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:
AA00010654:00241

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
S0 o7L / 7 c r... /




Morbidity ani Mort l!t


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


Prepared by the


I OMNKBEDIES (NEIR *


MElrose 4-5131


For release December 15, 1961 Atlanta 22, Georgia Vol. 10, No. 49

Provisional Information on Selected Notifiable Diseases in the United States and on

Deaths in Selected Cities for Week Ended December 9, 1961

Respiratory Disease Type B in a has been during the outbreak show significant titer rises for Type
identified in outbreaks of respira aase i Zonaa, B influenza. Positive sera were obtained from the Hopi
Florida, Jamaica, laskatch .'d i'- a ds and Indian Reservation,as far west as Grand Canyon and from
(N.W.I.). Respiratory illness n uninrnified etiology Fort Defiance, Arizona, on the New Mexico border.
reported in several other ar since mq.November\ Clinical characteristics of the illness included fever
continued to spread in th C reas. No new outb ak of over 100-1010, severe sore throat with cough, minimal
have been reported. 11 conjunctivitis, absence of pulmonary involvement, myalgia
Sr T B I zaand frontal headache. The acute symptoms last for two or
Confirmed Type B Influenza q j s three days.
Arizona The outbreak of -spr5 l ir ich The Keams Canyon School on the Reservation pre-
began in mid-November in the H o Ipdian sented an unusual opportunity for study of vaccine effec-
Reservation in northeastern Arizona has been identified tiveness. Those children who board at the school had
as Type B influenza. Seven of 10 paired sera obtained been vaccinated; the day school children had not been

Table I. Cases of Specified Notifiable Diseases, United States
(Cumulative totals include revised and delayed reports through previous week)

Disease 49th Week Cumulative
seventhh Revision of International Approxl-
Lists, 1955) First 49 weeks Since seasonal law week mate
Ended Ended seasonal
Dec. Dec. Median Median low
Weekly incidence low or sporadic 9, 10, 196-C Median 155-5 point
Data not available 1961 1960 1961 196C 195E-6C, i960-e 1969-6c to
Quantity zero I 99-60
Anthrax------- ------- --062 1 7 18 *
Botulism----.-----------------049.1 1 6 10 *
Brucellosie undulantt fever).----044 11 12 12 556 713 758 *
Diphtheria----------------------055 27 26 32 556 781 833 247 435 494 July 1
Encephalitis, infectious-- ----082 29 24 40 1,567 1,779 2,012 1,567 1,779 2,012 Jan. 1
Hepatitis, infectious, and
senrm--------------..092,N998.5 pt. 1,367 1,159 346 68,926 37,945 18,153 16,223 12,203 4,116 Sept. 1
Malaria------------------- 0-117 1 3 58 71 *
Measles---------------.--.... ---. 085 3,666 4,092 4,060 409,236 423,356 467,143 23,608 23,234 24,357 Sept. 1
Meningitis, aseptic-------340 pt. 28 43 --- 2,998 2,886 "- 2,998 2,886 --- Jan. 1
Neningococcal infectionsa--------057 52 53 51 2,022 2,083 2,453 507 545 594 Sept. 1
Polio2welitie-------.------------080 15 49 92 1,280 3,170 8,347 1,177 2,958 5,576 Apr. 1
Pars2ytcic----------. 080.0,080.1 10 33 61 837 2,215 5,548 777 2,049 2,816 Apr. 1
I olparalytic-----------------080.2 3 6 12 304 628 2,122 279 602 1,909 Apr. 1
Unepecified-----------------080.3 2 10 19 139 327 677 121 307 851 Apr. 1
Psittacosis-------- ------ .. 096.2 25 1 87 95 *
Rabies in man-------------------094 3 2 *
Btreptococcal sore throat,
Including scarlet fever ----050,051 7,454 6,468 --- 298,309 288,668 -- 79,098 -- --- Aug. 1
Typhoid fever-------------------00 10 7 16 785 776 1,008 671 645 828 Apr. 1
'lrphua fever, endemic------------101 I 41 62 *
ReaLea in animals---------------- 53 64 81 3,231 3,212 4,001 597 441 636 Oct. 1
Botulism Arkansas 1


