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:
AA00010654:00365

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 Mortalit



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

PUBLIC HEALTH SERVICE I


Prepared by the


For release November 27, 1964


COm *mUNCBEDSAEC-:


ATLANTA, GEORGIA 30333


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITE
DEATHS IN SELECTED CITIES FOR WEEK ENDED NOVEMBER 21, 1964


EPIDEMIOLOGIC NOTES


ENCEPHALITIS
There were 31 cases of primary infectious enceph-
alitis reported this week bringing the cumulative total
of cases to 2,978 thus far this year. Two of this week's
cases were reported from New Jersey and they represent
delayed reports. There are no known current epidemics of
arthropod-bome encephalitis, and the Houston, Texas,
and New Jersey outbreaks have ended.
Reports concerning cases of encephalitis in Wiscon-
sin and Indiana, believed to be caused by California
encephalitis virus, are included in this issue.
PLAGUE
There have been no cases of human plague reported
in the United States thus far this year. Last year, 1 fatal


case was reported from New Mexico in a 28-year-old Indian
male.
The following table summarizes the number of
reported cases of plague in the United States during the
past decade.



Year No. of Cases Year No. of Cases
1954 0 1959 4
1955 0 1960 2
1956 1 1961 3
1957 1 1962 0
1958 0 1963 1


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
47th Week Ended Cumulative. First 47 Weeks
Disease November 21, November 23, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ............... 50 28 --- 1,955 1,679 ---
Brucellosis ............................ 8 8 8 365 334 535
Diphtheria ........................ 3 8 15 247 246 514
Encephalitis, primary infectious .. 31 --- 2,978 1---
Encephalitis, post-infectious..... 6 1 --- 741 1,420
Hepatitis, infectious including
serum hepatitis ................ 691 793 793 34,406 39,085 39,085
Measles............................ 2,316 2,442 2,371 446,048 371,315 401,998
Meningococcal infections .......... 64 42 37 2,455 2,139 1,982
Poliomyelitis, Total .............. 1 23 28 111 412 1,262
Paralytic ...................... 1 21 21 87 353 822
Nonparalytic ................... 2 --- 12 42 ---
Unspecified .................... --- 12 17
Streptococcal Sore Throat and
Scarlet fever .................. 7,513 6,548 --- 354,389 304,044
Tetanus ........................... 1 5 --- 250 256 ---
Tularemia ......................... 7 4 --- 300 264 ---
Typhoid fever ..................... 5 8 12 411 491 754
Rabies in Animals ................. 74 64 64 4,060 3,436 3,313

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 4 Paittacosis: Wisc 1 42
Botulism: 15 Rabies in Man: 1
Leptospirosts: Penn 2, N.C. 1 99 Smallpox:
Malaria: MN 1 90 Typhus-
Plague: ~Mrine: 23
Rky Mt. Spotted: 218


633-331


_ > V I t"uy ,


f P/I y/






Morbidity and Mortality Weekly Report


CALIFORNIA VIRUS ENCEPHALITIS Wisconsin


Recent activity of California Encephalitis virus in
Wisconsin has been reported from the Zoonosis Research
Laboratory at the Wisconsin Stare Laboratory of Hygiene.
Serologic surveys have revealed between 10 and 41 percent
of persons studied have antibody,to California Encephali-
ris virus. Degree of outdoor exposure appeared related to
development ol antibody.
Eleven serologica.ly confirmed cases of encephalitis
due to California Encephalitis virus have been reported
since 1960. Hemagglutination -inhibition and mouse
neutralization tests have been carried out on 351 serum
samples sent to the Wisconsin State Laboratory between
1060 and 1964 from patients suspected of central nervous


system infections, and which were negative to all routine
diagnostic antigens. Eleven patients showed a fourfold or
greater rise in HI antibody titer to California Encephalitis
virus between their acute and convalescent phase sera.
Five of the cases occurred in 1960, 2 in 1961, 1 in
1963 and 3 in 1964. Seven of the cases were male and 4
female. The ages of the patients ranged from 6 months to
II years, and resided mainly in rural areas of western
Wisconsin. Clinically all patients had fever, 9 complained
of headache, 8 experienced nausea and/or vomiting and
the same number had stiff neck. Six of these patients
exhibited lethargy and 5 suffered convulsions; only I
exhibited incoordination. (See table below)


