Morbidity and mortality

MISSING IMAGE

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:
AA00010654:00327

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 *


I


PUBLIC HEALTH SERVICE

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


PfepOred by Ift I MEIrose 4-5131


For release January 13, 1961 Atlanta 22, Georgia Vol. 10, No. 1


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

Deaths in Selected Cities for Week Ended January 7, 1961


With the pro
Mortality week
Center has assu
publication of da
States and Puerr
cities.
The Center
function. We beli
reporting morbid
us more rapidly
role of providii
States when corn


duction of this issue of the Morbidity and The collection of morbidity data by the Public Health
y Report, the Communicable Disease Service had its beginning more than 80 years ago when
med responsibility for the collection and Congress authorized the compilation and publication of
ita on notifiable diseases reported by the data on cholera, smallpox, plague and yellow fever. Prior
o Rico and deaths reported by 123 major to 1900, however, monthly and annual summaries of noti-
fiable diseases were received from only a few States and
welcomes the addition of this important cities. The number of States reporting gradually increased
eve the closer curre nr contact with those and in 1912, the Tenth Annual Conference of State and
ity and mortality data will better permit Territorial Health Authorities recommended weekly tele-
and successfully to carry out our primary graphic reporting for selected nic igeases.
ig consultation and assistance to the Until 1949, the weekly morb'jy an 0,ii
municable disease problems occur. were published in Public e Reports. ~ fis *



Table I. Cases of Specified Notifiable Diseases, Un e Statq 9
(Cumulative totals include revised and delayed reports through previo


Disease 1st Week Cumulative
(Seventh Revision of International Approxi-
List., 1955) First week Since seaB mate
Ended Ended eaaonal
Jan. Jan. Median Median low
Weekly incidence low or sporadic 7, 9, 1956-EC. Median 196 19-56 point
- Data not available 196, 19 19 1 -60 19 l I -e to
- Quantity zero 19b9-60


Anthrax----------------------062
Botulism--------------------019..1
Brucellooli undulantt fever)-----044
Diphtheria----------------------055
Encephalitis, infectioua------0B2
Hepatitis, infectious, and
serum---------------092,N998.5 pt.
Malaria ------------------ 110-17
Measles-------------------------- 085
Meningitis, aseptic----------340 pt.
Meningococcal infections---------057
Poloiawelitias------------------080
Paralytic-------------.080.0,080.1
Nooparalytic---------------- 080.2
Unspecified-----------------080.3
Poittacosie ----- ---------096.2
Rabies in man------------------094
Streptococcal sore throat,
including scarlet fever----050,051
Typhold fever------------------040
Typhua fever, endemic---------..--101
Rabies In animal.---------- --


I A. __________ 1 1 I.


9
20
25

1,014
I
6,261
25
37
14
8
3
3
1


7,596
6
1
42


3
10
31
23

594
1
7,076
30
36
17
12
1
4
1


6,977
6

67


10
24
20

385
*
6,650

54
29
17
7
5

13
*


13
*


*
*
10
24
20

385

6,650

54
29
17
7
5


9
20
25

1,014
1
6,261
25
37
14
8
3
3
1


7,596
6
1
42


3
10
31
23

594
1
7,076
30
36
17
12
1
4
I


6,977
6

67


*
*
*
600
25

16,189
*
42,308
25
691
3,078
2,117
624
337
*
*

105,248
692
612
612


*
*
*
569
23

8,614
*
45,148
30
686
8,291
5,513
2,118
660
*
*


732
1,051
1,051


*
*
*
779
20

5,475
*
43,319

860
8,291
5,513
2,118
660
*
*


1,023

1,035


July 1
Jan. 1

Sept. 1
*
Sept. 1
Jan. 1
Sept. I
Apr. 1
Apr. 1
Apr. 1
Apr. 1
*
*

Aug. 1
Apr. 1
*
Oct. L


P/s







Morbidity and Mortality Weekly Report


function was transferred to the National Office of Vital
Statistics and the Morbidity and Mortality Weekly Report
became an independent publication growing to a current
circulation of over 6,000 copies. Prepared under the able
direction of Dr. Carl Dauer, this report has been a valu-
able aid in the fight against communicable disease.
We look forward to the continued improvement and
development of this report so that it may be of greatest
usefulness to all concerned with the problem of communi-
cable disease control.

