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:
AA00010654:00314

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
IF C /' of a- -


Morbidity and Mortality


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


Prepared by t/h


I COMMNKA*L DISAECN R


MElrose 4-5131


For release November 3, 1961 Atlanta 22, Georgia V.-l. 10, N,.. -3

Provisional Information on Selected Notifiable Diseases in the United States and on
Deaths in Selected Cities for Week Ende o 61

Poliomyelitis There has been a slight decrease in 0 York, Pennsy California, and Mary-
the number of poliomyelitis cases reported during the cur- land r nred as many as 3 .tic cases during the
rent week ending October 28. A total of 51 cases, 37 curre k. NO( 1
paralytic, was reported. During the previous week, a total T I paralytic cases ew York were from 9
of 59 cases, including 39 paralytic, was reported. differed t ties. Two of he cases were from the
The low 1961 incidence through the current week is Syracuse reae, report and the other with
compared below with the corresponding time period in the onset on O er 1; (The e on October II is the only
past four years. paralytic case w ic as occurred during October.) There
Polio (Cumulated Weekly) Through the 43rd Week have now been 79 paralytic cases reported this year from
For Past Five Years Onondaga (Syracuse), Madison, and Oneida Counties.
1961 1960 1959 1958 1957 In Pennsylvania. 3 of the 5 paralytic cases were from
Paralytic 727 1932 4908 2460 1911 Erie County. This brings the total number of paralytic
Total 1129 2798 7491 4998 5497 cases which have occurred in Erie County to 10. Eight of

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

Disease 43rd Week Cumulative
(Seventh Revision of International Approxi-
Lists, 1955) First -3 weeks Since seasonal low week mate
Ended Ended seasonal
Oct. Oct. Median Median low
Weekly incidence low or sporadic 28, 29, Iy..-6 Median ... ,-'- point
--- Data not available o61 1: i i 9e i- lI0- .
Quantity zero I '.*-:'.
Anthrax-----------------------062 6 1 *
Botulism-----------------------049.1 5 [ *
Brucellosis undulantt fever)-----044 6 9 11 490 657 672 *
Diphtheria-----------------------055 20 24 38 470 575 67- 161 -30 277 Jul; 1
Encephalitis, infectious-------062 49 42 57 1,394 1,599 1,782 1,39. 1, 39 1,75 Jan. 1
Hepatitis, infectious, and
serum-------------- 092,N998.5 pt. 1,121 863 357 61,881 32,122 16,337 9,063 6,30.. 2,300 Sept. 1
Malaria-------------------- 110-117 4 50 6
Measles---------------------- 085 1,536 1,504 1,504 393,066 407,657 .455,131 7,,38 7,733 8,37-9 SEpt.
Meningitis, aseptic--------- 340 pt. 82 100 -- 2,721 2,574 """ 2,721 2,574 --- Jar. L
Meningococcal infections -------057 36 47 47 1,769 1,826 2,02 25- 2 Q1 301 Sept. I
Polionyelitie-----------------080 51 118 252 1,129 2,798 5,-85 1,026 2,5e9 :,957 Apr. 1
Paralytic ------- --080.0,080.1 37 82 158 727 1,932 1, 01 66; 1,770 1,6-6 Apr.
Nonparalytic--------------080.2 13 18 65 270 578 2,703 2-.5 354 2, 52 Apr.
Unspecified--------------- 080.3 1 18 29 132 288 881 11 65 789 Apr. 1
Psittacosls-----------------. 096.2 2 54 3, *
Rabies in man-------------------096 3 *
Streptococcal sore throat,
including scarlet fever---- 050,051 4,844 4,926 --- 263,660 255,067 --- 44,449 --- -. 1
Typhoid fever---------..----------- 0 25 26 25 682 704 887 568 573 701 Apr. 1
Typhus fever, endemic -----...---1--01 1 1 37 56 *
Babies in animals--------------- 45 45 65 2,878 2,933 3,653 244 162 253 Oct. 1


