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:
AA00010654:00259

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

psy.O/F: /a/3


Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prrpard by the


MElrose 4-5131


For release January 26, 1962 ATLANTA 22. GEORGIA V.L. 11, tio. 3

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JANUARY 20, 1962


INFLUENZA Outbreaks of acute febrile respiratory
disease continue to span the United States in an arc from
Southern California to Florida. Many new outbreaks have
been reported falling along the arc, predominantly in the
Midwest and in the Southeast. Worthy of mention in this
regard are the States of Kansas, Kentucky, Tennessee,
and Georgia.
Five States report the presence of influenza-like
outbreaks for the first time Alabama, North Carolina,
Ohio, Oklahoma, and Texas bringing the total number
of States reporting outbreaks this season to 21. In New
York and Massachusetts previously reported outbreaks
have remained localized.


Washington confirms Influenza B in several addi-
tional counties, New Mexico in one county by serologic
titer rises, and Georgia in one county by isolation of
the virus. Ten States have now confirmed Influenza B.
Deaths from pneumonia and influenza in 108 United
States cities are moderately elevated above expected
levels for the third consecutive week (see accompanying
graph, p. 19). Excess mortality is now recorded in six
of the nine geographic divisions of the country.
In the last two months, three European countries -
United Kingdom, Spain, and Denmark have confirmed
the presence of Influenza B.
Massachusetts Commencing in towns along the


Table I CASES OF SPECIFIED NOTIFIABLE DISEASES I
(Cumulative totals include revised and delayed reports through pro


Disease


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


Ended
January 20,
1962
18
7
5
29
1,580
7,306
51
10
8
1

8,305
6
8


Ended
January 21,
1961


24
8
25
19
1,803
8,389
62
8
5
2
1
8,653

11


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY


Psittacosis: wis. 1
Rabies in Man:
Smallpox:
Typhus, murine:


Anthrax:
Botulism:
Malaria:
Plague:


.'


lWWWWEWWB








Morbidity and Mortality Weekly Report


Housatonic River in Western Massachusetts, an influenza- Tennessee Georgia Many additional counties in


like illness has spread to involve the entire southern
half of Berkshire County. School children in all grades
have been affected, but the disease appears to be milder
in high school students.
New York Daily reports of school absenteeism
from Albany County indicate that influenza-like disease
is increasing. The median school absenteeism for the
county on January 22 was 24%, is a marked increase over
the median of 14% reported last week.
Ohio Several outbreaks of upper respiratory dis-
ease compatible with influenza have occurred in school
children and teachers in Southwest Ohio. Some Cincin-
nati schools and three in adjacent counties have reported
school absenteeism from 12 to 29 percent, commencing
the second week of January.
North Carolina Acute febrile respiratory illness
has been reported from the central part of North Carolina.
Several cities have increased school absenteeism -
Winston-Salem, Greensboro, and Raleigh. An epidemic in
Robeson County, further south, has been studied in some
detail. Headache, fever, and severe myalgia were pre-
dominant symptoms. Severe epistaxis and reddened con-
junctivae were noted in an unusual number of cases.
A telephone survey (120 persons) revealed roughly
similar age-specific attack rates to those found in Hazle-
ton, Iowa, and Potosi, Missouri (See MMWR Vol. 11, No. 2).

Age Number Number Attack Number Cases with
Group Surveyed III Rate (%) Epistosix Conjunctivitis

0-5 16 10 63 1 0
6-12 24 12 50 4 3
13-18 20 12 60 7 3
19-35 18 6 33 1 1
36-50 23 5 22 0 0
51+ 19 2 11 0 0
Total 120 47 39 13 7


both States have had outbreaks of influenza-like illness.
Tennessee reports outbreaks from 31 of the 95 counties
in the State. Schools have been closed in 7 of these
counties. Most of the disease -is concentrated in the
central part of the State.
Since January 1, Georgia has experienced multiple
outbreaks scattered widely throughout the State. Much
school absenteeism has been noted with relatively little
adult involvement. Tro isolations of Influenza B have
been obtained from children in the Greater Atlanta area.
Kansas Kentucky Both States reported numerous
additional involved counties this week. In Kansas, the
southern counties have been primarily involved. School
absenteeism ranges between 15-50 percent with one
school reporting 80 percent absenteeism. In Kentucky,
the westernmost counties are involved with absenteeism
ranging between 20 and 45 percent.
Texas Oklahoma Alabama These three States
report one or more outbreaks of influenza-like disease
within their borders. Texas notes elevated school ab-
senteeism in Houston; Alabama notes the same in Mobile
and Montgomery; and Oklahoma has experienced school
closures in four counties in the center of the State.
New Mexico Two patients with onset of illness
in early and mid-December showed serologic titer rises
to Influenza B. They were both from Las Cruces on the
Mexican border.
(Thanks are due to the many State Epidemiologists and
others who have contributed this information.)



Addendum
The University of Chicago reports an increased
incidence of acute febrile respiratory illness at its clinic.
An influenza B virus has been isolated from a student.
(Continued an page 24)








Morbidity and Mortality Weekly Report




WEEKLY PNEUMONIA AND INFLUENZA DEATHS


SUMMARY OF MORTALITY UNDER I YEAR OF AGE IN 108 UNITED STATES CITIES


The chart below presents the average weekly number
of deaths under one year of age by four-week periods. As
in the previous MMWR charts in this series the "expected
number" of deaths was computed with use of a Fourier
series with linear trend. Week to week variation in the
number of infant deaths is large. This is reflected even in
the four-week averages presented in the chart.
No excess mortality has occurred among infants
during the current Influenza B epidemic. During the week
ending December 30th 1961 the number of deaths reported
(702) was unusually low as will be noted if this number


is compared with the expected levels (see chart) of
slightly over 800 deaths. Similarly, no excess infant
mortality occurred during the Influenza A2 epidemics
of 1957-8 and 1960.

DEATHS UNDER ONE YEAR RECORDED IN 108
UNITED STATES CITIES

Week Ending: 4-Week
Dec. 30 Jan. 6 Jan. 13. Jan. 20 Average


834


790.0


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

900O

RECORDED
DEATHS* Ml
85 EXPECTED"
NUMBER"

NUMBER N ________\_____



DEATHS -----------------




PERIONO ------- ------------ 7


1 1960 1961 1 1962 1 1963,
*eY PLAC COF OCCURENCE **CALCULA"TED FROM tW-0 EIENC


(See Table. Page 23)











20 Morbidity and Mortality Weekly Report



Table 5. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 21, 1961 AND JANUARY 20. 1962



1 [ Poliomyelitis, Aseptic
Poliomy s, Total Cases Poliomyelitis, Paralytic Nonparal/tic 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..................
Washington............
Oregon................
California...........
Alaska................
Hawaii................


Cumulative Cumulative
3rd week First 3 weeks 3rd week First 3 weeks 3rd week 3rd week

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


10 8 26 33 8 5 14 18 1 2 18 24











6 14 2
6 14 5 8 1
--







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

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

1 1 3 1 1 1 -
I I 1 -




I 1 3 1 2 -
2 1

-




1 1 1 --



1 1 -
I -






S 5 I -
1 1 -6 5 -





1 1 4 2 1- 3
-




3 2 -
-I 3

-
S 2 1 1 4 1 1-
1 I
3 2 --

















3







2 3 4 6 2 2 1 -7 10
1 1 1 -
1 -
1 4




4 2 --















2 3 4 6 2 2 2 5 1 6 9


Puerto Ric ..............

Virgin Islands............










Morbidity and Mortality Weekly Report 21


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

JANUARY 21, 1961 AND JANUARY 20, 1962 Continued


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious apd serum
Cumu- Cumu- 3rd week
lative lative Under 20 &
3rd week 3 weeks 3rd week 3 weeks 3rd week 20 yr. over Total Total 3rd week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 7 21 5 40 29 19 911 533 1,580 1,803 7,306 8,389

NEW ENGLAND.............. 2 56 50 106 49 1,172 518
Maine................. 1 19 15 34 7 317 8
New Hampshire.......... 12 3 15 2 52 7
Vermont............... 1 1 13 31 42
Massachusetts......... 21 24 45 15 523 309
Rhode Island .......... 1 5 94 114
Connecticut............ 3 3 6 12 155 38

MIDDLE ATLANTIC.......... 10 4 99 82 181 266 962 1,790
New York.............. 5 4 51 40 91 92 489 941
New Jersey............. 20 21 41 48 322 220
Pennsylvania ......... 5 28 21 49 126 151 629

EAST NORTH CENTRAL ....... 1 6 1 209 102 335 325 1,337 2,751
Ohio.................. 1 86 32 127 143 137 689
Indiana............... 23 11 36 38 80 175
Illinois .............. 1 6 38 22 61 52 710 330
Michigan.............. 62 37 99 87 230 413
Wisconsin............. 12 5 180 1,144

WEST NORTH CENTRAL....... 3 11 8 1 98 48 176 205 139 409
Minnesota............ 41 12 59 35 24 12
Iowa.................. 1 3 24 12 59 38 63 63
Missouri............... 1 18 12 30 63 12 189
North Dakota.......... 2 1 3 5 35 102
South Dakota.......... 1 1 1 16 5 -
Nebraska.............. 2 7 1 1 8 43
Kansas ............... 2 4 13 10 23 40 NN NN

SOUTH ATLANTIC........... 3 3 1 14 1 3 111 64 178 194 902 1,185
Delaware................ 1 1 2 3 8 94
Maryland.............. 1 7 5 12 13 88 47
District of Columbia.. 1 3 3 6 1 24 5
Virginia............. 25 11 37 23 375 232
West Virginia......... 1 14 5 20 45 257 104
North Carolina........ 2 2 1 2 32 22 54 33 17 115
South Carolina........ 11 4 16 41 9 320
Georgia................ 4 6 2 8 12 30 1
Florida................ 1 1 1 8 12 11 23 23 94 267

EAST SOUTH CENTRAL ....... 1 1 2 220 54 281 330 749 530
Kentucky.............. 94 15 116 144 102 246
Tennessee............. 1 1 69 15 84 133 539 246
Alabama............... .- 2 24 10 34 46 38 27
Mississippi........... 33 14 47 7 70 11

WEST SOUTH CENTRAL....... 3 12 3 3 50 36 91 109 1,149 261
Arkansas .............. 1 2 14 6 20 24 26 -
Louisiana.............. 3 3 6 2 7 1
Oklahoma.............. 2 2 3 1 3 4 15 11 1
Texas................. 1 9 1 32 24 61 68 1,105 259

MOUNTAIN................. 1 6 1 20 10 88 102 314 267
Montana ............... 1 5 3 3 9 138 30
Idaho ................ 21 12 19 30
Wyoming............... 2 5
Colorado.............. 3 17 46 75 69
New Mexico............ 1 1 9 2 12 7 NN NN
Arizona............... 21 14 63 127
Utah ..................- 8 5 13 8 18 6
Nevada ............... 1 4 1 -

PACIFIC ................. 9 7 48 87 144 223 582 678
Washington............ 1 8 8 20 36 133
Oregon ................ 7 8 15 26 123 82
California............ 8 5 32 69 105 157 351 452
Alaska............... 2 1 1 3 1 105 1
Hawaii................. 1 1 3 3 10

Puerto Rico.............. 1 2 2 48 44

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









22 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED


JANUARY 21. 1961 AND JANUARY 20, 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 Sported) lative lative
3rd week 3 weeks 3rd week 3rd week 3rd week 3rd week 3rd week 3 weeks 3rd week 3 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES...... 51 151 8,305 8,653 6 8 14 57 58 173

NEW ENCLAND.............. 5 13 436 407 -
Maine................. 2 2 7 8 -
New Hampshire.......... 6 8 -
Vermont............... 20 -
Massachusets ......... 2 8 162 215 -
Rhode Island.......... 23 11 -
Connecticut........... 1 3 218 165 -

MIDDLE ATLANTIC.......... 4 20 418 503 1 1 1 2 2 8
New York............... 3 12 264 263 2 2 6
New Jersey............ 3 79 109 -
Pennsylvania.......... 1 5 75 131 1 1 1 2

EAST NORTH CENTRAL....... 13 32 659 1,027 2 2 3 6 10
Ohio................... 4 13 104 255 1 1 1 -
Indiana................ 2 2 108 134 3 3 9
Illinois.............. 2 3 99 176 1 1
Michigan.............. 5 11 206 220 1 -
Wisconsin............. 3 142 242 1 1 -

WEST NORTH CENTRAL....... 7 328 291 1 1 2 28 19 67
Minnesota............. 43 15 6 5 10
Iowa............. .... 3 88 61 16 6 29
Missouri............... 2 41 31 1 2 4 11
North Dakota.......... 1 86 128 2 7
South Dakota.......... 3 6 2 9
Nebraska.............. I l
Kansas................ 1 70 52 -

SOUTH ATLANTIC........... 9 22 795 603 2 1 2 7 5 17
Delaware............... 1 3 4 3 -
Maryland.............. 13 25 -
DistrLct of Columbia.. 1 3 1 -
Virginia.............. 2 5 223 103 1 2 3 10
West Virginia......... 1 1 109 182 2 2 3
North Carolina........ I 4 55 41 2 -
South Carolina........ 1 216 50 -
Georgia................. 10 -
Florida.............. .. 3 5 165 198 1 1 3 4

EAST SOUTH CENTRAL ...... 5 10 1,268 1,682 2 1 1 7 9 18
Kentucky.............. 3 117 178 2 1 7
Tennessee............. 2 4 985 1,250 2 5 7 10
Alabama............... 1 1 41 35 1 I 1
Mississippi........... 2 2 125 219 -

WEST SOUTH CENTRAL....... 5 15 966 1,144 1 5 6 13 34
Arkansas.............. 6 3 3 4
Louisiana............. 3 6 2 6 1 1 1 -
Oklahoma............... 1 1 32 L 2
Texas................. 2 8 957 1,103 3 6 9 28

MOUNTAIN................. 2 7 1,803 1,886 1 1 2 4
Montana................. 1 1 45 114 1 1 -
Idaho.................. 1 1 498 227 -
Wyoming............... 5 109 -
Colorado.............. 411 608 -
New Mexico............ 415 509 1 2
Arizona............... 2 246 183 -- 1 2
Utah................... 179 130 -
Nevada ................ 3 4 6 -

PACIFIC.................. 8 25 1,632 1,110 2 4 15
Washington............ 2 686 538 -
Oregon................. 1 5 56 91 -
California ........... 7 17 824 437 2 4 15
Alaska................I 1 35 38 -
Hawaii................ 31 6 -

Puerto Rico............. .. 3 2 2 2 1

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










Morbidity and Mortality Weekly Report 23




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, see Chart, page 3)


For weeks ending For weeks ending
Area 2/30/61 1/62 1/2 2 Area2/306 6/62 1/
12/30/61 1/6/62 1/13/62 1/20/62 12/30/61 1/6/62 1/13/62 1/20/62


NEW ENGLAND:
Boston, Mass............
Bridgeport, Conn..........
Cambridge, Mass............
Fall River, Mass..........
Hartford, Coon...........
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, 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.............
Evansville, Ind...........
Flint, Mich...............
Fort Wayne, Ind...........
Gary, Ind.................
Grand Rapids, 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........
kOaha, Nebr..............
St. Louis, Mo............
St. Paul, Minn............
Wichita, Kans ............


10
3
2
0
6
1
0
2
2
1
1
2
2
1


3
4
5
6
0
5
0
10
91
5
11
17

6
1
0
4
3
0
0


6
5
62
4
11
18
7
31
2
8
1
4
6
14
3
6
6
2
1
3
3


3
1
2
6
6
8
9
14
4
6


14
1
2
2
3
1
1
1
3
10
2
1
2
4


1
0
4
6
3
1
2
4
104
2
43
7
0
4
3
1
2
1
1
2


4
1
48
10
8
5
2
39
2
2
1
3
2
13
6
15
6
4
3
6
2


3
3
5
6
2
8
4
16
3
7


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


16
14
4
4
4
2
6
3
2
1
20
4


6
0
3
14
16
0
2
5


4
7
4
14
3
6
12
7
22
8
8
12
3


8
0
12
1
11
2
8
1


2
6
2
11
2
36
2
3
8
5
9
7
4
10
3
2


San Juan, P.R............. 1 2 3 1


Current Week Mortality for 108 Selected Cities +

4(A) Total Mortality, all ages................... 12,693
4(B) Pneumonia-Influenza Deaths, all ages........ 655
4(C) Total Deaths under 1 Year of Age............ 834
4(D) Total Deaths, Persons 65 years and over..... 7,141


*Estimate based on average percent of divisional total
+Includes estimates for missing reports
NOTE: Al deaths by place of occonrece.




UNIVERSITY OF FLORIDA

||| 3 1 262 08863 9819 lllllllllllllllll
3 1262 08863 9819


Morbidity and Mortality Weekly Report


HEPATITIS For the week ending January 20, 1,580
cases of hepatitis were reported. Though 195 cases more
than in the previous week, and the highest since May 1961,
the 1,580 cases represent 223 fewer cases than were
reported for the corresponding week in 1961.



INTERNATIONAL NOTES QUARANTINE MEASURES

Smallpox Europe
England Five separate importations of smallpox
from Pakistan into England have occurred in the past 5
weeks. These have resulted in a total of 16 cases with
6 deaths. The imported cases had onsets of illness as
follows: 1) December 23, Bradford; 2) December 28, Bir-
mingham; 3) December 28, London; 4) January 8, Birming-
ham; 5) January 13, Cardiff, Wales. Ten cases of small-
pox secondary to the Bradford case have had onsets of
illness between January 6 and January 14. Four deaths
have occurred among the secondary cases. The two addi-
tional deaths occurred among the imported Bradford and
London cases. An additional patient, a contact of the
first Birmingham case, had onset of illness on January 11
in Tipton.
The diagnosis of smallpox was not made on the ini-
tial Bradford case until a number of contacts had devel-
oped smallpox. The initial Bradford case was a 9-year-
old Pakistani child who arrived in England on December
17 and was hospitalized in Bradford on December 23 with
malaria. A petechial rash appeared just prior to death,
but was unexplained until the cases of smallpox occurred.
Dusseldorf, Germany A fourth case of smallpox
has occurred in Dusseldorf, Germany. The case occurred
in the nurse who had taken care of the three initial cases.
The nurse became ill on January 12 and died on January
20. Vaccination had been unsuccessful on January 1,
1962, and revaccination had been carried out on January
6, 1962.


Notes! Thame pruislooal data are baaed on weekly leiram. to the Clommai-
cable Disease Center by the ladividual State health department.
Symbols: --- Data not available
Quatliy zero
Procedures for counsruction of various mortality carves may be obtaied from
Slatitlrce Section. Communicable Disease Center. Public Hellth Service,
U. S. Department of Health. Education, and Welfare Atlanta 22 Ceorgia.


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p C MENTS I

R111 DE POSR


' U S DEPOSITORY


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The Morbidity and Mortality Weekly Report is pub-
lished by the Communicable Disease Center,
Atlanta, Georgia, and as of January 1, 1962 had a
circulation of 8,700 copies.


Chief, Communicable Disease
Center
Chief, Epidemiology Branch
Chief, Statistics Section
Asst. Chief, Statistics Section
Chief, Surveillance Section
Editor, MMWR


C. A. Smith, M. D.
A. D. Longmuir, M. D.
R. E. Serfling, Ph. D.
I. L. Sherman, M. S.
D. A. Henderson, M. D
P. R. Joseph, M. D.


In addition to the established procedures for
reporting morbidity and mortality, the Communicable
Disease Center welcomes accounts of interesting
outbreaks or cases. Such accounts should be ad-
dressed to:
Editor, Morbidity and Mortality Weekly Report
Communicable Disease Center
Atlanta 22, Georgia


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