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:
AA00010654:00363

Related Items

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


This item is only available as the following downloads:


Full Text




Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


I OMU NICAB *: D S iENTER I


For release February 28, 1964 ATLANTA, GEORGIA 30333 Vol. 13, No. 8
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED FEBRUARY 22. 1964


ANTHRAX SURVEILL



INFLUE

Epidemic respiratory disease continued to be re-
ported from many communities in western and central
Washington during the past week. In addition, scattered
outbreaks have been noted in several western counties in
in Oregon, and a localized institutional outbreak has
been observed in southern California.

Washington
Outbreaks of influenza-like disease have been re-


p rom 4 addition -ington counties during the
pa we bringing 6 total number of counties in-
volv in t ren emic. Disease incidence still
appears a rated in the western and central
portions of the state, with relatively few reports from
eastern communities thus far. Counties reporting for the
first time last week were Island, Pacific, San Juan, and
Yakima -- the latter apparently being the most severely
affected. School absenteeism reached levels of 25 per-


(Please turn to page 68)


Table I. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
8th Week Ended Cumulative. First 8 Weeks
Disease February 22, February 23, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 31 19 --- 205 183 ---
Brucellosis ................. ..... 11 8 8 55 47 67
Diphtheria ....................... 5 5 16 34 13 155
Encephalitis, primary infectious.. 42 --- 241 ---
Encephalitis, post-infectious ..... 21 --- 61 157

Hepatitis, infectious including
serum hepatitis ................ 1,035 1,065 1,065 7,464 8,902 8,902
Measles ........................... 9,767 10,773 12,296 53,442 72,953 78,077
Heningococcal infections .......... 62 51 56 415 435 424
Poliomyelitis, Total .............. 1 4 8 28 70
Paralytic ...................... 1 3 5 24 39
Nonparalytic ................... --- 3 2 ---
Unspecified .................... --- 2
Streptococcal Sore Throat and
Scarlet fever ................ 11,679 9,800 --- 78,047 73,914 ---
Tetanus ........................... 4 2 --- 37 26
Tularemia ......................... 3 7 --- 51 38 ---
Typhoid fever ..................... 6 6 10 54 40 66
Rabies in Animals ................. 83 61 75 555 452 520


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.
Anthrax: Psittacosis: 3
Botulism: 2 Rabies in Man:
Leptospirosis: Minn. 1 4 Smallpox:
Malaria: Pa. 1, Ariz. 1 17 Typhus-
Plague: Murine: 1
SRky Mt. Spotted: 3
Figures for current week exclude missing report from Hawaii


634-5131






Morbidity and Mort.lityv Neekly Report



CASES OF HUMAN ANTHRAX, 1953 1963


Number
of Cases
50

1


'53 '54 '55 '56 '57 '58 '59 '60 '61 '62 '63 '64 '65 '66 '67 '68
YEAR
Reported to: NOVS and CDC


Anthrax Surveillance Summary 1963


Th'.L cases of human anthrax were rcportcrJ Jurine
l1'', This nicur. rtprt .intr a continuation of the down-
ward trend of this l.ia-.I to its lowest point since re-
r.T'iing b'..in Thl above hitograrri depicts the rpatttrn of
human anthrax occurrence over the last 11 a.ii'. ThL
decline in cases is pr,.bt.bl related to several factors
rn, liu.l:n the use of the anthrax cell-free vaccine in high
risk industrial r r ul.ri.ri n'. continued improvements in
industrial h I.nriI and the !.k: a. -ine impt'rt' animal
products associated with il.. .. anthris contamination.
Females.. rI;- i the 3 cases urrirn in 1',4.. All
had industrial contact with the r"i.ianlsm 2 worked with
goat hair and one with wool. All cases were of the cuta-
neous u r i.ianok-t.i i n ..ii without laboratory con-
ilrmrat on there were no ia'alitit i None Ofi th. patients
had been immunized with the Il-IrLec anthrax vaccine at
the time of infection. One of the 2 goat hair associated


cases occurred in a new Lmplo'. cc.. who had not been im-
munized during the 2 weeks of her .mplin mint. The other
2 cases occurred in inditlJualI I working in plani-, whose
i.mplo. t I. were not immunized. (Limitid J .upplics of the
vaccine are available for selected hieh-risk groups upon
rLtqut t from the ( Dl .1
Thi- is onl\ the second year since lo1 when no
aitriiulturall\ associated cases have beern reporicd. A
similar situation occurred in l1'"l when all cases of
human anthrax were industrially associated.
The rnlt 'iLgnilicant animal outbreak of anthrax re-
ported in Il1'i~ occurred amon deer in Arkansa,. This
outbreak resulted in apprrr imairc.\ i4i1 dJ.aths. a loss, of
-t0 to "O percent of the deer population in the in\olvcd
area.
SRr ported by Anthrax Investigations Unit, l f .










Morbidity and Mortality Weekly Report 6:


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS


January 1964 January 1963

CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area January 1964 and January 1963 Provisional Data

Cumulative Cumulative
Reporting Area Reporting Area
196. 1963 1964 1963 1964 I h I3 1964 1J63
NEW ENGLAND............... 3 43 43 43 EAST SOUTH CENTRAL......... 113 112 113 112
Maine. .................. ... Kentucky. ................. 6 9 6 9
New Hampshire............. 1 1 1 1 Tennessee................ 28 37 28 37
Vermont................... Alabama .................. 69 55 69 55
Massachusetts............ 31 24 31 24 Mississippi.............. 10 11 10 11
Rhode Island............ 2 2 2 2
Connecticut ............. 9 16 9 16 WEST SOUTH CENTRAL........... 179 245 179 245
Arkansas ................. 14 20 14 20
MIDDLE ATLANTIC........... 391 529 391 529 Louisiana................ 49 49 49 49
Upstate New York......... 57 46 57 46 Oklahoma................. 9 24 9 24
New York City............ 210 306 210 306 Texas .................... 107 152 107 152
Pa. (Excl. Phila.)....... 12 14 12 14
Philadelphia............. 21 64 21 64 MOUNTAIN .................. 49 38 49 38
New Jersey............... 91 99 91 99 Montana.................. -
Idaho .................... 2 2 -
EAST NORTH CENTRAL........ 197 156 197 156 Wyoming.................. -
Ohio...................... 52 27 52 27 Colorado................. 1 7 1 7
Indiana.................. 12 6 12 6 New Mexico............... 24 8 24 8
Downstate Illinois ...... 10 10 10 10 Arizona.................. 13 16 13 16
Chicago................... 68 83 68 83 Utah..................... 4 3 4 3
Michigan................. 52 27 52 27 Nevada................... 5 4 5 4
Wisconsin ................ 3 3 3 3
PACIFIC.................... 243 206 243 206
WEST NORTH CENTRAL........ 51 35 51 35 Washington ............... 8 17 8 17
Minnesota................ 7 9 7 9 Oregon .................. 8 5 8 5
Iowa..................... 5 5 California ............... 223 182 223 182
Missouri................. 20 13 20 13 Alaska................... 2 1 2 1
North Dakota.............. Hawaii................... 2 1 2 1
South Dakota............. 9 3 9 3
Nebraska ................. 6 4 6 4 U. S. TOTAL............... 1,813 1,896 1,813 1,896
Kansas................... 4 6 4 6
TERRITORIES .............. 65 56 65 56
SOUTH ATLANTIC............ 547 532 547 532 Puerto Rico.............. 63 53 63 53
Delaware ................. 12 10 12 10 Virgin Islands............ 2 3 2 3
Maryland................. 38 48 38 48 _
District of Columbia..... 46 63 46 63
Virginia ................. 36 25 36 25
West Virginia............ 1 3 1 3
North Carolina............ 67 90 67 90 Note: Cumulative Totals include revised and delayed reports
South Carolina........... 48 61 48 61 through previous months.
Georgia................... 87 97 87 97
Florida .................. 212 135 212 135


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


The weekly average number of deaths among persons
65 years and over in 108 cities for the four-week period
ending February 22 was 6,843 as compared with an ex-
pected weekly average of 7,121.





Week Ending
4 Week Weekly
2/1 2/8 2/15 2/22 Total Average

Observed 6,877 6,891 6,743 6,860 27,371 6,843
Expected 7,116 7,124 7,125 7,118 28,483 7,121

Excess -239 -233 -382 -258 -1,112 -278


S9=F


DEATHS at AGE 65 and OVER in 108 U.S. CITIES
Awe'oge Number per Wee* by Four-Week Peods
I -1 .


