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:
AA00010654:00249

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
h-2::) (/0& /r; #9tc4


'-7
1'


orbidity and Mortality ,


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


PUBLIC HEALTH SERVICE


Prepared by the


MElrose 4 5131


For release February 16, 1962 ATLANTA 22, GEORGIA Vol. 11, tNo. 6

PROVISIONAL INFORMATION ON SELECTED NOTIIABLE DISFAEJ IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR V EEK ENDFD FEBRUARY 10, 1962


INFLUENZA States involved in the early wave of acute
febrile respiratory disease which moved from the West
Coast across the United States during December and
January are now reporting a decline in influenza-like
disease. A steady county-by-county progression of the
disease is reported from most remaining States in the
North and Northeast and subsiding activity in the South
Central and Southeastern States.
North Dakota and Nebraska have confirmed outbreaks
of Influenza B, bringing the total number of States con-
firming Influenza B to 28 and the District of Columbia.
Eighteen other States have experienced outbreaks of
influenza-like disease but have not confirmed the pres-


ence of Influenza B. The remaining four States Hawaii,
Louisiana, South Dakota and Wyoming report that no
significant outbreaks of acute respiratory disease have
occurred.
Pneumonia-influenza deaths in 108 cities of the
United Stares showed a slight decrease this week bringing
the number reported to the threshold line (see accompany-
ing graph, p. 43). The only two geographic divisions which
reported figures on or above the threshold levels were the
East North Central and the West South Central States, the
latter now having reporei for six con-
secutive weeks. The byPll Otes show a
decrease to normal ra rter rather hig figu s for the


Tahl 1. CASES OF sPECIFIED NOTIFIABLE DISEASES
(Cumulatlvec totals include revised and delayed reports through pi


Disease


Aseptic meningils ............. .
Brucellosis ....................
Diphtheria ....................
Encephalitis. infectious ..... ....
Hepatitis, infectious and serum...
Measles..... ................
Meningdococcal infections .......
Poliom yelitis, total .............
Paralytic ...................
Nonparalytic. ... ............
Unspecified .................
Streptococcal sore throat
and Scarlet fever ..........
Tetanus ................ ......
Tularemia ...... ...........
Typhoid fever........... .....
Typhus fever, rtck-borne,
(Rock Mountain spotted).....
Rabies in Animals ..............


Ended
February 10,
1962


11
5
8
24
1,519
12,404
59
5
2
3

9,071
1
5
8


Ended
February 11,
1,61


Table 2 NOTIFIABLE DISEASES OF LOW


Anthrax.
Botulism- i. M. 3
Malaria: Hawaii -
Plague-


' F e k -
Med ian
1957 i961


FREQULNC Y


Psitlacots .
Rabies in Man
Smallpox
Typhus, murine:


M


76
129
130
3,189
55,877
326
128
90
2')
18

a6

66


~3s~P








Morbidity and Mortality Weekly Report


past four weeks. An increase was reported in the East
South Central States, but the number of pneumonia-
influenza deaths remains within normal ranges. The coast-
al States, both east and west, remain at expected levels.
The Mountain States report a decline to well within
normal ranges.
Czechoslovakia reports a rapid increase in the in-
cidence of acute febrile respiratory disease; Influenza B
virus has been isolated.

HEPATITIS Hepatitis cases reported for the week
ending February 10, 1962, decreased to 1519 cases as
compared to 1698 cases for the previous week.

POLIOMYELITIS Five cases of poliomyelitis, two
paralytic, were reported for the week ending February 10,
1962. Two of the cases reported had onsets in 1961.



EPIDEMIOLOGICAL REPORT

Relapsing Fever California
Relapsing fever was diagnosed on December 9,1961,
in a 32-year-old resident of California. The patient's
main hobby was hunting and, beginning in the latter half
of September, he hunted deer each weekend. From Sep-
tember to November, he did not kill any animal nor did
he participate in the handling or skinning of a deer shot
by his companion. On November 5, 1961, he shot a gray