SUMMARY

Poliomyelitis Eight paralytic cases were reported
this week, four of which were delayed reports from Penn-
sylvania. Single cases were reported from Ohio, Virginia,
North Carolina and Louisiana. Total and paralytic polio-
myelitis cases are showing the customary seasonal
decline.

Diphtheria Texas reported 14 of the 20 current
cases. A major outbreak in Hale County (see Epidemi-
ological Reports) and other scattered occurrences in-
cluding 6 cases and 2 deaths in Gonzalez have resulted
in 110 cases being reported by Texas during the past 4
weeks. Some of the. 110 reported cases represent asymp-
tomatic carriers.

Hepatitis A total of T,014 cases were reported this
week. .During the four week period ending January 7,
1961, there has been an 8.57 increase in reported cases
over the comparable four weak. eriod one year ago.

Influenza To this dari there have been no reports
of outbreaks of influenza nor of an unusual incidence of
respiratory disease. Pneumonia and influenza deaths
reported from the 123 cities are at normal levels for this
season of the year.
In view of the epidemic of A2 strain influenza in the
United States during the first three months of 1960, it is
not expected that type A influenza will occur this year in
the form of a nation-wide epidemic. Localized outbreaks
or concentrations of cases of either Influenza A or B,
however, may occur during the coming winter season.
Prompted by an analysis of excess influenza asso-
ciated mortality during the past three years, the Public
Health Service has encouraged routine, annual immuniza-
tion against influenza among certain high-risk groups in
order to prevent or reduce influenza-associated excess
mortality. These high-risk groups include (1) persons with
associated chronic illness, (2) individuals over 65 years
of age, and (3) pregnant women.

With the exception of diphtheria and hepatitis, no
unusual disease patterns are evident in this report for
the week ending January 7, 1961.


EPIDEMIOLOGICAL REPORTS

Hepatitis New Jersey

A report has been received from Dr. William I. Dough-
erty, Director, Preventable Disease Control, New Jersey
State Department of Health, describing an unusual series
of hepatitis cases among the patients of a single osreo-
pathic physician practicing psychiatry who employed a
great variety of oral and parenteral medications in his
practice. A thorough epidemiological investigation has
identified 36 possible cases and 14 fatalities.
The State Health Department learned of the problem
late in October 1060, when Dr. William D. Schrack, Di-
rector, Communicable Disease Control, Pennsylvania
Department of Health, reported a comatose patient and
two deaths due to hepatitis, all patients of a New jersey
physician. Subsequent investigation showed the existence
of 12 additional deaths probably due to acute liver dis-
ease also among this doctor's patients. Many of the
deaths had similar histories of short, 3-7 day prodromata,
with malaise, anorexia, and upper respiratory symptoms,
followed by the abrupt onset of jaundice, coma, deterio-
ration, and death. This picture was felt to be consistent
with a fulminant viral hepatitis or a hepatotoxin.
The following tables present the age and time distri-
bution of cases and deaths.


Month Total No. of
1960 Cases Deaths


Tan-Feb
Mar-Apr
May-June
July-Aug
Sept-Oct
Nov-Dec


Total


36 14


Age
11 20
21 30
31 40
41 50
51 60
61 -70
Unknown
Total


Total
Cases
1
7
12
10
3
1
2
36


Deaths
1
2
5
3
3
0
0
14


Only 1 case had its onset in December. The cases
were almost equally divided among the sexes. Of the
deaths, however, 10 were females and only 4 males. Many
cases have now apparently recovered.
The common factor in this outbreak was a history of
having received parenteral therapy from the doctor a suf-
ficient length of time prior to the onset of the disease to
have incubated serum hepatitis. Pathological material
from each of the 14 fatalities was considered by a recog-
nized authority on hepatopathology to be consistent with
viral hepatitis.
All evidence thus far accumulated strongly supports
the diagnosis of serum hepatitis among cases and deaths.
The precise route of transmission is still under investi-
gation. Continued on page 8.







Morbidity and Mortality Weekly Report 3


Table 2. CASES OF SPECIFIED NOTIFIABLE DISE iE1 : UNITED STATES, EACH DI)llISION AND STATE, AND
PUERTO RICO. FOR WEEKS ENDED JANUARY 9, 1960 AND JANUARY 7, 1961

(Py 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)
1st Week first week 1st Week first week 080.2 340 pt. 044


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

UNED STATES-------- 14 17 14 17 8 12 8 12 3 1 25 9

NEW ENGIAND------------------ - 2 -
Maine--------------------- 2
New Hampshire-------------- -
Vermont---------------- -
Massachusetts-------------- -
Rhode Island--------------- -
Connecticut---------------- -
MIDDIE ATLANTIC-------------- 4 3 4 3 4 2 4 2 1 -
New York------------------- 3 3 2 2 1 1 -
New Jersey-------------- -
Pennsylvania-------------- 4 4 4 4 -
EAST NORTH CENTRAL----------- 1 2 1 2 1 1 4 1
Ohio----------------------- 1 2 2 2 1
Indiana--------------------- -
Illinois------------------- 2
Michigan------------------ -.
Wisconsin----------------- -
WEST NORTH CENTRAL----------- 1 1 1 1 1 1 1 5 6
Minnesota------------------ 1 1 1 1 3
Iowa----------------------- 3
Missouri-------------------- -
North Dakota--------------- -
South Dakota--------------- 1 1 -
Nebraska------------------- 3
Kansas------------------ 2
SOUT ALATIC--------------- 2 3 2 3 2 3 2 3 2
Delaware---------------- .
Maryland-------------------- 2
District of Columbia------- -
Virginia------------------- 1 1 1 -
West Virginia------------- -
Worth Carolina------------- 1 3 1 3 1 3 1 3 -
South Carolina------------- -- -
Georgia---------------- ---- -
Florida---------- ---- -
EAST SOUH CERAL ---- 2 2 -- 1
Kentuky---------------- 2 2 1
Tennessee----------------- -
Alabama------------------- -
Mississippi---------------- -
WEST SOUTH CEHTRAL----------- 2 2 1 1 1 4
Arkanas----------------- -
Louisiana---------------- 2 2 1 1 -
Oklahoma------------------- -
Texas--------------------- 4
MOININ -------------------. 2 2 2
Montana--------------------- -
Idaho---------------------- -
Wyoming-------------------- 1
Colorado------------------ -
ew Mexico-------------- -
Arizona-------------------- 1 1 -
Utah---------------------- 1 1
Nevada------------------- -
PACIFIC--------------------- 8 8 6 6 6
Washington----------------- 1
Oregon--------------------- 3 3 1 1
California----------------- 5 5 5 5 5
Alaska -------------- -
Hawaii --------------------- -

Puerto Rico-----------------








4 Morbidity and Mortality Weekly Report

Table 2. C ES OF SPECIFIElI NOTIFI BLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, AND
PIERTO RICO, FOR WEEKS ENDED JANUARY 9, 1960 AND JANUARY 7, 1961 Continued

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


Diphtheria 055 Hepatitis, infectious, and
Encephalitis, serum 092,I998.5 pt. a
infectious ___le
Area Cumulative, Cumulative,
1st Week first week 082 1st Week first week 085

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


UNTED STATES-------- 20 31 20 31 25 23 1,014 594 1,014 594 6,261 7,076

NEW EGAD----------------- 1 29 18 29 18 451 539
Maine--.-------------- 4 4 1 128
New Hampshire----------- 2 2 25 2
Vermont------------------. 3 3 17 -
Massachusetts-------------- 1 9 13 9 13 268 355
Rhode Island-------------- 3 3 3 3 102 21
Connecticut--------------- 8B 2 8 2 21 33
MIDDLE ATLANTIC---------- 2 7 85 43 85 43 1,312 581
New York----------------- 2 48 19 48 19 683 514
New Jersey---------------- 4 2 4 2 117 23
Pennsylvania--------------- 7 33 22 33 22 512 44
EAST NORTH CETRAL------ 1 1 4 229 91 229 91 1,819 1,766
Ohio-------------------- 1 1 131 14 131 14 280 152
Indiana-----------------. 11 1 11 1 100 124
Illinois------------------ 3 25 25 25 25 214 751
Michigan------------- --- 1 56 39 56 39 215 329
Wisconsin------------------- 6 12 6 12 1,010 410
WEST NORTH CENTRAL-------- 1 4 1 4 2 2 83 58 83 58 257 104
Minnesota------------------ 1 2 1 2 1 19 6 19 6 5 40
Iowa----------------------- 10 8 10 8 18 6
Missouri------------------- 2 15 21 15 21 93 4
North Dakota--------------- 1 1 1 2 5 2 5 134 51
South Dakota------------- 4 6 4 6 1 1
Nebraska------------------ 21 5 21 5 6 2
Kansas--------------------- 1 1 12 7 12 7 N01 N
SOUTH ATANTIC------------- 3 8 3 8 6 2 122 62 122 62 853 302
Delaware------------------ 10 5 10 5 71 4
Maryland------------- ------ -- 1 14 10 14 10 19 67
District of Columbia------- 1 18
Virginia------------------- 4 4 3 1 17 18 17 18 322 142
West Virginia-------------- 1 1 34 18 34 18 88 10
North Carolina------------ 10 2 10 2 72 21
South Carolina------------ 3 3 21 21 210 3
Georgia-------------------- 1 1 1 1 2 1 2 1 1
Florida ------------------ 1 3 14 8 14 8 70 36
EAST SOUTH CENTRAL-------- 2 3 2 3 202 101 202 101 660 322
Kentucky------------------- 1 83 49 83 49 505 188
Tennessee------------.------ 1 1 1 73 37 73 37 129 132
Alabama-------------------- 2 2 37 12 37 12 23 2
Mississippi-------..------- 9 3 9 3 3 -
WEST SOUTH CENTRAL---------- 14 5 14 5 2 3 52 55 52 55 177 1,558
Arkansas------------------ 3 5 3 5 2 -
Louisiana------------- 1 1 -
Oklahoma------------------- 6 6 1 18
Texas------- --------- 14 5 14 5 2 3 48 44 48 44 174 1,540
MOURTAIN------------------- 10 10 1 63 70 63 70 291 692
Montana-----------------.. 9 4 9 4 42 76
Idaho---- ---------------- 9 9 6 6 6 6 49 138
Wyoming----------------- 1 1 10 167
Colorado------------------- 27 14 27 14 62 27
New Mexico---------------- 2 26 2 26 -
Arizona----------------- 1 4 1 5 15 88 43
Utah---------------------- 1 I 12 5 12 5 18 241
Nevada-----------------.- 2 2 22 -
PACIFIC-------------------- 7 9 149 96 149 96 441 1,212
Washington---------------- 3 3 3 3 68 309
Oregon--------------------- 29 20 29 20 77 156
California----------------- 7 9 117 69 117 69 271 179
Alaska-------------------- 2 2 25 81
Hawaii-------------------- 2 2 487

Puerto Rico-------------- 42 14

NN-Not1 able








Morbidity and Mortality Weekly Report 5


Table 2. CASES OF SPECIFIED NOTIFIABLE DI;E% ES: UNITED STATES, EACH DIVIsION AND STATE, AND
PUERTO RICO, FOR WEEKS ENDED JANUARY 9, 1960 AND JANUARY 7, 1961 Continued

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

Strepto-
coccal Typhoid fever 040 Typhus
Maria Mengoecocal Psitta- fer
a iainfections cosis throat f, nRabies in

Area etc. Cumulative,
110-117 057 096.2 050,051 first week 101

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

N STAMS--------- 1 37 36 1 7.596 6 6 6 6 1 42 67

ENGAND----------------- 1 1 1 357 -
Maine---------------- --- 1 23 -
ew Hampshire------------ 12 -
ermont---------------- 3 -
Massachusetts------------- 131 -
Rhode Island--. ----. 17 -
Connecticut--------------- 1 1 171 -
MIDDLE ATLANTIC------------- 2 10 3&1 1 1 2 6
New York ---------------- 2 5 272 1 1 2 6
New Jersey-------------- 1 17 -
Pennsylvania--------------- 4 52 -
EAST NOH CETERAL--------- 10 6 666 2 2 2 7
ahio ------------------.. 4 1 154 1 1 2
Indiana-------------------- 100 2
Illinois --------------- ---- 4 71 1
Michigan------------------ 6 1 185 -
Wisconsin------------------ 156 1 1 2 2
WEST NOBRE CENTRAL-------. 3 3 211 10 13
inesota-.--------------- 1 2 8 3
Tora----------------------. 33 6 4
Missouri------------------- 9 3 6
north Dakota-------------- 138 -
South Dakota-------------- -
Nebraska----------------- 1 -
Kansas- -------------------- 1 1 23 -
SOUTH ATIANTIC--------------- 6 4 504 2 2 4 9
Delaware------------------- 3 -
Maryland----------------- 5 -
District of Columbia------ 1 3 -
Virginia------------------- -- 2 3 141 2 4
West Virginia------------- 158 2
North Carolina------------- 17 2 2 3
South Caroina ------------- 43 -
Georgia-------------------- -
Florida------------------- 3 1 134 2 -
EAST 80 I CEI~H AL --- --- 6 4 1,621 2 2 4 7
Kentucky----------------- 2 342 3
Tennessee---------------- -- 2 2 1,230 2 2 4 3
Alabama------------------- -- 2 1 42 1
Mississippi---------------- 1 7 -
EST SOUTH CNTRAL----------- 2 1 1,301 1 2 1 2 1 14 20
Arkansas------------------ 7 9
Lousisana-------------- 1 1
Oklahoma------------------- 35 -
Texas----------------------- 2 1 1,258 1 2 1 2 1 6 10
MOUTUmIn--------------------- 2 1 1,699 1 1 4 -
Mantar ------------------ 105 1 1 -
Idaho--------------------- 147 -
yoing--------------- -
Colorado---------------- 454 -
New Mexico-------------- 378 4
Arizona------------------- 1 1 188 -
Utah--------------------- 378 -
Nevada------------------- 1 41 -
PACIFIC ------------------- 5 6 1 896 1 1 2 5
Waington--------------- 1 230 -
Oregan------------------ 1 52 -
California------------- 5 5 614 1 1 2 5
laskauerto Ri--------------- 1 1 -
Haaiir R--.-----------. ..

Puerto Rico------------- 1 1- -







Morbidity and Mortality Weekly Report



NUMBER OF DEATHS IN SELECTED CITIES


L I I i 1 I I I .J9000
S1 T II II T I IT I I I T II I T I I T I I T T i l I T I IT I T Il I I
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
1960 1961


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 week of filing certificate. Excludes fetal deaths. Data exclude figures shown in parenthesea in table 4)

t 52nd A t Percent Cumulative, first week
eek eek Adjusted change,
ended ended average, adjusted
Jan. De. lt average
7, 31, eek to 1961 1960 Percent
1961 19, l156-60 current c change
week

TOTAL, 117 REPORTING CITIES---------------------- 12,650 12,149 12,311 +2.8 12,650 13,287 -4.8

New England--------------------------------(14 cities) 778 842 753 +3.3 778 852 -8.7
Middle Atlantic--------------------------(20 cities) 3,671 3,428 3,372 +8.9 3,671 3,559 +3.1
East North Central-------------------------(21 cities) 2,714 2,707 2,640 +2.8 2,714 2,970 -8.6
West North Central--------------------------(9 cities) 842 829 858 -1.9 842 841 40.1
South Atlantic---------------.------. ----(..11 cities) 1,186 1,033 1,068 +11.0 1,186 1,098 +8.0
East South Central--------------------------(8 cities) 559 475 547 +2.2 559 665 -15.9
West South Central--------------------------(13 cities) 1,051 1,021 1,126 -6.7 1,051 1,219 -13.8
Mountain-------------------------- ---- ---- ( cities) 355 337 379 -6.3 355 418 -15.1
Pacific----------------- -------- ---------(13 cities) 1,494 1,477 1,568 -4.7 1,494 1,665 -10.3







Morbidity and Mortality Weekly Report 7

Table 4. DEATHS IN SELECTED CITIES

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

1st 52d tive st 52nd Cumulative,
wek wee first week week week first week
ended ended st nde ened
Area Jan. Dec. Jan. Dec.
7 31, 7, 31,
19 19 1961 1960 1961 1960 1961 1960


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

MIDDLE ATLANTIC:
Albany, N.Y.----------
Allentown, Pa.--------
Buffalo, N.Y.-----------
Camden, N.J.-----------
Elizabeth, N.J.-------
Erie, Pa.---------------
Jersey City, N.J.-------
Nevark, 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, 111.----------
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, Wls.---------
Peoria, Ill.------------
Rockford, Ill.----------
South Bend, Ind.------
Toledo, Ohio-------------
Youngstown, Ohio---------

WEST NORTH CENTRAL:
Des Moines, Iowa ---------
Duluth, Mnn.-----------
Kansas City, Kans.-----
Kansas City, Mo.---------
Lincoln, Nebr.--------
Minneapolis, Minn.-------
Omaha, Nebr.------------


270
51
32
28
41
34
35
30
39
72
13
42
28
63


62
34
166
45
31
50
112
148
1,790
52
515
232
19
126
29
40
79
52
48
41


54
30
785
181
260
134
101
366
26
49
49
35
45
159
39
149
37
23
37
102
53


35
35
43
165
(61)
118
66


303
35
29
30
45
29
28
35
45
71
19
52
30
91


51
39
170
51
36
45
76
102
1,197
39
312
189
28
117
43
50
81
53
23
26


70
40
854
153
t235
124
88
330
46
43
40
35
57
160
31
128
35
36
35
104
63


50
24
51
120
(9)
119
77


270
51
32
28
41
34
35
30
39
72
13
42
28
63


62
34
166
45
31
50
112
148
1,790
52
515
232
19
126
29
40
79
52
48
41


54
30
785
181
260
134
101
366
26
49
49
35
45
159
39
149
37
23
37
102
53


35
35
43
165
(61)
118
66


238
62
42
28
50
18
35
35
63
97
14
54
33
83


47
43
195
52
33
49
96
135
1,690
57
513
251
30
120
30
51
72
28
42
25


56
44
968
167
225
172
76
355
27
50
58
49
51
155
30
151
37
44
44
137
74


62
24
35
75
(43)
139
86


I


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

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

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

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

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

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

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


263
77
40


122
295
40
112
64
58
92
49
(104)
94
208
52


100
68
38
88
122
47
27
69


33
36
23
127
45
52
188
55
178
87
114
34
79


34
18
101
14
98
12
38
40


16
(25)
(30)
60
52
536
107
32
118
71
65
201
(--)
139
54
43

(40)


256
63
69


122
258
33
60
86
45
88
35
(63)
86
187
33


67
35
23
76
109
45
55
65


35
44
17
138
40
60
180
40
193
85
105
51
33


33
23
88
14
68
16
44
51


17
(45)
(28)
48
52
557
105
38
88
65
68
185
(38)
149
46
59

(27)


263
77
40


122
295
40
112
64
58
92
49
(104)
94
208
52


100
68
38
88
122
47
27
69


33
36
23
127
45
52
188
55
178
87
114
34
79


34
18
101
14
98
12
38
40


16
(25)
(30)
60
52
536
107
32
118
71
65
201
(---)
139
54
43

(40)


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


312
84
24


121
234
52
59
74
56
113
58
(95)
73
195
63


130
54
36
141
124
49
46
85


29
38
18
113
54
43
209
88
214
88
184
68
73


40
20
138
17
85
13
82
23


21
(42)
(46)
39
54
547
102
47
145
89
116
254
(29)
154
43
54

(--)






Morbidity and Mortality Weekly Report


Diphtheria Hale County, Texas
A follow-up on the diphtheria outbreak reported in
Vol. 9, No. 51, has been received from Dr. Van Tipton,
Chief, Communicable Disease Control, Texas State Board
of Health.
A total of 60 cases, including one death, have oc-
curred in Hale County ,since early November, with 56
cases localized in Plain\iew (population 18,000). The
cases are cdncentrited ih the lower socioeconomic Latin
and Anglo-American children.
Durifig the fir0t two weeks in November, 9 cases oc-
curred in'children attending two elementary schools. Im-
munizaiion programs in these schools seemed to contain
the outbreak. However, during the week ending December
17, 14 cases were reported, 11 of them from one family.
During the two following weeks 32 additional cases were
reported in Plainview, withtle last case having been re-
ported January 1. Students from 5 additional schools were
infected during this second phase of the outbreak.
In school and extensive public clinics, 8,800 immuni-
zations have been given. Private physicians of the com-
munity have given about 12,000 additional immunizations.
These large scale measures appear to have controlled
the outbreak.
Ages of Plainview cases are as follows:
0-4 5-9 10-14 15-19 20-29 Over 20
Cases 19 9 13 7 3 5


II llllllllllll62 08864 057lllll
3 1262 08864 0577


QUARANTINE MEASURES

Immunization Information for International Travel

No Changes Reported


SOURCE AND NATURE OF MORBIDITY DATA

These provisional data are based on reports to the
Public Health Service from the health departments of
each State and Puerto Rico. They give the total number
of cases of certain communicable diseases reported
during the week usually ended the preceding Saturday.
Total figures for the United States and the Pacific Divi-
sion include data for the States of Alaska and Hawaii.
Cases of anthrax, botulism, and rabies in man are not
shown in table 2, but a footnote to table I shows the
States reporting these diseases. When diseases of rare
occurrence are reported by a State (cholera, dengue,
plague, louse-borne relapsing fever, smallpox, louse-
borne epidemic typhus, and yellow fever) this is noted
below table 1.


*- ra-


I I

L_ DEPOSITORY


-II
Cg


0 W o
S" Z

00


M?


Immunization status of cases:


Status
Fully immunized
Lapsed
Inadequate
No immunizations


;~~a



Sw s
SIg
/. 7' mm


A virulent mitis strain has been recovered from 14 of
19 isolates typed. In addition to the cases, 28 asympto-
matic carriers in Plainview have been identified by
culture.




Full Text
xml version 1.0 encoding UTF-8
REPORT xmlns http:www.fcla.edudlsmddaitss xmlns:xsi http:www.w3.org2001XMLSchema-instance xsi:schemaLocation http:www.fcla.edudlsmddaitssdaitssReport.xsd
INGEST IEID EHMGDNKJV_F8SYHO INGEST_TIME 2012-12-04T23:05:36Z PACKAGE AA00010654_00327
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES