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:
AA00010654:00338

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 fhe


MElrose 4-5131


For release March 31, 1961


Provisional Information on Sele,


Deaths in Selected C


Influenza During the past monri evidi
accumulated which indicates activity of the A2 inFlu
virus in New York City. Dr. Harold T. Fuersr, Director,
Bureau of Preventable Diseases, New York City, reports
that weekly pneumonia and influenza deaths exceeded
confidence limits in early March and have remained high.
With a ten year average ranging between 55 and 65 pneu-
monia and influenza deaths per week, the following totals
have been reported during 1961.

DATES AND NUMBER OF DEATHS
1/6 1/13 1/20 1/27 2.3 2'10 2 17 2/24 3'3 3'10 3 17 3 24
76 79 65 77 68 99 84 96 90 114 86 11i


Vol. 10, No. 12


in the United States and on


March 25, 1961


b the meantime, Dr. Morris Schaeffer, Director of
Eaboratories, New York City Department of Health, reports
that four isolations of influenza A, virus have been made
from individuals with clinical disease. One of these, a
34-year-old female, died of a fulminant pneumonia. An-
other, an'8-year-old female, died suddenly and was found
at autopsy to have bilateral partial pulmonary atelecrasis
and edema and congestion of the brain. Virus was isolated
from the brain of the latter case. Four-fold or greater rises
in complement fixation tigers to influenza A were observed
from acute to convalescent sera of 7 patients with clinical
influenza-like disease. In addition, sera from the 60-year
age group tested during the past six months indicate that


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

12th Week Cumulative
Disease
(Seventh Revision of International Approxi-
Lists, 1955) First 12 weeks Since seasonal low week mate
Ended Ended easonal
March March Median Median low
Weekly incidence low or sporadic 25, 26, 196- 1961 1 Median 1960-61 1959-60 1955-56 point
-- Data not available 1961 19:. 1it lE-6& to
Quantity zero I 1959-60
Anthrax----------- ----- -062 1 6 *
Botulism-----------------------049.1 4 3 *
Brucellosis undulantt fever)----044 13 10 21 118 178 173 *
Diphtheria----------------------055 6 6 12 194 214 249 774 745 952 July 1
Encephalitis, infectious----- -082 34 38 24 302 313 271 302 313 271 Jan. 1
Hepatitis, infectious, and
serum----------------092,N998.5 pt. 1,914 763 479 21,281 8,953 6,117 36,488 16,782 11,465 Sept. 1
Malaria--------------------- 110-117 1 8 12 ** *
Measles---------------------------085 15,511 16,500 19,841 136,637 131,305 161,956 172,867 167,048 190,812 Sept. 1
Meningitis, aseptic------ 40 pt. 13 30 -- 261 341 --- 261 341 --- Jan. 1
Meningococcal infections--------057 60 5. 68 602 662 691 1,258 1,341 1,473 Sept. 1
Polioayelitis---------------------080 8 19 19 103 207 263 3,167 8,481 8,481 Apr. 1
Paralytic-------------080.0,080.1 5 14 14 61 149 187 2,169 5,650 5,650 Apr. 1
lonparalytic--------------080.2 3 3 3 24 33 44 646 2,150 2,150 Apr. 1
Unspecified------------------080.3 2 2 18 25 32 352 681 681 Apr. 1
Psittacosis------------ ---- 096.2 3 3 14 25 *
Babies in man -------------------094 2 *
Btreptococcal sore throat,
including scarlet fever-----050,051 9,823 8,331 --- 115,822 104,453 --- 213,474 -- -- Aug. 1
Typhoid fever ----------------040 6 12 12 101 119 170 804 846 1,182 Apr. 1
yphus fever, endemic------------101 *8 5 *
Rabies in animals----------------. 95 108 107 **778 1,021 1,127 1,354 2,001 2,001 Oct. 1
Figures for current week exclude missing report from Hawaii.
**In the report for the week ending March 18, the 1961 cumulative totals for Typhus and Rabies
in Animals should be corrected, respectively, from 5 855 to 7 683.








