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:
AA00010654:00312

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

Morbidity and Mortality




Morbidity and Mortality |


PUBLIC HEALTH SERVICE

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

PrepPred b /hei I MElrose 4-5131

For release September 29, 1961 Atlanta 22, Georgia Vol. 10, No. 38

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

Deaths in Selected Cities for Week Ended September 23, 1961


Poliomyelitis Total and paralytic cases of polio-
myelitis reported this week decreased by about one-third.
A total of 71 cases, including 41 paralytic, were reported.
This is in contrast to the 98 cases, 62 paralytic, reported
during the previous week.
Both total and paralytic cases reported through the
first 38 weeks are less than half the cases reported in
the corresponding period last year. This is shown in the
following table:


(Cumulative) Through 38th
1960 1959 1958
1446 3771 1680
2111 5950 3433


Week
1957
1478
4658


New York has accounted for at least one-third of the
total cases reported in the United Stares for the fourth
time in the last five weeks. The tri-county outbreak in
Upstare New York remains the only significant concen-
tration of poliomyelitis in the United States. (See Epi-
demiological Reports).
Hepatitis For the second consecutive week there
was an increase in the number of reported hepatitis cases.
For the 38th week 1213 cases were reported; 1130 cases
had been reported the preceding week. It is too early to
say whether or not this represents the beginning of the
expected seasonal increase in cases.
Encephalitis The number of cases of encephalitis
remains at an unusually low level.


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

Disease 38th Week Cumulative
(Seventh Revision of International Approxi-
Lists, 1955) Ended Ended First 38 weeks Since seasonal low week mate
Sept. Sept. seasonal
t 24St Median Median low
Weekly incidence low or sporadic 23 24, -. Median -19 -56 point
-Data not available 1961 I 96 196i 19F 1956-6C to
Quantity zero 1959-60
Anthrax-------- -----..--.062 2 5 15 *
Botulism---------------------049.1 5 10 *
Brucellosie undulantt fever)---044 15 15 15 454 588 595 *
Diphtheria----------------------055 12 19 20 401 469 540 92 130 143 July 1
Encephalitis, infectious------- 082 38 58 76 1,173 1,389 1,426 1,173 1,389 1,426 Jan. 1
Hepatitis, infectious, and
serum--------------092,1998.5 pt. 1,213 898 260 56,164 27,810 14,825 3,343 2,269 806 Sept. 1
Malaria-------------------- 10-.117 1 6 43 53 *
Measles-------------------------085 627 733 857 387,689 -02,115 449,901 2,061 2,250 2,661 Sept. 1
Meningitis, aseptic---------40 pt. 141 166 -- 2,143 2,046 2,143 2,046 Jan. 1
Meningococcal infections------ 057 29 34 38 1,591 1,630 1,798 76 96 102 Sept. 1
Poliaorelitis-------------------080 71 203 431 849 2,111 4,650 746 1,901 4,122 Apr. 1
Paralytic----------- 080.0,080.1 41 134 218 554 1,446 1,471 494 1,289 1,196 Apr. 1
Nonparalytic----------.-080.2 22 44 141 200 460 2,421 175 433 2,260 Apr. I
Unspecified----------------.-080.3 8 25 72 95 205 758 77 179 666 Apr. 1
Psittacosis------------096.8 1 53 73 *
babies in man-------------------09 3 2 *
Streptococcal sore throat,
including scarlet fever----050,051 3,209 3,353 --- 242,918 233,760 --- Aug. 1
Tarphoid fever-------------------040 20 27 26 580 592 567 Apr. 1
Typhus fever, endemic------------ 101 2 2 29 53 Yi *
Enables in animals ----.........- 61 46 74 2,570 2,733 37 3,146 3,7279 Oct. 1

S OCT 1961


Poliomyelitis Cases
1961
Paralytic 554
Total 849


1








Morbidity and Mortality Weekly Report




DIPHTHERIA CASES BY MONTH*
DIPHTHERIA CASES AND RATES BY STATE UNITED STATES, 1959-1960
UNITED STATES 150 NUMBER
1960 o CASES
1960 .~


