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:
AA00010654:00235

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
& .*,,/ I W- I-*w



Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


I COMMUN:CABLE mISEASE CENTER


U
WeSky.


634-5131


FPr r-lea e F.brarv 7. i96- ATLANTA, GEORGIA 30333 V. : N ,
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEE ENDED FEBRUARY I. 19(6


CLAM-ASSOCIATED HEPATITIS CONNECTICUT
An outbreak of infectious hepatitis apparently trans-
mitted through raw clams has occurred during the past
two months in South Central Connecticut. The source of
the clams has bee#determined to be either Connecticut or
Rhode Island; investigations are still in progress.
Since October 1, 69 cases of infectious hepatitis are
known to have occurred in South Central Connecticut.
Fifty-seven cases have been investigated to date. The
majority have occurred since December 1. Of the total,
52 (91 percent) have been among adults.
Thirty-eight of the 5' cases ingested raw clams during
the 10 to 60 days preceding onset. The peak of the epi-
demic among raw clam consumers appears to have been
reached in the week ending january 11 (see figure, page 38l.


Intensive investigations in Rhoae islarnd and along
the eastern coast of Connecticut ha .s led
only 2' case associated with th um
clamn. i t


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATE


(CumulatiVe CO1tEL include revxld and d layed r.pcrrt chrouggh


pre. r .i> o E, I1


5th We-L Ended C ,uu i as i.e, c r t i r e
Dli SSe Februar 1,. F.~rujar M an rl, 3r.
196ui 1963 14j_ 1t63 iL6- l 6e 199 i4t 3
Aseptic meaning Cris ................ --- 1
Brucel lor i ....................... tO
Diphtheri ........................ l -i !, :"
Er-cephalttia, primary infectious .. 12 6
Encephalitis, post-infectsou? .....- .1
HepatitiL, LniectiouA IL-cluainl
serum hApaticis .....'.......... 927- 1 ,32L
Mea les ........................... 6,*70) 3-. i'i,166 '7 ,-5 3 .3.6 .1i0,a
Menzngococcai Lnfections .......... 60 65 j3 250 2'6 26
Polioayelitci Total .............. 13 3 t 5-
Paralyc ......................... .... i6 I
Nlonparalycic ................... --- -
Unspecif rie .................... -- ---
Streptococcal Sore Throat and
Scarlet fever .................. 10, ')7' ,i3 --- 1 l ..
Tecanus .................... ........ ---. 2 ..
Tularemia .............. ..... .... 3 i --- 3
Typhoid fever .............. ......... 8 9 2o 36
Rabies tI Animais ................. ; .- 3 3.l16 .t. 301

Tablc 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
CaI,. Lu.
Aothrax: Pittaco:i1:
Borulism: Rabise in Man.
Leprospirosis: Tenn. 1 3 Smallpox.
Malaria: ill. 1, N.C. -3, V .. Vt. I TTphus-
Plague: Murne.
Rky Mt. Spotted: 3


Prepared by the







Mirliidity and Mortality weekly Report


CASES OF HEPATITIS BY WEEK OF ONSET


Number
of Cases
to-


8.

6.


4-


NON-CLAM ASSOCIATED CASES


n Fn h n W


CLAM ASSOCIATED CASES


n n


"I I 1
Week 5 12 19 26 2 9 16 23 30 7 14 21 28 4 II 18 25
Ending
OCTOBER I NOVEMBER I DECEMBER I JANUARY
Class association defined as o history of one mplio of row clam 10-60 doys prior t o anat f dois


The suspect clams ingested by the cases were ob-
tained in one or more of 24 restaurants or fish markets in
the greater New Haven-Bridgeport area. The clams are
believed to have been harvested in Rhode Island or Con-
necticut waters but the source has not yet been identified.
Studies are still in progress.
(Reported by James C. Hart, Al.D., Director of Preientable
Diseases, Connecticut State Department of Health; Dr.
John R. Atuater, Director. New Haven Department of
Health; and teams from the Division of Environmental
Engineering and Food Protection, and the Communicable
Disease Center).





INFLUENZA-LIKE DISEASE

Outbreaks of influenza-like disease have recently
been reported from communities in northwestern Washing-
ton, from nearby areas on Vancouver Island, British
Columbia, and from several areas in the Orient, notably
lapan and Taiwan. The epidemic in Washington is the
first to have been noted in the U.S. this year. Preliminary
data on these outbreaks are as follows:


Washington State

An outbreak of aciue febrile respiratory disease,
clinically compatible with influenza, has recently been
observed among rc-:dents of Skagir County in north-
western Washingtor.
Physicians in :he area iir-r reported seeing case_ in
mid-January. They described a syndrome characrtrized by
fever (reaching 10U-;4F in severe cases), dry cough, sore
throat, myalgia, and e,.e pain la.ring 3-4 da\s, followed
by a period of fatigue and lase-rade la-ting several more
days. No deaths have been reported.
Most severely afllcted has been rhe roawn of Concrete
(pop. 840) where elementary and hieh-school absenteeism
reached peak levels of 1i-2l during. late lanuar), as
compared to usual rates ol Cf-' Pracrtiioners in the
neighboring communities of Sedro W'oolley and Mount
Vernon were also s.eine an increasing case load of flu-
like illness, but ab-ceniteei m in school and industry has
remained at normal le els in thece areas;. Adiacent coun-
ties have reported onli scattered ca-es thus far. In par-
ticular, the Seattlc=Kin Countr, area, lying about 65
miles south of Skasir County, reports no evidence of
epidemic activity.
Throat washings and scra hae been 'obra.ned from
selected patients ir. Skagir Countr and are currently being
processed at the Stare laborarores in Searrle as well as
at the Respirovirus Laboratory', CDC.
The Skagit Counry outbreak lolloed by a brief
period a similar epidemic illness on Vancouver Island,
British Columbia. The sourhtrn end of the island lies due
west of Skagit Court:,. i Se belos. tor details of Canadian
outbreaks.)
In an effort to obtain additional epidemiologic data, a
telephone survey was undertaken in the town of Concrete
on February 2. A random sample %as obtained by select-
ing every fifth en:r. in the local telephone directory.
Interviews were completed in .41i houtsholds, providing
information on 121 indl'ldual= iapproximaniel% 14' of the
total population). One adult member of the household
usually provided data lor all hose residing in the house-
hold. A standard sei ol questions %as asked at each

AGE-SPECIFIC ATTACK RATES PHONE SURVEY
CONCRETE. WASHINGTON
No. in Caoes in Attack Role
Age Group Sample Sample lor Sample (percent)
0-4 17 1 6
5-14 18 4 22
15-24 14 4 29
25-34 14 1 7
35-49 26 8 31
50-64 15 I 7
65+ 17 0 0
Total 121 19 16


- -







Morbidity and Mortality Weekly Report


inter ies regarding age and sexof all household members,
and pertinent clinical data for household members ho,
had been ill during the epidemic. A total of 19 cases
were discovered in this sample, giving an overall attack
rate of 16%. Age specific attack rates, and a quantitative
summary of the symptom complex are given in the ac-
companying tables.

SYMPTOMS OF INFLUENZA-LIKE ILLNESS PHONE SURVEY
CONCRETE, WASHINGTON FEBRUARY 2, 1964

Symptom Number Percent
Feverishness 19 100
Weakness or malaise 18 95
Headache 15 79
Cough 13 68
Chills 10 53
Myalgia 10 53
Sore throat 9 47
Eye symptoms 7 37
Nausea 6 32
Vomiting 2 11
Diarrhea 0 0
Total No. of Cases 19

In addition, increased school absenteeism has been
observed in scattered areas of Whatcom County, which is
adjacent to the north border of Skagit County. Investiga-
tions are underway to determine the significance of this
increase.
(Reported by Ernest A. Ager, M.D., Chief, Division of
Epidemiology, State Department of Health, Olympia,
Washington; Richard Gross, M.D., Skagit County Health
Officer, Mount Vernon, Washington; and a team from the
Communicable Disease Center.)



TOTAL DEATHS REPORTED IN 108 CITIES
The weekly average number of total deaths in 108
cities for the four-week period ending February 1 was
12,954 as compared with an expected weekly average of
12,413.

Week Ending 4 Week Weekly
1/11 1/18 1/25 2/1 Total Average
Observed 13,851 12,704 12,992 12,269 51,816 12,954
Expected 12,425 12,432 12,415 12,381 49,653 12,413
Excess 1,426 272 577 -112 2,163 541




The reported numbers of deaths from all causes were
elevated in early January but declined to slightly belo,
expected numbers during the last week of the period.
During the first week of the period, highest weekly totals
were reported by the EastNorthCentral, West North Central,
South Atlantic, East South Central, West Seoth Central and
Pacific States; during the second week by the New Eng-
land States; during the third week by the Middle Atlamtic


Canada

Epidemic respiratory disease with symptoms typical
of influenza has been reported from the community of
Lantzville in central Vancouver Island. Peak incidence
occurred in mid-January with an estimated 1,000 cases
reported during the week ending January 17. Pneumonitis
has complicated many of the cases. One death, in a 14-
year-old boy, has been reported.
Earlier outbreaks of a similar illness were reported
in December from several small villages in the Northwest
Territories. The towns of Gjoa Haven, Pelly Bay, and
Stence Bay accounted for an estimated 100-150 cases.
(Reported by Dr. E. W. R. Best, Chief, Epidemiology
Division, Department of National Health & Welfare,
Ottawa, -Canada.)

Taiwan

A severe respiratory disease epidemic is currently
in progress on Taiwan with most extensive involvement
apparently in the city of Talpei. The outbreak reached
its peak in mid-January, and now appears to be waning,
although an increasing number of cases are now being
reported among American residents. Attack rates were
estimated as high as 50 percent among children at the
height of the epidemic. Of the 300 U.S. Naval personnel
attached to the Naval Medical Research Unit No. 2 in
Taipei, approximately 100 have contracted the illness
thus far. Confirmatory laboratory studies and additional
epidemiologic investigations are currently in progress.
(Continued on page 44)



States; and during the fourth week by the Mountain States.
During the fourth week of the period all divisions except
the Mountain declined from their earlier elevated figures.


TOTAL DEATHS RECORDED IN 108 U.S. CITIES
Aemo Number pr- Week by Fur-WMl PR.lod


(See Table, page 43)








40 Morbidity and Alortalilt Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 1, 1964 AND FEBRUARY 2, 1963 ( 5th WEEK)


Aseptic Encephalitis
Aseptic
Mening, t : Pr.Ir r',' F n P.:.i .: i,'el rt T:til Ca is F :.n., trI E. F rdlvtl,
Area
Cumulative Cumulative
1964 1963 1964 1964 1964 1963 1964 1963 1964 1963 1964 1963
UNITED STATES... 18 25 12 21 4 3 19 3 2 16

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

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

EAST NORTH CENTRAL... 1 2 5 1 7 5
Ohio................ 2 1
Indiana............. 1
Illinois........... 2 3 1 5 4
Michigan............. 1 1 -
Wisconsin............- -

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

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

EAST SOUTH CENTRAL... 2 2 6 1
Kentucky........... 11 2 5
Tennessee.......... 1 -
Alabama............. 1 1
Mississippi........ -

WEST SOUTH CENTRAL.. 2 1 5 1 5
Arkansas........... -
Louisiana.......... 5 1 5
Oklahoma........... -
Texas............... 2

MOUNTAIN............. 4 10
Montana............. -
Idaho............... -
Wyoming............ -
Colorado............ 4 8
New Mexico......... -
Arizona............ -
Utah................ -
Nevada............ 2

PACIFIC.............. 1 7 1 4 2 2
Washington ......... -
Oregon.............. 1
California......... 1 7 1 3 2 2
Alaska............. -
Hawaii...............

Puerto Rico -- -








Ilorbidily and Mortality Weekly Report 41


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 1, 1964 AND FEBRUA.RY 2, 1963 ( 5th WEEK) Continued


Infectious Hepatitis
Brucellosis Diphtheria including Serum Hepatitis Typhoid Fever

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

t- iv(- l -I 1 6-l .- j9... ijn- i ),.I lr. 19rj3 I .- r..

UiiiTE. :,TiT':... 8 26 4 21 927 505 344 78 4,371 5,321 8 26

NEW EtiGLi..~i.......... 1 89 47 36 6 560 705 1 1
Si t.............. 32 19 11 2 226 335
New na.T.ihir-...... 8 4 3 1 63 57
V-irar,............ 8 4 3 1 59 13
It:icr.u it[ ...... 1 22 13 8 1 105 207
Rhode i! and ....... 4 2 2 22 26 1 1
C:.nrectrcut ........ 15 5 9 1 85 67 -

mKDDLE ATLJANlC ...... 4 219 122 97 996 1,007 3
N.w '?rL C* Lt....... 1 26 6 20 139 118 1
le ortl., U.p-i e. 115 I'j 35 487 451 1
id'.u jiriy ......... 2 30 13 17 144 140
Penn- y ania....... 1 48 23 25 226 298 1

EAST fNOPIH CENTiRL... 1 1 1 i17 65 46 6 578 783 2
r ................. 2 1 1 138 261 1
Indian............. 17 7 8 2 45 41 -
Illino. ........... 1 1 1 22 10 11 1 69 113 1
Mcnl an........... 71 45 26 299 332 -
W cr.!in.......... 5 2 3 27 36 -

-T Nlorni CEMNRAl... 2 15 2 6 60 35 12 13 263 258 -
Mi .ne :.t a ......... 6 2 4 15 50 -
ic..a............... 7 11 7 4 40 45 -
M im-.ur ........... 3 7 4 2 1 55 106 -
uorth Dakota....... 4 2 2 17 4 -
io.th Dakoa ....... 1 4 4 3 1 17 8 -
Ni.br1a ........... 1 7 16 -
Kan a ............. 2 6 28 17 11 112 29

SOUTH A ANT l ....... 1 1 3 109 72 31 6 425 639 5 12
DElaFi re........... 1 3 6
MHryland........... 23 17 4 2 79 50
DI.sc. or Colmbia.. 3 24 -
Virginia........... 12 5 4 3 49 191
West Virginia...... 16 15 1 68 90
North Carolina..... 1 37 27 10 102 180 4 8
South Carolina..... 1 6 5 1 14 23 1
Georgia............. 3 2 1 9 17
Florida............. 1 2 11 5 6 98 58 1 3

FA~T SC'OUfi E CERAL... 1 66 48 7 11 308 578 1 4
Kenrucky........... 37 24 2 11 150 186 1
T" nn. -- e. .........2 2 I i -
AlI ama ............ 3 2 3 1I
MHii;5iipp. ....... 3 1 1A q?

WEST 5OLUTH CElIRAL... I 1 -;; 25 I I
Arka. n i .......... -i 1. -:, --
L..'u; i .- ....... .- 11 J -- -I
Okl arc a ....... ... l
TexIaI................ 5 r I- I 1

OIJN i N .............. 5 9 3 -1i
Mont na ............ i3 3 r ', -1
Idah o.............. 6 -2 -
Wvjiing ............ -
C.:.lor ado ........... l l 6 l
NLs. Hico.C ......... -
Arizona........... l 1 .-- l i 6
Utah ............... i 2 .L .:
.rev l .............

PAC I IC .............. 1 3 i32 5? L. I
Wa.ri-,in ton ........ 3 -
Oregon ............ 9 Q 7 6 -
Cai f.rnla .. ....... 1 0- -- 60 1 -
APra Ia .... ... ...... l .1 31
Fltiai I... ....... .. -.

Puerto Rico ... ...-- 3 :- 1









42 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 1, 1964 AND FEBRUARY 2, 1963 ( 5th WEEK) Continued


Streptococcal
Meningococcal Sore Throat and Rabies in
Measles Meningitis Scarlet Fever Tetanus Tularemia Animals
Area --- ---- ----
Cumulative Cum. Cum. Cum.
1964 1964 1964 1963 1964 1963 1964 1964 1964 1964 1964 1964

UNITED STATES... 6,470 60 250 267 10,097 9,098 4 24 3 39 74 318

NEW ENGLAND.......... 605 2 8 22 1,212 960 1
Maine............... 59 3 173 26 -
New Hampshire...... 3 7 7 1
Vermont............. 167 1 22 56 -
Massachusetts...... 58 1 8 130 157 -
Rhode Island....... 39 2 2 3 100 125 -
Connecticut........ 279 5 7 780 589 -

MIDDLE ATLANTIC...... 1,447 7 37 34 442 664 1 13
New York City...... 602 1 7 5 35 46 -
New York, Up-State. 229 1 13 7 232 259 1 12
New Jersey......... 331 1 5 7 71 162 -
Pennsylvania....... 285 4 12 15 104 197 1

EAST NORTH CENTRAL... 1,497 7 33 46 1,302 962 3 1 5 6 30
Ohio................ 206 10 14 241 117 1 1 5 20
Indiana............. 396 1 4 11 85 136 3
Illinois........... 335 3 7 4 170 108 1 1 2 3
Michigan........... 443 3 10 11 560 366 11 I 2
Wisconsin.......... 117 2 6 246 235 1 1 2

WEST NORTH CENTRAL... 189 3 10 14 287 289 2 2 1 10 26 103
Minnesota........... 2 1 3 2 31 17 1 11 29
Iowa................ 88 93 123 1 3 31
Missouri........... 20 2 5 7 8 5 2 2 1 5 9 23
North Dakota....... 77 1 1 85 110 1 7
South Dakota ...... 2 10 15 1 9
Nebraska........... 2 2 2 1 1 4
Kansas............. NN I 58 18 3 -

SOUTH ATLANTIC....... 778 15 66 62 860 765 1 10 5 9 49
Delaware........... 5 4 7 -
Maryland............ 150 4 9 7 46 50
Dist. of Columbia.. 9 1 11 1
Virginia............ 155 1 6 11 213 272 3 8 38
West Virginia...... 234 4 6 298 152 1 1
North Carolina..... 40 8 10 55 61 3 1
South Carolina..... 127 5 12 5 67 61 2 -
Georgia............ 25 6 22 12 2 4
Florida............. 33 5 21 22 144 149 1 5 5

EAST SOUTH CENTRAL... 718 8 22 21 1,585 1,209 3 10 10 60
Kentucky........... 286 1 5 5 186 86 1 2 11
Tennessee.............. 367 3 10 10 1,325 948 1 7 8 46
Alabama............ 7 4 6 3 17 57 2 2 3
Misisssippi........ 58 1 3 57 118 -

WEST SOUTH CENTRAL... 24 4 19 28 849 1,007 3 1 8 15 45
Arkansas............ 19 1 4 2 12 52 1 6 13
Louisiana.............. 3 3 13 7 6 17 3 2 3
Oklahoma........... 2 2 7 36 22 1 7 1 5
Texas.............. 12 795 916 6 24

MOUNTAIN............. 324 1 15 7 2,132 1,715 1 4 9
Montana............ 68 59 55
Idaho.............. 53 I 115 165 -
Wyoming............ 1 26 57 1
Colorado........... 55 6 2 954 804 -
New Mexico......... 5 700 365 3 5
Arizona............ 10 2 114 175 1 4
Utah................ 21 1 3 161 86 -
Nevada............. 17 1 1 3 8

PACIFIC............... 888 13 40 33 1,428 1,527 1 3 3 8
Washington.......... 164 1 3 3 404 609 -
Oregon............. 112 2 41 43 -
California......... 604 11 34 25 958 847 1 3 3 8
Alaska.............. 4 1 1 3 3 3 -
Hawaii.............. 4 2 22 25 -

Puerto Rico -









Morbidity and Mortality Weekly Report





Tahle 4 (A). TOTAL DEATHS IN REPORTING CITIES


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


For weeks ending For weeks ending
.iLea Area


r1.l E liC L'-JiJ:
b." r :r r L ...........
Er L. -:r E Conn. .........
C ar.tr iL [lass. .........
F l 1 F, .-r Mass .........
m rLfI:r-I. "nn. ...........
L,;,eI r. l : .... ..........
L.,r.r, l a .. ...............

il0 i.;- .i : ', Mass. .......
Ni ts : -i. C'onn. ..........
Pr : ri:- R.I. ...........
-.. r 7. ala I .... .
_I.: r ,-i f i. .. ..
a r l:. r Conn. ..........
:C-1.: = : lass ......... .

I' CL'L E -TL-JiTLC:
,[la, |J... ....... ........
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;-Tr C I. ..... ........
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E ri i City, N. 1. ........
E : i ., I .J .............
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Fri lr N.J. ........

.l : t, 1.J. ..............


S. ri City, N.Y. ...... .
--r. :.:.~, N.J .............

F r.: i ... .... ....
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:,.iEr.. ,'_l... ...........
Srr..ri N.Y..... .
S ra..cr, r, Pa ............
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SOUTH ATLANTIC:
Atlanta, Ga. .............. 194 123 143 134
Baltimore, Md. ............ 305 281 309 269
Charlotte, N.C. ........... 42 43 53 38
Jacksonville, Fla. ........ 80 53 70 60
Miami, Fla. ............... 91 89 118 102
Norfolk, Va. .............. 96 45 52 48
Richmond, Va. .............. 77 90 107 105
Savannah, Ga. ............ 58 52 40 32
St. Petersburg, Fla. ...... 100 94 87 87
Tampa, Fla. ............... 110 88 57 100
Washington, D.C. .......... 241 220 242 214
T'il I-r.L... Del. ........... 56 36 33 36

EAST SOUTH CENTRAL:
Birmingham, Ala. .......... 115 122 99 106
Chattanooga, Tenn. ........ 56 65 66 40
Knoxville, Tenn. .......... 55 49 60 37
Louisville, Ky. ........... 226 137 156 120
Memphis, Tenn. ............ 171 170 156 123
Mobile, Ala. .............. 41 57 46 30
Montgomery, Ala. .......... 49 42 50 39
Nashville, Tenn. .......... 143 120 105 100

WEST SOUTH CENTRAL:
Austin, Tex. .............. 45 50 62 42
Baton Rouge, La. .......... 61 44 37 36
Corpus Christi, Tex. ...... 43 21 21 34
Dallas, Tex. .............. 194 120 198 146
El Paso, Tex. ............. 59 50 47 44
Fort Worth, Tex. .......... 77 68 79 65
Houston, Tex. ............. 210 271 265 217
Little Rock, Ark. ......... 96 77 55 69
New Orleans, La. .......... 184 195 194 171
Oklahoma City, Okla. ...... 108 95 96 97
San Antonio, Tex. ......... 171 140 115 118
Shreveport, La. ........... 55 74 40 73
Tulsa, Okla. .............. 59 81 58 76

MOUNTAIN:
Albuquerque, N. Mex. ...... 27 34 41 35
Colorado Springs, Colo. ... 20 20 32 30
Denver, Colo ............... 125 156 115 144
Ogden, Utah................. 18 17 21 19
Phoenix, Ariz. ............ 110 108 120 107
Pueblo, Colo. .............. 23 16 18 17
Salt Lake City, Utah....... 43 37 54 68
Tucson, Ariz. .............. 60 39 50 59

PACIFIC:
Berkeley, Calif. .......... 16 31 14 16
Fresno, Calif. ............ 45 56 68 54
Glendale, Calif. .......... 25 55 48 35
Honolulu, Hawaii............ 47 45 45 50
Long Beach, Calif. ........ 57 80 66 61
Los Angeles, Calif. ....... 565 544 574 631
Oakland, Calif. ........... 94 104 95 96
Pasadena, Calif. .......... 44 31 39 39
Portland, Oreg. ........... 151 144 129 141
Sacramento, Calif. ........ 86 74 69 62
San Diego, Calif. ......... 112 114 126 107
San Francisco, Calif. ..... 257 192 203 184
San Jose, Calif. .......... 33 48 22 47
Seattle, Wash. ............ 168 150 176 150
Spokane, Wash. ............ 53 50 46 57
Tacoma, Wash. .............. 62 45 42 41

San Juan, P.R. .............. 19 21 22 (---)


OCurrent Week Mortality for 108 Selected Cities


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


12,269
590
768
6,878


NO-TE %11 te l : n::- .: :: .. : ..




UNIVtNEMIY OF FLORIDA

IIIIIII IIII III IIIIIIIIIII II111111111l 11111
3 1262 08864 3209


Morbidity and Morialilt Weekly Report


This epidemic is of particular interest in light of a
previous institutional outbreak in Taiwan in October
1962. Influenza B strains recovered at that time wert
found to be antigenically distinct from former B isolates.
No additional recoveries of that strain have since been
made.
(Reported by Capt. Robert Phillips, MC, USN, Officer in
Charge, U.S. \aala Medical Research Unit No. 2, Taipei;
and Capt. Jack W. Millar, MC, USN, Director, Preventive
Medicine Division, Department of the Nivy.)

Japan

Extensive outbreaks of flu-like jllneas have recently
been noted on the island of Kyushu, Japan, where an
estimated 60,000 cases have occurred through January 31.
The illness has been characterized by headache, fever,
cough, and sore throat. Five of the island's seven Prefec-
tures have been involved thus far, with increased ab-
senteeism reported from about 50 schools, largely at the
grade school level. Most severely affected have been the
Prefectures of Saga and Miyazaki. There has been no
evidence of disease spread beyond the island of Kyushu,
as yet. Laboratory studies are in progress.
(Reported by Hideo Fukumi, M.D., Chief, Japanese Influ-
enza Center, Tokyo.)




INTERNATIONAL NOTES QUARANTINE MEASURES
Dengue Fever Antigua
Antigua has become the third Caribbean Island to
officially report the occurrence of dengue fever. For the
period December 1, 1963, to January 20, 1964, 300 cases
were notified.
(Reported in Weekly Epidemiological Report, Pan Ameri-
can Sanitary Bureau, 36:4, January 22, 1964).


In add.iron to the established procedures for reporting morbidiry
and morralr/, the Commun,cable Disease Center welcomes
accounts of nereesrrng outbreaks or cases. Such accounts should
be addressed to

Laorence K Aliman, M D., Editor
Morbidity and Mortoliry Weekly Report
Communicable Dsease Center
Atlanta, Georga 30333



Noies Thes pro..sional dra aoe based on weekly telegramis to rhe Communi-
cable D-,rose Cenole by the .ndividual Srore healIh departments.
Smbros Doro nor available
Suoantlr, rero
Porcdures la, const.u.t.on a m orrtou l mortollt rures moay be obtained troem
Simo,stcs SectFon. Communcaoble D.sease Center. Public Health Service,
U. S. Depao. ent oI Health. Education, and Wellaore Aflonla. Ceorgia 30333.


D C F FL L'B


U 'EPS TDEPT



U 5 IEPOSITORy


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for


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.
Chei Epidemiology Bronch A. D. Longmuir, M.D.
Chief, Statistics Section R. E. Serfling, Ph.D.
Asst. Chief, Statistics Section 1. L. Sherman, M.S.
Chief, Surveillance Section D. A. Henderson, M.D.
Editor, MMWR L. K. Altman, M.D.


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