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:
AA00010654:00315

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


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


Prepared by hIe


I COMMUNKAB*: DISEASE CENTER


MElrose 4-5131


For release November 10, 1961 Atlanta 22, Georgia Vi-.. 10, No.

Provisional Information on Selected Notifiable Diseases in the United States and on
Deaths in Selected Cities for Week Ended November 4, 1961


Poliomyelitis -There has been a sharp decrease Polio (Cumulated Weekly) Through the 44th Week
in the number of poliomyelitis cases reported during the For Past Five Years
current week ending November 4. A total of 36 cases, Paralytic 1961 1960 1959 1958 1957
21 paralytic, was reported compared to the total .of 51 751 1997 5044 2585 1954
cases, 37 paralytic, reported the preceding week. During Total 1169 2886 7671 5200 5574
the corresponding week in 1960, a total of 88 cases, Only New York, with 5 paralytic cases, reported
including 65 paralytic, was reported. more than 2 paralytic cases during the current week. The
Paralytic cases reported thus far in 1961 consti- 5 paralytic cases in New York were from four different
rure 38 percent of those reported during this similar counties. Two cases were reported from Ostego County
perin 960, the previous low years. This and one each from Jefferson, Oneida, and Montgomery
L Counties.


NOV 1 tle Cases of Specified Notifiable Diseases: United States
ulative totals include revised and delayed reports through previous week)

D e 44th Week Cumulative
venema toal Approxi-
) First 44 weeks Since seasonal low week mate
Ended Ended seasonal
Nov. Nov. Median Median low
Weekly incidence low or sporadic 4, 5, -F.i ,' M.edian 196-6 point
-Data not available 1961 19: 1931 19JC( 1YB-i. a
1961 to
Quantity zero 195 6C
Anthrax------------- 062 6 15 *
Botulisma---------------------049.1 5 10 a* a* *
Brucellogis undulantt fever)------044 8 10 11 498 667 692 *
Diphtheria------------. ---------055 14 51 38 48. 626 708 175 281 311 July 1
Encephalitis, infectiou--------082 39 29 54 1,433 1,628 1,838 1,433 1,628 1,838 Jan. 1
Hepatitis, infectious, and
serum---------------092,N998.5 pt. 1,112 925 325 62,993 33,047 16,662 10,175 7,37, 2,625 Sept. 1
Mlaria----------------.110-117 1 1 51 61 *
Measles-------------------------085 1,787 1,432 1,611 394,853 409,089 456,456 9,225 9,041 9,990 Sept. 1
eningitis, aseptic----------- 40 pt. 67 72 --- 2,788 2,646 --- 2,788 2,646 --- Jan. 1
Keningococcal infections--------057 60 47 46 1,829 1,875 2,097 31. 337 360 Sept. 1
Polioqyelitie-------------------080 36 88 180 1,169 2,886 5,562 1,066 2,676 5,03,i Apr. 1
Paralytic ----------080.0,080.1 21 65 136 751 1,997 1,944 691 1,834 1,669 Apr. 1
Ilonparalytic-----------080.2 13 11 34 284 589 2,722 259 56- 2,561 Apr. 1
Itapecified-----------------080.3 2 12 10 134 300 896 116 278 804 Apr. 1
Psttaco ------------------- 096.2 3 54 87 *
babies in man-------------------09 3 2 A
Streptococcal sore throat,
including scarlet fever ----050,051 4,822 4,597 --- 268,482 259,664 --- 49,271 --- --- Aug. 1
Tphoid fever------------------040 24 18 20 706 722 907 592 591 727 Apr. 1
pphus fever, endemic------------101 1 37 57 *
Rabies in animals--------- ---- 53 52 55 2,931 2,985 3,701 297 214 302 Oct. 1


U


, o & u

40."0-









Morbidity and Mortality Weekly Report


1954


1955


1956


1957


1958


The 9 cases of nonparalytic poliomyelitis reported
by Maryland represent delayed reports. Of the 9 cases,
2 had onset in July, 5 in August and 2 in September.
Type III poliovirus was isolated from 8 of the 9 cases.