/


U







Morbidity and Mortality Weekly Report


CURRENT U. S. POLIO INCIDENCE
Compared With Years 1955-1960, April-December, by week


12 19 26 2 9 16 23 30 7 14 21 28 4 11 18 25 2 9 16 23


the 10 cases had onset between September 19 and October
7. One case occurred in August and the most recent case
had onset on October 18. Of the 10 cases, 7 were unvac-
cinated; 2 had 3 doses of vaccine as shown below. There
have been 4 Type I isolations from these cases.


Age Group
0-4
5- 9
10-19
Total


ERIE COUNTY, PENNSYLVANIA
Vaccination History
0 1-2 3 Total
3 0 1 4
3 0 1 4


2
10


The 4 paralytic cases in California were from 4 dif-
ferent communities in Los Angeles County. There is no
evidence of concentration; 26 paralytic cases have oc-
curred in Los Angeles County this year as compared to
176 during the corresponding period last year.
The 3 paralytic cases in Maryland were from three
different counties.

Hepatitis There were 1121 cases of hepatitis
reported for the week ending October 28. This is a slight
drop from the 1191 cases reported the week before. The
number of hepatitis cases reported weekly continues to
remain approximately the same as it has been since July.


EPIDEMIOLOGICAL REPORTS
Relapsing Fever California
A report of relapsing fever in a 12 year old boy
has recently been received from California. The boy, a
diabetic, was spending the summer vacation with his
parents at a park in Northern California. The boy first
became ill following a hike on July 9 when he developed
headache and fever to 1060 F. He was hospitalized
because of diabetic acidosis and a suspected viral in-
fection. He did not receive any medications at this time.
He improved and was discharged. The father called his
private physician on July 20 to say that the boy was sick
again after a hike with a fever of 1050 and headache. He
improved at home with bed rest. He was seen later in the
physician's office and nothing remarkable was found.
He was seen again by his physician after another recur-
rence of fever which began on August 11 again nothing
remarkable was found. A similar episode of less severity
occurred on August 22 and another on September 4. It was
noted that the peak temperature during these latter recur-
rences of fever was less than during the original episodes.
The boy's father happened to mention the fever in a
conversation with a forest ranger who had been in the
same park 20 years before during a small epidemic of
relapsing fever. At that time, investigators from the Uni-
versity of California Hospital came to the area and identi-
(Contrnued 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 OCTOBER 29, 1960 AND OCTOBER 28, 1961

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


Poliomyelitis 080 Brucel-
Menin- losis
Total Paralytic ..00. gitis, (undu-
(Includes cases not speclflea by type) Nonparalytic aseptic lant
Area fpvpT-
Area Cumulative, Cumulative, fever)
43rd Week first 43 weeks 43rd Week first 43 weeks 080.2 340 pt. 044


