Morbidity and mortality

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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.


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