Hepatitis The number of cases of hepatitis re-
ported for the 44th week was approximately the same as
had been reported the preceding week. There has been
little change in the number of cases that has been re-
ported weekly for the past four months. A total of 1,112
cases was reported for the 44th week while 1,121 cases
had been reported the preceding week. Hepatitis morbidity
from 1952 through the 44th week of 1961 is shown in the
figure at the top of page 2.

Diphtheria Diphtheria morbidity continues at a
low level with 14 cases reported for the week ending
November 4. Fifty-one cases had been reported for the
comparable week in 1960. Twelve of the 14 cases fall
in the southern tier of States following the pattern con-
sistently observed for diphtheria in past years.


EPIDEMIOLOGICAL REPORTS


Murine Typhus Rhode Island

A presumptive case of marine typhus has recently
been reported from Rhode Island. The case occurred in a
four year old white girl who also suffered from severe
congenital heart disease. She entered Rhode Island
Hospital in Providence on July31 with a one-week history
of fever, lethargy, anorexia, occasional vomiting and a
macular erythematous rash on the lower leg which dis-
appeared in three to four days. On admission many bite
marks were noted on the body. In spite of antibiotic
therapy for suspected subacute bacterial endocarditis,
the child continued to run a low daily fever for several
weeks. Multiple blood cultures and urine cultures were
consistently negative. Antibiotic regimens included
penicillin, streptomycin, and sulfa drugs.
On September 1, the fever spiked to 104 and an
erythematous macular lesion developed on the upper
(Continued on page 8)


9.000 -


8,000-


7.000

CASE
6.000-


5,000-
5.000


4.000


3.000
3,000 -


2.000


.,000


REPORTED CASES OF INFECTIOUS HEPATITIS
U S., 1952-1961
BY 4-WEEK PERIODS



S











-


1952


1953


1960


1961









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 NOVEMBER 5, 1960 AND NOVEMBER 4, 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)
44th Week first 44 weeks 44th Week first 44 weeks 080.2 340 pt. 044