squirrel and skinned and cleaned it. He noted at that
time that there was a tick attached to the belly of the
squirrel. The patient had an open cut on his right index
finger at the time of skinning the squirrel.
Beginning on November 11, he noted onset of head-
ache, chills, and fever to 1040 F., and sweats. The epi-
sode lasted for three days and he returned to work. The
symptoms of headache, high fever, chills, and sweats
returned each week thereafter, lasted two to three days,
and subsided, permitting him to return each time to work.
The last episode of fever started on December 8, 1961.
Borrelia infection was identified shortly thereafter by
Wright stain of a blood smear.
The patient was hospitalized where the diagnosis
was confirmed and antibiotic therapy instituted. Response
to therapy was prompt and the patient returned to work.
This was the second case of relapsing fever reported
in the same general area within three months. The first
report appeared in MMWR on November 3, 1961, Vol. 10,
No. 43. The regions where the infections were con-
tracted are over 100 miles apart. The source of the first
infection was thought to be from fleas or possibly ticks.
This latest case presumably became infected directly
from an infected animal's blood through a cut on the
patient's finger.
(Reported by John D. Keye, M.D., Health Officer, Shasta
County, California, and Philip K. Condit, M.D., Chief,
Bureau of Communicable Diseases, California State
Department of Health).








Morbidity and Mortality Weekly Report


WEEKLY PNEUMONIA AND INFLUENZA DEATHS


UNITED STATES


EPIDEMIC
'" THRESHOLD


"U,' N auG


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS


The chart below shows the average weekly number
of pneumonia-influenza deaths in 108 cities by four-week
periods. The most recent bar is for the four week period
ending February 10, 1962.
The average number of deaths was 602 as compared
with an average of 562 during the previous four-week
period. Although the average number is above the ex-
pected number, the impact of the current influenza out-
break as compared with a similar period during the 1960
Influenza A2 epidemic is thus far markedly lower. During
that epidemic the excess number of pneumonia-deaths for
the comparable four-week period was 1655 in comparison


with 306 in 1962. The table below shows the observed
and expected number of pneumonia-influenza deaths by
week for the past four-week period.



Pneumonia-Influenza Deaths Recorded In 108 Cities

1/20 1/27 2/3 2/10 Total Average
Observed 658 601 576 572 2 407 602
Expected 521 525 527 528 2 101 525
Excess 137 76 49 44 306 77


'*S PLACE OF OCCURRENCE -CALCULATED FROM 1954-'60 EXPERIENCE

(See Table, Page 47)


PNEUMONIA-INFLUENZA DEATHS IN 108 U.S CITIES
Averoge number per week by four-week periods
.... ...--












44 Morbidity and IorLtalitl Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 11, 1961 AND FEBRUARY 10, 1962



Po 1 omye I t s, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis


Area




UNITED STATES......

NEW ENGLAND..............
Maine.................
New Hampshire.........
Vermont..............
Massachusetts.........
Rhode Island..........
Connecticut...........

MIDDLE ATLANTIC...........
New York...............
New Jersey.............
Pennsylvania...........

EAST NORTH CENTRAL.......
Ohio...................
Indiana...............
Illinois...............
Michigan..............
Wisconsin.............

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

SOUTH ATLANTIC...........
Delaware..............
Maryland.............
District of Columbia,.
VL r LL n........... ....
West Virginia.........
North Carolina........
South Carolina........
Georgia................
Florida ..............

EAST SOUTH CENTRAL.......
Kentucky..............
Tennessee.............
Alabama...............
Mississippi...........

WEST SOUTH CENTRAL.......
Arkansas..............
Louisiana.............
Oklahoma..............
Texas................

MOUNTAIN ................
Montana...............
Idaho..........." *.....
Wyoming ...............
Colorado..............
New Mexico.............
Arizona...............
Utah..................
Nevada................

PACIFIC ..................
Washington............
Oregon...............
California............
Alaska................
Hawaii................


Cumulative Cumulative
6th week First 6 weeks 6th week First 6 weeks 6th week 6th week

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


5 7 53 61 2 4 31 33 2 11 30










3 23 2 1 13 1 2
3 23 2 1 13 1 -




1 1 6 11 4 6 2 4
1 3 7 3 3 2
2 1 1
1 1 2 2 1 -
2 1 1

4 2 1 31
1 1 3
4- 1 1 3







S -




S -

1- 4 1
7- 1 -

2- i .
1 5

1 2 1 -2 3
-1 1 1 -










1 2 6 8 1 5 4 2

1 3 7 2 2 3

2 4 4 1 3 2 1 2


-2 1 2 2- 2


1 3 1 1 5 4 1 2

1 -
1 2 3 1 2 2 -









3 4 15 2 2 1 2 10

1 1 1 2
1 1 3 3 1 2









2 4 13 1 2 8 1 2 9

1 1 1 1 -


Puerto Rico.............. 1 1 -

Virgir. TI.rJd [........... --- -.--.-- --- --- -










Morbidili and Mortality Weekly Report 45


Table 3. ( CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

FEBRUARY 11, 1961 AND FEBRUARY 10, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Area
Cumu- Cumu- 6th week
lative lative Under 20 &
6th week ,6 weeks 6th week 6 weeks 6th week 20 yr. over Total Total 6th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 5 28 8 81 24 20 867 537 1,519 1,763 12,404 11,214

