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:
AA00010654:00399

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


f

Vol. 14, No. 34


W'



Week Ending
August 28, 1965


U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE
W999!r4b


WESTERN EQUINE ENCEPHALITIS Colorado


The first confirmed human case of 'e-itorn equine
encephalitis was notified early in July (MMWR, Vol. 14,
Nos. 29 and 30). Since that time through August 28, a
total of 155 suspected cases has been reported. Of these,
12 have been classified on laboratory investigation as
confirmed or presumptive. Table 1 lists these 12
cases on page 294. There have been two deaths in
the total group, neither of which occurred among the
confirmed cases. Nine of these cases occurred in Weld
County where laboratory studies have been concentrated.


CONTI


Western Equine Encepht.hti-
Epidemiologic Notes and Rep
Infectious Hepatitis I),o
International Notes Qu.r.ir


The suspected human cases have occurred in 16
counties but are largely concentrated in those Colorado
counties east of the Rocky Mountains. The reporting of
suspected cases reached a peak in the week ended August
14. Laboratory studies on these cases are in progress


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
34th WEEK ENDED CUMULATIVE, FIRST 34 WEEKS
MEDIAN
DISEASE AUGUST 28, AUGUST 22, 1960- 1964 MEDIAN
1965 1964 1960-1964
Aseptic meningitis .......... 65 63 97 1,113 1,177 1,264
Brucellosis ... ......... ..... *9 14 11 164 285 285
Diphtheria ................ 2 9 9 98 174 250
Encephalitis, primary infectious 45 248 --- 1,059 1,459 ---
Encephalitis, post-infectious 14 8 --- 518 666 ---
Hepatitis, infectious including
serum hepatitis .......... 551 638 685 22,467 26,005 29,039
Measles .. ....... .......* 597 832 1,017 238,462 460,080 393,037
Meningococcal infections ..* 29 28 28 2,246 1,886 1,515
Poliomyelitis, Total ........ 4 47 35 69 436
Paralytic .............. 3 39 28 57 336
Nonparalytic *............ 1 --- 7 9 ---
Unspecified *********** --- 3 ---
Streptococcal Sore Throat and
Scarlet fever ............ 3,927 4,147 3,061 276,659 283,488 230,973
Tetanus *...........* ** 2 13 --- 173 179 -
Tularemia ..............* 6 6 --- 166 224 -
Typhoid fever ............. 14 8 19 263 258 378
Rabies in Animals .......... 74 98 59 3,049 3,068 1 2,568

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ................................. 7 Rabies in Man: ........................... 1
Botulism: ............................... 11 Smallpox: ................. .. ............
Leptospirosis: N.C.-2 ..... ........... ...... 27 Trichinosis: N.Y. Up-State-1, Calif.- ............. 74
Malaria: N.J.-l, Ohio-1, Fla.-1, S.C.-l, Calif.-1 ....... 54 Typhus-
Plague: ............. ................. ... 4 Murine: ................................ 21
Psittacosis: Texas-1 ......................... 31 Rky. Mt. Spotted: N.C.-2, Md.-l, N.Y. Up-State-1,
Cholera: ........ ......... .......... 2 N.J.-1, Ark.-1, Ohio-1, Va.-2, Tenn.-l 198


FS 3~1 0/7: ~/?~







Morbidity and Mortality Weekly Report


WESTERN EQUINE ENCEPHALITIS Colorado
(Continued-from front page)

Table 1


Antibodies to WEE

Test Lab
Age Sex County Onset Acute Convalescent Type Status


1 14 M Weld 7-13 1/40 1/60 HAI C
2 1 M Weld 7-31 1/1280 HAI P
3 40 M Weld 8-3 1/40 1/1280 HAI C
4 3 M Weld 8-4 1/10 1/320 HAI C
5 35 M Weld 8-4 1/10 1/1280 HAI C
6 13 mon F Weld 8-6 1/10 1/2560 HAl C
7 70 M Weld 8-8 1/1280 HAI P
8 6 wks ? Morgan 8-8 1/2560 HAI P
9 50 M Weld 8-11 1/10 1/640 HAI C
10 13 F Weld 8-20 1/640 HAI P
11 26 F Jefferson ? 1/80 1/160 HAI C
12 child ? Phillips ? 1/10 1/64 CF C


virus infection rates in
reached a level two to


four times higher than that of 1964 which was in itself
a year of high incidence of infection (MMWR, Vol. 14,
No. 29). A WEE-like agent was also isolated from a single
pool of Aedes vezans collected during the last week of
July.


