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:
AA00010654:00331

Related Items

Preceded by:
Weekly mortality index
Preceded by:
Weekly morbidity report
Succeeded by:
Morbidity and mortality weekly report


This item is only available as the following downloads:


Full Text








Morbidity and Mortality



PUBLIC HEALTH SERVICE

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

Ptphred by ~ MElrose 4-5131


For release February 10, 1961 Atlanta 22. Georgia Vol. 10, No. 5

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

Deaths in Selected Cities for Week Ended February 4, 1961


Influenza There have been no reports to dare of Poliomyelitis A total of six paralytic cases re-
outbreaks of influenza within the continental United ported for the nation, with no State reporting more than
States, although influenza is currently active in other one.
parts of the world (see International Notes, page 8). The
number of deaths due to influenza and pneumonia are
within limits of seasonal expectancy and show no sig- EPIDEMIOLOGICAL REPORTS
nificant excess mortality.

Hepatitis Sustained high incidence. (See graph, Botulism Toppe ashington
page 2) Four s tliith one death occurred
Diphtheria Same general level prevails, with major- January -3 a family oe persons in Toppenish,
ity of cases reported from Texas, and remaining cases Washin on. oth parents ag nd 47 years and two
scattered. sons 6 and 1lo ears exh bite symptoms including


Table I. Cases of Specified Notifiable i cases, Snited tes
(Cumulative totals include revised and delayed repo a gh previous

5th Week
Disease
(Seventh Revision of Intexratloal Approxi-
Lists, 1955) First 5 weeks Since seasonal low week mate
Ended Ended seasRnal
Feb. Feb. Median Median low
Weekly incidence low or sporadic 4, 6, 16-FC 961 1960 Men 196C-61 1959-60 1955-56 point
-- Data not available 1961 196C 1956- 60 to
Quantity zero 1969-60
Anthrax-------------- -062 *
rotlism --------------------- 049.1 4 4 3 *
Brucelloais undulantt fever)-- -0- 4 10 13 15 40 71 64 *
Diphtheria----------------------055 22 24 23 116 115 116 696 645 849 July 1
encephalitie, infectious------ -082 24 26 20 111 133 104 111 133 104 Jan. 1
Hepatitis, infectious, and
sena- --------------092,1998.5 pt. 1,808 775 598 7,939 3,612 2,523 23,142 11,588 7,278 Sept. 1
Itrla~i-------------------.110-17 1 5 *
anles-------------------------065 10,204 9,793 10,786 42,716 41,355 42,728 78,763 78,843 78,843 Sept. 1
ningitis, aseptic------540 pt. 23 27 --- 113 159 --- 113 159 --- Jan. 1
eningoococal infecti on-----057 57 59 60 269 273 279 923 929 1,093 Sept. 1
Polio nylitie-------------------080 13 8 26 58 116 116 3,124 8,390 8,390 Apr. 1
Parlytie-------------080.0,080.1 6 3 18 33 81 81 2,142 5,582 5,582 Apr. 1
omparalytic----------080.2 5 1 3 11 18 18 634 2,135 2,135 Apr. 1
Ua.pecifined----------------080.3 2 4 5 14 17 17 348 673 673 Apr. 1
Psittacosis------- -----096.2 1 3 4 7 *
Babies in man-------------------096 2 *
Btreptocoacal sore throat,
Including scarlet fever----050,051 9,187 9,590 --- 43,592 42,349 --- 141,244 --- --- Aug. 1
Typhold fever ---------------- -040 6 9 18 36 40 73 724 765 1,085 Apr. 1
phau fever, endemic----------.--101 1 4 3 *
BabMes in animals-----.------- 57 81 87 254 375 432 830 1,355 1,355 Oct. 1
Botulism Washington 4.