U








Morbidity and Mortality Weekly Report


vaccinated. All boarders are brought to the USPHS Indian,
Hospital Clinic if there is any indication of illness. Of
320 boarders in the immunized group, only one case of
clinical influenza has been noted by the clinic physi-
cians. Of 120 day students who are not immunized, there
have been 26 cases of clinical influenza.
Attack Rate
Immunized 0.3%
Not Immunized 22.0%

Laboratory studies on these groups are in progress.
A Hopi Indian School on the Reservation illustrates
well the epidemicity of the illness. The accompanying
graph records the total number of absentees each day
from this school which has a total enrollment of 190
students.


SECOND MESA


NUMBER
OF 20
ABSENTEES


.25
OCTOBER


,I I I I I I 31 5 10 ,l B


31 B 10 IB
NOVEMBER
DAYS


Canada The epidemic of influenza which com-
menced during November in Saskatchewan has spread
from the focus at Regina to involve a number of commu-
nities in the centraland southern regions of that province.
Absenteeism in the public schools has ranged from 30 to
60 percent. Clinically, the disease has been relatively
mild. The course of illness has been described as being
frequently biphasic in character with relapses noted
following a four to six day course of the disease. It has
been observed that the spread of disease among patients
within the hospitals has been rare although many absen-
ces have been noted among hospital attendants. Two
deaths, directly attributable to the disease, have resulted
from a staphylococcus (phage type 80/81) pneumonia.
Isolates obtained resemble the Great Lakes variant of
Influenza B. No other outbreaks are presently known in
Canada.

Aruba Island (N.W.I.) In October 1961, approxi-
mately 200 cases of respiratory disease occurred. Clinical
characteristics of the disease are not available; however,
eight of nine paired sera obtained during this outbreak
were positive for Type B Influenza.


Miami, Florida An outbreak of Type B influenza in
a school-bus population was reported in MMWR, Vol. 10,
No. 48, December 8, 1961.

Jamaica A confirmed outbreak of Type B influenza
in mining company personnel was reported in MMWR, Vol.
10, No. 48, December 8, 1961.

Respiratory Diseases of Unidentified Etiology
California -,Acute upper respiratory illnesses oc-
curring since the middle of November continue in the Los
Angeles and San Francisco areas primarily in school
children, and have appeared in most major centers of the
State. School absenteeism as high as 30 percent in some
schools is reported from northern coastal counties, moun-
tain counties and the interior valley. Two illnesses are
occurring, one characterized by malaise, sore throat,
fever, cough and some myalgia, and the other by mild
upper respiratory symptoms, diarrhea and fever. Labora-
tory and epidemiologic investigation of these illnesses is
under way. There is no unusual absenteeism of teaching
staff in the schools or increased absenteeism reported
from industrial concerns.
Oregon An outbreak of upper respiratory disease
and gastroenteric disease which began in November in
counties surrounding Portland has continued to spread,
involving Washington County to the northwest and Grant's
Pass in the southernmost portion of the State. Early re-
ports of the appearance of the illness in the eastern part
of the State have been received. In school children two
types of illnesses continue to occur: 1)an upper respiratory
disease with fever to 1010, sore throat and vomiting which
lasts 3-4 days. 2) a gastrointestinal disease with mild
cramps, diarrhea and fever to 1010.
Cases occurring in adults are reported in the Port-
land area, with upper respiratory symptoms, mild diarrhea
and myalgia, and some temperatures of 1030. Several of
these have had relapses after several days suggesting a
biphasic pattern. There is no reported increase in in-
dustrial absenteeism. Laboratory studies are in progress.
(Information for this summary was obtained from: Dr.
Roslyn Robinson, Chief, International Influenza Center
for the Americas, CDC, and a team from the Communicable
Disease Center; Dr. Mike Segal, Dr. Ann Beasley, and
Dr. Jim Conner from Variety Children's Research Founda-
tion, Miami, Florida; Dr. Henry Rentein, Division of Pre-
ventive Medical Services, California State Department of
Public Health; Dr. F. W. P. Best, Chief, Epidemiology,
Division Department of National Health and Welfare, Ot-
rawa, Canada; Dr. James O. Bond, Director, Bureau Pre-
ventable Diseases, Florida State Board of Health; Dr.
Grant Skinner, State Epidemiologist, Oregon State Board
of Health).
(Continued on page 8.)









