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:
AA00010654:00320

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

s^JA /1/f


Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


MElrose 4-5131


For release January 12, 1962 ATLANTA 22, GEORGIA Vol. 11. llo. 1

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JANUARY 6, 1962


Influenza Outbreaks of acute respiratory disease
were observed in three additional States; Tennessee,
Iowa, and Georgia. This brings to 12 the number of States
reporting outbreaks thus far this season; Type B in-
fluenza virus has been confirmed in eight.
Along the West Coast, the outbreaks are generally
subsiding with no significant extension to unaffected
areas. A number of additional epidemics have been re-
ported from the Missouri Southern Illinois area.
Additional confirmations of Influenza B were noted
in Washington, Oregon, and California. No isolations of
Type A influenza virus have yet been made in the United
States.


Tabld


Disease


Aseptic meningitis ..............
Brucellosis .....................
Diphtheria ......................
Encephalitis, infectious..........
Hepatitis, infectious and serum...
Measles....................
Memngococcal infections.........
Poliom yelitis, total..............
Paralytic....................
Nonparalytic................
Unspecified ................
Streptococcal sore throat
and Scarlet fever ............
Tetanus ........................
Tularemia.......................
Typhoid fever ............ ......
Typhus fever, tick-borne,
(Rocky Mountain spotted)......

Rabies in Animals...............


Reported influenza and pneumonia deaths from the
108 major cities in the United States rose moderately
this week to 613 exceeding the "epidemic threshold"
by about 10 percent.
Sharp epidemics of influenza were reported by the
press services this week to be extant in Warsaw, Poland,
and Madrid, Spain. Outbreaks of Type B influenza con-
tinue in the United Kingdom with excess pneumonia and
influenza deaths showing progressive increases through
the end of December.
California, Oregon, and Washington Epidemics
throughout these States are generally waning with normal
levels of school absenteeism in most urban areas. Pre-


NOTIFIABLE DISEASES: UNITED STATES
ed and delayed reports through previous week)
1st Week Cumulative
Ended First week
Median
fan. 7' 1957 1961 Median
1961 1962 1961 1957 1961


25
9
20
25
1,012
6,261
37
8
3
2
3

7,596

6


10
21
23
507
6,650
41
19
11
2
6



1


67


9
4
16
17
1,143
5,895
45
6
2
3
1

5,982
2
10
5

1

57


25
9
20
25
1,012
6,261
37
8
3
2
3

7,596


6


42


10
21
23
507
6,650
41
19
11
2
6



11


67


Table 2. NOTIFIABLE DISEASES


OF LOW FREQUENCY


Anthrax: Psittacosis- Wisc. 1, Calif. 1
Botulism: Rabies in Man-
Malaria: Hawaii 1, Ca. 1 Smallpox:
Plague: Typhus. murine: ca. I


w ba rs 3








Morbidity and Mortality Weekly Report


viously reported outbreaks of acute respiratory disease
have been confirmed as Influenza B in Lake and Stanis-
laus Counties, California; Wasco and Washington Coun-
ties, Oregon; and in Southwestern Washington.
Missouri, Illinois Outbreaks of acute respiratory
disease are extending locally in Southern Illinois and in
Central and Eastern Missouri.
Tennessee, Georgia Increased school absenteeism
reflecting epidemic respiratory disease has been noted
in Knox, Lincoln, and Maury Counties in Tennessee and
in Gilmer County in North Georgia.
Iowo An acute outbreak of respiratory disease
has resulted in 40 percent absenteeism in the consoli-
dated school in Hazleton (Buchanan County) Iowa. Intensive
epidemiologic and laboratory studies have been initiated.

Hepatitis There were 1143 cases of hepatitis
reported for the first week of 1962. This represents 129
cases more than reported for the first week of 1961. It
is of interest to note that the marked increase in re-
ported cases of hepatitis during 1961 began with reports
received during the second and third week.

Diphtheria Diphtheria continues at a record low
level with only 16 cases reported for the first week of
1962. A summary of a focal outbreak from Nebraska is
included under Epidemiological Reports.



