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:
AA00010654:00243

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
p.60


/ 9 to0 f/


Morbidity and Mortality



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


U


Prepared by the


I COMM AILE DSEASE CEN


MElrose 4-5131


For release September 15, 1961 Atlanta 22, Georgia Vol. 10, No. 36

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

Deaths in Selected Cities for Week Ended September 9, 1961


Poliomyelitis A total of 62 cases, including 37
paralytic, was reported for the week ending September 9.
This represents very little change from the 60 cases, in-
cluding 36 paralytic, reported during the previous week.
Thus, poliomyelitis has had no substantial increase for
two successive weeks. The incidence of poliomyelitis
continues to remain well below previous years as shown
in the following table:

Pollomyelitis Cases (Cumulative) Through 36th Week
1961 1960 1959 1958 1957
Paralytic 454 1200 3122 1262 1305
Total 685 1735 4956 2597 4162


New York continue r ot
ported with 14 total a
week (See Epidemiolog*c Reports).
The only other VS' es with more tl
cases for the current I eek wSrfpPe
and West Virginia apd dlifornia with r r
no concentration of\ca~ie within these Si


EPIDEMIC


Poliomyelitis Upstate New Yorl
Through Saturday, September 9, 46 cases of paralytic
poliomyelitis have been reported from the Counties of


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

Disease 36th Week Cumulative
(Seventh Revision of International Approxi-
Lists, 1955) Firet 36 weeks Since seasonal low week mate
Ended Ended seasonal
Sept. Sept. Median Median low
Weekly incidence low or sporadic 9, 10, 19-F Median i 9-e point
-- Data not available 1961 1960 19Ui L9. 195-i0 196C-61 1 -6CL to
Quantity zero 1 959-6:
Anthrax ------ ------.---- 06 5 12 *
Botulism----------------------049.1 1 5 8 *
Brucelloais undulantt fever) ---044 15 7 22 428 558 564 *
Diphtheria--------.-------.--....-055 6 14 14 380 428 513 71 94 116 July I
Enoephalitis, infectious ------082 31 57 68 1,098 1,281 1,259 1,098 1,281 1,259 Jan. 1
Hepatitis, infectious, and
ezum-..--.------------- 092,N998.5 pt. 995 679 268 53,820 26,182 14,268 995 679 268 Sept. 1
Malaria-------------------110-117 1 38 46 > *
Measles.--------------------... ..085 697 725 824 386,325 400,582 448,032 697 719 824 Sept. 1
Mlningitil, aseptic----------340 pt. 142 146 --- 1,862 1,751 --- 1,862 1,751 --- Jan. 1
Meningococaal infectioa----------057 20 28 29 1,535 1,563 1,721 20 28 29 Sept. 1
Poiolrqaeliti.-------------------080 62 153 314 685 1,735 -,155 582 1,523 3,627 Apr. 1
Paralytic-------------080.0,080.1 37 110 152 454 1,200 1,299 394 1,041 1,024 Apr. 1
Nonparalytic-----------080.2 16 26 122 150 167 2,179 125 341 2,018 Apr. 1
Unnpecifled------------------080.3 9 17 40 81 368 677 63 1ll 585 Apr. 1
Pesttacosis.--------------- .096.2 2 1 51 72 *
abes in an--------------------09 3 I *
Btreptococcal sore throat,
including scarlet fever----050,051 2,958 2,987 --- 236,649 226,89. --- 17,438 -- --- Aug. 1
Typhoid fever------------------040 30 22 2? 540 544 678 426 415 498 Apr. 1
Tfphus fever, endemic----------..101 26 51 *
Bables in animal.--t------------- 60 44 64 2,455 2,639 3,209 3,031 3,606 4,139 Oct. 1


Figures for current week exclude missing report
Botulism 1 Florida


from Oklahoma


Plague 2 N.M. (Previously described Vol. 10, No. 30, July 29
and Vol. 10, No. 35, Sept. 2)








Morbidity and Mortality Weekly Report


CURRENT U. S. HEPATITIS INCIDENCE
compared with years 1954, 1959, 1960


DATA PROVIDED BY NATIONAL OFFICE OF VITAL STATISTICS and
COMMUNICABLE DISEASE CENTER


JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC


Onondaga, Madison and Oneida in upstate New York. An
additional 14 paralytic cases have been recognized
through Wednesday, September 13. Of the 60 cases, 34
have occurred in Onondaga County (22 in Syracuse), 15
in Madison County, and 11 in Oneida County. Type I
poliovirus has been isolated from seven of these cases.
The tri-county area was the scene of an intensive im-
munization program from August 29-31. Over 400,000
doses of Type I oral poliovaccine were fed during this
period (total population 742,000).
The 57 paralytic cases with onset of symptoms since
July are shown below. Cases continue to occur in Onon-
daga County while the last case to occur in either Madi-
son or Oneida County was on September 1.


