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:
AA00010654:00254

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:


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FScZ. o/;?-//





Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


-
,0


MElrose 4-131


For release March 9, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 9

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED MARCH 3. 1962


INFLUENZA E
escent in all Stat
two outbreaks o
eastern part of th
is not known as
Oklahoma an
Influenza B, brin
ing Influenza Ty
South Dakota re
respiratory disea
The number
enza in 108 citi
For the first time


epidemicc influenza is subsiding or qui- die Atlantic States reported figures in excess of their
es with the exception of Wyoming where respective expected levels. The number of pneumonia
if influenza-like disease in the north- and influenza deaths in the adjacent East North Central
e State are reported. The etiologic agent division, which has been in excess of expected levels
yet for the past three weeks, rose precipitously this past
Id Virginia have confirmed outbreaks of week; the West North Central States, which had reported
going the total number of States confirm- a decline in the number of deaths the previous week, re-
pe B this season to 36. Louisiana and corded an upward trend this week.
port that no significant outbreaks of The South Atlantic, East South Central, West South
se have occurred. Central, and Moutain Stares, which during the current
of deaths due to pneumonia and influ- season YSg es above expected levels, this
es reached its highest level this year. wee l tp i u ers. The Pacific States are
this season the New England and Mid- an hl been well 1w i normal ranges for the past






Table I. CASES OF SPECIFIED NOTIHIAIE SFASES 'ED STATES
(Cumulative totals include revised and delayed n sv week)


Disease


Aseptic meningitis. ..............
Brucellosis .....................
Diphtheria ....................
Encephalitis, infectious ..........
Hepatitis, Infectious and serum...
Measles .............. .......
Meningococcal infections .........
Poliomyelitis, total............
Paralytic ....................
Nonparalytic ...............
Unspecifed. ..................
Streptococcal sore throat
and Scarlet fever .......
Tetanus .......................
T ularem ia .....................
Typhoid fever ................
Typhus fever, tick-borne,
(Rocky Mountain spotted)......

Rabies in Animals ...............


I 9th Week


Ended
March 3,
1962


23
10
5
32
1,289
15,814
57
6
4
1
1

10,136
3
1
7

1

69


Ended
March 4,
1961


19
13
7
28
2,090
14,250
43
5
1
3
1

10,6-3


Median
1957 1961


0- Cumulative


First 9 weeks
Median
1962 1961 1957 1961


.4- 4-i- 4 4 ______________


13
21
28
584
16,648
54
16
7
6
3



13


142
54
106
225
13,033
95,737
465
64
38
10
16

77,633
20
46
63

3

588


203
80
161
198
15,22
92,327
460
75
40
17
18

85,433


546


106
173
198
4,976
101,587
492
169
118
29
22



97


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis- Wis. 2
Botulism- Rabies in Man:
Malaria: Smallpox-
Plague: Typhus. marine:


aaReaslstm


I'








Morbidity and Mortality Weekly Report


Current U. S. Hepatitis Incidence
Compared With Years 1961, 1960, and 1957
SOURCE DATA NOVS.COC


1=600






8000

600

400W
200





Week Endina
Week Endina


six weeks. No new isolations of Influenza A2 virus have
been reported. None of the six isolations previously
reported were identified with an outbreak.
International
Netherlands A military garrison in the Netherlands
reported an outbreak of acute respiratory illness during
the week of February 11. Three strains of Influenza A2
were isolated.
Norway In early February, an outbreak of Influ-
enza A2 (Asian) occurred in Bradufoss in northern
Norway.
(Credit for this report is due State Epidemiologists; col-
laborating laboratories of the Influenza Center for the
Americas, CDC; Prof. Dr. J. Mulder, Academisch Zie-
kenhuis, Leiden, Netherlands; Dr. Arild Harboe, National
Institute of Public Health, Oslo, Norway.)

POLIOMYELITIS Six cases of poliomyelitis, 4 para-
lytic, were reported for the week ending March 9, 1962.
This includes two delayed reports for 1961 received from
New York State. Two paralytic cases are reported from
Maricopa County, Arizona.

HEPATITIS This week 1,289 cases of hepatitis were
reported. This is 801 cases below the 2,090 cases re-
ported for the corresponding week in 1961. In the graph
above hepatitis cases by week for 1962 are compared
with those of previous years. It appears that the inci-
dence of hepatitis in 1962 will be considerably lower
than the incidence in 1961.

EPIDEMIOLOGICAL REPORTS
New Mexico Botulism
Three men, aged 18, 22 and 24, residing in the same
house in a New Mexico town, had onsets of an illness
characteristic of botulism on January 11 and 12, 1962. Two
of the men died on January 13.


The suspected meal, which all three persons consum-
ed on the evening of January 10, consisted of green chili
and spaghetti, bread, and milk. The green chili used was
home-canned. The spaghetti had been stored in the dry
state in a cellophane package until use. The meal had
been prepared by one of the men who died; however, the
surviving victim could not recall anything abnormal in the
smell, taste, appearance or texture of the foods served.
The morning of January 11, approximately 12 hours
after the suspect meal, one of the patients, A., complained
of glare from the sun, inability to see well at a distance
and inability to play the guitar. In the evening, he com-
plained of increased visual disability and "flu" symptoms.
At 4:00 A.M. on January 12, he awoke with nausea and
vomiting, and subsequently developed headache, dysphagia
and difficulty in speech. He was admitted to the hospital
for treatment at 1:30 P.M., January 12, and died on Jan-
uary 13.
Patient B. complained first of "flu" symptoms during
the evening of January 11, the day after the suspect meal.
Early the next morninghe experienced nausea and vomiting
and visual disturbances. He attended work, although be-
coming increasingly ill and complaining of nystagmus. He
was hospitalized at 5:30 P.M. with weakness, diplopia,
and some difficulty in speech and swallowing. This patient
recovered.
The third patient C., had onset of symptoms on the
morning of January 12, about 36 hours after eating the
suspect meal. He was hospitalized at 1:30 P.M. the same
day. with diplopia, dysphagia, and difficulty in speech,
and died on January 13.
The suspected home-canned foods in the house, in-
cluding a 1 quart jar of the home-canned chili, were con-
fiscated and taken to the State Public Health Laboratory.
Clostridium botulinum was not'isolated, nor was toxin
demonstrated. A return visit to the house was made and a
previously undetected glass fruit jar containing a few


.. %... .- \..

/ 1960 A ......... /

\.--A


JAN FEB MAR APR MAY JUN JUL AUG ,SEP OCT NOV DEC
6 20 3 17 3 17 31 14 28 12 26 9 23 7 21 4 18 1 15 29 13 27 10 24 8 22








Morbidity and Mortality Weekly Report


green chili seeds was found. No fluid or juice was present.
The color was normal; however, the contents had a putrid,
offensive odor. A heat-labile, toxic substance was demon-
strated which killed mice within 15 hours and which was
neutralized by C. botulinum Type A antitoxin. Just when
the contents of this jar had been consumed could not be
determined because the cook was dead. Presumably this
occurred on January 10th.

(Reported by Dr. John B. Sherman, Director, Division of
Preventive Medicine and Daniel E. Johnson, PhD., Direc-
tor, Public Health Laboratory, New Mexico Department of
Public Health; Dr. James Russel, DHO, and Simon O.
Santilone, Sanitarian, Department of Public Health, Valen-
cia County Department of Public Health).


Kentucky Botulism
A 15-year-old boy was admitted to a Kentucky hos-
pital on January 10, 1962, with botulism.
On January 7, the boy had opened and eaten about
four mouthfuls of bad tasting home-canned green beans.
His sister, after tasting the beans, threw them away.
Twenty-four hours later, on January 8, he complained of
nausea, vomiting and headache.
On January 9 the patient complained of a feeling of
smothering, diplopia, and blurred vision, and was some-
what ataxic. He was hospitalized on January 10 with
dysphagia and mild respiratory distress.
On January 11, inability to swallow and severe
respiratory distress necessitated tracheostomy and use
(continued on page 72)


MORTALITY SUMMARY


The average number of deaths for all ages in 108
United States Cities during the past four-week period
declined slightly in comparison with the average number
reported for the preceding period. Although still in excess
of the expected number of deaths, the weekly fluctuation
varied by more than a thousand deaths during the last two
weeks of the period. The average excess per week during
this period was 455 as compared with 552 during the pre-
ceding period.
During the influenza outbreak of early 1960, the total
number of deaths during a comparable four week period


rose to 51,222, or 11 percent above the expected figures.
During the current four-week period, the excess is 4 per-
cent above expected figures.


TOTAL DEATHS RECORDED IN 108 UNITED STATES CITIES

Week Ending 4 Week Weekly
Feb. 10 Feb. Feb. Feb. 24 Mar. 3 Total Average
Observed 12,528 12,298 11,740 12,826 49,392 12,348
Expected 11,935 11,904 11,879 11,854 47,572 11,893
Excess 593 394 -139 972 1,820 455


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


*BY PLACE OF OCCURRENCE


"*CALCULATED FROM 1954-'60 EXPERIENCE


(See Table. Page 71)












68 Mlorhidity and Ilortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 4, 1961 AND MARCH 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...............
Mississippi...........

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

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

PACIFIC ..................
Wa hingcon...........
Oregon................
California............
Alaska.................
Haw ii ................


Cumulative Cumulacive
9th week First 9 weeks 9th week First 9 weeks 9th week 9th week


C--


Puerto Ri.o........... ... 1 1 -


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


6 5 64 75 4 1 38 40 1 3 23 19

2 2



1 1 -

1 1 -


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


1 1 -
1 -

6 12 4 7 1 5
3 7 3 -
2 1 1
1 2 2 1 1
S 1 3
2 1 -

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





1 2


-
1 1 1 2
1 1 1 2
1 -
1 1 -
1 2 1 I -

S 3 10 2 1 6 2
1 10 1 2 I


2 2 4 1

1 1 10 9 -8 4 1 1 6 1
1 10 1 2 6
3 3 -3 2 -
1 5 2 -2 1 1
1 7 5 1 5 1

2 1 5 13 2 3 7 3 2
2 1 -1 1 -
2 -
3 -
1 2 -
1 1 2 3 3 2

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


1 4 18 1 2 12 4 6

2 1 -
1 4 15 1 2 10 2 6

1 I -


I










Morbidity and Mortality Weekly Report 69


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES

FOR WEEKS ENDED

MARCH 4, 1961 AND MARCH 3, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious infectious and serum
Area C
Cumu- Cumu- 9th week
lative lative Under 20 &
9th week 9 weeks 9th week 9 weeks 9th week 20 yr. over Total Total 9th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 10 54 5 106 32 28 709 486 1,289 2,090 15,814 14,250

NEW ENGLAND .............. 2 2 39 42 90 66 1,954 1,052
Maine ................. 10 7 17 4 355 11
New Hampshire......... 2 4 9 7 60 6
Vermont............... 1 6 3 39
Massachusetts......... 2 1 23 22 45 22 858 582
Rhode Island.......... 1 5 6 9 73 304
Connecticut........... 1 3 3 7 21 608 110

MIDDLE ATANTIC.......... 1 9 3 107 102 209 384 2,647 2,398
New York.............. -- 8 2 66 50 116 171 1,629 1,239
New Jersey............ 1 18 21 39 97 672 342
Pennsylvania.......... 1 1 23 31 54 116 346 817

EAST NORTH CENTRAL....... 3 15 2 3 177 102 295 467 1,750 4,043
Ohio.................. 68 38 116 203 272 1,060
Indiana ............... 1 1 1 11 8 22 79 196 268
Illinois .............. 1 12 1 28 17 46 82 330 474
Michigan.............. 1 2 69 33 102 94 763 823
Wisconsin............. 1 2 1 6 9 9 189 1,418

WEST NORTH CENTRAL....... 5 27 15. 1 1 50 23 84 201 445 730
Minnesota.............. 2 3 3 13 3 20 48 16 13
Iowa .................. 3 15 12 5 20 60 287 222
Missouri.............. 1 12 6 19 54 26 342
North Dakota.......... 1 2 3 4 94 106
South Dakota........... 1 3 2 2 4 7 18 1
Nebraska .............. 3 8 1 1 2 6 17 4 46
Kansas ................ 4 1 1 9 3 12 11 NN NN

SOUTH ATLANTIC........... 5 3 23 3 7 95 49 146 220 1,081 1,738
Delaware............... 1 1 4 9 52
Maryland .............. 1 12 5 17 41 114 142
District of Columbia.. 1 1 4 5 3 44 5
Virginia ............. 1 2 4 1 24 10 34 38 384 368
West Virginia......... 23 5 28 38 355 293
North Carolina........ 2 3 1 1 19 6 25 60 26 425
South Carolina ........ 1 2 1 7 4 12 10 21 138
Georgia .............. 1 4 2 1 3 5 2 -
Florida............... 1 9 1 4 7 13 21 21 126 315

EAST SOUTH CENTRAL....... 1 2 1 4 1 1 109 50 163 316 1,520 1,722
Kentucky.............. 54 18 74 94 166 877
Tennessee............. 1 2 1 2 35 15 52 142 1,151 555
Alabama............... 1 6 3 9 43 57 228
Mississippi........... 1 1 11 14 14 28 37 146 62

WEST SOUTH CENTRAL....... 1 3 1 49 3 3 59 26 86 156 3,238 579
Arkansas .............. 10 3 13 36 64 233
Louisiana............. 6 8 8 16 12 8 -
Oklahoma .............. 2 1 2 4 6 4 184 1
Texas................. 1 3 1 40 2 3 39 11 51 104 2,982 345

MOUNTAIN................. 7 4 1 9 10 63 82 629 681
Montana............... 6 1 1 2 9 9 223 83
Idaho.................. 9 4 22 47
Wyoming............... 1 1 2 10 3
Colorado............. 2 3 18 20 211 118
New Mexico........... 1 2 2 11 NN NN
Arizona............... .- 3 16 11 117 325
Utah.................. 1 6 2 8 22 46 74
Nevada................. 3 31

PACIFIC.................. 1 6 6 10 64 82 153 198 2,550 1,307
Washington............ 1 1 10 9 22 26 977 315
Oregon ................ 4 6 13 21 437 146
California ........... 1 2 5 9 50 67 117 146 1,116 836
Alaska ................ 4 1 1 14 2
Hawaii................ 4 6 8

Puerto Rico.............. 4 7 14 5 19 7 156 26











70 Mlorbiditi and Mortality Weekly Report


Tahlr 3 CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED


MARCH 4, 1961 AND MARCH 3, 1962- (Continued)


Meningococcal Streprococcal Tick-
Infecions Sore Throat & Tetanus borne Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever Typhus
Area Cumu- (Rcky. Cuu- Cumu- Cu
lative Spotted) lative latLve
9th week 9 weeks 9th week 9th week 9th week 9th week 9th week 9 weeks 9th week 9 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES...... 57 465 10,136 10,643 3 1 1 7 63 69 85 588

NEW EGICLAND.............. 2 32 483 683 -
Maine................. 6 21 12 -
New Hampshire......... 1 5 10 -
Vermont................ 27 28 -
Massachusetts.......... 1 13 93 259 -
Rhode Island.......... I 4 40 64 -
Connecticut........... 8 297 310 -

MIDDLE ATLIATIC.......... 9 75 716 1,205 1 5 1 17
New York............. 6 34 470 676 1 1 8
New Jersey............ 1 14 100 252 2 -
Pennsylvana .......... 27 146 277 1 2 9

EAST NORTH CENTRAL ....... 14 91 1,110 1,453 11 7 6 65
Ohio .................. 3 31 179 420 4 1 1 11
Indiana............... 1 8 205 29i 3 2 37
IllinoLs............... 3 15 183 217 2 2 11
Michigan.............. 6 32 294 293 3 2 2
Wiscon in............. 1 5 249 232 2 1 1 4

WEST NORTH CENTRAL....... 2 24 421 285 2 28 6 204
Minnesota............. 2 16 14 6 1 33
Iowa.................. 1 5 132 57 10 3 93
Missouri.............. 8 12 21 2 5 32
North Dakota.......... 1 93 101 3 1 19
South Dakota.......... 1 1 4 1 24
Nebraska .............. 1 3 1 3
Kansas................ 4 167 91 -

SOUTH ATLANTIC........... 7 70 751 727 I 10 2 22 51
Delaware............... 6 13 3 -
Maryland............. 3 19 72 2 1
District of Columbia.. 5 2 1 -
Virginia.............. 1 16 320 161 1 2 2 15 27
West Virginia......... 4 118 322 5 12
North Carolina........ 3 17 29 44 -
South Carolina....... 3 110 35 -
Georgia................ 1 6 5 -- 2 1 1
Florida................ 2 10 135 89 3 1 10

EAST SOUTH CENTRAL..... 4 36 1,661 1,883 1 5 12 10 81
Kentucky.............. 1 100) 339 2 4 1 21
Tennessee............. 1 17 1,47- 1,323 1 2 7 4 57
Alabama................ 1 5 12 13 1 1 5 3
Mississipp.............. 5 75 208 -

WEST SOUTH CENTRAL ...... 6 47 1,272 1,176 1 5 21 13 30 123
Arkansas.............. 2 6 17 2 2 7 24
Louisiana................. 3 18 2 8 2 6 1 6 5
Oklahoma.............. 4 69 9 I 5
Texas.................. L 19 1,201 1,142 1 3 12 10 17 89

MOUTNTAIN................. 2 17 1,762 1,832 4 2 3 8
Montana............... 1 86 61 -
Idaho................. 1 3 187 174 -
Wyoming............... 2 182 61 -
Colorado.............. 1 2 731 740 -
New Mexico............. 259 299 2 2 2 5
Arizona............... 6 164 164 1 3
Utah.................. 153 284 -
Nevada................ 3 49 -

PACIFIC.................. .11 73 1,960 1,399 1 2 5 5 7 39
Washington............. 2 7 789 813 -
Oregon................ 8 60 147 1 -
California............ 9 54 1,038 425 2 5 5 7 39
Alaska............... 4 57 11 -
Hawaii............... 16 3 -

Puerto Rico.............. 2 13 7 1










Morbidity and Mortality Weekly Report




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


For weeks ending AFor weeks ending
2/10Area 2/17 2/24 2/10 2/17Area2/24
2/10 2/17 2/24 3/3 2/10 2/17 2/24 3/3


NEW ENGLAID:
Boston, Mass. .............
Bridgeport, Conn..........
Cambridge, Mas. .........
Fall River, Mass. .........
Hartford, Conn. ...........
Lowell, Has ...............
lynn, Ma s. ..............
New Bedford, M.ss ........
New Haven, Conn. ..........
Providence, R. .........
Somerville, Mass. .........
Springfield, IM ss. ........
WatErbury, Conn. ..........
Worcester, las .........

MIDDLE ATLANTIC:
Albany, N.Y .............
Allentown, Pa. ............
Buffalo, N.Y. .............
Camden, N.J. ..............
Elizabeth, N.J. ...........
FriE Pa. .................
Jersey City, N.J. .........
Newark, N.J. ..............
New York City, N.Y. .......
Paterson, N.J. ............
Philadelphia, Pa. ........
Pittsburgh, Pa. ...........
Reading, Pa. ..............
Rochester, N.Y. ...........
Schenectady, N.Y. .........
Scranton, Pa. .............
Syracuse, N.Y. ............
Trenton, N.J. ............
Utica, N.Y. ...............
Yonkers, N.Y. .............

EAST NORTH CENTRAL:
Akron, Ohio...............
Canton, Ohio................
Chicago, Ill. .............
Cincinnati, Ohio...........
Cleveland, Ohio.............
Columbus, Ohio.............
Dayton, Ohio...............
Detroit, Mich ...........
Evan.viLle, Ind. ..........
Flnt, Mich ..............
Fort Uayne, Ind ..........
Gary, Ind ...............
Grand Rapids, Mich. .......
Indianapolis, Ind. ........
Madion, 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. ............


284
42
34
31
49
21
33
21
58
91
20
41
39
59


44
34
150
50
32
34
78
105
1,824
48
578
175
25
110
23
40
80
35
23
32


51
36
856
175
247
142
85
381
38
39
42
33
60
150
36
125
36
32
30
111
67


64
32
37
149
35
138
78
239
76
43


227
35
36
25
57
30
24
39
48
57
11
52
21
56


53
35
165
59
29
42
68
110
1,765
-39
517
208
35
109
27
47
70
52
30
36


59
36
893
169
255
150
81
355
55
44
32
32
47
154
31
142
30
32
35
93
57


68
25
52
156
30
132
110
252
90
54


270
45
25
32
47
26
27
26
55
63
13
38
33
71


59
41
142
38
44
38
76
101
1,797
36
554
194
24
124
32
39
51
45
28
39


71
40
812
157
216
142
70
368
39
45
38
23
55
136
28
111
37
39
29
69
63


47
29
44
151
26
128
64
227
72
44


278
46
39
37
63
29
31
46
52
66
20
64
38
74


63
41
172
42
32
50
99
114
1,770
47
598
183
35
115
31
42
77
64
37
33


86
49
911
182
208
146
97*
408
35
52
44
40
50
176
35
142
25
23
36
125
61


69
48
43
170
30
162
87
289
75
59*


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. .............


145
218
36
64
84
56
85
32
77
91
217
43


116
62
28
112
123
41
38
73


36
37
26
121
37
68
156
43
195
68
111
53
49


28
20
137
14
72
19
38
53


13
35
53
56
70
594
84
40
97
47
89
210
35
127
60
41


San Juan, P.R. ............. 29 17 30 (---)


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.....


12,826
676
813
7,367


*Estimate based on average percent of divisional total.
Totals for previous weeks include reported corrections.

NOTF All deaths by place of occurrence.




UNIVERSITY OF FLORIDA

1illl3l 111 11H1111111l111111 ill 1111
3 1262 08863 9835


Morbidity and Mortality Weekly Report


of a respirator. Polyvalent A and B Botulinus Antitoxin
was given on five successive days, beginning January 11.
With this and supportive therapy the patient recovered.
Investigation disclosed that the jar of green beans
from which the boy had eaten was one of 25 quarts can-
ned in September by the "cold-pack" process. One month
after canning, seven quarts had exploded. Thus far, six
of the 13 quarts opened had been spoiled and were thrown
away, including the suspect jar. The five remaining un-
opened quarts were submitted to the State Laboratory.
C. botulinum toxin was not demonstrated.
(Reported by J. Clifford Todd, M.P.H., State Epidemi.
ologist, Bureau of Medical Services, State Department of
Health, Frankfort, Kentucky.)


UNIV OF -
DOCUMENTS 1



S. DEPOSITORY

I U S. DEPOSITORY


INTERNATIONAL NOTES QUARANTINE MEASURES

Smallpox Europe

Wales Llantrissant Rural District (Glamorganshire) -
One suspect case of smallpox has been confirmed.

Wales Rhondda Urban District (Glamorganshire) On
February 9, a 23-year-old woman died at home after giving
birth to a stillborn infant. Autopsy diagnosis was toxemia
and congestive heart failure. Five people including the
patient's 24-year-old sister, her 20-year-old brother and
1-year-old child, the doctor who performed the autopsy
and a 23-year-old neighbor woman, subseq uently developed
symptoms of smallpox. Four of these have been con-
firmed. One additional suspect case has been reported.

Germany No new cases of smallpox have been reported.




Immunization Information for International Travel

1961 edition Public Helith Service Publication No. 384

Section 5 Add to cholera information:
Asia, Viet Nam Page 51
Cholera vaccination is required for arrivals by air or
sea: from the Philippines and North Borneo.


Notes: These provisional dats re based on weekly telegrams to the Communi-
cable Disease Center by the Individual State health departments.
Symbols: --- Data not available
Quantity zero
Procedures for construction of various mortality crves may be obtained from
Statistics Section, Communicable Disease Center, Public Health Service,
U. S. Department of Health, Education, and Welfare, Atlanta 22 Georgia.


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