Morbidity and Mortality Weekly Report 3

Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES- UNITED STATES. EACH DIVISION AND STATE, AND
PUERTO RICO, FOR WEEKS ENDED DECEMBER 10, 1960 AND DECEMBER 9, 1961

(By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955)


Poliomyelitis 080 Brucel-
Menin- losis
Total Paralytic 080.0,080.1 gitis, (undu-
(Includes cases not specified _y type) lonp rlytic aseptic lant
Area ve, Cumulative, fever)
49th Week first 49 weeks 49th Week first 49 weeks 080.2 340 pt. 044

1961 1960 1961 1960 1961 1960 1961 1960 1961 196C 1961 1961

UNITED STATES---------- 15 49 1,280 3,170 10 33 837 2,215 3 6 28 11

NEW ENGLAND------------------ 1 40 232 27 183 1 2 -
Maine---------------------- 5 49 5 48 -
New Hampshire-------------- 2 2
Vermont-------------------- 9 11 8 6 -
Massachusertt-------------- 18 34 10 23 -
Phode Island--------------- 1 1 103 1 78 1
Connecticut-------------- 5 35 3 28 -
MIDDLE AILAII :rl------------- 5 9 336 480 4 6 224 341 2 3
New York------------------- 5 6 249 260 4 3 160 168 2 -
New Jersey----------------- 1 35 84 1 28 61 -
Pennsylvania--------------- -- 2 52 136 2 36 112 3 -
EAST NORTH CENTRAL---------- 1 18 177 553 1 12 110 344 2 10 4
Ohio----------------------- 1 48 127 22 65 1 -
Indiana----.------------- 1 8 21 141 1 7 12 108 1 -
Illinois------------------- 3 36 150 3 19 103 6 2
Michigan------------------ -- 1 38 94 1 30 55 4 2
Wisconsin------------------ 5 34 41 1 27 13 -
WEST NORTH CENTRFAL----------- 2 1 77 175 1 1 35 102 1 3 5
M1nnesots----------------- 1 6 55 1 6 45 3 -
Iowa----------------------- 19 22 10 4 2
Mi ssour ------------------- 26 44 8 32 -
North Dakots--------------- 1 5 14 1 5 1 -
South Dakota--------------- 1 4 5 1 2 1 -
Nebraska------------------- 8 16 4 9 2
Kansas--------------------- .- 9 19 4 6 1
SOUTH ATLANTIC-------------- 1 5 215 588 1 5 158 468 1 1
Delaware------------------- 2 1 -
Maryland------- ---------- 1 2 42 153 1 2 32 138 -
District of Columbia ------- 3 5 3 5 -
Virginia------------ -- 3 12 55 3 12 50 1 -
West Virginia-------------- 33 62 23 51 -
North Carolina------------- 21 92 11 69 -
South Carolina------------- 34 130 26 88 -
Georgia-------------------- 30 24 23 22 1
Florida-------------------- 38 67 27 45 -
EAST SOUTH CENTRAL----------- 6 85 256 2 49 110 1
Kentucxy------------------- 4 27 134 5 5 -
Tennessee------------------ 22 54 10 37 I
Alabama------------------- 11 23 11 23 -
Mississippi---------------- 2 25 45 2 23 45 -
WEST SOUTH CENTRAL----------- 4 3 155 286 3 3 87 184 1 1
Arkansas------------------- 2 2 23 33 2 2 12 25 -
Louisiana------------------ 1 55 50 1 44 31 -
Oklahoma------------------- 4 17 12 1
Texas---------------------- 1 1 73 186 1 31 116 1 -
MOUNTA J-------------------- 1 1 48 99 28 51 1
Montana-------------------- 1 4 24 2 17 -
Idaho---------------------- 14 10 6 1 -
Wyoming-------------------- 1 1 21 1 -
Colorado------------------- 10 21 10 19 -
New Mexico----------------- 3 7 4 -
Arizona--- ---------------- 8 9 6 7 1
Utah----------------------- 8 7 4 2 -
Nevada--------------------- -
PACIFIC---------------------- 1 5 147 501 4 119 432 1 1 7 -
Washington----------------- 2 31 39 2 29 39 -
Oregon--------------------- 17 36 8 19 -
California----------------- 1 3 94 416 2 77 364 1 1 7
Alaska --------------------- 2 2
Hawaii---------------- 5 8 5 8 -

Puerto Rico------------------ 7 504 7 495








4 Morbidity and Mortality Weekly Report

Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE. AND
PUERTO RICO, FOR WEEKS ENDED DECEMBER 10, 1960 AND DECEMBER 9, 1961 Continued

(By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955)


Diphtheria 055 Hepatitis, infectious, and
Encephalitis, serum 092,N998.5 pt. M
infectiousMeasles

Area Cumulative, Cumulative,
49th Week first 49 weeks 082 49th Week first 49 weeks 085

1961 1960 1961 i 61 1i' 960. 1961 I196 9 i9fi 1960 1961 1960


UNITED STAES-------- 27 26 556 781 29 24 1,367 1,159 68,926 37.945 3,646 4.092

NEW ENGAND -------------- 8 12 2 67 22 2,283 1,089 601 388
Maine--------------------- 2 10 3 176 77 169 9
New Hampshire------------- 1 4 203 34 67 70
Vermont-------------------- 2 192 27 28 2
Massachusetts------------- 7 9 1 40 8 995 519 258 220
Rhode Island--------------- 1 2 4 239 204 18 9
Connecticut--------------- 1 9 7 478 228 61 78
MIDDLE ATLANTIC------------- 1 20 17 8 6 121 137 9,215 4,694 500 1,016
New York------------------- 1 7 5 8 3 42 64 3,972 2,529 329 396
New Jersey-- --------- 2 2 27 1 2,181 333 70 142
Pennsylvania--------------- 13 10 1 52 72 3,062 1,832 101 478
EAST NORTH CHTRAL-------- 16 41 3 1 315 236 13,847 6,890 819 1,096
Ohio----------------------- 1 16 117 88 4,600 2,400 40 408
Indiana------------- 9 ----- 2 7 40 39 2,036 797 51 63
Illinois------------------ 10 6 2 1 49 64 2,515 1,496 452 51
Michigan------------------ 3 10 1 86 38 4,326 1,965 161 153
Wisconsin---------------- 2 23 7 370 232 115 421
WEST NORTH C(NTRAL--------- 5 53 63 1 128 85 6,626 2,650 77 107
Mfnnesota------------------ 5 38 36 51 22 1,622 483 7 2
Iowa----------------------- 2 8 1 18 10 1,877 417 23 20
Missouri------------------- 1 2 41 26 1,435 886 4 32
North Dakota------------- 4 3 2 3 -149 178 30 48
South Dakota--------------- 6 10 4 8 198 154 13
Nebraska------------------- 2 2 7 12 632 271 5
Kansas--------------------- 2 5 4 713 261 NN NN
SOUTH ATLANTIC--------- 2 10 132 227 3 3 176 125 8,807 4,335 257 372
Delaware------------------- 3 4 185 262 31
Maryland------------------ 1 1 8 9 751 440 39 18
District of Columbia------- 3 I 5 135 60 10
Virginia------------------- 1 1 18 40 3 36 18 1,461 763 95 191
West Virginia------------- 1 4 20 28 1,534 835 60 37
North Carolina------------- 4 11 18 62 25 2,087 423 3 17
South Carolina------------- 13 50 12 9 501 160 2 26
Georgia-------------------- 1 4 43 45 6 12 742 273 25
Florida----------- -- 1 42 69 2 24 20 1,411 1,119 48 27
EAST SOUTH CENTRAL------- 4 46 128 2 1 208 192 10,318 5,492 301 429
Kentucky------------------- 4 9 49 73 88 3,021 1,933 45 326
Tennessee----------------- 3 9 1 83 55 4,039 1,853 231 84
Alabama------------------- 27 37 25 38 1,772 1,185 15 19
Mississippi---------------- 7 33 1 1 27 11 1,486 521 10
WEST SOUT CENTRAL----------- 17 11 258 255 1 1 73 56 4,917 2,850 284 102
Arkansas------------------- 4 16 1 12 9 959 227 5
Louisiana------------------ 9 6 39 76 7 6 540 179 1
Oklahoma------------------- 9 25 8 "1 337 322 5 3
Texas---------------- 8 5 206 138 1 46 40 3,081 2,122 278 94
MOUITAI----------- --- 12 36 1 1 88, 129 3,887 2,964 234 199
Montana-------------------- 2 3 3 12 336 175 120 25
Idaho---------------------- 11 3 6 303 318 9 40
Wyoming-------------------- 5 1 157 36 1
Colorado------------------- 4 3 29 44 1,345 1,079 19 39
New Mexico----------------- 5 4 6 25 318 335 NN -
Arizona ------------------- 3 1 1 19 13 657 618 21 53
Utah----------------------- 7 18 7 626 279 54 24
Nevada--------------------- 1 9 22 145 124 10 18
PACIFIC---------------------- 3 11 2 8 11 191 177 9,026 6,981 573 383
Washington----------------- 3 5 1 21 31 1,038 933 209 131
Oregon--------------------- 1 32 23 1,431 1,085 67 60
California----------------- 2 1 7 10 135 112 6,071 4,636 255 190
Alaska--------------------- 4 1 2 7 415 242 37 2
Hawaii--------------------- 1 4 71 85 5

