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:
AA00010654:00356

Related Items

Preceded by:
Weekly mortality index
Preceded by:
Weekly morbidity report
Succeeded by:
Morbidity and mortality weekly report

Full Text







Morbidity and A



U. S. DEPARTMENT OF HEALTH, EDUCATION,

PUBLIC HEALTH SERVICE


For release June 15, 1962 ArfANTA 22, GEORGIA vo:.. 11, io. 23
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR W EEK ENDED JLNE 9. 19(2


POLIOMYELITIS A total of 6 cases, all paralytic, was
reported during the week ending June 9. This brings the
U. S. total to 152 cases, of which 114 have been paralytic.


The cumulative totals for
are shown below:


1962 and the previous 4 years


1962 1961 1960 1959 1958
Toal 152 196 350 652 454
Paralytic 114 134 253 458 234


Five of the 6 cases reported this week were from
Texas. An additional 9 cases, representing delayed re-
ports, are not included in this week's totals. These 14
cases bring the 1962 total in Texas to 59 cases.
Thirty-three of the Texas cases are from the counties
of Bexar (18), Webb (8), and Frio (7). These and 3 adjacent
South Texas counties have been the scene of community-
wide immunization programs with epidemic reserve Type I
oral poliovaccine. Over 690,000 doses were administered
in this area between May 27 and June 4, 602,000 doses in
San Antonio alone. Thirteen Type I isolates had been ob-
rained from cases prior to the immunization programs.


Tahli I CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES
(Cumuljative oral include revised and delayed reports through previous ''tet.)


C.ias:et Er-da End .J 4 rit 23 Le
Jun, i ne I': i97 LE1l H1il a r.
1961: '.961 1?62 1t61 1945 1!61
Aseptic mering ln ....... ...... b,. -- 8- 6 a06 _
Brucellosis ...... ... ..2 10 2l 1 3 2W5 32-
Diphtheria........... ....... 2-00 20 313
Encephalitit. intectiou .... .. 31 L1 660 6O 58 642
Hcpatiti inlectious and -Erum.. 976 1,2.2 37 0 29,217 39,338 11,036
lMe sales .. ..... .6,035 17,03: 17,03 3E55,95; 323,-33 333,136
lMeningococcal infections.... 3 38 C, 1,098 1,1,2 1, -,i
Poliomyelitis, [roal........ ... .6 11 B .52 196 "-L1
Paraly.c .................. 6 I 11. 13. 22
NonparalvTic ...... ... .3 .12 6 i5
Unspecified .............. 1 3 2 ;5
Streptococcal sore throat
and Scarlet fe\er .... .... .. ,931 ,755 --- 18 1,19 1 6.1 .
Tetanus ..... .............. .5...
Tularemia .-- --- .. i .
Typhoid fever ....... ........ 0 13; 250
Typhus fever. rick-borne,
(Rocky Mountain spotted) ...... 12 --- .0 -
Rabies in Animasi .............. ;:. 58 So0 1,9 i.,6" 1,854


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthra : Psittacosi.: u-. 2
Botulism- Rabiei in Man
Malaria: Smallpox:
Plague- Typhus murirn:







Morbidity and Mortality Weekly Report


HEPATITIS- For the second week in succession, the
number of viral hepatitis cases has remained below 1,000.
The 976 cases reported during the past week represent
266 fewer cases than were reported for the corresponding
week in 1961.
The cumulative totals for the first 23 weeks of 1962
and the previous four years are shown below. Approxi-
mately 25% fewer cases have been reported in 1962 than
in the record high year of 1961.


1962 1961 1960 1959 1958
29,217 39,338 17,836 11,119 7,382




EPIDEMIOLOGICAL REPORTS

Salmonella Hartford Outbreak United States

Since the first of the year, 163 cases of Salmonella
bartford, a rare Salmonella serotype, have been reported
from 18 States. Most of the cases occurred within a 2
month period between March 11 and May 5. This is shown
in the accompanying graph for 138 of the 163 cases on
which dates of onset of illness are available. Most of the
cases in the current outbreak have occurred in the mid-
west and northeastern sections of the country. The cases
in 1962 are shown by State in the map.
The clinical picture has been that of sudden onset of
acute diarrhea, frequently bloody, with fever to 1040 F.,
vomiting, dehydration, and malaise. Duration of symptoms
has varied from one day to three weeks, with protracted
convalescence not unusual. There have been two deaths
as a result of infection with Salmonella hartford. Two
patients were subjected to appendectomy during their


acute infection and a third had a periappendiceal ab-
scess drained. Five patients suffering Salmonella hart-
ford infections had previously undergone sub-total
gastrectomies.


SALMONELLA HARTFORD BY STATE
1962


Extensive food consumption histories have been
obtained from approximately half of the cases. No single
food item can at this time be incriminated. There have
been no non-human recoveries of Salmonella hartford to
date this year.
Because Salmonella hartford is an unusually rare
serotype, the simultaneous occurrence of 163 cases
within several weeks in one area of the country makes it
highly likely that a common vehicle was involved in the
epidemic. Investigations are continuing.
(Reported by Epidemiologists and Laboratory Directors
in the States concerned and personnel at the Communi-
cable Disease Center.)


SALMONELLA HARTFORD CASES* BY WEEK OF ONSET, 1962


H


II is z25 II 18
February March


. I I I I


ZS 1 8 15 22 29
Apr.l


Chemical Food Poisoning California
Immediately following the consumption of popsicles
purchased on April 15 from an ice cream vendor, 7 child-
ren developed vomiting which lasted for approximately
two hours. Analysis of the popsicles revealed 1.5% cal-
cium chloride on the entire surface of the popsicle; no
calcium chloride was found on the interior portion. It was
suggested that the contamination may have occurred in
the factory at the time that the popsicles were freed
from the mold and that the brine from the freezing tanks
had either splashed or in some way contaminated the
food product.
(Reported by R. C. Tetrault, Senior Sanitarian, and
s J Charles H. Petter, M.D., Los Angeles County Health
M., Department, California.)


*Based on 138 of 163 cases on which information is known.






Morbidity and Mortality Weekly Report





CURRENT U.S. POLIO INCIDENCE
COMPARED WITH YEARS 1957, 1959, and 1961

DATA PROVIDED BY NATIONAL OFFICE OF VITAL STATISTICS
AND COMMUNICABLE DISEASE CENTER


Wkendin g6 13 20'27 3 10 17 24' 3 10 17 24 31' 7 14 21 28 5 12 19 26 2 9
JAN FEB MAR APR MAY JUN


INFANT DEATHS IN 108 CITIES


The average weekly number of infant deaths in 108 cities
for the four-week period ending June 9 was 751 as com-
pared with an expected 743 weekly average.


WEEK ENDING
WEEK ENDING 4 Week Weekly
5/19 5/26 6/2 6/9 Total Average

Observed 764 795 665 782 3,006 751
Expected 744 743 743 743 2,973 743
Excess 20 52 -78 39 3 8


,_e "T ... P'u .. .. .13)-;r

(See Table, Page 183)


179


DEATHS UNDER ONE YEAR OF AGE IN 108 U.S. CITIES
Average number per week by four-week periods


NUMBER

OF

DEATHS









180 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 10, 1961 AND JUNE 9, 1962



Poliomyelitis, Aseptic
Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis


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..............
:i. HE. '. .. ...... .. .

jh. .. .......


PArLFC ..................
Wh c........ ...
P rt i( ................
U r:h.in jn. ............

Aln ...............
nP'rt R ................
Pu rt: Ri. ..............


J


Cumulative Cumulative
23rd week First 23 weeks 23rd week First 23 weeks 23rd week 23rd week
1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961

6 11 152 196 6 7 114 134 3 68 48

1 3 1 3 1



2 2 1
2 2

1- 1 1 1 1

2 31 19 2 18 17 2 2
31 6 18 5 1 1
2 10 2 9
3 3 1 1

9 23 6 15 5 1
4 8 4 4 -
3 3 2 2 -
1 7 6 3 1
S 2 2 1
1 3 1 1

1 8 9 5 5 3 4
1 3 1 3 3 3
3 1 2 1
1 4 3 2 -


2 2


3 10 19 3 8 15 44 2
2 1 -


2 2 2
1 3 1 2 -
2 4 1 3
1 1 2 1 1 2 -
1 2 5 1 2 5 -
3 3 2 2 43

7 18 5 6 13
S 2 14 2 2 12
2 1 -
1 1 1
2 3 2 3

5 3 57 33 5 50 18 3 2
1 1 1- -
5 7 5 5 -
1 -
5 3 50 25 5 44 13 3 2

1 12 20 1 7 12 3 2
1 3 1 1 2 1-
S 4 -
1 1
S 3 -3 1

S3 3 3 -
1 6 -


2 17 52 2 14 -3 11 21
i 1
1 1 I -
2 i 39 3 10 20

1 2 --- 1 2 .

6 6










Morbidity and Morialit WeeklI Reporl


Table 3. ( SES OF SPECIFIED NOTIFIABLE DISFASES UNITED STATES

FOR WEEKS ENDED

|LINE i,. 1961 AND ILINE 'c. 1962 (Conitnud)


Eru .:.i L Diphtheria E.r..:-:pha ,i i :, HRpaii MEij lci
Ara Inir-c .:U. L-rl:ciLOUE nad ierur
Ar-F _____r_________
Cluru- Cur,,u- 23rd wek
litive lat;v, i.rder 2?' &
23rd we-r 23 uwi ks 23rd ',-eji 23 i R.;. 23r eE0'. 0 yr. c-jr i,:ta irtal ?3rd WEl-
1962 162 196- 1962 i962 1961 1962 1?62 1962 1961 1462 1961

nliTED !iAk :...... 12 I3 20 311 '.1 -6,2 L2.6 1,2.2 16,035 17,032

IrEW El Ir iD ........ .... I 2 2 36 2r 60 39 2,298 1,;?3
tine................. 19 6 ; 1 336
ie, nHa.Tpshire ......... -- 1 L 6- 1
Veirr.onr ............... 2 2,.
Ma'- ahu -- .c I I i ..... .. 13 19 15 hi 967
KRhd, Illand.......... -- 2 2 5 15i 2 6
Conn ~ctt t........... 3 7 16 66 ,-5

ftDDLE iLITiC .......... i6 8, 10; 1i 205 3,55- 4-,36
flew \orp........ ....... 2 2 5.. 57 Ill 87 1,557 1,.65
Jew J r '............. 1 -13 22 6' 1,679 1, 36
Perari, 1 ni a ......... > 1 2 i 21 32 5 56 31i 1,115

EAii NORTH CEERii ., ....... 39 6 4 5 67 &- i10 316 2,972 3,887
Ohni, .................... 30 i9 55 38 -05
Inrdian j............... 53 16 25 .9 231 366
i l ro .- ............. i 32 1 2 29 20 3l 55 31 575
MiC.,: F .............. 1 3 2 2 12 29 .6 136 1,121 1,363
"i3ccni ,r............. 3 4 5 39" 1,276

iWEST rORIH CEIiRAL ....... 70 5 1 21 11 36 103 717 ;4
lrnneita............. 1 2 16 2 9 16 86 40
1'.a. .............. 2 -0 I 9 1 10 23 69 513
M-i .ur ............. 2 5 3 3 7 b1 3 9,
liorth Darota........... i 2 11 73
Courh Da.ta r........... .- 4 il 3 1 3 1 15
lii.bra;il. .............. 6 23 9
I( n.nii................ 13 1 1 5 16 [l FIll

SOUTH AiLiTIC........... 2 14 1 37 5 5 65 42 127 153 771 1,50.
DE-l. r .............. I 1 19 16
har.land ..........- 3 2 1 I 4, 1 13 130 190
DaL~rCr of :.ut I 3 3 7
V ergn a .............. 5 1 6 1 17 242 410
wrii vir-,nL........... l- 16 24 13 205 564
liorn Car.:.lr ........ 2 22 13 i4 28 15 60
:,uth C rari inia........ 1 2 3 1 36 -5
i2rg ia ............... 2 6 35 -
Flor da .............. 1 3 6 5 13 37 119 168

EASi SOUiriT CElIJT-i ........ 2 1 2 75 32 117 140 812 74.
'i nd'": .............. 2 11 55 34 192 129
lTnnc e. ............. 1 3 6 1- 12 26 -4 500 543
Alaa.-...a ............. -* 3 16 6 3. -0 75 s2
Pi i -. ippi ........... 1 5 9 3 12 17 45 45

UWE i .TLH CELTFTAi....... L 1 75 2 1 47 28 77 7. 1,234 501
Arai.. :z.............. 6 1 1 5 16 9 115 6
Lu:."ana............. I 4 6 10 6 4
Oklan-m ............... 5 1 1 38 5
~i. a. ............. 5 5 2 32 1 50 58 1,077 490

IMOLNTAliN .................. 2 2 10 58 49 1, 26 742
Ilonran................ 6 1 6 2 15; 40
Id n.................. 1 6 4 26 26
Wyc.n... .............. 1 l 16: 25
cLor aado............. 15 19 2- 241
NhpW r i.c .******** 3 2 6 ? (ii FIR
Ar.i z .a............... 15 9 -24 276
Utah.................. 1 I 3 3 6 16. 25
i .. .......... ....... 21 59

PAC i IC.................. 21 I 1 10 1, 55 66 130, 161 2, 52 2,651
U s hi .r ,ar ............ i 6 A 1; 16 63- 213
Or=.g'r ................ i 9 10 19 31 605 2D4
Califc.rnk a............ 2 1 5 9 3 3 -9 90 112 952 2,132
Ala i ..a .............. 5 2 3 61 10
Hast ....R............... -- --- -- --- 2

Puerto Rc *............... I 2. 13 i7 2, 97 5








182 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JUNE 10, 1961 AND JUNE 9, 1962 (Continued)


Meningococal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cumu- Cumu-
lative lative latlve
23rd wk 23 weeks 23rd week 23rd wk. 23rd wt. 23rd wk. 23rd wk. 23 weeks 23rd week 23 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES.... 34 1,098 4,931 4,755 5 12 5 10 200 73 58 1,934

NEW ENGLAND......... 70 407 341 3 -
Maine.............. 12 9 9 -
New Hampshire...... 3 8 -
Vermont............. 2 9 7 -
Massachusetts...... 28 86 98 2 -
Rhode Island....... 6 35 15 -
Connecticut....... 19 268 204 -

MIDDIE ATLANTIC.... 7 174 256 589 1 23 1 1 45
New York........... 3 77 146 358 14 1 1 30
New Jersey......... 1 44 47 161 -
Pennsylvania....... 3 53 63 70 1 3 15

EAST NORTH CENTRAL.. 4 225 445 582 2 2 2 27 14 6 421
Ohio............... 1 69 21 120 1 15 9 2 225
Indiana............ 20 86 98 2 2 3 135
Illinois........... 2 39 137 111 1 5 1 1 31
Michigan........... 1 79 91 129 4 1 2 14
Wisconsin.......... 18 110 124 3 1 16

WEST NORTH CENTRAL.. 3 60 114 108 3 6 16 15 514
Minnesota........... 1 10 7 10 7 5 108
Iowa................ 9 42 30 1 5 7 215
Missouri........... 1 17 1 4 5 1 81
North Dakota....... 5 45 53 2 38
South Dakota....... 2 1 3 58
Nebraska............ 1 8 1 1 12
Kansas............. 9 18 11 2 2

SOUTH ATLANTIC...... 7 187 351 242 5 1 2 38 5 3 159
Delaware........... 2 25 5 4 1 -
Maryland............ 1 10 30 5 2 2 1
Dist. of Columbia.. 7 5 3 -
Virginia ........... 2 37 89 96 1 6 73
West Virginia...... 10 63 61 1 2 2 55
North Carolina ..... 48 6 27 1 2 1 -
South Carolina ..... 11 64 15 4 -
Georgia............. 6 1 1 2 13 5
Florida............ 2 33 94 28 6 3 25

EAST SOUTH CENTRAL.. 2 69 695 755 1 5 1 15 10 7 242
Kentucky............ 1 15 57 87 3 2 3 3 80
Tennessee........... 1 29 604 643 1 1 7 3 4 150
Alabama............ 15 6 3 1 1 6 4 12
Mississippi........ 10 28 22

WEST SOUTH CENTRAL.. 93 502 665 1 5 55 19 22 402
Arkansas............ 10 2 7 1 6 48
Louisiana.......... 41 3 1 1 14 1 2 13
Oklahoma........... 5 13 4 3 2 1 15
Texas.............. 37 487 658 4 31 15 13 326

MOUNTAIN............. 2 36 942 1,000 19 1 19
Montana............ 3 21 20 10
Idaho.............. 3 108 88 -
Wyoming............ 2 31 1 3
Colorado........... 7 279 368 -- 1
New Mexico......... 3 217 233 3 10
Arizona............ 9 182 252 2 1 9
Utah............... 2 6 103 36
Nevada.*........... 3 1 2

PACIFIC.............. 9 184 1,219 473 1 1- 132
Washington......... 17 31a8 16 1
Oregon.............. -
California ........ 9 146 8'3 289 1 13 : 128
Al] a ............- -
Hwaall ............. 2 --- 5 --- -
Puerto Rlco......... -







Morbidily and Morlalilv Weekly Report 183





Tablk -I (CI TOTAL DFATHS KINDER I EAR OF AGE IN REPORTING CITIES



(Tables :(A), .(b), -'(C), and I(D) will be published in sequence covering a iour-week period."


For wee-s ending I For i=c.. Er.drnge
Area 9 5/26 612 6/9 Are a- 5/26 6/2 6

5/19 5/26 6/2 ,9 5_/li 5/26 6/J 6/9


NEw EiCLAID:
B on, Mas ...............
Bridgeport ConA.........
C(a bridge, M .s: ...........
Fall 3 tVer, M3a ..........
Hartford, Con ............
Lowell, Ka s ..............
Lyon s: ................
lie Beaford, Maw .........
ie. H~avrn, Co-n ...........
Prviidence, R.I............
Som-erv.xl M, ia; ..........
Spr ngfLe Id, Ma. .........
Watcrbury, Conn..........
Worcei ter, Mass ...........

MIDDLE ATLANTlICC
Albany, I.Y...............
Allent ,oin, Pa.............
Buffalo, I.Y ..............
Cam.er., N.J...............
Elizabeth, N.J............
Erie Pa............ .....
Jer..-, City, i.J ..........
Near .J. ................
lew York City, N.Y........
Paterion, N.J.............
Philadelphia, Pa..........
Pittsburgh, Pa............
Reading, Pa..............
Rochester, N.Y............
Schenectady, N.Y...........
Scraricon, Pa.............
Syractuse, IJ.Y.............
Irenton, N. J..............
Utica, N.Y. ...............
Yonlers, II.Y..............

EAST NORTH CEITRAl:
AJk.ron, iO i ...............
Canton, Oht ..............
Chicago, Ill..............
Cincinnati, Ohir..........
ClevelanJ, O o. ...........
iC lumbu' Ohi ............
Dayton, Ohio..............
Detro t, Micr.............
Evansville, ind............
Flint, Mich...............
Fort Wayne, Ind...........
Cary, In .................
Grand Rapid:, Mich........
inrianapolis, ind.........
MaKaW on, Iw .............
Mil*aukee, WL ............
For aL Ill ...............
Rockfooa, Ill.............
South Bend, Ind...........
Toledo, Ohio...............
Youngstoun, Ohio..........

WEST NORTH CENTRAL:
De: Moines, loa ..........
Duluth, Minrn..............
Kansas City, Kan .........
Kansas City, Mo...........
Lincoln, Nebr.............
MLnneapolis, Pninr.........
Omaha, INebr...............
it. Louis, Ho.............
St. Paul, Mann............
Wichita, Kans.............


9
5

1
2
0
1
1


3
1
6


3
2
17
6



22
87
O
12
20
0
1
2
1
4

0
5

6



3

13
22
7
5
16
2
6
5
5
3
13

13

4
0
7
2



I

2
3
1

I
13
5
7


San Juan, P.R.............. 6 (---) 0 2


Current Week Mortality for 108 Selected Cities


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


11,257
384
782
6,166


Totals for previous weeks include reported correction.


NOTE- All death b place rf oc.ne.uce.


Ctiild ATIAJTIC:
At lantr Ca..............
Ba3lr m:.rE, Md ............
Charlotte, N.C...........
Jacksonville, Fla........
Miaai, Fla...............
Norfolk, Va..............
Rich:iona, Vs.............
savannah, Ca.............
St. P tersburg, Fla......
Tampa, Fla...............
Washington, D.C.........
Uillington, Dl .........

EAST SOUTH CENTRAL:
Birmingnas Ala..........
Cnlactan.c-ga, Term........
Knoxville, Tenn ..........
Lo:uisville, Ky ...........
Meuphi, Tenn............
M bile, Ala.............
H:nirE;mmry, Ala..........
li3air ,. lle, T nn ..........

WEiST iOLTH CENlTKAL:
Austi n, Tex ..............
Baton Rouge, La..........
Corpus Christi, Tex......
Dallas, Tex.............
El Paso, le .............
Fort W rth, Tae ..........
i u..ac n, Tex .............
Little Ro:k, Art..........
IJNe Orleans, La..........
Okiahoma CLry, Okla......
arn Antnicn Tex.........
hrevepi.rt, La...........
TulEa, Okla..............

MOUirA Ei:
Albuquerque, l. Hex......
Colorado Springs, Colo...
Denver, Col .............
Ogu nr, lU ah ..............
PFoh nix, Arl:.............
Pueblo, Colo.............
Salt Lake City, Utah.....
Tucron, Ariz.............

PACIFIC:
Berkeley, Calif..........
Fresno, Calif............
Clendale, Calif.........
Honolulu, Ha.wa L.........
Lorn beach, Calif........
L's Angeles, Calif.......
OaKland, Calif...........
Pa'adena, Calif..........
Portland, Oreg...........
Sacramento, Calif .......
San Diego, Calif.........
San Francisco, Calif.....
San Joze, Calif..........
Seattle, Wah............
Spokane, Waih............
Tacomia. Wash.............




LUrIVERSITY OF FIORIDA

3112ill6ill IiWI Ii illlIII iIl
3 1262 08863 9520


Morbidity and Mortality Weekly Report


INTERNATIONAL NOTES QUARANTINE MEASURES

Immunization Information for International Travel -
1961 edition Public Health Service Publication No. 384

Cholera
The 15th World Health Assembly which met in Geneva
the week of May 21, 1962, adopted the tenth report of the
Committee on International Quarantine which included the
recommendation that cholera, under the definition of
quarantinable diseases in Article I of the International
Sanitary Regulations, should include cholera due to the
El Tor vibrio.
Accordingly, "cholera" as covered in the Foreign
Quarantine Regulations includes cholera due to the El
Tor vibrio.
This disease has been occurring in the Philippines
and North Borneo during the past several months. Persons
going into these areas should be advised to be vaccinated
against cholera; also a valid certificate will be required
when arriving in the United States within 5 days of
leaving the infected areas.


Notes: These provisional data are based on weekly telagrma to the Commnti-
cable Disease Center by the lodividual State health departments.
Symbols: --- Data n a available
Queatity sero
Procedures for constlrution of various mortality curves aoy 'e obtaaed from
Statistics Section, Commicable Disease Center, Poblic Beal.h jr.ce.
U. S. Department of Health, Education. and Welfare, Atlata 22, Ceorgia.


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