The total of cases of clinical encephalitis in horses
has reached 157 through August 28. These infections have
been distributed over 29 counties.
(Reported by Dr. C.S. Mollohan, Chief, Section of Epi-
demiology, Colorado State Department of Public Health.
Disease Ecology Section, Technology Branch, CDC,
Greeley, Colorado; and an EIS Officer.)


EPIDEMIOLOGIC NOTES AND REPORTS

INFECTIOUS HEPATITIS Dover Area, New Jersey


Between February and May 1965, there were 82
confirmed cases of infectious hepatitis in the Dover area
of New Jersey. The distribution of cases in time, by date
of onset, is shown in Figure 1; in Table 2. the sex and
age distribution of cases is listed. Figure 1 demonstrates
two distinct peaks of occurrence of cases approximately
one month apart with a continuation of cases through the
end of April and into May. Table 2 shows that, although
all age groups were affected, there was a predominance
of males in the 10-14 and 15-19 age groups.
Epidemiological investigations were accordingly
directed towards the dietary and shopping habits of cer-
tain religious: and neighborhood groups affected and to-
wards the preponderance of teen-age males among the
patients. It emerged that 67 or 82"; of the total group of
patients had eaten coldcuts, purchased from a delica-
tessen counter in a local supermarket within a 60-day
period prior to onset of illness. This, compared with the
habits of 121 unaffected families otherwise randomly


Table 2
Age-Sex Distribution, 82 Cases of Infectious Hepatitis
Dover Area, Morris County, New Jersey
February May, 1965

Age Male Female Total

0-4 2 2
5-9 4 2 6
10-14 15 6 21
15-19 16 4 20
20-24 2 2 4
25-29 3 3 6
30-34 3 4 7
35-39 2 4 6
40-44 1 1
44 + 6 3 9

Total 52 30 82


294


August 28, 1965


By the end of July, WEE
Culex tarsalis mosquitoes had








Morbidity and Morta


selected, indicated the delicatessen as a possible com-
mon source. During the in\ e-t;.ntl ii it transpired that
two of the patients ;in,,'n., the 67 were food handlers in
the delicatessen. However, the onset of illness in each
food handler occurred respectively during the first and
second peaks of the outbreak and the food handlers could
not be regardlhd as the initial common source of infection.
The epidemic curve, however, i-u ''i.-ldel a common
primary source of infection early in February (Figure 1).
Examination of the case histories of the three cases with
the onset of illness on February 13 showed that they were
unrelated either to the cases i, ,urrini later or to the
delicatessen (Footnote to Figure 1). Those cases with
dates of onset from February 21 onwards were, with 12
e\xc-tption-. all directly associated with food purchases
from the delicatessen. Three of the 12 exceptions lived
out of the epidemic area and 2 had history of personal
contact with pre ious cases.
The water supply and plumbing service records of
the supermarket were then examined. It was found that on
February 5 the delicatessen floor area had been flooded
due to a blockage in the drainae- system. This blockage
was traced to a sewer, into which the outflow from the
supermarket toilets and the floor drainage pipe from the


August 2H 1965


Figure /


DATES OF ONSET OF 82 CASES OF INFECTIOUS HEPATITIS
DOVER AREA, MORRIS COUNTY, NEW JERSEY
O COLDCUT ASSOCIATED FEBRUARY MAY 1965
0 NO COLDCUT ASSOCIATION
* FOOD HANDLER


-SEWER BACKUP
2/5/65


I 3 5 7 9 II 13 15 17 19 21 23 25 27 1 3
FEBRUARY


I FOOD HANDLER No I


FOOD HANDLER No2



E:


-441Fil


Fn n IR IRI


5 7 9 II 13 15 17 19 21 23 25 27 29 31 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 2 4 6 8 10 12 14 16 IS
MARCH APRIL MAY
DATE OF ONSET (2-DAY INTERVALS)


