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:
AA00010654:00339

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
W r I r V f IF I








Morbidity and Mortality





PUBLIC HEALTH SERVICE

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


Propured by the C I MElrose 4-5131


For release April 7, 1961 Atlanta 22. Georgia V.2. 10, l.. 13


Provisional Information on Selected Notifiable Diseases in the United States and on


Deaths in Selected Cities for Week Ended April 1, 1961


Influenza There have nor been any reports of
influenza activity in the continental United States with
the exception of New York State (Vol. 10, No. 12). Deaths
due to influenza and pneumonia for the nation are within
limits of seasonal expectancy.

Diphtheria Pennsylvania had 6 of the 9 cases
reported this week. Dr. W. D. Schrack, Director, Communi-
cable Disease Control has notified us that the cases
occurred over the period March 10-24 in 3 families of
Washington Township, a rural area in Lehigh County
(Eastern Pennsylvania). In addition, six asymptomatic
carriers have been found. Four cases and 2 carriers were


in a single family. All but 2 of the 12 cases and carriers
were schoolchildren and they appear to be interrelated
through the 2 consolidated schools and school bus system
of the township. Ten of the 12 had no history of immuniza-
tion. To date, toxigenic mitts strains have been isolated
from 2 cases and 2 carriers. Classroom and school bus
cultures are being done to find other carriers. In a mass


than 3,000 doses o0 ed4sia u pe D-T vaccine
have been given. ollgup immunize aons' e planned.


Hepatitis .


[e continues.


Table 1. Cases of Specified Notifiable Diseas

(Cumulative totals include revised and delayed reports through


Disease
(Seventh Revision of International
Lists, 1955)


Weekly incidence low or sporadic
- Data not available
- Quantity zero


Anthrax------------------------062
Botulism------------------------049.1
Brucellosis undulantt fever)----044
Diphtheria----------------------055
Encephalitis, infectious -------- 082
Hepatitis, infectious, and
serum-----------------092,N998.5 pt.
Malaria--------------------110-117
Measles------------------------- 085
Meningitis, aseptic----------340 pt.
Meningococcal infections --------057
Poliomyelitis----------- ------080
Paralytic--------------080.0,080.1
Nonparalytic-----------------080.2
Unspecified----------------080.3
Psittacosis-------------096.2
Rabies in man-------------------094
Streptococcal sore throat,
including scarlet fever----050,051
Typhoid fever-------------------040
Typhus fever, endemic---------- -101
Rabies in animale-----------------


13th Week


Ended
April
1,
1r 9


Ended
April
2,
190O


Median
1956-60


Cumulative


9 1


First 13 weeks


Median
195'- f6


Since seasonal low week


1960-61 1959-60


Median
1955-56
to
i Cl- r.


I I I I I I I I


I ?
iC'
-.0

1,8'S
I -


50

3
1&




8.529
14
12
72


1 I
10
35

8-40
1
16,-28
'7
-,,
9
5
3
1
3


9,188
8


*
*
16
1
35;

.33
*
20,623

58
30
21

5
*
*


10
*95

95,


134
203
342

23,161
8
151. 192
290
653
107;
64
25
18
15
2

12., 356
115
9
850


6
3
189
22 "
3-8

9,713
13
1. ,733
3b8
;16
21,)

3'
26
28


113,6.1
127
5
1,101


*
*
18-.
260
306

6, 55 :

184,768

753
24 3
208
48
37
*
*


180


1,261


J _______ I I I L


*
*

783
342

38, 368

18',.02
29,-,:
1,309
3.171
2,172
6-'
352



222,008t
818


1 ,26


*



"55
3-.8

1; O13

1 3, 3-
j68
1.-.03
8,4qO
5.655
2, 153
682?
*



85.


2,081


*

*
9"3
30o

11 95.

215,536 6

1,5-5
8,-90
5,655
2,153
682
f-


I 192


2.081


Approxi-
mate
seasonal
low
point


July
Jan.