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

UNIED STAES--------- 36 88 1,169 2,886 21 65 751 1,997 13 11 67 8

EW ENGIAND---------- ---- 2 4 31 218 2 4 21 171 5 -
Maine--------------------- 1 4 43 1 4 42 -
New Hampshire-------------- 2 -
Vermont------------------- 1 2 6 9 1 2 5 4 -
Masoachusetts ------------- 13 29 8 19 4 -
Rhode Island--------------- 1 1 102 1 1 78 1 -
Connecticut---------------- 1 5 35 1 3 28 -
MIDDLE ATLANTIC----------- 10 15 311 429 8 10 209 302 1 3 3 1
New York------------------- 7 7 225 236 5 3 146 153 1 2 -
New Jersey----------------- 1 1 35 80 1 1 28 59 -
Pennsylvania--------------- 2 7 51 113 2 6 35 90 1 3 1
EAST NORTH CENTRAL ---------- 3 15 148 491 2 9 90 296 3 20 1
Ohio----------------------- 1 1 43 112 19 57 1
Indiana-------------------- 8 17 118 7 10 88 1 -
Illinois------------------- 2 4 32 137 2 2 15 90 1 7 1
Michigan------------------- 1 27 89 23 50 1 12 -
Wisconsin------------------ 1 29 35 23 11 -
WEST NORTH CENTRAL--------- 1 6 69 167 5 30 98 1 1 6 2
Minnesota------------------ 1 6 53 1 6 44 6 -
Iowa----------------------- 18 21 9 4 2
Missouri------------------- 1 5 23 41 4 6 30 1 1 -
North Dakota--------------- 4 14 1 5 -
South Dakota--------------- 1 4 1 -
Nebraska------------------- 8 15 4 8 -
Kansas--------------------- 9 19 4 6 -
SOUTH ATLANTIC--------------- 11 24 205 530 2 19 146 419 9 3 7
Delaware------------------- 2 1 -
Marylnd------------------- 9 8 40 141 7 30 127 9 1 -
District of Columbia------- 3 5 3 5 -
Virginia------------------- 3 12 37 3 10 34 5 -
West Virginia-------------- 1 5 31 55 1 3 21 45 1 1 -
North Carolina------------- 1 21 82 1 11 62 -
South Carolina------------- 2 33 126 2 25 84 -
Georgia-------------------- 1 30 20 1 23 18 -
Florida------------------- 1 4 33 64 1 2 22 44 1 1 -
EAST SOUTH CENTRAL----------- 2 5 79 231 2 1 46 93 5 1
Kentucky------------------- 4 27 128 5 5 -
Tennessee------------------ 1 19 44 1 9 29 1
Alabama-------------------- 1 10 21 1 10 21 1
Mississippi---------------- 1 23 38 1 22 38 4 -
WEST SOUTH CENTRAL----------- 3 4 143 263 2 4 77 164 1 5 1
Arkansas------------------- 1 19 30 8 22 1 2 -
Louisiana------------------ 1 1 50 48 1 1 39 29 1
Oklahoma------------------- 1 4 17 1 12 1 -
Texas---------------------- 1 2 70 168 1 2 30 101 2 -
MOUNTAIN--------------------- 7 44 84 6 25 44 -
Montana-------------------- 1 4 21 1 2 15 -
Idaho---------------------- 1 14 9 6 1 -
Wyoming-------------------- 19 1 -
Colorado------------------- 4 7 19 4 7 18 -
New Mexico------- --------- 3 5 2 -- -
Arizona------------------ -- 1 8 5 1 6 5 -
Utah----------------------- 8 6 4 2 -
Nevada-------------------- -
PACIFIC------------------ --- 4 8 139 473 3 7 107 410 1 1 16 2
Washington----------------- 2 1 25 33 2 1 17 33 2 -
Oregon--------------------- 1 1 17 34 1 8 19 1 1 1
California----------------- 6 92 397 5 77 349 1 13 1
Alaska--------------------- 2 -- -
Hawaii -------------------- 1 5 7 1 5 7 -

Puerto Rico------------------ 6 6 486 5 6 477 1 -









4 Morbidity and Mortality Weekly Report

Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, AND
PUFRTO RICO, FOR WEEKS ENDED NOVEMBER 5, 1960 AND NOVEMBER 4, 1961 Contrnued

(Ey 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. Measles
infectious
Area Cumulative, Cumulative,
44th Week first 44 weeks 082 44th Week first 44 weeks 085

