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:
AA00010654:00307

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





Morbi it and Mortality
/< [-TnM


PUBLIC HEALTH SERVICE

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

Prup#ufd fy theD MEIrose 4-5131


For release July 28, 1961 Atlanta 22. Georgia Vol. 10, No. 29

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

Deaths in Selected Cities for Week Ended July 22, 1961

Poliomyelitis Reported this week from seven States Cumulative paralytic cases over the past si\ we.ck. rep-
wereelevencases ofpoliomyelitis, six paralytic. This con- ut 20% of the total reported over a comparable p-t.
trasts sharply with the 28 cases, 18 paralytic, reported last Ocy go.
week. Although now well into the traditional "poliomyelitis
season," the poliomyelitis incidence continues at a reco C -
low level, this week's figures paralleling those report
April.
Cumulative totals for the past six weeks and for coRos repor/._s _
rable weeks during each of the past five years are show An f is lof 1.110 cases were reported this a eek
low: 11 i 91?pre Or# ng urth consecutive oeek that cases have
ranged betwe 0 and 1100. A comparison of the weekly
Cumulative Poliomyelitis Cases for Weeks 24 through 29 incidence q rep ed cases this year with each of the pre-
1957 through 1961 vious Iwg ear nd 1954 is depicted on page 2. The tah-
1961 1960 1959 1958 19576 iris cases by age for each of the States is
1960 1959 195 1957* wn on 8. A notable excess of cases over the age of
Paralytic 55 275 693 241 287 n o States only, New lersey and California.
Paralytic 55 275 693 241 287
Total 96 374 1081 495 957

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

Disease 29th Week Cumulative
(Seventh Revision of Internati al. Approxl-
Lists, 1955) First 29 weeks Since seasonal low week mate
Ended Ended seasonal
July July Median Median low
Weekly incidence low or sporadic 22, 23, 1lt6-K Median I 1 -56 point
Data not available ig9l .196, 1961 19'. n9 to
Quantity zero i95'- :'
Anthrax----------- -- --062 4 10 *
Botulism-------------------049.1 4 6 *
Brucellos.i undulantt fever)------044 20 9 16 341 469 463 *
Diphtheria---------------------055 1 8 14 324 354 427 15 25 33 July I
incephalitis, infectious------082 46 46 39 838 926 862 838 926 862 Jan. 1
Hepatitis, infectious, and
aerum --------------092,N998.5 pt. 1,110 647 285 46,336 21,433 12,442 61,543 28,988 17,925 Sept. 1
Malaria-------------------110-117 3 3 28 32 *
Measles----------.---------.---.-065 4,055 4,579 4,565 374,953 388,107 435,503 411,163 420,805 472,172 Sept. 1
Meningitis, aseptic----------340 pt. 65 48 --- 962 944 --- 962 944 --- Jan. 1
Neningococal infection---------067 36 21 42 1,303 1,373 1,491 1,959 2,104 2,266 Sept. 1
Poli6nrelitie------------------080 11 112 252 290 724 1,729 187 508 1,436 Apr. 1
PsamlytLic-----------.-080.0,080.1 6 74 50 181 528 1,147 121 374 939 Apr. 1
oparalytic-----------------080.2 5 27 167 68 142 .13 43 106 365 Apr. I
Upecified-------------------080.3 11 35 41 54 169 23 28 132 Apr. 1
Pittcosi------------------096.2 2 1 43 59 *
Rabies in man---------- -----094 3 *
Btreptococcal sore throat,
including scarlet fever----050,051 2,886 3,088 --- 216,572 204,482 --- 14,224 --- --- Aug. 1
jpbold fever--------------------040 21 22 25 355 398 460 241 267 280 Apr. I
Yhue fever, endemic------- -- --101 1 20 45 *
labiMe in aalmsal--------------- 56 72 82 2,041 2,266 2,756 2,617 3,239 3,539 Oct. 1
Figures for current week exclude missing reports from Puerto Rico









Morbidity and Mortality Weekly Report




CURRENT U.S. HEPATITIS INCIDENCE

compared with years 1954, 1959, 1960


DATA PROVIDED By NATIONAL OFFICE OF VITAL STATISTICS end
COMMUNICABLE DISEASE CENTER


1961


Ii


21 4 18 4 18
JAN FEB MAR


I 15 29 13 27 10 24 8 22 5
APR MAY JUN JUL


2 16 30 14 N
SEP OCT


II 25 9 33
NOV DEC


EPIDEMIOLOGICAL REPORTS


infectious Mononucleosis Connecticut


An interesting although not reportable disease in most
States, infectious mononucleosis may pose a more signif-
icant problem than is generally appreciated. The following
is a summary of the experience of the State of Connecticut
with this disease since it was first reported in 1947.
The incidence of the disease has quite steadily risen from
a low of 76 cases (3.9 casesper 100,000) in 1947 to 529cases
(20. 9 per 100, 00) in 1960. Through the end of May 1961,
272 cases had been reported compared to 230 for the same
period last year.
The disease appears to have two seasonal peaks, one in
the spring and one in the fall.


Average No of Cases per Monrh, 1o56-60
January 28.2 July


February 36.6
March 37.4
April 41.4
May 48.2
June 40.0


August
September
October
November
December


In 250 of this %ear's 272 cases, information regarding
both the age and sex of the patient was recorded. Those in
the age group 15 to 24 years accounted for 79% of the cases;
males for 60% of cases.


Age
0-4I
5-9
10-14
15-19
20-24
25-29
30-34
35 and over
Total


Male

q
6
66
55
7
2

34
149


Female



11
51
25
4
1


Total
2
16
17
117
80
11
3


Almost a third of the cases over thp past five years have
been reported from the city of New Haven; 58 of the 80this
year have Yale Lniversity addresses.
(Reported by Dr. Mila Rindge, Chief, EpidemiologySection,
Connecticut State Department of Health.



Food-borne Clostridium perfringens outbreak California

Forty of forty-nine teen-agers and adults who attended
a chill bean picnic on May 24 developed nausea, cramps,
diarrhea, and slight temperature elevation seven to four-
teen hours after eating. Symptoms subsided in 24 hours in
most cases.

Epidemlologic information pointed toa chili bean-meat
combination as the likely vehicle. Thisdish had been pre-
pared in the school cafeteria. The beans were cooked on
the morning of May 23 and placed in the refrigerator. The
meat was cooked separately on the morning of May 24, al-
(Continued on page 8)


2,000 -


1,800-


1,600-


1,400-


IO -
1,200-


1,000-


800-


600-


400-


200-
ZO-


WEEK
ENDING










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 23, 1960 AND JULY 22, 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 specified by type) NonpP.ralytic aseptic lant

Ara Cumulative, Cumulative, fever)
29th Week first 29 weeks 29th Week first 29 weeks 080.2 340 pt. 044

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

UNED ST S------ --. 11 112 290 724 6 74 181 528 5 27 65 20

NEW ENGIAND---------.-- 1 14 4 84 1 10 4 70 4 12 -
Maine---------------------- 6 6 -
New Haspshire------------ -
Vermont-------------------- 1 1 -
Massachusetts-------------- 1 2 7 1 2 7 3 -
Rhode Island--------------- 11 68 7 54 4 9
Connecticut---------------- 2 1 3 2 1 3 -
MIDDLE ATLANTIC---------. 4 19 62 3 15 45 1 5 1
New York------------------- 1 9 41 1 7 30 1
New Jersey----------------- 2 5 10 1 4 8 1 -
Pennsylvania-------------- 1 5 11 1 4 7 5 -
AST OH CHTRAL------- 18 30 82 11 19 40 6 10 2
Ohio---... ------------ 3 12 24 1 6 8 2 2 -
Indiana-------------------- 8 4 10 6 3 7 1 -
llinois-------------------. 1 8 22 1 6 16 3 1
Michigan------------------- 6 3 23 3 3 8 3 5 -
Wisconsin------------------ 3 3 1 1 1
WEST NORTH CENTRAL--------- 4 19 35 3 9 20 4 13
Minnesota------------------ 3 14 3 11 4 1
Iowa --------------------- 2 7 1 5
Missouri----------------- 3 8 9 2 2 6 1
North Dakota------------ -
South Dakota-------------- 1 3
Nebraska------------------- 1 2 2 1 2 2 1
Kansas--------------------- 4 2 2 2
SOUTH ATLANTIC--------------- 1 26 47 109 13 32 78 1 6 5 2
Delaware------------------- -- 2 1 -
Maryland------------------- 3 1 3 -
District of Columbia------- -
Virginia------------------ 1 1 -
West Virginia-------------- 2 7 10 1 4 8 1 -
North Carolina------------- 1 4 5 22 4 3 21 1 -
South Carolina------------ 15 4 36 7 4 21 3 -
Georgia-------------------- 1 16 5 1 10 4 2 1
Florida ---------------- 4 9 35 6 24 2 2 1
EAST SOUTH CETRAL------- 7 29 31 7 12 28 3 -
Kentucky--------------- 16 8 2 5 -
Tennessee------------------ 1 5 4 1 2 4 2 -
Alabama------------------- 1 4 7 1 4 7 -
Mississippi---------------- 5 4 12 5 4 12 1 -
WEST SOUTH CNBTRAL---------- 5 21 52 100 2 13 28 61 3 6 3 1
Arkansas------------------- 1 1 3 6 3 1 -
Louisiana----------------- 4 13 29 2 10 20 2 -
Oklahoma------------------ 3 1 7 1 5 -
Texas------------------- 4 13 35 58 2 10 18 33 2 3 3 1
MOUNTAI--------------------- 2 4 24 27 1 4 14 17 1 -
Montana----------------... 2 2 12 2 2 8 -
Idaho---------------------- 1 5 4 1 2 1 -
Wyoming--------- ------ 1 -
Colorado------------------- 2 3 4 2 3 4 -
New Mexico----------------- 1 2 2 1 -
Arizona----------------- 5 3 3 3 -- -
tah----------------------- 7 1 4 1 -
Nevada-------------------- -
PACIFIC---------------------- 2 14 66 194 2 10 48 169 4 23 1
Washington----------------- 10 7 6 7 1 -
Oregon--------------------- 2 7 18 1 1 12 1 -
California----------------- 2 12 47 162 2 9 39 143 3 22 1
Alaska--------------------- 2 2 -
Haali --------------------- 2 5 2 5 -

Puerto Rico---------------- --- 31 5 343 --- 31 5 336 --- -










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 23, 1960 AND JULY 22, 1961 Continued

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


Diphtheria 055 Hepatitis, infectious, and
Encephalitis, serum 092,N998.5 pt. Measles
infectious as
Area Cumulative, Cumulative,
29th Week first 29 weeks 082 29th Week first 29 weeks 085

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


MUNED STAES--------- 1 8 324 354 46 46 1,110 647 46,336 21,433 4,055 4,579

HEW ENGLAND------------- 5 10 2 1 37 22 1,277 648 349 358
Maine------------------ 2 1 74 44 33 24
New Hampshire-------------- 3 1 81 21 2 3
Vermont------------------- 1 143 10 19 30
Massachusetts-------------- 4 7 2 1 21 18 464 331 214 250
Rhode Island------------- 1 3 2 174 125 39 5
Connecticut---------------- 1 8 1 341 117 42 46
MIDDLE ATLANTIC--------- 17 10 9 11 128 145 6,571 2,344 993 756
New York------------- 7 2 8 7 67 104 2,728 1,218 565 590
New Jersey---------- 1 2 22 2 1,607 172 209 85
Pennsylvania-------------- -- 10 7 1 2 39 39 2,236 954 219 81
EAST NORTH CETRA-------- 1 13 31 7 4 219 97 9,378 4,017 1,168 1,895
Ohio----------------------- 1 14 1 46 37 3,188 1,324 208 113
Indiana------------------ 1 1 5 1 19 8 1,496 475 62 65
Illinois------------------- 10 3 4 47 17 1,598 830 319 89
Michigan---------------- 1 8 3 2 101 33 2,868 1,223 326 895
Wisconsin------------------ 1 6 2 228 165 253 733
WEST NORTH CENTRAL------- 26 18 91 47 4,695 1,619 67 58
Mfnnesota------------------ 15 5 24 6 1,052 169 2 12
Iowa----------------------- 1 2 22 4 1,352 274 45 12
Missouri------------------- 2 28 12 1,055 600 8 -
North Dakota--------------- 2 1 3 113 125 10 28
South Dakota------------ 6 5 2 126 119 -
Nebraska---------------- 2 1 10 18 484 169 2 6
Kansas----------------- 2 7 2 513 163 NN NN
SOUT ATLANTIC-------------- 1 1 62 84 4 6 156 58 5,773 2,561 329 298
Delaware------------ 2 4 141 160 4 16
Maryland-----.------------- 1 1 1 2 9 10 566 254 45 34
District of Columbia------ 2 1 1 4 6 67 29 10 6
Virginia----------------- 12 10 18 13 912 516 100 131
West Virginia------------- 1 4 26 6 1,115 485 97 60
North Carolina------------ 1 7 3 2 25 9 1,217 218 11 7
South Carolina------- 2 20 1 2 302 43 2 13
Georgia--------------- I 14 19 24 2 556 173 3 1
Florida------------- 23 27 2 46 8 897 683 57 30
EAST SOUTH CENTRAL------ 16 39 5 2 143 50 7,105 3,149 161 233
Kentucky------------ 3 1 46 4 2,118 1,208 32 33
Tennessee---------------- 3 6 6 55 23 2,849 1,027 123 191
Alabama-------------------- 5 20 22 13 1,219 675 6 4
Mississippi-------------- 5 12 5 2 20 10 919 239 5
WEST SOUTH CNTRAL------- 5 168 128 1 92 55 3,346 1,792 114 237
Arkansas------------------ 3 2 14 5 645 80 -
Louisiana-------------- 19 28 12 4 341 85 2 -
Oklahoma----------------- 4 6 1 2 2 232 244 2 9
Texas------------ 5 142 92 64 44 2,128 1,383 110 228
MOUNTAI------------- 1 12 33 2 66 37 2,922 1,746 311 289
Montana----------------- 1 2 3 1 1 2 269 68 30 47
Idaho--------------------- 11 1 1 199 221 35 31
Wyoming---------- 5 7 1 115 18 1 1
Colorado---------- --------- 4 3 11 14 993 619 28 103
New Mexico-------------- 4 7 3 324 238 NN
Arizona----------------- 5 3 1 16 14 443 412 50 67
Utah---------------------- 4 20 1 488 148 42 39
Nevada--------------------- 1 3 1 91 22 125 1
PACIFIC------------------- 5 1 18 20 178 136 5,269 3,557 563 455
Washington-..----------- .- 1 19 11 637 416 27 31
Oregon--------------------- 1 22 13 872 596 117 120
California--------------- 1 16 20 132 111 3,568 2,350 398 283
Alaska------------- 4 1 5 1 155 141 7 16
Hawai------------- 37 54 14 5

Puerto Rico--- ------ --- 3 41 97 --- --- 18 574 464 --- 23

-c No oLuritale










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 23, 1960 AND JULY 22, 1961 Continued

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

Strepto-
coccal Typhoid fever 040 Typhus
Malaria Meningoccocal Psitta- sore fever,
infections cosis hroat, enem Rabies in
throat, endemic animals
Area etc. Cumulative,
110-117 057 096.2 050,051 29th Week first 29 weeks 101

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

NITED STATES----- 3 36 21 2 2,886 21 22 355 398 56 72

NEW NAD------------------- 1 2 1 96 7 6 -
Maine------.------------ I 2 1 2 -
New Hampshire-------------. -
Vemont------------------ -6 -
Massachusetts-----------. 1 1 29 2 2 -
Rhode Island---------------- 8 1 -
Connecticut---------------- 1 46 3 2 -
MIDDEL ATLANTIC-------------- 4 6 136 4 3 44 26 2 13
New York------------------- 2 3 117 2 1 24 20 1 13
New Jersey-------------- 1 1 11 1 9 -
Pennsylvania--------------- 1 2 8 1 2 11 6 1 -
EAST NORTl CENTRAL-------- 1 12 5 1 179 4 4 46 46 10 6
Chio---------------------- -- 1 30 3 1 17 11 -
Indiana------------------- 31 1 6 12 2 2
Illinois------------------ 1 2 2 36 2 20 13 6 2
Michigan ----------------- 9 3 43 1 2 6 2
Wisconsin----------------- 1 39 1 4 1 -
WEST NRH CENTRAL ---------- 2 1 72 24 23 17 18
Minnesota------------ 5 1 4 4
Ioa----------------------- 1 16 1 3 4 5
Missouri------------------ 1 1 12 15 5 5
North Dakota-------------- 38 1 1 1
South Dakota--------------- 1 3 1 2 -
ebraka------------------- 1 1 3
Kansas-------------------- 16 2 1 1 -
SOUTH ATLANTIC--------------- 3 4 237 3 6 52 64 4 15
Delaware-------------------- I 1 1 -
Maryland------------------ 1 3 1 1 -
District of Columbia------- 4 1 7 5 -
Virginia ----------------- 55 2 1 16 2 8
West Virginia------------- 76 2 1 6 3 2 3
North Carolina------------- 2 7 7 8 -
South Carolina------------- 15 1 3 9 -
Georgia-------------------- 2 1 10 2 19 13 -
Florida ------------------- 1 66 7 8 4
EAST SOUTH CN L------- 1 536 1 2 37 55 6 2
Kentucky------------- --- 35 7 13 4 -
Tennessee---------------- 1 453 1 2 25 27 2 2
Alabama----------------- 1 4 10 -
Mississippi--------------- 47 1 5 -
WEST SOUTH CNTRAL----------- 1 1 617 7 7 81 130 15 16
Arkansas------------------ 3 1 2 10 24 5 9
Louisiana- ------------ 1 1 1 2 6 50 3
lahom------------------- 73 1 8 6 -
Texas--------------------- 540 6 2 57 50 10 4
MOUAIN a--------------------- 4 1 681 1 27 18 -
Montaan-------------------- 45 3 5 -
Idaho------ ----------- 56 -
Wyoming------------------- 1 2 -
Colorado------------------ 4 1 174 5 -
New Mejdco---------------- 227 7 5 -
Arizona-------------------- 90 1 6 6 -
Utah----------------------- 87 2 -
Nevada-------------------- 2 3 -
PACIFIC--------------------- 1 7 2 1 332 1 37 30 2 2
Washington----------------- 2 1 56 1 6 1 -
Oregon ................... 1 1 14 6 -

Alaska-------------------- 8 1 -
aliifo----------- 7 1

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









Morbidity and Mortality Weekly Report


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 shownin parentheses in table 4)

29th 28th Percent Cumulative, first 29 weeks
week week Adjusted change,
ended ended average, adjusted
ended ended 29th average
Area July July 29th average
22 15 eek to 1961 1960 percent
22,61 1956 956- 6 current chanSe
week

TOTAL, 117 wEPO0TIN0 CITIES-------------------- 10,909 11,012 10,579 +3.1 337,622 344,524 -2.0

New England---------------------------------(1 cities) 643* 668 615 +4.6 20,815 21,617 -3.7
Middle Atlantic----------------------------(20 cities) 2,964* 3,004 2,832 +4.7 96,230 95,472 +0.8
East North Central-------------------------(21 cities) 2,295 2,277 2,272 +1.0 72,217 74,133 -2.6
West North Central---------------------------(9 cities) 788 830 758 44.0 22,951 23.980 -4.3
South Atlantic---------------------------- (U1 cities) 922 997 900 +2.4 29,055 29,868 -2.7
East South Central---------------------------(8 cities) 550* 477 491 +12.0 15,304 15,663 -2.3
West South Central--------------------------(13 cities) 950 986 1,006 -5.6 28,697 30,349 -5.4
Mountain-----------------------------------(8 cities) 383 373 350 +9.4 10,781 10,736 +0.4
Pacific----------------------------------- (1 cities) 1,414 1,400 1,355 +4.4 41,572 42,706 -2.7

*Includes estimate for missing reports.


NUMBER OF DEATHS IN


JAN .FEB .MA API RI MAIY JN.JAIIIIIUIG SEP .OCT .NOV .DEC


JAN FEB MAR APR MAY


JUN JUL AUG SEP OCT NOV DEC









Morbidity and Mortality Weekly Report 7

Table 4. DEATHS IN SELECTED CITIES

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


Area


NEW ENGLAND:
Boston, Mass.-----------
Bridgeport, Conn.--------
Cambridge, Mass.--------
Fkll River, Mass.--------
Bartford, Conn.---------
Lowell, Mass.----------
Lynn, Mass.--------------
New Bedford, Mass.-------
New Haven, Conn.--------
Providence, R.I.--------
Somerville, Mass.------
Springfield, Mass.- -----
Waterbury, Conn.--------
Worcester, Mass.--------

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

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


29th
week
ended
July
22,
1961


28th
week
ended
July
15,
1961


1Cmulative,
first 29 weeks


1961 1 960


& .1. &


245 222
28 42
23 21
23 25
31 57
21* 30
21 13
35 29
35 36
61 64
12 13
45 38
14 37
49 41


53 48
27 35
160 127
40 46
18 28
32 43
65 59
84 90
1,487 1,482
27 34
469 499
181* 193
29 20
82 113
25 23
35 29
57 53
52 33
23 23
18 26


52 62
27 24
671 627
155 173
209 216
103 99
75 86
346 273
26 30
37 36
40 32
32 40
36 43
131 137
23 31
109 124
23 18
24 29
23 35
103 110
50 52


47 67
30 38
33 38
124 131
(37 (32)
120 122
79 91


7,096
1,124
862
799
1,389
733
648
795
1,359
1,845
390
1,352
800
1,623


1,375
1,018
4,358
1,251
828
1,161
2,045
2,996
49,114
1,141
15,096
5,653
670
2,906
718
1,031
1,794
1,312
838
925


1,670
911
21,858
4,641
6,033
3,325
2,388
9,865
1,050
1,260
1,126
905
1,336
4,205
949
3,605
834
833
845
2,902
1,676


1,534
757
1,118
3,776
(830
3,520
2,018


7,527
1,240
947
859
1,416
718
721
717
1,334
1,911
416
1,368
835
1,608


1,318
1,053
4,394
1,292
861
1,151
2,106
2,864
48,516
1,144
14,659
5,762
709
2,960
709
1,120
1,848
1,248
826
932


1,660
1,020
22,832
4,635
6,343
3,484
2,152
10,228
1,087
1,186
1,113
952
1,241
4,350
951
3,689
878
854
838
2,980
1,660


1,665
756
1,013
3,806
(779)
3,677
2,199


Area


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

SOUTH ATIANTIC:
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 SOUH CENTRAL:
Birmingham, Ala.--------
Chattanooga, Tenn.------
Knoxville, Ten.---------
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, kla-------------

MOUNTAIN:
Albuquerque, N. Mex.----
Colorado Springs, Colo.--
Denver, Colo.----------
Ogden, Utah---------
Phoenix, Ariz.----------
Pueblo, Colo.-------
Salt Lake City, Utah---
Tucson, Ari.-------------

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


29th
week
ended
July
22,
1961


243
61
51


117
236
35
58
75
61
55
32
(58)
51
164
38


90
51
30*
136
123
37
30
53


32
25
16
133
26
34
163
66
178
70
85
53
69


32
9
129
19
92
13
56
33


20
(49)
(36)
39
51
486
94
28
126
55
88
200
(30)
135
58
34

(27)


28th
week
ended
July
15,
1961


219
61
63


113
207
32
58
79
64
69
38
(71)
74
199
64


90
42
35
46
142
39
32
51

37
35
32
119
41
63
173
68
159
71
84
55
49


28
13
123
14
82
16
48
49


14
(44)
(43)
38
33
502
90
35
105
70
90
195
(30)
142
45
41

(29)


Cumula'.ive,
first 29 weeks


1961 I 1960


6,931
1,947
1,350


3,336
7,273
1,033
1,681
2,227
1,483
2,300
961
(2,099)
1,966
5,633
1,162


2,534
1,401
819
3,365
3,388
1,176
917
1,704

994
826
664
3,634
1,036
1,878
4,799
1,648
4,891
2,209
2,983
1,521
1,614


931
476
3,367
470
2,440
484
1,448
1,165


496
(1,319)
(999)
1,160
1,627
14,726
2,882
977
3,176
1,845
2,601
5,777
(1,029)
3,831
1,348
1,126

(1,007)


7,399
2,104
1,361


3,499
7,589
1,185
1,830
2,211
1,226
2,343
1,065
(2,192)
2,012
5,774
1,134


2,568
1,410
870
3,425
3,360
1,213
1,041
1,776


1,042
864
721
3,743
1,137
1,997
5,026
1,742
5,479
2,240
3,051
1,623
1,684


917
503
3,506
499
2,298
467
1,458
1,088


499
(1,348)
(1,126)
1,222
1,650
15,207
2,860
1,005
3,279
1,706
2,656
5,869
(1,029)
4,132
1,386
1,235

(1,031)


*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.






I3 1262 08864 0197ll ll
3 1262 08864 0197


Morbidity and Mortality Weekly Report


lowed to cool at room temperature, refrigerated briefly
and combined with the beans early in the after noon of the
suppe r.
Laboratoryanalysis revealedthe chili bean dish to have
a total anaerobic count of 94,000,000 per gram. Clostridium
perfringens was isolated from the beans andfrom 13 of the
patients.
(Reported by Vincent L. Dunham, Food Service Consultant,
Santa Clara County Health Department, Califormia)


HEPATITIS CASES BY AGE
WEEK ENDING JULY 22, 1961


Under 20 Years Age Un-
State or Area 20 Years and Over specified Total
NEW ENGLAND 22 12 3 37
Maine 1 1
New Hampshire 3 3
Vermont 1 1
Massachusetts 16 5 21
Rhode Island 2 1 3
Connecticut 3 5 8
MIDDLE ATLANTIC 60 68 128
New York City 18 20 38
New York 16 13 29
New Jersey 7 15 22
Pennsylvania 19 20 39
E. NORTH CENTRAL 92 57 70 219
Ohio 26 14 6 46
Indiana 8 8 3 19
Illinois 23 10 14 47
Michigan 35 25 41 101
Wisconsin 6 6
W. NORTH CENTRAL 53 25 13 91
Minnesota 14 5 5 24
Iowa 17 5 22
Missouri 18 9 1 28
North Dakota -

Nebraska 1 2 7 10
Kansas 3 4 7
SOUTH ATLANTIC 95 54 7 156
Delaware 2 2
Maryland 3 3 3 9
District of Columbia 4 4
Virginia 9 8 1 18
West Virginia 17 9 26
North Carolina 16 9 25
South Carolina 2 2
Georgia 18 6 24
Florida 26 19 1 46
E. SOUTH CENTRAL 68 30 45 143
Kentucky 18 5 23 46
Tennessee 34 19 2 55
Alabama 16 6 22
Mississippi 20 20
W. SOUTH CENTRAL 50 37 5 92
Arkansas 11 3 14
Louisiana 4 8 12
Oklahoma 1 1 2
Texas 34 25 5 64
MOUNTAIN 27 12 27 66
Montana 1 1
Idaho 1 1
Wyoming 5 2 7
Colorado 4 7 11
New Mexico 5 2 7
Arizona 16 16
Utah 12 8 20
Nevada 3 3
PACIFIC 62 108 8 178
Washington 8 9 2 19
Oregon 10 10 2 22
California 41 87 4 132
Alaska 3 2 5
Hawaii -
UNITED STATES 529 403 178 1,110
Puerto Rico NR


QUARANTINE MEASURES

Immunization Information for International Travel

No Changes Reported



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.


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