Morbidity and mortality

MISSING IMAGE

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:
AA00010654:00344

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


FS2 5


Vol. 15, No. 44


WEEKLY

REPORT

Week Ending
November 5, 1966


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


EPIDEMIOLOGIC NOTES AND REPORTS
SUSPECTED CASE OF IMPORTED BUBONIC EO.F F
Texas

A suspected case of bubonic plague ej1A port-
ed by a 21-year-old military man rotat a the U(ited
States on August 9, 1966. after a yetl service in /
Vietnam. He first noticed a 'knot' in h t groin on
August 15. He reported to a Dallas to-pi1 :---1 "1
with an admission diagnosis of in, r. .r; f i .I
hernia; however, because of sus:.. 'd I '
biopsy was performed and revealed .. u,-. -up-p r
lymphadenitis. On September 13, 1966, a consultant,
suggested the possibility of plague. Subsequently, bipolar
organisms were detected on a retained slide of the


CONTENTS
.... Notes and I sports
I I Case of Importedl Bubonic PlaCu< -
exas ................... .... 377
rends
\ 1966 . 37
196 ...... .. .... ..
I ',. I\


I t node and the tissue block was sent to the Walter
I Army Institute of Research. Fluorescent antibody
studies and histopathology were compatible with the
diagnosis of plague. The patient, was treated with strep-
tomycin and tetracycline and he has remained afebrile
since September 18. (Continued on page 378)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
44th WEEK ENDED CUMULATIVE, FIRST 44 WEEKS
MEDIAN
DISEASE NOVEMBER 5. NOVEMBER 6, 1961-1965 MEDIAN
1966 1965 1966 1965 1961- 1965
Aseptic meningitis ........... .. 57 43 48 2.565 1,821 1,806
Brucellosis .............. ... ....... 3 3 4 205 205 347
Diphtheria........................... 4 11 10 167 135 233
Encephalitis, primary:
Arthropod-borne & unspecified ........... 32 35 1,855 1,641
Encephalitis, post-infectious ............. 9 6 646 587
Hepatitis, serum .. ........ .. : 43608 782 1,201 28,657, 36.694
Hepatitis, infectious ..... ......... ...... 636 27.069 3
Measles rubeolaa) ..... ............... .... 539 1,356 1.449 193,390 246.394 394,853
Poliomyelitis, Total (including unspecified) 2 9 82 54 372
Paralytic ........... ........... .- 2 5 75 42 316
Nonparalytic .
Meningococcal infections, Total .......... 41 45 45 2,977 2,587 2.029
Civilian .. .. .............. ...... 41 44 -- 2.696 2.397
Military .......... .... ...... ... ... 1 --- 281 190 --
Rubella (German measles) ........... ..... 202 -- 43.272 -- -
Streptococcal sore throat & Scarlet fever .. 7,763 6.506 5.841 353.481 329,473 285.050
Tetanus ................... ...... 5 6 -- 166 228 -
Tularemia .................. .. ....... 4 5 150 222
Typhoid fever .............. .. ... 8 6 13 334 377 464
Typhus, tick-borne (Rky. Mt. Spotted fever) 3 2 230 249 -
Rabies in Animals. ......... ... ... 54 53 57 3,477 3,685 3.241

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum
Anthrax: .. 6 Botulism: 8
Leptospirosis: Hawaii-3, Me.-. ... ........ .. 58 Trichinosis: N.Y.C.-,l Md.-1 .......... .. 86
Malaria: Cal.-5, Colo.-2, Ill.-l. Me.-l, Md.-1, Mo.-l. Rabies in Man: ............. ....... .... 2
N.C.-5. N.J.-l. Ohio-1, Pa.-l, S.C.-2 .. 399 Rubella, Congenital Syndrome: ................ 20
Psittacosis: ............. .......... 40 Plague: Tex.-acquired outside U.S.-l... ....... 5
Tvphus murine Te-\ 3 ... ... .. 26 ..............................-.-. .. .
No report trom SitatdI Hi ahhanion SLiai r.,liday; incomplete report from California-State holiday.







378


The serviceman has a history of immunization against
plague in September 1965 and again in January 1966.
Prior to returning to the United States, he had been part
of a work detail to tear down old buildings which were
infested with rats. Protected by heavy boots and clothing,
the men engaged in contests of "stomping" the rats. The
patient recalled holding a large rat by the tail.
(Reported by Dr. M.S. i' *. ." .''. Medical Consultant,
Division of Communicable Disease Control, Texas State
Department of Health, Austin, Texas.)

Editorial Comment:
This case must be termed a "suspected" case of
plague because confirmatory bacteriologic examinations
were not performed. However, the clinical, epidemi-
ological and laboratory findings are all completely


NOVEMBER 5, 1966


compatible with bubonic plague. Had this been confirmed
bacteriologically, this would have been the first case of
plague imported into the United States in 42 years.
The previous case occurred in October 1924 in a
stowaway who was discovered suffering from an undiag-
nosed illness aboard a vessel which had docked in
European and African Mediterranean ports. The ship
arrived in New Orleans on October 28, 1924, where the
man was transferred to Marine Hospital. The patient was
isolated, and the diagnosis of plague was confirmed by
bacteriological examination.

References:
1Link, Vernon B.: A history of plague in the United States.
Public Health Monograph No. 26, 1955.
2Public Health Reports 39:2859, November 14, 1924.


CURRENT TRENDS
MEASLES 1966


A total of 2,581 measles cases were reported for the
first 4-week period (weeks 41 through 44) of the new epi-
demiologic year.* This is 1,487 less than the total
notified for the comparable period of 1965.


For the 44th week (ending November 5), 539 cases
were reported, a decrease of 189 cases from the preceding
week and a decrease of 817 cases from the comparable
week in 1965. The State of Washington, however, did not


Figure 1
COUNTIES OR HEALTH DISTRICTS REPORTING MEASLES
WEEK ENDING NOVEMBER 5, 1966


] or more cases reported
] .- I.- r cases reported t .i
Sir i distribution not ...
n of printing


Morbidity and Mortality Weekly Report



IMPORTED CASE OF BUBONIC PLAGUE Texas
(Continued from front page)











report by time of publication. Of 49 reporting States, 39
recorded measles cases. Texas reported 97 cases, the
highest number for the 44th week.
For the week ending October 29, 1966 (43rd week),
728 cases were reported, an increase of 93 cases over
the preceding week. The 17 counties reporting 10 or more
cases for the 43rd week are listed in Table 1; the geo-
graphic distribution of counties and health districts
reporting measles for that week is shown in Figure 1.

(Reported by Childhood Viral Diseases Unit, Epidemiology
Branch, CDC.)


*The current epidemiologic year for measles started with week
41 beginning October 9, 1966, and will close with week 40



Table 1
Counties Reporting Highest Number of
Measles Cases for Week Ending
October 29, 1966

County State Number of Cases

Snohomish Washington 95
Hutchinson Texas 50
Adams Washington 37*
Wayne Michigan 26
Milwaukee Wisconsin 25
Spokane Washington 23
Galveston Texas 16
Rutland Vermont 14
McHenry North Dakota 14
Jefferson Texas 12
Pecos Texas 12
Patterson New Jersey 11
Alameda California 11
Los Angeles California 10
Macomb Michigan 10
Washington Oregon 10
Tulsa Oklahoma 10
*Reports once a month.


Saratoga County, New York

During the first week in October, five cases of
measles were reported in Saratoga County from a state
institution with several hundred mentally retarded patients.
Consequently, a measles immunization program was
conducted. Twenty-four secondary cases occurred during
the week ending October 25, 1966, in patients exposed
prior to the program. As of November 2, 1966, however,
no further cases have been reported from the institution.

(Reported by Dr. Julia Freitag, Director, Office of Epi-
demiology, State of New York Department of Health.)


379


Madison, Maine
On October 18, 1966, a measles immunization clinic
was held in Madison. Maine, a community of 2,700. Five
days after the measles program four cases of measles
were reported from the local grade school in which 97
preschool and 34 school children had been immunized.
Consequently, the clinic was reopened and an additional
73 school children ant 2 preschool children were immu-
nized in an effort to halt further spread of the disease.
(Reported by Dr. Carl H. Aurem, Health Director of
Madison, Maine.)



Portland and Bangor, Maine
From November 14 through 19. 5.000 children in
Portland and 2,000 in Bangor, Maine, will be immunized
in city-wide measles vaccine programs. Jet injector guns
will be employed in both communities.
(Reported by Dr. William Shook. Director of Public Health,
Bangor, Maine: Dr. John Davy, Health Director of Port-
land, Maine; Dr. Dean Fisher, Commissioner, Maine
Department of Health and Welfare.)



Willimantic, Connecticut
On October 12, 1966, 458 preschool children in the
city of Willimantic and in the northeastern region of
Connecticut were immunized with further attenuated
measles virus vaccine given by jet injector gun.
(Reported by Dr. Reuben Rothblatt, Health Director of
Willimantic; Dr. John -. .. ... Medical Director of the
Northeastern Region, Connecticut; and Dr. James Hart,
Director of Preventable Diseases, Connecticut State
Department of Health.)



Massachusetts
During the fiscal year 1966, the Massachusetts
Division of Communicable Diseases distributed approx-
imately 200,000 doses of further attenuated measles virus
vaccine which was administered principally to preschool
children. This program, in conjunction with routine
immunizations in private physicians' offices, has resulted
in a decrease in the number of reported measles cases.
Between October 1965 and June 1966. 950 cases were
notified, a 95.6 percent decrease from the 21,632 cases
reported during the comparable months of the 1964-65
season.
The highest age specific rate of reported measles
in Massachusetts is in the 5 to 9 year age group. A school
immunization program has thus been inaugurated in order
that grade school children will receive the live attenuated
measles virus vaccine.

(Reported by Dr. Nicholas Fiumara, Director ol Communi-
cable Diseases, Massachusetts Department of Public
Health.)


NOVEMBER 5, 1966


Morbidity and Mortality Weekly Report










380 Morbidity and Mortality Weekly Report



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 5, 1966 AND NOVEMBER 6, 1965 (44th WEEK)


ENCEPHALITIS HEPATITIS
ASEPTIC Primary Post- Both
AREA MENINGITIS BRUCELLOSIS including Infectious DIPHTHERIA Serum Infectious Types
unsp. cases
1966 1965 1966 1966 1965 1966 1966 1965 1966 1966 1965
UNITED STATES... 57 43 3 32 35 9 4 11 43 636 608

NEW ENGLAND.......... 4 1 1 31 23
Maine............... 14 3
New Hampshire...... 1
Vermont......... ..- -
Massachusetts...... 3 1 12 7
Rhode Island....... 1 1 5
Connecticut........ 4 7

MIDDLE ATLANTIC...... 9 3 9 8 2 30 115 98
New York City...... 3 2 5 3 19 40 42
New York, Up-State. 3 2 1 1 3 24 22
New Jersey.......... 3 2 2 5 29 17
Pennsylvania ...... 1 2 1 3 22 17

EAST NORTH CENTRAL... 4 10 4 9 1 93 118
Ohio................ 1 1 2 8 22 19
Indiana.............. 10 10
Illinois ........... 2 1 2 1 1 14 25
Michigan............ 1 7 43 55
Wisconsin.......... 1 4 9

WEST NORTH CENTRAL... 6 4 1 1 3 2 1 25 31
Minnesota........... 6 3 1 2 7
Iowa................ 8 7
Missouri............ 1 6 8
North Dakota....... 2 -
South Dakota....... 1 1
Nebraska........... 3
Kansas.............. 1 2 9 5

SOUTH ATLANTIC....... 3 2 2 2 1 3 64 45
Delaware........... 2 1 1 -
Maryland........... 1 14 13
Dist. of Columbia.. 1 I-
Virginia........... 2 13 2
West Virginia....... 9 5
North Carolina ..... 12 3
South Carolina..... 1 2
Georgia.............. 3 9 2
Florida............ 2 5 18

EAST SOUTH CENTRAL... 9 1 1 5 38 56
Kentucky........... 18 18
Tennessee.......... 2 10 17
Alabama............ 3 5 7 9
Mississippi......... 4 1 1 3 12

WEST SOUTH CENTRAL... 1 1 9 6 1 4 2 1 55 37
Arkansas........... 3 1 8
Louisiana.......... 1 1 3 2
Oklahoma ........... I I
Texas.............. 1 1 5 6 1 3 1 44 34

MOUNTAIN............. 1 1 1 1 43 26
Montana............. 1 1 2
Idaho................... 8 5
Wyoming.............. 7 1
Colorado.......... 1 5 4
New Mexico........... 12 5
Arizona............. 1 8 6
Utah............... I 2 3
Nevada ............. -

PACIFIC.............. 20 22 6 4 2 12 172 174
Washington......... --- 3 --- --- --- --- --- --- 9
Oregon............. 2 34 16
California......... 20 17 6 4 2 12 131 135
Alaska ............. 1 8
Hawaii .............. 6 6

Puerto Rico.......... 12 32










Morbidity and Mortality WVeeklv Report


CASES OF SPECIFIED NOTIFIABLE I)ISEASIS: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 5, 1966 AND NOVEMBER 6, 1965 (44th WEEK) CONTINUED


AREA -



L 'I rT L- ; IA TE : '

NEW ENGLAND...........
Maine............... 1
New Hampshire......
Vermont ...........
Massachusetts...... 1
Rhode Island.......
Connecticut........

MIDDLE ATLANTIC......
New York City......
New York, Up-State.
New Jersey.........
Pennsylvania ......

EAST NORTH CENTRAL... 9
Ohio................
Indiana ............
Illinois...........
Michigan ...........
Wisconsin ......... 4

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

SOUTH ATLANTIC....... 4
Delaware ..........
Maryland............
Dist. of Columbia..
Virginia...........
West Virginia......
North Carolina.....
South Carolina.....
Georgia............
Florida............ 1

EAST SOUTH CENTRAL...
Kentucky............
Tennessee..........
Alabama............ 1
ic.c cc p1


Missaisppi ........

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

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

PACIFIC..............
Washington.........
Oregon............
California.........
Alaska.............
Hawaii ..............


10



9

7
c








t




l


MENINGOCOCCAL INFECTIONS,
MEASLES (Rubeola) TOTAL



lbb 1Yb4 ) i Ybb Yb!I



3 2,410 37,036 3 135 130
.0 245 2,856 11 17
80 382 9 7
6 298 1,344 4 8
.3 808 19,338 2 55 46
72 3,950 16 14
4 907 9,166 1 40 38

8 18,224 15,514 10 372 337
.3 8,338 2,602 3 56 57
6 2,584 4,243 3 104 97
.3 1,895 2,843 1 107 85
6 5,407 5,826 3 105 98

9 69,350 57,266 7 475 384
.1 6,384 8,938 3 135 102
8 5,757 2,050 1 82 47
7 11,429 3,000 2 85 104
8 14,712 26,843 1 126 86
45 31,068 16,435 47 45

!7 8,852 16,848 1 155 130
8 1,656 715 35 31
7 5,354 9,113 22 12
536 2,609 60 52
4 1,181 3,840 11 11
40 115 5 3
8 85 456 8 10
N NN NN 1 14 11

7 15,554 25,698 7 506 487
2 262 508 4 10
2,120 1,183 1 49 47
2 388 83 14 10
3 2,200 4,131 2 62 59
0 5,401 14,187 3 39 26
2 513 401 130 101
1 659 1,098 52 62
236 618 1 65 59
7 3,775 3,489 91 113

9 19,933 14,494 4 259 200
9 4,754 2,831 90 78
0 12,428 8,179 2 89 64
0 1,721 2,344 2 56 33
S 1,030 1,140 24 25

3 25,239 31,316 4 400 329
972 1,088 36 16
99 111 1 149 181
6 519 211 21 20
7 23,649 29,906 3 194 112

3 12,225 20,187 90 92
8 1,856 3,818 5 2
3 1,645 2,865 5 11
4 214 855 6 5
8 1,339 5,800 49 24
7 1,148 679 10 11
3 5,328 1,375 10 19
S 645 4,587 17
S 50 208 5 3

90 21,603 28,035 5 585 498
4,084 7,319 --- 43 39
33 1,920 3,341 1 37 35
43 14,879 13,199 3 483 398
11 571 192 1 18 18
3 149 3.984 4 8

62 3,090 2,629 16 11


Total


POLIOMYELITIS

S iPn ,iyt
I .~


381


I


" '


- 1 3


1


Puerto Rico ..........


- RUBELLA




'02

22
3


6

13

23
19
4



62
3
9
4
18
28

18

17




I -

17


3

5
1



8

19

18
1









9

2

2

5



32

9
18
11


4
1
1
2

















1















63



60
1








1











3


1
2

63
1
1
1







60
3


2












I









382 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 5, 1966 AND NOVEMBER 6, 1965 (44th WEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER RABIES IN
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE ANIMALS
AREA SCARLET FEVER (Rky. Mt. Spotted)
1966 1966 Gum. 1966 Cum. 1966 Cum. 1966 Cum. 1966 Cum.
1966 1966 1966 1966 1966
UNITED STATES... 7,763 5 166 4 150 8 334 3 230 54 3,477

NEW ENGLAND ......... 1,165 4 1 1 11 3 1 81
Maine.............. 65 25
New Hampshire...... 8 28
Vermont............. 43 23
Massachusetts...... 122 2 1 1 7 1 4
Rhode Island....... 50 -
Connecticut........ 877 2 4 2 1 1

MIDDLE ATLANTIC...... 212 14 1 55 1 42 3 205
New York City...... 8 5 1 24 1
New York, Up-State. 183 2 12 13 3 192
New Jersey......... NN 2 7 1 13
Pennsylvania....... 21 5 12 16 12

EAST NORTH CENTRAL... 548 20 19 39 1 19 4 456
Ohio............... 48 4 3 19 9 1 194
Indiana............. 86 4 9 4 103
Illinois........... 113 4 6 4 1 10 1 66
Michigan............ 192 6 6 1 40
Wisconsin.......... 109 2 1 6 1 53

WEST NORTH CENTRAL... 265 1 13 18 1 31 4 12 790
Minnesota.......... 3 3 1 I 6 186
Iowa............... 134 2 5 3 151
Missouri........... 4 1 7 10 1 15 3 2 236
North Dakota ...... 98 1 1 44
South Dakota....... 14 3 89
Nebraska........... 2 2 2 23
Kansas.............. 10 1 2 7 1 61

SOUTH ATLANTIC....... 823 32 12 2 65 109 12 447
Delaware........... 7 1 2
Maryland............ 134 3 2 1 11 26 3
Dist. of Columbia.. 1 2 -
Virginia........... 292 6 2 1 15 31 8 232
West Virginia ..... 213 1 1 1 53
North Carolina .... 20 4 3 6 27 4
South Carolina..... 4 2 1 13 5
Georgia ............ 15 7 3 4 18 1 96
Florida............ 137 10 12 2 59

EAST SOUTH CENTRAL... 1,030 3 22 23 43 39 5 440
Kentucky........... 46 2 2 10 9 5 97
Tennessee.......... 795 2 5 13 22 24 302
Alabama............... 131 1 8 4 6 6 20
Mississippi ....... 58 7 4 5 21

WEST SOUTH CENTRAL... 765 1 41 4 66 2 34 1 9 14 703
Arkansas........... 4 3 50 1 4 2 78
Louisiana.......... 5 10 4 10 1 47
Oklahoma .......... 79 3 7 9 1 6 171
Texas............... 681 1 24 1 5 1 11 1 13 407

MOUNTAIN ............. 1,683 2 8 16 4 3 93
Montana............ 28 2 7
Idaho............. 87 -
Wyoming............. 43 2 1
Colorado........... 1,191 2 4 2 18
New Mexico......... 154 1 2 1 1 15
Arizona............ 103 1 5 2 41
Utah................ 76 2 4 3
Nevada............... 1 9

PACIFIC............... 1,272 18 3 1 40 1 262
Washington........ .- -_- --- 11 --- -- 14
Oregon............. 34 1 1 4
California.......... 1,086 17 3 1 26 1 244
Alaska............. 78
Hawaii ............. -
Puerto Rico .......... 10 51 16 17









383


Morbidity a Tnd Mortality Weekly Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED NOVEMBER 5, 1966


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

All Causes Pneumonia Under All Causes Pneumonia Under

Area All 65 years and 1 year Area All 65 years and 1 year
Age and over Influenza All Age and ver Influenza All
All Ages Causes All Ages Causes


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.------

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. Y1*----
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, Ill.--------
South Bend, Ind.------
Toledo, Ohio----------
Youngstown, Ohio------

WEST NORTH CENTRAL:
Des Moines, lowa------
Duluth, Minn.---------
Kansas City, Kans.----
Kansas City, Mo.------
Lincoln, Nebr.--------
Minneapolis, Minn.----
Omaha, Nebr.----------
St. Louis, Ho.--------
St. Paul, Minn.-------
Wichita, Kans.--------


749
242
40
38
27
57
35
24
35
40
67
11
47
39
47

3,187
48
38
139
49
29
51
62
90
1,608
45
481
180
66
97
25
26
48
55
22
28

2,463
70
41
750
154
197
116
65
324
37
42
31
27
43
166
35
116
37
29
34
97
52

814
41
24
35
127
18
131
69
251
67
51


457
128
21
29
19
31
19
19
26
27
40
7
33
25
33

1,917
29
21
89
28
18
32
36
50
971
27
280
89
50
68
16
18
32
30
15
18

1,383
43
24
428
91
111
67
35
168
25
20
19
14
19
82
17
75
21
10
23
60
31

517
29
20
22
79
13
82
41
150
51
30


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.----------


1,092
146
220
48
57
100
47
63
26
74
81
194
36

641
99
63
57
100
156
42
41
83

1,118
32
24
39
136
48
69
206
63
176
91
118
66
50

394
47
28
98
14
78
20
68
41

1,449
24
42
28
49
86
432
66
43
121
56
75
183
42
105
52
45


Total 11,907 6,877 437 649

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 551,301
All Causes, Age 65 and over------------------- 315,935
Pneumonia and Influenza, All Ages------------- 22,821
All Causes, Under 1 Year of Age--------------- 29,410


Week No.


*Estimate based an average percent


1


of divisional total.









384 Morbidity and Mo




SURVEILLANCE SUMMARY
MEASLES MORTALITY 1965

A preliminary estimate of 280 deaths has been
attributed to measles occurring in 1965 in the United
States. This total is 141 less than the 421 noted in 1964
and 84 less than the 364 recorded in 1963. Yielding an
estimated death rate of 0.1 per 100,000 population, this
is the lowest rate recorded since 1912, the first year of
national reporting (Figure 2). The only other year in
which the rate fell below 0.2 per 100,000 population was
1963.

Figure 2
UNITED STATES MEASLES
REPORTED CASES AND DEATHS/100,000 POPULATION
1912-1965


T P.r'i'' A,


S... CASES






.DEATH


ERRATA: Measles County Map
In MMWR, Vol. 15, No. 4-2 p. 358, Suffolk County,
New York should not be shaded in.
In MMWR, Vol. 15, No. 43, p. 370, Honolulu, Hawaii,
should be shaded in, and the 8 cases from Alaska labeled
SC should be labeled SE.


rtality Weekly Report


NOVEMBER 5, 1966


THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA-
TION OF 15,600. IS PUBLISHED- AT THE COMMUNICABLE DISEASE
CENTER, ATLANTA, GEORGIA
CHIEF. COMMUNICABLE DISEASE CENTER DAVID J. SENCER, M.D.
CHIEF, EPIDEMIOLOGY BRANCH A.D. LANGMUIR, M.D.
ACTING CHIEF. STATISTICS SECTION IDA L. SHERMAN. M.S.
IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY, THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE INVES-
TIGATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH OFFICIALS
AND WHICH ARE DIRECTLY RELATED TO THE CONTROL OF COM-
MUNICABLE DISEASES. SUCH COMMUNICATIONS SHOULD BE ADDRESSED
TO:
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
NOTE: THE DATA IN THIS REPORT ARE PROVISIONAL AND ARE
BASED ON WEEKLY TELEGRAMS TO THE CDC BY THE INDIVIDUAL
STATE HEALTH DEPARTMENTS. THE REPORTING WEEK CONCLUDES
ON SATURDAY; COMPILED DATA ON A NATIONAL BASIS ARE RELEASED
ON THE SUCCEEDING FRIDAY.


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