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:
AA00010654:00390

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



COMMUNICABLE DISEASE CENTER


ad


Vol. 14, No. 18







Week Ending

May 8, 1965


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


EPIDEMIOLOGICAL NOTE


HEPATITIS


A total of 674 cases of hepatitis wa\ -.*rtor
the week ended May 8 as contrasted to 755 .li-, t~ orlr.d-I*
for the comparable week last \.oar. Thus far this year,
13,66S cases have been reported compared to 16,156 last
'ear for a similar period. A Quarterly Hepatitis Surveil-
lance Summary is included in this issue.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
18th WEEK ENDED CUMULATIVE, FIRST 18 WEEKS
MEDIAN
DISEASE MAY 8, MAY 2, 1960- 1964 MEDIAN
1965 1964 1960-1964
Aseptic meningitis .......... 26 32 22 502 493 423
Brucellosis .. .............*. 5 4 12 75 134 134
Diphthena ................ 1 6 11 75 74 1TT
Encephalitis, primary infectious 25 42 --- 539 578 ---
Encephalitis, post-infectious 17 35 --- 271 293 ---
Hepatitis, infectious including
serum hepatitis ..... ....... 674 755 813 13,668 16,156 17,962
Measles .................. .. 11,168 26,853 22,108 172,893 282,308 243,243
Meningococcal infections ... 80 58 54 1,524 1,193 950
Poliomyelitis, Total ......... 1 1 5 8 24 101
Paralytic ............... 1 1 3 7 19 72
Nonparalytic ......* --- 1 4 ---
Unspecified ...........* -- --- 1
Streptococcal Sore Throat and
Scarlet fever ...... 8,717 9,511 7,568 194,273 193,259 166,212
Tetanus ...... ** .* 4 4 --- 69 68
Tularemia ................ 2 2 --- 63 83 -
Typhoid fever * 8 7 9 113 112 140
Rabies in Animals ..... 70 141 95 1,850 1,631 1,495

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ................... ........... 5 Rabies in Man: . ............. .
Botulism: .................................. 3 Smallpox: ..... .......................... .
Leptospirosis: ............................. 11 Trichinosis: .................... ......... 52
Malaria: Conn. 1, Okla. 1 ........ ........... .. 18 Typhus -
Plague: ................................. Murine: ............... ........ .... .. 7
Psittacosis: .............................. 11 Rky. Mt. Spotted: Ark. ................... 8


)/' I' It,\ 1 t. \ 1 % "

,l Ii.. ,r I Notes ....... ..... ..... ... 153
Qv ri, Hepatitis Surveillance Summary .......... 155
i' iljre I ................... ............. 154
I I tr II ................... ............... 15
Reported Cases of Infectious Syphilis ............. 155
Anthrax Massachusetts .... ..................... 160








Morbidity and Mortality Weekly Report


Figure I
REPORTED CASES
OF VIRAL HEPATITIS
CASE RATE BY FOUR-WEEK PERIODS
U S Since July 1952


I i .
-I


8000-
7000

6000

5000

4000


3000




2000


ooo00 /


800 ~ 1952-1959
700-

600

500- I I I I I
Week Number 27 I 27 I 27 I 27 I 27 I 27 I 27 I 27
1959 1960 1961 1962 1963 1964 1965 1966
YEARS 1952 1953 1954 1955 1956 1957 1958 1959


154


-O
3 3




0.
0
Uo
o.
o

S









Morbidity and Mortality Weekly Report





QUARTERLY HEPATITIS SURVEILLANCE SUMMARY


The lonIII -rII. i cyclical decline in the incidence of
viral hepatitis since the peak year of 1960-61 has con-
tinued lihroi, holi> r >, iil .in i ,i .il year I' 1-.' (July
rlir-in'l June) as shown in FiI.ur 1. I h.- total number of
cases reported during the first three quarters of epidemio-
logical year lu; I-'i was lower than for .in. ( iirr i-p .I.Ililli .
period since 1:'.i i-i;I,. From June 28, 1961 through April 3,
19l',, there were 'i,l It cases reported in the United
N.0are- for a rate of 13.S per I111,11., population.

The usual seasonal trend was manifested by an in-
crease in the rumber of cases from 8,597 iiur;liii the
second quarter to 1(,-_'-7 *lrin, the third quarter, an
increase of 19.7%. Both the 'ii,,--i.rl de cline in incidence
and the seasonal variation can be seen in Figure 1, which


depicts the case rate of viral hepatitis in the ( united States
since 1952 L four-week periods.
\s shown in Figure II, Ilhe current epidemiological
year corresponds to the year I'l'l ,-5, which was the
turning point in the last long-term cycle. If this I.,ilL
is correct, an increase in the incidence of viral hepattiis
can be expected during the next p-ilr in.;ln ;il year,
lit:."'i-1. Morbidity data from Denmark, however, where
hepatitis has been a notifiable disease since 1930,
indicate that increases in hepatitis morbidity do not
necessarily occur at regular and predictable intervals.*


*Sherman, 1. L. dand
atitiNo : 1 I), scripiv
Mortality Statistic.s ,
No. 6, June 1956.


Eichenwald, Ileinz F., M.I).: Viral Hotp-
Fpidemriolohy tiased on Morbidiht and
Annals of Internal Vttdirinc, Vol. 414,


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS

APRIL 1965 APRIL 1964

CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area April 1965 and April 1964 Provisional Data

Cumulative Cumulative
Reporting Area April Jan Apr Reporting Area April Jan Apr
1965 1964 1965 1964 1965 1964 1965 1964
NEW ENGLAND............... 30 35 155 158 EAST SOUTH CENTRAL........ 226 101 847 475
Maine.................... 2 1 Kentucky................. 8 9 50 40
New Hampshire............ 1 5 6 Tennessee ................ 48 38 198 146
Vermont ................. I 2 Alabama .................. 114 38 432 231
Massachusetts............. 22 17 96 92 Mississippi .............. 56 16 167 58
Rhode Island............. 1 1 8 5
Connecticut............... 5 16 44 52 WEST SOUTH CENTRAL........ 166 219 737 833
Arkansas ................. 29 22 82 69
MIDDLE ATLANTIC........... 374 455 1,587 1,859 Louisiana................. 46 55 201 200
Upstate New York......... 39 62 171 242 Oklahoma ................. 7 10 49 45
New York City............. 217 270 953 1,093 Texas..................... 84 132 405 519
Pa. (Excl. Phila.)....... 18 7 63 41
Philadelphia ............. 31 31 87 118 MOUNTAIN .................. 42 45 185 190
New Jersey................ 69 85 313 365 Montana.................. 1 2 6 5
Idaho .............. ..... 1 3
EAST NORTH CENTRAL........ 299 190 1,033 745 Wyoming................. 6
Ohio ..................... 62 46 214 183 Colorado ............... 4 3 10 7
Indiana.................. 6 6 20 24 New Mexico............... 9 16 40 86
Downstate Illinois....... 35 18 81 49 Arizona.................. 23 19 97 66
Chicago................... 109 72 425 286 Utah.................... 8 4
Michigan.................. 77 48 265 192 Nevada.................. 5 5 23 13
Wisconsin................ 10 28 11
PACIFIC................... 148 236 683 857
WEST NORTH CENTRAL........ 45 38 163 198 Washington ............... 8 9 33 21
Minnesota ............... 6 16 31 49 Oregon................... 2 4 12 29
Iowa..................... 2 7 10 California............... 137 222 628 798
Missouri................. 26 10 83 88 Alaska................... 1 3 4
North Dakota.............. Hawaii................... 1 7 5
South Dakota............. 6 6 19 20
Nebraska...................... 7 18 19 U. S. TOTAL............... 1,861 1,874 7,649 7,548
Kansas ................... 4 5 12
TERRITORIES............... 64 69 262 269
SOUTH ATLANTIC............. 531 555 2,259 2,233 Puerto Rico............... 64 65 261 260
Delaware................. 9 10 23 37 Virgin Islands............ 4 1 9
Maryland ................. 26 48 133 183
District of Columbia..... 29 57 172 241
Virginia................. 21 23 113 92
West Virginia ............ 6 6 19 16
North Carolina........... 87 81 342 318 Note: Cumulative Totals include revised and delayed reports
South Carolina ........... 60 85 274 311 through previous months.
Georgia............ ......... 91 115 376 393
Florida.................. 202 130 807 642


