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:
AA00010654:00328

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:


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10/ !


Morbidity and Mortality



PUBLIC HEALTH SERVICE

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

Prepared by the m MEIrose 4-5131

For release January 20, 1961 Atlanta 22, Georgia vol. 10, No. 2

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

Deaths in Selected Cities for Week Ended January 14, 1961


Diphtheria A total of 2" cases was reported for ported i
the week ending January 13, lo6l. Twenty-two occurred Macquar
in the West South Central geographic region with Texas character
accounting for 19, Oklahoma 2, and Louisiana 1. Other and mu
States reporting cases were Florida 2, Virginia 2, and have ju
Minnesota 1. No localized concentrations are reported confirm
with the exception of Plainview, Texas where the out- reported
break now has subsided. Dr.
Center,
Influenza No report of epidemic influenza have 1961 to
been received durinpgihe current season from within the national
continental United States. In addition to the report of "There
influenza A in the Caroline Islands (Vol. 9, No. 48, Britain)
December 3, 1960), an epidemic has recently been re- has bee

Table I. Cases of Specified Notifiable
(Cumulative totals include revised and delayed r


n the U. S. Territory of Samoa. Acting Go'.ernor
ne reports 20 cases of an influenza-like disease
,rized by high fever, vomiting, diarrhea, headache
iscle pain. Diagnostic specimens from cases
st arrived in Honolulu, Hawaii and laboratory
ition of the etiologic virus has not yet been

C. H. Andrewes, Director, WHO World Influenza
London, recently reported in a letter of January 9,
Dr. Roslyn Q. Robinson, Director, WHO Inter-
Influenza Center for the Americas, CDC, Atlanta:
is an a pnza in the Midlands (Great
, re- ed. An A lAsian) virus
sol from I e."

eases.g united tes
rt through vious wee)


2nd Week tive
Disease
(Seventh Revision of International Approxi-
Lista, 1955) First 2 m f n easonal low week mate
Ended Ended -_ s seasonal
Jan. Jan. Median Median low
Weekly incidence low or sporadic 14 16, 19gv- Median .,19 ,-1 t point
Data not available 1i.61 196, '1 19 196-:. 6- i "- to
Quantity zero I 1 9-&;
Anthrax---------------062 *
Botullsm---------- ------------09.1 3 *
Brucellosis undulantt fever)---044 6 8 11 15 18 22 *
Diphtheria----------------------055 27 20 25 47 51 45 627 582 798 July 1
hneephalitis, infectious ---- --082 21 27 19 46 50 38 46 50 39 Jan. 1
Hepatitis, infectious, and
serum ----------0----092,N998.5 pt. 1,457 789 471 2,471 1,383 856 17,646 9,408 5,876 Sept. 1
Malaria------------------110-117 4 1 5 *
Measles-------------------------085 8,459 7,566 7,695 14,720 14,642 14,527 50,767 52,714 52,714 Sept. 1
Meningitis, aseptic----------340 pt. 15 44 --- 40 74 --- 40 74 --- Jan. 1
Meningococcal Infection---------07 61 60 70 98 96 124 752 751 918 Sept. 1
Poliorelitie------------------080 17 28 28 31 45 53 3,095 8,319 8,319 Apr. 1
Paralytic -----------080.0,080.1 10 23 23 18 35 29 2,127 5,536 5,536 Apr. 1
paralytic--------- ----080.2 2 2 3 3 18 624 2,120 2,120 Apr. 1
Unspecified---------------080.3 7 3 3 10 7 6 344 663 663 Apr. 1
Pittacosis---- ------ --096.2 1 I 2 2 *
abies in man-------------------094 1 *
Streptococcal sore throat,
Including scarlet fever----050,051 8,457 7,928 --- 16,053 14,905 --- 113,705 -- --- Aug. 1
ynphold fever-------------------040 2 8 15 8 14 26 694 742 1,038 Apr. I
'rphus fever, endemic------------101 1 I 1 *
Habies in animals-------------.--- 42 78 81 84 145 167 654 1,127 1,116 Oct. 1
Rabies In man Kentucky


LC-







Morbidity and Mortality Weekly Report


Hepatitis Reported cases rose this week to 1,457.
The cumulative total for the 4-week period ending Jan-
uary 13 is 89 percent above a comparable period one year
ago and 180) percent above 1959. In the United States the
peak incidence of hepatitis has occurred in late winter
or early spring and, therefore, increases in reported
weekly cases can be expected during the next 2 or 3
months. The current upward trend is reflected in all
States and regions, less so, however, in the Mountain
States which have maintained high rates out of proportion
to the rest of the country for the past 3 years. The table
below gives 160n preliminary case totals, and comparable
preliminary rates per 100,000 population by division for
the past 4 years since the last national hepatitis low,
1957.


1960
Division Cases
N.E. 1,182
M. H. 5,096
E. N. C. 7,520
W. N. C. 2,862
S. A. 4,673
E. S. C. 5,05"
W. S. C. 3,0'8
M. 3,205
P. ",467'
United States -41,020


Rote per 100,000 Population
(Preliminary cumulated through
52 weeks)


1960
11.3
15.0
20.9
18.7
18.2
49.8
18.-2
4S.1
3.5.'

23.1


1959
7.8
10.1
9.8
12.0
8.0
20.3
10.9
45.7
21.3

13.1


1958
6.2
6.7
7.4
8.3
4.'
10.8
6.8
33.4 \


1957
7.8
7.5
7.4
5.3
4.6
15.7
"-.2
26.9


15.8 15.7
9.0 9.1
r


These figures emphasize the high current rates in
the Mountain and East South Central divisions and the
comparativelylower rates in New England which, although
presently showing an increase,- has remained relatively
stable in the past.



EPIDEMIOLOGICAL REPORTS

Human Rabies Kentucky

A 53-year-old woman died of rabies January 6, 1961,
59 days after being bitten on the leg by a gray fox which
she kicked to scare away from her puppy. The fox was
killed by the woman's husband. The next day she saw a
physician and as a precaution, was given a series of 14
doses of duck embryo rabies vaccine. Her illness began
52 days after the bite and she died 4 days later. Direct
microscopic study of the brain at autopsy demonstrated
typical and abundant Negri bodies and the diagnosis of
rabies was confirmed by mouse inoculation and fluores-
cent antibody tests.
(Submitted by the Kentucky State Department of
Health)


Poliomyelitis Maryland

The following preliminary summary of poliomyelitis
in Maryland 1960, has been furnished by Dr. Charlotte
Silverman, Chief, Office of Planning and Research, Mary-
land State Department of Health.
The 1960 polio outbreaks appear to have stopped with
only one new case reported since the end of November.
Using preliminary data, the overall picture is as follows
for paralytic cases only:
Involvement


Baltimore City
Western Maryland
Baltimore County
Other Counties

State of Maryland


Spinal Only

60
7
11
10

88


Percent with
Bulbar Total Bulbar Inv.

36 96 37.5
o 16 56
6 17 35
5 15 33.3

56 144 39%


Ten deaths have been recorded thus far. Type III
continues to be the overwhelmingly predominant polio
virus isolated (67 of 10 isolations, type III; 3 type I). In
addition to the consistently high percentage of bulbar
cases, other salient characteristics have been: geographi-
cal concentration in lower socioeconomic areas in Balti-
more City; predominance in unvaccinated preschool child-
ren in the city and in unvaccinated persons of all ages
in rural areas.

Trichinosis Fulton County, Georgia

A small outbreak of human trichinosis was reported
by the Fulton County Health Department through Dr. W. J.
Murphy, Director, Division of Epidemiology of the Georgia
Department of Public Health. This occurred during the
week of November 20 in a small rural town. It involved 5
persons and resulted in the hospitalization of two. The
clinical features consisted of gastroenteritis, fever,
myalgia, periorbital edema, and eosinophilia. Two cases
were confirmed by muscle biopsy and the remaining three
by serology. History of ingestion of raw or partially
cooked pork sausage originating from a local producer
was elicited in all cases. One sausage sample obtained
from the packing house at the time of the investigation
was found to contain larvae of Trzcbinella spiralis. In-
vestigation to determine the source of infected hogs is in
progress at present.

Diphtheria Scott County, Kentucky

Fifty-three cases of diphtheria occurred in Scott
County, Kentucky during the period September 9 to Decem-
ber 17. In addition, about 80 nasopharyngeal carriers of
Cornyebacterium diphtheriae have been found through
(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 JANUARY 16, 1960 AND JANUARY 14, 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) Nonparalyti aseptic lant

Se Cumulative, Cumulative, fever)
2nd Week first 2 weeks 2nd Week first 2 weeks 080.2 340 pt. 044


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

UNIsD STATS --------- 17 28 31 45 10 23 18 35 2 15 6

NEW ENGIAND--------- 3 3 3 3 1 -
Maine ----------------------- 1 -
New Hampshire--------- -
Vermont-------------------- -
Massachusetts-------------- 3 3 3 3 -
hode Island---------- -
Connecticut-------- --- -
MIDDLE ATLAjTIC---------- 4 4 7 1 4 3 1 3 -
New York------------------ 4 7 1 3 1 3 -
New Jersey----------------- -
Pennsylvania--------------- 4 4 -
EAST NORTH CETRAL-------- 3 2 4 4 2 1 3 1 1 -
Chio--------------------- 1 2 2 4 1 1 1 -
Indiana-------------------- -
Illinois------------------ 2 2 2 2 1 -
Michigan----------------- -
Wisconsin---------------- -
WEST NORTH CENTRAL----------- 1 1 1 4
Minnesota--------------- -- -- 1 1 -
lowaa-------------------- 4
Missouri----------------- -
North Dakota------------ -
South Dakota--------------- -
Nebraska------------------ -
Kansas--------------------- -
SOUTH ATLATIC------------ 2 6 4 9 1 6 3 9 4 -
Delaware------------------ 1 1 -
Maryland------------------- -
District of Columbia------- -
Virginia------------------ 1 1 -
West Virginia-------------- -
North Carolina---------- -- 5 1 8 5 1 8 -
South Carolina------ 1 1 1 1 -
Georgia-------------------- -
Florida------------------- 1 1 4
EAST SOUTH CENRAL------ 3 5 1 -
Kentucky----------------- 3 5 -
Tennessee------------------ -
Alabama-------------------- -
Mississippi-------------- -
VEST SOUTH CENTRAL--------- 1 1 3 1 1 1 2 1 1 1
Arkansas------------------- 1
Louisiana------------------ 1 1 3 1 1 1 2 1 -
Oklahoma------------------ 1
Texas---------------------- -- -
MOUNTAINm-------------------- 5 2 7 2 3 2 3 2 1
Montana-------------------- 1 2 1 2 1 2 1 2 -
Idaho---------------------- 1 1 -
Wyoming------------------- -
Colorado------------------ 1
New Mexico----------------- -
Arizona------------------- 1 -
Utah---------------------. 3 4 2 2 -
Nevada--------------------- -
PACIFIC---------------------- 3 10 3 18 3 9 3 15 1 3 1
Washington----------------- 1 I 1 1 -
Oregon--------------------- 2 5 2 3 -
California----------------- 3 6 3 11 3 5 3 10 1 3 1
Alaska----------------- -
Hawaii ------------------- 1 1 1 1

Puerto Rico------------------ 2 2 2 2








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 JANUARY 16, 1960 AND JANUARY 14, 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,N998.5 pt. Meles
infectiousMeae
Area Cumulative, Cumulative,
2nd Week first 2 weeks 082 2nd Week first 2 weeks 085

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


UNITED STATES---------- 27 20 47 51 21 27 1,457 789 2,471 1,383 8,459 7,566

NEW ENGLAND ---------------- 1 1 2 67 29 96 47 582 637
Maine------- ---- 1 3 4 3 8 117
New Hampshire------------ 2 15 2
Vermont------------------ 29 1 32 1 21 24
Massachusetts------------- -- 14 10 23 23 416 394
Rhode Island ------------- -- 1 1 1 7 9 10 12 84 8
Connecticut---------------- 17 6 25 8 38 92
MIDDLE ATLATIC---------- 1 1 4 2 173 63 258 106 1,824 662
New York----------------. 3 74 30 122 49 1,099 527
New Jersey----------------- 1 23 6 27 8 261 65
Pennsylvania--------------- 1 1 2 76 27 109 49 464 70
EAST NORTH CE .------- 2 3 2 4 267 140 496 231 2,287 2,124
Ohio----------------------- 1 2 2 98 33 229 47 531 206
Indiana------------------- 1 1 1 32 32 43 33 138 79
Illinois------------------ 40 29 65 54 287 479
Michigan---------------- 2 1 93 43 149 82 444 697
Wisconsin----------------- 4 3 10 15 887 663
WEST ORTH CENTRAL-------- 1 1 2 5 2 3 130 57 213 115 282 168
Mfnnesota------------------ 1 2 2 23 7 42 13 6 125
Iowa----------------------- 1 1 1 24 15 34 23 85 7
Missouri------------------- 1 46 16 61 37 112 2
North Dakota--------------- 1 3 2 5 7 77 30
South Dakota------------- 2 10 4 16 3
Nebraska---------------- 9 3 30 8 2 1
Kansas--------------------- 1 1 25 4 37 11 NN NN
SOUTH ATIANTIC--------------- 4 7 7 15 3 3 156 87 278 149 1,291 280
Delaware ------- ----- 5 4 15 9 47 6
Maryland-...-------.----- 1 17 8 31 18 42 60
District of Columbia------ 1 3 3 1 40
Virginia------------------. 2 2 4 17 6 34 24 560 63
West Virginia-------------- 1 35 19 69 37 110 43
North Carolina------------ .- 1 1 41 5 51 7 133 4
South Carolina------------- 6 9 1 17 3 38 3 231 -
Georgia-------------------- 1 1 11 9 13 10 8 -
Florida---------------... 2 3 1 2 10 33 24 41 159 64
EAST SOUTH CTRAL------- 4 2 7 263 152 465 253 785 563
Kentucky ..------------. 1 74 92 157 141 529 336
Tennessee------------------ 1 1 124 37 197 74 197 169
Alabama-------------------- 3 5 51 13 88 25 54 15
Mississippi------------- 1 1 14 10 23 13 5 43
WEST SOUTH CENTRAL--------- 22 4 36 9 2 2 83 50 135 105 271 1,497
Arkansas----------------- 1 17 2 20 7 81 100
Louisiana------------- 1 1 1 1 6 6 7 6 -
Oklahoma------------------ 2 2 1 12 5 12 11 2 40
Texas -------------- 19 3 33 8 1 1 48 37 96 81 188 1,357
MOUNTAIN-------------- -- 10 1 120 120 183 190 492 674
Montana----------------- 30 3 39 7 79 80
Idaho----------------------. 9 9 15 15 21 61 163
Wyoming-------------------- 2 3 5 127
Colorado------------------- 42 42 69 56 38 74
New Mexico---- ------ 1 6 19 8 45 -
Arizona-------------------- 13 24 17 39 245 55
Utah-------------------- 1 12 12 24 17 43 102
Nevada----------------. 6 5 8 5 21 73
PACIFIC------------------ --- 8 10 198 91 347 187 645 961
Washington----------------- 1 1 19 7 22 10 200 194
Oregon--...------. -------.. 1 1 43 20 72 40 95 133
California-----.----------. 5 8 121 53 238 122 340 271
Alaska---------------- 1 8 10 8 12 10 32
Hawaii------------------ 7 1 7 3 331

Puerto Rico- ------------- 2 2 1 19 19 40

NN-NO NOlflable








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 JANUARY 16, 1960 AND JANUARY 14, 1961 Continued

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

Strepto-
Menioccoca- coccal Typhoid fever 040 Typhus
Malaria Meninoceocal Paitta-
M ra infections cosis sore fever, Rabies in
throat, endemic
Area etc. Cumulative,
110-117 057 096.2 050,051 2nd Week first 2 weeks 101

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

UNID S -ES--------- 61 60 1 8,457 2 8 8 14 42 78

SENGAND------------- 4 5 389 -
aine--------------------- 15 -
New Hampshire----------- 10 -
Vermont------------------- 9 -
Massachusetts----------- 3 4 99 -
Iaode Island------------ 27 -
Connecticut--------------- 1 1 229 -
IDI ATLANTIC-------------- 6 7 394 1 1 2 1 2 5
New York------------------ 1 3 228 1 2 4
New Jersey--------------- 1 1 102 -
Pennsylvania--------------- 4 3 64 1 1 1 1 1
EAST NORI CTRAL------- 11 16 1 645 2 2 5
Ohio----------------------- 1 3 171 1 2 2
Indiana-------------------- 1 125 -
Illinois------------------- -- 5 5 102 1
Michigan------------- ------ 5 4 152 -
Wisconsin----------------- 3 1 95 1 2
WEST ORTH CENTRAL -------- 2 3 285 1 1 11 14
Minnesota--------------- 24 3 2
Ioa--------------------- 74 2 6
Missouri------------------ 1 9 1 1 3 4
North Dakota----------- 2 71 -
South Dakota--------------- 2 6 3 -
Nebraska-------------------- 3 2
Kansas---. ---------------- 98 -
SOT ATLAITIC------------- 20 7 610 1 1 2 10 15
Delavare------------------- 4 -
Maryland- ----------------- 2 18 -
District of Columbia------- 2 3 -
Virginia------------------- 5 187 8 8
West Virginia------------- -- 3 239 1 3
North Carolina------------- 2 19 2 1
South Carolina----------- 1 26 2
Georgia-------------------- 2 2
Florida-------------------- 9 1 114 1 1 -
EAST SOUTH CNTRA--- -- 4 4 1,813 2 4 4 7
Kentucky------------ 1 501 1 2
Tennessee--------------- 1 2 1,274 1 3 3 3
Alabama---------------- 2 14 1 1 2
Mississippi-------------- 1 1 24 -
WEST SOUTH CTRAL----------- 5 8 1,279 1 2 10 30
Arkansas---------------- 4 2 9
Louisiana------------- 3 5 3 1 3
Oklahoma---------------- 3 11 -
Texas-------------------- 2 1,261 1 2 7 18
MOUNTAIN-------------------- 3 2,138 2 1 2 1 2
Montana---------------- ---- 139 2 1 2 -
Idaho-------------------- 183 -
Wyoming-------------------- 1 34 -
Colorado------------- 1 779 -
New Mexico---------------- 505 2
Arizona-------------------- 1 218 1 -
Utah---------------------- 273 -
Nevada--------------------- 7 -
PACIFIC ---------------- 6 10 904 2 1 2 2 -
Washington----------- 1 2 409 -
Oregon--------------- 2 40 -
California------------- 5 6 362 2 1 2 2
Alaska------------------ 8 -
Puertawaiio Ric---------- 1

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





Morbidity and Mortality Weekly Report


NUMBER OF DEATHS IN SELECTED CITIES


Si i I T I 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 parentheses in table 4)

2nd te APdte cent Cumulative, first 2 weeks
week veek Adjusted changes
ended ended average, adjusted
Area Jn. 2nd average
14, 7, week to 1961 1960 Percent
1961 196i 1956-60 current change
week

TOTAL, 117 REPORTION CITIEB---------------------- 12,995 12,650 12,636 +2.8 25,645 26,578 -3.5

ew England---------------------------------(14 cities) 782 778 765 +2.2 1,560 1,677 -7.0
Middle Atlantic----------------------------(20 cities) 3,551 3,671 3,451 +2.9 7,222 7,082 +2.0
East North Central------------------------ (21 cities) 2,710* 2,714 2,707 +0.1 5,424 5,913 -8.3
West North Central--------------------.----- (9 cities) 886 842 889 -0.3 1,728 1,784 -3.1
Bouth Atlantic------------------------------(1 cities) 1,173 1,186 1,095 +7.1 2,359 2,231 +5.7
East South Central--------------------------(8 cities) 700 559 576 +21.5 1,259 1,260 -0.1
West South Central--------------------------(13 cities) 1,123 1,051 1,167 -3.8 2,174 2,368 -8.2
Mountain------------------------------------(8 cities) 364 355 387 -5.9 719 837 -14.1
Pacific-------------------------------------(13 cities) 1,706 1,494 1,599 +6.7 3,200 3,426 -6.6

*Includes estimate for missing reports.


T I l l T I l l T I l l l T l 1








Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


Area


NEW ENGLAND:
Boston, Mass.-----------
Bridgeport, Conn.-------
Cambridge, Mass.--------
Fall River, Mass.--------
Bartford, Conn.----------
Lowell, Mass.-----------
Lynn, Mass.--------------
New Bedford, Mass.-------
New Haven, Conn.--------
Providence, R.I.--------
Somerville, Mass.--------
Sprlngfield, 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, Ohio-------------
Detroit, Mich.-----------
Evansville, Ind.--------
Flint, Mich.------------
Fort Wayne, Ind.---------
Gary, Ind.---------------
Grand Rapids, Mich.-----
Indianapolis, Ind.------
Madison, Wis.-----------
Milwaukee, Wls.---------
Peoria, Ill.------------
Rockford, I1.-----------
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.-----------


2nd
week
ended
Jan.
14,
1961



267
38
36
25
46
17
22
39
53
71
14
64
30
60


72
44
154
38
24
44
64
87
1,822
35
548
239
23
111
27
36
59
65
31
28


67
27
838*
202
230*
131
97
370
34
48
41
22
44
170
21
145
33
22
19
93
56


54
27
49
148
(27)
133
67


lst
week
ended
Jan.
7,
1961



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


Cumulative,
first 2 weeks.:


537
89
68
53
87
51
57
69
92
143
27
106
58
123


134
78
320
83
55
94
176
235
3,612
87
1,063
471
42
237
56
76
138
117
79
69


121
57
1,623
383
490
265
198
736
60
97
90
57
89
329
60
294
70
45
56
195
109


89
62
92
313
(88)
251
133


529
102
75
62
89
47
62
71
109
153
39
130
68
141


88
82
359
106
53
93
164
258
3,439
105
1,039
477
56
262
59
90
147
72
65
68


114
94
1,894
373
476
324
169
787
71
84
106
63
86
302
67
308
69
74
73
257
122


109
40
88
237
(74)
287
164


Area


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:
Jirmingham, 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.-----------

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


2nd
week
ended
Jan.
14,
1961


1st
week
ended
Jan.
7,
1961



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
(47)
139
54
43

(40)


Cumulative,
first 2 weeks


1961 1960


513
155
120


259
558
84
180
162
96
214
95
(186)
174
450
87


238
127
73
219
287
101
83
131


68
85
67
E64
83
114
394
115
361
161
207
119
141


63
45
215
26
182
28
86
74


34
(85)
(76)
92
122
1,156
234
62
238
152
175
453
(75)
280
107
95

(74)


591
169
99


264
511
89
135
149
127
192
93
(180)
139
423
109


237
120
61
277
240
99
79
147


73
73
55
242
105
112
413
155
379
176
317
109
159


74
35
287
36
185
27
141
52


48
(105)
(109)
85
111
1,239
213
103
239
156
247
498
(69)
281
97
109

(---)


*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


UNlIVI'~F Il T ur riL.uniUP


3 1262 08864 0437


QUARANTINE MEASURES


surveys of schools and contacts of cases. To date, there
has been only one death, attributed to late myocarditis.
The figure below shows cases by week of onset. The peak
of the epidemic was reached during the second week in
November.


NUMBER
OF CASES


4 11 18 25 2 9 16 23 30 6 13 20 27 4 11 18
SEPTEMBER OCTOBER NOVEMBER DECEMBER

The epidemic was centered in two rural elementary
schools and the elementary school in Georgetown, the
County S4.."'Nea~y 45 percent of the cases have been
childreit ag3 1)-.14. with 28 percent in the 5-9 age group.
The foltowng table gives age and sex distribution of
the cases.


Age

0-4


Male

* 1


5 -9 11

10-14 13

15-19 2

20-29 2
Totals 29


Female

4


4

10

3

3
24


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 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 rvphus, and yellow fever) this is noted
below table 1.


SNIV P




S. DEPoSITORY
n S. DEPOSITORy


Total

5

15

23

5

5
53


m

6 r


-o r 0 S
F-
S-4z





0-
s m
3:


Sixty-five percent of the cases were unimmunized
against diphtheria. A virulent gravis strain of diphtheria
has been consistently isolated from both cases and car-
riers. The disease has generally appeared as mild, ton-
sillar, diphtheria with localized membrane formation. The
county and State health departments have instituted vig-
orous immunization measures in the public schools and
community, coupled with isolation and extensive culturing
of all cases and carriers.
Reported by 1. Clifford Todd, Epidemiologist, Ken-
tucky State Department of Health.


i!



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QB
MS


I




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