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:
AA00010654:00253

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

F5 vr /61 P :


Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


MElrose 4-5131


For release February 9, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 5
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED FEBRUARY 3, 1962


INFLUENZA The epidemic of Influenza Type B which
began on the West Coast of the United States and in the
Southern part of Florida, subsequently spanning the
United States in a broad arc through the Mid-western and
Southeastern States, continues a progressive spread
through the North and Northeast sections of the country.
Outbreaks of acute febrile respiratory disease indi-
cate active spread of the illness along the Eastern Sea-
board from Georgia to Maine, and in the States adjacent
to the Great Lakes.
Eight States reported outbreaks of influenza-like
disease for the first time this week. Four of these, Con-
necticut, Maine, Rhode Island, and Virginia, are on the


East Coast; the others are Michigan, Mississippi, West
Virginia, and Idaho.
Continuing outbreaks of increased school-absenteeism
due to influenza-like disease are reported in new counties
from 12 States. In the Northeast these are Maryland,
Massachusetts, New York, New Jersey, and Vermont, and
in the Great Lakes area, Illinois, Minnesota, and Wis-
consin. Spread of the illness was also reported from
Kansas, Nebraska, Tennessee, and Florida.
Confirmation of Influenza B outbreaks by isolation
or serologic titer rises is reported from six additional
States Connecticut, Massachusetts, Michigan, Miss-
issippi, New Jersey, and New York. A total of 24 States


Table I. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
5th Week Cumulative
Ended Ended First 5 weeks
Disease Median
February 3, February 1957 1961 Median
1962 1961 1962 1961 1957 1961
Aseptic meningitis ............... 17 23 --- 72 113 ---
Brucellosis ..................... I 10 15 23 40 58
Diphtheria...................... 13 22 22 62 116 116
Encephalitis, infectious .......... 35 24 24 120 111 107
Hepatitis, infectious and serum... 1,698 1,813 643 7,357 7,936 2,596
Measles ........................ 10,277 10,219 10,786 41,688 42,742 -2,742
Meningococcal infections ......... 51 57 57 2,, 269 272
Poliomyelitis, total .............. 17 13 19 46 54 113
Paralytic..................... 11 6 10 27 29 81
Nonparalytic .............. ...... 3 5 9 8 11
Unspecified.................. 3 2 11 14 18
Streptococcal sore throat
and Scarlet fever ............ 9,698 9,187 --- "0,081 43,600
Tetanus ........................ --- --- 13-- -
Tularemia ............... 34 --. .
Typhoid fever ................... 8 6 11 30 36 59
Trphus fever, tick-borne,
(Rocky Mountain spotted)...... 2 / .. -
Rabies in Animals............... 73 57 86 300 254 40

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis:
Botulism- Rabies in Man:
Malaria: Ariz.-1, Md.-1, N.C.-3, Kans.-I, Calif.-1 Smallpox:
Plague: Typhus, murine:


///c-


V'









34 Morbidity and Moi




RESPIRATO
"--- -.









*4












and the District of Columbia have confirmed Influenza B
outbreaks. No Influenza A activity has been confirmed
to date.
r ''i .-
-;-. -






























ending February 3, 1962, increased to 1,698 cases as
compared to 1,508 cases reported the previous week.

POLIOMYELITIS Seventeen cases of poliomyelitis,
11 paralytic, were reported for the week ending February 3.
Five of the 6 cases reported from New York had on-
and the Districtn 1961. Two of theseColumbia have cases occurred influenza BErie
outbreaks. Ny, two Influenza A activity, and one in confirmed
County. Type I poliovirus was isolated from 4 of these.
The number of pneumonia-influenza deaths in 108
cities of the United States decreased during the past
week but remained above the epidemic level for the fifth
consecutive week.


HEPATITIS Reported cases of hepatitis for the week
ending February 3, 1962, increased to 1,698 cases as
compared to 1,508 cases reported the previous week.

POLIOMYELITIS -Seventeen cases of poliomyelitis,
11 paralytic, were reported for the week ending February 3.
Five of the 6 cases reported from New York had on-
sets in 1961. Two of these late cases occurred in Erie
County, two in Jefferson County, and one in Montgomery
County. Type I poliovirus was isolated from 4 of these.


reality Weekly Report


On October 17, 18, 19, 20, 24, 25, and 26, turkeys
from the suspect flock were processed. All employees
who became ill had worked on days when this flock was
processed. Five apparently healthy turkeys from this
flock were autopsied. All birds except one showed peri-
carditis, epicarditis, and thickening of the air sacs.
One bird showed a "plastic exudate" membranous cover-
ing over the surface of the liver. Mouse inoculation with
material from these four birds revealed inclusion bodies
typical of those found with psittacosis.
Although this group of birds appeared to be the
source of the human illnesses, the flock had shown no
unusual illness patterns until October 22 and 23 when
deaths in excess of expected numbers were observed.
The following graph shows that an unusually large per-
centage, 13.8% of birds from the suspect flock, were
condemned on October 25:


"0[NUMBER


EPIDEMIOLOGICAL REPORTS


Psittacosis and Hurricane Carla Texas


Between October 28 and November 6, 1961, 22 of 92
employees of a poultry processing plant in Texas de-
veloped an influenza-like respiratory illness. The disease
was characterized by a fever of 101 to 102 degrees, chills,
malaise, and cough. There was no evidence of pulmonary
complications on X-ray. Eight of the cases were hospital-
ized for from 3 to 4 days. All cases received tetracycline
and became asymptomatic within short periods. Lab-
oratory studies revealed complement-fixation titer rises
to psittacosis in 17 of these cases. The epidemic curve.
below shows one case appearing on the 28th of October
and, beginning 4 days later, the remaining 21 cases ap-
pearing within a 5-day period.


DATE of ONSET of CASES


. n 3


i'* a 1 20 ?a uP. 23 ?4 ?26 27 Ia a Is v, 5 2 3 5S
OCTOBER NOVEMBER

PFRCENTAGE of


14 PERCENT BIRDS CONDEMNED
12
0
6
6
4
2
o2 n r-
I I6 19 to a 1, 2! a V ,T a 3O N
OCTOBER | KOWMER


V









Morbidity and Mortality Weekly Report


The highest percentage, on the 25th of October,
represents 131 birds (13.8%) condemned from a lot of
951. The epidemic curve is consistent with a common
source exposure on the 25th of October for all but one of
the human cases.
Investigation revealed that no unusual or undiagnosed
illness had occurred in other animals on the premises of
the owner of the flock. In addition to wild birds native to
the area, however, it was noted that, on September 11,
the eye of Hurricane Carla passed directly over the
premises. According to the owner millions of birds in-
cluding sea gulls, pelicans, other sea birds, Spanish
doves, and sparrows were seen flying in the eye. For two


or three days thereafter, sea gulls, singly and in small
groups, were seen on the premises. It appears conceivable
that some of the turkeys in the flock may have originally
become infected by sea birds and that the spreading
infection took a month and a half to reach epidemic
proportions.
(Reported by A. B. Rich, D.V.M., M.P.H., Director of
Division of Veterinary Public Health, State of Texas
Department of Health, Austin, Texas, Dr. Lawrence
Pessarra, D.V.M., M.P.H., State of Texas Department of
Health, and Dr. M. S. Dickerson, M.D., T.M.P.H., Epi-
demiologist, Texas State Department of Health, Austin,
Texas.)


MORTALITY SUMMARY


The chart below shows the average weekly number
of deaths from all causes at all ages by four-week peri-
ods. The last four-week period shown is for the week
ending January 13 through week ending February 3.
For this four-week period, the excess mortality for
all ages averaged 552, somewhat less than five percent
above the expected number. The excess mortality is con-
siderably less than that encountered for a comparable
four-week period during the 1960 Influenza A, epidemic
when the average weekly excess rose to 11 percent above
the expected average weekly number.


The table below shows the expected number of total
deaths for the recent four weeks and the observed num-
bers.


TOTAL DEATHS, ALL AGES, RECORDED IN 108
UNITED STATES CITIES

Week Ending: 4 Wk. Wkly.
Jan. 13 Jan. 20 Jan. 27 Feb. 3 Total Average
Observed 12,615 12,690 12,597 12,466 50,368 12,592
Expected 12,052 12,059 12,042 12,008 48.161 12,040
Excess 563 631 555 458 2,207 552


TOTAL DEATHS RECORDED IN 108 U.S. CITIES
Average number per week by four-week periods
13,500


13,000 r- INFLUENZA A-


12,500


12,000
RECORDED
DEATHS*
II,


"EXPECTED"
NUMBER"

10,500


000 ---- --


1 1960S 1961 1 1962 1 963
OF OCCURRENCE CALCULATEDO FROM t954-'60 EXPERIENCE


NUMBER

OF

DEATHS


*BY PLACE


(See Table, Page 39)


number


Period I












36 lMorbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 4, 1961 AND FEBRUARY 3, 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...............
ISS.ziLpp ............

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

MOUNTAIN.................
Montana..............
Idaho .................
WV%:-rming ........ ... ...
Colorado..............
New Mexico.............
Arizona..............
Utah .................
Nevada...............

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


Cumulative Cumulative
5th week First 5 weeks 5th week First 5 weeks 5th week 5th week


4--


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


17 13 46 54 11 6 27 29 3 5 17 23

3








6 1 20 2 4 1 12 1 2 1
6 1 20 2 4 1 12 1 2 -



4 2 5 10 3 4 6 2 2 3
2 2 3 6 2 3 3 2 2
2 2 I 1 -
2 2 1 -
1 1













3 1 4 5 3 1 4 4 2 5
1 -



I1 i --

1 1 2 1 1 1 2 -
1 1 1 -- i -

1 1 2 1 1 1 5

1 2 1 7 2 5
S 2 7 1 -
1 1 1

-1 4

2 2 5 6 1 1 4 3 1 1 1 1

1 3 1 2 -
1 3 1 2 -.


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

1 3 11 1 1 6 1 -
S 2 1 1 -


S 1 2 1 2 1 -

2 I
1 4 -


4 4 12 2 2 8 2 6 8

1 1 1 2 -
I 1 1 1 .
3 4 11 1 2 7 2 6 8


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

,%rgin I: lind. ........... -










Morbidity and Mortality Weekly Report 37


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

FEBRUARY 4, 1961 AND FEBRUARY 3, 1962 Continued


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Area
Cumu- Cumu- 5th week
lative lative Under 20 &
5th week 5 weeks 5th week 5 weeks 5th week 20 yr. over Total Total 5th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 1 23 13 62 35 24 1,031 545 1,698 1,813 10,277 10,219

NEW ENGLAND.............. 1 39 41 80 52 1,746 724
Maine................. 7 10 17 385 42
New Hampshire......... 8 1 9 3 5 41
Vermont.............. 2 2 6 3 15
Massachusetts........ 1 13 19 32 13 759 324
Rhode Island.......... 6 6 12 12 222 207
Connecticut........... -5 3 8 18 372 95

MIDDLE ATLANTIC.......... 9 4 118 71 189 218 1,293 2,226
New York............... 5 4 61 39 100 113 678 1,039
New Jersey............ 22 16 38 40 381 342
Pennsylvania............ 4 35 16 51 65 234 845

EAST NORTH CENTRAL ....... 7 7 1 3 254 125 407 392 1,285 3,249
Ohio.................. 117 46 173 169 104 734
Indiana........... .... 32 6 38 40 80 148
Illinois.............. 7 19 23 45 72 430 502
Michigan.............. 1 3 81 48 131 99 494 433
Wisconsin............ .- : 2 20 12 177 1,432

WEST NORTH CENTRAL....... 11 10 4 1 91 46 150 185 171 280
Minnesota............. 2 15 10 30 46 17 17
Iowa.................. 3 -- 3( 13 57 60 54 66
Missouri.............. 1 2 1 15 2 17 22 12 118
North Dakota.......... -- -2 2 74 77
South Dakota........... 1 2 3 11 8
Nebraska............... 2 7 6 8 23 6 2
Kansas........... .. 4 1 2 20 13 33 23 NN NN

SOUTH ATLANTIC........... 3 1 17 3 4 132 66 203 201 878 1,144
Delaware.............. 1 1 6 102
Maryland.............. 22 5 27 24 119 60
District of Columbia.. 1 1 1 1 22 1
Virginia.............. I 21 14 36 11 355 236
West Virginia ........ 29 8 40 62 258 103
North Carolina........ 2 1 2 2 3 35 18 57 39 13 266
South Carolina........ 5 9 8 7 225
Georgia .............. 4 2 7 37 12 13
Florida................ 1 9 1 1l 13 25 19 86 138

EAST SOUTH CENTRAL....... 1 1 2 2 1 201 59 271 318 1,090 1,019
Kentucky.............. 1 1 10( 17 130 101 90 618
Tennessee.............. 1 1 1 1 5f 21 78 161 703 354
Alabama ............... 2 12 36 30 91 30
Mississippi........... 1 9 27 26 206 17

WEST SOUTH CENTRAL...... 1 1 7 20 2 2 64 40 109 125 1,839 319
Arkanbas............... 1 1 1 16 30 20 9 34
Louisiana............. 2 2 4 9 6 5
Oklahoma ............. 2 1 1 8 14 84 5
Texas ................. 1 1 5 15 2 41 19 62 85 1,741 280

MOUNTAIN................. 1 7 2 1U 8 84 141 471 363
Montana ............... 1 6 3 5 28 253 46
Idaho.................. 1 8 4 4 47
Wyoming............... 1 2 25
Colorado............... 1 32 42 30 52
New Mexico............ 1 1 10 5 NN NN
Arizona................. 19 17 143 149
Utah................... 3 9 41 39 40
Nevada.................. 1 4 4

PACIFIC.................. 3 6 14 6 10 89 205 181 1,504 895
Washington ............... 1 3 13 49 35 635 226
Oregon................. 1 11 22 30 169 98
California ............ 2 14 5 5 61 117 112 603 568
Alaska ................ 3 4 1 2 15 3 94
Hawaii................. 2 2 1 3 3

Puerto Rico.............. 3 1 14 5 38 36

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










38 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 4, 1961 AND FEBRUARY 3, 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
5th week 5 weeks 5th week 5th week 5th week 5th week 5th week 5 weeks 5th week 5 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES ..... 51 244 9,698 9,187 6 4 8 30 73 57 300

NEW ENGLAND.............. 4 18 640 516 -
Maine................. 3 24 24 -
New Hampshire......... 5 42 -
Vermont............... 32 45 -
Massachusetts......... 1 9 146 170 -
Rhode Island......... 1 1 54 26 -
Connecticut........... 2 5 379 209 -

MIDDLE ATLANTIC......... 10 38 630 583 2 3 4 10
New York.............. 2 17 399, 316 4 6
New Jersey............ 3 10 118 135 1 -
Pennsylvania ......... 5 11 113 132 1 2 4

EAST NORTH CENTRAL....... 8 46 866 1,174 1 2 5 5 2 20
Ohio ................. 4 19 200 415 2 -
Indiana............... 1 3 150 196 -- 2 2 15
Illinois............... 1 6 197 220 1 1 1 2
Michigan.............. 2 14 135 164 1 1 1 1
Wisconsin ............ 4 184 179 1 2 2

WEST NORTH CENTRAL....... 5 13 385 373 2 30 13 112
Minnesota.............. 1 1 38 14 9 1 20
Iowa .................. 1 4 88 97 13 6 52
Missouri............... 3 5 10 11 2 5 3 18
North Dakota.......... 1 151 128 7
South Dakota........... 1 3 3 13
Nebraska.............. 1 1 2
Kansas................ 2 97 121 -

SOUTH ATLANTIC........... 3 35 762 626 2 2 1 7 2 7 23
Delaware.............. 1 6 4 2 -
Maryland.............. 1 43 32 2 1
District of Columbia.. 4 2 -
Virginia.............. 1 8 233 177 1 1 3 12
West Virginia......... 2 181 202 4 4
North Carolina........ 7 32 58 1 1 -
South Carolina........ .. 1 66 42 1 1 -
Georgia.................. 26 7 1 -
Florida............... 1 6 177 104 1 3 1 6

EAST SOUTH CENTRAL....... 3 18 1,752 1,560 1 1 12 6 42
Kentucky.............. 5 93 245 3 2 12
Tennessee.............. 2 8 1,517 1,230 1 9 2 29
Alabama .............. 1 28 51 1 2 1
Mississippi........... 1 4 114 34 -

WEST SOUTH CENTRAL....... 8 27 1,017 1,129 3 1 8 16 18 62
Arkansas................ 1 3 7 10 4 5 8
Louisiana............. 4 10 6 7 2 1
Oklahoma.............. 3 4 54 49 1 3
Texas................. 10 950 1,063 3 1 5 12 13 50

MOUNTAIN................... 2 9 1,921 2,103 2 1 3 5
Montana............... 1 80 117 1 -
Idaho................. 1 186 114 -
Wyoming............... 116 145 -
Colorado.............. 590 643 -
New Mexico............ .- 367 572 1 1 2 3
Arizona .............. 2 4 242 186 1 2
Utah................... 338 319 -
Nevada................ 3 2 7 -

PACIFIC .................. 8 40 1,725 1,123 1 2 2 7 4 26
Washington............ 2 624 654 -
Oregon................ 1 6 59 69 -
California............ 7 31 904 385 2 2 7 4 26
Alaska.................. 1 87 12 -
Hawaii................ .- 51 3 -

Puerto Rico.............. 4 3 7 1

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










Morbidity and Mortality Weekly Report 39




Table 4 (A). TOTAL DEATHS IN REPORTING CITIES


(Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period, see Chart, page 3)

a For weeks ending a For weeks ending
Area 1/20/62 2/ 2 1 2 Area 1/20/62 1/27
1/13/62 1/20/62 1127/62 213/62 1/13/62 1/20/62 1/27/621 2/3/62


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. ..............
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, NJ. ............
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 Rapid., 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 ............


270
43
27
38
54
37
28
25
34
72
21
35
30
71


44
29
141
45
35
49
53
95
1,860
39
462
157
29
93
33
47
68
71
36
40


53
44
839
194
188
110
78
387
49
53
51
28
43
148
35
161
35
38
46
126
70


68
40
46
135
21
123
77
366
94
70


237
40
36
35
53
28
26
18
52
69
20
36
33
43


54
44
133
55
37
44
75
126
1,746
51
502
162
26
105
19
42
60
66
29
37


66
29
894
168
209
133
80
441
29
52
33
28
53
136
30
135
27
16
39
108
49


64
31
21
157
24
111
49
360
68
51


285
46
40
39
47
32
23
23
54
55
17
59
33
66


51
36
154
50
31
43
78
97
1,703
49
519
196
26
87
30
31
59
36
29
21


57
33
877
185
219
104
92
415
37
40
36
34
39
166
47
136
24
36
40
103
61


54
29
34
150
15
168
84
311
92
70


245
46
31
31
44
25
23
30
44
66
15
48
41
54


43
33
158
49
32
29
79
126
1,658
38
583
297
31
117
25
39
60
46
31
28


57
29
847
200
204
126
74
365
39
48
48
31
31
154
32
131
24
39
41
106
50


56
26
31
150
23
144
71
297
67
62


SOUTH ATLANTIC:
Atlanta, Ga. ..............
Baltimore, Md.............
Charlotte, N.C ..........
Jacksonville, Fla. ........
Miami, Fla. ...............
Norfolk, Va. ..............
Richmond, Va. ..............
Savannah, Ga. .............
St. Petersburg, Fla. ......
Tampa, Fla. ...............
Washington, D.C. ..........
Wilmington, Del. ..........

EAST SOUTH CENTRAL:
Birmingham, Ala. ..........
Chattanooga, Tenn. ........
Knoxville, Tenn. ..........
Louisville, Ky. ...........
Memphis, Tenn. ............
Mobile, Ala. ..............
Montgomery, Ala. ..........
Nashville, Tenn. ..........

WEST SOUTH CENTRAL:
Austin, Tex. ..............
Baton Rouge, La. ..........
Corpus Christi, Tex. ......
Dallas, Tex. ..............
El Paso, Tex. .............
Fort Worth, Tex. ..........
Houston, Tex. .............
Little Rock, Ark. .........
New Orleans, La. ..........
Oklahoma City, Okla. ......
San Antonio, Tex. .........
Shreveport, La. ..........
Tulsa, Okla. ..............

MOUNTAIN:
Albuquerque, N. Mex. ......
Colorado Springs, Colo. ...
Denver, Colo. .............
Ogden, Utah ...............
Phoenix, Ariz. ............
Pueblo, Colo. ..............
Salt Lake City, Utah.......
Tucson, Ariz. .............

PACIFIC:
Berkeley, Calif. ..........
Fresno, Calif. ............
Glendale, Calif. ..........
Honolulu, Hawaii............
Long Beach, Calif. ........
Los Angeles, Calif. .......
Oakland, Calif. ...........
Pasadena, Calif. ..........
Portland, Oreg. ..........
Sacramento, Calif. ........
San Diego, Calif. .........
San Francisco, Calif. .....
San Jose, Calif. ..........
Seattle, Wash. ...........
Spokane, Wash ............
Tacoma, Wash. .............


124
283
52
58
86
59
83
29
91
67
220
27


64
44
35
164
127
51
51
74


53
35
21
159
29
55
132
60
169
117
131
65
70


34
12
125
18
113
14
44
51


150
270
27
76
112
74
73
45
100
99
242
51


108
65
38
130
161
48
46
92


54
26
33
132
38
79
282
85
246
72
145
56
49


37
16
158
27
104
16
55
59


19
46
49
56
48
555
81
37
116
68
114
245
47
146
47
39


140
226
39
78
81
41
107
47
94
96
183
41


122
97
38
117
158
60
50
60


40
44
24
151
59
78
193
59
190
60
132
81
82


39
29
113
24
121
25
46
40


San Juan, P.R. .............. 40 27 30 27


Current 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.....


12,466
576
848
7,054


*Estimate based on average percent of divisional total
+Includes estimates for missing reports

NOTF- All deaths by place of occurrence.




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3 1262 08863 9801


Morbidity and Mortality Weekly Report


INTERNATIONAL NOTES QUARANTINE MEASURES

Smallpox Europe

England One new case ofsmallpoxhas been reported in
England bringing the total number of cases to 22. The
new case, in a young boy from Ilkley (Yorkshire near
Bradford) who became ill on January 31, apparently origi-
nated from the Bradford Hospital. No additional deaths
have occurred.

Germany Two cases of smallpox, one imported from
India and one secondary case, are reported as of Febru-
ary 2 from Monshau Kreis (Land Nordrheinewestfalen).
One of the cases (in Lammersdorf) has been confirmed.
This brings to six the total number of cases reported
from the Federal Republic of Germany. No additional
cases have occurred in Dusseldorf where four cases with
one death were reported.

Immunization Information for International Travel
1961 edition Public Health Service Publication No. 384

Section 5 The following information on smallpox vac-
cination for Pakistan supersedes the information in the
booklet and in the second paragraph of Identical Memo of
the DFQ, dated January 5, 1962, entitled "Smallpox In-
formation for the International Traveler:"


ASIA Pakistan, page 47, Section 5
Departing travelers must possess a vaccination certificate
valid for 3 months beginning 10 days after a primary
vaccination or 3 days after a revaccination.

Section 6 The following information should be deleted
from the list of Yellow Fever Vaccination Centers:


City Center
California Tidewater Oil Company
Martinez Tel: ACademy 8-1220


Clinic Hours
Monday-Friday
1:30 2:30 p.m.


Notes: Thee provislousl dta are based on weekly telerams to the Communi-
cable Disesse Cester by the Individual Sate health deprtmenuo.
Symbols: --- D1ata o available
Q9uaniy sero
Procedures for costsrction of varleou mortality curves may be obtained frhm
Steiltiesl Section, Commnlcable Disease Cater, Public Heiath Service,
U. S. Department of Health. Educatrri, ad Ille e, Aldat 22, Gorgiis.


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Smallpox Vaccination Requirements
Turkey
Unofficial information was received that a smallpox vac-
cination certificate of not more than 6 months is required
for all air crews and passengers arriving in the country.

Argentina
Unofficial information was received that a smallpox vac-
cination certificate of not more than 14 days is required
for all persons arriving from Rio de Janeiro, Brazil.

Both reports are being queried.


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