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

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:
statistics   ( marcgt )
federal government publication   ( marcgt )

Notes

Additional Physical Form:
Also issued online.
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.
Statement of Responsibility:
Federal Security Agency, Public Health Service, National Office of Vital Statistics.

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:
AA00010654:00305

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





Morb:


and Mortality *


I


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

Prepared by Ith'bC MElrose 4-5131

For release July 14, 1961 Atlanta 22, Georgia Vol. 10, No. 27

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

Deaths in Selected Cities for Week Ended July 8, 1961


Poliomyelitis The total number of cases reported
for the week ended July 8 was only 10 of which 7 were
paralytic. Thus, the incidence of poliomyelitis continues
at a remarkably low level throughout the United States
(See graph on page 2). The figures for comparable weeks
in 1960 were 49 total cases, 39 paralytic; in 1959, 177
and 111; and in 1958, 104 and 56, respectively.
Tennessee, the only State to report more than one
case, had three cases with one each occurring in the
counties of Madison, Carroll and Hamilton. Only the
Hamilton County (Chattanooga) case, paralytic, had a
recent onset; the other two represent delayed reports.
Single cases occurred in Missouri, Maryland, West Vir-
ginia, Texas, Montana, Utah and California. No new


cases have been the Atlanta metropolitan
area.
Last w summaryy ca e report of a focal
concentrate cases, five paral ,'in the Bradenton-
Manatee C Florida, area. Fur Jppraisal of these
cases rev nl>Jliee t0 d pa Two of these
cases had e s in April and on i late June. A sig-
nificant ris \ir er of Type III tib ies was found in
one of the A Tca s a Tpe'o virus was isolated
from the June c .

Hepatitis A total of 1,011 cases of hepatitis were
reported this week, approximately the same number as
reported last week. An unusual proportion of cases over


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

Disease 27th Week Cumulative
(Seventh Revision of Internatinal Approxi-
Lilet, 1955) First 27 weeks Since seasonal low week mate
Ended Ended seasonal
July July Median Median low
Weekly incidence low or sporadic 8, 9, 1956-6 Median 195-56 point
-- Data not available 1961 1960 1961 196c 1956-6C 1965-61 19,9-60 to
Quantity zero 1 99- 6
Anthrax--- --------.. -062 3 10 *
Botulism-------------------- 049.1 4 6 *
Brucellosis undulantt fever) ---04 8 10 15 289 431 425 *
Diphtheria-------------.. -------055 5 8 8 314 337 402 5 8 8 July I
Enoephalliti, infectioue-------082 17 38 33 764 833 791 764 833 791 Jan. I
Hepatitis, infectious, and
ser-m----------------092,1998.5 pt. 1,011 513 275 44,074 20,223 11,887 59,281 27,790 17 ,77 Sept. 1
Mslaria--------------------110-117 2 25 28 *
Mesales.------------------,---- 0.85 6,087 6,693 6,693 365,687 377,704 425,067 401,897 410,416 461,736 Sept. 1
Maningitis, aseptic ---- -- 0 pt. 29 65 -" 734 819 -- 734 819 -- Jan. 1
Meningococcal infectioncs------- 057 17 42 35 1,228 1,303 1,404 1,884 2,033 2,197 Sept. 1
Poli Orelits --------------------080 10 49 154 251 518 1,199 148 302 906 Apr. 1
Paralytic -------------00.0,080.1 7 39 50 157 385 801 97 231 593 Apr. 1
Ionparalytic-------. ---080.2 1 10 88 55 95 270 30 59 222 Apr. 1
Unspecified--- ---------.. 080.3 2 16 39 38 128 21 12 91 Apr. 1
Psittacosis ------------- -096.2 2 40 55 *
bies in man----------------094 3 *
Streptococcal sore throat,
including scarlet fever----050,051 2,767 3,424 -- 210,634 198,065 --- 8,286 --- --- Aug. 1
Typhoid fever-------------------00 19 29 26 311 356 410 197 224 230 Apr. 1
'Tphus fever, endemic------------101 3 4 20 42 *
fables in animale---------------- 77 65 66 1,901 2,110 2,569 2,477 3,083 3,351 Oct. I








Morbidity and Mortality Weekly Report


CURRENT U.S. POLIO INCIDENCE
COMPARED WITH YEARS 1955-1960; APRIL-AUGUST, BY WEEK


WK. ENDING APR. MAY JUN. JUL. AUG.


the age of 20 continues in the Middle Atlantic States and
is apparent also this week in the Pacific States of Cali-
fornia, Oregon and Washington where of 111 of known age,
73 (66%) are over the age of 20.


EPIDEMIOLOGICAL REPORTS

Food-borne Staph Enterotoxin Outbreaks
Twenty-two outbreaks of gastroenteritis presumed
due to staphylococcus enterotoxin are summarized on
page 8. A total of 26 such outbreaks have been reported
thus far this year from 12 States. (See MMWR, Vol. 10,
No. 12.) The principle vehicles involved have included
sandwich preparations, casseroles, and the familiar
cream-filled bakery products.
The presumed place of contamination of 11 of the 26
outbreaks have been in restaurants or commercial kitch-
ens, six in homes, three in bakeries, and three in prod-
ucts commercially prepared. The commercially prepared
products thought to have been involved were weiners,
canned tuna fish and chocolate popsicles.
Although the number reported to have been ill is over
600, it is probable that the actual number considerably
exceeds this, for in several of the outbreaks only a small


number of cases involving a restaurant or commercial
source were known or investigated; the number having
eaten the suspect food was many times this number.


Staphylococcal Food Poisoning Minnesota
An outbreak of staphylococcal gastroenteritis occur-
ring during April in a school in Minnesota was reported
by Dr. D. S. Fleming, Director, Division of Disease Pre-
vention and Control, Minnesota Department of Health.
A total of eighty persons including grade school and high
school students, teachers and custodians, became ill
2-4 hours after eating the suspect meal. Symptoms con-
sisted of abrupt onset of nausea, vomiting and abdominal
discomfort. Recovery was rapid and hospitalization was
required in only two cases. The illness appeared most
severe in the younger children. Common to all reporting
illness was the ingestion of ham salad sandwiches. On
direct examination paired gram-positive cocci were demon-
strated in the ham salad and on culture of hemolytic
coagulase-positive Staphylococcus aureus was found. It
was subsequently determined that during preparation of
the ham salad, the refrigerator had not been functioning
properly thus providing overnight incubation for any
organisms present.









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 JULY 9, 1960 AND JULY 8, 1961

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


Poliomyelitis 080 Brucel-
SMenin- loss
Total Paralytic 080.0,080.1 gitis, (undu-
(Includes cases not specified by type) Nonparalytic. aseptic lant
Area Cumulative, Cumulative, fever)
27th Week first 27 weeks 27th Week fI rst 27 weeks 080.2 340 pt. 044