EPIDEMIOLOGICAL REPORTS


Diphtheria in the U. S.: Present Trends

The occurrence of diphtheria in the United States
during the present year is closely following the patterns
observed regularly in past years. Although the total of
401 cases reported to date during 1961 has declined
slightly when compared with previous years, this decrease
is not great.
The concentration of diphtheria in the southern States
continues to be striking. The map depicts this distribu-
tion for diphtheria cases in 1960. During 1961 this same
geographic distribution is apparent. Of 401 reported
cases, 311 (77.6%) have occurred in the 17 states com-
prising the South Atlantic, East South Central, and West
South Central Divisions of the country. The sole consis-
tent exception to the low level of diphtheria case inci-
dence in the other states is Minnesota where during the
past several years diphtheria associated with infection
by a gravis strain C. dipbtberiae has been repeatedly
observed. A total of 24 cases has occurred in Minnesota
so far this year.
The coming of autumn in past years has regularly
been accompanied by a striking increase in the occurrence
of diphtheria. This is demonstrated in the graph in which
cases during 1959 and 1960 are charted by month of on-
set. It is expected that this seasonal pattern will be
following during 1961 to the same striking degree,although
the rise in cases has not yet been reflected in the weekly
state morbidity reports.


Preliminary observations of diphtheria cases reported
to Surveillance Section, CDC, with onsets during 1961
reaffirms the fact that the great bulk of cases, particu-
larly severe and fatal cases, is occurring in unimmunized
children (See MMWR Vol. 10, No. 25). This is shown for
1960 cases in the following table:
Immunization Status Cases Percent Deaths Percent
Complete 55 10 0 0
Lapsed 46 8 0 0
Inadequate 56 10 3 8
None 409 72 37 92
Total Confirmed Cases
with information on
Immunization Status 566 100% 40 100%


Poliomyelitis New York State
Through Monday, September 25, 71 cases of paralytic
poliomyelitis have occurred in the contiguous counties of
Onondaga, Madison, and Oneida in Upstate New York.
Of the 71 cases, 41 have occurred in Onondaga County
(29 in Syracuse), 17 in Madison County, and 13 in Oneida
County. The 67 paralytic cases with onset of symptoms
since August are shown by county:


Week Ending 8/5 8/12 8/19 8/26 9/2 9/9 9/16 9/23
Onondaga County 2 1 4 11 11 3 6 1
Madison County 4 3 5 2 1 1 0 0
Oneida County 2 2 2 3 1 0 2 0


In addition to the 71 paralytic cases, 22 nonparalytic
cases have been recognized in the tri-county area.
(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 SEPTEMBER 24, 1960 AND SEPTEMBER 23, 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)
38th Week first 38 weeks 38th Week first 38 weeks 080.2 340 pt. 044