EPIDEMIOLOGICAL REPORTS
Diphtheria Nebraska
An outbreak of diphtheria among adults has been
reported in Omaha, Nebraska. On November 27 an un-


employed white male who had spent a night in a mission
for homeless men became ill with diphtheria. On De-
cember 15 the janitor of a nearby hotel who occasionally
ate at the mission died of diphtheria. Since then there
have been two additional cases and three carriers among
middle-aged, homeless white males who live at the mis-
sion or nearby hotel. All diagnoses have been verified
by culture and virulence testing. One carrier has been
found among hospital personnel caring for the patients.
Further investigation of contacts is now is progress.
There is no evidence of spread of the disease to the
general community. An immunization program centered
on the group of men primarily involved is planned.
(Reported by Dr. Edwin Lyman, Health Director, Douglas
County Health Department, and a team from the Com-
municable Disease Center).


Streptococcol -ood Poisoning Minnesota
An estimated 700 cases of sore throat due to Group
A beta-hemolytic streptococcus occurred in a closed
college community of approximately 2,150 persons in
late November 1961 in Stearns Counry, Minnesota. Most
of the cases occurred within the three-day period of
November 25-27. Mass prophylaxis treatment was started
on December 5, 1961.
Symptoms consisted of sore throat, chills, fever,
dysphagia, malaise, and headache. Examination revealed
beefy, red, swollen throats and tonsils often with exu-
date. No rash was observed.
A beta-hemolytic streptococcus was identified in
approximately 40 percent of throat cultures obtained
from sick, untreated individuals.
(Continued on page 3)


RESPIRATORY DISEASE IN U. S.
S From Novembr 1961 Januay 10. 1962 by County


* Counties with reported outbreaks of acute
respiratory disease








Morbidity and Mortality Weekly Report


The epidemic probably had its source in the college
cafeteria, but a specific food item was not identified.
Two members of the kitchen personnel admitted having
had sore throats eight days and two weeks, respectively,


MORTALITY SUMMARY
The chart presented below shows the average weekly
number of deaths from all causes in 108 United States
cities by four-week periods. The last bar on the graph
includes the four weeks ending January 6th. Weekly data
for this period are given in Table 4 on page 7 of this
week's report.
The smooth curve labelled "expected number" was
constructed by fitting a Fourier series of two terms
(with a linear trend component) to data for the period
1954-61. A detailed description of the method is avail-
able on request to the Statistics Section, Epidemiology
Branch, Communicable Disease Center. The fitted curve


before the outbreak.
(Reported by D. S. Fleming, M.D., Director, Division of
Disease Prevention and Control, Minnesota Department
of Health).


has been projected two years in the future in order to
provide a reference frame with a two-fold purpose: (1) rec-
ognition of unusual incidence as illustrated in the chart
by excess mortality associated with an Influenza A2
outbreak early in '1960 and (2) detection of change in
the secular trend of mortality in the group of cities.
A cautionary note is advisable in interpretation of
the chart since the deaths are by place of occurrence.
Changes in the number of deaths thus represent not only
change in death rates but also reflect change in the
size and composition of the urban populations and the
utilization of hospital centers which serve surrounding
areas.


See Table, Page 7


TOTAL DEATHS RECORDED IN 108 U.S. CITIES
Average number per week by four-week periods
13,500


13,000 -- INFLUENZA A2



12,500 ____

NUMBER
12,000 -- -
RECORDED
OF DEATHS*

11,500 ---
DEATHS


"EXPECTED"
NUMBERR*






Period number I 7 131 7 13 1 7 I 7
11960 1961 1962 1963
*BY PLACE OF OCCURRENCE **CALCULATED FROM 1954-'60 EXPERIENCE


/


j











4 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 7, 1961 AND JANUARY 6, 1962



SPoliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis


Area




UNITED STATES......

NEW ENGLAND...............
Maine................
New Hampshire.........
Vermont...............
Massachusetts.........
Rhode Island..........
Connecticut...........

MIDDLE ATLANTIC...........
New York...............
New Jersey.............
Pennsylvania .........

EAST NORTH CENTRAL.......
Ohio...................
Indiana................
Illinois..............
Michiggan..............
Wisconsin.............

WEST NORTH CENTRAL.......
Minnesota.............
Iowa..................
Missouri.............
North Dakota...........
South Dakota...........
Nebraska...............
Kansas................

SOUTH ATLANTIC............
Delaware..............
Maryland..............
District of Columbia..
Virginia...............
West Virginia..........
North Carolina........
South Carolina........
Georgia...............
Florida................

EAST SOUTH CENTRAL.......
Kentucky..............
Tennessee.............
Alabama...............
Mississippi............

WEST SOUTH CENTRAL.......
Arkansas..............
Louisiana.............
Oklahoma..............
Texas................

MOUNTAIN ................
Montana...............
Idaho..................
Wyoming...............
Colorado...............
New Mexico............
Arizona...............
Utah..................
Nevada................

PACIFIC ..................
Washington.............
Oregon................
California............
Alaska.................
Hawaii.................


Cumulative Cumulative
1st week First week 1st week First week 1st week 1st week

1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961

6 8 6 8 2 3 2 3 3 2 9 25






3- 3- 2 12





3 3 1 1 1 1 1
S -3 1 1 2
3 1 1 1 1












1 1 2
I 1 2 4
2- 2 1








3 1 -1



2 2 1 1 1 1




1 1 -



















1 2




1 1 3 5
2
1 1 1 1 1 -








2 1
2 2 2







1 1 4








2 1 -
2 2 2 2 1 1 1 1 -
2 2 1 1 1 -





1 1 -


I

S 1 I 3 5


Puerc-. Pir.c. ............

Virgin Islands...........










Mlorbidity and Mortality Weekly Report 5


Table 3. ( ASES OF PACIFIEDD NOTIFIABLE DISEASES: UNITED STATES
FOR WEEKS ENDED

JANUARY 7, 1961 AND JANUARY 6, 1962 Continued


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Cumu- Cumu- 1st week
lative lative Under 20 &
1st week Ist week 1st week 1st week 1st week 20 yr. over Total Total 1st week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 4 4 16 16 17 25 625 405 1,143 1,012 5,895 6,261

NEW ENGLAND.............. 3 1 32 26 60 29 1,019 451
Maine................. I 9 10 19 4 299 18
New Hampshire......... 3 3 2 75 25
Vermont.............. 3 3 17
Massachusetts......... -- 1 15 11 26 9 396 268
Rhode Island.......... I 2 1 3 3 108 102
Connecticut............ 1 3 4 9 8 138 21

MIDDLE ATLANTIC.......... 8 2 79 73 157 83 778 1,312
New York.............. 8 2 47 35 87 48 439 683
New Jersey............ 14 16 30 4 251 117
Pennsylvania .......... 18 22 40 31 88 512

EAST NORTH CENTRAL...... 2 4 112 56 192 229 457 1,819
Ohio.................... 79 27 120 131 42 280
Indiana............... 1 1 11 100
Illinois.............. 3 3 6 25 248 214
Michigan.............. 1 29 29 58 56 73 215
Wisconsin ............. 2 7 6 94 1,010

WEST NORTH CENTRAL....... 3 3 5 5 2 61 59 143 83 242 257
Minnesota............. 7 18 28 19 9 5
Iowa .................. 2 2 24 24 55 10 109 18
Missouri.............. 2 15 9 32 15 1 93
North Dakota.......... 1 2 3 2 57 134
South Dakota.......... 4 4 4 66 1
Nebraska.............. 1 1 5 5 5 21 6
Kansas................ 10 6 16 12 NN NN

SOUTH ATLANTIC........... 7 7 2 6 105 45 158 122 736 853
Delaware.............. 1 2 3 10 3 71
Maryland.............. 1 1 14 38 19
District of Columbia.. 1 1 3 3 28 1
Virginia.............. 1 1 3 21 14 37 17 374 322
West Virginia......... 35 7 47 34 208 88
North Carolina........ 1 20 9 29 10 13 72
South Carolina........ 6 4 10 21 6 210
Georgia ............... 4 4 7 4 11 2 2 -
Florida............... 1 1 3 12 5 17 14 64 70

EAST SOUTH CENTRAL....... 1 1 131 45 177 202 617 660
Kentucky.............. 5C 11 62 83 183 505
Tennessee.............. 1 1 37 13 50 73 291 129
Alabama............... 36 15 51 37 136 23
Mississippi............. 8 6 14 9 7 3

