Morbidity and mortality

MISSING IMAGE

Material Information

Title:
Morbidity and mortality
Uniform Title:
Morbidity and mortality (Washington, D.C. : 1952)
Running title:
Weekly mortality report
Weekly morbidity report
Morbidity and mortality weekly report
Abbreviated Title:
Morb. mortal.
Physical Description:
25 v. : ; 27 cm.
Language:
English
Creator:
United States -- National Office of Vital Statistics
Communicable Disease Center (U.S.)
National Communicable Disease Center (U.S.)
Center for Disease Control
Publisher:
The Office
Place of Publication:
Washington, D.C
Publication Date:
Frequency:
weekly
regular

Subjects

Subjects / Keywords:
Communicable diseases -- Statistics -- Periodicals -- United States   ( lcsh )
Mortality -- Periodicals -- United States   ( lcsh )
Morbidity -- Periodicals -- United States   ( mesh )
Mortality -- Periodicals -- United States   ( mesh )
Statistics, Medical -- Periodicals -- United States   ( lcsh )
Statistics, Vital -- Periodicals -- United States   ( lcsh )
Genre:
federal government publication   ( marcgt )
statistics   ( marcgt )
periodical   ( marcgt )

Notes

Additional Physical Form:
Also issued online.
Statement of Responsibility:
Federal Security Agency, Public Health Service, National Office of Vital Statistics.
Dates or Sequential Designation:
Vol. 1, no. 1 (Jan. 11, 1952)-v. 25, no. 9 (Mar. 6, 1976).
Issuing Body:
Issued by: U.S. National Office of Vital Statistics, 1952-Jan. 6, 1961; Communicable Disease Center, 1961- ; National Communicable Disease Center, ; Center for Disease Control, -Mar. 6, 1976.
General Note:
Title from caption.

Record Information

Source Institution:
University of Florida
Rights Management:
All applicable rights reserved by the source institution and holding location.
Resource Identifier:
oclc - 02246644
lccn - 74648956
issn - 0091-0031
ocm02246644
Classification:
lcc - RA407.3 .A37
ddc - 312/.3/0973
nlm - W2 A N25M
System ID:
AA00010654:00218

Related Items

Preceded by:
Weekly mortality index
Preceded by:
Weekly morbidity report
Succeeded by:
Morbidity and mortality weekly report

Full Text


NATIONAL COMMUNICABLE DISEASE CENTER


Vol. 18, No. 26






SFor

Week Ending

June 28, 1969


U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE / PUBLIC HEAL TH SERVICE F7HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION
DATE OF RELEASE: JULY 4, 1969 ATLANTA, GEORGIA 3


EPIDEMIOLOGIC NOTES AND REPORTS
HUMAN PLAGUE New Mexico

The presumptive case of plague reported last week
in an 18-year-old man in Pl-, ia-. New Mexico, !\IM~R.
Vol. 18, No. 25) has been confirmed. Identification of the
isolate was confirmed by staining techniques, culture,
mouse inoculation, fluorescent antibody examination, and
bacteriophage lysis.
The patient made a complete recovery and was dis-
charged from the hospital on June 26. No subsequent
cases have been reported.
Field material paihi-red during the investigation is
still being examined. To date, evidence of plague has
been found in two field rodents. One was collected 100
yd. from the patient's residence, and the other about 4
miles away.


Utr rLp

Epidemio N ports t
Human rL .. o 0 ........ .. .. 225
Importec '.1 t '-.ahington, I,'. ...... 226
Surveillar. I*.
Trichine 196S .. 226

Smallpox . 227
Quarantine e .. .. l .. 232
n N a to.anI

(Reported by Bruce ., Director, and T. H.
Tomlinson, Jr., M.D., Division of Medical Services, Eva
Wallen, M.D., District Health *"'." ., District III, Brian
Miller, Chief, General Sanitation Section, and the Public
Health Laboratory, New Mexico Department of Health;
and the Zoonoses Section Laboratory, Ecological Investi-
gations Program, NCDC, Fort Collins, Colorado, and
Kansas City, Kansas.)