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

UNIED STATES--------- 71 203 849 2,111 41 134 554 1,446 22 44 141 15

NEW ENGLAND------------ 1 14 18 186 1 14 15 147 11 -
Maine -------------- 9 1 30 9 1 30 2 -
New Hampshire----------- 1 -
Vermont------------------- 1 3 6 1 3 2 -
Massachusetts-------------- 1 9 26 1 8 18 4
Rhode Island--------------- 96 74 5 -
Connecticut--------------- 4 4 28 4 3 23 -
MIDDLE ATLANTIC----------- 30 35 215 292 17 18 150 213 10 17 8 -
New York------------------- 24 22 155 170 13 10 101 114 8 12 1 -
New Jersey----------------- 3 4 31 61 1 2 26 46 2 2 -
Pennsylvania--------------- 3 9 29 61 3 6 23 53 3 7
EAST NORTH CEWIRAL ----------- 10 41 94 352 7 26 56 197 2 10 46 2
Ohio----------------------- 3 13 25 86 1 6 12 38 1 3 5 1
Indiana-------------------- 1 9 11 75 1 7 6 54 1 2 -
Illinois------------------- 1 12 21 111 10 9 74 1 2 13
Michigan------------------- 1 3 18 58 1 2 15 26 1 24 1
Wisconsin------------------ 4 4 19 22 4 1 14 5 3 2 -
WEST NORTH CETRAL-------- 9 11 52 120 4 5 24 63 4 6 34 7
Minnesota---------------- 1 1 6 36 1 1 6 29 23 -
Iowa---------------------- 5 5 18 19 3 1 9 4 1 4 6 3
Missouri------------------ 1 4 12 24 3 3 15 1 1 3
North Dakota-------------- 2 9 3 -
South Dakota--------------- 1 4 1 1
Nebraska------------------- 2 1 6 12 3 7 2 1 -
Kan-as--------------------- 7 16 3 4 2 3
SOUTH ATIANTIC--------------- 5 33 142 342 2 30 103 253 3 3 9 2
Delaware------------------- 2 1 -
Maryland------------------- 17 23 51 16 23 45 1 -
District of Columbia------ 1 1 -
Virginia------------------- 1 2 10 17 1 2 8 15 4 2
West Virginia-------------- 3 3 21 32 1 2 13 25 2 1 5 -
North Carolina------------ 1 2 14 67 1 7 47 1 1 -
South Carolina------------- 6 15 110 6 10 73 --
Georgia-------------------- 1 27 15 1 20 13 -
Florida-------------------- 2 29 50 2 20 .35 -
EAST SOUT CENTRAL------- 4 30 64 146 2 9 39 68 1 1 3 -
Kentucky------------------- 20 21 76 5 5 -
Tennessee------------------ 3 7 16 29 1 6 8 22 1 1 3 -
Alabama-------------------- 2 9 13 2 9 13 -
Mississippi---------------- 1 1 18 28 1 1 17 28 -
WEST SOUT CENTRAL---------- 5 12 114 208 3 9 60 125 2 3 3 3
Arkansas------------------- 4 3 15 21 2 3 6 13 2 1 2
Louisiana----------------- 4 36 42 3 27 27 1 -
Oklahoma------------------- 3 12 8 1
Texas---------------------- 1 5 60 133 1 3 27 77 2 2 -
MOUNTAIN--------- ----..---- 1 3 41 60 3 23 27 -
Montana-------------------- 1 3 14 1 2 10 -
Idaho---------------------- 1 14 5 6 1 -
Wyoming------------------- -
Colorado------------------- 2 6 11 2 6 10 -
New Mexico----------------- 3 4 1 -
Arizona-------------------- 7 4 5 4
Utah----------------------- 8 4 4 1
Nevada------------------- -
PACIFIC--------------------- 6 24 109 405 5 20 84 353 4 27 1
Washington ---------------- 1 5 20 27 5 14 27 5 -
Oregon-------------------- 1 2 13 28 1 1 6 16 1 1
California----------------- 4 17 73 341 4 14 61 301 3 21 1
Alaska----------------- 2 2 2 -
Hawaii--------------------- 3 7 3 7 -

Puerto Rico----------------- 16 6 448 16 6 441










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 SEPTEMBER 24, 1960 AND SEPTEMBER 23, 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 Measles

Area Cumulative, Cumulative,
38th Week first 38 weeks 082 38th Week first 38 weeks 085

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


UNIED STATES-------- 12 19 401 469 38 58 1,213 898 56,164 27,810 627 733

NEW ENGAND----------- 6 10 4 1 78 14 1,703 832 27 131
Maine---- ------------- 2 5 1 109 50 13 2
New Hampshire------------- 12 152 25 5 6
Vermont----------------- 8 1 174 12 33
Massachusetts-------------- 5 7 1 1 32 7 668 414 80
Rhode Island-------------- 1 1 4 1 205 162 -
Connecticut---------------- 1 2 17 4 395 169 9 10
MIDDLE ATLANTIC----------- 20 13 4 6 156 191 7,724 3,296 75 76
New York------- ----- 7 3 4 71 129 3,273 1,785 44 45
New Jersey----------------- 2 2 27 9 1,850 222 13 9
Pennsylvania-------------- 13 8 4 58 53 2,601 1,289 18 22
EAST NORTH CENTRAL------- 15 36 5 17 201 145 11,227 5,042 162 148
Chio---------------------- 1 15 5 5 76 59 3,776 1,714 20 19
Indiana------------------ 1 5 11 15 15 1,715 568 26 17
Illinois------------------ 10 5 43 38 1,970 1,061 35 10
Michigan--------------- 3 9 1 64 28 3,489 1,520 43 36
Wisconsin------------------ 2 3 5 277 179 38 66
WEST NORTH CENTRAL------- 1 35 25 11 5 86 53 5,443 1,949 12 31
Mfnnesota------------------ 1 24 7 19 14 1,186 230 -
Iowa----------------------- 1 7 3 32 13 1,594 332 3 8
Missouri------------------- 2 1 1 23 11 1,226 709 7 1
North Dakota--------------- 2 1 126 141 1 21
South Dakota------------- 6 6 5 1 6 2 147 129 1 -
Nebraska---------------- 2 1 2 6 8 561 207 1
Kansas--------- -- 2 8 5 603 201 NN NN
SOUTH ATIANTIC--------------- 8 7 88 140 5 11 155 80 6,987 3,253 69 59
Delaare---- --------- 1 8 6 166 200 2
Maryland------------------ 1 1 1 9 15 14 639 336 29 3
District of Columbia----- 2 6 89 40 -
Virginia------------------ 2 15 18 1 16 5 1,103 634 10 13
West Virginia-------------- -- 1 4 32 20 1,311 611 19 19
North Carolina------------- 7 7 43 8 1,524 281 1 1
South Carolina----- --- 3 1 8 43 1 7 1 358 51 1 6
Georgia------------------ 1 1 23 22 6 4 624 214 -
Florida-------------- 4 3 31 45 3 22 22 1,173 886 9 15
EAST SOUTH CENTRAL---- 1 32 47 2 5 214 143 8,438 3,992 18 24
Kentucky----------- 8 1 1 55 57 2,479 1,472 2 2
Tennessee---------------- 3 7 3 85 43 3,345 1,297 14 20
Alabama-------------------- 1 16 22 1 29 21 1,468 863 1 2
Mississippi---------------- 5 17 2 45 22 1,146 360 1 -
WEST SOUTH CENTRAL ------ 4 10 191 162 6 5 90 45 4,089 2,235 79 69
Arkansas-----------------. 6 4 11 1 1 23 2 810 115 1
Louisiana--------------- 2 23 33 6 425 118 1
Oklahoma------------------ 2 2 7 16 6 6 275 280 -
Texas------ ------ 2 157 102 5 4 61 31 2,579 1,722 79 67
MOUNTAIN--------------- 8 35 3 56 52 3,385 2,241 64 57
Montana------------------ 2 3 6 6 304 103 24 4
Idaho---------------------- 11 8 2 249 262 3
Wyoming----------------- 5 2 1 136 23 -
Colorado------------------- 4 3 18 15 1,141 814 7 16
New Mexico-------------- 1 4 6 7 371 270 NN -
Arizona-------------------- 3 1 3 11 520 496 19 15
Utah---------------------- 6 5 5 545 198 14 17
Nevada-------------------- 1 9 6 119 75 2
PACIFIC--------------------- 6 1 1 5 177 175 7,168 4,970 121 138
Washington----------------- 2 22 24 812 563 13 27
Oregon--------------------- 26 32 1,091 813 26 44
California----------------- 2 1 3 117 114 4,881 3,367 70 63
Alaska------ ----- 4 1 12 2 333 153 12 3
Hawaii----------------- 3 51 74 1

Puerto Rico-------------- 48 110 10 6 742 597 76 3

N1-NOt NDLIflable










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 SEPTEMBER 24, 1960 AND SEPTEMBER 23, 1961 Continued

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

Strepto-
coccal Typhoid fever 040 Typhus
Malaria Meningoccocal Psitta- sore fever,
alara infections cosis throa, endem, Rabies in
throat, endemic animals
Area etc. Cumulative,
110-117 057 096.2 050,051 38th Week first 38 weeks 101

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

UNITED S ES--------- 1 29 34 3,209 20 27 580 592 2 61 46

NW ENGIAND--......--------- 2 103 1 18 8 -
Maine---------------------- 1 2 -
New Hampshire------------- -- -
Vermont---------------- -
Massachusetts-------------- 36 1 12 3 -
Rhode Island------------- 5 2 -
Connecticut---------------- 1 61 3 3 -
MIDDIE ATLANTIC-------------. 1 5 5 90 2 1 70 42 4 6
New York------------------- 1 1 4 53 1 1 35 28 4 6
New Jersey----------------- 1 1 16 17 1 -
Pennsylvania-------------- 3 21 1 18 13 -
EAST NORTH CENTRAL---------- 14 7 184 3 1 78 76 4 4
Chio---------------- .. 21 1 1 26 20 3 -
Indiana-------------------- 80 19 22 1
Illinois------------------. 6 1 14 25 20 1 -
Michigan------------------- 7 5 36 1 5 9 3
Wisconsin----------------- 1 1 33 1 3 5 -
WEST BORTH CNTRAL----------- 1 4 110 2 2 31 36 14 9
Minnesota------------------ 1 5 1 4 -
Iowa ---------------------. 1 17 1 6 2 2
Missouri------------------- 1 35 2 2 19 21 5 5
North Dakota--------------- 18 1 1 -
South Dakota-------------- 3 3 2 2
Nebraska------------------ 3 1 2-
Kansas--------------------- 39 2 2 -
SOUTH ATLANTIC--------------- 3 353 2 6 92 91 1 4 10
Delaware------------------- 1 1 1 -
Maryland------------------. 1 8 1 2 4 -
District of Columbia------- 2 10 7 -
Virginia--------------- --. 120 2 14 20 1 2
West Virginia-------------- 116 2 9 9 6
North Carolina------------- 10 13 8 1 -
South Carolina------------- 1 25 2 8 11 -
Georgia-------------------- 2 1 25 21 1
Florida-------------------- 1 69 10 10 3 1
EAST SOUTH CENTRAL--------- 1 2 795 2 7 59 82 3 4
Kentucky -----------------. 1 36 2 12 15 1 3
Tennessee------------------ 746 6 39 48 2 1
Alabama ------------------. 1 5 1 6 14 -
Mississippi--------------- 1 8 2 5 -
WEST SOUTH CENTRAL----------- 2 2 506 4 6 126 171 1 24 5
Arkansas------------------- 2 3 2 21 39 10 -
Louisiana-------------- 1 3 16 54 2
Oklahoma----------------- 8 2 12 12 -
Texas---------------------- 1 495 1 2 77 66 1 14 3
MOUNTAIN--------------------- 3 772 3 52 31 3 2
Montana------------------- 1 25 16 9 -
Idaho-------------------- 47 1 2 -
Wyoming-------------------- 3 4 -
Colorado- --------------.-- 2 329 -
New Mexico----------------- 157 3 14 8 1 2
Arizona------------------- 107 6 7 2 -
Utah----------------------- 104 2 1 -
Nevada--------------------- 3 4 -
PACIFIC----------------------. 4 8 296 1 4 54 55 5 6
Washington--------------- 105 7 5 -
Oregon--------------------- 1 2 21 1 8 -
California----------------- 3 5 144 1 4 46 41 5 6
Alaska----------- --- 1 19 1 -
Hawaiic----------- -

Puerto Rico----------------- 9 17 17 2








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)

38th 37ted Prcent Cumulative, first 38 weeks
week week Adjusted change,
ended ended average, adjusted
Area Sept. Sept. 38th average
23, 16, veek to i961 1960 Percent
193 1961 95I"-6 current change
week '

TOTAL, 117 REPORING CITIES---------------------- 10,776 11,035 10,634 +1.3 435,317 438,615 -0.8

New England---------------------------(14 cities) 611 706 634 -3.6 26,684 27,356 -2.5
Middle Atlantic---------------------------(20 cities) 2,993* 3,124 2,902 +3.1 124,167 121,283 +2.4
East North Central-------------------------(21 cities) 2,336* 2,384 2,295 +1.8 93,054 94,948 -2.0
West North Central--------------------------(9 cities) 748 768 740 +1.1 29,657 30,565 -3.0
South Atlantic------------------------------(1 cities) 883 884 883 0.0 37,578 37,681 -0.3
East South Central---------------------------(8 cities) 505 565 491 +2.9 19,707 19,962 -1.3
West South Central--------------------------(13 cities) 1,034 907 971 +6.5 37,2-9 38,509 -3.3
Mountain-----------------------------------(S cities) 361 360 341 +5.9 13,870 13,747 +0.9
Pacific----------------------------------- (13 cities) 1,305* 1,337 1,377 -5.2 53,351 54,564 -2.2

*Includes estimate for missing reports.


NUMBER OF DEATHS IN SELECTED CITIES


JUN JUL AUG SEP OCT NOV DEC


JAN FEB MAR APR MAY


I I JI I I I I I III. I I. I I I I I I I I I II.I I.. .I.. I l l I 1I









Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

(By 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.------
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, hio--------------
Canton, hio-------------
Chicago, Il.-----------
Cincinnati, Chio--------
Cleveland, Ohio------
Columbus, Ohio----------
Dayton, Chio-------------
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.-------------


38th
week
ended


37th
week
ended


Sept. Sept.
23, 16,
1961 19i61


221
36
25
30
40
25
24
18
36
45
8
39
16
48


40
35
138*
36
33
26
54
82
1,484
29
476
211
19
104
27
40
60
39
32
28


75
31
728
140
169
110
84
308
36
26
35
29
33
138
33
120
28
28*
31
104
50


58
21
30
122
(25)
108
72


264
42
36
19
43
15
28
26
43
63
15
34
26
52


35
32
130
47
42
34
63
75
1,625
40
490
186
25
105
16
26
65
45
22
21


56
32
659
160
199
129
78
328
39
48
31
25
53
141
34
122
29
25
37
104
55


58
36
30
132
(32)
108
70


Cumulative,
first 38 weeks


1961 1960



9,162 9,498
1,457 1,568
1,104 1,192
1,021 1,076
1,820 1,834
922 909
827 916
986 935
1,740 1,703
2,362 2,425
500 504
1,687 1,709
1,018 1,040
2,078 2,047


1,728 1,657
1,311 1,316
5,573 5,567
1,625 1,618
1,119 1,120
1,488 1,479
2,635 2,701
3,826 3,679
63,304 61,577
1,481 1,455
19,565 18,611
7,249 7,357
880 898
3,838 3,804
911 909
1,347 1,417
2,328 2,344
1,709 1,572
1,071 1,035
1,179 1,167


2,173 2,169
1,169 1,322
28,175 29,339
5,933 5,966
7,696 8,007
4,346 4,483
3,071 2,832
12,669 12,965
1,379 1,381
1,618 1,531
1,459 1,412
1,157 1,196
1,710 1,572
5,402 5,573
1,250 1,207
4,662 4,758
1,072 1,150
1,075 1,091
1,090 1,092
3,743 3,806
2,205 2,096


2,042 2,089
987 960
1,411 1,327
4,863 4,809
(1,051) (990)
4,513 4,731
2,635 2,805


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

SOUTH ATIANTIC:
Atlanta, Ga.------------
Baltimore, Md.-----------
Charlotte, N.C.-------
Jacksonville, Fla.------
Miami, Fla.-------------
Norfolk, Va.-------------
Richmond, Va.-----------
Savannah, Ga.------------
St. Petersburg, Fla.-----
Tampa, Fla.-------------
Washington, D.C.------
Wilmington, Del.------

EAST 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.--------


38th
week
ended
Sept.
23,
1961


214
69
54


86
213
27
50
78
44
54
38
(58)
58
196
39


90
51
39
86
100
43
43
53


33
30
22
131
42
58
222
64
161
81
99
39
52


26
8
116
18
94
17
48
34


20
(35)
(30)
44
44
431
89
39
131
38
93
182
(27)
108
43*
43

(34)


