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:
AA00010654:00295

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
Qoc, 0c1 clf t/ // 7


Morbidit


PUBLIC HEALTH SERVICE N

U.S. DEPARTMENT OF HEALTH, EDUCATI


PrepOred by lke


r WELFARE

MElrose 4-5131


For release May 5, 1961 Atlanta 22, Georgia Vol. 10, No. 17

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

Deaths in Selected Cities for Week Ended April 29, 1961


Hepatitis Sustained high incidence continues. The
total of 1,831 reported cases is essentially equal to the
total of 1,821 of last week. For the past fourteen con-
secutive weeks the incidence of this disease has re-
mained at a high plateau of 1,700 cases or over. There
appears no indication of the usual seasonal decline
expected in the late spring. The high incidence is nation-
wide in extent except for the New England States. Marked
increases in incidence were reported this week from
Missouri, Michigan and Kansas. Decreases were observed
in Alabama, Georgia, Kentucky and Utah.


This week marks the initiation of nationwide re-
porting of cases of hepatitis by age under 20 years
and 20 years or over. A total of 33 States reported this
age classification in this week's telegram of incidence
of notifiable diseases. These data are presented in the
accompanying table. In New Jersey, sharp concentration
of cases, (78 percent), among adults is noteworthy. This
trend has been consistent throughout the year (MMWR Vol.
10, No. 11, for week ended March 18 (1961). In New York
City, the concentration among adults (66 percent) is also
reported. Elsewhere, other than Oregon, cases have been
predominantly among persons under 20 years of age.


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

Disease 17th Week Cumulative.
(Beventh Revision of International Approxl-
Lists, 1955) First 17 weeks Since seasonal low veek mate
Ended Endeo seasonal
April April Median Median low
Weekly incidence low or sporadic 29, 30, 19V6-Z Median 19F5-56 point
-- Data not available 1961 1960 1961 196 19 196-5616- 1 1- p to
Quantity zero F)36
Anthrax----------------------062 1 2 6 *
Botulism--------------------049.1 4 3 *
Brucellosis undulantt fever)--0----0 10 22 20 177 270 265 *
Diphtheria----------------------055 5 19 19 234 270 30. 814 807 1,010 July 1
Encephalitis, nfectious- ------082 32 41 35 443 473 427 443 473 427 Jan. 1
Hepatitis, infectious, and
serum ----------.----092,1 98.5 pt. 1,831 875 398 30,.66 13,252 8,294. 45,673 21,071 13,807 Sept. 1
Malaria-------------------U-110-117 2 1 13 16 *
Measlesa-------------------------.085 18,177 19,917 19,917 219,094 224,328 266,599 255,304 259,772 303,268 Sept. 1
Meningitis, aseptic---------340 pt. 21 31 --- 410 483 -- 410 483 -- Jan. 1
Meningococcal infections---------057 36 43 51 834 896 965 1,490 1,595 1,774 Sept. 1
Polioqyeliti ----------------------080 5 8 29 133 260 379 30 44 86 Apr. 1
Paralytic------------080.0,080.1 3 6 21 82 188 268 22 34 60 Apr. 1
Nonparalytic-----------------080.2 2 2 5 28 44 63 3 8 15 Apr. 1
Unpecified------------------080.3 3 23 28 48 5 2 11 Apr. 1
Psittacosis------------- 096.2 1 I 19 35 *
Rabies in man---------------------094 2 *
Streptococcal sore throat,
including scarlet fever------050,051 7,489 7,551 --- 158,029 145,601 --- 255,681 -- --- Aug. 1
uphold fever---------------------040 10 9 16 165 170 235 50 43 55 Apr. 1
'Tphus fever, endemic------------101 2 9 11 *
Rabies in animals------------....... 95 78 95 1,219 1,418 1,719 1,795 2,.02 2,501 Oct. 1
Anthrax Pennsylvania 1.


I (O MUN( A LE DSFA E CNTF














HEPATITIS CASES BY AGE"
WEEK ENDED APRII. 21 1961 -


Under 20 Years Age Un-
State 20 Years and Over specified Total
Maine 4 3 7
N. H. 1 1 3 5
Vermont 0 0 0
Mass. 1 3 4
R. I. 1 1 2
Conn. 7 4 2 13

N. Y. C. 10 19 29
Upst. N. Y. 28 29 1 58
N. J. 15 53 68

Indiana 37 20 2 59
Illinois 34 16 11 61
Minn. 29 16 2 47
Iowa 33 9 14 56
Missouri 50 17 3 70
N. D. 3 0 3
S. D. 3 1 4
Kansas 25 8 33

Maryland 11 3 1 15
Virginia 7 8 4 19
W. Virginia 36 10 6 52
N. Carolina 30 9 39
Georgia 0 1 1
Florida 30 9 1 40
Tennessee 69 29 98
Alabama 19 3 22

Arkansas 23 7 30
Oklahoma 10 5 15
Texas 43 16 17 76
Mont. 8 1 1 10
N. M. 3 1 2 6
Utah 2 3 5
Washington 29 26 6 61
Oregon 11 15 2 28
Alaska 2 3 5
*States not reporting age classification are not listed.



EPIDEMIOLOGICAL REPORT

Infectious Hepatitis Traced to Raw Clams

On May 1, 1961, Dr. Roscoe B. Kandle, State Com-
missioner of Health of New Jersey, closed the New Jersey
areas of Raritan Bay to the taking of shellfish. Later the
same day similar restrictions were placed on the New York
areas of the Bay and clams from these grounds were pro-
hibited from the Fulton Fish Market by New York City.
This action followed upon intensive and extensive in-
vestigations of hepatitis cases and clam distribution
during the past several weeks in which a large number of
Public Health Service personnel have joined with even
larger numbers of State and local health authorities in
studying the problem. Activities have centered largely
in New Jersey but they have extended from Massachusetts
to Florida and westward to Ohio.


and, Mortality Weekly Report

.. P


/-' <


Morbidity


Sdu


The first indication of the possible existence of a
common source of hepatitis infection arose in March 1961
with the recognition of an abnormal concentration of
cases among adult males in New Jersey (MMWR, 1961,
Vol. 10, No. 11). Similar adult concentrations were nor
found in other States felt to be representative of the
nation. Later investigations revealed that in localized
areas, specifically in Nassau and Westchester Counties
of New York, equally sharp adult distributions were occur-
ring but this pattern did not apply elsewhere in the State
or in New York City.
Epidemiological investigations of individual reported
cases in New Jersey revealed that among 370 cases
questioned 201 or 54 percent admitted eating raw clams
within 60 days of onset. In three selected areas of this
State Woodbridge Township, Monmouth County, and
Newark adult controls chosen on the basis of living in
adjacent blocks to a reported case were interviewed.
Only 44 of 453 adults, 10 percent, gave a similar history
of eating clams. Careful surveys of cases of hepatitis in
New York City using marched controls also revealed a
positive correlation between the disease and eating clams
although the differences were not as marked as those
found in New Jersey. In Nassau County, New York, 22 of
47 cases interviewed gave a history ot raw clam consump-
tion but no figures on comparable controls are as yet
available.
Attempts to trace the sources of contaminated clams
proved to be a difficult undertaking. The long incubation
period, 15 to 50 days, required the interviewers to attempt
to secure accurate details from patients of clam consump-
tion as far back as two to three months or longer. Multiple
sources were often encountered and regular suppliers of
certain restaurants often secured their clams from differ-
ent areas. In many cases, therefore, it was not possible
to specify the exact source of the clams eaten.
In a few cases, however, single sources of clam
consumption could be clearly established. These pointed
strongly to Raritan Bay. For the many cases in which
several different sources may have been involved, it was
possible to check to determine whether or not clams from
Raritan Bay could have been one of the sources. These
cases were then classified as "consistent with a Raritan
Bay source."
According to data collected and tabulated through
May 1, 1961, a total of 105 cases in New Jersey have
been investigated. Of these 102 are classified as "con-
sistent with a Raritan Bay source" and only 3 are "incon-
sistent." In other States including New York, Delaware,
Rhode Island, and Massachusetts a total of 9 cases of
hepatitis with a positive history of clam consumption
have been investigated. Each of these has been found to
be "consistent with a Raritan Bay source" and none has
yet to be found inconsistent.









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 30, 1960 AND APRIL 29, 1961

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


Polioiyelitis 080 Brucel-
Menin- losis
Total Paralytic 080.0,080.1 gitis, (undu-
(Includes cases not speciried by type) Nonparalytic aseptic lant
Area Cumulative, Cumulative, fever)
17th Week first 17 weeks 17th Week first 17 weeks 080.2 340 pt. 044

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

UNITED STTES--------- 5 8 133 260 3 6 82 188 2 2 21 10

NIW ENGIAND------------- 1 3 8 1 3 8 -
Maine------------- 1 4 1 4 -
New Hampshire------------- -
Vermont-------------------- -
Massachusetts-------------- 2 4 2 4 -
Rhode Island--------------- -
Connecticut--------------- -
MDDIE ATLANTIC-------------- 1 1 12 38 1 9 27 1 3 1
New York------------------- 1 5 31 1 4 21 2 1
New Jersey---------------- 4 5 3 5 1 -
Pennsylvania--------------- 1 3 2 2 1 1 -
AST NORTH CENTRAL,-------- 2 1 19 31 2 13 9 1 4 1
Ohio---------------------- 8 15 4 3 -
Indiana-------------------- 2 2 1
Illinois ------------------ 2 5 4 2 5 3 2 1
Michigan------------------- 1 1 10 1 3 1 1-
Wisconsin----------------- 3 2 -
WEST NORTH CETRAL-------- 4 14 3 8 5
Minnesota---------------- 1 8 1 6 -
Iowa---------------------- 1 3 1 3
Missouri------------------ 2 -
North Dakota--------------- -
South Dakota--------------- -
Nebraska------------------- 2 2 -
Kansas--------------------- 2
SOUH ATLANTIC------------ 1 13 44 1 9 36 1
Delaware------------------- 2 1 -
Maryland-------------------- 1 .
District of Columbia------- .
Virginia------------------- -
West Virginia-------------- 2 3 1 3 -
North Carolina------------- 1 3 14 1 2 14 -
South Carolina----------- 1 2 1 2 -
Georgia--------------------. 2 3 2 2 1
Florida------------------- 3 21 2 15 -
EAST SOUTH CENTRAL------- 14 8 3 7 1 1
Kentucky------------------ 13 6 2 5 -
Tennessee------------------ 1
Alabama-------------------- 1 1 -
Mississippi--------------- 1 1 1 1 1 -
WEST SOUTH CEMTRAL----------- 1 3 17 24 1 2 8 18 1 1 1
Arkansas------------------- -
Louisiana----------------- 1 1 5 6 1 1 3 5 -
Oklahoma------------------- 1 2 1 2 1 -
Texas--------------------- 1 11 16 5 11 1
MOUNTAIN-------------------- 1 17 14 10 8 1 1
Montana------------------ 1 4 1 3 -
Idaho---------------------- 3 4 1 1 -
Wyoming------------------- -
Colorado----------------- 3 1 3 1 1
New Mexico----------------- 1 1 -
Arizona-------------------- 1 3 2 1 2 1 -
Utah----------------------- 6 1 4 1 --
Nevada--------------------- -
PACIFIC---------------------- 1 34 79 1 24 67 10 1
Washington---------------- 3 6 6 2
Oregon-------------------- 2 12 1 8 -
California---------------- 1 28 59 1 22 51 8 1
Alaska-------------------- -
Hawaii------------------- 1 2 1 2 -

Puerto Rico------------------ 1 12 3 80 1 12 3 78 -










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 30, 1960 AND APRIL 29, 1961 Continued

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


Diphtheria 055 Hepatitis, Infectious, and
Encephalitis, serum 092,N998.5 pt. Measles
infectious
Area Cumulative, Cumulative,
17th Week first 17 weeks 082 17th Week first 17 weeks 085


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


UNITED S- S ----- 5 19 234 270 32 41 1,831 875 30,466 13,252 18,177 19,917

NEW EGIAD----------- 3 7 1 31 29 819 415 1,660 2,496
Maine----------------- 2 1 7 1 47 30 58 155
New Hampshire------------ 5 4 55 15 90 74
Vermont---------------- 1 111 7 17 188
Massachusetts------------ 3 4 4 13 270 214 749 1,214
Rhode Island------------- 1 2 5 115 75 345 88
Connecticut--------------- 13 5 221 74 401 777
MIDDLE ATLATIC--------- 1 11 7 3 6 261 78 4,502 1,305 3,630 2,843
New York----------- 1 4 1 2 4 87 37 1,799 652 1,178 2,188
New Jersey----------- 1 1 68 9 1,103 111 1,106 517
Pennsylvania------------ 7 5 1 1 106 32 1,600 542 1,346 138
EAST NORTH CENT ------- 7 22 5 2 448 195 5,985 2,624 5,121 5,916
hio---------------------- 1 14 1 122 69 2,245 820 909 664
Indiana----------------- 1 3 59 24 1,007 371 261 635
Illinois----------------- 4 2 1 61 46 939 550 549 810
Michigan--------------- 1 3 4 1 199 54 1,654 754 1,524 1,574
Wisconsin----------------- 7 2 140 129 1,878 2,233
WEST NOR CENTRAL------ 1 2 17 15 226 60 3,163 1,153 752 310
Minnesota------------------. 1 7 4 47 5 718 107 96 114
Iowa--------------------- 1 2 56 10 877 211 255 45
Missouri----------------- 2 70 21 732 421 198 55
North Dakota--------------- 2 1 3 1 63 90 154 85
South Dakota------------ 1 5 5 4 115 109 1
Nebraska---------------- 1 2 13 12 312 104 48 11
Kansas---------------- 1 33 11 346 111 NL NM
SOUTH ATLANTIC----- ----- 2 43 58 2 6 177 80 3,654 1,554 1,908 1,203
Delaare --------- 2 8 101 78 57 14
Maryland----------------- 1 1 2 1 15 6 338 154 316 125
District of Columbia------- 2 1 39 11 5 59
Virginia------------------ 7 8 2 19 21 451 325 597 326
West Virginia-------------- 1 1 1 52 7 842 297 414 243
North Carolina------------- 5 2 1 39 10 835 111 142 16
South Carolina-------- 1 1 15 8 225 31 60 154
Georgia----------------- 1 8 10 1 2 374 129 45 1
Florida------------------ 18 21 1 40 26 449 418 272 265
EAST SOUTH CENTRAL-- -- 5 8 34 5 208 131 5,002 2,066 1,050 1,290
Kentucky-------- ---- 3 1 44 40 1,425 875 430 406
Tennessee-------------- 2 5 98 41 2,105 641 468 647
Alabama-----------------.- 1 1 17 3 22 41 807 403 66 75
Mississippi-------------- 4 2 12 1 44 9 665 147 86 162
WEST SOUTH CETRAL------- 3 10 140 98 4 2 128 86 2,119 1,035 1,082 2,470
Arkansas----------------- 1 1 2 30 3 449 46 58 116
Louisiana--------------- 1 14 21 7 3 172 36 3 2
Oklahoma----------------- 2 5 1 15 14 158 159 20 144
Texas--------------- 2 10 123 71 2 1 76 66 1,340 794 1,001 2,208
MO ------------ 5 28 98 64 1,936 1,107 635 1,026
Montana------------------- 2 2 10 2 204 46 35 111
Idaho---------------------- 11 13 8 111 153 46 104
Wyoming--------------- 5 7 84 8 22 1
Colorado------------------- 3 2 42 26 669 352 78 290
New Mexico-------------- 3 6 17 257 190 1N -
Arizona----------------- 2 13 7 210 240 409 326
Utah-------------------- 3 5 3 343 99 22 176
evada----------------- 2 1 58 19 23 18
PACIFIC------------------- 1 17 20 254 152 3,286 1,993 2,339 2,363
Washington-------------- .- 1 61 24 472 235 337 543
Oregon--------------------- 1 28 25 566 382 230 571
California----- --------- 15 20 156 98 2,101 1,234 1,759 1,138
Alaska-------------- 1 5 5 121 105 11 28
Hawaii--------------- 4 26 37 2 83

Puerto Rico------------ 1 1 30 68 65 12 262 342 27 22

iNN-NO Notifiable










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 30, 1960 AND APRIL 29, 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 Meningoccocal Psitta- sore fever,
infections cosis o feverc Rabies in
throat, endemic animals
Area etc. Cumulative,
110-117 057 096.2 050,051 17th Week first 17 weeks 101

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

UNID STATES-------- 2 36 43 1 7,489 10 9 165 170 95 78

EW ENGLAND----.------------ 1 4 645 6 2 -
Maine--------------------- I 24 1 -
New Hampshire-------------- 15 -
Vermont-------------------- 1 4 -
Massachusetts--------- ------ 3 185 1 2 -
Rhode Island--------------- 41 1 -
Connecticut---------------- 376 3 -
MIDDIE ATLAITIC------------.. 8 6 926 2 13 7 1 15
New York------------------- 3 3 560 5 5 1 14
New Jersey----------------- 2 1 188 1 -
Pennsylvania--------------- 3 2 178 2 7 2 1
EAST NORTH CENTRAL --------- 10 9 1,000 1 2 22 23 12 8
Ohio----------------------- 3 1 267 1 6 2 3 3
Indiana-------------------- 3 173 1 1 3 8 3 1
Illinois-------------------- 3 1 208 11 4 3 1
Michigan ---- ------ 3 4 164 1 5 3 3
Wisconsin------------------ 1 188 1 4 -
WEST NORTH CENTRAL----------- 2 4 200 1 1 13 10 28 11
Minnesota--------------- 12 1 5 1 4 3
Iowa----------------------- 69 1 12 2
Missouri------------------- 1 2 16 1 5 8 5 4
North Dakota--------------- 48 1
South Dakota----------- --- 1 7 -
Nebraska---------------- --- .
Kansas-------------------- 1 1 55 2 -
SOUTH ATLANTIC--------------- 6 7 532 1 28 22 13 16
Delaware---------------- 10 -
Maryland------------------- 2 94 -
District of Columbia------ 5 1 1 -
Virginia------------------- 138 1 3 7 8
West Virginia ------------- 1 1 191 4 1 3 4
North Carolina------------- 30 6 7 -
South Carolina------------- 1 1 7 2 6 2
Georgia------------------ 12 1
Florida-------------------- 1 4 57 1 2 4 3 1
EAST SOUTH CENTRAL-------- 4 2 1,297 1 2 21 32 15 8
Kentucky--------------- 2 285 4 11 3 5
Tennessee ----------------- 943 1 15 17 11 3
Alabama-------------------- 2 2 4 1 2 3 1 -
Mississippi---------------- 65 1 1 -
WEST SOUTH CENTRAL----------- 1 2 865 3 2 27 47 20 17
Arkansas------------------- 8 3 15 5 7
Louisiana---------------- I 4 1 4 12 1 -
Oklahoma------------------- 35 1 1 3 3 -
Texas --------------------- 2 818 1 1 17 17 14 10
MOUNAIN--------------------- 1 2 1,047 1 1 15 12 2 -
Montana------------------- 2 38 1 5 -
Idaho---------------------- 82 -
Wyoming------------------- 69 1 1 1 -
Colorado------------------- 1 288 5 -
New Mexico----------------- 216 3 4 1
Arizona-------------------- 206 1 2 2 1
Utah----------------------- 129 2 -
Nevada-------------------- 19 1 -
PACIFIC------------------- 2 3 7 1 977 1 20 15 4 3
Washington----------------- 1 509 1 2 -
Oregon--------------- 2 1 73 -
California----------------- 2 1 4 1 350 18 15 4 3
Alaska-------- ----- 42 -
Hawaii------------------------ 1 3 -

Puerto Rico-------------- 1 2 1 1 7 15 -









Morbidity ad Mortaly Weekly Report



NUMBER OF DEATHS IN SELECTED CITIES


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 hospitalcenters 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 ahovnin parentheses In table 4)

17th 16th percent Cumulative, first 17 weeks
week week Adjusted change,
ended ended average, adjusted
Area April April 17th average
29, 22, to 60 Percent
1961 1961 196-60 current change
191 1 week

TOTAL, 117 RPORlIHM CITIES---------------------- 11,631 11,638 11,294 +3.0 204,173 214,124 -4.6

New England--------------------------------(14 cities) 726 689 680 +6.8 12,544 13,548 -7.4
Middle Atlantic-----------------------------(20 cities) 3,350 3,331 3,161 +6.0 58,655 58,621 +0.1
East North Central-------------------------(21 cities) 2,503 2,497 2,403 +4.2 43,036 46,032 -6.5
West North Central---------------------------(9 cities) 833 816 810 +2.8 13,788 14,859 -7.2
South Atlantic-----------------------------(1 cities) 1,025 1,007 954 +7.4 17,645 18,858 -6.4
East South Central--------------------------(8 cities) 508* 487 507 +0.2 9,347 9,841 -5.0
West South Central--------------------------(1 cities) 993* 969 972 +2.2 17,565 18,932 -7.2
Mountain-----------------------------------(8 cities) 326* 380 361 -9.7 6,488 6,621 -2.0
Pacific---------..------------------------ (13 cities) 1,367 1,462 1,446 -5.5 25,105 26,812 -6.4

*Includes estimate for missing reports.


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)

17th 16th u 17th 16th
week week t week week Cuulative,
wened ened first 17 weeks ended ended first 17 weeks
ended ended ended ended
Area April April a April April
29, 22, 29, 22
1961 1961 1961 1960 1961 1961 1961 1960


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

MIDDLE ATLANTIC:
Albany, N.Y.-----------
Allentown, Pa.----------
Buffalo, N.Y.-----------
Camden, N.J.------------
Elizabeth, N.J.---------
Erie, Pa.---------------
Jersey City, N.J.--------
Newark, N.J.------------
New York City, N.Y.------
Paterson, N.J.----------
Philadelphia, Pa.--------
Pittsburgh, Pa.------
Reading, Pa.------------
Rochester, N.Y.---------
Schenectady, N.Y.--------
Scranton, Pa.-----------
Syracuse, N.Y.----------
Trenton, N.J.------------
Utica, N.Y.-------------
Yonkers, N.Y.-----------

EAST NORTH CENTRAL:
Akron, Ohio-------------
Canton, Ohio-------------
Chicago, Ill.-----------
Cincinnati, Ohio--------
Cleveland, Ohio---------
Columbus, Ohio----------
Dayton, Ohio-------------
Detroit, Mich.-----------
Evansville, Ind.---------
Flint, Mich.------------
Fort Wayne, Ind.--------
Gary, Ind.--------------
Grand Rapids, Mich.------
Indianapolis, Ind.------
Madison, Wis.-----------
Milwaukee, Wis.--------
Peoria, lL.--------------
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.------------


246
41
30
29
47
19
24
25
43
68
10
50
28
66


54
36
167
40
21
37
90
104
1,684
33
510
217
25
103
22
28
69
45
21
44


57
34
774
153
240
141
62
315
33
54
33
41
37
135
31
132
28
27
23
102
51

60
21
39
182
(26)
131
74


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
44
143
30
118
32
25
30
88
71

61
21
37
79
(31)
140
69


4,312
682
531
470
823
415
401
471
806
1,087
225
838
487
996


834
608
2,565
757
505
693
1,252
1,838
30,242
665
9,166
3,345
374
1,766
432
643
1,075
791
512
592


980
545
13,065
2,750
3,643
2,008
1,419
5,807
635
746
697
536
786
2,567
535
2,128
516
488
486
1,713
986

916
448
680
2,223
(494)
2,161
1,230


4,743
762
587
549
856
438
472
469
823
1,194
277
874
509
995


798
644
2,654
791
545
700
1,293
1,821
29,760
724
8,995
3,542
435
1,838
429
694
1,126
760
518
554


1,022
672
14,166
2,968
3,925
2,229
1,290
6,349
700
709
668
555
749
2,682
574
2,282
538
514
528
1,870
1,042

1,003
452
635
2,391
(448)
2,242
1,384


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

SOUTH ATLANTIC:
Atlanta, Ga.------------
Baltimore, M.----------
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.-----------

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


225
63
38


116
267
38
48
68
54
89
33
(63)
63
217
32


102
43
26
111*
90
48
33
55


47
34
19
141
21
73
195
53
176
.70
83
53*
28


23
17
99
14*
82
19
39
33


18
(48)
(15)
35
63
515
95
25
112
62
64
186
(37)
102
53
37

(45)


292 4,195 4,652
63 1,159 1,281
54 776 819


105
293
19
63
75
42
62
26
(72)
77
208
37


78
51
25
82
141
33
17
60


35
32
16
107
39
72
109
77
164
84
127
57
50


45
12
104
13
104
19
39
44


10
(47)
(31)
43
65
508
90
31
133
55
108
193
(37)
129
45
52

(25)


2,036
4,463
624
1,033
1,309
872
1,402
596
(1,334)
1,212
3,417
681


1,570
878
489
1,969
2,089
729
564
1,059


607
515
417
2,187
637
1,184
2,988
980
2,979
1,357
1,823
932
959


548
286
2,033
268
1,501
288
846
718


287
(771)
(555)
698
1,039
9,022
1,687
572
1,815
1,085
1,553
3,566
(617)
2,288
787
706

(592)


2,156
4,821
794
1,177
1,368
801
1,515
689
(1,420)
1,243
3,571
723


1,614
886
542
2,081
2,162
789
638
1,129


664
556
482
2,304
705
1,232
3,137
1,115
3,380
1,394
1,933
958
1,072


553
320
2,211
309
1,439
265
872
652


312
(864)
(728)
752
996
9,760
1,769
646
1,982
1,077
1,710
3,630
(550)
2,541
844
793

(613)


A A I I


*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.




IJIIIVERSITY OF FLORIDA

Ill 162 0IU84 0IIIIIIIIIIII
3 1262 08864 0122


Morbidity and Mortality Weekly Report


DUN-VO------'__ --
IV rF FL I -

*l r


JS DEPOSNTOR Y






I


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 Stare (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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