Morbidity and Mortality Weekly Report


The graph shows reported diphtheria
cases in the United States by four-week
periods since 1954 and indicates a lack
Sof any significant downward trend in
disease incidence during the past 3
Years. The annual seasonal pattern
S with a peak in October, November, and
December is illustrated.


between February 1 and March 1 the percentage of these
individuals with A2 antibodies increased from about 58
to 80 percent.
There has been no evidence of influenza activity
elsewhere in the continental United States and deaths
due to influenza and pneumonia are within limits of
seasonal expectancy.

Diphtheria See graph above.

Hepatitis A sustained high incidence continues.
The 1,914 cases reported represent little change from
the previous week.


Food-borne Outbreaks Reported January1 through March 29,
1961
A total of 24 reports of food-borne disease have been
received since January 1. A line listing of them is in-
cluded on page 8. Eight have been described in more
detail in previous weekly reports. Twelve occurred during
1961, while the others are delayed episodes dating back
as far as May 1960.
Staphylococcal enterotoxin was responsible for six
outbreaks. Trichinosis was reported four times and in-
volved a total of 34 persons. Raw or inadequately cooked
pork, in two instances from a commercial source, was
responsible.
Two outbreaks of shigellosis are included. Two out-
breaks of infectious hepatitis, both traced to the con-
sumption of raw oysters taken from a single heavily
contaminated source, were reported. Botulism acquired by
eating home canned chili was responsible for four cases
and two deaths. S. heidelberg growing on roast beef
caused 125 cases of gastroenteritis in one outbreak.
Although the metals copper and zinc were each listed
once as the cause of chemical poisoning, the concen-
tration of copper (10.5 ppm) is much lower than amounts


previously associated with copper poisoning, and the
incubation period for the illnesses ascribed to zinc is
longer than expected (6-10 hours). Therefore, the etiologi-
cal relationships of these two metals must be questioned
until final studies are completed.
In six outbreaks, all with similar incubation periods,
no etiological agent was recovered. This was not always
due to a failure to submit specimens, but either the lack
of isolation of a pathogen or the isolation of a pathogen
inconsistent with the clinical findings and incubation
period. In one outbreak a paracolon organism was the only
agent recovered while in another, several foods contained
Staph'lococcas aureus but the incubation period averaged
11 hours which raised doubts that it was caused by
staphylococcus enterotoxin. There is possibly a need for
more emphasis on anaerobic culturing of specimens from
food-borne disease outbreaks.



QUARANTINE MEASURES

Immunization Information for International Travel-1960 Edition

Public Health Service Publication No. 383: Section 5,
Page 53, France Smallpox, Delete previous information
and insert: Smallpox vaccination required for arrival from
Madrid International Airport.

Health Information for Travel in Asia including Japan,
Indonesia, and the Philippines and Australia and New
Zealand Public Health Service Publication No. 748C.

Page 2, under Malaria Delete all information and
insert: Travelers who will go to Asia and certain Pacific
Islands should consult their physicians about the need
to take antimalarial drugs.for
(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 MARCH 26, 1960 AND MARCH 25, 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 specified by type) Nonparalytic aseptic lant

Aea Cumulative, Cumulative, fever)
12th Week first 12 weeks 12th Week first 12 weeks 080.2 340 pt. 044


