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:
AA00010654:00334

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
r J F F' E f


Morbidity and Mortality



PUBLIC HEALTH SERVICE

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

PrpruPd Iby h1S I MElrose 4-5131

For release March 3, 1961 Atlanta 22, Georgia Vol. 10, No. 8

Provisional Information on Sele I d f Nreases in the United States and on

Deaths in Selecte ee s for Week En ed February 25 1961



Influenza No reports have been re to date di Cases during 1961 are 128 percent above a
of influenza activity within the continental states. ble eight-week period last year.
Deaths due to pneumonia and influenza in t
cities have remained within the expected limits a Meningococcal Meningitis-Florida includes 10 cases
for the season. The epidemic of A2 influenza in Great of meningococcal meningitis in its current morbidity tele-
Britain is declining (see International Notes). gram. Four are delayed reports from death certificates;
three dating back to November and one to January. Six
Hepatitis A total of 2,003 cases were reported this cases, one fatal, are new and five of them reside in two
week, the highest number for a single week since hepa- adjacent counties. There is neither apparent association
titis became a nationally reportable disease in 1952. between cases nor geographical localization within the
Increases are occurring in all States and geographical counties. Ages of the cases are as follows: 5 months, 17



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

8th Week Cumulative
(Seventh Revision of Internatianal Approxl-
Lists, 1955) First 8 weeks Since seasonal low week mate
Ended Ended seasonal
Feb. Feb. Median Median low
Weekly incidence low or sporadic 25, 27, 1956-60 Median 1955-56 point
Data not available 19 1960 1961 196 196-60 19661 199-60 to
Quantity zero 1959-60
Anthrax--------- -06 *
Botulism---------.--------O9. 4 3 *
Brucellosis undulantt fever)-----0- 11 13 10 67 127 110 *
Diphtheria--------------------..055 16 22 22 155 166 163 735 696 894 July 1
ncephalitis, infectious--------082 24 28 19 171 199 155 171 199 155 Jan. 1
Hepatitis, infectious, and
serum --------------092,N998.5 pt. 2,003 754 504 13,458 5,882 4,017 28,661 13,756 9,101 Sept. 1
Malaria------------------- 110-117 1 6 6 *
easles---------------------------065 12,296 10,905 15,242 78,076 72,201 84,826 114,286 108,288 118,383 Sept. 1
Meningitis, aseptic---------340 pt. 22 21 --- 184 233 --- 184 233 --- Jan. 1
Meningococcal infections--------057 61 71 65 414 448 450 1.068 1,100 1,239 Sept. 1
Policaoelitis-------------------080 3 10 26 73 153 170 3,139 8,427 8,427 Apr. 1
Paralytic-----------..00.0,080.1 3 10 16 42 111 118 2,151 5,612 5,612 Apr. 1
Noeparal.ytic---- ---------080.2 7 14 23 27 637 2,140 2,140 Apr. 1
Unspecifed---------------080.3 3 17 19 25 351 675 675 Apr. 1
Psittacosie-------- --- ----096.2 1 2 8 14 *
Rabies in man-------------.--094 2 -* *
Btreptococcal sore throat,
including scarlet fever-- -050,051 10,550 9,374 --- 74,545 69,003 --- 172,197 --- --- Aug. 1
'pphoid fever----------... ----...-060 14 10 10 67 73 117 769 800 1,129 Apr. 1
pphus fever endemic-----------101 1 1 6 5 *
babies in animals--l.----------- 72 92 95 461 633 715 1,037 1,611 1,611 Oct. 1






Morbidity and Mortality Weekly Report


months, 2% years, 3 years, 10 years, and one unknown.
All but one are white. The meningococcus has been iso-
lated from each of the current cases. Typing is not yet
completed. During 1961, 33 meningococcal meningitis
cases have been reported by Florida which compares with
7 cases one year ago.
(Reported by Dr. James 0. Bond, Director, Bureau of
Preventive Medicine, Florida State Board of Health.)

Poliomyelitis Only three cases, all paralytic, are
reported this week. This represents a record seasonal low
figure. The cases are widely scattered in three States,
Massachusetts, Georgia, and California.




EPIDEMIOLOGICAL REPORTS

E. coli diarrhea Louisiana
An outbreak of diarrhea in which E. coli 0111.B4 has
been isolated began on the pediatric ward of a Louisiana
hospital in the fall of 1960. During the period December 1,
1960, through January 31, 1961, approximately 125 chil-
dren developed diarrhea and this particular strain of
E. coli was isolated from 70 of the patients. Fifteen
deaths have occurred for a case fatality rate of 21 per-
cent. The median age of the cases was between 2 and
3 months. Preliminary findings suggest that some of the
cases are the result of intra-hospital spread of this or-
ganism. This epidemic is significant because it occurred
among older infants rather than newborns or prematures
as is usually the case with this infection.
(Submitted by Dr. John M. Bruce, Chief, Epidemiology,
Lousiana State Board of Health.)

Typhoid Fever Ohio
This epidemiological report is abstracted from Dis-
ease Control Information, Volume 3, No. 1, January 31,
1961, prepared by the Division of Communicable Disease,
Ohio Department of Health.
In September 1960, a twelve year old boy fell prey
to a serious illness that was diagnosed on clinical and
serologic grounds as typhoid fever. A morbidity report
was filed with the local and State health departments.
Initial epidemiologic investigation of this case indicated
no contact with any known typhoid fever. However, a
systematic interview of each person with whom the child
had contact revealed a 40-year-old woman who told a
long and complex story of typhoid cases.
In 1953 this woman's teenage daughter was hospi-
talized for typhoid fever. The case was never reported
to health authorities and consequently was never investi-
gated. In 1954 this daughter married and her husband


developed typhoid fever within one month. His case was
reported and investigated. When the investigator found
the history of his wife's illness, he assumed her to be
the source of his exposure, and no search for other
sources was made.
In 1957 typhoid struck a teenage friend of the 40-
year-old woman's stepson. This boy was reported and
thoroughly investigated. Arrangements were made for the
collection of stool specimens on his contacts, but un-
fortunately specimens from the woman's family were never
collected. The finding of other typhoid cases among his
contacts threw the investigator off the track.
In 1958 another case occurred in the 40-year-old
woman's daughter-in-law. This case was never reported
to health authorities and was never investigated. Finally,
in September 1960, the report of a case in a 12-year-old
boy initiated the investigation upon which this narrative
is based.
In the course of this latest investigation, multiple
stool specimens were obtained on each contact. This
procedure revealed two asymptomatic carriers of typhoid-
the woman and her granddaughter. Neither had been sus-
pected previously. Phage typing is not completely re-
ported yet, but it is known that type F, has been isolated
from the woman and most of the other cases.
This group of cases probably has its origin in the
40-year-old woman. The Ohio Department of Health con-
cludes that the reasons she was not discovered years
ago are: 1. Failure of reporting clinical cases to health
authorities; 2. Failure to investigate all contacts (the
finding of one possible source does not rule out the
existence of other sources); and 3. The failure to carry
on investigation of a contact to the final step of repeated
stool cultures.


INTERNATIONAL NOTES

The British Ministry of Health, London, reported for
the week ending February 18, 1961, that influenza ap-
peared to be decreasing in most parts of England and
Wales although isolations of influenza virus A2 were still
being reported. During the week ending February 18, 1961,
972 influenza deaths were reported. This represents a
substantial decrease from the 1,393 influenza deaths
reported the preceding week, although only 42 influenza
deaths were reported during the comparable week last
year. A total of 3,974 deaths due to influenza, pneumonia,
and bronchitis were reported during the current week,
compared to 5,170 such deaths during the preceding week.
(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 FEBRUARY 27, 1960 AND FEBRUARY 25, 1961

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


Poliomyelitis 080 Brucel-
Menin- losis
Total Paralytic 080.0,080.1 gitis, (unbu-
AreaTrncludes cases not specified by tnepe- NHomparalytic aseptic lant
Cumulative, Cumulative, feer)
8th Week first 8 weeks 8th Week first 8 weeks 060.2 340 pt. 06O

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

UNIED S S---------- 3 10 73 153 3 10 42 111 22 11

N EGIAuND-------------- 1 2 5 1 2 5 -
alne ---------------------- 1 1 -
ew Hampshi re------------ -
Vermnt---------------- -
Massachusetts------------- 1 1 4 1 1 4 -
Rhode Island--------------- -
Connecticut---------------- 1 1 -
MIDDIE ATIANTIC--- -- -- 7 27 6 19 -
Rev York------------------- 2 25 1 17 -
New Jersey----------------- 2 1 2 -
Pennsylvania--- ---------- 4 4 -
EAST NORTH CENTRAL------- 1 12 15 1 7 4 1 2
Chio---------------------- 7 11 3 2 -
Indiana-------------------- -
Illinois------------------- 1 2 3 1 2 2 2
Michigan------------------- 1 1 -
Wisconsin----------------- 2 1 1 -
WEST NORTH CETRAL----------- 1 8 1 5 1 7
Minnesota------------------ 1 4 1 4 1 -
loa --------------------- 2 1 6
Missouri------------------- 1 -
North Dakota-------------- -
South Dakota--------------- -
Nebraska------------------- .
Kansas--------------------- I
SOUIH ATLANIC--------------- 1 2 6 32 1 2 5 26 1 2
Delaware------------------- 1 1 -
"aryland------------------- .
District of Columbia------- -
Virginia------------------- 1 2
West Virginia-------------- 2 -- -
North Carolina------------- 2 11 2 11 -
South Carolina----------- 1 2 1 2 -
Georgia-------------------- 1 1 1 1 1 1 -
Florida------------------- 1 2 16 1 1 10 -
EAST SOUTH CEXTRAL--------- 9 4 3 3
Kentucky---------------- 9 3 2 2
Tennessee----------------- 1 -
Alabam----------------- -
MKssissippi---------------- 1 1 .
WEST SOUT CEINTRAL----------- 1 8 9 1 4 7 3 -
Arkansas------------------- 1 -
Louisiana---------------- 1 3 4 1 2 3 -
Oklahoma---------------- 1 1 -
Texas--------------------- -- 4 4 2 3 3 -
MOUNTAIN--------------------- 2 12 10 2 7 6 5 -
Montana-------------------- 1 4 1 3 -
Idaho-------------------- 2 4 1 -
Wyoming----------------- -
Colorado------------------ 3 3 5
New Mexico------------ -
Arizona------------------- 2 2 2 2 1 2 -
Utah-------------- ------- 4 2 -
Nevad-------------------- -
PACIFIC---------------------- 1 4 16 43 1 4 10 36 8
Washington------------------ 3 3 -
Oregon--------------------- 2 7 1 3 -
California----------------- 1 4 14 32 1 4 9 29 8
Alaska ------------------- -
Haal--------------------- 1 -

Puerto Rico------------------ 1 1 12 1 1 12










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 27, 1960 AND FEBRUARY 25, 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 092,1998.5 pt. Measles
infectious
Area Cumulative, Cumulative,
8th Week first 8 weeks 062 8th Week first 8 weeks 085

1961 1960 1961 96196 961 1960 1961 1960 1961 1960 1961 1960


UNTIED STAES -------- 16 22 155 166 24 28 2,003 754 13,458 5,882 12,296 10,905

WEW ENGLAND------------------ 1 2 2 5 1 59 32 426 211 994 939
Maine--------------------- 1 1 5 2 20 14 7 74
New Hampshire-------------- 8 24 8 10
Vermont-------------------- 3 79 5 119
Massachusetts-------------- 1 1 2 3 1 16 19 130 106 487 471
Rhode Island-------------- 1 8 5 59 41 248 22
Connecticut---------------- 19 6 114 45 125 362
MIDDLE ATLANTIC------------- 3 5 3 2 296 62 1,875 522 2,370 1,591
New York------------------ 2 1 2 2 129 33 780 247 1,251 1,390
New Jersey ------------ 1 73 2 349 37 322 117
Pennsylvania--------------- 1 4 94 27 746 238 797 84
EAST NORTH CENTRAL-------- 2 2 14 3 5 409 168 2,568 1,069 3,598 2,144
io----------------------- 8 161 47 1,067 280 946 397
Indiana------------------ 1 3 1 4 70 23 357 150 189 214
Illinois------------------- 1 1 1 89 32 425 238 385 459
Michigan----------------- 1 1 2 2 82 36 645 305 794 487
Wisconsin------------------ 7 30 74 96 1,284 587
WEST NORTH CENTRAL,-------- 2 8 11 2 3 175 49 1,339 558 691 255
Mfnnesota------------------ 4 2 49 3 327 49 12 183
Iowa----------------------- 1 1 2 2 33 9 289 101 55 20
Missouri------------------- 1 46 23 310 176 559 3
North Dakota--------------- 1 1 3 2 33 57 42 46
South Dakota------------- 1 3 4 3 2 80 86
Nebraska---------------- 1 19 9 126 50 23 3
Kansas--------------------- 1 1 22 1 174 39 NN NN
SOUTH ATLANTIC--------------- 6 4 26 38 3 1 234 69 1,510 688 1,312 596
Delaware--------------- 6 1 39 32 98 9
Maryland------------------ 1 11 12 125 65 98 108
District of Columbia------- 2 1 13 6 3 42
Virginia------------------- 1 2 6 7 29 6 179 154 221 249
West Virginia-------------- 1 1 56 20 359 149 130 64
North Carolina ---------- 3 1 42 6 310 32 206 43
South Carolina---------- 12 14 135 17 218 12
Georgia-------------------- 1 3 3 49 2 176 65 13 1
Florida----------------- 5 1 13 14 3 25 21 174 168 325 68
EAST SOUTH CENTRAL-------- 4 3 17 2 1 340 102 2,415 1,041 1,346 882
Kentucky------------------- 2 84 32 785 485 682 325
Tennesseee----------------- 1 2 118 29 1,023 300 421 471
Alabama-------------------. 4 10 1 75 34 388 204 204 39
Mississippi-------------- 5 2 63 7 219 52 39 47
WEST SOUTH CENTRAL----------- 9 7 108 54 3 132 57 860 414 431 2,201
Arkansas------------------- 1 38 183 24 43 4
Louisiana--------------- 2 1 11 9 6 3 30 21 3 7
Oklahoma------------------- 1 2 5 12 20 86 67 4 19
Texas---- ----------- 7 5 95 39 3 76 34 561 302 381 2,171
MOUNTAIN------------- 1 3 21 3 1 190 66 991 572 496 461
Montana-------------------- 2 4 2 120 24 87 47
Idaho---------------------- 11 6 20 57 98 48 89
Wyoming------------------- 5 1 1 12 4 11 5
Colorado------------------- 1 2 28 20 329 149 97 87
New Mexico---------------- 125 4 185 99 NN
Arizona----------------- 2 7 16 80 134 202 50
Utah----------------------- 1 3 1 18 3 180 54 50 183
Nevada--------------------- 1 1 28 10 1
PACIFIC-------------------- 1 7 12 168 149 1,474 807 1,058 1,836
Washington---------------- 24 28 183 99 251 768
Oregon--------------------- 1 1 25 22 277 168 162 213
California----------------- 6 11 116 94 951 499 640 471
Alaska------------------- 1 2 4 50 19 2 116
Hawali----------------- 1 1 13 22 3 268

Puerto Rico ----------- 2 13 3 41 8 32 57 153 8 37

NN-NOLt otifriale










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 27, 1960 AND FEBRUARY 25, 1961 Continued

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

Strepto-
coccal Typhoid fever 040 Typhus
Malaria Meningoccocal Psitta- sore fever,
infections cosis ths t endemic Rabies in
that, endanimals
Area etc. Cumulative,
110-117 057 096.2 050,051 8th Week first 8 weeks 101

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

UNIUM STATES-------- 1 61 71 1 10,550 14 10 67 73 1 72 92

NW ENGJLAND------.--------- 3 2 759 1 1 1 -
Maine---------------------- 1 10 -
New Hampshire-------------- 14 -
Vermont------ --- 18 -
Massachusetts -----------. 2 266 1 1 1 -
Rhode Island--------------- 26 -
Connecticut---------------- 2 425 -
MIDDLE ATLANTIC-------------- 10 12 887 2 7 4 6 9
New York------------------- 7 3 408 1 2 6 9
New Jersey----------------- 1 2 244 1 -
Pennsylvania--------------- 2 7 235 2 5 2 -
EAST NORTH CNTRAL----------- 1 6 12 1,220 2 7 5 2 5
Ohio--------------------- .- 2 3 356 1 4 1 3
Indiana---------------- 2 194 1 1 1 1 1
Lllinois------------------- 1 1 219 1 1
Michigan------------------- 1 1 3 264 1 2 1 -
Wisconsin------------------ 2 3 187 1 -
WEST NORTH CBETRAL---------- 5 5 347 3 1 7 7 13 11
Minnesota----------------- 1 11 1 3 1 2
Iova----------------------- 1 80 1 1 2
Missouri------------------- 2 1 27 1 1 3 7 8 6
North Dakota--------------- 90 1 -
South Dakota--------------- 1 3 2 -
Nebraska------------------- 2 1
Kansas--------------------- 2 136 -
SOUTH ATLANTIC-------------- 17 5 712 1 9 15 9 14
Del-- re--------- ---- 6 -
Maryland---------------- 1 23 -
District of Columbia------- 2 -
Virginia------------------- 2 177 3 4 4
West Virginia-------------- 2 1 265 1 2 6
North Carolina------------- 3 47 1 2 6 -
South Carolina------------ 24 1 5 2
Seorgia-------------------- 2 2 4 2
Florida-------------------- 10 1 166 1 1 3 -
EAST SOUTH CENTRAL-------- 7 17 1,653 2 7 12 23 17 19
Kentucky------------- 2 5 397 1 4 2 7 3 7
Tennessee------------------ 2 4 1,165 1 3 8 14 8 6
Alabama-------------------- 8 35 2 2 6 5
Missisippi---------------- 3 56 1
WEST SOUTH CENTRAL----------- 6 6 1,239 2 1 8 10 18 32
Arkansas------------------- 7 2 4 22
Louisiana ------------- 4 1 9 2 4 3 -
Oklahoma------------------- 1 34 1 2 1 -
Texas---------------------- 1 5 1,189 1 1 4 3 11 10
MOUNTAIN-----------------. 3 2 2,536 8 5 2 -
Montena------------------. 77 1 4 -
Idaho-----------------.--- -- 2 261 -
Wyoming--------------- 61 -
Colorado---- -----. -------.- 658 4 -
New Mexico-------------.-- ..- 1 1 802 1 1 -
Arizona------------------ 248 1 2
Utah----------------------- 341 1 -
Nevada------------------ 1 88 -
PACIFIC---------------- 4 10 1 1,197 2 8 3 1 5 2
Washington----------------- 1 1 667 1 -
Oregon--------------------- 1 1 66 -
California----------------- 2 8 1 418 2 7 3 1 5 2
k--------- 41 -
Hawaii- ------------- 5 -

Puerto Rico---------------, 23 2 3 12 -








Morbidity ad Mortality Weekly Report


NUMBER OF DEATHS IN SELECTED CITIES


r I ITI IIiT ITI I TIII TII T i I TIll T I II T I Ti TIIII


JUL AUG


SEP OCT


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-


NOV DEC JAN FEB MAR APR MAY JUN
1960 1961


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

(ly place of occurrence and eek of filing certificate. Exclude fetal deaths. Data exclude figures shown n arenthese. in table 4)

8th 7th A Pere Cumulative, first 8 weeks
eek eek Adjusted change,
ended ended average, adjusted
Area Feb. Feb. 8th average
25, 18, week to 1961 1960 Pernt
1961 1961 1956-60 current chang
week

TOTAL, 117 IEPOIIIR CITIES---------------------- 11,591 12,244 12,184 -4.9 98,560 106,276 -7.3

w England-------------------------------(lA cities) 711 789 738 -3.7 6,107 6,886 -11.3
Middle Atlantic-----------------------------(20 cities) 3,220 3,565 3,341 -3.6 27,946 28,177 -0.8
Jut North Central-------------------------(21 cities) 2,428 2,589 2,581 -5.9 20,691 23,264 -11.1
West North Central---------------------------(9 cities) 821 822 886 -7.3 6,665 7,445 -10.5
South Atlantic-----------------------------(11 cities) 1,013 1,101 1,059 -4.3 8,758 9,401 -6.8
Lut South Central---------------------------(8 cities) 596 583 559 +6.6 4,644 4,778 -2.8
West South Central-------------------------(13 cities) 992 992 1,106 -10.3 8,638 9,619 -10.2
Imuntain----------.--------. ----------- (8 cites) 371 373 363 +2.2 3,016 3,242 -7.0
Pacific-----------------------------------.(13 cities) 1,439 1,430 1,551 -7.2 12,095 13,464 -10.2










Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


Area


HEW ENGLAMD:
Boston, Mass.--------
Bridgeport, Conn.--------
Cambridge, Mass.--------
Pall 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.---------

MIDIaE ATIArTIC:
Albany, N.Y.- -----
Allentown, Pa.---- ---
Buffalo, N.Y.---------
Canden, N.J.--------
Elizabeth, N.J.-----
Erie, a.----- ----
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 HNT CENTRAL:
Akron, Chlo-----------
Canton, Chio-------------
Chicago, Il.-----------
Cincinnati, Chio---------
Cleveland, Chio---------
Columbus, Chio-----------
Dayton, Ohio-------------
Detroit, Mich.----------
Evansville, Ind.---------
Flint, Mich.------------.
Fort Wayne, Ind.---------
Gary, Ind.---------------
Grand Rapids, Mich.------
Indianapolis, Ind.-------
Madison, Wis.---------
Milwaukee, is.---------
Pearia, Il.-------------
Rockford, Ill.-----------
South Bend, Ind.--------
Toledo, Chio-------------
Youngstown, Ohio---------

WEST NORTH (CENTRAL:
Des Moines, lova--------.
Duluth, Minn.------------
Kansas City, Kans.-------
Kansas City, No.---------
Lincoln, Nebr.--------
Minneapolis, Minn.-------
Omaha, Nebr.------------


8th
week
ended
Feb.
25,
1961


7th
week
ended
Feb.
18,
1961


Cumulati ve,
first 8 weeks


196C


____ ____ I -~


238
36
26
30
45
34
22
26
46
59
18
45
27
59


45
34
155
51
23
38
53
100
1,689
41
478
140
20
122
25
37
65
46
32
26


51
42
758
141
221
98
76
347
41
42
29
38
47
125
26
114
30
23
34
88
57


52
33
43
114
(31)
134
66


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
35
48
31
52
155
37
101
27
40
26
107
60


55
23
45
136
(35)
131
76


2,116
339
239
219
397
212
187
227
403
5L5
107
420
232
494


415
290
1,186
344
246
333
599
880
14,270
335
4,351
1,642
195
897
206
329
503
378
262
285


490
272
6,296
1,324
1,780
954
706
2,803
304
345
332
261
376
1,193
245
1,017
241
232
238
817
465


428
227
340
1,087
(244)
1,053
583


2,360
387
288
277
446
210
232
238
435
630
142
465
252
524


369
287
1,371
405
244
312
626
831
13,972
371
4,334
1,859
197
961
217
357
593
349
250
272


511
333
7,237
1,486
2,078
1,085
654
3,187
309
343
345
278
384
1,281
258
1,170
263
260
275
993
534


509
261
322
1,139
(224)
1,126
673


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


Area


WEST NR0~ CENTRAL-Con.:
St. Louis, Mo.- ----
St. Paul, Minn.---------
Wichita, Kans.-----

SOUHB ATLANTIC:
Atlanta, Ga.--------
Baltimore, m1.------
Charlotte, N.C.------
Jacksonville, la.------
Miami, Fla.---------
Norfolk, Va.----------
Richmond, Va.-----------
Savannah, Ga.------
St. Petersburg, Fla.-
Tampa, Fla.-- --
Washington, D.C.---
Wllmington, Del.---

EAST SOUTH CENTRkL:
Birmingham, Ala.-----
Chattanooga, Tem----
Knozville, Ten.----
Louisville, aK.----
Memphis, Tenn.-------
Mobile, Ala.---------
Montgomery, Ala.----
ashville, Tenn.------

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

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

PACIFIC:
Berkeley, Calif.------
Fresno, Calif.------
Glendale, Calif.-----
BHanolulu, Havali-----
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.-----------


8th
week
ended
Feb.
25,
19E1


e7th Cumulative,
ened first 8 weeks
ended
Feb.
18,
1961 1961 196C


+ + I


261
74
44


99
244
43
65
86
69
75
25
(89)
73
180
54


103
53
40
117
129
49
35
70


31
17
20
114
33
78
179
67
177
56
109
56
55


32
17
112
17
80
16
59
38


16
(49)
(31)
39
63
530
99
34
125
50
77
203
(37)
123
49
31

(---)


254 2,016
67 567
35 364


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
45


39
7
127
17
63
17
57
46


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

(22)


1,039
2,125
308
537
637
429
733
310
(660)
611
1,682
347


775
445
266
958
1,050
347
289
514


296
254
211
1,035
322
550
1,521
473
1,479
669
896
450
482


268
130
942
120
684
129
417
326


129
(367)
(269)
336
500
4,410
832
260
842
538
716
1,740
(278)
1,074
374
344

(230)


2,320
683
412


1,093
2,434
400
601
687
431
767
346
(685)
554
1,725
363


770
426
286
1,047
993
367
305
584


368
273
267
1,135
400
607
1,607
540
1,686
692
1,021
468
555


281
162
1,119
146
660
123
450
301


152
(461)
(381)
341
487
5,155
848
338
911
581
882
1,846
(239)
1,168
382
373

(---)


A. _____ A. ______ I ________






Morbidity and Mortality Weekly Report


QUARANTINE MEASURES


Immunization Information for International Travel-1960 Edition
Public Health Service Publication No. 384
The following name should be added to the list of Yellow
Fever Vaccination Centers in Section 6:


Center
The Ohio Oil Company
Dispensary
539 South Main Street
Tel. GArden 2-2121


U.S. OEPilTORa


Clinic Hours
Monday,
9 11 a.m.


The following correction should be made to the list of
Yellow Fever Vaccination Centers in Section 6, page 63:


Center
Denver Department of
Health and Hospitals
Disease Control Service
760 Cherokee
Tel. CH 4-6969
ext. 464


Clinic Hours Fee
Thursday, 11 a.m., Yes
by appointment


a'

,1*..


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.


II II 1lll1262 08864 0304lll I1
3 1262 08864 0304


City
Ohio
Findlay


City
Colorado
Denver


a


n A




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