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:
AA00010654:00342

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

F5 a.


0719: ,//78


Morbidity and Mortality


I.

ras


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

PUBLIC HEALTH SERVICE


Prepared by the


MElrose 4-5131


For release March 2, 1962 ATLANTA 22, GEORGIA Vol. 11, .No. 8
PROVISIONAL INFORMATION 'ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED FEBRUARY 24, 1962


INFLUENZA The number of outbreaks reported from
the Northeast and East North Central Regions of the
United States decreased this week. Only three States re-
port additional outbreaks Massachusetts, Vermont, and
Wisconsin.
The total number of States confirming outbreaks of
Influenza B remains at 34. Wyoming reports several out-
breaks this week, bringing the total number of States ex-
periencing outbreaks of influenza-like disease to 48.
Pneumonia-influenza deaths in 108 United States
cities show an increase for the second successive week
after a decrease to the epidemic threshold two weeks ago.
The increase is due to continued high levels in the East
North Central and West South Central States augmented by


increased figures from the South Atlantic, East South
Central and Mountain States Th ew n and Mid-
dle Atlantic States also peporct cge' tho h both
remain within normal ra es?
Serologic titer ris %go Influenza A2 hav re-
ported from a total of ?ic patients rn mfpmi Or gon,
and Missouri. No out Jiks are associated ifgPt ese
cases.
\ // -', \'/

International Notes: j N.
Canada Several outbreaks of influenza-like dis-
ease in Belle Chasse County, Quebec, and in Manitoba
Province have been reported.


Tahbl I. CASES OF SPECIFIED NOTIFIABLE DISEASES LNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
8th Week Cumulative
Disease Ended Ended F.rst 8 weeks
Disease Median
February 24, February 25, 1957 1961 Iled an
1962 1961 1962 1961 157 1961
Aseptic meningitis ............... 17 2 --- 11.9 18,
Brucellosis ................... 8 11 11 ,, 6: .)3
Diphtheria .............. ...... 6 16 16 101 i5 158
Encephalitis, inectious ....... 24 24 23 13 170 170
Hepatitis. infectious and serum ... 1,28! 1,887 616 11,728 13,332 -,39'
Measles........................ 12,803 12,296 f ., 79,9 1 78,07; 84,826
Meningococcal infections ........ 54 61 61 .o0 417 438
Poliomyelitis, total .............. 2 3 11 57 70 153
Paral\tic.................... 1 3 33 39 111
Nonparal!ic............ ..... 1 3 9 1. 23
Unspecified. ......... 1 7
Streprococcal sore throat
and Scarlet fever ... ......... 8,656 10,757 --- 6, ,6 74, 90 --
Tetanus ........................ ......
Tularemia ..................... --- ...
Typhoid fever ....... .. ... 110 L2 10 56 6
Typhu, fever. lick-borne,
(Rocky Mountain spontedl ..... ---
Rabies in Animals.............. 7. 72 92 519 .61 62,


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax. Psittacosis- Conn. 1
Botulism: Rabies in Man:
Malaria. Mo. I Smallpox:
Plague: T,phus, murine:


I F_11)E SE _-E[ TE














1,0001 UNITED STATES
108 cities

800
NUMBER


Morbidity and Mortality Weekly Report




WEEKLY PNEUMONIA AND INFLUENZA DEATHS


France Commencing in January, mild outbreaks of
influenza-like disease occurred in Paris and subsequently
in eastern and southern France. A number of isolations
of Influenza A2 (Asian) virus has been reported.
Czechoslovakia During the second half of January
influenza-like disease spread from Prague to involve
areas throughout Czechoslovakia. Thirty isolations of
Influenza A2 (Asian) virus have been reported.

Influenza A2 (Asian) virus is known to be prevalent in
Europe (Czechoslovakia, France and the USSR) and Asia
(Japan). (See MMWR Vol. 11, No. 7).
(Credit for this report is due numerous State Epidemi-
ologists; collaborating laboratories of the Influenza Cen-
ter for the Americas, CDC; Dr. E.W.R. Best, Chief, Epi-
demiology Division, Department of National Health and
Welfare, Ottawa, Canada; World Health Organization,
Geneva, Switzerland.)

POLIOMYELITIS-Two cases of poliomyelitis, one
paralytic, were reported for the week ending February
24, 1962.

HEPATITIS For the week ending February 24, 1962,
1281 cases of hepatitis were reported showing a sharp
decrease from the previous week's total of 1519 cases
and from the 1743 cases reported for the corresponding
week in 1961.


EPIDEMIOLOGICAL REPORT

Food-Borne Hepatitis Florida

During a 25 day period from November 18 to December
13, 1961,22 officers among approximately 5,000 personnel
at a Naval facility in Florida developed signs and symp-
toms of hepatitis. Sixteen of the officers had onset of
symptoms within a six day period. Most prominent of the
signs and symptoms were dark urine, enlarged and tender


liver, malaise, fever, abdominal discomfort, sore throat,
headache, and weakness. All individuals were jaundiced
and had laboratory evidence of liver damage. The graph
below shows dates of onset of illness:


1 F i f


n1 n


I) I IM 111111 i II
1 49 20 71 i 23 4 T :'o 2' 28 19 30 I 2 3 4 5 6 7 a 9 10 11 1I 13
November On.Lmber


The cases were sharply limited to officers who had
eaten one or more meals at the officers' dining room on
October 26 and 27. Since many of the officers were
married, they ate only occasional meals there. All officers
register for each meal that they eat, and all menus are
recorded. Thus incrimination of particular meals was
possible even 6 weeks later.
Food histories were obtained on 21 of the 22 officers
with hepatitis and 128 of the 138 officers who had also
eaten the meals but had not developed clinical hepatitis.
While the officers were not asked to remember specific
items of food eaten at each of the meals, they were
questioned regarding their usual food habits. An interest-
ing relationship was found when the officers were ques-
tioned with regard to never eating certain foods served at
the meals on October 26 and 27. This is shown in the
following table:


EPIDEMIC
THRESHOLD








Morbidity and Mortality Weekly Report


HISTORY OF NEVER EATING CERTAIN FOODS
(21 CLINICAL HEPATITIS CASES AND 128 CONTROLS)

Cases Controls
Number Percentage Number Percentage
Tossed Salad 2 9.5 11 8.6
Tuna Fish Salad 2 9.5 26 20.3
Macaroni Salad 7 33.3 50 39.1
Potato Salad 0 0.0 33 25.8
Chopped Meat Salad 7 33.3 41 32.0
Canned Fruit 5 23.8 31 24.2
Melon 4 19.0 18 14.1
Clam Chowder 6 28.6 25 19.5
Milk at Breakfast 4 19.0 37 28.9
Milk at Lunch 3 14.3 23 18.0
Milk at Supper 5 23.8 34 26.6
Ice Cream 0 0.0 5 3.9
Water 13 61.9 48 37.5


It was felt that potato salad was the food most likely
involved in the common source outbreak of infectious
hepatitis. One of the three salad handlers working in the
kitchen had an illness in October of several weeks dura-
tion consistent with anicteric hepatitis. Symptoms in-
cluded loss of appetite and diarrhea. The evidence
obtained suggests that the salad handler contaminated
the potato salad which on October 26-27 was probably
eaten by all 22 persons subsequently developing infec-
tious hepatitis.
(Reported by Capt. Richard Nauman, Lt. Carter Bagley,
and Capt. H. Schlang, United States Navy, and a team
from the Communicable Disease Center, Atlanta, Georgia).


SUMMARY OF DEATHS AMONG PERSONS 65 YEARS AND OVER IN 108 U. S. CITIES


During the second four-week period of the current
year, there were 6,988 deaths among older persons, a
decrease from the 7,134 deaths recorded during the first
four weeks of 1962. Excess mortality during the current
period was 2.7 percent, about half as great as during the
preceding period.
The number of deaths (see table below) among per-
sons 65 years and over in the week ending February 24th
fell below the expected number. Maximum excess mor-
tality occurred during the second week of this period and
at that time was 5 percent above the estimated normal
figure.


During the second four-week period in 1960 when
Influenza A2 was epidemic in this country, there was a
total of 3,339 excess deaths compared with a total of
756 excess deaths during the comparable period of the
present Influenza B epidemic.
DEATHS 65 YEARS AND OVER RECORDED IN 108
UNITED STATES CITIES

Week Ending 4 Week Weekly
Feb. 3 Feb. 10 Feb. 17 Feb. 24 Total Average
Observed 7,054 7,118 7,050 6,729 27,951 6,988
Expected 6,794 6,802 6,803 6,796 27,195 6,799
Excess 260 316 247 67 756 189


DEATHS AT AGE 65 AND OVER IN 108 U.S. CITIES
Average number per week by four-week periods
8,500




INFLUENZA A2
7 -----


RECORDED
_n DEATHS"


7,000-


/ mA "EXPECTED"
NUMBER *






rn n _l _ I_____ ___


PERIOD NUMBER I


7
1960


S1 191
1961


* f PLACE OF OCCURRENCE


13 I 7 1 I 131 I 7 1 i i1
1962 1963


"CALCULATED FROM 1957-191 EXPERIENCEE


(See table, page 67)


NUMBER

OF

DEATHS


`CCY"~-UU"-"-L"U-"LUC~IYL--


r T I I











60 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 25, 1961 AND FEBRUARY 24, 1962



P Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic N onparalytic ieningitis


Area




UNITED STATES......

NEW ENGLAND..............
Maine.................
New Hampshire.........
Vermont...............
Massachusetts..........
Rhode Island..........
Connecticut...........

MIDDLE ATLANTIC..........
New York...............
New Jersey............
Pennsylvania..........

EAST NORTH CENTRAL.......
Ohio...................
Indiana...............
Illinois..............
Michigan..............
Wisconsin.............

WEST NORTH CENTRAL.......
Minnesota.............
Iowa .................
Missouri..............
North Dakota...........
South Dakota..........
Nebraska..............
Kansas...............

SOUTH ATLANTIC............
Delaware..............
Maryland...............
District of Columbia..
Virginia..............
West Virginia..........
North Carolina........
South Carolina........
Georgia................
Florida...............

EAST SOUTH CENTRAL ......
Kentucky..............
Tennessee.............
Alabama...............
Mississippi...........

WEST SOUTH CENTRAL.......
Arkansas..............
Louisiana.............
Oklahoma..............
Texas.................

MOUNTAIN.................
Montana..............
Idaho .................
Wyoming...............
Colorado..............
New Mexico............
Arizona...............
Utah..................
Nevada................

PACIFIC....................
Washington............
Oregon................
California............
Alaska ...............
Hsaai l .................


Cumulative Cumulative
8th week First 8 weeks 8th week First 8 weeks 8th week 8th week

1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961

2 3 57 70 1 3 33 39 1 17 22

1 2 2 -



1 1 -
1 1 -


1 25 3 13 2 1 -
1 25 2 13 1 1 -
1 1 -


6 12 4 7 1 1
3 7 3 3 1
2 1 -
1 2 2 -
1 1 1
S 2 1 -

4 1 1 1 1
I 1 I 1
2 -
2 -






S 1 4 6 1 4 5 2 1
1 1 -


91 1 1

S -
1 2
1 41 1 -
1 2 1 1 3 -

S 3 9 2 3
3 1 1 3 5
1 1 1 -

2 2



1 1 -
1 8 8 1 7 4 1 3

1 3 3 1 3 2 -

5 4 1 4 2 1 3

3 12 -1 7 3 5
2 1 1 1 -


3 3 3 5

2 1 -
1 4 2 -


1 4 17 1 2 11 6 8

2 1 -
1 4 14 1 2 9 5 8

I 1


P.n r t,: R,[I ... ........... __









Morbidity and Mortality Weekly Report 61


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

FEBRUARY 25, 1961 AND FEBRUARY 24, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Area
Cumu- Cumu- 8th week
lative lative Under 20 &
8th week 8 weeks 8th week 8 weeks 8th week 20 yr. over Total Total 8th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961
UNITED STATES...... 8 44 6 101 24 24 754 434 1,281 1,887 12,803 12,296

NEW ENGLAND ............. 2 1 23 20 48 56 1,732 994
Maine................. 6 5 11 5 249 7
New Hampshire......... 1 8 27 8
Vermont ............... 2 4 6 119
Massachusetts......... -- 1 1 14 8 22 16 906 487
Rhode Island........... 1 1 4 8 47 248
Connecticut........... 1 2 4 6 19 497 125

MIDDLE ATLANTIC.......... 1 7 3 82 54 136 295 1,811 2,370
New York.............. 3 2 42 29 71 129 1,092 1,251
New Jersey............. 1 15 16 31 73 441 322
Pennsylvania.......... 1 4 25 9 34 93 278 797

EAST NORTH CENTRAL....... 2 12 2 1 3 168 114 293 409 1,600 3,598
Ohio.................. 1 63 40 111 161 130 946
Indiana............... 1 1 24 10 35 70 221 189
Illinois.............. 1 11 28 18 48 89 409 385
Michigan.............. 1 2 45 43 88 82 684 794
Wisconsin............ 1 1 8 3 11 7 156 1,284

WEST NORTH CENTRAL....... 3 22 1 15 2 69 39 114 175 393 691
Minnesota............. 1 1 3 11 11 23 49 38 12
Iowa.................. 2 12 17 11 28 33 251 55
Missouri.............. 1 17 10 30 46 15 559
North Dakota........... 1 7 1 8 3 70 42
South Dakota.......... 1 3 2 2 3 16
Nebraska.............. 1 3 8 2 19 3 23
Kansas................ 4 1 1 15 6 21 22 NN NN

SOUTH ATLANTIC............ 1 5 2 20 3 3 125 55 193 234 951 1,312
Delaware............... 6 6 98
Maryland ............. -- 14 13 27 11 86 98
District of Columbia.. 1 1 3 4 2 58 3
Virginia ............. 1 1 2 2 27 6 43 29 371 221
West Virginia......... 13 5 18 56 297 130
North Carolina........ 2 3 44 15 59 42 26 206
South Carolina........ 1 1 1 9 2 12 14 12 218
Georgia............... 1 1 4 3 1 4 49 3 13
Florida............... 1 9 3 14 10 26 25 92 325

EAST SOUTH CENTRAL....... 1 1 3 2 147 49 196 340 1,368 1,346
Kentucky.............. 64 22 86 84 104 682
Tennessee ............... 1 1 45 7 52 118 1,051 421
Alabama ............... 1 25 7 32 75 109 204
Mississippi ........... 1 2 13 13 26 63 104 39

WEST SOUTH CENTRAL ...... 1 2 2 48 1 54 31 91 132 2,825 431
Aikansas ............... I 7 2 9 38 43
Louisiana.............. 6 6 4 10 6 14 3
Oklahoma.............. 2 2 2 12 168 4
Texas........ ..... 1 2 2 39 1 39 25 70 76 2,643 381

MOUNTAIN ................. 7 3 18 10 64 78 606 496
Montana............... 6 3 3 4 233 87
Idaho ................. 13 6 32 48
Wyoming............... 1 1 11
Colorado.......... .. 1 14 28 166 97
New Mexico... ......... 1 2 4 6 12 NN NN
Arizona............... 2 10 8 111 202
Utah ................. 1 16 2 18 18 63 50
Nevada ................ 1 1

PACIFIC .................. 1 1 6 10 7 68 62 146 168 1,517 1,058
Washington............ 8 5 17 24 469 251
Oregon............... 1 7 4 12 25 263 162
California ........... 1 1 -2 9 6 52 52 105 116 763 640
Alaska................ 4 10 2 3 2
Hawaii................ 1 1 1 2 1 19 3

Puerto Rico............. ..- 3 11 2 13 8 73 8










62 Morbidilt and Mortality Weekly Report


Tablt 3. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WFEKS ENDED


FEBRUARY 25, 1961 AND FEBRUARY 24, 1962 (Continued)


Meningococcal Streptococcal Tick-
Infections Sore Throat & Tetanus borne Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever Typhus
Area Cumu- (Rcky.MH. Cumu- Cumu-
lative Spotted) lacive lative
8th week 8 weeks 8th eek 8th week 8th ek 8th week 8th week 8th week 8 weeks 8th week 8 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES...... 54 407 8,656 10,787 2 1 10 56 74 72 519

NEW ENGLAND.............. 3 30 603 759 -
Maine ................. 6 10 10 -
New Hampshire......... 1 1 14 -
Vermont............... 9 18 -
Massachusetts......... 1 12 128 266 -
Rhode IBland.......... 1 3 37 26 -
Connecticut........... 1 8 418 425 -

MIDDLE ATIANTIC.......... 8 66 565 887 1 5 1 6 17
New York.............. 3 28 340 408 1 1 1 6 8
New Jersey............ 1 13 86 244 2 -
Pennsylvania.......... 4 25 139 235 2 9

EASI NORTH CE:TRAL....... 9 77 1,087 1,220 2 11 8 2 58
Ohio.................. 3 28 171 356 1 4 1 10
Indiana................ 7 135 194 5 1 34
Illinois.............. 3 12 202 219 2 2 9
Michigan.............. 3 26 327 264 3 1 2
Wisconsin............. 4 252 187 1 2 3

WEST NORTH CENTRAL ....... 4 22 248 347 2 23 13 176
Minnesota............. 2 34 11 2 1 27
Iowa.................. 4 86 80 14 1 83
Kissouri .............. 2 8 28 27 2 4 8 27
North Dakota.......... 1 80 90 -- 2 1 16
South Dakota.......... 1 4 3 2 20
Nebraska.............. 1 2 1 3
Kansas................ 1 4 16 L36 -

SOUTH ATIANTIC........... 11 63 695 712 2 10 7 9 49
Delaware................ 6 4 6 -
Maryland.................. 2 3 17 23 2 1
District of Columbia.. 5 2 -
Virginia.............. 15 259 177 2 3 4 25
West Virginia......... 2 133 265 1 2 12
North Carolina........ 3 14 59 47 -
South Carolina........ 3 89 24 1 -
Georgia............... 3 5 5 2 1 2 1
Florida............... 1 8 129 166 3 3 3 10

EAST SOUTH CENTRAL....... 5 31 1,670 1,653 2 5 10 17 69
Kentucky............... 1 8 1-,4 397 1 2 2 3 17
Tennessee............... 3 16 1,265 1,165 2 8 8 50
Alabama............... 1 3 41 35 1 6 2
Mississippi........... 4 220 56 1 -

WEST SOUTH CENTRAL....... 5 41 910) 1,239 5 16 20 18 110
Arkansas.................. 4 7 2 2 5 4 22
Louisiana............. 1 15 3 9 2 4 1 3 4
Oklahoma................ 4 51 34 1 1 5
Texas ................. 4 18 856 1,189 1 9 13 11 79

MOUNTAIN ................. 15 1,294 2,773 4 2 6
Montana .............. 1 84 77 -- 1- -
Idaho ................. 2 152 261 -
Wyoming............... 2 36 298 -
Colorado.............. 1 432 658 -
New Mexico............... 264 802 2 3
Arizona............... 6 175 248 2 3
Utah.................. 149 341 -
Nevada................ 3 2 88 -

PACIFIC.................. 9 62 1,584 1,197 1 3 5 5 34
Washington............ 5 603 667 -
Oregon ................ 1 8 48 66 -
California............ 8 45 893 418 1 3 5 5 34
Alaska................ 4 21 41 -
Hawaii................ 19 5 -

Puerto Rico.............. 4 23 2 1










.Morbidity and Mortality Weekly Report 63





T.ihlc 4 (D) TOTAL DEATHS AMONG PERSONS 65 YEARS AND OVER IN REPORTING CITIES



(Tables 4(A), 4(B), -(C), and 4(D) will be published in sequence covering a four-week period.0


For weeks ending Area For weeks ending
Area Area2/24 2/3 2/10
2/3 2/10 2/17 2/24 2/3 2/10 2/17 2/24


NEW ENGLAND:
Boston, Mas .... ..........
Bridgeport, Conn..........
CambrLdge, -aE ...........
Fall River, Ma s ..........
Hartford, Conn............
Lowell, Mass ..............
Lynn, las ............. .
New Bedford, Mass.........
New Haven, Conn..........
Providence, R.I...........
Somerville, Mas:..........
Springfield, Mase .........
Waterbury, Conn...........
Worcester, Ma s ...........

MIDDLE ATLAI IC:
Albany, N.Y ...............
Allentown, Pa..............
Buffalo, N.Y..............
Camden, I.J ...............
Elizabeth, N.J ............
Erie, Pa..................
Jersey City, N.J..........
Newark, N.J...............
New York Cit NI.Y........
Paterson, N.J ............
Philadelphia, Pa..........
Pittsburgh, Pa............
Reading, Pa ...............
PRochester, I.Y ............
Schenectady, N.Y.,........
Scranton, P ..............
Syracuse, NJ.Y.............
Trenton, N.J.......... ....
Utica, N.Y................
Yonlers, I.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, Ill.............
South Bend, Ind...........
Toledo, Ohio..............
Youngstowri, Ohio...........

WEST 1IORTH CENTRAl:
Des Moines, loa...........
Duluth, linn.............
Kansas City, Kans........
Kansas City, Mo..........
Lincoln, Nebr............
linneapolis, Minn........
Omaha, [Jebr..............
St. Louis, HIo............
St. Paul, Minn ...........
Wichita, Kan ............


tr r r HI


165
27
26
20
21
15
23
15
37
45
12
29
27
46


20
20
89
34
20
18
36
5.
1,038
32
332
98
15
64
16
29
51
21
16
20


23
19
464
121
128
63
51
208
28
18
21
19
38
93
19
81
20
22
22
75
35


43
2.
20
87
25
93
54
144
55
30


125
27
21
17
29
17
15
31
27
41
6
32
13
40


31
23
90
29
15
31
38
62
1,016
19
313
130
24
82
16
29
43
29
22
20


36
19
510
90
145
88
42
195
33
19
16
11
28
79
18
78
20
19
22
60
28


49
21
26
102
27
100
69
151
60
27


152
25
16
25
25
13
15
18
35
37
9
26
24
52


38
28
86
23
29
26
45
50
1,026
20
338
108
16
79
23
23
38
29
22
27


38
21
473
102
135
80
34
214
23
29
15
8
40
75
14
70
19
27
15
41
35


26
21
27
102
17
76
41
130
40
29


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..............


I I I I


15
24
34
20
35
352
67
28
119
48
58
132
23
94
37
36


San Juan, P.R.............. 19 15 4 16


oCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages...................
4(B) Pneumonia-Influenza Deaths, all ages........
4(C) Total Deaths under 1 Year of Age.............
4(D) Total Deaths, Persons 65 years and over.....


11,729
641
690
6,729


*Estimate based on average percent of divisional total.
Totals for previous weeks include reported corrections.

NOTE: 411 dealh.y b% place of occurrence.




UNIVERSITY OF FLORIDA

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3 1262 08863 9975


Morbidity and Mortality Weekly Report


INTERNATIONAL NOTES QUARANTINE MEASURES


Smallpox Europe

England No new cases have been reported.


UNIV OF FL L!B.
DOCUMENTS DEPT

L U IS D S


U S. DEPOSITORY


Germany Dusseldorf no additional cases have been
reported. A total of five cases, including one imported
case, and two deaths have occurred.

Germany Monshau Kreis (Land Nordrheinewestfalen)
Nine confirmed cases of smallpox have been reported
from the town of Lammersdorf. One patient, a 33 year
old woman, died on February 20. The two most recent
cases occurred in patients at Simmerath Hospital where
the original cases were hospitalized. These two pa-
tients had onset of the illness on February 12.

One confirmed case of smallpox has been reported
from the city of Aachen. The patient is a dermatologist
who had visited one of the smallpox patients at Sim-
merath Hospital, Lammersdorf.


ERRATUM
In the January 19, 1962 Morbidity and Mortality Weekly
Report, Vol. 11, No. 2, erroneous credits were given for
the epidemiological report "Two Food Poisoning Out-
breaks in 1 Hotel California." Credit for the investi-
gation and reporting of both outbreaks is correctly due
Mr. Frank A. Listick, Sanitarian, Los Angeles City Health
Department.


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Notes: These provisioal daas ae based on weekly telegrs me the Commeal-
cable Disease Center by the individual State health departments.
Symbol -- Data not available
Quantity ser
Procedures for construction of various mortality curves may be obtained from
Statistics Section, Communiable Disease Center, Public Health Service,
U. S. Department of Health, Education, and Welfare, Atlanta 22 CGeorgia.


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