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:
AA00010654:00340

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 *


I


PUBLIC HEALTH SERVICE

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

Pepfred by Ihe MElrose 4-5131

For release April 14, 1961 Atlanta 22, Georgia Vol. 10, lo. 14

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

Deaths in Selected Cities for Week Ended April 8, 1961


Influenza Connecticut becomes the second State to
report influenza activity this year. (New York City re-
ported cases and influenza A, virus isolations in Volume
10,.Number 13). Dr. Franklin M. Foote, Commissioner,
State Department of Health, Connecticut, reports that the
State Laboratory has found significant rises in titer for
influenza A2 in paired specimens of blood from three
persons in Stamford. The patients include a male physi-
cian who became ill late in February, a 60-year-old woman
who became ill on February 21, and a 47-year-old man who
was ill on February 26. All three had fever, cough, and
generalized aches and pains.
Dr. A.M.M. Paine, Chairman, Department of Epidemi-
ology and Public Health, Yale University School of Medi-


cine, f formed at influenza is occurring in New
Ha n e ira _ion university personnel and that
i So s of the infl nza' 2 virus have been made in
b laboratory.
he i er of death 'u to influenza and pneumonia
n within normal seha I limits for the nation and
-e geographical divi / ee graph, page 2).

tt -ined high incidence continues.

Poliomyelitis-This week, 9 cases, 8 paralytic, were
reported. The only State accounting for more than one
paralytic case was California with four. Two of these
were from different cities in Alameda County. Both were


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

Disease 14th Week Cumulative
(Seventh Revision of International Approxl-
Llta, 1955) First 14 weeks Since seasonal low week mate
Ended Ended seasonal
April April Median Median low
Weekly incidence low or sporadic 8, 9 196-k. Median -. ,, i9-5 point
-- Data not available 1961 196C, 1el 196L0 i9_ 19 -61 1 -6 to
Quantity zero 199-6,
Anthrax -------------------062 6 a *
Botulism --------------------049.1 4 3 *
Brucelloesi undulantt fever) ----04 14 25 21 148 214 209 *
Diphtheria--------.----.... ----- 055 13 15 15 216 239 267 796 774 978 July I
Encephalitis, infectiou--------082 19 27 30 361 375 332 361 375 332 Jan. 1
Hepatitis, infectious, and 1,906 938 419 25,066 10,731 6969 40,273 18,550 12,.13 Sept. I
serum----------.. ---092,N998.5 pt.
Mlaria-------------------110-117 2 10 13 *
Measles---------- ----------..-.---05 15,126 19,197 20,674 166,318 166,930 205,442 2012,528 202,543 241,785 Sept. 1
Meaningtis, aseptic----------340 pt. 34 26 --- 324 39 --- 324 394 -- Jan. 1
Meningococcal infection---------057 55 51 54 708 76; 807 1,364 1,457 1,599 Sept. I
Poliaolelitis-------------------080 9 11 19 112 227 312 9 11 19 Apr. 1
Paralytic------------080.0,080.1 8 10 13 68 164 221 8 10 13 Apr. 1
iNoparalytic-------------080.2 1 4 25 37 52 1 4 Apr. I
tUnhpecflied--------------080.3 1 2 19 26 39 1 2 Apr. 1
Poittacosis---------.---- -096.2 2 2 17 30 *
Rabies in man----------------094 2 *
Btreptococcal sore throat, 9,021 8,826 --- 133,377 122,467 --- 231,029 --- --- Aug. 1
Including scarlet fever------050,051
Typhoid fever----------------040 15 13 13 130 140 190 15 13 13 Apr. 1
'~phus fever, endemic---------- 01 9 5 ** *
Rabies in animals-----------------. 93 79 99 943 1,180 1,39. 1,519 2,160 2,176 Oct. 1


* Z)a? ale / 'I IV e)/ Itf








Morbidity and Mortality Weekly Report




WEEKLY PNEUMONIA AND INFLUENZA DEATHS


UNITED STATES, 108 cities


NORMAL
INCIDENCE


19 10 24 7 21 5 9 9 25 6 20 5 19 9 21 7 21 4 18 9 23 6 20 10 24 8 22 5 19 10 24 7 21 4 iB 4 18 8 22
SEP OCT 'NOV DEC JAN' FEB MAR APR 'MAY JUN JUL AUG SEPOCT NOV DEC JAN' FEB MAR 'APR
1959 1960 1960 1961

The chart compares observed pneumonia-influenza deaths in 108 United States cities with
expected levels. No significant excess has been observed during the current season. Al-
though recoveries of Asian strain influenza virus have been recently reported in the
Middle Atlantic and New England Divisions no excess mortality has beeA observed this
year. Under similar circumstances in 1959 an increase in pneumonia-influenza deaths
occurred in late March and early April.


bulbospinal cases with onsets in early March who were
incompletely vaccinated. The other California cases were
from Sacramento and Tuolumne Counties. Florida (Hills-
borough County), Georgia (Chatham County), Mississippi
(Quitman County), and Texas each reported one paralytic
case. Through the 14th week of 1961, there have been 112
total cases, 68 paralytic, reported to CDC compared to
227 total cases, 164 paralytic, for the same period last
year.

Typhoid The Illinois typhoid cases listed in Table
2 are official reports of seven of the Chicago cases de-
scribed in the epidemiological reports one week ago.



1960 POLIOMYELITIS FATALITIES

During 1960, there were 210 fatalities due to polio-
myelitis reported to the Poliomyelitis Surveillance Unit
of the Communicable Disease Center. Of the 194 deaths
in which localization of paralysis was known, 94 percent
were bulbar cases. The fatalities are presented in the
following table by age group and vaccination history. The
corresponding number of cases with residual paralysis and
the paralytic case-fatality ratio is given for each age
group. The age distribution of fatal cases is quite dif-
ferent from that of paralytic cases. While 43 percent of the
paralytic cases were 0-4 years of age, only 20 percent of
the fatalities were in this age group. Conversely, one-half
of the fatalities, but only 21 percent of the paralytic


cases, were over 20 years of age. The paralytic case-
fatality ratio increases with age from 4.5 percent in the
0-4 age group to 44.6 percent among those 40 and over,
indicating a more severe involvement in the older age
groups. The case-fatality ratio has increased from 7.4 per-
cent in 1958 to 8.3 percent in 1959 and to 9.5 percent
in 1960.

POLIOMYELITIS FATALITIES BY AGE GROUP AND
VACCINATION HISTORY, UNITED STATES 1960"

Fatalities Total' Paralytic
Age Doses of Vaccine Paralytic Fatality
Group 0 1-2 3 Unk Total Cases Ratio (%)
0 1-2 3 4+ Unk Total
0-4 27 7 7 2 0 43 952 4.5
5-9 16 9 8 5 1 39 514 7.6
10-14 4 5 3 2 0 14 174 8.0
15-19 6 2 0 1 0 9 113 8.0
20-29 35 6 4 1 3 49 264 18.6
30-39 22 6 0 0 2 30 140 21.4
40* 23 0 0 0 2 25 56 44.6
Unk. 0 0 0 0 1 1 5-
Total 133 35 22 11 9 210 2,218 9.5
Fatalities and cases with residual paralysis reported to PSU, CDC.



Correction on Volume 10, Number 12
In the summary of Food-Borne Disease Outbreaks
(Volume 10, Number 12), an error was made in the trichi-
nosis cases reported from Iowa. The entry under "place
prepared" should be "home made" rather than "packer."
(Continued on page 8)


I.






