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Morbidity and Mortality PUBLIC HEALTH SERVICE U.S. DEPARTMENT OF HEALTH, EDUCATE ARE Prepared by /he IE s E MEiro 131 For release March 17, 1961 Allanto 22 Ge Vol. 10, o. 10 Provisional Information on Selected Notifiable D in d States and on Deaths in Selected Cities for Week Endce 1i61 Poliomyelitis During the first 10 weeks of 1961, Hepatitis A sustained high incidence continues 82 cases of poliomyelitis have been reported to the Com- (see graph, Page 2). municable Disease Center. A majority of these cases represent reports delayed from last year. Only 32 cases, 21 para- lyric, have had their onset in 1961. Texas has accounted EPIDEMIOLOGICAL REPORTS for 5 cases, California for 4, and Colorado for 3. No concentration is evident in any of these States or in the Respiratory Disease New Jersey other 19 States reporting cases. Three fatalities have been recorded, one in Ohio associated with a type 1 An outbreak of respiratory disease has been oc- poliovirus isolation, and one each in Minnesota and New curring at the U. S. Coast Guard lRceiving Station, a Jersey. Virologic and serologic identifications include recruit training camp, at Cape May, New lersev. During a type III serologic confirmation of one Connecticut case; the past four weeks a marked increase in incidence and type I and type III isolations from two Oregon cases; and severity has been noted. The illness is characterized by a type I isolation from one of the California cases. moderate fever ranging from 1000 to 103 F. associated Table I. Cases of Specified Notifiable Diseases: United States (Cumulative totals include revised and delayed reports through previous week) Disease th Week Cumulative (Seventh Revision of International Approxi- Listo, 1955) First 10 weeks Since seasonal low week mate Ended Ended seasonal March March Median Median low Weekly incidence low or sporadic 11, 12, i956-;C Median i9c.-ZSe point -Data not available 1961 196: 1961 1960 ii, 96-6 19 9- to Quantity zero 195 -f Anthrax------------ -----062 4 * Botulism---------------- 049.1 4 3 * Brucellosis undulantt fever) ----O0 10 14 16 90 156 142 * Diphtheria---------------------...-05 13 21 19 175 202 199 755 732 931 July 1 Encephalitle, infectious------082 33 23 21 231 251 212 231 251 212 Jan. 1 Hepatitis, infectious, and serum---------------092,N998.5 pt. 1,930 734 547 17,472 7,332 5,141 32,679 15,170 10,301 Sept. 1 Malaria--------------------110-117 2 7 11 * Measles-------.. --------------..085 15,064 13,612 18,544 107,391 99,297 119,687 143,601 135,292 150,807 Sept. 1 Meningitis, aseptic----- -34 0 pt. 14 20 --- 217 284 --- 217 284 --- Jan. 1 Meningococcal infection----------057 39 56 65 499 558 576 1,155 1,226 1,343 Sept. 1 Polioae .litie-------------------080 4 14 22 82 183 211 3,148 8,457 8,457 Apr. 1 Paralytic------------.080.0,080.1 3 13 16 46 131 151 2,155 5,632 5,632 Apr. 1 E~onpralytic-----------00.Z 1 1 3 18 30 31 641 2,147 2,147 Apr. 1 Unspecified---------------080.3 3 18 22 29 352 678 678 Apr. 1 Psattacosis-------- ------096.2 3 10 19 * Rabies In man-------------------094 2 * Streptococcal sore throat, including scarlet fever -- 05.0,051 10,538 8,033 --- 95,971 87,123 --- 193,623 --- --- Aug. 1 Typhoid fever--------------------040 5 9 12 85 92 142 788 819 1,154 Apr. 1 Typhus fever, endemic------------101 1 7 5 * Rabies in animals------------..--. 72 78 99 618 790 919 1,194 1,772 1,772 Oct. 1 Figures for current week exclude missing report from Hawaii. Morbidity and Mortality Weekly Report 9,000 REPORTED CASES OF INFECTIOUS HEPATITIS 8,000- U.S., 1952-1961 BY 4-WEEK PERIODS 7,000- CASES 6,000- 5,000 4,000 .... ___ A I \ ____________ ~ __ A 1 2,000 1,000- rA\> 1 1952 1 1953 1954 1955 1956 1 1957 1 1958 1959 1 1960 1 1961 The graph shows reported hepatitis cases in the United States by 4-week periods since 1952. The recent period ending February 25 continues the steep ascent noted earlier (Volume 10, Number 5). The 1961 cumulative total for the 10-week period ending March 11 is 17,472 cases which is more than double the 7,332 cases reported during the com- parable period one year ago and considerably above the 12,842 cases in 1954, our last national hepatitis peak. This week 1,930 last week's total of 2,091. with myalgia, dizziness, cough, sore throat, conjuncti- vitis, and general malaise lasting 4 to 5 days. There has been no response to antibiotics. Approximately 50 of the 1600 persons on the base have been afflicted with the illness. During February there have been arrivals at the base from the Far East including Japan, although none have been ill since arrival. Cultures have been taken for virological study. (Submitted by Dr. King, Medical Officer in Charge, U. S. Public Health Service, Cape May, New Jersey.) Hepatitis in an Institution Oregon An outbreak of infectious hepatitis occurred during January in a home for mentally retarded patients in Oregon. A total of 47 cases, primarily involving teenagers, have been reported. This is the second outbreak in this home in the past six years. The first case, who was apparently responsible for the explosive outbreak, became ill on December 14 with low grade fever, vomiting, and malaise. He did not become cases were reported, a slight decline from jaundiced. He had been playing with the children of a migrant worker prior to entering the Home on November 7 for the first time. On January 4, 1961 two persons devel- oped hepatitis in cottage A where the first case lived, followed by 9 on the seventh and 9 again on the eleventh. in nearby cottage B, 3 cases became sick on January 8. A total of 32 cases have now occurred over a short period of time in cottage A, 9 in cottage B, and 4 addi- tional cases occurred in persons living elsewhere but working in cottage A. Only 1 case at the home has oc- curred in a person not living or working in cottage A or B. An investigation to find the cause of this outbreak showed that the water supply was probably at fault. During periods of low water pressure temporary cross connection between the water and sewage streams occurred. To control spread of the outbreak, the two cottages were put under isolation and educational and recreational activities at the home were curtailed. Feeding was done in the cottages rather than centrally. All patient helpers (Continued on page 8) V/ 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 MARCH 12, 1960 AND MARCH 11, 1961 (By 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, (undu- (Includes cases not specified by type) Nonparalytic aseptic lant Area fevf^v Area Cumulative, Cumulative, fever) 10th Week first 10 weeks 10th Week first 10 weeks 080.2 340 pt. 044 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1961 UNITED STATES------- 4 14 82 183 3 13 46 131 1 1 14 10 NEW ENGIAND------------------ 2 6 2 6 - Maine---------------------- 2 2 - New Hampshire-------------- - Vermont-------------------- - Massachusetts-------------- 1 4 1 4 - Rhode Island--------------- - Connecticut---------------- 1 1 - MIDDLE ATLANTIC-------------- 1 1 8 29 1 1 -7 20 2 New York------------------- 1 1 3 27 1 1 2 18 2 New Jersey-------------- -- 1 2 1 2 -- - Pennsylvania--------------- 4 -- - EAST NORTH CENTRAL----------- 13 22 1 8 4 1 2 Ohio----------------------- 7 13 3 2 - Indiana-------------------- 1 1 - Illinois------------------ 2 3 2 2 2 Michigan------------------ 1 4 1 1 - Wisconsin------------------ 2 2 1 - WEST NORTH CENTRAL----------- 2 1 10 2 1 7 3 Minnesota------------------ 2 1 6 2 1 6 - Iowa----------------------- 2 1 3 Missouri------------------- - North Dakota--------------- - South Dakota--------------- - Nebraska------------------- - Kansas--------------------- - SOUTH ATLANTIC--------------- 1 3 8 36 1 2 6 29 1- Delaware------------------- 1 1 - Maryland------------------- I 1 - District of Columbia------- - Virginia------------------- - West Virginia-------------- 1 2 2 1 1 2 - North Carolina------------- 2 12 2 12 - South Carolina------------- 2 2 - Georgia-------------------- 1 1 1 - Florida-------------------- 2 2 18 2 1 12 - EAST SOUTH CENTRAL----------- 1 3 11 7 3 6 1 5 - Kentucky------------------- 1 2 11 5 2 4 1 1 - Tennessee------------------ - Alabama-------------------- 1 1 1 1 - Mississippi--------------- 1 3 - WEST SOUTH CENTRAL----------- 9 9 4 7 3 1 Arkansas------------------- - Louisiana----------------- 3 4 2 3 - Oklahoma------------------- 1 1 - Texas---------------------- 5 4 2 3 3 1 MOUNTAIN-------------------- 13 10 7 6 - Montana-------------------- 1 4 1 3 - Idaho---------------------- 2 4 1 - Wyoming-------------------- - Colorado------------------- 3 3 - New Mexico----------------- - Arizona-------------------- 2 2 1 2 - Utah----------------------- 4 2 - Nevada--------------------- - PACIFIC---------------------- 5 17 54 5 11 46 5 2 Washington----------------- 4 4 - Oregon--------------------- 1 2 8 1 1 4 - California----------------- 4 15 41 4 10 37 5 2 Alaska--------------------- - Hawaii-------------------- -- 1 -- I --- - Puerto Rico------------------ 6 1 18 6 1 18 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 MARCH 12, 1960 AND MARCH 11, 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, 10th Week first 10 weeks 082 10th Week first 10 weeks 085 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 UNED STAES--------- 13 21 175 202 33 23 1,930 734 17,472 7,332 15,064 13,612 NEW ENGLAD -------------- 2 5 1 58 28 550 249 1,433 828 Maine----------------- 1 5 2 29 16 16 71 New Hampshire------------- 8 4 39 5 25 11 Vermont------------ --- 8 90 5 55 15 Massachusetts-------------- 2 3 1 18 13 170 127 737 515 Rhode Island------------- 1 4 3 72 45 385 19 Connecticut---------------- 15 6 150 51 215 197 MIDDLE ATLANTIC-------- 1 4 6 12 6 335 77 2,597 686 2,396 1,746 New York------------- -- 1 3 1 3 4 110 35 1,061 341 1,044 1,459 New Jersey-------------- 9 2 118 7 564 49 526 173 Pennsylvania---------------- 1 5 107 35 972 296 826 114 EAST NORTH CEITRAL-------- 1 4 5 19 1 3 373 169 3,408 1,404 4,752 3,617 Ohio---------------------- 3 12 1 122 35 1,392 372 1,338 485 Indiana------------------ 3 2 74 40 510 212 241 397 Illinois------------------- 1 1 4 2 56 31 563 310 519 857 Michigan---------------- 1 2 111 59 850 405 1,226 1,003 Wisconsin----------------- 1. 10 4 93 105 1,428 875 WEST NORTH CENTRAL--------- 1 9 12 2 211 65 1,751 653 526 430 Minnesota----------------- 1 5 3 33 7 408 62 15 369 Iowa----------------------- 1 2 57 4 406 109 153 19 Missouri------------------- 1 67 39 431 231 268 14 North Dakota--------------- 1 1 9 38 67 67 17 South Dakota------------- 3 4 5 92 86 - Nebraska----------------- 26 3 169 54 23 11 Kansas--------------------- 1 2 22 3 207 44 NN NN SOUTH ATLANTIC--------------- 1 8 28 49 7 1 209 85 1,939 839 1,849 693 Delaware------------------ 8 4 51 43 127 10 Maryland------------------ 1 1 9 7 175 74 94 159 District of Columbia------ 2 18 7 3 63 Virginia------------------ 1 6 8 22 43 239 211 430 187 West Virginia-------------- 1 1 39 18 436 187 294 63 North Carolina------------ 3 1 71 7 441 41 237 20 South Carolina------ --- 12 8 153 20 168 11 Georgia- ----------------- 5 1 8 16 2 197 78 41 3 Florida ----------------- 2 16 19 7 1 34 4 229 178 455 177 EAST SOUTH CENTRAL--- --- 2 4 20 2 3 327 105 3,059 1,235 1,226 1,264 Kentucky------------------ 2 1 81 36 960 551 621 377 Tennessee----------- 1 2 3 1 116 41 1,281 367 382 785 Alabama ------------------- 1 11 1 50 21 482 249 155 44 Mississippi-------------- 6 1 1 80 7 336 68 68 58 WEST SOUTH CETRAL------- 9 5 119 66 2 143 41 1,159 512 632 2,600 Arkansas----------------- -- 1 27 246 25 190 102 Louisiana----------------- 1 12 11 30 2 72 23 2 27 Oklahoma----------------- 2 5 2 11 92 84 1 59 Texas-- ----------- 8 5 105 49 2 84 28 749 380 439 2,412 MOUNTAIN --------------- 1 1 4 24 80 40 1,143 676 660 590 Montana-------------------- 2 5 5 134 31 68 64 Idaho---------------------- 11 2 3 63 107 61 92 Wyoming----------------- 5 1 15 4 3 Colorado------------------- 1 2 2 26 8 375 180 98 82 New Mexico-------------- 2 5 1 201 114 NN Arizona------------------- 1 1 22 13 111 159 375 109 Utah---------------------- 3 17 5 211 65 36 215 Nevada--------------------- 2 5 33 16 19 28 PACIFIC--------------------- 1 8 8 194 124 1,866 1,078 1,590 1,844 Washington----------------- 22 14 231 134 244 491 Oregon--------------------- 32 19 330 221 126 273 California----------------- 8 8 136 89 1,233 673 1,214 732 Alaska -------------------- 1 4 55 21 6 3 Hawaii----------------- --- -- --- 2 17 29 --- 345 Puerto Rico------------- 4 3 11 46 15 22 79 198 31 57 NN-Not Notitlable 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 MARCH 12, 1960 AND MARCH 11, 1961 Continued (By 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 Menlngoccocal Psitta- fever, infections cosis troat fever, Rabies in throat, endemic anial Area etc. Cumulative, 110-117 057 096.2 050,051 10th Week first 10 weeks 101 1961 1961 1960 1961 1961 1961 1960 1961 1960 1961 1961 1960 UNITED STATS--------- 39 56 10,538 5 9 85 92 1 72 78 NEW ENGLAND----------------- 2 3 750 2 1 - Maine----------------------. 14 1 - New Hampshire------------- 50 - Vermont------------------- 1 77 - Massachusetts-------------- 3 220 1 1 - Rhode Island--------------- 59 - Connecticut---------------- 1 330 - MIDDIE ATEAUTIC------------- 5 10 1,180 1 9 5 2 6 New York------------------- 3 5 633 1 3 3 2 6 New Jersey----------------- 2 309 1 - Pennsylvania--------------- 2 3 238 5 2 - EAST NORTH CENTRAL----------- 13 8 1,627 7 7 11 8 hio----------------------- 1 2 356 4 1 4 3 Indiana-------------------- 2 265 1 1 5 3 Illinois------------------- 3 3 324 1 1 1 Michigan------------------- 6 3 449 1 4 1 1 Wisconsin------------------ 1 233 1 - WEST NORTH CENTRAL---------- 2 2 364 7 7 9 12 Minnesota------------------ 2 27 3 1 1 Iowa----------------------- 62 1 2 1 Missouri------------------- 37 3 7 6 9 North Dakota--------------- 2 78 1 South Dakota-------------- 8 - Nebraska------------------- 33 - Kansas--------------------- 119 - SOUTH ATLANTIC-------------- 9 12 813 12 17 13 8 Delaware------------------- 14 - Maryland--.--.---------.... 1 3 42 - District of Columbia------- 3 - Virginia----------------- ..- 2 3 229 3 9 7 West Virginia------------. 2 221 1 2 - North Carolina------------- 4 2 27 2 7 - South Carolina ------------ 28 1 5 - Georgia------------------ 1 7 7 1 Florida-------------------- 1 2 242 1 1 2 - EAST SOUTH CENTRAL--------- 2 7 1,582 2 17 25 13 6 Kentucky------------ -- 2 375 1 4 9 3 3 Tennessee----------------- 1 3 1,147 1 11 14 8 3 Alabama--------------- 2 17 2 2 2 - Mississippi---------------- 1 43 - WEST SOUTH CENTRAL----------- 2 9 1,247 3 12 14 1 16 32 Arkansas------------------ -- 8 2 4 1 10 Louisiana---------------- 1 4 14 2 4 5 2 Oklahoma------------------- 1 1 33 2 1 - Texas--------------------- 4 1,192 1 8 5 1 10 20 MOUNTAIN----------------- -- 1 1,691 2 10 7 1 1 Montana------------------. -- 1 61 1 4 - Idaho--------------------- 205 - Wyoming------------------ 36 - Colorado------------------- 340 1 5 - New Mexico---------------- -- 485 1 3 - Arizona------------------- -- 264 1 1 1 Utah----------------------- 292 1 - Nevada- ----------------- 8 1 1 - PACIFIC--- --------------- --- 4 4 1,284 6 9 9 7 5 Washington------------------ 684 1 - Oregon--------------------- 1 1 87 - California---------------- 3 3 432 6 8 9 6 5 Alaka ----------- 81 I - Hawaii----------- ------- .. .... Puerto Rico---------------- 1 I1 8 3 12 3 Morbidity and Mortality 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 GOGRAPHIC DIVISIONS (By place of occurrence and veek of filing certificate. Excludes fetal deaths. Data exclude figure shown in parentheses in table 4) 10th 9th Percent Cumalative, first 10 weeks week week Adjusted change, ended ended average, adjusted ended ended 10th Area MMarch March 10th average S 4 week to 1961 1960 Percent. 1961 11 1956-60 current change 1961 1961 week _______ week TOTAL, 117 REPOR CITES---------------------. 11,730 12,084 12,097 -3.0 122,374 131,960 -7.3 New ~s lana------------------------------ (14 cities) 703 713 744 -5.5 7,523 8,450 -11.0 Middle Atlantic---------------------------(20 cities) 3,307 3,438 3,353 -1.4 34,691 35,433 -2.1 East North Central------------------------ (21 cities) 2,441 2,490 2,540 -3.9 25,622 28,450 -9.9 West North Central------------------------- (9 cities) 764* 864 875 -12.7 8,293 9,275 -10.6 South Atlantic-----------------------------(11 ities) 984* 958 1,038 -5.2 10,700 11,758 -9.0 East South Central------------------------(8 cities) 528 560 556 -5.0 5,732 6,018 -4.8 West South Central------------------------ (15 cities) 1,012* 1,044 1,089 -7.1 10,694 11,954 -10.5 Mountain--------------------------------(8 cities) 424 454 365 +16.2 3,894 4,056 -4.0 Pacific----------------------------------(1 cities) 1,567 1,563 1,537 +2.0 15,225 16,566 -8.L *Includes estimate for missing reports. NUMBER OF DEATHS IN SELECTED CITIES JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN 1960 1961 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.--------- MIDDIE 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, oCio------------ Chicago, Ill.----------- Cincinnati, Ohio-------- Cleveland, Ohio---------- Columbus, Ohio----------- Dayton, Ohio------------ Detroit, Mich.----------- Evansville, Ind.-------- Flint, Mich.------------- Fort Wayne, Ind.--------- Gary, Ind.--------------- Grand Rapids, Mich.------ Indianapolis, Ind.------ Madison, Wis.--------- Milwaukee, Wis.--------- Peoria, Il1.------------ Rockford, Ill.---------- 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.-------- 10th week ended Mar. 11, 1961 9th week ended Mar. 4, 1961 Cumulative, first 10 weeks 1961 1960 ....... 255 43 33 27 33 23 17 31 33 55 21 37 41 54 44 44 149 33 33 42 62 122 1,727 33 566 123 19 97 27 28 66 52 20 20 46 26 724 141 227 112 94 341 39 33 40 37 48 151 25 107 32 25 30 106 57 52 24* 28 154 (22) 126 60 252 30 30 29 47 19 25 31 46 61 8 47 27 61 41 32 160 39 26 31 87 91 1,772 42 528 250 23 80 19 38 56 49 29 45 51 33 729 155 189 112 78 360 32 43 42 29 33 175 45 137 26 31 33 97 60 56 28 30 150 (37) 123 85 2,623 2,926 412 471 302 352 275 340 477 550 254 268 229 298 289 278 482 521 631 760 136 173 504 562 300 309 609 642 500 490 366 363 1,495 1,646 416 505 305 318 406 396 748 762 1,093 1,056 17,769 17,661 410 465 5,445 5,585 2,015 2,219 237 249 1,074 1,168 252 271 395 448 625 725 479 428 311 337 350 341 587 628 331 409 7,749 8,763 1,620 1,873 2,196 2,520 1,178 1,387 878 797 3,504 3,868 375 403 421 421 414 417 327 343 457 452 1,519 1,622 315 326 1,261 1,425 299 333 288 311 301 334 1,020 1,169 582 649 536 625 279 296 398 394 1,391 1,464 (303) (285) 1,302 1,375 728 848 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: Birmingham, Ala.--------- Chattanooga, Tenn.---- Knoxville, Tenn.-------- Louisville, Iy.--------- 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.----------- 10th week ended Mar. 11, 1961 9th week ended Mar. 4, 1961 Cumulative, first 10 weeks 1961 I 1960 4 + 4 * 201 63 56 116 252 32 40 82 44 74 41 (79) 76 191* 36 90 41 27 137 96 47 21 69 37 44 16 143 43 72 145 56 181* 69 92 67 47 34 23 133 19 111 16 39 49 18 (48) (35) 39 67 584 92 42 92 52 110 217 (37) 158 64 32 (38) 269 60 63 120 263 39 48 89 44 74 34 (79) 50 161 36 80 57 29 138 112 42 43 59 27 19 23 131 30 76 201 64 171 90 104 55 53 38 21 142 22 106 17 58 50 24 (40) (35) 41 50 580 94 26 92 91 113 231 (30) 138 33 50 (36) 2,486 690 483 1,275 2,640 379 625 808 517 881 385 (818) 737 2,034 419 945 543 322 1,233 1,258 436 353 642 360 317 250 1,309 395 698 1,867 593 1,831 828 1,092 572 582 340 174 1,217 161 901 162 514 425 171 (455) (339) 416 617 5,574 1,018 328 1,026 681 939 2,188 (345) 1,370 471 426 (344) 2,932 837 504 1,332 3,075 493 776 865 523 936 418 (843) 729 2,155 456 967 547 354 1,287 1,267 487 394 715 453 353 302 1,403 467 780 1,990 690 2,178 855 1,218 590 675 337 198 1,382 192 846 164 543 394 189 (564) (470) 436 609 6,306 1,042 400 1,139 693 1,033 2,253 (304) 1,500 491 475 (367) *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 lll3 1262 080ll288lllllllIlllliI 3 1262 08864 0288 Morbidity and Mortality Weekly Report were screened and those working in A and B were not al- lowed back to their former cottages. Gamma globulin was used to protect exposed employees and patients. During the Christmas vacation many of the hepatitis patients had visited their homes. To date, three counties have reported 8 people in 4 families with infectious hepatitis, probably secondary to these Christmas visitors. (Submitted by Dr. Grant Skinner, Director, V. D. and Epi- demiological Sections, Oregon State Board of Health.) Staphylococcal Food Poisoning Washington On January 1, 1961, two adults and four children became ill 4 to 6 hours after an evening meal which was consumed at 6:00 p.m. by children and grandchildren at the home of grandparents. The first case became ill at 10:00 p.m. Ages of the victims are 54, 20, 11, 8, 5, and 212 years. Symptoms consisted of nausea, vomiting, chills and abdominal pain. A seventh person had nausea but none of the other symptoms. All of the cases recovered within 24 hours. The foods eaten consisted of turkey, cranberry salad, cocktails, and apple pie with ice cream. The turkey came from a local market and had been cooked and left out of the refrigerator 5 to 6 hours before cold turkey sandwiches were made. The ice cream was home- made and contained uncooked, raw milk and cream. The freezer was old with a somewhat rusty inside container. Samples of turkey, cranberry salad, and ice cream were examined and abundant coagulase positive Staphylococ- cus aureus were grown from the ice cream. The turkey and cranberry salad were negative for pathogens. (Submitted by Dr. Ernest A. Ager, Director, Communicable Disease Section, Washington State Department of Health.) U L0.ILY 61.--- L-_bb DPOA I- -Y SLl~ DLOSITORY 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. -9z I oigs 91! Drle M^ a a g k |
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