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:
AA00010654:00332

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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Morbidity and Mortality



PUBLIC HEALTH SERVICE

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

PtpOrPd hVy lth MElrose 4-5131

For release February 17, 1961 Atlanta 22, Georgia vol. 10, No. 6

Provisional Information on Selected No ab ? a in the United States and on

Deaths in Selected Cities V eek Ende Fe uary 11, 1961



Influenza Although epidemic influenza con I I EMIOLOGICAL REPORTS
to occur in Great Britain (see International Notes, pag
there have been no reports of influenza activity within issippi
United States. The number of deaths due to influenza an 0 ie L. Gray, Secretary and Executive Officer,
pneumonia are within normal limits for the season (see ssippi State Board of Health, reports an outbreak of
graph, page 2). infectious hepatitis in Pascagoula, Mississippi traced to
the consumption of raw oysters. Since January 1, a total
Hepatitis Continues at high level of incidence; of 32 cases has occurred in a population of approximately
total reported cases this week (1,639) does not include 17,500 persons. All but two were jaundiced. The incidence
figures from Tennessee, which reported 161 cases last increased during the month to a peak of 12 cases in the
week. week ending February 4. They were widely distributed



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

Disease 6th Week Cumulative
(Seventh Revision of International Approxi-
Lists, 1955) First 6 weeks Since seasonal low week mate
Ended Ended seasonal
Feb. Feb. Median Median low
Weekly incidence low or sporadic 11, 13, 1956-60 Median 196 i 1955-56 point
-- Data not available 19E1 1960 1961 19, 9 60 196C- 1 i9-6- to
Quantity zero 19C9-60
Anthrax---------- -------- 062 *
Botuliam---------.---------049.1 4 3 *
Irucellosis undulantt fever)-----044 10 20 16 50 91 77 *
Diphtheria-------------------...055 13 12 18 129 127 132 709 657 871 July 1
Incephaliti, infectious----- 082 19 23 18 130 156 118 130 156 118 Jan. 1
HepatitiL, infectious, and
r---------........---092,998.5 pt. 1,639 688 486 9,576 4,300 3,009 24,779 12,252 7,921 Sept. 1
Malaria----------------110-117 2 1 3 6 *
Meile---------------------..--065 10,668 9,275 11,482 53,384 50,630 55,877 89,594 88,044 88,353 Sept. 1
mnlDlgtim, aseptic--------340 pt. 28 22 --- 141 181 --- 141 181 --- Jan. 1
Meningococcal infections--------57 48 47 60 317 320 328 971 978 1,132 Sept. 1
PolioBaeltia-------------------080 6 12 17 64 128 130 3,130 8,402 8,402 Apr. 1
Paralytic-----------.080.0,000.1 3 9 12 36 90 93 2,145 5,591 5,591 Apr. 1
aloparalytic--------- -080.2 2 2 4 13 20 18 636 2,137 2,137 Apr. 1
tUspecified-------------- -060.3 1 1 1 15 18 19 349 674 674 Apr. 1
Pllttacoi------------ 096.2 1 5 7 *
ble in man ---.------ -----09 2 *
itreptococcal sore throat,
including scarlet fever ---050,051 9,005 8,991 --- 52,597 51,340 --- 150,249 --- --- Aug. 1
T'Jphoid fever-------------------040 5 11 20 41 51 93 743 776 1,105 Apr. 1
TYphus fever, endemic------------101 4 3 *
IRbiel in aimaal .---.--------... 72 94 94 326 469 535 902 1,449 1,449 Oct. 1
Figures for current week exclude missing reports from Arizona and Tennessee (State holiday)







Morbidity and Mortality Weekly Report


WEEKLY PNEUMONIA AND INFLUENZA DEATHS


UNITED STATES, 108 cities


EPIDEMIC
THRESHOLD
NORMAL
INCIDENCE


S'19 ',0 24 7 21 5 19 9 '23 6 20 5 19 9 23 7 21 4 I1 9 23 6 2 10 24 8 22 5 19 10 24 7 21 4 IB 4 19 8 22
SEP OCT NOV' DEC JAN'FEB' MAR APR MAY JUN 'JUL AUG SEP OCT NOV DEC JANFEB MR APR
1959 1960 1960 1961

The graph shows current pneumonia-influenza deaths reported weekly in 108 United States cities
in comparison with the expected number of deaths.* No excess has occurred in recent weeks.
Total deaths (see table 3) are also at normal levels. During the first six weeks of 1961 there has
been a decrease of 4,872 deaths (or 6.1 percent) in 117 United States cities in comparison with
deaths during the same period in 1960 when influenza epidemics were widespread.

