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:
AA00010654:00381

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
r d ib/1 IQJ/ f



Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


uI COMMU ICAB DISEA


For release February 21, 1964 ATLANTA, GEORGIA 30333 Vol. 13, No. 7


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED FEBRUARY 15. 1964


CLAM-ASSOCIATED HEPATITIS New Jersey and Pennsylvania

An outbreak of infectious hepatitis trans.utir tr the Pleasantville, New Jersey area. Adult
through raw clams has been reported by New Jerse r 104 of the 111 cases.
Pennsylvania. The outbreak commenced in Octob Cai A f cases, by date of onset, shows a primary
appears to have terminated in late January. Th4 s
CLAM AS D CASES. BY DATES OF ONSEI. NEW JERSE- PENNSWLVA
were harvested along the South-Central New Jers a st RgC 1964 OCTOBER .963 .j...aR .964
in the Pleasantville area. Several clamming g in R 19'
South and South-Central New Jersey have no be
closed.
Since early October, 111 cases of infectious h -
titis among persons who had consumed raw clams in rh
preceding 10 to 60 days have been reported from Eastern
Pennsylvania and New Jersey. Fifty-six of the cases
were reported from Pennsylvania; 53 from New Jersey.
In New York City two additional cases were discovered
who had consumed raw clams approximately 30 days -
S o .a .
GC T %OV DEC JaN


s


y
NtA


Table I. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
7th Week Ended Cumulative. First 7 Weeks
Disease February 15, February 16, Median Median
1964 1963 1959 1963 1964 1963 1959 1963

Aseptic meningitis ................ 19 19 --- 174 164 ---
Brucellosis ...................... 5 8 8 44 39 56
Diphtheria ....................... 1 3 14 28 38 136
Encephalitis, primary infectious .. 29 --- 198 ---
Encephalitis, post-infectious ..... 8 1j --- 40* 131 ---

Hepatitis, infectious including
serum hepatitis ................ 939 1,231 1,231 6,424 7,837 7,837
Measles ........ .. .................. 8,397 11,139 11,825 43,675 62,180 65,781
Keningococcal infections .......... 48 47 50 353 384 379
Poliomyelitis, Total .............. 3 3 6 8 27 67
Paralytic ........... ..... .... 1 3 3 5 23 36
Nonparalytic ....... ........... 2 --- 3 2 -
Unspecified ................... --- 2
Streptococcal Sore Throat and
Scarlet fever .................. 10,263 11,037 -- 66,269 64,114
Tetanus .......................... 6 --- 33 24 ---
Tularemia ........................ 8 6 --- 48 31 -
Typhoid fever ..................... 9 5 8 48 34 52

Rabies in Animals ................. 65 61 71 1.2 391 445

* Excludes post-infectious, unspecified
Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.
Anthrax: Psittacosis: 3
Botulism: 2 Rabies in Man:
Leptospirosis: 3 Smallpox:
Malaria: Calif I 15 Typhus-
Plague: Murine:
Rky Mt. Spotted: 3


6345131







54 Morbidily and Me



peak in mid-November and a secondary peak in early
January (See graph, preceding page).
Intensive tracing revealed that the clams had been
purchased in a number of restaurants and seafood markers
located predominantly in Southern New Jersey and in the
Philadelphia metropolitan area. The clams had been
supplied to these outlets by a variety of wholesalers and
shippers. Clam sources for 79 cases have been traced to
dare; for 17 additional cases, information regarding
restaurant sources did not permit tracing. Thirty of the79
consumed clams supplied by a single primary source; the
clam source for 26 of the 30 was the Pleasantville area
on the south central New Jersey coast and for 4 this
source was from an area approximately 35 miles to the
north. Forty-six of an addition 49 cases consumed clams
distributed by wholesalers whose sources were multiple
but included large shipments from the Pleasantville area
at appropriate dates.


