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:
AA00010654:00232

Related Items

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


This item is only available as the following downloads:


Full Text
>A t2/ oU / & -V / -c


J


Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared rL the


I COMMUNICABLE DISEASE CENTER


U
S.kl


634-3131


For releasE January i7, 196 ATLANTA, GEORGIA 30333 V:l. .
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEA .E' IN THE UNITED STATE_ AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JANUARY II. 19(>4
0


POLIOMYELITIS For the second successive week,
no coses of paral:, tc poliommeliti_ have been reported in
the United States. This marks the first time, since re-
porting of paralytic status began in 19'1. that there has
been a two week period in which no paralytic cases were
reported.
One case of nonparaltic poliomyelitis was reported
for the second week of 1964, ending January I1, the first
case of poliomelitis to be reported this year. According
to statistical records available at the Communicable
Disease Center, the absence of reported cases during the
first week of 1964 represents the first time this has
happened since weekly reporting ot poliom.eliris began
in 1950.


,.,


'a*--r .e.- ,


Table I CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES
(Cumulative t..tal; incIude rei:.dI and dElayed rcporiE :hr.ugnh FreV u. I-cipF')
2nd w.i. EndE dCI: .r wi.-eki
Disease January Ii, Janlury 12, Median Meiain
_1964 1461: 1459 196l3 196- 1'i3 1'j 1963
A'epric meringil'C1 ................ 28 33 --- -
Brucellosis ....................... 3 3 6 6 n .
Diphtheria ........................ .L 20 9 i2 '.
Encephalittm, primari Lnfrctu. .. 26 --- 37
Encephal r i, po3t-ir.iect ou ..... 17
epajtitiL, infectcoud Ltrclding
'erun hEpat!ri s .............. 758 1,09'3 1,0i'3 1,36 1,;6- 1,i
Mea les .......................... .. ,82' 7,675 7,675 2,76" 12,-97 1-,
Meningococcal infecti ; n .......... 7 ?2 6.0 iO u i40
Poliomy iitris, T ral ........... I 6 17
Paralyv ic ...................... 5 9 6 13
Nonparaiyv c ................... I --- I -
UnIpeciiled .................... --- -
Srreptc.ccccl ';:.re iThr. t and
Scarlet fever .................. 8,263 1,784 --- 15,05 13,718
Tetinu: ........................... 6 A =-- 11 ---
Tular ..i ........................... 6 6 --- II 13
Typhoid fever .................... ..6 5 5 8 7 6
Rabiee in Animals ................. 68 64 6. 116 106 11.


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY


Reports Missing Prom Pa. and Ky. Due To 1beather Conditk. r.


1. 10 pap, )
IC C.:s n.- to page- :c)








Morbidity and Mortality Weekly Report


EPIDEMIOLOGICAL REPORTS


Dengue Fever Puerto Rico
For the two week period ending January 11, 217
cases of dengue were reported to the Puerto Rico Depart-
ment of Health. Of the 217 cases, 146 were delayed re-
ports. Cases continue to be mild and of short duration.
The 56 cases reported during the first week of 1964 and
the 161 cases reported during the second week represent
a sharp drop in reported cases, as shown below:

Week Ended 11/9 11/16 11/23 11/30 12/7 12/14 12/21 12/28 1/4 1/11
No. of Cases 962 916 1733 473 1011 1278 783 520 56 161

With the outbreak on the wane, the spread of reported
dengue fever from August through November is shown in


retrospect on this page. The origin of the outbreak is
clearly seen in the Manati area on the north central coast
during August. During early September, cases appeared in
the San Juan metropolitan area and Ponce. By the end of
September. cases had been reported from most north cen-
tral and eastern municipalities. During October and No-
vember, additional spread is noted in the southern part of
the island airih a hint of lurrher spread in the previously
free western end of the island.


(Reporrea b, Rafac l Timotice, %I.D.. D rrector. PTre entrieI
Mld,c-!, S rI rt C s P-.errc Ri'.-. D)eparC t ent o HEilth, and
a ttia. from the rComrrancabic Dzieasc Center).


REPORTED OUTBREAKS* OF DENGUE FEVER
PUERTO RICO; AUGUST 1-31


PUERTO RICO
MUNICIPALITIES
* *


PUERTO RICO
uMtnclMCMLi.gi






C r A .


REPORTED OUTBREAKS* OF DENGUE FEVER REPORTED OUTBREAKS' OF DENGUE FEVER
PUERTO RICO; AUGUST 1-SEPTEMBER 15, 1963 PUERTO RICO; AUGUST I.SEPTEMBER 30, 1963
A T L A T I C r A r C












C A R I B B E A N C A B A

REPORTED OUTBREAKS* OF DENGUE FEVER REPORTED OUTBREAKS* OF DENGUE FEVER
PUERTO RICO; AUGUST I-OCTOBER 31, 1963 PUERTO RICO. AUGUST 1-NOVEMBER 30, 1963
A t N r tI C r















'At least 100 cases officially reported to the Puerto Rico Department of Health.








Morbidity and Mortality Weekly Report


Nicotiona glauca Poisoning California
Within 30 minutes after sharing a meal, one Los
Angeles woman and two men became ill with symptoms of
visual disturbance, headache and weakness. The men
experienced nausea and vomiting, also. The woman was
taken immediately to her private physician, who stated
that, at the time he saw her, her eyes were dilated and
that she had no blood pressure. He pronounced her dead.
The two men were hospitalized at Los Angeles County
General Hospital, overnight.
The meal consisted of roast beef, fried potatoes,
and greens (allegedly Texas mustard greens cooked with
"poke salad" and pork skins).
Because of the sudden death, Los Angeles City
Police Department detectives investigated this case.
They found samples of cooked greens in the garbage can
and sent them to the coroner's office. A sample of these
cooked greens, submitted to the State Department of Agri-
culture, revealed not only mustard greens but Nicotiana
glauca as well.
Upon further investigation, one of the victims' father
(who did not eat the suspected meal) was asked to de-
scribe "poke salad". The father identified a plant growing
in his neighbor's yard, which was described by a Depart-
ment of Agriculture expert as "pdke weed" (Phytolacca
americana). He was also shown a specimen of N. glauca
(tree tobacco leaves), which were also growing in the


vicinity of the house. He stated positively that he had
seen these leaves and not "poke weed" on the back porch
next to the Texas mustard greens, which had been pur-
chased at a local market. It was not certain whether the
deceased, who cooked the meal, picked the tree tobacco
or was given the leaves by a well-meaning, but misguided
friend.
At autopsy, coronary arteriosclerosis was present,
but was not suspected as the immediate cause of death.
(Reported by Dr. Philip K. Condit, Chief, Bureau of Com-
. 'cable Diseases, California State Department of Health,
and F. A. Listick, Sanitarian, Los Angeles City Health
Department.)

Editor's Note: N. glauca is a member of the family Sola-
naceae, nicknamed the nightshade family. It contains the
alkaloid anabasine, thus distinguishing it from the other
nicotiana plants, all of which contain nicotine.
N. glauca is native to Argentina but has been natura-
lized in California, Arizona, New Mexico, and Texas,
where it grows primarily as a weed.
Nearly all members.of this family are poisonous be-
cause of the alkaloids which are contained in their green
parts. Other members of the family include Datura stra-
monium, the jimson weed, and Atropa belladonna. The
potato and tomato are about the only edible members of
this family.
(Continue to page 20)


The Mortality Chart Series is continued as a linear
projection of the 1960-63 charts. As noted in MMWR Vol.
11, No. 1, for the week ended January 6, 1962 the smooth
curve represents the expected number of weekly deaths,
calculated as a projection of 1954-61 experience. Two
components, seasonal change and secular trend are in-
cluded. Differences between recorded and expected deaths
may thus reflect deviations from normal seasonal levels
or a departure from the secular trend of 1954-61. The
most striking departures from seasonal expectancy are
those associated with influenza epidemics as noted on
the chart. Similar projections have been made for the charts
on Total Deaths, Deaths Under 1 Year of Age, and Deaths
at Age 65 or Over. These will be presented weekly in that
sequence. The method for computation of expected levels
is described in Sertling, R. E. Methods for Current Statis-
tacal .Aoi',i .o/ E cess Pneumonia-Influenza Deaths.
Public Health Reports. '8(6):494-504. June 1963.

SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS
IN 108 U.S. CITIES FOR WEEK ENDING JANUARY 11,1964
The weekly average number of pneumonia-influenza
deaths for the four-week period ending January 11, 1964
was 593 as compared with an expected weekly average
of 543.


PNEUMONIA-INFLUENZA DEATHS IN 108 CITIES

Week Ending
12/21 12/28 1/4 1/11 4 Week Total Weekly Average

Observed 491 529 620 732 2,372 593
Expected 531 540 548 554 2,173 543
Excess -40 -11 72 178 199 50


NUMBER
OF
DEATH


SR


PNEUMONIA-INFLUENZA DEATHS in 108 US. CITIES
Average Number per Week by Four-Week Periods
INFLUENZA A-
n /


ia's '1 id2's as I iao


e AOtu rUOocouooebue


*CLAUmIa ( roM 19ab-'M E oxe.eE

(See Table, page 19)


INFLUEHNZA B
900





rl D -_hs* -\__


\ S 9 _i Fson 7









16 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 11, 1964 AND IANUARY 12, 1963 ( 2nd WEEK)


Aseptic Encephalitis
Aseptic
Meningiti: Pr*m r PF sr-inf. P..1 .1E l T.al Ca e P: I .L It Par5lyc
Area
CuiulIr V Cuiu 1 ativ
1964 1963 1964 1964 1964 1963 1964 1963 1964 1963 1964 1963
UNITED STATES... 28 33 26 17 1 6 1 7 5 6

NEW ENGLAND............ 2 1 1
Maine.............. -
New Hampshire...... -
Vermont............. -
Massachusetts...... 1 -
Rhode Island....... 1 1 -
Connecticut........ 1

MIDDLE ATLANTIC...... 4 2 14 1
New York City...... 5
New York, Up-State. 2 2 1 1 -
New Jersey......... 2 8
Pennsylvania....... --- ---- -

EAST NORTH CENTRAL... 2 2 1 5 3 3 2 2
Ohio................ I 1 i 1
Indiana............ -
Illinois........... 3 2 2 2 2
Michigan............ 2 2 1
Wisconsin.......... -

WEST NORTH CENTRAL... -
Minnesota..........
Iowa...............
Missouri........... 1
North Dakota ...... -
South Dakota....... -
Nebraska ...........
Kansas................

SOUTH ATLANTIC....... 1 2 3 5 1 1
Delaware........... 1
Maryland ...........
Dist. of Columbia..
Virginia........... 1 2 1
West Virginia...... -
North Carolina..... 1 1- -
South Carolina..... 1 -
Georgia.............. -
Florida............ 1 4

EAST SOUTH CENTRAL... 2 6 1
Kentucky ........... --- 5 -- -
Tennessee .......... 1 1
Alabama............. 2
Mississippi........

WEST SOUTH CENTRAL... 2 1 2 2 2 2
Arkansas...........
Louisiana........... 2 2 2 2
Oklahoma...........
Texas.............. 2 1

MOUNTAIN............. 2 5
Montana ...........
Idaho..............
Wyoming..............
Colorado........... 1 5
New Mexico..........
Arizona............. 1
Utah ...............
Nevada .............

PACIFIC.................. 15 14 6 3 1 2 1 2
Washington......... 1 1
Oregon............
California......... 13 13 6 2 1 2 1 2
Alaska.............
Hawaii.............. 2

Puerto Rico







17
Morbidily and Mortality Weekly Report


Table 4 CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

IANLiARY 11. 1964 AND JANUARY 1?. 1963 ( 2nd WEFK) Continued


Lr dir ?u M [ C u EL[E I
Brucellosis Diphtheria including Serum Hepatitis Typhoid Fever

Are a Under 20 years Age
Cum. Cum. Total 20 years and over Unknown Cumulative Cum.

1i96. i96- 1964 1964 1964 1964 1964 1964 1964 1963 1964 1964

TilTED STATTE... 3 6 1 9 758 358 336 64 1,356 1,784 6 8

NEW ENCLArD .......... 1 123 71 46 6 214 261
Main .............. 44 24 20 84 127
rilu HiaF:hir ..... 19 12 5 2 32 21
Vermont............ 18 13 3 2 26 7
Misac hu ett i...... 1 21 14 5 2 38 80
F.node i. land ....... 2 2 5 15
C..nncticut ........ 19 8 11 29 11

KIDDLE ALAiTIC...... 3 137 52 85 310 365 1 1
Ii fork C, ...... 1 31 11 20 58 41
New r.rk, fp--.tare. 79 38 41 178 154 1 1
New JIerEy ......... 2 27 3 24 40 40
Penni : ani ....... --- --- --- --- --- 34 130 ---

EASI NORIH CENRAL... 134 70 55 9 167 216 1 1
Ohl................ 64 31 26 7 84 51 1 1
Indiana............ 8 6 2 8 8 -
Illin. ........... 7 2 5 8 22
lichlgn.n........... 52 30 22 55 120
wiscon.in .......... 3 1 2 12 15 -

iWE'T NOIRT CENTRAL... 4 4 60 39 11 10 96 85
MLinnei.: .......... 3 2 1 3 16 -
oia ............... 1 7 4 3 16 13 -
Mi so:r ........... I 3 11 5 4 2 15 35 -
North D a....... 1 1 1 3 -
outh Daota ....... 1 1 8 4 -
Nebr3 a............. 1 1 7 6
ant i............. 4 36 29 7 46 8

COUTH ATLA IIC ....... 1 1 62 25 32 5 98 250 3 4
Delay ar ........... -- 3
ryliad.............. 5 2 1 2 11 30 -
Dis't. .:,f LClura. 1 2 7 -
Virginia...... ... .. -6 12 ?-
Wei[ Virgint ...... I 2
North Carol na...... 13 6 I: 6 2
South Carolina..... i j 1n 1
Georgea ............ -
Florida............ I- 1 1 6 ,i; 19 I 1

EA'i SOUTH CENIRAL... 3 22 12 t. -
Kentucky ........... -- --- --- --- --- 2 ---
Tenn s ..ee.......... I 1 ; i I
Alaba~s ........... _- n : c '6
l* iL- ppl -PP ......... .: I '-

E-.T iOLIUT CEiRAL.. i I -3 26 1: 5 ll
Arkan.as........... I 5 5 ) i -
Lou sians. .... ..... 3 r,- 112
Okl ahom a ........... -
Texas.............. 35 1 1- -1- ;. S

MOUNTAIN............. 1 55 i 6 31 4 6 ilO
Mojr,tana........... .. i) ; -
Idaho............. i.
Wyomi.ng ............. -
Colorado......... .. 1 5 9
ew Mexico .........- 11
Arizona........... 6 C- -
Utah ............. ... -.. 3 L3 .
Nevada............ i 2

PACIFiC ........... .... [ 1 7 3 2 6 18 6 i
Walhington........ 31 2
Oregon............. "-- 5 I iS 5
Cali forni ......... 30 61 le 115 1
Ala La3............ 1 I 3 6
Hawa ii............. 1 I -

Puerto Rico








18 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 11, 1964 AND JANUARY 12, 1963 ( 2nd WEEK) Continued


Streptococcal
Meningococcal Sore Throat and Rabies in
Measles Meningitis Scarlet Fever Tetanus Tularemia Animals
Area


Cumulative Cum. Cum. Cum.
itp- i 1. i6. | 46 i^- 1 li 1 l4i3- ih ,- I 14- 19I6- 196- 1'16-


UNITED STATES... 4,824 47 80 98 8,263 7,784 6 8 8 17 68 116

NEW ENGLAND............ 314 3 5 13 683 818
Maine.............. 25 2 42 84 -
New Hampshire..... 2 4 4 -
Vermont............. 85 1 6 25 -
Massachusetts...... 67 1 3 86 115 -
Rhode Island....... 9 3 81 126 -
Connecticut........ 126 3 4 4 464 464 -

MIDDLE ATLANTIC...... 811 5 10 8 261 376 2 4
New York City...... 421 1 2 3 36 43 -
New York, Up-State. 113 4 6 1 201 173 2 3
New Jersey.......... 277 1 24 80 -
Pennsylvania....... -- -- 1 4 --- 80 --- -- --- 1

EAST NORTH CENTRAL... 1,094 4 4 15 650 568 2 2 1 8 12
Ohio................ 96 2 2 4 121 1 1 4 7
Indiana............. 203 2 2 3 101 84 1
Illinois........... 505 2 84 101 1 1 2 2
Michigan........... 233 2 228 238 2 2
Wisconsin.......... 57 4 116 145 1 -

WEST NORTH CENTRAL... 165 1 1 3 302 226 4 7 27 41
Minnesota.......... 1 2 10 5 5
Toa .............. q 3 65 10 15
*I. :ur ............. I I I -2 5 6 10
N r tr D ...... 1 6 I I I 5 2 3
: t r -t 1 j
P 4 r. .............. ... 2 -


SLuTl ATLA:T iC ....... 1t, 1 26 1 I )" 9.- 1 3 1 3 1'I
P I..r- ...... ....... I I II
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TI. rri. ............ i 3B 788 9 I
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M. T i .. ........ .. 2 l .

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t I r i I ........ il5
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Morbidity and Mortality Weekly Report


POLIOMYELITIS (Continued from front page)
The preliminary total of 431 cases reported in 1963
marks the lowest number of cases ever to be reported in
any one year since reporting began in 1912, and is less
than one-half the 910 cases reported in 1962, the previous
low. Annual poliomyelitis incidence rates are presented
for the years 1935-1963 in the figure (front page). The
peak year of 1952 yielded an attack rate of 37.2 per
100,000 population. The preliminary total for 1963 shows
an attack rate of 0.2 per 100,000.

Nicotiana glauca Poisoning (Continued from page 15)
N. glauca has been implicated in cattle poisoning
on several occasions in California.
Anabasine is an isomer of nicotine, and is identical
with synthetic neonicotine, according to Sollman's "Man-
ual of Pharmacology," 18th Edition, p. 457. Like nicotine,
it first stimulates, then depresses the autonomic ganglia.
It has about one-fifth to one-third the potency of nicotine.


INTERNATIONAL NOTES QUARANTINE MEASURES

Smallpox Peru

The 4 cases of suspect smallpox in Peru (See MMWR,
Vol. 12, p. 448), were confirmed as smallpox, December
30. No additional cases have been reported.
(Reported by the Division of Foreign Quarantine, U. S.
Public Health Service, Washington, D. C.)

Dengue Fever Jamaica

During the week ended December 14, 50 cases of
dengue fever were officially reported in Jamaica, bringing
to 1,391 the total number of cases reported in 1963 through
that date.
(Reported by Dr. Ruth Puffer, Pan American Health Organi,
zation, Washington, D. C.)


Erratum Due to a typographical error, the index issue
dated for release January 3, 1964, containing reports of
cases of specified notifiable diseases for the week ended
December 28, stated Vol. 12, No. 51. This should have
read Vol. 12, No. 52. The 51st issue contained reports for
the week ended December 21, with a release date
December 27.


The Morbidity and Mortality Weekly Report, with a circulation
of 10,500 is published by the Communicable Disease Center,
Atlanta, Georgia.
Chief, Communicable Disease Center James L. Goddard, M.D.
Chief, Epidemiology Branch A. D. Langmuir, M.D.
Chief, Statistics Section R. E. Serfling, Ph.D.
Asst. Chief, Statistics Section I. L. Sherman, M.S.
Chief, Surveillance Section D. A. Henderson, M.D.
Editor, MMWR L. K. Altman, M.D.


lUIUIERSI1Y OF FLORIDA

HIII3II 111111111111111111111111111111III8ll
3 1262 08864 3084


In addition to the established procedures for reporting morbidity
and mortality, the Communicable Dfsease Center welcomes
accounts of interesting outbreaks or cases. Such accounts should
be addressed to.

Laorence K. Airman. M.D., Editor
Morbidly and Mortality Weekly Report
Communicable Disease Center
Atlanta. Georgia 30333



No-es These pro-s onal dova orr based on wpkly velegroiim fo he. Communr-
able DO.lase Cenrer by the individual Siore health departments
Symbols --. Data nor ovailabl
O Quanry l ero
Pror durae far ronrrucil.on of aor.ous nmorfoiry crue inoy be obi..ned raom
Star.nres Scrrron. Commun.,cobl D .errs Center. Public Health Smite.
U. S. oeporinen. of Hleai.h. Educa.on. and Well.a, A.lanio. Gcrqo 30333.


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