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


UNITED STATES---------- 1 51 .84 626 39 29 1,112 925 62,993 33,047 1,787 1,432

NEW ENGAND----------------- 1 8 12 1 62 21 2,021 959 274 145
Maine----------------- 2 6 3 139 61 81 4
New Hampshire-------------- 5 179 27 21 1
Vermont------------------ 1 187 13 5 5
Massachusetts--------------. 1 7 9 1 36 7 843 474 126 96
Rhode Island-------------. 1 5 3 228 186 2 23
Connecticut---------------- 1 9 8 445 198 39 16
MIDDLE ATLANTIC-- ----- -- 2 20 15 7 7 116 142 8,557 4,069 116 283
New York---------------- 1 7 4 5 3 54 80 3,675 2,232 76 135
New Jersey--------------- 2 3 35 12 2,023 284 31 36
Pennsylvania-------------- 1 13 9 2 1 27 50 2,859 1,553 9 112
EAST NORTH CENTRAL-------- 1 16 40 7 2 239 183 12,547 5,919 269 369
Ohio---------------------. 1 16 3 1 67 71 4,176 2,022 16 72
Indiana------------------ 2 6 30 16 1,862 664 19
Illinois-------------------- 10 6 2 41 55 2,281 1,289 119 52
Michigan---------------- 1 3 10 2 1 100 36 3,913 1,733 75 96
Wisconsin---------------. 2 1 5 315 211 59 130
WEST NORTH CENTRAL------- 2 4 44 45 2 4 109 24 6,021 2,295 60 62
Mfnnesota----------------- 2 j 2 28 21 43 9 1,362 346 14 2
Iowa----------------------- 1 2 8 34 2 1,776 372 6 23
Missouri------------------. 1 2 12 3 1,317 795 2 3
North Dakota--------------. 4 2 2 129 163 35 33
South Dakota-------------.. 1 7 9 3 2 188 141 3 -
Nebraska----------------- --- 2 1 2 9 5 597 237 1
Kansas-------------------- 2 2 2 6 3 652 241 NN NT
SOUTH ATLANTIC--------- 7 15 118 197 1 6 124 90 7,931 3,827 205 132
Delaware--------------- 5 176 228 2
Maryland----------------- 1 1 2 10 7 695 378 20 6
District of Columbia------- 1 3 6 2 121 49 1 -
Virginia----------.------ 3 15 35 2 30 5 1,295 689 22 20
West Virginia------------- 1 4 15 26 1,409 717 126 11
North Carolina------------- 1 2 12 13 1 36 7 1,810 350 20 18
South Carolina----- -- 10 46 6 5 421 134 1 27
Georgia-------------------- 5 1 36 34 4 11 694 251 4 1
Florida ------------ 9 40 64 2 17 22 1,310 1,031 11 47
EAST SOUTH CETRAL------ 1 12 38 73 1 1 172 134 9,447 4,686 122 23
Kentucky-------------- 9 9 13 47 29 2,771 1,661 9 -
Tennessee------------------ 3 7 1 59 53 3,687 1,560 100 17
Alabama-------------------- 1 19 28 20 35 1,627 1,027 8 6
Mississippi---------------- 1 2 7 25 1 46 17 1,362 438 5 -
WEST SOUTH CENTRAL----------- 4 15 220 207 10 89 53 4,581 2,572 260 69
Arkansas------------------- 2 4 16 1 12 6 891 170 2 -
Louisiana------------------ 9 26 55 15 5 497 152 -
Oklahoma------------------- 1 9 19 2 9 3 312 307 82 -
Texas------------- 4 3 181 117 7 53 39 2,881- 1,943 176 69
MOUNTAIN------------------- 1 12 36 3 1 44 66 3,701 2,573 142 98
Montana------------------- 2 3 2 2 316 130 55 20
Idaho ------------------ 11 4 8 277 285 32 20
Wyoming----------------- 5 150 29 2
Colorado------------------ 4 3 11 24 1,245 944 15 7
New Mexico-------------- 5 4 6 5 408 289 NN -
Arizona-------------------- 3 2 1 3 12 595 570 11 31
Utah----------------------- 1 7 1 14 4 583 235 19 15
Nevada--------------------- 1 4 11 127 91 10 3
PACIFIC---------------------- 8 1 7 8 157 212 8,187 6,147 339 251
Washington---------------.. 2 25 55 938 781 115 124
Oregon------------------- 25 23 1,283 983 44 35
California------------.--- 2 7 7 98 107 5,521 4,088 135 86
Alaska----------------- 4 1 1 8 26 383 217 44
Hawaii------------------ 1 1 62 78 1 6

Puerto Rico ------------ 2 53 122 17 20 864 659 72 26

NN-NOL NOllflable










Morbidity and Mortality Weekly Report 5


Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, AND
PUFRTO RICO, FOR WEEKS ENDED NOVEMBER 5, 1960 AND NOVEMBER 4, 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
Mla eningoccocal Psitta- sore fever,
Malaria infections cosis throat, endemic a
animals
Area etc. Cumulative,
110-117 057 096.2 050,051 44th Week first 44 weeks 101

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

UNIrED STATES--------- 1 60 47 4,822 24 18 706 722 53 52

NEW ENGLAND------------------ 3 5 201 1 2 20 11 -
Maine---------------------- 22 1 2 -
New Hampshire-------------- 4 -
Vermont----------------- 4- -
Massachusetts-------------- 1 55 1 1 14 5 -
Rhode Island--------------- 28 2 -
Connecticut---------------- 2 5 88 1 3 4 -
MIDDLE ATLATIC-------------- 8 2 179 4 1 87 52 3 4
New York------------------- 2 1 119 1 1 46 32 2 4
New Jersey----------------- 5 31 17 6 -
Pennsylvania--------------- 1 1 29 3 24 14 1 -
EAST NORTH CENTRAL-------- 21 11 345 3 2 89 93 9 5
Ohio----------------------- 3 4 43 2 32 26 2 -
Indiana-------------------- 2 1 64 1 20 24 3 1
Illinois------------------- 1 2 66 1 28 21 1 2
.Michigan------------------- 15 2 107 1 6 15 2 1
Wisconsin------------------ 2 65 3 7 1 1
WEST NORTH CENTRAL----------- 13 4 125 1 3 34 44 18 5
Minnesota------------------ 1 3 6 5 1 6 -
Iowa----------------------- 32 2 2 11 5 3
Missouri------------------- 8 20 23 3 1
North Dakota--------------- 1 1 73 1 2 -
South Dakota---------------- 4 3 3 2 1
Nebraska------------------- 1 3 -
Kansas--------------------- 11 2 1 3 2 -
SOUTH ATANTIC--------------- 8 13 379 1 2 112 108 2 5
Delaware------------------- 2 2 2 -
Maryland------------------- 1 1 13 1 3 5 -
District of Columbia------- 2 1 11 8 -
Virginia------------------- 2 2 121 19 23 3
West Virginia-------------- 3 116 1 10 11 1 2
North Carolina------------- 1 29 14 9 -
South Carolina------------- 18 8 12 -
Georgia-------------------- 5 34 26 -
Florida-------------------- 1 1 79 1 12 13 1 -
EAST SOUTH CENTRAL---------- 2 933 3 77 106 5 6
Kentucky-------------- 1 51 18 24 3 1
Tennessee------------------ 1 767 47 55 2 4
Alabama-------------------- 37 2 10 21 1
Mississippi---------------- 78 1 2 6 -
WEST SOUTH CENTRAL---------- 1 3 641 4 1 150 197 14 27
Arkansas------------------- 5 29 50 17
Louisiana------------------ 1 1 5 3 25 58 -
Oklahoma------------------- 10 12 12 -
Texas---------------------- 2 621 1 1 84 77 14 10
MOUNTAIN -------------------- 2 2 1,086 1 4 60 44 -
Montana-------------------- 63 2 18 13 -
Idaho-------------------. 85 1 3 -
Wyoming-------------------- 41 3 4 -
Colorado------------------- 2 2 383 7 1 -
New Mexico----------------- 286 2 16 12 -
Arizona-------------------- 149 1 9 9 -
Utah----------------------- 78 2 2 -
Nevada--------------------- 1 4 -
PACIFIC-------------------- 1 4 5 933 9 77 67 2 -
Washington---------------- 1 306 7 5 -
Oregon--------------------- 1 34 1 8 -
California---------------- 1 4 3 526 8 67 53 2 -
Alaska--------------------- 29 1 -
Hawaii-------------------- 38 1 2 -

Puerto Rico------------------ 1 2 1 19 19 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 thar 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 GEOtGAPmC DIVISIONS

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

44th 4d Peh t Cuulative, first 44 week
week week Adjusted chang,
ended ended averages adjusted
Area Nov. Oct. 44th average
4 28, eek to 1961 1960 Percent
1961 196 1956-60 current change
week