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

UNIED STATES------- 10 49 251 518 7 39 157 385 1 10 29 8

NEW ENGAD------------------ 12 3 45 10 3 41 2 -
Maine---------------------- 6 -
New Hampshire-------------- -
Vermont------------------- -
Massachusetts-------------- 2 6 2 6 -
Rhode Island--------------- 12 33 10 29 2 -
Connecticut---------------- 1 -
MIDDLE ATLANTIC-------------- 3 18 48 3 14 35 1 1
New York------------------- 2 8 37 2 6 26 1 -
New Jersey----------------- 5 6 4 6 -
Pennsylvania--------------- 1 5 5 1 4 3 1
EAST NORTH CENTRAL----------- 1 27 54 1 18 23 1 -
Ohio---------------------- 11 21 6 7 1 -
Indiana-------------------- 3 1 2 -
Illinois------------------- 7 14 6 10 -
Michigan------------------ 1 3 15 1 3 5 -
Wisconsin------------------ 3 3 1 1 -
WEST NORTH CENTRAL------- 1 1 14 28 1 1 7 15 2 5
Minnesota------------------ 1 3 14 1 3 11 1 -
Iowa- ---------------------- 2 7 1 2
Missouri------------------- 1 7 4 1 2 3 1 -
North Dakota---------------- -
South Dakota-------------- 1 -
Nebraska------------------- 2 -
Kansas--------------------- 2 3
SOUTH ATLANTIC-------------- 2 5 39 68 2 5 26 56 4 1
Delaware------------------ 2 1 -
Maryland------------------- 1 1 1 1 1 -
District of Columbia----- -
Virginia------------------- 1 1 1 1
West Virginia-------------- 1 1 5 7 1 1 3 7 -
North Carolina------------- 4 18 3 17 -
South Carolina------------- 2 4 9 2 4 7 2 -
Georgia------------------- 14 4 8 3 -
Florida-------------------- 2 8 29 2 5 22 1 -
EAST SOUTH CENTRAL------ 3 3 26 18 1 3 9 15 1 5 -
Kentucky--------------- 16 8 2 5 -
Tennessee------------------ 3 1 5 2 1 1 2 2 1 1 -
Alabama.-------------------- 1 1 2 1 1 2 -
Mississippi------------ --- 1 4 6 1 4 6 4 -
WEST SOUTH CENTRAL----------- 1 9 41 67 1 3 24 41 6 2 -
Arkansas------------------- 1 2 2 1 1 -
Louisiana---------------- 4 11 22 2 8 16 2 -
Oklahoma------------------- 3 3 -
Texas---------------------- 1 4 28 40 1 16 21 4 2
MOUNTAIN-------------------- 2 22 23 1 13 13 2
Montana------------------ 1 2 10 1 2 6 -
Idaho-------------------- 4 4 1 1 -
Wyoming------------------- -
Colorado------------------- 3 2 3 2 2
New Mexico------------------ 2 -
Arizona ------------------- 5 3 3 3 -
Utah --------------------- 1 7 1 4 1 -
Nevada--------------------- -
PACIFIC---------------------- 1 15 61 167 1 13 43 146 2 12 1
Washington----------------- 9 7 5 7 -
Oregon--------------------- 7 16 1 11 -
California----------------- 1 15 43 138 1 13 35 122 2 12 1
Alaska------------------- 2 2 -
Hawaii-------------------- 2 4 2 4 -

Puerto Rico------------------ 25 4 293 25 4 286 -









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 JULY 9. 1960 AND JULY 8. 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.
infectious Measles
Area Cumulative, Cumulative,
27th Week first 27 weeks 082 27th Week first 27 weeks 085

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


UNITED STATES-------- 5 8 314 337 17 38 1,011 513 44,074 20,223 6,087 6,693

BW ENGLAN----------- 5 10 1 1 25 15 1,208 610 771 618
Maine----------------- 2 1 2 69 44 92 52
New Hampshire------------- 1 74 20 11 4
Vermont------------------- 8 141 9 75 113
Massachusetts------------- 4 7 1 10 6 430 304 458 317
Rhode Island------------- I 6 5 168 118 52 32
Connecticut---------------- 1 2 326 115 83 100
MIDD AT TIC------------- T- 16 10 2 7 92 47 6,327 2,140 1,530 1,100
New York-------- 7 2 4 36 34 2,601 1,081 863 809
New Jersey----------- 1 1 28 2 1,553 164 405 235
Pennsylvania--------------- 9 7 2 2 28 11 2,173 895 262 56
EAST NORTH TAL------ 3 13 28 1 189 72 8,911 3,838 1,397 2,444
Ohio-------------- ------ 1 14 38 23 3,066 1,261 180 213
Indiana---------------- 1 4 16 4 1,452 461 30 205
Illinois---------------- 10 3 23 9 1,499 793 142 202
Michigan---------------- 3 1 6 108 35 2,679 1,162 602 752
Wisconsin----------------- 1 1 4 1 215 161 443 1,072
EST NORTH CENTRAL------ 26 18 1 2 111 20 4,497 1,540 204 132
Mfnnesota----------------- 15 5 9 1 1,006 161 8 9
Iowa----------------------- 1 2 1 54 6 1,302 269 100 41
Missouri----------------- 2 21 8 998 571 51 29
North Dakota------------- 2 1 1 7 3 106 120 38 51
South Dakota--------------- 6 5 1 124 117 1
Nebraska----------------- 2 1 1 18 1 466 145 6 2
Kansas---------------- 2 2 495 157 NN 1N
SOUTH ATLANTIC-------- 4 61 79 3 216 83 5,463 2,433 612 389
Delaware------ --- 3 4 139 149 9 9
Maryland ---------------- 1 1 37 6 527 236 41 36
District of Columbia----- 2 2 1 62 20 11 12
Virginia----------------. 12 9 1 120 23 873 495 285 129
West Virginia-------------. 2 1 4 15 14 1,076 470 133 79
North Carolina----------- 7 2 11 17 1,147 199 23 3
South Carolina---- --- 1 2 20 6 1 296 43 37 20
Georgia-------------- 13 17 6 518 169 10
Florida---------------- 1 23 26 2 22 11 825 652 73 91
EAST SOUTH CENTRAL------- 3 15 39 2 3 134 61 6,822 3,034 347 438
Kentucky------------------ 3 1 1 44 20 2,031 1,186 34 108
Tennessee------------------ 2 6 36 17 2,746 987 251 282
Alabama-------------------- 5 20 -41 18 1,161 '642 33 35
MississippL---------------- 3 5 12 2 2 13 6 884 219 29 13
WEST SOUTH CENTRAL---------- 2 166 120 2 4 70 68 3,182 1,672 232 298
Arkansas------------------ 3 2 19 2 619 73 2 1
Louisiana------------------ 1 18 28 8 7 320 78 1
Oklahoma------------------- 3 6 1 1 2 20 229 238 2 18
Texas------------------ 1 142 84 1 3 41 39 2,014 1,283 228 278
MOUNTAIN------------------- 1 7 32 2 52 41 2,782 1,663 341 411
Montana-------------------- 2 2 8 4 263 65 64 28
Idaho---------------------- 11 1 2 177 208 28 25
Wyoming-------------------- 5 1 2 108 15 1 2
Colorado------------------- 4 3 1 12 20 956 589 128 175
New Mexico----------------- 4 5 3 313 234 Nm
Arizona------------------- 3 1 17 8 421 385 102 118
Utah----------------------- 1 4 8 2 463 147 14 59
Nevada------------------- 1 81 20 4 4
PACIFIC--------------------- 5 1 9 15 122 106 4,882 3,293 653 863
Washington---------------- 15 8 608 392 35 59
Oregon--------------------- 14 9 819 566 109 289
California----------------- I 9 15 92 87 3,275 2,146 497 483
Alaska-------------------- 4 1 1 2 144 135 3 28
Haval-------------------- 36 54 9 4

Puerto Rico ---------- 2 40 91 25 8 545 440 17 48

NI-NOE 0tlwriable









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 JULY 9, 1960 AND JULY 8, 1961 Continued

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

Strepto-
enigoccoc Ptt coccal yphoid fever 040 Typhus
Malaria Menigoccocal Paitta- sore fever,
alar infections cosis tsore fever, Rabies in
throat, endeic animals
Area etc. Cumulative,
110-117 057 096.2 050,051 27th Week first 27 weeks 101

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

UNIE S-TES .-- --.. 17 42 2 2,767 19 29 311 356 3 77 65

EWNGLAND------------------ 5 157 1 7 5 -
Maine-------------------- 7 1 2 -
New Hampshire------------ 4 -
Ve ont-------------------- 13 -
Maesachusetts------------- 3 38 1 2 2 -
Rhode Island-------------- 1 22 -
Connecticut--------------- 1 73 3 1 -
MIDDIE ALATIC------------ 2 10 160 5 36 21 2 16
New York------------------- 1 4 128 5 19 18 2 16
New Jersey----------------- 1 22 7 -
ennsylvania------------- 1 5 10 10 3 -
EAST NORTH CNTRAL-------- 3 8 1 199 3 3 40 37 10 8
hio--------------------- 1 1 40 1 1 13 6 1 2
Indiana-------------------- I 34 1 6 11 4 4
Illinois------------------- -- 1 2 1 41 2 1 19 10 5 2
Michigan---------------- 1 4 26 1 6 -
Wisconsin------------------ 58 1 4 -
WBST N M CaNTRAL----------- 2 75 1 2 23 21 27 22
Minnesota----------------- 2 5 1 1 -
Iowa----------------------- 18 1 1 3 15 3
Missouri------------------- 1 5 1 12 14 10 7
North Dakota----------- 1 50 1 1 3
South Dakota--------------- 2 1 7
Nebraska------------------ 1 1 1 2
Kansas-------------------- 2 -
SOUn ATIANTIC ------------- 2 8 235 1 9 47 53 6 6
Delaware------------------- 1 1 -
Maryland------------------- 1 1 2 1 1 -
District of Columbia------- 1 6 4 -
Virginla------------------- 1 1 65 7 1 12 3 4
West Virginia------------- 42 4 2 3 2
North Carolina----------- 3 7 8 -
South Carolina---------- 21 1 2 8 -
Georgia-------------------- 1 1 18 10 -
Florida----------------- 2 104 7 8 -
EAST SOUTH ENTRAL------- 1 1 586 1 2 33 52 4 5
Kentucky----------- 1 44 6 13 1 1
Tennessee---------------- 473 1 1 23 25 3 3
Alabama------------------ 1 26 3 9 1
Mississippi--------------- -- 43 1 1 5 -
WEST SOUTH CENTRAL-------- 2 2 495 7 3 67 119 3 22 7
Arkansas------------------ 1 2 1 9 22 1 7 3
Louisiana-------------- 1 1 3 2 5 48 1
Oklahoma-------------- 1 3 8 5 -
Texas------------------- 1 1 490 2 45 44 2 15 3
MOUNTMIN-------------- -- 606 2 1 26 18 1 -
Montaa ------------------ 137 3 5 -
Idaho-------------------- 62 -
Wyoming----------------- 1 2 -
Colorado------------------- 255 5 -
New Mexico---------------- 1 1 7 5 -1 -
Arizona---------------- 109 5 6 -
Utah----------------------- 39 2 --
Nevada-------------------- 4 1 3 -
PACIFIC-------------------- 7 6 1 254 3 4 32 30 5 1
Washington---------------- 2 36 2 5 1 -
Oregon----------------- 20 6 -
California------------- 5 6 1 197 1 4 27 23 5 1
Alaska ---------- 1 -
Havaii- ------ --- -- -. .

Puerto Rico------------ 11 10 16








i hMorbidity and Mortality Weekly Report


NUMBER OF DEATHS IN


JUN JUL AUG SEP OCT NOV DEC


The charr 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

(My placeof occurrence and veekof filing certificate. Excludes fetal deaths. Data exclude figures shownin parentheses in table 4)

27h 2k thted cen Cumulative, first 27 weeks
week week Adjusted change,
Aa ended ended average, adjusted
a July July 27th average
8 1I week to 1961 1960 Percent
19 1 1961 i956-60 current change
week

TOTAL, 117 REPORTIm O CITIES---------------------. 10,700 11,071 10,737 -0.3 315,678 323,182 -2.3

New England--------------------------------(14 cities) 651* 656 638 +2.0 19,505 20,339 -4.1
Middle Atlantic----------------------------(20 cities) 3,094 2,985 2,929 +5.6 90,262 89,426 +0.9
East North Central-- ---. -----------------(21 cities) 2,486 2,354 2,296 +8.3 67,645 69,362 -2.5
West North Central--------------------------(9 cities) 752* 698 761 -1.2 21,309 22,526 -5.4
South Atlantic---------------------.------- (U cities) 863 979 913 -5.5 27,136 28,125 -3.5
East South Central------------------------- ( cities) 413 531 488 -15.4 14,277 14,677 -2.7
West South Central--------------------------(15 cities) 814 988 1,005 -19.0 26,761 28,462 -6.0
Mountain-------------------------------- (8 cities) 369 413 346 +6.6 10,025 10,084 -0.6
Pacific-------------------------------------(1 cities) 1,258 1,467 1,361 -7.6 38,758 40,181 -3.5

*Includes estimate for missing reports.


15,000


JAN FEB MAR APR MAY










Morbidity and Mortality Weekly Report 7

Table 4. DEATHS IN SELECTED CITIES

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

27th 26th Cuatve, 27th 26th Culati
week week week week first 27 weeks
ndad first 27 weeksi first 27 weeks
ended ended flrs 27 eks ended ended
Area July July July July
S8, 1 8 1,
19E1 1961 196 1 9601960 196 1961 1961 1960
1 1 8" 1


NEW ENGLAND:
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.---------

KIIDE ATIANTIC:
Albany, N.Y.---------
Alletown, 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.-----
Heading, Pa.---------
Rochester, N.Y.---------
Schenectady, N.Y.--------
Scranton, Pa.-----------
Syracuse, N.Y.----------
Trenton, N.J.-----------
Utica, N.Y.------------
Yonkers, N.Y.-----------

EAST NORTH CENTRAL:
Akron, Ohio--------------
Canton, Chio-------------
Chicago, Il.-----------
Cincinnati, Ohio--------
Cleveland, Chio---------
Columbus, Ohio-----------
Dayton, Ohio-------------
Detroit, Mich.----------
Evansville, Ind.---------
Flint, Mich.-------------
Fort Wayne, Ind.---------
Gary, Id.---------------
Grand Rapids, Mich.---
Indianapolis, Ind.-------
Madison, Ws.-----------
Milwaukee, Wis.---------
Peoria, Ill.-------------
Rockford, Ill.----------
South Bend, Ind.-----
Toledo, Ohio------------
Youngstown, Ohio--------

WEST NORTB CENTRAL:
Des Moines, Icwa---------
Duluth, Minn.-----------
Kansas City, Kans.-------
Kansas City, Mo.---------
Lincoln, Nebr.----------
Minneapolis, Minn.-------
Omaha, Nebr.------------


206
37*
30
31
48
14
16
26
47
75
8
38
21
54


44
40
151
34
19
45
62
126
1,615
39
485
143
13
88
23
28
65
19
26
29


68
16
818
148
195
113
79
316
40
39
34
27
61
122
34
127
19
26
24
109
71


37
17
46
120*
(33)
125
59


203
47
33
23
44
26
23
22
42
61
14
52
19
47


48
32
149
36
16
33
49
81
1,486
32
480
177
27
100
23
35
64
54
33
30


56
35
689
159
198
130
73
326
30
41
46
34
42
123
30
130
34
23
24
76
55


41
25
32
122
(19)
87
52


6,629
1,055
818
751
1,301
682
614
731
1,288
1,720
365
1,269
749
1,533


1,274
956
4,071
1,165
782
1,086
1,921
2,822
46,145
1,080
14,128
5,279
621
2,711
670
967
1,684
1,227
792
881


1,556
860
20,560
4,313
5,608
3,123
2,227
9,246
994
1,187
1,054
833
1,257
3,937
895
3,372
793
780
787
2,689
1,574


1,420
689
1,047
3,497
(762)
3,278
1,848


7,079
1,173
890
823
1,309
672
677
684
1,256
1,790
395
1,293
785
1,513


1,245
994
4,129
,1,209
813
1,080
1,976
2,715
45,463
1,093
13,658
5,375
667
2,754
656
1,059
1,740
1,161
766
873


1,561
961
21,361
4,337
5,936
3,301
2,005
9,554
1,009
1,119
1,041
880
1,149
4,065
900
3,454
816
801
793
2,772
1,547


1,568
706
964
3,561
(714)
3,439
2,055


WEST NORSm CENTRAL-Con.:
St. Louis, Mo.---
St. Paul, in.--------
Wich-ita, Kans.---------

SOUTH ATAIITIC:
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.-----
Wllmington, Del.--------

EAST SOUTH CENTRAL:
Jiringham, Ala.---------
Chattanooga, Tenn.----
Knoxville, Tenn.--------
Louisville, Ky.----
Memphis, Tenn.- -----
Mobile, Ala.-------
Montgomery, Ala.--- ---
Nashville, Tenn.-----

WEST SOXn (CENTRAL:
Austin, Tex.------------
Baton Roue, 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, Ola.------------

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, Calf.--------
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.----------


234
68
46


92
218
31
45
70
40
70
20
(66)
63
177
37


62
35
17
98
79
35
13
74


24
13
15
109
31
65
102
46
178
58
80
48
45


51
19
93
13
78
14
61
40


14
(48)
(36)
38
41
447
132
25
127
47
66
156
(42)
101
39
25

(21)


232
58
49


97
256
38
52
79
47
85
29
(70)
80
177
39


67
46
22
187
89
29
36
55


23
41
16
121
32
60
196
53
166
80
101
56
43


37
14
150
19
77
16
42
58


15
(48)
(37)
37
46
480
152
41
117
82
75
209
(35)
130
45
38

(30)


6,469
1,825
1,236


3,106
6,830
966
1,565
2,073
1,358
2,176
891
(1,970)
1,841
5,270
1,060


2,354
1,308
754
3,183
3,123
1,100
855
1,600


925
766
616
3,382
969
1,781
4,463
1,514
4,554
2,068
2,814
1,413
1,496


871
454
3,115
437
2,266
455
1,344
1,083


462
(1,226)
(920)
1,083
1,543
13,738
2,698
914
2,945
1,720
2,423
5,382
(969)
3,554
1,245
1,051

(951)


6,959
1,985
1,289


3,284
7,149
1,135
1,741
2,062
1,149
2,227
1,002
(2,057)
1,886
5,422
1,068


2,401
1,305
829
3,179
3,143
1,149
987
1,684


969
814
685
3,528
1,073
1,899
4,677
1,640
5,136
2,095
2,870
1,514
1,562


859
468
3,315
470
2,153
433
1,357
1,029


467
(1,270)
(1,059)
1,163
1,528
14,335
2,668
945
3,089
1,609
2,490
5,540
t949)
3,876
1,286
1,185

(960)


*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.






REPORTED STAPHYLOCOCCUS ENTEROTOXIN OUTBREAKS THROUGH JUNE 30, 1961


No. Eating No. Probable Place Incubation
Date State Meal Vehicle I11 Suspected Vehicle of Contamination Range Reported by
*3/61 Idaho Unknown 43 Potato Salad School lunchroom 3-5 hrs. J. A. Mather
3/6/61 Ill. 6 5 Weiners Commercial packer 5-7 hrs. L. Miche
*3/12/61 Minn. 20 20 Turkey Home 5-6 hrs. D. S. Flemming
3/13/61 Wash. 5 5 Chocolate milk Unknown 1Y2-2 hrs. B. Martin
3/13/61 Ill. Unknown 2 Tuna fish salad Drive-in restaurant 2-2% hrs. W. C. Spent
3/17/61 West Va. 100 5 Ham sandwiches Restaurant 4 hrs. H. Pyle; B. Bruce
3/29/61 Calif. 7 7 Roast duck and lobster Restaurant or home 2-2% hrs. P. K. Condit
3/31/61 Ill. 250 100 Cream puffs, eclairs Bakery 2-5 hrs. F. Long
*4/61 Minn. Unknown 80 Ham salad sandwiches School cafeteria 2-4 hrs. D. S. Flemming
4/1-2/61 Mass. 30 18 Chicken broth Home 8 hrs. H. T. Phillips
4/2/61 Mass. 12 12 Cream-filled layer cake Bakery or home 3-8 brs. F. A. Durham
4/4/61 Calif. 7 3 Ham Home l/ hrs. L. H. Rothbaler,
R. L. Sturges, P. R.Auriemnma
4/6/61 La. 125 50 Chicken and spaghetti School banquet 3 hrs. C. T. Caraway
4/14/61 Calif. 3 Canned tuna fish Commercial 3 hrs. A. J. Black
4/16/61 Calif. 23 21 Chicken noodle vegetable dish Home 2-6 hrs. D. Harris; C. Carsen;
B. Levin; R. C. Tetreault
4/22/61 Va. 138 68 Chicken salad Hospital kitchen 4-8 hrs. M. Romaine
4 25 61 La. 50 12 German Chocolate cakes Bakery Unknown H. A. Stafford
`4 28 61 Ala. 73 36 Chocolate popsicles Commercial 1-3 hrs. W. B. Nelson
5/14 61 Calif. 11 8 Turkey Home 2-7 hrs. C. M. Gurnand
5 19-25 61 La. 100 6 Bar-B-Q-Ham sandwiches Restaurant 2%-6 hrs. D. E. Brown
5 23 61 La. 9 5 Unknown Restaurant 2-3 hrs. L. W. Tucker
6/17/61 Va. 5 4 Pork barbeque Restaurant 2-3 hrs. M. Romaine
Included as epidemiological reports.


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