HEPATITIS-ATLANTIC COUNTY. BY DATE OF ONSET
JANUARY 1963-FEBRUARY 1964


(20 an 0-nrl

* Ia.. Clon .l ir)






m--- I I---I--r F-


H


I1~~


(Und.r 201


In Atlantic County, where Pleasanrville is located,
an intensive survey was conducted of all hospitals and
more than 120 physicians to discover all possible hepati-
tis cases since January 1961. In all, there were 52 cases
of hepatitis of which 19 were among those under 20 years
of age; 33 were 20 years of age and older. Fifteen of the
33 adult cases reported having consumed raw clams in
the preceding 10 to 60 days. As shown in the graph
(above), the clam-associated cases cluster in the
October-December period.


rrtality Weekly Report


The secondary wave of cases in early January,
noted previously, centers largely in the Philadelphia
metropolitan area. Clams supplied to these cases are
derived through wholesalers whose sources are multiple
and, although including clams from the Pleasantville
area, also include clams from multiple areas along the
Eastern Seaboard. An immediate explanation for this
secondary wave is not available.
Dr. Roscoe Kandle, New Jersey State Commissioner
of Health, announced February 14 that several previously
open areas along the South and South Central New Jersey
coast have now been closed for clamming.
(Reported by iW. J. Doughert,. M.D.. Director, Division of
Preventable Diseases. New Jersey State Department of
Health, 14. D. Schrack. Jr., M.D., Director. Communicable
Disease Control, Pennsylvania State Department of
Health; and Max Gross. M.D., Atlantic County Health
Department and a team from the CDC.)

Editor's Note: This is the second outbreak of hepatitis
transmitted through clams to be reported this year (See
MMWR, Vol. 13, Page 37). The last previous major out-
break occurred in 1961 and was traced to clams taken
from the Raritan Bay area (See MMWR, Vol. 10, number 7).




INFLUENZA Washington State

Additional outbreaks of influenza-like disease have
been reported from 7 Washington counties during the past
week, bringing to 12 the total number of counties involved
in the current epidemic. (see map).
The disease has now spread from its original focus
in the northwestern corner of the Stare to involve areas in
central Washington as well as one eastern county on the
Idaho border.
The city of Port Angeles (Clallam County) on the
Olympic peninsula reported school absence rates as high
as 15 percent during the past week, largely attributable
to acute respiratory disease. A somewhat milder outbreak
has been observed in nearby Kitsap County. The city of
Tacoma, in Pierce County, noted increased school ab-
senteeism during the week ended February 14, with many
reports of illness clinically compatible with influenza.
A rising absence rate has also been noted in Grays
Harbor County.
In central Washington, several communities in the
adjacent counties of Chelan and Douglas reported respira-
tory disease outbreaks during the past week. These were
associated with absence rates of 17 percent in some
junior high and high schools.








Morbidity and Mortality Weekly Report



COUNTIES REPORTING OUTBREAKS OF INFLUENZA-LIKE DISEASE
WASHINGTON, JANUARY, 27-FEBRUARY 18, 1964


Among the communities most severely affected has
been the town of Tekoa (pop. 11891 in Whitman County,
a few miles from the Idaho State line. School absence
rates of 22-50 percent were noted last week. Cases have
been typical of influenza clinically, with fever, headache,
myalgia and sore throat the principal manifestations.
Significant titer rises to influenza A2 antigen have
been demonstrated in paired sera recently obtained from
several patients in the Seartle-King County area. Physi-
cians in that area have observed an increasing incidence


of influenza-like illness during the past week. While
absenteeism has been only slightly increased for the
county school system as a whole (based on a 20 percent
sample kept under continual surveillance), absence rates
have reached 12-14 percent in selected schools.
(Reported by Ernest A. Ager, M.D., Chief, Division of
Epider.iolog.,State Department of Health, Olympia, Wash-
ington; and Donald R. Petersen, M.D., Epidemiologist,
Seattle-King County Health Department, Seattle, Wash-
ington.)


INFANT DEATHS IN 108 U. S. CITIES.


The weekly average number of infant deaths in 108
cities for the four-week period ending February 15 was
757 as compared with an expected 756 weekly average.