Morbidity and Mortality Weekly Report


CASES
6.000-1


B.O-
5,000-

4,000-


3,000-


2,000-

1,000-


1952


1953


REPORTED


1954 I 1955


CASES OF INFECTIOUS HEPATITIS
U. S. 1952-1961
By 4-Week Periods


1956


1957


The graph shows reported cases of hepatitis for the United States by four-week periods since
1952 and indicates that the infiidence of this infection during the recent four-week period (ending
January 28) exceeded the maNimrJm of the 1954 nationwide epidemic. This week a total of 1,808
cases was reported, and last'week,\,856, reflecting a sustained high incidence.

vomiting, dizziness, dysphagia, diplopia and.spedch dis- During October 1960 reconstruction
turbance. The two initial cases manifested severe symp- on a downtown Lexington building neces
tomatology with respiratory paralysis requiring te use of of a large quantity of accumulated pigeon
a mechanical respirator', The remaining two chses, with was accomplished by a crew of seven wor
somewhat longer incubation, periods, were severe but not pings were shoveled into buckets which w
critical. Despite antitoxin and suppOrtive therapy one of our and dumped. Although considerable di
the respirator cases died. no facial masks were worn by the work
It appeared from epidemiologic investigation of the operation.
family's food consumption during a 48 hour period prior Four days later one man became ill
to onset of initial symptoms, that the noon meal of "generalized aches," and within two
January 28 was the most likely time of ingestion of workman experienced chills, severe head
toxin. Home canned chili prepared without utilizing pres- pain. By the ninth day the remaining five
sure cooking techniques was served and appeared to be of similar symptoms.
the source of toxin. Other family members eating the All the workmen were admitted to the
same meal but not partaking of the chili did not develop The initial clinical impression was a,
illness. Fever ranged up to 1040 F and ausculta
Samples of foods consumed were collected and lab- present on chest examination. A dry, nonp
oratory studies to confirm the presence of botulinus toxin and diminished vital capacity were al
are presently in progress, examination revealed bronchopneumonia.
(Submitted by Dr. Ernest A. Ager, Head, Communica- patients exhibited sensitivity to the hi.
ble Disease Control, State of Washington Department test performed two weeks after apparent e
of Health) Seven nioeons trained near the water


Histoplasmosis Lexington, Kentucky
An outbreak of seven cases of bronchopneumonia, at
first thought to be ornithosis but later confirmed as histo-
plasmosis, occurred in Lexington, Kentucky.


amined by the Communicable Disease Ce
oratory and two were found to harbor o
A sample of pigeon droppings cultured
fungi by the Kentucky Stare Department
negative. (Con


of a water tower
isitated removal
droppings which
kmen. The drop-
ere then hoisted
ust was created,
men during this
with chills and
days a second
ache, and chest
men noted onset
same hospital.
cure ornithosis.
story signs were
productive cough
so. noted. X-ray
Only two of the
stoplasmin skin
exposure.
r tower were ex-
nter Virus Lab-
rnithosis virus.
for pathogenic
of Health was
tinted on page 8)


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1959


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1960


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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 FEBRUARY 6, 1960 AND FEBRUARY 4, 1961

(Py 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 speciled by type) onparalytic aseptic lant
Area Cumulative, Cumulative, fever)
5th Week first 5 weeks 5th Week first 5 weeks 080.2 340 pt. 044


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

UIW STAIES----- 13 8 58 116 6 3 33 81 5 1 23 10

MEW ENGLAND----------------- 5 5 -
aine----------------- 1 -
ew Hapshire--------------- -
Vermont-------------------- -
Massachusetts------------ 4 4 -
Rhode Island--------------- -
Connecticut-------------- -
MIDDLE ATLANTIC-------------- 1 4 6 22 1 2 5 14 1 -
New York------------------- 1 4 2 21 1 2 1 13 -
New Jersey----------------- 1 1 I -
Pennsylvania--------------- 4 4 -
EAST NORTH CENTRAL ------- 2 10 11 6 2 2 3 4
Ohio----------------------- 2 6 10 3 2 2 2 -
Indiana-------------------- .
Illinois----------------- 2 2 3
Michigan ----------------- 1 1
Wisconsin------------------ 2 1 1 -
WEST NORTH CENTRAL--------- 1 1 4 1 3 4
Minnesota------------------ 1 3 1 3 -
Iowa----------------------- 1 1 3
Missouri-------------------- -
North Dakota--------------- -
South Dakota-------------- -
Nebraska------------------- 1
KanJas--------------------- -
SOUTH ATLANTIC------------- 1 5 29 1 4 23 5 1
Delaware------------------ 1 1 -
Maryland------------------ -
District of Columbia------- -
Virginia--.--------------- 1
West Virginia-------------- 2 2 -
North Carolina------------- 1 2 11 1 2 11 -
South Carolina------------- 1 -
Georgia------------------- 1 I -
Florida----------- --- 2 14 1 8 5 -
EAST OUTH CENTRAL---- 2 7 2 1 5
Kentucky---------------- 2 7 2 -
Tennessee----------------- 1 -
Alabama------------------- -
Mississippi-------------- --- 4 -
WEST SOUTH CENTRAL----------- 2 2 6 7 1 1 3 5 1 1 1 -
Arkansas------------------- 1 -
Louisiana------------------ 1 3 3 2 2 1 -
Oklahoma------------------- -
Texas--------------------- 2 1 2 4 1 1 1 3 1 1 -
MOUNTAIN--------------------- 1 1 11 5 1 6 3 -
Montana-------------------- 1 4 1 3 -
Idaho---------------------- 1 2 1 -
Wyoming------------------- -
Colorado-------------------. 1 2 1 2 -
New Mexico--------------- -
Arizona------------------- -- 2 1 -
Utah--------------------- 4 2 -
Nevada--------------------- _
PACIFIC---------------------- 4 12 31 2 8 25 2 8 1
Washington---------------- 1 1 -
Oregon--------------------- 1 1 7 1 1 3 -
California----------------- 3 11 22 1 7 20 2 8 1
Alaska-------------------------- -
Hawaii------------------- 1 -

Puerto Rico------------------ 1 6 1 8 1 6 1 8









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 FEBRUARY 6, 1960 AND FEBRUARY 4, 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,B998.5 pt. a
infectious eagless
Area Cumulative, Cumulative,
5th Week first 5 weeks 082 5th Week first 5 weeks 085

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


UNSIED STATS--------- 22 24 116 115 24 26 1,808 775 7,939 3,612 10,204 9,793

NEW ENGAND---------------- 1 1 1 1 5 52 23 258 133 709 680
Maine----------------- 1 12 12 42 98
New Hampshire---------- 3 9 41 15
Vermont------------------- 6 70 4 8
Massachusetts-------------- 1 1 13 9 72 72 324 417
Rhode Island -------------- 1 4 12 6 27 22 207 1
Connecticut---------------- 1 18 7 68 23 95 141
MIDDLE ATLATIC------------- 1 2 5 4 6 218 62 1,013 323 2,226 1,059
New York------------- 1 1 4 5 113 34 478 151 1,039 889
New Jersey---- -------- 40 4 146 21 342 105
Pennsylvania--------------- 1 1 4 1 65 24 389 151 845 65
EAST NORTH CE AL-------- 1 1 1 11 3 1 392 160 1,561 628 3,249 2,131
Ohio----------------------- 1 8 169 51 683 154 734 229
Indiana------------------ 1 40 26 163 84 148 191
Illinois---------------- 1 1 72 29 244 148 502 639
Michigan------------------ 1 1 1 3 99 46 434 193 433 658
Wisconsin------------------ 12 8 37 49 1,432 414
WEST NORTH CENTRAL-------- 1 1 6 9 1 1 185 60 759 303 280 357
Mfnnesota------------------ 1 3 2 46 5 160 35 17 220
Iowa----------------------- 1 1 60 9 154 62 66 33
Missouri------------------. 1 1 1 22 12 184 83 118 4
North Dakota-------------- 1 16 16 47 77 96
South Dakota--------------- 1 2 3 11 48 22 -
Nebraska------------------ 23 11 77 28 2 4
Kansas------------------- 1 23 7 120 26 NN NN
SOUTH ATLANTIC--------- --- 6 5 15 29 4 1 201 100 875 395 1,144 507
Delaware----------------- 1 2 22 15 102 5
Maryland----------------- 24 2 82 36 60 71
District of Columbia .---.. 1 1 7 3 1 51
Virginia------------------- 3 5 5 11 40 102 116 236 263
West Virginia-------------- 1 1 62 22 209 97 103 49
North Carolina-------------- 1 2 1 3 39 3 178 18 266 20
South Carolina------- 2 12 8 3 101 9 225 2
Georgia-------------------- 1 1 3 2 37 4 89 26 13 1
Florida------------ 1 2 4 8 1 19 23 85 75 138 45
EAST SOUTH CNTRAL------- 4 3 12 1 318 122 1,481 705 1,019 992
Kentucky----------------- 2 1 101 56 523 328 618 479
Tennessee ----------------- 1 1 161 33 661 219 354 413
Alabama------------------- 6 30 26 213 124 30 22
Mississippi------------- 4 5 26 7 84 34 17 78
WEST SOUTH CETRAL------- 13 9 85 29 2 1 126 62 474 271 319 1,794
Arkansas----------------- 21 6 87 18 34 91
Louisiana--------------- 2 2 7 7 6 5 19 15 14
Oklahoma------------------- 1 2 4 1 14 12 51 42 5 27
Texas------------- 11 6 76 18 2 85 39 317 196 280 1,662
MOUNTAIN-------------------- -- 3 3 18 2 1 135 69 555 373 363 667
Montana------------------ 2 28 10 82 19 46 39
Idaho--------------------- 11 1 4 6 39 51 47 202
Wyoming------------------- 1 4 1 5 2 25 109
Colorado------------------- 2 1 2 42 16 204 103 52 79
New Mexico------------- 5 13 36 76 -
Arizona------------------- 1 11 17 52 76 149 69
Utah--------------------- 1 41 7 119 40 40 169
Nevada-------------------- 4 18 6 4 -
PACIFIC-------------------- 1 6 10 181 117 963 481 895 1,606
Washington----------------- 1 1 35 15 111 48 226 409
Oregon-------------------- 30 24 189 99 98 216
California---.------------ 5 9 112 74 630 309 568 360
Alaska------------------- 1 3 21 14 -
Hawaii--------------------- 1 4 12 11 3 621

Puerto Rico---------------- 12 23 5 63 15 87 36 16

NN-NOt NOLtIlable









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 FEBRUARY 6, 1960 AND FEBRUARY 4, 1961 Continued

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

Strepto-
coccal Typhoid fever 040 Typhus
laoria Meningoccocal Psltta- h be
Malaria infection cosis sore fever, Rabies in
throat, endemic animals
Area etc. Cumulative,
110-117 057 096.2 050,051 5th Week first 5 weeks 101

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

UNITED STAES--------- 57 59 1 9,187 6 9 36 40 1 57 81

NEW NGLAND.----------------- 6 516 1 -
Maine--------------------- 2 24 -
New Hampshire------------- 42 -
Vermont------------------- 45 -
Massachusetts-------------- 170 1 -
Rhode Island--------------- 4 26 -
Connecticut---------------- 209 -
MIDDLE ATLANTIC-------------- 5 7 1 583 1 3 3 4 5
New York------------------- 3 3 316 1 1 1 4 5
New Jersey--------------- 2 1 135 -
Pennsylvania-------------- 3 1 132 2 2 -
EAST NORTH CENTRAL .---...- 12 10 1,174 1 4 3 2 23
hio--------------------- 4 5 415 2 12
Iniana-------------------- 196 1 2 4
Illinois ---------------- 2 220 7
Michigan------------------ 3 5 164 1 1 2 -
Wisconsin------------------ 3 179 I -
WEST NORTH CENTRAL----------- 3 2 373 1 2 6 13 12
Minnesota------------------ 1 1 14 1 2
Iowa----------------------- 97 6 1
Missouri------------------ -- 1 11 1 2 6 3 6
North Dkota--------- 128 2
South Dakota--------------- 1 3 -
Nebraska------------------- 1 1 1
Kansas--------------------- 1 121 -
SOUH ATLANTIC--------- ---- 17 6 626 2 2 7 6 7 5
Delaware------------------- 2 -
aryland------------------- 4 32 -
District of Columbia------- 2 -
Virginia------------------- 4 3 177 2 3 3 3
West Virginia-------------- 1 202 1 4 1
North Carolina------------- 4 2 58 1 3 -
South Carolina----------- 1 42 1 -- -
Georgia-------------------- 1 7 2 3 1
Florida-------------------- 3 104 -
EAST SOUTH C TAL--------- 4 6 1,560 2 1 6 10 6 12
Kentucky---------------- 1 245 1 3 2 2
Tennessee--------------- 1 3 1,230 2 1 3 5 2 7
Alabama---------------- 1 3 51 2 2 2 1
Mississippi--------------- 1 34 2
WEST SOUTH CENTRAL---------- 3 8 1,129 1 1 3 4 1 18 22
Arkansas------- ----------- 10 1 5 11
Louisiana---------------- 1 5 7 1 1 -
Oklahoma------------------- 2 49 1 1 1 -
Texas--------------------- 2 1 1,063 1 2 1 13 11
MOUN7AIU ------------------ 1 1 2,103 1 2 7 5 3 -
Montana-------------------- 1 117 1 1 4 -
Idaho-------------------- 114 -
Wyoming--------------------- 145 -
Colorado---------------- 643 1 4 -
New Mexico---------------- 572 1 1 1 2 -
Arizona-------------------- 186 1
Utah---------------------- 1 319 1 -
Nevada-------------------- 7 -
PACIFIC ------------------ 12 13 1,123 4 2 4 2
Washington---------------- 2 654 1 -
Oregon------------------- 3 69 -
California---------------- -- 10 10 385 3 2 4 2
Alaska ------------- 12 -
Hawaii----------- 3 -

