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:
AA00010654:00311

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

FSMorb



Morbil


and Mortality i
v &nTd


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

PrepOred bIy the I CNE MElrose 4-5131

For release September 1, 1961 Atlanta 22, Georgia Vl3. 10, rno. 34

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

Deaths in Selected Cities for Week Ended August 26, 1961


Poliomyelitis Seventy-four cases of poliomyelitis Approximately one-third of the paralytic cases re-
were reported during the current week, 58 of which were ported this week are from New York State. A significant con-
paralytic. During the previous week, the toral .. centration of paralytic poliomyelitis has been noted in the
which 48 were paralytic. Although there wa l n ab fLE contiguous counties of Onondaga (Syracuse, Madison, and
in both total and paralytic cases for theJ cessive 4 eida. Through August 28, 36 cases of paralytic polio-
week, the incidence of poliomyelitis r well below a witis have occurred in the tri-county area; all but four
that of recent years as illustrated beloa f had onset in August. Of the 36 cases, 14 have occur-
SEP 1961 l Madison County, 13 in Onondaga County (9 in Syra-
POLIOMYELITIS CASES (CUMULATIVE) TH G 34TH WEEK F and 9 in Oneida County. A table of the paralytic
ca s by county and week of onset is shown on page 2.
1961 1960 1959 1957 ..a $0957 addition to the 3b paralytic cases, there are two
Paralytic 381 966 2531 19 n onparalytic cases and two suspect cases in Onondaga
Total 564 1368 3922 1997
3 1 County and one nonparalytic case in Oneida County. The

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

Disease 34th Week Cumulative
(Seventh Revision of International Approxi-
Lists, 1955) First 34 weeks Since seasonal low week mate
Ended Ended seasonal
Aug. Aug. Median Median low
Weekly incidence low or sporadic 26, 27, i'E-R Median i-. t point
Data not available i 19C, 1I61 lI' 1- if,'.- 1S'. to
Quantity zero ,,
Anthrax------- -------062 5 10 *
Botulism-----------------------049.1 4 8 *
Brucellosis undulantt fever)------044 14 9 10 402 543 534 *
Diphtheria---------------------055 13 19 18 366 402 .80 57 75 83 July 1
Encephalitis, infectious-------082 30 49 52 1,030 1,169 1,110 1,030 1,16 1,110 Jan. 1
Hepatitis, infectious, and
serum---------------092,N998.5 pt. 1,052 677 275 51,823 24,814 13,790 67,030 32,322 19,651 Sept. 1
blaria-------------------110-17 37 *
Measles------------------------..-05 1,017 1,055 1,2.-. 384,756 398,617 446,329 420,966 431,22. 482,998 Sept. 1
Meningtis, aseptic--------340 pt. 101 116 --- 1,516 1,479 -- 1,516 1,-79 --- Jan. 1
Meningococcal infections---------057 32 28 28 1,485 1,515 1,b66 2,141 2,2-5 2,-.16 Sept. I
Poliaqnelitis ------------------ 080 74 14. 397 564 1,368 3,635 -61 1,155 3,107 Apr. 1
Paralytic- ----------.080.0,080.1 58 92 95 381 966 1,149 321 809 874 Apr. 1
NcMnpraslytic-------------- 080.2 9 36 233 117 293 1,911 92 263 1,750 Apr. 1
Unspecified-----------------080.3 7 16 69 66 109 575 48 83 -83 Apr. 1
Psittacosis-----------------096.2 1 7 68 *
Rabies in man-----------------094 3 *
Streptococcal sore throat,
including scarlet fever----050,051 2,825 3,061 --- 230,973 221,017 --- 11,762 --- --- Aug. 1
Typhoid fever------------.. -----040 29 19 31 480 502 613 366 372 433 Apr. 1
yphus fever, endemic-----------101 1 1 26 51 *
Rabies in animals------------.--- 60 50 73 2,331 2,5-9 3,093 2,907 3,31j 3,968 Oct. 1







Morbidity and Mortality Weekly Report


INCIDENCE OF POLIOMYELITIS
January Through June
United States, 1912 1961
-Coses Per
100,000
Population


1912 15 20 25


30 35 40
YEARS


The incidence of poliomyelitis in the United States for the first six months of each year
since poliomyelitis reporting was initiated in 1912 is shown in the above table.


DATE OF ONSET OF TRI COUNTY PARALYTIC POLIO CASES
WEEK ENDING: Jan.-June 7'29 8'5 8.12 8.19 8 26 Total
Madison
County* 1 0 4 3 4 1 14
Onondaga
County 1 1 2 1 3 5 13
Oneida County I 0 2 2 2 2 9
Total 3 1 8 6 9 8 36
* One additional Madison County case had onset in August.

majority of cases has occurred among pre-school children
in each of the counties. The vaccination status of the 36
paralytic cases by age is shown below:

TRI-COUNTY AREA BY AGE GROUP AND
VACCINATION STATUS PARALYTIC CASES

Age Vaccination History
Group 0 1 2 3 4+ Unknown Total
0-4 7 1 4 7 1 3 23
5-9 I 0 0 3 1 2 7
10-19 1 0 0 0 1 0 2
20+ 3 0 0 0 1 0 4
Total 12 1 4 10 4 5 36

Type I poliomyelitis virus has been isolated from at
least 4 cases.


New York State Health officials requested 350,000
doses of the type I oral vaccine from the Public Health
Service epidemic reserve. Mass immunization was begun
on Tuesday, August 29, and health authorities expect
that 300,000persons will receive the vaccine by Thursday,
August 31. The doses, two drops given orally with a
calibrated dropper, will be made available free to all
persons under 50 years of age in the three counties. This
is the first large-scale distribution of the oral vaccine
which was licensed by the Public Health Service earlier
this month.



EPIDEMIOLOGICAL REPORTS
Infectious Hepatitis Alaska

In July and August an outbreak of infectious hepatitis
occurred among inhabitants of Hoonah and nearby Excur-
sion Inlet, Alaska. Hoonah is a fishing village of approxi-
mately 700 Tlingit Indians on an island 40 miles west of
Juneau. Excursion Inlet is located 20 miles from Hoonah
and has a summer population of approximately 300, about
half of which is composed of members of Hoonah families
(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 27, 1960 AND AUGUST 26, 1961

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


Polliomyelltis 080 Brucel-
Menin- loss
Total Paralytic 080.0,080.1 gitis, (undu-
(Includes cases not specltfed by type) Nonparalytic aseptic lant
Area Cumulative, Cumulative, fever)
34th Week first 34 weeks 34th Week first 34 weeks 080.2 340 pt. 044

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

UNITED STATES-------- 74 144 564 1,368 58 92 381 966 9 36 101 14

NEW ENGLAND----------------- 11 9 126 1 7 7 102 4 15 -
Maine---------------------- 2 9 2 9 -
New Hampshire------------- 1 -
Vermont------------------- 2 1 2 1 -
Massachusetts-------------- 1 2 4 19 1 1 3 14 1 5 -
Rhode Island--------------- 6 86 4 68 2 10 -
Connecticut--------------- 1 2 11 2 10 1 -
MIDDLE ATLATIC-------------- 33 26 86 173 27 19 72 133 3 7 13
New York------------------- 24 12 51 101 21 10 42 75 2 12
New Jersey----------------- 3 8 20 38 2 3 18 29 1 5
Pennsylvania--------------- 6 6 15 34 4 6 12 29 2 1 -
EAST NORTH CENTRAL---------- 11 25 55 187 8 15 32 104 1 6 29 4
Ohio--------------------- 4 7 18 43 4 4 10 20 1 5 1
Indiana-------------------- 1 4 5 35 1 3 4 24 1 4 2
Illinois------------------- 2 9 16 64 6 7 44 1 2 9 1
Michigan------------------- 3 3 10 36 3 2 9 15 1 10 -
Wtsconsin------------------ 1 2 6 9 2 1 1 1 -
WEST NORTH CENTRAL-------- 3 3 33 69 3 1 16 38 2 12 4
Minnesota------------------ 1 1 4 25 1 1 4 19 12 -
Iowa----------------------- 1 11 10 1 5 2 2
Missouri------------------- 1 8 11 2 7 1 -
North Dakota--------------- 1 1 6 2 1 -
South Dakota--------------- 3 1 1
Nebraska------------------- 1 4 5 1 3 4 -
Kansas--------------------- 5 9 2 3 1
SOUTH ATLANTIC------------- 11 32 118 228 8 22 91 161 2 10 4 2
Delaware------------------- 2 1 -
Maryland------------------ 4 10 21 17 4 8 21 14 2
District of Columbia----- -- I -
Virginia------------------- 1 8 8 1 6 6 4 1
West Virginia-------------- 3 3 14 19 2 3 9 16 1 -
North Carolina------------- 10 8 48 4 6 36 6 -
South Carolina----------- 1 5 11 86 1 4 9 55 1 -
Georgia-------------------- 2 3 27 9. 1 2 20 7 1 1 1
Florida-------------------- 1 26 41 18 27 -
EAST SOUTH CENTRAL----------- 2 15 42 80 1 4 22 50 2 1
Kentucky------------------- 1 10 19 32 4 5 -
Tennessee------------------ 4 10 15 3 6 12 1 1
Alabama-------------------- 6 9 6 9 -
Mississippi---------------- 1 1 7 24 1 1 6 24 1
WEST SOUTH CENTRAL----------- 8 2 92 154 5 1 49 91 3 1 2 2
Arkansas---------------- 2 8 11 4 5 2 -
Louisiana------------------ 5 30 38 4 22 24 1 1
Oklahoma------------------- 3 8 5 -
Texas----------------------- 1 2 51 97 1 1 23 57 1 1 1
MOUNTAIN-------------------- 1 1 38 40 1 23 19 1
Montana-------------------- 3 13 2 9 1
Idaho---------------------- 12 5 6 1 -
Wyoming-------------------- 7 -
Colorado------------------- 1 6 5 1 6 4 -
New Mexico----------------- 1 3 3 -
Arizona-------------------- 7 4 5 4 -
Utah----------------------- 7 3 4 1 -
Nevada--------------------- -
PACIFIC---------------------- 4 29 91 311 4 23 69 268 6 23 1
Washington--------------- 2 1 17 17 2 1 13 17 3
Oregon--------------------- 2 11 22 4 13 2
California----------------- 2 26 61 264 2 22 50 230 4 20
Alaska-------------------- 2 2 -
Hawaii------------------- 2 6 2 6 1

Puerto Rico------------------ --- 11 5 401 --- 11 5 394 ---









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 27, 1960 AND AUGUST 26, 1961 Continued

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


Diphtheria 055 Hepatitis, infectious, and
Encephalitis, serum 092,N998.5 pt. m
infectious eae
Area Cumulative, Cumulative,
34th Week first 34 weeks 082 34th Week first 34 weeks 085

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


UNTED STAES---------- 13 19 366 402 30 49 1,052 677 51,823 24,814 1,017 1,055

EW ENGLAD-------------- 6 10 2 3 46 17 1,463 747 99 75
Maine----------------- 2 1 95 46 9 7
New Hampshire-------------- 10 106 21 1 -
Vermont-------------------- 2 158 11 13 13
Massachusetts-------------- 5 7 1 1 23 10 551 375 48 36
Rhode Island--------------- 1 2 5 1 187 146 11 4
Connecticut---------------- 1 1 5 6 366 148 17 15
MIDDLE ATLANTIC-------------- 19 12 11 4 132 108 7,163 2,810 230 173
New York----------------- 7 3 10 2 59 63 3,000 1,492 140 116
New Jersey----------------- I 1 30 5 1,722 198 24 32
Pennsylvania--------------- 12 8 1 1 43 40 2,441 1,120 66 25
EAST NORTH CNTRAL-------- 1 15 34 2 9 206 86 10,439 4,513 195 351
Ohio------------ ----- .. 1 14 1 65 33 3,530 1,518 13 30
Indiana------------------- 1 5 3 28 9 1,620 520 19 36
Illinois------------------- 10 4 1 5 42 27 1,811 923 73 8
Michigan---------------- 3 9 1 69 17 3,225 1,384 48 98
Wisconsin------------------ 1 2 2 253 168 42 179
WEST NORTH CENTRAL------- 2 3 31 21 1 3 78 36 5,123 1,797 14 19
Minnesota----------------- 2 20 5 1 14 7 1,119 201 4 1
Iowa----------------------- 3 1 5 1 19 5 1,483 303 9 3
Missouri------------------- 2 1 28 12 1,161 661 4
North Dakota--------------- 2 1 1 3 122 138 10
South Dakota--------------- 6 5 1 3 136 122 -
Nebraska------------------- 2 1 4 527 186 1 1
Kansas--------------------- 2 9 9 575 186 NN NN
SOUTH ATLANTIC--------------- 3 11 74 112 3 4 114 66 6,445 2,962 102 57
Delaware ---------------- 8 2 155 185 13 2
Maryland------------------ 1 1 3 6 5 608 304 10 10
District of Columbia------- 2 1 3 77 36 5 4
Virginia------------------- 1 2 15 12 19 10 1,028 597 31 18
West Virginia-------------- 1 4 18 19 1,207 558 21 7
North Carolina------------- 7 5 1 1 28 6 1,365 251 1
South Carolina-------- 6 5 37 2 3 326 47 1 7
Georgia------------------- 2 17 20 2 6 598 195 -
Florida------------------ 3 26 33 29 15 1,081 789 20 9
EAST SOUTH CNTRAL-------- 3 28 40 2 3 112 66 7,764 3,586 50 90
Kentucky------------------- 8 1 29 16 2,292 1,350 10 5
Tennessee----------------- 3 6 1 53 23 3,098 1,175 36 67
Alabama-------------------- 3 12 20 19 19 1,366 771 3 16
Mississippi---------------- 5 13 2 2 11 8 1,008 290 1 2
WEST SOUTH CENTRAL----------- 3 4 179 139 3 64 51 3,770 2,047 64 92
Arkansas ------------------ 4 4 12 5 745 105 4
Louisiana----------------- 1 22 29 8 4 403 97 -
Oklahoma------------------- 1 5 7 12 1 258 257 1 3
Texas-------- ----------- 2 3 148 99 3 32 41 2,364 1,588 63 85
MOUNTAIN--------------------- 1 8 33 2 9 40 57 3,167 2,010 68 62
Montana-------------------- 2 3 3 1 286 80 4
Idaho---------------------- 11 1 4 4 234 248 14 9
Wyoming-------------------- 5 4 129 22 3
Colorado------------------- 4 3 7 13 32 1,067 728 36 16
New Mexico---------------- 1 1 4 2 4 3 349 248 NN -
Arizona-------------------- 3 4 8 479 459 12 12
Utah---------------------- 4 1 6 -6 525 183 6 18
Nevada--------------------- 1 2 3 98 42 -
PACIFIC---------------------- 6 1 7 11 260 190 6,489 4,342 195 136
Washington----------------- 1 11 20 723 484 8 7
Oregon--------------------- 22 26 996 718 47 54
California----------------- 2 6 11 124 144 4,434 2,932 121 75
Alaska-------------------- 4 1 97 290 145 13 -
awaii------------------ --- 6 46 63 6 -

Puerto Rico------------------ -- 1 ,6 103 --- --- 17 665 556 -- 8
I Ipde~ I N~ NoIla


* Epidemic


NM-Not NoUlrlable










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 27, 1960 AND AUGUST 26, 1961 Continued

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

Strepto-
enin c Psitta- coccal 'Typhoid fever 040 Typhus
MNa ia nigoccocal Psitta-
Malaria infections cosis thoat, fever, Rabies in
,endemic animals
Area etc. Cumuative,
110-117 057 096.2 050,051 34th Week first 34 weeks 101

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

UITED SMATES--------- 32 28 1 2,825 29 19 480 502 1 60 50

EWI NGLAD----------------- -- 1 95 1 10 7 -
Maine------------------- 5 1 2 -
New Hampshire-------------- 1 -
Vermont---------------- 17 -
Massachusetts------------ 10 1 5 2 -
Rhode Island------------ 4 -
Connecticut------------- 59 3 3 -
IDDLE ATLANTIC-------------- 7 2 110 5 55 37 9
New York------------------- 4 1 99 1 26 23 9
New Jersey---------------- 2 3 4 16 1 -
Pennsylvania-------------- 1 1 8 13 13 -
EAST NORH CBTRAL------------ 6 6 1 189 3 3 59 63 10 6
Ohio---------------------- 1 13 18 15 1 3
Indiana------------------- 2 72 3 2 15 17 5 -
Illinois------------------ 24 1 22 18 2 -
Michigan------------------ 6 2 45 2 8 1 3
Wisconsin---------------- 1 1 35 2 5 1 -
WEST NORTH CENTRAL---------. 3 1 67 1 27 28 18 14
Minnesota-----.----.--.---- 1 4 5 1 4 2
Iowa---------------------- 13 1 1 5 6 4
Missouri------------------- 15 17 5 3
North Dakota-- ----------- 1 46 1 2
South Dakota-------------- -- 1 3 3 1 2 3
Nebraska------------------- 1 1 2 1
Kansas--------------------- 1 2 1 -
SOUTH ATLANTIC-..------.--. 5 6 218 5 1 78 77 7 8
Delaware------------------- 4 1 2 1 1 -
Mayland ----------------- 1 1 -
District of Columbia---- -- 1 9 6 -
Virginia-------.....--------- 1 101 1 1 8 17 1 4
West Virginia-------------- 63 1 9 5 1 3
North Carolina------------- 3 4 1 13 8 -
South Carolina------------ 4 5 10 -
Georgia-------------------- 1 1 1 2 23 20 -
Florida-------------------- 41 9 9 5 1
EAST SOUTH CENRAL--------- 1 6 631 2 1 49 63 3 6
Kentucky-------------- -- 1 39 8 13 2 2
Tennessee---------------- 2 574 2 1 34 35 2
Alabama------------------ 1 3 2 6 10 1 2
Mississippi---------------- 16 1 5 -
EST SOTH CENTRAL----------- 2 529 9 4 111 157 1 21 5
Arkansas------------------- 3 5 17 36 9 2
Louisiana--------------.. 2 3 2 13 53 -
Oklahoma------------------ 2 1 11 10 1 -
Texas--------------------- 521 1 4 70 58 1 11 3
MOURNTAI------------------- -- 5 809 3 6 44 27 2
Montana ------------------ 40 1 2 14 7 -
Idaho---------------------- 77 2 1 2 -
Wyoming------------------ 4 3 4 -
Colorado------------------ 331 6 -
ew Mexico---------------- 175 1 1 8 7 2
Arizona------------------- 1 124 6 6 -
Utah---------------------- 62 1 2 1 -
Nevada--------------------- 4 -
PACIFIC -------------- ------ 3 6 177 1 3 47 43 1
Washington---------------- 1 47 7 4 -
regon-------------------- 1 1 10 7 -
California---------------- 1 5 91 1 3 40 32 I
Alaska ------- 27 -
Hawaii------------------ 2-

Puerto Rico-- -------- --- --- --- --- --- 13 16 --- ---







Morbidity mad Mrtality Weekly Report


NUMBER OF DEATHS IN


JAN FEB MAR APR MAY


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-


JUN JUL AUG SEP OCT NOV DEC


ceived during the week indicated for deaths that occurred
in selected cities. Figures compiled in this way, by week
of receipt, usually approximate closely the number of
deaths occurring during the week. However, differences
are to be expected because of variations in the interval
between death and receipt of the certificate and because
of incomplete reporting due to holidays or vacations. If a
report is not received from a city in time to be included
in the total for the current week, an estimate is used.
The number of deaths in cities of the same size may
also differ because of variations in the age, race, and sex
composition of the populations and because some cities
are hospital centers serving the surrounding areas. Changes
from year to year in the number of deaths may be due in
part to population increases or decreases.


Table 3. DEATHS IN SELECTED CITIES BY GEOGRAPHIC DIVISIONS

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

34h 3terd Pecen Cumulative, first 34 weeks
week week Adjusted change,
ended ended average, adjusted
Area August August 3week ao9 Percent
26, 19, 1956-60 current change
1961 1961 week ____
week

TOTAL, 117 REPOR'IM CITIES---------------------- 10,509 10,631 10,258 +2.4 391,629 396,432 -1.2

New England---------------------------------(1 cities) 593* 675 608 -2.5 2.,020 24,801 -3.1
Middle Atlantic----------------------------(20 cities) 2,963 3,082 2,778 +6.7 111,753 109,717 +1.9
East North Central--------------------------(21 cities) 2,177* 2,197 2,199 -1.0 83,525 85,623 -2.5
West North Central------------------------- (9 cities) 770* 699 738 +4.3 26,691 27,614 -3.3
South Atlantic------------------------------(1 cities) 908 900 869 +4.5 33,863 34,252 -1.1
East South Central---------------------------(8 cities) 480 487 466 +3.0 17,726 18,003 -1.5
West South Central--------------------------(1 cities) 927* 925 967 -4.1 33,401 34,956 -4.4
Mountain-----------------------------------(8 cities) 337 330 325 +3.7 12,486 12,345 +1.1
Pacific------------------------------------ (1 cities) 1,354 1,336 1,308 +3.5 48,164 49,121 -1.9

*Tncludes estimate for missing reports.


1111111111111111111 1111111111111111111 1111111111IIII










Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


Area


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

MIDDLE ATLANTIC:
Albany, N..-------
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, LU.------------
Cincinnati, Ohio--------
Cleveland, Ohio----------
Columbus, Ohio-----------
Dayton, Ohio-------------
Detroit, Mich.-----------
Evansville, Ind.---------
Flint, Mich.-------------
Fort Wayne, Ind.---------
Gary, Ind.---------------
Grand Rapids, Mich.-----
Indianapolls, 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.-------------


34th
week
ended
August
26,
1961



196
31
18
20
45
20*
14
22
52
55
12
31
18
59


40
30
143
39
37
38
83
88
1,399
33
498
207
22
91
17
30
66
56
21
25


37
31
642
145
189
104
63*
310
36
37
38
31
36
111
33
113
28
30
21
89
53


53
23
25
130
(21)
113
85


33rd
week
ended
August
19,


Cumulative,
first 34 weeks


1961 I 1961


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
25
31
39
126
36
114
24
29
16
88
63


59
32
38
124
(25
101
'9


8,227
1,304
979
922
1,634
829
738
897
1,580
2,114
458
1,535
925
1,878


1,572
1,170
5,071
1,466
982
1,350
2,413
3,471
56,863
1,323
17,650
6,542
801
3,417
819
1,208
2,074
1,539
961
1,061


1,930
1,046
25,270
5,344
6,968
3,876
2,729
11,405
1,233
1,462
1,304
1,037
1,541
4,867
1,109
4,190
961
968
973
3,348
1,964


1,821
884
1,282
4,367
(94)
4,080
2,376


1960



8,657
1,412
1,074
971
1,660
824
824
830
1,546
2,190
460
1,576
944
1,833


1,518
1,197
5,030
1,459
1,007
1,343
2,407
3,286
55,684
1,306
16,944
6,654
811
3,426
820
1,284
2,109
1,440
945
1,047


1,936
1,193
26,439
5,383
7,258
4,025
2,510
11,780
1,232
1,367
1,263
1,085
1,439
5,037
1,087
4,247
1,011
994
968
3,460
1,909


1,896
867
1,180
4,414
(890
4,243
2,5 '-


Area


WEST NORTI 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:
Birmingham, 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.-----------


34th
week
ended
August
26,
1961



252
57
32


111
227
40
47
85
45
71
34
(64)
40
173
35


91
35
26
61
109
46
39
73


22
25
19
118
35*
46
147
72
165
77
103
51
47


42
18
94
15
66
16
47
39


12
(28)
(39)
30
59
519
91
37
101
56
77
174
(33)
122
39
37

(18)


33rd
week
ended
August
19,
1961


Cumulative,
first 34 weeks


1961


206 8,076
58 2,243
32 1,562


90 3,874
229 8,443
33 1,217
46 1,942
76 2,622
44 1,721
56 2,689
28 1,110
(56) (2,387)
73 2,296
199 6,595
26 1,354


66 2,945
43 1,602
25 945
138 3,888
110 3,897
29 1,374
29 1,074
47 2,001


27 1,146
15 946
26 757
102 4,213
39 1,206
66 2,174
177 5,620
43 1,908
170 5,742
67 2,570
106 3,499
38 1,745
49 1,875


30 1,080
11 549
97 3,890
19 568
72 2,829
17 571
56 1,678
28 1,321


18 579
(49) (1,511)
(23) (1,143)
47 1,365
52 1,872
435 17,049
78 3,306
29 1,132
108 3,654
62 2,133
82 2,994
199 6,706
(42) (1,203)
133 4,470
49 1,580
44 1,324

(33) (1,150)


1960


8,478
2,402
1,590


4,055
8,677
1,362
2,081
2,545
1,408
2,704
1,192
(2,477)
2,284
6,650
1,294


2,946
1,595
978
3,939
3,886
1,400
1,197
2,067


1,196
974
838
4,334
1,323
2,323
5,822
1,978
6,274
2,586
3,527
1,862
1,919


1,059
569
4,042
569
2,656
558
1,682
1,210


584
(1,563)
(1,331)
1,407
1,886
17,411
3,288
1,169
3,778
1,986
3,076
6,802
(1,200)
4,712
1,608
1,414

(1,206)


*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.




UNIVERSITY OF FLORIDA

IlllllI IIIIII III llllll Illll Mlll IIIIII
3 1262 08864 0163

Morbidity and Mortality Weekly Report


who spend the summer working at the salmon cannery
there. These families occasionally commute on weekends
between Hoonah and Excursion Inlet.
The figure below illustrates the week of onset of the
72 infectious hepatitis cases that occurred in these vil-
lages between June 3 and August 12. The first 5 cases
were in a family which apparently became infected in
Juneau and in turn infected 3 families in Hoonah. The
virus was then rapidly disseminated, causing clinical
illness in 32 percent of the 5-14 year age group of Hoonah,
in 2.3 percent of the 0-4 age group and in 3.3 percent of
all those 15 years and older. Histories of previous con-
tacts with cases were obtainable from virtually all cases.
A survey of 696 inhabitants of Hoonah revealed that 8 had
had previous episodes of jaundice, scattered over a period
10 to 41 years ago.
Immune globulin in varying dosages was administered
to 654 individuals from the two villages during the period
August 9 through August 14. Follow-up studies are now
in progress.
(Reported by the Alaska Division of Public Health,
Dr. E. O. Wicks, Director, and a team from the Arctic
Health Research Center and the Communicable Disease
Center)


CASES OF HEPATITIS BY WEEK OF ONSET
HOONAH AND EXCURSION INLET, ALASKA
i I
El
El
El
El El
El El
EEl l C one C
El
I IExcursi
El Suspect


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.


DtlNIV OF :L pid
DOCUMENTS DEP'.


U S DEPOSITORY


U S DEPOSITORY


se Hepatitis in Hoonah

se Hepatitis in
on Inlet
Case Hepatitis


m


. .


. E
P n



cm
Pd g


3 10 17 24 1 8 15 22 29 5 12 19 26
June July August


INTERNATIONAL NOTES


Cholera Hong Kong
As of August 29, Hong Kong reports 61 cases of
cholera and six deaths. A large scale immunization pro-
gram has been under way for two weeks. Over 450,000 cc.
of cholera vaccine has been supplied to Hong Kong au-
thorities by the U. S. Government. It has been impossible
to determine the extent of the rumored widespread cholera
epidemic on the Chinese mainland.
Travelers from the United States to Hong Kong and
vicinity without valid cholera immunization certificates
are being detained.


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