Total Deaths Under One Year of Age Recorded in 108 Cities

Week Ending

1/25 2/1 2/8 2/15 4 Week Total Weekly Average

Observed 803 769 716 740 3,028 757
Expected 761 758 754 751 3,024 756

Excess 42 11 -38 -11 4 1


DEATHS UNDER ONE YEAR OFAGE IN 108 U.S. CITIES
Av*ro9 Number pr We-k by F*r-W-*k Priod.


(See Table, page 59)









56 lorhiriditl and IMortality Weekly Heport



Ibhli I ( AN0S 01 SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

FBHRL ARY 15. 196-4 AND FEBRUARY 16. 196 3 h WEEK)


Encephali i
Apti cl
Meningitis Primary Post-Inf. Poliomyelitis, Total Cases Pol lmyvli is, Paralytic
ArtJa
Cumulative Cumulative

1964 1963 196u 1964 1964 1963 1964 1963 1964 1963 1964 1963

LNITED STATES... 19 19 29 8 3 3 8 27 1 3 5 23

NE' ENC.LA ND.......... 1 1 1
41 i nrf ... ..... -

Vf' rmnt ............ .
Vcs ic hu s ...... -
Rhode I land .......
C nnec Lcu ........ .

MIDDLE ATLANTIC ...... 3 1 6 1 1 1 2 4 1 1 2 4
New lork City ...... 1 -
New York, Up-State. 2 2 1 1 1 3 1 1 3
Ner Jer ey ......... 1 3 1 1 1
Penns l vania....... 1 I

EAST NORTH ENTRAL... 1 1 1 1 8 1 6
Ohio ............... 1 2 I
Indiana.............
I lin i s ........... 1 3 5 4
Michigan........... 1 1 1
i scon in ....... ...

WEST NORTH CENTRAL... 3 2 3 -
Minne'.o a.......... 2 2 1
1.wa. ............... .- -
M ss ur ........... -
N. rth Dakota....... -
S.uth Dakota ....... -
Nebraska .......... -
Kansas............. -

SOTH ATLANTIC ....... 1 8 2 I 2 1 3 2
Delaare....... .. -
Maryland........... -
Dist. of Columbia.. -
Virginia........... 2 -
West Virginia...... .
North Carolina.... 4 1 3 2 2
South Carolina..... 1 -
Georgia............ .
Florida............ 1 2 2 -

EAST SOUTH CENTRAL.. 2 1 -
Kentucky............
Tennessee.......... -
Alabama.............. -
Mississippi ........ 2 .

WEST SOUTH CENTRAL... 1 8 -
Arkansas ........... .
L:,u isiana ........... 7 1 7
Oklahoma........... .
Texa .............. i- I 1

MOL'NTAIN ............. 53 -
Montana............
Idah ............... -
Wyumini ............ -
C lorado ........... 1 5.
New 9e ico........... .
Arlz 'na............ -
Utah...............
Nevada ............. .

PACIFIC.............. 7 5 8 3 3 2
a sh I ngton......... 3 -
Oregonn............. 2 -
California......... 6 2 6 2 3 2
Alaska.............
Hawaii............. ... -

Puerto Rico --- --- --- --- -









Morhidity and Mortality % weekly Report 57


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

FEBRUARY 15, 1964 AND FEBRUARY 16. 1963 ( 'rh WEEK) Conrinucd


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 196. 1964 1964 1963 1964 1964


UNITED STATES... 5 44 1 28 939 453 429 57 6,424 7,837 9 48

NEW ENGLAND.......... 1 150 73 69 8 828 1,048 2 4
Maine.............. 28 19 8 1 308 85 -
New Hampshire...... 12 6 6 83 81
Vermont............. 24 16 4 4 91 14
Massachusetts...... 1 15 8 7 146 325 2 3
Rhode Island........... 4 2 2 29 28 1
Connecticut........ 67 22 42 3 171 115

MIDDLE ATLANTIC...... 4 189 80 109 1,377 1,466 1 5
New York City...... 1 25 6 19 186 163 I
New York, Up-Stare. 71 32 39 654 706 1 2
New Jersey......... 2 31 17 14 199 200
Pennsylvania...... 1 62 25 37 338 397 2