WEST SOUTH CENTRAL....... 3 3 2 2 26 31 60 52 1,115 177
Arkansas.............. 7 2 9 3 158 2
Louisiana.............. 3 3 1 -
Oklahoma .............. 1 5 8 24 1
Texas................. 3 3 1 2 16 21 40 48 933 174

MOUNTAIN................. 1 1 1 1 13 6 62 63 283 291
Montana................ 1 1 2 1 3 9 42
Idaho ................. 3 3 6 39 49
Wyoming................ 2 2 4 1 35 10
Colorado.............. 18 27 47 62
New Mexico............ 4 1 5 2 NN NN
Arizona............... 1 20 4 84 88
Utah.................. 5 2 7 12 53 18
Nevada ................ 2 2 25 22

PACIFIC.................. 7 66 64 134 149 648 441
Washington............ 8 11 22 3 215 68
Oregon ................ 15 9 25 29 159 77
California............. 7 40 41 81 117 259 271
Alaska................ 1 1 25
Hawaii................. -" 2 3 5 15

Puerto Rico.............. 1 1 7 1 8 36 42

Virgin Islands........... ..--- ---....









6 Morbidity and Mortality WeeklI Report


Tahbl. CASES OF sPECIFIED NOTIFIABLE DISFASFS UNITED STATES

FOR WE EKS FNDED


JANUARY 7, 1961 AND JANUARY 6. 1962 Continued


Meningococcal Stcreptococcal Tick-
Infecctors Sore Throat & Tetanus borne Tularemia Typhoid Fever Rabies in Animals
ScarlEt Fever Typhus
Area Cumu- (Rcky.Mc. Cumu- Cumu-
lative Spotted) lative lative
[st week 1st week. 1st week 1st week 1st week 1st wee' 1st week Ist week 1st week l.c week
19b2 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATE ...... 45 45 5,982 7,596 2 1 10 5 5 57 42 57

NEW ENGLAND.............. 3 3 264 357 -
Maine................. 18 23 -
New Hampshire......... 7 12 -
Vermonr ............... 3 -
Massachusetts......... 2 2 5. 131 -
Rhode Island.......... 37 17 -
ConnecEtiut........... 1 1 144 171 -

MIDDLE ATLANTIC.......... 4 4 272 341 3 2 3
New York.............. 2 2 181 272 2 2 2
New Jersey............ 42 17 -
Pennsylvania.......... 2 2 49 52 1

EAST NORTH CENTRAL ....... 10 10 372 666 2 2 2
Ohio.................. 5 5 94 154 -
Indiana................ 61 100 2 2
Illinois............... 44 71 -
Michigan.............. 4 4 91 185 -
Wisconsin............. 1 1 82 156 2-

WEST NORTH CENTRAL....... 4 4 291 211 1 1 1 1 21 10 21
Minnesota............. 9 8 3 3
Iowa.................. 1 1 61 33 1 4 6 4
Missouri.............. 2 2 9 9 1 1 1 7 3 7
North Dakota.......... 1 1 154 138 4 4
South Dakota.......... 4 2 2
Nebraska.............. 1 1
Kansas................ 5 23 -

SOUTH ATLAXTIC........... 4 4 572 504 1 4 1 1 6 4 6
Delaware............... 2 2 9 3 -
Maryland.............. 4 5 -
District of Columbia.. 1 1 4 3 -
Virginia.............. 212 141 1 1 1 1 5 2 5
West Virginia......... 142 158 -
North Carolina........ 1 17 -
South Carolina........ 47 43 -
Georgia................ 5 3 -
Florida.............. .. 1 1 135 134 1 2 1

EAST SOUTH CENTRAL....... 3 3 998 1,621 3 5 4 5
Kentucky.............. 2 2 89 342 3 3
Tennessee............... 1 1 763 1,230 3 2 4 2
Alabama ............... 92 42 -
Mississippi........... 54 7 -

WEST SOUTH CENTRAL ....... 3 3 957 1,301 1 2 3 3 17 14 17
Arkansas.............. 3 1 3 7 3
Louisiana............. 3 8 1 -
Oklahoma .............. 15 35 1 -
Texas................. 3 3 936 1,258 1 3 3 14 6 14

MOUNTAIN ................. 5 5 1,431 1,699 1 4 1
Montana............... 71 105 -
Idaho................. 113 147 -
Wyoming............... 5 8 -
Colorado.............. 395 454 -
New Mexico............ 371 378 4 -
Arizona............... 2 2 290 188 I I
Utah................... 183 378 -
Nevada................ 3 3 3 41 -

PACIFIC .................. 9 9 825 896 2 2 2
Washington............. 2 2 262 230 -
Oregon................ 1 1 27 52 -
California............ 6 6 523 614 2 2 2
Alaska.................. -
Hawa i................... 7 -

Puerto Rico.............. IL 1 3 2 I 1

Virgin Islands........... --- --- --- --- --- ---








Morbiditl and Mortality Weekly Report




Table 4 (A) TOTAL DEATHS IN RFPORTIN(, CITIES


(Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period, see Chart, page 3)


Area For weeks ending Area For weeks ending
Area Ar12/16/6Le12/23/61112/30/6a1/ 2 2/16/61 /
12/16/6L 12/23/61 12/30/6] 1/6/62 _1 /16/61l,^'3/6 112/3c/6l 1/6/62


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, 1Mss. .......
Waterbury, Conn. ..........
Worcester, Ma5. ...........

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, Ohio ..............
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. ..............
St. Louis, Mo. ............
St. Paul, Minn. ...........
Wichita, Kans. ............


262
37
26
34
64
32
24
35
30
71
14
51
37
70


47
39
146
38
33
40
68
92
1,721
40
500
214
26
95
24
37
49
45
24
36


59
42
746
147
208
135
79
349
37
35
38
30
60
146
40
127
24
28
25
100
55


48
16
35
116
39
122
67
246
54
37


284
43
42
24
56
24
24
33
53
59
10
35
36
46


65
33
153
55
27
45
73
81
1,785
36
163
162
22
112
15
33
70
53
33
35


49
38
825
139
221
121
82
387
30
47
43
41
49
154
30
136
42
34
25
97
53


45
28
35
142
20
142
97
296
64
46


251
43
38
23
64
32
20
29
39
73
12
56
31
79


59
38
150
48,
35
41
77
139
1,893
42
390
154
29
116
27
32
56
52
31
35


65
37
813
16o
216
129
93
327
38
52
38
36
46
156
30
107
36
24
33
93
74


67
26
36
129
26
116
77
231
115
31


262
46
38
31
43
35
31
33
44
63
19
50
28
62


33
55
1,9
51
29
53
98
110
1,817
39
420
239
32
113
24
46
51
37
26
30


58
45
859
183
213
128
71
358
35
53
34
26
62
175
35
127
33
33
24
117
48


60
33
40
123
41
118
81
334
64
42


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

EAST SOUTH CENTRAL:
Birmingham, Ala. .........
Chattanooga, Tenn. ........
Knoxville, Tenn. ..........
Louisville, Ky ............
Memphis, Tenn. ............
Mobile, Ala. .............
Montgomery, Ala. ...........
Nashville, Tenn. ..........

WEST SOUTH CENTRAL:
Austin, Tex. ..............
Baton Rouge, La. .........
Corpus Christi, Tex. ......
Dallas, Tex. ..............
El Paso, Tex. .............
Fort Worth, Tex. ..........
Houston, Tex. .............
Little Rock, Ark. .........
New Orleans, La. ..........
Oklahoma City, Okla. ......
San Antonio, Tex. .........
Shreveport, La. ...........
Tulsa, Okla, ..............

MOUNTAIN:
Albuquerque, N. Mex. ......
Colorado Springs, Colo. ...
Denver, Colo. .............
Ogden, Utah................
Phoenix, Ariz. ............
Pueblo, Colo. .............
Salt Lake City, Utah.......
Tucson, Ariz. .............

PACIFIC:
Berkeley. Calif. ..........
Fresno, Calif. ...........
Glendale, Calif. ..........
Honolulu, Hawaii...........
Long Beach, Calif. ........
Los Angeles, Calif. .......
Oakland, Calif. ...........
Pasadena, Calif. ..........
Portland, Oreg. ...........
Sacramento, Calif. ........
San Diego, Calif. ........
San Francisco, Calif. .....
San Jose, Calif ..........
Seattle, Wash. ............
Spokane, Wash ............
Tacoma, Wash. .............


130
251
31
85
88
55
91
27
76
56
238
46


66
36
26
103
102
61
43
55


37
23
16
134
38
63
141
48
182
64
118
38
53


San Juan, P.R. .............. 24 35 29 34


Current Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages...................
4(B) Pneumonia-Influenza Deaths, all ages........
4(C) Total Deaths under 1 Year of Age............
4(D) Total Deaths, Persons 65 years and over.....


12,382
613
794
6,960


NOTF ,11 de.lis by place of occurrence.





3llllll 1lllll262 08863 9793
3 1262 08863 9793


Morbidity and Mortality Weekly Report


International Notes Quarantine Measures

Smallpox
England No secondary cases of smallpox have
been reported from either London or Birmingham since
the report of two cases imported from Karachi, Pakistan.
Dusseldorf, Germany Dusseldorf was declared
infected with smallpox on January 4 following importa-
tion of one case of smallpox from Liberia and two local
secondary cases.
The imported case occurred in a German engineer
who arrived in Dusseldorf on December 2, after traveling
by plane from Liberia. An overnight stay was made in
Paris on December 1. He had been vaccinated against
smallpox on August 12, 1959. He became mildly ill on
December 15 but was not hospitalized until January 1,
1961, when his wife and child were hospitalized with
smallpox.
The entire environment of these patients has been
quarantined and an intensive smallpox vaccination cam-
paign has been started.
Schaffhausen, Switzerland One clinically diag-
nosed case of smallpox said to have originated from the
original case imported into Dusseldorf, Germany, was
reported January 8. An intensive smallpox vaccination
has been instituted in Schaffhausen.


The recent European cases
scribed in the table below:




Area of Case Occurrence Place of Exposure
Birmingham, England
Male, adult Karachi, Pakistan
London, England
Male, 24 yrs. old Karachi, Pakistan


Dusseldorf, Germany
Male, adult
Child
Female, adult
Schaffhausen, Switzerland
Male, 26 yrs. old


Liberia
Dusseldorf
Dusseldorf


Notes: 'Thes provlilooil atr are bnsed on weekly telegps ut the Commul-
cable Disease Center by the indivldul State health deparumeas.
Symbols: --. Data noi avllible
Quantiy ero
Procedures for construction of various mortality crve. may be obtaied Irom
Statistics Section. Commuicalble Disease Cnter. Public Health Service.
U. S. Dep.uent of Health. Educatieso nd Welfare. Atlnta I2. Georgia.


ruNIV OF FL L_8


SDCUMEPONTS DOP


,_ .Js DEPOSITORy


of smallpox are de-


Date of Onset of
Arrival Illness


12/19/61

12/25/61


12/18/61

12/25/61
(died 1/8/62)


12/2/61 12/15/61
... 12/31/61
--1/1/62


Dusseldorf (Returned to 1/5/62
12/26- 12/27 Schaffhausen
after 12/27)


The Morbidity and Mortality Weekly Report is pub-
lished by the Communicable Disease Center,
Atlanta, Georgia, and as of January 1, 1962 had a
circulation of 8,700 copies.


Chief, Communicable Disease
Center
Chief, Epidemiology Branch
Chief, Statistics Section
Asst. Chief, Statistics Section
Chief, Surveillance Section
Editor, MMWR


C. A. Smith, M. D.
C. A. Smith, M. D.
A. D. Langmuir, M. D.
R. E. Serfling, Ph.
I. L. Sherman, M. S.
D. A. Henderson, M. D
P. R. Joseph, M. D.


In addition to the established procedures for
reporting morbidity ani. mortality, the Communicable
Disease Center welcomes accounts of interesting
outbreaks or cases. Such accounts should be ad-
dressed to:
Editor, Morbidity and Mortality Weekly Report
Communicable Disease Center
Atlanta 22, Georgia


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