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:
AA00010654:00247

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


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Morbidity and M,



U. S. DEPARTMENT OF HEALTH, EDUCATION, AN

PUBLIC HEALTH SERVICE


Prpared hy the


MElrose 4-5131


ATLANTA 22 GEOR A


ror re ease My 18, j.--O.......... ...... Vol. 11. No. 19
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED MAY 12, 1962


POLIOMYELITIS A total of 14 cases, 12 paralytic, was
reported during the week ending May 12. Of the 12 para-
lytic cases, Texas reported 7, California 3, and Arizona
and Georgia one each.
The 7 paralytic cases in Texas include 3 from Bexar
County (San Antonio), 2 from Webb County (Laredo), and
one each from Hidalgo and Montgomery Counties. A
total of 7 Webb County paralytic cases has been reported
to date in 1962. Four of the 7 cases have had onsets
within the past 3 weeks.


WEBB COUNTY, TEXAS, POLIOMYELITIS, 1962


Date of Vaccination
Age (yr.) Sex Onset Status (Salk) Remarks
8/12 F 3-3 OV
1-7/12 M 3-15 OV Fatality
5 M 3-23 1V Fatality
3 M 4-30 OV
1-3/12 F 5-2 OY
13 F 5-8 OV
17 F 5-12 OV


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
19th Week Cumulative
Disease Ended Ended M n First 19 weeks
Median
May 12, May 13, 1957 1961 Median
1962 1961 1962 1961 1957 1961
- pl i menineir i- .............. 22 31 -- 352 464
Prul11 10 21 140 200 256
Diphtheria .... .................. 6 11 9 183 263 288
Encephalitis, infectious .......... 20 61 42 527 539 499
Hipajin infectious and serum.. 1,093 1,547 385 25,161 33,647 9,664
M.ea '-l .. ... .............. 24,632 19,855 20,763 313,303 258,041 263,971
Mlningu. o, c .I infections......... 42 64 52 936 952 1,055
RPO iom',ell-.. total.............. 14 10 19 116 146 312
Paralytic .................... 12 8 7 84 96 163
Nonparalytic ................ 2 1 8 14 29 95
Un-pecif t d ...........i 1 4 18 21 54
Srreptococcal .ire throat
and Scarlet fever ............ 7,428 7,389 --- 160,165 173,601
Tetanus ....... ......... .. .. .- --- 48 ..
Tularemia .................. ...2 -- -- 89
Typhoid fever ................... 6 16 16 144 191 197
Typhus fever, tick-borne,
(Rocky Mountain spotted)...... 5 ------ 14 ---
Rabies in Animals............... 85 67 76 1,623 1,363 1,590


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis: Wis. 1, N. Y. 1
Botulism: Rabies in Man:
Malaria: N. c. 2 Smallpox:
Plague: Typhus, murine:


I~Us~ ~III


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Morbidity and Mortality Weekly Report






REPORTED PARALYTIC POLIO IN U. S. BY COUNTY-1962 onset through May 12


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* 1 parolytic case
* 2paralytic cases
0 3or more paralytic cases


i Puro Rico
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A total of 6 cases of paralytic poliomyelitis has
been reported in 1962 from Bexar County, Texas. Un-
vaccinated pre-school and school age children are largely
involved as shown in the following table. Five of the 6
patients have had onsets of disease within the past
month, and 3 within the past 2 weeks. Virologic study of
specimens is in progress.



BEXAR COUNTY, TEXAS, POLIOMYELITIS, 1962

Age (yr.) Sex Date of Onset Vaccination Status (Salk)

31 M 3-11 OV
2 M 4-18 OV
9 M 4-25 OV
1 M 5-1 OV
4 F 5-1 OV
6 F 5-4 OV


Of the 84 paralytic cases reported thus far in 1962,
61 have had onsets since January 1, 1962. The paralytic
cases with onsets in 1962 are shown on the map above.








HEPATITIS The 1093 cases of hepatitis reported for
the week ending May 12 represent the smallest number
reported for any week since November 1961.