Puerto Rico---------------- 4 58 136 24 5 942 726 26 33

NN-NOL NOtirIaDle










Morbidity and Mortality Weekly Report 5

Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, AND
PUERTO RICO, FOR WEEKS ENDED DECEMBER 10, 1960 AND DECEMBER 9, 1961 Continued

(ly place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955)

Strepto-
e gcoc. itta- cocal Typhoid fever 040 Typhus
Meningoccocal Psitta-
Malara infections cosis sore fever, Rabies in
Areathroat, endemic aials
animals
Area etc. Cumulative,
110-117 057 096.2 050,051 49th Week first 49 weeks 101

1961 1961 1960 1961 1961 1961 1960 1961 1960 1961 1961 1960

UNIT STES ----- 1 52 53 25 7,454 10 7 785 776 1 53 64

NEW ENGLAND----------..-- -- 6 2 314 20 11 -
Maine--------------------- 2 13 1 2 -
New Hampshire----------- 1 -
Vermont-------------------- 1 1 -
Massachusetts-------------- 2 1 83 14 5 -
Rhode Island-------------- 1 42 2 -
Connecticut--------------- 174 3 4 -
MIDDLE ATLANTIC-------------- 8 9 1 217 2 98 58 1 4
New York------------------- 3 7 134 1 54 34 1 3
New Jersey--------------- 1 27 17 7 -
Pennsylvania--------------- 4 2 1 56 1 27 17 1
EAST NORT CNTAL------- 15 14 1 546 1 1 106 99 8 4
hio--------------------- 4 3 69 43 29 1 1
Indiana------------------ 1 2 98 1 24 25 1 1
Illinois- ---------------- 5 4 99 29 21 1 2
Michigan---------------- 5 3 1 111 7 16 5 -
Wisconsin------------------ 2 1 170 3 8 -
WEST NORTH CENTRAL---------- 1 1,029 35 48 11 8
Minnesota--------------- 727 5 1 2 4
Iowa---------------------- 63 2 11 2 3
Missouri------------------ 1 19 21 26 3 -
North Dkota- ------ 92 -
South Dakota------------- 4 3 4 4 1
Nebraska------------------ 1 3 -
Kansas----------------- 124 3 2 -
SOUTH ATIATIC------------- 6 4 455 1 133 117 3 16
Delaware------------------- 1 5 1 1 -
Maryland----------------- 16 4 6 -
District of Columbia------ 1 13 10 -
Virginia----------------- 1 2 97 20 24 9
West Virginia------------- 1 147 1 11 14 2 4
North Carolina------------- 2 22 16 9 -
South Carolina----------- 7 8 12 -
Georgia-------------------- 1 2 39 27 -
Florida-------------------- 158 21 14 1 2
EAST SOU l ------ 6 7 1,252 1 84 120 12 6
Kentucky--------- --- 5 5 95 19 32 4 -
Tennessee---------------- 1 1,070 50 56 6 4
Alabma------------------ 1 42 1 11 24 2 2
Msisissippi---------------- 45 4 8 -
WEST SOUTH CENTRAL--------- 6 3 22 825 3 2 159 205 1 14 25
Arkansas ---------------- 1 4 30 52 3 15
ouisiana--------------. 1 5 27 59 -
Oklahoma--------------- 2 5 12 12 -
Texas------------------- 2 3 22 811 3 2 90 82 1 10 10
MOUNi-AI-------------------- 1 6 1,493 1 64 46 -