TABLE I. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
26th WEEK ENDED CUMULATIVE, FIRST 26 WEEKS
MEDIAN
DISEASE June 28, June 29. 1964 1968 MEDIAN
1969 1968 1969 1968 1964- 1968
Aseptic meningitis ...................... 62 50 41 776 883 765
Brucellosis ............................ 5 14 7 77 91 120
Diphtheria.............................. 1 2 2 69 86 82
Encephalitis, primary:
Arthropod-borne & unspecified .......... 21 19 27 490 435 663
Encephalitis, post-infectious ............ 10 12 18 163 276 456
Hepatitis, serum ........................ 102 97 2.620 2.052
Hepatiis infectious ..................... 836 822 598 23.622 21,880 20.805
Malaria ................................ 58 52 6 1,316 1,054 149
Measles rubeolaa) ...................... 667 487 2.718 17,932 17.492 178,678
Meningococcal infections, total ........... 54 44 40 2.022 1.660 1.660
Civilian ............................. 51 38 1,831 1,497 -
Military....................... ......... 3 6 191 163 "
Mumps ................................. 1.258 1,834 61,050 115,967 -
Poliomyelitis, total ..................... 3 5 3 26 26
Paralytic ............................. 3 3 3 26 24
Rubella (German measles) ............... 1.016 875 44.451 39.958
Streptococcal sore throat & scarlet fever.... 4,889 5,361 5,018 259,372 257.033 257.033
Tetanus ............................... 6 5 5 63 69 91
Tularemia.............................. 3 6 6 79 93 93
Typhoid fever .......................... 5 10 7 136 143 176
Typhus, tick-borne (Rky. Mt. spotted fever) 24 6 11 161 82 82
Rabies in animals ....................... 71 78 70 1,892 1,902 2.294

TABLE II. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ........................................... 2 Rabies in man: ...................................... 1
Botulism: ......................................... 10 Rubella congenital syndrome: ......................... 5
Leptospirosis: Calif.-. .............................. 29 Trichinosis: Mass.-1, Ohio-1, Vt.-2 .................... 145
Plague: ............................................ Typhus, marine: Ohio-1, Tex.-3 ....................... 15
Psittacosis: Calif.-1 ............................... 18






226


The fir-t cases of ieasles reported in the District
of ('oluhia -since \pril t19's occurred during May 1969
in t\ao -i-ter-, aged :21 months and 5 Nears. These cases
Swere diagnosed at the allter Reed \rmy Hospital clinic
and Nwere ti firt-i irea.-l ca-e- s-oen there in nearly 3
years.
Both -isicr- had \isited their grandmother in Smith-
field. Johnston ( county. North Carolina. from (early April
through mid-May. \h ile there they had contact \ith a young
child with diagnos in 4\a-hitniton. D.C. on May I\ On May 210 the younger
child and on May '22 the older girl developed an illness
.hara-trrized by feeir. conjunctivitis. cough, and a
niaculolppular rush. The older child was seen early in
her illness. Scarlet fexer was considered. but a throat


JUNE 28. 1969


culture was negative for streptococci. Both children were
seen several days later; one was then noted to have Kr plik
spots and the other a rash compatible with measles. Al-
ll,,,,.l', both children had been followed regularly in a well-
baby clinic. neither had received measles immunization
because of frequent colds and febrile illnesses which had
interfered with their immunization schedules. The child-
ren were kept at home during their measles li r..--.
and no secondary cases were found in the neighborhood
or among known contacts.

(Reported by William Long. AI.D., Chief, Epidemiology
Division, D.C. Department of Public Health; I ,,'i.
Ziegler, M.O.. Civilian Physician, Pediatric Clinic, Walter
Reed Army Hospital; and an EIS '". .)


SURVEILLANCE SUMMARY
TRICHINOSIS United States 1968


In the Inited States during 199h. a total of b4 cases
of trichino-is aecre reported, an increase o\er the 67
cases reported in i967 (I -.re 1). There were five out-
break- with four or more cases, and the first trichinosis-
related death since 1966. The Mt cases were reported from
22 -tat-s (Table 1). New York reported the largest num-
ber of cases with 17. of which 12 were from New York City.

Figure 1
CASES OF TRICHINOSIS IN THE UNITED STATES
1947 1968


Of the sI ciae-. age was known for 71: the mean age
wr a : 12 \ars for men and .14 yI ar- for women. The sex of
patients w as- reported in 7h cases: 41 were imen and 37
women. The mean incubation period for the w50 cases with
the ati of con-ump ion reported was- 12 dlays. The mean
period between diatei of on-et and serologic diagnosis for
.5 cas-- xwx.- :26 dia-. Sra were collie ted from 57 of the
'I cIae- ani d ,i of the- it7 case- w-eri- erologic ally
posi-ii\e. Muscle biopsy was performed in '2" cases-. of
which 1 a-ri- po--itie (Tabhle _,
(Of the 4t cases. (l aere a-r-ocited with pork pro-
dit( s th- -source o infrtioi : 1i of iths- were(t related
to -.iu itei. Se-en Ie- x i ere lxri-rsi ociailo d u ith hanmbhurger.


Table 1
Cases of Trichinosis by State 1968

State Cases
New York 17
Ohio 14
Alaska 8
Massachusetts 5
h ashington 4
California 4
New Jersey 4
Rhode Island 4
Mississippi 4
West \ ,ri.. i 3
Texas 2
Michigan
Wisconsin 2
Virginia 2
Hawaii 2
Pennsylvania 1
Tennessee 1
Missouri 1
l l,r ... 1
Connecticut 1
Iowa 1
New Mexico 1
Total 84

probably r. '... rine contamination of beef when ground in
meat grinders used previously to grind pork. -t, eh cases
were attributed to bear meat and two cases to wild swine.
The place where the meat was consumed was reported
for 69 cases with 63 acquiring infection in homer and six
in commercial eating places. The source of meat was
determined in 57 ca-se-: 43 purchased the meat from com-
mercial sources, four acquired infection from farm grown
and processed pork. and 10) cases were from wild game
processed at home. Of the h4 cases. 36 claimed that the


Morbidity and Mortality Weekly Report


EPIDEMIOLOGIC NOTES AND REPORTS
IMPORTED MEASLES CASES Washington, D.C.






Morbidity and Mortalit


Table 2
Serologic and Muscle Biopsy Tests Trichinosis, 1968
Muscle Biopsy
Serology
Positive Negative Not Done Unknown Total
Positive 10 5 31 5 51
Negative 3 0 3 0 6
Not Done 7 2 11 5 25
Unknown 1 0 1 0 2

Total 21 7 46 10 84


JUNE 28, 1969


INTERNATIONAL NOTES
SMALLPOX


Smallpox incidence continues to decline ihrriuch'ulj
the 19-country area of the West and Central African Re-
gional Smallpox Eradication and Measles Control Program,
with only 14 cases reported during May 1969 (Figure 2).
Through the first 22 weeks (week ending May 31),
348 cases of smallpox were reported to the World Health
Organization by the 19 countries (Table 3). This is a
decrease of 90.1 percent from the 3,527 cases reported
during the comparable period in 1968.


Since the beginning of the Program in January 1967,
approximately 85 million smallpox vaccinations have
been administered in the area, which has a 1969 mid-year
population estimate of 119 million persons.



(Reported by Smallpox Eradication Program, NCDC.)
Source: World Health Organization Ieekly Epidemiological
Record, 44(25):414.


Figure 2
REPORTED SMALLPOX CASES BY MONTH, 1960-67 AVERAGE, 1968 AND 1969
'*1 WEST AND CENTRAL AFRICA


I \ *,* /
N \ / N

a' ~ I


N ,', -


Table 3
Provisional Number of Smallpox Cases by Week West and Central Africa
1969 1968
Week Ending 29 Dec. 2 Feb. March April May May Total Total Total
1 Feb. 29 Mar. 8 15 22 29 5 12 19 26 3 10 17 24 31 to Date Same for Year
Week Number 1 5 6 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Period
Country*
Cameroon 11 3 1 15 82 87
Chad -- 1 5
Dahomey 3 ---- ------- 3 308 359
Ghana 6 6 4 26
Guinea 12 12 225 330
Liberia -- 5 5
Mali 1 -- 1 56 58
Niger 2 5 13 1 1 1 23 571 678
Nigeria 21 40 5 45 5 8 2 ... 1 3 7 ... 1 2 140 1,534 1,832
Sierra Leone 23 30 2 1 10 1 3 ... 2 72 417 1,143
Togo 13 6 1 1 1 33 12 1 2 6 76 290 791
Upper Volta 34 100
Total 91 85 22 47 7 8 12 34 14 7 7 1 5 2 6 348 3,527 5,414
- No cases.
... Data not available.
*No cases reported from Central African Republic, Congo (B), Gabon, Gambia, Ivory Coast, Senegal, and Mauritania.


ty Weekly Report 227


meat had been cooked or partially cooked. 34 ate un-
cooked meat, and the preparation was unknown in 14 cases.
(Reported by the Parasitic Diseases Branch, Epidemiology
Program, NCDC.)

A copy of the original report from which these data wa'r-
derived is available on request from the
National Communicable Disease Center
Attn: Chief, Parasitic Diseases Branch
Epidemiology Program
Atlanta, Georgia 30333







228 Morbidity and Mortality Weekly Report


TABLE III. CASESS OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 28, 1969 AND JUNE 29, 1968 (26th WEEK)

F FF. Il l "IF i T i i'
:1. I niiii Primary including PI'-. M KALARIA
] I Serum Infectious
ARo i nsp. ca4se
Cum.

FNITED STATES.. I 6 ;* 4 1,, I12 1 ... ',B l ilb

NEW ENLAND.......... 1 1 4 74 21 43
-ainii ............ -- 1 2
N w H shi re..... 6 2
Vr t .-...... I 1
ia hui s..t ...... 1 37 13 33
Rh dr Islard....... 23 1 2
C unect icut........ 1 3 7 6 4

MID LE ATLANTIC...... 4 8 3 40 148 146 14 152
N. York City..... 3 4 1 19 67 43 2 13
c Yrk, p-State. 1 4 17 23 23
Sr. Jrsy........ 16 35 42 5 54
Pnny vani....... 4 2 1 29 38 7 62

EA NRTI CENTRAL... 3 4 2 10 128 100 7 130
Oh ............ 2 3 2 3 19 31 14
I inas............ 5 12 2 10
Illin is ........... 4 36 3 70
Mihigan........... 1 1 3 63 45 2 35
Wiconsin.......... 5 12 1

WEST NORT CENTRAL... 2 2 1 1 46 87 2 86
innet.......... 1 9 13 7
I1wat.............. 2 1 7 5 7
Miss ori........... 1 25 20 23
North Dak ta ...... 1 4 2
S th Oak ita ....... 7 7
Nebraska........... 2 2 3
Kansas ............. 2 36 2 44

sI ATLANTIC....... 4 5 1 1 7 95 50 20 405
D laar~......... 6 2
2 -rvlan .......... 2 1 16 11 11
Dist. Ci lumbia.. 4 1
Virgina ........... 1 l 1 6 5 15
West Virginia..... 6 1
North ar ina..... 1 12 5 10 185
r -uth Cr lirna..... 1 8 1 9 39
G org ia............ 14 2 132
Flrida............. 2 3 1 5 33 15 1 20

EA T SOUTH CENTRAL... 3 --- 44 26 3 51
Kentucky........... 15 4 41
Tennesser.......... 1 15 9 -
Alabama............ 2 4 6 2 8
Mssis sippi......... 10 7 1 2

EST SOTH CENTRAL... 7 1 1 5 1 3 58 89 35
Arkansas........... 8
Suisiana.......... 1 5 2 15 16 27
Ok laho n........... 5 22 3
Txa................. 7 1 1 1 38 43 -

Ml NITAIN............. 1 1 2 38 49 1 92
Montana.......... 1 1 3 3
Idaho.............. 1 2 1 3
W .i. ng...........- 2
C lord .......... .. 2 11 29 79
New Mx ico......... 6 4 4
Ar izma............ 9 4 1
I'ah............... 8 5 1
N, .vada ............. 4

PACIFIC............. 42 3 2 6 5 35 205 254 11 322
.ash ......... 2 33 30 5
Oreg n............. 4 7 16 6
California......... 10 3 2 3 5 31 165 202 10 248
Alaska............. 27 1 -- 3 1 2
lara i i ............. 2 3 61



elateded reports: Aseptic n'enln its: asall 1
Hepatitis. Infections: Me. 2, Del. 1
:aliria: iorva 1







Morbidity and Mortality Weekly Report 229


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 28. 1969 AND JUNE 29, 1968 (26th WEEK) CONTINUED


MEASLES (Rubeola) MENINGOCOCCAL INFECTIONS, MUMPS POLIOMYELITIS RUBELLA
TOTAL
AREA Cumulative Cumulative Total Para ytic
Cum.

UNITED STATES... 667 17,932 17,492 54 2,022 1,660 1,258 3 1,016

NEW ENGLAND.......... 55 915 1,048 3 70 87 249 1 123
MaineA............ 5 35 6 6 5 13
New Hampshire...... 226 141 2 7 2 3
Vermont............ 2 1 1 3 1
Massachusetts$.... 10 171 316 1 31 37 102 43
Rhode Island ....... 18 1 1 6 7 23 7
Connecticut........ 45 493 554 1 25 29 114 1 56

MIDDLE ATLANTIC...... 288 6,735 3,235 14 329 286 145 71
New York City...... 144 4,520 1,484 8 67 61 127 32
New York, Up-State. 11 540 1,123 2 51 46 NH 20
New Jersey......... 22 798 527 3 140 102 18 10
Pennsylvania....... 111 877 101 1 71 77 NN 9

EAST NORTH CENTRAL... 51 1,787 3,483 5 270 197 309 216
Ohio................ 9 299 276 2 95 52 21 8
Indiana............. 451 608 34 26 32 23
Illinois........... 22 363 1,295 39 43 38 25
Michigan........... 10 190 233 3 85 59 93 107
Wisconsin.......... 10 484 1,071 17 17 125 53

WEST NORTH CENTRAL... 4 478 353 3 106 86 42 18
Minnesota............ 1 4 15 22 19 1 3
Iowa................ 2 319 89 2 14 6 12 8
Missouri........... 16 80 1 46 31 18 5
North Dakota ....... 7 122 3 3 2
South Dakota ....... 1 2 4 1 4 NN -
Nebraska........... 126 35 9 6 8 -
Kansas............. 4 8 14 17 -

SOUTH ATLANTIC....... 112 2,312 1,321 11 354 344 112 192
DelawareA.......... 27 360 13 4 6 5 3
Maryland............ 21 61 79 1 33 24 9 5
Dist. of Columbia.. 6 9 13 2
Virginia........... 6 844 283 3 44 27 26 76
West Virginia...... 3 162 234 1 16 8 39 54
North Carolina..... 40 285 279 1 59 68 NN -
South Carolina..... 3 109 12 2 51 55
Georgia.............. 1 4 1 60 60 -
Florida............ 12 490 411 2 78 83 33 52

EAST SOUTH CENTRAL... 2 98 447 2 127 144 53 43
Kentucky........... 58 93 1 46 56 16 9
Tennessee.......... 16 54 46 48 35 28
Alabama............ 2 3 74 1 20 20 1 1
Mississippi........ 21 226 15 20 1 5

WEST SOUTH CENTRAL... 93 4,019 4,399 4 278 274 101 2 90
ArkansasA .......... 16 2 28 15 -
Louisiana........... 2 120 3 74 77 -
Oklahoma............ 3 130 108 1 27 48 7 -
Texas............... 88 3,753 4,286 3 149 134 94 2 90

MOUNTAIN............. 38 669 901 36 25 77 35
Montana ........... 10 57 5 2 6 -
Idaho............... 18 84 17 6 11 1 -
Wyoming............. 49 1
Colorado............ 1 115 469 6 7 4 16
New Mexico......... 5 192 82 6 25 5
Arizona............. 13 261 201 9 1 36 12
Utah ............... 1 6 21 2 1 5 1
Nevada ............ 1 5 2 3

PACIFIC.............. 24 919 2,305 12 452 217 170 228
Washington.......... 3 57 513 50 36 7 3
Oregon.............. 5 188 439 1 11 17 3 16
California.......... 14 643 1,317 10 370 152 132 :52
Alaska............. 8 2 11 1 12 16
Hawaii ............. 2 23 34 1 10 11 16 41

Puerto Rico........... 83 1,056 334 1 15 18 40 78

*Delayed reports: Measles: Mass. delete 6, Del. 14, Ark. delete 13
Meningococcal infections: Me. 1, Ind. Delete 1
Mumps: Del. 10, Hawaii 4
Rubella: Me. 2, Del. 5






230 Morbidity and lMortalilt Weekly Report


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 28, 1969 AND JUNE 29, 1968 (26th WEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TICK-BORNE RABIES IN
FEVER ANIMALS
AREA SCARLET FEVER (Rky. Mt. Spotted)
Cum. um. Cum. Cum. Cum.
1 614 199 1969 1969 1969 1969 1969 1969 196 1969 169
UNITED STATES... 4,889 6 63 3 79 5 136 24 161 71 1,892

NEW ENGLAND........... 956 14 2 5 7
Maine.t............ 8 1 4
New Hampshire...... 11 -
Veront........... 18 14 -
Massachusetts...... 99 1 3 1
Rhode Island........ 60 1 1
Connecticut........ 760 1

MIDDLE ATLANTIC...... 372 10 1 3 13 4 17 6 66
New York City...... 22 5 1 6 -
New York, Up-State. 290 2 1 2 4 5 6 63
New Jersey ........ NN 1 2 2 -
Pennsylvania....... 60 2 3 2 10 3

EAST NORTH CENTRAL... 383 1 8 7 13 7 125
Chio............... 60 7 5 35
Indiana............ 105 1 2 38
Illinois........... 71 5 2 2 22
ichigan............ 91 1 3 4 3
Wisconsin.......... 56 4 27

WEST NORTH CETRAL ... 184 1 4 7 4 2 24 347
Minnesota.......... 1 1 4 84
Ioa .*.............. 37 1 5 49
Missouri........... 23 1 1 4 2 3 101
N:rth Dakota....... 65 4 45
South Dakota....... 10 1 13
Nebraska .......... 42 1 10
Kansas............. 6 3 3 8 45

SOUTi ATLANTIC....... 618 3 13 18 2 24 16 86 10 522
Delaware.*......... 10 1 2 -
Maryland........... 125 4 4 24 -
Dist. of Columbia.. 2 -
Virginia............ 143 2 5 24 3 267
West Virginia...... 109 1 2 1 1 4 3 82
North Carolina..... 11 1 2 5 4 6 27 4
South Carolina..... 2 1 2 1 3 -
Georgia............ 2 3 7 2 2 48
Florida............ 216 2 7 4 2 5 2 121

EAST SOUTH CENTRAL... 771 1 8 1 9 1 14 1 27 4 302
Kentucky........... 92 3 2 5 2 161
Tennessee........... 564 4 1 8 1 10 1 21 2 108
Alabaa............. 42 1 1 1 33
Mississippi........ 73 2 -

EST SOUTH CENTRAL.. 469 13 12 17 1 17 10 253
Arkansas............ 4 1 8 4 18
Louisiana.......... 5 2 16
Oklahma........... 14 1 5 1 10 2 39
Texas.............. 451 7 4 9 3 8 180

MOUNTAIN.............. 839 1 1 9 20 1 8 7 88
Hontana ............ 24 1 1 -
Idaho.............. 79 3 -
Wyoing............ 18 2 5 5 46
Colorado............ 435 I 2 1 7 3
New Mexico......... 128 1 5 8
Arizona............. 58 4 22
Utah............... 97 5 2
Nevada............. 1 2 7

ACIFIC............. 297 6 26 1 4 3 182
hi ....... 98 1 1 1 3 1
Oregn ............. 70 6 -
ifr i ....... --- 5 -- 19 1 3 181
Ala ka ............. 29
i ............ 100- -

- .......... 2 3- 3- I 17

*Pelaved reports: SST: Me. 4, Del. 22, Hawaii 33
"SF: Iowa 1, Del. 2







Morbidity and Mortality W'eekl Report






TABLE IV. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JUNE 28, 1969


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

All Causes Pneumonia Under All Causes Pneumonia Under

Area All 65 years and l yar Area All 65 years and n year
Ages and over Influenza All Ages and over Infuenz Al
All Ages Causes All Ages Causes


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

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

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

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


669
218
40
21
26
65
27
19
34
43
45
10
44
32
45

3,093
37
32
145
34
29
31
64
70
1,581
41
503
170
47
91
23
29
63
44
27
32

2,616
61
45
716
150
233
134
86
353
45
68
45
29
41
155
33
144
37
39
47
90
65

803
66
14
39
114
35
109
66
226
71
63


371
110
27
16
17
28
16
12
22
28
22
8
26
17
22

1,785
17
22
90
15
16
20
37
27
903
27
270
92
37
56
14
23
42
34
17
26

1 ,487
41
32
385
93
115
69
52
188
27
38
28
20
28
93
16
95
19
26
25
58
39

488
39
11
21
62
25
66
34
139
50
41


9


23
7
1
1
1
4



2
1

2
2
2

135

2
6
2
1

4

79
1
20
9
3
5
1

1
1



111
3
1
29
7
16
7
4

1
3
3
1
1
5
1
4
5
3
1
5
2

42
5

4
7
3
6
2
9

1


*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 ,161
135
236
57
91
96
61
69
47
78
85
156
50

610
119
45
42
86
145
49
45
79

1 ,179
45
25
29
162
53
75
227
51
184
88
132
47
61

435
38
29
110
20
90
40
54
54

1,461
30
47
20
39
81
457
57
36
156
48
98
149
36
142
26
39


Total 12,027 6,774 410 563

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 350,339
All Causes, Age 65 and over------------------- 201,984
Pneumonia and Influenza, All Ages------------- 18,122
All Causes, Under 1 Year of Age--------------- 15,943


Week No.
26










INTERNATIONAL NOTES
QUARANTINE MEASURES


.drii ti4il Iln ui itione Informatione for Interinational
Traic? 1.;7-6i8 edtioan Public lHealth Serri ce
I' ili iatti, Ou. 384


The following information should he added to the list of
YelloH FE'\er Vaccination (Centers in Section 6:


City and State Oakland. California
Center Thomas Reich, M.D.
Physician's Office
I11 30th Street
Telephone 1 1-)l600
Clinic Hours Tuesday and Thursday
3:00-4:00


City and State
Center



Clinic Hours
Fee


Still\ater, Oklahoma
Student Hospital and Clinic
North Monroe Street
Telephone FR2-6211, Extension 522
Second Friday. each month
No


City and State Edinburg, Texas
Center Edinburg Medical Center
1200 South 10th
Telephone DU3-2761
Clinic Hours Monday-Friday
9:00-5:00
Saturday
9:00-12:00
Fee No

City and State Rochester, Minnesota
Center Olmsted County Health Department
415 Fourth .rr-. -, S.E.
Telephone 282-3861
Clinic Hours Monday-Friday
b:00-4:00
Fee No

City and State Los Angeles. California
Center Los Angeles Overseas Medical Center
1136 \est Sixth Street
Telephone 4b2-8383
Clinic Hours Tuesday and Thursday
2:00
Saturday
10:00
Fee Yes

The following change has been made for the San Bern-
ardino lHealth Department. 351 Mount View Avenue. San
Be1rnardino. (alifornia 92401: Tuesday, 10:00. by appoint-
S'ent: fe charged .$500.

Irelporl \Medical and Surgical Clinic has changed its
.addires- from :0 \ West Broad. Freeport. Texai-. to 21
lHo-pital Roadl, uite 109-B. Freeport. Texas 775.11.


JUNE 28, 1969


THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCULA-
TION OF 18.500 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, u C.
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
ATTN: THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
ATLANTA, GEORGIA 30333

NOTE: THE DATA IN THIS REPORT ARE PROVISIONAL AND ARE
BASED ON WEEKLY TELEGRAMS TO THE NCOC 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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Morbidity and Mortality Weekly Report