Morbidity and mortality

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Morbidity and Mortality -



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

PUBLIC HEALTH SERVICE


Prepared by thr


MElrose 4-5131


For release March 30, 1962 ATLANTA 22, GEORGIA Vol. 11. [la. 12

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED MARCH 24. 1962


INFLUENZA No significant outbreaks of influenza-
like illness have been reported this week. New Hamp-
shire and Rhode Island have confirmed outbreaks of
Influenza B, bringing the total number of States con-
firming influenza B to 40. Influenza A2 (Asian) virus
has been isolated from a single case in Oakland,
California.


POLIOMYELITIS Four cases of poliomyelitis, three
paralytic, were reported from four widely separated
States for the week ending March 24.
Of the 46 paralytic cases reported thus far in 1962,
28 had onset since January 1. Eighteen cases represent
delayed reports with onsets of illness in 1961.
The map on page 90 depicts by county of origin 26
of the cases of paralytic poliomyelitis with onset in


No community epidemics of A, Influenza have yet 1962. The county of origin for two paralytic cases re
been identified. The first A2 virus isolation was ob- ported this week (from California and Iowa) are not yei
rained from an isolated case in Oakland, California. known.
(Note: The previous report of six A2 virus isolations, HEPATITIS 1,227 cases of viral hepatitis were re-
MMWR, Vol. 11, No. 9, page 66, was in error. These ported for the week ending March 24, 1962, as compared
ss with serologic titer rises only.) to 1,919 cases for the corresponding period in 1961.





Ic 1. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES
APR1962 (Cumulative totals include revised and delayed reports through previous week)

12th Week Cumulative
Ended Ended First 12 weeks
S March 24, March 25, Median
1957 1961 MEdian
1962 1961 1962 1961 1957 1961


Aseptic meningitis...............
Brucellosis ..................
Diphtheria ................... ..
Encephalitis, infectious ..........
Hepatitis, infectious and serum...
Measles ........................
Meilngococcal infections .........
Poliom yelitis, total ..............
Paralytic ...................
Nonparalytic .................
Unspecified. ................
Streptococcal sore throat
and Scarlet fever ............
Tetanus ....... ...........
Tularem ia ......... ............
T yphoid fever ...................
Typhus fever, tick-borne,
(Rocky Mountain spotted)......

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


16
7
6
30
1,227
19,247
58
4
3

1

8,905
1
3
7


122


13
13
6
34
1,919
15,519
60
8
5
3


9,828


6



95


4 U-


13
11
34
479
16,500
66
19
15
3
1





102

102


194
69
129
302
16,774
149,147
622
73
46
10
17

105,551
26
57
98

3

920


+ +


261
117
192
302
21,170
136,645
603
99
57
24
18

115,827


99


77S


155
207
278
6,619
152,287
685
207
149
33
25



120


1 n19


Table 2 NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis Calif. 1
Botulism: Rabies in Man-
Malaria: Conn. 1 Smallpox:
Plague: Typhus, murine-


--


-
r


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Morbidity and Mortality Weekly Report


REPORTED PARALYTIC POLIOMYELITIS IN U S BY COUNTY
1962 onsel through March 4


EPIDEMIOLOGICAL REPORTS


Salmonellosis Michigan
A notable epidemic in Detroit of food-borne Sal-
monella thompson infections has recently come to light.
Following a report from Canada relating a marked in-
crease in S. thompson infections to cake mixes, informa-
tion regarding the 1961 occurrence of these organisms
was sought from the 22 Salmonella typing centers in the
country. The localization of 13 S. thompson cases to the
Detroit region led to intensive studies in this area.
Eleven of these 13 persons had onset of illness due
to S. thompson during the 10 hour period from 10:00 P.M.
on July 22 to 8:00 A.M. on July 23. The other two cases
could not be related to the epidemic. All of the 11 bac-
teriologically confirmed cases had ingested eclairs, ob-
tained from a single neighborhood bakery, on July 22.
Six to 18 hours after eating the eclairs, illness in these
patients was heralded by explosive, blood-flecked diar-
rheal stools, continuous vomiting, intense abdominal
cramps, and temperature elevations varying from 1020 to
1050 F. The sustained fluid loss led to profound fatigue
and collapse. Seven persons required hospitalization.
Therapy, consisting of replacement parenteral fluids,
antispasmodics, and broad spectrum antibiotics, resulted
in improvement within 24 hours and discharge of all hos-
pitalized patients by the 7th day. Despite a three-week
course of antibiotics, repeated cultures have yielded
S. thompson for as long as 6 months in some of the
patients.


Each of the bakery's employees submitted 2 stool
specimens which when cultured were free from enteric
pathogens. The list of ingredients used in the eclairs
indicated that fresh eggs were the probable source of
contamination. It was possible to trace the origin of the
eggs through a route-man distributor, wholesaler and farm,
to a single breeder source. This breeder had sustained
losses of large numbers of newly hatched chicks due to
an epizootic of S. thompson infections earlier in 1961.
Investigations to ascertain the method of breeder flock
infection or contamination are continuing.
(Reported by Dr. George H. Agate, Epidemiologist, Michi-
gan Department of Health; Dr. G. D. Cummings, Director
of Laboratory Services, Michigan Department of Health;
Dr. Joseph G. Molner, Director, Detroit Health Depart-
ment; and an EIS Officer from the Communicable Disease
Center.)

Food-Borne Staphylococcus Enterotoxin Outbreaks
Twenty-seven outbreaks of gastroenteritis pre-
sumable due to staphylococcus enterotoxin are sum-
marized on page 96. A total of 53 such outbreaks were
reported during 1961 from 16 States, (See MMWR, Vol. 10,
Nos. 12 and 27). The principal vehicles involved were
sandwiches and salad preparations; and ham, turkey,
and chicken, baked alone or in casseroles.
The interval between ingestion of the contaminated
food and onset of symptoms varied between 1% and 8
hours, as would 'be expected, in all cases except two
(Case outbreaks Nos. 2 and 27) where intervals as long
as 18 hours were recorded.









Morbidity and Mortality Weekly Report


INTERNATIONAL NOTES QUARANTINE MEASURES

Smallpox Europe

Germany Monshou Kreis (Land Nordrheinewestfalen) -
Three additional cases of smallpox have been confirmed
in this area, bringing the total of confirmed cases to 29,
including 1 death.

Wales Glamorganshire A total of 17 confirmed cases
of smallpox, including four deaths, has been reported to
date. Eight cases, including three deaths, are from the
Rhondda Urban District; nine cases, including one
death, are from the Llanstrissant Rural District.


Immunization Information for International Travel
1961 edition Public Health Service Publication No. 384
Section 5 Add to the requirements:
ASIA Pakistan, Page 47
Smallpox vaccination is required of departing
travelers. Certificate is valid for three months, begin-
ning 10 days after a primary vaccination or 3 days after
a revaccination. A certificate indicating vaccination
performed within 3 years will be accepted from transit
passengers who remain less than 10 days in Pakistan.
Cholera vaccination is required of all arrivals from
infected areas in Afghanistan.
All other information remains the same.


SUMMARY OF DEATHS AMONG PERSONS 65 YEARS AND OVER IN 108 U. S. CITIES


During the third four-week period of the current year
ending March 24, there was an average weekly number of
deaths of 7,053 as compared with a weekly average of
6,992 during the second four-week period and 7,136 during
the first four-week period.
During this past four-week period, the number of
deaths fell to expected levels in the last week of the
period, bringing the average weekly excess to 305 for the
four weeks. During the 1960 influenza A2 epidemic, the
average weekly excess number of deaths among older
persons for the comparable four-week period was 435, and


similarly to the current period, the number of deaths fell
markedly during the last week of the period.


DEATHS 65 YEARS AND OVER RECORDED IN 108
UNITED STATES CITIES


WEEK ENDING 4 week Weekly
3/3 3/10 3/17 3/24 Total Average
Observed 7,353 7,058 7,144 6,657 28,212 7,053
Expected 6,785 6,765 6,738 6,703 26,991 6,748
Excess 568 293 406 -46 1,221 305


DEATHS AT AGE 65 AND OVER IN 108 U.S. CITIES
Average number per week by four-week periods


INFLUENZA A2
7,00 0-
S RECORDED
DEATHS*



6,500 X-- ___ I"
/, "EXPECTED"
NUMBER "






5,.000.-- ----------_____
UMBE :it TTTTF *:::::':::: T:1;:"1 TTl it r TTT T


1963 1


SBY PLACE OF OCCURRENCE


CALCULATEO PROM( $91. SI-I ERPCRIEICE.


(See table, page 95)


NUMBER

OF

DEATHS


PERIOD NI


I I I I I


I


,I











92 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 25, 1961 AND MARCH 24, 1962



iI Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic .nonparalytic Meningitis


Area


Cumulative Cumulative
12th week First 2 weeks 12th week First 12 weeks 12th week 12th -eek


NEW E
Ma
Ne
Ve
Ma
Rh
Co

MIDDLE
Ne
Ne'
Pe

EAST
Oh
In,
II
Mi
Wi

WEST
Mi
lo
Mi
No
So
Ne
Ka'

SOUTH
De
Ma
Di
Vi
We
No
So
Ge
Fl

EAST
Ke
Te
Al
Mi

WEST
Ar
Lo
Ok
Te

MOUNT
Mo
Id
Wy
Co
Ne
Ar
Ut
Ne

PAC LF
Wa
Or
Ca
Al
Ha

Pu,-rt


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

UNITED STATES...... 4 8 73 99 3 5 46 57 3 16 13

NGLAND .............. 3 3 3 1
ine................. -
w Hampshire.......... -
rmont................ -- -
ssachusetts......... 1 2 1 2 1
ode Island.......... -
nnecticut............ 1 -

E ATLANTIC.......... 1 29 5 1 16 4 -
w York............... 1 29 3 1 16 2 -
w Jersey............ 2 2 -
nnsylvania -

NORTH CENTRAL....... 1 1 8 15 1 S 9 3 4
io.................. 4 7 4 3 -
diana ............... 1 3 1 1 1 1
linois.............. 1 1 3 1 3 2 1
chigan.............. 1 1 1
sconsin............. 3 1 1 1

NORTH CENTRAL....... 1 5 2 1 1 2 -
nnesota............. 1 1 -
wa.................. 1 3 1 -
ssouri.............. 2 -
rth Dakota........... -
uth Dakota........... -
braska.............. -
nsas................. -

ATLANTIC........... 1 5 10 5 6 1 1 -
laware............... I 2 1 1 -
ryland .............. -
strict of Columbia.. -
rginia........ ....... 1 1 -
st Virgnia.......... 2 1 -
rth Carolina........ 1 3 -
uth Carolina........ 1 1 -
orgia................. 1 1 1 1 -
orida ................ 1 2 1 -

SOUTH CENTRAL....... 1 3 13 1 2 2 3 1
ntucky.............. 1 13 1 2 3 1
nnessee............. 1 -
abama............... .. -
ssissippi........... 2 2 -

SOUTH CENTRA....... 2 11 13 9 5 2 1
kansas.............. 1 -
uisiana............. 4 3 4 2 -
lahoma.............. -
xas................. 2 7 9 5 3 2 1 -

AIN .................. 5 15 3 9 I
ntana............... 2 1 1 1 -
aho................. 3 1 -
oming............... -
lorado.............. 3 3 1
w Mexico............. 1 -
izona............... 2 2 2 1 -
ah .................. 1 5 3 -
vada................ -

Ii .................. 1 2 7 23 1 2 5 17 8 6
Sng n ............ 2 1
n ................ 2 -
Itforni............ 1 2 6 20 1 2 4 15 6 5
3ska ............... .
w ~ ................ --- 1 1 -- 1 1- -

o Rico .............. 1 1 -










Morbidity and Mortality Weekly Report 93


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

MARCH 25, 1961 AND MARCH 24, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious infectious and serum
Area
Cumu- Cumu- 12th week
lative lative Under 20 &
12th week 12 weeks 12th week 12 weeks 12th week 20 yr. over Total Total 12th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961
UNITED STATES...... 7 69 6 129 30 34 680 448 1,227 1,919 19,247 15,519

NEW ENGLAND.............. 5 1 24 33 60 38 1,965 1,279
Maine ................. 10 6 16 169 26
New Hampshire......... 2 6 10 2 38 50
Vermont ............... 1 1 2 4 67 71
Massachusetts......... 1 1 6 12 18 21 939 602
Rhode Island.......... 3 2 1 3 4 119 399
Connecticut........... 1 3 7 11 7 633 131

MIDDIE ATLANTIC.......... 1 1 2 10 13 92 79 171 326 2,976 2,977
New York.............. 1 2 9 7 47 46 93 125 1,654 1,403
New Jersey............ 6 12 11 23 108 1,036 629
Pennsylvania .......... 1 1 33 22 55 93 286 945

EAST NORTH CENTRAL....... 19 2 2 2 190 110 320 342 2,265 4,795
Ohio.................. 50 31 89 109 308 1,186
Indiana............... 1 1 28 10 42 77 418 167
Illinois .............. 16 1 2 63 29 97 46 598 523
Michigan.............. 1 1 49 37 86 105 707 1,258
Wisconsin............. 2 3 6 5 234 1,661

WEST NORTH CENTRAL....... 4 32 3 23 4 46 35 91 223 653 425
Minnesota............. 3 1 7 1 17 7 25 58 38 21
Iowa.................. 2 18 1 7 10 18 62 443 125
Missouri.............. -1 1 13 6 22 64 26 164
North Dakota........... 2 2 125 107
South Dakota.......... 1 3 2 2 4 21
Nebraska.............. 2 5 2 11 3 4 12 13 8
Kansas............... 4 I 2 4 4 8 26 NN NN

SOUTH ATLANTIC........... 5 1 24 2 2 95 49 148 225 1,272 1,697
Delaware.............. 1 1 8 1 69
Maryland ............. 1 12 5 17 28 172 120
District of Columbia.. 1 1 1 1 2 10
Virginia.............. 1 4 14 14 32 22 442 290
West Virginia......... .- 13 3 16 54 470 280
North Carolina........ 2 1 4 37 17 54 55 41 354
South Carolina........ 2 5 1 6 11 7 85
Georgia............... 1 4 3 3 6 9 5 6
Florida............... 1 9 2 10 5 15 38 93 483

EAST SOUTH CENTRAL....... 3 8 104 33 137 301 1,650 1,130
Kentucky................ 39 10 49 68 420 304
Tennessee............. .- 2 4 35 12 47 117 1,117 562
Alabama ............... 1 3 14 3 17 55 35 226
Mississippi.......... 16 8 24 61 78 38

WEST SO CENTRAL....... 2 5 1 54 4 5 34 28 65 151 4,377 699
Arkansas.............. .- 1 1 3 4 7 23 13 134
Louisiana............. .- 7 4 1 5 18 8 -
Oklahoma.............. 3 3 2 6 4 180 1
Texas ................. 2 5 1 43 3 5 24 21 47 106 4,176 564

MOUNTAIN................ 1 2 7 1 12 11 66 104 1,247 749
Montana ............... 6 2 3 5 4 490 63
Idaho................. 12 2 43 77
Wyoming .............. 1 1 11
Colorado .............. .1 1 1 9 27 278 133
::::::::::: 1 1 1 9 27 278 133
NewMexico .............. 5 5 10 8 NN NN
Arizona ............... 23 32 240 442
Utah ................. 1 4 2 6 19 190 25
Nevada ................- 1 6 4

PACIFIC .................... 2 9 6 7 83 70 169 209 2,842 1,768
Washington.............. 1 7 8 20 33 931 250
Oregon .............. 1 17 7 24 57 565 188
California............ .. 2 4 5 6 59 55 114 111 1,326 1,308
Alaska ................ .- 5 11 7 20 14
Hawaii ................ --- 8

Puerto Rico .............. -110 12 3 15 19 114 8









94 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 25, 1961 AND MARCH 24, 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 lative
12th wk. 12 weeks 12th week 12 th wk. 2th k. 12th wk. 12th wk. 12 weeks 12th week 12 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962
UNITED STATES.... 58 622 8,905 9,828 1 3 7 98 122 95 920

NEW ENGLAND......... 36 933 737 2 -
Maine.............. 6 277 33 -
New Hampshire...... 2 44 -
Vermont............ 96 8 -
Massachusetts...... 14 107 250 -
Rhode Island....... 4 38 74 -
Connecticut......... 10 415 328 -

MIDDLE ATLANTIC..... 6 96 607 1.380 12 4 1 23
New York........... 4 47 308 822 6 3 13
New Jersey......... 19 117 276 4 -
Pennsylvania....... 2 30 182 282 2 1 1 10

EAST NORTH CENTRAL.. 15 132 1,006 1,246 12 24 6 140
Ohio............... 4 41 127 322 4 12 2 50
Indiana............ 1 13 209 226 10 2 62
Illinois........... 1 20 220 206 3 2 15
Michigan........... 9 52 208 297 3 1 7
Wisconsin.......... .- 6 242 195 2 1 6

WEST NORTH CENTRAL.. 2 30 270 284 1 5 36 28 291
Minnesota........... 3 35 22 7 4 50
Iowa ............... 5 96 59 13 11 129
Missouri........... 9 26 10 1 4 9 6 49
North Dakota....... 1 69 126 3 1 23
South Dakota....... 1 5 4 5 36
Nebraska ........... 2 5 1 1 3
Kansas............. 6 39 67 1

SOUTH ATLANTIC..... 9 98 719 844 2 14 7 18 70
Delaware............ 2 12 2 3 -
Maryland........... 4 26 44 2 1
Dist. of Columbia.. 5 1 2 -
Virginia........... 1 21 328 231 3 4 15 36
West Virginia ...... 6 163 293 1 1 3 18
North Carolina..... 4 26 33 45 -
South Carolina..... 1 5 74 27 1 -
Georgia............ 6 1 2 3 1
Florida............ 1 13 92 198 3 2 14

EAST SOUTH CENTRAL.. 3 43 1,369 1,552 1 8 12 11 133
Kentucky........... 10 173 241 2 2 1 35
Tennessee.......... 19 1,131 1,250 1 3 9 9 93
Alabama............ 2 8 5 23 3 1 1 5
Mississippi........ 1 6 60 38 -

WEST SOUTH CENTRAL.. 11 64 1,014 1,080 1 1 4 31 25 21 194
Arkansas............ 2 8 4 11 2 5 5 32
Louisiana.......... 5 27 5 14 1 10 1 1 7
Oklahoma........... 4 14 13 3 7
Texas............... 4 25 991 1,042 1 1 3 16 19 15 148

MOUNTAIN.............. 19 1,311 1,704 1 6 1 9
Montana............ 2 90 63 1 -
Idaho............... 3 133 77 -
Wyoming............ 2 82 40 1 2 -
Colorado............ 3 414 654 -
New !Ixico......... .- 247 472 2 5
Arizona............ 6 163 207 1 I 4
Utah............... 182 183 -
Nevada............. 3 8 .

PACIFIC.............. 12 104 1,676 1,001 8 13 10 60
Washington ......... 2 9 594 432 -
Oregon............. 1 12 36 89 -
California......... 9 79 996 34 6 13 9 60
Alaska............... 4 50 41 2 1
Hawaii ............ -- -- 5 --- --- -
Pucrto Rico ......... 4 1 11 5










Morbidity and Mortality Weekly Report 95





Table 4 (D). TOTAL DEATH r AMONG PERSONS 65 YEARS AND OVER IN R1PORTIN(, ( 1ill



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


Area For weeks ending Area For weeks ending
3 3/10 3Area/24 3/3 3/10 /1re7 3/24
3/3 3/10 3/17 3/24 3/3 3/10 3/17 3/24


NEW ENGLAND:
Boston, Mass..............
Bridgeport, Conn..........
Cambridge, Mass ..........
Fall River, Mass..........
Hartiord, 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, N1. .............
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 Rapids, Mich........
Indianapolis, Ind.........
Madison, Wis...............
Milwaukee, Wis...........
Peoria, T11...............
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...........
WLchita, Kan ............


158
28
29
27
35
18
20
36
34
41
10
50
24
52


32
22
92
21
22
30
60
65
1,031
28
322
100
27
80
24
28
47
48
27
21


51
31
518
110
131
90
55
225
23
30
28
24
32
99
14
97
15
11
19
76
33


46
32
24
113
21
99
49
158
55
24


181
31
30
14
27
12
22
25
32
39
7
28
15
47


30
26
98
21
18
21
37
56
1,040
30
250
88
19
87
16
24
47
34
30
25


38
24
452
105
137
90
35
242
20
42
30
17
43
101
18
63
27
19
10
77
45


32
10
32
87
30
90
61
131
45
35


172
28
19
21
35
18
22
17
35
40
13
35
21
42


39
27
94
21
13
25
34
69
1,096
19
368
102
24
80
24
33
48
37
23
28


23
22
475
110
145
81
47
237
17
27
23
14
35
95
28
97
18
13
25
76
40


38
16
23
88
26
59
48
138
45
23


138
21
26
21
41
24
17
15
29
41
8
26
12
43


28
31
103
28
18
49
41
57
1,002
19
296
137
27
57
16
28
35
26
21
21


24
19
409
97
114
75
49*
209
26
24
26
15
33
84
22
74
13
14
16
76
35


46
14
20
79
27
61
43
123
53
38


SOUTH ATIANTIC:
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:
Albuqucrque, 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.............


San Juan, P.R.............. 8 17 17 (---)


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.....


11,915
553
737
6,657


*Estimate based on average percent of divisional total.
Totals for previous weeks include reported corrections.
NOTI All de.ti.. u. place ol a, uIene.


58
151
20
22
43
24
43
21
60
30
128
28


55
29
19
50
82
19
23
35


22
13
7
73
36
39
78
37
90
40
56
29
42


10
4
67
10
41
14
34
23









REPORTED STAPHYLOCOCCUS ENTEROTOXIN OUTBREAKS THROUGH DECEMBER 31, 1961*
NNo. Eoiing
Outbreak No. Dote Eaten State Meal VeiM cle No. III S1upected Vehicle Proboble Place of Contamination Incubation Range Reported By
27 1/9/61 California 15 12 7 Enchiladas Hotel Restaurant 3-18 hr. F. A. Listick
28 4/11/61 Louisiana 70 70 70 Crawfish Stew School Banquet 4-8 hrs. H. L. Ramno
29 5/20/61 California 5 5 Barbecued Ham Restaurant 2-4 hrs. F. A. Listick
"30 5/61 Idaho 45 Potato Salad School Kitchen 3-5 hrs. J. A. Mother
31 6/19/61 South Dakota 400 34 Boked Ham Lodge Kitchen 2)4-4 hrs. G. J. Van Heoelen
*32 6/61 Ohio 10 Ham Loaf Packing Plant Not stated Winslow J. Bosh.
33 7/13/61 Californi 6 3 3 Chopped Ham Restourant 3-6 hr.. F. A. Listick
or Turkey
34 7/16/61 Minnesoto 220 63 Baked Hom Company Picnic 3-6 hrs. D. S. Flaning
35 7/24/61 California 4 4 4 Baonna Cream Pie Bakery 2A-3H hrs. L. Rothholer, A. C. Neiswader
36 7/26/61 New York 20 20 20 Chicken Saled Hotel Restaurant 4 hrs. E. F. Hall
37 8/5/61 Virginio 13 Ham and Egg Commercial Lunch Truck 4 hrs. M. Glendy
Sandwiches
38 8/11/61 Noval Facility 37 27 17 Mocaroni Salad Galley 2-8 hr.. S. J. Kendra
39 8/17/61 California 3 3 3 Barbecued Beef Restaurant 3H hrs. J, Snider, L. Rothbaler
40 8/25/61 Califomio 106 106 80 Tortilla Sandwich Labor Caop Food Service 1-4 hrs. W. F. Norman, A. F. Brewer
41 8/30/61 Califormia 3 3 Fried Rice Restuorant 3-3) hrs. F. A. Listick
42 8/30/61 New York 350 26 Chicken Salad Hospital Kitchen 2-6 hrs. W. J. Winkelstein
43 9/1/61 California 525 525 132 Beef Sandwiches Labor Camp Food Service 35 hrs. J. D. Layson
44 9/10/61 Minnesota 50 17 Potato Salad Home 2-5 hrs. E. Fifer
45 9/10/61 Arizona 60 16 Chicken and Potato Home 1l-4 hrs. H. 0. Willett, L. R. Meoero
Salad
46 9/15/61 California 3 3 3 Frozen Potato Patties Commercial 7-8 hrs. L. Lgters
47 9/61 North Carolina 120 Chicken Solod School Cafeteria J. Koomen
48 11/4/61 California 3 3 3 Frozen Chicken and Commercial 3 hr. J. Gardner
Rice Casserole
49 11/6/61 California 2 Ham Restaurant 3 hrs. P. J. Condit
50 11/14/61 Illinois 220 169 Spaghetti with Meat School Kitchen 4.13 hrs. A. G. Baker
Sauce
**51 11/16/61 Massachusetts 531 200 Roast Turkey Home and School Kitchen 3-6 hrs. W. Groton
52 11/24/61 California 5 5 2 Roost Turkey and Home l-l hr. R. Allsbrooks, R. C. Tetreoult

53 12/17/61 Illinois 40 14 Unrcera.n Church Supper 5-6 hrs. W. J. Cassel

*Previous reports appeared in MMWR, Vol. 10, Nos. 12 and 27.
*Included as epidemiological reports in MMWR.


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