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:
AA00010654:00385

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 CM UIAL E DIS S C


634-5131


S,


For release October 2. 1964 ATLANTA, GEORGIA 30333 \ ol. No. 39
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STA S AN ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED SEPTEMBER 26, 1964

PSITTACOSIS SURVEILLANCE SUMMARY ISSUE


EPIDEMIOLOGIC NOTES


/


Poliomyelitis There were 3 cases of poliomyelitis
reported for the week ending September 26, This brings
the 1964 total to 89 cases of poliomyelitis, 71 paralytic.
These totals represent less than one-third the number of
totaland paralytic cases reported during tne corresponding
period in 1963; the previous record low year.


Polio (Cumulated Weekly) through 39th Week for Five Years


Paralytic
Total


1964
71
89


1963
258
303


1962
473
608


1961
594
923


1960
1,573
2,290


The low incidence of poliomyelitis during 1964 is
even more impressive when the current reporting during
the past six weeks is compared to previous years.

Six-Week Totals (34th thru 39th Week) for Five Years


Paralytic
Total


1964 1963
14 103
21 121


1962
176
219


1961
272
441


1960
699
1,066


There have been no outbreaks reported thus far in
1964.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
39th Week Ended Cumulative. First 39 Weeks
Disease September 26, September 28, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 109 72 --- 1,509 1,328
Brucellosis ....................... 2 5 7 319 278 461
Diphtheria ........................ 2 8 16 187 186 411
Encephalitis, primary infectious.. 79 53 --- 2,357 1,213
Encephalitis, post-infectious ,.... 0 0 -2 699
Hepatitis, infectious including
serum hepatitis ................ 670 763 840 29,014 32,635 32,635
Measles ............................ 608 850 848 435,425 360,082 388,395
Meningococcal infections .......... 35 31 30 2,055 1,833 1,660
Poliomyelitis, Total .............. 3 27 74 89 303 923
Paralytic ...................... 2 23 37 71 258 594
Nonparalytic ................... 1 4 --- 11 30
Unspecified ................... --- 7 15
Streptococcal Sore Throat and
Scarlet fever .................. 4,681 3,922 -- 304,515 259,262
Tetanus ........................... 4 12 --- 210 198
Tularemia ................... ...... 8 8 --- 253 218
Typhoid fever ..................... 12 9 27 317 392 600
Rabies in Animals ................. 67 53 53 3,480 2,893 2,893

Table 2. NOTIFIABLE DISEASES OF LOW FREQUFENCY
Cum. Cum.
Anthrax: 3 Psittacosis: Calif. 1 35
Botulism: 11 Rabies in Man: 1
Leptospirosis: Hawaii 1, Calif. 1 34 Smallpox:
Malaria: Calif. 1, Wash. 1 71 Typhus-
Plague: Murine: Ala. 121
Rky Mt. Spotted: N.C. 2, Ga. 1, Tenn. 3 203


F5 1 ;/ J







Morbidity and Mortality Weekly Report



PSITTACOSIS SURVEILLANCE


During 1963, 76 cases of psittacosis in humans were
reported. Seventy-nine cases were reported in 1962; this
is approximately one-half the annual number reported 5
years ago, and only 13 percent of the total human cases
recorded in 1954.
The 1963 cases occurred in 19 States. A majority of


the total cases were reported by 3 States: Texas (I"),
California (14), and Illinois (11). A map depicting the
distribution of cases by State is shown below.
To date this year, there are 35 cases of psittacosis
reported. California has the largest number of cases of
any State with 13 (37%).


REPORTED HUMAN PSITTACOSIS CASES 1963


ALASKA
L


HAWAII
F-


TOTAL CASES=76


DHEW/PHS/CDC Atlanta, Georgia


Table 1 on the next page (p. 339) lists the reported
cases of psittacosis in each state during the past 10
years. The histogram on page 340 graphically repre-
sents the number of reported cases each year since
1949. The peak incidence of cases occurred in 1956


with 568 cases. There was a large number of cases
reported in 1954 and 1955. This increase in reported
cases during these years is believed due primarily to
recognition of cases acquired from commercial
poultry.


338








Morbidity and Mortality Weekly Report


TABLE I
REPORTED PSITTACOSIS CASES

STATE 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963
Alabama 4 2 1 1 1 2
Alaska 1 1
Arizona 1 1 1 1 1 1
Arkansas 2 1 1
California 65 40 56 27 17 17 12 10 10 14
Colorado 20 2 5 4 2 1 2
Connecticut 10 2 5 10 1 7 4 2 6 3
Delaware 5 1 1
Dist. of Col. 1 1
Florida 1 1
Georgia 6 14 10 11 2 3 2 3
Hawaii .
Idaho 15 2 4 2 5 -
Illinois 32 40 39 18 7 11 7 7 4 11
Indiana 5 3 1
Iowa 10 8 7 5 6 1
Kansas 1 2 1 1 1 1
Kentucky 3 2 2 1
Louisiana 4 2
Maine 3 2 5
Maryland 4 3 5 5 1 1
Massachusetts 13 3 12 5 3 2 2 3 1 2
Michigan 1 7 3 5 2 3 2 3 4
Minnesota 16 32 64 36 22 22 4 2 4 1
Mississippi 1 4 1
Missouri 5 2 3 1 2 4
Montana 6 3 5 2 2 1
Nebraska 2
Nevada
New Hampshire 1 1
New Jersey 17 10 2 2 1 1
New Mexico 2 1 1
New York 34 36 48 24 18 13 9 6 6 5
North Carolina 11 9 75 4 2 1 3 1
North Dakota 1 3 5
Ohio 13 14 13 10 3 1 1 1 2
Oklahoma 3 2
Oregon 5 6 45 15 9 1 3 2 1 2
Pennsylvania 37 15 22 30 9 25 27 6 5
Rhode Island 1 1
South Carolina 3 2 1 1 1
South Dakota 1
Tennessee 5 3 23 7 4 3 8 6 1 1
Texas 201 13 33 6 2 4 23 17
Utah 1 2 7 1 1 3 1 2
Vermont 1
Virginia 12 10 18 10 4 1
Washington 15 9 25 5 1 1 2 2
West Virginia 1 1
Wisconsin 6 18 14 20 22 17 24 18 20 4
Wyoming 2 1 1
TOTALS 564 333 568 278 158 147 113 102 79 76
Source: Annual supplements, NOVS and CDC


339









PSITTACOSIS


1949-1963


1949 '50


'51


'52 '53 '54 '55 '56 '57 '58


'59' '60 '61 '62 '63


YEARS


SOURCE: NOVS and MMWR
DHEW/PHS/CDC, ATLANTA, GA.


REVISED OCT. 1964


600


500.


400.


300.


200.


100.


0.


1jE.rnmrm


REPORTED


CASES


HUMAN








Morbidity and Mortality Weekly Report


TEN YEAR SUMMARY OF PSITTACOSIS SURVEILLANCE


The Communicable Disease Center has obtained
epidemiologic data on the source of infection for 1,270
of the 2,418 human cases of psittacosis which have
occurred since 1954. Parakeets were the source of
infection in 747 cases. They are the traditional source
of most human infections; however, they do not account


SOURCE OF


for the increased number of cases recorded during the
early years of this period. Data studied suggest that
at least part of the increased incidence of psittacosis
was due to a recognition of cases acquired from infected
fowl.


TABLE 2
INFECTION IN 2,418 HUMAN PSITTACOSIS CASES
UNITED STATES, 1954-1963


YEAR PARAKEETS TURKEYS CHICKENS DUCKS PIGEONS OTHER UNKNOWN TOTAL
1954 162 200 34 0 0 5 163 564
1955 129 3 5 0 0 5 191 333
1956 128 71 20 21 0 10 318 568
1957 117 1 2 0 8 4 146 278
1958 52 24 4 0 0 4 74 158
1959 58 5 7 0 6 5 66 147
1960 26 1 2 0 3 2 79 113
1961 33 27 3 0 1 5 33 102
1962 27 2 2 0 3 4 41 79
1963 15 11 0 1 9 3 37 76
TOTAL 747 345 79 22 30 47 1,148 2,418







When the human cases were grouped by exposure tional 370 cases occurred among poultry processors.
category, pet bird breeder, dealers and owners accounted These individuals were exposed to infected turkeys or
for 579 of the 1,290 investigated cases while an addi- other domestic fowl.




TABLE 3
EXPOSURE CATEGORIES IN 2,418 HUMAN PSITTACOSIS CASES
UNITED STATES, 1954-1963

PET BIRD PET BIRD PET BIRD POULTRY
YEAR BREEDER DEALER OWNER PROCESSOR OTHER UNKNOWN TOTAL
1954 26 18 44 201 112 163 564
1955 6 27 96 6 7 191 333
1956 9 9 111 96 28 315 568
1957 8 12 73 0 47 138 278
1958 1 3 25 21 35 73 158
1959 3 5 17 4 38 80 147
1960 0 1 25 1 13 73 113
1961 1 2 21 27 23 28 102
1962 2 0 9 3 32 33 79
1963 0 3 22 11 6 34 76
TOTAL 56 80 443 370 341 1,128 2,418


341







Morbidity and Mortality Weekly Report


The only significant common-source outbreak during
1963 occurred in Texas. At least 11 of the 17 reported
cases from Texas occurred in individuals exposed to
ornithosis-infected turkeys in a poultry processing plant.
Between April 21 and May 27, 1963, 11 employees of a
small turkey processing plant became ill with mild symp-
toms including chills, dry cough, chest pains, general
malaise, and fever to 1020 F. Complement fixation tests
confirmed the diagnosis of psittacosis. Eight of these


cases had onset dates between April 21 and April 28,
1963; 3 cases had onset dates between May 24 and May
27, 1963, thus indicating that there were 2 separate ex-
posures, roughly one month apart (See graph below).
Epidemiologic investigation by the Texas State Depart-
ment of Health traced the outbreaks to 2 separate infected
turkey flocks, one processed on April 11 and the second
on May 14. (See MMWR Vol. 12, p. 369).


OUTBREAKS OF ORNITHOSIS
TEXAS PROCESSING PLANT

CASES BY DAY OF ONSET-1964


Infected Flock
Slaughtered


#3

#1 #2


II 12 13 14 15 16 '17 18 19 20'21 '22
APRIL


Infected Flock
Slaughtered


I


23 124 25 '26 27 '28'


-9 I I
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
MAY



QUARANTINE REGULATIONS AND PSITTACOSIS


A review of the significant milestones in the history
of psittacosis in the United States beginning in 1929, just
prior to the major discoveries relating to the etiology and
epidemiology of the disease, is presented in the figure on
the following page. The isolation of the causative agent
in 1930, coupled with numerous epidemics with a high
case-fatality ratio, led to regulations controlling the


importation of parrots, and later all psittacine birds into
this country. Since then, the discovery of many new avian
hosts and related etiologic agents has increased the
epidemiologic complexity of the disease. At the same
time, however, the introduction of antibiotics and ef-
fective control measures has reduced the public health
significance of this zoonosis.


-


342






REPORTED


PSITTACOSIS


MORBIDITY AND MORTALITY


1929 1963


MANY HUMAN CASES RECOGNIZED
AS ACQUIRED FROM COMMERCIAL POULTRY


OFFICIAL RESTRICTIONS PLACED ON THE
IMPORTATION OF PSITTACINE BIRDS

RECOGNIZED IN CHICKENS
AND PIGEONS

A I TU


CASES -











DEATHS


1930 1935 1940 1945 1950 1955 1960 1965
YEARS


SOURCE: DHEW/PHS/CDC
Adapted from J.M.Andrews
JAVMA, 130(3): 109-116, 1957


1970


REVISED: SEPTEMBER, 1964


1,000.
800.
600.
400.


200

100
80
60
40

20










344 1orlbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 26, 1964 AND SEPTEMBER 28, 1963 (39TH WEEK)


Aseptic Encephalitis
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... 109 72 79 10 3 27 89 303 2 23 71 258

NEW ENGLAND........... 4 1 2 5 1 2 5
Maine.. ............ 1 2 1 2
New Hampshire...... -
Vermont............ 1 1
Massachusetts...... 3 2 2
Rhode Island....... -
Connecticut........ 2 2 -

MIDDLE ATLANTIC...... 20 6 12 1 1 9 13 99 1 7 12 78
New York City...... 8 6 1 1 -
New York, Up-State. 6 4 1 1 1 10 8 1 9 5
New Jersey.......... 5 6 2 1 2 1
Pennsylvania....... 1 2 8 90 7 72

EAST NORTH CENTRAL... 30 18 13 9 18 46 9 13 36
Ohio................ 13 2 4 2 8 2 4
Indiana............ I1 7 6 2 3 1
Illinois........... 11 9 2 2 5 14 2 5 13
Michigan ........... 5 7 7 3 16 7 2 16
Wisconsin........... 2 6 1 2

WEST NORTH CENTRAL... 9 4 10 1 1 8 6 1 6 5
Minnesota.......... 5 4 1 1 1 3 4 1 2 4
Iowa ................. -
Missouri............ 3 2 -
North Dakota....... 1 1 1 1 -
South Dakota....... -
Nebraska............ 3 8 1 1
Kansas............. I 1 -

SOUTH ATLANTIC....... 4 11 6 2 24 41 1 19 37
Delaware............ 1 I 1
Maryland........... 3 1 1 -
Dist. of Columbia.. -
Virginia........... 2 1 1 7 5
West Virginia...... 1 2 1 2 1 2
North Carolina ..... 10 3 6 3
South Carolina..... 1 3 2 6 2 5
Georgia ............ 1 14 1 13
Florida............. 2 2 2 1 9 8 1 8 8

EAST SOUTH CENTRAL... 1 11 4 4 6 61 3 5 56
Kentucky............ 1 1 -
Tennessee.......... 3 1 3 10 2 9
Alabama............. 1 2 44 1 2 40
Mississippi........ 10 2 1 7 2 1 7

WEST SOUTH CENTRAL... 6 14 1 8 23 1 7 22
Arkansas............ 4 3
Louisiana.......... 3 13 13
Oklahoma............ 2 -2 -
Texas.............. 3 14 1 6 6 1 5 6

MOUNTAIN.............. 4 6 9 1 7 3 1 4 2
Montana............... 1 1
Idaho.............. I 1
Wyoming............ 1 1 2 2
Colorado........... 4 2 8 1 1 1 1 1 1
New Mexico.......... 3 1 -
Arizona........... 2 -
Utah............... -
Nevada.............

PACIFIC............... 31 16 11 9 3 19 3 17
Washington........... 1 1 2 1 I 2 2
Oregon............. 1 2 1 1
California......... 30 15 9 8 2 15 2 14
Alaska.............
Hawaii..............

Puerto Rico 5 4










Morbidity and Mortality Weekly Report 345


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 26, 1964 AND SEPTEMBER 28, 1963 (39TH 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...* 2 319 2 187 670 305 328 37 29,014 32,635 12 317

NEW ENGLAND.......... 2 1 45 54 24 29 1 2,690 3,538 1 14
Maine.............. 39 15 9 6 853 1,595
New Hampshire...... 3 3 211 380 -
Vermont............ 4 3 1 335 68 -
Massachusetts...... 2 5 15 5 9 1 585 966 6
Rhode Island....... 1 1 6 6 149 80 6
Connecticut........ -. 11 4 7 557 449 1 2

MIDDLE ATLANTIC ...... 5 7 157 74 83 6,454 6,476 2 50
New York City...... 3 20 4 16 994 1,004 1 23
New York, Up-State. 2 58 27 31 2,812 2,814 1 10
New Jersey......... 2 21 5 16 1,106 955 1
Pennsylvania...... 3 2 58 38 20 1,542 1,703 16

EAST NORTH CETRAL.. 42 8 92 43 39 10 4,554 5,277 2 73
Ohio............... 3 24 7 14 3 1,206 1,466 20
Indiana............ 1 1 4 2 2 392 472 1 21
Illinois........... 26 6 16 7 8 1 829 1,133 1 20
Michigan.......... 6 1 40 26 14 1,804 1,969 9
Wisconsin.......... 6 8 1 1 6 323 237 3

WEST NORTH CENTRAL-.. 135 26 30 14 14 2 1,559 1,438 27
Minnesota.......... 7 11 3 1 1 1 172 219 3
Iowa.............. 85 9 6 3 237 257 4
Missouri........... 10 1 5 1 3 1 385 517 10
North Dakota ....... 2 2 1 58 52 2
South Dakota....... 16 1 4 3 1 120 104 1
Nebraska........... 13 4 42 95 3
Kansas............. 2 7 8 3 5 545 194 4

SOUTH ATLANTIC....... 33 41 69 26 43 2,724 3,319 2 66
Delaware........... 1 1 53 59 -
Maryland............ 12 4 8 515 408 1 6
Dist. of Columbia.. 3 1 2 50 92 -
Virginia........... 15 16 7 9 431 677 11
West Virginia...... 8 7 1 402 508 -
North Carolina..... 3 6 1 5 449 837 18
South Carolina..... 7 4 2 2 101 136 11
Georgia............ 12 21 5 1 4 80 136 5
Florida............ 3 13 14 3 11 643 466 1 15

EAST SOUTH CENTRAL... 1 17 1 15 54 28 26 2,012 3,102 3 31
Kentucky........... 1 6 10 7 3 735 882 8
Tennessee.......... 5 1 2 24 12 12 704 1,201 2 15
Alabama............. 4 8 12 4 8 370 490 1 6
Mississippi........ 2 5 8 5 3 203 529 2

WEST SOUTH CENTRAL... 37 28 57 32 23 2 2,254 2,321 2 25
Arkansas........... 6 4 4 217 260 1 13
Louisiana ......... 4 6 25 12 13 543 471 4
Oklahoma............ 7 1 1 109 105 4
Texas............... 20 22 27 16 9 2 1,385 1,485 1 4

MOUNTAIN ............. 29 3 28 4 5 19 1,733 2,099 8
Montana............. 2 1 1 152 274 -
Idaho.............. 4 4 233 344 -
Wyoming............. 2 1 1 55 25 1
Colorado............ 10 1 2 7 464 435 -
New Mexico......... 1 1 1 1 249 244 2
Arizona............ 2 2 5 5 385 484 5
Utah............... 25 3 2 1 144 276 -
Nevada.............. 1 1 1 51 17 -

PACIFIC.............. 1 19 14 129 60 66 3 5,034 5,065 23
Washington......... 13 15 4 9 2 533 888 2
Oregon.............. 2 10 5 5 543 620 -
California......... 1 17 1 102 50 52 3,684 3,390 21
Alaska............ 1 1 175 133 -
Hawaii............. 1 1 99 34 -


Puerto Rico I 1 101 28 17 11 736 659 11









346 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 26, 1964 AND SEPTEMBER 28, 1963 (39TH WEEK) CONTINUED


Streptococcal
Meningococcal Sore Throat and Rabies in
Measles Meningitis Scarlet Fever Tetanus Tularemia Animals
Area --- ----
Cumulative Cum. Cum. Cum.
1964 1964 1964 1963 1964 1963 1964 1964 1964 1964 1964 1964
UNITED STATES... 608 35 2,055 1,833 4,681 3,922 4 210 8 253 67 3,480

NEW ENGLAND........... 31 2 59 112 215 249 1 9 1 1 32
Maine.............. 2 5 17 17 13 -- 1 27
New Hampshire...... 4 1 4 1 5 2
Vermont............ 2 1 3 4 1 2
Massachusetts...... 17 1 24 53 27 33 1 9 1 1
Rhode Island....... 3 9 10 12 14 -
Connecticut........ 3 17 24 157 184 -

MIDDLE ATLANTIC...... 46 4 268 252 155 122 19 4 102
New York City...... 15 35 39 4 9 -- -
New York, Up-State. 7 1 75 80 117 76 7 4 98
New Jersey......... 10 2 93 35 27 25 6 -
Pennsylvania....... 14 1 65 98 7 12 6 -- 4

EAST NORTH CENTRAL... 115 6 290 281 316 262 2 38 20 5 504
Ohio............... 5 74 77 23 29 10 1 263
Indiana............. 36 3 46 40 86 47 2 9 2 22
Illinois........... 10 1 73 53 60 65 12 13 2 95
Michigan............ 26 2 67 84 95 76 6 1 1 47
Wisconsin.......... 38 30 27 52 45 I 3 2 77

WEST NORTH CENTRAL... 21 4 126 115 185 180 11 1 52 12 1,075
Minnesota............ 29 22 4 11 1 2 4 326
Iowa............... 9 6 7 46 21 5 1 5 387
Missouri........... 1 57 34 16 8 3 1 26 2 166
North Dakota....... 11 1 17 12 80 72 1 55
South Dakota....... 1 2 3 5 5 2 15 79
Nebraska............. 6 24 2 33
Kansas............. NN 8 11 32 66 1 8 29

SOUTH ATLANTIC........ 50 6 413 339 475 478 54 23 17 484
Delaware............ 1 6 4 9 5 -
Maryland............ 5 3 30 50 29 50 3 1
Dist. of Columbia.. 13 6 7 1 1 1 -
Virginia............ 6 1 47 74 113 151 7 5 10 253
West Virginia...... 26 32 17 177 128 1 2 30
North Carolina..... 69 60 17 19 13 6 5
South Carolina..... 8 50 18 39 45 4 2
Georgia............ 62 28 10 1 4 11 3 106
Florida............ 4 2 104 82 74 78 21 2 87

EAST SOUTH CENTRAL... 115 1 170 135 935 810 28 1 29 11 426
Kentucky............ 3 55 30 45 155 8 2 1 55
Tennessee........... 107 55 60 784 598 10 1 19 10 337
Alabama............ 3 1 36 23 67 19 6 3 17
Mississippi......... 2 24 22 39 38 4 5 17

WEST SOUTH CENTRAL... 66 4 185 168 615 396 24 4 82 11 489
Arkansas........... 1 22 11 2 2 7 4 47 1 121
Louisiana.......... 118 69 5 2 3 4 45
Oklahoma........... 9 30 6 4 19 2 83
Texas............... 66 3 36 58 602 388 14 12 8 240

MOUNTAIN............. 73 1 71 60 1,043 772 5 2 43 3 122
Montana............ 24 3 38 41 18 -
Idaho.............. 7 3 6 64 43 -
Wyoming ............ 1 5 4 10 12 2 8 -
Colorado........... 5 12 16 338 177 8
New Mexico......... 4 1 29 4 329 341 1 48
Arizona............. 28 6 10 150 93 1 1 53
Utah............... 4 7 14 114 65 1 2 17 1 2
Nevada............. 9 3 1 11

PACIFIC .............. 91 7 473 371 742 653 1 22 3 3 246
Washington......... 27 1 31 28 146 155 1 2 -
Oregon............. 17 21 27 4 4 1 1 9
California ......... 37 6 402 296 480 396 19 2 2 237
Alaska.............. .- 7 12 9 16 -
Hawaii.............. 10 12 8 103 82 1 -

Puerto Rico 142 30 7 11 8 59 24









Morbidity and Mortality Weekly Report


Table 4 (C). TOTAL DEATHS UNDER 1 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


347


For weeks ending For weeks ending
Area I Area
9/5 9/12 9/19 9/26 9/5 9/12 9/19 9/26


NEW ENGLAND:
Boston, Mass............... 21 14 17 10
Bridgeport, Conn........... 3 4 1 2
Cambridge, Mass........... 1 1 -
Fall River, Mass.......... 1 1 1
Hartford, Conn........... 6 3 5 4
Lowell, Mass.............. 2 1
Lynn, Mass.................. 1 1 1
New Bedford, Mass......... 1 1 1
New Haven, Conn........... 1 5 5 1
Providence, R.I........... 7 5 3 4
Somerville, Mass........... 1 2
Springfield, Mass.......... 2 3 3 2
Waterbury, Conn............ 3 5 2 1
Worcester, Mass............ 3 2 2 5

MIDDLE ATLANTIC:
Albany, N.Y............... 2 1 1 1
Allentown, Pa............. 1 2 3 1
Buffalo, N.Y............... 9 9 7 5
Camden, N.J............... 2 4 4
Elizabeth, N.J............ 1 2 2 4
Erie, Pa.................. 2 3 1
Jersey City, N.J.......... 2 3 1 4
Newark, N.J................ 40 5 4 7
New York City, N.Y........ 83 71 75 77
Paterson, N.J............. 4 7 2
Philadelphia, Pa.......... 36 11 32 20
Pittburgr., Pa............ 9 3 5 12
Reading, Pa............... 4 1 3
Rochester, N.Y............ 10 5 9 3
Schenectady, N.Y........... 1 2 -
Scranton, Pa.............. 1 1 -
Syracuse, N.Y.............. 1 3 3 6
Trenton, N.J.............. 1 3 2
Utica, N.Y................. 2 1 -
Yonkers, N.Y............... 1 2 1

EAST NORTH CENTRAL:
Akron, Ohio............... 4 4 6
Canton, Ohio............... 3 4 2 3
Chicago, Ill.............. 54 37 42 50
Cincinnati, Ohio........... 18 7 7 5
Cleveland, Ohio............ 8 10 14 18
Columbus, Ohio............ 6 12 9 2
Dayton, Ohio.............. 3 8 4 16
Detroit, Mich.............. 19 17 24 18
Evansville, Ind........... 1 2 3
Flint, Mich............... 9 5 4 7
Fort Wayne, Ind........... 3 1 -
Gary, Ind................. 3 3 1 5
Grand Rapids, Mich........ 2 4 5 3
Indianapolis, Ind......... 7 11 16 11*
Madison, Wis............. 3 5 2 1
Milwaukee, Wis............ 5 3 4 6
Peoria, Ill............... 2 7 3 1
Rockford, Ill.............. 3 2 5 2
South Bend, Ind........... 3 2 2 2
Toledo, Ohio.............. 5 2 4 6
Youngstown, Ohio........... 1 7 3

WEST NORTH CENTRAL:
Des Moines, Iowa........... 5 1 6 3
Duluth, Minn.............. 1 1 1 -
Kansas City, Kans......... 6 3 6 8
Kansas City, Mo............ 9 5 10 10
Lincoln, Nebr............. 3 6
Minneapolis, Minn......... 7 5 4 10
Omaha, Nebr............... 7 7 8 6*
St. Louis, Mo.............. 9 12 11 12
St. Paul, Minn..,......... 4 1 1 5
Wichita, Kans............. 3 1 11 3

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

NOTE: All deaths by place of occurrence.


SOUTH ATLANTIC:
Atlanta, Ga.............. 13 9 12 12
Baltimore, Md............ 24 28 17 27
Charlotte, N.C............ 8 3 2 2
Jacksonville, Fla........ 9 5 4 15
Miami, Fla............... 3 2 9 4
Norfolk, Va.............. 7 3 5 7
Richmond, Va.............. 10 3 13 5
Savannah, Ga............. 4 2 2
St. Petersburg, Fla...... 2 2 1 1
Tampa, Fla............... 3 9 3 3
Washington, D.C........... 15 2 41 11
Wilmington, Del.......... 1 6 3

EAST SOUTH CENTRAL:
Birmingham, Ala........... 5 9 8 9
Chattanooga, Tenn........ 5 6 3 -
Knoxville, Tenn.......... 2 7 6 2
Louisville, Ky............ 6 18 12 17
Memphis, Tenn........... 10 9 17 7
Mobile, Ala.............. 6 2 3 7
Montgomery, Ala.......... 8 10 3 4
Nashville, Tenn.......... 2 6 6 3

WEST SOUTH CENTRAL:
Austin, Tex............... 3 2 5 5
Baton Rouge, La.......... 2 10 2 1
Corpus Christi, Tex...... 1 3 5 3
Dallas, Tex............... 20 16 16 7
El Paso, Tex............. 5 4 8 4
Fort Worth, Tex.......... 3 10 4 6
Houston, Tex.............. 15 12 12 17
Little Rock, Ark.......... 6 3 3 10
New Orleans, La.......... 18 13 13 12
Oklahoma City, Okla...... 8 9 4 10
San Antonio, Tex.......... 10 16 15 8
Shreveport, La........... 11 2 2 2
Tulsa, Okla............... 4 5 2 1

MOUNTAIN:
Albuquerque, N. Mex...... 2 2 3 3
Colorado Springs, Colo... 1 3 1
Denver, Colo............. 13 3 6 9
Ogden, Utah............... 2 2 3
Phoenix, Ariz............. 5 5 2 1
Pueblo, Colo.............. 1 1 1
Salt Lake City, Utah..... 3 4 2 6
Tucson, Ariz.............. 2 1 1 5

PACIFIC:
Berkeley, Calif.......... 1 1 1
Fresno, Calif............ 6 4 3 3
Glendale, Calif........... 4 1
Honolulu, Hawaii.......... 4 3 8 6
Long Beach, Calif........ 6 4 3 2
Los Angeles, Calif....... 29 21 24 32
Oakland, Calif........... 3 3 4 9
Pasadena, Calif.......... I 1 1 1*
Portland, Oreg............ 2 3 3 4
Sacramento, Calif........ 7 3 3 2
San Diego, Calif......... 9 5 7 13
San Francisco, Calif..... 8 2 13 4
San Jose, Calif.......... 3 1 2 1
Seattle, Wash........... 9 1 3 8
Spokane, Wash............. 1 2 1 2*
Tacoma, Wash.............. 2 1 1


oCurrent Week Mortality 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.....


11,070
369
717
6,121




UNIVERSITY OF FLORIDA


III 1262 08864 3001
3 1262 08864 3001


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 September 26 was
'22 as compared with an expected '38 weekly average.


OF
ort


Week Ending 4 Week Weekly

9. 5 9.'12 9/19 9.'26 Total Average

Observed 791 639 741 717 2,888 722
Expected 734 737 739 742 2,952 738

Excess 57 -98 2 -25 -64 -16


DEATIS UNDER ONE YEAR OF Am IN a0 U.S. CITIES
AnMV Nilmubr U' III FWii-ul-l PtllIh


MII I zI s








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I ~ C~C iMI ______ I 1X ___ I D y 1 ___ I IM ___


INTERNATIONAL NOTES QUARANTINE MEASURES
Immunization Information for International Travel
1963-64 edition Public Health Service Publication No. 384


SECTION 5

AFRICA
Algeria, page 22, Insert:
Yellow Fever-Vaccination is required for all arrivals
from infected areas by air.


All other information remains the same.

Central African Republic, page 23


Delete the information under yellow fever and insert:


Yellow Fever-Vaccination is required for all arrivals, 1
year-of-age and over, except travelers arriving from a
noninfected area and staying less than 2 weeks in the
country.


Comoro Islands, page 24


Delete all information under cholera and yellow fever.



THE MORBiDITY AND MOR TAL T T A EEKL t REPORT, AITH A CIRCULA-
TION OF 'i.:*O sI PUBLISHED BY THE COMMUNICABLE DISEASE
CENTER. ATLANTA. GEORGIA 30333.
CHIEF. COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
CHIEF. EPIDEMIOLOGY BRANCH A. D. LANGMuIR. M.D.
CHIEF. STATISTICS SEC TON R. E. SERFLING. PR..D.
ASST. CHIEF. STATISTICS SEC TION 1. L. SHERMAN. M.S.
CHIEF. SUnr EILLANCE SECTION D. A. HENDERSON. M.D.
ASSISTANT EDITOR. MMAR PAUL D STOLLEY. M.D.
IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDi.T AND MORTALITY THrE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASES. SUCH
ACCOUNTS SHOULD BE ADDRESSED TO
THE EDITOR
MORBIDITY ANDMORTALITY WEE-KLV REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA. GEORGIA 30333
NOTES THESE PRO/ISIONAL 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


SPOSITOR
U S DEPOSITORY


348


(See table page 347)


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