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:
AA00010654:00294

Related Items

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

Full Text






Morbidity and Mortality



PUBLIC HEALTH SERVICE

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

Pepureg d by te CB S MElrose 4-5131


For release April 28, 1961 Atlanta 22, Georgia Vol. 10, to. 16

Provisional Information on Selected Notifiable Diseases in the United States and on

Deaths in Selected Cities for Week Ended April 22, 1961


Hepatitis The sustained high incidence continues
(see graph, page 2). A total of 1,821 cases was reported,
an increase over the 1,693 reported one week ago. States
contributing significantly to this increase inclu g
York, Pennsylvania, Maryland, Ohio, Indian
Kentucky, Alabama, Oklahoma, and Californi


EPIDEMIOLOGICAL REPORT

Staphylococcal Food Poisoning Minnesota .

Twenty persons, ages one through 60 year r
a family turkey dinner served at 5:00 p.m., March 121


at New Brighton, Ramsey County. Five to 6 hours later
all became ill with abdominal cramps, nausea, diarrhea,
and some prostration with recovery following in about
ours. The menu included roast turkey, dressing, and
v On March 14, cultures of these items were obtained
ch owed coagulase-positive Stapbh lococcus aureus.
Cul of the other foods failed to grow anything of
sign ica e.
he frozen turkey was purchased on March 10, and
tha nril Saturday morning March 11, when it was
s fe irh a bread dressing and roasted at 3500 for 51'
to 6 rs at a commercial bakery. It was delivered to the
mer at about 3:00 p.m., when it was uncovered for


Table I. Cases of Specified Notifiable Diseases, United States
(Cumulative totals include revised and delayed reports through previous week)

16th Week Cumulative
Disease
(Seventh Revision of International Approxi-
Lists, 1955) First 16 weeks Since seasonal low week mate
Ended Ended seasonal
Apr il Apr i 1 Median Median low
Weekly incidence low or sporadic 22, 23, i"E-1-.. Median :.-t point
Data not available 1961v 19Ed :-' 1 6 -, to
Quantity zero Ii 5-
Anthrax---------- -- ------062 6 *
Botulism------------------------049.1 3 *
Brucellosis undulantt fever)-----044 9 11 18 167 248 2.3 *
Diphtheria----------------------055 7 8 14 229 251 298 809 788 999 July 1
Encephalitis, infectious---------082 21 31 29 411 432 3b; 11 ,32 387 Jan. 1
Hepattitis, infectious, and
serum----------------092,N998.5 pt. 1,821 810 .57 28,633 12,377 ?,865 43,840 20,1i6 13,33u Sept. 1
Malaria-------------------110-117 1 1 11 1 *
Measles-------------------------065 17,580 18,619 20,794 200,871 20 ,,11 246,870 237,081 239,855 283,53c Sept. 1
Meningitis, aseptic----------40 pt. 28 29 --- 389 452 --- 389 452 --- Jan. I
Meningococcal infections---------057 .6 35 47 -,S 853 '41. 1,-5 1,550 1,712 Sept. 1
Poliomyelitis ------------------080 3 13 I 127 252 350 24 36 5- Apr. 1
Paralytic--------------080.0,080.1 3 9 13 79 IP2 2-7 19 28 39 Apr. 1
Nonparalytic-----------------080.2 4 3 ?6 58 1 6 10 Apr. I
Unspecified------------------080.3 3 :2 28 5 8 Apr. I
Psittacosis----------------096.2 1 18 3- *
Rabies In man------------------094 *
Streptococcal sore throat,
Including scarlet fever--- 050,051 8,161 7,384 --- 150,.63 136,050 --- 248,115 --- --- Aug. I
Typhoid fever--------------------040 14 10 12 155 161 221 ,22 34 .1 Apr. 1
Typhus fever, endemic------------101 3 9 9 *
Ralbes in animals---------------- 79 80 10- 1,124 1,340 1,617 1,700 2,32. 2,399 Oct. 1

Figures for current week exclude missing report fro.-i Wyoming (ScLti holiday)








Morbidity and Mortality Weekly Report


The graph shows reported hepatitis cases in the United States by 4-week periods since
1952. The recent period ending April 22 has slightly less cases than the preceding 4-
week interval which is reflected by the current downward deflection of the graph. The
1961 cumulative total for the 16-week period is 28,633 cases, well over the 12,377 cases
reported during the comparable period one year ago.


about 15 minutes to remove some dressing and then placed
in a basement garage overnight. On March 12, the night of
the dinner, it was reheated for 2 hours at 3200 F. before
serving. Everyone ate turkey but some of the guests omit-
ted other items on the menu. At the time of investigation
it was noted that there was evidence of putrefaction in the
turkey and there was a putrefactive odor despite the left-
overs having been refrigerated following the meal. At the
time of serving it was felt the turkey was well done and
tasty.
(Submitted by Dr. D. S. Flemming, Director, Division of
Disease Prevention and Control, Minnesota Department
of Health.)

Trichinosis Pennsylvania

During the period January 1 through early February,
23 cases of trichinosis were reported to the Pennsylvania
Department of Health. They originated from three counties:


Bucks 6 cases, Lehigh 4 cases, and Northampton -
13 cases. Nine males and 14 females were involved. The
vehicle of infection was smoked sausage manufactured
by a farmer in one of the counties. Most of the patients
admitted eating the sausage raw. Eight samples of the
raw sausage obtained from households of the patients
and the farmer were tested and two found positive of
trichinae. There has not been any evidence accumulated
to date of garbage feeding to any of the hogs.
(Submitted by the Pennsylvania Department of Health).



INTERNATIONAL NOTES

Influenza Dr. S. B. Clark, Chief, Division of Pre-
ventive Medicine and Quarantine, Panama Canal Zone
Health Bureau, reported that an outbreak of influenza-
like illness occurred on the PRESIDENT GRANT cargo
liner, between March 10th and 15th, 1961, involving 14 of
(Continued on page 8)









Morbidity and Mortality Weekly Report 3

Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES, EACH DIVISION AND STATE, AND
PUERTO RICO, FOR WEEKS ENDED APRIL 23, 1960 AND APRIL 22, 1961

(By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955)


Poliomyelitis 080 Brucel-
Menin- loss
Total Paralytic 080.0,080.1 gitis, (undu-
(Includes cases not specified by type) Nonparalytic aseptic lant
Area Cumulative Cumulative, fever)
16th Week first 16 weeks 16th Week first 16 weeks 080.2 340 pt. 044


1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1961

UNI'ED STATES------- 3 13 127 252 3 9 79 182 4 28 9

HEW NGIAND------------------ 3 7 3 7 -
Maine------------------- 3 3 -
New Hampshire ----------- -
Vermont------------------- -
Massachusetts-------------- 2 4 2 4 -
Rhode Island--------------- -- -
Connecticut---------------- 1 -
MIDDIE ATLATIC---------- 2 1 11 37 2 1 9 26 -
New York------------------- 2 1 5 30 2 1 4 20 -
New Jersey--------------- 4 5 3 5 -
Pennsylvania------------- 2 2 2 1 -
EAST NORTH CENTRAL--------- 1 17 30 11 9 1 9 1
hio---------------------- 8 15 4 3 1 -
Indiana------------------- 2 2 1 -
Illinois------------------ 3 4 3 3 5 1
Michigan------------------- 1 1 9 1 3 1 2
Wisconsin------------------ 3 2 1 -
WEST NORTH CENTRAL----------- 1 4 14 1 3 8 1 7
Minnesota------------------ 1 8 1 6 1 -
Iowa--------------------- 1 3 1 4
Missouri------------------- 2 1 -
North Dakota-------------- -
South Dakota------------- -- 1 -
Nebraska------------------- 2 2 1
Kansas-------------------- 2
SOUT ATLANTIC------------- 1 13 43 9 35 1
Delaware------------------- 2 1 -
Maryland------------------ 1 -
District of Columbia----- -
Virginia------------------ -
West Virginia----------- 2 3 1 3 -
North Carolina------------- 3 13 2 13 -
South Carolina------------ 1 2 1 2 -
Georgia-------------------- 1 2 3 2 2 1
Florida-------------------- 3 21 2 15 -
EAST SOUTH CENTRAL----------- 14 8 3 7 3 1
Kentucky------------------- 13 6 2 5 1 -
Tennessee----------------- 1 1
Alabama---------------- 1 1 -
Mississippi---------------- 1 1 1 1
WEST SOUTH CENTRAL----------- 1 3 16 21 1 1 7 16 2 3 -
Arkansas------------------- 1 -
Louisiana----------------- 4 5 2 4 -
Oklahoma------------------- 1 1 -
Texas--------------------- 1 3 11 15 1 1 5 11 2 3 -
MOUNTAIN--------------------- 16 14 10 8 2 -
Montana------------------- 1 4 1 3 -
Idaho---------------------- 3 4 1 1 -
Wyoming-------------------- --- --- 1 --- ---
Colorado------------------- 3 1 3 1 1
New Mexico----------------- 1 1 1
Arizona-------------------- 2 2 1 2 -
Utah----------------------- 6 1 4 1 -
Nevada--------------------- -
PACIFIC---------------------- 6 33 78 6 24 66 10
Washington----------------- 2 6 6 1
Oregon--------------------- 2 12 1 8 -
California----------------- 5 28 58 5 22 50 9
Alaska--------------------- -
Hawaii--------------------- 1 1 2 1 1 2 -

Puerto Rico------------------ 17 2 68 16 2 66 1










4 Morbidity and Mortality Weekly Report

Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES. EACH DIVISION AND STATE, AND
PUERTO RICO, FOR WEEKS ENDED APRIL 23, 1960 AND APRIL 22, 1961 Continued

(By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955)


Diphtheria 05-5 Hepatitis, infectious, and
Encephalitis, serum 092,N998.5 pt. Measles
infectious
Area Cumulative, Cumulative,
16th Week first 16 weeks 082 16th Week first 16 weeks 085

1961 1960 1961 1i 9- 196,. 19I 1 1i6tC Ii- 194E. 1961 1960


UNIED STAS---------- 7 8 229 251 21 31 1,821 810 28,633 12,377 17,580 18,619

NEW ENGLAND----------------- -- 1 3 7 1 32 18 788 386 1,433 2,028
Maine-------------------- -- 2 1 2 40 29 47 142
New Hampshire------------- 3 50 11 123 5
Vermont-------------------- 3 111 6 40 137
Massachusetts-------------- 1 3 4 8 10 266 201 711 980
Rhode Island--------------- 1 11 4 113 70 204 80
Connecticut---------------- 1 6 2 208 69 308 684
MIDDLE ATLANTIC-------------- 1 10 7 6 9 311 105 4,241 1,227 3,233 2,416
New York------------- 3 1 2 7 125 46 1,712 615 1,151 1,806
New Jersey----------------- 1 4 53 18 1,035 102 853 473
Pennsylvania--------------- 1 7 5 2 133 39 1,494 510 1,229 137
EAST NORTH CENTRAL-------- 7 22 1 7 401 136 5,537 2,429 5,360 5,723
Ohio---------------------- 1 14 2 148 44 2,123 751 916 627
Indiana-------------------- 1 3 2 74 11 948 347 361 488
Illinois------------------- 4 2 1 1 74 23 878 504 700 1,077
Michigan------------------ 1 3 1 103 54 1,455 700 1,445 1,720
Wisconsin----------------- 1 2 4 133 127 1,938 1,811
WEST NORTH CENTRAL-------- 16 13 1 201 80 2,937 1,093 504 285
Mfnnesota----------------- 7 3 39 3 671 102 32 40
Iowa----------------------- 1 2 1 64 5 821 201 196 143
Missouri------------------ 2 42 30 662 400 132 5
North Dakota-------------- 2 1 8 6 60 89 134 87
South Dakota-------------- 5 4 4 14 111 109
Nebraska------------------- 31 9 299 92 10 10
Kansas-------------------- 1 13 13 313 100 IIN NN
SOUTH ATANTIC--------------- 2 3 43 56 3 3 210 85 3,477 1,474 1,781 951
Delaware------------------- 6 8 99 70 53 13
Maryland------------------ 1 1 1 1 34 7 323 148 155 142
District of Columbia------- 2 5 38 11 43 44
Virginia------------------ 7 8 30 10 432 304 510 236
West Virginia-------------- 1 1 32 15 790 290 358 136
North Carolina------------- 5 2 1 56 4 796 101 198 7
South Carolina------------- 1 1 1 14 4 1 217 31 131 131
Georgia------------------ -- 1 8 9 1 9 11 373 127 38 29
Florida----------------- I 18 21 2 1 34 29 409 392 295 213
EAST SOUTH CENTRAL------ 1 8 29 2 1 258 119 4,794 1,935 1,124 1,788
Kentucky--------------------- 3 1 81 45 1,381 835 434 520
Tennessee------------------ 2 5 97 39 2,007 600 589 1,015
Alabama-------------------- 1 16 43 25 785 362 47 133
Mississippi---------------- 1 2 8 2 37 10 621 138 54 120
WEST SOUTH CENTRAL-------- 3 3 137 88 1 114 70 1,991 949 689 2,398
Arkansas------------------- 1 1 27 3 419 43 29 188
Louisiana---------------- 1 13 21 18 165 33 1 27
Oklahoma------------------- 2 5 18 9 143 145 16 51
Texas- ----------- 3 2 121 61 1 51 58 1,264 728 643 2,132
MOUNTAIN-------------------- 1 5 28 103 69 1,835 1,043 734 1,122
Montana------------------- 2 2 3 194 44 15 65
Idaho-------------------- 11I 3 5 98 145 46 103
Wyoming------------------ --- 5 --- -- 74 8 -- 1
Colorado------------------- 3 2 48 25 627 326 147 485
New Mexico--------------- 1 3 11 6 251 173 NN -
Arizona-------------- --- 2 11 22 197 233 481 258
Utah---------------------- 3 27 10 338 96 39 191
Nevada------------------- 1 56 18 6 19
PACIFIC ------------------ -- 1 7 10 191 130 3,033 1,841 2,722 1,908
Washington--------------- 25 9 412 211 265 479
Oregon-------------------- 25 22 538 357 168 372
California--------------- 7 10 136 77 1,945 1,136 2,276 817
Alaska----------------- 1 4 22 116 100 9 74
Hawaii-------------------- 22 37 4 166

Puerto Rico------------------ 3 29 67 12 16 197 330 16 25

NN-NOL NO Iflable









Morbidity and Mortality Weekly Report 5


Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, AND
PUERTO RICO, FOR WEEKS ENDED APRIL 23, 1960 AND APRIL 22, 1961 Continued

(By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955)

Strepto-
coccal Typhoid fever 040 Typhus
Malaria Mingoccocal si sore fever, Rabies in
infections cosis endemic Rabi in
throat, endemic
Area etc. Cumulative,
110-117 057 096.2 050,051 16th Week first 16 weeks 101

1961 1961 1960 1961 1961 1961 1960 1961 1960 1961 1961 1960

UNITED STAES---------- 1 46 35 1 8,161 14 10 155 161 79 80

NEW EGLAND------------- .- 4 1 683 2 6 2 -
Maine---------------------- 33 1 -
New Hampshire-------------- 10 -
Vermont-------------------- 52 -
Massachusetts-------------- 2 191 2 -
Rhode Island--------------- 1 1 94 1 -
Connecticut---------------- 1 303 2 3 -
MIDDLE ATLANTIC------------- 9 4 748 3 1 11 7 2 21
New York------------------- 4 2 381 2 1 5 5 2 20
New Jersey----------------- 3 2 149 -
Pennsylvania--------------- 2 218 1 5 2 1
EAST NORTH CENTRAL----------- 8 9 1,134 21 21 11 4
Chio----------------------- -- 2 328 6 1 4 1
Indiana-------------------- 1 1 205 2 7 1 -
Illinois------------------ 4 2 137 11 4 5 2
Michigan------------------ 3 4 261 1 5 1
Wisconsin----------------- 203 1 4 1
WEST NORTH CENTRAL----------- 3 3 291 12 9 12 10
Minnesota----------------- 1 5 4 1 1 4
Iowa---------------------- 30 1 6 -
Missouri------------------- 1 50 5 7 4 5
North Dakota--------------- 1 131 1
South Dakota--------------- 2 -- 1 -
Nebraska------------------- 1 2 -
Kansas--------------------- 1 71 2 1
SOUTH ATLANTIC-------------- 1 11 7 623 3 1 28 21 12 10
Delaware------------------- 17 -
Maryland------------------- 3 2 23 -
District of Columbia------- 3 1 1 1 -
Virginia------------------- 2 3 202 1 1 3 9 7
West Virginia-------------- 1 178 4 1 3 2
North Carolina------------- 1 1 33 6 7 -
South Carolina------------- 1 22 2 6 -
Georgia-------------------- 2 3 2 12 -
Florida-------------------- 144 1 2 3 1
EAST SOUTH CNTRAL--------- 2 3 1,624 1 20 30 13 8
Kentucky------------------- 1 2 415 1 4 11 6 1
Tennessee------------------ 1 1,170 14 17 7 4
Alabama------------------- 1 8 2 2 3
Mississippi--------------- 31 -
WEST SOUTH CENTRAL----------- 3 1 910 4 5 24 45 19 18
Arkansas------------------- 1 4 1 1 3 15 6 5
Louisiana---------------- 2 1 3 3 12 1 1
Oklahoma------------------ 63 2 2 -
Texas--------------------- 840 3 4 16 16 12 12
MOUNTAIN------------- -- ----- 1 1,375 1 14 11 3
Montana------------------- 34 1 5-
Idaho---------------------- 96 -
Wyoming------------------- ---. --- --- --- --- 1 -- ---
Colorado----------------- 525 5 -
New Mexico----------------- 329 3 4 2
Arizona-------------------- 171 1 2 1 1
Utah----------------------- 180 2 -
Nevada-------------------- -- 40 1 -
PACIFIC---------------------- 6 6 1 773 2 1 19 15 10 6
Washington----------------- -- 292 -
Oregon--------------------- 55 -
California----------------- 5 5 1 369 2 1 18 15 10 6
Alaska-------------------- 2 -- 52 -
Hawaii ----- --- ----- -

Puerto Rico----------------- -- I 1 1 6 14 3








Morbidity and Mortality Weekly Report


The chart shows the number of deaths reported for
117 major cities of the United States by week for the cur-
rent year, a 5-week moving average of these figures
plotted at the central week, and an adjusted average for
comparison. For each region the adjusted average was
computed as follows: From the total deaths reported each
week for the years 1956-1960, 3 central figures were
selected by eliminating the highest and lowest figure
reported for that week. A 5-week moving average of the
arithmetic mean of the 3 central figures was then com-
puted with adjustment to allow for population growth in
each region. The average value of the regional increases
was 2 percent which was incorporated in the adjusted
average shown in the chart.
Table 4 shows the number of death certificates re-


ceived during the week indicated for deaths that occurred
in selected cities. Figures compiled in this way, by week
of receipt, usually approximate closely the number of
deaths occurring during the week. However, differences
are to be expected because of variations in the interval
between death and receipt of the certificate and because
of incomplete reporting due to holidays or vacations. If a
report is not received from a city in time to be included
in the total for the current week, an estimate is used.
The number of deaths in cities of the same size may
also differ because of variations in the age, race, and sex
composition of the populations and because some cities
are hospital centers serving the surrounding areas. Changes
from year to year in the number of deaths may be due in
part to population increases or decreases.


Table 3. DEATHS IN SELECTED CITIES BY GEOGRAPHIC DIVISIONS


(By place of occurrence and week of filing certificate. Excludes fetal deaths. Data exclude figures shown in parentheses in table 4)

16th 15th Percent Cumulative, first 16 weeks
week week Adjusted change,
ended ended average, adjusted
Area 16th average
April April week to 1961 1960 Percent
22, 15, 1956-60 current change
1961 1961 week
week

TOTAL, 117 REPORTING CITIES---------------------- 11,688 11,58- 11,449 +2.1 192,589 202,888 -5.1

New England---------------------------------(14 cities) 689 745 686 +0.4 11,818 12,880 -8.2
Middle Atlantic----------------------------(20 cities) 3,331 3,229 3,208 +3.8 55,305 55,374 -0.1
East North Central--------------------------(21 cities) 2,487 2,553 2,427 +2.5 40,523 43,536 -6.9
West North Central--------------------------(9 cities) 816 811 813 +0.4 12,955 14,065 -7.9
South Atlantic----------------------------(11 cities) 1,007 1,031 965 +4.4 16,620 17,952 -7.4
East South Central---------------------------(8 cities) u87 499 514 -5.3 8,839 9,409 -6.1
West South Central--------------------------(13 cities) 1,029' 1,031 1,004 +2.5 16,632 18,013 -7.7
Mountain------------------------. ---------(8 cities) 380 326 365 +4.1 6,159 6,229 -1.1
Pacific------------------------------------(13 cities) 1,462 1,359 1,467 -0.3 23,738 25,430 -6.7

*Includes estimate for missing reports.


115,000


NUMBER OF DEATHS IN SELECTED CITIES


,000


13,000


12,000



11,000


10,000


_ 1 I I i 1 1 i i 1 1 n9,000
-IIITI I I ITI I T IT I IT I IIIII TI T ITI T II T i IIl
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
1960 1961









Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


NEW ENGLAND:
Boston, Mass.--------
Bridgeport, Conn.-------
Cambridge, Mass.--------
Fall River, Mass.-------
Hartford, Conn.---------
Lowell, Mass.-----------
Lynn, Mass.--------------
New Bedford, Mass.------
New Haven, Conn.--------
Providence, RI.---------
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.---------
ReadLng, 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, Chio-------------
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.------------
Pockford, 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.------------


16th
week
ended
April
22,
1961


251
41
36
27
48
22
23
25
44
52
11
48
21
40


43
42
139
52
30
41
99
105
1,712
37
509
186
21
91
23
39
69
36
24
33


61
30
792
157
186
122
82
347
40
33
47
19
34
143
30
118
32
25
30
88
71


61
21
37
79
(31)
140
69


15th
week
ended
April
15,


Cumulative,
first 16 weeks


1961 191 6 1


249
42
35
28
56
20
27
22
52
69
18
42
27
58


45
35
144
050
21
36
51
108
1,709
32
506
151
24
80
22
41
63
41
33
37


46
40
782
186
203
130
70
308
48
46
32
34
54
159
20
130
37
34
41
99
54


54
25
39
118
(18)
115
74


4,066
641
501
441
776
396
377
446
763
1,019
215
788
459
930


780
572
2,398
717
484
656
1,162
1,734
28,558
632
8,656
3,128
349
1,663
410
615
1,006
746
491
548


923
511
12,291
2,597
3,403
1,867
1,357
5,492
602
692
664
495
739
2,432
504
1,996
488
461
463
1,611
935


856
427
641
2,041
(468)
2,030
1,156


4,504
714
559
531
820
421
453
439
785
1,128
267
829
487
943


740
606
2,495
748
S515
649
1,226
1,706
28,023
684
8,578
3,371
418
1,750
402
649
1,079
709
490
536


958
632
13,392
2,818
3,738
2,093
1,226
5,983
660
669
639
523
703
2,546
536
2,170
512
483
499
1,772
984


950
433
610
2,255
(420)
2,101
1,309


WEST NORTH CENTRAL-Con.:
St. Louis, Mo.--------
St. Paul, Minn.---------
Wichita, Kans.-----------

SOUTH ATIANTIC:
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:
ilrunguham, 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.-----------

San Juan, P. R.-------------


16th
week
ended
April
22,
1961


15th
week
ended
April
15,
1961


Cumulative,
first 16 weeks


1961


1960


I -t I I


292 254 3,970 4,443
63 80 1,096 1,199
54 52 738 765


119
255
33
58
66
62
80
31
(74)
89
192
46


93
53
16
93
105
44
28
67


30
35
18
122
35
56
169
54
203
73
116
55
65


15
16
127
20
57
16
44
31


17
(54)
(36)
37
63
461
99
39
109
60
81
185
(44)
137
39
32

31 ..


1,920 2,056
4,196 4,575
586 766
985 1,112
1,241 1,308
818 767
1,313 1,445
563 665
(1,271) (1,357)
1,149 1,182
3,200 3,393
649 683


1,468 1,541
835 841
463 524
1,858 2,005
1,999 2,056
681 752
531 614
1,004 1,076


560 646
481 532
398 453
2,046 2,170
616 682
1,108 1,171
2,856 2,957
927 1.075
2,803 3,213
1,287 1,329
1,740 1,840
879 911
931 1,034


525 528
269 292
1,934 2,061
254 289
1,419 1,346
269 249
804 838
685 626


269 301
(723) (824)
(540) (680)
663 708
976 942
8,507 9,273
1,592 1,698
547 619
1,703 1,888
1,023 1,022
1,489 1,595
3,380 3,428
(580) (517)
2,186 2,403
734 800
669 753

(547) (580)


*Estimate based on average percentage of divisional total.

() Figures shown in parenthesis are from cities which have
been reporting less than five years and hence are not in-
cluded in Table 3.


"




UNIVERSITY OF FLORIDA

11111111111 IIll 1111111111U111111
3 1262 08864 0254


Morbidity and Mortality Weekly Report


the crew members. The ship had been in New York City
on March 10. Mild influenza A2 outbreaks had been re-
ported there at that time (Vol. 10, No. 13). Throat wash-
ings and sera were obtained on March 13th, from those
who had been ill as the ship was in transit through the
Panama Canal. Dr. Alexis Shelokov, Director, Middle
America Research Unit, reported that no isolates were
obtained from the throat washings submitted. By comple-
ment fixation test, there was evidence in 12 of 14 bloods
of recent infection by influenza type A. There was also
evidence of infection with influenza type B within the
past 6 to 12 months.


LIS UNI\ "- .,---

I .. D ..


tU S OEPOSiTORv


SOURCE AND NATURE OF MORBIDITY DATA

These provisional data are based on reports to the
Public Health Service from the health departments of
each State and Puerto Rico. They give the total number
of cases of certain communicable diseases reported
during the week usually ended the preceding Saturday.
Total figures for the United States and the Pacific Divi-
sion include data for the States of Alaska and Hawaii.
Cases of anthrax, botulism, and rabies in man are not
shown in table 2, but a footnote to table 1 shows the
States reporting these diseases. When diseases of rare
occurrence are reported by a State (cholera, dengue,
plague, louse-borne relapsing fever, smallpox, louse-
borne epidemic typhus, and yellow fever) this is noted
below table 1.


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