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:
AA00010654:00244

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
1 l f I


Morbidity and Mortality



PUBLIC HEALTH SERVICE

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

,Pr1perd by the C S MEIrose 4-5131

For release 6, 1961 Atlanta 22, Georgia Vol. 10, No. 39

Provisi n Information on Selected Notifiable Diseases in the United States and on

Deaths in Selected Cities for Week Ended September 30, 1961

4l8, itis Ajtal of 67 cases of poliomyelitis, The tri-county epidemic in Upstate New York appears
inc u ing 36 paralytic, have been reported for the current to be diminishing with only three new cases in the last
week ending September 30. This is slightly less than the week. (See Epidemiological Reports).
71 total cases, 41 paralytic, reported during the previous Seven of the II cases reported from Pennsylvania are
week. from Erie County. Six of the seven have had onset in
The number of poliomyelitis cases reported has now
The number of poliomyelitis cases reported has now September and all are children under 10 years of age.
dropped two weeks in succession following the 1961 high The five cases from Ohio are scattered, each one from a
The five cases from Ohio are scattered, each one from a
week ending September 16. The very low incidence through different county.
the first 39 weeks of this year compared to previous years Hepatitis For the 39th week, there were 1,111
is shown in the following table.
is shown in the following table. cases of hepatitis reported. This is approximately 100
Poliomyelitis Cases (Cumulative) Through 39th Week
cases less than was reported in the preceding week. Since
1961 1960 1959 1958 1957 July there has been only slight variation in the number
Paralytic 589 1573 4055 1860 1583 of reported hepatitis cases each week. An upward or
Total 915 2290 6337 3818 4889 downward trend is still not apparent.

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

Disee 39th Week Cumulative
Disease
(Seventh Revision of International Approxl-
Lists, 1955) Ended Ended First 39 weeks Since seasonal low week mate
Sept. Oct. seasonal
30, 1, Median Median low
Weekly incidence low or sporadic 1ei-r. .Median i9t4-5t point
Data not available i961 196 i1 l9 -. 1-0i61 19 po to
uantity zero 1 9,9- '.
Anthrax---------------- 062 5 15 *
Botulism-----------------------049.1 5 10 *
Brucellosis undulantt fever)------044 7 9 11 461 597 606 *
Diphtheria--------------.--------055 11 26 19 412 495 559 103 150 162 July I
Encephalitis, infectious-------- 082 44 60 67 1,217 1,449 1,492 1,217 1,4'9 1,492 Jan. 1
Hepatitis, infectious, and
serum----------------092,N998.5 pt. 1,111 840 276 57,275 28,650 15,081 4,.54 3,085 1,082 Sept. 1
Malaria-------------------- 110-117 1 3 44 56 *
Measles-------------------------085 706 754 911 388,395 402,869 .50,812 2,767 2,989 3,517 Sept. 1
Meningitis, aseptic----------340 pt. 149 138 --- 2,292 2,184 --- 2,292 2,184 --- Jan. I
Meningococcal infections---------057 27 30 37 1,618 1,660 1,823 103 126 139 Sept. 1
Poliomyelitis--------------------080 67 179 384 915 2,290 4,881 812 2,080 4,353 Apr. 1
Paraly.tic------------080.0,080.1 36 127 179 589 1,573 1,576 529 1,416 1,301 Apr. 1
Nonparalytic------------------080.2 17 30 163 217 490 2,516 192 463 2,355 Apr. 1
Inspecified------------------080.3 14 22 42 109 227 789 91 201 697 Apr. 1
Psittacoies----------------- 096.2 1 3 54 76 *
Rabies in man-------------------094 3 2 *
Streptococcal sore throat,
Including scarlet fever-----050,051 3,591 4,378 --- 246,510 238,138 --- 27,299 --- --- Aug. 1
Tphold fever---------------------040 20 28 31 600 620 777 486 490 597 Apr. 1
Typhus fever, endemic----------- 101 1 30 53 *
Rabies in animals--.------------- 62 38 68 2,634 2,771 3,400 3,210 3,735 4,347 Oct. I








Morbidity and Mortality Weekly Report


INFLUENZA A2


INFLUENZA A2


1958


1959


1960


PNEUMONIA-INFLUENZA DEATHS(2)
IN 108 U. S. CITIES


NUMBER
900-

800-

700-

600-

500-

400-

300-

200-

100-


PREDICTED


1961 1962


EPIDEMIOLOGICAL REPORTS


Influenza 1960-61

The winter of 1960-61 was an unusually quiet in-
fluenza season for the United States although a number
of outbreaks were reported in other parts of the world.
Localized outbreaks of influenza were reported from New
York City and Connecticut but no excess mortality was
noted for the United States as a whole.
New York City experienced an increased incidence
of pneumonia and influenza deaths during February and
March but no evident widespread outbreaks. With a 10-
year average ranging between 55 and 65 pneumonia and
influenza deaths per week, the weekly average in New
York City during the first 4 months of 1961 was 88.4.
In addition, sera from the age group 60 and over showed
that the percentage of these individuals with A2 anti-
bodies increased from 58 to 80 percent. Five A2 isolates
were obtained.
Small outbreaks occurred in New Haven, Connecticut
among university personnel and in Stamford, Connecticut.
In March, the crew of a cargo liner which had just left
New York Harbor experienced an outbreak. Serologic titer
rises to type A influenza were obtained.
Canada experienced localized outbreaks of influenza
this past winter. Confirmed isolates were all A2 strains.
They were obtained in Ontario, Labrador and Alberta.
In mid-April, a small outbreak of influenza B occurred
in Fort Yukon, Alaska. The outbreak was sudden with


the epidemic curve falling within a 2 week period. The
overall and age specific attack rates did not differ signi-
ficantly between the white and native populations. Lower
respiratory tract sequelae were present in about 15% of
cases, varying from mild rales and friction rubs to full-
blown pneumonic infiltrations. Fourteen of 19 serum pairs
showed a four-fold or greater increase in antibody titer
against the B/Great Lakes/1739:54 influenza virus anti-
gen as measured by the hemagglutination-inhibition test.
In other parts of the world, widespread outbreaks of
A2 influenza were confirmed in Panama, the Philippines
and the United Kingdom. Community-wide outbreaks were
reported from Rio de Janeiro, Brazil; Dublin, Ireland;
Dar-es-Salaam, Tanganyika; Cape Town. South Africa and
small, localized outbreaks from Poland and Finland. Type
B influenza was widespread throughout Japan and around
Seoul, Korea. A focal outbreak in Norway due to Type B
influenza was also reported.
During the summer, an extensive outbreak occurred
in the Philippines (MMWR, Vol. 10, No. 24), The epidemic
commenced at the end of May and was reported to be
declining by mid-July. Information obtained from serologic
studies implicates Type A, but unfortunately no virus
isolations were made.
During June, the Republic of Panama and Canal Zone
populations experienced an episode of influenza-like ill-
ness. The clinical symptoms were relatively mild. Two
clinical entities were thought to be prevalent: (1) an
influenza-like syndrome, and (2) a transitory illness in
which headache and photophobia were more prominent.
(Continued on page 8)


o-e- OBSERVED


.1 _









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 OCTOBER 1, 1960 AND SEPTEMBER 30, 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 speclfred by type) Nonparalytic aseptic lant
Area fever
Area Cumulative, Cumulative, fever)
39th Week first 39 weeks 39th Week first 39 weeks 080.2 340 pt. 044