1961 1960 1961 1960 1961 1960 1961 1960 1961 196C 1961 1961

UNITED STATES--------- 51 118 1,129 2,798 37 82 727 1.932 13 18 82 6

NEW ENGLAND------------------ 1 7 29 214 5 19 167 1 2 5
Maine---------------------- 5 3 43 4 3 42 1 -
New Hampshire-------------- 1 2 I
Vermont-------------------- 5 7 4 2
Masachnuett.-------------- 13 29 8 19 4
Rhode Island--------------- 2 1 101 1 1 77 1 1
Connecticut---------------- 5 34 3 27 -
MIDDLE ATLANTIC-------------- 19 23 301 414 15 17 201 292 3 5 7 -
New York------------------- 14 11 218 229 10 8 141 150 3 2 5
New Jersey----------------- 4 34 79 3 27 58 1 -
Pennsylvania--------------- 5 8 49 106 5 6 33 84 2 2
EAST NORTH CENTRAL----------- 10 23 145 476 5 14 88 287 5 3 30
Ohio----------------------- 1 5 42 111 2 19 57 1 -
Indiana-------------------- 1 8 17 110 1 6 10 81 -
Illinois------------------- 5 2 30 133 1 13 88 4 2 7
Michigan------------------- 1 5 27 88 1 4 23 50 1 22
Wisconsin------------------ 2 3 29 34 2 2 23 11 -
WEST NORTH CENTRAL----------- 5 7 68 161 2 6 30 93 3 1 6 5
Minnesota------------------ 3 6 52 2 6 43 1 5
Iowa----------------------- 18 21 9 4 2
Missouri------------------- 2 4 22 36 4 6 26 2 -
North Dakota--------------- 1 4 14 1 1 5 -
South Dakota--------------- 1 4 1 1
Nebraska------------------- 8 15 4 8 -
Kansas--------------------- 2 9 19 1 4 6 1 1 2
SOUTH ATANTIC--------------- 7 22 192 506 7 20 142 400 2 2
Delaware------------------- 2 1 -
Maryland------------------- 3 7 31 133 3 5 30 120 -
District of Columbia------- 3 3 5 3 3 5 2 1
Virginia------------------- 3 10 34 3 8 31
West Virginia-------------- 1 4 30 50 1 4 20 42
North Carolina------------- 1 21 81 1 11 61
,South Carolina------------- 1 1 33 124 1 1 25 82
Georgia-------------------- 2 1 30 19 2 1 23 17
Florida-------------------- 2 32 60 2 21 42 -
EAST SOUTH CENTRAL----------- 1 16 75 226 1 7 43 92 2 2 1
Kentucky------------------- 7 27 124 5 5 1
Tennessee------------------ 3 17 43 1 8 28 2
Alabama-------------------- 9 21 9 21 1
Mississippi---------------- 1 6 22 38 1 6 21 38 1
WEST SOUTH CENTRAL----------- 2 5 140 259 1 3 75 160 1 2 5
Arkansas------------------- 1 2 18 30 1 2 8 22 -
Louisiana------------------ 1 49 47 38 28 1 -
Oklahoma------------------- 4 16 11 4
Texas---------------------- 3 69 166 1 29 99 2 1
MOUNTAIN--------------------- 4 44 77 25 38 2
Montana-------------------- 2 4 20 2 14 -
Idaho---------------------- 1 14 8 6 1 -
Wyoming-------------------- 19 1 -
Colorado------------------- 7 15 7 14 -
New Mexico----------------- 3 5 2 2
Arizona-------------------- 8 4 6 4 -
Utah----------------------- 1 8 6 4 2 -
Nevada---------------------
PACIFIC---------------------- 6 11 135 465 6 10 104 403 1 23
Washington----------------- 2 1 23 32 2 1 15 32 2 -
Oregon--------------------- 1 16 33 8 18 1 -
California----------------- 4 9 92 391 4 9 77 344 21
Alaska-------------------- 2 2-
Hawaii--------------------- 4 7 4 7 -

Puerto Rico----------------- 8 6 480 7 6 472 1









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 OCTOBER 29, 1960 AND OCTOBER 28, 1961 Continued

(B 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. Measles
infectious
Area Cumulative, Cumulative,
43rd Week first 43 weeks 082 43rd Week first 43 weeks 085

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


UNITED STATES--------- 20 24 470 575 49 42 1,121 863 61,881 32,122 1,536 1,504

NEW ENGAND- ------- 1 8 11 57 25 1,959 938 234 156
Maine-------------------- 2 4 2 133 58 104 5
New Hampshire------------ 4 174 27 2 3
Vermont-------------------- 2 186 13 11 16
Massachusetts------------- 1 7 8 34 14 807 467 102 110
Rhode Island-------------- 1 7 4 223 183 6
Connecticut---------------- 1 6 5 436 190 15 16
MIDDLE ATLANTIC--------- 20 13 17 8 161 122 8,442 3,927 144 254
New York------------- 7 3 12 1 92 54 3,621 2,152 76 157
New Jersey----------------- 2 3 26 13 1,988 272 29 42
Pennsylvania--------------- 13 8 5 4 43 55 2,833 1,503 39 55
EAST NORTH CENTRAL-------- 1 1 16 39 8 9 237 148 12,309 5,736 275 389
Ohio-------------------- 1 16 3 1 82 52 4,109 1,951 31 96
Indiana------------------ 1 1 2 6 6 22 17 1,833 648 30 41
Illinois------------------ 10 6 5 69 29 2,240 1,234 105 31
Michigan----------------- 3 9 2 58 46 3,813 1,697 49 95
Wisconsin--------------- 2 6 4 314 206 60 126
WEST NORTH CENTRAL------- 2 5 42 41 1 2 100 54 5,912 2,271 31 103
Mfnnesota------------------ 2 2 26 19 38 17 1,319 337 5 -
Iowa----------------------- 2 7 34 12 1,742 370 9 23
Missouri----------------- -- 1 6 13 1,305 792 3 15
North Dakota--------------- 1 4 2 2 1 1 127 163 13 63
South Dakota-------------- 2 7 8 7 1 185 139 1 -
Nebraska----------------- 2 1 4 4 588 232 2
Kansas--------------------- 2 1 10 6 646 238 NN NN
SOUTH ATLANTIC---------- 6 4 111 182 7 4 1461 96 7,807 3,737 125 155
Delaware---------------- 1 5 176 223 2 22
Maryland------------------ 1 1 1 4 8 685 371 13 7
District of Columbia------- 2 2 5 115 47 4 -
Virginia------------------ 3 15 32 1 34 10 1,265 684 15 71
West Virginia------------- 1 4 9 16 1,394 691 72 13
North Carolina------------- 2 1 11 11 1 63 11 1,774 343 2 29
South Carolina-------- 10 46 1 1 12 17 415 129 2 2
Georgia-------------------- 31 33 6 1 690 240 6 2
Florida------------------ 4 40 55 4 2 15 23 1,293 1,009 9 9
EAST SOUTH CENTRAL------ 5 37 61 9 130 111 9,273 4,552 74 59
Kentucky----------------- 2 9 4 3 26 28 2,724 1,632 16 24
Tennessee------------------ 3 7 1 52 67 3,628 1,507 54 33
Alabama-------------------- 19 27 1 25 16 1,605 992 1 1
Mississippi---------------- 3 6 23 4 27 1,316 421 3 1
WEST SOUTH CENTRAL--------- 8 9 216 192 3 74 59 4,492 2,519 174 57
Arkansas------------------- 4 14 20 7 879 164 2 -
Louisiana------------------ 6 26 46 3 7 482 147 3
Oklahoma------------------ 1 9 18 8 13 303 304 12 -
Texas--- ----------- 7 3 177 114 3 43 32 2,828 1,904 157 57
MOUNTAIN-------------------- 2 12 35 2 51 75 3,657 2,507 179 79
Montana-------------------- 2 3 1 3 7 314 128 18
Idaho---------------------- 11 3 9 273 277 140 6
Wyoming----------------- 5 2 3 150 29 -
Colorado------------------- 4 3 14 26 1,234 920 7 14
New Mexico--------------- 2 5 4 4 3 402 284 NN -
Arizona-------------------- 3 19 19 592 558 14 23
Utah ------------------- 6 1 6 8 569 231 18 18
Nevada------------------- 1 123 80 -
PACIFIC-------------------- 8 1 11 10 165 173 8,030 5,935 300 252
Washington---------------- 2 1 15 47 913 726 152 124
Oregon--------------------- 1 1 37 19 1,258 960 23 56
California----------------- 2 10 8 103 104 5,423 3,981 81 67
SAlaska ---------------- 4 1 10 3 375 191 43
Hawaii---------------- 61 77 1 5

Puerto Rico---------- 1 2 53 120 35 10 847, 639 68 30

NN-Not N tfliable









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 OCTOBER 29, 1960 AND OCTOBER 28, 1961 Continued

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

Strepto-
Mennoccocal Ptta coccal Typhoid fever 040 Typhus
Malaria Meningoccocal Psitta-
infections cosis o feverm Rabies in
throat, endemic animals
Area etc. Cumulative,
110-117 057 096.2 050,051 43rd Week first 43 weeks 101

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

ITED STAn'ES--------- 4 36 47 4,844 25 26 682 704 1 45 45

NEW EGIAND---------------- 4 4 3 203 1 19 9 -
Maine--------------------- 4 1 2
New Hampshire------------- 2 -
Vermont-------------------- 13 -
Massachusetts-------------- 4 2 1 55 1 13 4
Rhode Island--------------- 1 34 2 -
Connecticut---------------- 2 1 95 3 3 -
MIDDIE ATIANTIC-------------- 5 9 142 2 4 83 51 1 8
New York------------------- 1 4 79 45 31 1 7
New Jersey----------------- 2 2 35 4 17 6 -
Pennsylvania--------------- 2 3 28 2 21 14 1
EAST NORTH CERAL---------- 14 14 380 3 1 86 91 6 4
Chio----------------------- 6 3 70 2 1 30 26 2 3
Indiana-------------------- 1 81 20 23 2 -
Illinois------------------- 2 4 53 1 27 21 1
Michigan -------------. --- 6 4 102 1 6 14 2 -
Wisconsin----------------- -- 2 74 3 7 -
WEST NORTH CENTRAL---------- 3 2 191 4 33 41 12 6
Minnesota------------------ 1 18 5 1 3 2
Iowa -------------------- 1 45 3 2 9 3 4
Missouri------------------ 1 23 20 22 3 -
North Dakota-------------- 49 I -
South Dakota-------------- 1 2 3 3 3
Nebraska------------------- 1 1 1 3 -
Kansas--------------------- 54 2 2 -
SOUTH ATLANTIC-------------- 2 10 388 3 3 111 106 4 5
Delaware------------------- 2 2 1 -
Maryland------------------ 2 23 -. 2 5 -
District of Columbia------- 1 2 1 11 8
Virginia------------------ 2 86 1 19 23 1 1
West Virginia-------------- 1 119 1 10 10 2 2
North Carolina------------- 1 36 1 14 9 -
South Carolina------------- 2 28 8 12 -
Georgia------------------- 1 5 2 34 26 1
Florida------------------- 87 12 12 1 1
EAST SOUTH CENTRAL--------- 1 2 800 3 1 77 103 1 5 2
Kentucky-------------- 1 20 1 18 24 1 -
Tennessee---------------- 1 735 3 47 55 3 2
Alabama------------- ------ 12 10 19 1 1 -
Mississippi---------------- 1 33 2 5 -
WEST SOUTH CENTRAL----------- 2 2 619 4 8 146 196 12 10
Arkansas------------------- 1 1 4 29 50 1 3
'Louisiana------------- 1 1 2 1 1 22 58 -
Oklahoma-------------------- 2 12 12 1 -
Texas---------------------- 1 615 2 3 83 76 10 7
MOwUNTI--------------------- 1 2 1,083 3 2 59 40 7
Montana------ ------------ -- 42 1 18 11 -
Idaho--------------------- 55 1 3 -
Wyoing -------------------- 52 3 4 -
Colorado----------------- 2 374 1 7 1 7
New Mexico-------------- --- 274 1 16 10 -
Arizona------------------ 194 1 8 9 -
Utah--------------------- 92 1 2' 2 -
Nevada--------------------- 1 4 -
PACIFIC--------------------- -- 4 3 1,038 6 3 68 67 5 3
Washington----------------- 1 319 7 5 -
Oregon-------------------- 35 1 8 -
California---------------- -- 3 2 604 5 3 59 53 5 3
Alaska ------------------ 1 34 1 -
Hawaii-------------- 46 1 1 -

Puerto Rico------------- 5 18 19 1







Morbidity and Mortality 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 weekof filing certificate. Excludes fetal deaths. Data exclude figures shownin parentheses in table 4)

43rd 42nd Adusted Cumulative, first 43 weeks
week week change,
ended ended aY erg adjusted
Area Oct O 43rd average
w28, 21, eek to 1961 1960 Percent
28, 21, 1956-60 current change
1961 1961week _______
week

TOTAL, 117 REPORIMN CITIS--------------------- 11,508 11,866 11,246 +2.3 490,955 493,755 -0.6

New lngla n-- -------------------------(14 cities) 745 680 677 +10.0 30,138 31,007 -2.8
Middle Atlantic---------------------------(20 cities) 3,196 3,367 3,081 +3.7 139,683 137,210 +1.8
sapt North Central------------------------ (21 cities) 2,434 2,471 2,406 +1.2 104,893 106,792 -1.8
West North Central------------------------- (9 cities) 744 828 826 -9.9 33,448 34,369 -2.7
South Atlantic----------------------------(1 cities) 1,033* 1,075 957 +7.9 42,499 42,300 +0.5
aest South Central--------------------------(8 cities) 521 519 507 +2.8 22,182 22,341 -0.7
West South Central--------------------------(1 cities) 990 918 1,011 -2.1 42,010 42,997 -2.3
Mountain------------- ---------------(8 cities) 377 387 359 +5.0 15,697 15,454 +1.6
Pacific----------------.-----.----------. ( cities) 1,468* 1,621 1,422 +3.2 60,405 61,285 -1.4

*Includes estimate for missing reports.









Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


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 ATIANTIC:
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, Ill.-----------
Cincinnati, Ohio---------
Cleveland, Ohio---------
Columbos, Ohio-----------
Dayton, Ohio-----------.
Detroit, Mich.-----------
Evansville, Ind.---------
Flint, Mich.-------------
Fort Wayne, Ind.---------
Gary, Ind.--------------
Grand Rapids, Mich.------
Indianapolis, Ind.------
Madison, Wis.- -------
Milwaukee, Wis.--------
Peoria, Ill.------------
Pockford, 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.------------


43rd
week
ended
Oct.
28,
1961


42nd
week
ended
Oct.
21,
1961


Cumulative,
first 43 weeks


1961 1 1960


4 .


244
39
29
31
60
29
20
23
62
67
10
47
26
58


46
31
133
41
40
45
82
90
1,640
40
500
165
24
106
15
35
67
43
29
24


55
39
734
164
210
105
73
305
45
44
37
34
35
172
34
131
25
25
26
84
57


47
26
37
99
(16)
118
64


256
30
34
31
51
19
20
33
39
44
19
41
21
42


53
39
170
34
35
19
89
139
1,606
35
484
286
23
108
39
41
64
45
28
30


57
34
726
141
219
129
82
318
35
41
30
34
52
172
23
132
16
25
32
113
60


57
28
42
141
(30)
112
61


10,354 10,826
1,636 1,753
1,254 1,332
1,170 1,213
2,074 2,104
1,044 1,018
933 1,044
1,112 1,044
1,963 1,909
2,657 2,739
562 567
1,893 1,941
1,142 1,180
2,344 2,337


1,966 1,843
1,475 1,493
6,244 6,194
1,816 1,810
1,273 1,250
1,665 1,657
2,980 3,056
4,361 4,183
71,305 69,996
1,668 1,648
21,756 20,966
8,200 8,254
1,002 1,020
4,329 4,311
1,038 1,013
1,520 1,604
2,627 2,674
1,934 1,769
1,209 1,162
1,315 1,307