EAST NORTH CENTRAL ... 9 4 117 61 46 10 903 1,225 1 12
Ohio............... 26 10 13 3 261 367 1 11
Indiana............. 12 6 5 1 71 85 -
Illinois........... 8 4 17 9 7 1 107 228 1
Michigan .......... 56 35 21 430 46 -
Wisconsin.......... 6 1 5 34 81 -

WEST NORTH CENTRAL... 2 22 8 73 43 21 9 430 342 2 2
Minnesota.......... 1 4 1 2 1 25 66 -
Iowa............... 1 10 14 7 7 65 60 1 1
Missouri............ 3 22 14 8 95 135 I I
North Dakota....... 3 2 1 24 8 -
South Dakota....... 4 9 8 1 48 11 -
Nebraska........... 1 5 4 2 2 11 25 -
Kansas............. 7 17 11 6 162 37 -

SOUTH ATLANTIC....... 1 2 1 4 101 50 51 625 895 1 15
Delaware............ 7 10 -
Maryland........... 9 5 4 100 85 -
Dist. of Columbia. 4 4 13 28 -
Virginia.......... I 1 26 11 15 92 254 1 1
West Virginia...... 18 13 5 115 123 -
North Carolina..... 1 23 12 11 139 250 9
South Carolina..... 1 2 2 20 44 I
Georgia............ I I 10 24 -
Florida............. 2 18 2 16 129 77 4

EAST SOUTH CENTRAL... 1 46 25 21 428 799 1 5
Kentucky........... 21 11 10 201 255 1
Tennessee........... 1 16 11 5 142 313 1 3
Alabama .......... I 4 4 57 Ill 1
Mississippi....... 5 3 2 28 120 -

WEST SOUTH CENTRAL... 3 3 79 49 29 1 436 533 1 2
Arkansas............ 1 13 4 9 63 75 1 1
Louisiana.......... 1 2 6 3 3 79 78 -
Oklahoma............ 4 3 1 26 38 -
Texas.............. 1 56 39 16 1 268 342 -

MOUNTAIN............. 55 15 11 29 436 635 -
Montana............. 6 1 3 2 42 102 -
Idaho............... 5 5 40 88 -
Wyoming............ 8 6 2 15 5-
Colorado............ 17 2 4 11 115 147 -
New Mexico........ 1 6 4 2 80 69 -
Arizona............ 10 10 90 141 -
Utah............... 3 2 1 1 47 77 -
Nevada.............. 7 6

PACIFIC .............. 1 2 3 129 57 72 961 894 3
Washington......... 3 21 9 12 117 147 -
Oregon.............. 20 12 8 104 133 -
California......... 1 2 84 34 50 689 585 3
Alaska............. 2 1 34 23
Hawaii ............ A -
1 I 17 6-


Puerto Rico --- 4 43 --- 1








318 1orbidili anid 1 ortality Weekl HReport


TaIh I CANES OF SPF(IFIED NOTIFIABLE DISEASES L UNITED STATES

FOR WEEKS ENDED

FIHRI AR\ Ii. 1,9). AND FEBRUARYI6. 19i6 ( "th WEEK) Contnucd


St rept Loccal
Me n ngococca Sore Throat and Rabies In
'is i- Mnningiis Scarlet Fever Tetanus Tularemia Animals
1IA I
Cumulative Cum. Cum. Cum.
1964 196. 1964 1963 1964 1963 1964 1964 1964 1964 1964 1964

UNIT:TED TATE,... 8.397 48 353 384 10,263 11,037 6 33 8 48 65 472

NFl ENGLAND .......... 656 10 33 997 1,209 1
IL ln .............. 119 7 35 236 -
N-w limp-hir ...... 4 3 10 1
V.rm.nt ............ 156 1 11 21 -
Mi;aJ hucttl ...... 101 3 11 58 192 -
Rho'd. lsland....... 40 2 4 109 108 -
C.nncctcl.ut....... 236 5 10 781 642 -

MIDDLE ATLANTIC...... 1,608 5 46 45 358 783 1 15
N4w Y..rk Cit,..... 552 7 5 29 55 -
New Yor', Lp-State. 287 3 17 12 179 374 I 14
New Jersy. ........ 400 2 9 9 64 150 -
Penns.lvania....... 369 13 19 86 204 I

EAST NORTH CENTRAL... 2,044 7 54 66 1,409 1,373 4 5 7 45
Ohi................. 368 4 19 21 298 244 I 1 4 25
Indiana............. 81 7 11 117 191 4
Illinois ........... 246 1 10 11 179 159 2 2 2 6
Michigan............ 761 1 15 14 536 415 1 1 5
W siconsin........... 188 1 3 9 279 304 1 1 5

WEST NORTH CENTRAL... 217 4 17 19 370 462 2 2 13 21 146
Minnesota.......... 3 3 35 27 1 6 43
Iowa............... 79 95 122 I 8 46
Missouri ........... 36 3 8 7 19 7 2 2 8 4 29
North Dakota........ 102 2 1 89 160 -- 2 10
South Dakota....... 2 9 4 1 11
Nebraska............ 1 1 6 1 2 5
Kansas.............. N 3 122 140 3 2

SOLITH ATLANTIC....... 768 12 85 88 1,006 1,264 3 14 3 8 8 87
Delaware........... 6 1 2 5 -
Maryland........... 99 11 1 98 46 -
Dist. of Columbia.. 21 1 10 -
Virginia........... 192 7 19 354 274 3 6 71
West Virginia...... 260 5 7 310 270 -- 2
North Carolina...... 42 1 10 14 40 69 3 7 -1
South Carolina...... 96 1 13 6 58 277 2 -
Georgia............ 6 4 8 4 3 5 1 5
Florida............. 52 10 33 22 126 319 5 1 8

EAST SOUTH CENTRAL... 1,342 1 29 24 1,763 1,512 3 2 12 11 81
Kentucky............ 705 5 5 81 254 1 2 15
Tennessee .......... 555 -13 12 1,571 1,071 1 2 9 9 63
Alabama............ 13 6 4 22 95 2 2 3
Mississippi........ 69 1 5 3 89 92 -

WEST SOUTH CENTRAL... 68 2 27 37 1,122 1,407 2 5 1 9 12 70
Arkansas............ 62 4 3 5 17 1 5 21
Louisiana........... I I 20 12 8 24 3 3 7
Oklahoma ........... 5 I 3 7 32 69 1 8 1 6
Texas............... -15 1,077 1,297 2 2 3 36

MOUNTAIN.............. 332 5 22 14 1,510 1,342 I 5 17
Montana............. 66 88 57 -
Idaho.............. 34 I 139 11 -
Wyoming............ -1 41 49 1 -
Colorado........... 33 6 3 527 552 -
New Mexico.......... 1 3 8 2 294 317 4 11
Arizona............. 151 1 2 3 223 171 -- 1 6
Utah............... 38 1 5 197 85 -- -
Nevada............. 9 1 3 1 1 -

PACIFIC.............. 1,362 12 63 58 1,728 1,685 10
Washington......... 690 4 5 669 510 -
Oregon............. 145 2 3 2 58 38 -
California......... 479 9 51 47 897 989 4 10
Alaska............. 42 4 89 108 -
Hawaii............ 6 1 3 15 40 -

Puerto Rico -- -- --- --- ---









Mlorbhidity and Mlortality Weekly Report





labl. (() 1(01 1. 1)1 A I S I NI)FR I I AR OF A(. IN RI PORTING (II lE.




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


For weeks ending F,-r wuks ending
ArEa /1 Area
1/25/64 2/1/64 2/8/64 2/15/64 1/25/64 211/64 2/8/64 2/15/6.


NEW ENGLAND:
Boston, Mass .............. 15 11 13 12
Bridgeport, Conn.......... 2 3 2 1
Cambridge, Mass........... 2 1 -
Fall River, Mass.......... 5 1
Hartford, Conn............ 6 8 2 5
Lowell, Mass............... 2 1 1 1
Lynn, Mass..... ........... 1 3 I
New Bedford, Mass.......... I 2 2
New Haven, Conn............ 4 3 5 -
Providence, R.I........... 3 *
Somerville, Mass.......... I 1 -
Springfield, Mass......... I1 4 2 3
Waterbury, Conn........... 1 2 3 1
Worcester, Mass............ 1 3 1

MIDDLE ATLANTIC:
Albany, N.Y................ 6 3 3 5
Allentown, Pa............. -
Buffalo, N.Y .............. 14 10 8 12
Camden, N.J................ 5 1 1
Elizabeth, N.J............. 4 1 1 2
Erie, Pa.................. 2 3 1 2
Jersey City, N.J........... 6 4 7 3
Newark, I. J............... 9 3 5 27
New York City, N.Y........ 85 86 88 90
Paterson, N.J............. 2 2 2 -
Philadelphia, Pa.......... 40 44 52
Pittsburgh, Pa............ 18 9 23 5
Reading, Pa............... I I* -
Rochester, N.Y............. 9 6 3 6
Schenectady, N.Y.......... 2 1 -
Scranton, Pa.............. 1 4 1
Syracuse, N.Y ............ 6 4 6 6
Trenton, N. J.............. 5 3 4 1
Utica, N.Y................ I -
Yonkers, N.Y............ .. 3 1 2 1

FAST NORTH CENTRAL:
Akron, Ohio .............. 1 2 2 4
Canton, Ohio.............. 4 -
Chicago, Ill.............. 4qg 41 57 .0
Cincinnati, Ohio.......... 9 2 6 11
Cleveland, Ohio........... 12 12 14 14
Columbus, Ohio............. 5 14 4 9
Dayton, Ohio............... 7 8 8 6
Detroit, Mich............. 19 20 21 17
Evansville, Ind........... 1 3
Flint, Mich..... ......... 5 5 6 2
Fort Wayne, Ind........... 1 1 3 3
Gary, Ind................. 4 5 3 4
Grand Rapids, ich ........ 7 2 2 4
Indianapolis, Ind......... 8 8 12 7
Madison, is....... ..... .. 7 1 2 1
Milwaukee, Wis............ 12 28 5 8
Peoria, I11............... I 2 2 5
Rockford, 11l............. 2 1 3
South Bend, Ind........... 1 4 I 3
Toledo, Ohio............... 4 3 6 1
Youngstown, Ohio.......... 2 1 2

WEST NORTH CENTRAL:
Des Moines, Iowa........... 3 2 2 -
Duluth, Minn .............. 2 2 1
Kansas City, Kans ......... 4 3 4 3
Kansas City, Mo........... 7 6 7 10
Lincoln, llebr............. 2 3 2 -
Minneapolis, Minn.......... 6 7 9 8
Omaha, Nebr............... 8 2 6 5
St. Louis, Ho............. 12 9 13 9
St. Paul, Minn............ 6 3 7 3
Wichita, Kans................ 4 3 4 3

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

NOTF: All deaths by place of ocurrence.


SOUTH ATLANTIC:
Atlanta, Ga..............
Baltimore, Md ............
Charlotte, N.C...........
Jacksonville, Fla........
Miami, Fla...............
Norfolk, Va..............
R1hi ,ond, Va.............
Savannah, Ca..............
St. Petersburg, Fla......
Tampa, Fla...............
Washington, D.C..........
WilmingLon, Del..........

EAST SOUTH CENTRAL:
Birmingham, Ala..........
Chattanooga, Tenn........
Knoxville, Tenn..........
Louisv lle, Ky...........
Memphis, Tenn ............
Mobile, Ala..............
Montgomery, Ala..........
Nashville, Tenn..........

WEST SOUTH CENTRAL:
Austin, Te ..............
Baton Rouge, La..........
Corpus Christi, Tex......
Dallas, Tex..............
El Paso, Tex .............
Fort Worth, Te>...........
Houston, Tex.............
Little Rock, Ark.........
New Orleans, La..........
Oklahoma City,, Okla......
San Antonio, Tex.........
Shreveport, La...........
Tulsa, Okla..............

MOUIAINH:
Albuquerque, l. Mex......
Colorado Springs, Colo...
Denver, Colo.............
Ogden, Utah..............
Phoenix, Ariz...........
Pueblo, Colo ..... .. ......
Salt Lake City, Utah.....
Tu ion, Ar z .............

PACIFIC:
Berkeley, Calif..........
Fresno, Calif ............
Glendale, Calif..........
Honolulu, Hjwaii.........
Long Beach, Calif........
Los Angeles, Calii......
Oakland, Cal [ ............
Pasadena, Calif ..... .....
Portland, Org ............
Sa:ranento, Calif ........
San Diego, Calif .........
San Francisco, Calif .....
San Jose, Calif..........
Seattle, Wah ............
Spokane, Wash............
Tacoma, Wash..............

San Juan, P.R..............


II
11
19

3

8

8



23
23





3
3
11







8
2
1,
7
5
13
5

I
I


5



1


2


6
3


i
6
1
2
5
31
II


3
17
6
J2


6


I'---)


OCurrent Week Mortality' for 108 Selected Citi.-s

4(A) Total Mortality, all ages................... 12-028
4(B) Pneumonia-Influenza Deaths, 311 3ags ........ 550
.*(C) Total Deaths under 1 Year of Age............ 7. -1
4(D) Total Deaths, Persons 65 years and over v... 6,743








,0 Morbidity and Moi




INTERNATIONAL NOTES -QUARANTINE MEASURES


Influenza Japan
Prliminar) reports from the Tapanese Influenza
Center in Tokyo suggest that the influenza B virus re-
cently recovered from outbreaks on the island of Kyushu,
is not similar to the B.iTaiwan,62 strain. It appears
to resemble more closely strains isolated from influenza
B outbreaks in Japan in 1961. Further studies, aimed
at a more complete characterization of this virus, are
now in progress.
(Reported by Hideo Fuiikm,, AMD.. Chiet. Japanese In-
'rh',,r-r Center, Tokyo.)


Immunization Information for International Travel-Public
Health Service Publication No. 384, 1963-64 Edition

Section 5

OCEANIA
Australia, page 63

Delete the information under smallpox and insert:

Smallpox Except British Solomon Islands, Fiji,
Nauru, Nea Zealand, Norfolk Island, Ocean Island, Austra-
lian Territory of Papua and New Guinea, provided travel-
lers have not been outside these areas for at least 14
days before arrival and these areas are free of smallpox.
Australia reserves the right, in respect of arrivals from
other areas, to isolate any person who arrives by air
without smallpox vaccination certificate and refuses to be
vaccinated. The certificate is not required from children
1 year of age.

Isolation Under the Australian Quarantine Act,
carriers are responsible for expenses of isolation of all
travellers who disembark and: (a) come from a cholera
infected area or an area mentioned above in the note on
cholera within 5 days and do not possess a cholera
vaccination certificate; or (b) come from a yellow-fever
infected area within 6 days and do not possess a yellow-
fever vaccination certificate; or (c) arrive by air without
smallpox vaccination certificate and refuse to be vacci-
nated on arrival.



The Morbidity 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. Longmuir, M.D.
Chief, Statistics Section R. E. Serfihng, 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.


tality Weekly Report


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, Georgia 30333



Noite: These provisional dato ore based on weekly telegrams e rfer Communi.
cable Diraose CenIe by rh* individual State health d.panmenri.
Symbol- .. Data not available
Quantity rern
Procedures for construction of various norollify curves may be obtalned from
Statistics Section, Communicable Disease Center, Public Neaufh Swvice,
U. S. Deporonent of Heaolh, Education, and Welfare. Alamna, Geergl 30333.


'Nri. Cr"r FLLIB -
JCUMENTS D)EPT





LU )E-OSIOTRY


3





as u
ins
M"a
I"


z


I-
m
- C


m.



ZZ

-fl
0
mo
Tl
e


m-I


"0


U!;
0111


I0




Full Text
xml version 1.0 encoding UTF-8
REPORT xmlns http:www.fcla.edudlsmddaitss xmlns:xsi http:www.w3.org2001XMLSchema-instance xsi:schemaLocation http:www.fcla.edudlsmddaitssdaitssReport.xsd
INGEST IEID ESOTNEMCD_N3O56J INGEST_TIME 2013-02-07T17:44:20Z PACKAGE AA00010654_00381
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES