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:
AA00010654:00317

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
S5 a2. i~j j /61/9c:


Morbidity and Mortality


PUBLIC HEALTH SERVICE

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

Prepared by Ithe I MElrose 4-5131


For release November 24, 1961 Atlanta 22, Georgia Vol. 10, No. 46

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

Deaths in Selected Cities for Week Ended November 18, 1961


Poliomyelitis There was no further decline in re-
ports of poliomyelitis for the week ending November 18,
1961. A total of 30 cases, 23 paralytic, is to be compared
to reports of 29 cases, 22 paralytic, during the previous
week. The same period in 1960 brought reports of 60
total cases, 46 paralytic.
Cumulative totals for 1961 are shown below ip com-
parison with the previous tour years.
Polio (Cumulated Weekly) Through the 46th Week
For Past Five Years
1961 1960 1959 1958 1957
Paralytic 797 2101 5310 2790 2020
Total 1228 3025 8029 5520 5692


Only three es reported more than two cases:
New York wit nine cases, Michiga with four cases, and
Louisiana w ijhree. In each b e States, the origin
of the case ha 'been from difteren ties.
r r .. ,
Mepat ~ There have been, iases of hepatitis
reported fo j eek ending .. W r 18. Though this
is 173 more c' if thLe l .r 1 reported, last week,
it is too early Creflects the beginning
of a seasonal increa umber of reported cases is
still running several hundred a week more than that re-
ported last year. This increase is generally reflected
over the United States.


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

Disease 46th Week Cumulative
(Seventh Revision of International Approxi-
Lists, 1955) First .6 weeks Since seasonal low week mate
Ended Ended seasonal
Nov. Nov. Median Median low
Weekly incidence low or sporadic 18, 19, 1i56-6: Median -. .. :-56 point
-- Data not available 1961 1960 i96t 19 1956-60 196, to
S Quantity zero I1959.'-6
Anthrax ------------.---- 062 1 7 17 *
Botulism--------------------049.1 5 10 *
Brucelloeis undulantt fever)---- 04 9 8 9 520 686 714 *
Diphtheria----------------------055 12 44 44 508 692 758 199 3-7 374 July 1
Encephalitis, infectious--- -- -082 31 23 32 1,491 1,705 1,909 1, 91 1,705 1,909 Jan. 1
Hepatitis, infectious, and
serum-------------- 092,998.5 pt. 1,215 1,039 334 65,246 3-,787 17,227 12,429 9,098 3,190 Sept. 1
aaria-------------------- -10-117 1 1 56 6b *
Measle----------- -----------...085 2,653 2,483 2,471 399,790 413,311 459,603 14,162 13,235 14,407 Sept. 1
Keningiti, aseptic----------340 pt. 48 58 --- 2,909 2,751 =-- 2,90Q 2,751 --- Jan. 1
eningococcal infections--------057 4 41 41 1,892 1,952 2,23,- 377 -1- 450 Sept. 1
Polioyrelitia-------------------080 30 63 162 1,228 3,025 5,680 1,125 2,814 5,229 Apr. 1
Paralytic----------- 80.0 ,080.,0.1 23 48 109 797 2,101 2,010 737 1,936 2,595 Apr. 1
aonpara3lytic---- ------080.2 3 11 37 291 61- 2,7.8 266 588 1,844 Apr. 1
Unspecified-----------------080.3 4 4 16 140 310 922 122 2q) 790 Apr. 1
Paittacosis----- -----------096.2 2 2 58 90 *
Rabies in man------------------09 3 *
Streptococcal sore throat,
including scarlet fever ----050,051 5,561 5,759 -- 279,568 270,041 --- 60,357 -- --- Aug. 1
yphoid fever-------------------00 29 12 22 745 746 949 631 615 769 Apr. I
yphus fever, endemic--------- --101 2 1 39 59 *
Babies in animals-------------.-- 59 41 58 3,048 3,072 3,814 414 301 431 Oct. 1
Figures For Current Week Exclude Missing Report From Alaska
Anthrax South Carolina I


/








Morbidity and Mortality Weekly Report


Infectious Encephalitis Cases of acute infectious
encephalitis are reported on a weekly basis to the Com-
municable Disease Center. These cases, based largely
on clinical diagnosis, include a variety of central nervous
system infections and related diseases. The total of
such cases through the 46th week of 1961 is 1491. This
figure, in comparison with previous years, reflects a
decline in incidence. Although a variety of factors can
be postulated as contributing to this decline, the one
most apparent is the absence of a summer-tall peak for
reported cases. Such a peak has been found in past years,
to correlate with outbreaks of arthropod-borne encephalitis.
In 1960, and again this year, there has been very little
activity of these viruses. With the onset of winter-like
conditions throughout most of the country, the arbovirus
season, from late July to early October, has passed and it
is unlikely that further cases will occur. Review of special
reports received from State epidemiologists and others
reveals limited evidence of the presence of arbovirus
activity but shows almost complete absence of human
involvement this year. California and Utah the only States
reporting human cases have each had three serologically
confirmed cases. One of the California cases was Western
encephalitis and the other two were St. Louis encephalitis;
two of the Utah cases were Western encephalitis while
the other one was a mixed St. Louis and Western encepha-
litis infection. Texas, with 22 cases last year, has yet
to confirm its first arbovirus infection in 1961. Sporadic
isolations of virus from mosquito pools and evidence
serologically of equine illness in New Mexico, Arizona
and Wyoming are testimony to the continued presence of
the arboviruses. The outbreaks of Eastern encephalitis
among pheasant flocks in Florida and Connecticut were
reported in Morbidity and Mortality Report Vol. 10, No. 45,
November 17, 1961.



EPIDEMIOLOGICAL REPORTS

Acute Respiratory Disease Arizona

An epidemic of an influenza-like illness has been
reported from Northeastern Arizona. The epidemic began
in early November on the Hopi Indian Reservation, which
has a population of approximately 3,500. An estimated
200-300 Hopi, primarily grade school children have been
affected.
The disease is characterized by sudden onset of
malaise with fever usually not above 1030. Muscle aches
in the legs, arms, neck, and back are seen in most pa-
tients. A mild sore throat with cough is reported by a
large percentage of patients. Frontal headache, vertigo,


and epistaxis are some of the other characteristic symp-
toms. Photophobia and diarrhea have not been present.
Physical examination generally has been unrevealing
with clear chests and no significant throat findings. As
could best be determined, the illness lasts for five or six
days. None of the cases has been hospitalized. There
have been no fatalities.
The epidemic is most active in the grade schools on
the reservation where school absenteeism over the last
two weeks has exceeded 10 percent, a rate higher than
recorded at any time since 1955. It has been difficult to
define the extent of the involvement of the adult Hopi
population. Laboratory studies will be performed at the
International Influenza Center for the Americas at the
Communicable Disease Center, Atlanta, Georgia.
Reports from the State of Arizona Health Department
indicate a high incidence of upper respiratory disease in
a number of areas throughout the State. However no re-
ports of influenza-like illness have been received from
any other State.
(Reported by Dr. Emory Johnson, Asst. Area Medical
Officer, Indian Health Service; Dr. David Templin,
Medical Officer in Charge at Keans Canyon Indian Hos-
pital; and Dr. Jack Eason, Acting Director of Health,
Arizona State Department of Health).

Anthrax Massachusetts
On July 16 a seven year old boy was hospitalized
in Beverly, Massachusetts because of a painful, black
ulceration on the neck, which yielded Bacillus anthracis
on culture. His fever and general intoxication responded
promptly to parenteral penicillin therapy and he was
discharged, recovered after 12 days. The infection was
most probably contracted through his father's place of
employment, a goat hide tannery, which the child had
visited on numerous occasions. Exposure was possible
both on the plant grounds and via his father's work
clothes, which were worn home unchanged. Analysis of
the work clothes and a small number of surface swabs
obtained at the tannery failed to grow Bacillus anthracis.
The number of culture documented cases of B.
anthracis infections in the United States is gradually
falling (38 in 1955, 23 in 1960). Both the indolent cuta-
neous ulcers and the more virulent inhalation form of the
disease usually are directly traceable to exposure during
industrial processing of imported goat hides or hair. The
processing mills importing these materials from Pakistan,
India, and Africa, are located along the East Coast of the
United States. Recent cases of anthrax have occurred in
and near plants in Philadelphia, Pennsylvania, South
Carolina, and New Hampshire. Because contamination
with B. antbracis is present in as many as 50 percent of
(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 NOVEMBER 19, 1960 AND NOVEMBER 18, 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 080.0,080.1 gitis, (undu-
(Includes cases not specified by type) Nonparalytic aseptic lant
Area Cumulative, Cumulative, fever)
46th Week first 46 weeks 46th Week first 46 weeks 080.2 340 pt. 044

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

UNITED STAS---------- 30 63 1,228 3,025 23 48 797 2,101 3 11 48 9

NEW ENGLAND----------------- 2 1 35 226 2 1 25 178 3 -
Maine---------------------- 1 4 47 1 4 46 -
New Hampshire-------------- 2 1
Vermont------------------- 1 9 11 1 8 6 -
Massachusetts-------------- 1 14 31 1 9 20 2
Rhode Island--------------- 1 102 1 78 -
Connecticut---------------- 5 35 3 28 -
MIDDLE ATLANTIC---------- 10 10 328 451 6 9 219 320 1 3
New York------------------- 9 4 241 245 5 3 155 159 1 1
New Jersey----------------- 35 82 28 60 -
Pennsylvania--------------- 1 6 52 124 1 6 36 101 2 -
EAST NORTH CENTRAL--------- 6 13 164. 516 5 12 103 317 17 2
Ohio----------------------- 1 3 46 119 2 21 62 -
Indiana-------------------- 4 18 129 4 10 97 3 -
Illinois------------------- 1 3 34 141 1 3 17 94 9 2
Michigan------------------- 4 3 34 92 4 3 30 53 4 -
Wisconsin------------------ 32 35 25 11 1 -
WEST NORTH CENTRAL---------- 2 72 173 32 101 2 3 4
Minnesota---------------- 1 6 54 6 44 1 2 1
Iowa---------------------- 18 21 9 4 2
Missouri------------------- 1 24 44 7 32 1 1 -
North Dakota--------------- 4 14 1 5 -
South Dakota--------------- 3 5 1 1 -
Nebraska------------------- 8 16 4 9 1
Kansas-------------------- 9 19 4 6 -
SOUTH ATANTIC------------- 6 13 211 566 6 9 154 447 4 1
Delaware------------------- 2 -- -
Maryland------------------- 2 6 41 150 2 5 31 135 1-
District of Columbia------- 3 5 3 5 -
Virginia------------------- 2 11 44 1 11 40 1 -
West Virginia-------------- I 1 32 58 1 1 22 47
North Carolina------------- 1 21 90 11 67 1
South Carolina------------- 1 2 34 129 1 2 26 87 -
Georgia-------------------- 30 23 23 21 -
Florida-------------- 2 1 37 67 2 26 45 1 1
EAST SOUTH CETRAL------- 1 7 83 242 6 48 100 1 1 1 1
Kentucky------------------ 27 130 5 5- -
Tennessee------------------ 3 20 48 2 9 31 1 1
Alabama-------------------- 2 11 23 2 11 23 -
Mississippi---------------- 1 2 25 41 2 23 41 1 1
WEST SOUTH CENTRAL----------- 5 6 150 277 4 5 83 175 1 1 1 1
Arkansas------------------- 20 31 9 23 1
Louisiana----------------- 3 1 54 49 3 1 43 30 -
Oklahoma------------------ 4 17 12 -
"'exas---------------------- 2 5 72 180 1 4 31 110 1 1 1
MOUNTAIN-------------------- 5 45 92 1 26 47 2 10 1
Montana-------------------- 4 21 2 15 -
Idaho--------------------- 1 14 10 6 1 -
Wyoming------------------- -- 1 20 1 -
Colorado------------------- 8 19 8 18 -
New Mexico----------------- 3 7 4 1
/ Arizona------------------- 3 8 8 1 6 6 2 9
Utah---------------------- 8 7 4 2 1
Nevada------------------ -- -
PACIFIC---------------------- 6 140 482 5 107 416 1 9
Washington---------------- 2 25 36 2 17 36 1
Oregon------------ ------- 17 36 8 19 -
California----------------- 3 93 400 2 77 351 1 8
Alaska-------------------- --- 2 2 ---
Hawaii-------------------- 1 5 8 1 5 8

Puerto Rico------------------ 7 492 1 7 483 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 NOVEMBER 19, 1960 AND NOVEMBER 18, 1961 Continued

(Py 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,
46th Week first 46 weeks 082 46th Week first 46 weeks 085

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


UNIED STAES-------- 12 44 508 692 31 23 1,215 1,039 65,246 34,787 2,653 2,483

W ENGLAND------------------ 8 12 2 46 24 2,118 998 527 186
Maine----------------- 2 1 4 5 151 68 171 7
New Hampshire------------- 6 3 193 30 59 7
Vermont------------------ 1 1 187 16 12 5
Massachusetts------------- 7 9 29 9 901 490 231 108
Rhode Island------------- -- 1 1 3 233 190 4 18
Connecticut---------------- 1 6 3 453 204 50 41
MIDDIE ATLANTIC-------------- 1 20 16 9 3 125 153 8,804 4,300 231 640
New York----------- 7 4 7 2 49 68 3,793 2,329 117 301
New Jersey------ ----- 2 34 19 2,080 309 51 84
Pennsylvania-------------- 1 13 10 2 1 42 66 2,931 1,662 63 255
EAST NORTH CENTRAL------- 16 41 7 2 257 216 13,008 6,258 356 590
Ohio----------------------- 1 16 2 1 85 75 4,315 2,148 21 146
Indiana------------------- 2 7 24 29 1,914 717 49 54
Illinois----------------- -- 10 6 4 42 52 2,384 1,362 124 28
Michigan--------------- 3 10 1 1 96 58 4,067 1,811 102 114
Wisconsin------------------ 2 10 2 328 220 60 248
WEST NORTH CENTRAL------ 3 46 50 1 160 66 6,256 2,418 193 161
Mfnnesota------------------ 3 30 26 62 31 1,462 403 11 5
Iowa----------------------- 2 8 18 6 1,815 386 102 68
Missouri------------------ 1 2 38 16 1,357 823 8
North Dakota--------------- 4 2 2 2 132 167 36 78
South Dakota------------- 7 9 2 191 141 44 1
Nebraska-------------- 2 1 1 9 6 613 246 1
Kansas-------------------- 2 29 5 686 252 NN NN
SOUTH ATANTIC------------- 6 7 124 209 2 2 167 112 8,281 4,017 184 229
Delaware------------- 1 1 2 177 245 2 35
Maryland------------------ 1 1 1 11 21 718 406 25 5
District of Columbia------- 3 3 1 124 54 3 1
Virginia------------------- 3 15 39 37 13 1,373 716 51 60
West Virginia------------- 1 4 26 30 1,454 760 76 27
North Carolina------------- 10 14 54 10 1,915 367 11 15
South Carolina------------ 3 3 13 50 9 3 446 146 1 76
Georgia---------------- 3 39 34 10 1 721 254 3
Florida------------------ 1 42 67 2 16 31 1,353 1,069 15 7
EAST SOUTH CENTRAL---- -- 1 22 39 102 3 152 131 9,755 4,916 203 105
Kentucky-------------- 13 9 29 1 45 23 2,846 1,721 31 62
Tennessee----------------- 1 3 8 1 69 64 3,825 1,654 139 41
Alabama------------------ 1 1 20 33 16 26 1,666 1,068 12 1
Mississippi-------- ------- -- 7 7 32 1 22 18 1,418 473 21 1
WEST SOUTH CENTRAL----------- 5 11 235 225 4 3 83 72 4,718 2,685 255 96
Arkansas----------------- 4 16 1 19 8 924 191 2 1
Louisiana------------- 5 28 61 18 4 522 157
Oklahoma------------------- 1 9 25 7 9 320 318 52 7
Texas------------------ 5 5 194 123 3 3* 39 51 2,952 2,019 201 88
MOUNTAIN---- ---- --- 12 36 1 60 63 3,804 2,693 263 151
Montana------------------- 2 3 5 12 325 146 100 22
Idaho---------------------- 11 2 8 279 295 11 28
Wyoming- ------------- 5 2 154 31 30 5
Colorado------------------- 4 3 25 22 1,281 983 28 38
New Mexico-------------- 5 4 1 1 2 418 296 NN
Arizona------------------ 3 15 14 618 592 26 40
Utah----------------------- 7 12 3 599 254 68 18
Nevada------------------- 1 130 96 -
PACIFIC---------------------- 8 1 5 10 165 202 8,502 6,502 441 325
Washington---------------- 2 19 41 975 851 202 84
Oregon--------------------- 1 28 30 1,343 1,031 70 91
California---------------- 2 5 9 113 127 5,726 4,321 168 146
Alaska---------- ------ --- 4 1 --- --- 4 391 221 --- 3
Hawaii--------- ----- 5 67 78 I 1

Puerto Rico--------------- 7 57 129 19 23 897 684 34 42

Na-Not NOLfIl 'lE









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 NOVEMBER 19, 1960 AND NOVEMBER 18, 1961 Continued

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

Strepto-
Menngoccoca coccal Typhoid fever 040 Typhus
Malaria Meningoccocal Psitta-
Malar infections cosis sore fever, Rabies in
throat, endemic animals
Area etc. Cumulative,
110-117 057 096.2 050,051 46th Week first 46 weeks 101

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

UNITED STAES---------- 1 44 41 2 5,561 29 12 745 746 2 59 41

N ENGW ND-.---------------- 4 6 239 20 11 --
Maine--------------------- 3 8 1 2 -
New Hampshire------------- 1 2 -
Vermont ------------------- 1 1 2 -
Massachusetts-------------- 3 32 14 5 -
Rhode Island--------------- 22 2 -
Connecticut---------------- 173 3 4
MIDDE ATLANTIC-------------- -- 8 5 1 192 4 1 92 53 4 4
New York----------------- 6 110 4 1 51 33 4 4
New Jersey----------------- 1 1 24 17 6 -
Pennsylvania---------- 1 4 1 58 24 14 -
EAST NORT CENTRAL----------- 10 9 294 7 2 98 95 5 3
Ohio----------------------- 1 2 52 6 1 39 27 1
Indiana-------------------- 1 56 1 21 24 1 2
Illinois------------------ 2 2 61 29 21 -
Michigan------------------ 4 5 51 1 6 16 3
Wisconsin------------------ 2 74 3 7 1 -
WEST NORTH CETRAL--------- 2 1 204 1 34 46 20 7
Minnesota----------------- 1 23 -2 5 1 3 3
Iowa--------------------- 33 2 11 6 1
Missouri------------------- 14 20 24 5 2
North Dakota--------------- 85 1 1
South Dakota--------------- 1 3 4 4 1
Nebraska------------------ 1 1 1 3 1
Kansas-------------------- 49 3 2 -
SOUTH ATLANTICC--------------- 1 6 3 514 10 2 126 113 1 7 7
Delaware---------------- 3 1 1
Maryland------------------- 8 1 3 6
District of Columbia------- 7 1 1 13 9
Virginia------------------- 1 107 1 20 24 3
West Virginia------------- 2 139 10 12 6 4
North Carolina------------- 2 40 2 16 9 -
South Carolina------------ 15 8 12
Georgia ------------------- 1 2 36 27 1
Florida-------------------- 1 1 197 4 19 13 -1 -
EAST SOUTH CENTRAL-------- 2 6 965 3 3 80 114 5 9
Kentucky----------------- 2 62 1 18 29 3 1
Tennessee----------------- 1 3 846 3 50 55 2 5
Alabama-------------------- 1 1 17 1 10 23 3
Mississippi-------------- 40 1 2 7 -
WEST SOUTH CENTRAL----------- 3 5 743 5 2 155 201 16 9
Arkansas------------------ 1 17 2 2 31 52 2 2
Louisiana---------------- 2 4 4 25 59 -
Oklahoma------------------ 1 23 12 12 -
Texas -------- ----- ---- 699 3 87 78 14 7
MOUNTA -------------------- 1 1,405 62 45 2 -
Montan------------------ 75 18 13 -
Idaho---------------------- 74 1 3 -
Wyoning------------------- 37 3 4 -
Colorado------------------- 1- 411 7 1 -
New Mexico--------------- 351 17 12 -
Arizna------------------- 245 10 10 2 -
Utah-------------------- 212 2 2 -
Nevada------- ------------- -
PACIFIC---------------------- 8 6 1 1,005 1 78 68 1 2
Washington---------------- 1 2 274 7 5 -
Oregon-------------------- 31 1 8 -
California----------------- 7 4 1 673 1 68 54 2
Alaska ----------- ------1 --- ---
Hawaii-- ----------- 27 2 -

Puerto Rico------------- 1 1 1 22 20 2








Morbidity and Mortality Weekly Report


15,000 NUMBER OF DEATHS IN SELECTED CITIES 15,000


14,000 -


13,000



12,000



I 1,000



10,000



9,000


- CURRENT WEEK
..--- 5-WEEK MOVING AVERAGE
ADJUSTED AVERAGE


Iw7


r i T I I i i i i i T i T i i 1 i I i i i l .


JAN FEB MAR APR MAY


JUN JUL AUG


SEP OCT NOV DEC


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 veek of filing certificate. Excludes fetal deaths. Data exclude figures shownin parentheses in table 4)

-6th 5th ted percent Cumulative, first 46 weeks
reek week Adjusted change,
ended ended average, adjusted
aov. Nov. 46th average
18, 11 week to 1961 1960 Percent
1961 1961 1456-60 current change
196I 1961 week
reek

TOTAL, 117 EPOTI I CITIES---------------------- 11,859 11,161 11,559 +2.6 525,402 527,913 -0.5

New England--------------------------------(1 cities) 739* 768 684 +8.0 32,373 33,181 -2.4
Middle Atlantic---------------------------(20 cities) 3,386* 2,970 3,110 +8.9 149,240 146,789 +1.7
tast North Central------------------------(21 cities) 2,621 2,453 2,.74 +5.9 112,402 114,394 -1.7
West North Central------------------------- (9 cities) 769 789 845 -9.0 35,845 36,710 -2.4
South Atlantic----------------------------(11 cities) 987 961 981 +0.6 45,404 45,236 +0.4
East South Central---------------------------(8 cities) 560 512 531 +5.5 23,744 23,820 -0.3
West South Central--------------------------(13 cites) 987 874 1,062 -7.1 44,872 45,962 -2.4
Mountain--------------------------------(8 cities) 368* 341 368 0.0 16,785 16,542 +1.5
Pacific------------------------------------ (1 cities) 1,442* 1,493 1,504 1-.l 64,737 65,279 -0.8

*Includes estimate for missing reports.


1 qUjUU


2,000



1,000



0,000


9,000


k AV. A""*


1(3~AIV


I


I i


'-^


V~c~a~Tn.








Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


46th 45th Cumulative,46th 45th Cumulative,
week wee first 46 weeks first 46 weeks
ended ended Area ended ended
Area Nov. Nov. eNeov. Nov.
18, 11, 18, 11,
1961 1961 1961 1960 1961 1961 1961 1960
^________________ ____ 1 __ _____ _____ _________________ ________1961__ 1961_


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.------
Somerv- le, 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, Ill.-----------
Cincinnati, Ohio--------
Cleveland, Ohio---------
Columbus, Ohio----------
Dayton, hio------------
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.-------------


256
55
24
35
46
38
25
25*
33
64
13
48
20
57


54
30
156*
37
37
34
95
101*
1,674
43
512
233
21
107
23
36
86
43
32
32


57
38
817
189
225
144
75
350
38
40
36
27
50
126
43
103
40
35
34
96
58


55
21
33
112
(28)
116
73


264
60
25
32
69
46
23
27
29
65
7
38
25
58


57
32
141
43
26
32
49
86
1,586
36
406
90
20
110
22
34
74
43
50
33


56
38
751
153
198
109
66
352
28
41
38
27
51
149
51
119
21
27
23
100
55


43
36
40
132
(33)
135
62


11,116
1,793
1,338
1,273
2,235
1,150
1,001
1,188
2,067
2,855
600
2,030
1,209
2,518


2,130
1,567
6,673
1,931
1,371
1,783
3,175
4,648
76,179
1,787
23,176
8,751
1,071
4,659
1,110
1,618
2,831
2,056
1,309
1,415


2,628
1,449
34,045
7,186
9,318
5,259
3,655
15,237
1,657
1,950
1,744
1,406
2,078
6,540
1,527
5,626
1,307
1,307
1,310
4,516
2,657


2,468
1,183
1,728
5,855
(1,279)
5,434
3,182


I ______ _______


11,559
1,877
1,419
1,290
2,251
1,093
1,115
1,137
2,048
2,942
606
2,083
1,272
2,489


1,987
1,600
6,616
~1,951
1,353
1,775
3,244
4,469
74,951
1,755
22,316
8,830
1,091
4,622
1,076
1,727
2,876
1,888
1,245
1,417


2,598
1,596
35,237
7,202
9,690
5,447
3,464
15,553
1,700
1,847
1,687
1,405
1,884
6,670
1,492
5,734
1,391
1,321
1,349
4,595
2,532


2,518
1,162
1,611
5,767
(1,196)
5,748
3,372


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

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

EAST SOUTH CENTRAL:
)irmingham, 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.--------
SPortland, Oreg.---------
Sacramento, Calif.------
San Diego, Calif.-------
San Francisco, Calif.---
San Jose, Calif.------
Seattle, Wash.--------
Spokane, Wash.--------..
Tacoma, Wash.------

San Juan, P. R.------


222
82
55


120
225
20
66
94
44
89
26
(51)
55
206
42


89
40
40
121
119
38
39
74


33
23
27
125
37
72
168
39
198
89
95
49
32


47
9
100
20
80
17*
51
44


12
(37)
(36)
42
69
514
91
35*
115
61
103
169
(36)
134
61
36

(32)


223
61
57


118
249
48
50
60
64
74
33
(67)
38
186
41


81
46
43
128
84
35
33
62


33
31
30
98
25
66
111
57
140
72
92
64
55


35
14
95
19
80
13
45
40


9
(42)
(33)
43
54
536
117
42
122
69
56
201
(46)
134
61
49

(30)


10,826
3,028
2,141


5,226
11,247
1,658
2,657
3,473
2,279
3,560
1,493
(3,069)
2,978
9,008
1,825


3,918
2,144
1,281
5,199
5,163
1,844
1,487
2,708


1,552
1,290
1,014
5,711
1,603
2,970
7,568
2,576
7,726
3,397
4,642
2,321
2,502


1,465
751
5,283
776
3,760
774
2,212
1,764


776
(1,981)
(1,535)
1,850
2,555
22,912
4,465
1,532
4,906
2,847
4,082
8,896
(1,610)
5,978
2,186
1,752
(1,524)


S .1. 1 1


11,216
3,182
2,134


5,393
11,504
1,784
2,712
3,281
1,836
3,566
1,551
(3,235)
3,002
8,854
1,753


3,885
2,156
1,288
5,201
5,079
1,897
1,581
2,733


1,545
1,314
1,076
5,711
1,741
3,043
7,690
2,621
8,200
3,453
4,577
2,478
2,513


1,462
762
5,490
755
3,478
750
2,223
1,622


767

(1,695)
1,890
2,506
22,951
4,359
1,572
5,020
2,655
4,192
9,037
(1,589)
6,267
2,202
1,861
(1,626)


*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.






Morbidity and Mortality Weekly Report


the imported goat hides and bales of goat hair tested,
prophylactic immunization of plant personnel with vac-
cine proved 92 percent effective, has been used in many
areas since 1955. Limited supplies of an experimental
vaccine are available on request from the Anthrax Sur-
veillance Unit, Communicable Disease Center, Atlanta,
Georgia.


QUARANTINE MEASURES
Immunization Information for International Travel


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 oi anthrax, botulism, and rabies in man are not
shown in table 2, but a footnote to table 1 shows the
States reporting these diseases. When diseases of rare
occurrence are reported by a State (cholera, dengue,
plague, louse-borne relapsing fever, smallpox, louse-
borne epidemic typhus, and yellow fever) this is noted
below table 1.


No Changes Reported


UNIV OF FL LIB
DOCUMENTS DEPT


U.S DEPOSITORY
L U.S DEPOSITORY


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