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

UNITED STATES--------- 67 179 915 2,290 36 127 589 1,573 17 30 149 7

NEW EGAND-------------- 7 18 193 5 15 152 2 14 -
Maine--------------------- 2 1 32 2 1 32 5 -
New Hampshire------------- 1 -
Vermont-------------------- 3 6 3 2 -
Massachusetts-------------- 1 9 27 1 8 19 8 -
Rhode Island--------------- 3 99 2 76 1 1 -
Connecticut---------------- 1 4 29 3 23 1 -
MIDDE ATLANTIC-------------- 29 27 244 319 11 21 161 234 7 5 5 -
New York------------------- 17 11 172 181 9 8 110 122 4 2 2 -
New Jersey----------------- 1 3 32 64 3 26 49 1 -
Pennsylvania---------------- 11 13 40 74 2 10 25 63 2 3 3 -
EAST NORTH CENTRAL --------- 8 38 102 390 6 32 62 229 1 5 57 1
Ohio----------------------- 5 5 30 91 4 4 16 42 7 -
Indiana-------------------- 12 11 87 11 6 65 1 1 -
Illinois------------------- 1 6 22 117 1 5 10 79 1 23 1
Micnigan------------------- 2 9 20 67 1 8 16 34 1 1 26 -
Wisconsin------------------ 6 19 28 4 14 9 2 -
WEST NORTH CENTRAL----------- 4 13 56 133 1 9 25 72 3 3 20 5
Minnesota------------------ 5 6 41 5 6 34 15 1
Iowa----------------------- 2 18 21 9 4 2 4 -
Missouri------------------- 2 2 14 26 2 3 17 2 -
North Dakota--------------- 1 1 3 10 3 1 -
South Dakota--------------- 1 4 1 -
Nebraska------------------- 1 1 7 13 1 1 4 8 -
Kansas--------------------- 2 7 18 1 3 5 1 1 4
SOUTH ATLANTIC--------------- 7 38 148 380 7 33 109 286 4 5 -
Delaware------------------- 2 1 -
Maryland------------------- 3 21 26 72 3 21 26 66 -
District of Columbia------- 1 2 1 2 -
Virginia------------------ 1 4 10 21 1 4 8 19 4
West Virginia-------------- 1 2 22 34 1 1 14 26 1 -
North Carolina------------- 2 14 69 2 7 49 -
South Carolina------------- 7 15 117 3 10 76 4 -
Georgia-------------------- 1 1 28 16 1 1 21 14 -
Florida-------------------- 1 29 51 1 20 36 -
EAST SOUTH CENTRAL----------- 4 20 68 166 1 3 40 71 1 8 -
Kentucky------------------- 2 17 23 93 5 5 -
Tennessee------------------ 1 1 17 30 1 8 23 1 1 -
Alabama-------------------- 1 9 14 1 9 14 2 -
Mississippi---------------- 1 1 19 29 1 1 18 29 5 -
WEST SOUTH CENTRAL----------- 9 15 123 ',3 4 10 64 135 5 4 1 -
Arkansas------------------- 2 15 23 2 6 15 1 -
Louisiana------------------ 4 40 42 3 30 27 1 -
Oklahoma------------------- 2 3 14 1 9 -
Texas---------------------- 5 11 65 144 1 7 28 84 4 4 -
MOUNTAIN--------------------- 1 5 42 65 1 5 24 32 4 -
Montana-------------------- 2 3 16 2 2 12 -
Idaho--------------------- 14 5 6 1 -
Wyoming-------------------- 18 4 -
Colorado------------------- 2 6 13 2 6 12 -
New Mexico----------------- 1 3 5 1 2 -
Arizona-------------------- 8 4 1 6 4 -
Utah---------------------- 8 4 4 1 -
Nevada--------------------- -
PACIFIC---------------------- 5 16 114 421 5 9 89 362 7 35 1
Washington----------------- 20 27 14 27 3 -
Oregon--------------------- 1 3 14 31 1 1 7 17 2 -
California------------------ 3 13 76 354 3 8 64 309 5 32 1
Alaska--------------------- 2 2 -
Hawaii--------------------- 1 4 7 1 4 7 -

Puerto Rico------------------ 4 6 452 4 6 445 -









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 OCTOBER 1, 1960 AND SEPTEMBER 30, 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 092,1998.5 pt. asls
infectious
Area Cumulative, Cumulative,
39th Week first 39 weeks 082 39th Week first 39 weeks 085

1961 1Pe', I' I 9 ,9 i 1 I ; I -f- 1W 1 19 19r1 i90, i9c, i 19C


UNTED STATES---------- 11 26 412 495 44 60 1,111 840 57,275 28,650 706 754

NW ENGLAND--------------- I1 7 10 1 39 27 1,742 859 61 94
Maine--- ------------ 2 4 1 113 51 14 14
New Hampshire------------- 1 1 153 26 3 2
Vermont------------------ 1 175 12 7 21
Massachusetts-------------. 1 6 7 22 17 690 431 24 43
Rhode Island------------ 1 1 2 5 207 167 2 5
Connecticut--------------- 1 9 3 404 172 11 9
MIDDLE ATLANTIC- ----- 20 13 15 9 152 125 7,876 3,421 86 89
New York---------- 7 3 9 5 64 73 3,337 1,858 54 42
New Jersey----- ------ 2 3 23 9 1,873 231 20 38
Pennsylvania--------------- 13 8 6 1 65 43 2,666 1,332 12 9
EAST NORTH CETRAL ------ 2 15 38 6 11 205 128 11,432 5,17,0 177 162
Ohio----------------------- 1 1 16 2 5 59 55 3,835 1,769 21 23
Indiana------------------ 1 5 4 20 12 1,735 580 6 36
Illinois-----------------.. 1 10 6 2 1 57 27 2,027 1,088 49 23
Michigan----------------- 3 9 2 1 62 27 3,551 1,547 61 37
Wisconsin----------------- 2 7 7 284 186 40 43
WEST NORTH CENTRAL--------- 1 1 36 26 2 3 78 53 5,521 2,002 14 19
Mfnnesota----------------- 1 24 8 18 18 1,204 248 3 1
Iowa----------------------- 1 2 7 28 2 1,622 334 2 9
Missouri------------------- 2 2 2 10 18 1,236 727 1
North Dakota-------------- 2 1 1 3 126 144 7 8
South Dakota-------------- 6 5 3 150 129 2 -
Nebraska----------------- 2 1 7 4 568 211 -
Kansas---- ------- -- 2 12 8 615 209 WN NN
SOUTH ATLATIC--------------- 2 14 90 154 4 8 124 78 7,111 3,331 49 50
Delaware ------------ 3 1 169 201 4
Maryland------------------ 1 1 2 9 6 648 342 6 3
District of Columbia----- 2 4 2 93 42 2 1
Virginia------------------ 3 15 21 21 12 1,124 646 5 11
West Virginia------------- 1 4 2 21 11 1,332 622 16 15
North Carolina------------- 1 7 8 2 1 21 16 1,545 297 1 2
South Carolina-------- 2 8 45 14 1 372 52 1 5
Georgia----------------- 1 2 24 24 7 6 631 220 -
Florida ---------------- 1 6 32 51 2 3 24 23 1,197 909 18 9
EAST SOUT CENTRAL----- 4 3 36 50 1 178 112 8,616 4,104 56 120
Kentucky---- ---------- 1 1 9 2 1 71 33 2,550 1,505 5 73
Tennessee--------------- 3 7 54 34 3,399 1,331 44 46
Alabama ----------------- 3 1 19 23 26 27 1,494 890 1 -
Mississippi--------------- 1 5 18 27 18 1,173 378 6 1
WEST SOUTH CETRAL------- 3 6 194 168 4 15 106 46 4,195 2,281 117 53
Arkansas------------------ 1 4 12 1 13 4 823 119 12 1
Louisiana--------------- 1 23 34 24 9 449 127
Oklahoma-------------------- 1 8 16 1 1 6 5 281 285 2 6
Texas--- --------- 2 4 159 106 2 14 63 28 2,642 1,750 103 46
MOUNTAIN--------------- 8 35 3 1 45 48 3,430 2,289 42 39
Montana----------------- 2 3 1 5 305 108 1 -
Idaho-------------------- 11 1 4 1 253 263 2 6
Wyoming---------------- 5 136 23 2
Colorado------------------ 4 3 19 16 1,160 830 13 5
New Mexico--------------- 1 4 3 8 4 379 274 1 -
Arizona------------------- 3 6 20 526 516 14 19
Utah----------------------- 6 7 552 198 10 7
Nevada--------------------- 1 2 119 77 2
PACIFIC--------------------- 6 1 8 13 184 223 7,352 5,193 104 128
Washington----------------- 1 2 30 30 842 593 21 24
Oregon------.------.----.- 1 45 43 1,136 856 16 36
California----------------- 2 7 10 106 140 4,987 3,507 62 53
Alaska------------------- 4 1 2 9 335 162 15
Hawaii ---------------- 1 1 52 75 5 -

Puerto Rico-- -------- 2 2 50 112 17 9 759 606 75 14

tN-Not Notifable









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 OCTOBER 1, 1960 AND SEPTEMBER 30, 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
Meningoccocal Psitta- T fever,
Malaria infections cosis sore fever, Rabies in
infections cosis throat, endemic
throat, endemic
Area etc. Cumulative,
110-117 057 096.2 050,051 39th Week first 39 weeks 101

1961 1961 1960 1961 1961 1961 1960 1961. 1960 1961 1961 1960

UNIEDSTAT ES-------- 1 27 30 1 3,591 20 28 600 620 1 62 38

HEW ENGIAND----------------- .- 118 18 8 -
Maine--------------------- 5 1 2 -
New Hampshire-------------- 2 -
Vermont-------------------- 15 -
Massachusetts------------- 16 12 3 -
Rhode Island--------------- 14 2 -
Connecticut---------------- 66 3 3 -
MIDDLE ATLANTIC-------------- 5 2 82 1 70 43 3 7
New York------------------- 1 1 54 1 35 29 2 7
New Jersey----------------- 1 14 17 1 -
Pennsylvania-------------- 4 14 18 13 1 -
EAST NORTH CENTRAL-------- 10 11 247 6 78 82 8 3
0hio---------------------- 1 23 2 26 22 3 -
Indiana-------------------- 1 64 19 22 2 -
Illinois------------------- 2 1 25 1 25 21 -
Michigan------------------ 6 10 54 3 5 12 3 -
Wisconsin------------------ 81 3 5 3
WEST NORTH CENTRAL-------. 2 4 125 1 32 36 21 13
Minnesota-----------------. 1 1 6 5 1 3 1
Iowa----------------------- 39 1 2 6 7 6
Missouri------------------ .- 6 19 21 3 2
North Dakota------------- 73 1 1 -
South Dakota--------------- 3 3 5 3
Nebraska------------------ 1 3 1 1 2 1 1
Kansas--------------------- 2 2 1 -
SOUTH ATLANTIC--------------- 2 3 362 4 3 96 94 3 6
Delaware------------------- 2 1 1 -
Maryland------------------ 4 1 2 5 -
District of Columbia------- 1 10 7 -
Virginia------------------- 100 1 2 15 22 3
West Virginia-------------- 116 9 9 1 1
North Carolina------------- 1 5 1 14 8 -
South Carolina------------- 15 8 11 -
Georgia-------------------- 2 2 1 26 21 -
Florida-------------------- 119 1 11 10 2 2
EAST SOUTH CENTRAL--------- 1 802 3 8 62 90 4 2
Kentucky------------------ 27 1 4 13 19 1 -
Tennessee------------------ 1 722 1 2 40 50 2 1
Alabama-------------------- 9 1 2 7 16 1 1
Mississippi---------------- 44 2 5 -
WEST SOUTH CENTRAL----------- 3 3 640 8 5 134 176 1 19 5
Arkansas------------------- 1 1 1 22 40 3 1
Louisiana---------------- 2 4 1 20 55 2
Oklahoma------------------- 3 12 12 -
Texas---------------------- 3 2 635 3 3 80 69 1 16 2
MOUNTAIr-------------------- 2 1 784 4 52 35 2 1
Montana-------------------- 21 16 9 -
Idaho-------------------- 56 1 1 3 -
Wyoming-------------------- 1 3 4 -
Colorado------------------ 1 1 259 1 6 1 -
New Mexico----------------- 245 14 8 2 1
Arizona-------------------- 124 2 6 9 -
Utah----------------------- 75 2 1 -
Nevada--------------------- 4 4 -
PACIFIC---------------------- 1 3 5 1 431 4 1 58 56 2 1
Washington----------------. 1 1 217 7 5 -
Oregon--------------------- 1 39 1 8 -
California----------------- 3 3 1 164 4 1 50 42 2 1
Alaska--------------------- 1 -
Hawaii------- ------- -

Puerto Rico------------------ 2 1 17 18 1







Morbidity and Mortality Weekly Report


15,000 NUMBER OF DEATHS IN SELECTED CITIES


CURRENT WEEK
14,000 ---------
----- 5-WEEK MOVING AVERAGE

ADJUSTED AVERAGE

13,000 -- -- --



I 2,000





,1,000 M ----- -- U I NV-
Il~oo- -.



10,000 --- ----- -



A T I ARI9,0 00 U IU SP TTI T O I 1
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV EC


15,000







13,000

15,000

12,000


10,000



9,000


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 CIIEB BY GEOGRAPHIC DIVISION

( C place oe occurrence and week of fi lag certiiteate. Excludes fetal death. Data exclude figures shovn in arentheses in table 4)

39th 38h PercentA Cu.mulative, first 39 veeka
veek veek tAdj-std change,
ended ended aver6e, adJusted
Ase 39th average
Sept. Se pt. v to Percent
30, 23, I1961 19ehan
week

TOTAL, 117 FOMilI CT' S --------------------- 10,93' 10,773 10,788 +1.- --6,238 .'9,292 -0.7

wl E g .and--.----.----------------------(14 cities) 703 611 644 +9.2 27,387 28,077 -2.5
ddle Atlantic--------------------------- (20 cities) 3,002* 2,985 2,948 +1.8 127,161 124,394 +2.2
Esat North Central---------.----------------(21 cities) 2,328 2,325 2,316 +0.5 95,371 97,243 -1.9
Vest North Central-- -----------------(9 cities 759 748 751 +1.1 30,416 31,2&0 -2.6
Both Atlantic----------------------------.(11 cities) 976 883 902 +8.2 38,554 38,547 +0.02
aat South Central--- -------------------( cities) 485* 505 504 -3.8 20,192 20,452 -1.3
WHer Scruth Central------- -------------(1 cities) 904 1,034 968 -6.6 38,153 39,431 -3.2
Mountain-------.--......------------------( cities) 381 6 361 350 --.9 1,231 11,066 +1.3
Pacific---------------------- ---------(13 citlces, 1,396 1,3:1 1, 5 -3.6 51,763 55,842 -1.9

*Includes estimate for isting reports.










Morbidity and Mortality Weekly Report 7

Table 4. DEATHS IN SELECTED CITIES

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


39th 38th Cumulative, 39th 38th
week week week week Cumulatve,
first 39 weeks Mfirst 39 weeks
ended ended first 39 weeks ended ended first 39 weeks
Area Sept. Sept. Sept. Sept.
30, 23, 30, 23,
1961 1961 1961 1960 1961 1961 1961 1960


NEW ENGLAND:
Boston, Mass.------------ 247
Bridgeport, Conn.------- 41
Cambridge, Mass.--------- 24
Fall River, Mass.-------- 25
Hartford, Conn.---------- 40
Lowell, Mass.------------ 31
Lynn, Mass.-------------- 23
New Bedford, Mass.------ 21
New Haven, Conn.--------- 41
Providence, R.I.--------- 70
Somerville. Mass.- ----- 11
Springfield, Mass.------ 37
Waterbury, Conn.--------- 23
Worcester, Mass.--------- 69

MIDDLE ATLANTIC:
Albany, N.Y.-------- 52
Allentown, Pa.--- ----- 36
Buffalo, N.Y.------------ 146
Camden, N.J.------------- 38
Elizabeth, N.J.---------- 25
Erie, Pa.---------------- 38
Jersey City, N.J.----- 53
Newark, N.J.------------- 113
New York City, N.Y.------ 1,490
Paterson, N.J.----------- 27
Philadelphia, Pa.-------- 462*
Pittsburgh, Pa.------- 179
Reading, Pa.--------- 23
Rochester, N.Y.---------- 110
Schenectady, N.Y.-------- 27
Scranton, Pa.------------ 31
Syracuse, N.Y.----------- 44
Trenton, N.J.----------- 56
Utica, N.Y.-------------- 21
Yonkers, N.Y.- --------- 31

EAST NORTH CENTRAL:
Akron, Ohio-------------- 62
Canton, Ohio------------- 33
Chicago, Ill.------------ 717
Cincinnati, Ohio--------- 149
Cleveland, Ohio---------- 181
Columbus, Ohio----------- 125
Dayton, hio------------ 55
Detroit, Mich.----------- 314
Evansville, Ind.--------- 35
Flint, Mich.------------- 45
Fort Wayne, Ind.--------- 26
Gary, Ind.--------------- 28
Grand Rapids, Mich.----- 37
Indianapolis, Ind.------- 123
Madison, Wis.----------- 32
Milwaukee, Wis.---------- 128
Peoria, Ill.------------ 41
Rockford, Ill.----------- 32
South Bend, Ind.--------- 25
Toledo, Ohio------------- 93
Youngstown, Ohio-------- 47

WEST NORTH CENTRAL:
Des Moines, Iowa--------- 56
Duluth, Minn.------------ 25
Kansas City, Kans.----- 42
Kansas City, Mo.-----.-- 117
Lincoln, Nebr.--------- (32)
Minneapolis, Minn.------- 138
Omaha, Nebr.----------- 58


221
36
25
30
40
25
24
18
36
45
8
39
16
48


40
35
130
36
33
26
54
82
1,484
29
476
211
19
104
27
40
60
39
32
28


75
31
728
140
169
110
84
308
36
26
35
29
33
138
33
120
28
17
31
104
50

58
21
30
122
(25)
108
72


9,409
1,498
1,128
1,046
1,860
953
850
1,007
1,781
2,432
511
1,724
1,041
2,147


1,780
1,347
5,711
1,663
1,144
1,526
2,688
3,939
64,794
1,508
20,027
7,428
903
3,948
938
1,378
2,372
1,765
1,092
1,210

2,235
1,202
28,892
6,082
7,877
4,471
3,126
12,983
1,414
1,663
1,485
1,185
1,747
5,525
1,282
4,790
1,113
1,096,
1,115
3,836
2,252

2,098
1,012
1,453
4,980
(1,083)
4,651
2,693


9,757
1,597
1,216
1,106
1,889
931
941
963
1,752
2,480
516
1,750
1,067
2,112


1,693
'1,347
5,670
1,646
1,142
1,509
2,785
3,789
63,241
1,493
19,102
7,528
925
3,887
927
1,461
2,390
1,607
1,057
1,195

2,221
1,344
30,020
6,141
8,171
4,601
2,916
13,255
1,416
1,564
1,436
1,222
1,617
5,722
1,231
4,890
1,187
1,113
1,122
3,897
2,157

2,137
989
1,368
4,890
(1,017)
4,848
2,875


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

SOUTH ATLANTIC:
Atlanta, Ga.------------
Baltimore, MH.----------
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:
lirmingham, 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.-----------

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


198
65
60


107
234
40
70
66
48
59
39
(48)
61
212
40


79
44
23
1061
103
46
36
48


37
21
9
116
33
63
179
62
168
55
94
39
28


32
24
146
13
73
19
49
25


14
(28
(31
52
62
470
82
38
109
59
89
195
(27
131
48
47

(26


I I.


214
69
54


86
213
27
50
78
44
54
38
(58)
58
196
39


90
51
39
86
100
43
43
53


33
30
22
131
42
58
222
64
161
81
99
39
52


26
8
116
18
94
17
48
34


20
(35)
(30)
44
44
431
89
39
131
38
93
182
(27)
108
59
43

(34)


9,144
2,568
1,817


4,393
9,589
1,387
2,241
2,955
1,940
3,005
1,279
(2,648)
2,591
7,620
1,554


3,325
1,827
1,079
4,462
4,402
1,583
1,249
2,265


1,331
1,060
847
4,873
1,366
2,495
6,452
2,218
6,562
2,893
3,979
1,966
2,111

1,214
632
4,502
650
3,208
657
1,891
1,497


673
(1,679)
(1,293)
1,565
2,137
19,355
3,746
1,294
4,165
2,414
3,448
7,595
(1,354)
5,052
1,826
1,493

(1,311)


9,643
2,709
1,781


4,615
9,817
1,524
2,323
2,836
1,561
3,034
1,321
(2,776)
2,544
7,501
1,471


3,311
1,839
1,093
4,499
4,381
1,620
1,357
2,352


1,351
1,131
923
4,864
1,501
2,613
6,643
2,255
7,019
2,910
3,944
2,128
2,149

1,200
652
4,636
644
3,003
644
1,896
1,391


659
(1,719)
(1,511)
1,610
2,127
19,689
3,759
1,338
4,305
2,254
3,497
7,759
(1,356)
5,385
1,850
1,610

(1,386)


*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.


I




ui'IV=?%alTIT r -LUNKIUA

III3 2ll 2 08863 9868III l ll
3 1262 08863 9868


Morbidity and Mortality Weekly Report


Three viruses were isolated from throat swabs of patients.
These isolates were Type A2 by hemagglutination-
inhibition tests.
During June and July an epidemic of influenza was
reported in Cape Town, South Africa and the surrounding
area within a radius of 100 miles. The disease was mild
and no deaths occurred. All the strains of virus isolated
belonged to sub-group A2 with one exception (Johannes-
burg B).
No outbreaks have been reported in the United States
since those in New York and Connecticut in mid-winter.
It is known, however, that influenza A commonly appears
every 2-3 years and influenza B in cycles of 4 to 6 years.
A has been absent in epidemic form since early 1960
within the United States; B, except for a few outbreaks
in 1959, has been absent since 1955. It is likely that
epidemics of influenza due to the Type A or B viruses
or both will appear during the winter of 1961-62.


Poliomyelitis New York State

Through Monday, October 1, 74 cases of paralytic
poliomyelitis have occurred in the contiguous counties of
Onondaga, Madison and Oneida, an increase of only three
cases during the past week. Of the 74 cases, 44 have
occurred in Onondaga County (31 in Syracuse), 17 in
Madison County and 13 in Oneida County. The last case
to occur in either Madison or Oneida County had onset on
September 13. The 70 paralytic cases with onset of symp-
toms since August are shown by county:


8/5

2
4
2
8


8/12

1
3
2
6


8/19 8/26 9/2 9/9

4 11 11 3
5 2 1 1
2 3 1 0
11 16 13 4


9/16

7
0
2
9


9/23 9/30

2 1
0 0
0 0
2 1


In addition to the 74 paralytic cases, 22 nonparalytic
cases have been recognized in the tri-county area. Type
I poliovirus has been isolated from 13 of the paralytic
cases and one nonparalytic case.


QUARANTINE MEASURES
Immunization Information for International Travel 1960 edition
Public Health Service Publication No. 384

The following name should be added to the list of Yellow
Fever Vaccination Centers in Section 6:
City Center Clinic Houts Fee
Texas Odessa-Ector County Wednesday No
Odessa Health Department 1-2 p.m.
3 and North Lee St.
Tel. FE 2-4261


FOR SOURCE AND NATURE OF MORBIDITY DATA SEE
LAST WEEK'S MORBIDITY AND MORTALITY WEEKLY
REPORT


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Madison
Oneida
Total




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