Morbidity and mortality

MISSING IMAGE

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:
AA00010654:00252

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


Prepared by thr


MElrose 4-5131


For release March 23, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 11
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED MARCH 1-. 1962


INFLUENZA-Small outbreaks of influenza-like disease HEPATITIS A total of 1,219 cases of viral hepatitis
have been reported from Maine. They undoubtedly repre- were reported for the week ending March 17, 1962. This
sent the delayed extension of Influenza B into the continues the decline noted during the last four weeks.
northern part of the State. A recent report from Puerto
Rico indicates that outbreaks of Influenza B occurred POLIOMYELITIS The two paralytic cases reported
there this season.
ere is seasonthis week are from Louisiana and Ohio. Both patients
New confirmations of Influenza B have been re-
are pre-school age children with onsets in late February,
ported from Arkansas and Kentucky. The total number of
The Ohio patient had received two doses of in-
States confirming Influenza B this season is 38.
S. activated polio vaccine during 1960, Type I oral polio
Six hundred and twenty-eight pneumonia and influ-
x h d ad rt p a i vaccine in October 1961, and Type 11 in mid-February
enza deaths were reported by the 108 cities during the
week ending March 17 an increase of 28 deaths over 1962. Type III poliovirus has been isolated from a stool
week ending March 17 an increase of 28 deaths over
the preceding week. The rise was due mainly to in-
creases above epidemic thresholds in the New England (Credit for this report is due Stare EpiderAiologists and
and East North Cen'tIl States. State Laboratories.)


I I I. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES
(Cumulative total; include revised and delayed reports through previous week)
rnRa I 2y_11th Week Comulative
SDi seas jl C Ended Ended ed ian First 11 ueeks
March 17, March 18, 1957 1961 1MedLan
1962 1961 1962 1961 1957 1961
............ 17 31 --- 178 248 ---
ucel l .. ..4 14 14 62 104 139
S ............... 13 12 10 123 186 200
Enc infectious ......... 18 37 24 269 268 255
Hepatitis. infectious and serum 1,219 1,900 617 15,524 19,251 6,140
Measles ........................ 17,654 13,733 17,106 129,899 121,126 136,793
Meningococcal infections........ 51 44 50 562 543 613
Poliomyelitis, total .............. 2 11 11 70 91 188
Paralytic.... .............. 2 9 9 43 52 135
Nonparalytic ................. 2 2 10 21 30
Unspecified ................. 17 18 23
Streptococcal sore throat
and Scarlet fever .......... 9,665 10,025 --- 96,640 105,999 .
Tetanus ....................... 2 ---. 24 --- ..
Tularem ia ....................... 454 5
Typhoid fever ................... 11 10 15 91 93 111
Typhus fever, tick-borne,
(Rocky Mountain spotted) ..... --- -- 3
Rabies in Animals ............... 130 65 106 798 683 914

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Anthrax: Psittacosis. Wis. 1, Hinn. 1, Calif. 1
Botulism: Rabies in Nlan-
Malaria: Conn. I Smallpox:
Plague: Typhus, murine:


111---~


F4 'Q 0 /////










Morbidity and Mortality Weekly Report


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS
February 1961 and February 1962

The table below presents reported cases of Primary and Secondary Syphilis for February 1961 and 1962 and cumulative totals
for the two years.
Primary and Secondary Syphilis cases increased steadily each year from the 6,576 cases reported in 1957 to the 19,850 cases
reported in 1961. It appears now that a leveling off of cases has occurred, and if the present level continues, approximately
the same number of cases will be reported in 1962 as in 1961.
CASES OF PRIMARY AMN SECONDARY SYPHILIS: By Reporting Area for February 1962 and for February 1961 -- Provisional Data

Rpportin@ Area. Februry R.porti r. Area -ebruart C.nsulat le
1962 1961 1962 I 961 196?' 1961 1962 1961


NEU E'LtlD..... ......
Maine...................
New Hampshire.............
Vermont.................
Massachusetts............
Ph.ad.- Ilh.ar.....
C.rrrcr u t...... .......
MIDLE \TLANTIC ....... .
Llp5.1E lep. YrrL.. ...
pir- ~trL ty ...........
Pa. IE l. Phills ....
Phi I d lphil .............

EA!T NORTH CETITFAL.......
Ohi ............... .....
Inr l i a ........... ......
DOeU st. te Ilin' s .......
Cha ago. ....... ..... .
M 1nlar .......... ... ..
Ulc 5ns in... ........

I ELT NORh CLETAL .. .. .
Mr nrile : E . .
a L. .a................
INth Dr..t .... ......
lcUtrh D.ka .. .. .. .
D-r h l r .. .... .....
K.i ra i ... .. .
Dcliawr ........


,. I1 n ....... ... .


V .'rt r ... ... .. ....

i-st rl .. .... ..
F l.:-r a ... .


EAST SOUTH CENTRAL........
Kentucky................
Tennessee...............
Alabama..................
Mssiissippi.............
uE iT SOUTH CEITRAL........
rku Sr, n ... ............
LWulsrna ...............
Jlnes ....................
.Lii r l...................
MOL.e I1r ........ .. ......
rId n, ..................
iarn .....................
Id ..d .............
C .l ridJ ............ ...
i.u MH.co ........
r na ........ ..........
1JE .......................
N-vada ........... ....
PACIF ii ...................
jOrte to.. ........ ... .....
OrFJ. .. .. .. .
i l if rn, ...... .........
Ala . ... .
Hi ai ........... ........
LI. .. TOTAL ...............


iTERR IYOPLES.............. 34 ?7 5 5.
Piro i,:............ 31 69 52
Vrir l nds........... 3 1 6 2


B6 .'. 141 dU r,,[ M r. i igures lor 1)61 arCe -icr tia frsm qsarcerly
5- 1i 108 102 rep.rta
63 i3 142 186 Cu(,rr.,lit T. als ncludI rc.v.il .nd Jrleald reports
162 8j 257 1;6 thr.-upg prev .-us rn.-rt..


EPIDEMIOLOGICAL REPORT

Diphtheria Alaska
An outbreak of diphtheria, extending over a period of

14 months and occurring primarily among adults, has been

reported from Ketchikan, Alaska. Cases and carriers with
one exception were all closely associated with three of

the local bars. These represent the first cases of diph-

theria reported in Ketchikan for 17 years; all have been

mild and responded rapidly to treatment.
The first case occurred in a 13-year-old white male

early in December of 1960. After a sore throat of 10 days'

duration, he was hospitalized; a throat culture was posi-

tive of toxigenic C. diphtheriae. He had not received

diphtheria immunizations. Cultures of all contacts were
negative. The patient's parents owned and operated a

bar, (Bar A), in Ketchikan, but lived 6 miles south of the
town.
The second case occurred in a 30-year-old white

male bartender at Bar B, who became ill with a severe

sore throat in February 1961. After a week of self-imposed
rest, he was seen by a physician who treated him and
obtained a throat culture. After several days, the patient

improved and left to join a lumber crew in an outlying

camp. Subsequently, his throat culture was found to be

positive for toxigenic C. dipbtberiae. The public health

nurse flew to the camp to immunize the remainder of the


crew and returned him to the hospital where repeat cul-
tures were positive.
The third patient, a 30-year-old white housewife,

became ill on June 22, 1961. A throat culture taken the
following day was confirmed as roxigenic C. dipbtberiae.

This patient had had no contact with bars nor had her

husband. No other probable contact was found, and cul-
tures of family and neighborhood contacts were negative.
The fourth patient was a 50-year-old white woman,
who with her husband, owns and operates Bar C. She
developed symptoms of diphtheria on January 11, 1962.
A culture taken on January 18 was positive fo. toxigenic
C. diphtheriae mitis.

None of the four patients described had ever had
diphtheria immunizations. Only the fourth case gave any

history of direct exposure to a person with symptoms

compatible with diphtheria. This patient had been fre-

quently exposed to a 45-year-old patron of Bar C, who
had been nursing a sore throat since November 1961, but
whose culture was not confirmed as roxigenic C. diph-
tberiae. It is of interest, however, that a 31-year-old bar-
tender at Bar C during this period had previously worked
at Bar B with case No. 2, at the time the latter developed
diphtheria in February 1961. Repeated throat cultures of
this bartender and his contacts were, however, all
negative. (Continued on page
(Continued on page 88)


. ....a. an... s .


" "" '


. i ... lw ri -m









Morbidity and Mortality Weekly Report


HEPATITIS Since April 1961, the number of hepatitis
cases among those under 20 years of age and for those
20 years and over has been reported weekly by most
States. Reported cases by week for these age groups is
depicted in the accompanying graph. The number of
cases for those under 20 shows a wide seasonal varia-
tion with a low in late summer and a peak in early
January. Cases among those 20 years of age and over
generally fluctuate within a relatively narrow range.
Although the hepatitis case curve for adults re-
flects to some degree fluctuations in the case curve for
those under 20, the correspondence is not striking. It
would seem that, if the child-to-adult route of trans-
mission is primary in the occurrence of adult cases, a
more evident parallel between the two curves would be
expected. More detailed epidemiologic data regarding
adult hepatitis cases is clearly needed.


*.. Cr


1961 Hepatitis Cases for the U. S.
by Week of Keporting-


ia-


/~ A
,V ,,
x N."1


a 24 31, 31 40 44


U ~ 2 4 S 22
242


INFANT DEATHS IN 108 UNITED STATES CITIES


During the four-week period ending March 17th the
number of deaths among infants under one year of age
decreased to the expected level. The average number per
week was 770.0 in comparison to an expected number of
774.5. However, there was marked variation within the
period an increase of 118 deaths (17 percent) from the
first to the second week of the period with a decline to
normal at the end of the period.


Total Deaths Under One Year of Age Recorded in 108 Cities


WEEK ENDING .4-Week Weekly
2/24 3/3 3/10 3/17 Total Average
Observed 692 810 808 770 3,080 770.0
Expected 781 777 773 767 3,098 774.5
Excess -89 33 35 3 -18 -4.5


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


RECORDED
/DEATHS*
"EXPECTED"
NUMBER"

uf ^f


PRIOuu MNO I 7
S1960
*Ba PLACE OF OCCURRENCE


A. 1.4 1. 1 1
--


1961 1 1962
**CALCULATED FROM 1907-` t EPER(ENCE


(See Table, page 87)


NUMBER ,,


OF

DEATHS


S 1963


A I I I 1 -" -1 -- 11


Too- I------ ---- --I -- -
! !cA l l __l l -_ __l_ ^ ______!_______ ____________!___


(See Table, page 87)


a i











84 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
FOR WEI K INDEED

MARCH 18, 1961 AND MARCH 17, 1962


Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic nonparalytic Meningitis
Cumulative Cumulative
S1th week First 11 weeks llth week First 11 weeks llth week 11th week

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

UNITED STATES...... 2 11 70 91 2 9 43 52 2 17 31

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

MIDDLE ATLANTIC........... 1 28 5 1 15 4 2 6
New York............... 28 3 15 2 -
New Jersey............ 1 2 1 2 6
Pennsylvania 2 -

EAST NORTH CENTRAL....... 1 1 7 14 1 5 8 1 1 1
Ohio.................. 1 4 7 1 4 3 -
Indiana .............. 2 1 1 1 -
Illinois.............. 1 2 2 1
Michigan.............. ...... 1 1- -
Wisconsin.............. 1 3 1 1 -

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

SOUTH ATLANTIC............. 5 9 5 6 3 1
Delaware.............. 1 -
Maryland .............. -
District of Columbia.. 1 -
Virainia.............. 1 1 1 1
West Virginia.......... 2 1 -
North Carolina........ 1 3 1 2 -
South Carolina........ 1 1 -
Georgia............... 1 1 1 1 -
Florida ............... 1 2 1 1 2 -

EAST SOUTH CENTRAL....... 1 3 12 1 2 1 1 9
Kentucky.............. 1 12 1 1 3
Tennessee............. 1 3
Alabama ................ 1
Mississippi........... 2 2 1 2

WEST SOUTH CENTRAL....... 1 2 11 11 1 1 9 5 1 1 3
Arkansas............... 1 -
Louisiana............. 1 4 3 1 4 2 -
Oklahoma .............. -
Texas................. 2 7 7 1 5 3 1 1 3

MOUNTAIN................. 2 6 15 2 3 9 2 2
Montana............... 2 1 1 1 -
Idaho................. 1 3 1 -
Wyoming ............... -
Colorado............... 3 3 2 2
New Mexico............ .. 1 -
Arizona............... 2 2 2 1 -
Utah.................. 1 1 5 3 -
Nevada................ -

PACIFIC.................. 3 6 21 3 4 15 7 7
Washington............ 1
Oregon ................ 2 1 -
California............ 3 5 18 3 3 13 -- 7 6
Alaska.................. -
Hawaii................ 1 1 1 1

Puerto Rico.............. 1 1 4 -










Morbidity and Mortality Weekly Report 85


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
FOR WEEKS ENDED

MARCH 18, 1961 AND MARCH 17, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious infectious and serum
Area
Cumu- Cumu- 11th week
lative lative Under 20 &
llth week '11 weeks llth week 11 weeks llth week 20 yr. over Total Total llth week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961
UNITED STATES ...... 4 62 13 123 18 37 687 461 1,219 1,900 17,654 13,733

NEW ENGLAND.............. 2 38 32 72 43 1,975 1,236
Maine................. 1 13 6 19 2 262 10
New Hampshire......... 5 9 15 4 49 55
Vermont.............. 5 1 6 3 22 17
Massachusetts......... 11 13 24 13 1,027 587
Rhode Island.......... 10 144 384
Connecticut........... 1 4 3 8 11 471 183

MIDDLE ATLANTIC.......... 1 1 1 9 8 70 77 147 313 3,130 2,879
New York............... 1 1 3 6 27 37 64 111 1,840 1,286
New Jersey............. 1 16 21 37 105 919 520
Pennsylvania.......... 1 6 1 27 19 46 97 371 1,073

EAST NORTH CENTRAL ...... 1 19 2 1 2 185 96 285 322 1,545 3,543
Ohio.................. 2 59 27 88 107 207 762
Indiana............... 1 1 17 6 23 73 269 182
Illinois.............. 1 16 1 33 15 49 52 438 456
Michigan.............. 1 74 45 119 72 479 758
Wisconsin............. 2 2 3 6 18 152 1,385

WEST NORTH CENTRAL....... 1 28 4 20 1 46 33 90 163 960 519
Minnesota............. 3 3 6 19 9 34 57 18 6
Iowa.................. 1 16 1 10 12 25 40 676 154
Missouri.............. 1 9 5 16 23 129 229
North Dakota........... 1 2 3 3 88 104
South Dakota........... 1 3 1 1 2 47 -
Nebraska.'............ 3 1 9 1 1 26 2 26
Kansas ................ 4 1 1 6 4 10 12 NN NN

SOUTH ATLANTIC............ 5 23 1 7 88 46 137 259 1,249 1,613
Delaware .............. 1 8 99
Maryland.............. 17 11 28 28 142 110
District of Columbia.. 1 1 2 3 4 48 6
Virginia.............. 1 4 2 14 11 26 33 445 404
West Virginia.......... .- 1 9 2 12 42 298 214
North Carolina........ 2 3 1 26 9 35 80 14 319
South Carolina ........ 2 1 3 1 4 6 29 126
Georgia .............. 1 4 7 7 43 10 12
Florida............... .- 1 9 3 11 10 22 22 255 323