I Onset in November 1964; relapse in February 1965
2 History of personal contact with case in another state
3 Hospitalized in Dover but lived 20 miles away


lity Weekly Report 295




delicatessen ran untrapped. The r.-iilliii backflow onto
the delicatessen i'ltor was mopped up into open buckets
and the floor cleaned by the delicatessen employees.
Sixteen days later the first three directly associated
cases of infectious hepatitis occurred; within the next il)
days there were 43 more cases which included one of the
food handlers who had been ill for 2 days before reporting
sick and eLiiL off work. Twenty-five days later another
wave of cases occurred, aniong-I whom was the second
food handler. Again 30 days after this second food hand-
ler became ill, there was a final group of 13 cases.
Epideniologic evidence -ugg-t.- that this was
initially a common source outbreak of infectious hepatitis
which followed contamination of the delicatessen area
by a hi:ck'low from an untrapped floor drain connected to
a sewer. Thereafter, food handlers among the first two
groups of cases may have been secondary sources of
infection of foodstuffs sold at the delicatessen and so
contributed to the extension and prolongation of the out-
break.
(Reported by Dr. William J. Dougherty, Director of the
Division of Preventable Disease Control, New Jersey
Department of Health; Mr. William J. Young, Jr., Town
Health Officer, Dover, New Jersey; and an EIS Officer.)










296 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

AUGUST 28, 1965 AND AUGUST 22, 1964 (34th WEEK)


Asetic Encephalitis Poliomyelitis DLphtheria
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... 65 63 45 14 35 69 28 57 2 98

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

MIDDLE ATLANTIC...... 4 14 10 2 12 1 11 5
New York City...... 1 3 1 1 1 3
New York, Up-State. 6 9 8 -
New Jersey........ 3 1 8 1 2 1 2 -
Pennsylvania....... 4 2 2

EAST NORTH CENTRAL... 14 4 6 1 11 10 1 4
Ohio............... 2 2 5 2 2 I
Indiana............ 4 2 2 2
Illinois........... 6 1 1 1 5 5 -
Michigan............ 1 1 1 -
Wisconsin........... 1 1 1 1 1

WEST NORTH CENTRAL... 8 3 13 2 8 4 7 3 18
Minnesota........... 6 1 2 1 1 1 1 7
Iowa............... 2 2 2 1
Missouri........... 2 1 2 1 -
North Dakota....... 10 -
South Dakota....... 7
Nebraska............. 3 3 1
Kansas............. 1 1 1 1 1 1 -

SOUTH ATLANTIC....... 2 7 3 6 1 20 1 15 29
Delaware........... -
Maryland ........... 1 1 1 1 -
Dist. of Columbia.. 1 -- 3
Virginia........... -
West Virginia...... 3 1 -
North Carolina..... 9 5 2
South Carolina..... 1 -
Georgia.............. 2 1 14
Florida............ 2 3 6 8 7 9

EAST SOUTH CENTRAL... 4 1 2 1 5 1 4 16
Kentucky.......... 2 -
Tennessee........... 2 2 1 3 1 2 -
Alabama............ 2 2 15
Mississippi........ 1 1

WEST SOUTH CENTRAL... 4 3 2 14 6 12 6 1 20
Arkansas........... 2
Louisiana.......... 2 1 1 1 1 3
Oklahoma........... 1 2 2- -
Texas.............. 3 1 1 13 4 11 4 15

MOUNTAIN............. 4 1 7 5 6 3 3 -
Montana............ 1 2 -
Idaho.............. -
Wyoming............ 2 2 -
Colorado........... 1 3 1 1-
New Mexico......... 1 3 -
Arizona............ 4 2 -
Utah............... 2 2 -
Nevada............. -

PACIFIC.............. 24 29 3 4 3 3 3 3 5
Washington........... 1 1 2 2 -
Oregon ............. 1 1 1
California......... 23 28 2 3 1 2 1 2 4
Alaska.............. -
Hawaii ...... ..... -

Puerto Rico 2 9










Morbidity and Mortality Weekly Report 297


CASES OF SPECIFIED NOTIFIABLE DINFA%-S IGNITED STATES

FOR WEEKS ENDED

At G !"I 28. 1965 AND Al (,l '1 22, 1964 (34th WI K) 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... 597 238,462 460,080 3,927 6 166 14 263 74 3,049

NEW ENGLAND .......... 21 36,743 16,737 314 1 1 4 1 37
Maine.............. 3 2,789 2,943 47 3
New Hampshire.... 381 248 11 -- 1
Vermont............ 9 1,255 2,313 10 1 30
Massachusetts...... 4 19,273 5,225 28 1 1 3 2
Rhode Island....... 2 3,899 1,921 13 1
Connecticut........ 3 9,146 4,087 205 1

MIDDLE ATLANTIC...... 68 14,600 52,017 103 4 46 2 120
New York City...... 35 2,317 15,281 4 3 23
New York, up-State. 19 4,103 12,660 83 1 12 2 108
New Jersey......... 12 2,524 12,168 14 4 -
Pennsylvania....... 2 5,656 11,908 2 7 12

EAST NORTH CENTRAL... 162 55,208 102,507 203 11 2 35 17 470
Ohio................ 5 8,848 19,595 7 8 11 245
Indiana............. 6 1,807 22,676 61 4 8 1 49
Illinois........... 23 2,625 16,591 32 5 1 9 1 77
Michigan........... 42 26,282 28,822 64 1 1 5 2 47
Wisconsin.......... 86 15,646 14,823 39 1 5 2 52

WEST NORTH CENTRAL... 27 16,418 30,195 119 1 18 1 9 10 625
Minnesota.......... 6 631 332 9 I 2 130
Iowa............... 5 8,976 23,298 24 1 2 2 177
Missouri........... 4 2,584 1,014 1 13 6 84
North Dakota....... 12 3,666 4,714 66 38
South Dakota....... 112 25 5 2 3 47
Nebraska........... 449 812 1 33
Kansas............. NN NN NN 15 2 3 116

SOUTH ATLANTIC....... 62 24,456 38,109 528 29 2 53 12 418
Delaware........... 502 404 52 4 -
Maryland........... 3 1,149 3,396 61 15 2 17
Dist. of Columbia.. 1 74 354 1 -
Virginia........... 12 3,832 12,688 149 6 1 4 3 271
West Virginia...... 28 13,539 8,549 135 3 1 21
North Carolina..... 3 381 1,155 4 6 1 15 2
South Carolina..... 1 1,010 4,247 15 3 6 2
Georgia............. 1 614 192 7 14 2 1 46
Florida............. 13 3,355 7,124 104 4 5 59

EAST SOUTH CENTRAL... 40 13,636 67,417 955 18 24 10 668
Kentucky............ 15 2,424 18,423 22 3 6 3 67
Tennessee.......... 17 7,802 23,974 862 14 8 6 572
Alabama............ 7 2,301 18,336 38 I 6 1 15
Mississippi ........ 1 1,109 6,684 33 4 14

WEST SOUTH CENTRAL... 84 30,613 71,763 498 3 66 2 38 15 477
Arkansas........... 3 1,084 1,106 1 1 42 12 5 72
Louisiana......... 104 102 1 3 5 1 67
Oklahoma........... 1 203 1,015 30 1 10 2 4 4 89
Texas............... 80 29,222 69,540 466 1 11 17 5 249

MOUNTAIN............. 35 19,583 18,405 739 15 1 24 2 65
Montana............ 6 3,702 3,008 24 4 1 5
Idaho.............. 9 2,770 1,903 28 -
Wyoming............. 841 251 16 3 1 -
Colorado........... 4 5,604 3,186 304 1 9
New Mexico......... 674 441 169 9 11
Arizona............ 6 1,283 6,606 59 1 11 1 39
Utah............... 10 4,506 2,021 139 8 1
Nevada............ 203 989 2 -

PACIFIC.............. 98 27,205 62,930 468 1 8 2 30 5 169
Washington.......... 4 7,217 19,965 49 2 7
Oregon.............. 10 3,186 8,583 1 4 1 4 5
California.......... 46 12,866 32,802 367 4 1 23 5 155
Alaska............. 170 1,085 13 2
Hawaii............. 38 3,766 495 39 1

Puerto Rico 24 2,322 5,765 7 6 1 13










298 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

AUGUST 28, 1965 AND AUGUST 22, 1964 (34th WEEK) Continued


Brucel- Infectious Hepatitis Meningococcal
losis including Serum'Hepatitis Infections Tetanus
Area Total Under 20 years Cumulative
incl. unk. 20 years and over Totals Cumulative Cum.
1965 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965

UNITED STATES... 9 551 236 293 22,467 26,005 29 2,246 1,886 2 173

NEW ENGLAND.......... 25 9 15 1,318 2,469 1 113 50 5
Maine.............. 4 3 1 248 797 16 5 -
New Hampshire...... 6 5 132 184 7 1 I
Vermont............ 1 1 72 314 6 1 -
Massachusetts...... 8 5 3 514 527 1 37 20 3
Rhode Island....... 3 3 155 127 14 8 -
Connecticut ........ 3 1 2 197 520 33 15 1

MIDDLE ATLANTIC...... 115 43 72 4,016 5,812 4 297 250 1 11
New York City...... 11 2 9 780 887 51 35 -
New York, Up-State. 57 23 34 1,559 2,589 3 84 71 4
New Jersey.......... 17 6 11 755 1,018 1 78 84 1 1
Pennsylvania....... 30 12 18 922 1,318 84 60 6

EAST NORTH CENTRAL... 105 50 50 4,273 4,051 10 313 258 21
Ohio............... 24 14 10 1,182 1,065 3 84 68 2
Indiana............ 10 6 4 381 353 2 41 39 6
Illinois........... 26 14 12 814 732 3 84 66 8
Michigan........... 39 15 22 1,631 1,598 1 67 58 2
Wisconsin.......... 6 1 2 265 303 1 37 27 3

WEST NORTH CENTRAL... 7 33 21 11 1,341 1,403 2 113 117 16
Minnesota.......... 1 6 5 1 140 147 1 23 27 7
Iowa............... 5 21 13 7 496 205 7 6 3
Missouri........... 1 1 1 281 350 51 55 2
North Dakota....... 18 53 8 15 -
South Dakota....... 17 116 1 3 -
Nebraska........... 2 2 49 35 10 6 2
Kansas............. 3 1 2 340 497 11 8 2

SOUTH ATLANTIC....... 1 57 22 32 2,305 2,448 7 434 391 39
Delaware............ 59 48 1 7 6 -
Maryland........... 11 5 6 416 460 42 25 1
Dist. of Columbia.. 2 2 32 41 8 12 -
Virginia........... 16 5 11 522 381 1 51 46 7
West Virginia...... 5 1 3 349 370 24 29 1
North Carolina..... 1 9 1 8 218 424 4 86 68 5
South Carolina..... 4 2 1 97 92 1 58 50 4
Georgia............ 2 2 86 62 53 55 4
Florida............. 8 4 3 526 570 105 100 17

EAST SOUTH CENTRAL... 39 18 21 1,604 1,802 1 177 159 23
Kentucky........... 11 8 3 552 697 69 53 6
Tennessee.......... 16 7 9 554 613 1 55 53 7
Alabama............ 6 1 5 286 322 33 35 8
Mississippi........ 6 2 4 212 170 20 18 2

WEST SOUTH CENTRAL... 47 25 22 1,971 1,979 301 225 1 38
Arkansas........... 9 5 4 267 194 14 20 8
Louisiana.......... 4 3 1 329 461 168 110 5
Oklahoma........... 1 1 48 100 18 7 1
Texas.............. 33 17 16 1,327 1,224 101 88 1 24

MOUNTAIN............ 21 7 4 1,288 1,588 2 70 65 3
Montana............ 2 2 93 140 2 -
Idaho.............. 2 172 201 8 3 -
Wyoming............. 1 36 50 5 5 -
Colorado............ 6 2 3 275 431 1 14 11 2
New Mexico.......... 1 1 268 227 10 26 -
Arizona............ 6 266 358 16 5 1I
Utah................ 3 2 1 171 131 1 13 7 -
Nevada............. 7 50 2 8 -

PACIFIC.............. 1 109 41 66 4,351 4,453 2 428 371 17
Washington......... 11 4 6 341 479 33 29 --
Oregon............. 10 7 3 365 487 2 32 21 3
California.......... 1 85 30 55 3,439 3,260 340 302 14
Alaska............. 1 1 171 138 16 7 -
Hawaii............. 2 1 35 89 7 12 -


Puerto Rico 40 30 10 929 675 5 30 1 31










Morbidity and Mortality Weekly Report


299


Week No.34 Table 4. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED AUGI. 'I 28, 1965

(By place of occurrence and week of filing certificate. Excludes fetal deaths)

All Causes Pneumonia Under All Causes Pneumonia Under
Area All 65 years and 1 year Area All 65 years and I year
Ages and over Influenza All Ages and over Inuenza A
All Ages Causes All Ages Causes


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.--------


601
195
34
22
23
46
22
19
27
35
49
11
51
27
40

2,764
34
34
118
40
24
29
47
85
1,405
33
415
198
36
79
20
37
43
40
18
29

2,489
60
33
680
179
264
142
72
353
35
54
43
30
46
129
21
105
30
29
40
95
49

766
56
25
38
133
14
105
61
216
71
47


364
103
20
17
16
22
11
14
20
23
31
6
28
22
31

1,608
16
24
66
27
15
19
26
42
820
20
228
117
21
50
12
26
22
23
14
20

1,386
34
21
342
116
134
71
40
198
19
28
24
14
32
82
12
67
14
22
25
58
33

442
35
15
16
73
8
59
33
132
47
24


25
10
1


1
2


2
2
1
2
2
2

151
2

11
4
1
2
3
4
71
2
21
13
2
8


4
2
1


145
3
1
52
6
19
8
4
15
2
2
5
3
2
5
1
5
3
1
2
5
1

49
1
3
4
5
2
11
4
10
5
4


*Estimate based on average percent of divisional total.


SOUTH ATLANTIC:
Atlanta, Ga.-----------
Baltimore, Md.--------
Charlotte, N. C.-------
Jacksonville, Fla.----
Miami, Fla.------------
Norfolk, Va.-----------
Richmond, Va.---------
Savannah, 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.----------


1,098
136
251
47
55
73
44
99
37
70
60
193
33

516
57
26
35
126
121
34
42
75

970
35
28
21
113
40
63
201
54
166
79
97
42
31

325
51
16
87
16
85
12
34
24

1,421
13
45
37
38
60
464
108
19
100
70
95
174
22
114
31
31


Total 10,950 6,114 379 659

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages -------------------------423,393
All Causes, Age 65 and over------------------. 239,286
Pneumonia and Influenza, All Ages------------- 17,723
All Causes, Under 1 Year of Age-------. ---.... 25,148










300 Morbidity and Mo






INTERNATIONAL NOTES QUARANTINE MEASURES


Immunization Information for International Travel
1963-64 edition-PublicHealth Service Publication No. 384


The following additions should be made in the list of

Yellow Fever Vaccination Centers in Section 6:


City:


Center:


Clinic Hours:


riai


Winston-Salem, North Carolina


Forsyth County Health Department


Monday, 2:00 p.m. (Thursdays b.
appointment)


Fee:


City:


Center:







Clinic Hours:


Fee:


San Diego, California


U.S. Public Health Service
Outpatient Clinic
205 Post Office Building
Tel: 293-6440


Wednesday, 9:00 a.m.


No


ity weekly report August 28, 1965





THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA-
TION OF 14 000. 15 PUBLISHED AT THE COMMUNICABLE DISEASE
CENTER ATLANTA GEORGIA.
CHIEF COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
CHIEF. EPIDEMIOLOGv BRANCH A. D. LANGMUIR. M.D.
ACTING CHIEF STATISTICS SECTION IDA L. SHERMAN. M.S.
CHIEF. SURVEILLANCE SECTION D. A. HENDERSON. M.D.
EDITOR. MMWR D.J.M. MACKENZIE. M.B..
F.R.C.P.E.

IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY. THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE IN-
.ESTIGATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH
OF FICIALS AND WHICH ARE DIRECTLY RELATED TO THE CONTROL OF
COMMUNICABLE DISEASES. SUCH COMMUNICATIONS SHOULD BE AD-
DRESSED TO
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA. GEORGIA 30333

NOTE THE DATA IN THI REPORT ARE PROVISIONAL AND ARE BASED
ON WEEKLY TELEGRAMS TO THE CDC BY THE INDIVIDUAL STATE
HEALTH DEPARTMENTS. THE REPORTING WEEK CONCLUDES ON SAT-
URDAY. COMPILED DATA ON A NATIONAL BASIS ARE RELEASED ON
THE 5UCCEECING FRIDAY.


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