135











156 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 8, 1965 AND MAY 2, 1964 (18th WEEK)


Encephalitis 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... 26 32 25 17 1 8 24 1 7 19 1 75

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

MIDDLE ATLANTIC...... 5 1 9 6 1 4 4 1 4
New York City...... 1 1 4 1 1 1 2
New York, Up-State. 2 1 2 2 2 -
New Jersey......... 3 I -
Pennsylvania....... 2 1 4 1 2

EAST NORTH CENTRAL... 2 6 3 1 3 3 3
Ohio................ 1 2 2 1
Indiana............. 2
Illinois........... 1 2 1 1 1 1
Michigan............3 -
Wisconsin............ -

WEST NORTH CENTRAL... 1 2 1 1 18
Minnesota.......... 1 1 1 7
Iowa................ 1
Missouri............ 1
North Dakota....... -- -
South Dakota....... 7
Nebraska............ 1
Kansas.............. 1

SOUTH ATLANTIC....... 2 1 3 10 7 15
Delaware........... -
Maryland............ 1 -
Dist. of Columbia.. 3
Virginia........... -
West Virginia...... -
North Carolina..... 1 5 2 -
South Carolina..... -
Georgia............ 1 1 8
Florida.............. 1 2 3 3 3

EAST SOUTH CENTRAL... 2 3 1 2 1 11
Kentucky........... 1 -
Tennessee........... 1 -
Alabama............ 1 1 1 10
Mississippi........ -

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

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

PACIFIC............... 12 15 4 6 1 1 1 1 5
Washington......... 3 2 -
Oregon............. 1
California......... 12 12 2 6 1 1 1 1 4
Alaska............. .. -
Hawaii.............. -

Puerto Rico 6










M rorbidity and Mortality Weeklhv report 157


Tablc 3, CASFS OF PI ( II II1) NOTIFIABLE 1)1, 1 1 U NITIIl) STAl TS

I (R WI:KS INI)DI)

MAY 8, 1965 AND MAY 2, 1964 (18th II 1) Continued





Area
loss including Seium Hepat itis Infrcft ionn .t
Fe sa 1 I ] I'1 ( ,, i 1 1 'i 'n I L ." |


l__>I __o_ l_ l > l_ 1 l-j. _IJo l I P r'Il

UNITED STATES... 5 674 350 285 13,668 16,156 80 1,524 1,193 4 69

NEW ENGLAND........... 46 18 25 829 1,710 5 77 31 1 4
Maine............. 5 1 4 179 597 1 9 3
New Hampshire...... 6 2 1 72 131 1 5 1
Vermont.............. 39 212 2 1
Massachusetts...... 19 9 10 308 339 3 28 13 1 3
Rhode Island....... 8 3 5 107 81 11 2 -
Connecticut........ 8 3 5 124 350 22 12 -

MIDDLE ATLANTIC...... 1 101 47 54 2,351 3,707 16 214 132 4
New York City...... 13 3 10 427 537 31 19
New York, Up-State. I 36 14 22 1,006 1,648 4 56 38 2
New Jersey.......... 24 13 11 381 674 2 64 44
Pennsylvania....... 28 17 11 537 848 10 63 31 2

EAST NORTH CENTRAL... 151 95 51 2,639 2,452 7 180 173 5
Ohio................ 36 21 14 798 640 1 53 48 1
Indiana............. 20 14 4 207 214 1 25 30 3
Illinois........... 22 11 10 515 389 2 46 38 1
Michigan............ 67 44 23 970 1,034 2 32 42
Wisconsin.......... 6 5 149 175 1 24 15

