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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- 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.'. 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. o e i i o- 0 0 C4 r==40 Z I m n n 0 S <- ..- S ,- a > r > m >3 z z m -n _'" _ n > Z -- 4- o I' "" J c om -3 Soa Cm rn I |
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