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:
AA00010654:00391

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

FS 7. 4t/ 13 X5


Morbidity and Mortality



U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE v. 196
PUBLIC HEALTH SERVICE -2 196s -
PUBLIC HEALTH SERVICE I~ _-- lSSU^.^ian y, e -


I COMUNIABL DIS


For release January 6, 1965- Vol. 13, No. 53


ATLANTA, GEORGIA 30333


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES
AND ON DEATHS IN SELECTED CITIES FOR WEEK ENDED JANUARY 2, 1965

INDEX ISSUE '1


POLIOMYELITIS SURVEILLANCE SUMMARY

Poliomyelitis 1964
During 1964, 121 cases of poliomyelitis were re-
ported in the United States; of these, 94 were paralytic.
This number is less than one-fourth the number of para-
lytic cases reported during 1963, the previous record
low year.
The occurrence of paralytic poliomyelitis by 4-week
periods since 1961 is presented in the figure opposite.
The seasonal pattern of increased incidence during early
summer is evident for 1961, 1962, and 1963, but with
declining intensity. A seasonal rise did not occur in
1964. There were no outbreaks of human poliomyelitis
reported anywhere in the country in 1964.


o TO POI MYELITIS SURVEILLANCE UNIT
51 96 B, DATE CFr -..SE' Y











to



WE0(4 12 6 42 20 28 M 45 2 44 2 2P 20 I 3 442 S 12 20 28 36 44 2
961 962 96 1964
1961 1962 1963 1964


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
53rd Week Ended Cumulative. First
Disease January 2 December 28 Median 53 weeks 52 weeks Median
1965 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ............... 46 35 --- 2,181 1,831 ---
Brucellosis ....................... 1 7 15 401 382 581
Diphtheria ...................... 13 4 24 306 298 594
Encephalitis, primary infectious.. 22 --- 3,226 ---
Encephalitis, post-infectious ..... 6 26--- 787 1,541
Hepatitis, infectious including
serum hepatitis ............... 623 842 842 38,272 42,891 42,891
Measles ............................ 2,771 3,668 4,278 490,590 387,973 421,847
Meningococcal infections .......... 58 53 46 2,867 2,356 2,197
Poliomyelitis, Total .............. 2 9 31 121 445 1,365
Paralytic ...................... 2 9 16 94 381 885
Nonparalytic ................... --- 15 46 ---
Unspecified ..................- --- 12 18
Streptococcal Sore Throat and
Scarlet fever .................. 7,356 6,827 --- 401,179 339,479 ---
Tetanus ............................ 4 5 --- 271 280 ---
Tularemia ......................... 15 11 --- 345 298 ---
Typhoid fever ..................... 12 7 13 470 529 828
Rabies in Animals .................. 85 61 70 4,597 3,711 3,556

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 5 Psittacosis: 48
Botulism: 22 Rabies in Man: 1
Leptospirosis: Hawaii 1, Calif. 1 125 Smallpox:
Malaria: NY City-1, Pa.-l, La.-l, Calif.-1, Fla.-l 102 Typhus-
Plague: Murine: 25
_Rky Mt. Spotted: Ga. 1 227


Prepared by the







Morbidity and Mortality Weekly Report


PARALYTIC POLIOMYELITIS 1963


The Communicable Disease Center receives weekly
poliomyelitis case reports from State and local health
departments through the National Morbidity Reporting
System. In addition, since 1958, individual surveillance
forms have been submitted for each case to the Polio-
myelitis Surveillance Unit; a preliminary form which
supplies basic epidemiologic data, and a follow-up form
which includes information regarding extent of residual
paralysis of the case and results obtained in laboratory
studies. The incidence of cases of poliomyelitis with


residual paralysis at 60 days represents the most reliable
index presently available to assess the national status
of poliomyelitis 1.
During 1963, 336 cases of poliomyelitis with residual
paralysis were reported to the Polio Surveillance Unit.
These are presented in the following table by age group
and history of inactivated vaccine. Approximately one-
half of the cases occurred in pre-school children as
compared to 39 percent in 1961 and 43 percent in both
1960 and 1959.


FREQUENCY OF POLIOVIRUS ISOLATES RECOVERED FROM PARALYTIC CASES UNITED STATES, 1958-63

Numbers of Cases Percent Viruses Identified Percent of
Residual Specimens of Cases Type Total Specified
Year Paralysis Submitted* Studied I II III Unk. I II III

1958 3301 1479 44.8 898 29 194 10 80.1 2.6 17.3
1959 5472 2775 50.7 1881 10 228 23 88.8 0.5 10.8
1960 2218 1072 48.3 603 1 219 2 73.3 0.1 26.6
1961 829 481 58.0 231 6 145 0 60.5 1.6 37.9
1962 691 472 68.3 300 8 100 0 73.7 2.0 24.4
1963 336 242 72.0 160 6 31 0 81.2 3.0 15.7
*Includes all paralytic cases on which one or more fecal specimens were examined for virus isolation. State and local health department labora-
tories and laboratories in academic centers reported these results through State epidemiologists to the Poliomyelitis Surveillance Unit.


There were 21 deaths attributed to paralytic polio-
myelitis among the 336 cases resulting in a case fatality
ratio of 6.3 percent. Fifteen of the deaths were in per-
sons less than 20 years of age, yielding a fatality ratio
of 5.3 percent and the remaining 6 deaths occurred in
adults yielding a ratio of 11.5 percent.
In addition to the 33 cases that had received a full
series (4 or more doses) of inactivated polio vaccine,
5 cases had received a complete series of oral polio
vaccine.
Reports of attempted virus isolations on specimens
from 242 paralytic cases with onset during the year 1963
were received by the Poliomyelitis Surveillance Unit of
the Communicable Disease Center. This represents iso-
lation attempts from 72 percent of the 336 cases with
residual paralysis reported to the Poliomyelitis Sur-
veillance Unit.
Of the 242 specimens studied in 1963, there were
197 isolations of poliovirus (81 percent). Of those with


virus type specified, 160 (81.2 percent) were Type I and
31(15.7 percent) were Type III. Type II was isolated in
only 6 cases. The number of specimens studied and the
type distribution for the past 6 years are shown in the
table on page 464.
There were 8 outbreaks of paralytic poliomyelitis in
1963 accounting for 136 of the 336 cases. These out-
breaks*, shown in map on page 464, were all caused by
Type I poliovirus. The majority of cases in these out-
breaks were unvaccinated pre-school children.

Reference
1. Poliomyelitis Surveillance Unit, Surveillance of Polio-
myelitis in the United States, 1958-61. Pub. Health Rep.
December 1962, Vol. 77, No. 12, p. 1011.


*"Epidemic areas" are defined as those areas reporting 6 or
more paralytic cases of which at least 4 occurred within a
30-day period.


462








ANNUAL POLIOMYELITIS INCIDENCE RATES
UNITED STATES, 1935-1964


INACTIVATED
VACCINE


TOTAL


ORAL
VACCINE



I


1935


*PARALYTIC CASES PRIOR TO 1951 ASSUMED TO BE 50% OF TOTAL.
SINCE 1951, CASES REPORTED AS UNSPECIFIED WERE PRORATED
AMONG PARALYTIC AND NONPARALYTIC CASES.


SOURCE: National Morbidity Reports







Morbidity and Mortality Weekly Report


PARALYTIC POLIOMYELITIS CASES BY AGE GROUP AND INACTIVATED
VACCINATION HISTORY REPORTED IN THE UNITED STATES 1963


Age Doses of Inactivated Vaccine
Age Percent of
Total Cases Deaths
Group 0 1 2 3 4+ Unk. Total Cases
0-4 117 13 11 14 8 7 170 50.6 8
5.9 25 6 4 10 14 2 61 18.2 4
10.14 23 1 1 8 5 0 38 11.3 3
15-19 5 3 3 2 1 1 15 4.5 0
20.29 17 0 0 5 2 1 25 7.4 2
30.39 10 2 1 2 2 1 18 5.4 4
40+ 8 0 0 0 1 0 9 2.7 0
Total 205 25 20 41 33 12 336 100.0 21
Percent 63.3 7.7 6.2 12.7 10.2


SOURCE: POLIOMYELITIS SURVEILLANCE REPORTS


OUTBREAKS OF PARALYTIC POLIOMYELITIS


UNITED STATES 1963


* Outbreaks
SStates with attack rate
of 0.5 per 100,000 or greater.


464









Morbidity and Mortality Weekly Report


INDEX VOLUME 13 1964


ANTHRAX
Epidemic Reports
Arkansas, 111
Idaho, 436
Ohio, 118

Summary
Annual, 62


BOTULISM
Epidemic Reports
California, 2-3, 165
Kansas, 423
New York City, 150
Canada, 12

Summary
Annual, 4-7
Current, 85, 373, 453


Antitoxin, Type E Special Announcement, 69


BRUCELLOSIS
Summary
Annual, 430-31
Current, 133, 241


CHANCROID
Summary
Annual, 447
Current, 178


CHICKENPOX
Epidemic Reports
Minnesota, 218


CHOLERA
Epidemic Reports
Japan, 312
Viet Nam, 36, 164


CLOSTRIDIUM PERFRINGENS
Epidemic Reports
Washington State, 234-35


DENGUE FEVER
Epidemic Reports
New Jersey, 404
Antigua, 44
Caribbean, 76
Jamaica, 20, 76
Puerto Rico, 14, 28, 36, 76

Summary
Current, 235


DIPHTHERIA
Epidemic Reports
California, 423
Kentucky, 87
Maine, 157
Minnesota, 157, 423
New Mexico, 423
Washington State, 158

Summary
Annual, 421-22
Current, 1, 29, 157, 273


ECHO 17 (Diarrhea)
Epidemic Reports
Pennsylvania, 195


ENCEPHALITIS, ARTHROPOD-BORNE
Epidemic Reports
Arizona, 292
Colorado, 305, 320, 365
Florida, 242, 292, 365
Illinois, 292, 305, 315, 365
Indiana, 366, 414-15
Kentucky, 315, 366
New Jersey, 363, 381-82
Pennsylvania, 365, 381-82
South Carolina, 292
Tennessee, 365
Texas, 290-92, 302-5, 314-15, 322, 364
Wisconsin, 414

Summary
Current, 289, 301, 313, 321, 329, 349, 362, 381,
397, 413
Annual, 362-66


ENCEPHALITIS, POST INFECTIOUS
Summary
Current, 46, 102, 141, 143, 177, 219, 266, 293,
331, 407


GONORRHEA
Summary
Annual, 446
Current, 374


GRANULOMA INGUINALE
Summary
Annual, 209-10, 447


HEPATITIS
Epidemic Reports
Alaska, 142
Connecticut, 37-8
New Jersey, 53-4
Pennsylvania, 53-4
Costa Rica, 251, 256

Summary
Annual, 382-83
Chimpanzee-associated, 174
Current, 47, 166-67


INFLUENZA
Epidemic Reports
California, 68, 78, 86, 101, 109-10
Minnesota, 149
Oregon, 68, 70, 77, 86, 101, 110
Washington State, 38-9, 45-6, 54-5, 61, 70, 77,
86, 101
Canada, 39
France, 172
Hungary, 200
Japan, 44, 52, 60
Taiwan, 39, 52

Summary
Current, 38, 45, 61, 86, 100, 109, 117, 355, 389,
429-30

LEPTOSPIROSIS
Epidemic Reports
North Carolina, 415


465









Morbidity and Mortality Weekly Report






INDEX VOLUME 13 1964 (Continued)


LYMPHOGRANULOMA VENEREUM
Summary
Annual, 446
Current, 258


MALARIA
Epidemic Reports
Illinois, 267
Pennsylvania, 22, 186
Washington, 70-1

Summary
Annual, 225-27


MEASLES
Epidemic Reports
Bonin Islands, 366

Summary
Current, 173


MENINGITIS, ASEPTIC
Epidemic Reports
Kentucky, 282

Summary
Current, 281


MENINGOCOCCAL INFECTIONS
Epidemic Reports
Fort Ord, California, 438-39
Washington, 176

Summary
Current, 125, 176, 361


METHEMOGLOBINEMIA
Epidemic Reports
New York City, 430


MILKER'S NODULES
Epidemic Reports
Tennessee, 274


PLAGUE
Epidemic Reports
Arizona, 134
Tanganyika, 92

Summary
Current, 413


POISONING
Chemical
Epidemic Reports
California, 258, 267
Illinois, 250
New York, 306
Jimson Weed
Epidemic Reports
Tennessee, 126-27


Mushroom
Epidemic Reports
California, 134

Nicotiana Glauca
Epidemic Reports
California, 15

Scombroid Fish
Epidemic Reports
California, 30, 166-67

Staphylococcus Food
Epidemic Reports
California, 22, 71
Georgia, 292
Louisiana, 30
New York, 175
Southern Military Installation, 283


POLIOMYELITIS
Epidemic Reports
Bahamas, 251
Chile, 132, 187
Jamaica, 412

Summary
Current, 1, 13, 29, 217, 233, 337
Annual, 461-64

PSITTACOSIS
Summary
Annual, 338-43


RABIES
Epidemic Reports
Arizona, 275
Maryland, 398
Michigan, 306
Minnesota, 330
Canada, 209
Canal Zone, 110

Summary
Annual, 201-09
Current, 397-99, 437


ROCKY MOUNTAIN SPOTTED FEVER
Summary
Annual, 454-55


RUBELLA
Epidemic Reports
Colorado, 100
Georgia, 99, 353
Illinois, 98
Kentucky, 99
Louisiana, 100
Maryland, 98
Massachusetts, 95
Minnesota, 98
New York City, 96
New York State, 96
North Carolina, 98
Ohio, 97


466









Morbidity and Mortality Weekly Report






INDEX VOLUME 13 1964 (Continued)


RUBELLA (Continued)

Pcnrn.slari 97
Rhode Island, 95
Tennessee, 100, 354
Washington, 100

Summary
Annual, 350-52
Current, 93-95


SALMONELLOSIS
Epidemic Reports
California, 78, 267, 307
Illinois, 187
Iowa, 406
Minnesota, 177, 282
Ohio, 79
Pennsylvania, 151
Utah, 306

Summary
Current, 430


SMALLPOX
Epidemic Reports
Argentina, 192
Peru, 20, 28


SYPHILIS
Summary
Annual, 446
Current, 178-79, 210-11, 294-95


TETANUS
Epidemic Reports
New Jersey, 159, 194
New York State, 249

Summary
Current, 193-94, 405



TICK PARALYSIS
Epidemic Reports
Arkansas, 250


TRICHINOSIS
Epidemic Reports
Minnesota, 243
New Mexico, 330


TUBERCULOSIS
Summary
Current, 186, 275


TULAREMIA
Epidemic Reports
Maryland, 23
New York, 111

Summary
Annual, 445
Current, 265


TYPHOID FEVER
Epidemic Reports
Georgia, 391
Minnesota, 406
Texas, 119
Scotland, 187, 390


Summary
Current, 185, 257, 390


TYPHUS
Epidemic Reports
Maryland, 242


VIRAL EXANTHEMA
Epidemic Reports
Minnesota, 36


YELLOW FEVER
Epidemic Reports
Uganda, 240
Ethiopia, 124


Summary
Current, 415


467









468 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 2, 1965 AND DECEMBER 28, 1963 (53rd 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... 46 35 22 6 2 9 121 445 2 9 94 381

NEW ENGLAND............ 2 9 2 9
Maine............... 3 3
New Hampshire...... -- -
Vermont............. 1 1
Massachusetts...... 3 3
Rhode Island....... -
Connecticut ....... 2 2 2 2

MIDDLE ATLANTIC...... 2 1 7 1 1 15 124 1 13 99
New York City...... 1 4 2 1 2 -
New York, Up-State. 1 1 1 10 11 9 7
New Jersey......... 1 3 4 2 3
Pennsylvania....... 1 1 1 108 1 89

EAST NORTH CENTRAL... 3 5 4 1 24 58 16 47
Ohio................ 2 3 3 8 2 4
Indiana............. 9 4 6 3
Illinois........... 2 1 1 6 17 5 16
Michigan........... 3 3 20 2 20
Wisconsin.......... 1 3 9 1 4

WEST NORTH CENTRAL... 2 2 1 10 9 1 8 7
Minnesota........... 2 2 3 4 2 4
Iowa................ 1 1 -
Missouri........... 1 4 2 1 3 1
North Dakota ..... 1 1 1 -
South Dakota....... 1 1
Nebraska........... 1 1
Kansas............. 1 1 -

SOUTH ATLANTIC....... 6 4 5 1 1 5 36 110 1 5 29 96
Delaware............ 3 1 1
Maryland........... 1 1 1 1
Dist. of Columbia.. 1 -
Virginia........... 1 4 21 4 16
West Virginia...... 4 1 8 4 1 8
North Carolina..... I 12 6 7 5
South Carolina..... 3 9 3 8
Georgia............. 1 4 22 1 4 21
Florida............. 3 4 4 1 11 41 1 9 36

EAST SOUTH CENTRAL... 11 4 1 6 75 1 5 69
Kentucky............ 11 -
Tennessee.......... .- 3 12 2 11
Alabama............ 2 53 2 48
Mississippi........ 4 1 1 10 1 1 10

WEST SOUTH CENTRAL... 2 2 2 13 28 11 27
Arkansas........... 1 4 3
Louisiana.......... 1 1 14 1 14
Oklahoma. ........... 3 1 2 1
Texas............... 1 2 1 9 9 8 9

MOUNTAIN............. 2 2 1 1 11 9 1 6 7
Montana............ 1 i -
Idaho............... 1 1 1 1
Wyoming............ 1 1 2 2 -
Colorado........... I 1 1 1 2 1 1
New Mexico......... 5 1 -
Arizona............ 1 3 1 3
Utah................. 1 1 1
Nevada.................. 1

PACIFIC............... 18 15 3 3 1 4 23 1 4 20
Washington......... 2 4 1 2 2
Oregon.............. 1 1 2 1 1
California.......... 14 6 2 3 1 3 19 1 3 17
Alaska.............. -
Hawaii............. 2 4 -

Puerto Rico 5 4










Morbidity and Mortality Weekly Report 469


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 2, 1965 AND DECEMBER 28, 1963 (53rd 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... 1 401 13 306 623 284 252 87 38,272 42,891 12 470

NEW ENGLAND.......... 2 45 38 17 20 1 3,401 4,946 17
Maine.............. 39 19 13 6 1,037 2.250
New Hampshire...... 1 1 269 614
Vermont............. 4 1 2 1 390 154 -
Massachusetts....... 2 6 4 1 3 783 1,193 8
Rhode Island....... 4 1 3 241 125 6
Connecticut........ 6 1 5 681 610 3

MIDDLE ATLANTIC...... 9 1 11 122 55 67 8,275 8,532 1 69
New York City ..... 5 29 6 23 1,322 1,332 1 35
New York, Up-State. 5 55 31 24 3,582 3,686 15
New Jersey......... 2 15 7 8 1,348 1,247 2
Pennsylvania....... 4 1 4 23 11 12 2,023 2,267 17

EAST NORTH CENTRAL... 51 11 128 62 50 16 6,228 6,876 1 92
Ohio................ 5 22 11 11 1,628 1,888 26
Indiana............ 1 1 5 4 1 500 632 24
Illinois........... 30 9 43 28 12 3 1,199 1,386 23
Michigan........... 6 1 45 22 23 2,480 2,662 1 13
Wisconsin.......... 9 13 1 12 421 308 6

WEST NORTH CENTRAL... 176 36 29 22 7 2,163 1,932 35
Minnesota.......... 9 18 1 1 234 296 3
Iowa................ 114 22 18 4 478 344 4
Missouri........... 10 1 1 1 507 617 18
North Dakota....... 2 2 64 111 2
South Dakota....... 22 3 135 150 1
Nebraska............ 13 5 1 1 86 132 3
Kansas.............. 6 7 4 1 3 659 282 4

SOUTH ATLANTIC....... 40 2 90 51 20 31 3,521 4,322 102
Delaware............ 1 1 79 85
Maryland........... 1 8 5 3 651 539 8
Dist. of Columbia.. 1 1 73 110
Virginia............ 17 5 2 3 570 829 11
West Virginia...... 1 10 7 3 501 700 -
North Carolina..... 4 2 6 4 2 565 1,079 21
South Carolina..... 7 5 2 3 160 171 13
Georgia............. 14 1 33 1 1 115 177 28
Florida............ 4 1 47 14 14 807 632 21

EAST SOUTH CENTRAL... 19 32 38 27 6 5 2,572 3,815 2 47
Kentucky............ 6 18 12 1 5 897 1,168 10
Tennessee........... 6 2 10 6 4 914 1,456 1 22
Alabama............. 4 25 6 6 493 602 1 9
Mississippi........ 3 5 4 3 1 268 589 6

WEST SOUTH CENTRAL... 1 50 4 45 46 30 15 1 2,970 2,881 2 49
Arkansas........... 6 3 3 1 2 298 312 2 18
Louisiana........... 5 4 16 13 8 5 703 595 8
Oklahoma............ 1 10 1 135 122 9
Texas.............. 29 25 30 21 8 1 1,834 1,852 14

MOUNTAIN ............. 30 2 74 9 5 60 2,404 2,713 3 17
Montana............ 8 3 1 4 202 341 -
Idaho.............. 356 445 -
Wyoming............ 94 44 I
Colorado............ 18 2 16 622 573 -
New Mexico......... 1 1 7 3 4 348 345 3 8
Arizona............ 2 1 40 40 537 610 8
Utah............... 26 1 1 194 336 -
Nevada............. 1 51 19 -

PACIFIC.............. 24 6 34 97 42 51 4 6,738 6,874 3 42
Washington......... 13 22 7 11 4 688 1,130 2
Oregon.............. 2 7 5 2 661 796 -
California......... 22 6 21 63 27 36 4,942 4,687 3 40
Alaska............... 4 3 1 321 212 -
Hawaii............. -i 1 1I 126 49 -

Puerto Rico 1 13 13 12 1 1,018 945 13









470 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
JANUARY 2, 1965 AND DECEMBER 28, 1963 (53rd 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... 2,771 58 2,867 2,356 7,356 6,827 4 271 15 345 85 4,597

NEW ENGLAND........... 724 3 101 133 774 428 9 1 3 41
Maine.............. 175 9 19 101 31 29
New Hampshire...... 53 2 4 21 3 2
Vermont............. 7 4 6 1 8 1 7
Massachusetts....... 346 1 42 59 104 68 9 1 1
Rhode Island....... 56 1 13 13 37 73 -
Connecticut......... 87 1 31 32 510 245 2 2

MIDDLE ATLANTIC...... 103 4 360 337 386 324 23 1 1 128
New York City...... 31 48 50 16 24 -
New York, Up-State. 11 110 104 274 187 9 1 119
New Jersey.......... 15 1 111 57 43 51 6 -
Pennsylvania........ 46 3 91 126 53 62 8 1 9

EAST NORTH CENTRAL... 479 8 384 363 741 757 51 3 33 13 624
Ohio................ 78 2 101 105 56 107 14 1 5 8 317
Indiana............. 39 1 60 47 112 65 15 2 2 36
Illinois........... 16 1 101 72 170 117 14 2 19 1 117
Michigan............ 260 3 85 104 254 338 7 3 1 59
Wisconsin........... 86 1 37 35 149 130 1 4 1 95

WEST NORTH CENTRAL... 125 4 164 151 457 287 18 5 64 13 1,341
Minnesota.......... 8 3 38 33 5 18 5 2 4 432
Iowa............... 41 9 8 62 34 6 1 4 463
Missouri........... 75 44 70 6 4 2 34 192
North Dakota....... 74 20 17 194 85 72
South Dakota....... 1 3 7 26 15 1 1 16 1 96
Nebraska........... 1 7 25 1 2 39
Kansas.............. NN 1 12 17 99 129 2 2 11 2 47

SOUTH ATLANTIC....... 327 6 541 429 934 534 2 68 3 35 7 615
Delaware........... 13 7 4 3 2 -
Maryland............ 18 44 58 188 14 4 1 1 3
Dist. of Columbia.. 1 17 9 10 6 1 I -
Virginia ........... 82 67 90 242 144 8 8 4 337
West Virginia...... 121 36 23 294 165 1 38
North Carolina..... 15 2 97 82 23 11 16 7 5
South Carolina..... 8 59 24 16 16 5 2
Georgia............ 1 89 38 1 21 5 1 16 3 123
Florida............. 69 3 125 101 157 155 2 28 1 2 107

EAST SOUTH CENTRAL... 300 6 217 159 1,261 815 1 36 2 40 35 730
Kentucky........... 4 6 74 34 191 154 8 2 6 1 68
Tennessee.......... 157 67 72 996 623 14 26 31 573
Alabama............ 127 47 29 62 25 8 3 3 26
Mississippi......... 12 29 24 12 13 1 6 5 63

WEST SOUTH CENTRAL... 228 13 327 218 423 901 30 2 111 11 648
Arkansas............ 1 35 14 5 3 8 1 67 3 151
Louisiana.......... 6 139 89 1 8 4 6 3 86
Oklahoma............ 4 1 17 36 41 1 1 22 2 100
Texas............... 223 6 136 79 376 890 17 16 3 311

MOUNTAIN............ 262 1 109 87 1,317 2,207 6 57 145
Montana............ 40 1 5 7 106 19 1
Idaho.............. 73 5 6 87 44 1 -
Wyoming............ 5 7 40 36 2 12 -
Colorado........... 33 22 26 637 1,459 8
New Mexico......... 44 48 5 348 294 I 52
Arizona............ 5 8 13 70 143 1 2 70
Utah............... 67 8 20 127 125 1 24 3
Nevada............. 1 12 5 1 11

PACIFIC.............. 223 13 664 479 1,063 574 1 30 3 2 325
Washington.......... 6 48 40 137 319 3 -
Oregon............. 68 28 35 27 20 1 1 11
California.......... 105 12 565 373 797 192 1 24 2 2 314
Alaska.............. 7 17 1 -
Hawaii ............. 44 1 16 14 102 42 2 -

Puerto Rico 7 37 12 3 8 67 28










Morbidity and Mortality Weekly Report




Tabic 4 (A). TOTAL DEATHS IN RI PO I IN(, CITIES


471


(Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period.)0

For weeks ending For weeks ending
Area Area

12/12 12/19 12/26 1/2 12/12 12/19 12/26 1/2


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 'aynE, 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. ............


328
45
25
31
57
22
28
28
43
59
7
61
27
50


44
43
180
47
37
43
83
104
1781
51
429
196
54
113
26
54
55
43
32
33


67
56
854
159
221
128
65
362
60
43
45
44
49
174
25
121
42
34
37
100
69


56
24
44
149
33
121
67
229
86
46


279
35
22
22
50
24
23
27
36
80
15
46
23
29


53
35
127
46
29
37
65
88
1578
32
529
212
48
95
26
48
54
41
22
26


52
30
688
115
172
121
63
411
41
44
38
53
56
142
23
88
25
20
33
99
41


48
24
39
109
18
107
50
224
41
47


SOUTH ATLANTIC:
Atlanta, Ga. .............. 138 128 109 122
Baltimore, Md. ............ 264 255 250 267
Charlotte, N.C. ........... 38 39 33 47
Jacksonville, Fla. ........ 87 82 55 69
Miami, Fla. ............... 59 87 74 87
Norfolk, Va. .............. 65 60 39 51
Richmond, Va. ............. 88 77 69 93
Savannah, Ga. ............. 34 40 21 27
St. Petersburg, Fla. ...... 82 74 77 101
Tampa, Fla. .................. 78 63 56 110
Washington, D.C. .......... 210 237 236 188
Wilmington, Del. .......... 50 45 32 47

EAST SOUTH CENTRAL:
Birmingham, Ala. .......... 89 102 51 105
Chattanooga, Tenn. ........ 52 41 41 58
Knoxville, Tenn. .......... 41 38 21 44
Louisville, Ky. ........... 147 123 78 71
Memphis, Tenn. ............ 114 124 108 120
Mobile, Ala. .............. 51 52 41 36
Montgomery, Ala. .......... 34 29 31 36
Nashville, Tenn. .......... 102 78 55 95

WEST SOUTH CENTRAL:
Austin, Tex. .............. 37 35 22 45
Baton Rouge, La. .......... 40 47 33 11
Corpus Christi, Tex. ...... 36 30 17 24
Dallas, Tex. .............. 166 153 140 149
El Paso, Tex. .............. 41 48 22 30
Fort Worth, Tex. .......... 95 89 65 77
Houston, Tex. ............. 170 186 117 182
Little Rock, Ark. ......... 62 66 64 41
New Orleans, La. .......... 181 190 150 170
Oklahoma City, Okla. ...... 79 79 56 58
San Antonio, Tex. ......... 108 119 85 112
Shreveport, La. ............ 49 58 43 58
Tulsa, Okla. .............. 69 55 51 72

MOUNTAIN:
Albuquerque, N. Mex. ...... 27 38 27 42
Colorado Springs, Colo. ... 33 20 29 26
Denver, Colo. .............. 145 109 114 125
Ogden, Utah................. 22 16 18 15
Phoenix, Ariz. ............. 96 81 76 76
Pueblo, Colo. ............. 15 18 25 34
Salt Lake City, Utah....... 44 45 54 51
Tucson, Ariz. .............. 46 46 53 54

PACIFIC:
Berkeley, Calif. ........... 17 18 15 13
Fresno, Calif. ............ 54 59 39 48
Glendale, Calif. .......... 48 31 32 31
Honolulu, Hawaii........... 31 44 30 42
Long Beach, Calif. ........ 77 54 70 67
Los Angeles, Calif. ....... 588 489 429 478
Oakland, Calif. ........... 78 44 123 100
Pasadena, Calif. .......... 22 35 29 38
Portland, Oreg. ........... 115 111 77 118
Sacramento, Calif. ........ 67 87 70 61
San Diego, Calif. ......... 111 99 99 100
San Francisco, Calif. ..... 187 193 146 175
San Jose, Calif. .......... 34 37 34 28
Seattle, Wash. ............ 143 152 171 173
Spokane, Wash. ............ 61 51 43 54
Tacoma, Wash. ............. 47 46 34 45

__


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.....


12,132
604
708
6,902


NOTF: All deaths by place of oc creuce.


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




UNIVtRSITY OF FLORIDA

IIIIIIIIIIIIIII lIIIII llll I1 1 llll lli llilI
3 1262 08864 2672

472 Morbidity and Mortality Weekly Report




MORTALITY CHART
The mortality charts showing each week a four-week IV
average for deaths by one of four classifications will be P FL MIPT
replaced in 1965 by a single chart showing the reported
and expected numbers of total deaths, deaths among per- -
sons 65 years and over, total pneumonia-influenza deaths,
and deaths among children under 1 year of age. The pre- U.S OEpOSIr
vious chart series terminated with the 52nd week of 1964 R
and therefore does not appear in this interim issue. Cor-
responding changes will be made in Table 4, Deaths in
Reporting Cities.








THE 53RD WEEK
This anomaly occurs because the period of 365 (or
366) days in a year is not an integral multiple of the 7-
day week. Consequently, the calendar date of the Satur-
day ending the reporting week advances one day in each
common year and two days during a leap year. In 1961
the first reporting week of the year ended on Saturday,
January 7, in 1962 on January 6, in 1963 on the 5th, and
in 1964 on the 4th. Continuing this progression, since z
1964 was a leap year, the first Saturday of 1965 falls on | C M
January 2, ending a week that includes 5 days of 1964. i.
This week is therefore designated week Number 53 of g z > m
1964, and the first reporting week of 1965 is advanced 8 >
to the week ending January 9. Years in which this adjust- .- ; Z =.
ment must be made occur at intervals of 5 or 6 years in > m
a 28-year cycle (except for centesimal-year calendar adjust-
ment) which is illustrated in the table below. The first W f
five columns comprise the 28-year cycle, 1948-1975, in- ,m
elusive. The sixth column illustrates the commencement
of a new cycle. m




DATE OF THE FIRST SATURDAY FALLING ON THE
4th THROUGH THE 10th DAY OF EACH YEAR*


Date Year
Jan. 10 1948 1953 1959 1970 1976
9 1954 1960 1965 1971
8 1949 1955 1966 1972 1977
7 1950 1956 1961 1967 1978
6 1951 1962 1968 1973 1979
5 1952 1957 1963 1974 1980
4 1958 1964 1969 1975

*Leap years are italicized. Years of calendar adjustment, spanning
53 weeks, are underlined.


Om
m
0M 3


H ^'H o




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