Sept.

Sept.
Jan.
Sept.
Apr.
Apr.
Apr.
Apr.


Aug. I
Apr. 1

Oct. 1


I


I


I








Morbidity and Mortality Weekly Report


The graph shows reported hepatitis cases
in the United States by 4 week periods
since 1952. The recent period ending
March 25 continues the upward trend
noted earlier (Vol. 10, No. 10). However,
the rate of ascent has not been as steep
as in the two preceding 1961 periods.
On the basis of the weekly trend, the
next period ending April 22 should show
a leveling off or slight decline. The 1961
cumulative total of 23,161 cases for the
13-week period ending April 1 is 138
percent above the number reported during
a comparable period last year and well
above the 17,101 cases reported in 1954.
This week 1,878 cases were reported,
a slight decline from last week s total
of 1,914.


Poliomyelitis Only 4 cases, 3 paralytic, were re-
ported this week. The--Pennsyjania case with onset on
January 21, in SnydeupCounty j tih first 1961 -case re-
ported by this State..,ther cases,include an unvaccinated
case in Guernsey County, Ohio, and cas in San Joaquin
and Fresno Counties, California. ,
Thus far in 1961, 5 poliolnyelitis d& ths including 4
adults have been reported to CDC. O -t se, 3 were un-
vaccinated an IL ad a single dose.' f
As part of the ouqrent natioffw e surveillance of
enteroviruses, a te 4is ting o( isolions from 1961 speci-
mens reported by Stateila irem ees is printed on page 8.

Typhoid Dr. Samuel Andelman, ,Health Commis-
sioner, Chicago, reports that since March 24, 12 children
age six months to 14 years and one adult, age 24 years,
have been hospitalized at the Cook County Hospital with
confirmed or suspect typhoid fever. The cases originated
in a West Side Chicago neighborhood. Ten of the 13 cases
are from two families. An intensive epidemiologic investi-
gation is in progress; typhoid immunizations are being
administered extensively throughout this area and to
contacts of cases.


EPIDEMIOLOGICAL REPORT

Hepatitis Mississippi and Alabama

Seventy-seven cases of infectious hepatitis which
occurred during the first 3 months of 1961 in Mississippi
and Alabama have been traced to the consumption of raw
oysters obtained from a localized area at the mouth of the
heavily contaminated Pascagoula River (See Volume 10,
Number 6).


Known cases were confined to the cities of Pasca-
goula, Mississippi; Mobile and Troy, Alabama and the im-
mediately surrounding county areas. In each of these
cities two-thirds or more of the reported cases gave a
history of having eaten raw oysters 20 to 40 days prior
to onset of symptoms. The oyster-related cases were
predominately adults, many of whom were in the middle
and upper socio-economic classes. Among these cases
there was rarely a history of contact with a previous case
of hepatitis. The following table shows total oyster-
related cases in each of the cities and counties involved.

Oyster-Related Hepatitis Cases by Place of Onset


City and County


Total Cases
Age
No. <20 >20


Oyster Related Cases
Age
No. <20 >20


Jackson County
Pascagoula 50 22 28 37 13 24
Rest of County 43 32 11 9 4 5
Mobile County
Mobile 31 5 26 21 0 21
Rest of County 24 16 8 6 1 5
Pike County
Troy 6 3 3 4 1 3
Total 154 78 76 77 19 58


The source of the oysters consumed in each of these
cities could be traced to a single oyster bed located near
a beacon at the mouth of the Pascagoula River about a
mile below the point where raw sewage from the city is
emptied. In the Pascagoula area, several of those who
became ill had tonged their oysters directly from this bed,
most of the remainder had purchased them from a local
(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 APRIL 2, 1960 AND APRIL 1, 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

Are Cumulative, Cumulative, fever)
13th Week first 13 weeks 13th Week first 13 weeks 080.2 340 pt. 044


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

UNIED STATES ---------- 4 9 107 216 3 5 64 154 1 3 29 17

W ENGAND ------------ -EN 3 6 3 6 2
Maine---------------------- 2 2 -
New Hampshire------------- -
Vermont------------------- -
Massachusetts-------------- 2 4 2 4 2
Rhode Island--------------- -
Connecticut---------------- 1 -
MIDDE ATANTIC----------- 1 10 32 1 9 22 -
New York------------------- 3 28 2 18 -
New Jersey----------------- 2 3 2 3 -
Pennsylvania--------------- 1 5 1 1 5 1 -
EAST NORTH CENTRAL---------- 1 2 16 27 1 1 10 7 6 2
Ohio---------------------- 1 1 8 15 1 4 3 1
Indiana-------------------- 1 -
Illinois---------------- 3 3 3 2 3 2
Michigan------------------- 1 1 7 1 1 2 2
Wisconsin----------------- 3 2 1 -
WEST NORTH CENTRAL ------- 2 13 2 7 1 9
Minnesota--------------- -- 1 8 1 6 1 1
Iowa --------------------- 3 1 7
Missouri-------------- --- -- i 1
North Dakota------------- -
South Dakota--------------- -
Nebraska----------------- 1 -
Kansas--------------------- -
SOUTH ATLATIC----------- 2 10 41 2 6 34 -- 2 2
Delaware------------------- 2 -
Maryland--------------- -
District of Columbia-------- 1
Virginia----------------- I
West Virginia------------- 1 2 3 1 1 3 -
North Carolina------------- 3 12 2 12 1
South Carolina------- 2 2-
Georgia-------------------- 1 2 1 2
Florida-------------------- 1 2 21 1 1 15 1
EAST SOUTH CENTRAL--------- 13 8 2 7 2 1
Kentucky---------------- 13 6 2 5 -
Tennessee----------------- -
Alabama------------------- 1 -
Mississippi---------------- 1 1 1 1
WEST SOUTH CENTRAL----------- 1 13 11 5 8 1 3 2
Arkansas------------------- 1 2
Louisiana---------------- 3 5 2 4 -
Oklahoma-------------------- 1 1 -
Texas---------------------- 1 9 5 3 3 1 3
MOUNTAIN ------------------ 15 11 9 7 3 1
Montana-------------------- 4 1 3 -
Idaho---------------------- 3 4 1 -
Wyoming------------------- -
Colorado------------------- 3 3 3- -
New Mexico---------------- 1 3 1
Arizona------------------- 2 2 1 2 -
Utah---------------------- 5 1 3 1 -
Nevada-------------------- -
PACIFIC---------------------- 2 4 25 67 1 2 18 56 1 2 10
Washington---------------- -- 6 -- 6-
Oregon--------------------- 1 2 11 1 1 7 1
California----------------- 2 3 22 49 1 1 16 42 1 2 9
Alaska------------------ -
Hawaii--------------------- 1 1 1 1 -

Puerto Rico------------------ 1 1 2 26 1 1 2 26









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 APRIL 2, 1960 AND APRIL 1, 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,N998.5 pt. Measles
infectious
Area Cumulative, Cumulative,
13th Week first 13 weeks 082 13th Week first 13 weeks 085


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


UNITED STAES--------- 9 10 203 224 40 35 1,878 840 23,161 9,793 14,547 16,428

EW ENGLAND------------------ 2 6 6 3 41 26 671 324 1,322 776
Maine------------------- 2 1 1 32 22 20 141
New Hampshire-------------- 1 4 46 9 70 13
Vermont------------------- 5 101 5 3 105
Massachusetts-------------- 2 3 3 1 20 15 224 169 628
Rhode Island--------------- 1 2 2 4 1 90 57 395 88
Connecticut---------------- 1 10 5 178 62 206 429
MIDDLE ATLANTIC--------- 6 10 7 5 10 239 98 3,476 942 2,219 2,658
New York------------------ 3 1 1 6 120 39 1,417 476 1,030 2,132
New Jersey---------------- 1 2 3 65 12 842 68 549 385
Pennsylvania--------------- 6 7 5 2 1 54 47 1,217 398 640 141
EAST NORTH CENTRAL-------- 1 5 20 2 1 353 203 4,430 1,947 4,404 4,904
Ohio----------------------- 1 13 117 82 1,725 571 918 741
Indiana------------------- 3 1 58 31 723 293 207 427
Illinois------------------ 4 2 45 43 706 405 480 1,002
Michigan----------------- 1 2 2 132 45 1,159 559 1,093 1,377
Wisconsin------------------ 1 2 117 119 1,706 1,357
WEST NORTH CENTRAL------ 1 13 12 190 67 2,327 860 540 418
Minnesota---------------- 6 3 22 10 545 88 14 333
Iowa------------------- -- 1 2 87 6 595 161 234 31
Missouri----------------- 1 30 29 548 313 173 13
North Dakota-------------- 1 7 2 48 78 50 31
South Dakota------------ 1 5 4 5 2 99 90
Nebraska--------------- 1 20 3 228 61 69 10
Kansas------------------ 1 19 15 264 69 NN NN
SOUTH ATLANTIC--------------- 1 1 37 52 4 2 241 117 2,664 1,134 1,433 892
Delaware-------------- 25 6 85 56 84 7
Maryland----------------- 1 1 1 21 14 252 119 128 170
District of Columbia------- 1 1 4 2 26 10 4 78
Virginia------- --------- 6 8 28 26 322 281 379 176
West Virginia------------- 1 1 44 20 576 239 225 127
North Carolina-------- --- 5 1 2 1 53 7 629 59 267 38
South Carolina--------- 1 13 17 5 187 30 89 49
Georgia---------------- 7 8 30 9 279 106 48 3
Florida----------------- 16 21 1 19 28 308 234 209 244
EAST SOUTH CENTRAL----- 2 5 23 341 98 4,021 1,531 1,242 1,360
Kentucky------------------ 2 72 43 1,207 654 554 460
Tennessee------------------ 2 2 5 143 36 1,668 481 496 756
Alabama--------... .-------.. 1 12 73 11 656 293 143 50
Mississippi--------------- 6 53 8 490 103 49 94
WEST SOUTH CENTRAL-------- 1 5 126 77 5 119 73 1,568 709 522 2,834
Arkansas------------------ 1 1 24 4 319 33 56 45
Louisiana----------------- 3 12 17 11 1 118 28 1 5
Oklahoma---------------- -- 2 5 1 4 8 108 117 27
Texas ---------------- 1 2 111 54 4 80 60 1,023 531 465 2,757
MOUNTAIN----------------- 1 5 26 1 93 64 1,505 876 684 728
Montana------------------ 1 2 2 12 6 160 44 75 66
Idaho--------------------. 11 6 4 84 126 56 113
Wyoming------------ 5 1 10 1 59 6 4 3
Colorado------------------ 3 2 31 27 494 252 97 189
New Mexico-------------- 2 7 13 228 152 NN
Arizona------------------- 10 9 161 200 416 130
Utah---------------------- 3 15 4 276 80 32 200
Nevada------------------- 2 43 16 4 27
PACIFIC-----.------------- -- 1 23 13 261 94 2,499 1,470 2,181 1,858
Washington---------------- 46 11 324 173 317 454
Oregon------------------- 3 18 456 279 170 293
California-------------- 23 13 130 62 1,588 910 1,678 951
Alaska------- ------- 46 2 111 75 10 17
Hawaii------------------- 1 1 20 33 6 143

Puerto Rico ------------ 1 6 24 62 15 47 144 302 22 45

NW-NOI NOLItfrale









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 APRIL 2, 1960 AND APRIL 1, 1961 Continued

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

Strepto-
Psitt- coccal Typhoid fever 040 Typhus
Meningoccocal Psitta-, Rbei
Malaria infections cosis sore feverC Rabies in
throat, endemic 8
Area etc. Cumulative,
110-117 057 096.2 050,051 13th Week first 13 weeks 101

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

UNITED STATES--------- 50 54 1 8,529 14 8 115 127 1 72 80

Nz ENGIAND------------------ 5 7 729 1 3 1 -
Maine------------------------ 1 51 1 -
New Hampshire---------- 25 -
Vermont------------------- 1 12 -
Massachusetts-------------- 2 3 254 1 1 -
Rhode Island------------ 2 69 1 1 -
Connecticut---------------- 2 1 318 -
MIDDIE ATATIC------------- 10 14 1 1,160 8 5 1 3
New York------------------ 3 10 1 716 3 3 1 3
New Jersey---------------- 2 284 1 -
Pennsylvania--------------- 5 4 160 4 2 -
EAST NORTH CBNTRAL--------- 9 6 1,135 2 7 12 5 10
Ohio----------------------- 1 1 247 4 1 1
Indiana------------------- 2 193 2 1 4 1 3
Illinois----------------.-- 2 1 185 3 1 -
Michigan----------------- 6 1 299 1 4 2 7
Wisconsin----------------- 1 211 1 -
WEST NORTH CETRAL --------. 3 259 1 10 8 22 13
Minnesota---------------- 1 9 1 4 2 5
Iowa--------------------- 73 1 8 2
Missouri ----------------- 2 29 4 7 6 5
North Dakota ------------ 68 1 -
South Dakota------------- 4
Nebraska------------------- 1
Kansas-------------------- 80 1 1
SOUTH ATLANTIC------------ 6 10 614 6 23 19 5 12
Delaware--------------- ---. 1- -
Maryland------------------ 2 46 -
District of Columbia------- 2 1 1 -
Virginia------------------ .- 1 2 181 3 1 10
West Virginia-------------- 1 2 244 1 4 1 4 1
North Carolina------------- 1 2 29 3 5 7 -
South Carolina------------- 27 1 2 5 -
Georgia ------------------- 9 9 1
Florida-------------------- 1 3 59 1 2 2 -
EAST SOUTH CETRAL--------- 1 7 1,667 1 17 28 11 14
Kentucky------------- 409 4 10 1 3
Tennessee----------------- 3 1,204 1 11 16 5 8
Alabmaa-------------------- 1 2 16 2 2 5 3
Mississippi--------------- 2 38 -
WEST SOUTH C NTRAL----------- 4 2 539 3 4 20 33 1 16 27
Arkansas------------------ I 15 2 12 2 7
Louisiana--------------- 3 1 1 3 10 2 -
Oklahoma------------------ 2 23 2 2 1
Texas--------------------- 2 1 498 2 3 13 9 1 12 19
MOUNTAIN-------------------- 3 3 1,407 1 1 12 9 4 -
Montana-------------------- 47 1 1 5 -
Idaho-------------------- -- 134 -
Wyoming--------------- 41 -
Colorado---------------- 1 429 5 2
New Mexico---------------- 1 334 1 2 4 2
Arizona-------------------- 1 165 2 -
Utah---------------------- 1 1 254 1 -
Nevada------------------ 1 3 1 -
PACIFIC-------------------- 9 5 1,019 2 15 12 8 1
Washington---------------- 1 441 -
Oregon--------------------- 50 -
California----------------- 8 3 463 2 14 12 8 1
Alaka64------------- 1 64
Hawaiic--------------- 1 -

Puerto Rico----------------- 20 1 5 14 1 6







Morbidity and Mortality Weekly Report



NUMBER OF DEATHS IN SELECTED CITIES


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


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


Table 3. DEATHS IN SELECTED CITIES BY GEOGRAPHIC DIVISIONS


(By place of occurrence and week of filing certificate. Excludes fetal deaths. Data exclude figures shown in arentheaee in table 4)

13th 12th Adusted Cumulative, first 13 weeks
week week Adjusted change,
ended ended averages adjusted
Area April ended 13th average
1, 25, week to 1961 1960 P
1961 1961 1956-60 current change
week

TOTAL, 117 REPORTIfN CITIES---------------------- 11,319 11,746 11,759 -3.7 157,175 168,679 -6.8

New England-------------------------------(14 cities) 679 695 712 -4.6 9,615 10,752 -10.6
Middle Atlantic-----------------------------(20 cities) 3,478 3,500 3,284 +5.9 45,207 45,758 -1.2
East North Central--------------------------(21 cities) 2,235 2,425 2,468 -9.4 32,763 36,178 -9.4
West North Central-------------------------(9- cities) 709 771 826 -14.2 10,513 11,812 -11.0
South Atlantic------------------------------(11 cities) 959 982 1,002 -4.3 13,571 14,927 -9.1
East South Central--------------------------(8 cities) 547* 545 538 +1.7 7,332 7,778 -5.7
West South Central------------------------ (15 cities) 976 1,000 1,048 -6.9 13,651 15,114 -9.7
Mountain-----------------------------------(8 cities) 379 377 371 +2.2 5,035 5,158 -2.4
Pacific------------------------------------- (13 cities) 1,357* 1,451 1,510 -10.1 19,488 21,202 -8.1

*Includes estimate for missing reports.


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.-----------
Iynn, Mass.--------------
New Bedford, Mass.-------
New Haven, Conn.--------
Providence, R.I.---------
Somerville, Mass.-----
Springfield, Mass.----
Waterbury, Conn.--------
Worcester, Mass.---------

MIWEE 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, hio------------
Canton, Chio------------
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, 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.--------


13th
week
ended
April
1,
1961


12th
week
ended
March
25,
1961


a. a


221
33
24
26
34
28
33
25
47
67
9
47
32
53


57
29
158
54
37
50
51
86
1,847
34
544
202
14
107
27
28
57
33
34
29


58
39
600
143
175
102
79
332
30
50
46
30
40
145
38
91
28
30
15
106
58


44
23
38
100
(28)
107
82


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


52
23
155
41
34
37
75
108
1,896
34
520
172
20
107
18
35
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


3,301
512
388
361
610
338
311
373
608
827
174
655
383
774


650
449
1,949
562
403
530
949
1,398
23,290
516
7,130
2,616
288
1,378
329
489
814
622
404
441


763
415
9,826
2,072
2,800
1,483
1,118
4,506
479
570
533
412
600
1,977
417
1,598
385
376
369
1,323
741


689
344
505
1,714
(392)
1,655
944


Cumulative,
first 13 weeks


1961 1960


3,762
608
462
442
689
345
371
357
647
931
223
709
399
807


612
486
2,096
642
425
521
1,021
1,411
22,975
569
7,116
2,833
338
1,475
339
541
911
581
422
444


813
514
11,109
2,368
3,169
1,747
1,024
4,936
541
547
530
426
570
2,100
430
1,797
426
398
430
1,479
824


792
371
506
1,866
(359)
1,728
1,090


Area


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

SOUTH ATlANTIC:
Atlanta, Ga.------------
Baltimore, Md.-----------
Charlotte, N.C.------
Jacksonville, Fla.------
Miami, Fla.-------------
Norfolk, Va.------------
Richmond, Va.------------
Savannah, Ga.------------
St. Petersburg, Fla.---
Tampa, Fla.-------------
Washington, D.C.--------
Wilmington, Del.-------

EAST SOUTH CENTRAL:
jirmingham, 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.-----------


13th
week
ended
April
1,
1961


239
43
33


122
255
31
60
69
38
62
34
(78)
54
198
36


89*
36
18
138
128
39
29
70


36
19
18
134
40
60
206
54
141
73
96
54
45


35
14
112
14
85
16
53
50


19
(49)
(26)
35
49
476
96
26
92
62
86
187*
(39)
143
50
36

(---)


12th
week
ended
March
25,
1961


233
70
37


90
270
48
51
75
51
74
25
(79)
77
187
34


75
46
29
162
109
40
24
60


27
29
40
123
43
69
140
51
145
82
102
57
92


32
18
103
17
89
18
52
48


20
(32)
(31)
42
55
505
92
37
118
49
99
221
(33)
130
34
49

(31)


Cumulative,
first 13 weeks


1961


3,190
881
591


1,594
3,391
497
813
1,020
648
1,093
473
(1,056)
938
2,580
524


1,199
678
388
1,606
1,635
559
445
822


458
380
333
1,693
510
914
2,388
750
2,282
1,062
1,392
722
767


428
221
1,572
203
1,163
215
668
565


228
(586)
(429)
528
791
7,063
1,300
432
1,348
839
1,217
2,815
(462)
1,781
603
543

(406)


1960



3,776
1,040
643


1,718
3,804
645
958
1,076
656
1,181
562
(1,119)
957
2,795
575


1,273
721
447
1,674
1,647
619
526
871


553
455
376
1,799
578
962
2,528
888
2,726
1,088
1,545
741
875


439
251
1,727
243
1,090
210
683
515


252
(704)
(573)
574
777
7,835
1,375
506
1,511
860
1,349
2,909
(395)
1,983
642
629

(470)


*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

IlI1111I II II1111111 111 1111 l11111
3 1262 08864 0270


Morbidity and Mortality Weekly Report


commercial source. Oyster-related cases in Troy vwere
derived from the same commercial source.
Oysters consumed by cases in the Mobile area had
been obtained from a downtown restaurant and other local
distributors. However, they were traced back through
fishermen who admitted tonging oysters at the mouth of
the Pascagoula River.
Hepatitis cases were investigated also in other Gulf
Coast cities including Biloxi, Gulfport, Panama City,
Pensacola, Apalachicola, and Port St. Joe. Few cases
had occurred in these cities and they were not oyster
related; most were under 20 years of age.
Although hepatitis cases were associated with oys-
ters from the river mouth and not the Pascagoula Reef
located west of the river, multiple water samples taken
over the reef on February 10 had coliform counts far in
excess of minimum shellfish certification standards. On
this basis, the entire Pascagoula oyster fishing area was
closed on February 18, 1961.
No hepatitis cases ascribed to contaminated oysters
have occurred since March 8.
This report is a summary of an investigation carried
out by the State Health Departments of Alabama and
Mississippi and the Communicable Disease Center and
Shellfish Sanitation Section of the U. S. Public Health
Service.



INTERNATIONAL NOTES
Smallpox The WHO Weekly Epidemiological Record,
No. 13, March 30, 1961, reports the details of an imported
case of smallpox in the Ansbach, Bavarian region, West
Germany. The case arrived in Frankfurt am Main March 11,
on Pan-American World Airways Flight #1 from Karachi,
Pakistan en route to New York. The case became ill on
March 19, was hospitalized on March 25 and confirmed as
smallpox on March 29. No secondary cases have been
reported.



Enterovirus Surveillance
Reports on Isolations from State Laboratories
on 1961 Specimens

Dates of
State Type Isolates Specimens Reported by
Florida Polio I 1 1-24-61 N. J. Schneider
Hawaii Polio I 1 2-16-61 K. S. Wilcox
Idaho Polio I 4* January A. W. Klotz
Maryland Non-Polio 2 2-27-61 C. A. Perry
Enterovirus
Texas Polio III 1 February J. V. Irons
*All from one family only one having clinical symptoms.


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.

S UNIV OF FL L'i
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