Symptoms
Nausea
Onset Sex or
Age of Patient Month and Year M F Fever Headache Vomiting Stiff Neck Lethargy Convulsions Incoordination
3 8.60 x x x x x
7 8 60 x x x x
8 9 60 x x x x x
4 9 60 x x x x x x x
6 mo. 9.'60 x x x x x x
9 7-61 x x x
5 9,61 x x x x
11 7.63 x x x x x x
4 7'64 x x x x x x x
4 7/64 x x x x x x
3 9 "64 x x x x x x
Total 7 4 11 9 8 8 6 5


The California Encephalitis virus has been isolated
from the brain of a fatal case of encephalitis which
occurred in 1960 and the tissue frozen since that time.
The isolation was done at the Zoonosis Research Labora-
tory of the Wisconsin State Laboratory of Hygiene by
Dr. Wayne Thompson and was confirmed by Dr. Ralph
Anslow, Veterinary Science Department, University of
W.sconsin, and Dr. Win. McD. Hammon, University of


Pittsburgh School of Public Health. The identity of the
isolate as a California group virus was confirmed at CDC.
(Reported by A. S. Evans, V.D., Director, State Lab-
oratory of Hygiene, Laboratory of the Wisconsin State
Board of Health. Dr. Wayne Thompson, Chief, Zoonosis
Research Laboratory, Wisconsin State Laboratory of
Hygiene, and Dr. Robert Hanson, University of Wisconsin
Veterinary Science Department.)


ENCEPHALITIS Indiana


During the late summer and early fall a number of
cases of suspected encephalitis occurred in southeastern
Indiana. A total of 10 cases have thus far been serolog-
ically confirmed as California Encephalitis. As shown in
the figure below, the first case occurred in mid-August.
A peak was observed during the last week of August and
the first week of September with 2 and 5 cases, respec-


tively. Single cases occurred during each of the last two
weeks of September. Five of the cases occurred in Ripley
County, the remainder were scattered through 3 counties
in southeastern Indiana. The Ripley County cases all
occurred during the weeks ended August 29 and September
5. All cases occurred in children between the ages of 4
and 16 years. Nine of the ten cases were in males.


414







Morbidity and Mortality Weekly Report


CASES OF ENCEPHALITIS DUE TO CALIFORNIA VIRUS

BY WEEK OF ONSET


NUMBER INDIANA, 1964
OF CASNUMBER
OF CASES


CASES OCCURRING
IN RIPLEY COUNTY


Efforts were made to collect mosquitoes during late
October; however, the advent of cold weather prevented
collection of adequate numbers for study.
Serologic investigation of encephalitis cases occurring

LEPTOSPIROSIS North Carolina
A 33-year-old male meat packing-house worker con-
tracted leptospirosis in Stantonburg, North Carolina. The
onset of his illness was October 4 when he noted a sore
throat and had chills and fever to 1030 F. He consulted a
private physician who treated him with penicillin for
5 days. On October 10, the fever and chills recurred and
was associated with headache and general malaise. The
following day he noted a stiff neck. He was admitted to
a local hospital on October 12.
On admission to the hospital, nuchal rigidity was
described, but no jaundice, conjunctivitis or organo-
megaly noted. The urinalysis and peripheral white blood
count were within the normal range. A lumbar puncture
revealed 13 white cells, 12 of which were polymorpho-
nucleocytes. Serum leptospiral agglutination tests were
positive with 5 antigens, the strongest being Leptospira
;cterohemorrhagiae which was positive to a 1:40 dilution.
The patient improved and was discharged October 17,
feeling well.
At the packing-house, .the patient eviscerates beef
cattle. He has had this job since March 1961. During the


in the same area during the previous five years is currently
underway in an effort to further delineate the problem.
(Reported by Dr. A. L. Marshall, Jr., Director of Preventive
Medicine, State Board of Health, Indianapolis, Indiana.)

evisceration procedure, the beef bladder, frequently full
of urine, is punctured and sometimes spills over him.
(Reported by Jacob Koomen, Jr., M.D., M.P.H., Assistant
State Health Director, North Carolina State Board of
Health, and an EIS Officer.)




INTERNATIONAL NOTES
Yellow Fever
In 1963, the total number of yellow fever cases
reported to the World Health Organization for the whole
world amounted to 144 cases and 75 deaths. In 1962, 62
cases and 57 deaths were reported. The increase in world
incidence since 1962 was reflected by the 81 cases
reported by Bolivia.
Apart from 3 cases reported by Ghana, all the 1963
cases were observed in South America, and were comprised
solely of jungle yellow fever. All countries of that
continent which reported cases in 1963 also reported
cases in 1961 or 1962.
(International Notes continued on back page)


WEEK OF
ONSET


2 9 16 23 30 6 13 20 27 4 II 18 25
AUGUST SEPTEMBER OCTOBER


415







416 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 21, 1964 AND NOVEMBER 23, 1963 (47TH WEEK)


SEncephalitis
Aseptic
Meningitis Primary Post-Inf. Poliomyelitis, Total Cases Poliomyelitis, Paralytic
Area
Cumulative Cumulative
1964 1963 1964 1964 1964 1963 1964 1963 1964 1963 1964 1963
UNITED STATES... 50 28 31 6 1 23 111 412 1 21 87 353

NEW ENGLAND.......... 2 1 1 2 8 2 8
Maine.............. 2 2
New Hampshire...... -
Vermont............ 1 -
Massachusetts...... 3 3
Rhode Island....... 2 1 1 -
Connecticut........ 2 2 2 2

MIDDLE ATLANTIC...... 13 3 6 1 3 15 120 3 13 97
New York City...... 4 3 2 2 -
New York, Up-State. 8 3 1 1 10 9 9 6
New Jersey......... 2 3 4 2 3
Pennsylvania....... I 3 107 3 88

EAST NORTH CENTRAL... 6 5 6 1 23 58 15 47
Ohio................ 1 1 1 4 8 2 4
Indiana............ I 8 4 5 3
Illinois........... 3 1 3 1 5 17 -- 5 16
Michigan........... 2 3 1 3 20 2 20
Wisconsin.......... 3 9 1 4

WEST NORTH CENTRAL... 1 3 10 7 8 6
Minnesota............ 1 3 4 2 4
Iowa............... 2 1 1 -
Missouri............ 4 3 -
North Dakota....... 1 1 1 -
South Dakota....... 1
Nebraska........... 1 1
Kansas............. 1 I 1 -

SOUTH ATLANTIC....... 6 1 1 1 19 34 94 1 17 28 81
Delaware........... 1 1 1
Maryland.......... 1 1 1
Dist. of Columbia.. 1 -
Virginia............ 1 3 4 21 3 4 16
West Virginia...... 1 1 3 1 3
North Carolina ..... 1 12 5 7 4
South Carolina..... 1 -- 1 3 8 1 3 7
Georgia............. 1 3 21 1 3 20
Florida............. 3 1 14 10 33 13 9 29

EAST SOUTH CENTRAL... 1 4 1 1 6 72 1 5 66
Kentucky........... -
Tennessee........... 1 2 1 3 10 2 9
Alabama............ 2 53 2 48
Mississippi ...... 2 1 1 9 1 1 9

WEST SOUTH CENTRAL... 1 1 10 26 8 25
Arkansas........... 1 4 3
Louisiana........... 14 14
Oklahoma............ 3 1 2 1
Texas............... 7 7 6 7

MOUNTAIN............. 2 2 5 8 6 5 5
Montana............. 1 1 -
Idaho............... 1 1 1 1
Wyoming............. 2 2 -
Colorado............ 2 2 4 1 1 1 1
New Mexico......... 3 1 -
Arizona............. 3 3
Utah...............- -
Nevada............. -

PACIFIC............. 21 11 7 2 3 21 3 18
Washington.......... 2 1 2 2
Oregon............... 1 2 1 1
California......... 21 9 5 2 2 17 2 15
Alaska.............. -
Hawaii.............. -

Puerto Rico 5 4









Morbidity and Mortality Weekly Report 417


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WX'EEKS ENDED

NOVEMBER 21, 1964 AND NOVEMBER 23, 1963 (47TH 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... 8 365 3 247 691 326 303 62 34,406 39,085 5 411

NEW ENGLAND.......... 2 44 53 29 18 6 3,089 4,460 17
Maine.............. 39 15 10 5 963 2,011
New Hampshire...... 5 3 2 241 540
Vermont............ 2 1 1 366 122
Massachusetts...... 2 5 14 8 5 1 704 1,122 8
Rhode Island...... 6 1 5 194 106 6
Connecticut........ 11 6 2 3 621 559 3

MIDDLE ATLANTIC..... 6 10 139 69 70 7,546 7,747 1 67
New York City...... 5 21 5 16 1,174 1,211 33
New York, Up-State. 2 66 38 28 3,268 3,327 1 15
New Jersey........... 2 6 2 4 1,245 1,147 2
Pennsylvania....... 4 3 46 24 22 1,859 2,062 17

EAST NORTH CENTRAL... 49 1 10 125 66 44 15 5,485 6,273 1 81
Ohio............... 5 41 23 9 9 1,440 1,722 20
Indiana............ 1 1 4 2 2 460 569 23
Illinois........... 28 1 8 25 15 6 4 1,038 1,312 23
Michigan............ 6 1 50 26 24 2,174 2,381 11
Wisconsin.......... 9 5 3 2 373 289 1 4

WEST NORTH CENTRAL... 5 155 34 44 25 13 6 1,888 1,740 30
Minnesota.......... 9 18 5 2 3 218 267 3
Iowa............... 4 99 11 6 4 1 335 315 4
Missouri........... 10 1 8 4 4 463 589 13
North Dakota....... 2 2 63 92 2
South Dakota....... 1 18 2 1 1 134 119 1
Nebraska........... 13 4 12 6 1 5 65 119 3
Kansas................. 4 7 7 6 1 610 239 4

SOUTH ATLANTIC....... 1 38 1 65 67 31 35 1 3,211 3,956 1 94
Delaware............ 3 2 1 73 75 -
Maryland........... 1 16 3 13 580 498 8
Dist. of Columbia.. 3 1 2 68 106 -
Virginia........... 17 11 4 7 512 777 11
West Virginia...... 10 8 2 455 604 -
North Carolina..... 4 1 5 4 1 523 1,017 1 20
South Carolina.... 7 13 7 5 1 142 157 12
Georgia............ 1 13 30 105 167 27
Florida............. 4 1 26 6 2 4 753 555 16

EAST SOUTH CENTRAL... 18 30 20 12 8 2,327 3,568 1 42
Kentucky........... 6 5 5 820 1,049 10
Tennessee.......... 5 2 10 5 5 826 1,380 19
Alabama............ 4 23 4 2 2 450 562 7
Mississippi........ 3 5 1 1 231 577 1 6

WEST SOUTH CENTRAL... 2 45 1 38 59 33 26 2,685 2,681 1 33
Arkansas........... 6 3 3 3 266 292 1 15
Louisiana.......... 4 1 12 11 6 5 648 551 5
Oklahoma........... 1 8 126 118 9
Texas............... 1 27 23 45 24 21 1,645 1,720 4

MOUNTAIN............. 30 2 47 7 6 34 2,077 2,471 12
Montana.............. 5 2 2 1 176 313 -
Idaho.............. 6 6 292 424
Wyoming............. 1 1 83 35 I
Colorado........... 15 15 545 496 -
New Mexico......... 1 1 8 4 3 1 294 301 4
Arizona............ 2 1 1 11 458 562 7
Utah............... 26 1 1 178 322 -
Nevada............. 1 51 18

PACIFIC.............. 22 14 137 54 83 6,098 6,189 35
Washington......... 13 11 4 7 615 1,035 2
Oregon.............. 2 26 11 15 631 734
California......... 20 1 95 35 60 4,465 4,187 33
Alaska............. 5 4 1 271 190 -
Hawaii.............. 116 43 -

Puerto Rico 12 20 11 9 912 796 13







418 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
NOVEMBER 21, 1964 AND NOVEMBER 23, 1963 (47TH WEEK) CONTINUED


Streptococcal
Meningococcal Sore Throat and Rabies in
Measles Meningitis Scarlet Fever Tetanus Tularemia Animals
Cumulative Cum. Cum. Cum.
1964 1964 1964 1963 1964 1963 1964 1964 1964 1964 1964 1964


UNITED STATES... 2,316 64 2,455 2,139 7,513 6,548 1 250 7 300 74 4,060

NEW ENGLAND.......... 491 3 81 130 761 657 9 1 33
Maine.............. 80 6 19 82 96 28
New Hampshire...... 54 2 4 17 2
Vermont............. 4 4 6 2 9 2
Massachusetts...... 168 31 58 82 75 9 1 1
Rhode Island....... 15 10 12 42 26 -
Connecticut........ 170 3 28 31 536 451 -

MIDDLE ATLANTIC...... 90 7 323 298 356 386 22 1 3 116
New York City...... 10 1 45 46 13 19 -
New York, Up-State. 40 4 97 93 261 276 8 1 108
New Jersey.......... 10 1 104 47 36 53 6- -
Pennsylvania....... 30 1 77 112 46 38 8 1 2 8

EAST NORTH CENTRAL... 319 7 339 328 688 612 1 48 23 13 569
Ohio............... 57 88 90 77 85 1 13 1 8 290
Indiana............. 23 2 54 44 62 60 14 2 29
Illinois........... 19 2 91 67 123 116 13 14 3 110
Michigan........... 110 3 75 94 309 254 7 2 2 55
Wisconsin.......... 110 31 33 117 97 1 4 85

WEST NORTH CENTRAL... 222 3 140 131 334 156 17 1 57 18 1,227
Minnesota.......... 1 1 30 26 1 10 4 2 4 383
Iowa................ 83 8 7 96 22 6 1 6 440
Missouri........... 2 2 64 38 2 62 4 1 31 1 182
North Dakota........ 125 20 15 134 32 2 62
South Dakota....... 4 3 7 31 6 1 15 4 89
Nebraska............ 7 6 25 35
Kansas............. NN 9 13 70 24 2 8 1 36

SOUTH ATLANTIC....... 204 11 493 399 840 649 61 1 30 10 553
Delaware........... 1 7 4 38 12 -
Maryland.......... 8 36 57 147 43 3 2
Dist. of Columbia.. 1 16 8 6 1 1 1 -
Virginia........... 64 2 59 86 264 228 7 1 7 5 290
West Virginia...... 71 35 21 180 229 1 1 36
North Carolina..... 38 6 84 75 36 28 15 7 5
South Carolina .... 5 1 57 22 30 34 5 2
Georgia............ 3 81 33 24 5 4 14 1 117
Florida............. 14 1 118 93 115 69 25 1 3 101

EAST SOUTH CENTRAL... 130 3 187 146 1,050 1,125 32 30 14 547
Kentucky........... 44 61 31 69 47 8 2 58
Tennessee.......... 75 1 57 68 888 1,008 12 20 12 413
Alabama............ 11 43 24 17 7 7 3 2 19
Mississippi........ 2 26 23 76 63 5 5 57

WEST SOUTH CENTRAL... 197 5 226 194 488 617 28 4 105 13 580
Arkansas........... 1 1 31 14 7 2 8 4 65 5 142
Louisiana.......... 2 129 78 2 15 4 6 1 62
Oklahoma........... 10 13 34 29 26 1 20 1 93
Texas.............. 186 2 53 68 450 574 15 14 6 283

MOUNTAIN ............. 392 4 86 75 1,632 1,492 6 1 50 141
Montana............ 156 1 3 53 73 19 1
Idaho.............. 21 1 4 6 105 105 -
Wyoming............ 5 7 45 129 2 10 -
Colorado........... 18 1 16 20 770 422 8
New Mexico.......... 149 2 35 4 347 365 1 52
Arizona............ 9 8 11 119 115 1 66
Utah............... 39 7 20 192 283 1 1 21 3
Nevada.............. 10 4 1 11

PACIFIC .............. 271 21 580 438 1,364 854 27 3 3 294
Washington......... 129 3 48 39 449 121 3 -
Oregon.............. 29 4 25 32 27 28 1 1 1 11
California......... 97 14 487 342 762 620 22 2 2 283
Alaska............. 6 7 12 18 38 -
Hawaii............. 10 13 13 108 47 1 -


Puerto Rico 57 32 10 4 5 63 25








Morbidity and Mortality Weekly Report





Table 4 (C). TOTAL DEATHS LNI)ER I YEAR OF AGE IN REPORTING CITIES



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


419


For weeks ending For weeks ending
Area 10 1 11 1 1 Area 1 /
10/31 11/7 11/14 11/21 10/31 11/7 11/14 11/21


NEW ENGLAND:
Boston, Mass............... 16 18 13 10
Bridgeport, Conn........... 1 5 2 2
Cambridge, Mass............ 2 1 -
Fall River, Mass.......... 4 1 2
Hartford, Conn............ 4 3 5 4
Lowell, Mass.............. 1 2 2
Lynn, Mass.................. 2 1
New Bedford, Mass........... 2 1 -
New Haven, Conn........... 7 5 3
Providence, R.I........... 2 4 6 5
Somerville, Mass........... 1 2 2
Springfield, Mass.......... 2 1 5 1
Waterbury, Conn............ 1 1
Worcester, Mass............ 6 2 5

MIDDLE ATLANTIC:
Albany, N.Y................ 6 4 5 3
Allentown, Pa............ 2 1
Buffalo, N.Y.............. 8 6 9 7
Camden, N.J............... 4 2 1 2
Elizabeth, N.J............. 1 6
Erie, Pa.................. 3 5 3 4
Jersey City, N.J.......... 5 3 3 5
Newark, N.J................ 3 11 5 28
New York City, N.Y......... 69 79 86 91
Paterson, N.J............ 2 4 1
Philadelphia, Pa.......... 29 17 30 34
Pittsburgh, Pa............ 11 14 10 13
Reading, Pa............... 1 1 1 3
Rochester, N.Y ........... 7 10 4 8
Schenectady, N.Y........... 1 2
Scranton, Pa.............. 3 2 1 2
Syracuse, N.Y.............. 3 1 3 3
Trenton, N.J.............. 5 2 6
Utica, N.Y................ 1 1
Yonkers, N.Y.............. 1 2

EAST NORTH CENTRAL:
Akron, Ohio............... 4 7 4 2
Canton, Ohio.............. 2 3 1 4
Chicago, 111.............. 48 36 55 62
Cincinnati, Ohio.......... 8 6 11 6
Cleveland, Ohio............ 25 13 1 5
Columbus, Ohio............ 9 7 4 2
Dayton, Ohio............... 5 10 5 6
Detroit, Mich............. 32 14 26 25
Evansville, Ind........... 2 5 1 1
Flint, Mich............... 2 7 4 4
Fort Wayne, Ind........... 2 3 5 1
Gary, Ind................. 4 6 3 2
Grand Rapids, Mich........ 3 3 4 1
Indianapolis, Ind......... 13 9 15 10
Madison, Wis ............. 4 4 3 1
Milwaukee, Wis............ 12 21 5 5
Peoria, Ill............... 2 2 4 2
Rockford, Ill............. 2 4 6 3
South Bend, Ind........... 1 1 4 2
Toledo, Ohio............... 4 4 3 1
Youngstown, Ohio........... 2 2 3 2*

WEST NORTH CENTRAL:
Des Moines, Iowa........... 3 3 3 7
Duluth, Minn.............. 2 3 1
Kansas City, Kans.......... 7 3 4 7
Kansas City, Mo............ 8 4 9 7
Lincoln, Nebr............. 3 2 1 2
Minneapolis, Minn......... 9 6 3 6
Omaha, Nebr................ 3 7 5 2
St. Louis, Mo............. 6 14 15 12
St. Paul, Minn............ 6 3 2 3
Wichita, Kans............. 5 2 7 3

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

NOTE: All deaths by place of occurrece.


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


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 11,902
4(B) Pneumonia-Influenza Deaths, all ages........ 492
4(C) Total Deaths under 1 Year of Age............ 766
4(D) Total Deaths, Persons 65 years and over..... 6,574




UNIVERSITY OF FLORIDA

III IIIIIIIIIIIIIIII 11H11 11111111 III
3 1262 08864 2714


Morbidity and Mortality Weekly Report


INFANT DEATHS IN 108 CITIES

The weekly average number of infant deaths in 108
cities for the four-week period ending November 21 was
738 as compared with an expected 752 weekly average.


1EATh


INFANT DEATHS IN 108 CITIES


Week Ending
Week Ending 4-Week Weekly
10/31 11/7 11/14 11/21 Total Average

Observed 730 743 715 766 2,954 738
Expected 752 753 753 753 3,011 752

Excess -22 -10 -38 13 -57 -14


CEATS LUA ONE YEAR O IN 1s US. CITIES
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(See table page 419)


INTERNATIONAL NOTES
(Continued from page 415)


In Bolivia, the number of cases reported was much
larger than in previous years. They occurred in the center
of the country and in the west, in both cases, in the basin
of tributaries of the Amazon. In Peru, cases occurred in
valleys of tributaries of the Amazon. In Colombia, some
of the infected areas were in the valley of the Magdalena
which flows north into the Atlantic, cases also occurred
there in 1962.
Yellow Fever: Cases and Deaths Reported to WHO in 1963
Africa Cases Deaths

Ghana 3 3

America

Bolivia 81 12
Colombia 10 10
Peru 49 49
Venezuela I 1

Total 144 75
(Abstracted from the Weekly Epidemiological Record of
WHO, November 13, 1964.)



THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA-
TION OF 12,000 IS PUBLISHED BY THE COMMUNICABLE DISEASE
CENTER. ATLANTA. GEORGIA 30333.
CHIEF, COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
CHIEF, EPIDEMIOLOGY BRANCH A. 0. LANGMUIR. M.D.
CHIEF. STATISTICS SECTION R. E. 5ERF LING. PH.D.
ASST, CHIEF, STATISTICS SECTION I. L. SHERMAN. M.S.
CHIEF, SURVEILLANCE SECTION 0. A. HENDERSON. M.O.
ASSISTANT EDITOR. MMWR PAUL 0. STO L L E. M.D.
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:
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
NOTES: THESE PROVISIONAL DATA ARE BASED ON WEEKLY TELE-
GRAMS TO THE COMMUNICABLE DISEASE CENTER BY THE INDIVIDUAL
STATE HEALTH DEPARTMENTS.
SYMBOLS:---DATA NOT AVAILABLE
QUANTITY ZERO
PROCEDURES FOR CONSTRUCTION OF VARIOUS MORTALITY CURVES
MAY BE OBTAINED FROM STATISTICS SECTION. COMMUNICABLE
DISEASE CENTER. PUBLIC HEALTH SERVICE. U.S. DEPARTMENT OF
HEALTH, EDUCATION, AND WELFARE, ATLANTA. GEORGIA 30333.


UNIV OF FL LIB
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