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:
AA00010654:00388

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
p 5 )s UQVV.' 3 /A'X


7


Morbidity and Mortality



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


PUBLIC HEALTH SERVICE


Prepared by the


For release September 25, 1964


S *~1111~~13L~~flll: *


ATLANTA, GEORGIA 30333


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR \X FEK ENDED SEPTEMBER 19, 1964


ENCEPHALITIS


A total of 113 cases of primary encephalitis was
reported for the .week ended September 19. This brings
to 2,278 the cumulative total recorded in the United
Scares during 1964.
Of the cases reported during the past week, 45 were
from Texas. The Houston epidemic continues to wane
since the peak incidence during the week ended August
29.
Through September 21, a total of 692 suspected
cases of St. Louis Encephalitis, including 32 deaths,
has been reported from Harris County (Houston), Texas.
(See previous reports, MMWR, Vol. 13, pp. 290, 302,
312, and 322).


The overall attack rate in the Houston epidemic is
55.7 per 100,000. The highest attack rate has occurred
in the age group 70 years and older (139.1 per 100,000).

In addition, 68 suspected cases of encephalitis
have been reported to date from the Texas Panhandle
region and 34 suspected cases from Colorado. Of the
Colorado cases, 7 were confirmed as Western Encephalitis
and 3 confirmed St. Louis Encephalitis.

Thirty suspected encephalitis cases are under
investigation in Boyle County, Kentucky. At present,
there is only presumptive evidence that this is St. Louis
Encephalitis.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
38th Week Ended Cumulative. First 38 Weeks
Disease September 19 September 21, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 69 94 --- 1,399 1,256 ---
Brucellosis ...................... 11 6 12 320 273 454
Diphtheria ........................ 4 9 12 185 178 401
Encephalitis, primary infectious .. 113 --- 2,278 )1
Encephalitis, post-infectious ..... 6 42 --688 1,160
Hepatitis, infectious including
serum hepatitis ................ 667 738 898 28,349 31,872 31,872
Measles ............................ 554 737 737 434,817 359,232 387,689
Meningococcal infections .......... 34 30 30 2,018 1,802 1,630
Poliomyelitis, Total ............. 5 10 69 86 276 849
Paralytic ...................... 4 6 40 69 235 557
Nonparalytic ................... --- 10 26 ---
Unspecified .................... 1 4 --- 7 15 ---
Streptococcal Sore Throat and
Scarlet fever .................. 4,525 4,004 --- 299,834 255,340 ---
Tetanus ................... .... 4 .. 6 6 --- 206 186 ---
Tularemia ........................ 6 8 --- 245 210
Typhoid fever ..................... 13 19 21 305 383 579
Rabies in Animals ................. 61 87 61 3,410 2,840 2,840

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 3 Psittacosis: Calif-2 34
Botulism: 11 Rabies in Man: Minn-1 1
Leptospirosis: Tenm-1 32 Smallpox:
Malaria: Minn-1, Ky-1, Calif-1 69 Typhus-
Plague: urine: Ala-1 20
ky Mt. Spotted: Md-1, Penn-2, NC-1, Ohio-1, Tenn-1, 196
Ga-3


OCT 1f Ci


634-5131


I COMMUNICABLE DISEASE CENTER






Morbidity and Mortality Weekly Report


HUMAN RABIES Minnesota


The first case of human rabies reported for 1964
occurred in a 10-year-old boy from Wabasha County,
Minnesota. On August 5, 1964 the boy was bitten by a
skunk on the right wrist and left index and fifth fingers,
while sleeping in a tent. His brother, age 3 was also
bitten on the wrist. The wounds were not clean puncture
wounds but appeared to be chewed.
Duck embryo vaccine was administered on the day
of occurrence and a total of 14 daily doses were sub-
sequently given. Both children were also given a booster
dose of tetanus toxoid.
On August 25, the 10-year-old boy noticed numbness
of the right forearm. The next day he had fever and
generalized myalgia. On August 27 his temperature was
recorded as 1010F and he complained of a stiff neck.
The following day he was admitted to a Rochester,


