 25
Montana....... ..... 20 -
Idaho.............. 158
Wyoming............. 294 5 1 8
Colorado........... 1,114 1 1 2
New Mexico......... 222 1 2 7
Arizona.............. 143 1 5
Utah............... 231 1 -
Nevada............. 1 3

PACIFIC............. 1,548 4 8 7 78
Washington ......... 482 -
Oregon.............. 123 -
California.......... 765 4 8 7 78
Alaska.............. 114 -
Hawaii............. 64 -

Puerto Rico .......... 6 1 2 5

*Delayed reports: SST: Me. 1
Typhoid fever: N.J. delete 1








Morbidity and Morlalilt 11eekl Reporl







TABLF IV. DEATHS IN 122 UNITIII) SITATI:S (CIT11 FOR WX'I K tiNi)DI) MARCH 22, 1969

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


All 65 years
Ages and over


and
Influenza
All Ages


I' 1, r
1 year
All
Causes


Area


- A 1 I


65 years
ldid over


4 + 4l I +4$4


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.--------
Camdetn, N. I.----------
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, lowa------
Duluth, Minn.----------
Kansas City, Kans.----
Kansas City, Mo.------
Lincoln, Nebr.--------
Minneapolis, Minn.----
Omaha, Nebr.----------
St. Louis, Mo.--------
St. Paul, Minn.-------
Wichita, Kans.--------


750
226
40
34
43
61
31
21
32
51
69
12
43
32
55

3,441
52
46
179
42
42
43
68
81
1,841
31
394
203
53
121
26
38
59
60
30
32

2,694
69
37
795
173
209
129
85
331
40
57
47
46
45
158
31
147
31
46
32
116
70

868
72
17
34
120
32
130
72
256
82
53


473
133
25
23
27
29
21
13
25
37
42
8
27
28
35

2,095
36
32
96
24
27
28
46
44
1,115
17
239
118
32
79
16
29
36
35
24
22

1,551
45
18
446
103
109
70
44
180
25
35
29
24
30
95
17
96
17
29
21
72
46

533
52
11
18
75
23
82
49
140
49
34


SOUTH ATLANTIC:
Atlanta, Ga.------------
Baltimore, Md.----------
Charlotte, N. C.-------
Jacksonville, Fla.-----
Miami, Fla.------------
Norfolk, Va.-----------
Richmond, Va.----------
Savannah, Ca.----------
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.-------
Housston, Tex.----------
Little Rock, Ark.------
New Orleans, La.-------
Oklahoma City, Okla.---
San Antonio, Tex.------
Shreveport, L.---------
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.----------


1,314
135
269
36
86
115
62
68
40
105
76
276
46

716
121
49
43
169
149
52
44
89

1,324
52
51
47
180
57
72
227
69
190
107
129
83
60

459
36
27
115
22
126
23
59
51

1,723
19
48
31
42
115
536
88
39
134
59
114
201
52
114
63
38


and
Influenza
All Ag-s


Area


Total 13.289 7,835 615 580


Cumulative Totals
including reported corrections for


previous weeks


All Causes, All Ages ------------------------- 173,544
All Causes, Age 65 and over------------------- 100,769
Pneumonia and Influenza, All Ages------------- 11,590
All Causes, Under 1 Year of Age--------------- 7,783


1 year
All
a4us5

45
4
10

4
5
5
2
1

4
9
1

34
6
4
2
9
7

2
4

81
1
9
4
10
7
4
5
12
6
8
8


rr


----







104 Morbidity and M



FOODBORNE DISEASE continued d from paye 99)


(iRpor07ci by the Enteric Diseases Section and Epidemi-
ological Service, Laboratory Section. Bacterial Diseases
Branch. Epidemiology Program, and the Laboratory Divi-
sion, %C1)C.)


A copy of the original report from which these data
were derived is a ailable on request from:
National Communicable Disease Center
Atlanta. Georgia 30333
Attn: Chief. Enteric Diseases Section
Bacterial Diseases Branch
Epidemiology Program

'h'l i att for 1967 ,nlt 1h96u include outb~r,.ky affecting tio,
or mor1 p1 o 1 1e I' Xe pIt for hotuIIb m.



INTERNATIONAL NOTES
INFLUENZA 1969

Italy (reported March h) One strain of A2 Hong Kong 6h
was isolated in (iGnoxa during the last week of February.
Only sporadic cases of respiratory disease haae been
reported to date in Italy.
Poland (reported January 23 and 30) During January.
an increa-ed incidence of influenza was noted in "arsaw.
Four A' Hong Kong 6s strains were isolated. From
January 20-2s. 227.000 cases of influenza-like disease
were reported from \\ar1aw.

Portugal (reported February 1) Sporadic cases of in-
fluenza-like di-ea-e occurred during the last 2 \weeks in
January. Fixe strains of \iru- 1A2 Hong Kong 6h were
isolated.
Yugoslavia (reported Februar 253) In Belgrade. sporadic
cases and small family outbreaks of influenza-like dis-
ease \cere noted during the past 2 weeks. Four strains of
B xirus and three strains of A2 Hong Kong 6S were iso-
aIted. Outbreak- a-sociated with influenza B were re-
ported in children'- in-titutions during this period.
SOUTH AMERICA
Argentina (reported January 3) A family outbreak of
influenza-like illne-s occurred during the last part of
December following the arrival of three sick relatives
from Los Angeles. California. Fi\e strains of ;\2 xirus
\were isolated. There is presently no extension to the
general population.
Venezuela Strains of \2 Hong Kong 6s \irus- were
isolated from poradic case-during the vweek of January `2.
(('mpil'rd from ifi/ Elpid1iimiological Hecord Vol. ",,;
Nos. 3-11.)


mortality Weekly Report


MARCH 22, 1969


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. D. LANGMUIR, M.D.
CHIEF, STATISTICS SECTION IDA L. SHERMAN, M.S.
EDITOR MICHAEL B. 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 OFFICIALLY RELEASED TO THE PUBLIC ON THE SUCCEED-
ING FRIDAY.


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