EPIDEMIOLOGICAL REPORTS

Erythema Infectiosum State of Washington
Between December 1961 and April 1962, over 500
cases of erythema infectiosum occurred in Port Angeles,
Washington. Preliminary results on the investigation of
168 of the cases are available. The age distribution of
the cases is shown below:


AGE GROUP NO. OF CASES
0- 9 82
10-19 72
20-29 3
30-39 3
40-49 7
50-59 1
Total 168


One hundred and thirty-three (79%) of the 168 investi-
gated cases were between the ages of 5 and 14.
Signs and symptoms in these patients included a
surprising variety of complaints in addition to the rash:

SIGN OR SYMPTOM NUMBER
Rash 168 (100%)
Malaise, fatigue, or irritability 74 ( 44%)
Headache 46 ( 27%)
Anorexia, nausea, or vomiting 44 ( 26%)
Fever (99.6 to 1020) 29 (17%)
Joint Pain 19 (11%)
Abdominal Pain 18 ( 11%)


146


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Howaii
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Morbidity and Mortality Weekly Report


The rash was the most prominent finding. It was
macular or maculo-papular. Most characteristic was the
slapped cheek appearance of the rash on the malar emi-
nences and infra-orbital portions of the face. The rash
was often transitory and prone to repeated occurrences
throughout the course of the illness. It was symmetrical
and blanched easily on pressure. Sites of the rash are
shown below:


SITE OF RASH NO. OF CASES
Arms 145 (86%)
Face 126 (75%)
Legs 111 (66%)
Chest 82 (49%)
Abdomen 74 (44%)
Back 69 (41%)
Neck 51 (30%)


The duration of illness was variable, but in most
cases was less than one week:



DURATION NO. OF CASES
1-7 days 85
8-14 days 30
15 or more days 6
Undetermined (recovery not certain) 47
Total 168


Attempts are under way to isolate an organism from
blood, stools, and throat washings.
(Reported by Dr. Ernest A. Ager, Head, Communicable
Disease Control, State of Washington.)


(Continued on page 152)


INFANT DEATHS IN 108 CITIES


The average number of infant deaths reported in 108
cities during the recent four-week period ending May 12
was essentially the same as during the preceding four
weeks. However, since this is the season of expected
decline in the number of infant deaths, the excess mor-
tality is larger than in the preceding four-week period.
Characteristic of reported figures on infant deaths
is the marked weekly fluctuation; the number of deaths
per week ranged from 686 to 822 during the current
period.


TOTAL DEATHS UNDER ONE YEAR OF AGE
RECORDED IN 108 CITIES

week ending 4 Week Weekly
4/21 4/28 5/5 5/12 Total Average
Observed 686 740 822 810 3,058 764
Expected 754 751 749 747 3,001 750
Excess -68 -11 73 63 57 14


NUMBER

OF I 1

DEATHS







PERIOD N'
S1960 961 1962 1963


(See table, paRe 151)


DEATHS UNDER ONE YEAR OF AGE IN 108 U.S, CITIES
Average number per week by four-week periods











148 Morbidity and Mlortalit% Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 13, 1961 AND MAY 12, 1962



I Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis


Area


Cumulative Cumulative
19th week First 19 weeks 19th week First 19 weeks 19th week 19th week


1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961

UNITED STATES...... 14 10 116 146 12 8 84 96 2 1 22 31

NEW ENGLAND .............. 1 3 1 3 1
Maine ............. -
New Hampshire........ -
Vermont .............. -
Massachusetts........ 2 2 1
Rhode Island..........- -
Connecticut........... 1 1 1 1

MIDDLE ATLANTIC.......... 2 30 13 2 17 12 4 6
New York............... 30 5 17 4 4 4
New Jersey................ 1 5 1 5 1
Pennsylvania 1 3 1 3 1

EAST NORTH CENTRAL....... 1 9 21 6 13 1 3 7
Ohio.................. 4 8 4 4 1 1
Indiana............... 1 3 3 2 2 1
Illinois.............. 1 6 5 2 1
Michigan.............. 1 1 4
Wisconsin............ 1 3 I 1

WEST NORTH CENTRAL....... 7 4 4 3
Minnesota................ 1 1 1 1
Iowa................... 3 1 2
Missouri .............. 3 1
North Dakota..........
South Dakota..........
Nebraska............... 2 2
Kansas.................

SOUTH ATLANTIC........... 1 9 13 1 7 9 2
Delaware.............. 2 1
Maryland ..............
District of Columbia..
Virginia .............. 2 2 2
West Virginia......... 2 1
North Carolina ........ 2 3 1 2
South Carolina........ 1 1 1 1
Georgia................ 1 2 2 1 2 2
Florida............... 2 3 1 2

EAST SOUTH CENTRAL....... 1 5 15 3 3
Kentucky ............. 1 1 14 1 2
Tennessee............. 2
Alabama..................
Mississippi ........... 2 1 2 1

WEST SOUTH CENTRAL....... 8 3 33 20 7 3 30 11 1 2 2
Arkansas.............. 1 1 -- -
Louisiana............. 1 5 6 1 5 4
Oklahoma ......... -
Texas................. 8 2 27 13 7 2 24 7 1 2 2

MOUNTAIN................. 1 8 17 1 5 10 2 3
Montana............... 2 1 1 1
Idaho................. 3 1
Wyoming ..............- -
Colorado.............. 3 3 2 3
New Mexico............ 2 1 -
Arizona............... 1 3 3 1 3 1
Utah....................... 1 6 1 4
Nevada...............

PACIFIC .................. 4 3 14 40 3 3 11 32 1 11 10
Washington............ 2 2 1 3
Oregon................. 3 1 1
California............ 4 2 13 33 3 2 10 27 1 10 6
Alaska. ...............
Hawaii................ 1 1 2 1 1 2

Puerto Rico.............. 3 5 3 5 3










Morbidity and Mortality Weekly Report 149


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 13, 1961 AND MAY 12, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Area _---
Cumu- Cumu- 19th week
lative lative Under 20 &
19th week 19 weeks 19th week 19 weeks 19th week 20 yr. over Total Total 19th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STAS ...... 11 140 6 183 20 61 606 413 1,093 1,547 24,632 19,855

NEW ENGLAND.............. 2 28 25 56 34 3,286 2,099
Maine ................. 9 5 14 1 308 55
New Hampshire......... 1 3 1 47 116
Vermont................ 1 1 105 47
Massachusetts......... 15 12 27 13 1,250 924
Rhode Island.......... -- 2 1 1 2 5 232 494
Connecticut........... 1 7 9 14 1,344 463

MIDDIE ATLANTIC........... 1 4 2 2 29 66 66 132 209 5,571 4,409
New York............... 1 2 2 4 29 37 66 93 2,989 1,573
New Jersey............ 1 1 6 9 19 28 51 2,346 1,014
Pennsylvania ......... 2 19 28 10 38 65 236 1,822

EAST NORTH CENTRAL....... 30 6 3 3 157 80 245 392 3,803 5,313
Ohio.................. 1 49 16 69 115 654 933
Indiana............... 2 3 25 8 36 92 405 352
Illinois............... 25 3 37 19 57 75 1,074 446
Michigan .............. 1 3 2 38 35 73 99 1,291 1,883
Wisconsin............. 2 8 2 10 11 379 1,699

WEST NORTH CENTRAL....... 8 64 3 38 36 18 60 125 513 947
Minnesota ............ 4 1 13 3 6 26 78 46
Iowa.................. 4 36 1 12 7 20 45 140 641
Missouri.............. 2 2 5 14 4 19 20 99 150
North Dakota.......... 1 1 3 4 3 162 94
South Dakota.......... 1 3 7 3 1 4 1 1
Nebraska.............. 6 11 2 3 11 34 15
Kansas ................ 3 12 I 3 1 4 19 NN NN

SOUTH ATLANTIC........... 11 2 35 2 75 61 140 230 1,376 1,507
Delaware ............. 1 1 2 4 6 32
Maryland .............. 7 6 13 28 96 244
District of Columbia.. 1 2 1 3 2 2 6
Virginia.............. 4 5 1 14 17 31 60 340 525
West Virginia......... I 11 5 17 23 547 297
North Carolina........ 2 4 23 8 31 55 19 153
South Carolina ....... 4 5 2 9 17 55 105
Georgia ............... 2 4 4 2 6 11 64 11
Florida.................... 3 2 16 1 8 19 28 30 247 134

EAST SOUTH CENTRAL....... 4 11 1 126 41 167 182 1,824 1,194
Kentucky............ 42 9 51 73 285 361
Tennessee............. 2 4 39 9 48 67 1,349 603
Alabama .............. 1 3 40 19 59 18 121 145
Mississippi........... 1 4 1 5 4 9 24 69 85

WEST SOUTH CENTRAL....... 8 1 73 2 6 34 27 62 120 2,944 1,005
Arkansas .............. 1 8 7 5 12 22 137 80
Louisiana ............ 1 7 7 3 10 20 1 -
Oklahoma.............. 4 1 1 3 10 58 78
Texas................. 6 1 54 2 6 19 18 37 68 2,748 847

MOUNTAIN................. 5 8 1 1 8 8 61 103 2,066 652
Montana ............... 1 6 1 2 1 3 2 648 35
Idaho ................. 1 1 19 4 49 33
Wyoming ............... 1 2 99 -
Colorado................ 2 15 52 582 253
New Mexico............ I 4 5 9 8 NN NN
Arizona ............... 11 15 358 298
Utah.................. 1 2 2 21 126 25
Nevada................ 1 204 8

PACIFIC ................. 2 14 10 8 21 76 87 170 152 3,249 2,729
Washington.............. 1 15 10 30 21 1,279 290
Oregon............ .... ...... 1 15 15 30 18 774 199
California............ 2 12 5 7 21 46 57 105 112 1,142 2,227
Alaska................ 1 5 3 3 1 7 8
Hawaii................ -- 2 2 47 5

Puerto Rico.............. 1 15 13 3 16 30 80 23










150 Morbidity and Mortality Weekly Report


Tabic 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 13, 1961 AND MAY 12, 1962 (Continued)


Meningococal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cumu- Cumu-
lative lative lative
19th wk. 19 weeks 19th week 19th wk.- 9t w. 19th wk. 19th wk. 19 weeks 19th week 19 weeks

1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES.... 42 936 7,428 7,389 5 2 6 144 85 67 1,623

NEW ENGLAND.......... 2 62 444 522 3 -
Maine............... 1 9 7 17 1 -
New Hampshire...... 3 2 5 -
Vermont............ 2 4 25
Massachusetts...... 1 24 90 194 2- -
Rhode Island....... 6 34 36 -
Connecticut ........ 18 307 245 -

MIDDLE ATLANTIC..... 7 141 459 989 1 17 1 40
New York............ 2 62 267 613 10 1 28
New Jersey......... 3 37 94 201 5 -
Pennsylvania....... 2 42 98 175 1 2 12

EAST NORTH CENTRAL.. 7 196 1,037 1,029 1 20 36 13 338
Ohio................ 1 59 52 225 1 11 20 2 170
Indiana............ 1 20 170 143 1 10 4 116
Illinois........... 2 33 408 154 3 2 2 24
Michigan........... 2 70 246 337 3 1 12
Wisconsin.......... 1 14 161 170 2 4 4 16

WEST NORTH CENTRAL.. 2 48 259 188 6 20 16 449
Minnesota.......... 1 8 44 8 6 4 89
Iowa............... 9 48 71 8 7 192
Missouri........... 1 12 23 15 5 5 5 75
North Dakota....... 3 73 52 30
South Dakota....... 2 1 1 51
Nebraska........... 7 5 1 10
Kansas.............. 7 65 41 1 2

SOUTH ATLANTIC...... 9 155 552 461 1 4 26 4 11 129
Delaware........... 2 22 4 3 2 -
Maryland........... 6 17 21 2 1
Dist. of Columbia.. 6 1 4 -
Virginia........... 1 28 230 196 5 1 5 63
West Virginia...... 10 80 134 -- 1 2 5 41
North Carolina..... 2 41 11 24 1 -
South Carolina..... 2 11 34 24 2 4 -
Georgia............ 6 1 5 4
Florida............ 2 25 174 55 2 5 1 1 20

EAST SOUTH CENTRAL.. 3 57 979 1,178 1 1 11 9 12 211
Kentucky........... 12 80 272 2 3 3 69
Tennessee.......... 2 24 801 857 1 1 5 6 8 135
Alabama............ 1 12 23 22 4 1 7
Mississippi........ 9 75 27 -

WEST SOUTH CENTRAL.. 2 89 715 898 1 1 45 12 13 329
Arkansas........... 10 1 5 1 1 7 1 3 41
Louisiana.......... 2 38 1 4 -- 11 1 12
Oklahoma ........... 5 13 20 3 9
Texas.............. 36 700 869 24 11 9 267

MOUNTAIN ............ 1 26 1,129 1,255 2 7 16
Montana............ 3 61 43 1 -
Idaho.............. 3 150 84 -
Wyoming............ 2 80 86 2 2 -
Colorado........... 1 7 390 507 1 -
New Mexico ........ 229 255 2 8
Arizona........... 8 159 161 1 8
Utah............... 54 115 -
Nevada............. 3 6 4

PACIFIC.............. 9 162 1,854 869 9 3 2 111
Washington......... 16 650 386 -
Oregon............. 1 14 31 61 1 2
California......... 8 126 1,059 374 9 2 2 109
Alaska............. 4 71 46 -
Hawaii.............__ 2 431 2
Puerto Rico......... 5 1 5 5 3 1 8










Morbidity and Mortality Weekly Report 151





Table 4 (C). TOTAL DEATHS UNDER 1 YEAR OF AGE IN REPORTING (CITIES



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


For weeks ending For weeks ending
Area 4/1 4/8 2 Area 4/21 4 8
4/21 4/28 5/5 5/12 4/21 4/28 5/5 5/12


NEW ENGLAND:
Boston, Mass..............
Bridgeport, Conn..........
Cambridge, Mass............
Fall River, Mass..........
Hartford, Conn............
Lowell, Mass..............
Lynn, Mass...............
few 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, Wis............
Milwaukee, Wis............
Peoria, Ill...............
Rockford, Ill...............
South Bend, Ind............
Toledo, Ohio...............
Youngstown, Ohio..........

WEST NORTH CENTRAL:
Des Moines, Iowa .........
Duluth, Minn..............
Kansas City, Kans.........
Kansas City, Mo............
Lincoln, Nebr.............
Minneapolis, Minn.........
Omaha, Nebr....... ........
St. Louis, Mo.............
St. Paul, Minn............
Wichita, Kans..............


7
2
1
1
2
3
0
1
6
4
0
2
4
3


2
4
10
4
1
3
2
9
87
2
37
6
2
5
1
3
4
2
1
1


6
4
47
8
25
8
2
13
7
9
3
3
3
13
1
15
0
2
1
8
1


3
2
6
7
3
7
5
21
6
6


SOUTH ATLANTIC:
Atlanta, Ga.............. 5 3 18 5
Baltimore, Md............. 27 18 31 31
Charlotte, N.C............ 1 6 2 5
Jacksonville, Fla ........ 8 1 2 4
Miami, Fla............... 2 3 5 6
Norfolk, Va.............. 3 6 10 4
Richmond, Va............. 2 1 16 14
Savannah, Ga.............. 1 3 2 2
St. Petersburg, Fla...... 5 2 0 1
Tampa, Fla............... 6 3 6 7
Washington, D.C........... 19 9 25 20
Wilmington, Del.......... 0 6 4 5

EAST SOUTH CENTRAL:
Birmingham, Ala........... 4 5 7 6
Chattanooga, Tenn........ 2 1 4 3
Knoxville, Tenn.......... 1 1 2 1
Louisville, Ky........... 9 12 11 10
Memphis, Tenn............ 10 10 11 16
Mobile, Ala.............. 2 5 3 0
Montgomery, Ala........... 2 2 2 3
Nashville, Tenn........... 3 5 7 11

WEST SOUTH CENTRAL:
Austin, Tex .............. 1 2 1 6
Baton Rouge, La.......... 2 4 0 4
Corpus Christi, Tex...... 3 5 0 1
Dallas, Tex............... 11 16 10 12
El Paso, Tex.............. 5 4 9 6*
Fort Worth, Tex.......... 5 1 7 3
Houston, Tex.............. 10 18 20 19
Little Rock, Ark.......... 4 3 4 4
New Orleans, La.......... 12 13 17 10
Oklahoma City, Okla...... 11 4 7 11
San Antonio, Tex.......... 11 7 9 7
Shreveport, La............ 2 4 4 9
Tulsa, Okla............... 4 5 6 2

MOUNTAIN:
Albuquerque, N. Mex..... 2 1 2 3
Colorado Springs, Colo... 2 3 1 1
Denver, Colo.............. 13 6 16 15
Ogden, Utah............... 1 1 1 0
Phoenix, Ariz............ 7 7 13 3
Pueblo, Colo............. 1 1 2 4
Salt Lake City, Utah..... 2 4 8 3
Tucson, Ariz............. 2 5 4 3

PACIFIC:
Berkeley, Calif.......... 0 3 0 0
Fresno, Calif............ 7 3 2 5
Glendale, Calif........... 2 1 0 1
Honolulu, Hawaii.......... 8 6 1 7*
Long Beach, Calif......... 0 4 4 3
Los Angeles, Calif....... 30 40 41 41
Oakland, Calif........... 12 6 5 7
Pasadena, Calif .......... 0 1 1 2
Portland, Oreg............ 7 0 10 7
Sacramento, Calif........ 6 1 4 6
San Diego, Calif ......... 11 10 11 8
San Francisco, Calif..... 8 6 14 16
San Jose, Calif.......... 3 3 7 1
Seattle, Wash............ 8 8 8 10
Spokane, Wash............ 1 1 2 6
Tacoma. Wash.............. 1 1 0 4

San Juan, P.R............... 2 2 1 5


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 11,117
4(B) Pneumonia-Influenza Deaths, all ages......... 432
4(C) Total Deaths under 1 Year of Age............ 810
4(D) Total Deaths, Persons 65 years and over ..... 6,047


*Estimate based on average percent of divisional total
Totals for previous weeks include reported corrections.
NOTE: All .delbs rv pl.r l e r.1 rn.








Morbidity and Mortality Weekly Report


Stophylococcal Infections in Wrestlers Iowa
Eight cases of significant skin infections requiring
medical treatment were reported among high school
wrestlers at five high schools in Des Moines, Iowa,
during the 1961-1962 wrestling season. When compared
to previous experience, based on the memories of the
coaches and the school nurses, this was a marked in-
crease. Only one case could be recalled during the pre-
vious wrestling season and one case about fouryears ago.
The infections in all but one of the wrestlers were
probably contracted at one high school. Five cases were
associated with abrasions produced by the mats and two
to scratches. The source of one infection is not known.
Three of these eight cases were cultured and Staphy-
lococcus aureus coagulase positive (non-typable phage
type) was found to be the offending agent. Clinically the
other cases were compatible with staphylococcal infec-
tions. A culture survey of the wrestling mats at the five
schools revealed a high concentration of potentially
pathogenic staphylococci on the mats of the one impli-
cated high school and of one additional school. The
strains isolated from the mats at the implicated high
school were non-typable staphylococci. The mats at the
other three schools had negative cultures or very few
pathogenic staphylococci.
The following case history suggests that active in-
fections were probably important in transmitting the
disease:
In March 1961, one high school wrestler developed
a mat burn on his hand which subsequently became in-
fected. The infection was accompanied by lymphangitis,
regional adenopathy, and fever, requiring antibiotic
therapy. Following the wrestling season, he had diffi-
culty with several boils on his legs. Early in the 1961-
62 wrestling season (probably in November), he developed
several abscesses in his left axilla, which spread down
the left side of his chest. He did not seek treatment for
these and did not curtail his wrestling activities. These
lesions persisted for about two to three weeks before
gradually clearing.
(Reported by Dr. James F. Speers, Director, Des Moines-
Polk County Health Department, Iowa)




INTERNATIONAL NOTES QUARANTINE MEASURES
No Report.


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