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:
AA00010654:00384

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

C) 9


COMMUNICABLE DISEASE CENTER








ad 4d1
" :[ ".

t ^


Vol. 14, No. 16


Week Ending
April 24, 1965


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


EPIDEMIOLOGIC NOTES



Rubella, prevalent throughout the Northeastern, North
Central and Southern States a year ago, has exhibited a
sharply increased incidence in a number of Western States
this year.
Of thons .rSate. ~hli h rn uei rennrltin, iof rihubell all


Pacific States and son-m
show an increased incid
.A summarN Is press?


CONTENTS


Epidemiologic Notes . ....

Rubella Surveillance Summary .
Figure 1 . .
S. . .. .
11-Y


.. .. .. ,.. ....... ,
S\ountain States, a. w' II a.s lowa, .
lence of ruhella this eair. I trnain. l Nu,\ i rntir,- -
ented in this isaue.




Ijhlc I ( AS5t OF SP( IFED II) NO IAB ) STA1,


jr '.


. 137

. 139
. 138
....... 138
. 139


114


16th week Ended """ I Cumulai e., FirL 16 We-k
Disease April 24, April 18, Median Median
1965 1964 1960 1964 1965 1964 1960 1964
Aseptic meningitis ................ 17 29 28 443 441 389
Brucellosis ...................... 7 19 11 69 125 125
Diphtheria ....................... 2 10 8 71 65 160
Encephalitis, primary infectious .. 30 38 -- 472 513 "
Encephaltir post-infectious ..... 19 27 --- 231 230
Hepatitis, infectious including
serum hepatitis ................ 686 816 845 12,364 14,568 16,334
Measles ........................... 11,830 29,671 18,619 151,326 225,555 201,668
Meningococcal infections .......... 67 73 46 1,382 1,048 853
Poliomyelitis, Total .............. 3 4 6 22 89
Paralytic ...................... 3 4 5 17 61
Nonpar.l tic .................. .. --- 1 4---
Unspecified .................... I --- I 1
E'reptoc,iil Sore Throat and
Scarlet lever .................. 9,675 10,452 7,523 177,458 173,070 150,540
Tetanus ........................... 7 5 58 60
Tularemia ............... ......... 2 2 --- 58 78
Typhoid fever ..................... 4 7 7 103 101 122
Rabies in Animals ................... 148 112 94 1,688 1,363 1,336

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: Mass.-l 5 Rabies in Man:
Botulism: 2 Smallpox:
Leptospirosis: 10 Trichinosis: Calif.-3 51
Malaria: N.Y.C.-1, S.C.-l 15 Typhus-
Plaguc Murine: Ga.-1 6
Psittacosis: Ohio-I 10 Rky Mt. Spotted: 6


J


, j i/







Figure I.

RUBELLA BY MONTH OF REPORT
FOR SELECTED STATES
SEPTEMBER 1963-MARCH 1965 COMPARED TO
AVERAGE MONTHLY REPORT, 1955-1963


Figure /(cont.)


10000-


5000-


0-




20000*


15000-


10000-


5000-


15000
SEPT. 1964-AUG. 1965
--- SEPT. 1963-AUG. 1964
10000- 1955-1963 (AVG.)


5000-


30000,


PACIFIC


/ MOUN
MOUNTAIN / %

II I I -


A
/\
I'
I \
SOUTH I \
I \
I
I \

/ \
// \


I I I I I I I I I I I I


250001 NORTH C


20000.


15000,


10000.


5000.


CENTRALL


I \
I I
I \

I l
I l
I l


I\-


25000-


20000-


15000-


10000-


5000-


/ \
NORTHEAST





I \\
-.ooI


0 +-A I I I I I i
S O N D J F M A M J J A
MONTH


Ur 1T 1


1 I I I I I
SON DJ F M A M J J A
MONTH


V-r


I








Morbidity and Mortality Weekly Report


/ ,yre 2Z
RULELLA BY MONTH OF REPORT
FOR SELECTED STATES
1955 1965


Io~ Mlira C

fij\xY'AJi


I


1000


5OUTH


years


NORTH CENTRAL


NORTyEAST










yeors


Rubella is not a nationally reportable disease. However, over 20 States have reported it
on a monthly basis since l'I.' and many have kept records as far back as 1920. These form
the basis of this report. Alli,.ugh only a small fraction of the actual number of cases are re-
ported by local physicians, the broad trends of disease occurrence are discernible.


RUBELLA SURVEILLANCE SUMMARY


During the winter and spring of 1'i.;.,-e:i, extensive
outbreaks of rubella occurred through most areas of the
United States, *,\ lirin' only the Far West. D.-'. lipqiii
first on the East Coast, the epidemic spread into the Mid
,,.-I and South. Some increased incidence was noted in
the Mountain and Pacific States. For all except these
latter areas, this epidemic was the lnrg.,-t recorded in two
decades. (i...- Mi mi. Vol. 13, No. 40).

This year, rubella has exhibited a marked increase in
incidence in the Pacific .ra- (Fig. 1). Utah, Montana,
Idaho and Iowa also show an increased incidence in rubella
during the present year contrasted to last year and to their
respective five year -a I'oIrae-' (See table below).


STATES REPO 1' I N G AN INCREASED INCIDENCE
OF HI. BI l I A, 190;

Cumulative Totals through week 13

STATE 1965 1964 5-year average 1959-63

Pacific States:
S:. eh. 10,383 2,'.'4 -*'.2.
Ore. 6,514 716 1, '1"
Hawaii 878 18 7
Mountain States:
Utah : 11 31 52
Idaho 328 19 26
Mont. 1,812 887 429
North Central
t a .--.
Iowa 1, ,'. :'._6

(Continued on back p... )


13 )










140 Mlorbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 24, 1965 AND APRIL 18, 1964 (16th WEEK)


SEncephalitis Poliomyelitis Diphtheria
Aseptic
Meningitis Primary Post-Inf. Total Cases Paralytic
Area
Cumulative Cumulative Cum.
1965 1964 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965
UNITED STATES... 17 29 30 19 6 22 5 17 2 71

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

MIDDLE ATLANTIC...... 3 10 10 5 1 4 4 3
New York City...... 4 1 1 1 2
New York, Up-State. 2 2 2 3 2 2 -
New Jersey......... 6 2 1 1 -
Pennsylvania....... 1 2 2 2 1

EAST NORTH CENTRAL... 2 5 2 2 2 2 3
Ohio................ 1 1 1
Indiana............ 2
Illinois........... 2 3 1 1 1 1 -
Michigan............ 2 1 1 -
Wisconsin.......... -

WEST NORTH CENTRAL... 2 1 1 1 17
Minnesota............ 2 1 1 1 7
Iowa............... -
Missouri........... 1
North Dakota....... -
South Dakota....... 7
Nebraska............ -
Kansas............. I

SOUTH ATLANTIC....... 4 1 5 1 10 7 1 13
Delaware........... -
Maryland............ 3 -
Dist. of Columbia.. 3
Virginia........... -
West Virginia...... 1 -
North Carolina..... 1 1 5 2 1
South Carolina..... -
Georgia.............. l 1 1 1 6
Florida............ 3 1 1 1 3 3 3

EAST SOUTH CENTRAL... 1 1 1 1 11
Kentucky........... -
Tennessee........... -
Alabama...*......... 10
Mississippi ........ -

WEST SOUTH CENTRAL... 3 1 1 2 1 1 1 1 18
Arkansas.......... 1 1 1
Louisiana.......... 2
Oklahoma........... 2 -
Texas .............. 1 2 1 1 1 1 15

MOUNTAIN............. 1 1 1 2 2 2 1
Montana............ -
Idaho............... .- -
Wyoming............. 1 -
Colorado ........... 1 1 1 -
New Mexico ......... 1 -
Arizona............... 2 -
Utah................ -
Nevada.............

PACIFIC............... 3 7 8 8 1 1 1 1 1 5
Washington......... I 2 -
Oregon............. 1 1
California......... 3 5 8 5 1 1 1 1 1 4
Alaska............. -
Hawaii............. -

Puerto Rico 6 6










IMorid ity and Mortality W'eekl% Report III


Table 3. CASES OF SPlCIFIED NOTIFIABLI I)ISIASI S I 1 I I ) S TATII"

FOR WIEKS ENDI)D

APRIL 24, 1965 AND APRIL 18, 196i (16ih X I I K) Continucd


Brucl Infectious Hepatitis Mningcocc;al
losis including Serum Hepatitis Infecti, on Tt ii
Area Total Under 20 years Cumulative
incl. unk. 20 years and over Totals Cumu live. Cui.
1965 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965

UNITED STATES... 7 686 311 341 12,364 14,568 67 1,382 1,048 7 58

NEW ENGLAND.......... 41 18 22 731 1,563 4 70 29 3
Maine.............. 14 5 9 160 553 8 2
New Hampshire...... 3 1 2 63 123 4 I
Vermont............ 1 1 38 193 1 2 1
Massachusetts...... 15 8 6 269 310 23 13 2
Rhode Island....... 3 2 1 90 69 11 2
Connecticut ........ 5 2 3 111 315 3 22 11

MIDDLE ATLANTIC...... 120 53 67 2,144 3,320 8 181 108 1 4
New York City...... 21 7 14 393 472 1 27 17
New York, Up-State. 52 22 30 927 1,485 3 43 34 1 2
New Jersey......... 18 7 11 341 600 1 61 29
Pennsylvania....... 29 17 12 483 763 3 50 28 2

EAST NORTH CENTRAL... 2 132 59 65 2,392 2,186 9 166 153 5
Ohio................ 30 12 17 728 588 4 51 47 1
Indiana............. 8 2 6 177 184 1 23 28 3
Illinois........... 2 28 11 12 473 347 4 41 31 1
Michigan........... 55 28 27 873 928 28 34
Wisconsin.......... 11 6 3 141 139 23 13

WEST NORTH CENTRAL... 4 65 38 20 834 855 7 75 55 3
Minnesota.......... 3 3 71 68 1 15 10 2
Iowa............... 3 42 26 9 346 124 2 3
Missouri........... 4 1 3 152 208 2 37 30 1
North Dakota....... 11 36 3 3
South Dakota....... 4 3 1 13 86 2 -
Nebraska........... 1 1 1 24 18 4 9 4
Kansas............. 11 7 4 217 315 7 5

SOUTH ATLANTIC....... 1 61 28 27 1,281 1,441 12 277 223 4 18
Delaware............ I 1 51 31 3 2 -
Maryland............ 8 4 4 262 272 26 17 1
Dist. of Columbia.. 14 26 4 8
Virginia........... 22 15 7 333 216 30 21 1 3
West Virginia...... 4 4 203 256 4 22 17
North Carolina..... 5 1 4 105 271 42 37 1 2
South Carolina .... 2 1 1 39 49 3 44 34 1
Georgia............. 2 2 47 33 35 18 3
Florida............ 1 17 3 8 227 287 5 71 69 2 8

EAST SOUTH CENTRAL... 38 18 19 942 1,022 6 99 102 1 10
Kentucky............ 8 6 1 327 453 3 44 34 1
Tennessee.......... 14 4 10 362 348 3 29 36 1 4
Alabama............ 11 7 4 142 142 20 17 4
Mississippi........ 5 1 4 111 79 6 15 1

WEST SOUTH CENTRAL... 51 26 24 1,093 1,046 8 215 145 8
Arkansas........... 3 1 2 149 121 12 8 2
Louisiana.......... 8 3 5 188 216 5 117 71 2
Oklahoma........... 32 67 16 3
Texas.............. 40 22 17 724 642 3 70 63 4

MOUNTAIN................ 40 16 16 768 951 1 59 37 1 2
Montana............ 2 2 58 91 1
Idaho.............. 3 129 73 7 1 -
Wy..min ............ 1 1 26 33 2 1
Colorado........... 13 8 5 147 283 1 11 8 1
New Mexico.......... 9 5 4 143 154 17 18
Arizona............ 5 143 205 14 2 1 1
Utah............... 7 3 4 117 84 5 1
Nevada ............. 5 28 2 6

PACIFIC.............. 138 55 81 2,179 2,184 12 240 196 5
Washington.......... 5 1 3 173 229 1 17 16 -
Oregon............. 7 2 5 177 235 18 12
California......... 121 51 70 1,691 1,605 11 198 157 5
Alaska............. 3 1 1 124 67 4 6
Hawaii............. 2 2 14 48 3 5 -

Puerto Rico 20 15 5 395 287 3 18 13









142 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 24, 1965 AND APRIL 18, 1964 (16th WEEK) Continued


Strept.
Measles Sore Th. & Tularemia Typhoid Fever Rabies in
Scarlet Fev. Animals
Area
Cumulative Cum. Cum. Cum.
1965 1965 1964 1965 1965 1965 1965 1Q5 1965 1965
UNITED STATES... 11,830 151,326 225,555 9,675 2 58 4 103 148 1,688

NEW ENGLAND.......... 1,189 28,388 8,403 1,095 1 19
Maine .............. 73 2,083 1,113 80 -
New Hampshire...... 335 146 -
Vermont............ 67 493 1,656 13 18
Massachusetts...... 620 15,785 2,457 148 1 -
Rhode Island...... 104 3,094 780 71 -
Connecticut........ 325 6,598 2,251 782 1

MIDDLE ATLANTIC...... 814 6,274 29,397 719 2 15 4 61
New York City...... 130 687 9,494 32 1 7 -
New York, up-State. 237 1,969 6,495 504 1 5 3 57
New Jersey......... 136 1,102 6,901 106 2 -
Pennsylvania....... 311 2,516 6,507 77 1 1 4

EAST NORTH CENTRAL... 2,412 28,680 48,460 1,189 1 3 1 15 59 219
Ohio................ 296 5,893 10,032 148 3 43 117
Indiana............. 60 1,111 11,353 160 4 3 17
Illinois......... 14 1,060 8,757 196 2 1 3 9 40
Michigan........... 1,542 15,370 11,788 406 3 3 16
Wisconsin.......... 500 5,246 6,530 279 1 1 2 1 29

WEST NORTH CENTRAL... 775 11,626 11,165 476 5 3 24 301
Minnesota........... 15 369 162 11 4 69
Iowa................ 417 6,419 7,688 102 2 87
Missouri........... 158 1,757 669 4 3 3 1 41
North Dakota....... 169 2,728 2,065 161 1 12
South Dakota....... 5 63 3 64 1 5 20
Nebraska............ 11 290 578 1 18
Kansas............. NN NN NN 133 1 11 54

SOUTH ATLANTIC....... 928 17,265 20,827 1,451 20 1 26 10 238
Delaware........... 45 390 226 56 3 -
Maryland............ 62 646 2,183 391 8 2
Dist. of Columbia.. 5 27 318 12 -
Virginia........... 97 2,659 5,808 292 3 2 6 191
West Virginia...... 407 10,289 4,705 406 1 8
North Carolina..... 12 206 837 14 4 7 1
South Carolina..... 84 713 2,806 72 3 1 3 1
Georgia............. 17 478 135 16 10 1 1 17
Florida............. 199 1,857 3,809 192 1 3 18

EAST SOUTH CENTRAL... 1,583 9,700 30,111 1,533 13 12 21 477
Kentucky........... '892 1,868 13,030 126 3 5 4 34
Tennessee.......... 478 5,345 12,356 1,308 9 3 17 436
Alabama............ 161 1,740 921 47 1 2 7
Mississippi........ 52 747 3,804 52 2 -

WEST SOUTH CENTRAL... 1,900 21,447 39,493 763 1 11 14 17 262
Arkansas........... 5 832 747 5 1 6 6 3 38
Louisiana.......... 7 54 57 1 1 2 4 47
Oklahoma........... 5 125 550 54 3 1 4 50
Texas............... 1,883 20,436 38,139 703 1 5 6 127

MOUNTAIN............. 844 11,868 8,960 1,341 6 11 2 31
Montana............ 89 2,794 1,574 51 1 -- 3
Idaho............... 89 1,746 1,090 129 -
Wyoming............. 57 623 75 4 1 -
Colorado............. 247 2,555 1,510 601 1 1
New Mexico......... 111 469 185 141 7 1 6
Arizona............. 53 496 3,502 184 3 21
Utah............... 156 3,057 610 231 5 -
Nevada.............. 42 128 414 -- -

PACIFIC.............. 1,385 16,078 28,739 1,108 6 11 80
Washington......... 450 4,800 10,362 196 1 -
Oregon............... 168 2,276 3,205 34 1 2
California.......... 525 7,043 14,129 792 3 11 78
Alaska.............. 4 106 871 37 -
Hawaii............. 238 1,853 172 49 1 -

Puerto Rico 66 1,052 2,621 10 1 1 1 6










lorbitd iy and lortialiI reekl liepurt


Week No. Table 4. 1)1 1lH1 IN 122 1 N11 I1) STATES CITIES I()R H i k INI)I I) APRIL 124, 1965


(By place o occurrence and week of iling certi icate. Eo ludr. fetal dtth, )


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.--------
South Bend, Ind.------
Toledo, Ohio----------
Youngstown, Ohio------

WEST NORTH CENTRAL:
Des Moines, Iova------
Duluth, Minn.---------
Kansas City, Kans.----
Kansas City, Mo.------
Lincoln, Nebr.--------
Minneapolis, Minn.----
Omaha, Nebr.----------
St. Louis, Mo.--------
St. Paul, Minn.-------
Wichita, Kans.--------


65 years
Stand over


746
233
54
24
34
56
23
18
33
54
63
16
60
22
56

3,426
44
27
171
39
42
42
82
123
1,677
49
517
227
47
115
16
38
54
38
26
52

2,764
65
46
835
162
213
121
106
358
42
53
43
42
54
166
34
137
25
32
50
114
66

859
50
31
40
134
21
127
88
238
83
47


434
129
30
17
24
36
13
13
24
28
38
7
32
13
30

2,021
26
17
90
23
24
25
49
62
981
28
318
136
27
73
12
24
30
19
23
34

1,535
33
24
459
82
121
64
64
198
32
21
21
25
32
92
13
76
18
20
28
76
36

494
33
24
16
81
12
77
53
122
52
24


Influenza
All Ages


1 yIar
All
Causes


*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, Ca.----------
St. Petersburg, Fla.---
Tampi, Fla.------------
Washington, D. C.------
Wilmington, Del.-------

EAST SOUTH CENTRAL:
Birmingham, Ala.-------
Lhit[ .n .. 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.----------


NJ I

All
Ages


1,145
118
269
41
62
82
54
88
33
63
79
206
50

645
89
61
41
125
136
50
50
93

1,051
31
35
29
118
32
82
193
69
157
90
82
62
71

419
34
17
121
25
109
17
48
48

1,661
24
48
44
42
67
514
98
41
110
64
102
228
45
136
55
43


65 yea~ri
dnd Over


566
45
119
15
36
48
24
38
14
53
51
98
25

350
43
36
27
64
67
28
29
56

508
18
18
11
55
17
35
80
31
72
52
46
33
40


i..
and
Imlluenza
All Ag s


9
9
9
2
2
2
2
2
3
5
10
10
3

44
1
13

14
7

4
5

38
2

1
3
5
3
8
2
2

1
6
5

17
1
1
5
2
6

2


All
Ca Jus


Total 12,716 7,086 553 755


Cumulative Totals
including reported corrections for


I 13


previous weeks


All Causes, All Ages ------------------------- 212,306
All Causes, Age 65 and over------------------- 121,27.
Pneumonia and Influenza, All Ages------------- 10,346
All Causes, Under 1 Year of Age--------------- 12,346


| "









144


Morbidity and Mortality Weekly Report


RUBELLA SURVEILLANCE SUMMARY
(Continued from page 139)


Although rubella is not a reportable disease statewide in
California, data is available from Orange County in South-
ern California. Through the 14th week, 499 cases of
rubella had been reported this year contrasted to 107
cases for the same period last year.
As shown in Figure 2, the incidence in the Pacific
States has exceeded all years since 1955 and, in fact, is
the highest since early 1946. In other regions, the inci-
dence is clearly lower than last year.


SUMMARY STATEMENT


Status of Gamma Globulin Prophylaxis for Pregnant
Women Exposed to Rubella
(Prepared by Surgeon General's Advisory Committee
on Immunization)
Although gamma globulin in adequate dosage has
been shown in several studies to suppress the clinical
manifestations of rubella, evidence that it will or will
not prevent congenital malformations among children of
exposed mothers is lacking. Recently reported experi-
mental studies suggest that gamma globulin may prevent
the clinical manifestations of the disease with limited or
no effect on the occurrence of infection and viremia. A
few instances have been reported in which congenital
malformations of the type associated with rubella infec-
tions were observed in infants born of asymptomatic
mothers to whom gamma globulin was administered.
However, neither the experimental studies nor the
isolated individual case observations serve directly to
answer the question as to whether gamma globulin may
exhibit a relative efficacy in protection against con-
genital malformations in the infant. Extensive studies
dealing specifically with this question are in progress in
the United Kingdom. Definitive results may be antici-
pated within the next year. Until such time as this in-
formation becomes available, it is not possible to formu-
late concrete recommendations regarding the relative
desirability of gamma globulin administration to pregnant
women exposed to rubella infections.



INTERNATIONAL NOTES QUARANTINE MEASURES


Immunization Requirements for Entrance to Australia
It is advised that all persons over the age of 12
months entering Australia by air from America must be
vaccinated against smallpox and possess a valid inter-
national certificate of smallpox vaccination. There is no
exemption on medical or other grounds and if these re-
quirements are not complied with vaccination will be
offered and if refused, such travelers will be isolated in
a Quarantine Station for a period of 14 days.


THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA-
TION OF 13.000 15 PUBLISHED BY THE COMMUNICABLE DISEASE
CENTER. ATL..ANTA. GEORG.A 30333
CHIEF. COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
CHIEF. EPIDEMIOLOGY BRANCH A. 0. LANGMUIR, M.D.
CHIEF. STATISTICS SECTION R. E SERFLING. PH.D.
ASST. CHIEF. STATISTICS SECTION IDA L. SHERMA N, M.S.
CHIEF. SUR`.E ILLANCE SECTION D. A. HENDERSON. M.D.
ASSISTANT EDITOR. MMWR PAUL D. STOLLEY. 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
NOTE THESE PROVISIONAL DATA ARE BASED ON WEEKLY TELE-
GRAMS TO THE CDC BY THE INDIVIDUAL STATE HEALTH DEPART-
MENTS. THE REPORTING WEEK CONCLUDES ON SATURDAY. COMPILED
DATA ON A NATIONAL BASIS ARE RELEASED ON THE SUCCEEDING
FRIDAY.


SYMBOLS---DATA NOT AVAILABLE
QUANTITY ZERO
THE CONSTRUCTION OF TIHE MORTALITY CURVES IS
VOL 14. NO. 1.


8UNIV OF FL LIB
DOCUMENTS DEPT


U S EOS -TOR



US DEPOSITORY


UIIIVERSITY OF FLORIDA

III 3IIllllIII 1II II I 11111111262 08 4
3 1262 08864 2458


DESCRIBED IN


0 C




3 0;
S -*
26
S~




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 EZAVR0JMW_KMR180 INGEST_TIME 2013-02-07T18:01:16Z PACKAGE AA00010654_00384
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES