Morbidity and mortality

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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:
AA00010654:00234

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-. %O I -1 a I -


Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


I COMMUNICB LE *: SEASE CENT


Uk


634-5131


For release January 31, 196. ATLANTA, GEORGIA 30333 v.:.. 13, N!..

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATEs AND ON
DEATHS IN SELECTED CITIES FOR % FEK ENDED JANUARY 25. 1964


*


DIPHTHERIA A total of 6 cases of diphtheria Sere re-
ported for the week ended january 2.'. Washinngrn reported
4 cases, 2 of whichh represented delayed reports. All 4
cases occurred in Indians living on the Yakima Reser.a-
non. In addition, carriers have been detected among
household and classroom contacts.
The -q cases occurred in 11-, 13-, and 2--year-old
females and a 19-year-old man; onset dares aere December
8 and 1', and lanuar: 7 and 8. Two individuals aere


Di:ea a


inadequatel', immunized: one, a mild cace, had recei ed
a booster dose in 1958; the vaccination r j tus oLt he
fourth is unknown.

POLIOMYELITIS Two case' of para tlic poliomrelitn
aere reported for the week ended january 25. The-e are
the first 2 cases of paral,tic poliomelli d in
196'. This week's caS-es vere report -n lifII
from Duval Counr,, 'he other from D ". so -


Table I CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATE
(Cuidative rttal include revised and delayed report through preitou.S uekJ;
-*rn i rlW Ended I 1 Cum ati e, F


AcepEic m ien nngLtiS ................
Brucellosis ......... ..............
Encephal1ri:, primary inEctiouu ,.
EncephalitiL, po t--infec LOIJt .....
Hiepactis, LnfEtctLto including
serum hepatitis ................
HeM lea ..... .....................
Meniniga occal infecEcins ..........
Pol m c yelt i Total ..............
Paralyric ......................
Nonparalytic ...................
Unspecified ....... .............

Streptococcal Sore Throat and
Scarlet fever ..................
Te t nus ...........................
Tularemia ......................... .
Typhoid fever .....................
Rabies in Animalt .................


January 25,
196-


1,106
6,985
-B
..8
2
2



10,078
5
2

81


January 26,
1963


26
6
8



1,129
8,908
-5
7
6
I


9,.70
2
9
52


Median
1959 li


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY










Morbidity and Mortality Weekly Report


EPIDEMIOLOGICAL REPORTS


Scombroid Fish Poisoning California
Seven of 8 guests became ill with an unusual form
of fish poisoning from 15 minutes to 3 hours after eating
barbecued Spanish mackerel at a private luncheon in Los
Angeles County. All 7 victims ate the Spanish mackerel,
while the one guest who remained well did not consume
any fish.
All 7 victims experienced diarrhea. Five victims com-
plained of a headache, 3 experienced nausea, 3 had ab-
dominal cramps, and 2 noted a flushing of the face. (See
table below). Two women noted a very biting and astrin-
gent taste at the time of ingestion; they were the only
guests to describe an abnormal taste.

Infection Interval Biting Adbomin
Case to Symptom (mins) Tste eadoche Flushing Nausea Vomiting Diarrhea Cramps
1 15 X X
2 30 X X X X X
3 60 X X X X X
4 120 X X X X
5 120 X X X
6 150 X
7 180 X x x

The average duration of the victims' symptoms was
6 hours and none required hospitalization. No cultures
were obtained: front the victims.
Twenty Spanish mackerel, obtained from one of the
fishing boats docked in a California port, had been brought
to the host's home the day before the luncheon. The fish
had not been iced nor placed under any refrigeration for at
least 7 hours. They were then frozen. Those fish used for
the luncheon were removed, thawed, and cooked the fol-
lowing day.
At the time of the epidemiologic investigation, 4 fro-
zen, uncooked Spanish mackerel remained in the host's
freezer. After these remaining fish were allowed to thaw,
cultures were obtained; Proteus morgani and P. vulgaris
were identified.
Other individuals who had eaten the Spanish mackerel
obtained from the same catch did not become ill. These
individuals, however, had either consumed the fish fresh
or after proper refrigeration.
The California health authorities concluded that the
fish served at this particular luncheon had partially de-
composed during the period of time when they were un-
refrigerated.
(Reported by F. A. Listick, Sanitarian., Los Angeles City
Health Department, and Dr. Philip K. Condit, Chief,
Bureau of Communicable Diseases, California State
Department of Health).
Editor's Note: Scombroid fish poisoning derives its name
from the suborder Scombroidea of the order Acauthopterygii


(spiny-rayed fishes). This suborder includes the true
mackerels, the Spanish mackerels, the skiplacks, and
the tunas.
Scombroid fish poisoning can be attributed to the
bacterial action of certain strains of Proteus resulting in
the elaboration of an orally effective histamine-like sub-
stance which has been recently termed "saurine".
REFERENCES
1. Halstead, B. W.: Poisonous fish-like vertebrates. In Con-
ference on Shellfish Toxicology, 1957. U.S. Department
of Health, Education, and Welfare, Public Health Service,
Washington, D. C., 1957, pp. 37-76.
2. Helfrich, P.: Fish poisoning in Hawaii. Haiaii Med. J. 22:
361-372, May-June 1963.
3. Kawabata, T., Ishizaka, K., and Miura, T.. Srudies on the
allergy-like food poisoning associated with putrelacauon
of marine products. Japanese Journal of Med. Science &
Biology 8(6):487-528, December 1955.



Stophylococcol Food Poisoning Louisiana
Approximately 150 individuals experienced vomiting,
abdominal pain, and diarrhea from 2-4 hours alter eating
chicken salad sandwiches purchased at a festival in
Opelousas. Of these, 39 were hospitalized. No fatalities
occurred.
When 2 physicians reported to the local health officer
that 7 patients had experienced the above symptoms after
eating chicken salad sandwiches sold in connection with
the festival, he requested the local radio station to an-
nounce immediately that the chicken salad sandwiches
bought there should be destroyed. Sandwich sales were
immediately discontinued.
A total of 132 chickens were donated, boiled in
private homes, and brought in the containers in which
they were cooked to a preparation room at the tesrtval.
There 36 volunteers assisted in picking meat off the
boiled chickens and mixing the ingredients. A total of
1,200 sandwiches was made and sold.
The operation began at 5:00 a.m. The first batch of
sandwiches was delivered at 9:00 a.m. No illness was
reported from ingestion of these sandwichci. A second
batch was delivered at 11:00 a.m. All those becoming ill
had eaten sandwiches purchased after this time.
Coagulase positive staphylococci uere grown on
culture from samples of the sandwiches served.
The number of volunteers assisting in the project
and the lack of their addresses precluded further
investigation.
(Reported by Leo W. Tucker, Director, St. Landry Par sh
Health Unit, and Charles T. Carraway, P. 1 .L. Al.P.H.,
Assistant Chief, Section of Epidemiologi, Loursiana
State Board of Health.)







Morbidity and Mortality Weekly Report 31




SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS

DECEMBER 1963 AND DECEMBER 1962

CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area December 1963 and December 1962 Provisional Data

December Cumulative D.,:eate r Cuomiiti e
Reporting Area Jan Dec Reporting Area Jan Dec
1963 1962 1963 1962 1963 1962 1963 1962
NEW ENGLAND............... 39 52 476 551 EAST SOUTH CENTRAL........ 109 96 1,539 1,180
ilan .................... 1 2 12 10 Kentucky ................. 10 12 151 134
New Hampshire............ 5 12 Tennessee................ 34 29 400 334
Vermont.................. 1 7 2 Alabama.................. 56 41 695 575
Massachusetts............ 27 32 304 341 Mississippi.............. 9 14 293 137
Rhode Island............. 1 20 27
C:-rn.:c.ut............. 10 17 128 159 WEST SOUTH CENTRAL........ 195 179 2,694 2,802
Arkansas................. 17 10 202 237
MIDDLE AIL~2liC ........ 518 549 6,144 6,142 Louisiana................ 44 46 564 1,081
Upstate lii :ri ......... 70 58 716 641 C0 1 ih .... .............. 23 19 199 160
New York City............ 288 277 3,456 3,333 Texas.................... 111 104 1,729 1,324
Pa. (Excl. Phila.) ...... 13 9 172 162
Philadelphia............. 30 90 611 804 MOUNTAIN .................. 43 28 488 373
New Jersey............... 117 115 1,189 1,202 Montana.................... 1 1 14 8
Idaho..................... 1 8 4
EAST NORTH CENTRAL........ 157 201 1,969 1,785 Wyoming.................. 1 3 16 3
Ohio...................... 52 41 431 343 Colorado................... 4 7 37 73
Indiana....................... 5 8 56 95 New Mexico............... 21 9 148 71
Downstate Illinois....... 7 12 120 126 Arizona.................... 10 3 193 134
Chicago .................. 47 91 848 864 Utah...................... 15 8
Michigan................. 41 43 453 316 Nevada................... 5 5 57 72
Wisconsin ................ 5 6 61 41
PACIFIC................... 223 186 2,286 1,882
WEST NORTH CENTRAL........ 41 31 491 410 Washington............... 6 10 124 44
Minnesota................ 4 1 75 57 Oregon................... 15 3 71 47
Iowa...................... 3 3 30 46 California............... 200 173 2,063 1,770
Missouri................. 15 19 224 191 Alaska................... 1 8 5
North Dakota............. 1 4 5 Hawaii................... 1 20 16
South Dakota.............. 9 39 25
Nebraska....................... 6 5 60 30 U. S. TOTAL............. 1,724 1,752 22,268 21,067
Kansas................... 4 2 59 56
TERRITORIES ............... 70 39 841 513
SOUTH ATLANTIC............. 399 430 6,181 5,942 Puerto Rico............. 70 31 825 477
Delaware ................. 4 1 53 40 Virgin Islands........... 8 16 36
Maryland................. 29 35 544 527
District of Columbia..... 40 50 667 718
Virginia ................. 24 21 329 414
West Virginia............. 8 3 47 47
North Carolina............ 49 81 876 792 Note: Cumulative Totals include revised and delayed reports
South Carolina........... 46 42 721 784 through previous months.
Georgia .................. 64 74 1,061 988
Florida .................. 135 123 1,883 1,632


SUMMARY OF DEATHS AMONG PERSONS 65 YEARS

AND OVER IN 108 U.S. CITIES

The weekly average number of deaths among persons
65 years and over in 108 cities for the four-week period
ending Tanuary ?) was 7,44, as compared with an ex-
pected weekl average at ',0'2.




SUMMARY OF DEATHS AMONG PERSONS 65 YEARS AND OVER
IN 108 U. S. CITIES

Week Ending
1 4 1 11 1 18 1 25 4 Week Total Weekly Average

Observed 7,517 7,837 7,192 7,233 29.779 7,445
Expected 7,012 7,051 7,081 7,102 28.246 7,062
Excess 505 786 111 131 1,533 383


DEATHS at AGE 65 and OVER in 08 U.S. CITIES
Average Nmber per Week by Four-Week Periods

NUMBER
OF 8.0
DE A TH S I NLUE NA A2
____ ------ -------_ _---- ----


INF U I A B











*PLACE OF OCeUHHCE **CALCWL.TEO FROP S9S-eI EXFPWEICE


(See Table, page 35)








32 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 25, 1964 AND JANUARY 26, 1963 ( 4th WEEK)


Asetic Encephalitis
Aseptic
Meningitis Primary Post-Inf. Poliomyelitis, Total Cases Poliomyelitis, Paralytic
Area
Cumulative Cumulative
1964 1963 1964 1964 1964 1963 1964 1963 1964 1963 1964 1963
UNITED STATES... 27 26 22 12 2 7 3 15 2 6 2 13

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

MIDDLE ATLANTIC...... 1 1 6 1 1 1 1
New York City...... 2 -
New York, Up-State. 1 -
New Jersey.......... 4 -
Pennsylvania....... 1 1 1 1 I

EAST NORTH CENTRAL... 5 2 2 5 2 6 2 5
Ohio............... 1 2 2 2 1
Indiana............ -
Illinois........... 1 2 4 2 4
Michigan ........... 5 1
Wisconsin.......... -

WEST NORTH CENTRAL... 3 2 1 1 1 1
Minnesota.......... 3 I 1 I I
Iowa ...............
Missouri ........... -
North Dakota....... -
South Dakota....... -
Nebraska........... -
Kansas.............. 2

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

EAST SOUTH CENTRAL... 1 3 1 1 -
Kentucky............. 1 -
Tennessee.......... 1
Alabama.............. 2 1
Mississippi.......... .

WEST SOUTH CENTRAL... 1 3 2 4 2 4
Arkansas...........
Louisiana .......... 2 4 2 4
Oklahoma...........
Texas................ 1 3

MOUNTAIN.............. 3 -
Montana............ .
Idaho............... -
Wyoming ............
Colorado ............ 3 .
New Mexico.........
Arizona............. .
Utah................. -
Nevada..............

PACIFIC.................. 9 16 6 3 2 2
Washington......... 3 4 -
Oregon.............. I .- -
California......... 4 12 6 2 2 2
Alaska.............
Hawaii............. 2 -

Puerto Rico








Morbidili and Mortaliti eeklI Report 33


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

JANUARY 25, 19(6 AND .ANLiAR1 2(. 196i 4th X E EK) Coni lnued


I r f :_: : h f
Fr i,:. i.1 ,': 1UL htrc rria L..' ludfLi i-' rt l'E '-p Ct. t T,FI.: ,i F-..cr

Ar. I. ,nder 2u a r: .2. _
Cu.T. ,up,. T..ui I"1.* ,': ar an-d .:-: r I.,rni-n uIuluate 'Cu,.

I 1c- 4 6- 146. 191- 1'9 19A lr- 1r llA 1 ; I- 1 .

Ull1 TD 1 : INTE ... 9 1i 6 1. 1,106 566 -C:. 1 3 ,, i -,016 .2 1

NEW ElC L.I' ........... I 1, o., .i ,71 55':6
Main_. ............. .- c 3, 3 l 2-.3
iu a.ti.p-hire..... ... 1 j 55 -
Vermirc.......... ..- 7 ? 5i 1 -
rfi a: hun t r. ..... i 1 5 2)I 11
Rhod i iji.rd ...... .J 3 2 i 1 23 -
Connecti :ut........ -' 1 i 11 1 70 i5

rinDDLE .ATLMTiii ..... ; i ii6 ;7 0 i 3
lew Yorh CLEv ...... 1 3 25 13 98 i
it YV,;k, Uip- .'t;r e. i,' r, .- 372 j35 -
I Ji Jart.-y............. 159 -.5 1. i 00
Pennirr. anii ....... I i 17i -7. I

EAST 11ORTH CENCAL .. I I i6- 6 59 .61 5. 66
hL.:................. 3.5 i7 r5 3 136 iT2 1
Indiar. ........... i 5 35
ill inoi ........... i i7 7 6 2 -.7 73 I
Michiganr........... 59 5 56 3 228 23;
Wi co r.i ............. _- -. 22 29

WEST PIORTH CENTRA ... -0 i7 3 12 11 2-)3 187
Minne .ot .......... 9 39
Ica ............... 7- 2 2 28 -
H -i ouri........... ... 3 1? 13 71
North DAkota ....... 1" iO 13
South Dakota....... 3 I 13
1?ebra:ki a........... 7 i
Karn : ......... .... i "

:OUTH ArLkiTIC ....... I i lil 69 38 316 523 1
Delaware........... 2
M ry i nd........... .0 1 2 56 9
OD:t. of C.:lumbLa.. -3 -
Virginia........... 15 7 37 165
Wuit Viraina...... 9 52 8 -
North Carolin...... I I .- 22 17 5 65 1,.7
South Carolna....... 1 1 1 3 6 i8 i
Gergia............... .- i I 6 13 -
Florida........... -. I 19 8 11 7 37 1 2

EAIT 1OUTL CENrRA... 1 73 5' 17 39 -26 3
Kier.Eucky........... 36 28 110 121 1
i,,TEnn, ;s eE .......... 1 23 15 9 163 2
Alabaa........... 6 35 55
I i- p ........ 5 3 2 15 59 -

WST SOrIT CEITRTUi... 2 I 6 5 .5 20 198 250.
arkana.. ........ 7 3- -
Lou.i lna .......... I 1 1 2 5 1 22 26
Ciklahcma........... 8 7 15 1
..............- 30 15 13; 175

MOLR TA IJ............. .- i 7- 2" 9 -.1 3 2
Montanar............ 2 i i 19 9
Idaho ............. 2 16 42
W o.i- L-.g....... .. 3
C olra a, ........ ?1 3 3 15 51 78
Ileu Meico ......... 20 19 1 59 28
Ar olna ............ 20 20 "9 7 :
it h .............. -7 1 5 I 36 8-
Il adaa ............ 2 6 3

PACIFIC.............. I 2 2 164 70 87 535 60 3
Wa;hirton ......... 2 2 28 11 13 75 5 -
Or'eon............. 13 5 8 51 83 -
Californra ........ 116 51 65 380 306 3
Alask ............. 7 3 1 3 21 8 -
HP a ............. -

Puerto hrc I 20 1 1








34 Morbidity and Morlalily Weekly Report


Table 3 CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

IANLIARY 2-. 1964 AND JANUARY 26. 1963 ( 4th WEEK) Coniinued


"'reptococc al
M ni -gococc l Sjre Throa and RjbiE: in
Me: le: MHnr fi.ttiL carlet Fever Ter.anu. Tularemi Animr ls
Area
Su 1 a i ve CT. Cum. Cun.
196[ 196 19196 963 6- 1'63 146-, ;1-6 196 i lb96 196' 196.


i.liTc. iTATEi... 6,965 -6 140 202 10,018 9,.70 5 19 7 36 81 241

NEW ENGLAND.......... 341 1 6 20 942 1,054 I
Maine............... 39 3 137 100 -
New Hampshire...... 3 2 14 -
Vermont ............ 104 1 37 2 -
Massachusetts...... 65 1 7 135 144 -
Rhode Island....... 31 3 69 121 -
Connecticut........ 99 1 5 6 562 673 -

MIDDLE ATLANTIC...... 1,816 8 30 21 385 509 7 12
New York City ..... 437 1 6 3 31 40 -
New York, Up-State. 446 3 12 7 239 246 7 11
New Jersey......... 258 2 4 1 37 131 -
Pennsylvania....... 675 2 8 10 78 92 I

EAST NORTH CENTRAL... 1,640 11 26 40 1,027 1,017 3 1 4 11 24
Ohio................ 294 4 10 12 165 186 1 1 7 15
Indiana............ 295 2 3 10 99 203 2 3
Illinois........... 502 2 4 3 153 123 1 1 1 3
Michigan........... 431 2 7 9 391 224 1 1 1 2
Wisconsin.......... 118 1 2 6 '219 281 1 1 1

WEST NORTH CENTRAL... 141 2 7 7 406 384 2 9 25 77
Minnesota.......... 4 2 1 58 26 1 1 9 18
Iowa............... 30 137 84 1 1 12 28
Missouri........... 34 1 3 2 7 19 4 2 14
North Dakota....... 69 1 1 58 127 6
South Dakota....... 1 31 19 8
Nebraska........... 4 2 2 3
Kansas............. NN 1 1 115 109 3

SOUTH ATLANTIC....... 736 9 51 46 979 931 3 9 1 5 11 37
Delaware............ 7 10 16 -
Maryland............ 101 2 5 4 64 28 -
Dist. of Columbia.. 19 1 7 3 -
Virginia........... 193 1 5 10 324 362 1 3 8 28
West Virginia...... 219 4 6 343 164 -
North Carolina..... 14 2 8 9 29 41 3 -
South Carolina..... 130 7 2 30 50 2 -
Georgia............ 15 6 3 8 1 2 3 4
Florida............ 38 4 16 14 169 259 3 4 4

EAST SOUTH CENTRAL... 824 2 14 15 1,767 1,308 2 3 10 15 50
Kentucky........... 431 4 4 236 74 1 2 9
Tennessee.......... 364 1 7 8 1,379 1,147 1 2 7 12 38
Alabama............ 7 2 2 20 18 1 1 2 1 3
Mississippi........ 22 1 1 1 132 69 -

WEST SOUTH CENTRAL... 40 6 15 21 1,101 1,042 2 3 7 10 30
Arkansas........... 36 2 3 .2 1 1 7
Louisiana.......... 4 10 4 13 3 2 3 1 1
Oklahoma........... 4 2 6 84 17 6 1 &
Texas.............. 9 1,004 1,022 7 18

MOUNTAIN ............. 232 3 14 6 2,036 1,784 1 5
Montana............ 41 54 -
Idaho.............. 34 1 9 160 -
Wyoming............ 6 1 31 194 1 -
Colorado............ 28 3 6 2 79 441 -
New Mexico......... 11 5 693 497 2
Arizona............ 83 1 179 153 3
Utah................. 23 1 3 15 284 -
Nevada............. 6 1 -

PACIFIC.............. 1,215 6 27 26 1,435 1,441 2 2 5
Washington......... 387 2 3 30 388 -
Oregon............. 11 2 39 -
California......... 54 5 23 18 1,02E 911 2 2 5
Alaska............ 165 3 4 65 -
Hawaii.........1 2 2 38 -

Puerto Rico 8 6 -







Morbidity and Mortality Weekly Report 35





Table 4 (D). TOTAL DEATHS AMONG PERSiNS 65 YEARS AND OVER IN REPORTING CITIES



(Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period.)0


Area For weeks ending :Area -:r --i i ending

1/4 1/11 1/18 1/25 1/4 1/11 1/18 1/25


1IEW ENCLAID:
Boj ton, Mit :..............
Brtdg~port, Conn..........
Casrbridg,, Mass...........
Fall .i ir, Mass..........
Harcf.rd, Conn............
Lo ell, Mas ..............
Lyn., Ma5 ................
flw Bedford, Mas.. ......
lNe Hav~ n, Conn...........
Proiid.nce, RP.I...........
S.omirvili Mass..........
Springfi.ld, Mass ........
Wacerbur,, Conn............
Worcer r, Mass...........

MIDDLE ATLAifNC.
Albany, N.Y...............
Allencoi .n, Pa.............
Bu.'alo, N.Y ..............
Camder, N.J................
Elizabeth, N.J............
Erie, Pa..................
Jersey City, N.J.........
riewarv, N.J................
New York City, N.Y........
Paster on. N.J.............
Philad-lphLa, Pa..........
Pittburgh, Pa............
Reading, Pa ...............
Rochiestr, N.Y............
chiner.;cd/, N.Y...........
Scrarcon, Pa ..............
SyraLcus e, li.Y.............
iTenton. N.J..............
Utica, 4.Y................
Yonkers, N.Y...............

EAST NORTH CENTRAL:
Airon, Ohir...............
Cant,.n, Oniu..............
Chicago, ill ..............
CinLinnj-at OhiL ..........
CIe'.' land, Onio...........
Colt&mbu Orio ............
Dayton, Ohio...............
Detroit, Mich.............
Evan ,'. i i id ...........
Flint, MiCn...............
Fort Wa)ne, [nd...........
iCa r nd .................
Grand RpLia Mich........
indianapr lii, 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........
m0shs, Nebr...............
it. Lo l H ............
Si. Pa.jl, Minn...........
Wiirhcj, hijn .........


179
31
20
23
40
11
24
25
22
43
11
27
23
46


24
20
76
27
25
33
48
57
1,058
29
337
131
49
64
14
43
40
34
22
28


36
27
460
118
134
71
57
223
30
33
25
14
31
85
12
82
16
22
28
86
47


40
15
22
107
24
101
29
179
-3
36
36


156
24
19
25
28
26
19
23
29
43
15
28
26
51


29
26
93
34
18
34
46
68
1,116
21
275
101
43
75
27
26
40
35
19
21


30
16
427
134
131
73
50
241
27
19
37
11
69
100
26
94
14
18
28
91
52


40
22*
29
100
39
95
54

25
2-


187
23
27
17
31
16
16
23
33
48
7
43
14
68


20
35
87
26
26
21
45
41
1,015
22
314
124
37
53
29
13
39
31
14
17


40
18
400
107
113
82
49
193
24
31
22
6
35
83
9
77
23
17
40
70
36


54
19*
19
88
15
84
46
1-8
5d
i6


154
25
22
21
22
20
23
23
40
28
8
32
18
24


24
28
96
32
19
22
44
94
1,074
22
263
156
43
64
17*
25
48
35
13
23


33
15
407
111
132
72
45
188
28
22
23
17
29
87
19
70
24
17
30
56
39


49
20*
22
90
14
82

183
-2
3?*


SOUTH ATLANTIC:
Atlanta, Ga..............
Baltimore, Md............
Charlotte, N.C..........
Jacksonville, Fla........
Miami, Pla...............
Norfolk, Va...............
Richmond, Va.............
Savannah, Ga.............
St. Pterb.urz, fila......
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..............


53
160
30
62
65
22
56
9
70
61
123
35


65
16
33
47
64
27
17
65


34
19
12
77
12
61
113
27
118
45
69
42
45


14
16
85
8
65
18
27
25


14
27
25
14
46
340
45
30
78
47
54
117
28
90
26
28


54
161
13
22
60
21
56
26
74
52
98
23


51
30
30
81
89
26
24
58


26
21
8
62
18
41
117
37
97
50
74
40
53


17
13
86
11
54
8
22
25


25
32
40
27
53
330
57
24
92
44
62
109
33
96
34
28


61
167
21
38
59
37
46
14
73
32
103
16


47
28
39
79
73
27
28
61


35
18*
11
91
27
46
122
27
108
52
64
20
32


17
21
77
12
68
7
35
25


7
33
32
24
40
331
49
29
80
41
63
117
8
101
36*
21


San Juan, P.R.............. 11 10 8 (--)


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 12,983
4(B) Pneumonia-Influenza Deaths, all ages.......... 599
4(C) Total Deaths under 1 Year of Age............ 799
4(D) Total Deaths, Persons 65 years and over..... 7,233


*EIt:ItFEce ba sed oirn .veragE pErcciLi J ii' d!i n1i C-.i al
ToEal for pre 'ioul : eek include r-porr-_d crr.c i.o,.

NOTE *ll Je* L. t ple. .e.:1 o :ca e, :-*







Morbidity and Mortality Weekly Report


Viral Exanthema Minnesota
An outbreak of an exanthematous disease, presumably
of viral origin, was reported during late December-January
in Rosemount (15 miles south of Minneapolis-St. Paul).
The disease occurred chiefly: in pre-school and school-
age children, although one case in a woman in her mid-
thirties was seen. The clinical course was commonly
marked by a prominent rash and systemic symptoms. The
onset was abrupt in children, occasionally with antece-
dent malaise; fever, sore throat and hoarseness were
sometimes present. The rash, resembling a sunburn, ap-
peared first on the cheeks and nose. The rash, sometimes
itchy, spread to involve the forearms, arms, thighs, legs,
and trunk. The initial lesion appeared to be maculopapular
with a tendency to early coalescence and confluence.
The rash lasted about a week. The systemic symptoms
disappeared within a few days. No adenopathy, oral or
pharyngeal lesions, or conjunctivitis was noted.
Multiple cases occurred within households; in one
family 9 siblings were attacked sequentially.
Investigators stated that the disease did not appear
to represent either rubella or Erythema infectiosum.
Laboratory studies are in progress.
(Reported by D. S. Fleming, M.D., Director, Division of
Disease Prevention and Control, Minnesota Department
of Health).

Dengue-like Illness Puerto Rico
For the week ended January 25, a total of 632 cases
of dengue-like illness was reported to the Puerto Rico
Department of Health. Of this total, 563 were delayed
reports.
(Reported by Rafael Timothee, M.D., Director, Preventive
Medical Services, Puerto Rico Department of Health.)




INTERNATIONAL NOTES QUARANTINE MEASURES

Cholera Viet Nam

Viet Nam declared Saigon and 2 ourlying provinces
infected with cholera January 18. For the week ended
January 25, there were 92 confirmed and 1,327 suspect
cases in Saigon. The last case of cholera in Viet Nam
was reported in 1963; the last epidemic, in 1948.



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.


IIIIIIIIIIIIIIIIllUl i IIIill.
3-1262 08864 3076


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

Lawrence K Altman. M.D.. Editor
Morbidiry and Morrality Weekly Report
Communicable Disease Cenrer
Arlanta, Georgia 30333



Noles These provisional doro are based on weekly telegrams ro the Communl.
cable Dseas. Centlr by the indidua. Sior. health deportments.
Symbols ... Doao not aovlable
Quantfty jero
Pocedures for ronstruct.on of -ario.s moratflly curves -mo be obtalned from
Storis..r Sectron. Commnunlable Diseosr Cener., Publc Hefirlh Servtc.,
U. S. Deport ent of Heolth. Education, and Welfare, Atlanta, Georga 303.J.


UNI OF FL I





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