Puerto Rio----------------- 1 1 7 1 6





Morbidity and Mortality Weekly Report



NUMBER OF DEATHS IN SELECTED CITIES


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 hospitalcenters 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 weekof filing certificate. Excludes fetal deaths. Data exclude figures shown in parentheses in table 4)

S t Percent Cumulative, first 5 weeks
5hweek weekth Adjusted change,
ended ended average, adjusted
Feb Jan 5th average
Feb. Jan. week to 1961 1960 Percent
4, 28, 16-6c current chne1960
1961 1961 1906-60 current change
196i 1961
week

TOTAL, 117 REPORTIN CITIES---------------------- 12,308 12,304 12,277 +0.3 62,241 66,375 -6.2

New England------------------------------(14 cities) 747* 806 727 +2.8 3,830 4,168 -8.1
Middle Atlantic----------------------------(20 cities) 3,619* 3,403 3,365 +7.5 17,644 17,684 -0.2
East North Central--------------------------(21 cities) 2,479 2,532 2,637 -6.0 12,966 14,754 -12.1
West North Central--------------------------(9 cities) 809 784 881 -8.2 4,076 4,513 -9.7
Both Atlantic---------------------------- (ll cities) 1,072* 1,126 1,056 +1.5 5,615 5,620 -0.1
East South Central---------------------------(a cities) 595* 575 558 +6.6 2,909 2,963 -1.8
West South Central--------------------------(13 cities) 1,145 1,180 1,119 +2.3 5,538 5,889 -6.0
Mountain---------------------------------- (8 cities) 379 368 375 +1.1 1,889 2,000 -5.6
Pacific--------------------------------- --. (13 cities) 1,463 1,530 1,559 -6.2 7,774 8,784 -11.5

*Includea estimate for missing reports.


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
1960 1961








Morbidity and Mortality Weekly Report


Table 4. DEATHS IN SELECTED CITIES

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


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.--------
Springrield, Mas .-------
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, 1..-----------
Cincinnati, Ohio---------
Cleveland, Ohio----------
Columbus, Ohio-----------
Dayton, Chio-------------
Detroit, Mich.----------
Evansville, Ind.---------
Flint, Mich.-------------
Fort Wayne, Ind.---------
Gary, Ind.---------------
Grand Rapids, Mich.------
Indianapolls, Ind.-------
Madison, Wis.-----------
Milwaukee, Ws.---------
Peoria, Ill.-------------
Rockford, Ill.-----------
South Bend, Ind.--------
Toledo, Ohio-------------
Youngstown, Ohio---------

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


4th
week
ended
Jan.
28,
1961


Cumuli
first 5


1961


itlve,
weeks


1960


4I I


276
35
26
26
49
33
21
23
45
66*
12
50
24
61


58
40
128
49
49
41
99
116
1,761
40
598
264
26
112*
24
42
66
51
31
24


52
29
817
142
195
122
97
310
39
43
37
25
35
131
19
136
23
23
28
110
66


284
45
31
21
61
27
17
32
62
67
12
49
30
68


54
37
152
42
33
39
60
113
1,829
41
523
135
27
107
20
32
58
33
33
35


74
28
740
162
235
126
75
329
49
35
40
39
51
150
25
119
32
34
29
111
49


60
25
41
106
(25)
137
82


1,353
219
148
126
252
130
112
149
243
330
60
264
142
302


284
188
744
212
168
206
415
556
8,868
204
2,779
1,092
122
572
125
202
318
237
176
176


308
154
3,956
842
1,109
614
455
1,722
180
219
209
156
221
750
143
663
150
135
150
533
297


265
140
210
679
(158)
642
346


1,419
219
181
160
267
129
142
168
284
370
87
280
146
316


204
178
861
260
131
201
423
552
8,647
235
2,691
1,292
136
624
134
221
355
208
160
171


309
218
4,683
915
1,254
724
401
2,103
191
210
209
167
246
759
168
739
164
162
182
632
318


299
167
198
662
(155)
661
404


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:
jBirmingam, 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, kla.------------

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.---------


5th
week
ended
Feb.
4,
1961


4th
week
ended
Jan.
28,
1961


4 +I I


224
68
41


135
256
30
71
91
56
87
37
(63)
84
223
56


75
68
21
156
117
51
41
46


43
37
31
155
42
72
179
60
206
103
118
81
53


29
15
126
16
77
17
48
40


15
(48)
(33)
45
67
510
124
30
113
50
113
230
(23)
148
41
44

(29)


Cumulative,
first 5 weeks


1961 1 1960


1,219
342
233


687
1,335
194
364
385
255
464
211
(405)
392
1,101
227


489
296
155
625
632
222
182
308


183
185
139
673
207
328
1,000
302
941
447
572
264
297


165
88
594
74
445
77
244
202


82
(216)
(180)
227
321
2,809
560
156
513
358
447
1,151
(170)
689
238
223

(--)


1,428
432
262


644
1,429
223
346
450
266
435
201
(436)
340
1,052
234


476
278
166
618
587
243
206
389


208
167
161
683
263
357
996
359
974
427
681
269
344


185
100
690
96
412
70
272
175


103
(288)
(272)
212
329
3,417
555
223
559
396
589
1,199
(155)
732
239
231

(--)


5th
week
ended
Feb.
4,
1961


*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.




UNIVERSITY OF FLORIDA

II IIll IIlIIIIII I IIIIIIIIIIIIIU I ll
3 1262 08864 0593


Morbidity and Mortality Weekly Report


Attempts to confirm the diagnosis of ornithosis in
the patients by virological and serological means were
negative; however, diagnostic rises in antibody titer (four-
fold or greater) to histoplasmin were demonstrated in
paired sera from each patient, thus establishing the diag-
nosis of histoplasmosis.
(Submitted by Dr. J. W. Skaggs, Division of Vet-
erinary Public Health, and J. Clifford Todd, State Epi-
demiologist, Kentucky State Department of Health)


INTERNATIONAL NOTES

England and Wales
The influenza epidemic in Great Britain continues.
Dr. Edward O'Rourke, Epidemiological Consultant, Divi-
sion of Foreign Quarantine, USPHS, London, reports that
699 influenza deaths were recorded in England and Wales
during the week ending January 28, 1961, compared to 43
deaths in the same week one year ago. The deaths are
sharply concentrated among elderly persons. Influenza
viruses, most of which have been confirmed as type A2,
have been isolated in Birmingham, Manchester, Plymouth,
Portsmouth, Sheffield, London, Leeds and Preston. There
have been no reports of influenza on the European
continent.

American Samoa

Dr. Delmar Ruthig, Director of Medical Services,
American Samoa, reported that an epidemic characteristic
of influenza commenced on the Island of Turuilla about
January 9, reaching a peak about January 18. Morbidity
rates have been on the order of 10-20 percent.
Japan
A report received from WHO indicates that 300
schools have been closed in Tokyo, Japan, as a result
of an epidemic of type B influenza in progress there. The
peak of the epidemic is anticipated to occur in mid-
February. The Surgeon General of the Air Force has noted
that no influenza has occurred in the United States Armed
Forces or their dependents stationed in Japan.
Brazil
PAHO has reported to the Division of Foreign Quar-
antine the occurrence of 112 cases of smallpox in Rio de
Janeiro, Brazil, in January 1961, and 18 cases so far in
February. No official reports have yet been received from
the rest of the country. Smallpox of the mild alastrim type
is endemic in Rio. A total of 732 cases was reported
in 1960.


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 cable 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 I.


DEPOSITORP
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