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:
AA00010654:00308

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

FM5 orbiity ad Mortalit




Morbidity and Mortality B


PUBLIC HEALTH SERVICE

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


Preppred by the


L -COMMUN DISEASE ENTER


,/6-






U


-I-


MElrose 4-51 "


For release August 11, 1961 Atlanta 22. Georgia V L 1 31


Provisional Information on Selected Notifiable Diseases in the United a s and on

Deaths in Selected Cities for Week Ended August 5, 1961 ,


Poliomyelitis Reported this week were 36 cases of The 36 cases this week were reported rom 19 dif-
poliomyelitis, 27 of which were paralytic. This is almost ferent States. Within those States reporting two or more
identical in number to that reported last week. cases, the cases were generally scattered by county.
The number of cases continues at a record low. The Those areas reported in previous reports as showing some
total number of paralytic cases reported since the first minor case concentrations (specifically Seattle, Washing-
of the year represents but 38% of the number reported in ton; Atlanta, Georgia; Frederick County, Maryland; Mobile,
1958, the previous low year in over a decade. Alabama; and Manatee County, Florida) have shown no
further evidence of activity.
Poliomyelitis Cases (Cumulative)
Weeks I through 31- 1957 through 1961 An outbreak in Rhode Island of aseptic meningitis,
tentatively identified as due to Coxsackie B-5, is de-
1961 1960 1959 1958 1957 scribed under Epidemiological Reports.


Paralytic
Total


234
363


680
948


1,600
2,451


622
1,254


906
2,567


Rabies- An unusual number of episodes of human


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


Disease 31st Week Cumulative
(Seventh Revision of International Approxl-
Lists, 1955) First 31 weeks Since seasonal low week mate
Ended Ended seasonal
5, ug. 6 Median Median low
Weekly incidence low or sporadic Aug Aug. 6 Median 1e- point
-- Data not available 1961 196 161 19 1956-C. i %to
- Quantity zero 1 9 -,


Anthrax------------- --- 062
Botulism----------------------049.1
Brucellosis undulantt fever) ----044
Diphtheria----------------------055
Encephalltis, Infectious-------082
Hepatitis, infectious, and
serum-------------- 092,N998.5 pt.
Malaria------------------ -110-117
Measles----------------------065
Meningtis, aseptic- -----340 pt.
Meningococcal infection-------- 057
Pollorelitis-------------------080
Paralytic------------080.0,080.1
IBwupralytic------------- -080.2
Unspecified-----------------080.3
Psittacosis --...-----------096.2
Babies n n man-------------------.094
Btreptococcal sore throat,
including scarlet fever ---0050,051
Typhoid fever-------------------040
Typhus fever, endemice---------1.. 01
Iables in animals--------- --- -


14
9
49

1,266
6
2,521
124
33
36
27
7
2



2,932
30
1
55


14
9
37

694
3
2,666
89
23
111
71
31
9
3
1

3,368
18
2
62


17
9
53

283
*
2,701

28
297
71
172
54
*
*


27
73
73


5
4
368
345
917

48,717
35
380,528
1,153
1,385
363
234
79
50
43
3

222,143
406
24
2,162


10
6
497
369
1,005

22,755
35
394,135
1,119
1,425
948
680
199
69
64
1

211,329
435
50
2,381


487
650
958

12,983
*
441,297

1,553
2,447
1,596
618
233
*
*


513
2,890
2,890


36
917

63,924

416,738
1,153
2,041
260
174
54
32
*
*

2,932
292
*
2,738


42
1,005

30,285
*
426,755
1,119
2,157
733
525
165
43
*
*


304
3,354
3,354


53
958

18,557

477,966

2,340
2,035
628
1,122
285
*
*


333
3,735
3,735


* I ______ L _______ I I L J L _______ I.


July
Jan.

Sept.
*
Sept.
Jan.
Sept.
Apr.
Apr.
Apr.
Apr.


