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:
AA00010654:00267

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

COMMUNICABLE DISEASE CENTER
COMMUNICABLE DISEASE CENTER


Vol. 15, No 24






Week Ending
June 18, 1966


U.S. DEPARTMENT OF HEALTH, EDUCATION, AN WELFAREE PUBLIC HEALTH SERVICE


EPIDEMIOLOGICAL NOTES AND REPORTS
CUTANEOUS ANTHRAX Massachusetts

The recent case of anthrax reported from Massachusetts
occurred in an employee at a mill that prepares yarn from
goat and camel hair imported from Asia. The patient, a
20-year-old male, has worked in the fiber analysis labora-
tory for -. years. On April 14, he developed a small
"pimple" on his right temple. During the next several
days he noted an increase in the size of the pimple and
recalled that it was pruritic. He did not see a physician
until April 18, by which time the pimple was 2i to 3 cm.
in size and showed the typical appearance of a cutaneous
anthrax lesion; -elling of the lymph nodes in the right
side of the neck were noted. A smear from the lesion was


CONTENTS
epidemiological Notes and Reports
Cutaneous Anthrax Massachusetts ......... 201
International Notes
Variola Minor Britain ................... ,202


reported to show Bacillus anthracis organisms and, sub-
sequently, a culture confirmed the diagnosis. The patient
was treated with tetracycline 500 mg. every 6 hours and
made a rapid and complete recovery.
Since 1953, 13 cases of cutaneous anthrax have been
reported among employees of this company whose aver-
age employment is 100 people. The company concerned
(Continued on page 208)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
24th WEEK ENDED CUMULATIVE. FIRST 24 WEEKS
MEDIAN
DISEASE JUNE 18 JUNE 19, 1961-1965 MEDIAN
1966 1965 1966 1965 1961- 1965
Aseptic meningitis ........ .. ... ....... .. 41 39 37 674 674 642
Brucellosis .......... .. 1 6 8 90 106 178
Diphtheria. .. ............ ........... 2 1 6 72 79 134
Encephalitis, primary:
Arthropod-bore & unspecified ........... 27 24 585 710
Encephalitis, post-infectious ........... 14 16 --- 411 386 -
Hepatitis, serum .. .... ..... 33 60 597
Hepatitis, infectious .........548 660 15,905 17.156 22.343
Measles rubeolaa) ................. 4.472 6268 12.377 172.613 220,468 340.473
Poliomyelitis, Total (including unspecified) 1 6 8 18 68
Paralytic ............ .............. ... 1 4 7 16 59
Nonparalytic ....................... 2 --
Meningococcal infections. Total .......... 61 46 46 2.231 1,868 1,363
Civilian ................ ...........56 46 1979 1,706 ---
Military ....... ...... .... ........... 5 -- 252 162
Rubella (German measles) ................ 1350 --- -- 36,999 --- --
Streptococcal sore throat & Scarlet fever 6.777 6,142 4.856 252.654 234.840 206.241
Tetanus...... ...... ........ .. 7 8 65 101
Tularemia ............... .. ..... 4 11 64 109 -
Typhoid fever ............. .. 6 14 9 133 171 171
Typhus, tick-borne (Rky. Mt. Spotted fever). 14 15 56 49 -
Rabies in Animals....................... 193 68 68 2.082 2,321 1,997

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax:. ........ ............ ....... 3 Botulism: ...... ....... 3
Leptospirosis: La.-2, Hawaii-2 ............ ..... 22 Trichinosis: N.Y. Upstate-1 ......... 44
Malaria: N.Y. City-1. Mich.-l, Mo.-1 ................. 131 Rabies in Man: ............. ................. .. 1
Psittacosis: Tex.- ............................. 20 Rubella, Congenital Syndrome: Minn.-1.......... .... 18
Typhus, murine: Hawaii-1, Tex.-2 ................ .. .11.. ..


ad


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,






Morbidity and Mortality Weekly Report


INTERNATIONAL NOTES
VARIOLA MINOR Britain

A total of 44 cases of variola minor in the County of
Staffordshire, England, has been reported to the World
Health Organization as of June 6, 1966 (see also MMWR,
Vol. 15, Nos. 17, 18 and 21). Nineteen cases have occurred
in the Stoke-on-Trent County Borough, 13 in the Walsall
County Borough, 7 in the Cheadle Rural District, 2 each
in the Warley County Borough and the Stone Rural Dis-
trict, and one in the city of Birmingham (Figure 1). Lab-
oratory confirmation has been available on 26 of these
cases. No fatalities have been reported.
The earliest known case occurred in the city of
Birmingham on February 18, and five subsequent genera-
tions of cases appeared through June 2 (Figure 2). During
the months of March and April the major foci for second
and third generation cases seemed to cluster in both the
Walsall County Borough and the Stone Rural District (Fig-
ure 3). Throughout May, Stoke-on-Trent was the major
focus for fifth generation cases. Sixth generation cases in
(Continued on page 208)


Figure 1
VARIOLA MINOR IN STAFFORDSHIRE
COUNTY, ENGLAND


'--
f" "'I


STOKE-ON-TRENT (19 CASES)
) *CHEADLE ( CASES)

*STONE (2 CASES)'-

,

i, (

\ WALSALL (13 CASES)

W RLEY r*
CWARLEYS *BIRMINGHAM
(2- CASES) (I CASE)
N'*.


Figure 3
CASES OF VARIOLA MINOR BY WEEK OF ONSET
FEBRUARY 19-JUNE 4, 1966


w

El


El


H7


INDEX CASE BIRMINGHAM

STONE AND WALSALL

STOKE-ON-TRENT


CHEADLE

WARLEY


5 12 19
MARCH


26 2 9 16 23 30
APRIL
WEEK OF ONSET


7 14 21 28 4 11
MAY JUNE


JUNE 18, 1966


0.


10 MILES


12 19 26
FEBRUARY


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204 Morbidity and Mortality Weekly Report



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 18, 1966 AND JUNE 19, 1965 (24th WEEK)


ENCEPHALITIS HEPATITIS
ASEPTIC Primary Post- Both
AREA MENINGITIS BRUCELLOSIS including Infectious DIPHTHERIA Serum Infectious Types
unsp. cases
1966 1965 1966 1966 1965 1966 1966 1965 1966 1966 1965
UNITED STATES... 41 39 1 27 24 14 2 1 33 594 548

NEW ENGLAND.......... 1 3 3 15 28
Maine.............. 3 2
New Hampshire...... 1 5
Vermont.............-
Massachusetts...... 2 2 6 15
Rhode Island....... 1 1 1 3 2
Connecticut ........ 2 4

MIDDLE ATLANTIC...... 5 7 4 6 4 15 76 105
New York City...... 2 2 1 2 12 22 23
New York, Up-State. 2 2 1 26 29
New Jersey......... 2 2 1 4 2 12 30
Pennsylvania....... 1 1 2 2 16 23

EAST NORTH CENTRAL... 8 1 7 3 3 1 1 108 100
Ohio............... 5 1 17 23
Indiana............ 3 11 13
Illinois........... 1 1 2 1 1 1 38 7
Michigan............ 4 2 2 39 49
Wisconsin.......... 3 8

WEST NORTH CENTRAL... 2 1 1 37 23
Minnesota.......... 1 2 11
Iowa............... -13 4
Missouri........... 21 6
North Dakota....... -
South Dakota....... -- 1-
Nebraska........... -
Kansas............. 1 2

SOUTH ATLANTIC....... 3 1 1 9 1 73 69
Delaware............. -
Maryland........... 2 1 21 8
Dist. of Columbia.. 1 -
Virginia........... 5 12 16
West Virginia...... 4 12
North Carolina..... 1 1 1 6 9
South Carolina..... 2 5
Georgia............ 15
Florida............. 1 1 1 12 19

EAST SOUTH CENTRAL... 6 2 1 1 48 28
Kentucky............ 3 18 11
Tennessee.......... 14 6
Alabama............ 1 1 3 9
Mississippi........ 3 2 13 2

WEST SOUTH CENTRAL... 8 7 1 1 2 4 42 49
Arkansas........... 1 3 4
Louisiana........... 1 1 1 1 11 6
Oklahoma........... 2 3
Texas............... 7 6 2 3 26 36

MOUNTAIN............. 1 I 3 2 37 25
Montana............ 1 3
Idaho.............. 14
Wyoming............ 1
Colorado............. 1 2 2 7
New Mexico............ 5 3
Arizona.............. 1 1 2 8 2
Utah................. 6 10
Nevada. ........... -

PACIFIC.............. 9 17 5 3 5 12 158 121
Washington.......... 2 2 11 4
Oregon............. 1 16 11
California......... 8 15 5 3 3 11 121 97
Alaska.............. 6 2
Hawaii ............. 1 4 7

Puerto Rico.......... 27 26









Morbidity and Mortality Weekly Report 205


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 18, 1966 AND JUNE 19, 1965 (24th WEEK) CONTINUED



MENINGOCOCCAL INFECTIONS, POLIOMYELITIS
MEASLES (Rubeola) TOTAL Totl P c RUBELLA
ARE Total Paralytic
AREA
Cumulative Cumuive ve Cumulative
1966 1966 1965 1 196 66 1965 1966 1965 1966 1966 1966

UNITED STATES... 4,472 172,613 220,468 61 2,231 1,868 1 7 1,350

NEW ENGLAND.......... 57 2,051 35,644 2 103 94 166
Maine............... 1 189 2,668 8 10 7
New Hampshire...... 5 50 373 8 5 1
Vermont............. 217 1,061 3 2 -
Massachusetts...... 13 716 18,864 1 41 32 90
Rhode Island....... 1 72 3,801 12 14 -
Connecticut........ 37 807 8,877 1 31 31 67

MIDDLE ATLANTIC...... 204 17,133 12,374 16 256 249 39
New York City...... 65 8,045 1,594 36 43 19
New York, Up-State. 55 2,056 3,453 6 74 64 19
New Jersey.......... 18 1,826 2,041 5 71 70 -
Pennsylvania....... 66 5,206 5,286 5 75 72 1

EAST NORTH CENTRAL... 1,582 6,3007 48,405 16 349 238 612
Ohio................ 135 6,011 8,363 6 97 63 30
Indiana............ 171 5,140 1,602 1 60 34 -- 53
Illinois........... 124 10,953 2,194 2 64 62 253
Michigan........... 655 12,014 24,087 7 94 51 142
Wisconsin.......... 497 28,889 12,159 34 28 134

WEST NORTH CENTRAL... 144 8,176 15,894 4 124 101 1 119
Minnesota........... 28 1,606 596 2 30 19 1 6
Iowa................ 86 5,000 8,837 16 5 102
Missouri............ 8 503 2,465 1 50 47 7
North Dakota....... 21 954 3,441 7 7 4
South Dakota....... 38 108 4 2 -
Nebraska........... 1 75 447 8 10 -
Kansas............. NN NN NN 1 9 11 -

SOUTH ATLANTIC....... 407 13,469 22,767 7 370 364 1 86
Delaware............ 1 233 481 4 4 -
Maryland............ 57 1,979 957 34 36 14
Dist. of Columbia.. 2 369 55 9 5 -
Virginia........... 157 1,732 3,778 1 49 44 23
West Virginia...... 103 4,658 12,628 12 23 13
North Carolina..... 22 321 301 4 92 68 -
South Carolina..... 16 605 957 1 43 52 5
Georgia............ 3 228 587 55 45 1
Florida............. 46 3,344 3,023 1 72 87 31

EAST SOUTH CENTRAL... 372 18,291 12,833 3 193 145 1 95
Kentucky............ 51 4,509 2,288 74 62 16
Tennessee.......... 242 11,313 7,337 61 45 76
Alabama............ 45 1,559 2,175 42 27 3
Mississippi........ 34 910 1,033 3 16 11 1

WEST SOUTH CENTRAL... 831 21,827 29,110 4 321 274 3 2
Arkansas........... 204 954 1,074 23 13 -
Louisiana............ 4 85 85 3 122 153 -
Oklahoma........... 11 450 169 17 17 1
Texas............... 612 20,338 27,782 1 159 91 2 2

MOUNTAIN............. 335 10,594 17,890 2 72 60 106
Montana............ 21 1,661 3,409 4 2 5
Idaho............... 47 1,279 2,447 5 7 3
Wyoming............. 18 129 820 1 4 4 -
Colorado........... 60 1,085 5,096 38 13 35
New Mexico.......... 55 1,042 599 9 10 -
Arizona............. 122 4,965 1,029 8 16 62
Utah................ 12 397 4,300 6 1
Nevada............. 36 190 1 4 2 -

PACIFIC.............. 540 18,065 25,551 7 443 343 1 1 125
Washington.......... 53 3,278 7,116 35 26 1 1 32
Oregon.............. 54 1,264 2,981 29 27 36
California.......... 431 13,259 12,044 7 361 271 51
Alaska............. 1 165 131 15 12 -
Hawaii.............. 1 99 3-279 3 7 -
Puerto Rico........... 56 2,137 1,894 1 7 4 -










206 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 18, 1966 AND JUNE 19, 1965 (24th WEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER RABIES IN
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE ANIMALS
AREA SCARLET FEVER (Rky. Mt. Spotted)
1966 1966 Cum. 1966 Cum. 1966 Cum. 1966 Cum. 1966 Cum.
1966 1966 1966 1966 1966
UNITED STATES... 6,777 7 65 4 64 6 133 14 56 93 2,082

NEW ENGLAND........... 1,161 2 1 3 3 41
Maine.............. 87 1 13
New Hampshire...... 23 12
Vermont............. 25 1 15
Massachusetts...... 231 2 1 -- 1 1
Rhode Island....... 23
Connecticut ........ 772 -

MIDDLE ATLANTIC...... 178 1 9 27 5 10 6 138
New York City...... 19 3 -- 14
New York, Up-State. 131 1 4 2 5 6 131
New Jersey......... NN 1 6 3 4 -
Pennsylvania....... 28 1 4 3 1 7

EAST NORTH CENTRAL... 827 2 6 12 22 1 4 12 292
Ohio............... 118 2 2 3 9 1 3 3 154
Indiana............. 129 1 3 1 5 65
Illinois........... 148 1 5 3 -1 2 25
Michigan........... 239 2 3 23
Wisconsin.......... 193 1 6 2 25

WEST NORTH CENTRAL... 261 5 4 13 1 22 458
Minnesota.......... 7 1 8 107
Iowa................ 100 1 4 4 100
Missouri........... 17 3 1 5 3 155
North Dakota....... 120 1 1 7
South Dakota....... 11 46
Nebraska........... 5 1 1 2 10
Kansas............ 1 2 2 1 4 33

SOUTH ATLANTIC....... 631 3 17 7 1 26 8 27 14 268
Delaware........... 15 -
Maryland........... 154 6 3 8
Dist. of Columbia.. 2 -
Virginia........... 186 2 2 2 8 2 7 10 162
West Virginia...... 122 1 1 1 36
North Carolina..... 4 1 2 2 3 10 I
South Carolina..... 11 1 1 1 5 1 -
Georgia............ 6 1 1 1 39
Florida............. 136 1 7 3 2 30

EAST SOUTH CENTRAL... 1,019 3 2 15 3 13 6 10 278
Kentucky........... 38 1 2 2 4 45
Tennessee.......... 850 2 9 5 6 5 218
Alabama............ 66 2 4 2 4 1 12
Mississippi........ 65 1 2 3

WEST SOUTH CENTRAL... 640 14 20 12 5 23 442
Arkansas........... 2 2 15 I 1 1 1 46
Louisiana.......... 40 3 2 4 21
Oklahoma .......... 5 1 2 3 4 6 121
Texas............... 593 8 1 4 16 254

MOUNTAIN............. 1,001 1 2 4 1 7 3 1 40
Montana............ 22 1 1 7
Idaho.............. 80 -
Wyoming............ 18
Colorado........... 619 1 2 3 1 5
New Mexico......... 138 1 6
Arizona............. 79 1 1 1 21
Utah................ 44 3
Nevada............. 1 1 1

PACIFIC.............. 1,059 1 8 1 1 10 2 125
Washington........ 62 1 1 1
Oregon.............. 8 1 1 1
California......... 848 7 1 1 6 1 124
Alaska............. 8 -
Hawaii ........ .. 13 -
Puerto Rico .......... 3 26 1 6 1 8








207


Morbidity and Mortality Weekly Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JUNE 18, 1966


24 (By place of occurrence and week of filing certificate. Excludes fetal deaths)

All Causes Pneumonia Under All Causes Pneumonia Under

Area All 65 years and year Area All 65 years and year
Influenza All I16yrAll
Ages and over All Ages Ages and over influenza All
All Ages All Ages Causes


NEW ENGLAND:
Boston, Mass.---------
Bridgeport, Conn.----
Cambridge, Mass.-----.-
Fall River, Mass.-----
Hartford, Conn.-------
Lowell, Mass.---------
Lynn, Mass.-----------
New Bedford, Mass.----
New Haven, Conn.-------
Providence, R. I.----
Somerville, Mass.----
Springfield, Mass.----
Waterbury, Conn.------
Worcester, Mass.------

MIDDLE ATLANTIC:
Albany, N. Y.---------
Allentown, Pa.--------
Buffalo, N. Y.--------
Camden, N. J.---------
Elizabeth, N. J.------
Erie, Pa.-------------
Jersey City, N. J.---
Newark, N. J.---------
New York City, N. Y.--
Paterson, 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.----
Omaha, Nebr.----------
St. Louis, Mo.--------
St. Paul, Minn.-------
Wichita, Kans.--------


626
181
28
22
29
53
30
19
31
43
64
14
38
29
45

3,128
42
32
134
29
24
44
58
104
1,567
40
455
202
45
99
31
38
61
57
22
44

2,438
71
28
687
182
216
121
63
325
40
36
50
39
54
147
50
113
27
30
34
84
41

803
60
29
29
132
25
107
71
240
59
51


384
101
18
11
21
29
22
14
24
19
37
11
28
20
29

1,805
23
22
80
15
16
27
24
47
889
21
260
121
31
63
19
26
35
37
19
30

1,350
44
17
383
116
129
55
33
171
22
18
23
17
34
78
20
68
12
15
20
53
22

494
39
17
12
82
17
76
43
138
38
32


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.-----------


1,094
124
228
31
84
78
75
93
31
73
60
183
34

617
94
60
53
117
111
39
43
100

1,068
50
23
19
140
35
58
183
73
182
63
108
69
65

426
43
23
106
21
91
29
67
46

1,626
21
61
28
59
56
550
76
32
151
69
91
210
35
116
46
25


Total 11,826 6,592 416 691

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 311,751
All Causes, Age 65 and over------------------- 180,271
Pneumonia and Influenza, All Ages------------- 14,502
All Causes, Under 1 Year of Age--------------- 16,139


Week No.









208


EPIDEMIOLOGICAL NOTES AND REPORTS
CUTANEOUS ANTHRAX Massachusetts
(Continued from front page)

had initiated an anthrax immunization program in 1962,
but this laboratory employee had received only a sin-
gle inoculation of the anthrax antigen in September 1965.
The most recent case prior to the current case was reported
in December 1963 in an employee who had received no
vaccine and developed a lesion on his left forefinger.
Previous studies have indicated that a single inocula-
tion of the vaccine will not give protection against cutane-
ous anthrax lesions.
(Reported by Dr. N.J. Fiumara, Director, Division of Com-
municable Diseases, Massachusetts Department of Public
Health: Dr. Heinrich G. Brugsch, Division of Occupa-
tional Hygiene, Department of Labor and Industries, the
Commonwealth of Massachusetts.)




INTERNATIONAL NOTES
VARIOLA MINOR Britain
(Continued from page 202)

late May and early June were confined to the Cheadle
Rural District.
Of the 44 cases, 21 were in males and 23 in females;
27 cases occurred in persons under 20 years of age. Four
of the 44 patients had been vaccinated prior to exposure;
all of these were adults vaccinated at least 30 years pre-
viously. Ten patients were vaccinated after exposure and
30 persons had never been vaccinated (Table 1).
The source of the outbreak remains unidentified.

(Compiled from reports from the World Health Organization.)

Table 1
VARIOLA MINOR IN BRITAIN
Cases According to Age and History of Vaccination

VACCINATION STATUS

Age Prior to 14 days Within 14 days Not Total
Before Onset AfterExposure Vaccinated

0-4 0 1 1 2
5-9 0 3 3 6
10-14 0 1 10 11
15-19 0 2 7 9
20-29 0 0 5 5
30-39 1* 0 0 1
40-49 1* 2t 2 5
50-59 2* 1 1 4
60+ 0 0 1 1
Total 4 10 30 44
*Vaccinated in early childhood.
One case vaccinated in early childhood and after exposure.

On June 9, a case of variola was reported to WHO
from Monmouthshire, Wales, approximately 100 miles from
the County of Staffordshire. It is not yet known whether
this case is related to previous cases or represents a new
introduction.


JUNE 18, 1966


THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCULA-
TION OF 15,600. IS PUBLISHED AT THE COMMUNICABLE DISEASE
CENTER. ATLANTA, GEORGIA
CHIEF, COMMUNICABLE DISEASE CENTER DAVID J SENCER M 0
CHIEF EPIDEMIOLOGY BRANCH A D LANGMUIR M D
ACTING CHIEF STATISTICS SECTION IDA L SHERMAN M S
EDITOR: MMWR DJ M MACKENZIE M B
F R C P E
IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY. THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE INVES-
TIGATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH OFFICIALS
AND WHICH ARE DIRECTLY RELATED TO THE CONTROL OF COM-
MUNICABLE DISEASES SUCH COMMUNICATIONS SHOULD BE ADDRESSED
TO:
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA. GEORGIA 30333
NOTE: THE DATA IN THIS REPORT ARE PROVISIONAL AND ARE
BASED ON WEEKLY TELEGRAMS TO THE CDC BY THE INDIVIDUAL
STATE HEALTH DEPARTMENTS THE REPORTING WEEK CONCLUDES
ON SATURDAY: COMPILED DATA ON A NATIONAL BASIS ARE RELEASED
ON THE SUCCEEDING FRIDAY








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