Minnesota hospital because of ascending paralysis,
hallucinations, incoordination, stiff neck, and fever to
1040 F. He did not convulse or salivate. Cerebrospinal
fluid examination revealed 124 cells, all lymphocytes;
the peripheral white blood count was 12,700. He expired
on September 1 and an autopsy was performed. Fluorescent
antibody tests on the boy's brain were negative.
Six mice were inoculated with brain tissue from
the patient on September 2. On September 16, one of the
mice became paralyzed and was sacrificed.
Negri bodies were demonstrated in the mouse brain
by the Williams stain. The fluorescent antibody stain
was also positive. The biting animal was not captured.
(Reported by Dr. D. S. Fleming, Director, Diviszon of
Disease Prevention and Control, Minnesota State Health
Department.)


CASES OF TRICHINOSIS
CASES ALBUQUERQUE, NEW MEXICO
1964
4


3


I I I FFFFFF I I I I I I I I I I I I I


6 7 8


9 10


11 12


On June 16, 1964 a group of 12 persons in Albuquerque
consumed a common meal of hamburger, salad, and pie.
During the first week of July (see graph) 7 of these indivi-
duals experienced headache, fever, periorbital edema and
generalized myalgia; 6 of the 7 ill had significant weight
loss.
All 7 had positive trichinella antigen skin tests and
bentonite flocculation serological tests for trichinosis.


Their eosinophile counts ranged from 11 percent to 37
percent.
The hamburger was purchased at a local supermarket.
The beef had been ground in a machine just previously
used for grinding pork. The hamburgers were eaten rare.

(Reported by Dr. H. G. Doran, Epidemiologist, New Mexico
State Health Department and a team from CDC.)


MEAL
EATEN


i


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N


15 16


JUNE


N

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2 3


JULY
DATE OF ONSET


TRICHINOSIS New Mexico


330


. .A






Morbidity and Mortality Weekly Report


REPORTED CASES OF POST-INFECTIOUS ENCEPHALITIS FOR AUGUST
FOUR WEEKS ENDING 8/8, 8/15, 8/22, 8/29

REPORTED PRIMARY INFECTION
Herpes Respiratory
REPORTING AREA Mumps Chickenpox Measles Rubella Influenza Simplex Syncitial Vaccinia Pertussis
NEW ENGLAND
Connecticut 1
MIDDLE ATLANTIC
New York, Upstate 1 2 2
Pennsylvania 2
EAST NORTH CENTRAL
Illinois 1 1
SOUTH ATLANTIC
Virginia 1
EAST SOUTH CENTRAL
Tennessee 1
WEST SOUTH CENTRAL
Arkansas 1
PACIFIC
Washington 3
Oregon 1
California 23 3 3 1
U.S. TOTAL 33 6 5 2 1
U.S. CUMULATIVE TOTAL*
Through 8/29 392 57 171 33 9 9 1 1 1
Includes revised and delayed reports (States not reporting a case not listed)



POST-INFECTIOUS ENCEPHALITIS AUGUST


A total of 47 cases of post-infectious encephalitis Post-mumps encephalitis cases number 33 (70 percent
was reported for the 4-week period ended August 29 (see of all cases reported). Of this number, California reported
table above). This brings to 674 the cumulative total of 23. A comparison of the cases attributed to mumps, measles
post-infectious encephalitis cases reported for the first and other causes is presented by month in the table below.
8 months of 1964. (For earlier reports, see \%1M% R, Vol. 13, There are no cases of post-vaccinia or pertussis
pp. 46, 102, 143, 177, 219, 266, and 293). vaccine encephalitis reported during this 4-week period.



PERCENT DISTRIBUTION OF POST-INFECTIOUS ENCEPHALITIS DUE TO MUMPS, MEASLES, AND OTHER
CAUSES IN 1964, BY MONTHS*
Mumps Measles Other
Month Percent Percent Percent Total Cases
Cases Cases Cases
Total Total Total
January 26 84 3 10 2 6 31
February 40 77 6 11 6 11 52
March 39 57 19 27 11 16 69
April 68 49 51 36 21 15 140
May 60 50 46 39 13 11 119
June 63 54 26 22 28 24 117
July 63 64 15 15 21 21 99
August 33 70 5 11 9 19 47

CUMULATIVE TOTAL 392 58 171 1 25 111 17 674
*Includes revised and delayed reports.


331







332 IMorbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 19, 1964 AND SEPTEMBER 21, 1963 (38TH WEEK)


Asept 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... 69 94 113 6 5 10 86 276 4 6 69 235

NEW ENGLAND.......... 4 44 2 4 2 4
Maine .............. 1 1 1
New Hampshire ...... -
Vermont............ 43 1
Massachusetts...... 1 2 2
Rhode Island....... 1 1 -
Connecticut ...... 2 2 -

MIDDLE ATLANTIC...... 8 6 11 1 12 90 1 11 71
New York City...... 1 2 1 1 -
New York, Up-State. 6 3 1 9 7 8 5
New Jersey......... 2 6 2 1 2 1
Pennsylvania....... 2 2 1 82 1 65

EAST NORTH CENTRAL... 10 11 21 1 2 3 18 37 1 1 13 27
Ohio................ 2 3 5 2 8 2 4
Indiana............ 1 2 6 2 1 3 1
Illinois........... 5 3 15 1 5 12 5 11
Michigan........... 1 5 1 3 9 1 2 9
Wisconsin.......... 2 2 2 6 1 2

WEST NORTH CENTRAL... 5 3 12 7 5 1 6 4
Minnesota.......... 2 3 2 3 2 3
Iowa............... 3 -
Missouri........... 3 2 -
North Dakota..... 2 1 1 1 1 -
South Dakota ....... -
Nebraska........... 1 1
Kansas ............. 3 5 1 1 -

SOUTH ATLANTIC....... 3 2 4 1 4 24 39 1 4 19 36
Delaware............ i 1
Maryland............. .- 1 1 1 -
Dist. of Columbia.. -
Virginia.......... .- 2 6 2 5
West Virginia...... 1 1 1 2 1 2
North Carolina..... 1 10 3 1 6 3
South Carolina..... 1 2 6 2 5
Georgia............ 2 2 1 14 2 1 13
Florida............. 1 1 9 7 8 7

EAST SOUTH CENTRAL... 13 1 4 1 2 6 57 1 5 53
Kentucky........... 10 -
Tennessee.......... 1 1 1 3 9 2 9
Alabama............ 2 2 2 43 2 39
Mississippi........ 3 1 1 5 1 1 5

WEST SOUTH CENTRAL... 2 46 7 23 6 22
Arkansas............ 4 3
Louisiana.......... 13 13
Oklahoma............ 1 2 2
Texas............... 2 45 -- -5 6 4 6

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

PACIFIC.............. 24 27 12 5 3 19 3 17
Washington.......... 1 2 3 2 2
Oregon............. 2 1 2 1 1
California......... 23 23 9 5 2 15 2 14
Alaska............. -
Hawaii............. -

Puerto Rico 5- 4








Morbidity and Mortality Weekly Report 333


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 19, 1964 AND SEPTEMBER 21, 1963 (38TH WEEK) CONTINUED


Infectious Hepatitis
Brucellosis Diphtheria including Serum Hepatitis Typhoid Fever
Area Under 20 years Age
Cum. Cum. Total 20 years and over Unknown Cumulative Cum.
1964 1964 1964 1964 1964 1964 1964 1964 1964 1963 1964 1964

UNITED STATES... 11 320 4 185 667 278 351 38 28,349 31,872 13 305

NEW ENGLAND.......... 2 44 58 28 23 7 2,636 3,468 13
Maine.............. 39 13 7 5 1 838 1,575
New Hampshire...... 6 1 4 1 208 355
Vermont............. 8 4 3 1 331 67 -
Massachusetts...... 2 5 16 8 6 2 570 949 6
Rhode Island....... 6 2 2 2 143 80 6
Connecticut........ 9 6 3 546 442 1

MIDDLE ATLANTIC...... 5 7 148 55 93 6,299 6,317 2 48
New York City...... 3 31 11 20 974 972 1 22
New York, Up-State. 2 57 20 37 2,754 2,759 9
New Jersey......... 2 18 6 12 1,085 931 1
Pennsylvania....... 3 2 42 18 24 1,486 1,655 1 16

EAST NORTH CENTRAL... 45 8 116 55 59 2 4,462 5,154 6 71
Ohio................ 3 38 19 17 2 1,182 1,444 20
Indiana.............. 1 10 6 4 388 456 4 20
Illinois............ 26 6 25 11 14 813 1,095 2 19
Michigan........... 6 1 41 18 23 1,764 1,926 9
Wisconsin.......... 9 2 1 1 315 233 3

WEST NORTH CENTRAL.. 3 135 26 33 18 13 2 1,529 1,416 27
Minnesota.......... 7 11 3 1 1 1 169 218 3
Iowa............... 2 85 6 5 1 228 256 4
Missouri........... 10 1 13 5 8 380 506 10
North Dakota....... 2 2 57 51 2
South Dakota....... 1 16 1 116 101 1
Nebraska........... 13 4 42 95 3
Kansas............. 2 7 11 7 4 537 189 4

SOUTH ATLANTIC....... 3 33 41 61 22 38 1 2,658 3,244 1 64
Delaware........... 3 3 52 57 -
Maryland........... 10 3 7 503 399 5
Dist. of Columbia.. 3 3 47 90 -
Virginia........... 1 15 8 3 4 1 415 662 11
West Virginia...... 9 7 2 394 501 -
North Carolina .... 3 446 819 18
South Carolina..... 2 1 1 97 135 11
Georgia............. 2 12 21 3 2 1 75 133 1 5
Florida............ 3 13 23 6 17 629 448 14

EAST SOUTH CENTRAL.. 1 16 3 14 46 20 23 3 1,958 3,041 28
Kentucky............ 1 5 9 4 2 3 725 860 8
Tennessee......... 5 1 24 7 17 680 1,180 13
Alabama............ 4 1 8 8 5 3 358 484 5
Mississippi........ 2 2 5 5 4 1 195 517 2

WEST SOUTH CENTRAL... 3 37 28 59 33 26 2.197 2,280 1 23
Arkansas........... 6 3 2 1 213 256 12
Louisiana.......... 4 6 15 9 6 518 453 1 4
Oklahoma ........... 1 7 7 4 3 108 104 4
Texas.............. 2 20 22 34 18 16 1,358 1,467 3

MOUNTAIN............. 1 29 1 3 30 4 3 23 1,705 2,050 8
Montana............ 3 2 1 150 265 -
Idaho.............. 5 5 229 336 -
Wyoming............ 1 -1 53 25 1
Colorado............ 10 10 454 422 -
New Mexico......... 1 1 3 2 1 248 238 2
Arizona............ 2 1 2 7 7 380 474 5
Utah............... 1 25 1 1 141 273 -
Nevada............. 1 50 17 -

PACIFIC.............. 18 14 116 43 73 4,905 4,902 3 23
Washington......... 13 12 4 8 518 861 2
Oregon.............. 2 9 3 6 533 599 -
California........ 16 1 88 30 58 3,582 3,282 3 21
Alaska............. 7 6 1 174 126 -
Hawaii............. 98 34 -

Puerto Rico 9 10 9 1 689 641 10








334 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
SEPTEMBER 19, 1964 AND SEPTEMBER 21, 1963 (38TH 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... 554 34 2,018 1,802 4,525 4,004 6 206 6 245 61 3,410

NEW ENGLAND.......... 56 2 57 112 331 237 8 1 1 31
-Maine.............. 14 5 17 104 9 1 26
New Hampshire...... 1 1 4 2
Vermont............ 10 1 2 4 16 2
Massachusetts...... 19 1 23 53 38 34 8 1 1
Rhode Island....... 4 9 10 16 -
Connecticut......... 8 17 24 189 162 -

MIDDLE ATLANTIC...... 23 8 264 248 117 99 19 2 98
New York City...... 6 35 39 3 9 -
New York, Up-State. 6 3 74 77 79 57 7 2 94
New Jersey......... 7 3 91 35 20 19 6 -
Pennsylvania....... 4 2 64 97 15 14 6 4

EAST NORTH CENTRAL... 105 5 283 277 283 279 36 20 12 496
Ohio............... 3 3 74 77 13 31 10 1 1 263
Indiana............. 27 43 36 68 83 7 2 22
Illinois........... 6 71 53 41 32 12 13 2 93
Michigan........... 35 1 65 84 117 105 6 1 46
Wisconsin........... 34 1 30 27 44 28 1 3 9 72

WEST NORTH CENTRAL... 13 122 115 122 65 2 11 1 51 20 1,063
Minnesota........... 29 22 5 6 1 2 6 322
Iowa............... 6 6 7 29 24 2 5 1 6 382
Missouri........... 56 34 2 3 3 1 25 4 164
North Dakota ...... 7 16 12 50 27 54
South Dakota....... 1 5 5 4 1 15 2 79
Nebraska........... 6 24 8 2 33
Kansas............. NN 8 11 23 1 1 8 29

SOUTH ATLANTIC ....... 49 3 407 334 497 503 54 2 23 12 467
Delaware........... 1 6 4 12 2 -
Maryland ........... 1 1 27 50 53 7 3 1
Dist. of Columbia.. 13 6 3 4 1 1 -
Virginia............ 9 46 74 83 77 7 1 5 3 243
West Virginia...... 25 1 32 17 188 252 1 2 28
North Carolina..... 1 69 58 7 39 13 1 6 5
South Carolina..... 50 17 2 34 4 2
Georgia............ 1 1 62 27 6 3 4 11 3 103
Florida............. 11 102 81 143 85 21 4 85

EAST SOUTH CENTRAL... 81 1 168 134 901 952 2 28 28 4 415
Kentucky............ 1 1 54 29 41 66 8 2 54
Tennessee.......... 73 55 60 773 823 10 18 4 327
Alabama............ 7 35 23 50 20 1 6 3 17
Mississippi........ 24 22 37 43 1 4 5 17

WEST SOUTH CENTRAL... 66 8 181 164 595 505 1 24 78 5 478
Arkansas........... 1 21 11 2 1 7 43 2 120
Louisiana.......... 4 118 67 2 3 4 3 45
Oklahoma.......... 1 9 29 5 19 81
Texas............... 66 2 33 57 588 502 1 14 12 232

MOUNTAIN............ 54 1 70 59 880 820 5 3 41 2 119
Montana............ 11 3 58 30 18 -
Idaho.............. 3 3 6 82 75 -
Wyoming............ 1 5 4 5 5 2 1 8 -
Colorado............ 4 12 16 331 285 8
New Mexico......... 2 28 4 235 257 1 1 48
Arizona............ 20 6 9 69 94 1 1 52
Utah............... 13 7 14 100 74 1 2 15 1
Nevada............. 1 9 3 10

PACIFIC .............. 107 6 466 359 799 544 1 21 3 3 243
Washington.......... 15 30 28 111 113 1 -
Oregon............. 13 21 25 12 5 1 8
California......... 64 6 396 286 594 392 1 19 2 3 235
Alaska.............. 7 7 12 32 19 -
Hawaii............. 8 12 8 50 15 1 -

Puerto Rico 136 29 7 10 1 1 58 3 24








Morbidity and Mortality Weekly Report




Table 4 (B). REPORTED PNEL MONIA-INFLUENZA DEATHS IN REPORTING CITIES



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


335


Area For weeks ending Area For weeks ending
Area 9/5 9/12 9/19 8/29 Area9/5 9/12 9/19
8/29 9/5 9/12 9/19 8/29 9/5 9/12 9/19


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, Iowa............
Duluth, Minn. .............
Kansas City, Kans. ........
Kansas City, Mo. ..........
Lincoln, Nebr. ............
Minneapolis, Minn. ........
Omaha, Nebr. ..............
St. Louis, Mo. ............
St. Paul, Minn. ...........
Wichita, Kans. ............


5
1

1

1






7

2



4
5

1
1
3
3
44
4
10
6
2
8
1
4
5
2
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20
3
2
2
1
13
1
1
1
1
5
5

2

3
4
2
2



2
2
2

2
7
7

4


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


"Current Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages................... 11,173
4(B) Pneumonia-Influenza Deaths, all ages........ 393
4(C) Total Deaths under 1 Year of Age............. 741
4(D) Total Deaths, Persons 65 years and over..... 6,165


NOTF: All deaths by place of occurrence.


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




UNIVERSITY OF FLORIDA

lllIlll lll llhlllll111111IIIIIIIllll11
3 1262 08864 2854


Morbidity and Mortality Weekly Report


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS


The weekly average number of pneumonia-influenza
deaths for the four-week period ending September 19 was
369 as compared with an expected weekly average of 404.


Week Ending 4 Week Weekly

8 '29 9.5 9 12 9 19 Total Average

Observed 328 430 326 393 1,477 369
Expected 397 401 406 412 1,616 404

Excess -69 29 -80 -19 -139 -35


IJXX
NUMB?
OF 91X
DEar5s


PNEUMONIA- INFLUENZA DEATHS in 10 U.S. CITIES
A,vtao .uhbew pte Weel bD FOUe. We.A Period

I.RME0A Af
,IrLufl f
----- -^-----


I H*rL E I 4 I I







4 45 ''" i- -. 9 ;/

Peoid No I 19 *I "9 I* I ,T
1 96f1 1962 I '963J I f5fi4 I


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(See table page 335)


INTERNATIONAL NOTES QUARANTINE MEASURES
Immunization Information for International Tracel
1963-6' editor Public Health Service Publication No.384


SECTION 5


Mali, page 28, Insert:
Smallpox vaccination is required for all arrivals.


Yellow fever vaccination is required for all arrivals from
infected areas.


Nigeria, page 29, Insert:

Smallpox vaccination is required for all arrivals, for
persons departing.



THE MP.ORBIDITY AND MORTALITY AEEKL REPOrIT. RITH A CIRCULA-
TION OF 12.000 15 PUBLISiMED B THE COMMUNICABLE DISEASE
CENTER. ATLANTA. GEORGIA.
CMIEF, COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
CMIEF, EPIDEMIOLOGY BRANCH A. D. LANGMuIR, M.O.
CMIEF, STATISTICS SECTION R. E. SERFLING. PH.D.
ASST. CHIEF. STATISTICS SECTION I. L. SHERMAN. M.S.
CHIEF. SUR EiLL.ANC E SEC TION D. A. HENDERSON. M.D.
ASSISTANT EDI TOR, P.4M R F. D. STOLLEY. M.D.

IN ADDITION TO TME 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 ANDMORTALITY 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 HEA4LT DEPARTMENTS.
SYMBOLS -..DATA NOT AVAILABLE
O 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
DOCUMENTS DEPT






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