(*The procedure for calculating expected levels is described in a mimeographed publication available on
request to the Statistics Section, Epidemiology Branch, CDC).


throughout the city without apparent focal concentrations.
Most of the cases were in adults, 24 of 32 being 15 years
of age or older. Careful food eating histories revealed
that 27 of the cases had eaten raw oysters from 20 to 40
days prior to onset. While oysters are a common article of
food in this area, the eating of raw oysters is uncommon.
Attempts to trace the source revealed that 19 of the
cases were associated with oysters packed in pint con-
tainers by one group of distributors who contributed only
a small fraction of the total fresh oysters sold in the city.
Investigation of the source of contamination of those
oysters is in progress. There has been no evidence to
incriminate oysters from other sources or other distribu-
tors. The outbreak has been studied and is under continu-
ing study by State and local health department personnel
of Mississippi as well as the Communicable Disease
Center and the Division of Milk, Food, Interstate, and
Community Sanitation of the U. S. Public HealthService.

Trichinosis Iowa

Dr. Ralph Heeren, Director, Division of Preventable
Diseases, Iowa State Department of Health, reported an
outbreak of 18 cases of trichinosis during December and
January distributed among five counties and related to
the consumption of uncooked home prepared pork sausage.
The clinical manifestations varied from mild to severe
and included nausea, abdominal pain, diarrhea, periorbital
edema, headache, dizziness, disturbed vision, myalgia,


weakness, chills, fever and sweats. Eosinophilia ranged
from 3 to 43 percent. The diagnosis was substantiated by
serologic means. Nine cases were male and nine female,
and ages ranged from 2 to 74 years. Five persons who ate
small quantities of raw sausage which had been frozen
for a period of two weeks did not become ill.
The sources of the pork and beef used in the sausage
were three large packing companies. The meat,which was
ground, seasoned, packed in natural casings, and smoked
for six days, was then eaten uncooked between December
8 and 26.
The sausage samples examined at the State Hygienic
Laboratory contained Trichrnella spirals, with the aver-
age number of parasites per gram of sausage varying from
0.4 to 4.6.

Correction Hale County, Texas, Diphtheria Epi-
demiological Report (Vol. 10, No. 1): Only 10 isolates
from diphtheria cases occurring in the county have thus
far been typed. Of these, one was miris, and the other
nine were intermedius. All isolates from Plainview have
been of the latter type.


INTERNATIONAL NOTES

England and Wales
Epidemic influenza this week accounted for 1,219
deaths, almost doubling the total of last week (609), while
(Continued on page 8)


NUMBER
OF

DEATHS








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 13, 1960 AND FEBRUARY 11, 1961

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

Poliomyelitis 080 Brucel-
SMenin- losis
Total Paralytic 080.0,080.1 gitis, (undu-
(Includes cases not specified by type) a onparalytic aseptic laat

Ara Cumulative, Cumulative, fever)
6th Week first 6 weeks 6th Week first 6 weeks 080.2 360 pt. 064

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

UNIJD STATES---------- 6 12 64 128 3 9 36 90 2 2 28 10

I ENGLAND------------ 5 5 1 -
Maine-------------------- 1 -
New Hampshire-------------- -
Vermont------------------ .
Massachusetts------- ------- 4 4 1 -
Rhode Island--------------- -
Connecticut-------------- -
MIDDE ATANTIC------------- 4 6 26 4 5 18 -
New York------------------ -- 3 2 24 3 1 16 -
Nev Jersey---------------- -- I 2 1 2- -
Pennsylvania--------------- 4 4 -
EAST NORTH CENTRAL-------- 1 1 11 12 1 6 3 4
Ohio---------------------- 1 7 10 3 2 2
Indiana-------------------- -
Illinois------------------- 1 2 1 1 2 1 -
Michign--------------------- 1
Wisconsin------------------ 2 1 1 -
WEST NORT CENTRAL---------- 1 1 5 1 3 1 3 9
Minnesota------------------ 1 3 1 3 3 1
Iowa---------------------- 1 3
Missouri------------------- .
North Dakota--------------- .
South Dakota--------------- 1 1 1 2
Nebraska------------------- 2
Kansas--------------------- -
SOUTH ATLAITIC--------- ---- 5 29 4 23 1 1
Delaware----------------- 1 -
Maryland-------------- -
District of Columbia------- -
Virginia---------------- --- 1
West Virginia----------- 2 2 -
North Carolina------------ 2 11 2 11 -
South Carolina------------- 1 -
Georgia------------------- 1 -
Florida------------------ 2 14 1 8 -
EAST SOUTH CENTRAL-------- 7 2 1 3
Kentucky----------------- 7 2 1 -
Tennessee------------------ -- .
Alabama------------------ -
Mississippi------------------ 3
WEST SOUTH CENTRAL----------- 2 8 7 1 4 5 1 2
Arkansas------------------ 1 .
Louisiana------------------ 3 3 2 2 -
Oklahoma----------------- -
Texas---------------------- 2 4 4 1 2 3 1 2
MOUNTAIN--------------------- 1 1 12 6 1 7 3 4
Montana-------------------- 1 4 1 3 2
Idaho---------------------- 1 2 2 -
Wyoming------------------- -
Colorado------------------- 1 3 1 3 2
New Mexico----------------- -
Arizona-------------------- -- 2 -- 1 -- --
Utah--------------------- 4 2 -
Nevada--------------------- .
PACIFIC---------------------- 2 5 14 36 1 4 9 29 1 1 10
Washington----------------- 2 3 2 3 --
Oregon----------------- -- 1 7 1 3 1
California----------------- 2 3 13 25 1 2 8 22 1 1 9 -
Alaska--------------------- -
Hawaii-------------------- 1 -

Puerto Rico----------------- 1 1 9 1 1 9








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 13, 1960 AND FEBRUARY 11, 1961 Continued

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


Diphtheria 055 Hepatitis, infectious, and
Encephalitis, sernu 092,1998.5 pt. male
infectious
Area Cuulative, Cu mlative,
6th Week first 6 weeks 062 6th Week first 6 weeks 085

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


UNITED S8T EA ------- 13 12 129 127 19 23 1,639 688 9,576 4,300 10,668 9,275

NEV E~GA -- -- 1 1 2 1 3 62 25 320 158 930 744
Maine---------------- 1 13 12 17 164
New Hampshire----------- 9 15 5
Vermont -------------- 4 1 74 5 2
Massachusetts------------. 1 1 1 1 33 7 105 79 485 565
Rhode Islad------------- 1 3 15 10 42 32 304 8
Connecticut-------------- 9 7 77 30 109 -
MIEDI ATLAMC- --- .... 1 3 5 2 2 293 64 1,304 387 2,395 1,160
ev York---------- -- 1 2 1 2 2 103 30 581 181 1,268 933
ew Jersey ------- -- 60 6 206 27 339 154
Pennsylvania----------- 1 4 130 28 517 179 788 73
IAST N0R-T WCTPAL 1 2 11 1 7 333 112 1,894 740 3,447 2,443
thio ------------------- 8 1 114 22 797 176 920 264
India------------------- 1 3 72 19 235 103 188 198
Illinois-------------- 1 1 1 1 3 50 26 294 174 529 604
Michig --------------- 1 1 80 33 514 226 416 839
Wisconsin---------------.. 17 12 54 61 1,394 538
W 1B ORTH CBMRL------ 1 7 9 1 220 43 979 346 394 226
Mtnnesota------------------ 1 4 2 54 5 214 40 26 145
Iowa --------....-----. 1 60 10 214 72 159 48
Missouri--------------- -- 1 56 9 240 92 158 6
North Dakota-------------- 1 3 5 19 52 51 27
South Dakota------------ 2 3 18 3 66 25 -
Nebraska--------------- 13 9 90 37 -
Kansas------- 16 2 136 28 NN UN
SOUT A ELIC- T C... 3 3 18 32 4 1 185 116 1,060 511 1,314 565
Delaare------------ 9 7 31 22 158 -
uyland-------- 9 8 91 44 47 83
District of Columbia---- 2 7 5 48
Virginia------------------ 5 5 1 26 14 128 130 299 259
West Virginia------------- 1 1 53 11 262 108 102 29
North Carolina- -------- -- 2 1 1 32 5 210 23 315 22
South Carolina.------- 12 13 4 114 13 255 27
Georgia------------ 3 2 1 17 37 106 63 4 1
Florida---------------- 3 3 7 11 2 26 28 111 103 134 96
EAST SOUTH CBITRAL 3 12 2 139 124 1,620 829 440 963
Kentucky--- ---- 2 1 59 81 582 409 361 333
Tennessee--------- 1 1 -- -- 19 661 238 --- 560
Alabama- ---------------- 6 48 21 261 145 69 43
ississippi -----------... 5 1 32 3 116 37 10 27
WEST SO0UTH CZA AL-------- 7 6 92 35 1 107 49 581 320 279 1,482
Arkansas---.. .--------- 1 14 3 101 21 14 5
Louisiana------------- 1 8 7 1 20 15 3
Oklahoma------------------- 2 4 16 3 67 45 2 9
Texas---------------- 6 6 82 24 76 43 393 239 263 1,465
MO ,UN-T--------- 2 3 20 127 63 682 436 332 560
aMota---------- 2 13 3 95 22 55 113
Idaho------------------ 11 6 14 45 65 66 148
yoming--------------- 1 5 4 2 9 4 20 -
Colorado----------------- 1 2 65 16 269 119 75 72
New Mexico-------------- 9 7 45 83 -
Arizona ------------------- --- 16 52 92 --- 74
Utah-------------------. 1- 2 22 5 141 45 86 112
evada-------------- 8 26 6 30 41
PACIFIC------------------- 1 10 7 173 92 1,136 573 1,137 1,132
Washington---------------- 1 18 17 129 65 162 409
region ------------------ 29 20 218 119 212 213
California--------------- 8 7 102 47 732 356 757 262
Alasa-------- --- 1 1 24 1 45 15 3 6
-------- 7 12 18 3 242