NUMBER
OF

DEATHS










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 9, 1960 AND APRIL 8, 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
Area fciwr)
Area active Cumulative, ulative, fever)
14th Week first 14 weeks 14th Week first 14 weeks 080.2 340 pt. 044


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

UNITED STATES- ------ 9 11 112 227 8 10 68 164 1 34 14

NEW ENGIAND----------------- 3 6 3 6 1 -
Maine---------------------- 2 2 1 -
New Hampshire------------ -
Vermont------------------- -
Massachusetts-------------- 2 4 2 4 -
Rhode Island--------------- -
Connecticut--------------- 1 -
MIDDE ATLANTIC --------- 2 6 34 1 5 23 1 -
New York------------------- 1 3 29 1 2 19 -
New Jersey----------------- 2 3 2 3 -
Pennsylvania-------------- 1 1 2 1 1 1 -
EAST NORTH CENTRAL----------- 16 27 10 7 14 1
Ohio----------------------- 8 15 4 3 1 -
Indiana-------------------- 1 1 -
Illinois------------------- 3 3 3 2 3 1
Michigan------------------ 1 7 1 2 7 -
Wisconsin----------------- 3 2 1 3 -
WEST NORTH CENTRAL---------- 2 13 2 7 1 8
Minnesota------------------ 1 8 1 6 1 -
Iowa---------------------- 3 1 7
Missouri------------------- -
North Dakota--------------- .
South Dakota--------------- 1 -
Nebraska------------------ 1 1 -
Kansas--------------------- -
SOUTH ATLANTIC--------------- 2 1 12 42 2 1 8 35 1 2
Delaware------------------- 2 I -
Maryland----------------- 1 -
District of Columbia------- -
Virginia------------------- -
West Virginia------------- 2 3 1 3 -
North Carolina------------- 1 3 13 1 2 13 -
South Carolina------------ 2 2 -
Georgia-------------------- 1 2 2 1 2 2 -
Florida-------------------- 1 3 21 1 2 15 1 2
EAST SOUTH CENTRAL-------- 1 i4 8 1 3 7 1 -
Kentucky------------------ 13 6 2 5 -
Tennessee------------------ -
Alabama----------------- 1 1 -
Mississippi---------------- 1 1 1 1 1 1 1 -
WEST SOUTH CENTRAL----------- 1 6 14 17 1 6 6 14 4 -
Arkansas------------------- 1 1 -
Louisiana------------------ 3 5 2 4 -
Oklahoma------------------- 1 1 -
Texas--------------------- 1 6 10 11 1 6 4 9 3 -
MOUNTAIN-------------------- 1 15 12 1 9 8 1 -
Montana------------------- 1 4 1 3 -
Idaho--------------------- 3 4 1 -
Wyoming------------------ -
Colorado------------------- 1 3 1 1 3 1 1 -
New Mexico----------------- -
Arizona------------------- 2 2 1 2 -
Utah---------------------- 5 1 3 1 -
Nevada--------------------- -
PACIFIC--------------------- 5 1 30 68 4 1 22 57 11 3
Washington----------------- 1 1 6 6 4 -
Oregon-------------------- 2 11 1 7 -
California----------------- 4 1 26 50 4 1 20 43 7 3
Alaska------------------- -
Hawaii------------------- 1 1 1 1 -

Puerto Rico------------------ 20 2 47 19 2 46 -









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 9, 1960 AND APRIL 8, 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. Me es
infectiousMeae
Area Cumulative, Cumulative,
14th Week first 14 weeks 082 14th Week first 14weeks 085

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


UNITED STATES------- 13 15 216 239 19 27 1,906 938 25,066 10,731 15,126 19,197

EW EGLAND----------------- 2 6 3 3 49 26 720 350 1,418 2,077
Maine------------------ 2 2 5 34 27 23 204
New Hampshire------------- 1 47 9 82 28
Vermont-------------------- 4 1 105 6 38 228
Massachusetts-------------- 2 3 2 2 20 10 244 179 728 771
Rhode Island------------- 1 1 3 5 93 62 300 47
Connecticut---------------- 1 19 5 197 67 247 799
MIDDLE AIANTIC-------------- 10 7 3 8 255 90 3,731 1,032 2,730 3,078
New Yorkr----- 3 1 2 5 107 47 1,524 523 1,089 2,258
New Jersey-------------- 1 1 2 73 8 915 76 640 705
Pennsylvania ......----. 7 5 1 75 35 1,292 433 1,001 115
EAST NORTH CENTRAL-------- 2 2 7 22 1 3 390 195 4,820 2,142 4,360 5,383
Ohio---... -----------.----. 1 1 1 14 142 73 1,867 644 812 754
Indiana------------------ 1 1 3 96 32 '819 325 150 582
Illinois------------------ 4 2 3 59 32 765 437 525 1,170
Michigan------------------- 1 1 3 1 84 55 1,243 614 1,162 1,073
Wisconsin------------------ 9 3 126 122 1,711 1,804
WEST NORM CENTRAL ------- 13 12 2 1 180 94 2,507 954 694 435
Minnesota------------------ 6 3 49 8 594 96 8 331
Iowa----------------------- 1 2 75 26 670 187 435 21
Missouri------------------ 1 1 1 16 33 564 346 138 15
North Dakota--------------- 1 2 4 50 82 113 60
South Dakota--------------- 5 4 5 1 104 91 -
Nebraska----------------- 1 21 13 249 74 8
Kansas----------------- 1 1 12 9 276 78 NN NN
SOUTH ATANTIC-------------- 4 1 41 53 3 4 292 86 2,955 1,220 1,624 857
Delaware---------------- 4 4 89 60 47 10
Maryland------------------ 1 18 12 270 131 147 122
District of Columbia----- 1 2 6 1 32 11 6 55
Virginia------------------- 1 7 8 1 48 4 370 285 472 275
West Virginia------------- 1 1 1 55 17 631 256 275 111
North Carolina------------- 1 1 6 2 49 16 677 75 224 25
South Carolina------------ 13 1 11 198 30 99 93
Georgia ------------------ 7 8 65 7 344 113 13 8
Florida------------------ 1 17 21 2 2 36 25 344 259 341 158
EAST SOUTH CE RAL-------- 1 5 6 28 2 327 197 4,348 1,728 967 1,524
Kentucky---------------- 1 3 85. 104 1,292 758 206 383
Tennessee----------------- 2 5 1 145 50 1,813 531 556 890
Alabama-------------------. 4 1 16 50 30 706 323 113 106
Mississippi---------------- 1 7 1 47 13 537 116 92 145
WEST SOUTH CENTRAL-------- 6 7 132 84 155 86 1,723 795 568 2,666
Arkansas------------------ 1 1 32 2 351 35 37 68
Louisiana--------------- 1 3 13 20 10 1 128 29 28
Oklahoma----------------- 2 5 9 7 117 124 6 27
Texa------------------- 5 4 116 58 104 76 1,127 607 525 2,543
MOUWENAI ----------------. -- 5 26 1 94 49 1,599 925 967 676
Montana-------------------- 2 2 15 175 44 71 93
Idaho-------------..------.- 11 1 4 9 88 135 51 102
Wyoming--------------- .- 5 5 1 64 7 126 -
Colorado------------------ 3 2 23 21 517 273 147 166
New Mexico-----------. 2 7 8 235 160 NN -
Arizona-------------------. 1 18 7 179 207 510 203
Utah---------------------- 3 11 2 287 82 38 106
Nevada--------------------- 11 1 54 17 24 6
PACIFIC-------------------- 1 5 7 164 115 2,663 1,585 1,798 2,501
Washington--------------- 20 12 344 185 207 575
Oregon--------------------- 28 26 484 305 177 325
California.---------------- 5 7 116 75 1,704 985 1,401 1,342
Alaska------------------ 111 75 5
awai------------------- 2 20 35 8 259

Puerto Rico------ ----- 1 1 25 63 31 4 175 306 19 54

NN-NOt NOIrlaoble










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 9, 1960 AND APRIL 8, 1961 Continued

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

Strepto-
Mening l coccal Typhoid fever 040 Typhus
malaria Menlngoccocal Psitta- f ,
M a infections cosis sore fever, Rabies in
throat, endemic animals
Area etc. Cumulative,
110-117 057 096.2 050,051 14th Week first 14 weeks 101

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

UNITED STAES-- ----- 2 55 51 2 9,021 15 13 130 140 93 79

NEW ENGLAND----------------- 3 3 1 742 3 1 -
Maine--------------------. 1 42 1 -
New Hampshire------------- 20 -
Vermont ----------------- 28 -
Massachusetts-------------- 2 3 297 1 -
Rhode Island--------------- 38 1 -
Connecticut---------------- 1 317 -
MIDDLE ATLAITIC--------------. 1 7 11 1,193 1 8 6 11
New York------------------- 1 5 7 745 1 3 4 11
New Jersey----------------. 218 1 -
Pennsylvania--------------- 2 4 230 4 2 -
EAST NORM0 CENTRAL----------- 13 8 1 1,228 8 6 15 18 7 6
Ohio----------------------- 2 3 361 4 1 3 -
Indiana-------------------- 2 133 1 2 2 6 1 1
Illinois------------------- 1 3 234 7 1 7 4 2
Michigan---------------- 7 2 304 1 4 3 2
Wisconsin------------------ 1 1 196 3 1 3 1
WEST T OR CENTRAL----------- 1 2 8 300 2 1 12 9 10 20
Minnesota---------------- 4 12 1 4 1 1 3
Iowa---------------- ----. 1 77 1 6 2
Missouri------------------- 1 18 1 5 7 4
North Dakota--------------- 2 131 1
South Dakota-------------- 1 1 10
Nebraska----------------- 2 2 -
Kansas--------------------- 1 1 1 60 1 2 -
SOUTH ATLANTIC--------------- 11 5 742 1 1 24 20 22 8
Delaware------------------- 7 -
Maryland-------------- 68 -
District of Columbia------- 2 1 1 -
Virginia------------------- 1 2 215 3 15 5
West Virginia-------------- 1 227 4 1 5 2
North Carolina------------- 4 2 42 1 6 7 1 -
South Carolina------------ 25 1 2 6 -
Georgia------------------ 3 9 -
Florida-------------------- 5 153 2 2 1 1
EAST SOUTH CENTRAL-------- 6 6 1,639 2 1 19 29 17 15
Kentucky---------------- ---- 4 1 349 4 10 4 4
Tennessee------------------ 2 1,242 2 1 13 17 11 7
Alabama----------------- 8 2 2 2 4
Mississippi-------------- 5 40 -
WEST SOUTH CENTRAL----------- 7 7 1,189 2 20 35 31 17
Arkansas------------------- 6 1 2 13 8 5
Louisiana--------------- 4 8 3 10 5 -
Oklahoma------------------- 1 7 2 2 -
Texas---------------------- 6 3 1,168 1 13 10 18 12
MOUNTAIN--------------------- I 1,173 1 13 9 1 -
Montaa-------------------- 91 1 5 -
Idaho--------------------- 88 -
Wyoming ------------- --- 21 -
Colorado------------------- 322 5 -
New Mexico----------------- 306 1 3 4 -
Arizona------------------- 170 2 1 -
Utah----------------------- 164 1 -
Nevada--------------------- 1 11 1 -
PACIFIC------------------ 5 3 815 1 1 16 13 5 2
Washington---------------- 1 1 254 1 -- -
Oregon------------------- 1 89 -
California----------------- 4 1 439 1 1 15 13 5 2
Alaska .-- -------- 2 -- -
a i- -i -------------- 6- -

Puerto Rico-------------------- 4 1 6 14 -







Morbidity and Mortality Weekly Report



NUMBER OF DEATHS IN SELECTED CITIES


r I I I T I l l IT !T i l l T l l T I


S .I 1 9,000
T I TI I T i-


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


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 veekof filing certificate. Excludes fetal deaths. Data exclude figures shown in parentheses in table 4)

14th 13th Percent Cutmlative, first 14 weeks
week week Adjusted change,
tended ended average, adjusted
ea April April 14tl average
8, 1, 1961 1960 Pecent
1961 1961 1956-60 current change
week

TOTAL, 117 IRPORVTI CITIES---------------------- 12,134 11,327 11,680 +3.9 169,317 179,963 -5.9

New England---------------------------------(1 cities) 769 679 699 +10.0 10,384 11,456 -9.4
Middle Atlantic----------------------------(20 cities) 3,538 3,478 3,271 +8.2 48,745 48,869 -0.3
East North Central--------------------------(21 cities) 2,720 2,235 2,456 +10.7 35,483 38,668 -8.2
West North Central---------------------------(9 cities) 815 709 817 -0.2 11,328 12,551 -9.7
South Atlantic-----------------------------(11 cities) 1,011 959 994 +1.7 14,582 15,909 -8.3
East South Central--------------------------(8 cities) 516 552 534 -3.4 7,853 8,293 -5.3
West South Central--------------------------(13 cities) 921 976 1,032 -10.8 14,572 16,115 -9.6
Mountain----------------------.-----------(8 cities) 418 379 371 +12.7 5,453 5,489 -0.7
Pacific-----------------------------------(13 cities) 1,426 1,360 1,506 -5.3 20,917 22,613 -7.5









Morbidity and Mortality Weekly Report


Table 4. DEATHS IN SELECTED CITIES

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


NEW ENGLAND:
Boston, Mass.--------
Bridgeport, Conn.-------
Cambridge, Mass.--------
Fail 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.---------

MIDDLE 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 CEHNRAL:
Akron, Chio-----------
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, 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.------------


14th
week
ended
April
8,
1961


13th
week
ended
April
1,
1961


Cumulative,
first 14 weeks


1960
1960


4. 4 4 4


265
46
42
25
62
16
16
26
59
71
12
43
28
58


42
46
166
53
30
49
63
123
1,847
47
511
175
16
114
36
46
60
47
30
37


53
26
891
182
214
132
87
331
35
43
52
30
51
153
37
150
34
26
23
101
69


52
37
60
130
(27)
120
69


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


3,566
558
430
386
672
354
327
399
667
898
186
698
411
832


692
495
2,115
615
433
579
1,012
1,521
25,137
563
7,641
2,791
304
1,492
365
535
874
669
434
478


816
441
10,717
2,254
3,014
1,615
1,205
4,837
514
613
585
442
651
2,130
454
1,748
419
402
392
1,424
810


741
381
565
1.844
(419)
1,775
1,013


4,006
646
492
476
725
368
401
381
690
989
238
746
431
867


650
525
2,203
683
450
563
1,088
1,514
24,638
619
7,535
3,029
358
1,554
364
576
968
623
446
483


860
562
11,882
2,512
3,389
1,860
1,093
5,286
583
582
566
450
608
2,252
465
1,923
454
429
458
1,577
877


848
395
529
1,993
(377)
1,851
1,165


14th
week
ended
April
8,
1961


Area


WEST NORTH CENTRAL-Con.:
St. Louis, Mo.------ 234
St. Paul, Minn.--------- 72
Wichita, Kans.----.---.. 41

SOUTH ATIANTIC:
Atlanta, Ga.------------ 102
Baltimore, Md.--------- 257
Charlotte, N.C.-- ---- 37
Jacksonville, Fla.------- 51
Miami, Fla-------------- 80
Norfolk, Va.------------ 66
Richmond, Va.------------ 78
Savannah, Ga.------------ 33
St. Petersburg, Fla.----- (69)
Tampa, Fla.-------------- 45
Washington, D.C.------- 220
Wilmington, Del.--------- 42

EAST SOUTH CENTRAL:
Birmingham, Ala.--------- 93
Chattanooga, Tenn.---- 53
Knoxville, Tenn.--------- 34
Louisville, Ky.------ 77
Memphis, Tenn.- ------ 118
Mobile, Ala.------------- 45
Montgomery, Ala.------- 41
Nashville, Tenn.------ 55

WEST SOUTH CENTRAL:
Austin, Tex.------------- 37
Baton Rouge, La.-------- 34
Corpus Christi, Tex.----- 31
Dallas, Tex.------------- 124
El Paso, Tex.------------ 32
Fort Worth, Tex.------ 69
Houston, Tex.--------- 127
Little Rock, Ark.-------- 46
New Orleans, La.--------- 154
Oklahoma City, Okla.---- 68
San Antonio, Tex.-------- 105
Shreveport, La.---------- 45
Tulsa, Okla.------------- 49

MOUNTAIN:
Albuquerque, N. Mex.---- 37
Colorado Springs, Colo.-- 20
Denver, Colo.------------ 131
Ogden, Utah------------- 18
Phoenix, Ariz.----------- 95
Pueblo, Colo.---------- 19
Salt Lake City, Utah--- 53
Tucson, Ariz.------------ 45

PACIFIC:
Berkeley, Calif.------- 14
Fresno, Calif.------- (36)
Glendale, Calif.------- (44)
Honolulu, Hawaii------- 55
Long Beach, Calif.------- 57
Los Angeles, Calif.----- 475
Oakland, Calif.---------- 103
Pasadena, Calif.------- 45
Portland, Oreg.---------- 113
Sacramento, Calif.------- 69
San Diego, Calif.-------- 83
San Francisco, Calif.-- 184
San Jose, Calif.--------- (37)
Seattle, Wash.----------- 139
Spokane, Wash.--------- 47
Tacoma, Wash.------------ 42

San Juan, P. R.------------- (43)


13th
week
ended
April
1,
1961


Cumulative,
first 14 weeks


1961 1960


4 + 4 4


239
43
33


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


94
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
190
(39)
143
50
36

(39)


3,424
953
632


1,696
3,648
534
864
1,100
714
1,171
506
(1,125)
983
2,800
566


1,297
731
422
1,683
1,753
604
486
877


495
414
364
1,817
542
983
2,515
796
2,436
1,130
1,497
767
816


465
241
1,703
221
1,258
234
721
610


242
(622)
(473)
583
848
7,538
1,403
477
1,461
908
1,300
3,002
(499)
1,920
650
585

(488)


3,988
1,100
682


1,827
4,058
687
1,002
1,158
700
1,271
600
(1,203)
1,025
2,960
621


1,359
765
467
1,775
1,779
658
562
928


586
480
396
1,923
604
1,042
2,673
965
2,897
1,167
1,646
802
934


472
262
1,831
266
1,167
220
727
544


273
(735)
(606)
616
832
8,312
1,482
545
1,641
910
1,431
3,092
(423)
2,106
699
674

(506)


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


i





IIIIIIIlill llllllilllllw~nsilIll Illi
3 1262 08864 0130
8 Morbidity and Mortality Weekly Report






We thank Dr. Ralph H. Heeren, Director, Division of Pre-
ventable Diseases, Iowa State Department of Health for. .
calling this to our attention.
'1 r JLOSITORY

EPIDEMIOLOGICAL REPORTS

Q Fever Tennessee
The first case of Q Fever recognized in Tennessee
was reported by Dr. Cecil B. Tucker, Director, Division
of Preventable Diseases. The patient is a dairy farmer
responsible for a herd of 34 cows. The illness began in
mid-February, 2 weeks following the delivery of 2 calves,
when he noted weakness, malaise, anorexia and a short
episode of fever. The entire illness lasted about 6 weeks
and he received antibiotic therapy without dramatic im-
provement. Acute serum had a complement fixation anti-
body titer of 1/16 while the convalescent serum was
1/256. An investigation is being made of the dairy.

Undiagnosed Epidemic Exanthem, Vermont Follow-up
Dr. Linus J. Leaven, Director, Division of Communicable
Disease Control, Vermont Department of Health, has in-. n
formed us that attempts to determine the etiology of the
undiagnosed epidemic Exanthem (Vol. 10, No. 9) have
been unsuccessful. Virological studies and heterophile E = B
antibody tests yielded negative results. Sixty to seventy. o r
percent of the 75 boys have now been affected. 9 8
_n 0

INTERNATIONAL NOTES

Smallpox The following information is reported by the
Division of Foreign Quarantine.
Germany A secondary case of smallpox was con-
firmed on April 7 in Ansback. The original imported case
arrived in Frankfurt am Main from Karachi, Pakistan, on
March 11 and traveled directly to Ansback, possibly by
ground transportation.

Moscow One imported case of smallpox was con-
firmed April 6 in Moscow. The patient arrived from Delhi,
India. No additional information is available. b



FOR SOURCE AND NATURE OF MORBIDITY DATA SEE 5 I
LAST WEEK'S MORBIDITY AND MORTALITY WEEKLY
REPORT




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