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:
AA00010654:00359

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


COMMUNICABLE DISEASE CENTER


Vol. 15, No. 2






Week Ending
January 15, 1966


U.S. DEPARTMENT OF HEALTH,


AND WELFARE PUBLIC HEALTH SERVICE


INFECTIOUS HEPATITIS CONTENTS
NASSAU COUNTY, LONG ISLAND, N RK
I/7' I .titis Naasau County,
Between September and December t. ~ vf I)0 ~ 6 I New York . 9.......
Between September and December Sot.ii.'li l)^ v 35 6 2? New York vi*
.. .. .. .: ; of Infectious Syphilis ... .. ii. 1
confirmed cases of infectious hepatitis in th El nt-North 'of I s
a i illance Summary ........ 16
Valley Stream area of Nassau County, Lon l a d, New /
York. The distribution of cases in time, by d of et
is shown in Figure 1. There is a sharply ri-irin ai d 1f i- / The clustering of cases over a short period of time
ing curve with most of the cases occurring between Ihp-- -' .id the adult age distribution of cases both strongly sug-
middle of October and the middle of November over a gested a common-source exposure. The water supply to
period of approximately 5 weeks. In Table 1 the age and the area where the cases lived was common to other more
sex distributions of cases are listed. Although a pre- extensive areas in which cases of infectious hepatitis
dominance of the cases was among teen-agers, there was were not known to have occurred during the epidemic
an unusual occurrence among adults. Twenty of the 90 period. Twenty different dairies were named by patients
cases were 40 years of age and older. (Continued on page 10)

CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
2nd WEEK ENDED CUMULATIVE, FIRST 2 WEEKS
MEDIAN
DISEASE JANUARY 15, JANUARY 16, 1961-1965 MEDIAN
1966 1965 1966 1965 1961-1965
Aseptic meningitis .......... .. 41 30 30 71 72 47
Brucellosis ............................ 4 2 4 4 10 10
Diphtheria. ........... .... ............. 2 6 9 3 9 12
Encephalitis, primary:
Arthropod-borne & unspecified .......... 24 37 43 70 -
Encephalitis, post-infectious ..... .. 15 19 24 24 -
Hepatitis, serum ................ 22 95 093 32 1,483 1784
Hepatitis. infectious.. ................ 695 1,361 1 3
Measles rubeolaa) ...... ............. .. 5,544 6.746 7.589 9.405 11.949 12.497
Poliomyelitis, Total (including unspecified) 6 1 7
Paralytic ................ ............. 4 6
Nonparalytic ........... -
Meningococcal infections, Total .......... 94 74 56 157 126 98
Civilian ................. ... ....... 87 72 145 124 --
Military ................... ........ 7 2 12 2 -- -
Rubella (German measles) ............... 930 -- --- 1.326 -- -
Streptococcal sore throat & Scarlet fever .. 9,405 9,974 8.457 16,766 18,654 15,544
Tetanus............................ 5 3 8 --
Tularemia. ....... ......... ... ........ 4 9 8 15
Typhoid fever ....................... 4 3 3 7 5 7
Typhus, tick-borne (Rky. Mt. Spotted fever) 2 2 -- 7 2 -
Rabies in Animals....................... 67 88 64 139 180 114

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ................ ...... ... ..... ..... Botulism: .... ...............
Leptospirosis: .................... .......... Trichinosis: N.Y. Up-State-5. N.J.-1 ... 10
Malaria: Pa. 1, Va.-1. Oreg.-l1 ...... ...... .... 8 Rabies in Man: ............. .......... ...........
Psittacosis: N.C.-1 ...... ......... 3 Rubella. Congenital Syndrome: Pa.- ................... 1
Typhus murine-


a4d

















as sources of milk supply, and raw shellfish were con-
sumed by only 15 of the 90 patients in the 2 months pre-
ceding their respective illnesses. When the patients were
questioned as to where they purchased cold cuts or
freshly prepared salads within this time, they named nine
various delicatessens and groceries. Of the 76 cases with
dates of onset between October 13 and November 21, 66
(86.8 percent) had purchased these foods from one local
delicatessen in the preceding 2 months. A control group of
94 households was randomly selected from the same neigh-
borhoods as the cases. Fifteen of the 94 control families,
or 16.0 percent, had patronized the suspect delicatessen
within the preceding 2 months.
The delicatessen involved was a small, privately-
owned store which was run by the owner and two em-
ployees. The owner of the store personally prepared the
various salads, sliced the cold cuts and served customers
from behind the counter. He had had an illness indistin-
guishable from infectious hepatitis on both clinical and
laboratory grounds with onset sometime during the last
week of September. However, he continued to work in the
store through October 16 despite the occurrence of jaun-
dice, documented on October 13, as shown in Figure 1. It
seemed likely that contamination of food had occurred at
this delicatessen, but no single food item was incriminated.
None of the five cases subsequent to November 21
had a history of purchases from this delicatessen, but all


JANUARY 15, 1966


Table 1
AGE AND SEX DISTRIBUTION FOR 90 CASES
OF INFECTIOUS HEPATITIS
Elmont-North Valley Stream Area, Nassau County, New York
September-December 1965

Age Male Female Total

0-4 .... ..- -
5-9 .................... 6 2 8
10-14 .................. 8 12 20
15-19 ................ ... 11 9 20
20-24 .................. 7 7
25-29 .................. 2 1 3
30-34 .................. 3 2 5
35-39 .................. 5 2 7
40-44 .................. 4 8 12
45+ ...................... 7 1 8

Total ................. 53 37 90

of the five gave a history of personal contact with a pre-
vious known case.
(Reported by Dr. I. Jackson Tartakow, Deputy Commis-
sioner, Nassau County Health Department, Mineola Long
Island, New York; Dr. Julia Freitag, Acting Director,
Office of Epidemiology, New York State Department of
Health, Albany, New York; and an EIS Officer.)


Figure I.

DATES OF ONSET OF 90 CASES OF INFECTIOUS HEPATITIS
ELMONT- NORTH VALLEY STREAM AREA, NASSAU COUNTY, NEW YORK
SEPTEMBER-DECEMBER 1965


DAYS WORKED BY FOODHANDLER


I PATIENT BOUGHT
FROM DELICATESSEN
1 PATIENT DID NOT BUY
FROM DELICATESSEN


ONSET
PERIOD


JAUNDICE
NOTED


I'


11 15 19 23 27 I5 9 13 17 21 25 29 2
13 17 21 25 29 3 7 II 15 19 23 27 31 4


SEPTEMBER


OCTOBER


6 ,4' 10 14 '18 2 6 14 12 16' t4 '
8 12 16 20 24 28 2 6 10 14 18 22 26 30

NOVEMBER DECEMBER


DATE OF ONSET (2-DAY INTERVALS)


Morbidity and Mortality Weekly Report



INFECTIOUS HEPATITIS
NASSAU COUNTY, LONG ISLAND, NEW YORK
(Continued from front page)








JANUARY 15, 1966 Morbidity and Mortality Weekly Report


4.




S3.



0
0
0
O
o



o I.


3.T
Figure 2
REPORTED CASES
OF VIRAL HEPATITIS _
0
CASE RATE BY FOUR-WEEK PERIODS

U. S. Since July 1952

0


0




0


I


II


WeekNumber 27 27 I 27 I 27 I 27 I 27 I 27 I 27 I 27 I 27 I 27 I 27 I 27 I 27 I 27
Yeor 1952 1953 1954 1955 1956 1957 1958 1959 1960 1 1961 1962 1963 1964 1965 1966


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS

DECEMBER 1965 AND DECEMBER 1964


CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Areas December 1964 and December 1965 Provisional Data
Cumulative Cumulative
Reporting Area December Jan. Dec. Reporting Area December Jan. Dec.
1965 1964 1965 1964 1965 1964 1965 1964
NEW ENGLAND................... 41 42 480 483 EAST SOUTH CENTRAL........ 196 171 2,676 1,922
Maine................... 2 2 7 Kentucky................. .. 12 20 138 178
New Hampshire............ I 1 28 10 Tennessee................ 33 38 504 479
Vermont.................. 4 3 Alabama.................. 99 78 1,421 902
Massachusetts............ 33 21 302 284 Mississippi.............. 52 35 613 363
Rhode Island............. 1 21 19
Connecticut................. 7 17 123 160 WEST SOUTH CENTRAL........ 188 182 2,331 2,599
Arkansas................. 4 22 202 227
MIDDLE ATLANTIC........... 467 470 4,901 5,428 Louisiana................ 54 55 660 734
Upstate New York......... 43 42 549 632 Oklahoma................. 10 16 111 150
New York City............ 295 299 2,853 3,165 Texas.................... 120 89 1,358 1,488
Pa. (Excl. Phila.)....... 18 16 189 182
Philadelphia............. 59 22 365 309 MOUNTAIN.................. 41 35 545 539
New Jersey................ 52 91 945 1,140 Montana .................. 3 1 22 32
Idaho.................... 1 9 8
EAST NORTH CENTRAL........ 277 249 3,036 2,474 Wyoming ................. 9 8
Ohio..................... 64 58 648 584 Colorado................. 6 2 51 35
Indiana...................... 14 5 63 70 New Mexico............... 6 10 112 180
Downstate Illinois....... 12 22 199 161 Arizona.................. 21 14 266 223
Chicago ................ 92 103 1,186 974 Utah..................... 4 1 21 14
Michigan ................. 92 58 862 622 Nevada .................. 1 6 55 39
Wisconsin................ 3 3 78 63
PACIFIC................... 179 178 2,031 2,213
WEST NORTH CENTRAL........ 45 44 550 550 Washington............... 6 2 69 73
Minnesota................ 4 9 90 124 Oregon................... 11 5 49 73
Iowa............... ........... 6 4 49 37 California............... 160 167 1,873 2,039
Missouri................. 25 19 248 252 Alaska ................... 1I 8 9
North Dakota............. 2 Hawaii................... 1 4 32 19
South Dakota............. 1 5 39 53
Nebraska................. 5 4 86 56 U. S. TOTAL.............. 1,937 1,814 23,290 22,969
Kansas.............4 3 36 28 TERRITORIES............... 85 73 889 878
SOUTH ATANTIC.......... 503 443 6,740 6,761 Puerto Rico............... 85 71 865 849
Delaware................. 5 3 56 84 Virgin Islands........... 2 24 29
Maryland................. 42 38 489 514
District of Columbia..... 47 36 493 693
Virginia................. 33 20 327 299
West Virginia............ 12 8 107 59
North Carolina........... 66 77 1,004 1,109 Note: Cumulative Totals include revised and delayed reports
South Carolina.......... 79 58 851 860 through previous months.
Georgia................. 61 83 1,057 1,139
Flrid. .......... 158 120 2,356 2,004


4--r


A~









12 Morbidity and Mortality Weekly Report



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 15, 1966 AND JANUARY 16, 1965 (2nd 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... 41 30 4 24 37 15 2 6 22 695 795

NEW ENGLAND.......... 1 1 5 1 36 47
Maine.............. 17 4
New Hampshire...... 1 4
Vermont............ -- 2
Massachusetts...... 4 10 28
Rhode Island....... 1 1 3
Connecticut........ 1 8 6

MIDDLE ATLANTIC...... 6 5 9 13 3 13 137 166
New York City...... 1 1 2 4 4 11 15
New York, Up-State. 2 2 1 2 1 63 109
New Jersey.......... 1 3 6 7 25 17
Pennsylvania ...... 2 2 4 2 1 1 38 25

EAST NORTH CENTRAL... 1 3 3 3 3 117 134
Ohio............... 2 2 2 25 33
Indiana............. 8 3
Illinois........... 1 1 28 31
Michigan........... 1 1 1 2 47 62
Wisconsin.......... 9 5

WEST NORTH CENTRAL... 1 3 5 1 1 18 63
Minnesota........... 1 1 3 1
Iowa............. 1 2 1 5 35
Missouri........... 1 5 17
North Dakota....... -
South Dakota....... 1 1 1
Nebraska........... 3
Kansas............. 1 4 6

SOUTH ATLANTIC....... 3 2 1 5 5 1 2 1 2 56 98
Delaware........... 1 -- 3 3
Maryland............ 10 14
Dist. of Columbia.. 1 1
Virginia........... 1 1 2 2 12 21
West Virginia...... 4 26
North Carolina..... 2 -- 1 1 14 13
South Carolina.....- 2 3
Georgia............ 1 9
Florida............. 1 1 1 3 1 1 1 11 8

EAST SOUTH CENTRAL... 11 1 1 4 1 1 67 37
Kentucky........... 10 1 4 23 11
Tennessee.......... 1 1 32 13
Alabama ............ 1 3 7
Mississippi........ 1 9 6

WEST SOUTH CENTRAL... 4 4 1 1 3 54 65
Arkansas........... -- 6 3
Louisiana .......... 8 7
Oklahoma............ 2
Texas.............. 4 4 I 3 40 53

MOUNTAIN............. 2 1 1 2 53 53
Montana ............ ---- 3
Idaho.............. 2 16
Wyoming ............ 1 4
Colorado ........... 1 3 2
New Mexico.......... 2 15 15
Arizona............ 2 25 7
Utah............... 4 6
Nevada............. 4

PACIFIC.............. 13 13 4 2 2 6 157 132
Washington......... 9 13
Oregon............... 19 12
California......... 13 12 1 1 2 6 122 95
Alaska........... 6 12
Hawaii.......... .... 1 3 --

Puerto Rico. ........
-In


I I III I I


1 I L _I









Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENIED

JANUARY 15, 1966 AND JANUARY 16, 1965 (2nd WEEK) Continued


MEASI
AREA

1966

UNITED STATES... 5,544

NEW ENGLAND.......... 76
Maine .............. 9
New Hampshire...... 2
Vermont ............ 30
Massachusetts...... 22
Rhode Island....... 3
Connecticut ........ 10

MIDDLE ATLANTIC...... 775
New York City...... 449
New York, Up-State. 75
New Jersey......... 51
Pennsylvania....... 200

EAST NORTH CENTRAL... 2,835
Ohio ............... 93
Indiana............ 172
Illinois........... 853
Michigan............ 292
Wisconsin.......... 1,425

WEST NORTH CENTRAL... 92
Minnesota .......... 1
Iowa ............... 44
Missouri........... 5
North Dakota....... 41
South Dakota.......
Nebraska............ 1
Kansas ............. NN

SOUTH ATLANTIC....... 445
Delaware........... 10
Maryland............ 68
Dist. of Columbia.. 15
Virginia............ 10
West Virginia...... 250
North Carolina..... 3
South Carolina..... 44
Georgia............. 10
Florida............. 35

EAST SOUTH CENTRAL... 571
Kentucky........... 214
Tennessee ........... 336
Alabama............. 9
Mississippi........ 12

WEST SOUTH CENTRAL... 253
Arkansas .......... 16
Louisiana.......... 9
Oklahoma ...........
Texas............... 227

MOUNTAIN............. 249
Montana ........... 47
Idaho .............. 99
Wyoming ........... 1
Colorado........... 22
New Mexico......... -
Arizona............ 77
Utah .............. 3
Nevada............. -

PACIFIC.............. 248
Washington......... 56
Oregon............. 31
California.......... 156
Alaska ............. -
Hawaii ............. 5
Puerto Rico...........
59


LES (Rubeola)

Cumulative
1966 1965
9,405 11,949

122 3,747
16 495
3 87
47 20
28 1,966
9 362
19 817

1,617 422
740 67
259 157
241 54
377 144

4,101 1,731
212 297
221 53
978 56
488 943
2,202 382

231 825
66 8
68 430
16 82
76 277
1 16
4 12
NN NN

965 1,632
17 51
125 18
32
20 156
559 1,266
13 50
72 17
20 11
107 63

1,007 559
282 10
687 411
9 62
29 76

492 852
18 2
10 1
1 5
463 844

408 1,288
79 468
107 196
7 54
27 181
2 47
175 30
7 309
4 3

462 893
132 141
65 304
258 349
1- 9
108 90

108 58


MENINGOCOCCAL INFECTIONS,
TOTAL

Cumulative
1966 1966 1965

94 157 126

7 12 7
2
3 3

3 4 4
1 1 1
3

24 35 19
9 11 4
3 5 5
5 10 6
7 9 4

14 24 16
6 10 8
1 3
2 3 6
4 6 -
1 2 2

3 8 8
1 3
1 -
1 1 4
3
1 1

2 1

13 26 25
1
3 4

S3
2
2 4 2
5 7
4 9
3 7 8

1 1 11
7
1 1 2
2


6 10 16
1 1 2
2 2 4
3
3 7 7

8 8



8 8






18 33 24
1
1 2 1
9 21 22
7 7 1


-. -.. i 2


POLIOMYELITIS


61
8


20
3
30

167
26
141



313

57
81
53
122

50
7
34
2
7


I-

18

5

5
8






58
17
40
1










14 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 15, 1966 AND JANUARY 16, 1965(2nd WEEK) Continued


STREPTOCOCCAL TYPHUS FEVER RABIES IN
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE ANIMALS
AREA SCARLET FEVER (Rky. Mt. Spotted)
1966 1966 Cum. 1966 Cum. 1966 Cum. 1966 Cum. 1966 Cum.
1966 1966 1966 1966 1966
UNITED STATES... 9,405 3 4 8 4 7 2 7 67 139

NEW ENGLAND .......... 1,268 -
Maine............... 140
New Hampshire...... 23
Vermont ............ 44
Massachusetts...... 233
Rhode Island....... 59
Connecticut........ 769 -

MIDDLE ATLANTIC...... 341 1 2 1 2 11
New York City..... 31 1-
New York, Up-State. 265 1 1 2 10
New Jersey......... -
Pennsylvania....... 45 1 1

EAST NORTH CENTRAL... 856 2 2 2 3 4 15
Ohio................ 72 2 2 1 2 7
Indiana............. 317 3
Illinois........... 137 1 2
Michigan........... 208 2 2
Wisconsin.......... 122 1 1 1 1

WEST NORTH CENTRAL... 269 2 1 22 36
Minnesota.......... 12 4 9
Iowa............... 99 --- 3 7
Missouri........... 5 11 13
North Dakota....... 119 2 3
South Dakota....... 16 2 4
Nebraska........... 3 -
Kansas ............. 15 2 1

SOUTH ATLANTIC....... 857 2 2 4 2 5 12 18
Delaware........... 125 -
Maryland........... 88 -
Dist. of Columbia.. 5 -
Virginia........... 257 2 1 1 9 12
West Virginia...... 144 2
North Carolina..... 10 2 2 3
South Carolina..... 86 -
Georgia........... 2 1 1 3 4
Florida............ 142 -

EAST SOUTH CENTRAL... 1,457 10 27
Kentucky........... 179 2 3
Tennessee.......... 1,126 7 23
Alabama............ 79 1 1
Mississippi........ 73 -

WEST SOUTH CENTRAL... 781 1 1 15 29
Arkansas ........... 2 2
Louisiana......... 2 1 3
Oklahoma.......... 43 1 1 1 2
Texas............... 736 11 22

MOUNTAIN ............. 2,020 1 1 2
Montana........... 67 -
Idaho............. 223 -
Wyoming............. 28
Colorado .......... 1,043 -
New Mexico......... 348 -
Arizona............ 129 1 1 2
Utah .............. 180 -
Nevada............. 2

PACIFIC................ 1,556 1 1 1
Washington ........ 543 -
Oregon.............. 38 -
California......... 896 1 1
Alaska............... 25 -
Hawaii............. 54 -
Puerto Rico.......... 1









Morbidity and Mortality Weekly Report


Week No. Table 4. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JANUARY 15, 1966

2 (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
Ages and over Influenza All Age and over 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. Y.----
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.--------
Sbuth 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.----------
St. Louis, Mo.--------
St. Paul, Minn.-------
Wichita, Kans.--------


863
279
47
34
38
71
31
24
33
68
64
23
58
24
69

3,583
65
33
164
46
41
43
82
117
1,832
47
515
195
50
109
30
29
57
69
25
34

2,693
66
30
845
190
248
106
67
352
49
44
37
37
33
147
30
139
44
38
40
92
59

907
62
16
49
136
46
96
77
262
83
80


525
155
33
20
28
31
23
15
28
43
32
18
40
11
48

2,083
27
23
97
26
20
30
46
52
1,063
24
313
113
26
71
22
18
34
38
20
20

1,560
46
24
433
113
154
72
42
207
32
23
24
19
18
83
15
77
26
25
33
61
33

577
38
13
26
81
33
65
53
168
58
42


*Estimate based on average percent of divisional total.


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.----------


1,262
172
292
40
75
74
71
78
39
77
88
214
42

758
131
76
70
143
146
45
43
104

1,191
46
14
35
154
37
96
231
72
153
102
128
50
73

438
46
18
133
21
106
17
47
50

1,851
20
63
45
51
85
569
179
44
130
75
108
209
41
147
48
37


654
71
160
19
34
50
37
34
16
65
58
88
22

396
65
39
44
81
75
22
16
54

618
25
8
14
80
14
61
111
41
75
53
73
20
43

260
21
13
81
14
65
11
26
29

1,108
13
33
32
27
50
359
105
33
77
43
58
107
26
92
32
21


Total 13,546 7,781 638 715

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 27,283
All Causes, Age 65 and over------------------- 15,698
Pneumonia and Influenza, All Ages------------- 1,326
All Causes, Under 1 Year of Age--------------- 1,396







16 Morbidity and Mo





HEPATITIS SURVEILLANCE SUMMARY


The total cases and the reported incidence of viral
hepatitis in the United States in the first two quarters of
the epidemiological year 1965-66* are the lowest reported
since 1959-60. The continuing decline in incidence since
the 1960-61 peak year is evident in Figure 2, page 11.
There were 7,361 cases of viral hepatitis reported
in the U.S. during the summer quarter and 8,150 cases
reported during the fall quarter of the epidemiological
year 1965-66. This represents rates of 3.8 and 4.2 cases
per 100,000 population for these two quarters, respec-
tively (Table 2).

(Reported by the Hepatitis Surveillance i CDC.)

'Hepatitis morbidity data are summarized in terms of an "epi-
demiological year," which runs from the 27th week of each
year through the 26th week of the succeeding year.


Table 2
A. NUMBER OF REPORTED CASES OF VIRAL
HEPATITIS PER QUARTER


Epidenui-
ological Summer Fall Winter Spring Total
logical
quarter quarter quarter quarter year
year


1958-59 .....
1959-60 .....
1960-61 ......
1961-62 .....
1962-63 .....
1963-64 .....
1964-65 .....
1965-66 .....


3,403
4,700
8,940
14,229
10,272
8,969
7,581
7,361


4,028
6,026
12,403
15,580
11,330
10,250
8,597
8,150


7,169
9,793
23,096
17,995
13,848
12,118
10,311


4,902
9,917
19,898
13,533
9,864
9,320
',876


19,502
30,436
(;'.. .t-7
61,337
45,314
40,657
34,365


B. REPORTED CASES OF VIRAL HEPATITIS PER
100,000 POPULATION PER QUARTER


1958-59 .. 2.0 2.3 4.0 2.8 11.1
1959-60 .. 2.7 3.4 5.5 5.5 17.1
1960-61 .. 5.0 6.9 12.8 11.1 35.8
1961-62 .. 7.9 8.7 9.8 7.4 33.8
1962-63 .. 5.6 6.2 7.4 5.3 24.5
1963-64 ... 4.8 5.4 6.4 4.9 21.6
1964-65 .. 4.0 4.5 5.3 4.2 18.0
1965-66 .... 3.8 4.2 .... ..........


ERRATUM, Vol. 14, No. 52, p. 444-
Current Trends Poliomyelitis
The isolation of virus from the case in Michigan
should read "Type II poliovirus and Coxsackie virus
Type A4 were also isolated from one specimen."


rtality Weekly Report


JANUARY 15, 1966


THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCULA-
TION OF 0,300, IS PUBLISHED AT THE COMMUNICABLE DISEASE
CENTER. ATLANTA, GEORGIA.
CHIEF. COMMUNICABLE DISEASE CENTER JAMES L. GODDARD, M.D.
CHIEF. EPIDEMIOLOGY BRANCH A.O. LANGMUIR, M.D.
ACTING CHIEF, STATISTICS SECTION IDA L. SHERMAN, M.S.
CHIEF. SURVEILLANCE SECTION DA. HENDERSON, M.D.
EDITOR: MMWR D.J.M, MACKENZIE. M.B.,
F.R.C.P.E.

IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY, THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE IN-
VESTIGA TIONS WHICH ARE OF CURRENT INTEREST TO HEALTH
OFFICIALS AND WHICH ARE DIRECTLY RELATED TO THE CONTROL OF
COMMUNICABLE DISEASES. SUCH COMMUNICATIONS SHOULD BE AD-
DRESSED 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 SAT-
URDAY; COMPILED DATA ON A NATIONAL BASIS ARE RELEASED ON
THE SUCCEEDING FRIDAY.


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