37th
week
ended
Sept.
16,
1961


226
60
48


111
214
33
50
59
41
62
31
(56)
48
195
40


77
49
35
142
104
45
46
67


29
27
27
115
29
77
128
69
153
61
99
46
47


25
14
120
14
83
15
43
46


22
(25)
(34)
36
44
494
93
27
90
60
93
196
(37)
108
48
26

(40)


Cumulative,
first 38 weeks


1961 1960


8,946
2,503
1,757


4,286
9,355
1,347
2,171
2,889
1,892
2,946
1,240
(2,600)
2,530
7,408
1,514


3,246
1,783
1,056
4,356
4,299
1,537
1,213
2,217


1,294
1,039
838
4,757
1,333
2,432
6,273
2,156
6,394
2,838
3,885
1,927
2,083


1,182
608
4,356
637
3,135
638
1,842
1,472


659
(1,651)
(1,262)
1,513
2,075
18,885
3,664
1,256
4,056
2,355
3,359
7,400
(1,327)
4,921
1,762
1,446
(1,285)


9,444
2,665
1,735


4,513
9,584
1,489
2,276
2,782
1,533
2,972
1,298
(2,715)
2,496
7,296
1,442


3,230
1,791
1,068
4,378
4,290
1,580
1,325
2,300


1,330
1,090
907
4,757
1,461
2,551
6,445
2,205
6,868
2,856
3,856
2,076
2,107


1,176
629
4,515
630
2,947
630
1,858
1,362


639
(1,699)
(1,479)
1,581
2,092
19,251
3,666
1,310
4,213
2,217
3,421
7,539
(1,319)
5,267
1,794
1,574
(1,355)


*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.





3i 11262 08863 97011111
3 1262 08863 9710


Morbidity and Mortality Weekly Report


Since the oral poliomyelitis immunization program
began on August 29, there have been 25 cases of para-
lytic poliomyelitis. These cases have had onset as
follows (3 day periods):
Oral August September
Vaccine Status 29-31* 1-3 4-6 7-9 10-12 13-15 16-18 Total
No Vaccine 4 1 1 1 3 2 0 12
Vaccine 1 6 1 1 0 3 1 13
*Oral Vaccine administered during this three day period


Bat Rabies Tennessee and Arkansas
Each of two States, Tennessee and Arkansas, re-
cently reported its first laboratory confirmed case of rabies
in bats.
On July 18, 1961, a university student's son found an
injured bat under a tree at a Vanderbilt University grad-
uate student housing facility. The bat was kept until it
died on July 24, and then submitted to the State Depart-
ment of Public Health for laboratory analyses. Examina-
tion for Negri bodies was negative but rabies was con-
firmed by fluorescent antibody technique.
Identification of the species of bat was made by the
father and son by inspection of a collection of 14 species
of indigenous bats. It was felt that this collection repre-
sented all species, except the hoary, reported in Tennes-
see. It was tentatively concluded that the rabid bat was
a Nycteria borealis.
On August 17, 1961, a bat bit a woman resident of
Little Rock, Arkansas. The bat had been lying enclosed
in a small paper box in the front yard of this woman's
residence. One of her children opened the box. The bat
flew out and lit on the child's dress. In brushing the bat
off the little girl's dress, the woman was bitten on the
right index finger.
Examination of the bat's brain by fluorescent anti-
body technique at the Communicable Disease Center,
Atlanta, Georgia made the diagnosis of rabies. The bat
was not the dark type usually seen in Arkansas but was
identified as an insectivorous bat which was light tan
in color.
Several minutes after this episode was reported on
a local television station, a man called to explain the
mysterious presence of the bat in the paper box. He said
that the bat in question had flown into his car on August
17. He had captured it in a paper box and discarded it.
(Reported by Cecil B. Tucker, M.D., Director, Division of
Preventable Diseases, Tennessee Department of Public
Health, and Harvie R. Ellis, D.V.M., Director, Division
of Veterinary Public Health, Arkansas State Health De-
partment.)


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 I 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 I.

QUARANTINE MEASURES
Immunization Information for International Travel
No Changes Reported


UNIV OF FL LIB
DOCUMENTS DEPT.





U.S DEPOSITORY


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