Morbidity and mortality

MISSING IMAGE

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:
AA00010654:00400

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
AC I fa / 4 ; I D/ bt



Morbidity and Mortality




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

PUBLIC HEALTH SERVICE


Prepared by the


CMU NICABL *: SEAS CEN


For release February 14. 1964 ATLANTA, GEORGIA 30333 Vol. 13, No. 6
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THI UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED FEBRUARY 8, 1964


INFLUENZA Type A2 influenza virus has been identi-
fied as the presumptive etiologic agent in a respiratory
disease epidemic recently observed in northwestern
Washington, (MMWR, Vol. 13, No. 5). Additional outbreaks
have been reported from neighboring areas in Washington
during the past week, but have not involved any other
States. Influenza A has also been implicated in the current
outbreak in Taiwan. Epidemic respiratory disease con-
tinues on the Island of Kyushu, Japan, where an influenza
B virus has been shown to be the etiologic agent.


Washington State

Preliminary laboratory studies have implicated influ-
enza A2 virus as the probable etiologic agent in recent
outbreaks in Skagit County.


Disease


Serologic studies were performed at the Respirovirus
Laboratory, CDC, using unpaired sera obtained from se-
lected typical cases as follows: Eight acute specimens
were drawn from patients within 48 hours of disease onset;
15 convalescent specimens were obtained from patients
with onset 7-14 da)s previously. H. I. titers to several
influenza antigens were determined and results for the
two groups compared. Of the 8 acute sera, none had a
measurable tier to A2 jap 170 62 and onlyone had a titer
to A /,']ap 305 57 titerr of 1:10). Of the 15 convalescent
sera, all but one had a measurable titer to A2 antigens
(14 15 or 93%); 11 of the 15 (73.) had titers of 1:40 or
higher and 9 of 15L601) had titers of 1:80 or higher. Titers
against influenza B antigens were very similar in the two
groups. Geometric mean titer against the B,'Maryland. 1/59


Table I. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
S Arh Week Ended Cumulative. First 6


Aseptic meningitis ................
Brucellosis .......................
Diphtheria ........................
Encephalitis, primary infectious ..
Encephalitis, post-infectious .....

Hepatitis, infectious including
serum hepatitis ................
Measles ........... ...............
Meningococcal infections ..........
Poliomyelitis, Total ..............
Paralytic ......................
Nonparalytic ..................
Unspecified ....................

Streptococcal Sore Throat and
Scarlet fever .................
Tetanus ...........................
Tularemia ........ ................
Typhoid fever ....................

Rabies in Animals .................


Median
)59 1963


1,285
11,482
54
7
5







8

73


1Q64.


155
39
27
103
97


5,476
35,259
306
5





55,909
27
'0
39

407


1963


+964


145
31
35
112


6,606
51,041
337
24
20
2
2


53,077
2'.
25
29

330


Weeks
Median
1959 1963


51
119
..=


6,606
53,956
326
61
23







44

374


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.
Anthrax: Psittacosis: Wisc. 1, Ca. 1 3
Boculism: Ky. 2 2 Rabies in Man:
Leptospirosis: 3 Smallpox:
Malaria: Wyo. 1, Calif. 1 14 Typhus-
Plague: Murine:
SRky Mt. Spotted: 3


6345131







MIrhidily a Ind Mortality A 'ekly KRtporl


ABSENTEEISM AT S.M. BOARDING SCHOOL-LACEY, WASHINGTON
JANUARY. FEBRUARY, 1964


NOL OAY
m
09--


-. .1 r 1a 120 1. Ii 1 IE ?1 I6r ,' t o ? 0 I. I I 4 51 '1
HUAT FrORIUllARY
OATS



strain was 1:48 in the acute group and 1:50 in the con-
%alescent. Viral isolation studies and conventional sero-
logic determinations on paired specimens are also being
performed. These results will be given in a later report.
The Skagit County outbreak has spread during the
past week to involve communities in neighboring Wharcom
and Snohomish Counties, where an increasing number of
case reports and moderately elevated school absenteeism
have been observed. In addition, a second epidemic focus
was noted in early February in the town of Lacey (Thurston
County), five miles north of Olympia and about 180 miles
south of Skagir County. A boarding school in Lacey (total
enrollment 300) experienced a sharp outbreak of acute
respiratory disease with peak absence levels of 25%
reported on February 4. (See accompanying Figure.) There is
no evidence of increased absenteeism in other schools in
Thurston County at present. Laboratory specimens have
been obtained from the boarding school outbreak, and are
now being processed.
It is of some interest that a 3-day-school holiday oc-
curred approximately one week before this outbreak. Two
students enrolled at the school wereknown to have visited
Concrete during the holiday period, which coincided with
the peak of the Skagir County epidemic.
Another limited outbreak has been noted among pa-
tients and staff at a Veterans Administration Hospital in
Seattle. About 25 cases were observed during the first
four days of February, with an additional 10 cases de-
tected since then. The illness has not been concentrated
on any single ward or service. Specimens have been ob-
tained and are being processed. Only sporadic cases have
been reported from the remainder of the Seattle Community.
I Repr rird by Ernest .,. 'IR'r. 'I.D., (. 'ir DOirsiun of
: P.idr d a \U,, ltlt lOrpartm nr t 'il f 1ral'. (Ol'mpia.
t ii, inglon. fonald R. Ptr'rso.n, M.P., Eppdermoliogist,
\rattlr-hK, ( ,,anlt Hiralth Iepartrmrint, Seattlir, tIash-
IngRlrn., and a ranr', from thr ('om municrabhl Disease
(. cnorl.
S( Irnrriircd On fPaWn 52'1


ENCEPHALITIS REPORTING
ThL accompany ing able pri-entrs a summary of
casLS of pos -infctious cncephaliris reported in the
Wee-kly Te-lgraphic Reporr for the first five weeks (Ian-
uarv) of the current vear. Reporting of post-infectious
enct-phalitis, spe-Lcilid b ctilnologv, was recommended
by the 196l3 lniennial Concfrence of State and Territorial
Epidemiologists, cferctie Ijanuary 1964. Prior to this
year, posi infecnou.s cnccphaliris was nor separately
classified. The definitions of the Epidemiologists read
as follows:
"1. Primary encephalitis, defined as an acute rebrile
illness with encephaliic manifestations as an intrinsic part
of the dise.'e. This category will include ARBO infections
as well as cure encephalitis of ri.nkti r tltrilo (our
emphasis.o
"2. Post-infectious encephalitis, defined as an illness
with encephalitic manifestations but idth a pre-existing di-
agnosed infection. Post-infecuous encephalitis is to he
spicrrild by the preceding inciting cause, e.g., measles en-
cephalitis, rubella encephalitis, post-vaccinial encephalitis,
post-rabies immunization encephalitis, erc."
The summary for the first five weeks reflects the
practice of reporting relatively large numbers of posr-
infectious encephalitis, unspecified. Since by definition
encephalitis of unknown etiology should be included in
the category of primary encephalitis, reports of unspeci-
fied "post-infectious" encephalitis will be included in
the weekly tabulation of primary. encephalitis cases.
The monthly summary will present only those cases for
which etiology has been specified, either at the time of
the report to the CDC, or by later communication.



REPORTED CASES OF POST-INFECTIOUS ENCEPHALITIS
FOR JANUARY
5 WEEKS ENDING I 4. I 11. 1 1.1,5. AND 2/1
INCITING CAUSE
REPORTING AREA MYmp. Chicklnpo. MNasls Uslpoclised
NEW ENGLAND
MaochOhkusI.s I
Rhode I.lod 3
Connrrslcul 1
MIDDLE ATLANTIC
NH- Yo.A. Up-Sl.e 2 1
Na- Jersey 1
Pennsylvana 1
EAST NORTH CENTRAL
Ohio 3 I
Indiaa 2
Illmo1- 1
Mldclt < 3 f
WEST NORTH CENTRAL

Mlourl 1
SOUTH ATLANTIC
M yl .d 3
Virginia S
CGrgal I
F Irldo 7
EAST SOUTH CENTRAL
Kn..rchl, 5
Tennlise 2
WEST SOUTH CENTRAL
Arkanss 1
T..om I
PACIFIC
Woeklnglan 1 I
On'p 2
Call..mlo 9
U.S. Toaol 22 1 2 47
(Sto.ts not repwitl.g a COc. nol Ih r d)








Morbidity and Mortality Weekly Report


HEPATITIS
The 10, 250 cases of viral hepatitis reported lor the
quarter ending December 31, 1963, are the resultant ot
two divergent trends:
1) Tne seasonal increase in incidence of viral
hepatitis usually seen in the autumn, and
2) The long-term, nation-wide decrease in incidence
ul t'ic disease.
Both of these factors can be seen in Figure I. The
total number of cases of hepatitis reported for the epi-
demiologic year 1963-64, which ends in June l0 4,
should reflect a continued long-term downward trend.


New England was the single regional exception to
this nation-wide decrease. Its total of 1,408 cases is the
highest for any similar period since reporting began
in 1952. The attack rates for three New England States,
Maine (65.6), New Hampshire (37.0), and Vermont (22.1),
ranked first, second, and fourth, respectively, in the
nation for the period. Alaska was third with a rate of
32.1 per 100,000 population. The high attack rates in
New England are, in large part, a reflection of late
spread of the epidemic of infectious hepatitis which
had its national peak in the epidemiologic year 1960-61.


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS


The weekly average number of pneumonia-influenza
deaths for the four-week period ending Februarn 8 was
589 as compared with an expected weekly average of
56-4. The period is characterized by a steady weekly
decline from an excess of '6 to 33 below the expected
number.




PNEUMONIA-INFLUENZA DEATHS IN 108 CITIES

Week Ending
1'18 1.25 2 1 2,'8 4 Week Total Weekly Average

Observed 636 598 590 534 2,358 589
Expected 560 564 566 567 2,257 564

Excess 76 34 24 -33 101 25


NUMBE
OF
DEATH


PNEUMONIA-INFLUENZA DEATHS in 108 UmS CITIES
Averopg Number per Week by Four-Week Perlods


Sow A h____
S



7W
INFLUENZA e



300


a *&1Y962 c 6c F F1964-
R1 PLACE 1O OCCUORRENE e*CALCQLCrtO fl CR4-4 &O EXPcI EN


(See Table, page 52)


IWFLIENZA A.


IM


INFLUENZA 41


'M


i









18 l lorli litdi a.d lortlalil W~eekl- IrHeport


I .bli ( AI' ()OF SPI II111) N01 IlABI. DIMAL' I NI'11I) h ]A'IS

O()R H IKK INDL)fD

tltH L AR Hn. 1Ii AND) FBRL ARY 9. 196v ( 6th WE' K)


Fn r -th. l l ii
t., p .T 11.1t1 1 1 1
S n, i Fr ir.r'. P ni P.. I omyel 1 i T..tal Ca e, Pol lomyc I I i Paralyt ic
Ar, i
Cumulative Cumulative

I i-,. I hJ 196b- b 6 146. 1963 ]bi6 1963 1 6. 1963 196. 1963

L .ITFD 'TAT'-... 22 15 18 25 2 5 5 24 2 4 4 20

NEW F N.LAND .... .. -
i L -i n r ....... ... .

V% r niamp in ...... -

"L.r ) ...... 1 .
Rh. l nd .......- -
C nnriCti L t I ....... -. -

MIDnPD ATLAiTIL ...... 3 1 9 I 1 1 1 3 1 1 1 3
rI .. LEV ...... -
., 1 -r. Lp-State. 2 1 1 1 2 1 1 1 2
.>n. 1. r .; '........ .-
PI nn-, l ni ....... I I I 1 1

EAST NORTH IENTRAL... 3 8 7 5
Ohi ..............- 2 2 1
Indiana ............ -
llOl ..is .......... 1 1 5 4
Michigan........... 2 -- -
sconsin..........- -

WEST NORTH CENTRAL... 1 1
Minnesota.......... 1
Towa ................ -
Missouri...........- -
North Dakota ...... .
South Dakota....... -
Nebraska ........... .
Kansas.............. 2 -- -

SOUTH ATLANTIC....... 3 2 1 4 1 3 1
Delauare............ -
Maryland........... -
Dist. of Columbia.. -
Virginia............ 2 2 1- -
West Virginia...... 2 -
North Carolina...... 1 1 1
South Carolina...... _. 1 1 -
Ceorgia. ............ -
Florida............. 2 2 _- 2 -

LAST SOUTH CENTRAL... 3 5 1 1 -
Kentucky........... -
Tenneee......... 2 1 -
Alabama............. 1 -
MiSSL LppI ........

WEST SOUTH CENTRAL.. 2 3 8 3 8
Arkanas ............ 1 -
Lou stiana........... 1 2 7 2 7
aklaho ma............ .
T xas .............. I 1 1

MO'NTAIN............. 3 1 -
nM.ntana............ _
Idah.-'.... ............
WyominR .............
Cnl radr............ -
New Mexico .........
Ariz-ojna ............ 1 -
'rah ...............
Nevada..............

PACIFIC............... 6 5 7 1 3 2
Washington ......... 1 -
Oreon. ............
Cali-rnia......... 5 5 4 5 -3 2
Alaska ............
Hawaii............. .. -

Puerto Rice --- --- -









Morbidity and Morlalily Weekly Report 49


Table 3 CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

FEBRUARY H. 196-4 AND FEBRUARY 9. 1963 ( 6th WEEK) Continued


Infectious Hepatitis
Brucel iuiss Diphtheria including Serum Hepatitis Typhoid Fever

Area Under 20 years Age
Cum. Cum. Total 20 years and over Unlnown Cumulative Gum.

1964 1964 1964 196- 1964 1964 1964 196. 1964 1963 1964 1964

UNITED STATES... 13 39 5 27 1,054 583 36. 107 5,476 6,606 4 39

NEW ENGLAND.......... 1 118 73 41 4 678 892 1 2
Maine.............. 54 36 15 3 280 424 -
New Hampshire ...... 8 4 3 1 71 73
Vermont............. 8 5 3 67 14 -
Massachusetts ...... 26 17 9 131 259 1 1
Rhode Island....... 3 1 2 25 26 1
Connecticut........ 19 10 9 104 96

MIDDLE ATLANTIC...... 4 192 103 89 1,188 1,241 1 4
New York City...... 1 22 8 14 161 137 I
New York, Up-Stare. 96 70 26 583 589 -
New Jersey......... 2 2" 5 19 168 167 -
Pennsylvania....... 1 50 20 30 276 348 1 2

EAST NORTH CENTRAL... 8 9 3 4 162 88 71 3 786 974 11
Ohio................ 50 30 18 2 235 303 10
Indiana............. 15 9 6 59 62 -
Illinois........... 7 8 3 4 21 8 13 90 176 1
Michigan........... 75 41 34 374 392 -
Wisconsin.......... 1 1 1 1 28 41 -

WEST NORTH CENTRAL... 5 20 2 8 94 54 25 15 357 288
Minnesota........... 1 1 6 6 21 58 -
Iowa............... 2 9 11 6 5 51 51 -
Missouri........... 3 18 13 5 73 113 -
North Dakota....... 4 2 2 21 8
South Dakota....... 4 22 8 13 1 39 8 -
Nebraska............ 3 4 7 20 -
Kansas............. 1 7 33 19 14 145 30 -

SOUTH ATLANTIC....... I 3 94 49 26 19 524 797 2 14
Delaware............ 3 2 1 6 8 -
Maryland............ 12 8 4 91 81 -
Dist. of Columbia.. I I 9 26 -
Virginia............ 17 1 5 11 66 231
West Virginia...... 29 25 2 2 97 108
North Carolina..... 1 14 7 7 116 221 1 9
South Carolina..... 1 4 1 3 18 29 1
Georgia............. I 1 10 21 -
Florida............ 2 13 4 5 4 Ill 72 1 4

EAST SOUTH CENTRAL... 1 68 51 17 376 701 4
Kentucky............. 24 19 5 174 234 1
Tennessee........... 1 26 20 6 126 268 2
Alabama............. 13 9 4 53 92 1
Mississippi........ 5 3 2 23 107 -

WEST SOUTH CENTRAL... 3 3 82 54 26 2 357 430 I
Arkansas........... I 5 5 50 55 -
Louisiana.......... I 2 30 18 11 1 73 64
Oklahoma............ I 7 6 1 22 30 1
Texas............... 1 40 25 14 1 212 281

MOUNTAIN............. 5 82 15 5 62 381 542 -
Montana............. 6 2 1 3 36 90
Idaho.............. 13 13 35 60 -
Wyoming............ 4 1 2 1 7 4 -
Colorado............. 32 7 25 98 130 -
New Mexico......... 1 6 3 2 1 74 57 -
Arizona............ 1 18 18 80 125
Utah............... 3 3 2 1 45 0 -
Nevada.............. 6 6

PACIFIC.............. 3 162 96 64 2 829 741 3
Washington........ 3 14 5 8 1 96 120 -
Oregon............ 24 17 6 1 84 119
California........ 121 72 49 605 478 3
Alaska.............. 31 18 -
Hawaii............. 3 2 1 13 6 -

Puerto Rico --- --- --- --- --- --- 4 34 --- 1









5S l orhitlilt anid lorlalit %eerkl Reporl


Tj.hl ( ASES OF SPEC(IFIE) NOTIFIABLE DISEASES I UNITED STATES

FOR WEEKS ENDED

FH-BRIARY 1964 AND) IBRIARY 9. 191 ( 6th WHEK) (.uniinucd


St rep t occal
Meninngr.c Lcal Sore Th1rar and Rabies in
Measle, Meningitis SLarlet Fever Tetanus rularemia Animals
Arrea--
Cumulartive Cum. Cum. Cum.
196- I164 1964 1963 1964 1963 1964 1964 1964 1964 1964 1964

UNITED STATES... 8,170 53 306 337 11,953 10,963 3 27 1 40 89 407

NFW ENGLAND.......... 416 2 10 29 995 1,367 -
Maine............... 93 6 57 205 -
New Hamp hir ...... 3 15 1
Vermont............. 85 1 25 38 -
Massachusetis...... 79 2 3 10 122 192 -- -
Rhode Island....... 48 2 3 150 101 -
C.nnecticut........ 111 5 9 638 816 -

MIDDLE ATLANTIC...... 1,53,. 4 41 39 490 701 1 14
New York Cit ...... 614 7 5 42 50 -
New York, Up-State. 225 1 14 11 256 360 1 13
New Jersey......... 439 2 7 7 104 124 -
Pennsylvania ....... 256 1 13 16 88 167 I

EAST NORTH CENTRAL... 2,023 12 48 56 1,473 1,131 1 4 5 8 38
Ohio............... 421 2 15 17 350 147 1 1 1 21
Indiana............ 360 3 7 11 251 252 1 4
Illinois........... 555 2 9 9 194 221 1 2 2 1 4
Michigan........... 516 4 14 13 440 256 1 1 3 5
Wisconsin.......... 171 1 3 6 238 255 1 2 4

WEST NORTH CENTRAL... 274 3 13 16 483 372 2 1 11 22 125
Minnesota.......... 12 3 2 47 22 1 8 37
Iowa............... 188 149 126 1 7 38
Missouri........... 8 5 7 9 9 2 1 6 2 25
North Dakota .... 66 1 2 1 140 158 1 8
South Dakota ....... 2 16 7 1 10
Nebraska........... 4 I 1 5
Kansas............. NN 2 3 122 49 3 2 2

SOUTH ATLANTIC ....... 690 7 73 83 1,051 891 1 11 5 30 79
Delaware........... 14 42 5 -
Maryland........... 86 2 11 14 112 47 -
Dist. of Columbia.. 10 1 16 3 -
Virginia........... 207 1 7 17 384 371 3 27 65
West Virginia...... 122 1 5 6 270 245 1 2
North Carolina..... 31 1 9 14 34 35 1 4 -
South Carolina..... 131 12 5 48 67 2 -
Genrgia............ 8 6 4 14 7 2 4
Florida............ 81 2 23 22 131 111 5 2 7

EAST SOUTH CENTRAL... 1,451 6 28 24 2,419 1,368 3 10 10 70
Kentucky............ 805 5 5 494 160 1 2 13
Tennessee.......... 498 3 13 12 1,687 1,071 1 7 8 54
Alabama............ 60 6 4 44 43 2 2 3
Mississippi........ 88 3 4 3 194 94 -

WEST SOUTH CENTRAL... 27 6 25 31 996 1,080 3 8 13 58
Arkansas........... .. 6 4 3 4 23 1 3 16
Louisiana.......... 8 6 19 9 7 5 3 1 4
Oklahoma............ 13 2 7 60 37 7 5
Texas .............. 12 925 1,015 9 33

MOUNTAIN............. 510 2 17 14 2,186 2,360 1 3 12
Montana............ 60 66 74 -
Idaho............... 80 I III 283 -
Wyoming.............. 4 21 103 1 -
Co Iorado .......... 52 6 3 864 1,146 -
New Mexico ........ 5 2 698 339 2 7
Arltona ............ 48 I 1 3 247 154 I 5
Utah............... 40 1 5 177 249 -
Nevada............. ... 26 1 2 1 2 12 -

PACIFIC.............. 1,2a5 11 51 45 1,860 1.693 1 4 2 10
Washington......... 438 1 4 5 618 534 -
Oregon............. 143 1 1 2 55 29 -
California ......... 501 8 42 34 1,082 957 1 4 2 10
Alaska............. 154 1 2 4 68 74 --- -
Hawaii .... ........... 99 2 37 99 -

Puerto Rico --- --- --- --- --- -








Morbiditl and Mortalili Weekly Report





T.Aihl (B) RI POR()TD PNI UMNONIA-INI L N/ZA I)IAl uS IN R}PO(RIIN(, CITIES


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


For weeks ending For weeks ending
Area Area

1/18/64 1/Z5/64 2/l/64 2/8/64 1/164 4 1/25/6- 2/1/64 2/8/61


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, Mas ..........
Springfield, Mass.........
Waterbury, Conn...........
Worcester, Mass...........

MIDDLE ATLANTIC:
Albany, N.Y ..............
Allentown, Pa.............
Buffalo, N.Y..............
Camden, N.J................
Elizabeth, II.J ............
Erie, Pa..................
Jersey City, f.J..........
Newark, N.J...............
New York City, N.Y........
Paterson, N.J.............
Philadelphia, Pa..........
Pittsburgh, Pa............
Reading, Pa...............
Rochester, N.Y ...........
Scheneccady, N.Y...........
Scranton, Pa..............
Syracuse, I.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, MLich........
Indianapolis, Ind.........
Madison, W................
Milwaukee, Wi ............
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, Iebr.............
Minneapolis, Minn.........
Omaha, lebr ...............
St. Louis, lo .............
St. Paul, flinn............
Wichita, Kans.............


9
4
2
3
2
2

2



2
11
-1





2



1
4


12
5

9



7
1

5
6
9



2
7
1




1
3




2
3
3

1
16
16
3
6
L
5
12

2

2
3
3
1


2*

4
6

3
1
12
2
10


SOUTH AT ANTIC:
Atlanta, Ca...............
Bal imior-e Ml .d...........
Charlotte, 11.C...........
Jacksonville, Fla........
M ami Fla................
Norfolk, Va..............
Richmond, Va.............
Savannah, Gd .............
St. Petersburg, FLa......
Tampa, Fla...............
Waihington, D.C..........
WJilm Lngton, Dcl ..........

EAST SOUrH CENTRAL:
Birminghain, Ala..........
Chactanooga, Tenn........
Knox,. ll c, Tenn..........
Louils ill Ky...........
Memphis, Tenn............
Mobile, Ala..............
Monrgomery, AaI..........
Nashvillc, Tenn ..........

WEST SOUTH CENTRAL:
Austin, Te.s..............
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. Fex......
Colorado Springs, Colo...
Denver, Col .............
Ogden, Utah...............
Pho.nix, Ariz............
Pueblo, Colo .............
Salt Lake Citv, Utah.....
Tucson, Ariz.............

PACIFIC:
Berkeley, Cai f ..........
Freisi Calif............
Glendale, Callf..........
Hono ullu, Hawaii.........
Long Beach, Calif........
Los Angeles, CaliEf.......
Oakland, Calif...........
Pasadena, Calif..........
Portland, Oreg...........
Sacramento, Calif........
San Diego, Calif.........
San Francisco, Calif.....
San Jose, Calif..........
Seattle, Wash............
Spokane, Wash............
Tacoma, Wash............

San Juan, P.R..............


4
13
1
5
1

4
1
4
3
12
1


4
7
2
14
10

10
11


10

2
15
1
2
7
7
4
4
7
3
2


3
3
6
1
6
3
2
5



2

1
1
14
3

2
1
3
5
1
4

1

1


___ __ __ __ __ __ __ ___ 54 __ __L __ __


"Current 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.....


12,063
534
720
6,893


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

NOTF: All deaths h) place of occurrence.


2







Morbidity and Mortality Weekly Report


Taiwan

The epidemic of acute respiratory disease recently
noted in the city of Taipei iMMIR. Vol. 13, No. 5), con-
tinues to show signs of waning, without evidence of sig-
nificant spread to other parts of the country.
Preliminary serologic data, from the U.S. Naval
Medical Research Unit No. 2 laboratories in Taipei,
indicate that the agent in this epidemic is a Type A
influenza virus probably subtype A2. There has been no
evidence to implicate the influenza B'Taiwan'62 strain
in the present outbreak. (The latter strain was recovered
from a localized institutional outbreak in Taipei in October
1962, and was found to be antigenically distinct from all
former B isolates.)
(Reported by Capt. Robert Phillips, MC. I'SN, Officer in
C(argc. U.S. Naval Medical Research Unit No. 2, Taipei;
and Capt. Jack W. Millar, ,IC, USA, Director, Preventive
Medicine Division, Department of the Navy, and an Epi-
Jcenrilogist from the Communicable Disease Center.)

Japan

Serologic studies performed at the Japanese Influenza
Center in Tokyo have implicated an influenza B virus as
eriologic agent in the current outbreaks on the Island of
Kyushu. Further studies, aimed at characterizing this
agent antigenically particularly with regard to its pos-
sible relation to the B-Taiwan strain are now in
progress.
Estimated total number of cases on Kyushu now
stands at 100,000 through February 6. Cases have been
relatively mild with a low incidence of complications.
Higher attack rates have been observed in the 6-14 year
age group. There has been no report of outbreaks on
islands other than Kyushu, thus far.
(Reported by Hideo FkAumi: M.D., Chief, Japanese Influ-
enza Center, Tro\o; and American Liaison, U.S. Naval
Attache, Tokyo.)


In addition to the established procedures for reporting morbidity
and mortality, the Communicoble Disease Center welcomes
accounts of interesting outbreaks or cases. Such accounts should
be addressed to:

Lawrence K. Altman, M.D., Editor
Morbidity and Mortality Weekly Report
Communicable Disease Center
Atlanta, Georgia 30333



Nores Then provisional daco ore based on weekly ,elegrams i. trh Communi-
cable Dise..a Cen.er by the individual Stare Iroeal depatennrs.
Symbols. -- Oao no available
Quantity zero
Procedures for construction of various morolalry curves may be obtained from
Sfla.,sics Section. Communicoble Diseaeo Cenfer. Public Health Sevrce.
U. 5. Doporrtner of Health. Educrtion, and Welfare, Atlata, Georgql 30333.


U^.''' )r- IPL LIB -
53 L -PT


....^ -. PT


-iRy


The Morbidity and Mortaliy Weekly Report, with a circulation
of 10,500 is published by the Communicable Disease Center,
Artanta. Georqga.


Chief. Communicable Disease Center
Chief, Epidemiology Branch
Chief, Statistics Section
Asst. Chief, Statistics Section
Chief, Surveillance Section
Editor, MMWR


James L. Goddard, M.D.
A. D. Langmuir, M.D.
R. E. Serfling, Ph.D.
I. L. Sherman, M.S.
D. A. Henderson, M.D.
L. K. Altman, M.D.


UNIVERSITY OF FLORID

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