WEST NORTH CENTRAL... 1 53 31 16 941 938 3 83 66 3
Minnesota........... 6 2 4 83 79 1 17 13 2
Iowa............... 1 24 16 4 380 139 3 3 -
Missouri........... 8 5 1 171 235 1 39 36 1
North Dakota....... 12 37 4 5 -
South Dakota....... 13 97 2 -
Nebraska........... 25 20 9 4 -
Kansas............. 15 8 7 257 331 1 9 5 -

SOUTH ATLANTIC....... 1 68 30 31 1,416 1,559 13 303 253 1 22
Delaware............ 51 34 3 3 -
Maryland............ 9 6 3 281 300 1 31 18 1
Dist. of Columbia.. 1 1 18 27 4 8
Virginia........... 15 5 6 363 229 1 32 26 1 4
West Virginia...... 7 6 1 214 272 23 18
North Carolina..... 4 1 3 117 297 8 51 42 2
South Carolina..... 4 2 45 56 45 39 1
Georgia............. 50 36 1 41 26 3
Florida............ 1 28 12 15 277 308 2 73 73 11

EAST SOUTH CENTRAL... 46 32 13 1,044 1,126 5 110 113 11
Kentucky............ 17 14 2 368 504 1 47 40 1
Tennessee.......... 15 9 6 391 384 2 33 38 4
Alabama............ 8 6 2 157 149 22 18 5
Mississippi........ 6 3 3 128 89 2 8 17 1

WEST SOUTH CENTRAL... 2 38 22 16 1,191 1,161 3 225 159 1 11
Arkansas ........... 2 10 6 4 173 129 12 10 4
Louisiana.......... 7 3 4 202 236 2 125 79 2
Oklahoma.......... 34 71 16 3
Texas.............. 21 13 8 782 725 1 72 67 1 5

MOUNTAIN............. 31 14 6 825 1,029 2 53 42 2
Montana............ 2 1 61 102 -
Idaho............... 136 83 7 1
Wyoming.............. 2 2 29 34 2 3
Colorado........... 9 4 5 161 302 1 12 9 1
New Mexico......... 7 6 1 156 162 8 18
Arizona............. 10 159 223 15 3 1
Utah............... 1 1 118 94 1 6 2 -
Nevada............. 5 29 2 6

PACIFIC............... 140 61 73 2,432 2,474 26 279 224 1 7
Washington......... 10 5 4 196 267 3 21 18
Oregon.............. 10 3 5 199 282 3 21 16 1 1
California......... 115 52 63 1,893 1,799 17 226 177 6
Alaska.............. 3 1 1 128 77 1 6 6
Hawaii............. 2 16 49 2 5 7


3


21 13


Puerto Rico 26 19 6 439 344










158 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 8, 1965 AND MAY 2, 1964 (18th 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 1965 1965 1965
UNITED STATES... 11,168 172,893 282,308 8,717 2 63 8 113 70 1,850

NEW ENGLAND........... 1,424 31,159 9,489 1,060 1 21
Maine............... 76 2,204 1,329 110 -
New Hampshire...... 4 345 152 2 -
Vermont............ 66 639 1,772 19
Massachusetts...... 736 17,176 2,761 184 1 1
Rhode Island....... 216 3,412 995 91 -
Connecticut........ 326 7,383 2,480 673 1

MIDDLE ATLANTIC...... 688 7,584 34,606 565 1 18 4 70
New York City...... 110 860 10,798 26 1 9 -
New York, Up-State. 128 2,229 7,677 416 5 4 66
New Jersey......... 123 1,331 8,136 38 2 -
Pennsylvania....... 327 3,164 7,995 85 2 4

EAST NORTH CENTRAL... 2,677 33,530 61,428 1,094 1 4 1 16 10 246
Ohio................ 352 6,670 12,559 108 1 4 123
Indiana............. 29 1,169 14,576 217 4 2 19
Illinois........... 208 1,412 11,017 138 1 3 3 3 48
Michigan........... 1,230 17,589 15,224 439 3 2 22
Wisconsin.......... 858 6,690 8,052 192 1 2 3 34

WEST NORTH CENTRAL... 1,006 13,208 14,592 389 6 3 21 341
Minnesota.......... 39 424 172 5 1 74
Iowa................ 635 7,362 10,449 102 8 102
Missouri........... 163 2,070 749 9 4 3 1 43
North Dakota....... 138 2,967 2,598 186 3 15
South Dakota....... 4 68 3 6 1 1 24
Nebraska........... 27 317 621 2 20
Kansas............. NN N NNN 81 1 5 63

SOUTH ATLANTIC....... 963 18,977 26,354 1,194 20 3 29 8 260
Delaware............ 10 413 271 38 3 -
Maryland............ 77 762 2,384 374 1 9 2
Dist. of Columbia.. 3 31 330 4 -
Virginia........... 210 2,869 7,955 219 3 1 3 4 206
West Virginia...... 265 10,981 6,287 327 1 I 9
North Carolina..... 3 213 938 16 4 7 1
South Carolina..... 44 795 3,275 5 3 3 1
Georgia............. 10 538 139 33 10 1 19
Florida............. 341 2,375 4,775 178 1 2 3 22

EAST SOUTH CENTRAL... 497 10,717 38,232 1,268 1 14 2 14 12 502
Kentucky............ 20 1,998 16,140 58 3 1 6 37
Tennessee.......... 362 6,004 15,116 1,113 1 10 3 12 458
Alabama............ 78 1,863 1,351 45 1 2 7
Mississippi........ 37 852 5,625 52 1 3 -

WEST SOUTH CENTRAL... 1,478 24,546 50,654 578 13 14 11 292
Arkansas........... 1 883 864 4 7 6 2 43
Louisiana.......... 2 60 66 2 1 2 1 52
Oklahoma............ 1 136 675 4 3 1 2 56
Texas............... 1,474 23,467 49,049 568 2 5 6 141

MOUNTAIN............. 680 13,405 11,010 1,158 6 11 32
Montana............ 54 2,936 1,828 32 1 3
Idaho............... 62 1,862 1,236 54 -
Wyoming............ 25 660 101 25 1 -
Colorado............ 328 3,410 1,920 439 I
New Mexico......... 23 506 220 221 7 6
Arizona............. 72 621 4,285 217 3 22
Utah............... 111 3,267 855 170 5 -
Nevada.............. 5 143 565 -

PACIFIC.............. 1,755 19,767 35,943 1,411 1 7 4 86
Washington.......... 644 5,768 12,981 288 1 -
Oregon.............. 78 2,515 4,106 12 1 2
California......... 742 9,048 17,711 846 1 4 4 84
Alaska............ 1 107 936 20 -- -
Hawaii.............. 290 2,329 209 245 -- 1-

Puerto Rico 95 1,270 3,298 9 1 7











1lorbidit and Mortality WceklN Reporr


Table 4, I)F Al ti IN 122 UNITED STATES ( II I I'() R WEEK INI)I ) MAY 8, 1965


(t\ place of occurrence and week


of filing certificate. Excludes fetal deaths)


___________ I- __________ 1 ______ ___ II


Area


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.--------


All Causes

All 65 years
Ages and over


752
250
39
32
33
53
24
25
41
41
76
9
32
35
62

3,394
37
38
155
49
42
48
79
100
1,701
40
532
196
43
90
20
44
66
52
27
35

2,676
43
40
806
169
192
130
75
373
41
50
56
34
44
149
46
156
36
18
53
90
75

853
63
24
46
139
32
115
86
220
82
46


449
131
29
17
19
24
14
18
32
25
54
6
19
24
37

2,010
20
21
92
28
26
32
49
51
997
25
318
110
30
52
15
31
38
31
20
24

1,558
33
20
434
105
106
90
40
225
28
31
29
17
34
72
24
97
23
15
32
56
47

492
34
13
24
83
20
74
50
126
46
22


Pneumonia
and
Influenza
All Ages


Under
1 year
All
Causes


*Estimate based on average percent of divisional total.


Area


'


All Causes

All 65 years
Ages and ov r


"


--~-~


Total 12,209 6,962 446 671

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 236,903
All Causes, Age 65 and over------------------- 135,203
Pneumonia and Influenza, All Ages------------- 11,280
All Causes, Under 1 Year of Age--------------- 13,778


Week No.
18


159


'


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.------
i lmiinrt..r., 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.----------


981
103
236
44
76
68
53
102
34
71
49
102
43

578
65
52
28
129
138
44
30
92

988
25
22
18
121
23
64
154
55
182
80
126
46
72

399
32
15
119
30
93
20
45
45

1,588
15
48
38
48
76
520
94
35
117
68
112
177
29
139
42
30


and
lonf luenza
All Ag .

36
5
3
3
1

6
3
1
4
4
4
2

21
1
3

11
2
1
1
2

36
2


6
1 3
3
3
4
5
2
3
5
3

19
1
1
5
4
4
1
2
1


Under
1 year
All
Cau 'e

50
9
10
2
3

2
6
1
3
2
7
5

38
2
6
1
7
9
3
2
8

72
3


15
2
4
10
3
16
8
8
2
1

30
4
1
8
2
5
2
3
5

86

4
1
8
4
43


4
4
1
8
3
5
1


I


' '










160


Morbidity and Mortality Weekly Report


ANTHRAX Massachusetts


A recent case of human anthrax reported from Massa-
chusetts occurred in a 30-year-old male who has worked
for two years at a company that makes felt. The patient
worked around the dusting machines, and during the early
part of April while cleaning a dusting machine, scratched
his right forearm on a nail. He noted the onset of a popular
lesion on April 9, and saw his private physician on
April 11, at which time cultures are reported to have been
positive for Bacillus anthracis. He was admitted to a
hospital, treated with penicillin, and remained in the
hospital for 12 days.

This company has been in existence for 100 years
and has never previously had a case of anthrax among its
employees. They use raw, imported goat hair in the manu-
facturing of felt and recently changed their source of
supply.


(Reported by Dr. Heinrich Brugsch, Division of Occu-
pational Hygiene, Department of Labor and lnduslries,
Commonwealth of Massachusetts.)







ERRATUM:


Vol. 14, No. 17 in table 1 the Post-infectious Enceph-
alitis cumulative total should have been 254 instead of
304.


THE MORBIDITY AND MORTALITY AEEKLV REPORT. TTH A CIRCULA-
TION OF 3 '10 IS FUBL.iiHED 8 THE COMMUNICABLE DISEASE
CENTER ATLANTA GEORGIA 3 03j
CHIEF COMMUNICABLE DISEASE CENTER JAMES L GODDARD M.D.
CHIEF EPIDEMIOLOGY BRANCH A. D LANGMUIR. M D.
CHIEF. STATISTICS SECTION R E SERFLING. PH.D.
ASST CHIEF STATISTICS SECTION IDA L. SHERMAN ,M.S.
CHIEF SURVEIL LANCE SEC TION 0 A HENDERSON. M.D.
ASSISTANT EDITOR MMWR PAUL D. STOLLEV. M.D.
IN ADDITION TO THE ESTABLISmED 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
COMMuJNICABLE DISEA E CENTER
ATLANTA. GEORGIA S0 1 ,3
NOTE THESE PROi.SIONAL DATA ARE BASED ON WEEKLY TELE-
GRAMS TO THE CDC B% THE INDIO.DUAL 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 AAILAELE
OUANTITY ZERO
THE CONSTRUCTION OF THE MORTALITY CURVES 15 DESCRIBED IN
SOL I. NO. I


UNIV OF FL LIB
S DOCUMENTS DEPT.






U.S. DEPOSITORY


UNIVERSITY OF FLORIDA

1 3111111 1111111 I 11 1I I 1111111lll ll
3 1262 08864 2441


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