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:
AA00010654:00298

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

Fs5 *2. O19y


Morbidity and Mortality



PUBLIC HEALTH SERVICE

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

Preopred by the 1 (*1111111111 MEIrose 4-5131


For release May 26, 1961 Atlanta 22, Georgia Vol. 10, No. 20

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

Deaths in Selected Cities for Week Ended May 20, 1961


Hepatitis The current total of 1,535 cases is only
slightly below the 1,562 reported one week ago. The
moderate decline noted last week from last winter's and
early spring's high plateau of 1,700 cases or over appears
to be continuing (see graph, page 2). A tabulation of
hepatitis cases reported by age appears on page 8. States
and areas with an adult concentration include Maine,
Massachusetts, Rhode Island, Upstate New York, New
York City, New Jersey, Florida and Washington.

Poliomyelitis A total of 14 cases, 8 paralytic, was re-
ported during the current week. Two States reported more
than one case, Texas with 6, 4 paralytic, 2 of which live


in San Antonio, and Washington with 3, all unspecified.
This week's cases brings the total in 1961 through May20
to 162 cases, 102 paralytic, the lowest figures in recent
years as shown in the table below.


Polio cumulatedd weekly) Through the 20th Week for the Past 5 Years
1961 1960 1959 1958 1957

Paralytic 102 215 337 184 416
Total 162 299 483 345 849


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

Disease 20th Week Cumulative
(Seventh lRevilon of International Approxi-
Lists, 1955) First 20 weeks Since seasonal low week mate
Ended Ended seasonal
May May Median Median low
Weekly incidence low or sporadi 20, 21, 1956-e6 Median 195,-S6 point
-- Data not available 1961 1960 1961 19C 1956-6C 1966 19-6 to
Quantity zero 1 '9- ;
Anthrax-------- -------- 062 2 10 *
Botulism--------------------- 049. 4 3 *
BucellosiB undulantt fever)--0--O- 0 13 19 19 213 332 327 *
Diphtheria----.-----------------.055 4 6 11 268 296 340 848 832 1,041 July 1
neephalitis, infectioua---- 082 31 38 28 553 568 527 553 568 527 Jan. 1
Hepatitis, infectious, and
iaelr----------------.092,r998.5 pt. 1,535 930 335 35,334 15,773 9,649 50 541 23 583 14 989 Sept. 1
Malaria--------------------110-117 3 17 20 *
es.alea-------- .---------------0. 17,162 19,186 20,652 275,203 286,385 331,381 311,413 321,344 368,050 Sept. 1
IMeninltia, aseptic-------- 40 pt. 21 29 --- 485 560 "" 485 560 Jan. 1
Keningococcal infectione---------067 38 50 59 990 1,036 1,127 1,646 1,755 1,915 Sept. 1
Policaeliti e------------------- .080 14 18 38 162 299 479 59 83 186 Apr. I
Pszrlytic----------- 080.0, 00.1 8 14 28 102 215 333 42 61 125 Apr. 1
lMopara3ytic---. ----080. 2 2 2 7 32 52 89 7 16 41 Apr. 1
nspecied- 0.3 4 2 3 28 32 57 10 6 20 Apr. 1
palttacoais- .2 2 1 6* *
Rabies in 2 *
et fever ----- 5,977 6,821 --- 179,578 165,614 --- 277,230 -- -- Aug. I
TpWhoid --- -------------.. 16 14 15 208 202 275 94 76 95 Apr. 1
'"~ph I eandeic-------- -- *
RMebiaJs a ..t.i.---l 68 57 73 1,431 1,648 1,975 2,007 2,628 2,757 Oct. 1


AK -


/o/n~







Morbidity and Mortality Weekly Report


The graph shows reported hepatitis cases in the United States by four-week periods since
1952. The recent period ending May 20, continues the downward trend noted in Vol. 10,
No. 16. The 1961 cumulative total for the 20th week is 35,334 cases, representing a 124
percent increase over the 15,773 cases reported during the comparable period one year
ago.


EPIDEMIOLOGICAL REPORT

Hepatitis Possibly Transmitted by Chimpanzees Florida

Between March 28 and April 9, infectious hepatitis
occurred in eight adults ranging in age from 19 to 34 years
who worked at or associated with a biological laboratory.
The temporal distribution, age grouping, and failure of
any to have known contact with a previous case of hepati-
tis strongly suggested that the outbreak was the result of
common source transmission. An intensive search ruled
out water, milk, food, including shellfish, and parenteral
injections as a source of transmission.
All of the cases did have contact with a group of
new, infant chimpanzees delivered from Liberia on March
2. These animals were controls in a study and had very
close contact with eight women who were assigned to


play and socialize with them on a daily basis. Five of
these eight developed hepatitis. The director of the
project and his assistant who had casual contact with the
chimpanzees also developed hepatitis a month after they
arrived. One additional case occurred in a university
student who visited the laboratory on March 10 and han-
dled the chimpanzees. She developed clinical hepatitis
with jaundice 23 days later.
Due to the history of association with animals, a
serious attempt has been made to rule out other causes
of jaundice which occur in epidemic form. Studies includ-
ing leptospirosis and heterophile agglutination tests have
to date been negative.
(Submitted by Dr. James O. Bond, Director, Bureau of
Preventable Diseases, Florida State Board of Health.
Principal investigators were Drs. James F. Molloy and
William Hubbert).
(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 21, 1960 AND MAY 20, 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 specitled by type) Nonparalytic aseptic lant
Area Cumulative, Cumulative, fever)
20th Week first 20 weeks 20th Week first 20 weeks 080.2 340 pt. 044


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

UNITED STAS--------- 14 18 162 299 8 14 102 215 2 2 21 13

NEW ENGLAND----------------- 1 3 10 1 3 10 -
Maine-------------------- 5 5 -
New Hampshire-------------- -
Vermont------------------- -- -
Massachusetts-------------- 1 2 5 1 2 5 -
Rhode Island-------------- -
Connecticut---------------- 1 1 -
MIDDLE ATLANTIC-------------- 1 1 15 41 1 1 12 29 1 -
New York------------------ 1 1 6 33 1 1 5 22 -
New Jersey----------------- 5 6 4 6 1 -
Pennsylvania--------------- 4 2 3 1 -
EAST NORTH CENTRAL----------- 21 39 13 13 2 4
Ohio----------------------- 8 18 4 5 1 -
Indiana-------------------- 3 2 -
Illinois-------------------- 6 6 5 4 4
Michigan------------------ 1 12 1 3 I -
Wisconsin------------------ 3 3 1 1 -
WEST NORTH CENTRAL----------- 1 4 15 1 3 9 1 6
Minnesota----------------- 1 8 1 6 1 -
Iowa--------------------- 1 3 1 5
Missouri------------------ 1 3 2 -
North Dakota-------------- -
South Dakota--------------- 1 -
Nebraska------------------ 2 2 -
Kansas--------------------- _
SOUTH ATLANTIC--------------- 1 1 14 46 1 1 10 37 2
Delaware------------------- 2 -
Maryland------------------- 1
District of Columbia ------- .
Virginia------------------- 1
West Virginia-------------- 2 3 1 3 -
North Carolina------------- 1 4 14 1 3 14 -
South Carolina------------- 1 2 1 2 -
Georgia------------------ 2 3 2 2 1
Florida------------- 1 3 23 1 2 16 -
EAST SOUTH CENTRAL----- 1 3 16 12 1 3 4 11 -
Kentucky-------- -----. 14 6 2 5 -
Tennessee----------------- 1 1 1 1 1 1 1 1 -
Alabama------------------- 1 1
Mississippi---------------- 2 1 4 2 1 4 -
WEST SOUTH CENTRAL---------- 6 4 26 31 4 3 15 23 2 1 2 1
Arkansas----------------- 1 1
Louisiana---------------- 2 6 8 2 4 7 -
Oklahoma------------------- 3 3 1
Texas---------------------- 6 2 19 20 4 1 11 13 2 1 1 -
MOUNTAIN------------------- 1 2 18 16 10 8 1 -
Montna-------------------- 2 1 6 1 3 -
Idaho--------------------- 1 4 4 1 1 -
Wyoming------------------- -
Colorado------------------ 3 1 3 1 -
New Mexico---------------- --- -
Arizona-------------------- 3 2 1 2 1 -
Utah---------------------- 6 1 4 1 -
Nevada--------------------- -
PACIFIC---------------------- 4 5 45 89 1 4 32 75 1 14 -
Washington----------------- 3 1 6 7 1 1 7 2
Oregon------------------- 3 12 1 8 -
California---------------- 1 4 34 68 1 3 28 58 1 12
Alaska--------------------- -
Hawaii-------------------- 2 2 2 2 -

Puerto Rico------------------ 9 3 116 9 3 113 -










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 21, 1960 AND MAY 20, 1961 Continued

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


Diphtheria 055 cHepatitis, infectious, and
Encephalitis, serum 092,199.5 pt. a
Infectious Neaales
Area Cumulative, Cumulative,
20th Week first 20 weeks 062 20th Week first 20 weeks 085


lICl 1& 191 ; 19S( 1 961 iLfC 1961 196 191 19( 19961 196C.


UNTIED a RS------- 4 6 268 296 31 38 1,535 930 35,334 15.773 17,162 19,186

W ENGLANID------------- 1 4 8 3 47 23 942 487 1,875 2,423
Maine---. ------------- 2 10 1 59 35 72 123
New Hampshire------------- 1 2 63 17 51 107
Vermont--.--------------- 115 8 37 170
Massachusetts--------------- 1 4 5 2 18 11 317 252 1,028 1,214
Rhode Island-------------- 1 1 8 3 130 80 226 142
Connecticut--------------- 10 6 258 95 661 667
MIDDLE ATIANTIC--------- 1 13 8 6 5 217 118 5,140 1,614 3,534 2,394
New York------ ------ I 6 1 4 2 109 58 2,098 808 1,380 1,670
Hew Jersey ----------- I 2 55 6 1,267 136 1,061 438
Pennsylvania------------- 7 6 2 1 53 54 1,775 670 1,093 286
EAST NORT (irRAL-------- 8 22 3 4 268 192 7,039 3,054 4,225 6,490
ho----------------------- 1 14 1 84 63 2,577 966 474 641
Indiana------------------ 1 3 47 19 1,199 416 140 511
Illinois--------------- 5 2 35 47 1,104 641 435 1,209
Michigan-------------- 1 3 3 3 95 57 1,985 884 1,302 1,807
Wisconsin----------------- 7 6 174 147 1,874 2,322
WEST NOf ENTRAL-------- 19 16 2 1 158 54 3,643 1,318 607 433
nnesota------------------ 8 5 21 9 801 133 42 217
Iova----------------------- 1 2 48 14 1,057 233 172 86
Missouri------------------- 2 1 45 14 822 476 221 11
North Dakota--------------- 2 1 2 3 75 100 140 101
South Dakota------------- 6 5 118 113 3 2
Nebraska---------------- 2 16 10 354 123 29 16
as---------- 1 2 26 4 416 140 N NN
SOUTE ATLTIC---------- 1 4 52 64 1 7 174 127 4,277 1,875 1,609 1,026
Delaware------------ 3 3 113 101 48 8
Maryland-- ------------ 1 1 1 4 16 18 389 188 226 143
District of Columbia---- 2 1 42 12 8 14
Virginia-------------- ---- 10 8 28 14 591 379 396 374
West Virginia-------------- 1 2 41 61 956 375 372 265
North Carolina------------- 6 2 1 35 8 960 132 112 73
South Carolina--------- 1 15 10 3 258 36 111 50
Georgia------------------ 2 10 13 9 4 413 147 10 14
Florida------ ------- 2 21 23 2 32 15 555 505 326 85
EAST SOUTH (CEIRAL------- 9 36 1 2 218 109 5,691 2,431 1,147 1,242
Kentucky----------- 3 1 55 35 1,645 986 298 353
Tennessee--------- --- 2 5 90 41 2,363 775 691 645
Alabsaa-------------------- -- 2 18 40 29 923 500 117 63
Mississippi-------------- 2 12 1 2 33 4 760 170 41 181
BWST SOUTWH ZETRAL-------- 1 2 153 113 3 1 171 75 2,551 1,280 888 1,794
Arkansas------------------ -- 1 2 2 1 22 527 53 106 6
Louisiana--------------- 14 26 29 4 230 43 3
klahoma---------------- 2 6 19 5 195 188 26 92
-- -------- 1 1 135 79 2 1 101 66 1,599 991 756 1,693
------------- 7 28 74 55 2,269 1,299 681 1,074
Montana------------------- 2 2 4 4 222 54 56 140
Idaho------------------- 11 11 6 130 171 35 75
Wyoming--------------- 5 1 1 88 10 12 50
Colorado------------------- 4 2 33 21 785 447 152 396
ev Mexico----------- -- 3 4 4 274 204 N -
Arizona---------------- 2 11 12 312 276 329 211
Utah--------------------- 3 10 7 385 118 92 192
Nevada----------------- 1 73 19 5 10
PACIFIC------------- -- 3 1 12 18 208 177 3,782 2,415 2,596 2,310
Washington--------------- I 22 15 494 276 420 573
Oregon--------------------- 2 32 28 644 452 207 550
California----------------- 11 16 144 133 2,482 1,533 1,963 1,051
Alaska-------------- 3 1 7 132 115 3 72
Haai------------- 3 1 30 39 3 64

Puerto Rico- ----------- 4 31 82 12 11 327 372 18 35

M-HIt motirlable









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 21, 1960 AND MAY 20, 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 Menlngoccocal Psitta- o
Malaria infections cosis sore fever, Rabies in
throat, endemic animal
Area etc. Cumulative,
110-117 057 096.2 050,051 20th Week first 20 weeks 101

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

UNITED STAES--------- 3 38 50 2 5,977 16 14 208 202 1 68 57

NEW ENGLAND------------------ 2 2 490 1 6 4 -
Maine---------------------- 1 14 1 1 1 -
New Hampshire--------------- 17 -
Vermont-------------------- 6 -
Massachusetts---------- 1 163 1 2 -
Rhode Island--------------- 1 56 1 -
Connecticut--------------- 1 234 3 1 -
MIDDLE ATLANTIC-------------- 1 9 9 648 3 1 21 10 1 10
New York------------------- 1 4 6 387 1 1 9 8 10
New Jersey----------------- 2 116 1 4 -
Pennsylvania--------------- 5 1 145 1 8 2 1 -
EAST NORTH CENTRAL---------- 8 11 2 705 1 1 27 26 12 5
hio-----------------.-----. 2 170 7 3 1 -
Indiana----------------- 3 1 74 1 3 8 3 2
Illinois------------------ 3 4 70 1 15 6 4 -
Michigan------------------ 2 4 196 1 5 4 3
Wisconsin ----------------- 2 195 1 4 -
WEST NORTH CENTRAL----------- 6 199 1 17 12 1 20 15
Minnesota------------- 1 12 5 1 3 3
Iowa--------------------- 2 59 1 9 5
Missouri------------------- 1 38 1 8 9 2 6
North Dakota--------------- 47 .
South Dakota--------------- 2 1 1 4 -
Nebraska------------------- 2 2 1 2 1
Kansas--------------------- 39 2 1 -
SOiTH ATLANTIC--------------- 5 12 474 1 1 32 25 5 6
Delaware------------------- 8 -
Maryland------------------- 1 1 30 -
District of Columbia------- 2 1 3 1 -
Virginia------------------ -- 1 4 97 1 3 3
West Virginia------------- 126 4 1 4 2
North Carolina------------ 3 20 6 7 1 -
South Carolina------------ 1 28 2 6 -
Georgia-------------------- 1 1 12 2 -
Florida-------------------- 1 4 163 4 5 1
EAST SOUTH CNTRAL------- 3 964 4 27 39 2 6
Kentucky----------- 66 6 11 1
Tennessee---------------- -- 3 876 1 19 19 2 4
Alabama------------------ 7 2 2 6 1
Mississippi--------------- 15 1 3 -
WEST 80tO CENTRAL----------- 2 5 829 6 4 35 57 16 11
Arkansas------------------- 3 1 1 4 17 1 3
Louisiana--------------- 1 2 4 12 1
Oklahoma------------------ 1 42 1 4 5 -
Texas---------------------- 5 782 4 3 23 23 14 8
MOUNTAIN --------------------. 1 1 2 847 3 19 12 3 2
Montana-------------------- 45 1 3 5 -
Idaho------------------- 85 -
Wyoming------------------- 44 1 1 -
Colorado------------------- 240 5 -
New Mexico---------------- 2 220 3 4 3 1
Arizona-------------------- 1 153 2 4 2 1
Utah---------------------- 57 2 -
Nevada-------------------- 3 1 -
PACIFIC---------------------- 1 8 3 821 2 1 24 17 9 2
Washington----------------- 1 308 2 1 -
Oregon--------------------- 1 1 39 -
California----------------- 5 2 376 2 1 22 16 3 2
Alaska -- -------- 94 6
Haaii------- ----- 1 1 4 -

Puerto Rico----------------- 8 16 -








Morbidity and Mortality 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 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 .eek of filing certificate. Excludes fetal deaths. Data exclude figures shon in parenthaes in table 4)

20th 19th Percent Cumulative, first 20 weeks
eek week Adjusted change,
ended ended average, adjusted
Areaay May 20th average
20, 13, 6eek to 1961 1960 Percet
1961 i961 1956-60 current change
week

TOITAL, 117 lWREPlFTA CrITB--------------------- 11,283 11,262 10,984 +2.7 238,154 247,523 -3.8

ew gland.--------------------------------(14 cities) 661 730 659 +0.3 14,659 15,624 -6.2
Middle Atlantic---------------------------(20 cities) 3,212 3,111 3,053 +5.2 68,301 68,050 +0.4
Bat North Central--------------------------(21 cities) 2,481 2,566 2,330 +6.5 50,634 53,133 -4.7
West North Central--------------------------(9 cities) 826 742 792 +4.3 16,104 17,252 -6.7
South Atlantic----------------------------(11 cities) 901 1,015 924 -2.5 20,561 21,703 -5.3
eat South Central---------------------------(S cities) 532 496 491 +8.4 10,903 11,257 -3.1
West Bouth Central--------------------------(1 cities) 941 927 976 -3.6 20,380 21,862 -6.8
Mountain----------------------------------(8 cities) 369 330 350 +5.4 7,550 7,662 -1.5
Pacific---------- ----------------------- (15 cities) 1,360* 1,345 1,409 -3.5 29,062 30,980 -6.2

*Includes estimate for missing reports.


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


S T l l l i T i l l T I I T


I i i i T I I I T i i i T I i i T Ti I l T i I I T I i I T i i I I









Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


20th 19th Cumulative,
ended ended first 20 weeks
ended ended


May
13,
1961


1961 I 1960


May
20,
1961


- 4 I I


NEW ENGLAND:
Boston, Mass.------------ 227
Bridgeport, Conn.-------- 29
Cambridge, Mass.-------- 33
Fall River, Mass.-------- 27
Hartford, Conn.---------- 51
Lowell, Mass.------------ 27
Lynn, Mass.-------------- 19
New Bedford, Mass.------- 24
New Haven, Conn.--------- 53
Providence, R.I.--------- 50
Somerville, Mass.-------- 10
Springfield, Mass.------- 40
Waterbury, Conn.--------- 24
Worcester, Mass.--------- 47

MIDDLE ATLANTIC:
Albany, N.Y.------------- 41
Allentown, Pa.---------- 47
Buffalo, N.Y.----------- 147
Canden, N.J.------------- 31
Elizabeth, N.J.--------- 31
Erie, Pa.---------------- 37
Jersey City, N.J.-------- 74
Newark, N.J.---------- 87
New York City, N.Y.------ 1,627
Paterson, N.J.--------- 42
Philadelphia, Pa.-------- 516
Pittsburgh, Pa.--------- 170
Reading, Pa.------------ 16
Rochester, N.Y.---------- 105
Schenectady, N.Y.-------- 30
Scranton, Pa.------------ 46
Syracuse, N.Y.----------- 62
Trenton, N.J.------------ 48
Utica, N.Y.-------------- 29
Yonkers, N.Y.----------- 26

EAST NORTH CENTRAL:
Akron, Ohio-------------- 53
Canton, Ohio------------- 35
Chicago, ll----------- 777
Cincinnati, Ohio--------- 154
Cleveland, Ohio---------- 179
Columbus, Ohio----------- 134
Dayton, Ohio------------- 93
Detroit, Mich.---------- 347
Evansville, Ind.--------- 37
Flint, Mich.------------- 46
Fort Wayne, Ind.--------- 40
Gary, Ind.--------------- 20
Grand Rapids, Mich.------ 45
Indianapolis, Ind.------- 138
Madison, Ws.----------- 29
Milwaukee, Ws.---------- 124
Peoria, 111.------------- 23
Rockford, Ill.----------- 35
South Bend, Ind.--------- 30
Toledo, Ohio------------- 94
Youngstown, Ohio--------- 48

WEST NORTH CENTRAL:
Des Moines, Iowa--------- 63
Duluth, Minn.------------ 27
Kansas City, Kans.------- 35
Kansas City, Mo.--------- 131
Lincoln, Nebr.----------- (30)
Minneapolis, Minn.------- 126
Omaha, Nebr.------------ 70


235
36
31
29
57
35
23
19
58
70
25
46
25
41


62
32
154
41
19
32
54
92
1,580
45
518
109
25
108
19
33
73
61
30
24


60
32
752
152
211
108
86
351
41
55
34
32
48
140
31
154
37
44
32
103
63


52
20
37
123
(24)
110
59


5,020
776
628
557
979
504
468
543
971
1,276
271
960
569
1,137


965
717
3,005
884
595
798
1,466
2,138
35,079
793
10,728
3,897
441
2,065
499
751
1,281
930
594
675


1,146
636
15,351
3,236
4,244
2,363
1,678
6,866
762
892
807
619
920
3,000
639
2,546
593
595
586
2,003
1,152


1,086
514
784
2,592
(569)
2,528
1,422


Area


5,452
904
667
625
984
508
543
546
952
1,383
316
1,007
576
1,161


924
755
3,079
921
616
809
1,534
2,051
34,567
829
10,485
4,097
502
2,133
503
800
1,319
881
595
650


1,175
760
16,304
3,397
4,568
2,568
1,495
7,325
802
837
775
636
876
3,124
679
2,631
620
603
618
2,139
1,201


1,163
545
731
2,776
(529)
2,594
1,596


Area


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.---------
Loulsville, 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.------------


20th
week
ended
May
20,
1961


19th
week
ended
May


Cumulative,
first 20 weeks


13,
1961 1961


4 4


243 232
74 62
57 47


106
216
34
62
64
57
67
32
(66)
61
170
32


85
58
32
88
131
51
40
47


38
17
20
115
31
60
153
73
154
78
108
36
58


27
15
106
21
75
17
62
46


16
(42)
(27)
38
51
448
84
33*
124
64
95
207
(32)
104
57
39*

(47)


132
259
32
52
77
45
92
36
(62)
50
193
47


94
33
24
140
101
42
19
43


26
32
22
114
33
68
131
56
183
62
90
53
57


35
14
111
21
71
16
37
25


20
(32)
(37)
40
56
476
93
31
88
51
117
167
(40)
129
44
33

(46)


4,889
1,364
925


2,375
5,156
722
1,202
1,541
1,044
1,637
702
(1,525)
1,391
3,985
806


1,831
1,014
572
2,321
2,436
861
660
1,208


713
608
478
2,520
748
1,379
3,407
1,155
3,452
1,588
2,123
1,073
1,136


637
335
2,354
323
1,729
339
1,011
822


343
(883)
(679)
816
1,195


10,366
1,943
668
2,142
1,252
1,836
4,096
(727)
2,668
924
813

(723)


.5. _____ .5.


5,393
1,498
956


2,502
5,533
901
1,341
1,585
915
1,733
802
(1,600)
1,439
4,128
824


1,824
1,004
605
2,393
2,462
910
759
1,300


769
633
529
2,690
801
1,446
3,593
1,295
3,912
1,614
2,225
1,133
1,222


634
362
2,501
352
1,702
312
1,017
782


367
(995)
(835)
867
1,164
11,248
2,034
734
2,295
1,229
1,959
4,227
(676)
2,967
972
917

(705)


1960


*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.








Morbidity and Mortality Weekly Report


INTERNATIONAL NOTES

Influenza An influenza epidemic has been reported
since the beginning of April in Seoul, Republic of Korea,
and the surrounding areas. The results of serological
(hemagglutination inhibition) tests indicate that it is due
to a B virus (WHO, Weekly Epidemiological Record,
No. 19, May 12, 1961).

Meningococcal Meningitis The WHO telegraphic
report originating in Geneva, dated 5/21/61, reports that
Sudanese authorities have taken severe measures to arrest
a serious cerebro-spinal meningitis epidemic which is
spreading throughout the country. Precautions taken to
reduce person to person transmission include closing
schools, private institutions, theaters, public eating
establishments, sports events, etc. Current hot weather
seems to favor spread of the disease and increases mor-
tality. No statistics are available on the number of cases
involved.


NOTICE

Due to observance of Memorial Day on May 30, the report
for the week ending May 27 (Vol. 10, No. 21) will be
mailed on Friday, June 2, rather than Thursday, June 1.




FOR SOURCE AND NATURE OF MORBIDITY DATA SEE

LAST WEEK'S MORBIDITY AND MORTALITY WEEKLY

REPORT




D8NIVM S




SDEPOSITORY-
US DEPOSITORY"


HEPATITIS CASES BY AGE*
WEEK ENDING MAY 20, 1961


Under 20 Years Age Un-
State or Area 20 Years and Over specified Total
Maine 3 7 10
Vermont 0
Massachusetts 8 10 18
Rhode Island 2 6 8
Connecticut 5 5 10
Upstate New York 30 37 3 70
New York City 11 28 39
New Jersey 15 40 55
Pennsylvania 35 18 53
Indiana 26 16 5 47
Illinois 19 10 6 35
Michigan 27 19 49 95
Minnesota 11 8 2 21
Iowa 35 10 3 48
Missouri 31 14 45
North Dakota 2 2
South Dakota 0
Nebraska 6 1 9 16
Kansas 16 10 26
Maryland 12 4 16
District of Columbia 0
Virginia 18 10 28
West Virginia 27 12 2 41
North Carolina 31 4 35
South Carolina 4 2 4 10
Georgia 5 4 9
Florida 15 17 32
Kentucky 50 2 3 55
Tennessee 69 19 2 90
Alabama 31 9 40
Arkansas 12 10 22
Louisiana 19 10 29
Oklahoma 15 4 19
Texas 60 33 8 101
Montana 2 2 4
New Mexico 3 1 4
Utah 7 3 10
Nevada 0
Washington 3 13 6 22
Oregon 17 14 1 32
Alaska 2 1 4 7
Hawaii 3 3
* States not reporting age classification are not listed.


4




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