2,453 2,430
1,340 1,493
31,735 32,930
6,697 6,752
8,714 9,051
4,901 5,042
3,428 3,214
14,208 14,544
1,561 1,567
1,822 1,735
1,625 1,567
1,317 1,329
1,937 1,766
6,127 6,246
1,391 1,352
5,276 5,354
1,211 1,310
1,217 1,224
1,230 1,262
4,226 4,264
2,477 2,360


2,315 2,352
1,103 1,092
1,614 1,516
5,475 5,373)
(1,187) (1,108)
5,065 5,375
2,969 3,165


43rd 42nd
week week


ended
Oct.
28,
1961


WEST NORTH CENTRAL-Con.:
St. Louis, Mo.-------- 256
St. Paul, Minn.--------- 53
Wichita, Kans.----------- 44

SOUTH ATLANTIC:
Atlanta, Ga.------------- 132
Baltimore, Md.---------- 247
Charlotte, N.C.-------- 42
Jacksonville, Fla.------- 65
Miami, Fla.-------------- 76*
Norfolk, Va.------------- 50
Richmond, Va.------------ 88
Savannah, Ga.------------ 25
St. Petersburg, Fla.---- (69)
Tampa, Fla.-------------- 52
Washington, D.C.----- 213
Wilmington, Del.--------- 43

EAST SOUTH CENTRAL:
Birmingham, Ala.--------- 102
Chattanooga, Tenn.------ 51
Knoxville, Tenn.--------- 30
Louisville, Ky.------ 92
Memphis, Tenn.---------- 118
Mobile, Ala.------------- 31
Montgomery, Ala.--------- 34
Nashville, Tenn.------ 63

WEST SOUTH CENTRAL:
Austin, Tex.------------- 31
Baton Rouge, La.--------- 37
Corpus Christi, Tex.---- 28
Dallas, Tex.------------- 121
El Paso, Tex.----------- 38
Fort Worth, Tex.--------- 45
Houston, Tex.------------ 178
Little Rock, Ark.------- 67
New Orleans, La.--------- 158
Oklahoma City, Okla.---- 73
San Antonio, Tex.-------- 93
Shreveport, La.---------- 59
Tulsa, Okla.------------- 62

MOUNTAIN:
Albuquerque, N. Mex.---- 27
Colorado Springs, Colo.-- 20
Denver, Colo.------------ 132
Ogden, Utah----- ---- 23
Phoenix, Ariz.----------- 74
Pueblo, Colo.------------ 17
Salt Lake City, Utah---- 46
Tucson, Ariz.------------ 38

PACIFIC:
Berkeley, Calif.--------- 11
Fresno, Calif.----------- (56)
Glendale, Calif.--------- (41)
Honolulu, Hawaii-------- 42
Long Beach, Calif.------- 44
Los Angeles, Calif.----- 553
Oakland, Calif.---------- 106
Pasadena, Calif.--------- 27
Portland, Oreg.---------- 113*
Sacramento, Calif.------- 67
San Diego, Calif.-------- 98
San Francisco, Calif.---- 205
San Jose, Calif.--------- (35)
Seattle, Wash.----------- 128
Spokane, Wash.----------- 44
Tacoma, Wash.------------ 30

San Juan, P. R.-------------- (29)


ended
Oct.
21,
1961


+


256
77
54


122
295
36
59
73
49
73
32
(57)
76
208
52


93
43
11
118
109
41
26
78


38
44
13
96
20
67
155
43
177
63
88
63
51


39
12
125
12
98
19
37
45


27
(45)
(42)
42
67
560
116
47
92
55
118
232
(31)
167
55
43

(43)


Cumulative,
first 43 weeks


1961 I 1960


10,094
2,816
1,997


4,888
10,533
1,554
2,485
3,243
2,131
3,328
1,395
(2,890)
2,830
8,408
1,704


3,673
2,004
1,175
4,849
4,856
1,734
1,372
2,519


1,459
1,206
938
5,342
1,505
2,761
7,098
2,422
7,220
3,164
4,357
2,174
2,364


1,347
706
4,973
712
3,534
727
2,054
1,644


739
(1,865)
(1,428)
1,732
2,373
21,367
4,160
1,424
4,570
2,654
3,833
8,333
(1,496)
5,567
2,019
1,634
(1,439)


J J I _______ I _______


10,534
2,982
1,980


5,033
10,787
1,672
2,535
3,092
1,710
3,341
1,432
(3,007)
2,827
8,246
1,625


3,607
2,016
1,216
4,900
4,779
1,769
1,489
2,565


1,457
1,243
1,011
5,318
1,630
2,844
7,204
2,439
7,633
3,214
4,315
2,323
2,366


1,331
725
5,120
713
3,252
705
2,085
1,523


725
(1,865)
(1,614)
1,765
2,335
21,551
4,121
1,474
4,713
2,477
3,924
8,501
(1,487)
5,907
2,051
1,741

(1,515)


*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.





Sli r 6lllll I 9lili! l il llll4ll lillIII I
3 1262 08863 9744


Morbidity and Mortality Weekly Report


fied Borrelia in ticks from rodents in the area and from
ticks in one of the cabins at the park. At that time the
accommodations were "made rodent proof" and the matter
was soon forgotten.
It is interesting that this family occupied the same
cabin that was known to be infested 20 years ago. The
father wrote to his physician regarding his suspicions of
relapsing fever and the physician advised that the child
be brought in during the next febrile episode for blood
smears. The child was seen again as a hospital out-
patient on September 18 and the characteristic spirochetes
in the peripheral blood were identified at that time.
Since this disease does not characteristically occur
in epidemic form in California, this is probably an en-
demic case resulting from contact with an infected tick.
(Reported by Dr. John D. Keye, Shasta County Department
of Public Health, Redding, California.)

Bat Rabies Tennessee

The second confirmed case of rabies in bats in
Tennessee has been reported by the Tennessee Depart-
ment of Public Health.
On September 28, two young boys reported to their
father, a Game and Fish menagerie caretaker, that a bat
had flown out of a tree and dived at them twice. Their
father investigated and found the bat perched in the -tree
chattering and hissing. He probed at the bat with a stick;
the bat dove at the caretaker striking him on the chest and
falling to the ground. The caretaker felt the bat might be
suitable for the Game and Fish photographers and picked
it up to place it in a cage. The bat clung to his hand and
bit his finger. On the following morning, the photographers
examined the bat, one of whom cut his finger on the cage
and the other handled the bat extensively. The bat was
returned to the cage where it died later in the day. Fluo-
rescent antibody examination at the State laboratory con-
firmed the diagnosis of rabies. The bat was identified as
Lasiurus borealis. All three of the men concerned have
been started on a course of immunization using duck
embryo vaccine.
The only one previous known case of rabies in bats
in Tennessee occurred on July 18, 1961 in this same
county (see MMWR, Vol. 10, No. 38).
(Reported by Dr. Cecil B. Tucker, Director, Division of
Preventable Diseases, Tennessee Dept. of Public Health.)


QUARANTINE MEASURES
Immunization Information for International Travel- 1960 edition
Public Health Service Publication No. 384
The following name should be added to the list of Yellow
Fever Vaccination Centers in Section 6:
City Center Clinic Hours Fee
Texas Amarillo Bi-City-County 2d and 4th Yes
Amarillo Health Unit Wednedsay,
417 Austin Street 1 3 p.m.
Tel: DR 2-6562



FOR SOURCE AND NATURE OF MORBIDITY DATA SEE
LAST WEEK'S MORBIDITY AND MORTALITY WEEKLY


REPORT


UNIV OF FL LIB
DOCUMENTS DEPT



U.S DEPOSITOR

U.S DEPOSITORY


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