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:
AA00010654:00333

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

Prepared by the C a E A MElrose 4-5131

For release February 24, 1961 AltI 2 5a orgia Vol. 10, No. 7

Provisional Information on S& d Notifiable D eases in the United States and on

Deaths in Selec itie o4 Week En ed February 18, 1961

Influenza There have been no r to date of ect' Louisiana State Board of Health. The eleven
influenza activity within the concinenta States. were among seven families and had all ingested
Deaths due to pneumonia and influenza y) smoked pork sausage prepared from the same hog.
cities have remained within the expected limit wLo deaths occurred, but 4 of the cases required hospi-
for the season. talization. In every case illness was marked by high fever
and periorbital edema. All but one case experienced
Hepatitis Continues at a high level of incidence.
muscle pain and weakness, while all but two had chills
and abdominal cramps. A mean incubation period of 11.6
EPIDEMIOLOGICAL REPORTS days was recorded. In each of the four hospitalized

Trichinosis Louisiana patients eosinophilia was marked, ranging from 37 to
56 percent.
An outbreak of 11 cases of trichinosis occurring in Trichinella spiralis larvae were detected both in
a small community near Alexandria, Louisiana, has been the suspected sausage and in each of two patients on
reported by Dr. lohn M. Bruce, Chief, Epidemiology whom muscle biopsy was done.


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

7th Week Cumulative
Die&ase
(Seventh Revision of International Approxi-
Lists, 1955) First 7 weeks Since seasonal low week mate
Ended Ended seasonal
Feb. Feb. Median Median low
Weekly incidence low or sporadic 18, 20, 1956-60 1961 1960 ia 1960-61 1959-60 1955-56 point
-- Data not available 1961 1960 1956-60 to
Quantity zero 1959-60
Anthrax-------------- -062 *
Botulism---------------------049.1 4 3 *
Brucelloeis undulantt fever) ----044 5 23 13 56 114 97 *
Diphtheria------------------- 055 10 17 17 139 141 148 719 674 881 July 1
Encephalitie, infectious --- -- 082 16 L5 19 147 171 137 1.7 171 137 Jan. 1
Bepatitis, infectious, and
_e.u.-------------. 092,1998.5 pt. 1,743 828 504 11,455 5,128 3,513 26,658 13,041 8,514 Sept. 1
Mlaria----- -------- -110-117 2 5 6 *
Meales -----------------------085 11,824 10,666 14,087 65,749 61,296 69,163 101,959 97,996 103,317 Sept. 1
NMninglti, aseptic- -----340 pt. 19 31 --- 162 212 --- 162 212 --- Jan. 1
Meningocoecal infections-------057 34 57 71 353 377 385 1,007 1,032 1,186 Sept. 1
Polioeliti---------------------080 6 15 21 70 143 144 3,136 8,417 8,417 Apr. 1
Prlytic------------ -080.0,080.1 3 11 9 39 101 102 2,148 5,602 5,602 Apr. 1
NO paralytic-------- -----080.2 1 3 6 14 23 20 637 2,140 2,140 Apr. 1
Iupecified----------------080.3 2 1 6 17 19 22 351 675 675 Apr. 1
Psittacoi---------------096.2 2 5 7 12 *
Rabies in man-------------------094 2 *
Streptococcal sore throat,
including scarlet fever-----050,051 9,893 8,289 --- 63,995 59,629 --- 161,647 --- --- Aug. 1
Typhoid fever-------------------040 8 12 14 53 63 104 755 790 1,116 Apr. 1
bphua fever, endemic------------101 1 1 5 4 *
hbies in animals ---------------- 62 72 85 389 541 620 965 1,520 1,520 Oct. 1






Morbidity and Mortality Weekly Report


Figure I


ATTACK RATE
60o-

50-

40-

30-

0- us.


AA S


REPORTED HEPATITIS ATTACK RATES
PER 100,000 POPULATION
BY YEAR AND DISTRICT


W. N. CENTRAL


I a


I a a I


8.' I I I


E.N. CENTRAL





I I I I I


o-
I-0 '.ENO.



0- I I I I
MID. ATL.








0. l I I. I I


1953 '54 '5S '56 '57 '58 '59 '60


W.S. CENTRAL

//




I 1 1 1 l I I .


S. ATL.


1953 '54 '55 '56 '57 '58 '59 '60 1953 '54 '55 '56 '57 '58 '59 '60


This figure shows annual incidence rates for reported cases of hepatitis for each of the
9 geographic divisions of the Unit6d States in comparison with the figures for the whole
country for the 8-year period 1953 through 1960. Except for the Mountaid States which
have reported consistently high rates, the figures for the other divisions tend to follow
the national data rather closely. A sharp increase was reported in the East South Central
States in 1960.


The infected sausage was traced to a sow which
had appeared sick for about one year and which was
slaughtered about January 1, 1961. This sow had occa-
sionally been fed uncooked garbage and had been in
contact with hogs which died in the neighborhood.

Hepatitis Ohio

An outbreak of 15 cases of hepatitis occurring during
January in a rural elementary school in Harrison County,
Ohio, an area in which no cases had been reported during
the past three years, was investigated by the Ohio Depart-
ment of Health.The majority of cases were first or second
grade students and 11 cases were male.
The abrupt appearance of 15 cases of hepatitis in the
group of 128 children and five adults suggested a common
source outbreak. Investigation of the water supply, sani-


tary facilities, food preparation, and history of injections
failed to indicate a common source. It was noted that the
youngest children utilized the lavatories as play areas.
In view of the age and sex distribution of cases it was
postulated that the boys' lavatory may have served as
the place of infection, and may explain the mode of spread.
Control measures including detection of unreported
cases, immune globulin for family contacts, and increased
emphasis on personal hygiene and environmental sanita-
tion were instituted on January 19. No additional cases
occurred during the two weeks following January 23.
(Submitted by Dr. Winslow J. Bashe, Jr., Chief, Division
of Communicable Diseases, State of Ohio, Department
of Health.)


(Continued on page 8)


E. S. CENTRAL


40-
PACIFIC






1 1 I L I I


c.......so


. .


1 5 1 1 1 1 1 1 1


.










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 20, 1960 AND FEBRUARY 18, 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 specifled by type) Nonparalytic aseptic lant
Area Cumulative, Cumulative, fever)
7th Week first 7 weeks 7th Week first 7 weeks 080.2 340 pt. 044

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

UNIED STAS ---------- 6 15 70 143 3 11 39 101 1 3 19 5

NEW ENGLAND------------------ 1 1 5 1 1 5 -
Maine---------------------- 1 1 -
New Hampshire-------------- -
Vermont------------------ -
Massachusetts------------- 4 4 -
Rhode Island--------------- -
Connecticut--------------- 1 1 1 1 1 -
MIDDLE ATLANTIC-------------- 1 1 7 27 1 1 6 19 -
New York------------------- 1 2 25 1 1 17 -
New Jersey----------------- 1 1 2 1 1 2 -
Pennsylvania----------- 4 4 -
EAST NORTH CENTRAL ---------- 1 2 12 14 1 7 3 2 3 1
Ohio---------------------- -- 1 7 11 3 2 1 -
Indiana---------------- -
Illinois------------------- 1 2 2 2 1 1 2 1
Michigan------------------ 1 1 1 -
Wisconsin------------------ 2 1 1 1 -
WEST NORTH CENTRAL----------- 3 1 8 2 1 5 3 3
Minnesota------------------ 1 1 4 1 1 4 3 1
Iowa---------------------- 1 2 1 1 1
Missouri------------------ 1 -
North Dakota-------------- 1
South Dakota-------------- 1 -
Nebraska------------------- -
Kansas----------------- -
SOUTH ATLANTIC--------------- 1 5 30 1 4 24 1
Delaware------------------- 1 1 -
Maryland------------------ -
District of Columbia----- -
Virginia------------------ 1
West Virginia-------------- 2 2 -
North Carolina------------- 2 11 2 11 -
South Carolina------------- 1 1 -
Georgia------------------- 1 -
Florida-------------------- 1 2 15 1 1 9 -
EAST SOUTH CENTRAL-------- 2 2 9 4 2 3 3 -
Kentucky---------------- 2 1 9 3 1 2 -
Tennessee------------------ -
Alabama------------------- -
Mississippi--------------- 1 1 1 1 3
WEST SOUTH GENTRAL ---------- 1 8 8 1 4 6 4 -
Arkansas-------------------- 1 -
Louisiana---------------- 3 3 2 2 -
Oklahoma------------------ 1 1 1 1 -
Texas--------------------- 4 4 2 3 4 -
MOUNTAIN-------------------- 2 12 8 1 7 4 1 1 -
Montana-------------------- 1 4 1 3 -
Idaho---------------------- 2 2 4 1 1 1 -
Wyoming-------------------- -
Colorado------------------ 3 3 -
New Mexico---------------- -
Arizona------------------- 2 1 -
Utah----------------------- 4 2 -
Nevada--------------------- -
PACIFIC---------------------- 1 3 15 39 3 9 32 1 5 -
Washington----------------- 3 3 1 -
Oregon--------------------- 1 2 7 1 3 1 1 -
California----------------- 3 13 28 3 8 25 3 -
Alaska--------------------- -
Hawaii-------------------- 1 1 -

Puerto Rico----------------- 2 1 11 2 1 11 -










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 20, 1960 AND FEBRUARY 18, 1961 Continued

(y 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 092,11998.5 pt. Measle
infectious
Area Cumulative, Cumilative,
7th Week first 7 weeks 082 7th Week first 7 weeks 085

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


UNED STAMS -------- 10 17 139 144 16 15 1,743 828 11,455 5,128 11,824 10,666

W ENGLAND -------------- 1 3 47 21 367 179 1,055 824
Maine----------------- 2 15 12 37 92
New Hampshire------------- 7 16 32 2
Vermont------ .----------- 2 76 5 97 3
Massachusetts-------------. 1 1 2 9 8 114 87 506 400
Rhode Island-------------. 1 9 4 51 36 234 19
Connecticut---------------- 18 9 95 39 149 308
MIDDLE ATLANTIC-------------- 3 5 4 5 275 73 1,579 460 1,935 1,647
New York------------------- 2 1 3 3 70 33 651 214 857 1,392
New Jersey----------------- 1 1 70 8 276 35 335 137
Pennsylvania-------------- -- 1 4 1 135 32 652 211 743 118
EAST NORTH CENTRA-------- 1 2 12 1 265 161 2,159 901 3,653 2,681
hio---------------------- 8 1 109 57 906 233 1,013 260
Indiana------------------- 1 2 52 24 287 127 310 318
Illinois------------------ -- 1 1 42 32 336 206 512 998
Michigan----------------- 1 1 49 43 563 269 473 592
Wisconsin----------------- 13 5 67 66 1,345 513
WEST NORTH CENTRAL-------- 8 9 1 185 163 1,164 509 445 232
Mfnnesota------------------ 4 2 64 6 278 46 4 82
Iowa----------------------. 1 1 42 20 256 92 122 27
Missouri------------------ 1 1 24 61 264 153 255 4
North Dakota--------------- 1 11 3 30 55 63 90
South Dakota------------- 1 3 3 11 59 77 84 25
Nebraska-----------------.. 17 4 107 41 1 4
Kansas--------------------- 1 16 10 152 38 NN NN
SOUTH ATLATIC----------- 2 2 20 34 5 1 216 108 1,276 619 1,242 658
Delaware--- -- ----------- 2 9 33 31 133 13
Mayland------------------ 23 9 114 53 39 97
District of Columbia----- 4 11 5 7 34
Virginia------------------ 5 5 1 22 18 150 148 189 319
West Virginia------------- 1 1 41 21 303 129 114 66
North Carolina------------- I 3 1 1 58 3 268 26 260 32
South Carolina------------ 12 7 4 121 17 249 8
Georgia-------------------- 3 2 21 127 63 53
Florida--------------- 1 2 8 13 4 38 44 149 147 198 89
EAST SOUTH CENTRAL------ 1 3 13 336 110 2,075 939 1,612 1,103
Kentucky----------------- 2 119 44 701 453 976 280
Tennessee-------------- -- 1 1 2 125 33 905 271 479 587
Alabama-------------------- 6 52 25 313 170 110 146
Mississippi--------------- 5 40 8 156 45 47 90
WEST SOU CENTRAL----------- 7 12 99 47 1 2 148 37 728 357 332 1,705
Arkansas------------------- 1 I 45 3 145 24 27 5
Louisiana------------------ 1 1 9 8 4 3 24 18 3
Oklahoma------------------- 2 4 7 2 74 47 33
Texas------------------ 6 10 88 34 1 2 92 29 485 268 305 1,664
MOUTAIN------------------ 3 20 101 70 801 506 417 576
Montana-------------------- 2 21 116 22 28 51
Idaho----------- ------ -- 11 6 13 51 78 43 153
Wyoming-------------------- 5 2 11 4 4 5
Colorado------------------- 1 2 32 10 301 129 78 62
New Mexico--------------- 15 12 60 95 -
Arizona-------------------- 3 26 73 118 200 60
Utah----------------------- 2 21 6 162 51 62 242
Nevada--------------------- 1 3 27 9 2 3
PACIFIC-----. ----------- 1 5 6 170 85 1,306 658 1,133 1,240
Washinon----------------- 30 6 159 71 269 399
Oregon-------------------- 34 27 252 146 109 185
California----------------- 4 6 103 49 835 405 742 310
Alaska--------------------- 3 48 15 2 11
Hawaii--------------------- 3 12 21 11 335

Puerto Rico------------------ 1 4 1 28 16 13 49 139 33 34

NN-Not NOtIfiable











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 20, 1960 AND FEBRUARY 18, 1961 Continued

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

Strepto-
Meni l P coccal Typhoid fever 040 Tphus
malaria Menlngoccocal Psitta- f r
infections cosis sore fever, Rabies in
throat, endemic animal
Area etc. Cumulative,
110-117 057 096.2 050,051 7th Week first 7 weeks 101

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

UNTED STATES------- 2 34 57 2 9,893 8 12 53 63 1 62 72

1EW EG.AND----------------- 7 563 1 -
Maine---------------.---- 1 13 -
New Hampshire----------- 11 -
ermont ------------------- 16 -
Massachusetts-------------- 2 243 -
ode Island--------------- 33 -
Connecticut---------------- 4 247 -
MIDDI ATLANTIC------------ 1 9 11 738 1 5 4 3 9
New York------------------ 7 397 1 2 3 8
New Jersey----------------- 7 4 171 1 1 -
Pennsylvania------------- 1 2 170 3 2 1
EAST NORTH CBNTRAL--------- 7 8 1,235 1 1 5 5 6 1
Ohio----------------------- 2 1 314 1 1 3 1 2 -
Indiana-------------------- 1 3 296 1 -
Illinoisa.-----.----------- 2 3 114 1 -
Michigan ------------------ 1 1 258 1 2 4 1
Wisconsin----------------- 1 253 1 -
WEST NORH CENTRAL --------- I 345 2 4 6 13 11
Minnesota----------------- -- 20 2 2 5 -
Iowa----------------------. 106 4 3
Missouri------------------. 35 2 6 3 6
North Dakota------------- 120 1
South Dakota------------- 2 1 -
Nebraska---------------- 1 3 1
Kansas--------------------- 59 -
SOUTH ATLANTIC--------------- 1 3 8 1 670 2 5 9 14 10 8
Delaare-------- -------- 9 -
Maryland------------- 1 27 -
District of Columbia------- 1 5 -
Virginia------------------ 1 1 120 3 5 5
West Virginia-------------- 2 1 256 1 3 -
North Carolina------------- 4 58 1 2 5 1 2
South Carolina------------- 1 33 5 1 5 -
Georgia------------------- 23 1 4 -
Florida------------------- 1 139 1 1 1 1
EAST SOTH CETRAL-------- 3 9 1 1,980 3 10 16 7 7
Kentucky---------------- 2 4 668 1 3 3 3
Tennessee---------------- 2 1 1,228 3 7 11 3 2
Alabama---------------- 9 2 2 1 2
Mississippi---------------- 1 3 75 -
WEST SOUTH CENTRAL--------- 8 6 1,290 1 2 6 9 1 20 33
Arkansas ------------------ 20 2 4 7
Louisiana --------------- 3 6 1 2 2 4 4 5
Oklahoma------------------- 1 18 1 1 -
Texas---------------------- 5 5 1,246 3 2 1 12 21
MOUTAIN---------------- ----- I 1,803 1 8 5 1
Montana-------------------- 28 1 4 -
Idaho---------------------- 187 -
Wyoming ---------------- 82 -
Colorado------------------ 1 471 4 -
New Mexico----------------- 453 11 -
Arizona-------------------- 250 1 1 1
Utah----------------------- 322 1 -
Nevada--------------------- 10 -
PACIFIC--------------------- 3 7 1,269 1 6 3 3 2
Washington ----------------. 751 1 -
Oregon------------------ 90 -
California------------- --3 5 390 1 5 3 3 2
---------- 36 -
waii------------- 1 2 -

Puerto Rico--------------- 7 1 5 1 12 2







Morbidity and Morality Weekly Report


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

7th 6th Percent Cumulative, first 7 weeks
week week Adjusted change,
ended ended average, adjusted
AreaFeb. Feb 7th average
18 11 week to 1961 1960 Percent
q161 1961 1956-60 current change
week

TOTAL, 117 REPORTING CITIES---------------------- 12,261 12,518 12,184 +0.6 86,987 93,418 -6.9

New England--------------------------------(14 cities) 789 791* 737 +7.1 5,397 6,077 -11.2
Middle Atlantic--------------------------- (20 cities) 3,565 3,525 3,340 +6.7 24,726 24,637 +0.4
East North Central-------------------------(21 cities) 2,596* 2,708 2,598 -0.1 18,270 20,584 -11.2
West North Central---------------------------(9 cities) 822 946 887 -7.3 5,844 6,510 -10.2
South Atlantic------------------------------(11 cities) 1,101 1,032 1,057 +4.2 7,745 8,206 -5.6
East South Central---------------------------(8 cities) 583 565 552 +5.6 4,048 4,213 -3.9
West South Central-------------------------(13 cities) 1,002* 1,116 1,104 -9.2 7,656 8,423 -9.1
Mountain------------------------------- ----( cities) 373* 383 362 +3.0 2,645 2,784 -5.0
Pacific-------------.---.------.------......(13 cities) 1,430 1,452 1,547 -7.6 10,656 11,984 -11.1

*Includes estimate for missing reports.


NUMBER OF DEATHS IN SELECTED CITIES


r I I T I I


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


T I I I T T I I T i I T I i i T i i I T i I i i T i i I T I I T i I I1








Morbidity and Mortality Weekly Report 7

Table 4. DEATHS IN SELECTED CITIES

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


Area


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 ATIANTIC:
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, LU.-----------
Cincinnati, Ohio--------
Cleveland, Ohio---------
Columbus, Ohio-----------
Dayton, Ohio-------------
Detroit, Mich.-----------
Evansville, Ind.--------
Flint, Mich.------------
Fort Wayne, Ind.---------
Gary, Ind.-------------
Grand Rapids, Mich.------
Indianapolis, Ind.-------
Madison, Wis.-----------
Milwaukee, Wis.---------
Peoria, Ill.-------------
Rockford, LU.-----------
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.------------


7th
week
ended
Feb.
18,
1961


6th
week
ended
Feb.
11,
1961


Cumulative,
first 7 weeks


I 1961 1960


4- 4 4


265
40
24
35
49
29
23
27
59
65
14
55
36
68


33
32
136
43
26
46
67
107
1,828
42
534
285
25
105
29
44
62
50
26
45


55
38
772
158
236
128
72
371
40
42*
48
31
52
155
37
101
27
40
26
107
60

55
23
45
136
(35)
131
76


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


53
36
151
38
29
43
64
117
1,885
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


1,878
304
213
189
352
178
165
201
357
456
89
375
205
435


370
256
1,031
293
223
295
546
780
12,581
294
3,873
1,502
175
775
181
292
438
332
230
259


439
230
5,538
1,183
1,559
856
630
2,456
263
310
303
223
329
1,068
219
903
211
209
204
729
408

376
194
297
973
(213)
919
517


2,056
342
261
245
390
187
210
222
388
555
124
419
214
464


305
245
1,222
366
205
266
563
727
12,188
324
3,758
1,678
180
837
193
305
502
312
220
241


450
289
6,445
1,319
1,840
961
581
2,848
268
303
305
243
333
1,088
226
1,046
234
223
249
868
465

443
231
277
998
(203)
958
593


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, la.-------
Washington, D.C.-----
Wilmington, Del.-----

EAST SOUTH CENTRAL:
Birmingham, Ala.--------
Chattanooga, Tenn.----
Knoxville, Tenn.--------
Louisville, .---- -
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, Haaii--------
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.-------------


7th
week
ended
Feb.
18,
1961


6th
week
ended
Feb.
11,
1961


4 -I.


254
67
35


126
287
42
57
95
53
101
33
(71)
71
194
42


102
54
25
102
158
33
37
72

34
22
24
118
37
55
179
49
174
77
115
63
55*


39
.7
127
17*
63
17
57
46


20
(51)
(25)
43
61
534
75
23
108
65
90
186
(40)
131
47
47

(---)


282
84
52


127
259
29
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)
(33)
27
55
537
98
47
96
65
102
200
(31)
131
40
43

(36)


Cumulative,
first 7 weeks


1961 1 1960


1,755
493
320


940
1,881
265
472
551
360
658
285
(571)
538
1,502
293


672
392
226
841
921
298
254
444

265
237
191
921
289
472
1,342
406
1,302
613
787
394
437


236
113
830
103
604
113
358
288


113
(318)
(238)
297
437
3,880
733
226
717
488
639
1,537
(241)
951
325
313

(--)


2,039
611
360


959
2,099
352
525
612
388
659
300
(601)
486
1,507
319


679
366
257
921
871
324
282
513


331
237
235
996
349
531
1,401
462
1,462
621
919
403
476


256
137
989
133
540
105
376
248


135
(413)
(342)
291
436
4,602
763
297
812
527
786
1,644
(213)
1,024
327
340
(--)


*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


INTERNATIONAL NOTES
England and Wales
The Weekly Influenza Statement 1961, No. 7,
issued by the Ministry of Health, London, reported that
1,393 influenza deaths were recorded for the week ending
February 11, 1961, a slight increase over the total re-
ported the previous week (1,219). During the comparable
week in 1960, only 38 influenza deaths were reported.
The total of deaths due to pneumonia, influenza, and
bronchitis reported this week, 5,170, is almost identical
to that reported the previous week, 5,168, but compares
to only 1,400 such deaths in the comparable week last
year. The report indicated that the epidemic, confirmed
to be caused by influenza A2 virus, has declined in the
Midlands and North of England, but has become more
prominent in the southern parts of the country.

Ireland
The epidemic there, now waning, appears to have
been widespread, and the incidence was higher than in
1957. Mortality was not high, and was confined largely
to the elderly and the chronically ill. (WHO Weekly Epi-
demiological Record, No. 6, February 10, 1961.)
Norway
According to a report to the World Health Organiza-
tion from Dr. Arild Harbae, State Institute of Public
Health, Norway, an epidemic of influenza occurred at
Odda, in Hardanger, beginning early in January and
lasting the rest of the month. Attack rates were particu-
larly high in the 10-20 year age group, and school absen-
teeism exceeded 50 percent, although the disease was
clinically mild. Paired sera showed HI titer rises to
influenza B. Spread of the epidemic to neighboring dis-
tricts has been reported.


UNIVERSITY OF FLORIDA

Sllll1111111llllllllll i lllB I lli0111111
3 1262 08864 0601


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, bur 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


I .....r- j .-
- -----__ ,



1- DEPOSITORY
I' .

'F ,




^-

10
8* ;.


5m.
n. n-

85 =


QUARANTINE MEASURES


Immunization Information for International Travel-1960 edition

Page 62 Delete the information concerning the Yellow Fever
Vaccination Center located at the Avon Refinery
Dispensary, Avon, California, and insert the
following:


City
California
Martinez


Center
Tidewater Oil Company
Tel. Academy 8-1220


Clinic Hours Fee
Monday Friday, No
1:30 2:30 p. m.


IF
in P


rs:




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