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:
AA00010654:00296

Related Items

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

Full Text





Morbidity 4d M' tality



PUBLIC HEALTH SERVICE

U.S. DEPARTMENT OF HEAL CATION, AND WELFARE

Prepuffd by tha o @ MElrose 4-5131


For release May 12, 1961 Atlanta 22, Georgia Vol. 10, lo. 18

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

Deaths in Selected Cities for Week Ended May 6, 1961


Hepatitis The sustained high incidence continues.
The total of 1,744 cases is slightly less than the 1,831
cases reported one week ago, but does not represent a
significant decline from past high levels.
In the second week of nationwide reporting of hepa-
titis cases by age under 20 years and 20 years or
over 38 States included this breakdown with their
current morbidity telegram. These data are presented in
tabular form on Page 8. States with an adult preponder-
ance of cases include New Jersey (81 percent), Upstate
New York (60 percent) and New York City (61 percent),
Connecticut, Missouri and Oregon (54 percent).


EPIDEMIOLOGICAL REPORT

Brucellosis Pennsylvania
During the first week in December 1960, a 57-year-
old man employed at a packing plant as a ritual slaugh-
terer (shocher) became ill and developed a productive
cough, followed a few days later by nocturnal sweating,
weakness, and fatigue. The symptoms had persisted a
week when he sought medical care. A chest X-ray was
unrevealing and no diagnosis was made at that time. Weak-
ness and fatigue persisted until February 10, when the
patient was hospitalized complaining of high fever, weak-


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

Disease 18th Week Cumulative
(Seventh Revision of International Approxl-
Lists, 1955) First 18 weeks Since seasonal low week mate
Ended Ended seasonal
May May Median Median low
Weekly incidence low or sporadic 6, 7, 1..e-60 Median 19 -6.6 point
Data not available 19e61 960 1961 1 996 0-C1 1, to
Quantity zero i195h-60
Anthrax-------------- ---062 4 2 i4 *
Botulism---------------------049.1 4 3 *
Brucelloeie undulantt fever)-----044 13 18 18 190 288 283 *
Diphtheria----------------------055 18 11 15 253 281 312 833 817 1,025 July 1
Encephalitis, infectious ------082 36 29 30 479 502 466 479 502 466 Jan. 1
Hepatitis, infectious, and
serum --------------092,N998.5 pt. 1,744 813 448 32,234 14,065 8,938 47,441 21,875 14,205 Sept. 1
Malaria--------------------110-117 1 3 14 19 *
Measles ----------------------085 19,051 22,108 22,977 238,145 246,436 289,576 274,355 281,430 326,245 Sept. 1
Meningitis, aseptic-------40 pt. 23 18 --- 433 501 --- 433 501 --- Jan. 1
Keningooccal infection--------057 54 54 52 888 950 1,012 1,544 1,657 1,825 Sept. 1
Polimneliti --------------------080 5 12 26 138 272 405 35 56 112 Apr. 1
Paralytic ----------080.0,080.1 3 8 19 85 196 287 25 42 79 Apr. 1
oaaralytic------------080.2 1 2 5 29 46 68 4 10 20 Apr. 1
Unspecified----------------080.3 1 2 2 24 30 50 6 4 13 Apr. 1
Paittacosie --------------.096.2 19 35 *
Rabies in man-------------------09 2 *
Streptococcal sore throat,
including scarlet fever--- 050,051 8,183 6,893 --- 166,212 152,494 --- 263,864 --- Aug. 1
Typhoid fever-------------------040 13 11 16 177 181 251 63 54 71 Apr. 1
Typhus fever, endemic----------101 1 1 10 12 *
Elbles in animals--------------- 77 77 98 1,296 1,495 1,817 1,872 2,476 2,599 Oct. 1








Morbidity and Mortality Weekly Report


7,o000
NUMBER OF CASES
I 6.21


6,000-




5,000-




4,000-




3,000-




2,000-




1,000-


REPORTED HUMAN BRUCELLOSIS
UNITED STATES
1947-1960


2.032


983 924 892




57 58 59 6
57 58 59 60


1947 48


YEAR


ness, periods of chilling and sweating, arthralgia, myalgia
and severe spine pain. Blood cultures were obtained from
which B. abortus was isolated. An agglutination test for
brucellosis revealed a titer of 1:1,280.
This man slaughters cattle, many of which are bru-
cella positive, by means of a sharp knife which is used
to cut the arteries of the neck. Following slaughter, the
carcass is opened and the shochet proceeds to palpate
with bare arms the pleural and peritoneal cavities which
places him in contact with the viscera. Doing this, he
frequently nicks and scratches his arms by contact with
bone splinters. Occasionally during the slaughtering
operation he becomes splashed with blood which enters
his eyes and mouth. In spite of the exposure involved,
this man, during a life time in this occupation, has never
had a known previous attack of this disease nor is it
apparently common in others so employed.
(Submitted by Milton Werren, V.M.D., Chief, Veterinary
Public Health Section, Philadelphia Department of Health.)


BRUCELLOSIS SURVEILLANCE 1960

The reported number of human brucellosis cases con-
tinued to decline in 1960 (741 cases) as it has for the
past 14 years. Preliminary data for 1959 included 721
cases but a total of 892 cases were tabulated when the
final reports were received from the States. The 1960
preliminary report of 741 is slightly higher than the 1959
preliminary reports so the final figure for 1960 may ac-
tually exceed the total cases in 1959.
The decline in incidence has been dramatic since
1947 when 6,321 cases were reported to the National Office
of Vital Statistics (see bar graph). The States having the
highest incidence of disease in 1960 were Iowa, Illinois,
Kansas, Virginia, California, South Dakota, Texas, and
Nebraska. These 8 States reported 75 percent of the cases
in the nation. Iowa with 307 cases reported 41 percent of
the country's cases. Dr. Stanley L. Hendricks, Iowa State
Health Department's Public Health Veterinarian, reported
(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 MAY 7, 1960 AND MAY 6, 1961

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


Poliomyelitis 080 Brucel-
Menin- losis
Total Paralytic 080.0,080.1 gitis, (undu-
(Includes cases not specified by type) Nonparalytic aseptic lant
Area fever)
Area Cumulative, Cumulative, fever)
18th Week first 18 weeks 18th Week first 18 weeks 080.2 340 pt. 044


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

UNIED STATES------- 5 12 138 272 3 8 85 196 1 2 23 13

NEW ENGIAND----------------- 3 8 3 8 -
Maine---------------------- 4 4 -
New Hampshire------------- -
Vermont-------------------- -
Massachusetts-------------- 2 4 2 4 -
Rhode Island--------------- -
Connecticut--------------- 1 1 -
MIDIIE ATANTIC--------- 1 12 39 1 9 28 I -
New York------------------- 5 31 4 21 1
New Jersey----------------- 1 4 6 1 3 6 -
Pennsylvania--------------- 3 2 2 1 -
EAST NORTH CENTRAL----------- 1 3 20 34 1 13 10 2 1
Ohio----------------------- 1 8 16 4 3 -
Indiana-------------------- 2 2 -- --
Illinois------------------- 1 2 6 6 1 5 4 1 1
Michigan------------------- 1 10 1 3 -
Wisconsin------------------ 3 2 1 -- 1
WEST NORTH CENTRAL---------- 4 14 3 8 7
Minnesota------------------ 1 8 1 6 2
Iowa-------------------- 1 3 1 2
Missouri------------------- 2 1 -
North Dakota--------------- -
South Dakota-------------- 1 -- 1
Nebraska------------------- 2 2 -
Kansas-------------------- .
SOUTH ATLANTIC------------- 13 44 9 36 -
Delaware------------------- 2 -
Maryland------------------- 1 -
District of Columbia------- -
Virginia------------------- 1
West Virginia-------------- 2 3 1 3 -
North Carolina------------- 3 14 2 14 -
South Carolina--------- 1 2 1 2 -
Georgia------------------- 2 3 2 2 1
Florida------------------- 3 21 2 15 -
EAST SOUTH CENTRAL-------- 1 14 9 1 3 8 4 1
Kentucky------------------- 13 6 2 5 1-
Tennessee----------------- -
Alabama------------------- -
Mississippi--------------- 1 1 2 1 1 2 3 1
WEST SOUTH CENTRA----------- 3 17 27 2 8 20 1 2 3
Arkansas------------------- -
Louisiana---------------- 5 6 3 5 2
Oklahoma------------------- I 3 -1 3 -
Texas---------------------- 2 11 18 1 5 12 1 2
MOUNTAIN ------------------- 17 14 10 8 4 1
Montana-------------------- 1 4 1 3 -
Idaho---------------------- 3 4 1 -
Wyoming-------------------- -
Colorado------------------- 3 1 3 1 1 -
New Mexico----------------- 1 1 3
Arizona-------------------- 3 2 1 2 -
Utah----------------------- 6 1 4 1 -
Nevada--------------------- .
PACIFIC---------------------- 4 4 38 83 3 3 27 70 1 1 8
Washington----------------- 3 6 6 1 -
Oregon--------------------- 1 3 12 1 8 1 -
California----------------- 3 4 31 63 3 3 25 54 1 7
Alaska--------------------- -
Hawaii-------------------- 1 2 1 2 -

Puerto Rico----------------- 13 3 93 12 3 90 -









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 MAY 7, 1960 AND MAY 6, 1961 Continued

(By 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. Males
infectious
Area Cumulative, Cumulative,
18th Week first 18 weeks 082 18th Week first 18 weekss 085

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


UNITED STAES-------- 18 11 253 281 36 29 1,744 813 32,234 14,065 19,051 22,108

W ENGLAND--------------- 3 7 2 1 42 20 861 435 1,961 2,801
Maine------------------ 2 1 4 48 34 81 197
New Hampshire------------- 6 61 15 60 55
Vermont-------------------- 4 115 7 22 236
Massachusetts-------------- 3 4 2 16 10 286 224 943 1,176
Rhode Island------------- -- 1 1 2 2 117 77 393 100
Connecticut---------------- .- 13 4 234 78 462 1,037
MIDDLE ATLANTIC---------- 11 7 6 6 231 79 4,733 1,384 3,200 2,691
New York----------- 4 1 2 4 97 25 1,896 677 1,357 1,652
New Jersey----------- 1 4 58 8 1,161 119 827 803
Pennsylvania-------------- 7 5 2 76 46 1,676 588 1,016 236
EAST NORTH CENTRAL-------- 1 8 22 10 6 392 116 6,376 2,740 4,993 7,217
hio----------------------- 1 14 1 1 133 36 2,378 856 751 708
Indiana---------------- 1 3 2 51 14 1,057 385 255 523
Illinois------------------- 1 5 2 7 55 28 994 578 680 1,439
Michigan---------------- 1 3 2 2 137 29 1,791 783 1,467 2,128
Wisconsin------------------ 1 16 9 156 138 1,840 2,419
WEST NORTH CETAL------ 2 19 15 1 197 62 3,360 1,215 746 465
MInnesota------------------ 1 8 4 36 7 754 114 51 233
Iowa---------------------- 1 2 87 2 964 213 253 39
Missouri------------------- 2 25 27 757 448 153 30
North Dakota-------------- 2 1 7 2 70 92 199 114
South Dakota------------ 1 6 5 2 3 117 112 2
Nebraska--------------- 2 15 5 327 109 88 49
Kansas------------ -- 1 1 25 16 371 127 NN NN
SOUTH ATIANTIC-------- 4 2 47 60 5 3 219. 96 3,873 1,650 2,408 916
Delaware -------- 5 11 106 89 42 7
Maryland------..---------- 1 1 1 7 7 345 161 136 99
District of Columbia------ 2 1 40 11 19 55
Virginia------------------- 1 8 8 2 52 23 503 348 645 251
West Virginia------------- 1 1 2 49 9 891 306 467 158
North Carolina---------- 5 2 1 3 36 11 871 122 245 10
South Carolina------ --- 1 15 6 231 31 116 142
Georgia------------------- 2 1 10 11 19 13 393 142 9 5
Florida---------------- 1 19 21 1 44 22 493 440 729 189
EAST SOUTH CET ------- 1 8 35 2 288 138 5,291 2,204 1,541 1,816
Kentucky------- ----- 3 92 39 1,517 914 544 435
Tennessee----------------. 2 5 1 101 56 2,206 697 721 1,153
Alabama------------------.. 1 1 18 57 36 865 439 191 78
Mississippi------------- 2 12 1 38 7 703 154 85 150
WEST SOUTH CETRAL-------- 8 8 148 106 2 107 99 2,226 1,134 959 2,316
Arkansas-----------------. 1 2 1 1 5 449 51 40
Louisiana------------- 4 14 25 9 7 181 43 1 8
klahoma----------------- 2 5 8 15 166 174 44 45
Texa----- ------ 7 4 130 75 1 90 72 1,430 866 914 2,223
MOUNTAIN--- -------- 2 7 28 1 92 63 2,092 1,170 772 1,075
Montana------------------ 2 2 12 2 216 48 50 58
Idaho------------------- 11 4 115 153 16 71
Wyoming------------------- 5 3 1 87 9 1 30
Colorado------------------ 1 4 2 31 44 700 396 184 383
New Mexico--------------- 3 5 6 262 196 NN
Arizona---------------- 2 1 12 3 286 243 388 303
Utah----------------------- 3 11 7 354 106 133 182
Nevada--------------------- 1 1 14 72 19 48
PACIFIC-------- ------------ 1I 2 1 10 10 176 140 3,422 2,133 2,471 2,811
Washington----------------- 19 16 451 251 311 740
Oregon--------------------- 28 25 594 407 216 552
California----------------- 10 10 125 90 2,226 1,324 1,933 1,379
Alaska------------------ 1I 2 1 3 8 124 113 6 87
Hawaii------------- ------ 1 1 27 38 5 53

Puerto Rico-- ------- 5 30 73 23 6 285 348 37 24

oN-Not NoLtflable









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 MAY 7, 1960 AND MAY 6, 1961 Continued

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

Strepto-
M gccoal P coccal Typhoid fever 040 Typhus
Malaria Meningoccocal Psitta-
alar infections cosis sore fever, Rabies in
throat, endemic animal
Area etc. Cumulative,
110-117 057 096.2 050,051 18th Week first 18 weeks 101

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

UNIED STAES--------- 1 54 54 8,183 13 11 177 181 1 77 77

EW ENGIAND---------------- 3 4 529 6 2 -
Maine--------------------- 1 31 1 -
New Hampshire------------ 20 -
Vermont------------------- 27 -
Massachusetts-------------- 2 3 205 1 2 -
Rhode Island-------------- 31 1 -
Connecticut--------------- 215 3 -
MIDD ATLArTIC-------------- 8 12 1,029 2 1 15 8 1 22
New York------------------- 3 8 535 2 1 7 6 1 21
New Jersey----------------- 3 2 350 1 -
Pennsylvania--------------- 2 2 144 7 2 1
EAST NORTH CBTRAL -------- 14 7 838 .3 24 23 9 7
Chio----------------------- 6 2 205 1 7 2 2 6
Indiana------------------- 3 138 2 8 2 -
Illinois------------------ 1 135 2 13 4 3 -
Michigan -------------- 4 5 154 1 5 2 1
Wisconsin----------------- 206 1 4 -
WEST NORH CETRAL----------- 3 5 224 4 17 10 22 12
Minnesota------------------ 3 14 5 1 3 2
Iowa--------------------- 48 1 3 4
Missouri------------------- 2 1 6 3 8 8 5 4
North Dakota--------------- 105 3 2
South Dakota-------------- 3 1 1 1 5 -
Nebraska----------------- 1 3
Kansas--------------------- 1 48 2 -
SOUTH AATIC-------------- 11 6 724 2 28 24 1 14 7
Delaware------------------ 3 -
Maryland------------------- 2 2 15 -
District of Columbia------- 2 3 1 1 -
Virginia------------------- 1 1 139 1 3 5 2
West Virginia-------------- 1 227 4 1 5 3
North Carolina------------- i 36 6 7 1 -
South Carolina------------- 2 2 31 2 6 -
Georgia------------------- 1 1 12 1 1 1
Florida-------------------- 2 270 1 2 5 3 1
EAST SOUTH CENTRAL------- 2 5 1,486 3 2 24 34 6 13
Kentucky------------------ 3 351 2 6 11 4
Tennessee------------------ 2 1 1,103 1 1 16 18 4 6
Alabama-------------------- 1 16 1 2 4 2 2
Mississippi--------------- 16 1 1
WEST SOUTH CENTRAL----------- 3 10 1,103 5 27 52 19 12
Arkansas------------------- 1 1 17 1 3 16 2 4
Louisiana---------------- 2 3 8 4 12 3 -
Oklahoma------------------- 1 47 2 3 5 -
Texas--------------------- 5 1,031 2 17 19 14 8
MOUNAIN ------------------- 3 1,353 1 16 12 1 -
Montana-------------------- 15 1 2 5 -
Idaho--------------------- 98 -
Wyoming ----------------- 102 1 1 -
Colorado----------------- 400 5 -
New Mexico----------------- 320 3 4 1 -
Arizona------------------- 236 2 2 -
Utah----------------------- 180 2 -
Nevada-------------------- 3 2 1 -
PACIFIC-------------------- 1 7 5 897 1 20 16 5 4
Washington---------------- 2 480 1 2 1 -
Oregon------------------ 1 73 -
California--------------- 1 4 4 4 313 18 15 5 4
Alaska ---------- 1 25 -
Hawaii- 6 ------ --------- -

Puerto Rico------------------ 1 5 7 15 2 -







Morbidity and Mortality Weekly Report


SThe 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)

18th 17th Percent Cumulative, first 18 weeks
week week Adjusted change,
ended ended a1erh adjusted
Area May April average
S 29 week 1961 1960 cent
6, 29, 1956-60 irrent change
1961 1961
week

TOTAL, 117 RHEPOTIN CITIES--------------------- 11,394 11,681 11,210 +1.6 215,617 225,374 -4.3

ew anland------------------------------- (14 cities) 724 726 676 +7.1 13,268 14,243 -6.8
Middle Atlantic----------------------------(20 cities) 3,323 3,350 3,118 +6.6 61,978 61,807 +0.3
East North Central-------------------------(21 cities) 2,559* 2,503 2,388 +7.2 45,595 48,431 -5.9
West North Central--------------------------(9 cities) 748 833 815 -8.2 14,536 15,664 -7.2
South Atlantic------------------------------(11 cities) 1,000 1,025 941 +6.3 18,645 19,819 -5.9
East South Central------------------------- (8 cities) 479 557 500 -4.2 9,875 10,338 -4.5
West South Central------------------------(13 cities) 949 991 975 -2.7 18,512 19,885 -6.9
Mountain-----------------------------------(8 cities) 360 329 352 +2.3 6,851 6,996 -2.1
Pacific-----------------------------------(13 cities) 1,252 1,367 1,445 -13.4 26,357 28,191 -6.5

*Includes estimate for missing reports.


NUMBER OF DEATHS IN SELECTED CITIES


15,0001


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
1960 1961


15,000









Morbidity and Mortality Weekly Report

Table 4. DEATHS IN SELECTED CITIES

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


Area


NEW ENGIAND:
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, Chio-------------
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, Il.-------------
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.------------


18th 17th Cumulative,
ended ende first 18 weeks
ended ended


May
6,
1961


246
29
33
31
48
27
25
29
54
69
11
36
33
53


28
30
139
55
40
36
86
121
1,630
41
528
273
26
86
18
29
71
30
23
33

59*
24
757
180
211
113
80
361
49
45
36
33*
41
155
44
140
17
28
38
93
55


55
19
32
115
(21)
131
63


April
29,
1961


1961


1960


-I- 4 I


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


4,558
711
564
501
871
442
426
500
860
1,156
236
874
520
1,049


862
638
2,704
812
545
729
1,338
1,959
31,872
706
9,694
3,618
400
1,852
450
672
1,146
821
535
625

1,039
569
13,822
2,930
3,854
2,121
1,499
6,168
684
791
733
569
827
2,722
579
2,268
533
516
524
1,806
1,041


971
467
712
2,338
(515)
2,292
1,293


4,968
827
620
570
898
466
499
502
855
1,254
287
920
528
1,049


834
681
2,812
835
569
733
1,378
1,895
31,334
755
9,541
3,761
450
1,926
457
729
1,194
787
543
593

1,066
702
14,874
3,124
4,151
2,342
1,367
6,684
733
761
700
579
789
2,815
602
2,420
571
545
557
1,953
1,096


1,058
486
669
2,517
(475)
2,380
1,466


Area


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

SOUTH ATLANTIC:
Atlanta, Ga.------------
Baltimore, Md.-----------
Charlotte, N.C.-------
Jacksonville, Fla.------
Miami, Fla.-------------
Norfolk, Va.-------------
Richmond, Va.-----------
Savannah, Ga.---------.
St. Petersburg, Fla.---
Tapa, Fla.--------------
Washington, D.C.--------
Wilmington, Del.-------

EAST SOUTH CENTRAL:
Bfirmingham, 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, Aria.----------
Pueblo, Colo.-------
Salt Lake City, Utah---
Tucson, Ariz.-------

PACIFIC:
Berkeley, Calif.-------
Fresno, Calif.---------
Glendale, Calif.--------
Honolulu, Havaii-------
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.------------


18th
week
ended
May
6,
1961


17th
week
ended
April
29,
1961


4 4-*.----


219
69
45


101
218
32
55
91
70
76
38
(63)
68
205
46


82
45
27
75
115
39
37
59


42
44
19
104
47
67
135
46
136
91
102
54
62


27
20
104
10
82
18
66
33


20
(38)
(60)
40
49
420
79
32
115
52
71
156
(38)
147
36
35

(38)


225
63
38


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


102
43
26
160
90
48
33
55


47
34
19
141
21
73
195
53
176
70
83
51
28


23
17
99
17
82
19
39
33


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

(45)


Cumulative,
first 18 weeks


1961 1960


4,414
1,228
821


2,137
4,681
656
1,088
1,400
942
1,478
634
(1,397)
1,280
3,622
727


1,652
923
516
2,093
2,204
768
601
1,118


649
559
436
2,291
684
1,251
3,123
1,026
3,115
1,448
1,925
984
1,021


575
306
2,137
281
1,583
306
912
751


307
(809)
(615)
738
1,088
9,442
1,766
604
1,930
1,137
1,624
3,722
(655)
2,435
823
741

(630)


4,884
1,340
864


2,267
5,051
829
1,234
1,455
833
1,606
733
(1,475)
1,286
3,771
754


1,689
926
557
2,206
2,261
835
674
1,190


694
586
490
2,423
736
1,299
3,262
1,174
3,571
1,487
2,025
1,025
1,113


582
332
2,302
324
1,540
280
927
709


327
(908)
(764)
798
1,049
10,263
1,868
673
2,078
1,131
1,787
3,816
(602)
2,682
878
841

(647)


*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.





Ill3II I Ill1262 08864 0114li ill
3 1262 08864 0114


8 Morbidity and Mortality Weekly Report



that there was a large epidemic among the 1500 employees
of a swine slaughtering plant in that State. The epidemic
began late in 1959 and extended into the first half of 1960.
There were 128 clinical cases which is the largest epi-
demic to be reported in recent years.
Epidemiological reports submitted to the Communi-
cable Disease Center indicate that most of the human
infections in 1960 were due to occupational exposure, (J
and a large proportion were associated with swine.
(Prepared by the Veterinary Public Health Section, Com-
municable Disease Center).





HEPATITIS CASES BY AGE*
WEEK ENDING MAY 6, 1961


Under 20 Years Age Un-
State 20 years and over specified Total

Maine 1 1
New Hampshire 4 1 1 6
Vermont 4 4
Massachusetts 11 5 16
Rhode Island 2 2
Connecticut 5 7 1 13
Upst. New York 22 31 53
New York City 17 27 44
New Jersey 11 47 58
Indiana 36 12 3 51
Illinois 25 14 16 55
Minnesota 16 17 3 36
Iowa 47 17 23 87
Missouri 11 13 1 25
North Dakota 3 3 1 7
South Dakota 2 2
Nebraska 7 2 6 15
Kansas 14 11 25
Maryland 5 2 7
D. C. 1 1
Virginia 38 10 4 52
West Virginia 44 5 49
North Carolina 28 8 36
South Carolina 5 1 6
Georgia 14 3 2 19
Florida 30 14 44
Kentucky 68 19 5 92
Tennessee 83 17 1 101
Alabama 41 16 57
Oklahoma 7 1 8
Texas 54 28 8 90
Montana 11 1 12
Colorado 5 7 19 31
Utah 10 1 11
Washington 5 7 7 19
Oregon 13 15 28
Alaska 2 1 3
* States not reporting age classification are not listed


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FOR SOURCE AND NATURE OF MORBIDITY DATA SEE

LAST WEEK'S MORBIDITY AND MORTALITY WEEKLY

REPORT