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:
AA00010654:00284

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 CE


U.S. DEPARTMENT OF HEALTH, EDUCATION,


HUMAN PLAGUE-UTAH

A confirmed case of fatal plague in a 5-year-old
Navajo boy has been reported from Utah. The patient was
admitted to the Monument Valley Hospital in southeast
Utah on May 23, 1966, with high fever, vague chest pains,
anorexia and vomiting. He died 1% hours after admission.
Cultures of heart blood taken at autopsy were found
positive for Pasteurella pestis by routine bacteriological
examination at the State Laboratory and were confirmed
by fluorescent antibody technique at the Communicable
Disease Center.
The patient lived in southeastern Utah, contiguous
to the Arizona and New Mexico areas where cases of
both human and rodent plague were reported in 1965.


NTER -f E r,-


Vol. 15, No. 23




V A


L/; Week Ending
u; June 11, 1966

SJUL1966

AND ARE PUBC/ HEALTH SERVICE


" j. J


\ "s" NTS
Epidemiologic Notes and Reports
Human Plague Utah .. .. ...
Aseptic Meningitis South Carolina .
Salmonellosis New Jersey, New York,
Pennsylvania .........
Current Trends
Aseptic Meningitis ... .


...... 193
...... 195

.... 200

. 194


Investigations to detect other cases of human plague and
any evidence of excess rodent mortality in the area are in
progress.
(Reported by Dr. Robert -; .......'. Director, Division of
Preventive Medicine and Medical F.;- '.'. Utah State
Department of Health; and a team from CDC.)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
23rd WEEK ENDED CUMULATIVE, FIRST 23 WEEKS
MEDIAN
DISEASE JUNE 11, JUNE 12, 1961-1965 MEDIAN
1966 1965 1966 1965 1961-1965
Aseptic meningitis ................... ... ..24 20 42 633 635 606
Brucellosis ............. ..... ........ 2 7 7 89 100 171
Diphtheria. .............. ...... .... .... 1 4 70 78 123
Encephalitis, primary:
Arthropod-borne & unspecified ........... 24 23 558 686 -- -
Encephalitis, post-infectious ........... 22 9 397 370 -
Hepatitis, serum .................. .....21 546 682 564 16,608 21.683
Hepatitis, infectious ................... .. 590 15,312
Measles rubeolaa) ................... .... 6,028 7.564 16.195 168.132 214.200 325,433
Poliomyelitis, Total (including unspecified) 4 5 8 17 62
Paralytic ............................ 4 5 7 15 54
Nonparalytic .......................... 2 -
Meningococcal infections. Total .......... 59 42 38 2.170 1.822 1.315
Civilian .............................. 56 38 1923 1,660 -
Military ........................... ... 3 4 247 162 -
Rubella (German measles) ................ 1.653 -- -- 35,649 --- -
Streptococcal sore throat & Scarlet fever .. 6,698 6,404 5,762 245,816 228.698 201.385
Tetanus..................................... 5 4 58 93 --
Tularemia............ ........ ...... .. 5 12 60 98 -
Typhoid fever .......................... 6 8 8 127 157 157
Typhus, tick-borne (Rky. Mt. Spotted fever) 9 10 42 34 ---
Rabies in Animals....................... 92 67 68 1.989 2,253 1.934

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: Mass.-l ........... .............. ......... 3 Botulism: ...... ........ .... .. 3
Leptospirosis: ...................................... 18 Trichinosis: ................. ... .... 44
Malaria: Md.-3, N.C.-2, Pa.-l, Ala.-1, Minn.-2, Wash.-1 .. 128 Rabies in Man: .............. ... ... .. .... 1
Psittacosis: Mass.- ................................. 19 Rubella. Congenital Syndrome: .. ......... 17
Typhus, marine: Texas-i ............................ 8 ........................


E4d






Morbidity and Mortality Weekly Report


CURRENT TRENDS-ASEPTIC MENINGITIS


During the first 21 weeks of 1966 a total of 584 cases
of aseptic meningitis has been reported through the
National Morbidity Reporting System. In the comparable
period of the previous year a total of 588 cases was
recorded. California reported 30 percent of the cases in
1966 and 31 percent in 1965. So far no State has reported
a marked excess of cases in 1966 as compared with 1965.
The monthly incidence of aseptic meningitis for the
period January 1962 to May 1966 is shown in Figure 1. A
yearly seasonal peak occurs from July through October.
More than 2,000 cases of aseptic meningitis were
notified during 1965; the annual incidence total has
remained at much the same level during the past 4 years.
On the other hand, paralytic poliomyelitis has shown a
marked decline over the same period, thus suggesting
that poliovirus does not currently cause a significant


number of cases of aseptic meningitis (Figure 1).
Since 1962, the Directors of State Public Health
Laboratories have reported isolations of enteroviruses to
the CDC as a part of a continuing Surveillance program.
The non-polio enteroviruses by type and year are sum-
marized in Table 1. The most frequently isolated virus
varies from year to year particularly among the Coxsackie
B group, but ECHO 9 has been consistently prevalent
during the 4-year period.
The isolations in 1965 by type and State of report are
shown in Table 2. Focal outbreaks due to specific types
are discernible, namely ECHO 6 in Minnesota, ECHO 9
in Illinois, North Carolina, Tennessee and Wisconsin,
Coxsackie B2 in Kentucky, and B5 in Minnesota.
(Reported by the CNS Disease Unit, Epidemiology Branch,
CDC.)


Figure 1.
REPORTED CASES OF ASEPTIC MENINGITIS
AND PARALYTIC POLIOMYELITIS BY MONTH-1962-1966*


1962 1963 1964 ,965 1966
*SOURCE, CDC ANNUAL SUMMARY, REPORTED INCIDENCE NOTIFIABLE DISEASES, U.S.,
SUPPLEMENT TO MORBIDITY AND MORTALITY WEEKLY REPORT
---1966 DATA, PRELIMINARY


Table 1
NON-POLIO ENTEROVIRUS ISOLATIONS 1962-1965*

No. States Reporting l ECHO Types Coxsackie Types

I r, ') 1 14 ter BI B.-, B.I B B 'F llhor Troul
,h lL 'iB... .
1' ,. '1 54 115 .1 16 75 15 I 1:3 119 7 :32 1Ou 62
7I 2. '... l 77 1i .'2 27 12' 91 1.17 .'- 11 44 6 65 7 7
I < I, 7 11 49 i .3 .,- 0 f 5 41 467

1'". l oI 1 171 I14 I 1 5 6 .59 i .3 Id!16 46 i
"'lhis L:bei does not include enterovirus isolations made by viral diagnostic laboratories outside the State Health Departments.


194


JUNE 11. 1966







Morbidity and Mortality Weekly Report



ITable 2
Non-polio Enterovirus Isolations, 1965


State


Arizona ......
California .
Connecticut .
Georgia .. .
Hawaii .
Idaho ..........
Illinois .
Iowa ......
Kansas' .... ..
Kentucky .....
Louisiana .....
Maryland ...... .
Massachusetts .. .
Michigan ... .
Minnesota .. ....
North Carolina ..

Oregon .. ...
Tennessee .....
Texas .
Utah .
Virginia ...
Washington .
West Virginia .. ..
Wisconsin ......

Total .. ...
*Includes unidentified


-I -


Echo virus

9 19
T
0 0
1 9
O 0
o 0)
o o
1 o
51 2
7 0
4 0
1 o
2 0
O 0
3 0
5 1
3 1
14 0

0 0
44 0
0 0
6 0
0 0
0 0
0 0
29 1

171 14 1


Other*

1
9
4
1
0


('oxsackie


Other*


3 67 8 6 59 3 22 38 16


EPIDEMIOLOGIC NOTES AND REPORTS
ASEPTIC MENINGITIS-Cheraw, South Carolina


Between May 3 and May 14, 1966, seven residents of
Cheraw, South Carolina, (population 5,171) became ill
with symptoms indicative of aseptic meningitis. The
predominant signs and symptoms were fever, nuchal
rigidity and prostration with headache, conjunctivitis,
sore throat, chest and abdominal pain and vomiting. Spinal
fluid examinations on all seven patients demonstrated
pleocytosis with lymphocytes predominating; spinal fluid
cell counts ranged from 300 to 1,800 per cubic millimeter.
Specimens of fluid cultured routinely for bacterial infec-
tions gave negative results.
Investigation showed that the first four persons who
became ill between May 3 and 8 were all members of the
same family (Table 3). The one adult in the series was
the 35-year-old father of the only female in the group who
was a 5-year-old girl. The fifth patient was a 9-year-old boy
who lives about 2 miles away from this family and his


only contact with the family was at a picnic on May 1.
Table 3
ASEPTIC MENINGITIS, CHERAW, SOUTH CAROLINA


Case


Age Sex Onset Date


*3 35 M
*4 5 F
5 9 M
6 6 M
7 8 M
*One family


Virus Isolate


May 3 +
May 6 +
May 6
May 8
May 9
May 13 +
May 14 +


The onset of his illness was May 9. On May 13, a neigh-
borhood playmate of the children in the affected family
(Continued on page 200)


JUNE 11, 1966"


Total


10
7
I
1


1






:1


S5
7
3
36
10
1
7
10
85
30
3
58
8
7
1
3
1
58

S486








196 Morbidity and Mortality Weekly Report



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 11, 1966 AND JUNE 12, 1965 (23rd 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... 24 20 2 24 23 22 1 21 590 546

NEW ENGLAND........... 1 2 2 1 25 36
Maine.............. 4 2
New Hampshire......- 4
Vermont ........... 2 3
Massachusetts...... 1 1 7 15
Rhode Island....... 1 1 1 4 5
Connecticut........ 1 8 7

MIDDLE ATLANTIC...... 2 6 3 5 1 13 82 88
New York City...... 3 2 9 19 20
New York, Up-State. 2 1 23 26
New Jersey.......... 1 2 1 3 10 23
Pennsylvania....... 1 1 3 1 30 19

EAST NORTH CENTRAL... 1 1 3 12 4 1 115 118
Ohio............... 3 5 31 26
Indiana............ 1 2 5 8
Illinois........... -- 3 33 37
Michigan........... 1 2 4 1 44 40
Wisconsin.......... 2 7

WEST NORTH CENTRAL.. 2 1 33 20
Minnesota...........- 4 4
Iowa............. 1 1 10 2
Missouri........... 1 12 5
North Dakota ....... 1
South Dakota ....... -
Nebraska........... 3 1
Kansas ............. 3 7

SOUTH ATLANTIC....... 5 2 2 1 4 1 74 52
Delaware........... 2 2
Maryland............ 1 -- 18 10
Dist. of Columbia.. -- 1 1
Virginia........... 19 10
West Virginia...... 5 7
North Carolina..... 1 5 5
South Carolina..... 2
Georgia............ 12 2
Florida............. 3 1 1 4 1 12 15

EAST SOUTH CENTRAL... 2 4 1 1 1 1 53 22
Kentucky........... 1 4 18 6
Tennessee.......... 1 1 1 1 15 10
Alabama ............ 9 4
Mississippi........ 1 -- 11 2

WEST SOUTH CENTRAL... 2 3 2 3 2 1 31 51
Arkansas........... 1 1 10
Louisiana.......... 1 8 15
Oklahoma .......... -
Texas............... 1 3 1 3 1 1 22 26

MOUNTAIN ............. 4 26 45
Montana............ 1 5 4
Idaho.............. 4
Wyoming.... ....... -
Colorado........... 3 9 1
New Mexico ......... 6 30
Arizona............. 1 5 5
Utah ............... 1 1
Nevada............. -

PACIFIC.............. 12 8 4 6 3 151 114
Washington......... 1 3 1 14 16
Oregon .............. 30 9
California.......... 12 5 4 2 2 107 86
Alaska.............. 1 3
Hawaii ............. --- 2. .

Puerto Rico .......... 12 33








Morbidity and Mortality Weekly Report


CASES OF SPECIFIED) NOTIFIABLE DISIASIIS: UNITED STATES

FOR WEEKS ENDED

JUNE 11, 1966 AND JUNE 12, 1965 (23rd WEEK) CONTINUED


MEASLES (Rubeola)
AREA
Cumulative
1966 1966 1965

UNITED STATES... 6,028 168,132 214,200

NEW ENGLAND.......... 94 1,994 35,210
Maine .............. 7 188 2,617
New Hampshire...... 1 45 370
Vermont............ 1 217 1,025
Massachusetts...... 23 703 18,718
Rhode Island....... 3 71 3,762
Connecticut........ 59 770 8,718

MIDDLE ATLANTIC...... 327 16,929 11,703
New York City...... 51 7,980 1,445
New York, Up-State. 96 2,001 3,275
New Jersey.......... 57 1,808 1,935
Pennsylvania....... 123 5,140 5,048

EAST NORTH CENTRAL... 2,250 61,425 46,250
Ohio................ 168 5,876 8,160
Indiana ............ 314 4,969 1,508
Illinois........... 219 10,829 2,146
Michigan........... 828 11,359 23,211
Wisconsin.......... 721 28,392 11,225

WEST NORTH CENTRAL... 372 8,032 15,420
Minnesota.......... 6 1,578 590
Iowa............... 228 4,914 8,479
Missouri........... 80 495 2,404
North Dakota....... 23 933 3,396
South Dakota....... 32 38 104
Nebraska........... 3 74 447
Kansas............. NN NN NN

SOUTH ATLANTIC....... 585 13,062 22,176
Delaware............ 21 232 468
Maryland........... 92 1,922 932
Dist. of Columbia.. 4 367 54
Virginia............ 109 1,575 3,681
West Virginia...... 141 4,555 12,245
North Carolina..... 29 299 295
South Carolina..... 5 589 947
Georgia............ 2 225 585
Florida............ 182 3,298 2,969

EAST SOUTH CENTRAL... 501 17,919 12,576
Kentucky............ 105 4,458 2,252
Tennessee.......... 316 11,071 7,152
Alabama............. 54 1,514 2,151
Mississippi........ 26 876 1,021

WEST SOUTH CENTRAL... 781 20,996 28,688
Arkansas........... 6 750 1,054
Louisiana.......... 3 81 77
Oklahoma............ 13 439 167
Texas.............. 759 19,726 27,390

MOUNTAIN ............. 454 10,259 17,318
Montana............ 59 1,640 3,337
Idaho............... 104 1,232 2,359
Wyoming............. 1 111 805
Colorado............ 44 1,025 4,868
New Mexico.......... 23 987 578
Arizona............. 196 4,843 990
Utah................ 27 385 4,191
Nevada............. 36 190

PACIFIC.............. 664 17,516 24,859
Washington.......... 182 3,225 7,042
Oregon.............. 52 1,210 2,941
California.......... 389 12,828 11,737
Alaska.............. 41 164 128
Hawaii............. --- 89 3.011
Puerto Rico.......... 59 2,081 1,746


MENINGOCOCCAL INFECT
TOTAL


1966

59

5
i



2'
1
2

4
2
1

1

8
4

2
1
1

4
1

1
1


1

18

-
2
3

1

9
3

3
1

2


7

2

5


Cumulatia


1966
2,170

101
8
8
3
40
12
30

240
36
68
66
70

333
91
59
62
87
34

120
28
16
49
7
4
8
8

363
4
34
9
48
12
88
42
55
71

190
74
61
42
13

317
23
119
17
158

70
4
5
3
38
9
8

3

436
35
29
354
15
3


-_ 6


:


I


Total


1966


IONS,


ve
1965
1,822

92
9
5
2
31
14
31

245
43
64
69
69

233
62
33
62
48
28

98
19
5
46
5
2
10
11

355
4
35
5
41
23
65
52
45
85

136
59
43
23
11

270
13
151
17
89

59
1
7
4
13
10
16
6
2

334
25
27
264
11
7

4


PO IOMYELI HIS
RUBELLA
Paralytic
Cumulat ive
1965 1966 1966
1966
4 7 1,653

213
6

17
122
9
59

S71
23
41



S591
21
78
106
151
235

S 1 100
1 5
87
5
3
5
3





1 140




45
2
5

16
45

2

70

1 1 212
S 110
1 99
S- 3
S 1

2 3 1
-
I 1

1 2

I 147
-

i
53

1 87
1


178
1 93
24
59
2








198 Morbidity and Mortality Weekly Report



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 11, 1966 AND JUNE 12, 1965 (23rd 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... 6,698 5 58 5 60 6 127 9 42 92 1,989

NEW ENGLAND........... 1,199 2 I 3 3 38
Maine.............. 62 2 12
New Hampshire...... 22 12
Vermont........... 38 1 14
Massachusetts...... 161 2 1- -
Rhode Island....... 56 -
Connecticut......... 860 3 -

MIDDLE ATLANTIC..... 239 1 8 1 27 3 5 5 132
New York City...... 20 3 14 -
New York, Up-State. 184 1 1 1 4 3 3 5 125
New Jersey......... NN 1 6 -
Pennsylvania....... 35 3 3 7

EAST NORTH CENTRAL... 988 4 12 22 3 19 280
Ohio................ 176 3 9 2 15 151
Indiana............ 182 1 3 1 4 60
Illinois........... 280 I 5 3 1 23
Michigan........... 219 2 3 23
Wisconsin.......... 131 1 6 23

WEST NORTH CENTRAL... 190 1 5 4 13 1 14 436
Minnesota.......... 5 1 3 99
Iowa. .............. 91 1 I 4 3 96
Missouri... ....... 4 3 1 5 -3 152
North Dakota....... 62 1 6
South Dakota....... 8 3 46
Nebraska........... 1 8
Kansas............. 19 2 2 1 2 29

SOUTH ATLANTIC....... 970 2 14 7 1 25 3 19 9 254
Delaware .......... 39 -
Maryland........... 218 6 1 5
Dist. of Columbia.. 9 -
Virginia........... 293 2 8 1 5 3 152
West Virginia...... 207 1 1 1 35
North Carolina..... 9 1 2 2 7 1
South Carolina..... 8 4 1
Georgia........... 5 2 6 1 1 1 38
Florida............ 182 6 1 3 5 28

EAST SOUTH CENTRAL... 922 3 13 10 2 6 12 268
Kentucky........... 47 1 2 2 1 41
Tennessee ......... 676 7 5 2 6 8 213
Alabama............. 87 2 4 2 2 11
Mississippi........ 112 1 1 3

WEST SOUTH CENTRAL... 668 1 14 5 20 4 12 1 5 21 419
Arkansas........... 1 2 4 15 1 1 45
Louisiana.......... 3 1 2 4 1 21
Oklahoma........... 50 1 2 2 3 1 4 2 115
Texas............. 617 1 8 I 4 18 238

MOUNTAIN. ........... 1,047 1 2 6 -3 2 39
Montana............ 18 7
Idaho.............. 96
Wyoming .. ......... 9
Colorado........... 497 1 2 3 2 4
New Mexico......... 228 1 6
Arizona ............ 86 21
Utah .............. .. 113 1 I 3 -
Nevada............. 1

PACIFIC ............. 475 7 1 9 7 123
Washington ......... 251 -
Oregon............. 30 -
California......... 146 7 1 5 7 123
Alaska............. 48 -
Hawaii.. ......... -. -- -
Puerto Rico.......... 7








Miorbidity and liorlalitv \\ ekly Ileport







DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JUNE 11, 1966


Week No.


23 (By place of occurrence and week 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.--------
Ut ica, 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.--------


65 and
\ll 65 years In na
ges and over All Ages
| All Ages


725
259
42
21
28
50
30
16
19
54
56
18
47
35
50

3,479
52
35
129
38
29
36
80
79
1,808
42
532
232
43
107
30
44
54
40
31
38

2,794
71
49
767
170
228
138
81
391
59
50
44
54
71
149
32
149
49
36
20
107
79

899
79
23
33
126
21
133
109
239
70
66


429
157
20
17
19
23
17
10
14
27
35
12
29
21
28

2.030
26
21
73
21
18
24
49
40
1,059
25
297
125
32
61
23
29
36
24
23
24

1,549
41
27
410
116
106
75
46
212
44
23
26
25
46
78
17
87
26
17
15
68
44

542
52
14
15
83
12
95
56
128
45
42


1 year
All
Causes


*Estimate based on average percent of divisional total.


Area


SOUTH ATLANTIC:
Atlanta, Ca.----------
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, Tx.------------
El Paso, Tex.*---------
Fort Worth, Tex.-------
Ho ust n, Tex.----------
Little Rock, Ark.------
New Orleans, La.-------
Oklahoma City, Okla.---
San Anton i, 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.----------


1,195
120
276
48
66
86
78
72
44
72
62
217
54

684
90
42
42
156
143
35
56
120

1,154
26
46
32
143
38
81
231
64
177
80
110
58
68

462
45
18
137
26
90
27
65
54

1,333
24
47
15
49
66
312
114
39
91
76
89
177
29
122
41
42


65 years
and over


, ,
and
Influienza
Al I Ags


I year
All
Causes


Total 12,725 7.172 501 712

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 299,964
All Causes, Age 65 and over------------------- 173,711
Pneumonia and Influenza, All Ages------------- 14,080
All Causes, Under 1 Year of Age--------------- 15,445








200 Morbidity and Mo





EPIDEMIOLOGIC NOTES AND REPORTS
ASEPTIC MENINGITIS-Cheraw, South Carolina
(Continued from page 195)


also became ill. The final confirmed case to date, in a
patient who became ill on May 14, is a neighborhood
playmate of the fifth case.
Viral agents have been isolated in the laboratories
of the South Carolina State Board of Health and Laboratory
Branch of CDC, from four stool specimens, three throat
swabs and two spinal fluids obtained from patients in the
affected group. These viral agents caused cytopathogenic
effects on monkey kidney tissue cultures. Virus neu-
tralization tests are still in progress to determine the
virus type responsible.
(Reported by Dr. G.E. McDaniel, Director of Disease
Control, South Carolina State Board of Health; Dr.
Joseph K. Newsom, Residing Physician, Cheraw, South
Carolina; and a team from CDC.)






SALMONELLOSIS- New Jersey,
New York and Pennsylvania

More than 300 persons were affected by outbreaks of
salmonellosis between May 25 and 31, 1966, in New
Jersey, New York and Pennsylvania (MMWR, Vol. 15, No.
22). The infection was traced to a smoked fish product
distributed by one company; Salmonella java was isolated
from the smoked fish, from 9 of the 30 employees at the
plant and from patients in the three States. The plant was
closed voluntarily for 3 days and extensive environ-
mental specimens taken for culture. All of these were
negative for salmonellae.
Operations were resumed at the plant on June 9
using a skeleton staff of employees, all of whom had
had three successive daily rectal swabs negative for
salmonellae. No new cases have been reported since
June 1.

(Reported by Dr. William J. Dougherty, Director, Division
of Preventable Disease Control, New Jersey State
Department of Health; Dr. Julia L. Freitag, Director,
Epidemiology Division, New York State Department of
Health; Dr. Tibor Fodor, Acting Chief, Division of
Epidemiology and Diagnosis, Bureau of Preventable
Diseases, New York City Health Department; Dr. William
D. Schrack, Jr., Director of Communicable Diseases,
Pennsylvania Department of Health; the Food and Drug
Administration; and a team from CDC.)


reality Weekly Report


JUNE 11, 1966


THE MORBIDITY AND MORTALITY WEEKLY REPORT WITH A CIRCULA-
TION OF 1 5.600 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-
ACTING CHIEF, STATISTICS SECTION IDA L SHERMAN. M.S
EDITOR: MMWR D J M MACKENZIE. MB .
FRC 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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