Morbidity and mortality

MISSING IMAGE

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:
AA00010654:00268

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






Vol. 15, No. 50


WEEKLY

REPORT


Week Ending
December 17, 1966


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


CURRENT TRENDS-MEASLES 1966


A total of 1.433 cases was reported for the 50th
week (ending December 17). an increase of 9. cases
from the preceding week. The states reporting the most
cases were Texas with 315. Washington with 197, and
Arkansas with 174. Seven states did not report any
measles cases. This week's increase in reported cases is
shown compared to those notified during the previous
four epidemiological years in Figure 1.
The counties reporting "outbreaks" of measles
'hroigh the 49th week (ending December 10) are listed in
Table 1.
(Reported by the Childhood Viral Diseases Unit. Epi-
demiology Branch, CfOC.)


Tu1i lr uo ,-x in 'N
Summtrn, (Of Nrpnrt *
I tr ernmu;t ti 'n;tl Not\>
(Qliar.min I iir' M," i, ur' -


l.I

liit


Arkansas
A total of 174 cases of easl-es w as reported from
Arkansas for the weeok endin I) Decmber 17. Of1' thi. total.
55 cases occurred in the city of ;reenlrier in Faulkner
(Continxued on page 43;)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
50th WEEK ENDED CUMULATIVE, FIRST 50 WEEKS
MEDIAN I I
DISEASE DECEMBER 17, DECEMBER 18. 1961-1965 MEDIAN
1966 1965 1966 1965 1961--1965
A pi, n, ii.r-,,- i,1 5 23_ 1t I'1I .3117
Brucellosis ...... .................. 4 5 5 231 237 383
Diphtheria. ......... .. 4 5 11 186 154 286
Encephalitis, primary:
Arthropod-borne & unspecified ......... 28 32 2.070 1.832
Encephalitis, post-infectious .......... 11 9 697 634
Hepatitis, serum ............ .... 44 857 1.426 32,396 41385
Hepatitis, infectious ................... 715 31.259
Measles rubeolaa) ......... .. .... 1,433 2.876 3.440 200.727 259,326 413.519
Poliomyelitis. Total (including unspecified) 1 2 6 96 60 429
Paralytic .... ............ ... 1 2 4 90 46 366
Nonparalytic ..... ....... .. 9 -
Meningococcal infections. Total .... .. 58 66 47 3,288 2.914 2,253
Civilian ........ ...... ..... 52 63 2,969 2,709 -
Military .......... ..... .......... 6 3 319 205 --
Rubella (German measles) .. ...... 385 -- 45.299 -
Streptococcal sore throat & Scarlet fever 7,846 7,938 7.917 404,408 375.321 325.667
Tetanus .. ... .... .......... 5 4 191 270 -
Tularemia .............. ...... 4 3 173 236
Typhoid fever ................. .... 4 6 363 436 520
Typhus, tick-borne (Rky. Mt. Spotted fever) 248 260 -

Rabies in Animals ................. 61 67 53 3,859 4.118 3.608

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: .............. .. ..... .... 7 Botulism: .10
Leptospirosis:Fla.-l, Ga.-2, La.-l ... .............. .. 67 Trichinosis: ...... ........ ....... 94
Malaria: Ark.-1, Cal.-8. Ind.-.l Iowa-1. Kv-3. Mo.-l. Rabies in Man: ... .. ............. 1
NJ-1, NC-2, Pa.-l, Okla.-2, Utah-I, NYC- ....... ... 493 Rubella. Congenital Syndrome ..... 23
Pqittsaonr l" plai- ...
T'pnu, imrri.nn- Tex.-. 11


:RVICE


FS 2. o/'9/ /0








Morbidity and Mortality Weekly Report


CURRENT TRENDS
MEASLES 1966
(Continued from front page)


County: an epidemic control program was conducted on
December 16 in the Greenbrier Elementary School. The
remaining 119 cases were from Oachita County, where
measles was reported from two schools. At the present
time, local officials are discussing the feasibility of


conducting a vaccination program there.


(Reported by Dr. Edgar J. Easley, Director, Bureau of
Local Health Services, Arkansas State Board of Health;
and an EIS Officer.)


Table 1
Counties Reporting "Outbreaks" of Measles*


State and County


Kentucky
Menifee .............................
Michigan
Wayne ........ .............. ...
Miissssippi
Oktibbeha ..... ...... .........
Nebraska
Richardson ..... ............
North Carolina
Durham .........................
Oklahoma
Kay .................................
Oregon
W ashington ..........................
Tennessee
Maury .............................
Texas
B row n ..............................
Galveston ...........................
Hutchinson ..........................
Parker .............................
P eco s ... ..... .. ... ... ......... ....
Red River ...... .........
Travis ......... .................
Vermont
R utland .............................
Washington
King.......... .... ..............
Snohom ish ..........................
Spokane ...........................


Pop. (1,000's)


4

2,666

26

14

112

51

92

42

25
140
34
23
12
16
212

47

935
172
278


October
15 22


November
5 12 19


1 15


20 21 26t 10 71 16

59


41 18

34


10

11 9 4

1
24 59 16
50
2 11
12
2 2
3 4 7


12 69

25


56


3 17
9 12

18 27
6 7
14 11
3 1 5


65t

14

13
2
50
13
14
26
20


5t 4 13 1 6

41 6 48 38 38
60 3 89 25t 44
42 24 60 14 36


'Criteria for "outbreaks:"
Pop. at least 1,000,000: 25 cases for 2 consecutive weeks.
Pop. 500.000- 999,999: 20 cases for 2 consecutive weeks.
Pop. 100,000-499,999: 15 cases for 2 consecutive weeks.
Pop. less than 100,000 10 cases for 2 consecutive weeks.
tOrganized control measures undertaken according to reports received by MMWR.


TUBERCULOSIS IN THE UNITED STATES


During I.,;. the Health Departments in the United
States reported 49,016 new active cases of tuberculosis,
establishing the "new case" rate as 25.3 per 100,000
population. The corresponding case rate for 1964 was
26.6 per 100,000 population.
The Public Health Service Special Tuberculosis
Project Grants program was expanded to include 80 grant
areas as of September 1966 in 49 States, the District of
Columbia, and Puerto Rico.
In 62 of these project areas for which data were
submitted for the year ending December 31, 1965, there
were 166,829 persons on tuberculosis registers including


36,986 with active tuberculosis, of which 17,606 were in
hospitals.
In 51 project areas where 15,889 new active tuber-
culosis cases were found during 1965, :;'..6 contacts
were identified; 42,208 were household contacts to new
active cases and :.i.,4 were non-household contacts.
Among the 16.724 household contacts who were given an
examination, 1,116 new active tuberculosis cases were
discovered, and among the 4i.ihi6 non-household contacts
examined, and additional 333 persons were found to have
active tuberculosis.
(Reported by Tuberculosis Branch, CDC.)


December
3 10


16 11t


DECEMBER 17, 1966








DECE\IRER 17. 1966






5,000







4,000


v)
w







0
a-
cr

U-
0 2,000
cr
w




I,000

,000-


Morbidity and Mortality Weekly Report



Figure 1
REPORTED MEASLES IN THE UNITED STATES

1966 Compared with 1962-1965


1962






1963


13 20 27 3 10 17 24 I 8

AUG. SEPT


15 22 29 5


12 19 26 3 10 17 24 31

NOV DEC.


WEEK ENDING


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILLIS
CASES OF PRIMARY \ND SECONDARY SYPIIILIS By R eportinE Areas N member 1965 ani
November 1966f- Prov:


7T, -E-11"'TI


' as rs ey h^ ...... .......J
'77777777< -
'.11 :^ -- -

Pa. 77':. Pila.) ...
Ptu i .elphi ..





y -' :.. ..... ....


S1 77


-,% ir.as .................

ii NoVNiiU!.. ---...-..--...
7i7 3 C.' 7 a .. .. ......7.....
777

;r
:,)"b i ~r.....................


ij rm..5 .......


IYY


,a


-R 8: ri > Tir;A .....3.. T---
i7


I:
.*i' 1,Ci?









436 Morbidity and Mortality Weekly Report



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

IECEMBIR 1'. 1966 AND DECEMBER IS. 1965 (50th 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... 33 38 4 28 32 11 4 5 44 715 607

NEW ENGLAND.......... 1 1 2 20 20
Maine.............. 2 5
New Hampshire...... -
Vermont............ -
Massachusetts...... 1 9 5
Rhode Island....... 1 1 1 5
Connecticut........ 1 8 4

MIDDLE ATLANTIC...... 3 3 13 4 25 142 126
New York City..... 2 6 1 10 22 24
New York, Up-State. 3 23 52
New Jersey......... I 4 3 12 12 9
Pennsylvania....... 2 1 3 85 41

EAST NORTH CENTRAL... 5 9 7 6 5 2 129 134
Ohio................ 5 1 18 39
Indiana............ 6 2 11 15
Illinois............ 2 2 1 1 2 24 16
Michigan........... 2 1 3 2 59 58
Wisconsin.......... 1 1 2 17 6

WEST NORTH CENTRAL... 1 2 3 3 65 22
Minnesota.......... 1 14 2
Iowa............... 1 3 6
Missouri........... 2 1 1 36 3
North Dakota..... 1
South Dakota....... -
Nebraska............ 1 1
Kansas.............. 2 11 10

SOUTH ATLANTIC....... 6 4 1 1 3 3 1 2 72 60
Delaware............ 2 2 1 1
Maryland........... 1 1 1 1 21 11
Dist. of Columbia.. 1 -- 2
Virginia............... 2 15 12
West Virginia...... 6 13
North Carolina.... 1 7 9
South Carolina.. 2 1
Georgia............ I 1 11 2
Florida............. 3 2 1 7 11

EAST SOUTH CENTRAL... 4 1 1 1 1 2 3 54 32
Kentucky ........... 22 8
Tennessee.......... 2 1 1 3 12 14
Alabama............. 1 1 2 11 7
Mississippi........ 2 9 3

WEST SOUTH CENTRAL... 3 2 2 3 1 2 50 30
Arkansas........... 4 3
Louisiana.......... 1 2 1 2 9 4
Oklahoma........... 1 5 1
Texas.............. 3 1 1 1 '- 32 22

MOUNTAIN............. 2 1 10 1 49 44
Montana............. 1 3
Idaho............... 8
Wyoming ............ 1 3
Colorado........... 9 1 6
New Mexico......... I 24 9
Arizona............. 2 6 7
Utah................ 1 9 15
Nevada............. 1

PACIFIC............... 10 15 3 3 2 10 134 139
Washington.......... 11 11
Oregon............. 29 14
California......... 10 15 3 3 2 10 94 111
Alaska............. 2
Hawaii.............. -


- 14 14


L


14 1


I I


Puerto Rico ..........









lrhiiliil and Mortality Weeklv Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITEl) STATES

FOR WEEKS ENDED

DF( EMBIR 1-. 1966 AND D)CINMBIR IS. 1965 (sith W1EK) (ON IINI II)


MEASLES (Rubeola)


AREA



UNITED STATES...

NEW ENGLAND..........
Maine ............
New Hampshire......
Vermont. ..........
Massachusetts......
Rhode Island.......
Connect icut........

MIDDLE ATLANTIC......
New York City......
New York, Up-State.
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 ...........
Dist. 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.............

Pu- r .....


1966 -1

1,433 200

12 2,
3

1
5
2
1

50 18
7 8
8 2
20 2
15 5


43
3
13
1
2
12
11
1


341
197
92
35
17
--'-


MENINGOCOCCAL INFECTIONS ,
TOTAL I


-I .,


66
,7,

,572
297
80
345
836
75
939

,530
,372
,656
,006
,496


70,300
6,456
5,817
11,535
15,099
31,393

9,269
1,684
5,431
539
1,389
40
186
NN

16,133
267
2,125
390
2,257
5,542
738
664
243
3,907

20,704
4,852
12,684
1,807
1,361

26,950
1,168
103
665
25,024

12,614
1,913
1,703
235
1,431
1,232
5,370
665
65

23,655
5,177
2,527
15,151
636
1-,


1965
259,326

37,371
2,933
383
1,420
19,468
3,970
9,197

17,728
3,443
4,445
3,577
6,263

62,349
9,162
2,351
4,042
27,686
19,108

17,399
847
9,286
2,678
4,007
116
465
NN

26,768
516
1,260
128
4,280
14,743
415
1,190
628
3,608

15,895
3,659
8,732
2,355
1,149

32,035
1,194
129
234
30,478


20,824
3,901
2,995
875
5,989
691
1,507
4,641
225

28,957
7,535
3,469
13,694
207
,0u.


1965
2,914

151
18
9
8
56
18
42

387
64
112
103
108


1966


POLIOMYE
Total

I 1965


94 106
2
5 13
6 6
49 30
10 11
S 13 21
S 1 18
5 5

11 638 544 -
4 58 47 1
1 42 37
6 516 434
18 18 -


.L I
i i i L


RUBELLA
Paralytic

1966 1966 1966



41
S 10


8


130
64
28
34
3
i

i


l 1


-
1966
3,288

151
12
9
4
62
21
43

433
65
113
132
123

522
152
88
93
135
54

170
36
22
65
11
6
11
19

558
7
49
15
66
48
142
55
77
99

283
97
95
62
29

439
37
166
23
213


~1~.


I








438


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... 7,846 5 191 4 173 363 248 61 3,859

NEW ENGLAND.......... 1,115 4 1 13 3 1 87
Maine.............. 49 26
New Hampshire...... 2 1 31
Vermont............ 2 25
Massachusetts...... 199 2 1 9 1 4
Rhode Island....... 84 -
Connecticut........ 779 2 4 2 1

MIDDLE ATLANTIC...... 250 15 60 49 3 228
New York City...... 16 5 25 1
New York, Up-State. 175 2 14 13 3 211
New Jersey.......... NN 3 8 16 -
Pennsylvania........ 59 5 13 20 16

EAST NORTH CENTRAL... 870 21 1 23 2 46 20 5 488
Ohio................ 133 5 3 21 9 1 202
Indiana............. 92 4 11 5 111
Illinois........... 164 4 1 8 7 11 74
Michigan............ 301 6 7 42
Wisconsin.......... 180 2 1 6 4 59

WEST NORTH CENTRAL... 473 15 1 20 34 4 19 895
Minnesota.......... 12 3 I 1 5 213
Iowa............... 182 2 5 4 165
Missouri........... .3 8 1 11 18 3 4 252
North Dakota........ 164 1 3 59
South Dakota........ 15 4 2 116
Nebraska........... 2 2 1 29
Kansas............. 77 1 2 7 1 61

SOUTH ATLANTIC....... 876 1 37 1 15 70 114 5 496
Delaware........... 1 1 2 -
Maryland............ 181 3 1 5 12 27 3
Dist. of Columbia.. 1 2 -
Virginia........... 274 6 2 16 31 3 251
West Virginia...... 228 1 1 59
North Carolina..... 29 4 3 6 27 4
South Carolina..... 28 2 1 15 5 -
Georgia............. 14 8 3 4 22 2 108
Florida............. 120 1 14 13 71

EAST SOUTH CENTRAL... 1,175 2 28 24 46 43 12 504
Kentucky........... 67 2 2 10 9 3 120
Tennessee........... 947 2 9 14 24 25 8 341
Alabama............ 99 8 4 6 7 1 21
Mississippi........ 62 9 4 6 2 22

WEST SOUTH CENTRAL... 720 2 47 1 75 35 10 12 754
Arkansas........... 3 4 56 4 2 3 85
Louisiana.......... 8 12 4 10 1 54
Oklahoma........... 9 3 1 8 10 7 2 184
Texas............... 700 2 28 7 11 1 6 431

MOUNTAIN............. 918 2 12 16 4 1 97
Montana............ 76 2 7
Idaho.............. 64
Wyoming............. 73 6 1 -
Colorado........... 164 2 3 2 18
New Mexico......... 228 1 2 1 1 18
Arizona............ 132 1 5 42
Utah.............. 180 2 5 3
Nevada.............. I 1 9

PACIFIC.............. 1,449 22 3 43 1 3 310
Washington......... 374 13 15
Oregon ............. 35 1 1 1 5
California......... 940 21 3 27 1 2 290
Alaska ............ 47
Hawaii ............ -
Puerto Rico......... 3 54 1- 19 19


Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 1', 1966 AND DECEMBER 18, 1965 (50thWIEEK) CONTINUED









Mlorbidit and Morlality V eckl Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED 1)I(1MBRll 1. 19,6

(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 1 year Area All 65 years and f year
Age and over Influenza All Inf nza All
Ages and over le Causes Ages and ovr enza A
AII Ages Causes 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, 11l.---------
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, lowa------
Duluth, Minn.---------
Kansas City, Kans.----
Kansas City, Mo.------
Lincoln, Nebr.--------
Minneapolis, Minn.----
Omaha, Nebr.----------
St. Louis, Mo.--------
St. Paul, Minn.-------
Wichita, Kans.--------


723
262
51
29
31
54
25
21
26
50
52
6
46
26
44

3,390
61
37
152
43
28
37
76
80
1,717
41
500
182
55
103
26
51
73
67
27
34

2,570
54
34
752
135
215
110
74
335
40
40
52
66
44
155
39
132
29
32
50
119
63

795
61
35
27
130
25
109
57
222
70
59


436
144
28
18
21
30
16
17
18
32
35
5
27
18
27

1,916
26
21
96
23
11
29
50
32
966
19
284
89
41
69
14
31
40
36
18
21

1,482
27
18
414
84
128
50
42
195
28
13
33
42
32
90
23
89
18
22
27
63
45

478
39
21
14
72
15
70
38
130
43
36


*Estimate based on average percent of divisional total.


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


1,183
128
275
42
84
97
48
73
27
78
71
212
48

581
88
45
36
95
136
50
33
98

1,155
29
51
14
167
42
93
202
45
206
78
103
52
73

381
43
20
107
22
83
19
39
48

1,505
10
58
28
44
80
425
88
41
108
57
98
197
31
159
54
27


Total 12,283 6,989 456 701

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ----------------------- 625,657
All Causes, Age 65 and over------------------- 358,140
Pneumonia and Influenza, All Ages------------- 25,459
All Causes, Under 1 Year of Age--------------- 33,464


Week No.








440


Morbidity and Mortal


INTERNATIONAL NOTES
QUARANTINE MEASURES

Immuninzatiiin Information for International Traiel
196>5-G6 edition-Public Health SerIice Publication No.384

International Certificates of Vaccination, PHS 731,
Revised September 1966
January 1 1965 is the deadline for the introduction
worldwide for the nes International Certi'icate of Vac-
cination or Rex vaccination againstt Smallpox as revised by
the Ibth 1\orld Health Assembly. The certificate indicates
that either a freeze-dried or liquid vaccine was used and
the origin and hatch number must be recorded.
In the United States the certificate is contained in the
International Certificates of Vaccination, PHS 731.
revised September 1966), which if now available at pass-
port agencies, clerks of the court. Public Health Ser\ice
facilities, and most local and state health departments.
The certificate is also on sale at the Superintendent
of Documents, Government Printing Office. i\ashington.
D.C. 204012. The price is 10(- or S5.00 per hundred. All
stock of the old certificates must, be destroyed by January 1.
Vaccinations performed before January 1. 1967, and
recorded on the old form remain alid until the expiration
date of the certificate in question. For example, a smallpox
vaccination performed on December 1, 1966, remains 5alid
until December 1, 1969.



ERRATUM: Vol. 15, No. 48, p. 424:

Quarantine Measures
I. Immunization Information for International Travel
1965-1966 edition
Public Health Service Publication No. 384
Section 2, page 13: Typhoid Fever
The fourth sentence should read: The basic series need
not be repeated (not 'completed') at any time even if more
than 3 years has elapsed since primary immunization or
the last booster dose.


ity Weekly Report DECEMBER 17, 1966 __



a c
0- --=--


Q-r0
THE MORBIDITY AND MORTALITYV 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.D.
CHIEF, EPIDEMIOLOGY BRANCH A.D. LANGMUIR, M.D. Dq
ACTING CHIEF. STATISTICS SECTION IDA L. SHERMAN. M.S.
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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