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:
AA00010654:00302

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






Morbidity a-, Mrelity |


PUBLIC HEALTH SERVICE

U.S. DEPARTMENT OF HEALTH, EDL ION, AND WELFARE

Prepugred te 1by11 DImSEaSE CENTE MElrose 4-5131

For release June 23, 1961 Atlanta 22, Georgia Vol. 10, 1:. .

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

Deaths in Selected Cities for Week Ended June 17, 1961


Poliomyelitis -The number of reported poliomyelitis
cases for the week ending June 17 continues at an ex-
tremely low level compared to corresponding weeks in
recent years. Eight cases, five paralytic, were reported
this week compared with 37 cases, 30 paralytic, for the
corresponding week in 1960, and 84 cases, 61 paralytic,
in 1959. This week's cases bring the total in 1961 through
June 17 to 202 cases, of which 131 are paralytic.
Hepatitis The current weekly total of 1,347 is 101
cases above last week's total. The significance of this
increase is uncertain although it probably represents
expected fluctuations in reporting. The States contributing
most to this increase include the West North Central


States of Minnesota, Iowa, Missouri, and Kansas plus
seven other States geographically scattered. A tabulation
of this week's hepatitis cases by age appears on page 8.
New Jersey and New York report persistent adult con-
centration of cases; California, Texas, Indiana, and
Washington also show a high proportion of adult hepatitis
cases.

EPIDEMIOLOGICAL REPORT
Epidemic Neuromyasthenia Greenville, Illinois
During the fall and winter, an extensive epidemic of
an illness described as unique to the area has been preva-
lent throughout the community of Greenville. Cases have


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

Disease 24th Week Cumulative
(Seventh Revision of International Approxl-
Lists, 1955) First 24 weeks Since seasonal low week mate
Ended Ended seasonal
JunE June Median Median low
Weekly incidence low or sporadic 17, 18, i6-C i Median i5- point
-- Data not available 19i 9-. .- r. to
S Quantity zero 1 ., 6
Anthrax------------------------062 3 10 *
Botulism------------------------049.1 4 3 *
Brucellosis undulantt fever)------044 II 11 20 256 3 5- 390 *
Diphtheria-------------------.---055 7 8 12 298 321 380 878 856 1,080 July 1
Encephalitis, infectious----------082 26 35 36 685 727 680 685 :21 6,0 Jan. 1
Hepatitis, infectious, and
serum----------------092,N998.5 pt. 1,347 599 266 .0,821 18,461 11,':'05 56,02, 26,0)7 16,361 Sept. 1
Malaria-------------------- 10-117 2 22 25 *
Measles-------------------...-----085 15,038 13,889 1:,469 30,.'71 351,790 398,06. 376,651 38-,.-b 3.3.;33 Sept. 1
Meningitis, aseptic-----------340 pt. 36 34 -- 643 671 --- 6;3 67i --- Jan. I
Meningococcal infections---------057 35 38 46 1,137 1,17 1,306 1,293 1, 'S 2,071 Sept. 1
Poliomyelitis--------------------.080 8 37 8. 202 387 732 99 171 39 Apr. 1
Paralytic---------------080.0,080.1 5 31 61 131 284 515 71 13, 307 Apr. 1
Nonparalytic------------------ 080.2 1 .4 1 39 66 1-3 1. 30 95 Apr. I
Unspecified------------------- 080.3 2 2 32 3; 74 1-. 11 37 Apr. 1
Psittacosis-------- ....-------.096.2 3 1 34 -3 *
Rabies in man--------------------094 2 *
Streptococcal sore throat,
including scarlet fever------050,051 3,9.0 !,79, --- 200,052 i8-,233 --- 29, ..--- Aug. I
Typhold fever------------------- 040 15 17 22 253 261 352 139 131 172 Apr. 1
Typhus fever, endemic------------101 1 30 A *
Rabies in animals --------------- 60 8 9 1,68 1,936 2,31. 2,260 2, 15 3,i09 Oct. 1


I


C",_








Morbidity and Mortality. Weekly Report


CURRENT U.S. POLIO INCIDENCE
compared with years less through 1960


/
I
i


DATA PROVIDED BY NATIONAL OFFICE OF VITAL STATISTICS
AND COMMUNICABLE DISEASE CENTER 56
S1956

\ / A
/\ \\ / -, I, qS,


The graph shows reported 1961 polio-
myelitis (paralytic and nonparalytic)
cases in the United States by week of
onset and compares current incidence
with the years 1956 through 1960.
A cumulative total of 202 cases, 131
paralytic, have been reported through
June 17.


0 7 114 21 28' 4 '1 18 25' 4 11 18 25 1I
Wk. ending- JAN FEB MAR


8 15 22 29' 6 '13 20 27' 3 10 17


APR


occurred predominantly among young and middle-aged
adults; school age children and the elderly have not been
affected in any significant degree. The number ill is not
specifically known, although at one point there were 100
of 700 in the college student body confined to their rooms
with symptoms. There were continually over a six months
period between three and six patients hospitalized locally,
and it is stated that each active physician averaged at
least five patients seen in his office daily with mani-
festation of the illness.
The illness is characterized by the sudden onset of
dizziness, headache, profound myalgia and weakness
without fever or nuchal rigidity. The headache is de-
scribed as not being of great severity but aggravated by
stimuli such as noise, light or activity. Dizziness, gen-
erally lasting only a few days, has been so severe in
some as to result in a total loss of balance. The myalgia
is described as migratory involving mainly the muscles
of the shoulder, calf and adductor muscles of the thigh.
Neurological findings have almost uniformly revealed
markedly exaggerated patellar and achilles tendon re-
flexes without positive Babinski reflexes. A transitory
foot drop was noted in many instances.
Described as a primary problem is the prolonged
duration of convalescence with a characteristic pattern
of improvement followed in a few days by the recurrence
of all symptoms. This has been relieved only with addi-
tional periods of restricted bedrest and supportive treat-
ment.


MAY JUN


A series of ten spinal fluid determinations have
revealed no abnormalities of sugar, protein, cell count
or pressure.
No definition of the incubation period or mode of
spread of the illness has been possible. Attempts to
isolate a possible virus from- five spinal fluid and six
stool specimens have not yet proved successful. Addi-
tional studies are in progress.
The clinical and epidemiological findings are con-
sistent with those described for the group of illnesses
termed epidemic neuromyasthenia. This is the first such
epidemic reported in this country in over two years.
(Submitted by Dr. Norman J. Rose, Bureau of Epidemi-
ology, Illinois Department of Health. Investigated by
Dr. Boyd McCracken and Dr. Horton E. Tarpley, Green-
ville; Dr. W. M. Talbert, Regional Health Officer, Spring-
field, and Dr. H. J. Shaughnessy, Director of Laboratories,
Illinois Department of Health.)



INTERNATIONAL NOTES
Influenza Philippines
A developing outbreak of influenza in the Philippines
is reported through the World Health Organization. The
outbreak commenced at the end of May; cases and sole
deaths are reported from Manila and from Cehu Island,
Central Philippines. Specimens have been collected for
virus identification.











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 JUNE 18, 1960 AND JUNE 17, 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 specifed by type) Nonparalytic aseptic lant
Area Cumulative, Cumulative, fever)
24th Week first 24 weeks 24th Week first 24 weeks 080.2 340 pt. 044


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

UNITED STAES--------- 8 37 202 387 5 31 131 284 1 4 36 11

NEW ENGLAND----------------- 5 3 20 5 3 20 1
Maine-------------------- 5 5 -
New Hampshire------------- -
Vermont--------------------- -
Massachusetts------------- 2 6 2 6-
Rhode Island--------------- 5 9 5 -
Connecticut--------------- 1 1 1
MDDLE ATANTIC-------------- 2 17 41 2 14 29 2 -
New York------------------- 1 7 33 1 6 22 2 -
New Jersey----------------- 5 6 4 6 -
Pennsylvania--------------- I 5 2 1 4 1 -
EAST rORTH CENTRAL----------- 1 5 24 45 1 5 16 18 4 2
Ohio----------------------- 1 1 9 20 1 1 5 6 -
Indiana-------------------- 3 2 -
Illinois------------------- 3 7 9 3 6 7 1 1
Michigan------------------ 1 2 13 1 2 4 2 1
Wisconsin------------------ 3 3 1 1 1 -
WEST NORTH CENTRAL----------- 3 10 21 2 5 12 1 3 4
Minnesota------------------ 2 3 10 2 3 8 3 1
Iowa----------------------- 2 4 1 3
Missouri------------------- 3 4 -
North Dakota------------- -
South Dakota-------------- -
Nebraska------------------- 2 2 --
Kansas--------------------- 1 2 -
SOUTH ATLANTIC--------------- 1 4 20 55 1 3 16 44 I 1 2
Delaware------------------- 2 -
Maryland------------------ -
District of Columbia------ -
Virginia----------------- 1
West Virginia-------------- 3 4 2 4 -
North Carolina------------- 4 16 3 16 -
South Carolina------------- 3 2 6 2 2 4 -
Georgia-------------------- 1 6 3 1 6 2 -
Florida-------------------- 1 3 25 1 2 18 1
EAST SOUTH CENTRAL----------- 2 1 20 14 6 11 8 1
Kentucky------------------- 1 1 15 8 2 5 7 -
Tennessee------------------ 2 1 1 1 1
Alabama------------------- 1 -
Mississippi---------------- 3 4 3 4 1
WEST SOUTH CENTRAL----------- 1 1 34 47 1 1 19 32 2 1
Arkansas------------------- 1 -
Louisiana----------------- 7 15 5 11 -
Oklahoma------------------- 3 3 2
Texas---------------------- 1 1 26 29 1 1 14 18 -
MOUNTAIN--------------------- 1 20 21 12 11 2
Montana-------------------- 1 9 1 5 1
Idaho---------------------- 4 4 1 1 -
Wyoming-------------------- -
Colorado------------------- 3 1 3 1 1
New Mexico----------------- 1 2 -
Arizona-------------------- 5 3 3 3 -
Utah----------------------- 6 1 4 1 -
Nevada--------------------- -
PACIFIC---------------------- 1 17 54 123 15 40 107 1 2 14
Washington----------------- 8 7 4 7 2
Oregon--------------------- 4 4 16 3 1 11 1 -
California----------------- 1 13 40 94 12 33 83 1 1 12
Alaska-------------------- 2 2 -- -
Hawaii-------------------- 2 4 2 4 -

Puerto Rico------------------ 36 4 214 35 4 210 -










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 JUNE 18, 1960 AND JUNE 17, 1961 Continued

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


Diphtherla 055 Hepatitis, infectious, and
Encephalitis, serum 092,N998.5 pt. Males
infectiousMeas
Area Cumulative, Cumulative,
24th Week first 24 weeks 082 24th Week first 24 weeks 085

1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 19E0


UNiD STATES-------- 7 8 298 321 26 35 1,347 599 40,821 18,461 15,038 13,889

E ENGIAND----------------- 4 8 1 3 58 13 1,132 558 1,967 1,668
Maine------------------ 2 8 69 36 118 52
New Hampshire------------ 1 2 70 20 40 18
Vermont------------------ 4 125 9 44 205
Massachusetts-------------- 4 5 2 26 6 394 280 1,106 1,011
Rhode Island------------- 1 1 1 11 2 158 106 183 103
Connecticut--------------- 8 3 316 107 476 279
MIDDLE ATLANTIC------- 1 1 15 9 3 6 178 51 5,873 1,912 3,323 1,780
New York------ -- -- 7 1 3 4 82 29 2,408 960 1,608 1,253
New Jersey--------- --- 1 2 42 3 1,457 157 725 359
Pennsylvania--------------- 1 1 8 7 54 19 2,008 795 990 168
EAST NORTH CETRAL--- 13 25 3 5 258 124 8,284 3,533 3,759 5,243
Chio----------------------- 1 14 73 55 2,921 1,160 1,087 469
Indiana----------------- 1 4 2 30 4 1,372 445 125 424
Illinois------------------ 10 3 1 1 43 35 1,384 744 294 832
Michigan----------------- 1 3 2 2 105 30 2,401 1,028 1,337 1,369
Wisconsin------------------ 1 7 206 156 916 2,149
WEST NORT CENTRAL------ 1 24 18 2 2 165 24 4,166 f,448 246 279
Mfnnesota-------------.---- 13 5 45 3 940 146 9 90
Iowa----------------------. 1 2 2 41 3 1,194 247 118 95
Missouri------------------ 2 33 9 933 533 53 36
North Dakota-------------- 2 1 6 1 87 113 55 47
South Dakota--------------- 6 5 1 1 123 114 -
Nebraska---------------- 2 1 1 10 5 411 143 11 11
Kansas--------------------- 1 2 29 3 478 152 NN NN
SOUTH ATANTIC------------- 3 3 60 73 2 5 188' 69 4,992 2,186 1,379 712
Delaware--------_------ 2 7 126 125 27 9
Maryland------------------- 1 1 1 5 7 432 221 152 75
District of Columbia----- 2 1 3 55 15 7 22
Virginia------------------ 12 8 41 17 720 447 472 204
West Virginia-------------- 1 2 20 11 1,030 422 378 179
North Carolina------------- 7 2 1 1 25 10 1,084 166 115 44
South Carolina------- 1 2 18 11 .2 283 41 50 26
Georgia--------.---------- 2 12 17 34 1 507 157 5 2
Florida---------------- 2 1 23 25 3 47 14 755 592 173 151
EAST SOUTH CENTRAL---- -- 12 38 2 166 81 6,375 2,825 830 884
Kentucky ------------ 3 1 2 62 23 1,885 1,135 252 292
Tennessee--------------- 2 5 56 26 2,609 915 527 500
Alabama------------------. 5 20 35 22 1,048 578 37 63
Mississippi------------- 2 12 13 10 833 197 14 29
WEST SOUTH CETRAL------- 3 2 160 118 2 2 88 57 2,951 1,516 447 823
Arkansas------------------ 3 2 11 2 579 69 17 1
Louisiana--------------- 1 15 26 5 8 289 64 1 4
Oklahoma----------------- 3 6 1 10 218 215 63
Texas------------- 2 2 139 84 2 2 71 37 1,865 1,168 429 755
MOUNTAIN-------------- 1 7 31 1 73 37 2,596 1,544 601 700
Montana----------------- 2 2 8 247 60 39 55
Idaho------------------- 11 5 9 156 196 56 54
Wyoming------------------- 5 4 96 12 25 2
Colorado------------------- 4 3 25 13 905 528 214 320
New Mexico--------------- 1 4 1 5 4 297 228 NN -
Arizona----------------- 3 14 5 371 356 240 142
Utah--------------------- 3 11 6 444 144 26 120
Nevada--------------------- 1 80 20 1 7
PACIFIC-------- --. --------- 3 1 13 9 173 143 4,452 2,939 2,486 1,800
Washington---------------- 1 15 19 567 356 260 345
Oregon..---------. ------- 1 27 18 758 519 208 351
California---------------- 11 9 130 96 2,952 1,881 2,009 977
Alaska-- ---------------- 3 1 10 140 131 5 78
Hawaii--------------- 1 35 52 4 49

Puerto Rico------------ -- 1 1 37 89 29 8 458 412 23 23

NN-Not No:ifable











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 JUNE 18, 1960 AND JUNE 17, 1961 Continued

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

Strepto-
engoccoca P ta- coccal Typhoid fever 040 Typhus
Malaria infection cosis sore fever, a
infections cosis throat endemic Rabies in
throat, endemic animals
Area etc. Cumulative,
110-117 057 096.2 050,051 24th Week first 24 weeks 101

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

UNISD STAES--------- 35 38 3 3,940 15 17 253 261 60 80

W ENGIAD--...-----------. 3 1 305 6 4 -
Maine--------------------- 20 1 1
New Hampshire-------.------- 5 -
Vermont------------------. 5 -
Massachusetts------------. 2 98 1 2
Rhode Island----------- 18 1 -
Connecticut--------------- 1 1 159 3 1 --
MIDDIE AT~ TIC----------- 8 5 1 460 1 27 14 8
New York------------------ 5 3 306 11 11 8
New Jersey----------------- 1 66 1 6 -
Pennsylvania--------------- 3 1 1 88 10 3 -
EAST NORH C TRAL ---------- 6 10 575 2 2 33 31 6 8
Ohio---------------------- 4 3 80 2 1 11 5 2 -
Indiana---...-------.... --- 65 5 9 2 3
Illinois-----------------. 1 70 1 15 8 1 3
Michigan---------------- -- 1 4 229 1 5 1 1
Wisconsin----------------- 1 2 131 1 4 1
WEST NORTH CENTRAL----------- 90 1 2 18 16 20 21
Minnesota----------------- 4 5 1 1 3
Iowa----------------------- 20 1 7 5
Missouri------------------- 5 1 2 9 13 9 8
North Dakota--------------- 31 -
South Dakota------------ 1 1 3
Nebraska------------------ 5
Kansas--------------------- 30 2 -
SOUTH ATLANTIC------------- 3 11 322 1 4 40 35 6 5
Delaware---------------- 1 3 -
Maryland------------------- 8
District of Columbia------- 4 6 1 -
Virginia------.-----------. 2 53 1 1 5 4 4
West Virginia-------------. 88 1 4 2 1
North Carolina-----------. 1 3 14 6 7 1 -
South Carolina------------- 1 18 2 6 -
Georgia------------------- 1 15 7 -
Florida-------------------- 1 5 134 1 1 6 7 1
EAST SOi CETRAL---------. 2 5 755 3 27 43 6 17
Kentucky ----------- --- 1 2 68 1 6 12 9
Tennessee ------------- .. 1 2 663 2 19 22 5 7
Alabama----------------- 1 2 6 1 1
Mississippi---------------- 23 3 -
WEST SOUTH CE AL ------- 4 2 1 64 7 6 51 82 14 20
Arkansas-------------------. 1 2 2 6 18 12
Louisiana---------------- 2 1 1 5 5 24 1 -
Oklahoma----------------. 2 5 5 -
Texas----------------------. 1 1 1 59 5 1 35 35 13 8
MOUNTAIN----------------.---. 2 1 1 942 2 23 17 2 -
Montana.------------------ 15 3 5 -
Idaho---------------------- 69 -
Wyoming----------------- 1 1 2 -
Colorado------------------- 1 282 5 -
New Mexico---------.------- 278 1 6 4 1
Arizona--------------.----- 1 213 1 5 6 1
Utah----------------------- 84 2 -
Nevada-------------------- 1 1 1 -
PACIFIC-..------------------- 7 3 427 1 28 19 6 1
Washington----------------- 1 106 3 1 -
Oregon-------------------... 19 -
California----....... ------ 6 3 286 1 25 18 6 1
Alaska-- --------- 15 -
Hawaii--------------- -

Puerto Rico----------------- 8 16 2 -







Morbidity and Mortality Weekly Report


NUMBER OF DEATHS IN SELECTED CITIES


JUL AUG


SEP OCT


NOV DEC JAN FEB MAR APR MAY JUN
1960 1961


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 arentheses in table 4)

24th 23rd Percent Cumulaive first 24 weeks
week week Adjusted change,
ended ended average, adjusted
Area June June 24th average
17 10n week to 1961 190 Percent
17,961 196 1956-60 current change
1961 1961
week

TOTAL, 117 REPORTING CITIES---------------------- 11,27 11,485 10,925 +2.9 282,992 291,415 -2.9

New England---------------------------------(14 cities) 727* 712 647 +12.4 17,522 18,308 -4.3
Middle Atlantic-----------------------------(20 cities) 3,164 3,175 3,007 +5.2 81,174 80,510 +0.8
East North Central--------------------------(21 cities) 2,529 2,596 2,340 +8.1 60,509 62,562 -3.3
West North Central--------------------------(9 cities) 731* 777 784 -6.8 19,046 20,334 -6.3
South Atlantic--------------------------(---(1 cities) 1,014 975 924 +9.7 24,364 25,398 -4.1
East South Central---------------------------(8 cities) 470 517 483 -2.7 12,856 13,356 -3.7
West South Central--------------------------(13 cities) 910 956 1,000 -9.0 24,068 25,625 -6.1
Mountain-----------------------------------(8 cities) 303 353 348 -12.9 8,880 9,067 -2.1
Pacific------------------------------------(I3 cities) 1,399* 1,24 1,392 +0.5 34,573 36,255 -4.6

*Includes estimate for missing reports.









Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


Area


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

MIDDIE 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, 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.-------------
Rockford, Ill.-----------
South Bend, Ind.--------
Toledo, Ohio-------------
Youngstown, Ohio--------

WEST NORTH CETRAL:
Des Moines, Iowa--------
Duluth, Minn.------------
Kansas City, Kans.------
Kansas City, Mo.---------
Lincoln, Nebr.---------
Minneapolis, Minn.-------
Omaha, Nebr.------------


24th
week
ended
June
17,
1961



220
48
23
28*
42
38
14
27
51
80
12
57
25
62


36
30
143
42
28
38
71
90
1,605
50
464
226
32
97
24
31
59
49
24
25


60
32
761
159
219
97
79
362
33
51
26
24
55
139
48
122
36
27
31
101
67


52
21
31

(26)
81
62


23rd
week
ended
June
10,
1961


245
36
23
32
41
30
25
25
41
71
15
44
32
52


39
34
170
56
40
39
54
99
1,621
56
458
159
27
88
22
31
74
47
39
22


77
48
760
164
201
118
68
375
37
40
32
31
53
150
44
132
33
35
26
106
66


58
26
42
131
(21)
118
70


Cumulative,
first 24 weeks


1961


5,971 6,403
936 1,057
733 786
671 734
1,169 1,174
613 602
559 618
655 622
1,159 1,113
1,535 1,617
324 361
1,134 1,163
679 695
1,384 1,363


1,125 1,100
853 907
3,621 3,697
1,066 1,094
725 724
958 960
1,737 1,777
2,537' 2,430
41,561 40,928
980 982
12,676 12,316
4,731 4,863
553 605
2,453 2,498
597 595
872 962
1,506 1,561
1,124 1,049
714 695
785 767


1,390 1,407
782 869
18,332 19,186
3,855 3,950
5,047 5,376
2,771 3,007
1,988 1,782
8,277 8,615
902 918
1,071 990
947 926
738 787
1,111 1,047
3,579 3,682
801 810
3,015 3,133
721 731
698 720
699 720
2,392 2,510
1,393 1,396


1,281 1,406
615 652
921 876
3,108 3,243
(672 (6351
2,953 3,085
1,656 1,863


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.---
Tampa, Fla.-------------
Washington, D.C.--------
Wilmington, Del.-------

EAST SOUTH CENTRAL:
Jirmingham, 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.-------------


24th
week
ended
June
17,
1961


263
60
44


91
236
38
72
87
59
66
34
(66)
74
216
41


89
47
24
107
96
31
19
57


33
15
15
120
27
64
168
61
174
51
96
47
39


28
14
101
15
71
17
40
17


19
(41)
(31)
39
56
481
90
31
107
68
113
191
(25)
125
38
41

(22)


23rd
week
ended
June
10,
1961


210
72
50


118
274
38
48
55
45
89
24
(61)
65
181
38


80
40
30
107
126
37
38
59


44
16
28
137
40
46
143
63
151
75
99
48
66


25
20
111
11
89
16
49
32


19
(52)
(34)
30
53
492
82
37
119
66
79
228
(34)
142
46
31

(32)


Cumulative,
first 24 weeks


1961 1960


5,786
1,626
1,100


2,815
6,102
869
1,426
1,840
1,226
1,946
813
(1,779)
1,641
4,742
944


2,134
1,185
681
2,787
2,868
1,006
770
1,425


845
694
563
3,029
877
1,613
4,024
1,365
4,093
1,851
2,516
1,260
1,338


743
398
2,762
383
2,038
409
1,199
948


414
(1,070)
(807)
968
1,400
12,276
2,309
817
2,591
1,496
2,189
4,832
(849)
3,204
1,100
977

(865)


I _____ I ______ I A ________


*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.


6,293
1,785
1,131


2,949
6,484
1,024
1,580
1,841
1,034
2,005
915
(1,867)
1,708
4,894
964


2,183
1,185
741
2,883
2,887
1,065
896
1,516


893
733
615
3,162
950
1,701
4,247
1,488
4,627
1,876
2,581
1,351
1,401


744
418
2,989
428
1,965
382
1,217
924


420
(1,149)
(954)
1,032
1,366
12,977
2,425
865
2,740
1,444
2,249
5,005
(832)
3,508
1,154
1,070

(845)




UNIVERSITY OF FLORIDA


3 1262 08864 0213


Morbidity and Mortality Weekly Report


HEPATITIS CASES BY AGE
WEEK ENDING JUNE 17, 1961


State or Area


NEW ENGLAND
Maine
New Hampshire
Vermont
Massachusetts
Rhode Island
Connecticut
MIDDLE ATLANTIC
New York City
New York
New Jersey
Pennsylvania
EAST NORTH CENTRAL
Ohio
Indiana
Illinois
Michigan
Wisconsin
WEST NORTH CENTRAL
Minnesota
Iowa
Missouri
North Dakota
South Dakota
Nebraska
Kansas
SOUTH ATLANTIC
Delaware
Maryland
District of Columbia
Virginia
West Virginia
North Carolina
South Carolina
Georgia
Florida
EAST SOUTH CENTRAL
Kentucky
Tennessee
Alabama
Mississippi
WEST SOUTH CENTRAL
Arkansas
Louisiana
Oklahoma
Texas
MOUNTAIN
Montana
Idaho
Wyoming
Colorado
New Mexico
Arizona
Utah
Nevada
PACIFIC
Washington
Oregon
California
Alaska
Hawaii
UNITED STATES
Puerto Rico


[


20 Years Age Un-
and Over specified Total


Under
20 Years

34
5

1
20
4
4
76
6
28
11
31
118
48
12
14
44

96
27
23
24
2

2
18
109

2
3
27
14
16

20
27
133
58
43
32

40
8
2

30
18
5

3
1
3

6

66
2
12
52


690


18
3
1
3
6
1
4
102
20
28
31
23
74
22
18
7
27

61
17
18
9
4

2
11
61

3

14
6
9
1
12
16
18
2
13
3

44
3
3
1
37
13
3

1
2
2

5

97
8
13
75

1
488


6




6

-




66
3

22
34
7
8
1



1
6

18
2





140
2
4
15
2
" \

13
4



4
42

5
-
22

14


10
5
2
3


169
29


58
8
1
4
26
11
8
178
26
56
42
54
258
73
30
43
105
7
165
45
41
33
6
1
10
29
188
2
5
3
41
20
25
11
34
47
166
62
56
35
13
88
11
5
1
71
73
8
5
4
25
5
14
11
1
173
15
27
130
0
1
1,347
29


a







t4 "a
C:ir Q


L cofwi "

I d


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.


NIV. OF FL LI-
D8CUM NTS DEPT.






S U S DEPOSITORY






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g 5 Sx
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