MOntb -------------- 56 20 13 -
Idaho------------------ 143 1 3 -
Wyoming---------- ------- 7 3 4 -
Colorado------------------- 1 551 7 1 -
New Mexico---------------- 363 1 17 13 -
Arizona ---------------- 4 222 10 10 -
Utah---------------------- 2 148 2 2 -
Nevada-------------------- 3 4 -
PACIFIC-------------------- 1 3 8 1 1,323 3 2 86 72 4 1
Washington -------------- 464 7 5 -
Oregon--------------------- 1 36 1 8 -
California----------------- 1 2 7 1 752 3 2 75 58 4 1
Alaska -------------- -- 1 21 1 -
ai- ---------- 50 3 -

Puerto Rico ----------- 4 22 20 2








Morbidity and Mortality Weekly Report


13,000



12,000


NUMBER OF DEATHS IN SELECTED CITIES


- CURRENT WEEK


..----. 5-WEEK MOVING AVERAGE
-- ADJUSTED AVERAGE


13,000



12,000


I1,000 I I1,000



10,000 --0,000



9,000 9,000
r i T i i i i i i i i i i T i i i T i i i i i T T i i i i i i T i I
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC


The chart shows the number of deaths reported for
117 major cities of the United States by week for the cur-
rent year, a 5-week moving average of these figures
plotted at the central week, and an adjusted average for
comparison. For each region the adjusted average was
computed as follows: From the total deaths reported each
week for the years 1956-1960, 3 central figures were
selected by eliminating the highest and lowest figure
reported for that week. A 5-week moving average of the
arithmetic mean of the 3 central figures was then com-
puted with adjustment to allow for population growth in
each region. The average value of the regional increases
was 2 percent which was incorporated in the adjusted
average shown in the chart.
Table 4 shows the number of death certificates re-


ceived during the week indicated for deaths that occurred
in selected cities. Figures compiled in this way, by week
of receipt, usually approximate closely the number of
deaths occurring during the week. However, differences
are to be expected because of variations in the interval
between death and receipt of the certificate and because
of incomplete reporting due to holidays or vacations. If a
report is nor received from a city in time to be included
in the total for the current week, an estimate is used.
The number of deaths in cities of the same size may
also differ because of variations in the age, race, and sex
composition of the populations and because some cities
are hospital centers serving the surrounding areas. Changes
from year to year in the number of deaths may be due in
part to population increases or decreases.


Table 3. DEATHS IN SELECTED CITIES BY GEOGRAPHIC DIVISIONS

(By place of occurrence and veek of filing certificate. Excludes fetal deaths. Data exclude figures shown in parentheese in table 4)

49th 48th A te rcent Cululative, first 49 weeks
week veek Adjusted changes
ended ended average, adjusted
Area D 49th average
9, 2. eek to 1961 1960 Percent
19 2, 1956-60 current change
196 1961 week
week

TOTAL, 117 REPORTING CITIE---------------------- 12,312 13,157 11,690 +5.3 561,380 562,959 -0.3

New England-------------------------------(14 cities) 808* 838 701 +15.3 34,627 35,426 -2.3
Middle Atlantic--------------------------- (20 cities) 3,333* 3,601 3,161 +5.4 159,119 156,535 +1.7
East North Central------------------------(21 cities) 2,518 2,766 2,487 +1.2 120,019 121,861 -1.5
West North Central--------------------------(9 cities) 811 954 845 -4.0 38,346 39,064 -1.8
Bouth Atlantic------------------------------(11 cities) 1,080* 1,151 993 +8.8 48,481 48,211 +0.6
East South Central---------------------------(8 cities) 628 613 526 +19.4 25,510 25,498 +0.05
West South Central--------------------------(1 cities) 1,015 1,216 1,076 -5.7 47,912 48,895 -2.0
Mountain---------------------------------- (8 cities) 411 403 370 +11.1 17,924 17,697 +1.3
Pacific-------------.-----------------.....(13 cities) 1,708* 1,615 1,531 +11.6 69,442 69,772 -0.5

*Includes estimate for missing reports.










Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

(By place of occurrence and week of filing certificate. Excludes fetal deaths)
ii T 1


NEW ENGLAND:
Boston, Mass.----------
Bridgeport, Conn.--------
Cambridge, Mass.--------
Fll 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.----------
Philadelpnia, 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, Ws.-----
Peoria, Ill.-------------
Rockford, Ill.-----------
South Bend, Ind.--------
Toledo, Ohio-------------
Youngstown, Ohio---------

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


49th
week
ended
Dec.
9,
1961


48th
week
ended
Dec.
2,
1961


Cumulative,
first 49 weeks


4 t


t1
35
20
54
75
19
37
30
62


42
38
156
51
27
40*
66
90
1,718
33
515
200
26
101
28
47
60
46
25
24


50
49
725
174
180
119
94
313
34
48
47
24
53
165
26
145
24
34
31
114
69


78
20
46
128
(29)
109
64


318
42
44
18
51
23
22
30
62
62
15
54
39
58


44
43
150
42
30
56
99
169
1,799
44
447
274
28
106
22
33
68
68
49
30


64
32
788
177
252
143
100
373
46
48
33
54
33
174
50
117
34
26
33
126
63


81
36
37
137
(42)
144
82


11,907
1,919
1,448
1,347
2,390
1,210
1,087
1,259
2,210
3,060
647
2,160
1,300
2,683


2,259
1,680
7,095
2,071
1,446
1,913
3,401
4,994
81,244
1,901
24,599
9,376
1,144
4,963
1,185
1,730
3,019
2,199
1,406
1,494


2,789
1,565
36,256
7,685
9,902
5,633
3,921
16,255
1,776
2,089
1,857
1,516
2,209
7,028
1,630
6,010
1,395
1,394
1,401
4,858
2,850


2,683
1,255
1,847
6,278
(1,376)
5,792
3,376


12,283
1,999
1,495
1,382
2,435
1,160
1,192
1,231
2,193
3,147
652
2,207
1,367
2,683


2,133
1,714
7,074
2,056
1,425
1,902
3,424
4,754
79,940
1,903
23,701
9,468
1,164
4,941
1,151
1,878
3,063
1,997
1,329
1,518


2,776
1,692
37,582
7,681
10,314
5,800
3,730
16,426
1,821
1,970
1,795
1,516
2,017
7,101
1,595
6,125
1,482
1,409
1,441
4,881
2,707


2,703
1,241
1,724
6,135
(1,261)
6,105
3,587


Area


Cumulative,
first 49 weeks


__ __ __ __ 4 4 4


WEST NOR1T CENTRAL-Con.:
St. Louis, Mo.--------
St. Paul, Minn.----------
Wichita, Kans.-----------

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, .-------
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.------

San Juan, P. R.--------


49th
week
ended
Dec.
9,
1961


48th
week
ended
Dec.
2,
1961


1961


260
55
51


123
240
56
65
69
44*
87
38
(61)
103
217
38


102
45
26
165
131
53
42
64

42
25
17
142
46
62
137
44
185
76
117
67
55


28
20
140
10
100
19
52
42


18
(57)
(38)
50*
65*
587
99
41*
189
68*
108*
235*
(---)
148
51
49

(25)


1960


11,586
3,230
2,299


5,548
11,999
1,794
2,841
3,702
2,411
3,818
1,604
(3,273)
3,201
9,623
1,940


4,216
2,274
1,359
5,591
5,589
1,981
1,585
2,915


1,657
1,379
1,076
6,079
1,738
3,171
8,070
2,743
8,217
3,636
4,985
2,492
2,669


1,558
808
5,644
826
4,037
825
2,359
1,867


827
(2,128)
(1,629)
1,986
2,725
24,554
4,791
1,640
5,307
3,029
4,402
9,541
(---)
6,421
2,341
1,878

(1,611)


11,924
3,373
2,272


5,755
12,303
1,892
2,884
3,476
1,942
3,809
1,641
(3,469)
3,169
9,452
1,888


4,173
2,319
1,370
5,546
5,469
2,030
1,679
2,912


1,639
1,406
1,126
6,099
1,853
3,243
8,137
2,789
8,742
3,681
4,888
2,621
2,671


1,577
818
5,831
803
3,742
794
2,374
1,758


831
(2,181)
(1,814)
2,026
2,695
24,442
4,690
1,696
5,401
2,872
4,444
9,665
(1,695)
6,670
2,345
1,995

(1,700)


*Estimate based on average percentage of divisional total.

() Figures shown in parenthesis are from cities which have
been reporting less than five years and hence are not in-
cluded in Table 3.


U U ~ U




UNIVERSITY 0 ILUKIUA


3 1262 08863 9777


Morbidity and Mortality Weekly Report


Polio -Fifteen cases of poliomyelitis, 10 paralytic,
were reported for the 49th week ending December 8. This
is essentially unchanged from the 15 cases, 11 paralytic,
reported the preceding week.
Hepatitis The 1,367 cases of hepatitis reported for
the 49th week are 74 more than reported for the 48th week.
This represents 208 more cases than were reported for
the 49th week of 1960. This continued increase in re-
ported cases indicates the seasonal rise characteristic
of hepatitis. Significant rises were reported from the
Mountain and East North Central States. Only slight in-
creases were noted in all other regions with the exception
of the East South Central States which reported a slight
decrease.


International Notes Quarantine Measures
Cholera and Cholera-like Disease
Unofficially reported are over two thousand cases
and three hundred deaths due to a cholera-like disease
which have occurred to date in the Philippine Islands.
The disease appears to be spreading.
All persons entering the United States within five
days after leaving infested areas and the Philippine Is-
lands will be required to present a valid certificate of
immunization against cholera.
The Division of Foreign Quarantine recommends that
all persons traveling to the Far East receive cholera
vaccine.

Yellow Fever Vaccination Centers
The following name should be added to the list of Yellow
Fever Vaccination Centers in Section 6:
City Center Clinic Hours Fee
Virginia Bureau of Public Health Friday, 1-4:30 pm Yes
Lynchburg 701 Hollins Street by appointment
Tel: Victor 6-5273

Immunization Information for International Travel
Correction of Public Health Service Publication #384,
Section 5, page 53.
France under recommendations by USPHS, delete "T"
which refers to Typhus.


SOURCE AND NATURE OF MORBIDITY DATA

These provisional data are based on reports to the
Public Health Service from the health departments of
each State and Puerto Rico. They give the total number
of cases of certain communicable diseases reported
during the week usually ended the preceding Saturday.
Total figures for the United States and the Pacific Divi-
sion include data for the States of Alaska and Hawaii.
Cases of anthrax, botulism, and rabies in man are not
shown in table 2, but a footnote to table 1 shows the
States reporting these diseases. When diseases of rare
occurrence are reported by a State (cholera, dengue,
plague, louse-borne relapsing fever, smallpox, louse-
borne epidemic typhus, and yellow fever) this is noted
below table 1.


rD8CUMENi I



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