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:
AA00010654:00258

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


).&O /


9t


Morbidity and Mortality


-


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

PUBLIC HEALTH SERVICE


Prepared by the


MElrose 4 5131


For release April 20, 1962 ATLANTA 22. GEORGIA Vol. 11, No. 15

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED APRIL 14, 1962


HEPATITIS A slight decrease is again noted for the
week ending April 13, 1962, in which 1,168 cases of
hepatitis were reported. The 1962 cumulative total (first
15 weeks) now stands at 20,409 cases, which is 6,294
fewer cases than that reported for the comparable period
of 1961.

INFLUENZA No reports of influenza-like disease have
been received this week. Both Influenza A2 and B are
quiescent in the United States at this time.
The number of pneumonia and influen 08i
United States cities is within normal rtaFii >/


POLIOMYELITIS Two cases
paralytic, were reported for the
The paralytic case is the third
Webb County, Texas, with onset
all Latin-American children in
as follows:


Onset

March 15
March 23
S Late March


Age
19 mo.
5 yr.
8 mo.


of poliomyelitis, one
week ending April 14.
which has occurred in
in March. The 3 cases,
Laredo, have occurred


Vaccination
Status (Salk)
OV
IV
OV


Remarks


Fatality 3/25


Table 1. CASE!
(Cumulative


y ABLE DISEASES UNITED STATES
delayed reports through previous week)


Disease


Aseptic meningitis ..............
Brucellosis .....................
Diphtheria .....................
Encephalitis, infectious ..........
Hepatitis, infectious and serum...
Measles ........................ 2
Meningococcal infections .........
Poliom yelitis, total ..............
Paral tic ....................
Nonparalytic.................
Unspecified..................
Streptococcal sore throat
and Scarlet fever ............
Tetanus .......................
Tularem ia.......................
Typhoid fever ...................
Typhus fever, tick-borne,
(Rocky Mountain spotted)......
Rabies in Animals ...............


th Week
Ended
April 15,
1961


Median
1957 1961


I I


37
10
8
29
1,691
16,989
44
11
9
1
1
8,966


18
8
29
489
18,862
53
16
8
4
4



11


99


263
100
149
428
20,409
217,327
758
81
55
11
15
131,416
35
79
116
4
1,219


Cumulative
Firic 15 weeks
FMedian
1962 1961 1957 1961


361
158
221
390
26,703
183,291
752
123
78
26
19
142,302

139


1,045


201
242
376
8,025
199,131
852
249
138
73
38



152


1,261


Table 2. NOTIFIABLE DISEASES OF LOW


FREQUENCY


Anthrax: Psittacosis: N. J. 1, Mich. 1
Botulism: Rabies in Man:
Malaria: Smallpox:
Plague: Typhus, murlne:


_~


L E S E E I T


~------


111.r


J


*










114


Morbidity and Mortality Weekly Report


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS

MARCH 1961 MARCH 1962


The table below presents reported cases of Primary and Secondary Syphilis for the months of March 1961 and March 1962 and
cumulative totals for the two years.
The 1,813 cases reported this past March represents a 10.5 percent increase over last year. The three month cumulative total
of 5,112 represents an increase of 5.0 percent over the same period a year ago.
CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area March 1962 and for March 1961 -- Provisional Data

Reporting Area March Cumulative Reporting Area March Cumulative
1962 1961 1962 1961 1962 1961 1962 1961
NEW ENGLAND ............... 57 46 172 140 EAST SOUTH CENTRAL........ 95 106 285 313
Maine.................... 0 0 3 1 Kentucky................. 16 14 39 41
New Hampshire ............ O 1 2 3 Tennessee................ 26 45 79 135
Vermont.................. 0 1 0 2 Alabama.................. 50 36 149 104
Massachusetts ............ 44 32 113 95 Mississippi.............. 3 11 18 33
Rhode Island............. 6 2 11 7
Connecticut............... 7 10 43 32 WEST SOUTH CENTRAL........ 234 256 669 783
Arkansas................. 15 26 33 79
MIDDLE ATLANTIC.......... 576 486 1,481 1,452 Louisiana................ 107 111 299 334
Upstate New York.......... 56 44 157 132 Oklahoma................. 7 6 19 20
New York City........... 367 309 837 928 Texas.................... 105 113 318 350
Pa. (Excl. Phila.)....... 7 13 31 41
Philadelphia ............. 59 42 181 125 MOUNTAIII.................. 32 21 91 65
New Jersey............... 87 78 275 226 Montana.................. 0 0 0 0
Idaho.................... 0 2 1 6
EAST NORTH CENTRAL........ 167 137 447 413 Wyoming ................. 0 0 0 0
Ohio..................... 31 14 66 44 Colorado..................... 3 2 11 6
Indiana.................. 11 6 24 19 New Mexico............... 7 3 19 10
Downstate Illinois ....... 9 11 41 34 Arizona ................. 12 14 43 42
Chicago .................. 73 72 211 216 Utah...................... 1 0 3 0
Ilichigan.................. 41 26 89 77 Nevada....................... 9 0 14 1
Wisconsin ................ 2 8 16 23
PACIFIC................... 140 161 429 424
WEST NORTH CENTRAL........ 29 30 88 92 Washington............... 1 11 7 32
Minnesota ................ 3 10 12 30 Oregon................... 3 4 11 12
Iowa ..................... 1 1 3 2 California............... 135 146 406 379
Missouri ................. 20 13 42 40 Alaska................... 0 0 2 0
North Dakota............. 0 1 1 4 Hawaii................... 1 0 3 1
South Dakota............. 2 1 12 3
Nebraska................. 1 1 4 3 U. S. TOTAL ............... 1813 1,640 5,112 4,869
Kansas................... 2 3 14 10
TERRITORIES............... 30 27 105 81
SOUTH ATLANTIC............ 483 397 1,450 1,187 Puerto Rico.............. 29 26 98 78
Delaware................. 2 1 13 3 Virgin Islands........... 1 1 7 3
Maryland................. 40 46 147 138
District of Columbia..... 67 40 187 121
Virginia.................. 47 36 119 104
West Virginia............ 1 2 10 5
North Carolina........... 53 40 194 121 Note: Monthly figures for 1961 are estimated from quarterly
South Carolina........... 59 51 167 153 reports.
Georgia................... 93 93 235 279 Cumulative Totals Include revised and delayed reports
Florida .................. 121 88 378 263 through previous months.


There have been 55 cases of paralytic polio reported
in 1962, compared to the 78 cases reported for the same
period last year. Of the 55, 37 cases of paralytic polio-
myelitis had onset in 1962; these are depicted in the
map on right by county of origin. As noted, Webb
County, Texas, is the only county with as many as 3
cases. Two of the 5 cases in Puerto Rico have occurred
in the municipality of Ponce.
Poliovirus isolations have been reported from 8 of
the 37 cases shown on the map:


County of Origin Onset Isolation
Arizona Maricopa County February 17 Type I
Arizona, Maricopo County February 17 Type I
Louisiana, Jeff Davis County January 14 Type I
New York, Wyoming County January 2 Type I
New York, Montgomery County January 20 Type I
New York, Montgomery County January 24 Type I
Ohio, Mahoning County February 23 Type III
Utah, San Juan County January 4 Type I


REPORTED PARALYTIC POLIO IN U. S. BY COUNTY- 1962 onset through April 14









Morbidity and Mortality Weekly Report





PARALYTIC POLIOMYELITIS 1961


There were 829 paralytic cases of poliomyelitis sub-
mitted on individual case forms to the Poliomyelitis
Surveillance Unit of the Communicable Disease Center
during 1961. These cases have been corrected for verifi-
cation of diagnosis sixty days or longer after onset of
illness. When such a follow-up report was not submitted,
the preliminary diagnosis has been retained.
The paralytic cases are presented in the following
table by age group and vaccination history. The table
includes 778 cases with residual paralysis at 60 days,
plus 51 cases with a preliminary diagnosis of paralytic
poliomyelitis for which no 60-day report was received.


1961 Paralytic Poliomyelitis in the United States
by Vaccination History and Age Group
AGE Doses of Vaccine Percet
Percent
Group 0 1 2 3 4+ Unk Total
0-4 203 29 30 33 20 4 319 38.5
5-9 68 12 23 44 32 5 184 22.2
10-14 27 5 7 20 18 2 79 9.5
15-19 15 0 3 13 8 0 39 4.7
20-29 73 5 8 13 6 1 106 12.8
30-39 53 7 5 2 1 3 71 8.6
40 + 24 1 1 1 1 2 30 3.6
Unk I 0 0 0 0 0 1 -
Total 464 59 77 126 86 17 829 100.0


Percent
Doses 57.1


7.3 9.5 15.5 10.6


- 100.0


INFANT DEATHS IN 108 CITIES


During the four-week period ending April 14th, the
number of deaths among infants under one year of age
decreased to the expected seasonal level. The average
number per week was 766 compared to the expected
number of 761. Within the period the number of deaths
ranged from a low of 733 to a high of 831.


TOTAL DEATHS UNDER ONE YEAR OF AGE
RECORDED IN 108 CITIES

Week Ending 4 Week Weekly
3/24 3/31 4/7 4/14 Total Average
Observed 733 757 831 741 3,062 766
Expected 765 762 759 756 3,042 761
Excess -32 -5 72 -15 20 5


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


900

RECORDED
850 /DEATHS*


NUMBER ____ ____

OF

DEATHS


700 ----- ---- ---------


650..- ------ ---------- --- -
PERIOD NO.- '
S1960 1 1961 I 96a 1963
e*n PLACE OP OCCURRENCE CAULAUTED FROM T7-V' EXPCEmENCE


115


(See Table, page 119)


=3












116 NMorbidity and MIortalit' Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

APRIL 15, 1961 AND APRIL 14, 1962



Poliomyelitis, Aseptic
P.-l m'lmyc i Tt 31 Case Pc liomelits Paralytic Nonparaltic NrenLngitis
Cunulative Cumulative
15th *ci. First 15 weeks 15th week First 15 wecks 15th ke.ek 15th week
lt' 1li61 lqb2 1961 1962 1961 1962 1961 1962 1961 1962 1961

UNITED STATES..... 2 11 81 123 1 9 55 78 1 1 27 37

NEW ENGLAND.............. 1 3 1 3 -
Maine................. -
New Hampshire......... -
Vermont................ -
Massachusetts......... 2 2 -
Rhode Island......... -
Connecticut........... 1 1 1 1 -

MIDDLE ATLANTIC.......... 3 30 9 3 17 8 2 3
New York............... 30 3 17 2 1 3
New Jersey............. 2 4 2 4 -
Pennsylvania 1 2 1 2 1-

EAST NORTH CENTRAL....... 1 17 1 6 11 6 5
Ohio................... 4 8 4 4 -
Indiana............... 1 3 2 1 2 2 -
Illinois............... 1 3 3 2 2
llichiiar............... -. 1 1 4 3
Wisconsin............. 3 1 -

WEST NORTH CENTRAL....... 2 6 4 1 3 3 3
Minnesota............. 1 1 I- 1 -_
Iowa.................. 1 3 1 2 2
Missouri.............. 2 -
North Dakota........... .
South Dakota........... -
Nebraska.............. 1 2 1 2 -
Kansas................. -

SOUTH ATLANTIC........... 1 1 6 13 1 5 9 1 -
Delaware .............. 2 1 -
Maryland ..............
District of Columbia.. -
Virginia .............. 1 1 -
West VirgLni........*. -. 2 1 -
North Carolina......... 1 3 1 2 -
South Carolina........ 1 1 1 1 1 1 -
Georgia............... 1 2 1 2 -
Florida............... 1 2 3 1 2 1 -

EAST SOUTH CENTRAL....... 3 14 2 3 3
Kentucky.............. 13 2 1
Tennessee.............. 1 -
Alabama................ .. .
Mississippi ........... 2 1 2 1 2

WEST SOUTH CENTRAL....... 1 15 415 1 13 6 1 3 4
Arkansas .............. 1 1
Louisiana............. 1 4 4 4 2 1 -
I 'l 1.h h ,'.a .... .............. I I
T ,j ................. 11 10 1 9 4 2 2

'OLrtlAIl:................... 1 5 16 1 3 10 4
: n.,r. .............. 2 1 1 1 -
Id.ihc ................. 3 1 -

CoA r ae n ............... 2 3 -
lih. Ixc ................ -
Ar i z.- 2 ............... 2 2 1
Utah.................... ... 1 1 6 1I 4
I.,%ad a ..... ..........

PC IFC .................. 2 7 32 2 5 25 16 14
Wa: hl rg c:'n........... 1 1 1
Crc c .................. 2 -I 1
Ca1ilf rnia ............ 2 6 28 2 4 22 16 12
A 1 .s a5 . ,
Hja .i.................. 1 1 1 1 -

Puiri.' Rio ............. 4 2 4 2










Morbidity and Mortality Weekly Report 117


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

APRIL 15, 1961 AND APRIL 14, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepacit s, Measles
Infectious Infectious and serum
Area
Cumu- Cumu- 15th week
lative lative Under 20 &
15th week 15 weeks 15th week 15 weeks 15th week 20 yr. over Total Total 15th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961
UNITED STATES...... 10 100 8 149 52 29 693 405 1,168 1,691 24,15E 16,989

NEW ENGLAND.............. 3 2 29 28 58 39 2,831 1,721
Maine................. 11 8 19 5 162 30
New Hampshire......... -- 1 2 3 28 21
Vermont.............. 6 96 18
Massachusetts......... 2 1 14 11 25 14 1,291 886
Rhode Island.......... 1 1 1 2 9 166 488
Connecticut'......... 3 6 9 5 1,088 278

MIDDLE ATANTIC.......... 1 3 2 11 4 93 73 166 198 4,803 3,077
New York............. 1 1 2 11 41 30 71 63 2,642 900
New Jersey............ 1 27 15 42 67 1,810 868
Pennsylvania.......... 2 3 25 28 53 68 351 1,309

EAST NORTH CENTRAL....... 4 28 2 5 11 2 186 95 296 317 2,921 5,140
Ohio .................. 4 66 21 92 108 489 877
Indiana............... 2 1 2 29 3 35 56 546 250
Illinois.............. 4 23 42 36 84 39 860 547
Michigan.............. 1 1 3 7 2 46 32 78 109 786 1,811
Wisconsin............. 2 3 3 7 5 240 1,655

WEST NORTH CENTRAL ....... 3 44 1 27 3 2 59 26 99 229 1,363 677
Minnesota.............. 4 1 10 1 10 8 19 38 24 14
Iowa................... 2 23 1 2 13 9 28 87 1,076 225
Missouri.............. 1 -- 18 5 24 56 26 344
North Dakota.......... 1 -- 3 3 2 227 81
South Dakota.......... 1 4 3 8 13
Nebraska............... 6 11 1 2 9 19 2 -
Kansas ................ 1 8 1 2 14 2 16 24 NN NN

SOUTH ATLANTIC ........... 1 7 1 28 5 5 76 33 112 235 1,235 1,309
Delaware.............. .- 4 16 13
Maryland .............. 1 7 14 19 144 155
District of Columbia.. 2 1 3 1 17 9
Virginia .............. 1 2 4 2 6 6 13 32 363 271
West Virginia......... 1 -I 16 3 20 50 290 253
North Carolina ........ 2 4 -- 34 7 41 63 124 212
South Carolina ....... 2 1 15 20 94
Georgia............... .- 2 4 1 4 1 5 20 41 56
Florida............... 1 1 12 1 4 7 8 15 31 220 246

EAST SOUTH CENTRAL....... 4 11 2 3 107 34 141 207 1,481 842
Kentucky............... 24 9 33 27 52 40
Tennessee ............. 2 4 3 51 11 62 97 1,223 555
Alabama............... 3 18 5 23 36 108 150
Mississippi........... I 4 2 14 9 23 47 98 97

WEST SOUTH CENTRAL....... 6 4 59 3 2 51 27 81 153 5,217 639
Arkansas.............. .- 1 2 1 2 11 1 12 40 383 48
Louisiana ............. 1 7 9 3 12 19 9 -
Oklahoma.............. 3 2 3 5 8 141 4
Texas ................. 5 3 47 2 29 20 52 86 4,684 587

MUNTAIN ................. 2 7 13 10 50 134 1,097 823
Montana.................. 6 6 5 11 16 369 41
Idaho................. 7 7 8 102
Wyoming ............... .- 3 1 4 10 4
Colorado .............. 1 6 62 264 112
New Mexico ............ 1 2 2 4 5 1r NN
Arizona ............... 14 8 296 470
Utah................... 1 2 2 4 24 156 59
Nevada................ 2 4 35

PACIFIC.................. 1 6 10 14 9 79 79 165 179 3,210 2,761
Washington............ 1 11 11 25 43 892 235
Oregon................ 1 16 11 28 29 737 179
California........... 4 5 13 9 52 53 106 105 1,488 2,333
Alaska ................ 1 1 5 2 1 29 10
Hawaii................. 4 4 1 64 4

Puerto Rico.............. 2 14 38 15 53 10 205 35










118 Morbidity and Mortality Weekly Report


Table 3. CASESS OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 15, 1961 AND APRIL 14, 1962 (Continued)


Meningococal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cuu- Cumu-
lative native lative
15th k. 15 weeks 15th week L5th wk. 15th wk. 15th wk. 15th wk. 15 weeks 15th week 15 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES.... 34 758 7,980 8,966 4 3 10 116 110 102 1,219

NEW ENGLA ......... 4 51 474 712 3 -
Maine.............. 6 12 34 -- 1 -
New Hampshire...... 3 3 11 -
Vermont ............. 2 4 8 -
Massachusetts...... 2 20 98 216 2 -
Rhode Island....... 4 30 56 -
Connecticut........ 2 16 327 387 -

MIDDIZ ATANTIC..... 6 115 504 1,340 1 13 3 3 29
New York........... 1 52 272 974 6 3 2 19
New Jersey......... 2 28 78 158 1 5 -
Pennsylvania....... 3 35 154 208 2 1 10

EAST ORtK CENTRAL.. 4 162 1,236 1,091 3 17 34 7 223
Ohio............... 2 48 124 211 2 8 24 103
Indiana............ 16 180 181 1 1 6 3 84
Illinois........... 25 398 149 3 3 1 20
Michigan ........... 2 61 223 370 3 3 9
Wisconsin.......... 12 311 180 2 1 7

WEST NORH CENTRAL.. 1 4 283 297 6 26 42 352
Minnesota.......... 1 5 42 11 9 3 65
Iowa............... 6 96 50 6 13 151
Missouri........... 9 28 145 5 2 9 58
North Dakota....... 2 87 33 3 3 29
South Dakota....... 1 2 4 11 43
Nebraska........... 5 1 2 3 5
Kansas.............. 6 28 58 1

SOUTH AIANTIC...... 12 125 591 713 2 1 2 17 8 19 98
Delaware............ 3 16 10 3 -- -
Maryland........... 1 5 31 109 2 1
Dist. of Columbia.. 6 4 1 2 -
Virginia........... 2 24 150 111 1 1 4 3 5 50
West Virginia...... 9 147 340 1 5 9 31
North Carolina..... 3 35 39 40- -
South Carolina..... 6 36 23 -
Georgia............. 6 4 7 1 1 4 1
Florida............ 3 18 170 79 1 3 5 15

EAST SOUH CENTRAL.. 1 50 1,456 1,217 1 1 1 10 9 8 166
Kentucky............. 12 29 103 2 6 4 48
Tennessee.......... 1 20 1,282 1,038 1 4 3 3 112
Alabama............ 10 30 17 1 1 4 1 6
Mississippi........ .- 8 115 59 -

WEST SOUTH CENTAL. 5 73 845 1,112 1 2 37 25 16 258
Arkansas ........... 1 9 2 10 4 1 2 37
Louisiana.......... 2 30 11 5 11 3 10
Oklahoma........... 4 41 80 3 7
Texas............... 2 30 791 1,017 1 2 19 24 11 204

MOUNTAI ............ 22 1,067 1,623 6 1 2 12
Montana............. 3 81 35 1 -
Idaho.............. 3 34 164 -
Wyoming........... 2 34 55 2 -
Colorado........... 4 369 754 1 -
New Mexico......... 217 314 2 1 6
Arizona............ 7 176 211 -. 1 1 6
Utah.......... ... 155 86 -
Nevada............ 3 1 4 -

PACIFIC............. 1 126 1,524 861 1 1 7 4 5 81
Washington......... 13 581 380 -
Oregon............. 13 42 73 -
California.......... 95 828 348 1 1 7 4 5 81
Alaska............. 4 44 56 -
Hawai.............. 11 1 29 4 -- -
Puerto Rico......... 5 4 7 5 1 7










Morbidity and Mortality Weekly Report




Table 4 (C). TOTAL DEATHS UNDER 1 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


119


For weeks ending For weeks ending
Area 41 Area
3/24 3/31 4/7 4/14_ 3124 3/31 4/7 4/14


NEW ENGLAJD:
Boston, Mass.............. 19 12 11 14
Bridgeport, Cona........... 3 6 3 1
Cambridge, Mass........... 3 1 1 1
Fall River, Mass.......... 1 1 3 1
Hartford, Conn............. 4 6 4 2
Lowell, Mass.............. 1 2 0 0
Lynn, Mass................ 0 0 0 0
VNew Bedford, Mass......... 0 0 2 0
New Haven, Conn........... 3 1 4 3
Providence, R.I........... 4 6 7 7
Somerville, Mass.......... 0 0 0 1
Springfield, Mass......... 2 0 2 3
Waterbury, Conn........... 1 2 1 1
Worcester, Mass........... 4 0 4 3

MIDDLE ATLANTIC:
Albany, N.Y................ 2 6 2 1
Allentown, Pa............. 1 3 1 2
Buffalo, N.Y.............. 4 8 13 5
Camden, N.J............... 2 3 0 6
Elizabeth, N.J............. 3 2 1 2
Erie, Pa.................. 4 4 1 3
Jersey City, N.J.......... 2 4 2 2
Newark, N.J............... 1 11 30 3
New York City, N.Y........ 104 94 95 96
Paterson, N.J............. 3 4 6 2
Philadelphia, Pa.......... 26 21 44 33
Pittsburgh, Pa............ 23 11 11 7
Reading, Pa............... 0 .1 0 2
Rochester, N.Y............ 8 4 9 4
Schenectady, N.Y........... 0 0 1 1
Scranton, Pa.............. 1 3 2 0
Syracuse, N.Y............. 3 6 7 2
Trenton, N.J.............. 1 3 1 1
Utica, N.Y ................ 1 0 1 0
Yonkers, N.Y............... 1 1 2 2

EAST NORTH CENTRAL:
Akron, Ohio............... 6 5 10 1
Canton, Ohio.............. 0 2 2 3
Chicago, III.............. 51 46 47 47
Cincinnati, Ohio.......... 17 5 13 10
Cleveland, Ohio........... 8 16 11 16
Columbus, Ohio............ 9 4 11 7
Dayton, Ohio.............. 3 3 6 64
Detroit, Mich............. 23 24 31 25
Evansville, Ind........... 1 2 2 4
Flint, Mich............... 8 1 4 4
Fort Waype, Ind............ 2 2 4 5
Gary, Ind................. 33 3 3 3
Grand Rapids, Mich........ 4 3 5 1
Indianapolis, Ind......... 13 3 6 9
Madison, Wi *............. 4 3 7 2
Milwaukee, Wis............ 12 10 13 3
Peoria, 111............... 2 2 5 3
Rockford, Ill............. 3 3 1 1
South Bend, Ind........... 2 3 2 3
Toledo, Ohio............... 6 2 6 5
Youngstown, Ohio.......... 2 3 3 3

WEST NORTH CENTRAL:
Des Moines, Iowa........... 1 3 4 4
Duluth, Minn.............. 1 1 4 0
Kansas City, Kans......... 5 2 3 9
Kansas City, Mo........... 11 6 10 9
Lincoln, Nebr............. 1 1 3 1
Minneapolis, Minn......... 13 7 4 11
Omaha, Nebr............... 5 10 7 3
St. Louis, Mo............. 9 14 11 17
St. Paul, Minn............ 4 6 1 3
Wichita, Kans ............. 0 0 3 1

*Estimate based on average percent of divisional total
Totals for previous weeks include reported corrections.
NOTE: i41 dmths by place of occurrece.


SOUTH ATLANTIC:
Atlanta, Ga............... 6 12 14 12
Baltimore, Md............. 19 17 17 11
Charlotte, N.C........... 3 5 6 1
Jacksonville, Fla........ 8 5 2 4
Miami, Fla............... 1 5 3 3
Norfolk, Va.............. 5 5 4 7
Richmond, Va............. 3 2 0 3
Savannah, Ga.............. 4 3 1 5
St. Petersburg, Fla...... 6 1 1 1
Tampa, Fla............... 1 2 6 3
Washington, D.C.......... 11 29 12 15
Wilmington, Del.......... 4 2 4 5

EAST SOUTH CENTRAL:
Birmingham, Ala.......... 7 2 5 9
Chattanooga, Tenn......... 4 6 1 4
Knoxville, Tenn......... 1 4 0 5
Louisville, Ky............ 9 6 4 18
Memphis, Tenn............ 4 8 13 11
Mobile, Ala.............. 5 6 3 2
Montgomery, Ala.......... 2 2 1 0
Nashville, Tenn.......... 3 12 9 5

WEST SOUTH CENTRAL:
Austin, Tex.............. 3 1 1 3
Baton Rouge, La.......... 0 3 4 3
Corpus Christi, Tex...... 2 8 1 2
Dallas, Tex.............. 7 6 14 10
El Paso, Tex............. 2 11 4 14
Fort Worth, Tex.......... 4 5 5 3
Houston, Tex............. 11 13 13 14
Little Rock, Ark......... 13 17 4 6
New Orleans, La.......... 13 17 19 12
Oklahoma City, Okla...... 4 3 6 4
San Antonio, Tex.......... 12 13 12 7
Shreveport, La........... 5 4 9 6
Tulsa, Okla................. 7 1 9 1

MOUNTAIN:
Albuquerque, N. Mex ..... 2 6 3 4
Colorado Springs, Colo... 1 2 2 2
Denver, Colo............. 6 11 14 8
Ogden, Utah.............. 1 0 1 0
Phoenix, Ariz............ 7 5 8 16
Pueblo, Colo............. 1 2 1 1
Salt Lake City, Utah..... 5 6 1 4
Tucson, Ariz............. 3 5 2 1

PACIFIC:
Berkeley, Calif.......... 1 0 0 1
Fresno, Calif............ 1 4 7 5
Glendale, Calif.......... 2 2 0 0
Honolulu, Hawaii......... 2 4 8 2
Long Beach, Calif........ 3 4 4 6
Los Angeles, Calif....... 32 34 44 28
Oakland, Calif........... 5 6 6 4
Pasadena, Calif.......... 1 1 3 1
Portland, Oreg............ 9 11 2 7
Sacramento, Calif........ 5 1 4 4
San Diego, Calif......... 11 13 5 10
San Francisco, Calif..... 6 8 16 15
San Jose, Calif........... 6 4 5 3
Seattle, Wash............ 6 6 4 9
Spokane, Wash............ 2 2 10 2
Tacoma, Wash............. 1 3 2 0

San Juan, P.R.............. 1 4 1 1


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.....


11,616
485
741
6,427




UNIVERSITY OF FLORIDA

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3 1262 08863 9702


Morbidity and Mortality Weekly Report


EPIDEMIOLOGICAL REPORT

Typhoid Fever Traced to a Restaurant Missouri
Between July 15 and December 25, 1961, six cases
of typhoid fever in Negro adults occurred in a large city
in Missouri. All cases were eventually traced to one
restaurant in the city. The two early cases occurred,
respectively, in' an employee of the restaurant and in a
man with a history of having eaten at the restaurant. The
four later cases, which occurred in November and Decem-
ber of 1961, all had histories of having eaten at the
restaurant.
Following recognition of the source of the outbreak,
stools and blood samples were taken on all 14 employees
of the restaurant. Four employees were found to have had
slightly elevated H and O blood titers, while one em-
ployee, a 42-year-old Negro male, a night cook, had
degraded Vi phage type Salmonella typhosa in his stool
and an H titer of 1 to 800 and an O titer of 1 to 40. This
man gave no history of having had typhoid fever, though
he did report having had malaria many years ago down
South. A line listing of cases is given below:

Relationship to
Age Dote of Onset Restaurant Isolation
34 July 15, 1961 Employed at
restaurant No organism cultured
23 July 21, 1961 Ate at restaurant No culture obtained
21 Nov. 14, 1961 Ate at restaurant Phage type degraded Vi
36 Nov. 16, 1961 Ate at restaurant Phage type degraded Vi
25 Nov. 20, 1961 Ate at restaurant Phage type degraded Vi
38 Dec. 25, 1961 Occasionally ate
at restaurant Phage type degraded Vi
(Reported by the Missouri Division of Health.)



INTERNATIONAL NOTES- QUARANTINE MEASURES
Immunization Information for International Travel
1961 edition Public Health Service Publication No. 384
The following name should be added to the list of Yellow
Fever Vaccination Centets in Section 6:


City
Kansas, Lawrence
Center
Student Health Service, Watkins Memorial Hospital,
University of Kansas
Telephone: Viking 3-4455
Clinic Hours
Tuesday, 2 p.m.
Fee
Yes


Noem.: The.e provlsioal oasr me based on weekly teleram to the Commuml-
cable Disease Center by the individual Stae health depanmente.
Symbols: --- Dates oi avallable
SQuantity zero
Procedures for construction of various motlity curves my be obtalsed from
Stlis tic SecUam, CobHmual ble Diseae Center, Public Healdh Service
U. S. Department of Health, Education, ad Welfare, Atlden 22 Ceorgia.


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