Aug. 1
Apr. 1
*
Oct. 1








Morbidity and Mortality Weekly Report


Figure I CURRENT US POLIO INCIDENCE
COMPARED WITH YEARS 1955-1960. APRIL-AUGUST, BY WEEK*


2 PARALYTIC

I------------------'~--y'^ ^<.

o : ....... .
/ ".a..
0 -
W 0~
ZI


APR. MAY JUN JUL AU.


Intensive studies have been initiated but, to date, no
evidence of a rodent die off has been uncovered anywhere
in the State.
(Reported by Dr. Stanley J. Leland, New Mexico State
Director of Public Health and Dr. Robert Archibald,
Deputy Commissioner, Massachusetts Department of
Public Health.)


Aseptic Meningitis Rhode Island

An outbreak of aseptic meningitis, centered in the
northeastern section of Rhode Island, commenced in late
June and has continued to date.
Twenty-three cases have been admitted to hospitals
with fever and nuchal rigidity and with symptoms of
severe headache, nausea and vomiting.
The cases by week of onset are as follows:


bat bites by rabid or suspect rabid bats in central and
eastern New York and Pennsylvania is described in the
Epidemiological Reports.

Plague A second case of plague resulting from
exposure in desolate areas near Santa Fe, New Mexico
has come to notice. (See Epidemiological Reports.)



EPIDEMIOLOGICAL REPORTS

Plague New Mexico

A second case of bubonic plague resulting from ex-
posure in New Mexico died in Boston on July 29. The
patient, a 38 year old geologist had been working in an
area approximately 10 miles west of Santa Fe. A cutaneous
lesion developed about the time of his departure from New
Mexico on July 20. He returned to his home in Boston
where he commenced to experience fever and generalized
systemic symptoms. He died on July 29 shortly after
being admitted to the hospital. Autopsy revealed a shallow
necrotic ulcerative lesion on his hand, regional adenopathy
and evidence of intravascular hemolysis. Blood cultures
were found to contain both beta hemolytic streptococci
and plague bacilli.
The first case, reported in last week's MMWR, was
in a 38 year old sawmill worker who developed symptoms
of chest pain on June 24. Three days later, dyspneic and
diaphoretic, he was admitted to the hospital in Santa Fe
where he died the following day. At no time did he pro-
duce the copious or bloody sputum characteristic of the
pneumonic form of the disease. Precise localization of
where this man might have been exposed has not been
obtainable although it is in a general area about 15 miles
east of Santa Fe, near Pecos.


Week Ending

June 17
24
July 1
8
15
22
29
August 5


No. of Cases

1
0
1
2
4
2
7
6


Almost half of the cases have occurred in the 10-19
year age group.


Age Group

0-4
5-9
10-19
20-29
30-39


No. of Cases

1
6
11
3
2


In addition to the cases of aseptic meningitis, a
substantial amount of minor illness, particularly among
children, has been apparent. The minor illness has been
characterized& by fever, headache, and vomiting. Scattered
cases of moderate pleuritic type chest pain and some with
abdominal pain have been reported. Three of the cases
with aseptic meningitis have had equivocal, transitory
muscle weakness. There has been little diarrhea and no
known cases with myocarditis or orchitis. The duration of
illness has been variable, generally in the range of 2 to 4
days but with some extending seven days or longer.
Secondary attack rates in families are high.
Laboratory studies, being carried out by the Communi-
cable Disease Center, give tentative indications that the
outbreak may be due to Coxsackie B-5.
(Reported by Dr. Joseph E. Cannon, Director of Health,
Rhode Island Department of Health from studies done in
(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 AUGUST 6, 1960 AND AUGUST 5, 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) Nonparalytic aseptic lant
Area Cumulative, Cumulative, fever)
31st Week first 31 weeks 31st Week first 31 weeks 080.2 340 pt. 044

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

UNIED STAlES------- 36 111 363 948 27 71 234 680 7 31 124 14

EW ENGIAND---------------- 6 4 100 6 4 85 8 1
Maine--------------------- -- 6 6 1 -
New Hampshire------------- -
Vermont----------------- 1 -
Massachusetts-------------- 2 10 2 10 -2 1
Rhode Island--------------- 4 78 4 63 -5
Connecticut---------------- 2 1 6 2 1 6
MIDI ATANTIC---------- 6 14 29 92 6 10 26 69 3 4
New York------------------- 1 11 12 64 1 7 10 47 3 2 -
New Jersey----------------- 4 3 9 16 4 3 8 14 -
Pennsylvania--------------- 1 8 12 1 8 8 2
AST NORTH CENTRAL----------- 23 32 118 9 19 59 9 18 2
Ohio----------------------- 6 13 30 3 6 11 2 2 -
Indiana-------------------- 4 4 16 1 3 10 2 -
Illinois------------------- 6 9 36 3 6 26 1 2 2
Michigan------------------- 4 3 29 2 3 11 2 13 -
Wisconsin----------------- 3 3 7 1 1 2 1
WEST NORTH CNTRAL-------- 2 13 23 54 1 8 10 32 1 5 12 4
Minnesota------------------ 7 3 22 4 3 16 3 12 1
Iowa----------------------- 1 1 4 9 1 1 2 1 3
Missouri------------------ 1 8 10 1 2 7 -
North Dakota------------- 3 3 2 2 1
South Dakota-------------- 2 1 -
Nebraska------------------ 1 3 2 2 2 1 -
Kansas-------------------- 1 5 6 1 2 2 -
SOUTH ATLANTIC------------- 10 22 67 155 9 16 48 108 1 6 30 2
Delaware----------------- 2 1 -
Maryland------------------ 2 1 8 2 2 1 8 1 -
District of Columbia------- 1 1 1 2
Virginia------------------- 1 1 2 3 1 1 2 3 2
West Virginia-------------- 7 13 4 10 3
North Carolina------------- 9 7 33 7 5 29 2 1
South Carolina------------ 3 11 7 61 2 7 6 36 1 4 -
Georgia------------------- 2 19 5 2 13 4 1 1
Florida-------------------- 1 14 38 1 8 25 22 -
EAST SOUTH CERAL----------- 3 3 36 39 2 2 18 35 1 1 10 2
Kentucky----------------- 18 8 4 5 -
Tennessee------------------ 2 1 8 5 1 4 4 1 1 1 -
Alabama----------------- 5 8 5 8 -
Mississippi---------------- 1 2 5 18 1 2 5 18 9 2
WEST SOUTH CENTRAL----------- 5 12 63 135 1 6 32 79 4 5 5 1
Arkansas------------------- I 4 8 1 1 3 1 1
Louisiana---------------- 3 15 36 1 12 24 2 -
Oklahoma------------------ 1 2 8 5 1
Texas---------------------- 4 8 42 83 5 19 47 4 3 3 -
MOUNTAIN-------------------- 5 2 32 32 3 19 17 3 2
Montana------------------- 1 3 12 2 8 1
Idaho---------------------- 2 9 4 1 5 1 -
Wyoming------------------- 2 4 -
Colorado------------------- 3 4 3 4 -
New Mexico----------------- 3 2 1 -
Arizona-------------------- 2 7 3 2 5 3 2
Utah---------------------- 7 3 4 1 -
Nevada--------------------- -
PACIFIC---------------------- 5 16 77 223 5 14 58 196 2 34 -
Washington----------------- 13 10 9 10 -- -
Oregon--------------------- 8 19 2 13 -
California----------------- 5 16 54 187 5 14 45 166 2 34
Alaska------------------- 2 2 -
Hawaii---------------- -- 2 5 2 5 -

Puerto Rico------------------ 5 361 5 354 -










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 AUGUST 6. 1960 AND AUGUST 5. 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 092,1998.5 pt. Meaes
infectious
Area Cumulative, Cumulative,
31st Week first 31 weeks 082 31st Week first 31 weeks 085

196i 1960C 1961 1960 1961 ii90 1961 1960 1961 196 19 11 1960


UNITED STA'ES-------- 9 9 345 369 49 37 1,266 694 48,717 22,755 2,521 2,666

NEW ENGLAND------------------ 1 6 10 2 40 23 1,349 683 244 276
Maine----------- ---------- 2 10 90 44 20
New Hampshire-------------- 84 21 1 9
Vermont-------------------- 3 146 10 18 27
Massachusetts------------ 1 5 7 1 19 6 495 344 178 126
Rhode Island-------------- 1 3 8 181 136 6 47
Connecticut---------------- 1 1 3 9 353 128 41 47
MIDDLE ATLANTIC------------- 1I 19 11 12 6 119 82 6,815 2,507 439 439
New York----------------- 7 2 9 54 54 2,843 1,321 312 310
New Jersey----------------- 5 25 5 1,651 180 42 69
Pennsylvania-------------- 1 12 8 3 1 40 23 2,321 1,006 85 60
EAST NORTH CENTRAL--------- 15 32 8 5 244 113 9,838 4,226 570 955
Obio---------------------- 1 14 3 2 70 41 3,336 1,406 50 129
Indiana------------------- 1 5 1 30 11 1,563 493 51 36
Illinois------------------ 10 4 3 2 38 11 1,673 857 166 56
Michigan-- -------------- 3 8 96 49 3,026 1,303 168 341
Wisconsin----------------- 1 2 10 1 240 167 135 393
WEST NORTH CENTRAL-------- 29 18 2 3 97 43 4,891 1,682 57 58
Mfnnesota------------------ 18 5 8 4 1,076 176 4 2
Iowa----------------------- 1 2 22 12 1,410 287 34 15
Missouri------------------- 2 23 13 1,101 623 5 12
North Dakota--------------- 2 1 2 2 2 4 119 130 14 28
South Dakota--------------- 6 5 2 3 128 122
Nebraska------------------- 2 1 11 7 505 179 1
Kansas--------------------- 2 1 29 552 165 NN NN
SOUTH ATIANTIC--------------- 8 63 94 2 7 148 85 6,049 2,733 262 142
Delaware------------------ 6 143 178 7 1
Maryland------------------- 1 1 1 2 11 15 588 276 73 17
District of Columbia------ 2 2 1 70 30 2 4
Virginia------------------- 13 10 2 41 971 534 61 53
West Virginia-------------- 1 24 15 1,159 516 36 40
North Carolina------------- 1 7 4 1 37 13 1,281 236 18 2
South Carolina---------- 6 2 27 1 5 4 312 47 13 10
Georgia-------------------- 14 20 13 9 574 185 3 4
Florida-------------- 1 23 28 2 15 22 951 731 49 11
EAST SOUTH CENTRAL--------- 5 1 25 40 10 1 153 95 7,388 3,354 329 166
Kentucky------------------- 4 8 1 30 45 2,200 1,283 196 42
Tennessee------------------ 3 6 1 50 21 2,941 1,084 102 98
Alabama-------------------- 1 9 20 41 22 1,284 722 15 25
Mississippi---------------- 1 5 13 10 32 7 963 265 16 1
WEST SOUTH CENTRAL---------- 2 171 130 1 2 97 41 3,536 1,889 141 154
Arkansas------------------- 3 4 32 2 699 86 7
Louisiana------------------ 20 28 18 1 370 88 -
Oklahoma------------------- 4 6 2 238 251 1 2
Texas--------------- 144 92 1 2 47 36 2,229 1,464 140 145
MOUNTAIN--------------------- 12 33 3 5 35 64 3,035 1,847 169 182
Montana-------------------- 2 3 3 1 275 69 27 43
Idaho--------------------- 11 7 13 220 236 32 19
Wyoming------------------- 5 1 3 117 22 -
Colorado------------------- 4 3 3 4 24 1,018 661 11 49
New Mexico--------------- 4 2 4 1 339 241 NN -
Arizona-------------------- 5 3 1 7 13 472 430 27 35
Utah----------------------- 4 1 1 6 8 500 161 19 34
Nevada-------------------- 1 3 "1 94 27 53 2
PACIFIC------- ----------- 5 1 9 8 333 148 5,816 3,834 310 294
Washington----------------- 2 12 6 667 441 24 5
Oregon-------------------- 1 31 20 923 635 100 84
California----------------- 1 6 8 288 122 4,016 2,559 173 176
Alaska---------- ---------- 4 1 2 170 145 11 26
Hawaii------------------- 40 54 2 3

Puerto Rico---------------- 2 2 44 99 13 16 623 505 26 8

NN-NO NO lflaDle










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 AUGUST 6, 1960 AND AUG UST 5, 1961 Continued

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

Strepto-
l P coccal Typhoid fever 040 Typhus
Malaria Meningoccocal Psitta-
Malara infections cosis tor fever, Rabies in
throat, endemic ani
Area etc. Cumulative,
110-117 057 096.2 050,051 31st Week first 31 weeks 101

1961 1961 1960 1961 1961 1961 1960 1961, 1960 1961 1961 1960

UNITED SATES-------- 6 33 23 2,932 30 18 406 435 1 55 62

NEW ENGIAND------------------ 1 1 1 85 1 8 7 -
Maine---------------------- 4 1 2 -
New Hampshire------------- 1 1 -
Vermont-------------------- 3 -
Massachusetts------------- 1 27 3 2 -
Rhode Island--------------- 1 2 1 -
Connecticut--------------- 48 1 3 3 -
MIDDLE ATLANTIC ------------- 8 7 120 47 29 3 12
New York------------------- 3 3 106 25 20 3 8
New Jersey----------------- 3 1 1 11 1 -
Pennsylvania--------------- 2 3 13 11 8 4
EAST NORTH CENTRAL----------- 6 8 200 3 3 51 49 8 4
Ohio----------------------- 1 25 18 11 2 2
Indiana-------------------- 1 3 50 3 1 10 13 1
Lllinois------------------- 1 2 22 20 13 5 -
Michigan-------- ---------- 3 2 51 2 2 8 -
Wisconsin------------------ 1 52 1 4 1 1
WEST NORTH CENTRAL---------- 1 1 52 1 24 26 18 19
Minnesota----------------- 1 1 5 1 1 3
Iowa----------------------- 10 1 4 6 8
Missouri------------------- 1 12 16 8 5
North Dakota--------------- 36 1 2 1
South Dakota--------------- 3 1 -
Nebraska------------------ 1 2 1 2
Kansas.------------------- 1 5 2 1 -
SOUTH ATLANTIC--------------- 4 6 2 160 14 4 67 71 9 3
Delaware------------------- 2 1 1 -
Maryland------------------- 3 9 1 1 -
District of Columbia------- 8 5 -
Virginia------------------- 1 2 80 4 5 16 4 3
West Virginia-------------- 6 3 1 -
North Carolina------------- 15 5 12 8 -
South Carolina------------ 17 2 5 10 -
Georgia--------------------- 1 4 20 19 -
Florida------------------- 4 39 2 9 8 4 -
EAST SOUTH CENTRAL-------- 5 2 766 3 1 44 58 4 1
Kentucky-------------- 1 1 24 1 8 13 1 -
Tennessee---------------- 3 652 2 1 29 30 2 1
Alabama----------------- 1 14 6 10 1 -
Mississippi--------------- 1 76 1 5 -
WEST SOUTH CENTRAL---------- 639 6 3 93 139 1 9 21
Arkansas------------------. 3 1 11 29 1 3 6
Louisiana--------------- 3 8 51 1
Oklahoma------------------- 2 1 10 6 1 -
Texas---------------------- 631 5 2 64 53 5 14
MOUNTAI --------------------- 1 626 2 1 32 19 -
Montana-------------------- 53 1 6 5 -
Idaho--------------------- 37 1 -
Wyoming-------------------- 12 1 2 2 -
Colorado ----------------- 116 5 -
New Mexico---------------- 183 1 7 6 -
Arizona-------------------- 94 6 6 -
Utah----------------------- 1 122 2 -
Nevada--------------------- 9 3 -
PACIFIC-------------------- 1 5 2 284 2 4 40 37 4 2
Washington----------------- 48 1 3 7 4 -
Oregon-------------------- 1 22 7 -
California----------------- 1 4 2 160 1 1 33 26 4 2
Alaska-------------------- 52 -
Hawaii-------------- 2 -

Puerto Rico--- ------- 3 11 16 -








6 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 weekof filing certificate. Excludes fetal deaths. Data exclude figures shown in parentheses in table 4)

31st 3 ted rcen Cumulative, firet 31 weeks
sweek wok Adjusted change,
week week
ended ended average, adjusted
Area August July 31st average
5, 29, week to 1 61 1960 Percent
1961 1961 1956-60 current change
week

TOTAL, 117 REPORTIN CITIES---------------------- 10,952 11,300 10,372 +5.6 359,854 365,565 -1.6

New land--------------------------------(14 cities) 614 735 607 +1.2 22,157 22,880 -3.2
Middle Atlantic----------------------------(20 cities) 3,126* 3,437 2,762 +13.2 102,780 101,211 +1.6
East North Central--------------------------(21 cities) 2,352 2,317 2,207 +6.6 76,886 78,880 -2.5
West North Central---------------------------(9 cities) 773 711 756 +2.2 24,435 25,414 -3.9
South Atlantic-----------------------------(11 cities) 986 1,042 878 +12.3 31,083 31,624 -1.7
East South Central---------------------------(8 cities) 519 655 483 +7.5 16,278 16,614 -2.0
West South Central-------------------------(15 cities) 991 914 994 -0.3 30,602 32,242 -5.1
Mountain---------------------------------- (8 cities) 363 341 339 +7.1 11,485 11,388 +0.9
Pacific ---------------------- -------------- (13 cities) 1,228 1,348 1,346 -8.8 44,148 45,312 -2.6

*Includes estimate for missing reports.


15,000 NUMBER OF DEATHS IN SELECTED CITIES


CURRENT WEEK
14,000 --
-...... 5-WEEK MOVING AVERAGE
ADJUSTED AVERAGE

13,000



12,000



1000 -------f
11,000








AN FEB MAR APR MAY UN UL AUG SEP OCT NOV DEC
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC


9,000









Morbidity and Mortality Weekly Report


Table 4. DEATHS IN SELECTED CITIES

(By place of occurrence and week of filing certificate. Excludes fetal deaths)
as- B 8


Area


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

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, 111.------------
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 CENTRAL:
Des Moines, Iowa---------
Duluth, Minn.-----------
Kansas City, Kans.-------
Kansas City, Mo.--------
Lincoln, Nebr.----------
Minneapolis, Minn.-------
Omaha, Nebr.------------


31st
week
ended
Aug.
5,
1961



237
27
19
28
53
21
16
18
40
39
17
29
22
48


38
31
130
45
33
38
73
98
1,502
42
543
281
23
91
14
36
33
28
25
22


53
35
680
151
195
110
85
338
46
32
40
15
31
144
29
139
22
26
41
90
50


63
25
32
114
(18:
107
80


30th
week
ended
July


Cumulative,
first 31 weeks


29, -


1961 1961


231
50
32
22
54
26
27
23
50
79
17
50
29
45


41
36
142
42
29
41
81
102
1,885
42
498
135
27
109
28
36
47
54
27
35


56
18
710
141
179
112
76
325
29
51
32
34
48
129
26
122
16
24
30
94
65


54
17
33
114
(18
109
68


1960


7,564 7,983
1,201 1,308
913 999
849 899
1,496 1,508
773 762
691 763
836 756
1,449 1,422
1,963 2,023
424 429
1,431 1,456
851 871
1,716 1,701


1,454 1,404
1,085 1,098
4,630 4,647
1,338 1,380
890 918
1,240 1,221
2,199 2,230
3,196 3,052
52,501 51,439
1,225 1,216
16,137 15,548
6,056 6,118
720 1 749
3,106 3,133
760 757
1,103 1,183
1,874 1,944
1,394 1,324
890 867
982 983


1,779 1,778
964 1,083
23,248 24,375
4,933 4,922
6,407 6,693
3,547 3,708
2,549 2,289
10,528 10,902
1,125 1,153
1,343 1,258
1,198 1,171
954 1,003
1,415 1,328
4,478 4,626
1,004 1,004
3,866 3,927
872 936
883 914
916 884
3,086 3,166
L,791 1,760


1,651 1,757
799 798
1,183 1,081
4,004 4,047
(867 (823
3,736 3,909
2,166 2,334


Area


WEST NORTH CENTRAL-Con.:
St. Louis, Mo.------


31st
week
ended
Aug.
5,
1961


St. Paul, Minn.---------- 65
Wichita, Kans.----------- 55

SOUTH ATLANTIC:
Atlanta, Ga.------------- 103
Baltimore, Md.----------- 245
Charlotte, N.C.---------- 38
Jacksonville, Fla.----- 51
Miami, Fla.-------------- 73
Norfolk, Va.------------- 46
Richmond, Va.------------ 89
Savannah, Ga.------------ 33
St. Petersburg, Fla.---- (65)
Tampa, Fla.-------------- 79
Washington, D.C.-------- 185
Wilmington, Del.-------- 44

EAST SOUTH CENTRAL:
Birmingham, Ala.--------- 80
Chattanooga, Tenn------- 32
Knoxville, Tenn.--------- 33
Louisville, Ky.----- --- 145
Memphis, Tenn.--------- 110
Mobile, Ala.------------- 30
Montgomery, Ala.------- 30
Nashville, Tenn.------ 59

WEST SOUTH CENTRAL:
Austin, Tex.------------- 35
Baton Rouge, La.--------- 24
Corpus Christi, Tex.----- 14
Dallas, Tex.------------- 117
El Paso, Tx.----------- 36
Fort Worth, Tex.------- 57
Houston, Tex. -------- 189
Little Rock, Ark.-------- 62
New Orleans, La.--------- 155
Oklahoma City, Okla.---- 73
San Antonio, Tex.-------- 123
Shreveport, La.---------- 43
Tulsa, Okla.------------- 63

MOUNTAIN:
Albuquerque, N. Mex.--- 27
Colorado Springs, Colo.-- 11
Denver, Colo.----- 106
Ogden, Utah--------- 26
Phoenix, Ariz.---------- 91
Pueblo, Colo.------- 19
Salt Lake City, Utah---- 46
Tucson, Ariz.------------ 37

PACIFIC:
Berkeley, Calif.------ 15
Fresno, Calif.------ (32)
Glendale, Calif.--------- (31)
Honolulu, awaii--------- 41
Long Beach, Calif.------- 52
Los Angeles, Calif.------ 433
Oakland, Calif.------ 80
Pasadena, Calif.--------- 26
Portland, Oreg.------- 94
Sacramento, Calif.------- 46
San Diego, Calif.-------- 64
San Francisco, Calif.--- 174
San Jose, Calif.--------- (29)
Seattle, Wash.------- 140
Spokane, Wash.----------- 30
Tacoma, Wash.------------ 33

San Juan, P. R.------ (39


30th
week
ended
July
29,
1961


Cumulative,
first 31 weeks


1961


232 1 221 7,384 7,825


55
40


121
247
35
69
79
52
89
21
(53)
71
216
42


85
45
17
71
98
53
27
59


44
27
11
119
28
52
163
28
182
64
99
55
42


26
21
123
23
74
18
34
22


15
(42)
(25)
44
48
471
79
27
95
60
87
191
(34)
131
52
48

(23)


2,067
1,445


3,560
7,765
1,106
1,801
2,379
1,581
2,478
1,015
(2,217)
2,116
6,034
1,248


2,699
1,478
869
3,581
3,596
1,259
974
1,822


1,073
877
689
3,870
1,100
1,987
5,151
1,738
5,228
2,346
3,205
1,619
1,719


984
508
3,596
519
2,605
521
1,528
1,224


526
(1,393)
(1,055)
1,245
1,727
15,630
3,041
1,030
3,365
1,951
2,752
6,142
(1,092)
4,102
1,430
1,207

(1,069)


a


2,221
1,442


3,721
8,009
1,248
1,938
2,329
1,308
2,512
1,123
(2,301)
2,105
6,137
1,194


2,720
1,486
924
3,638
3,572
1,294
1,105
1,875


1,105
907
773
3,984
1,218
2,122
5,365
1,834
5,839
2,371
3,229
1,724
1,771


976
528
3,729
519
2,433
504
1,555
1,144


527
(1,439)
(1,227)
1,301
1,748
16,162
3,024
1,076
3,450
1,825
2,808
6,234
(1,106)
4,375
1,473
1,309

(1,097)


*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.




3**..u w wr 1L2 V8I r4II n


3 1262 08864 0049


Morbidity and Mortality Weekly Report


cooperation with a team from the Communicable Disease
Center.)


Bat Rabies Pennsylvania and New York

During the last two months there has been an unusual
number of episodes reported in which rabid or suspect
rabid bats have bitten persons in the central and eastern
New York and Pennsylvania areas. Other than for three
episodes in Lycoming County, Pennsylvania, the occur-
rences have been rather widely scattered in these States.
The episodes by State, county, date of biting and
status of laboratory studies with respect to the bats are
listed below:


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 Stares 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 Stare (cholera, dengue,
plague, louse-borne relapsing fever, smallpox, louse-
borne epidemic typhus, and yellow fever) this is noted
below table 1.


County
Chester
Westchester
Lycoming
Northumberland
Schenectady
Lycoming
Lycoming
Ontario
Madison
Clinton


Date of
Biting
June 8
June 20
July 14
July 19
July 19
July 24
July 27
July 29
July 29
August 3


Laboratory Studies
of Bats
Rabies
Rabies
Rabies
Rabies
Rabies
Pending
Pending
Rabies
Rabies
Bat destroyed
before studies


UNIV OF FL LIB
DOCu.,MENTS DEPT.

rU ..O


U.S DEPOSITORY


Also obtained in New York State were two additional
bats in which rabies was confirmed but which were un-
associated with biting episodes. These were obtained in
Rensselaer and Albany Counties on May 22 and August 8,
respectively,
Pasteur treatment has been administered to those
bitten; no human cases have occurred. The bats in each
of the Pennsylvania cases have been identified as the
small brown bat (Myotis lucifugus). The New York bats
are still under study. Intensified surveillance and study
of the situation has been initiated.
(Reported by Ernest J. Witte, Chief, Section of Veterinary
Public Health, Pennsylvania Department of Health, and
Dr. Donald Dean, Veterinary Science Laboratories, New
York State Department of Health)


QUARANTINE MEASURES

Immunization Information for International Travel

No Changes Reported


State
Pennsylvania
New York
Pennsylvania
Pennsylvania
New York
Pennsylvania
Pennsylvania
New York
New York
New York


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