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

UNIED STATES--------- 8 19 103 207 5 14 61 149 3 3 13 13

NEW ENGLAD---------------- 1 3 6 1 3 6 1 1
Maine---------------------- 2 2 -
New Hampshire------------ -
Vermont--------------- -
Massachusetts------------- 1 2 4 1 2 4 1 -
Rhode Island----------- -
Connecticut--------------- 1 1 1
MIDDLE ATLANTIC----------- 2 9 32 1 8 22 -
New York------------------- 1 3 28 2 18 -
New Jersey----------------- 2 3 2 3 -
Pennsylvania--------------- 1 4 1 4 1 -
EAST NORT CETRAL------- 1 2 15 25 1 2 9 6 4 4
Ohio--------------------- 1 7 14 1 3 3 1
Indiana-------------------- 1 1 1 -
Illinois------------------- 1 3 3 1 3 2 1 2
Michigan------------------ 1 1 6 1 1 1 1 1
Wisconsin------------------ 3 2 1 1 -
WEST NORH CENTRAL-------- 3 2 13 2 7 2 5
Minnesota---------------- 2 1 8 1 6 2 -
Iowa----------------------- 1 3 1 3
Missouri------------------- -
North Dakota--------------- -
South Dakota-------------- 1 1
Nebraska------------------ 1 I 1
Kansas------------------ -
SOUTH ATLATIC-------------- 1 3 10 39 3 6 32 1 1
Delaware------------------- 1 2 1 1 -
Maryland----------------- -
District of Columbia ----- -
Virginia------------------- -
West Virginia------------- 2 2 1 2 -
North Carolina------------- 3 12 2 12 -
South Carolina----------- 2 2 -
Georgia-------------------- 1 1 2 1 1 2 1
Florida----------------- 2 2 20 2 1 14 -
EAST SOUTH CENTRAL------- 1 1 13 8 1 1 2 7 1 1
Kentucky------------------- 1 1 13 6 1 1 2 5 1
Tennessee----------------- -
Alabama------------------ 1 -
Mississippi---------------- 1 1 1
WEST SOUTH CENTRAL---------- 2 1 13 10 1 5 8 2 1
Arkansas---------------- 1 -
Louisiana---------------- 1 3 5 1 2 4 1
Oklahoma------------------- I 1 -
Texas---------------------- 2 9 4 3 3 2
MOUNTAIN--------------------- 15 11 9 7 1
Montana------------------- 1 4 1 3 -
Idaho---------------------- 3 4 1 1 -
Wyoming-------------------- -
Colorado------------------ 3 3 -
New Mexico---------------- 1 -
Arizona-------------------- 2 2 1 2 -
Utah---------------------- 5 1 3 1 -
Nevada--------------------- -
PACIFIC---------------------- 2 7 23 63 2 6 17 54 1 6
Washington--------------- 2 6 2 6 1 -
Oregon------------------- 2 10 1 6 -
California----------------- 2 5 20 46 2 4 15 41 1 5 -
Alaska------------------- -
Hawaii----------------- --- 1 -- 1 1 -- --- ---

Puerto Rico---------------- 3 1 25 3 1 25









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 26, 1960 AND MARCH 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. e
infectious eagless
Area Cumulative, Cumulative,
12th Week first 12 weeks 082 12th Week first 12 weeks 085

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


UNITED STATES-------- 6 6 194 214 34 38 1,914 763 21,281 8,953 15,511 16,500

NEW ENGIAND--------------- 1 2 6 1 38 18 630 298 1,279 1,413
Maine----------------- -- 1 2 1 31 21 26 97
New Hampshire------------- 2 45 5 50 10
Vermont-------------------- 4 96 5 71 90
Massachusetts-------------- 2 3 1 21 11 204 154 602 697
Rhode Island ------------- 1 4 3 86 56 399 38
Connecticut--------------- 7 3 168 57 131 481
MIDDLE ATLAATIC------------ 1 4 7 13 10 326 63 3,237 844 2,977 2,415
New York---------------- 3 1 7 7 125 37 1,297 437 1,403 2,027
New Jersey----------------- 1 1 6 1 108 3 777 56 629 270
Pennsylvania--------------- 1 5 2 93 23 1,163 351 945 118
EAST NORTH CENTRAL------- 5 19 2 5 345 183 4,077 1,744 4,795 4,510
Ohio----------------------- 12 109 62 1,608 489 1,186 603
Indiana------------------ 3 1 80 29 665 262 167 413
Illinois------------------- 4 2 2 1 46 28 661 362 523 1,139
Michigan-------------- --- 1 2 1 105 56 1,027 514 1,258 1,115
Wisconsin------------------ 2 5 8 116 117 1,661 1,240
WEST NORTH CENTRAL------- 1 12 12 4 1 223 56 2,137 793 425 352
Mfnnesota------------------ 6 3 1 58 7 523 78 21 205
Iowa---------------------- 1 2 62 4 508 155 125 48
Missouri------------------ 1 1 64 36 518 284 164 18
North Dakota--------------- 1 2 41 76 107 63
South Dakota------------ 1 4 4 1 94 88 -
Nebraska---------------- 1 13 4 208 58 8 18
Kansas--------------- 1 2 1 26 2 245 54 NN MN
SOUTH ATLANTIC------------- 2 1 36 51 2 1 225 93 2,423 1,017 1,697 770
Delaware-------------- --- 8 5 60 50 69 8
Maryland------------------ 1 28 11 231 105 120 131
District of Columbia----- 1 22 8 10 58
Virginia------------------- 6 8 22 19 294 255 290 184
West Virginia------------- 1 1 54 24 532 219 280 102
North Carolina------------- 1 5 1 55 6 576 52 354 71
South Carolina------- 12 11 170 25 85 74
Georgia-------------------- 1 7 8 9 12 249 97 6 3
Florida------------------ 1 16 21 2 1 38 15 289 206 483 139
EAST SOUTH CENTRAL------ 1 5 21 4 301 104 3,679 1,433 1,130 1,356
Kentucky -- ----- -- 2 68 23 1,135 611 304 335
Tennessee---------------- 2 3 1 117 42 1,525 445 562 878
Alabama-------------------- 1 1 12 55 19 582 282 226 35
Mississippi-------------- 6 3 61 20 437 95 38 108
WEST SOUTH CENTRAL ----------- 2 1 125 72 5 3 152 62 1,449 636 699 2,958
Arkansas------------------ I. 1 1 24 2 295 29 134 129
Louisiana---------------- 1 12 14 18 4 107 27 25
Oklahoma------------------ 2 5 4 12 104 109 1 124
Texas----------------- 1 110 52 5 3 106 44 943 471 564 2,680
MOUNTAIN------ --------- 1 1 5 25 1 96 56 1,412 812 749 763
Montana------------ ------- 1 2 1 4 2 148 38 63 88
Idaho-------------------- 11 2 13 78 122 77 163
Wyoming---------------. 5 11 49 5 5 1
Colorado------------------- 1 3 2 27 14 463 225 133 126
New Mexico-------------- 2 8 13 221 139 NN -
Arizona----------------- 1 24 9 151 191 442 157
Utah---------------------- 3 1 19 5 261 76 25 228
Nevada------------------ 1 41 16 4 -
PACIFIC-------- ---------- 1 7 13 208 128 2,237 1,376 1,760 1,963
Washington---------------- 1 33 14 278 162 250 639
Oregon--------------------- 57 14 418 261 188 235
California --------------- 6 13 111 100 1,458 848 1,308 793
Alaska---------- ---- 1 7 65 73 14 6
Hawaii--------------- --- -- -- 18 32 -- 290

Puerto Rico--- ------- 2 4 23 56 19 16 129 255 24 78

NH-Not Noti iable










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 26, 1960 AND MARCH 25, 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
Malar Meningoccocal Psitta- se f
infections cosis throat, endemic, Rabies in
Area etc. Cumulative,
110-117 057 096.2 050,051 12th Week first 12 weeks 101

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

UNITED STATES -- ----- 60 54 3 9,823 6 12 101 119 1 95 108

EW ENAD-----------------. 5 8 737 2 1 -
Maine---------------------- 1 1 33 1 -
New Hampshire-------------- 1 44 -
Vermont------------------ 1 -
Massachusetts -------.--. 4 2 250 1 1 -
Rhode Island --------- 1 74 -
Connecticut-------------- 2 328 -
MIDDLE ATLANTIC ------------ 9 9 1,380 8 5 1 23
New York------------------- 3 3 822 3 3 20
New Jersey----------------- 1 2 276 -- 1- -
Pennsylvania--------------- 5 4 282 4 2 1 3
EAST NORTH CENTRAL-------. 13 14 *2 1,246 1 7 10 6 12
Ohio---------------------- 6 322 4 1 2 7
Indiana----------------.. 226 1 1 2 2 2
Illinois------------------- 5 5 206 3 2 -
Michigan ----- ------------ 8 2 1 297 1 4 3
Wisconsin----------------- 1 1 195 1 -
WEST NORTH CENTRAL---------- 2 2 284 1 1 9 8 28 20
Minnesota---------------- 1 22 3 4 4
Iowa----------------------- 59 1 11 6
Missouri----------------- 1 I 10 1 4 7 6 6
North Dakota--------------- 126 1 1
South Dakota--------------- 1 1 5 -
Nebraska------------------ 1
Kansas--------------------- 1 67 3
SOUTH ATLANTIC--------------- 7 9 844 1 17 19 18 4
Delaware------------------ -
Maryland------------------- 44 -
District of Columbia------- -- 1 2 1 1 -
Virginia------------------- 1 231 3 15 2
West Virginia-------------- 1 2 293 1 3 1 3 1
North Carolina------------- 1 3 45 2 7 -
South Carolina------------- 27 1 5 1
Georgia-------------------- 1 1 1 -- -
Florida-------------------- 2 3 198 1 2 -
EAST SOUTH CENTRAL--------- 8 1 1,552 1 17 27 1 11 15
Kentucky---------------- 4 241 4 10 1 1
Tennessee------------------ 2 1,250 1 11 15 9 14
Alabama-------------------- 2 1 23 2 2 1 1 -
Misissippi------------ 38 -
WEST SOUTH CENTRAL-------- 8 9 1,080 2 6 17 29 21 28
Arkansas------------------- 1 2 11 5 2 12 5 16
Louisiana----------------- 6 4 14 2 9 1 -
Oklahomaa----------------- 1 1 13 1 2 2 -
Texas---------------------- 2 1,042 2 11 6 15 12
MOUNTAIN.-------------------- -- 1 1 1,704 11 8 1
Montana-------------------- 63 1 4 -
Idaho--------------------- 77 -
Wyoming-------------------- 40 -
Colorado------------------- 654 5 1
New Mexico----------------- 1 472 1 4 -
Arizona------------ -------- 207 2 -
Utah---------------------- 1 183 1 -
Nevada--------------------- 8 1 -
PACIFIC -------------------- 7 2 996 2 3 13 12 10 5
Washington----------------- 1 432 -
Oregon------------------- 89 -
California----------------- 6 2 434 2 3 12 12 9 5
Alaska ----------- 41 1 -
Hawaii--------------------- --- ---

Puerto Rico------------------ .- 5 13 -








Morbidity and Mortality Weekly Report


NUMBER OF DEATHS IN SELECTED CITIES


, 9,000


-J


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


IAJLLLWILLLLLII IT I II I TI I T I I T I IITI I I T I TI I T


The chart shows the number of deaths reported for
117 major cities of the United States by week for the cur-
rent year, a 5-week moving average of these figures
plotted at the central week, and an adjusted average for
comparison. For each region the adjusted average was
computed as follows: From the total deaths reported each
week for the years 1956-1960, 3 central figures were
selected by eliminating the highest and lowest figure
reported for that week. A 5-week moving average of the
arithmetic mean of the 3 central figures was then com-
puted with adjustment to allow for population growth in
each region. The average value of the regional increases
was 2 percent which was incorporated in the adjusted
average shown in the chart.
Table 4 shows the number of death certificates re-


ceived during the week indicated for deaths that occurred
in selected cities. Figures compiled in this way, by week
of receipt, usually approximate closely the number of
deaths occurring during the week. However, differences
are to be expected because of variations in the interval
between death and receipt of the certificate and because
of incomplete reporting due to holidays or vacations. If a
report is not received from a city in time to be included
in the total for the current week, an estimate is used.
The number of deaths in cities of the same size may
also differ because of variations in the age, race, and sex
composition of the populations and because some cities
are hospital centers serving the surrounding areas. Changes
from year to year in the number of deaths may be due in
part to population increases or decreases.


Table 3. DEATHS IN SELECTED CITIES BY GEOGRAPHIC DIVISIONS


(By placeof occurrence and weekof filing certificate. Excludes fetal deaths. Data exclude figures shownin parentheses in table 4)

12th 1th ted Cumulative, first 12 weeks
week week Adjusted change,
ended ended average, adjusted
Area March March 12th average
25, 18, week to 1961 196 Percent
1961 1961 1956-60 current change
week

TOTAL, 117 MPOR~ING CITIES---------------------- 11,53 11,769 11,906 -1.3 145,863 156,912 -7.0

New England-------------------------------(1 cities) 695 718 721 -3.6 8,936 9,991 -10.6
Middle Atlantic----------------------------(20 cities) 3,504* 3,538 3,311 +5.8 41,733 42,507 -1.8
Bast North Central--------------------------(21 cities) 2,425 2,481 2,490 -2.6 30,528 33,677 -9.4
West North Central---------------------------(9 cities) 771 738 839 -8.1 9,804 10,998 -10.9
South Atlantic-----------------------------(11 cities) 982 950 1,014 -3.2 12,612 13,928 -9.4
East South Central-------------------------(8 cities) 548* 508 551 -0.5 6,788 7,208 -5.8
West South Central--------------------------(13 cities) 1,000 996 1,075 -7.0 12,675 14,122 -10.2
Mountain-----------------------------------(8 cities) 377 385 371 +1.6 4,656 4,785 -2.7
Pacific----------------------------------- (13 cities) 1,451 1,455 1,534 -5.4 18,131 19,696 -7.9

*Includes estimate for missing reports.











Morbidity and Mortality Weekly Report 7

Table 4. DEATHS IN SELECTED CITIES

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


12th 11th j12h J1th
12th llth Cumulative, 12th llth Cumulative,
week week week week
ened ded first 12 weeks we first 12 weeks
ended ended ended ended
Area March March Area March March
25, 18, 25, 18,
1961 1961 1961 1960 1961 1961 1961 1960


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 ATLANTIC:
Albany, N.Y.-----------
Allentown, Pa.--------
Buffalo, N.Y.-----------
Camden, N.J.------------
Elizabeth, N.J.--------
Erie, Pa.--------------
Jersey City, N.J.-- ---
Newark, N.J.----------
New York City, N.Y.----
Paterson, N.J.----------
Philadelphia, Pa.--------
Pittsburgh, Pa.---------
Reading, Pa.-------------
Rochester, N.Y.----------
Schenectady, N.Y.--------
Scranton, Pa.------------
Syracuse, N.Y.-----------
Trenton, N.J.-----------
Utica, N.Y.--------------
Yonkers, N.Y.-----------

EAST NORTH CENTRAL:
Akron, Ohio------------
Canton, Ohio-------------
Chicago, Ill.-----------
Cincinnati, Ohio---------
Cleveland, Ohio---------
Columbus, Ohio-----------
Dayton, Ohio------------.
Detroit, Mich.------.--.
Evansville, Ind.--------
Flint, Mich.-------------
Fort Wayne, Ind.--------
Gary, Ind.---------------
Grand Rapids, Mich.-----
Indianapolis, Ind.------
Madison, Wis.----------
Milwaukee, Wis.-------
Peoria, Ill.-----------
Rockford, Il.-----------
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.------------


240
24
32
33
49
25
23
31
43
60
16
39
23
57


49*
23
155
41
34
37
75
108
1,896
34
520
172
20
107
18
42*
64
52
30
27

62
21
720
162
216
116
73
341
44
37
37
24
45
160
28
108
30
29
29
92
51


57
22
26
129
(31)
120
77


217
43
30
27
50
31
26
28
36
69
13
65
28
55


41
31
141
51
27
37
75
111
1,778
38
621
227
17
90
32
31
68
58
29
35

56
24
757
147
213
87
88
329
30
62
36
31
58
153
36
138
28
29
24
105
50


52
18
43
94
(30)
126
57


3,080
479
364
335
576
310
278
348
561
760
165
608
351
721


590
420
1,791
508
366
480
898
1,312
21,443
482
6,586
2,414
274
1,271
302
468
757
589
370
412

705
376
9,226
1,929
2,625
1,381
1,039
4,174
449
520
487
382
560
1,832
379
1,507
357
346
354
1,217
683


645
321
467
1,614
(364)
1,548
862


3,474
561
423
409
649
323
352
338
597
871
206
665
373
750


563
449
1,952
597
394
477
936
1,331
21,207
534
6,755
2,629
304
1,379
317
510
842
537
393
401

755
486
10,362
2,207
2,948
1,621
946
4,586
492
511
495
405
541
1,943
399
1,664
388
371
396
1,387
774


735
352
474
1,757
(336)
1,608
1,010


WEST NORiT 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, Ky.---------
Memphis, Tenn.------
Mobile, Ala.-------------
Montgomery, Ala.--------
Nashville, Tenn.--------

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

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

PACIFIC:
Berkeley, Calif.--------
Fresno, Calif.------
Glendale, Calif.--------
Honolulu, Hawaii--------
Long Beach, Calif.------
Los Angeles, Calif.-----
Oakland, Calif.------
Pasadena, Calif.--------
Portland, Oreg.---------
Sacramento, Calif.-----
San Diego, Calif.-------
San Francisco, Calif.----
San Jose, Calif.------
Seattle, Wash.----------
Spokane, Wash.---------
Tacoma, Wash.-----------

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


233 232
70 78
37 38


90 107
270 226
48 39
51 77
75 68
51 42
74 76
25 29
(79) (81)
77 70
187 181
34 35


75 90
46 53
29 19
162 73
109 140
43* 44
24 39
60 50

27 35
29 15
40 25
123 127
43 32
69 87
140 175
51 52
145 180
82 79
102 102
57 39
92 48


32 21
18 15
103 140
17 11
89 88
18 19
52 49
48 42


20 18
(32) (50)
(31) (33)
42 35
55 70
505 508
92 94
37 41
118 112
49 47
99 93
221 219
(33) (45)
130 138
34 48
49 32

(31) (31)


2,951 3,490
838 976
558 596


1,472
3,136
466
753
951
610
1,031
439
(978)
884
2,382
488


1,110
642
370
1,468
1,507
523
416
752

422
361
315
1,559
470
854
2,182
696
2,141
989
1,296
668
722


393
207
1,460
189
1,078
199
615
515


209
(537)
(403)
493
742
6,587
1,204
406
1,256
777
1,131
2,628
(423)
1,638
553
507

(406)


1,616
3,567
596
895
998
620
1,092
506
(1,028)
896
2,608
534


1,184
665
412
1,556
1,514
582
473
822

519
420
350
1,670
542
908
2,346
835
2,561
1,021
1,447
702
801


401
234
1,617
223
1,011
193
633
473


231
(667)
(546)
538
718
7,336
1,267
478
1,388
808
1,241
2,687
(369)
1,827
598
579

(436)


J L L _____


*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


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SOURCE AND NATURE OF MORBIDITY DATA


These provisional data are based on re-

ports 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 Division 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 I shows the States reporting

these diseases. When diseases of rare occur-

rence 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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