NUMBER
OF a s0
DEATHS
d.000


(See Table, page 67)










64 11orlbiidit and Morlalilty eekly Report



1.ahir ( ANES OF SPF(IFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

FEBRLARY 22. 1964 AND FEBRUARY 23. 1963 ( 8iH WEEK)


Encephalitis
Aseptic
MeninRgtis Primary Post-Inf. Poliomyelitis, Total Cases Pol 'iomyeliIts, Paralytic
Area
Cumulative Cumulative

1964 1963 1964. 1964 1964 1963 1964 1963 1964 1963 1964 1963
L'NITED STATES... 31 19 42 21 I 8 28 1 5 24

NEW ENGLAND ........ 2 -
Maine. .............
New Hampshire...... -
Vermont ............ .
Massachusetts...... I- -
Rhode Island .......I -
Connecticut ........

MIDDLE ATLANTIC...... 17 5 2 4 2 4
New Y.rk City...... 6 -
New York, Lip-State I 3 1 3
New Jersey ......... 11 I 1 -
Pennsylvania ....... 2 -I 1

EAST NORTH CENTRAL... 7 6 8 6
Ohio............... 1 2 2 -
Indiana... .. ... .. -
Illinois ........... 3 4 5 4
Michigan ................ 3 1 1
Wisconsin...... .... -

WEST NORTH CENTRAL... 1 5 1 -
Minnesotra........ 1 1
I wa.................
Mi sour ........... .
N'rth Dakota ....... -
South Dakota ....... .
Nebraska. .......... .
Kansas............. 5 -

SOL'TH ATLANTIC....... 9 6 2 3 2
Delaware .......... .
Ma r land ...........
Dist. of Columbia..
Virginia........... -
West Virginia......
North Carolina..... 3 2 2
-r.ith Carolina...... 2 I 1 -
Georgla ............ .
Florida ............. 9 2 -

EAST SOUTH CENTRAL... 3 -
Kentucky........... -
Tennessee.......... -
Alabama............ 1 -
Mississippi ........ I -

WEST SOUTH CENTRAL... 2 8 8
Arkansa .......... -
Louisiana.......... 7 7
Oklahoma............ -
Texas.............. 2 I -

MO NTAIN............. 3 5 2 -
Montana............- -
Idaho.............. -
Wyomin ............ -
Colorado ............ 3 I 2- -
New Mexico......... -- -
Arizona ........... 2 -
I'tah.................. -
Nevada ............. -

PACTFIC ............... 15 6 9 8 1 4 1 3
Washingtn......... I 2
Oreg n ............. I 1 1 1 I
Calif.ornia......... 15 5 8 5 3 2
Alaska............. 1 -
Hawaii ..................-..- --- --- -

Puerto Ri ...... ... --- -










Morbidilt and Mortalilt Weekly Report 65


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 22, 1964 AND FEBRUARY 23, 1964 ( 8th WEEK) Continued


Infectious Hepatitis
Brucellosis Diphtheria including Serum Hepatitis Typhoid Fever
Area Under 20 years Age
Cum. Cum. Total 20 years and over Unknown Cumulative Cum.

1964 1964 1964 1964 1964 1964 1964 1964 1964 1963 1964 1964

UNITED STATES... 11 55 5 34 1,035 513 442 80 7,464 8,902 6 54

NEW ENGLAND......... 1 101 49 43 9 929 1,168 1 5
Maine.............. 31 16 14 1 339 540
New Hampshire...... 8 5 3 91 88 -
Vermont............ 21 13 4 4 112 15 -
Massachusetts...... 1 20 8 10 2 166 359 3
Rhode Island....... 6 1 4 1 35 29 1 2
Connecticut........ 15 6 8 1 186 137 -

MIDDLE ATLANTIC ...... 1 1 4 259 123 136 1,636 1,671 4 9
New York City...... 1 37 11 26 223 176 1 2
New York, Up-State 126 76 50 780 806 1 3
New Jersey......... 2 40 14 26 239 244
Pennsylvania....... 1 1 1 56 22 34 394 445 2 4

EAST NORTH CENTRAL... 1 10 2 6 165 87 60 18 1,067 1,406 12
Ohio............. .. 49 21 16 12 310 437 11
Indiana............. 11 6 4 1 81 102 -
Illinots........... 1 9 2 6 36 21 14 1 143 273 1
Michigan........... 64 39 25 494 508 -
Wisconsin.......... 1 5 1 4 39 86 -

WEST NORTH CENTRAL... 6 28 8 59 33 19 7 489 410 1 3
Minnesota......... 1 3 1 2 28 74 -
Iowa............... 2 12 8 6 1 1 73 67 1 2
Missouri........... 3 21 10 11 116 179 1
North Dakota....... 4 2 2 28 11 -
South Dakota....... 1 5 10 2 1 58 11 -
Nebraska............ 3 8 2 1 1 13 27 -
Kansas.............. 7 11 7 4 173 41 -

SOUTH ATLANTIC....... 2 1 5 87 43 40 4 711 986 15
Delaware........... 2 1 1 9 11 -
Maryland........... 15 7 8 115 90 -
Dist. of Columbia. 1 1 14 30 -
Virginia........... 1 15 6 7 2 107 262 1
West Virginia...... 12 11 1 127 140 -
North Carolina..... 15 11 4 153 284 9
South Carolina.... 1 20 47 1
Georgia............ 1 2 1 1 11 28 -
Florida............ 2 26 7 18 1 155 94 4

EAST SOUTH CENTRAL... I 1 58 38 14 6 493 931 5
Kentucky........... 39 28 6 5 247 298 1
Tennessee.......... 1 13 9 3 1 155 365 3
Alabama............ 1 4 1 3 61 117 1
Mississippi........ 2 2 30 151 -

WEST SOUTH CENTRAL... 3 4 66 38 26 2 502 602 2
Arkansas............ 6 3 3 69 91 1
Louisiana........... 2 12 7 5 91 87 -
Oklahoma........... 2 2 28 38 1
Texas.............. 2 46 28 16 2 314 386

MOUNTAIN............. 2 7 68 21 14 33 504 710
Montana............ 9 3 4 2 51 109
Idaho.............. 3 3 43 111 -
Wyoming............ 5 2 3 20 5
Colorado........... 17 5 4 8 132 162
New Mexico......... 1 8 6 2 88 78
Arizona............. 1 17 17 107 153 -
Utah............... 2 5 6 5 1 53 85
Nevada.............. 3 3 10 7 -

PACIFIC.............. 1 3 2 5 172 81 90 1 1,133 1,018 3
Washington........ 2 5 16 10 6 133 169 -
Oregon............. 31 12 19 135 152
California......... 1 3 115 54 61 804 666 3
Alaska............. 10 5 4 1 44 23 -
Hawaii............. ..-- .. -. .. .. 17 8

Puerto Rico --- --- 1 --- --- --- --- 9 54 --- I









066 horlidil- and Morlalitl %fe-kl l Report


Table 3. ( AMI- OF SPICIFItl) NOTIFIABiL. DISEASES I NITID STATES

FOR XWF'KS ENDED

IHHRUARY 22, I', AND F HRI ARY 21. 1964 ( N8h WEEK) (.iuninuid


ltreplt., < o al
McnnI nocucal ',re Throat and Rabies in
Measles Meninp t i Scarlct Frver Tetanus Tul.iremia Animals
Area ___________ ___________
Cumuljt ive C I. Crum. Cum.
1964 1964 1964 1963 196'. 163 1964 196- 196- 196. 1964 196.
U'ITED
NEW ENGLAND.......... 472 3 13 36 1,349 1,322 -
Maine.............. 50 7 443 153 -
New Hampshire...... 9 8 7 -
Vermont............. 171 -- 1 I 3 3 -
Massachusetts...... 96 3 6 13 176 186
Rhode Island....... 13 2 5 51 107 -
Connecticut........ 133 5 10 630 866 -

MIDDLE ATLANTIC ...... 1,772 7 53 51 1,015 582 15
New York City...... 554 1 8 6 4 31 -
New York, tLp-Stat. 411 II 13 .22 309 14
New Jersey......... 423 3 12 10 423 169 -
Pennsylvania....... 384 3 16 22 130 73 -

EAST NORTH CENTRAL... 2,623 11 65 7. 1,595 1,445 4 I 6 10 55
Ohio............... 429 2 21 21 340 279 1 1 5 30
Indiana........... 669 1 8 13 136 213 4
Illinois........... 644 3 13 13 222 202 7 1 3 1 7
Mihir an .......... 683 4 19 18 583 37- 1 1 2 7
Wisconsin .......... 198 1 4 9 314 377 1 2 7

WEST NORTH CENTRAL... 322 2 19 23 356 287 2 13 24 170
Minnesota.......... 9 2 5 4 42 27 1 7 50
lo a ............... 161 126 87 1 7 53
Missouri........... 58 8 10 15 33 2 8 5 34
North Dakota....... 94 1 111 74 II
South Dakota....... 2 0 27 3 14
Nebraska........... I 6 1 6
Kansas............. NN 3 21 39 3 2

SOUTH ATLANTIC....... 1,011 20 105 105 1.137 818 2 16 I 9 13 100
Delaware ........... 11 1 I 1 9 12 -
Mar'vlin-J............ 157 II 16 122 45 I 1
Dist. of C.'lumbia.. 25 1 1 1 15 I -
Vlrin................ 254 2 9 25 34< 27 3 9 80
West Vircina ...... 274 3 8 7 31- 182 1 3
North Carolina..... 58 1 11 18 28 71 7 -
South Carolina..... 86 13 8 48 51 2 2
.r ..L .. ......... 1 3 9 6 8 2 1- 6 1 6
Florida............ 145 9 42 23 249 180 I 6 2 10

EAST SOUTH CENTRAL.. 1,289 2 31 29 2,024 1,333 1 4 12 9 90
K.ntucks ........... 624 1 b 8 -12 151 1 15
Tennessee......... 518 13 14 1,-65 1,032 1 2 9 9 72
Alabama........... 18 6 4 18 70 2 2 3
Mississippi........ 129 1 6 3 129 80 -

WESTSOUTH CENTRAL.. 27 4 31 1 Q90 1.332 1 6 9 14 84
Arkansas ........... 16 3 211 1 1 I 5 26
Louisiana .......... 4 2. 13 3 12 3 2 9
Oklahoma........... 11 3 8 75 8 1 7
Texas............... 17 YU3 1,105 2 6 42

MOUNTAIN............ 570 3 25 1,32 1,764 I I 2 6 23
Montana............ 206 il 1 1
Idaho ............. 68 I 130 8 -
v.m n ........ .... 1 1 20 ,
Colorado............. 50 6 3 164 797
New Mexico......... 6 2 10 ? 517 .15 3 14
Arizona............ 183 2 3 152 110 3 9
Utah................ 22 I 5 234i 1 10
Nevada.............. 35 1 I I

PACIFIC.............. 1,681 10 73 62 1,890 917 M 7 17
Washington......... 813 2 6 6 771 -89 -
Oregon............. 183 3 2 55 31
California ......... 23 8 5q 50) 1,n20 256 4 7 17
Alaska.............. 62 2 4 72
Hawaii ... .. .... --- 3 --- 69 ... --- -

Puer t R --- ..-- --- 7 --- 6 --- I ---









Mlo'rlbililt) ua d lvrtlitv rekl, IN report 67





I ,1b 11) I()IAI 1)1 AIII MN)N(, I'IHMNS i. 1 AK NNI) <)VIR IN RII')HTIN( ( I'IIS



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


Nr.a For uwr.ks ending re For weeks ending

,11/64______ 2/18/65. 2/614 6 2'2.'b- __/ '6__ 2/8.,6. -.'11/b41 2,'22/b6


IIE ENGLAND:
Bc. toi, MJ' ...............
Bridgeport, Cnn. .........
Cambr dgc, ts ............
Fall River, -a -...........
Hartford, C,.nn............
Lowell, M.a ..............
Lynn, -Ls s.................
New Bedford, .la- .........
New Havin, Conr,...........
Providence, R.I...........
Somervillc, !Iasb ..........
Springf ld, MIL .' .........
Waterbury:, C..n .. ..........
WorceT .t r Ma ............

MIDDLEE ATLANrlIC
Alban., N.i ...............
Allenr t. i, Pa .............
Buffalo, .' '...............
Camden, N.J ...............
Elizab: h, .J ............
Erie, Pa..................
Jerse. City, IJ.J ..........
Ncuw rk, N.J ...............
:lew Y.,r. Cit,, i.1 i........
Pater s r N.J .............
Philadelphia, P ..........
PiLtsburgh, Pi ............
Reading, Pa...............
Roche:i~Er, N. ............
Schenec tad,, :.Y. .........
S, r inton, Pa..............
Syr.Jcuse, I'. ..............
TrLnt .n, N.J..............
Utica, N.'..................
Y,,nke rs, N.1'.............. .

EA- II NORTH CENTRAL:
Akron, Oh i,................
Canton Ohi ..............
Chicago, 11 ..............
Cln. innati. Ohi o ..........
Cl.. iL Irnd, Oh i ............
i.lurbu Ohio ............
Davon, Ohi .............
D I rot r Mic h.............
E.'arivi lle n ...........
Flinr ic:h ...............
Force Wj/ni Ind ...........
Lar:., Ind .................
Grard Rjpt.f ; h ........
Indianap.li-, IndJ .........
flad lCon, 4 ....... ........
lh .,aul..: .. ............
Pe.:r Ill ..............
Ri.<.kiord Ill.............
So0ucl. B.- .-.. In ...........
T .. do L Oh ,:,. .. ..........
Youn;ri2s[ vn, Oh 0 ..........

WLST NORTH CENTRAL:
DEc' l nl.le I .- ......
Dulluth, : nn .............
.ar.sas C it.,, kin- ...... .
K mn-z .a Ci t .1 ..........
Lin -..n. N br ............
Ilinneapol [ Tlinn........
Cnjan I Nebr ..............
St. Louil i T.............
St. PJul, Hii r.............
Wichita, Kans ............


145
25
13
20
24
18
20
18
26
36
2
35
10
39


21
29
82
29
13
20
59
57
1,001
32
297
103
36
63
25
20
38
22
25
29


45
24
414
89
138
51
-9
206
23
23
23
22
39
62
15
76
21
16
36
501
27


36
18
19
73
18
77
39
127
47
27


159
29
12
17
31
14
16
18
37
46
15
35
16
49


28
19
89
23
8
?5
28
52
I,040C
27
341
93
32
7,
16*
27*
27
-6
19
26


27
17
405
76
101*
66
28
184
30
28
23
14
23
92
14
71
18
9
20
70
.5


25
23
23
86
18
65
53
157
38
29


SOUTH ATLANTIC:
A[ lanca, ....... .......
Ba t imnrn Jd ............
Charl.trc N.C...........
Ja.ksonville, Fla........
tIlamt, Fla...............
Nri'o Va..............
Richri.,,nd, V s.............
Ravannah, Cj.............
St. Pl trsburg, FLa......
Tamp. Fl ...............
WathiingtEor, D.C..........
wi li'tr r.Eon, Del ..........

EAST SOuTH CENTRAL:
Blr lrin hih m, Ala..........
Chattrn-'ogi, Tinn.......
IK',,nXI i Tunn..........
Lou i I1 c Ky ...........
[kib phli IT.: .............
MI-,bile, Ala..............
HM,.ntgamerv, Ala..........
J-lh'.'i ll T-en .........

WEST 'I,.LTH CENTRAL:
Au L rn, T ) ...............
B t.on Roage, La..........
C,'rpuL Chr iti, Tex......
Dail3;, Tex ..............
El Paic., EI x .............
Fort .Wirth, Tex..........
HouiL.c.-n, ....... ......
LiEttc R.,.k, Art ........
:ti, Orl arns, La... ......
Oklah.'m. Cit.t Olkta......
S3n rAtnconlo, T-x'.........
i.hr '.'.po rt La...........
Tulsa, Ok a ...............

MObUNTAI N:
Albuquerq.u N. lex......
C;l-r, id'r Spr ng_., Colo...
DI n.rc C. .... ....... .
Og rdcrn, ULt Nh.............
Ph .-.n i \ A 1 i ...........
PUeb le C lo .............
3alt Lake Cit',', Utah.....
T cs.n, Ari .............

PACIFIC:
B, r c ic., Cal ..........
Frc n ino, Cal i.... .... ....
ClEldJalc, (C.ial f ..........
He.n. lulu, HJu. .........
Lon*. Bcach, Cal i........
Lo .s Arig.i l s, Calif......
CD, la rind, Cal if. .........
Pa '..idcn Cad if .. ........
P.'r I i ,nd, Or c g...........
.a. ramnc, .:., Cali f ........
San Dicg., Calif ........
3ri, Francisco, Calif ....
51n J t- C.'lif ..........
Se itt c Wa. h ...........
Sp'.i,:ic Wash............
T i, .,-' ], un h .............

Sin Ju in, P.R..............


CCurrLnt Week mlurtality 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.....


64
142
17
33
53
19
46
15
69
54
103
27


51
17
20
66
65
16
15
44


31
25
7
66
24
34
79
25
94
34
62
32
45


10
19
66
8
81
7
36
48


18
25
32
15
43
309
62*
30
75
31
53
111
19
123
45
29

(---.I


12,182
525
762
6,860


"'*E-tmat ba3srd orn average pr~cnt uf div'-r.nal total.
Totals for previous weeks include reported corrections.

NOT;E: Iil lr..h,1 by place of occurrence.








Morbidity and Mortality Weekly Report


cent in some Yakima communiri"es, with highest rates re-
ported from high schools.
(Reported by Ernest A. .Ager, M.D., Chief. Division of
Fpidt, ,iii.ig. State Drpartr.'ntn of Health. Olympia,
\\t, a .i .f gr r, )



Oregon

Scattered outbreaks of influenza-like disease have
been noted in six western Oregon counties during the past
three weeks. Four of the counties involved (Clackamas,
Mulrnommah, Washington, and Yamhill) are in the north-
western corner of the State, near the Washington border.
Stete health authorities have noted an increasing number
of case reports, from the involved areas, some of which
have also reported abnormally high school absenteeism.
Case reports for the entire State during the week ending
February 21 totaled 94s. The median figure for a com-
parable period during the years 1952-63 was 465.
(Reported by Dr. Grant Skinner, Director, Epidemiology
Section, State Board of Health. Portland, Oregon.)



California

An outbreak of acute febrile respiratory disease,
clinically compatible with influenza, has been noted at a
probation camp for delinquent boys in southern California
(about 50 miles from Los Angeles). Earliest cases were
recognized during the second week of February with the
peak of the outbreak occurring during the period February
1"-19. To date, 4' of the 86 boys housed in the Camp's
junior division have been ill. The disease has not in-
volved the senior division, located about one-half block
away, thus far. Clinically, the illness has been character-
ized by fever (to 1030 F in many cases), headache, sore
throat, and cough. Myalgia has not been a prominent
symptom. Specimens have been obtained from selected
typical cases and are under study.
(Reported by B. A. Kogan, M.D., Division of Acute Com-
municable Diseases, Los Anieles County Health Depart-
ment, Los Angeles. California; and Philip K. Condit, M.D.,
Ciief, Bureau of Communicable Disease, State Department
of Ifl-,lth, Hierk eley, Calilornia.



The Morb.dity and Mortality Weekly Report, with a circulation
of 10,500 is published by the Communicable Disease Center,
Atlanta, Georgia.
Chief. Communicable Disease Center James L. Goddard, M.D.
Chief. Epidemiology Branch A. D. Langmuir, M.D.
Chief, Statistics Section R. E. Serfling, Ph.D.
Asst. Chief. Statistics Section I. L. Sherman, M.S.
Chief, Surveillance Section D. A. Henderson, M.D.
Editor. MMWR L. K. Altman, M.D


UIIIVERSIIY OF FLORIDA

IIIIIIlllll IIll 1M IIII
3 1262 08864 3050


In addition to the established procedures for reporting morbidity
and mortality, the Communicable Disease Center welcomes
accounts of interesting outbreaks or cases. Such accounts should
be addressed to:

Lawrence K Altman, M.D., Editor
Morbidity and Mortality Weekly Report
Communicable Disease Center
Atlanta, Georgio 30333



Nors Thome provi.lonol dao oa e based on weekly Flgram..a rte th Communi-
cable Disease Cnter by rho individual State health department.
Symbols Data noi available
Quantity ziro
Procedures for construction of vaorous moraoaliy curves may be obalned from
Siafisiici Section, Communicable Disease Center, Public Health Service,
U. S. Department of Heaolh, Education, and Welfare, Alanra. Gergqla 30333.


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