Puerto Reo ----- 1 24 18 21 33 126 14 21
t* -N otyifiable








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 13, 1960 AND FEBRUARY 11, 1961 Continued

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

Strepto-
Meigoccocal itta- coccal Typhoid fever 040 yphus
lara Meningoccocal Psitta-
alaria infections cosis sore fever, Rabies in
throat, endemic mals
Area etc. Cu ulative,
110-117 057 096.2 050,051 6th Week first 6 weeks 101

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

UNITED STATES ---- 2 48 47 1 9,005 5 11 41 51 72 94

HEW B ANDB------------------ 3 8 483 1 -
Nuine--------------------- 15 -
e Hampshire------------- 25 -
Vermont----------------- 16 -
Massachusetts-------------- 2 4 211 -
Rhode Island--------------- 43 -
Connecticut---------------- 1 3 173 -
MIDDL ATLATIC .------------- 9 5 1 868 1 -1 4 4 3 4
New York- ----------------- 2 1 540 1 1 2 3 4
New Jersey----------------- 3 2 163 .
Pennsylvania--------------- 4 2 1 165 1 3 2 -
EAST NOM CENTRAL---------- 11 7 1,488 1 4 4 11 4
Ohio---------------------- 3 2 471 2 2 1
Indiana ----------------- 1 188 1 4 2
Illinois------------------ 4 1 197 1 -
Michigan--....------- ---- 3 4 432 1 2 5
Wisconsin------------------ 200 -- -- 1
WEST ON I CEBTRAL ----------- 3 3 319 2 6 19 15
Minnesota--------------- 3 21 1
Iowa----------------------- 82 9 7
Missouri----------------- 1 22 2 6 6 5
North Dakota-------------- 1 102 2 1
South Dakota--------------- 1 2 -
Nebraska-------------------- 1
Kansas--------------------- 1 91 -
SOBF0 ATLANTIC-------------- 2 4 8 700 3 7 9 12 13
Delaware------------- -- 11 -
Maryland------------------- 2 16 -
District of Columbia------ 1 3 -
Virginia------------------- 1 226 3 6 8
West Virginia-------------- 273 1 5 2
North Carolina------------- 2 3 2 51 2 1 5 1
South Carolina ------------ 29 1 1
Georgia-------------------- 2 2 3 1 1
Florida------------------ 1 89 1 1 1 -
EAST SwOUT CENTRAL--------- 4 5 305 3 6 13 2 11
Kentuck-------- ---- 1 1 223 1 3 1 3
Tennessee------------------ --- -- 2 --- -- 3 3 8 --- --- 3
Alabana-------------------- 2 2 36 2 2 1 5
Mississippi-------------- 1 46 -
T SOUTH CETRAL ----------- 5 7 1,236 2 3 5 7 21 41
Arkansas ---------------- I 28 1 2 8 14
Louisiana -------------- 2 2 8 2 1 2 3 2
klahoma------------------ 2 15 1 1 -
Texas---------------------- 1 4 1,185 2 3 2 10 25
MOTAa.---------------------.. 2,249 7 5 2
Montamna------------------. 94 1 4 -
Idaho----------------------. 321 -
Wyoming------------------- 154 -
Colorado---- .------------. 889 4 1
New Mexico-----------------. 538 1 1 1
Arizona------------------ --- --- -- --- -
Utah--------------------- 247 1 -
Nevada--------------------- -
PACIFIC----------------- -- 9 4 1,357 2 6 2 4 4
Washington----------------- 1 715 1 -
Oregon-------------------- 1 83 -
California----------------- 7 3 461 2 5 2 4 4
--------- 1 87 -
ai-------------------- 11 -

Puerto Rico--------------- I 1I 3 1 7 -






Morbidity and Mortality Weekly Report


NUMBER OF DEATHS IN SELECTED CITIES


l I I T I I I T I T I I I T


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


I I I IT I I IT I i T I I II I IIT I IIT T


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)

6th 5th Percent Cumulative, first 6 weeks
week week AdJusted change,
ended ended average adjusted
Area Feb. Feb. 6th average
11, 4, 1961 1960 Percent
19 1 1961 1956-60 current change
1961 11 week

TOTAL, 117 MIOtE I30 CIT3IS---------------------- 12,318 12,275 12,228 -0.7 74,526 79,398 -6.1

Nev nland--------------------------------(14 cities) 791* 734 735 +7.6 4,608 5,187 -11.2
Middle Atlantic-----------------------------(20 cities) 3,320* 3,611 3,339 -0.6 20,956 21,090 -0.6
Eaat North Central------------------------(21 cities) 2,708 2,479 2,618 +3.4 15,674 17,390 -9.9
West North Central---------------------------(9 cities) 946 809 898 +5.3 5,022 5,385 -6.7
Both Atlantic----------------------------(11 cities) 1,045* 1,069 1,060 -1.4 6,657 6,942 -4.1
east South Central--------------------------(8 cities) 565 586 554 +2.0 3,465 3,598 -3.7
West South Central-------------------------(13 cities) 1,116 1,145 1,107 +0.8 6,654 7,194 -7.5
Mountain--------------------------------(8 cities) 383 379 367 +4.4 2,272 2,361 -3.8
Pacific-----------------------------------. (13 cities) 1,444* 1,463 1,550 -6.8 9,218 10,251 -10.1

*Includes estimate for missing reports.









Morbidity and Mortality Weekly Report 7

Table 4. DEATHS IN SELECTED CITIES

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

6th 5th Cumulative,6th 5th Cumulative,
week week first 6 weeks ededk ee first 6 weeks
ended ended Areaended ended
Area Feb. Feb. Area Feb. Feb.
11, 4, 11, 4,
1961 1961 1961 1960 1961 1961 1961 1960


NEW ENGLAND:
Boston, Mass.-------
Bridgeport, Conn.-------
Cambridge, Mass.--------
all 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.------
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.---------
M lwaukee, Wis.---------
Peoria, Ill.------------
Rockford, Ill.----------
South Bend, Ind.--------
Toledo, Ohio-------------
Youngstown, Ohio--------

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


260
45*
41
28
51
19
30
25
55
74
15
56
27
65


46*
36
151
38
29
43
64
117
1,687*
48
560
125
28
106
27
46
58
45
28
38


76
38
810
183
214
114
103
363
43
49
46
36
56
163
39
139
34
34
28
89
51


56
31
42
158
(20)
146
95


276
35
26
26
49
33
21
23
45
53
12
50
24
61


58
40
128
49
49
41
99
116
1,761
40
598
264
26
104
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


62
23
40
126
(24)
124
72


1,613
264
189
154
303
149
142
174
298
391
75
320
169
367


330
224
895
250
197
249
479
673
10,555
252
3,339
1,217
150
670
152
248
376
282
204
214

384
192
4,766
1,025
1,323
728
558
2,085
223
268
255
192
277
913
182
802
184
169
178
622
348


321
171
252
837
(178)
788
441


1,746
282
224
208
350
161
172
192
334
471
112
369
171
395


256
211
1,034
312
172
233
498
630
10,408
269
3,199
1,497
155
719
160
271
426
250
188
202


378
248
5,409
1,133
1,556
813
496
2,477
227
261
260
203
291
874
193
859
200
189
209
733
381


363
193
237
840
(179)
779
491


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

SOUTH ATLANTIC:
Atlanta, Ga.------------
Baltimore, Mbk.---------
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.----------

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


282
84
52


127
259
42*
51
74
52
93
41
(95)
75
207
24


81
42
46
123
131
43
35
64

48
30
28
130
45
89
163
55
187
89
100
67
85


32
18
109
12
96
19
57
40


11
(51)
(31)
(---)
27
55
537
98
47
96
58*
102
200
(31)
131
40
42*

(36)


249
73
40


155
251
39
50
76
51
80
43
(76)
64
220
40


92
69
31
121
140
41
27
65

29
29
26
137
37
76
221
60
215
85
125
42
63


34
16
118
15
93
16
48
39


11
(45)
(34)
41
57
503
105
35
99
91
73
228
(35)
128
51
41

(38)


1,501
426
285


814
1,594
236
415
456
307
557
252
(500)
467
1,308
251


570
338
201
739
763
265
217
372

231
215
167
803
252
417
1,163
357
1,128
536
672
331
382


197
106
703
86
541
96
301
242


93
(267)
(--)
254
376
3,346
658
203
609
416
549
1,351
(201)
820
278
265

(208)


1,679
513
290


815
1,774
298
423
540
330
554
249
(508)
414
1,274
271


587
323
220
769
709
285
247
458

261
188
204
836
306
453
1,209
414
1,202
556
805
332
428


214
121
832
114
464
86
321
209


116
(360)
(299)
255
373
3,970
650
252
686
465
686
1,404
(179)
840
280
274

(--)


*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-
eluded in Table 3.











in the comparable week last year, only 36 deaths were
attributed to influenza. These figures are from the Weekly
Influenza Statement (No. 6) issued by the British Ministry
of Health. Increases in the number of deaths due to pneu-
monia and bronchitis are also noted; the number of deaths
due to pneumonia, influenza, and bronchitis this week
totaled 5,168 as compared with 1,423 in the comparable
week last year. ,- y.
Dr. Edward O'Rourke, Epidemiologiiad1 consultant,
Division of Foreign Quarantine, USPHS, Lond6n, reports
that seventy-five percent of the deaths this wdpk'occurred
in persons 65 years and older. He also reports that isola-
tions continue to show the presence of A2 infliefe virus
in England; but there has been no evidence of idemic
influenza on the European Continent.
Venezuel a
A report from WHO indicates the presence of plague
infested rats in an area of one thousand square kilometers
located south of Caracas which has been endemic for
rodent plague. No human cases have been reported.







QUARANTINE MEASURES

Immunization Information for International Travel 1960 edition
Public Health Service Publication No. 384

The following corrections should be made to the list
of Yellow Fever Vaccination Centers in Section 6, page 69:

City Center Clinic Hours Fee

Tennessee Davidson County Department of Wednesday Yes
Nashville Public Health, 311-23rd by appoint-
Avenue, North ment only
Tel. CYpress 1-5100

CUBA SMALLPOX VACCINATION REQUIREMENT
All travelers arriving from Cuba after January 14, 1961,
will be required to show evidence of valid vaccination
for smallpox. The application of this quarantine regulation
to travelers from Cuba was announced January 10 by
Dr. Leroy Burnev, Surgeon General.
Areas exempt from quarantine are: Canada, the Canal
Zone, the West Coast of Lower California, and the islands
of Greenland, Iceland, the Bahama, Bermuda and British
Virgin Islands, St. Pierre, Miguelon, Aruba, Curacao, and
Samaica.


UNIVNSYlIT OF FLORIDA

I II I IIII lIII ll i 0lll1111lli I IIII t
3 1262 08864 0452


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


DS DEPOSITORY

r u DEPOSITORy


a *w a
N !
Sne




5
-


il
S


Morbidity and Mortality Weekly Report




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