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:
AA00010654:00221

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. 30


For

=-- Week Ending
0,t t Y"J .; July 26, 1969



U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE / PUBLIC HEALTH SERVICE HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION
DATE OF RELEASE: AUGUST 1, 1969 ATLANTA, GEORGIA 30333


EPIDEMIOLOGIC NOTES AND REPORTS
CASE OF PRESUMPTIVE PLAGUE New Mexico

A case of presumptive plague has been reported in a
20-year-old woman in Placitas, New Mexico, She was a
member of the same hippie colony as a confirmed case
occurring there on June 15, 1969 1,\%tHR Vol. 18, Nos.
25 and 26). The woman was hospitalized on June 3, 1969,
with chills, fever, malaise, diarrhea, and an axillary
mass; she responded to antibiotic treatment and was dis-
charged on June 11 without a diagnosis of plague. Pla.u,.
was reiro-pec tie,,-l diagnosed during a serologic survey
of colony members following the confirmed case on June
15. The woman had a positive agglutination titer sugges-
tive of plague; however, no tissue was then available for
diagnostic confirmation. This woman as well as the other
22 members of the colony had direct contact with the con-
firmed case and with a cat belonging to the colony that


CONTENTS
Epidemiologic Notes and Reports
Case of Presumptive Plague New Mexico ......... 261
International Notes
Dengue Follow-Up Puerto Rico ............ .. 262
Pla tue- 1968 .. ... .... .. 262
,qu ar rv rr -


,Ir 1'.-., 'U' "t', x t_-.h-ad rI -I ,t, .l r. ,ra I:ompour,,i
Tt,. ,V tl ,1 .*r, .if-flu ii .,i i n i 1 .'. i: pl.eu,
(K f'" \ Bruce Storrs. .,' visionn of
Mt .., \\. J *, E "^ '. I ..' .. Health
.*' r F' .nson, Ph.D., The Pub-
li( II. .;' L. Department of Health;
an. ". .', .: r .'.! .,,' Program, NCDC, Kansas
City, Kansas, and Fort C I.' I" Colorado.)


TABLE I. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
30th WEEK ENDED CUMULATIVE, FIRST30 WEEKS
MEDIAN
DISEASE July 26, July 27, 1964 1968 MEDIAN
1969 1968 1969 1968 1964 1968
Aseptic meningitis ...................... 86 118 68 1,104 1.258 1.011
Brucellosis ........................... 7 3 5 104 116 139
Diphtheria.............................. 3 1 2 83 100 98
Encephalitis, primary:
Arthropod-borne & unspecified ........... 22 17 37 577 524 802
Encephalitis, post-infectious ............. 5 7 16 190 317 520
Hepatitis, serum ........................ 100 98 2.970 2.402
Hepatitis, infectious .................... 838 898 26,699 25.073 234
Malaria ............................... 52 28 8 1,546 1.226 189
Measles rubeolaa) ....................... 257 229 1.171 19,310 18.539 185.346
Meningococcal infections, total ........... 34 49 41 2.168 1.816 1.816
Civilian ............................. 33 46 --- 1,968 1.643 ---
Military ..................... ....... 1 3 200 173 -
Mumps ................................. 780 945 -- 64,575 120,289 -
Poliomyelitis, total ..................... 1 4 5 35 35
Paralytic ............................. 1 3 5 35 35
Rubella (German measles) ............... 413 399 46.945 41.756
Streptococcal sore throat & scarlet fever.... 4.445 4,283 4.283 277,134 274,407 274.407
Tetanus ............................... 4 3 6 77 82 121
Tularemia.............................. 6 3 4 86 121 121
Typhoid fever .......................... 7 10 10 156 176 214
Typhus, tick-borne (Rky. Mt. spotted fever) 31 14 16 254 134 134
Rabies in animals ...................... 73 55 84 2.151 2.150 2.656
TABLE II. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: R.I.-1 .................. ....... ... .. 3 Rabies in man: ..................................... .
Botulism: Wash.-1 ................................ 11 Rubella congenital syndrome: Colo.-l .................. 6
Leptospirosis: Okla.-l, Tex.-1 ...................... 37 Trichinosis: ...................................... 148
Plague: N. Mex.-l .................................. 3 Typhus, murine: ..................................... 17
Psittacosis: ...................................... 22


F`~s3 i~ ,'-~:,~c,'






Morbidity and Mortality Weekly Report


JULY 26, 1969


INTERNATIONAL NOTES
DENGUE FOLLOW-UP Puerto Rico


The outbreak of dengue in Puerto Rico is continuing
(MMWiR, Vol. 18, Nos. 27-29). The number of cases re-
ported for the week ending July 26 (1,485) is approxi-
mately the same as the number reported last week (I "'.)
and 2 weeks ago (1.275), and brings the total reported to
date to 9.381.
The second round of aerial spraying with ultralow
volume Malathion* in two areas with high dengue oc-
currence was completed on July 28. The distribution of
Malathion by aerial spraying was evaluated by measur-
ing the numbers of insecticide droplets per sq. in. and
the average size of droplets found on dye cards placed in
unprotected sites and inside houses. The measurements
indicated that dispersion of insecticide was within the
range needed for mosquito suppression in unprotected
sites and often adequate within houses.
Aerial -pr.,i ig i.ild be expected to reduce the
adult popula'-.,i., .1-. i. aegypti mosquitoes for a limited


time and to markedly reduce the number of adult mos-
quitoes carrying dengue virus. The crude measurement of
the numbers of ova, larvae, and adult A. yptl mosqui-
toes 1 and 2 weeks after spraying showed some reduc-
tion in the number of houses with adult A. aegypti mos-
quitoes (Table 1). The more significant measurement,
the change in the number of mosquitoes carrying dengue
virus after the two rounds of aerial spraying, requires
virus cultures of pools of mosquitoes. These viral studies
are in progress.

(Reported by Dr. Ernesto Colon-Yordan, Secretary of
Health for Preventive Medicine, Dr. Raphael Correa-
Coronas, Auxiliary Secretary of Health for Preventive
Medicine, Dr. Luis Mainardi, Chief, Communicable Dis-
ease Control Program, and Dr. Angel Alberto Colon,
Director, Institute of Laboratories of Health, Puerto Rico
Department of Health; and a team from NCDC.)


Table 1
Premises Positive for Aedes aegypti Adult Mosquitoes

Prespray Survey Surveys After First Round of Spraying
After 1 Week After 2 Weeks
Location No. Houses Percent No. Houses Percent No. Houses Percent
Inspected Positive Inspected Positive Inspected Positive

Barrio Cortes 14 93 7 71 8 50
Humacao 40 65 29 24
Juncos 21 52 10 40 4 75

'Trade names are provided for identification only, and inclusion does not imply endorsement by the Public Health Service or the
United States Department of Health, Education, and Welfare.



PLAGUE 19681


During 1968 the total number of plague cases for the
world reported to the World Health Organization was 1,318
cases with 160 deaths (Table 2). Of the total cases, 973
with 90 deaths occurred in Asia with Vietnam i ntrilriiine
7f0 cases and 37 deaths. The total for the world exclu-
sive of the Vietnam cases continued to decline from the
annual totals for recent years.
The recorded number of cases in the world reached
its lowest point in 1959. Until that time India, Indonesia,
and Burma acre .rn rirlliu r,, the majority of plague cases
to the world total. ilih,.uL'h the disease was steadily de-
clining in all three countries. Since then, the total number
of reported cases has increased due to the increasing
number of cases in Vietnam. During 1963-66 South America
was contributing most of the world's total until Asia re-
(l,. iriLn, the increase in Vietnam, again reported more
cases.
The number of cases in 1968 appears to be at the
level of 15 years ago, but the distribution by country has


changed. India, once the most affected country, reported
no cases in 1968 for the first time in its recent history.
In Indonesia, where the disease seemed to disappear in
1959. it reappeared in 1968 in the same district and in the
same locality where it had last been reported. In Nepal.
there were 13 cases and 12 deaths; thus plague in Asia
not only increased in number of cases but also occurred
in more territories than in recent years. No large out-
breaks occurred in Africa or in the Americas; however,
countries in these areas reported plague cases similar
in number to previous years.
As for every year in the last decade, most of the
cases in 1968 were bubonic alihouf'h pulmonary plague
did occur.

(Reported by the Foreign rQir.a,'ir Program, NCDC.)

Reference:
tWorld Health Organization Heekly Epidemiological Record,
4(24):401-402.


262







JULY 26, 1969


Morbidity and Mortality Weekly Report


Table 2
Human Cases and Deaths Due to Plague Reported to the World Health Organization


C(ases)
Country D(eaths) 1952 1953 1954 1955 1956 19571195195959 1960 1961 1962 1963 1964 1965 19661 19672 1968


Africa

Mauritania


Cameroon

Congo (formerly Belgian-
Congo
Uganda

Kenya

Tanzania (formerly
Tanganyika)
Zambia (formerly
Northern Rhodesia)
Malawi (formerly
Nyasaland)
Malagasy Republic
(formerly Madagascar)
S.W. Africa

Lesotho (formerly
Basutoland)
South Africa

America


USA

Venezuela

Ecuador

Peru

Bolivia

Brazil

Argentina

Asia

Iran

India

Nepal

Burma

Thailand

Indonesia

Cambodia

*Viet Nam, Rep. of

Philippines


33
29
12
8
58
10
573
100





208
158
NA
NA
3
3
4
3
166






44
NA
NA
NA
55
NA
65
NA
2
NA
10,845
5,622
50
22
7,754
3,894



1,013
639
9
4
1,965
1,049
14
7
40
7


53 107 113 110
38 42 84 26


1,617[,1121682 290
982 344 413 277


285 203 273
154 98 178


76 108
33 34


NA NA
114 453
123 148


124 49
18 16


NA
412 5,691
41 253


353 5,574
96 94A


Total C 11,902 7,1281,8941,245 904 554 326 321 441 782 1,379 852 1,610 1,324 1,318 5,930 1,318
D 5,933 2,1411,125 467 476 383 288 288 156 169 256 99 91 61 47 271 160
a. From Epidemiologicai and Vital Statistics Report. Vol. 20, No. 5, 1967. References:
b. Confirmed cases only. iNational Communicable Disease Center: International Epidemiologic
c. Suspect cases. Report: Status of Report on Plague Brucellosis, January 1968.
aIncludes Suspect Cases and Deaths for 1967.
NA -n Data not vailablend Deaths for 2World Health Organisation World Health Statistics Report: 22(4).
NA -fDats not acilalile.






264 Morbidity and Mortality Weekly Report


TABLE II1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 26, 1969 AND JULY 27, 1968 (30th WEEK)

FSEPT ENCEPHALITIS HEPATITIS
F:I.- 'llBR(l- liHIlit Primary including P-Im- MALARIA
AREA GISII LOsI5 unsp. cases Infre IiLus Serum Infectious
Cum.

L:.itL* ;I lAI .. 2 -I i I' I L, I 4', I I .-

NEW ENGLAND.......... 1 9 60 39 49
Maine.t ............ 1 2 2 4
New Hampshire...... 1 1 2
Vermont............ 3 -
Massachusetts...... 1 6 34 25 35
Rhode Island....... 12 3 3
Connecticut........ 3 8 8 5

MIDDLE ATLANTIC...... 3 1 2 3 2 36 140 118 6 173
New York City...... 1 1 31 69 45 3 16
New York, up-State. 2 19 17 1 28
New Jersey........ 1 1 3 24 20 1 66
Pennsylvania....... 2 1 2 2 28 36 1 63

EAST NORTH CENTRAL... 7 6 3 16 121 108 4 155
Ohio.#............. 1 1 1 2 17 26 14
Indiana............. 12 7 3 13
Illinois........... 3 1 2 2 53 22 1 91
Michigan........... 3 4 12 33 37 36
Wisconsin.......... 6 16 1

WEST NORTH CENTRAL... 6 5 3 1 54 70 10 107
Minnesota.......... 5 1 6 9 7
Iowa............... 3 9 7 2 9
Missouri............ 1 2 28 36 2 28
North Dakota....... .- 2 1 1 3
South Dakota........ 7 -
Nebraska........... 2 1 3
Kansas.............. 1 8 10 5 57

SOUTH ATLANTIC ....... 32 1 3 7 106 125 7 455
Delaware........... 1 9 2
MarylandS.......... 14 2 15 16 19
Dist. of Columbia.. 6 3 1
Virginia............ 1 5 7 18
West Virginia ..... 2 3 11 -
North Carolina..... 14 2 7 212
South Carolina..... 1 6 1 41
Georgia............ 1 7 48 139
Florida............. 15 2 5 49 28 23

EAST SOUTH CENTRAL ... 1 1 33 67 63
Kentucky........... 11 27 53
Tennessee.......... 1 16 25 -
Alabama............. 1 6 3 8
Mississippi ........ 12 2

WEST SOUTH CENTRAL... 18 1 2 3 1 3 86 63 8 65
Arkansas ........... 1 5 1 2 8
Louisiana......... 3 2 1 2 23 16 1 31
Oklahoma........... 4 1 11 3 21
Texas.............. 11 2 1 47 43 5 5

MOUNTAIN..........,.... 2 1 1 27 54 112
Montana............. 1 1 6 2
Idaho............... 1 1 4 3
Wyoming.............. -
Colorado ........... .- 31 95
New Mexico ............ 10 2 6
Arizona .............. 9 6 1
Utah ................ 1 2 5 1
Nevada ............. 5 4

PACIFIC.............. 18 5 7 2 26 211 254 17 367
Washington......... 6 38 25 5
Oregon............. 1 16 25 7
California......... 11 5 7 2 26 153 203 16 284
Alaska.............. 2 1 2
Hawaii............. 2 1 69

Puert Rico.......... 10 26 1


*Delaved reports: Diphtheria: Ohio delete 1
Encephalitis, post-infectious: Md.
Hepatitis, infectious: Me. 2, N.J.
Malaria: Me. 1, N.J. 9


delete 3, Hawaii 2







Morbidity and Mortality Weekly Report 265


TABLE III. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 26, 1969 AND JULY 27, 1968 (30th WEEK) CONTINUED


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

UNITED STATES... 257 19,310 18,539 34 2,168 1,816 780 1 1 5 413

NEW ENGLAND............ 16 1,037 1,111 1 71 91 88 1 25
Maine*.............. 5 35 6 6 6 4
New Hampshire...... 237 141 2 7 -
Vermont........... 3 2 1 7 -
Massachusetts....... 10 193 345 31 41 19 7
Rhode Island....... 22 5 6 7 19 5
Connecticut........ 6 577 583 1 26 29 37 1 9

MIDDLE ATLANTIC...... 59 7,225 3,655 4 343 326 92 13
New York City...... 45 4,781 1,790 1 70 67 84 10
New York, Up-State. 3 576 1,178 56 55 NN 3
New Jersey*........ 4 849 578 1 142 118 8 -
Pennsylvania....... 7 1,019 109 2 75 86 NN -

EAST NORTH CENTRAL... 33 1,983 3,606 1 298 217 165 59
Ohio................ 6 354 287 114 59 15 3
Indiana............. 2 455 630 34 26 22 9
Illinois........... 11 429 1,333 41 50 19 3
Michigan........... 5 219 245 1 91 63 19 20
Wisconsin.......... 9 526 1,111 18 19 90 24

WEST NORTH CENTRAL... 10 504 369 3 115 94 38 1 1 1 15
Minnesota.......... 5 15 25 21 -
Iowa................ 324 96 15 6 7 6
Missouri........... 6 22 81 3 51 31 11 5
North Dakota....... 10 125 3 5 2
South Dakota....... 3 4 1 4 NN -
Nebraska........... 1 133 38 9 6 15
Kansas............. 3 7 10 14 23 1 1 1 2

SOUTH ATLANTIC....... 27 2,409 1,421 4 384 374 102 1 81
Delaware............. 373 15 2 7 7 5 1
Maryland............ 2 65 88 35 27 8 4
Dist. of Columbia.. 6 9 14 7 -
Virginia............ 5 872 293 1 49 29 10 10
West Virginia...... 8 174 264 18 9 34 36
North Carolina..... 3 306 281 66 73 N -
South Carolina..... 110 12 54 56 11 4
Georgia............ 1 4 64 73 -
Florida............ 9 508 458 1 82 86 27 1 26

EAST SOUTH CENTRAL... 2 104 469 1 137 158 45 24
Kentucky........... 60 99 49 64 11 2
Tennessee.......... 17 56 1 52 51 29 22
Alabama............ 1 4 85 21 23 1 -
Mississippi........ 1 23 229 15 20 4 -

WEST SOUTH CENTRAL... 60 4,290 4,583 9 294 293 80 2 44
Arkansas......... .. 16 2 1 29 20 -
Louisiana.......... 120 8 4 78 81 1
Oklahoma............. 136 111 29 49 5 -
Texas.............. 60 4,018 4,462 4 158 143 75 2 43

MOUNTAIN ............ 34 784 947 2 39 27 90 49
Montana............ 16 57 1 6 3 1 3
Idaho.............. 88 20 6 11 4 1
Wyoming.............. 51 -
Colorado........... 21 136 486 1 7 8 18 16
New Mexico......... 6 232 88 6 15 2
Arizona............ 7 304 219 10 1 52 27
Utah............... 7 21 2 1 -
Nevada............. 1 5 2 3 -

PACIFIC.............. 16 974 2,378 9 487 236 80 103
Washington......... 1 58 514 1 51 37 12 1
Oregon.............. 1 196 471 11 18 4 13
California.......... 12 683 1,356 8 404 168 57 27
Alaska.............. 8 2 11 2 3 9
Hawaii*............ 2 29 35 10 11 4 53

Puerto Rico........... 61 1.285 356 15 19 18 8

*Delayed reports: Measles: Mass. delete 3
Meningococcal infections: N.J. delete 1
Mumps: Me. 9, Hawaii 3
Rubella: Hawaii 3







266 Morbidity and Mortality Weekly Report


TABLE I11. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JULY 26, 1969 AND JULY 27, 1968 (30th WEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER
SORE THROAT & TETANUS TULAREMIA TICK-BORNE RABIES IN
AREA SCARLET FEVER FEVER (Rky. Mt. Spotted) ANIMALS
Cum. Cum. Cum. Cum. Cum.
...t I,,.. I r I _r ] Ir 'i I I. .r I' '.


UNITED STATES... 4,445 4 77 6 86 7 156 31 254 73 2,151

NEW ENGLAND.......... 591 14 5 1 13
Mainet ............. 10 1 5
New Hampshire...... 13 1 2
Vermont............ 14 2
Massachusetts...... 119 3 1
Rhode Island....... 45 1 -
Connecticut......... 404 3

MIDDLE ATLANTIC...... 176 1 12 1 4 1 16 26 12 94
New York City...... 19 5 1 1 7 -
New York, Up-State. 134 1 3 1 3 5 5 12 89
New Jersey......... NN 2 6 -
Pennsylvania....... 23 2 4 15 5

EAST NORTH CENTRAL... 276 11 7 14 8 145
Ohio............... 30 1 7 6 44
Indiana............ 121 I 40
Illinois........... 34 7 2 3 25
Michigan........... 33 3 4 4
Wisconsin.......... 58 4 2 32

WEST NORTH CENTRAL... 159 5 2 10 2 6 1 3 11 408
Minnesota.......... 3 1 1 2 6 102
Iowa............... 38 1 2 2 59
Missouri........... 16 1 2 7 2 1 107
North Dakota........ 54 1 52
South Dakotat...... 8 1 24
Nebraska............ 36 10
Kansas............. .4 3 3 1 1 1 54

SOUTH ATLANTIC....... 419 14 20 1 28 23 144 11 561
Delaware........... 1 1 3 -
Maryland........... 66 4 4 34 -
Dist. of Columbia.. 11 2 I -
Virginia........... 86 4 8 46 4 291
West Virginia...... 87 1 2 1 5 1 86
North Carolina..... NN 2 5 1 6 7 39 4
South Carolina..... 22 1 2 1 3 10 -
Georgia............ 1 3 7 7 3 52
Florida............ 146 8 4 7 3 128

EAST SOUTH CENTRAL... 1,208 3 13 9 16 33 7 325
Kentucky........... 41 3 6 2 5 5 171
Tennessee.......... 859 4 8 12 27 1 113
Alabama............ 183 2 1 1 38
Mississippi........ 125 1 1 2 3

WEST SOUTH CENTRAL... 510 14 3 14 1 21 3 31 6 286
Arkansas........... 4 1 10 2 6 21
Louisiana.......... 6 1 3 1 2 -- 19
Oklahoma .......... 47 1 1 6 1 21 3 45
Texas.............. 459 7 1 4 9 4 3 201

MOUNTAIN.............. 924 2 8 20 4 12 2 95
Montana............ 45 -
Idaho............... 142 3 2 3 -
Wyomring............ 2 2 5 48
Colorado............. 498 1 2 7 3
New Mexico......... 147 1 5 9
Arizona............. 49 4 22
Utah............... 41 5 2 2 3
Nevada.............. 2 10

PACIFIC.............. 182 6 2 30 5 15 224
Wshingt on......... 44 1 1 3 1 2
Oregon............. 69 6 2
Califrnia......... --- 5 2 23 2 14 220
Alaska............. 21 -
Hw ii ............ 48 -


Puert, Rico.......... 4 3 18


*Delaved reports: SST: te. 3, Hawaii 19
lMSF: Okla. 2
Rahies in animals: S. Dak. 11







Morbidity and Mortality Weekly Report


TABLE IV. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JULY 26, 1969

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


267


All Causes Pneumonia Under All Causes Pneumonia Under
Area All 65 years and 1 year Area All 65 years and 1 year
Ages and over Influenza All Influenza 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, I11.------
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.--------


707
245
48
24
31
54
26
21
27
40
50
13
53
26
49

3,048
38
31
126
37
47
31
81
90
1.511
35
401
189
50
111
26
36
95
45
24
44

2,620
57
42
698
161
234
129
83
379
52
44
45
39
50
146
25
147
41
31
46
115
56

865
61
14
63
142
20
93
103
243
65
61


429
134
29
12
20
26
15
19
15
24
37
11
37
17
33

1,771
28
24
65
17
25
21
41
49
882
20
207
113
35
79
16
21
57
25
21
25

1,506
36
21
396
98
131
74
43
225
38
20
27
23
23
87
12
81
30
14
27
61
39

531
40
11
36
94
16
51
67
144
37
35


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 ,186
141
244
44
76
102
48
72
45
79
71
210
54

675
105
51
24
143
181
32
38
101

1,154
28
41
20
138
36
76
250
49
137
95
120
73
91

437
48
37
91
31
94
23
66
47

1,520
19
56
30
32
83
418
89
26
141
61
99
194
40
144
46
42


Total 12,212 6,952 426 595

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 399,374
All Causes, Age 65 and over------------------- 229,913
Pneumonia and Influenza, All Ages------------- 19,907
All Causes, Under 1 Year of Age--------------- 18,326


Week No.
30


353
53
22
17
69
99
17
21
55

600
19
20
10
75
21
41
110
25
69
52
56
44
58

237
14
22
52
18
56
17
35
23

932
13
38
16
17
53
263
54
22
80
39
59
114
26
81
26
31







268


INTERNATIONAL NOTES
QUARANTINE MEASURES


A.,ddi l ionl lmmunization Inf/ormatioll for
hiI'rintl P n l Tl'TraIrl 196)7-68 edition
l'Pili Heall th S'riice Pliubication o. 384


The following information should hb added to the list of
Yellow FIew\r \ vaccination C('enters in Section 6i:

City and State Kansas Cit.y. Misiouri
Center Personal Health Services
Kansas (Cit\ Heallth Department
2317 Kenwood
TelephonP0 274-15)91
Clinic Hours W\ednesday 2:00-4:00
Fee Yes

City and State Houston. Texas
Center Byron W. Grandjean. M.D.
9100 testheimor. Suite No. 6
Telephone 782-2156
Clinic Hours Daily 2:00
Fee Yes

City and State San Antonio. Texas
Center Southwest Medical Clinic
401 Oak Hills Medical Building
Telephone 696-4330
Clinic Hours Friday 11:00
Fee Yes


JULY 26, 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, M.D.
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 NCDC BY THE *NDIO DAL
STATE HEALTH DEPARTMENTS. THE REPORTING WEEK CONrCLUDES
AT CLOSE OF BUSINESS ON FRIDAY; COMPILED DATA ON A NATIONAL
BASIS ARE OFFICIALLY RELEASED TO THE PUBLIC ON THE SUCCEED
NG FRIDAY.


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Morbidity and Mortality Weekly Report