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:
AA00010654:00310

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

-5 1


Morbidity and Mortality


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


Prepared by tie


I COMMU ICABL DIEA


MElrose 4-5131


For release August 25, 1961 Atlanta 22. Georgia Vol. 10, No. 33

Provisional Information on Selected Notifiable Diseases in the United States and on
Deaths in Selected Cities for Week Ended August 19, 1961


Type I Oral Polio Vaccine On August 17, 1061, the
Surgeon General of the Public Health Service, Dr. Luther
L. Terry, announced the grant of a license to Pfizer Ltd.
for the manufacture of live oral polio vaccine, Type I. The
Public Health Service has purchased 900,000 doses of
this vaccine to be held in reserve at the Communicable
Disease Center for use in the event of an epidemic or epi-
demic threat of Type I polio anywhere in the U. S. A local
community will be able to request the vaccine through
their State Health Department if at least 3 cases of polio
have occurred in the community within a month and if at
least two have been confirmed to be Type I by laboratory
analysis.


Poliomyelitis There was a 28 percent increase in
the total numb es reported this week, and a 33 per-
cent incr ip i. ses, compared to figures for
the pr s w ek. T fo or the current week was 69
case owich 48 were pa ti For the previous week,
the Ki as 54, including a alvtic cases.
'Te( f igr for~ft curr~ ,'eek are the highest re-
port his year lut are les rh half those reported for
the mrpa ble week in I 60. he cumulative totals for
the fir 'R ks an frir parable weeks during each
of the Dp our yvds are- own below.


(Continued on page 2)


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

Disease 33rd Week Cumulative
Disease
(Seventh Revision of International Approxl-
Lists, 1955) Ended Ended First 33 veeks Since seasonal low week mate
Aug. Aug. seasonal
Median Median low
Weekly incidence low or sporadic 19, 20, ic- .. Median ..l point
-- Data not available o :, ti i. .-6 l o
Quantity zero 19-. I,.
Anthrax----------------------062 5 10 *
Botulism----------------------049.1 4 8 *
Brucellosis undulantt fever) ----044 10 19 16 388 534 524 *
Diphtheria---------------. ----055 13 5 10 353 383 471 44 56 74 July 1
Encephalitis, infectious------082 37 57 58 1,000 1,120 1,061 1,000 1,120 1,061 Jan. 1
Hepatitis, infectious, and
serum----------------092,N998.5 pt. 1,044 737 279 50,775 24,137 13,535 65,982 31,645 19,259 Sept. 1
Malaria--------------------110-117 2 7 37 4 *
Measles--------------------------085 1,465 1,541 1,534 383,739 397,562 445,057 419,949 430,169 -81,726 Sept. 1
Meningitis, aseptic----------340 pt. 129 136 --- 1,415 1,363 --- 1,415 1,363 -- Jan. 1
Meningococcal infections---------057 39 32 30 1,453 1,487 1,634 2,109 2,217 2,39. Sept. 1
Poliolyelitie-------------------080 69 150 319 485 1,224 3,238 382 1,011 2,710 Apr. 1
Paralytic------------080.0,080.1 48 97 81 318 874 1,054 258 720 779 Apr. 1
ianparalytic----------------- 080.2 13 35 190 107 257 1,678 82 22. 1,517 Apr. 1
Unspecified-----------------080.3 8 18 48 60 93 506 42 67 414 Apr. 1
Psittacosisel----------------096.2 1 46 68 *
Babies In man-------------------094 3 1 *
Btreptococcal sore throat,
including scarlet fever---- 050,051 2,812 3,180 --- 228,148 217,956 --- 8,937 --- --- Aug. 1
Typhoid fever--------------------040 30 19 39 451 483 582 337 352 402 Apr. 1
Typhus fever, endemic------------101 1 25 50 *
Rabies in animals---------------- ,9 63 65 2,271 2,499 3,020 2,847 3,-72 3,885 Oct. 1
Plague Massachusetts See detailed report in MMR, Vol. 10, No. 31


C./"


k


U
We I
Repr-







Morbidity and Mortality Weekly Report


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

PROVISIONAL DATA SUPPLIED BY NATIONAL OFFICE OF VITAL STATISTICS
AND COMMUNICABLE DISEASE CENTER


WM, NO. i II I II I i 7 I I2 2 I 2 2 I 2I. I 2 I 3o I 2B I IBll I I I I3 I I S IJ Ir I i I 1 I l i

PARALYTIC --'
eo .- .- ./ "

N o 40 S.. ,-" /
O" -""- -

2 6: 1956-

:|,fY^^O^V


Poliomyelitis Cases (Cumulative) through 33rd Week
for 1957-1961


1961
Paralytic 323
Total 490


1960
874
1,224


1959
2,201
3,401


1958
835
1,691


1957
1,057
3,242


Both Florida and New York reported nine cases this
week. Eight of the Florida cases are from the small county
of Gadsden in northwest Florida where seven paralytic
cases and one nonparalytic case have occurred between
July 6 and August 2. The seven paralytic cases were all
unvaccinated Negro children. There have been no cases
since August 2. Type I poliovirus has been isolated from
one case. An intensive immunization program using
formalin-inactivated vaccine is under way.
Of the nine cases in New York, the five paralytic
cases were from the Madison-Oneida County area. Last
week's summary included a report of these five cases.
Not yet reflected in the telegraphic reports are eight ad-
ditional paralytic cases from this area. This brings the
total to 14 paralytic cases with onsets between August 1
and August 19. Specimens for isolation and typing are


under study in the State laboratory. Additional information
on the recent cases will be presented next week.
The six paralytic cases in Maryland include four
more from the Type III outbreak in Frederick County. This
brings the year's total in this outbreak to 13 paralytic
cases. Nine of these cases are in the 5-14 year old age
group with the remaining four under five. Eight of 12
cases with vaccination status known are unvaccinated and
three have had three or more doses of formalin-inactivared
vaccine. An intensive immunization program is continuing.

Hepatitis The current weekly total of 1,044 cases
of hepatitis is approximately the same as has been re-
ported for the past six weeks.


EPIDEMIOLOGICAL REPORTS

Enteropathogenic E. coli Epidemic Illinois and Indiana

During the fall and winter of 1960 and 1961, a pro-
gressive increase in the incidence and severity of diar-
rhea among infants was noted in the metropolitan Chicago-
northwestern Indiana area. The illnesses were generally
severe, often accompanied or proceeded by nonspecific
respiratory symptoms and notable by the severity of
vomiting, diarrhea, dehydration and electrolyte disturb-
ances. Cooperative investigations, continuing to date,
were initiated by the Illinois State Department of Health,
the Cook County Health Department, the Chicago Board of
Health, the Indiana State Board of Health, local health
departments of Lake County, and the Communicable
Disease Center.
Over a ten-month period beginning in August 1960,
1,373 cases of gastroenteritis were hospitalized in 25
hospitals in south central Chicago and Cook County and
in four hospitals in Lake County, Indiana. In the epidemic
areas, over 4% of children in the highly susceptible 0 to
6 month age group experienced at least one hospitaliza-
tion for gastroenteritis. A total of 76 deaths due to gasiro-
enteritis occurred during the outbreak.
The number of hospitalized cases rose steadily
throughout the fall and reached a peak in late December
and January. The number of admissions remained at a
high level until early March when a progressive decline
occurred.
The majority of cases (86%) were between 0 and 18
months of age; only 8% were in the susceptible neonatal
period. Most cases were among white children, the per-
centage reflecting racial distribution in the area. Over
40% had had some hospital contact within the preceding
30 days.
Of patients cultured, E. coli 0 111:B4 was obtained
from 40% of the group. The organisms were resistant, by
(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 20, 1960 AND AUGUST 19, 1961

(ly 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 speclfled by type) Nonparalytic aseptic lant
Area fpvoc
Ara Cumulative, Cumulative, fever)
33rd Week first 33 weeks 33rd Week first 33 weeks 080.2 340 pt. 044

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

UNIED STAES--------- 69 150 485 1,224 48 97 318 874 13 35 129 10

NEW ENGLAD----------------- 3 10 8 115 1 7 6 95 3 21
Maine--------------------- 1 7 1 7 -
New Hampshire-------------- 1 -
Vermnt------------------- 1 1 2 1 1 1 2 1 -
Massachusetts------------- 1 3 3 17 1 2 13 2 12 -
Rhode Island--------------- 1 80 64 1 9 -
Connecticut--------------- 4 2 10 4 2 10 -
MIDDIE ATLANTIC-------------- 12 34 48 147 7 27 40 114 4 6 4 1
New York----------------- 9 20 27 89 5 14 21 65 3 5 2 1
New Jersey----------------- 2 3 12 30 2 2 11 26 1 -
Pennsylvania--------------- 1 11 9 28 11 8 23 1 2 -
EAST NORTH CENTRAL-------- 5 28 44 162 2 20 24 89 3 7 28 2
Chio-------------------- 5 14 36 4 6 16 1 4 -
Indiana-------------------- 11 4 31 8 3 21 2 -
Illinois---------------- -- 2 10 14 55 7 7 38 2 3 11 2
Michigan------------------- 3 2 7 33 2 1 6 13 1 1 13 -
Wisconsin--------------- 5 7 2 1 -
ST NORH CENTRAL------ 4 4 30 66 2 1 13 37 3 24 5
Minnesota------------------ 3 24 3 18 24 1
Iowa---------------------- 4 10 10 2 4 2 2
Missouri----------------- 8 10 2 7 -
North Dakota------------ 2 1 5 2 2 -
South Dakota--------------- 3 1 1
Nebraska------------------- 1 3 5 1 2 4 -
Kansas--------------------- 1 5 9 2 3 1 1
SOUTH ATLANTIC--------- 23 16 107 196 21 10 83 139 1 5 5 1
Delaware------------------- 2 1 -
Maryland------------------ 6 4 17 7 6 4 17 6 -
District of Columbia------ 1 I -
Virginia------------------- 2 1 8 7 2 1 6 5 5
West Virginia-------------- 11 16 7 13 -
North Carolina------------- 1 2 8 38 1 6 32 2 -
South Carolina------------- 2 8 10 81 1 4 8 51 3 -
Georgia-------------------- 3 1 25 6 3 1 19 5 -1
Florida-------------------- 9 25 41 8 18 27 1 -
EAST SOUT CENTRAL--------- 4 18 40 65 3 3 21 46 1 8
Kentucky--------------- 14 18 22 4 5 1
Tennessee------------------ 2 3 10 11 2 2 6 9 1 1
Alabama-------------------- 1 6 9 1 6 9 1
Mississippi --------------- 1 1 6 23 1 5 23 5 -
WEST SOU'T CENTRAL----------- 12 7 84 152 8 3 44 90 3 4 6
Arkansas------------------- 3 3 6 11 3 2 4 5 1 -
Louisiana---------------- 3 1 25 38 3 18 24 1 -
Oklahoma ------------------ 1 3 8 5 -
Texas---------------------- 5 3 50 95 2 1 22 56 3 2 6
MOUNTAIN--------------------- 2 2 37 39 2 22 19 1 1 -
Montana-------------------- 3 13 2 9 1 -
Idaho--------------------- 1 12 5 1 6 1 -
Wyoming------------------- 1 7 -
Colorado------------------- 1 1 5 5 1 5 4 1 -
New Mexico----------------- 3 2 -
Arizona------------------ 7 4 5 4 -
Utah----------------------- 7 3 4 1 -
Nevada---------------------
PACIFIC---------------------- 4 31 87 282 2 26 65 245 2 5 32 1
Washington ---------------- 1 15 16 1 11 16 2 -
Oregon-------------------- 1 11 20 1 4 13 1
California----------------- 3 30 59 238 1 25 48 208 2 5 30
Alaska------------------- 2 2 -
Hawaii------------------- 2 6 2 6 -

Puerto Rico---------------- 18 5 390 18 5 383 -









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 20, 1960 AND AUGUST 19, 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. aisles
infectiousMeas
Area Cumulative, Cumulative,
33rd Week first 33 weeks 082 33rd Week first 33 weeks 085

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


UNITED STATES--------- 13 5 353 383 37 57 1,044 737 50,775 24,137 1,465 1,541

NEW ENGLAND------------------ 6 10 1 41 25 1,417 730 127 115
Maine----------------- 2 4 2 94 46 7 14
New Hampshire------------- 3 96 21 14 3
Vermont-------------------- 4 1 156 11 31 7
Massachusetts-------------- 5 7 1 22 9 528 365 49 73
Rhode Island-------------- 1 5 2 182 145 3 7
Connecticut---------------- 1 3 11 361 142 23 11
MIDDLE ATLANTIC-------------- 1 19 12 11 8 104 102 7,031 2,702 166 241
New York------------------- 1 7 3 10 1 46 67 2,941 1,429 88 174
New Jersey----------------- 1 7 18 4 1,692 193 16 35
Pennsylvania--------------- 12 8 1 40 31 2,398 1,080 62 32
EAST NORTH CENTRAL--------- 1 15 33 4 10 226 98 10,233 4,427 430 530
Ohio----------------------- 1 14 1 86 33 3,465 1,485 70 65
Indiana------------------ 1 5 6 19 9 1,592 511 6 79
Illinois------------------- 10 4 4 51 15 1,769 896 178 20
Michigan---------------- 1 3 9 3 68 41 3,156 1,367 102 143
Wisconsin----------------- 1 2 251 168 74 223
WEST NORTH CENTRAL--------- 29 18 13 92 35 5,045 1,761 29 28
Mfnnesota------------------ 18 5 20 12 1,105 194 1 3
Iowa----------------------- 1 2 35 2 1,464 298 6 3
Missouri------------------- 2 1 18 12 1,133 649 1 5
North Dakota-------------- 2 1 2 1 3 121 135 21 17
South Dakota--------------- 6 5 1 133 122 -
Nebraska------------------- 2 1 4 523 186 -
Kansas--------------------- 2 10 13 6 566 177 NN NN
SOUTH ATLANTIC--------------- 8 1 71 101 5 2 127 83 6,333 2,896 126 72
Delaware-------------------- 1 4 147 183 1 4
Maryland------------------- 1 1 2 3 11 602 299 33 8
District of Columbia------- 2 3 1 76 33 17 2
Virginia------------------- 1 14 10 1 19 32 1,010 587 42 20
West Virginia-------------- 1 4 14 11 1,190 539 26 17
North Carolina------------- 7 5 1 30 7 1,337 245 1 -
South Carolina------------- 3 5 31 2 323 47 1 6
Georgia-------------------- 1 15 20 17 2 596 189 1
Florida------------------- 3 1 26 30 3 38 15 1,052 774 4 15
EAST SOUTH CENTRAL--------- 25 40 1 10 130 84 7,652 3,520 85 79
Kentucky------------------- 8 1 25 19 2,263 1,334 6 25
Tennessee------------------ 3 6 2 55 37 3,045 1,152 67 49
Alabama-------------------- 9 20 28 18 1,347 752 6 4
Mississippi-------------- 5 13 1 8 22 10 997 282 6 1
WEST SOUTH CENTRAL----------- 5 2 176 135 5 2 70 68 3,708 1,996 182 128
Arkansas------------------- 1 4 4 1 11 11 735 100 1
Louisiana----------------- 1 1 21 29 14 4 395 93 -
Oklahoma------------------ 1 5 6 1 3 4 246 256 67 -
Texas-- -------------- 2 1 146 96 3 2 42 49 2,332 1,547 115 127
MOUNTAIN------------------- 7 33 1 5 50 43 3,127 1,953 108 106
Montana------------------ 2 3 1 5 3 283 79 17 17
Idaho---------------------- 11 5 7 230 244 14 3
Wyoming------------------ 5 4 125 22 5 -
Colorado------------------- 4 3 1 19 12 1,054 696 44 20
New Mexico-------------- 4 4 2 345 245 NN -
Arizona------------------- 3 3 7 475 451 17 30
Utah---------------------. 4 10 8 519 177 8 31
Nevada--------------------- 1 2 6 96 39 3 5
PACIFIC---------------------- 5 1 9 7 204 199 6,229 4,152 212 242
Washington----------------- 2 27 13 712 464 26 16
Oregon--------------------- 1 23 36 974 692 58 76
California----------------- 1 6 7 145 141 4,310 2,788 118 135
Alaska-------------------- 4 1 9 193 145 9 14
Hawaii--------------------- 9 40 63 1 1

Puerto Rico---------------- 2 2 46 102 27 24 664 539 11 17

NH-NOt NOtlfable










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 20, 1960 AND AUGUST 19, 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- ore fever,
infections cosis re endemic Rabies in
throat, enemc anals
Area etc. Cumulative,
110-117 057 096.2 050,051 33rd Week first 33 weeks 101

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

UNMIED STATES---------- 2 39 32 1 2.812 30 19 451 483 1 49 63

HEW ENGLAND------------------ 1 3 2 1 99 1 9 7 -
Maine---------------------- 2 4 1 2 -
New Hampshire------------- -
Vermont-------------------- 17 -
Massachusetts-------------- 1 1 1 16 1 4 2 -
Rhode Island--------------- 3 1 -
Connecticut---------------- 2 56 3 3 -
MIDDLE ATLANTIC-------------- 7 5 49 1 2 50 37 5 7
New York------------------- 3 3 30 1 25 23 5 6
New Jersey----------------- 2 1 6 12 1 -
Pennsylvania--------------- 2 1 13 1 1 13 13 1
EAST NORTH CENTRAL------ ----- 11 8 152 4 3 56 60 3 10
Ohio----------------------- 1 2 17 1 18 15 1 7
Indiana-------------------- 24 1 1 12 15 1
Illinois------------------. 1 1 28 2 22 17 2 -
Michigan------------------- 8 5 41 2 8 1
Wisconsin------------------ 1 42 1 1 2 5 1
WEST NORTH CENTRAL---------- 1 7 86 27 27 16 19
Minnesota------------------ 1 2 5 1 2 5
Iowa----------------------- 1 11 1 4 9 3
Missouri------------------- 2 1 15 17 4 7
North Dakota--------------- 68 1 1 1
South Dakota--------------- 3 1 -
Nebraska------------------- 4 1 2 3
Kansas--------------------- 4 2 -
SOUTH ATLANTIC-------------- 4 1 211 4 3 73 76 3 3
Delaware ------------------ 2 1 1 1 -
Maryland------------------- I 5 1 1 -
District of Columbia------- 3 9 6 -
Virginia------------------- 1 76 2 7 16 2 3
West Virginia-------------- 43 2 2 8 5 1 -
North Carolina------------- 5 12 8 -
South Carolina------------- 6 5 10 -
Georgia-------------------- 7 1 21 20 -
Florida-------------------- 65 9 9 -
EAST SOUTH CENTRAL-------- 1 2 6 691 3 3 47 62 11
Kentucky---------------- 1 30 8 13 4
Tennessee------------------ 1 2 625 3 3 32 34 4
Alabama-------------------- 2 6 10 3
Mississippi---------------- 4 34 1 5 -
WEST SOUTH CENTRAL----------- 3 586 6 6 102 153 1 17 7
Arkansas------------------- 1 4 12 36 5 4
Louisiana---------------- 1 1 3 1 11 53 -
Oklahoma------------------- 4 1 10 10 -
Texas---------------------- 2 580 3 69 54 1 12 3
MOUNTAIN-------------------- 7 692 7 1 41 21 2
Montana------------------- 58 5 13 5 -
Idaho--------------------- 41 1 -
Wyoming-------------------- 3 1 1 3 4 -
Colorado------------------- 3 276 1 6 1
New Mexico----------------- 117 7 6 1
Arizona------------------- 1 112 6 6 -
Utah----------------------- 88 2 -
Nevada-------------------- 3 -
PACIFIC---------------------- 1 3 246 4 1 46 40 5 4
Washington---------------- 72 7 4 -
Oregon--------------------- 23 7 -
California----------------- 1 3 136 4 1 39 29 5 4
Alaska---------------- 15 -
Hawaii--------------- -

Puerto Rico----------------- 2 2 1 13 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 CITES BY GEOGRAPHIC DIVISIONS

(By place of occurrence and veekof filing certificate. Excludes fetal deaths. Data exclude figures shown in parentheses in table 4)

33we Adjusted Cumulative, first 33 weeks
week week Adjusted change,
ended ended average, adjusted
Area August August 33rd average
19, 12, week 1961 1960 Percent
1961 1961 1956-60. current change
week

TOTAL, 117 REPORTING CITIS---------------------- 10,639 10,641 10,283 +3.5 381,137 386,118 -1.3

New England------------------------------(14 cities) 675 595 602 +12.1 23,427 24,189 -3.2
Middle Atlantic---------------------------(20 cities) 3,082 2,925 2,773 +11.1 108,790 106,740 +1.9
East North Central-------------------------(21 cities) 2,205* 2,274 2,183 +1.0 81,365 83,356 -2.4
West North Central------------------------- (9 cities) 699 787 743 -5.9 25,921 26,880 -3.6
Bouth Atlantic---------------------------- (11 cities) 900 972 868 +3.7 32,955 33,347 -1.2
East South Central---------------------------(8 cities) 487 481 476 +2.3 17,246 17,569 -1.8
West South Central--------------------------(1 cities) 925 947 976 -5.2 32,474 34,056 -4.6
Mountain--------------------------------- (8 cities) 330 334 324 +1.9 12,149 12,044 +0.9
Pacific------------------- .------------. (13 cities) 1,336 1,326 1,338 -0.1 46,810 47,937 -2.4

*Includes estimate for missing reports.


NUMBER OF DEATHS IN


I I IT I I I T I I I T I I T IT I IIT I I I T I I T I I I T I ITI IT T I I I
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC










Morbidity and Mortality Weekly Report 7

Table 4. DEATHS IN SELECTED CITIES

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


NEW ENGLAND:
Boston, Mass.-----------
Bridgeport, Conn.-------
Cambridge, Mass.--------
Fall River, Mass.-------
Hartford, Conn.---------
Lowell, Mass.-----------
Iynn, 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, I11.------------
Cincinnati, Ohio---------
Cleveland, hio---------
Columbus, Ohio-----------
Dayton, Ohio------------
Detroit, Mich.----------
Evansville, nd.--------
Flint, Mich.------------
Fort Wayne, Ind.---------
Gary, Ind.--------------
Grand Rapids, Mich.----.
Indianapolis, Ind.------
Madison, Wis.-----------
Milwaukee, Wis.----------
Peoria, Il1.------------
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.------------


33rd
week
ended
August
19,
1961


32nd
week
ended
August
12,
1961


Cumulative,
first 33 weeks


1961 1960


.4 4 .


253
31
29
34
53
18
18
18
44
56
8
37
22
54


41
23
155
40
23
41
79
111
1,481
26
509
189
29
120
25
33
61
40
25
31


59
28
676
122
153
126
49
312
39
42
33*
31
39
126
36
114
24
29
16
88
63


59
32
38
124
(25)
101
49


214
"41
19
19
40
18
15
21
35
40
14
36
34
49


37
32
143
49
32
31
52
76
1,482
39
506
90
27
100
17
42
73
49
25
23


55
23
704
144
219
99
68
255
33
40
43
30
51
152
36
97
37
26
20
85
57


58
30
36
109
(32)
130
76


8,031
1,273
961
902
1,589
809
724
875
1,528
2,059
446
1,504
907
1,819


1,532
1,140
4,928
1,427
945
1,312
2,330
3,383
55,464
1,290
17,152
6,335
779
3,326
802
1,178
2,008
1,483
940
1,036


1,893
1,015
24,628
5,199
6,779
3,772
2,666
11,095
1,197
1,425
1,274
1,015
1,505
4,756
1,076
4,077
933
938
952
3,259
1,911


1,768
861
1,257
4,237
(924)
3,967
2,291


8,451
1,370
1,045
944
1,614
807
798
806
1,502
2,128
449
1,544
922
1,809


1,476
1,159
4,910
1,430
978
1,301
2,336
-3,186
54,197
1,276
16,463
6,472
784
3,326
798
1,250
2,045
1,400
922
1,031


1,880
1,154
25,744
5,228
7,073
3,924
2,445
11,468
1,207
1,332
1,234
1,061
1,398
4,895
1,060
4,136
980
964
941
3,373
1,859


1,848
844
1,151
4,282
(868)
4,129
2,475


Area


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:
hirmingham, 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.-----------


33rd
week
ended
August
19,
1961


32nd
week
ended
August
12,
1961


Cumula.lve,
first 33 weeks


1961


1960


4- I 4


7,824 8,266
2,186 2,349
1,530 1,536


3,763 3,940
8,216 8,442
1,177 1,322
1,895 2,035
2,537 2,464
1,676 1,370
2,618 2,639
1,076 1,168
(2,323) (2,424)
2,256 2,228
6,422 6,480
1,319 1,259


2,854 2,875
1,567 1,569
919 967
3,827 3,841
3,788 3,778
1,328 1,372
1,035 1,163
1,928 2,004


1,124 1,165
921 954
738 827
4,095 4,229
1,171 1,283
2,128 2,256
5,473 5,673
1,836 1,926
5,577 6,125
2,493 2,501
3,396 3,435
1,694 1,808
1,828 1,874


1,038 1,024
531 561
3,796 3,940
553 555
2,763 2,585
555 541
1,631 1,639
1,282 1,199


567 562
(1,483] (1,524)
(1,104) (1,298)
1,335 1,371
1,813 1,840
16,530 17,031
3,215 3,200
1,095 1,141
3,553 3,675
2,077 1,937
2,917 2,999
6,532 6,637
(1,170 (1,171)
4,348 4,605
1,541 1,555
1,287 1,384

(1,132 (1,172)


*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-
eluded in Table 3.




UNIVERSITY OF FLORIDA

II3llllrIIiiiI 1262 08864 071 1
3 1262 08864 0171


Morbidity and Mortality Weekly Report


disc sensitivity tests, to all commonly employed anti-
biotics.
Continued surveillance and study of the problem is
being carried out and a number of preventive measures
have been instituted.
It is pertinent to note that this is the second major
outbreak of E. coli 0 111:B4 diarrhea recorded this winter.
The first outbreak in Louisiana was described in the
MMWR Vol. 10, No. 8.
(Reported by Dr. Norman J. Rose, Chief, Bureau of Epi-
demiology, Illinois Department of Public Health and
Dr. John A. Googins, State Epidemiologist, Indiana State
Board of Health.)


Rabies in a Flying Squirrel Florida

On June 16, near St. Petersburg, a small flying
squirrel (Glaucomys volans querceti) was found on the
ground by several young boys, captured and carried home.
In the process, two of the boys were bitten on the fingers.
The following day the squirrel was noted to be foaming
at the mouth and about noon it died.
Negri bodies were demonstrated in the brain tissue
by Mr. H. D. Venters, Director, Florida State Board of
Health Regional Laboratory. Confirmation by fluorescein
tagged antibody examination and by mouse injection was
made by the State Laboratory.
Although extensive trapping was carried out in the
open pine woods area where the squirrel was obtained,
only two cotton rats and seven flying squirrels were
obtained. (Juveniles from an adjacent sub-division exert
a heavy hunting pressure). The two cotton rats had been
destroyed by insects when retrieved; the seven squirrels
showed no evidence of rabies on examination.
The rabies picture in Florida is unique in that ap-
proximately one-half of the total raccoon rabies in the
U. S. is reported from this State; a relatively large percent
of bat rabies in the U. S. has also been reported from
Florida. Both these species are tree dwellers. This first
case of rabies in a flying squirrel adds another species
of tree dwelling animals in which rabies has been found
in Florida.
(Reported by J. E. Scatterday, Director, Division of
Veterinary Public Health, Florida State Board of Health.)


International Notes

On August 17, Hong Kong was declared a cholera
infected port. Official reports from World Health Organi-
zation as of August 23 confirmed 20 cases of cholera and
3 deaths. This is the first time in 14 years that cholera
has been reported from Hong Kong. On August 18 at the
request of Hong Kong authorities, the U. S. Government
shipped 250,000 cc. of cholera vaccine to Hong Kong for
use in control of the epidemic. The Chinese Nationalist
Government on Taiwan has also initiated a cholera im-
munization program.
Epidemics of cholera and cholera-like disease have
been occurring in the last several months in many areas
of the Far East (Mainland China, Macao, Sarawak, and
Java) which have reportedly been free of cholera for over
14 years.
Cholera immunization for travelers to the Far East
is strongly recommended.

QUARANTINE MEASURES
Immunization Information for International Travel
No Changes Reported


NIV OF FL LIH
DOCUMENTS DEPTH.



tE
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D: O :EP-JSiTORY
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FOR SOURCE AND NATURE OF MORBIDITY DATA SEE
LAST WEEK'S MORBIDITY AND MORTALITY WEEKLY
REPORT


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