TOTAL, 117 REPORTING CITIES-------------------- 11,418 11,517 11,455 -0.3 502,382 505,235 -0.6

Nev England--------------------- ----------(1 cities) 728 745 683 +6.6 30,866 31,751 -2.8
Middle Atlantic---------------------------(20 cities) 3,201 3,196 3,140 +1.9 142,884 140,394 +1.8
East North Central--------------------------(21 cities) 2,435 2,434 2,438 -0.1 107,328 109,342 -1.8
West North Central---------------------------(9 cities) 839 744 842 -0.4 34,287 35,163 -2.5
South Atlantic---------------------------- (11 cities) 962 1,028 965 -0.3 43,456 43,278 +0.4
East South Central--------------------------(S cities) 490 521 521 -6.0 22,672 22,826 -0.7
West Bouth Central-------------------------(15 cities) 1,001 990 1,048 -4.5 43,011 44,008 -2.3
Mountain----------------------- ---- --------( cities) 379 377 353 +7.4 16,076 15,846 +1.5
Pacific----------------------------- ----- (1 cities) 1,383 1,482 1,465 -5.6 61,802 62,627 -1.3


15,000



14,000







12,000



11,000



10,000



9,000


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










Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


44th
ueek
ended
Nov.


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

MIDDLE ATLANTIC:
Albany, N.Y.------------
Allentown, Pa.-----------
Buffalo, N.Y.-----------
Camden, N.J.------------
Elizabeth, N.J.---------
Erie, Pa.---------------
Jersey City, N.J.--------
Newark, N.J.------------
New York City, N.Y.------
Paterson, N.J.----------
Philadelphia, Pa.--------
Pittsburgh, Pa.---------
Reading, Pa.------------
Rochester, N.Y.---------
Schenectady, N.Y.--------
Scranton, Pa.-----------
Syracuse, N.Y.----------
Trenton, N.J.-----------
Utica, N.Y.-------------
Yonkers, N.Y.-----------

EAST NORTH CENTRAL:
Akron, Ohio--------------
Canton, Ohio------------
Chicago, ll.-----------
Cincinnati, Onlo--------
Cleveland, Ohio---------
Columbus, Ohio-----------
Dayton, Ohio-------------
Detroit, Mich.----------
Evansville, Ind.--------
Flint, Micb.-------------
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, Me.---------
Lincoln, Nebr.----------
Minneapolis, Minn.-------
Omaha, Nebr.------------


242
42
35
36
46
22
20
24
42
69
18
51
22
59


53
30
132
35
35
52
51
100
1,614
40
502
228
28
113
27
28
44
36
18
35


62
33
742
147
181
105
86
327
30
47
45
35
40
138
42
128
35
28
23
94
67


55
23
41
136
(31)
118
78


43rd Cumulative,
ee first 44 weeks
ended
Oct.
28,
1961 1961 1960


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


10,596
1,678
1,289
1,206
2,120
1,066
953
1,136
2,005
2,726
580
1,944
1,164
2,403


2,019
1,505
6,376
1,851
1,308
1,717
3,031
4,461
72,919
1,708
22,258
8,428
1,030
4,442
1,065
1,548
2,671
1,970
1,227
1,350


2,515
1,373
32,477
6,844
8,895
5,006
3,514
14,535
1,591
1,869
1,670
1,352
1,977
6,265
1,433
5,404
1,246
1,245
1,253
4,320
2,544


2,370
1,126
1,655
5,611
(1,218)
5,183
3,047


11,078
1,795
1,363
1,241
2,149
1,048
1,069
1,074
1,967
2,810
577
1,983
1,207
2,390


.1,892
1,522
6,340
1,860
1,284
1,696
3,121
4,271
71,669
1,676
21,401
8,448
1,047
4,423
1,029
1,648
2,735
1,807
1,190
1,335


2,484
1,523
33,706
6,893
9,281
5,180
3,309
14,894
1,618
1,766
1,609
1,356
1,796
6,382
1,399
5,469
1,347
1,261
1,294
4,365
2,410


2,417
1,111
1,540
5,522
(1,144)
5,488
3,247


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

SOUTH ATLANTIC:
Atlanta, Ga.------------
Baltimore, Mr.-----------
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:
~rminngham, Ala.---------
Chattanooga, Tenn.----
Knoxville, Tenn.--------
LouiBville, 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:
Albuquerue, 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.-------


44th
week
ended
Nov.
4,
1961


43rd
week
ended
Oct.
28,
1961


Cumulative,
first 44 weeks


1961


1960


287 256 10,381 10,761
69 53 2,885 3,052
32 44 2,029 2,025


100
240
36
56
81
40
69
39
(61)
55
208
38


75
54
23
101
104
37
43
53


27
30
19
146
36
71
191
58
168
72
98
34
51


36
22
115
25
66
17
62
36


16
(50)
(38)
33
59
495
97
31
85
63
90
193
(32)
143
45
33

(23)


132
247
42
65
71
50
88
25
(69)
52
213
43


102
51
30
92
118
31
34
63


31
37
28
121
38
45
178
67
158
73
93
59
62


27
20
132
23
74
17
46
38


11
(43)
(41)
42
44
553
106
27
127
67
98
205
(35)
128
44
30


4,988
10,773
1,590
2,541
3,319
2,171
3,397
1,434
(2,951)
2,885
8,616
1,742


3,748
2,058
1,198
4,950
4,960
1,771
1,415
2,572


1,486
1,236
957
5,488
1,541
2,832
7,289
2,480
7,388
3,236
4,455
2,208
2,415


1,383
728
5,088
737
3,600
744
2,116
1,680


755
(1,902)
(1,466)
1,765
2,432
21,862
4,257
1,455
4,669
2,717
3,923
8,526
(1,528)
5,710
2,064
1,667


5,147
11,049
1,706
2,594
3,157
1,756
3,406
1,469
(3,079)
2,868
8,462
1,664


3,690
2,073
1,239
5,024
4,846
1,809
1,524
2,621


1,483
1,258
1,031
5,463
1,663
2,929
7,401
2,499
7,811
3,295
4,406
2,369
2,400


1,378
733
5,262
730
3,336
722
2,130
1,555


746
(1,909)
(1,638)
1,797
2,381
22,041
4,199
1,509
4,801
2,544
4,001
8,690
(1,528)
6,031
2,102
1,785


(29) (1,462) (1,553)


() Figures shown in parenthesis are from cities which have
been reporting less than five years and hence are not in-
cluded in Table 3.




I 3 12 III0IIIlllll 8863 9884lllllI l
3 1262 08863 9884


Morbidity and Mortality Weekly Report


extremities. She continued to show daily temperature
spikes to 101 and 102 for the next two weeks. On Septem-
ber 20 febrile agglutinins were run and a titer of 1:80 for
Proteus OX-19 was reported. This was repeated on Sep-
tember 28 at which time the Proteus OX-19 was 1:640.
The child was clinically well by the end of September
and was discharged from the hospital. There is no clear
explanation for the late rise in titer against Proteus
OX-19.
Investigation revealed that the child and her mother,
who is separated from her husband, had lived in a series
of rooming houses; the mother more or less neglected the
child during the day while she was at work. The child had
as pets two guinea pigs which were poorly cared for and
which reportedly had many fleas. One rooming house
landlady reported that a "plague" of bed bugs were
found in the mother's room and required professional
extermination. Generally speaking, the rooming houses
in which the child and mother lived were clean and well
maintained. However, they were located in an older por-
tion of the city. Nearby housing reconstruction has pro-
duced noticeable migrations of rat populations. It is
likely the typhus was transmitted from rat fleas or guinea
pig fleas to the child.
(Reported by Raymond F. McAteer, M.D., Acting Medical
Director, Communicable Disease Control, Rhode Island
Department of Health.)

INTERNATIONAL NOTES QUARANTINE MEASURES

The 1961 edition of the PHS Booklet 384 "Immuniza-
tion Information for International Travel" is on sale at
the Superintendent of Documents, Washington 25, D.C.
Cost is 254 per copy. There is a 25 percent discount for
100 copies delivered to the same address. The booklet
has 84 pages.


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


_U NIV F FL LB
DOCUMENTS DEFT.


**

U.S DEPOSITORY


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