Week Ending:
Onendaga County
Medisen County
Oneida County
Total


8/19
4
5
2
11


8/26
10
2
3
15


Fifteen cases have been reported with onset since
the oral immunization program began. All but one of the
15 cases are from Onondaga County. Of the 15 cases, 11
received oral vaccine as shown below:
Interval in Days Between Oral Vaccine and Onset of Symptoms

No Oral Vaccine Some Day 1 2 3 4 5 6 7
4 2 0 2 3 1 1 1 1


Unusual Outbreak New York State


An unusual outbreak of disease occurred from June 8-
21 in New York State. It came to light when two physi-
cians in a small community in Chenango County saw a
large number of patients with signs and symptoms of ap-
pendicitis. Six appendectomies were performed. On opera-
tion the patients were found to have mesenteric adenitis
instead of appendicitis.
An attempt was made to determine the incidence of
illness in the village and its environs (total population of
4,600). The local industries had no unusual absenteeism.
A visit by public health nurses to the homes of children
absent from the Central School (enrollment 1,521) revealed
110 cases of illness, ranging from mild, cramp-like ab-
dominal pain to more serious illness, lasting 5 to 6 days
with pain and tenderness, especially in the RLQ or LLQ
of the abdomen. Twenty-four had mild diarrhea. None had
blood in the stool. In the cases seen by physicians, the
temperatures ranged from 99 to 103. A few cases had ab-
dominal muscle spasm. Other symptoms were: headache,
nausea, dizziness, vomiting, and stiff neck. No respira-
tory complaints or pain in the chest were noted. Investi-
gation revealed no common source.
The disturbing feature of the outbreak was the dif-
ficulty in distinguishing between real appendicitis which
required surgery and the epidemic disease which did not.
(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 SEPTEMBER 10, 1960 AND SEPTEMBER 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- loss
Total Paralytic 080.0,080.1 gitis, (undu-
(Includes cases not specified by type) Nonparalytic aseptic lant
Area Cumulative, Cumulative, fever)
36th Week first 36 weeks 36th Week first 36 weeks 080.2 340 pt. 044

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

UNITED STATES--------- 62 153 685 1,735 37 110 454 1,200 16 26 142 15

EW ENGLAND------------ -- 3 18 15 159 2 13 12 125 1 5 9
Maine---------------------- 8 1 19 8 1 19 1
New Hampshire-------------- 1 1
Vermont-------------------- 2 2 3 2 1 2 -
Massachusetts-------------- 1 2 7 25 1 2 6 17 4
Rhode Island--------------- 3 94 1 73 2 3
Connecticut---------------- 2 3 4 18 1 2 3 15 1 1 -
MIDDLE ATLANTIC-------------- 23 26 134 222 15 22 101 171 6 3 5
New York------------------- 14 10 85 127 9 8 61 92 3 1 2
New Jersey----------------- 2 9 25 48 2 7 22 37 2 -
Pennsylvania--------------- 7 7 24 47 4 7 18 42 3 3 -
EAST NORTH CENTRAL----------- 8 35 73 275 3 23 41 155 3 8 38 4
Ohio----------------------- 6 19 68 4 10 29 1 8
Indiana------------------- 2 16 9 56 12 5 41 1 2 1
Illinois------------------- 2 5 19 91 1 2 8 58 1 3 11 4
Michigan------------------- 2 4 14 45 1 4 11 23 1 17
Wisconsin------------------ 2 4 12 15 1 1 7 4 2 1
WEST NORTH CENTRAL----------- 4 15 41 92 2 10 19 51 1 4 35 4
Minnesota------------------ 1 4 5 31 1 4 5 24 12 1
Iowa ---------------------- 2 3 13 14 1 1 6 3 1 2 16 3
Missouri------------------- 2 10 15 2 2 9 -
North Dakota--------------- 1 7 3 -
South Dakota--------------- 1 1 3 1 4
Nebraska------------------- 4 4 10 2 3 7 2
Kansas--------------------- 2 7 12 1 3 4 3
SOUTH ATLANTIC--------------- 8 16 129 277 6 12 97 199 1 4 11 2
Delaware------------------- 2 1 -
Maryland------------------- 1 2 22 23 1 2 22 20 -
District of Columbia------- 1 1 -
Virginia------------------- 2 8 11 2 6 9 7
West Virginia-------------- 3 17 27 3 12 22 1
North Carolina------------- 5 11 60 2 6 42 3 2
South Carolina------------- 1 4 12 98 3 9 65 1 -
Georgia-------------------- 3 27 12 3 20 10 -
Florida-------------------- 3 29 46 2 20 31 1 3 -
EAST SOUTH CENTRAL----------- 3 5 54 113 1 2 32 57 1 1 3
Kentucky---------------- -- 3 20 56 5 5 1
Tennessee------------------ 3 1 13 20 1 1 7 15 1 1 2
Alabama-------------------- 1 8 11 1 8 11 -
Mississippi---------------- 13 26 12 26 -
WEST SOUTH CENTRAL----------- 6 8 102 187 3 6 54 109 3 2 3 2
Arkansas------------------- 1 1 11 17 1 4 9 1 1
Louisiana------------------ 2 33 38 2 25 24 1
Oklahoma------------------- --- 2 3 10 --- 1 6 --- 1 -- --
Texas---------------------- 3 5 55 122 1 4 25 70 2 1 2 1
MOUNTAIN--------------------- 2 9 40 53 1 23 22 2 -
Montana-------------------- 3 13 2 9 1 -
Idaho---------------------- 1 13 5 6 1 -
Wyoming-------------------- 8 16 -
Colorado------------------- 1 6 7 1 6 6 -
New Mexico----------------- 3 4 -
Arizona-------------------- 7 4 4 -
Utah----------------------- 1 8 4 4 1 1
Nevada--------------------- -
PACIFIC---------------------- 5 21 97 357 5 21 75 311 38
Washington----------------- 1 19 20 1 15 20 5 -
Oregon--------------------- 1 12 25 1 5 14 -
California----------------- 3 21 64 303 3 21 53 268 33
Alaska--------------------- 2 --- 2 -
Hawaii------------------ 2 7 -- 2 7 -

Puerto Rico------------------ 7 5 423 7 5 416 -








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 SEPTEMBER 10, 1960 AND SEPTEMBER 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. eagles
infectious

Area Cumulative, Cumulative,
36th Week first 36 weeks 082 36th Week first 36 weeks 085

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


UNITED STATES--------- 6 14 380 428 31 57 995 679 53,820 26,182 697 725

NEW ENGLAND----------------- 6 10 1 2 50 19 1,574 789 72 54
Maine -------- ----- 2 3 1 98 47 4 11
New Hampshire------------ 14 130 25 7 3
Vermont-------------------- 1 165 11 6 1
Massachusetts------------ 5 7 1 20 5 608 392 39 26
Rhode Island------------------- 1 1 10 7 201 156 1 4
Connecticut--------------- 1 3 6 372 158 11 9
MIDDLE ATLANTIC-------------- 1 20 13 6 6 94 89 7,413 2,987 107 107
New York----------------- 7 3 4 42 49 3,116 1,593 56 82
New Jersey----------------- 2 1 31 3 1,795 208 21 10
Pennsylvania--------------- 1 13 8 2 5 21 37 2,502 1,186 30 15
EAST NORTH CENTRAL-------- 15 35 7 10 193 131 10,818 4,778 157 209
Ohio----------------------- 1 15 5 1 60 32 3,645 1,604 13 29
Indiana-------------------- 1 5 2 26 9 1,673 545 11 13
Illinois----------------- 10 4 2 7 42 53 1,880 994 68 18
Michigan--- ----------- 3 9 58 35 3,355 1,464 26 37
Wisconsin------------------ 2 7 2 265 171 39 112
WEST NORTH CENTRAL---------- 3 1 34 22 1 4 54 46 5,263 1,866 15 26
Mfnnesota----------------- 3 1 23 6 9 10 1,145 215 3
Iowa---------------------- .- 1 5 22 4 1,531 313 5 8
Missouri-------------- ---- 2 14 19 1,196 688 3
North Dakota--------------- 2 1 1 122 139 7 14
South Dakota--------------- 6 5 140 124
Nebraska.---------. ----. 2 1 1 8 5 545 193 1
Kansas--------------------- 2 4 1 7 584 194 NIl NN
SOUTH ATLANTIC--------------- 1 3 78 122 4 8 143 78 6,687 3,103 65 44
Delaware------------------- 1 5 156 193 1 6
Maryland------------------ 1 1 2 5 6 618 314 5 6
District of Columbia------- 2 1 2 1 83 39 1 1
Virginia------------------- 1 15 13 1 1 31 9 1,070 614 37 16
West Virginia-------------- 1 4 1 37 14 1,262 580 14 9
North Carolina------------- 7 5 1 28 2 1,427 266 1
South Carolina------------- 1 5 38 11 339 47 1 -
Georgia-------------------- 1 21 20 2 14 9 618 207 2 2
Florida------------------ 1 26 41 3 14 32 1,114 843 4 3
EAST SOUT CENTRAL--------- 1 4 29 45 9 174 95 8,086 3,764 50 63
Kentucky----------------- 8 1 50 27 2,378 1,398 7 1
Tennessee------------------ 1 3 7 5 75 30 3,223 1,234 34 60
Alabama-------------------- 1 1 13 21 25 24 1,416 811 9 -
Mississippi-------------- 2 5 16 4 24 14 1,069 321 2
WEST SOUTH CENTRAL----------- 4 184 145 2 10 85 39 3,912 2,154 90 58
Arkansas------------------- 1 4 5 1 16 766 110 2 -
Louisiana----------------- 1 23 30 14 4 419 110 -
Oklahoma------------------ --- 2 5 9 --- 1 --- 6 261 270 --- 1
Texas------------------- 152 101 2 8 55 29 2,466 1,664 88 57
MOUNTAIN-------------------- 2 8 35 3 3 53 61 3,281 2,123 46 81
Montana-------------------- 2 3 2 5 288 90 8 21
Idaho--------------------- 11 1 2 6 239 255 3 1
Wyoming-------------------- 5 2 1 135 22 3
Colorado------------------- 4 3 17 14 1,102 765 12 24
New Mexico-------------- 1 4 4 9 360 259 NN -
Arizona------------------- 3 3 21 9 510 480 20 13
Utah---------------------- 2 6 6 6 537 192 3 18
Nevada-------------------- 1 12 110 60 1
PACIFIC-------------------- 6 1 7 5 149 121 6,786 4,618 95 83
Washington---------------- 27 16 764 520 12 2
Oregon------------------- 1 13 28 1,032 764 26 43
California---------------- 2 6 5 101 74 4,634 3,119 44 35
Alaska- ----------------- 4 1 7 2 308 150 10 3
Hawaii--------------------- 1 1 48 65 3 -

Puerto Rico----------------- 2 48 105 12 1 699 567 50 2

1M-Not Notifiable








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 SEPTEMBER 10, 1960 AND SEPTEMBER 9, 1961 Continued

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

Strepto-
coccal Typhoid fever 040 Typhus
Malaria Meningoccocal Psitta- sore f
infections cosis hrot, endec Rabies in
throat, endemic
Area etc. Cumulative,
110-117 057 096.2 050,051 36th Week first 36 weeks 101

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

UNITED STAES --------- 1 20 28 2 2,958 30 22 540 544 60 44

EW ENGAND ------------------ 1 96 16 8 -
Maine-------------------- 9 1 2 -
New Hampshire------------- 5 -
Veront------------------ 12 -
Massachusetts-------------- 1 16 10 3 -
Rhode Island--------------- 7 2 -
Connecticut--------------- 47 3 3 -
MIDDIE ATIANTIC------------- 1 2 5 89 6 1 63 38 4 4
New York------------------- 1 4 70 5 1 31 24 3 4
New Jersey---------------- 1 8 1 17 1 -
Pennsylvania-------------- 2 1 15 13 1 -
EAST NORTH CNTRAL-------- 8 7 1 140 5 5 73 74 6 4
Chio----------------------- 1 1 9 3 1 25 19 1 2
Indiana----------------- --- 1 32 2 3 18 22 2 1
Illinois------------------- 2 3 11 1 24 20 3 -
Michigan------------------ 5 2 55 4 8 1
Wisconsin------------------ 1 33 2 5 -
WEST NORTH CENTRAL -.------- 77 3 28 32 20 11
Minnesota----------------- 2 2 5 1 2 3
Iowa----------------------- 16 1 1 6 6 3
Missouri----------------- 6 2 16 19 6 3
North Dakota--------------- 1 40 -
South Dakota------- ------ 3 2 2 -
Nebraska------------------ 1 1 2 4 2
Kansas-------------------- 12 2 1 -
SOUTH ATLANTIC-------------- .- 5 3 178 7 2 89 83 11 9
Delaware------------------- 1 1 1 1
Maryland--------------- 2 3 -
District of Columbia--- 1 9 7 -
Virginia----------------.-- 2 1 81 5 14 18 4 6
West Virginia-------------- 55 9 6 4 3
North Carolina----------- 2 3 13 8 3 -
South Carolina------------- -- 20 1 6 11 -
Georgia------------------- 2 2 25 20 -
Florida------------------ 18 10 9 -
EAST SOUTH CENTR .--------- 2 2 832 6 3 55 71 3 1
Kentucky--------------- 1 70 2 10 14 1 1
Tennessee------------------ 1 694 4 3 38 40 -
Alabama---------------- 1 42 6 12 2
Mississippi-------------- 1 26 1 5 -
WEST SOUTH CENTRAL---------- 5 551 2 2 119 160 8 8
Arkansas------------------ 18 37 2 1
Louisiana-----. ------.-- 4 2 1 1 15 54 2
Oklahoma------------------ -- --- --- --- --- 11 0 --- --
Texas---------------------- 549 1 1 75 59 6 5
MOUNTI-------------------- 797 2 45 31 3 6
ontana------------------- 43 1 14 9 -
Idaho--------------- --- 1 23 1 2
Wyoming------------------- 2 3 4 -
Colorado------------------ 300 6 5
New Mexico----------------- 275 1 9 8 2 -
Arizona-------------------- 77 6 7 1 1
Utah----------------------- 77 2 1 -
Nevada------------------ 4 -
PACIFIC-------------------- 3 3 198 4 4 52 47 5 1
Washington-------------- 1 60 1 7 5 -
Oregon------------------ 1 15 1 1 7 -
California-----.---------- 1 3 105 3 3 44 35 5 1
Alaska -------------- 14 -
Ha aii 4 ------------ -

Puerto Rico---------------- 4 1 17 17







6 Morbidity and Mortality Weekly Report


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 not 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 week of filing certificate. Excludes fetal deaths. Data exclude figures shown in parentheses in table 4)

36h 35th ercet Cumulative, first 36 weeks
week week Adjusted change,
ended ended average, adjusted
Area Sept. Sept. 36th average
9, 2, eek to 1961 1960 Percent
1961 1961 1956-60 current change
week

TOTAL, 117 REPOMTIN CITIES---------------------- 10,766 11,082 10,412 +3.4 413,485 416,873 -0.8

New England-------------------------------(14 cities) 674 665 616 +9.4 25,367 26,060 -2.7
Middle Atlantic-----------------------------(20 cities) 3,210 3,087 2,829 +13.5 118,050 115,533 +2.2
East North Central-------------------------(21 cities) 2,360 2,435 2,246 +5.1 88,334 90,248 -2.1
West North Central-------------------------. (9 cities) 722 737 738 -2.2 28,141 29,149 -3.5
South Atlantic------------.----------------(1l cities) 1,040 908 871 +19.4 35,811 35,845 -0.1
East South Central---------------------------(8 cities) 390 521 480 -18.8 18,637 18,845 -1.1
West South Central-------------------------(13 cities) 876A 1,041 965 -9.2 35,313 36,597 -3.5
Mountain-----------------------------------(8 cities) 287 376 328 -12.5 13,149 13,067 +0.6
Pacific----------------------------------- (13 cities) 1,2070 1,312 1,339 -9.9 50,683 51,529 -1.6

*Includes estimate for missing reports.


15,000



14,000



13,000



12,000


11,000 % A---- I---



10,000



r9,o I T I I I II I T I i i
SII ITI IIT T ITTlllT IIIT I IT _III ITIT lTil I TIIIT Ii i TTII I I


JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV


DEC









Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


Area


NEW ENGIAND:
Boston, Mass.-----------
Bridgeport, Conn.-------
Cambridge, Mass.--------
Fall River, Mass.------
Hartford, Conn.---------
Lowell, Mass.------------
Lynn, Mass.--------------
New Bedford, Mass.------
New Haven, Conn.--------
Providence, R.I.--------
Somerville, Mass.-------
Springfield, Mass.------
Waterbury, Conn.--------
Worcester, Mass.--------

MIDDLE ATLANTIC:
Albany, N.Y.--------
Allentown, Pa.--------
Buffalo, N.Y.----------
Camden, N.J.-------------
Elizabeth, N.J.-------
Erie, Pa.---------------
Jersey City, N.J.-------
Newark, N.J.------------
New York City, N.Y.----
Paterson, N.J.---------
Philadelphia, Pa.-----
Pittsburgh, Pa.---------
Reading, Pa.------------
Rochester, N.Y.----------
Schenectady, N.Y.--------
Scranton, Pa.-----------
Syracuse, N.Y.----------
Trenton, N.J.-----------
Utica, N.Y.-------------
Yonkers, N.Y.------------

EAST NORTH CENTRAL:
Akron, Ohio--------------
Canton, Ohio-------------
Chicago, Ill.-----------
Cincinnati, Ohio---------
Cleveland, Ohio---------
Columbus, Ohio-----------
Dayton, Ohio------------
Detroit, Mich.----------
Evansville, Ind.--------
Flint, Mich.------------
Fort Wayne, Ind.---------
Gary, Ind.-------------
Grand Rapids, Mich.-----
Indianapolis, Ind.------
Madison, Wi.------------
Milwaukee, Wis.---------
Peoria, Il.-------------
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.----------
Minneapolls, Minn.-------
Omaha, Nebr.-----------


36th
week
ended
Sept.
9,
1961



219
35
29
29
59
19
21
21
40
72
10
45
26
49


34
45
114
43
39
40
54
105
1,809
40
399
111
17
123
27
35
71
43
22
39


54
27
718
147
191
124
83
323
35
40
41
30
50
110
38
107
27
25
23
93
74


56
21
37
111
(34)
115
49


35th
week
ended
Sept.
2,
1961



231
40
35
21
44
26
16
24
41
68
9
34
25
51


47
29
120
33
23
38
51
93
1,523
49
550
199
18
89
22
38
58
43
34
30


Cumulative,
first 36 weeks


1961



8,677
1,379
1,043
972
1,737
882
775
942
1,661
2,254
477
1,614
976
1,978


1,653
1,244
5,305
1,542
1,044
1,428
2,518
3,669
60,195-
1,412
18,599
6,852
836
3,629
868
1,281
2,203
1,625
1,017
1,130


2,042
1,106
26,788
5,633
7,328
4,107
2,909
12,033
1,304
1,544
1,393
1,103
1,624
5,123
1,183
4,420
1,015
1,022
1,022
3,535
2,100


1,926
930
1,351
4,609
(994)
4,297
2,493


1960



9,075
1,478
1,133
1,022
1,744
870
874
885
1,625
2,296
485
1,646
992
1,935


1,567
1,253
5,293
1,541
1,071
1,407
2,543
3,481
58,700
1,391
17,801
6,956
849
3,619
866
1,356
2,225
1,506
995
1,113


2,052
1,261
27,885
5,659
7,636
4,267
2,674
12,377
1,300
1,443
1,350
1,144
1,514
5,280
1,146
4,495
1,078
1,039
1,028
3,619
S2,001


1,996
922
1,252
4,629
(946)
4,494
2,683


36th 35th Cumulative,
week week Cumulative,
ended I ended first 36 weeks
ended ended


S _____ J _____ A _______ I _______


Sept.
9,
1961


WEST NORTH CENTRAL-Con.:
St. Louis, Mo.------ 230
St. Paul, Minn.--------- 64
Wichita, Kans.----------- 39

SOUTH ATIANTIC:
Atlanta, Ga.------------- 112
Baltimore, Mi.----------- 245
Charlotte, N.C.---------- 43
Jacksonville, Fla.------- 64
Miami, Fla.------------- 70
NorfolK, Va.------------- 42
Richmond, Va.------------ 73
Savannah, Ga.------------ 35
St. Petersburg, Fla.---- (54)
Tampa, Fla.--------- 55
Washington, D.C.------ 258
Wilmington, Del.--------- 43

EAST SOUTH CENTRAL:
8irmingham, Ala.--------- 56
Chattanooga, Tenn.------- 38
Knoxville, Tenn.-------- 19
Louisville, Ky.---------- 76
Memphis, Tenn.---------- 102
Mobile, Ala.------------- 37
Montgomery, Ala.----- 23
Nashville, Tenn.------ 39

WEST SOUTH CENTRAL:
Austin, Tex.------------- 39
Baton Rouge, La.--------- 17
Corpus Christi, Tex.---- 9
Dallas, Tex.------------- 147
El Paso, Tex.------------ 25
Fort Worth, Tex.------ 59*
Houston, Tex.------------ 99
Little Rock, Ark.----- 54
New Orleans, La.--------- 180
Oklahoma City, Okla.--- 64
San Antonio, Tex.-------- 78
Shreveport, La.---------- 50
Tulsa, Okla.------------- 55

MOUNTAIN:
Albuquerque, N. Mex.---- 21
Colorado Springs, Colo.- 24
Denver, Colo.---------- 85
Ogden, Utah-------------- 14
Phoenix, Ariz.--------- 59
Pueblo, Colo.------------ 16
Salt Lake City, Utah----- 35
Tucson, Ariz.------------ 33

PACIFIC:
Berkeley, Calif.------- 17
Fresno, Calif.----------- (39)
Glendale, Calif.--------- (19)
Honolulu, Hawaii--------- 26
Long Beach, Calif.------- 63
Los Angeles, Calif.------ 414
Oakland, Calif.---------- 81
Pasadena, Calif.--------- 28
Portland, Oreg.------ 95
Sacramento, Calif.------- 48
San Diego, Calif.-------- 88
San Francisco, Calif.--- 153
San Jose, Calif.--------- (35)
Seattle, Wash.--------- 130
Spokane, Wash.----------- 42
Tacoma, Wash.------------ 22

San Juan, P. R.------------- (34


Sept.
2,
1961


1961


4 4 4


1960


200
67
54


103
240
27
65
60
44
68
26
(45)
73
164
38


78
43
18
164
96
38
27
57


47
19
23
151
36
69
204
61
158
62
110
47
54


30
13
145
23
70
19
38
38


21
(41)
(36)
42
52
497
89
30
86
56
91
163
(25)
105
49
31

(27)


8,506
2,374
1,655


4,089
8,928
1,287
2,071
2,752
1,807
2,830
1,171
(2,486)
2,424
7,017
1,435


3,079
1,683
982
4,128
4,095
1,449
1,124
2,097


1,232
982
789
4,511
1,262
2,302
5,923
2,023
6,080
2,696
3,687
1,842
1,984


1,131
586
4,120
605
2,958
606
1,751
1,392


617
(1,591)
(1,198)
1,433
1,987
17,960
3,476
1,190
3,835
2,237
3,173
7,022
(1,263)
4,705
1,671
1,377

(1,211)


8,976
2,534
1,663


4,279
9,101
1,412
2,173
2,638
1,466
2,814
1,237
(2,592)
2,389
6,969
1,367


3,058
1,681
1,029
4,105
4,056
1,486
1,243
2,187


1,258
1,013
876
4,529
1,390
2,421
6,078
2,073
6,574
2,703
3,699
1,962
2,021


1,127
599
4,282
598
2,810
594
1,773
1,284


608
(1,626)
(1,392)
1,490
1,976
18,181
3,433
1,231
4,000
2,086
3,245
7,104
(1,258)
4,976
1,709
1,490

(1,274)


*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.





3 1262 08864 0023


Morbidity and Mortality Weekly Report


Examination of stools from 6 cases and from an
ileocecal lymph node yielded no virus on tissue culture
or on mouse inoculation. Other laboratory findings were
unrevealing.
(Reported by Daniel P. McMahon, M.D., District Health
Officer, Binghamton District, New York State Department
of Health).

INTERNATIONAL NOTES
Cholera Southeast Asia
In the 4 weeks since Hong Kong was first declared
a cholera infected port on August 17, there have been 124
cases of cholera there, including i4 deaths. Strict control
measures and mass immunizations have been continuing
in Hong Kong and in many neighboring Southeast Asian
countries. No newly infected areas have been reported in
Southeast Asia since August 17.


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 I 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.


I=
-a

a Z


nn
a ,n


QUARANTINE MEASURES

Immunization Information for International Travel


No Changes Reported


c

oIl

C,




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