EAST SOUTH CENTRAL....... 1 3 3 8 1 1 100 41 145 320 1,973 875
Kentucky .............. .- 40 12 56 107 529 364
Tennessee............. 2 1 4 33 16 49 127 1,235 441
Alabama............... 1 1 2 3 14 11 25 46 57 19
M1sLsippL........... .- 1 1 1 13 2 15 40 152 51

WEST SOUTH CENTRAL....... 3 3 53 1 1 68 34 107 138 3,337 695
Arkansas.............. 1 1 12 5 17 25 37 190
Louisiana............. 1 7 15 2 17 17 38 4
Oklahoma.............. 1 3 4 4 10 8 97 1
Texas................. 3 1 42 1 37 23 63 88 3,165 500

MOUNTAIN................. 1 1 7 1 8 8 46 179 577 702
Montana............... 6 10 163 75
Idaho................. 7 13 21 47
Wyoming ............... 1 1 23 7
Colorado.............. 2 4 15 61 234 87
New Mexico............ 1 2 2 12 NN NN
Arizona............... 1 12 22 86 435
Utah.................. 1 1 4 3 7 31 73 45
Nevada................. 2 7 6

PACIFIC................... 2 2 9 4 15 84 94 190 163 2,908 1,671
Washington............ 2 9 12 23 14 1,188 223
Oregon................ 18 9 29 31 600 117
California............ 2 2 4 4 13 57 72 130 114 1,101 1,328
Alaska................ 7 3 6 1
Hawaii................ 1 1 1 13 2

Puerto Rico............... 1 8 27 5 32 31 139 16










86 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES

FOR W WEEKS ENDED

MARCH 18, 1961 AND MARCH 17, 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 laLive
11th wk. 11 weeks 11th week llth *w llth wk. 11th wk. 11th wk. 11 weeks 11th week 11 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES.... 51 562 9,665 10,025 2 4 11 91 130 65 798

NEW ENGLAND......... 2 35 657 761 2 -
Maine.............. 6 42 9 1 -
New Hampshire...... 1 25 -
Vermont............ 38 21 -
Massachusetts...... 14 120 248 1 -
Rhode Island....... 4 23 89 -
Connecticut........ 2 10 434 369 -

MIDDLE ATLANTIC..... 9 88 627 1,251 1 12 19
New York........... 4 41 382 718 1 6 10
New Jersey......... 5 19 106 259 4 -
Pennsylvania........ 28 139 274 2 9

EAST NORTH CENTRAL.. 12 117 998 1,267 12 35 5 116
Ohio............... 3 37 99 350 4 23 2 38
Indiana............ 3 12 181 181 9 52
Illinois........... 2 19 199 215 3 2 2 15
Michigan........... 4 43 277 273 3 1 1 6
Wisconsin.......... 6 242 248 2 5

WEST NORTH CENTRAL.. 3 28 337 321 1 1 4 28 12 255
Minnesota.......... 1 3 20 23 6 43
Iowa................ 5 116 58 11 7 116
Missouri............ 9 18 20 1 3 5 5 40
North Dakota....... 1 45 99 1 20
South Dakota....... 1 7 4 32
Nebraska........... 3 1 1 1 3
Kansas............. 2 6 137 113 1 1

SOUTH ATLANTIC...... 9 90 663 797 1 3 14 8 9 63
Delaware........... 2 10 4 10 -
Maryland........... 4 46 59 2 1
Dist. of Columbia.. 5 3 4 1 --
Virginia........... 2 21 226 242 1 1 3 2 5 32
West Virginia...... 1 6 142 247 1 1 4 3 17
North Carolina..... 3 22 60 65 -
South Carolina..... 4 32 21 1 -
Georgia............ 6 6 1 3 1 1
Florida............. 1 12 150 143 3 2 12

EAST SOUTH CENTRAL.. 3 40 1,641 1,464 1 1 2 7 25 8 121
Kentucky........... 1 10 256 306 2 5 3 33
Tennessee.......... 1 19 1,285 1,138 '- 2 19 5 84
Alabama............ 1 6 6 2 3 1 4
Mississippi........ 5 100 14 1 1 -

WEST SOUTH CENTRAL.. 2 53 1,117 1,126 1 1 27 29 15 169
Arkansas............ 6 2 8 2 1 6 27
Louisiana........... 1 22 4 11 1 1 9 3 6
Oklahoma........... 4 23 36 3 2 7
Texas.............. 1 21 1,088 1,071 13 26 6 129

MOUNTAIN............... 1 19 1,614 2,046 1 5 3 8
Montana............ 1 2 51 105 1 -
Idaho.............. 3 148 141 -
Wyoming............. 2 101 121 -
Colorado........... 3 674 579 2 -
New Mexico.......... 339 654 2 5
Arizona............ 6 176 26 1 1 3
Utah................ 123 198 1 -
Nevada............. 3 2 2 -

PACIFIC.............. 10 92 2,011 992 3 8 5 13 47
Washington......... 7 853 374 -
Oregon............. 1 11 38 102 I -
California......... 9 70 1,101 472 1 6 5 8 47
Alaska............. 4 5 35 2 2 4 -
Hawaii............ 14 9 -
Puerto Rico......... 4 4 7 1 2 2 5










Mlorbidily and Mortality Weekly Report





Tali -i ((.) TOTAL DEATHS LNDER I 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 2/24 1 Area 2/24 30
2/24 3/3 3/10 3/17 __2/24 3/3 3/10 3/17


NEW ENGLAND:
Boston, Mass............... 1 15 11 16
Bridgeport, Conn.......... 2 0 3 3
Cambridge, Mass............ 0 1 0 0
Fall River, Mass........ .. 1 4 0 1
Hartford, Conn............ 4 3 12 5
Lowell, Mass.............. 0 2 2 2
Lynn, Mass................ 1 0 0 0
.ew Bedford, Mass......... 2 3 1 0
New Haven, Conn........... 0 0 2 3
Providence, R.I........... 4 5 7 6
Somerville, Mass.......... 1 1 2 0
Springfield, Mass......... 2 1 2 2
Waterbury, Conn........... 1 3 2 1
Worcester, Mass........... 2 3 2 1

MIDDLE ATLANTIC:
Albany, N.Y............... 5 7 3 1
Allentown, Pa............. 2 2 2 4
Buffalo, N.Y.............. 11 8 11 12
Camden, N.J................ 0 5 4 5
Elizabeth, N.J............. 1 1 1 3
Erie, Pa.................. 3 2 4 1
Jersey City, N.J.......... 7 4 4 4
Newark, N.J............... 7 7 12 5
New York City, N.Y........ 100 84 76 96
Paterson, N.J............. 5 3 2 1
Philadelphia, Pa.......... 20 41 69 17
Pittsburgh, Pa............ 3 4 26 2
Reading, Pa............... 2 3 0 0
Rochester, N.Y............ 8 7 6 5
Schenectady, N.Y.......... 0 0 2 2
Scranton, Pa.............. 0 1 1 1
Syracuse, N.Y.............. 1 4 4 8
Trenton, N.J............... 3 3 3 1
Utica, N.Y................. 0 0 1 3
Yonkers, N.Y....... ....... 1 1 1 2

EAST NORTH CENTRAL:
Akron, Ohio ............... 8 3 2 8
Canton, Ohio............... 0 3 2 3
Chicago, Ill.............. 36 49 49 39
Cincinnati, Ohio........... 5 8 8 3
Cleveland, Ohio............ 13 15 23 21
Columbus, Ohio............ 6 2 3 10
Dayton, Ohio.............. 2 8 9 4
Detroit, Mich.................. 20 26 23 32
Evansville, Ind........... 2 1 1 0
Flint, Mich............... 7 3 3 5
Fort Wayne, Ind........... 5 1 5 2
Gary, Ind................. 0 4 1 1
Grand Rapids, Mich........ 1 5 2 7
Indianapolis, Ind......... 10 12 5 12
Madison, Wis............. 2 8 3 4
Milwaukee, Wis............... 6 13 9 8
Peoria, Ill ............... 6 3 1 0
Rockford, Ill............. 2 2 3 3
South Bend, Ind........... 0 3 4 2
Toledo, Ohio............... 3 5 6 3
Youngstown, Ohio.......... 5 4 4 3

WEST NORTH CENTRAL:
Des Moines, Iowa.......... 0 7 0
Duluth, Minn............... 3 2 1 3
Kansas City, Kans......... 5 1 3 7
Kansas City, Ho............ 10 6 6 11
Lincoln, Nebr............. 2 4 0 2
Mlnneapolis, Minn......... 10 13 4 5
Omaha, Nebr............... 4 7 4 5
St. Louis, Mo.............. 12 21 9 22
St. Paul, Minn........... 9 3 4 7
Wichita, Kans............. 3 2 4 0

*Estimate based on average percent of divisional total.
Totals for previous weeks include reported corrections.
NOTE: All death. b) place of occunence.


SOUTH ATLANTIC:
Atlanta, Ga............... 21 9 14 16
Baltimore, Md............ 18 21 26 17
Charlotte, N.C............ 4 8 7 1
Jacksonville, Fla........ 6 10 5 4
Miami, Fla............... 3 1 2 8
Norfolk, Va.............. 5 7 6 7
Richmond, Va............. 3 1 10 2
Savannah, Ga.............. 2 2 3 3*
St. Petersburg, Fla...... 0 2 1 2
Tampa, Fla............... 8 3 6 3
Washington, D.C.......... 8 31 8 13
Wilmington, Del........... 3 4 0 1

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 6 4 9 9
Chattanooga, Tenn........ 3 8 5 2
Knoxville, Tenn.......... 1 5 3 4
Louisville, Ky........... 8 8 20 10
Memphis, Tenn............. 10 11 15 18
Mobile, Ala............... 2 6 2 4
Montgomery, Ala......... 3 3 2 3
Nashville, Tenn........... 8 5 10 12

WEST SOUTH CENTRAL:
Austin, Tex.............. 1 0 3 1
Baton Rouge, La.......... 2 8 5 5
Corpus Christi, Tex...... 4 2 5 2
Dallas, Tex............... 11 11 4 6
El Paso, Tex.............. 7 14 4 5
Fort Worth, Tex........... 3 4 5 8
Houston, Tex.............. 12 12 15 15
Little Rock, Ark.......... 3 7 2 3
New Orleans, La.......... 16 14 15 11
Oklahoma City, Okla...... 4 6 0 7
San Antonio, Tex.......... 7 6 11 9
Shreveport, La........... 7 8 4 7
Tulsa, Okla............... 5 5 3 3

MOUNTAIN:
Albuquerque, N. Mex...... 4 1 2 3
Colorado Springs, Colo... 2 0 2 3
Denver, Colo............. 14 10 4 22
Ogden, Utah............... 2 1 1 2
Phoenix, Ariz............ 5 10 5 5
Pueblo, Colo.............. 6 1 2 1
Salt Lake City, Utah..... 3 6 2 6
Tucson, Ariz............ 0 1 3 4

PACIFIC:
Berkeley, Calif.......... 0 2 2 0
Fresno, Calif............ 4 1 6 6
Glendale, Calif.......... 0 0 0 00
Honolulu, Hawaii......... 1 6 7 7
Long Beach, Calif........ 2 6 1 3*
Los Angeles, Calif....... 22 39 36 26
Oakland, Calif........... 4 3 8 5
Pasadena, Calif.......... 1 1 2 1
Portland, Oreg........... 5 4 8 8
Sacramento, Calif........ 4 3 7 4
San Diego, Calif......... 5 9 7 9
San Francisco,.Calif ..... 4 21 7 8
San Jose, Calif.......... 4 3 4 2
Seattle, Wash............. 6 6 13 8
Spokane, Wash............. 5 3 2 3
Tacoma. Wash............. 2 3 4 3

San Juan, P.R............... 4 4 4 6


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.....


12,431
628
770
7,144




UNIVERSITY OF FLORIDA


3 1262 08863 9843


Morbidity and Mortality Weekly Report


In February of 1961, during an intensive investiga-
tion, all contacts of the known cases were re-cultured,
and a culture survey was.done on patrons of the bars. A
positive culture for toxigenic C. diphtheria was obtained
from an asymptomatic 47-year-old native woman, a fre-
quent patron of Bar C, who had been immunized at age 11.
Five days later, during the last week of February, a posi-
tive culture was obtained from another woman, who had
been under treatment for a non-specific pharyngitis, and
who also frequented Bar C. Contacts of these two pa-
tients have all been cultured with negative results.
Since January 1, adult immunization clinics have
been held, with approximately one-fourth of the adult
population having been immunized to date. Culture sur-
veys of these groups have not revealed any additional
cases or carriers.
(Reported by Dr. E. O. Wicks, State Health Director,
Alaska Department of Health and Welfare; Dr. A. N. Wil-
son, City Health Officer, Ketchikan, Alaska; and an
EIS Officer from the Communicable Disease Center.)


INTERNATIONAL NOTES QUARANTINE MEASURES

Epidemic Smallpox Western Europe


During the past three months, there were seven im-
portations of smallpox into cities of Great Britain and
Germany. The infected travelers came from Liberia, Paki-
stan, or India. These three areas are foci of smallpox
endemicity, and all three experienced sharp upswings in
reported incidence of the disease in late 1961. Secondary
and tertiary spread has occurred with a total of 63 cases
and 12 deaths thus far. Below are listed details of each
importation:


IMPORTED CASE
Place of Date of Date of Onset Secondary Tertiary
Place of Occurrence Exposure Arrival of Symptoms Cases* Cases' Deaths
Germany, Dsseldorf Liberoi 12-2-61 12-1361 3 1 2
Switzerland,
Schoffhausen 1
England, Bradford Pakistan 12-1641 12-2341 10 4 6
England, Birmingham Pakistan 12-1961 12-1-61 1 0 0
England, London Pakistan 12-25-61 12-2561 2 0 1
Englq.d. B.ringham Pakistan 1-462 1-1362 0 0 0
Wales. CarJIf Pakistan 1-11-62 1-1362
Glamorganshire, Lantrissant Rural District 1
Rhondda Urban District 1 6 2
Germany, Monshau
Krles India 1-23-62 2442 9 16 1
Aachen 1
Provisional categorization of secondary and tertiary cases on basis of available information.



Sweden Karlstrona

The suspected case of smallpox reported March 16,
1962, has been removed from the suspect category and is
not smallpox.


UNIV OF FL Li8.
DOC- MNTS DEPOT.



S. .DEPO

I' S DEPOSITORY


0


E g



0 X
jqro
S -, S
En<
ro r
0S
*1


z
m


I-
-4
m
- C
4 '

C
> m




0 -.
ZZ


-n
a
m


C1




Full Text
xml version 1.0 encoding UTF-8
REPORT xmlns http:www.fcla.edudlsmddaitss xmlns:xsi http:www.w3.org2001XMLSchema-instance xsi:schemaLocation http:www.fcla.edudlsmddaitssdaitssReport.xsd
INGEST IEID EQHIU0YYX_M4FW6T INGEST_TIME 2012-10-15T14:47:34Z PACKAGE AA00010654_00252
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES