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:
AA00010654:00278

Related Items

Preceded by:
Weekly mortality index
Preceded by:
Weekly morbidity report
Succeeded by:
Morbidity and mortality weekly report

Full Text



COMMUNICABLE DISEASE CENTER


SVol. 15, No. 22





i JUL I 6 6
dt 4- Week Ending
June 4, 1966




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


EPIDEMIOLOGIC NOTES AND REPORTS
SALMON ELLOSIS- New Jersey, New York, Pennsylvania

Between May 25 and May 2S, 1966. there were at
least 13 separate outbreaks of febrile gastroenteritis
associated with the consumption of -smoked fish and
involving over 400 persons in New Jersey, New York and
Pennsylvania. Illness occurred primarily in Jewish adults
approximately 14-24 hours after eating a meal which
included smoked fish. Though the illness has been severe.
in some instances requiring hospitalization, no deaths
have been reported.

Salmonella jara has been isolated from cultures from
10 patients in New Jersey and from three specimens of


('O TE 'TS

Epidemioloaic Not-s and Ieports
Salmonellosis-Nev Jersey, Ne\ Vnrk. 'eanns.?-i.i-. ...
Vesicular Stoniatiti.-Nfw MtI"Xico and Color-.o ...... I 6
Annual Surveillance Summary
Malaria- 196is .. ..... ..... 17



smoked fish. There have been three isolation of the
same organism from cultures from patients in Net York
City. Seven isolations of S. jara have been obtained from
cultures from patients in Philadelphia and 10) violations
haLe been made from samples of smoked fish.
(Continued on paye 186)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
_*:r.rl F kF.K, i' liF [, *.- i I..l. 111 L F l ',T _. t-F- .-
MEDIAN
DISEASE JUNE 4. JUNE 5. 1961-1965 I MEDIAN
1966 1965 1966 1965 1961-1965
Aseptic meningitis ........ .. ....25 27 27 609 615 558
Brucellosis.............. 3 5 5 87 93 161
Diphtheria. .. 4 4 5 69 78 115
Encephalitis, primary:
Arthropod-borne & unspecified ...... 27 22 534 663
Encephalitis, post-infectious ..... 23 18 -- 375 361
Hepatitis, serum 18 466 655 542 16.062 21.001
Hepatitis infectious ............. 516 I 14722
Measles rubeolaa) ................... 5.910 7,304 15.331 162.104 206.63(i 308.401
Poliomyelitis. Total (including unspecified) 3 3 8 13 57
Paralytic ... 3 3 7 11 49
Nonparalytic .......... .. 2
Meningococcal infections. Total ........ 60 55 37 2,111 1,780 1,281
Civilian .... .55 53 1.867 1.622 -
ilit r,.... ... ...... 5 2 244 158 -
Rubella (German measles) .......... 1.628 --- -- 33.996 -
Streptococcal sore throat & Scarlet fever 6.443 5,720 5.720 238.872 222,294 195.623
Tetanus. .... .. ... .. 4 3 53 89 -
Tularemia ... 3 3 55 86 --
Typhoid fever .2 11 10 121 149 149
Typhus, tick-borne (Rky Mt Spotted fever) 12 1 --- 33 24 --

Rabies in Animals .. 59 93 72 1.896 2.186 1.861

NOTIFIABLE DISEASES OF LOW FREQUENCY
SCum Cum.
Anthrax: Botulism Md.-2 3
Leptospirosis: Calil .-l 1' Trichinosis ........ 44
Malaria: Pa.-1 Kfnl -2. Wash.-I .. .. 118 Rabies in Man: .. .......... 1
Psittacosis: Hi-.- ........ .... 18 Rubella, Congenital Syndrome: Va.- 17
Typhus, murine: 7 . ..








Morbidity and Mortality Weekly Report


EPIDEMIOLOGIC NOTES AND REPORTS
SALMONELLOSIS-New Jersey, New York, Pennsylvania (Continued from front page)


All of the outbreaks have been traced to the smoked
fish product of one company which distributes primarily
in the States of New Jersey, New York and Pennsylvania.
The management of the company has voluntarily closed
the involved plant and recalled the potentially contami-
nated smoked fish produced since May 25. Over 100
environmental samples have been collected and are being
examined for the presence of salmonellae. S. java has
been isolated from rectal swabs from 5 of the 30 employ-
ees at the plant. Investigations are continuing.


(Reported by Dr. William J. Dougherty, Director, Division
of Preventable Disease Control, New Jersey State Depart-
ment of Health; Dr. Julia L. Freitag, Director, Epi-
demiology Division, New York State Department of
Health; Dr. Harold Fuerst, Assistant Commissioner of
Health for Preventable Diseases, New York City Health
Department; Dr. William D. Schrack, Jr., Director of
Communicable Diseases, Pennsylvania Department of
Health; Dr. Sylvan M. Fish, Chief, Communicable Dis-
eases Section, Philadelphia Department of Health; the
Food and Drug Administration; and a team from CDC.)


VESICULAR STOMATITIS New Mexico and Colorado


An outbreak of vesicular stomatitis occurred in the
summer of 1965 in northwest New Mexico and southwest
Colorado (MMWR, Vol. 14, No. 36). The el-i,,: was
confirmed as VS virus, Indiana type, by virus isolation
from vesicular lesions of cattle.
As a result of unconfirmed reports of vesicular
stomatitis infection in humans in late July, 41 individuals
who had had some degree of contact with infected animals


Table 1
SUMMARY OF SYMPTOMATOLOGY AMONG PATIENTS WITH SEROLOGICAL
1965


were interviewed. Throat swabs and sera were obtained
from each person for viral isolation and serological stud-
ies. Twenty-four of the 41 persons gave a history of
influenza-like illness, upper respiratory tract infections,
stomatitis, or cutaneous vesicles. Results of the studies
have demonstrated that 9 of the 41 have serologic evi-
dence of infection with vesicular stomatitis virus. Indiana
strain. Seven of these nine persons had experienced


EVIDENCE OF VESICULAR STOMATITIS


Patient


Age-Sex


1 34


County


M Cortes,
Colorado


2 8 M LaPlata,
Colorado

3 4 M Durango,
Colorado


4 8 F Dolores,
Colorado


5* 1 Dolores,
Colorado

6* 7 M Dolores,
Colorado

10 M Dolores,
Colorado

M* 31 M Dolores,
(olorado
Grand
9 29 M Junction,
Colorado

*M*mlbers of a single family unit.


My-
Chills Fever My-
algia


Weak-
ness


X X X





X X X


X X X X



X X


Ano- Head- Pharyn-
rexia ache gitis


Nausea
and /or
vomiting


Other


Fever of 1030F. Pharyngeal ve-
sicular lesions within 24 hours.
Buccal lymphoid hyperplasia
noted after 20 days. 20 pound
weight loss over three weeks.

X Vesicular lesions on gums and
buccal mucosa within 24 hours.

X Fever 1010F. Weakness marked.
Herpetic lesion on lower lip
Within 48 hours.


X X Cervical lymphadenopathy.
History of contact with infected
animals vague.



X X X
X X X

X X X


SYMPTOM ATIC


- L_


Veterinarian with onset of
illness in 1964.


186


June 4, 1966







Morbidity and Mortality Weekly Report


clinical illness during the summer of 1965; the other two
were asymptomatic. One of the asymptomatic persons had
experienced a clinical illness compatible with vesicular
stomatitis in June 1964 following laboratory exposure
to VS virus. Symptomatology of these nine cases is sumn-
marized in Table 1.
One isolation of esicular stomatitis virus was
obtained in the \rbhmirus Vector Laboratory of CDC from
a pool of :ldes species (probably .1, dorsalis) Iros-


quitoes collected during September 19)65 in \(,N \Iooe\ .
This is the first isolation of veisicular s ionatlitis \iri-
to be reported I'ron nioi quito, .
(Irlport fid y l)r. II. Uiordon liorn, Star'n. Kpiderniolo i isnl,
Neiw lltrico lOrpiartin'nt of Public llrall/; l)r. ('. S
Volloun,. State KEpidemiololi/st, ('olorado Staire DOart-
mcnt of I'Publi Health; .lrboirirs 'Vr(lor L.ahoralorY/,
Virology Sct'io/n, Laboratory Franch, (')': / / :d/ an O /,IS
Office r. )


ANNUAL SURVEILLANCE SUMMARY
MALARIA 1965


Surveillance data hale been received on 156 cases
of malaria with the onset of illness in the Inited States
and Puerto Rico during 1965. This is the second highest
total in the 10-year history of malaria surveillance: in
Table 2 is a comparison with the annual totals since
1956. \1ll but (to cases hfa\e been categorized as im-
ported; the exceptions are one cryptic and one introduced
case. There were 51 cases among military personnel and
105 among civilians: of the latter. 17 cases were among
members of the Peace Corps, 15 among seamen and 5
among missionary families. Table 3 shows the parasite
species identification in the 141 cases in which this \\as
available.
The majority of persons affected Meore young adults


and .5S.9 percent of ca -s, occurred in the 10-9 y iear age
group; females of all ages accounted for 16.7 porclent of
the total. The country or area in which i the i malaria x\a
contracted \\a, defined in 1 13 instance-: if; persons we\re
infected in \sia and 51 in \frica.
There were 110 patients \\ho had not had imalar:i
before: an additional 17 patients had had ione or more
attacks of malaria previously. In 29 instances no infor-
nation w\as available regarding the previous history of
malaria. Foreigners visiting the I.S. accounted for 19 of
the cases; of these 6 had had malaria before.
The month of onset of the illness in 153 of the
patients is shown in Figure 1. As the year progressed
there wa- a sharp relative increase in cas-es due to the


Figure 1
MILITARY AND CIVILIAN CASES OF MALARIA DIAGNOSED IN THE UNITED STATES
DURING 1965 BY MONTH OF ONSET


0--* CIVILIAN
o--o MILITARY PERSONNEL
-- TOTAL


June 4, 1966


187







188 \lorlidily and Mortality Weekly Report



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 4, 1966 AND JUNE 5, 1965 (22nd 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... 25 27 3 27 22 23 4 4 18 516 466

NEW ENGLAND .......... 1 1 2 21 27
Maine.............. 5 4
New Hampshire...... 1 3
Vermont............ 1
Massachusetts...... 1 1 1 6 8
Rhode Island....... 1 4 4
Connecticut........ 4 8

MIDDLE ATLANTIC...... 6 3 7 3 2 6 103 74
New York City...... 2 3 3 1 6 16 23
New York, Up-State. 3 1 1 31 28
New Jersey......... 2 25 14
Pennsylvania....... 1 1 2 1 31 9

EAST NORTH CENTRAL... 2 3 1 15 2 4 2 71 66
Ohio............... 1 1 14 1 14 13
Indiana........... ..... 13 17
Illinois........... 1 1 1 13 7
Michigan........... 1 1 2 4 1 28 23
Wisconsin.......... 3 6

WEST NORTH CENTRAL... 1 1 32 33
Minnesota........... 3 3
Iowa.............. 17 13
Missouri............ 7 7
North Dakota....... 1 -
South Dakota...... ---- --
Nebraska............ 2
Kansas............. 2 10

SOUTH ATLANTIC....... 4 5 4 7 6 3 3 54 54
Delaware........... 1
Maryland........... 1 1 25 9
Dist. of Columbia.. -
Virginia .......... 1 1 7 10
West Virginia...... 1 4 7
North Carolina..... 3 2 1 5
South Carolina..... 1 2
Georgia............ 7 1
Florida............. 3 1 1 5 5 3 2 9 19

EAST SOUTH CENTRAL... 2 3 1 1 1 40 29
Kentucky ........... 2 12 9
Tennessee.......... 1 24 5
Alabama ............ 1 1 3 11
Mississippi......... 1 1 1 4

WEST SOUTH CENTRAL... 7 3 1 1 1 1 1 51 53
Arkansas........... 4 7
Louisiana........... 1 8 9
Oklahoma ........... 3 -
Texas.............. 6 3 1 1 1 1 36 37

MOUNTAIN............. 16 23
Montana............ 1 1
Idaho............... -
Wyoming.............. 1 1
Colorado............ 5 4
New Mexico......... 3 2
Arizona ............ 3 11
Utah................ 3 3
Nevada..............

PACIFIC............... 8 7 2 3 10 6 128 107
Washington........... 1 1 13 13
Oregon............. 8 12
California.......... 7 5 2 3 9 5 106 80
Alaska............. 1 2
Hawaii............. 2 -

Puerto Rico........... 25 36







Morbidity and Mortality Weekly Report


CASESS OF SPIC(IFIED) NOTIFIABEI. DISEASES: UNITED STATES

FOR WEEKS ENDI)D

JUNE 4, 1966 AND JUNE 5, 1965 (22nd WEEK) CONTINUED


AREA


191


UNITED STATES...

NEW ENGLAND..........
Maine..............
New Hampshire......
Vermont ............
Massachusetts ......
Rhode Island.......
Connecticut. .......

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


5,9










2



1

2,2
2
2
1
5
9

3

2


MEASLES (Rubeola)

Cumulative
66 1966 1965
10 162,104 206,636

73 1,900 34,528
2 181 2,497
2 44 369
4 216 891
22 680 18,500
68 3,727
43 711 8,544

87 16,602 10,864
78 7,929 1,297
49 1,905 3,046
18 1,751 1,790
42 5,017 4,731

01 59,175 43,783
53 5,708 7,857
44 4,655 1,482
95 10,610 1,982
95 10,531 22,075
14 27,671 10,387

15 7,660 15,022
21 1,572 568
76 4,686 8,181
4 415 .2,372
13 910 3,352
6 102
1 71 447
NN i NN NN


MENINGOCI



1966

60

4



3







1
1

6
1
3

2


4
1

2
1


LOCAL INFECTIONS,
TOTAL

Cumulative
1966 1965
2,111 1,780

96 90
8 9
8 5
3 2
38 30
11 13
28 31

236 239
34 42
67 60
66 69
69 68

325 223
87 61
59 31
60 59
86 45
33 27

116 93
27 19
16 5
48 44
6 4
4 2
8 9
7 10


POLIO


Total

1966


MYELIT



19


POLIO


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.............
F. ........ ...


12,477
211
1,830
363
1,466
4,414
270
584
223
3,116

17,418
4,353
10,755
1,460
850

20,215
744
78
426
18,967

9,805
1,581
1,128
110
981
964
4,647
358
36

16,852
3,043
1,158
12,439
123
i __


21,700
459
898
52
3,567
12,082
267
937
584
2,854

12,251
2,232
6,966
2,051
1,002

28,159
1,053
73
166
26,867

16,495
3,227
2,226
794
4,609
544
907
4,001
187

23,834
6,843
2,882
11,104
125
a_8


345 347
4 4
34 32
7 4
45 40
12 23
87 64
42 51
46 45
68 84

187 136
73 59
61 43
40 23
13 11

310 264
23 13
117 148
17 17
153 86

70 58
4 1
5 7
3 3
38 13
9 10
8 16
6
3 2

426 330
34 25
28 27
346 261
15 10
3 ---


215

11

54
37

4

109

146
52
93
1


8



8

104
10
1
3
26

62
2


272
146
15
109
2


S1





1

3


1
2












1
1-


RUBELLA
Paralytic
1CumulativeT
66 1966
1966
7 1 ,628

2 038
S 19

11
108
S 15
85

96
21
72

3

509
24
83
156
50
196

1 40
1 6
32

2







190 Morbidity and Mortality Weekly Report


(.ASFS OF SPICIFIEI) NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 4, 1966 AND JUNE 5, 1965 (22nd 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... 6,443 4 53 3 55 2 121 12 33 59 1,896

NEW ENGLAND.......... 1,012 2 1 3 3 35
Maine............... 134 2 10
New Hampshire...... 16 1 12
Vermont............. 82 13
Massachusetts...... 2 -
Rhode Island. ...... 38 -
Connecticut ....... 742 3

MIDDLE ATLANTIC...... 273 7 1 26 2 4 127
New York City...... 16 3 1 14
New York, Up-State. 212 3 3 120
New Jersey......... NN 1 6 1
Pennsylvania....... 45 3 3 1 1 7

EAST NORTH CENTRAL... 649 4 12 22 1 3 3 261
Ohio................ 96 3 9 2 136
Indiana............. 112 1 3 1 56
Illinois........... 142 1 5 3 1 1 1 23
Michigan............ 130 2 3 23
Wisconsin.......... 169 1 6 2 23

WEST NORTH CENTRAL... 409 1 4 1 4 13 1 19 421
Minnesota.......... 9 1 1 4 96
Iowa............... 217 4 5 93
Missouri........... 3 1 5 8 149
North Dakota........ 109 1 6
South Dakota....... 5 2 43
Nebraska............ 1 1 1 1 7
Kansas............. 68 2 2 1 27

SOUTH ATLANTIC....... 879 12 7 24 7 16 1 245
Delaware ........... 16 -
Maryland............ 204 6 3 4
Dist. of Columbia.. -
Virginia........... 260 2 8 4 149
West Virginia...... 177 1 1 1 34
North Carolina..... 5 1 2 2 4 7 1
South Carolina..... 14 1 4 --
Georgia............ 1 4 1 1 1 38
Florida............ 202 6 2 23

EAST SOUTH CENTRAL... 821 1 3 13 10 1 4 6 256
Kentucky........... 27 1 1 2 2 1 40
Tennessee.......... 738 7 5 1 4 5 205
Alabama............ 56 2 4 2 9
Mississippi........ I 2

WEST SOUTH CENTRAL... 738 1 13 2 15 8 1 4 12 398
Arkansas........... 2 11 1 1 1 45
Louisiana ......... 16 3 1 2 20
Oklahoma............ 49 1 2 2 1 1 3 4 113
Texas.............. 673 1 7 1 4 7 220

MOUNTAIN ............. 853 1 2 6 2 3 1 37
Montana............. 33 7
Idaho.............. 66 -
Wyoming............ 12 -
Colorado........... 434 I 2 2 3 2
New Mexico.......... 177 1 6
Arizona............ 70 1 1 21
Utah................ 61 3 --
Nevada ............ 1

PACIFIC.............. 809 1 7 1 1 9 10 116
Washington......... 326 1 1 -
Oregon .............. 9 -
California.......... 420 1 7 1 5 10 116
Alaska............. 2 -
Hawaii............. 52 I- 2 -
Puerto Rico.......... 4 23 1 5 2 7










Morbidity and l orlality NN ceklN Report







DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JUNE 4, 1966

(By plaic of occurrence and wrek of filing certificate. Excludes fetal deaths)


Area


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--------
Dayt'n, Ohi------------
Detroit, Mich.--------
Evansville, Ind.------
Flint, Mich.----------
Fort Wayne, Ind.------
Gary, Ind.------------
Grand Rapids, Mich.---
Indianapolis, Ind.----
Madison, Wis.---------
Milwaukee, Wis.-------
Peoria, Ill.-----------
Rockford, I11*--------
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.--------


671
246
37
27
26
43
17
27
24
45
50
10
49
33
37

3,114
36
33
140
40
36
48
76
69
1,558
30
506
199
45
88
24
31
51
42
24
38

2,475
56
46
716
144
207
113
74
357
32
48
27
31
48
146
33
136
29
30
61
92
49

802
52
22
44
126
30
111
78
233
64
42


65 years and I year
and over Influenza All
All Ages Causes


Area


Ages


65 years
and over


and
Influenza
All Ages


I 1 I It 11 I. ___ __


421
142
23
18
19
24
11
18
19
30
30
8
31
24
24

1,785
20
20
80
16
29
32
49
35
888
19
268
106
35
51
15
19
35
25
16
27

1,465
32
32
394
97
117
67
42
219
23
22
15
20
31
85
17
93
16
18
37
59
29

468
35
15
19
69
14
69
52
133
38
24


*Estimate based on average percent of divisional total.


SOUTH ATLANTIC:
At lanta, 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 W rth, Tex.-------
Houston, Tex.----------
Little Rock, Ark.------
New Orleans, La.-------
Oklahoma City, Okla.---
San Antonio, Tex.- ----
Shre'veport, La.--------
Tulsa, Okla.-----------

MOUNTAIN:
Albuquerque, N. Mix.---
Colorado Springs, Colo.
Denver, Clo.-----------
Ogden, Utah------------
Phoenix, Ariz.---------
Pueblo, Colo.-----------
Salt Lake City, Utah---
Tuison, Ariz.----------

PACIFIC:
Berk ely, 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.----------


1,091
121
221
50
55
84
79
73
31
71
70
193
43

570
93
55
51
107
111
45
19
89

1,027
44
42
28
136
26
64
188
52
173
59
106
35
74

364
44
22
96
14
72
17
58
41

1,309
25
53
13
38
60
377
64
31
90
73
78
157
29
137
40
44


1 year
All
Causes


54
4
5
5
7
2
1
2
2
3
5
16
2


Total 1 11,423 6,553 429 584

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 287,225
All Causes, Age 65 and over ------------------- 166,527
Pneumonia and Influenza, All Ages------------- 13,582
All Causes, Under 1 Year of Age--------------- 14,730


Week No.










192 Morbidity and




ANNUAL SURVEILLANCE SUMMARY
MALARIA-1965
('onltinued from page 187)
Table 1
CASES OF MALARIA BY PARASITE SPECIES
United States, 1965P

species Total Pe


P. iivai r .
P. falciparum.
P. malriae ..
P. ovale .
Mixed Infection-

Total ...

*Onset of 1line.1
**12 cas-s % Ith s


Mortality Weekly Report


recent


87 60.4
39 27.1
.. 13 9.0
.5 3.5
L 0 0

144** 100.0

s in th r ntimwd states and Puerto Rico.
pc cies of pI';urI,-11 unknownI ha.se been omitted.


June 4. 1966


THE MORBIDITY AND MORTALITY WEEKLY REPORT WITH A CIRCULA-
TION OF 15600. IS PUBLISHED AT THE COMMUNICABLE DISEASE
CENTER, ATLANTA GEORGIA
CHIEF COMMUNICABLE DISEASE CENTER DAVID J. SENCER. M.D.
CHIEF EPIDEMIOLOGY BRANCH AD, LANGMUIR. M.D
ACTING CHIEF STATISTICS SECTION IDA L. SHERMAN. M. S
EDITOR: MMWR O.J 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


1956
1957
1958
1959
1960
1961
1962
1963
1964
1965

*Ons


Table 2
MILITARY AND CIVILIAN C\SFS OF MALARIA
United States 1956-1965*

Year of Onset Military Ci ilian T

..... .. ... 46 79
..... 56 47
..... 33 39
12 42
... 21 42
.. 45 40
...... 75 44
...... .. 58 90
..... 52 119
..... .. 51 105

et of illness in the Vnoitd Sti'tes and Puerto Rico.


'otal

125
103
72
54
63
85
119
148
171
156


number which occurred in military personnel who had
contracted the disease in Viet Nam. Sixty-nine of the
153 cases had the onset of illness during the period
May 1 to September 30, 1965.
Of 35 military personnel who contracted malaria in
Viet Nam and who subsequently developed symptoms
during 1965 while in the U.S. or Puerto Rico. P. falciparum
was the etiologic agent in 20 cases and P. viiax in 12
cases. The species was not identified in three cases.
Surveillance data also became available to the
Parasitic Disease Unit on 480 servicemen inwhom malaria
was first diagnosed in Viet Nam and who were subse-
quently transferred to the U.S. either for the treatment of
the malaria itself or of other conditions such as wounds.
The majority of these patients had falciparum malaria
and almost all experienced the onset of illness in Viet
Nam during October, November and December.
The case of introduced malaria occurred in the wife
of a serviceman stationed at Fort Benning in Georgia
(MMWR, Vol. 14. No. 33). The case of cryptic malaria
occurred in Las Vegas, Nevada, and was in a 47-year-old
male patient who had resided in Assam, India. during
1944-45 (MM\VR, Vol. 14, No. 51).
(Reported by the Parasitic I)isase Unit, Epidemiology
Branch, CDC.)


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