NEW ENGLAND.............. 2 1 41 33 75 62 1,983 935
Maine................. 5 6 11 1 294 17
New Hampshire.......... 4 10 14 120 15
Vermont.............. 4 25 5
Massachusetts........ 1 24 12 36 33 1,007 485
Rhode Island.......... 2 5 2 8 15 43 304
Connecticut........... 3 3 6 9 494 109

MIDDLE ATLANTIC.......... 1 1 6 2 97 76 173 280 1,662 2,395
New York................ 1 2 41 40 81 103 823 1,268
New Jersey............ 28 12 40 60 546 339
Pennsylvania ......... 1 1 5 28 24 52 117 293 788

EAST NORTH CENTRAL....... 3 10 1 1 4 1 229 150 394 332 1,330 3,447
Ohio.................. 92 37 140 114 69 920
Indiana............... 1 1 34 17 53 71 210 188
Illinois.............. 3 10 2 1 27 44 73 50 500 529
Michigan ............. -- 2 64 39 103 80 366 416
Wisconsin ............ 12 13 25 17 185 1,394

WEST NORTH CENTRAL....... 1 12 10 1 66 35 108 220 275 394
Minnesota ............ 2 22 14 37 54 29 26
Iowa ................. 1 4 16 9 25 60 96 159
Missouri.............. 1 -- 1 12 8 23 56 4 158
North Dakota........... 2 2 3 124 51
South Dakota........... 5 3 9 18 21 -
Nebraska.............. 2 7 2 13 -
Kansas................ 4 1 9 1 10 16 NN NN

SOUTH ATLANTIC........... 3 1 18 5 4 149 63 223 185 877 1,314
Delaware.............. 1 9 158
Maryland............... 1 26 10 36 9 140 47
District of Columbia.. 1 1 5 1 6 25 -
Virginia.............. 1 2 37 11 56 26 335 299
West Virginia......... 26 10 38 53 219 102
North Carolina........ 2 1 3 1 44 17 61 32 33 315
South Carolina ........ 3 3 6 13 31 255
Georgia............... 4 1 3 3 6 17 12 4
Florida................ 1 9 1 2 5 8 13 26 82 134

EAST SOUTH CENTRAL ....... 1 1 2 1 1 156 67 223 258 1,399 749
Kentucky ............. 40 23 63 59 163 361
Tennessee............. 1 1 1 61 17 78 119 1,146 309
Alabama................ 1 1 38 19 57 48 44 69
Mississippl .......... 1 17 8 25 32 46 10

WEST SOUTH CENTRAL ....... 1 5 37 5 70 40 121 107 3,032 279
Arkansas.............. 1 1 10 10 20 14 51 14
Louisiana............. .- 1 3 11 6 18 1 -
Oklahoma.............. .- 2 6 3 12 16 5! 2
Texas................. 1 4 31 4 43 21 71 76 2,91- 263

MOUNTAIN................. 7 16 11 78 146 731 564
Montana ............... 6 3 2 5 13 21: 55
Idaho ................. 16 6 2: 66
Wyoming................ 1 1 4 20
Colorado.............. 1 20 65 221 75
New Mexico............ I 5 3 8 9 N NN
Arizona............... 15 19 8f 232
Utah.................. 6 6 12 22 61 86
Nevada................ 1 8 11l 30

PACIFIC.................. 6 1 10 43 62 124 173 1,11! 1,137
Washington ............ 1 1 7 7 16 18 41( 162
Oregon ................ 10 9 20 29 27: 212
California............ 2 8 26 46 78 102 39: 757
Alaska................ 4 1 10 24 3 3
Hawaii.................. .. 3

Puerto Rico................ 3 5 5 18 11 14

Virgin Islands........... ... ...--...- ... ...










46 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR X EEKS ENDED

FEBRUARY 11, 1961 AND FEBRUARY 10, 1962 (Continued)


Meningococcal Streptococcal Tick-
Infections Sore Throat & Tetanus borne Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever Typhus
Area Cumu- (Rcky.Mt. Cumu- Cumu-
lative Spotted) lative lative
6th v'eek 6 wee-1 6th week 6th week 6th week 6th wEiE 6th Week 6 week 6th week 6 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES...... 59 303 9,071 10,510 1 5 8 38 73 73 375

NEW ENGLAND.............. 5 23 691 483 -
Maine ................. 3 6 30 15 -
New Hampshire......... 2 25 -
Vermont............... 36 16
Massachusetts......... 1 10 206 211 -
Rhode Island.......... 1 57 43 -
Connecticut........... 1 6 360 173 -

MIDDLE ATLANTIC.......... 15 53 650 868 1 4 4 3 14
New York............... 6 23 357 540 -- 3 6
New Jersey............ 1 11 115 163 1 2 -
Pennsylvania.......... 8 19 178 165 2 4 8

EAST NORTH CENTRAL....... 9 55 942 1,488 1 3 8 18 11 38
Ohio.................. 3 22 197 471 2 8 2 8
Indiana................ 1 4 184 188 1 6 4 21
Illinois.............. 1 7 137 197 1 2 2 4
Michigan.............. 4 18 128 432 2 3 1 5 2
Wisconsin............. 4 296 200 1 1 3

WEST NORTH CENTRAL....... 2 15 342 319 -- 2 20 19 132
Minnesota............. 1 2 42 21 1 21
Iowa.................. 4 84 82 8 9 60
Missouri............... 1 6 10 22 2 3 6 21
North Dakota.......... 1 125 102 3 2 10
South Dakota.......... 9 1 5 2 18
Nebraska .............. 2
Kansas................ 2 72 91 -

SOUTH ATLANTIC........... 8 43 689 700 1 7 11 12 34
Delaware.............. 6 5 11 -
Maryland.............. 1 21 16 2 1
District of Columbia.. 1 5 3 3 -
Virginia.............. 2 10 231 226 1 9 6 21
West Virginia......... 2 120 273 2 5 6
North Carolina....... 3 10 43 51 -
South Carolina........ 1 2 110 29 -
Georgia ............... 27 2 -- 1 1 -
Florida................ 1 7 129 89 1 3 6

EAST SOUTH CENTRAL....... 6 24 1,657 1,466 3 1 2 7 3 49
Kentucky.............. 2 7 162 223 2 1 14
Tennessee.............. 3 11 1,376 1,161 3 1 1 5 1 34
Alabama............... 1 2 21 36 1 1 1
Mississippi........... 4 98 46 -

WEST SOUTH CENTRAL....... 4 31 1,191 1,236 8 11 21 75
Arkansas.............. 3 2 28 -- 3 8 13
Louisiana............. 2 12 9 8 2 1 3 2
Oklahoma.............. 4 60 15 1 3
Texas................. 2 12 1,120 1,185 5 7 10 57

MOUNTAIN................. 3 12 2,055 2,593 1 2 4 1 6
Montana............... 1 60 94 1 -
Idaho................. 1 2 182 321 -
Wyoming............... 133 154 1 1 1 -
Colorado.............. 1 1 947 889 -
New Mexico............ 293 538 1 2 3
Arizona............... 1 5 233 344 1 3
Utah .................. 207 247 -
Nevada............... 3 6 -

PACIFIC.................. 7 47 854 1,357 1 3 1 4 27
Washington............ 2 4 477 715 -
Oregon................. 1 7 61 83 -
California............ 2 33 230 461 1 3 1 4 27
Alaska................ 2 3 43 87 -
Hawaii ................ 43 11 -

p (icrt, Pi-o ............. 1 -

Vrer n [:!.rl3.d ........... --- ..










Morbidity and Mortality Weekly Report 47





Table 4 (B). REPORTED PNhI M()NIA-INl'FIL NZA DEATHS IN RIPORTIN(, CITIES


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


For weeks ending For weeks ending
Area 1/20/62 1//102 Area 1/20/62 1/2 2
______ ________ 1120/62 1/27/62 2/3/62 2/10/62 ____________1/20/62 1/27/62 2/3/62 2/10/62


NEW ENGLAND:
Boston, Mass.............. 5 12 5 11
Bridgeport, Conn.......... 2 4 5 3
Cambridge, Mass........... 1 1 1 2
Fall River, Mass.......... 1 2 0 0
Hartford, Conn............ 1 1 2 3
Lowell, Mass............... 8 0 3 3
Lynn, Mass ............... 3 4 2 4
lNe. Bedford, Mass.......... 2 1 0 0
New Haven, Conn........... 4 0 0 1
Providence, R.I........... 5- 5 2 2
Somer-ille, Mass........... 1 0 2 3
SpringfiEld, Mass.......... 9 9 4 5
Waterbury, Conn ........... 0 0 0 0
Worcester, Mass........... 6 5 6 5

MIDDLE ATLANTIC:
Albany, N.Y................ 1 0 3 0
Allentown, Pa............. 4 3 1 0
Buffalo, N.Y.............. 7 3 9 4
Camden, N.J............... 7 0 5 7
Elizabeth, N.J............ 0 2 2 1
Erie, Pa ................. 3 5 3 3
Jersey City, N.J.......... 6 8 5 2
Newark, N.J.............. 2 2 11 8
New York City, N.Y........ 75 69 73 73
Paterson, N.J............. 3 4 5 6
Philadelphia, Pa.......... 28 26 18 11
Pittsburgh, Pa............ 7 3 9 6
Reading, Pa............... 2 1 0 0
Rochester, N.Y............. 4 9 8 7
Schenectady, N.Y........... 2 1 1 1
Scranton, Pa.............. 1 3 3 2
Syracuse, N.Y.............. 1 1 1 2
Trenton, N.J.............. 3 0 4 0
Utica, N.Y................. 1 0 1 1
Yonkers, N.Y.............. 3 2 2 3

EAST NORTH CENTRAL:
Akron, Ohio................ 3 0 1 0
Canton, Ohio............... 5 1 5 3
Chicago, Ill.............. 55 45 45 66
Cincinnati, Ohio........... 7 3 13 5
Cleveland, Ohio........... 6 3 3 3
Columbus, Ohio........... 3 1 4 4
Dayton, Ohio............... 1 1 2 2*
Detroit, Mich............. 15 16 18 9
Evansville, Ind........... 3 2 0 5
Flint, Mich............... 7 3 5 6
Fort Wayne, Ind........... 3 2 1 I
Gary, Ind................. 4 5 2 2*
Grand Rapids, Mich........ 4 5 2 6
Indianapolis, Ind......... 10 9 4 3
Madison, Wis............... 1 1 1 1
Milwaukee, Wis............ 6 7 4 4
Peoria, Ill................ 0 1 0 0
Rockford, Ill............. 0 2 2 1
South Bend, Ind........... O 3 3 0
Toledo, Ohio............... 3 6 3 4
Youngstown, Ohio.......... 1 1 1 1

WEST NORTH CENTRAL:
Des Moines, Iowa.......... 4 3 1 4
Duluth, Minn.............. 0 1 1 2
Kansas City, Kans........ 3 6 6 5
Kansas City, Ho........... 3 2 6 2
Lincoln, Nebr............. 0 0 2 3
Minneapolis, Minn......... 4 5 4 5
Omaha, Nebr............... 1 5 4 1
St. Louis, Mo............. 34 30 21 19
St. Paul, Minn............ 1 5 3 1
Wichita, Kans............. 5 6 9 6

*Estimate based on average percent of divisional total
Totals for previous weeks include reported corrections.
NOTF: All deaths by place of occuETence.


SOUTH ATLANTIC:
Atlanta, Ga.............. 7 3 5 9
Baltimore, Md............ 6 5 13 7
Charlotte, N.C........... 2 2 4 7
Jacksonville, Fla........ 3 2 3 3
Miami, Fla................ 3 3 2 5
Norfolk, Va.............. 9 6 2 6
Richmond, Va............. 4 3 1 2
Savannah, Ga............. 6 5 7 4
St. Petersburg, Fla...... 4 6 3 4
Tampa, Fla............... 4 2 1 0
Washington, D.C.......... 12 10 7 7
Wilmington, Del.......... 2 4 1 2

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 3 9 2 2
Chattanooga, Tenn........ 6 16 7 6
Knoxville, Tenn.......... 3 1 1 3
Louisville, .y ........... 16 15 14 12
Memphis, Tenn............ 6 13 2 10
Mobile, Ala............... 2 8 3 1
Montgomery, Ala.......... 7 1 3 3
Nashville, Tenn.......... 4 2 2 6

WEST SOUTH CENTRAL:
Austin, Tex.............. 12 9 8 5
Baton Rouge, La.......... 2 4 2 1
Corpus Christi, Tex...... 2 0 0 2
Dallas, Tex.............. 10 12 8 6
El Paso, Tex.............. 3 4 6 3
Fort Worth, Tex.......... 4 3 2 3
Houston, Tex............. 15 3 2 7
Little Rock, Ark......... 11 8 4 4
New Orleans, La.......... 11 9 4 8
Oklahoma City, Okla...... 3 2 3 6
San Antonio, Tex......... 5 4 11 8
5hrev, p.rt, La........... 4 9 7 12
Tulsa, Okla............... 3 7 8 4

MOUNTAIN:
Albuquerque, N. Mex...... 3 0 2 2
Colorado Springs, Colo... 2 4 1 2
Denver, Colo.............. 12 6 11 8
Ogden, Utah.............. 4 3 5 1
Phoenix, Ariz............ 4 8 10 3
Pueblo, Colo............. 2 0 0 2
Salt Lake City, Utah..... 1 1 1 1
Tucson, Ariz............. 1 1 1 1

PACIFIC:
Berkeley, Calif.......... 1 0 0 2
Fresno, Calif.............. 4 3 4 3
Glendale, Calif.......... 1 0 1 1
Honolulu, Hawaii......... 2 3 0 1
Long Beach, Calif........ 0 0 0 0
Los Angeles, Calif....... 31 20 18 15
Oakland, Calif........... 3 5 4 2
Pasadena, Calif.......... 2 2 0 0
Portland, Oreg........... 4 2 4 4
Sacramento, Calif........ 4 2 4 2
San Diego, Calif......... 2 1 4 6
San Francisco, Calif..... 5 6 1 10
San Jose, Calif.......... 10 7 6 4
Seattle, Wash............ 4 4 10 6
Spokane, Wash............ 4 3 1 2
Tac.ma, Wash............. 0 5 3 2

San Juan, P.R.............. 5 3 5 1


oCurrent Week Mortality for 108 Selected Cities

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


12,528
572
835
7,113





BI 1111111 I Ill III BIB1llll I11i 11 IIII IIl Ii II I II ii
3 1262 08863 9827

48 Morbidity and Mortality Weekly Report
UNIV OF FL L~'t.
DOCUMENTS DEPTH


INTERNATIONAL NOTES QUARANTINE MEASURES --
Smallpox Europe
England No new cases of smallpox have been reported. U.S DEPOSITORY
Five of the 22 cases reported in the recent outbreak were
imported from Pakistan. Two of these persons died.
Seventeen secondary and tertiary cases of smallpox have
occurred with five deaths.
Germany Dusseldorf One case of smallpox in a 53-
year-old nurse was reported on February 5. This is the
fifth case of smallpox in Dusseldorf, including the initial
case imported from Pakistan. One death occurred in a
nurse who cared for the initial three cases.

Germany Monshau Kreis (Land Nordrheinewestfalen) -
Four additional cases of suspected smallpox were re-
ported on February 12, bringing the total number of cases
to six. The initial, imported case (one of the two cases
reported on February 2) returned to Lammersdorf from
India on December 23, 1961. He had been unsuccessfully
vaccinated in 1960. His illness, which was mild, began
on January 8 with the appearance of pustules which were
diagnosed as chicken pox. The patient was well on
January 20. The second case, the 9-year-old daughter of
the imported case, became ill on January 25. She had m
been vaccinated once without success. Pustules devel-
oped on January 28, followed by a rash over the entire c
body. The diagnosis of smallpox was confirmed by egg m3
cultures of the virus on February 5. o
Immunization Information for International Travel L 2.
1961 edition Public Health Service Publication No. 384
Section 5 The following information on smallpox vac- 0 M
cination supersedes the information in the booklet: Z
Mn O
Turkey Page 51 and page 57 m
A valid smallpox vaccination cerrificare is required "
for all arrivals by air.
Argentina Page 33
A valid smallpox vaccination certificate is required
for all arrivals.
USSR Page 51
A valid smallpox vaccination certificate is required
for all arrivals from Western Europe.








cable Disease Center by the individual State health departments.
Symbols: --- Data not available
Quantity Iwre
Procedurea for costruellon ol varloau morality curves may be obtaled from
Staitiics Section, Commanicablr Diaease Center, Public Health Servce,
U. S. Deparnmelt of Health, Edustion, and Welfare. Atlnta 22 CGeorgia.




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