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:
AA00010654:00251

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






Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prtparrd by Ith


MElrose 4-5131


For release March 16, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 10
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED MARCH 10. 1962


INFLUENZA No States have reported new outbreaks of
acute febrile respiratory illness this week. The epidemic
of Influenza B has apparently run its course.
Four maps on page 74 depict the progress of acute
febrile respiratory disease and confirmed Influenza Type
B outbreaks in the United States during the winter of
1961-62. Beginning simultaneously in the Southwest and
in Florida in mid-November, acute febrile respiratory
disease spread northward along the Pacific Coast and in
an arc between the two foci. Subsequent outbreaks oc-
curred northward along the Eastern Seaboard and in New
England. At the same time the North Central States were
reporting outbreaks. During this period only two States,


Table 1. CASES OF SPECIFIED NOTIFY
(Cumulative totals include revised and del


Louisiana and South Dakota, reported that no significant
outbreaks of acute respiratory disease or influenza
occurred.
The number of pneumonia and influenza deaths in 108
cities decreased this week by 11 percent from the figure
reported last week, but the number is still above the
epidemic threshold for the United States (see graph p.75).
This is reflected in the Middle Atlantic and East North
Central Districts both of which continue slightly above
expected levels.
Pneumonia and influenza de New England
and West North Central Dist ds de askedd to 11 within
normal ranges this week, ast we rrh ad re-





IABLE DISEASES L' STATES
ayed reports through previox v/s'e'e,. -


10th Week \e
DiseaEnded Ended First .ek
Disease Hedi n
Median
March 10, March 11, 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis............... 15 14 --- 158 217 -
Brucellosis ..................... 4 10 14 58 90 122
Diphtheria ...................... 4 13 16 110 174 194
Encephalitis, infectious.......... 28 33 23 251 231 228
Hepatitis, infectious and serum... 1,254 1.929 547 14,298 17,351 5,523
Measles.......................... 16,497 15,066 18,100 112,234 107,393 119,687
Meningococcal infections ......... 45 39 61 511 499 557
Poliom yelitis, total .............. 3 5 19 68 80 183
Paralytic .................... 3 3 10 41 43 131
Nonparalytic .................. 2 5 10 19 30
Unspecified.................. -4 17 18 22
Streptococcal sore throat
and Scarlet fever ............ 9,332 10,541 86,968 95,974
Tetanus ........................ 2 -- -- 22 --
Tularem ia ..................... 4 50 -
Typhoid fever ................... 16 5 9 78 83 103
Typhus fever, tick-borne.
(Rock y Mountain spotted) ... .. --- --- 3
Rabies in Animals............... 79 72 81 668 618 826


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Anthrax: Psittacosis" Ind. 1
Botulism: Rabies in Man:
Malaria: Smallpox
Plague: Typhus, murlne:


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Morbidity and Mortality Weekly Report


RESPIRATORY DISEASE IN U S.
S. From, Novmb.r A196 Dc.mb, r 19. 1961
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the last two weeks. The Pacific States have now reported
figures at expected levels for seven consecutive weeks.
The type B influenza viruses isolated during current
epidemics from several geographic areas are related to
viruses isolated in 1959 and possibly the strains isolated
"-"i.,





.- ^ .
--




















as early as 1956. These comprise a homogeneous group
of viruses which appear antigenically distinct from the
viruses isolated during the periods 1940-1945 and 1945-
1955. Thus, it appears that there are three distinct but
related groups of type B viruses which have been preva-
lent during the past 21 years and which may readily be
differentiated using the hemagglurinaion inhibition testnt
(Credit for this report is due State Epidemiologists and
Dr. Roslyn Q. Robinson, Chief, Respirovirus Unit, Virus
and Rickettsia Section, Laboratory Branch, CDC).

POLIOMYELITIS A total of three cases, all paralytiche
was reported during the week ending March 10, 1962.
The three were single case reports from California






Georgia, and Hawaii.
The two paralytic cases in Maricopa County, Arizona,
reported last week, have both yielded type I poliovirus.
lent during the past 21 years and which may readily be










HEPATOITIS The 1,254 cases of vial hepatitis reported
s for the week ending March 10, 1962, is 674 cases below
the e1,930 ca sinle case for the same period in 1961.
The two paralytic cases in g aricopa County, Arizona,
reported last week, have both yielded type I poliovirus.

HEPATITIS -1 The 1,254 cases of viral hepatitis reported
for the week ending March 10, 1962, is 674 cases below
the 1,930 cases of hepatitis for the same period in 1961.


EPIDEMIOLOGICAL REPORTS
Cutaneous Anthrax Delaware
On January. 27, 1962, a 55 year old male noticed a
small pruritic lesion resembling an insect bite on his
right forearm.
The patient was employed at a local tannery which
has experienced cases of cutaneous anthrax in the past.
He was admitted to the hospital where a culture taken on
January 29 was positive for Bacillus anthracis. Because
of penicillin allergy treatment was instituted with
tetracycline. The clinical course was mild and he made
an uneventful recovery.
The source of infection is presumed to have been a
shipment of goat hides received from India. This is the
first confirmed case of human anthrax in the United States
reported during 1962.
(Reported by Dr. F. I. Hudson, State Health Officer, and
Dr. E. F. Gliwa, Deputy State Health Officer, Delaware
State Board of Health.)

Hepatitis Among Chimpanzee Handlers New Mexico
Three chimpanzee handlers at Holloman Air Force
Base were hospitalized with hepatitis on November 23,
24, and 25, respectively. All three of these persons had
been working in the isolation quarters for newly arrived
chimpanzees. Two handlers were new to the organization,
having been stationed at the Colony for less than 6
(Continued on Page 80)


RESPIRATORY DISEASE IN L S
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Morbidity and Mortality Weekly Report


WEEKLY PNEUMONIA AND INFLUENZA DEATHS


SUMMARY OF PNEUMONIA

The average weekly excess number of pneumonia-
influenza deaths in 108 United States cities during the
four-week period ending March 10 increased from 77 to
105, or 36 percent. The increase was due to the elevated
figures reported for the weeks ending February 24 and
March 3 as shown in the table of weekly totals. In the
last week of the four-week period the number fell by
almost one-half.
During the comparable four-week period of the 1960
influenza A2 epidemic the number of pneumonia-influenza


AND INFLUENZA DEATHS


deaths was 82 percent in excess of the expected number
as compared with a 20 percent excess this year.


PNEUMONIA-INFLUENZA DEATHS RECORDED IN 108 CITIES


2/17 2/24 3/3 3/10 Total Average
Observed 610 640 670 597 2,517 629
Expected 528 526 523 519 2,096 524
Excess 82 114 147 78 421 105


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


*SY PLACE OF OCCURRENCE CALCULATEDEO FROM 1954-60 EXPERIENCE


(See Table, page 79)


NUMBER
OF
DEATHS









PERIOD NUI


~












76 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 11, 1961 AND MARCH 10, 1962



Poliomyelitis, 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..
Virginia..............
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..................
a-.hLrjt'[.:r...............
Oregon...............
California.............
Alaska.................
Hawii .................

PuL r L R o.. ..............


Cumulative Cumulative
10th week First 10 weeks 10th week First 10 weeks 10th week 10th week


6-


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

3 5 68 80 3 3 41 43 2 15 14

2 2 -



I -

1 1 -



1 1 1
1 28 4 1 15 3 1
1 28 3 1 15 2 -



1 6 13 1 4 8 2 1
3 7 3 3 -
1 2 1 1 1 1 -
1 2 2 2
1 1
2 1 -

S4 1 -
1 1 -
2 -







1 2 5 9 1 1 5 6 1 3 -
1- 1 1 -


I -
2 1 1 -i
S1 3 1 2 -
I -
S 1 13 1 1 -
1 2 1 1 2 -

S 1 3 11 21 1
I 3 11 2 1 4 5

1 4 -

2 2 3

0 9 8 4 3

3 3 3 2 -
5 2 -
7 5 3

S 6 13 3 7 3
2 1 1 1 -
2 -

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


2 6 18 2 4 12 2 5

2 1 -
1 5 15 1 3 10 2 5

1 1 1 1 1 1 -

-I I -











Morbidity and Mortality Weekly Report 77


Table 3. CASES OF SPFCIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

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


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Area
Cumu- Cumu- 10th week
native lative Under 20 &
10th week 10 weeks 10th week 10 weeks 10th week 20 yr. over Total Total 10th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961
UNITED STATES...... 4 58 4 110 28 33 653 456 1,254 1,929 16,497 15,066

NEW ENGLAND.............. 1 1 17 22 50 57 2,027 1,433
Maine................. 5 3 8 5 252 16
New Hampshir........ 10 8 28 25
Vermont............... 2 2 7 12 55
Massachusetts......... 1 11 16 27 18 942 737
Rhode Island.......... 1 4 82 385
Connecticut............ 1 1 3 15 711 215

MIDDLE ATlANTIC.......... 1 3 12 75 81 156 335 2,742 2,396
New York............... 2 3 34 45 79 110 1,482 1,044
New Jersey............. 9 14 18 32 118 835 526
Pennsylvania............ 1 27 18 45 107 425 826

EAST NORTH CENTRAL....... 3 18 2 1 1 138 96 245 373 1,775 4,752
Ohio.................. 48 29 85 122 142 1,338
Indiana............... 1 I 9 5 14 74 215 241
Illinois............... 3 15 22 20 44 56 630 519
Michigan ............ 1 1 59 40 99 111 636 1,226
Wisconsin ............. 2 1 2 3 10 152 1,428

WEST NORTH CENTRAL....... 27 1 16 2 47 28 86 211 764 526
Minnesota.............. 3 3 18 4 23 33 17 15
Iowa.................. 15 1 1 16 12 31 57 620 153
Missouri.............. I 6 5 14 67 19 268
North Dakota.......... 4 1 5 1 99 67
South Dakota.......... 1 3 1 2 3 5 9
Nebraska.............. 3 8 1 1 6 26 23
Kansas................. 4 1 2 1 3 4 22 NN NN

SOUTH ATLANTIC........... 5 23 4 7 97 49 155 208 1,173 1,849
Delaware............... 1 1 8 9 127
Maryland .............. -- 8 2 12 9 90 94
District of Columbia.. 1 2 30 3
Virginia.............. 1 4 2 25 10 40 22 47.6 430
West Virginia......... 18 11 29 39 267 294
North Carolira........ 2 3 19 13 32 70 14 237
South Carolina........ 2 8 2 11 8 68 168
Georgia................ 1 4 2 1 3 16 2 41
Florida............... 1 9 2 7 16 10 27 34 217 455

EAST SOUTH CENTRAL...... 2 1 5 2 2 113 50 163 327 1,646 1,226
Kentucky.................- 43 17 60 81 390 621
Tennessee............. 2 1 3 1 1 27 15 42 116 1,011 382
Alabama................ 1 22 10 32 50 162 155
Mississippi .. ......- 1 1 21 8 29 80 83 68

WEST SOUTH CENTRAL....... 3 1 50 5 57 39 104 143 3,173 632
Arkansas .............. 1 4 2 4 6 27 60 190
Louisiana............. 6 3 1 5 30 32 2
Oklahoma .............. 2 2 3 5 2 111 1
Texas................. 3 1 41 1 50 31 88 84 2,970 439

MOUNTAIN................ 7 3 27 12 97 81 777 660
Montana.............. 6 1 5 4 9 5 267 68
Idaho................. 16 2 53 61
Wyoming................ 1 1 2 1 2 3
Colorado............. 9 3 24 26 239 98
New Mexico ........... 1 4 2 7 5 NN NN
Arizona............... 1 27 23 92 375
Utah................... -- 8 3 11 17 106 36
Nevada................. 1 2 18 19

PACIFIC.................. 1 2 1 7 9 8 82 79 198 194 2,420 1,592
WashngCon........ ...... 1 20 12 37 22 741 244
Oregon.............. 8 9 17 32 417 126
California ............ 1 2 2 8 8 54 57 113 136 1,225 1,214
Alska ............... 1 5 30 4 15 6
Hawaii............... .. 22 2

Puerto Rico.............. 7 17 9 26 15 107 31











78 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

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


Meningococcal Streptococcal Tick-
Infections Sore Throat & Tetanus borne Tularemia Typhoid Fever Rabies in Animals
Infections
Scarlet Fever Typhus
Area Cumu- (Rcky.Mt. Cumu- Cumu-
lative Spotted) lative lative
10th week 10 weeks 10th week 10th week 10th week 10th week l0thweek 10 weeks 10th week 10 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES...... 45 511 9,332 10,541 2 4 16 78 79 72 668

NEW ENGLAND.............. 1 33 560 750 1 1 -
Maine................. 6 21 14 -
New Hampshire......... 1- 50
Vermont............... 70 77 -
Massachusetts......... 1 14 104 220 1 1 -
Rhode Island........... 4 49 59 -
Connecticut........... 8 316 330 -

MIDDLE ATLANTIC........... 4 79 608 1,180 6 11 2 2 19
New York............... 3 37 380 633 4 5 2 2 10
New Jersey............ 14 86 309 2 4 -
Pennsylvania .......... 1 28 142 238 2 9

EAST NORTH CENTRAL ...... 14 105 1,056 1,627 11 16 11 81
Ohio................... 3 34 160 356 4 4 4 15
Indiana............... 1 9 159 265 6 5 43
Illinois.............. 2 17 252 324 2 2 1 13
Michigan............. 7 39 243 449 3 3 1 5
Wisconsin............. 1 6 242 233 2 1 5

WEST NORTH CENTRAL ...... 1 25 303 364 1 1 3 22 9 227
Minnesota ............. 2 55 27 4 1 37
Iowa .................. 5 63 62 1 12 2 105
Missouri............... 1 9 24 37 2 3 6 35
North Dakota........... 1 121 78 19
South Dakota.......... 1 4 8 3 28
Nebraska.............. 3 33 -- 1 1 3
Kansas................ 4 36 119 -

SOUTH ATIANTIC........... 11 81 836 813 1 1 2 11 4 13 55
Delaware.............. 2 8 8 14 -
Maryland.............. 1 4 10 42 2 1
District of Columbia.. 5 3 I 1- -
Virginia ............. 3 19 224 229 1 1 2 3 9 30
West Virginia.......... 1 5 192 221 1 2 13
North Carolina........ 2 19 16 27 -
South Carolina........ 1 4 153 28 -
Georgia .............. 6 7 2 1
Florida............... 1 11 233 242 1 3 2 10

EAST SOUTH CENTRAL....... 1 37 1,545 1,582 1 2 5 15 13 96
Kentucky.............. 9 202 375 2 7 3 28
Tennessee............ 1 18 1,199 1,147 1 2 8 8 65
Alabama ............... 5 48 17 1 2 3
Mississippi........... 5 96 43 1 1 -

WEST SOUTH CENTRAL ...... 3 51 755 1,247 -- 5 26 17 16 140
Arkansas.............. 6 2 8 2 2 1 26
Louisiana............. 3 21 3 14 2 8 1 5 6
Oklahoma.............. 4 30 33 2 3 5
Texas................. 20 720 1,192 1 13 14 10 103

MOUNTAIN ................ 1 18 1,735 1,691 1 5 1 8
Montana.................. 1 76 61 1 -
Idaho................. 3 117 205 -
Wyoming............... 2 155 36 1 -
Colorado............... 1 3 782 340 -
New Mexico............ 230 485 2 5
Arizona................ 6 186 264 1 1 1 3
Utah................... 188 292 -
Nevada.................. 3 1 8 -

PACIFIC.................. 9 82 1,934 1,287 5 3 7 42
Washington............. 7 810 684 -
Oregon................ 2 10 38 87 -
California. o ........ 7 61 954 432 5 3 6 42
Alaska................ 4 103 81 I -
Hawaii................ 29 3 -

Puerto Rico.............. 4 3 8 5 1 I- 2 3 3










Ilorbidity and Mortality Weekly Report 79





Table 4 (B) RFPORTFD PNEI MONIA-INFLUENZA DEATHS 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 1 1Area ___________

2/17 2/24 3/3 3/10 2/17 2/24 3/3 3/10


NEW ENGLAND:
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...............
Allencown, 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, Il1..............
Cincinnati, Ohio..........
Cleveland, Ohio............
Columbus, Ohio............
Dayton, Ohio..............
Detroit, Mich.............
Evansville, Ind...........
Flint, Mich...............
Fort Wayne, Ind ..........
Gary, Ind.................
Grand Rapids, Mich........
Indianapolis, Ind.........
Nadison, Wis..............
Milwaukee, Wis............
Peoria, Ill...............
Rockford, Ill.............
South Bend, Ind...........
Toledo, Ohio..............
Youngstown, Ohio..........

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


8
1
0
4
3
0
3
1
0
2
9
0
5


0
2
8
4
1
1
6
7
73
4
14
15
1
8
1
2
2
5
2
3


0
3
62
8
8
6
0
11
7
4
2
4
1
5
0

10
0

1
6
1


5
1
7
7
3
6
8
14
1
7


SOUTH ATLANTIC:
Atlanta, Ga.............. 4 8 5 3
Baltimore, IMd............ 16 6 6 15
Charlotte, N.C............ 0 4 3 2
Jacksonville, Fla........ 4 2 2 2
Miami, Fla.................. 2 3 2 0
Norfolk, Va............... 6 5 7 7
Richmond, Va............. 3 2 1 3
Savannah, Ga............. 2 3 2 2
St. Petersburg, Fla...... 7 3 6 4
Tampa, Fla............... 4 5 1 2
Washington, D.C.......... 14 13 15 12
Wilmington, Del.......... 0 5 2 0

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 2 0 0 1
Chatt'anc.oga, Tenn........ 10 3 10 2
Knoxville, Tenn........... 0 1 3 4
L:uisville, Ky........... 11 14 8 21
Memphis, Tenn............ 7 8 4 3
Mobile, Ala.............. 1 3 1 2
Montgomery, Ala.......... 5 5 3 4
INashv II, Tenn.......... 6 11 2 4

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

MOUNTAIN:
Albuquerque, N. Mex...... 1 1 2 4
Colorado Springs, Colo... 1 4 2 4
Denver, Colo............. 14 9 9 7
Ogden, Utah.............. 1 3 1 4
Phoenix, Ariz............ 2 3 3 2
Pueblo, Colo.............. 3 4 2 2
Salt Lake City, Utah..... 1 1 1 0
Tucson, Ariz............. 0 2 2 1

PACIFIC:
Berkeley, Calif.......... 0 1 1 0
Fresno, Calif............ 2 2 0 3
Glendale, Calif.......... 1 0 1 0
Honolulu, Hawaii......... 0 1 4 1
Long Beach, Calif ....... 0 0 0 1
Los Angeles, Calif....... 22 23 18 21
Oakland, Calif........... 3 4 3 5
Pasadena, Calif.......... 1 0 1 0
Portland, Oreg........... 5 3 3 2
Sacramento, Calif........ 2 3 2 5
San Diego, Calif......... 5 0 1 2
San Francisco, Calif..... 3 6 7 6
San Jose, Calif.......... 6 4 3 2
Seattle, Wash............ 9 2 4 5
Spokane, Wash............ 0 0 1 0
Tacoma, Wash.............. 0 1 3

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


0Current 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 ....


12,457
597
810
7,039


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




UNIVERSITY OF FLORIDA

S 2 IIIIIl 8llll 86lllll illllllll
3 1262 08863 9983


Morbidity and Mortality Weekly Report


months, and the third had been there for approximately
18 months to 2 years. The case hospitalized on November
23 had a mild case of hepatitis with jaundice and was
released after a few days' hospitalization. The other two
cases hospitalized on November 24 and 25 were anicteric
but had alterations in liver function tests and had symp-
toms compatible with anicteric hepatitis.
At the time of the occurrence of the three cases in
chimpanzee handlers there were two other cases of hepa-
titis among airmen on the case. However, neither of these
individuals had had contact with the chimpanzee colony,
and there was no apparent relationship to the outbreak
among chimpanzee handlers.
The newest group of chimpanzees added to the
Colony arrived at Holloman Air Force Base on October 13,
1961. In this shipment, which had originated in the Came-
roons, there were 10 chimpanzees. There was no unusual
occurrence of illness among these animals.
(Reported by Dr. Robert Edwards and Dr. James Cook,
Holloman Air Force Base, New Mexico.)
Editors' Note: Previous reports of hepatitis associated
with animal handlers appeared in MMWR, Vol. 10, No. 42,
October 27, 1961, and Vol. 10, No. 35, September 8, 1961.


INTERNATIONAL NOTES QUARANTINE MEASURES
Smallpox Europe

Wales Rhondda Urbbn District (Glamorganshire) Six
cases of smallpox have occurred in this area following
the death on February 9 of a 23-year-old woman believed
to have had smallpox. This patient died following de-
livery of a stillborn infant. The six confirmed cases were
either family contacts of this woman or were otherwise
closely associated with her. One death has occurred.

Wales Llantrissant Rural District (Glamorganshire) -
No new cases of smallpox have been reported.
Germany Dusseldorf This city was officially declared
free of smallpox on March 5, 1961. The last reported case
of smallpox had onset on February 5, 1961. A total of
five cases (including one imported case), and two deaths
have occurred.
Germany Monshou Kreis (Land Nordrheinewestfalen) -
Seven new cases of smallpox have been confirmed in this
area, bringing the total of confirmed cases of smallpox
to 19. The initial case, imported from India, had onset
of illness on January 8, 1961. One death has occurred.

Germany Aachen One confirmed case of smallpox
has been reported from this city, to date, in a dermatolo-
gist who had seen one of the smallpox patients from
Monshau Kreis Area in consultation.

Sweden Karlstrona- One suspected case of smallpox
has been hospitalized in the Karlstrona hospital in
southern Sweden.


Notel. Theme prolevimol asa are based on weekly telegpam to the Communi-
cable Disease Center by the individual State health department.
Symbol: -.. Data nl available
Quantity zero
Procedure. for coUmSruclon ol various mortality curves may be obtained from
Statistics Section. Commauicble Dieuse Center, Public Health Service,
U. S. Departmen of Health. Education, and Welfare, Allanta 2 Ceorgia.


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