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:
AA00010654:00412

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


2.C U CA BLE DISEASE
COMMUNfCBLE DISEASE CENTER


V


Vol. 14, No. 11


.
4$d ; -' '4 AJ f'


cAr rZ^ J


k',


1965


SERVICEE


EPIDEMIOLOGICAL NOTES


INFLUENZA
Additional decline in the number of pneumonia-
influenz a deaths reported from 12-' U. S. cities for the
week ended March 20 is observed. The generally dimin-
ished evidence of intluenza and influenza-like illnesses
occurring in cate- described in previous issues from
middle January parallels the aunine mortality data. Only
the South Atlantic and ,.e- South Central Divisions
report numbers above their "epidemic thresholds", the
latter Division's totals hleaiiin downward from the pre-
vious week. withinn these two Divisions, cities contri-
buting to the elevated totals are scattered but generally
represent areas from which influenza or influenza-like
illnesses have previously been reported.


Epidemiological Notes Influenza .
Poliomyelitis . ..
Summary of Infectious -,iphll- .
Epidemiological Reports Anthrax
\ ir i j.i . .
Pennsylvania .
International Notes Plague .


99
104
. I 104


Laboratory tests confirming the presence of influenza
have recently been received from the Ohio Department of
Health (A2 strain isolations), the North Carolina .Mate
Board of Health (serological evidence of Type A influ-
enza), and the University of Nebraska (serological evidence
of Type A influenza).


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
llth Week Ended Cumulative, First 11 Weeks
Disease March 20, March 14, Median Median
1965 1964 1960 1964 1965 1964 1960 1964

Aseptic meningitis ................ 35 27 27 307 286 254
Brucellosis ...................... 10 6 9 49 79 79
Diphtheria ........................ 10 4 8 53 42 123
Encephalitis, primary infectious .. 33 30 --- 325 338 --
Encephalitis, post-infectious ..... 23 12 --- 150 113
Hepatitis, infectious including
serum hepatitis ................ 858 900 948 8,705 10,357 12,052
Measles ........................... 11,465 18,811 15,508 94,438 104,416 114,371
Meningococcal infections .......... 95 80 51 904 667 608
Poliomyelitis, Total ......;....... 2 4 1 13 68
Paralytic ..................... 2 3 1 9 42
Nonparalytic ................... --- 4 ---
Unspecified .................... --- ---
Streptococcal Sore Throat and
Scarlet fever .................. 11,453 13,380 10,025 122,480 116,596 105,999
Tetanus ........................... 2 1 --- 36 43 ---
Tularemia ......................... 2 3 --- 47 66 ---
Typhoid fever ..................... 1 6 9 77 70 91
Rabies in Animals ................ 95 94 94 1,046 816 798


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.
Anthrax: 2 Rabies in Man:
Botulism: 1 Smallpox:
Leptospirosis: NY Up-State 1 10 Trichinosis: NY Up-State 2, Calif 3 32
Malaria: 8 Typhus-
Plague: Murine: 4
Psittacosis:Calif 1 6 Rky Mt. Spotted: 6


J'
"'';'
ii;' 2
j;' ~C*








Morbidity and Mortality Weekly Report


POLIOMYELITIS


Only one case of poliomyelitis has been reported thus far this year, contrasted to 13 for the comparable period last
year and 1,175 for 1952, (the year with the highest recorded annual polio case-count).
Last year, the annual total of poliomyelitis cases reached a record low of 100 paralytic cases. This number is approx-
inately one-fourth.ith" number of.paralytic cases reported during 1963, the previous record low year. There were 21,269
cases of paralytic poliu.reported in 1959, the record high year. (See figure below)

ANNUAL POLIOMYELITIS INCIDENCE RATES
UNITED STATES, 1935-1964

? 40


2 INACTIVATED
VACCINE
S30.
TOTAL
a.

o A
o II
o 20.

I \

W A1 I ORAL
a. I VACCINE




0 "
\ '... ...********.. *PARALYTIC -' \

19351 37 '39 4 '45' '147 '491 '5I 1'53 1551 '57' 59 61' '63'

*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


The occurrence of paralytic polio by 4-week periods since 1961 is presented in the figure below. The seasonal pattern
of increased incidence during early summer is evident for 1961, 1962, and 1963, but with smaller numbers each year. A sea-
sonal rise did not occur in 1964 and no outbreaks were reported.

200 ,
PARALYTIC POLIOMYELITIS REPORTED
80 TO POLIOMYELITIS SURVEILLANCE UNIT
1961-1963: BY DATE OF ONSET
1964-1965: BY DATE OF REPORT (Preliminary)
160


140


a 12
It
100


a. 80
C,
w
U0
<604


12 20 28 36 44 52 12 20 28 36 44 52 12 20 28

1963 1964 1965










Morbidity and Mortality Weekly Report






NM MMARY OF RIPOR II) CASES OF IN- 110US %' Plll1 FEBRUARY 1965 I-I RUARY 1964
CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area February 196' and February 1964 Provi tlonal data


Reporting Area


NEW ENGLAND...............
Maine ....................
New Hampshire............
Vermont..................
Massachusetts.............
Rhode Island..............
Connecticut..............

MIDDLE ATLANTIC...........
Upstate New York..........
New York City............
Pa. (Excl. Phila.).......
Philadelphia.............
New Jersey...............

EAST NORTH CENTRAL........
Ohio...................
Indiana ...................
Downstate Illinois.......
Chicago..................
Michigan.................
Wisconsin.................

WEST NORTH CENTRAL........
Minnesota................
Iowa.....................
Missouri.................
North Dakota..............
South Dakota..............
Nebraska.................
Kansas ...................

SOUTH ATLANTIC............
Delaware................
Maryland.................
District of Columbia ....
Virginia................
West Virginia............
North Carolina...........
South Carolina ..........
Georgia..................
Florida...................


Cumu lat iv
February Jan-Feb


1964


1964


Reporting Area


February


1965


1964


Cu ul .t ive
J -F)b


& 4. + + + +


802
83
487
29
39
164

460
98
12
35
169
136
10

67
10
4
32

8
8
5

1,152
11
68
89
71
9
174
146
200
384


82

3

53
4
22

881
112
504
23
56
186

384
107
15
26
137
91
8

115
24
6
52

13
15
5

1,113
21
80
95
51
4
161
146
185
370


EAST SOUTH CENTRAL.......
Kentucky................
Tennessee................
Alabama..................
Mississippi.............

WEST SOUTH CENTRAL........
Arkansas.................
Louisiana................
Oklahoma................
Texas....................

MOUNTAIN..................
Montana..................
Idaho....................
Wyoming..................
Colorado.................
New Mexico................
Arizona..................
Utah.....................
Nevada...................

PACIFIC....................
Washington...............
Oregon ...................
California................
Alaska...................
Hawaii ..................

U. S. TOTAL...............


189
23
50
15
101

48
2


3
12
22
1
8

161
11
4
142
1
3

1.877


231
18
50
8
155

47
1
2
5

26
12

1

206
3
9
191
1
2

1.944


380
35
113
29
203

92
3
1

5
21
42
7
13

333
20
8
299
2
4

3.774


227
19
72
120
16

410
32
99
17
263

96
1
4
5
1
50
25
4
6

449
11
17
414
3
4

3.757


TERRITORIES ............... 61 68 124 131
Puerto Rico............... 61 66 123 128
Virgin Islands.......... 2 1 3





Note: Cumulative Totals include revised and delayed reports
through previous months.


EPIDEMIOLOGICAL REPORTS




ANTHRAX VIRGINIA


A caseof cutaneous anthrax was reported from Virginia
during December 1964. The patient, a 4--year-old male
wool blender experienced severe itching around his right
knee on December 17, 1964. The area was reddened and
resembled an insect bite. The itching continued and by
December 20 the redness had increased and there was
some edema and induration surrounding a small pustule.
The family phy-iclan diagnosed a furuncle and started
antibiotics. Shortly thereafter an eschar developed. On
January 8, 1965 the plant physician hospitalized the
patient and excised the eschar. Cultures obtained at this


time were neali% for pathogens.
The carpet company where this man has been (emplo1c. ld
as a blender of imported wools for the past 18 years has
not had a case of anthrax among its employees since
1955. At that time they had 4 cases of cutaneous anthrax,
all of whom were employees that worked with raw, un-
washed, imported wool.


(Submitted by James B. Kenley, M.D., M.P.H., Director,
Bureau of Ep;ii, uro,.,;: Virginia State Department of
Health.)

(Continued on back page)


,~ 757


I










100 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 20, 1965 AND MARCH 14, 1964 (11th Week)


SEncephalitis 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... 35 27 33 23 1 13 1 9 10 53

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

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

EAST NORTH CENTRAL... 5 4 2 1 1 1 3
Ohio .............. 1 -
Indiana............ 1 1 2
Illinois........... 2 1 1 -
Michigan........... 2 2 2 -
Wisconsin.......... -

WEST NORTH CENTRAL... 3 2 5 1 3 10
Minnesota.......... 3 2 3 4
Iowa................ -
Missouri........... -
North Dakota....... 1 -
South Dakota....... 3
Nebraska............. -
Kansas ............. 1 -

SOUTH ATLANTIC....... 2 1 1 4 7 4 3 11
Delaware ...........
Maryland ........... .
Dist. of Columbia...
Virginia........... _1 I
West Virginia...... -. .
North Carolina..... 3
South Carolina..... .
Georgia.............. 1 1 3 5
Florida............ 1 1 1 3 3 3 2

EAST SOUTH CENTRAL... 7 2 1 1 51 5
Kentucky........... 7 1 1 -
Tennessee.......... -
Alabama.............
Mississippi ........ 1 -

WEST SOUTH CENTRAL... 5 2 7 3 1 1 16
Arkansas........... 1I 1 I
Louisiana.......... 1 2 2
Oklahoma............. 1 -
Texas............... 3 1 4 3 1 1 13

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

PACIFIC.............. 10 13 6 10 1 1 2 4
Washington.......... 2 1 -
Oregon.............. 1 1 1 1
California......... 9 13 2 9 1 1 1 3
Alaska............. .- .
Hawaii ............. -

Puerto Rico -










Mlorbidity and Mortality Weekly Report 101


Table 3. CASESS OF .PP l(l1 1) NOTIFIAlI I DISEASES: UNITED STATES

I()R II Kl ENDED

MARCH 20, 1965 AND MARCH 14, 1964 (Ith Week) CONTINUED


lt *l* I | 111 ] I L 1. ri l l l I '1 -n 'l 1
losis including Setum Hepatitis Infections Tvtanus
Area Total Under 20 years Cumulative
In l.unr. ? ., O r r.n I vr Trt.il Cumulative Cum.
1965 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965

UNITED STATES... 10 858 423 364 8,705 10,357 95 904 667 2 36

NEW ENGLAND........... 50 26 22 520 1,215 5 41 18 2
Maine.............. 8 5 2 118 439 1 6 1
New Hampshire...... 4 2 2 43 114 1 2 1
Vermont............. 34 140 -
Massachusetts...... 23 13 9 180 230 1 17 8 1
Rhode Island ..... 11 6 5 58 47 5 2
Connecticut ........ 4 4 87 245 2 11 7

MIDDLE ATLANTIC...... 1 148 73 75 1,555 2,306 10 133 67 1
New York City...... 26 7 19 268 311 2 20 9 -
New York, Up-State. 1 82 46 36 741 1,078 2 32 21 1
New Jersey......... 20 8 12 191 364 2 44 18 -
Pennsylvania....... 20 12 8 355 553 4 37 19 -

EAST NORTH CENTRAL... 3 152 69 67 1,723 1,512 14 100 101 1 1
Ohio............... 47 18 21 548 421 4 28 32 -
Indiana............. 1 6 5 1 136 127 5 14 13 1 1
Illinois........... 25 14 9 318 224 3 21 22 -
Michigan........... 57 23 33 624 660 1 20 28
Wisconsin........... 2 17 9 3 97 80 1 17 6 -

WEST NORTH CENTRAL... 5 44 26 15 562 653 6 49 26 2
Minnesota.......... 3 1 47 41 1 11 7 1
Iowa................ 5 15 5 9 224 104 1 2
Missouri........... 5 5 108 154 4 27 9 1
North Dakota....... 9 32 3 3 -
South Dakota....... 1 1 8 75 2 -
Nebraska........... 2 2 14 16 1 1 1 -
Kansas............. 18 12 6 152 231 4 4 -

SOUTH ATLANTIC....... 58 28 27 879 1,000 15 182 147 10
Delaware........... 2 2 38 14 3 2 -
Maryland........... 16 10 6 201 181 2 14 12 1
Dist. of Columbia. 2 2 9 19 3 3 -
Vir n~ ............ 8 4 4 170 152 1 21 11 1
West Virginia...... 11 7 4 164 180 12 13
North Carolina..... 8 3 5 84 193 3 31 26 1
South Carolina..... 28 34 3 25 15
Georgia............. 1 1 37 20 2 29 14 3
Florida............ 10 1 6 148 207 4 44 51 4

EAST SOUTH CENTRAL... 83 52 28 698 718 5 52 57 8
Kentucky............ 24 8 13 246 339 3 22 17 1
Tennessee.......... 41 32 9 284 235 2 17 24 3
Alabama............ 13 8 5 102 95 9 9 3
M-is;i:ippi........ 5 4 1 66 49 4 7 1

WEST SOUTH CENTRAL... 84 52 31 812 712 24 141 89 1 7
Arkansas........... 19 12 7 124 89 1 9 4 1 2
Louisiana.......... 18 8 10 146 140 18 68 42 2
Oklahoma............ 29 43 1 14 3
Texas.............. 47 32 14 513 440 4 50 40 3

MOUNTAIN............ 1 80 21 18 511 696 4 47 29 1
Montana............ 4 4 47 63 -
Idaho.............. 19 78 55 1 5 1 -
Wyoming............. 24 29 2 1
Colorado............ 1 16 8 8 81 181 8 7 1
New Mexico.......... 18 4 2 98 124 3 15 13
Arizona............. 10 108 151 11 2
Utah............... 13 5 8 70 70 4 1
Nevada.............. 5 23 2 4

PACIFIC.............. 159 76 81 1,445 1,545 12 159 133 4
Washington.......... 10 3 6 116 165 2 9 13
Oregon............. 23 13 9 132 170 1 13 5
California.......... 121 56 65 1,081 1,116 9 135 110 4
Alaska.............. 3 2 1 105 55 1 2 -
Hawaii.............. 2 2 11 39 1 3

Puerto Rico 57 48 7 234 169 3 12 8










102 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 20, 1965 AND MARCH 14, 1964 (11th 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... 11,465 94,438 104,416 11,453 2 47 1 77 95 1,046

NEW ENGLAND.......... 1,896 20,241 4,744 1,201 I 13
Maine............... 104 1,787 655 93 -
New Hampshire...... 3 277 65 8 -
Vermont............. 65 246 1,204 19 12
Massachusetts...... 926 11,371 936 140 -
Rhode Island....... 141 2,291 347 66 -
Connecticut........ 657 4,269 1,537 875 I

MIDDLE ATLANTIC...... 458 3,448 16,868 544 1 9 4 30
New York City...... 37 346 5,726 26 5 -
New York, Up-State. 199 1,195 3,756 382 1 3 4 28
New Jersey......... 85 634 3,852 66 -
Pennsylvania....... 137 1,273 3,534 70 1 2

EAST NORTH CENTRAL... 2,034 16,369 23,283 1,595 10 8 60
Ohio............... 432 3,444 4,193 207 3 -
Indiana............. 38 691 5,288 281 2 7
Illinois........... 55 521 5,123 203 1 4 19
Michigan........... 1,145 8,685 6,123 601 3 1 12
Wisconsin.......... 364 3,028 2,556 303 1 3 22

WEST NORTH CENTRAL... 1,198 7,739 2,779 599 1 5 3 16 176
Minnesota.......... 29 203 87 14 3 47
Iowa................ 832 4,458 1,234 122 3 55
Missouri........... 137 981 279 31 1 3 3 3 26
North Dakota....... 184 1,901 1,093 215 8
South Dakota....... 51 3 77 1 3 12
Nebraska........... 16 145 83 2 9
Kansas............. NN NN NN 140 1 2 19

SOUTH ATLANTIC....... 960 12,116 10,003 1,570 1 16 20 13 171
Delaware........... 9 217 114 21 2 -
Maryland........... 34 413 1,358 226 6 2
Dist. of Columbia.. 12 211 10 -
Virginia........... 150 1,739 2,585 346 3 2 9 142
West Virginia...... 533 8,084 2,658 588 1 3 5
North Carolina..... 12 152 413 43 3 7 -
South Carolina..... 55 263 1,492 20 3 2 -
Georgia............ 26 335 111 35 1 7 13
Florida............. 141 901 1,061 281 1 9

EAST SOUTH CENTRAL... 839 5,312 13,881 1,935 13 9 28 354
Kentucky............ 170 547 6,235 232 3 5 2 23
Tennessee.......... 471 3,269 6,070 1,495 9 3 26 326
Alabama............ 153 1.126 294 48 1 1 7
Mississippi........ 45 370 1,282 160 -

WEST SOUTH CENTRAL... 1,882 12,495 13,670 1,048 8 11 22 171
Arkansas........... 7 655 263 6 4 5 3 26
Louisiana.......... 3 26 30 5 1 2 3 37
Oklahoma........... 6 71 191 40 3 1 2 30
Texas.............. 1,866 11,743 13,186 997 3 14 78

MOUNTAIN.............. 837 7,530 4,522 1,395 5 10 20
Montana.............. 219 2,181 976 66 1 3
Idaho.............. 140 1,166 610 237 -
Wyoming............. 49 227 19 29 -
Colorado........... 99 1,182 577 342 -
New Mexico.......... 41 226 94 274 6 -
Arizona............ 35 252 1,687 196 3 17
Utah............... 240 2,230 293 247 4 -
Nevada ............. 14 66 266 4 -

PACIFIC.............. 1,361 9,188 14,666 1,566 4 4 51
Washington......... 421 2,850 5,628 274 -
Oregon.............. 162 1,395 1,574 21 I
California......... 636 4,008 6,598 1,229 3 4 50
Alaska............. 9 78 773 15 -
Hawaii.............. 133 857 93 27 -- 1 -

Puerto Rico 146 543 1,436 17 1










Morbidity and Mortality W~eekl Report


103


Table 4. I)FATHS IN 122 UNITED STATES CITIES FOR WI-IK INI)II) MARCH 20, 1965


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

All Causes Pneumonia Under All Causes Pneumonia Under
and I year
Area All 65 years and 1 year Area All 65 years and lez a ll
Ages and over Ilue nza All Ages and over All Ags Caus
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.--------


760
258
34
31
28
52
34
27
26
51
69
13
49
23
65

3,472
51
37
141
48
28
43
74
101
1,715
48
551
206
65
110
22
48
77
42
29
36

2,693
57
30
745
194
184
130
81
404
51
51
48
54
60
173
46
112
26
20
46
114
67

883
66
30
29
169
32
129
78
238
66
46


459
151
22
21
17
24
22
18
18
25
37
8
27
18
51

2,045
30
22
83
24
16
25
40
43
1,004
27
347
123
40
73
11
27
45
20
23
22

1,557
28
11
420
113
106
75
42
226
34
31
32
28
44
101
21
71
18
11
25
74
46

567
46
17
17
108
22
94
50
145
42
26


58
9
3
2
1
6
3
4
1
13
7

5

4

161


5
3

1
4
5
84
2
24
14
2
6
1

8
2



167
5
5
49
18
11
10
3
20
3
1
2
4
5
8
4
7
2
3
3
3
1

48
2
3
2
9

5
4
15
3
5


*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.------
Wi lmintE .n, 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.----------


1,209
119
250
45
79
92
80
88
43
96
73
192
52

664
94
39
36
177
141
47
36
94

1,358
47
35
27
155
48
94
248
81
248
104
96
101
74

420
38
18
110
21
111
11
48
63


1,553
11
53
26
49
68
482
61
35
117
70
103
217
39
124
55
43


5
3

6
11
1

36
6


18
5
2
3
2

79
1


10
9
7
10
4
17
5
7
8
1

26
2
1
6
2
6
1
4
4


Total 13,012 7,484 681 752

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages -------------------------148,964
All Causes, Age 65 and over------------------- 85,321
Pneumonia and Influenza, All Ages------------- 7,458
All Causes, Under 1 Year of Age--------------- 8,662


Week No.
11










104 Morbidity and Mo




EPIDEMIOLOGICAL REPORTS (Continued)


ANTHRAX PENNSYLVANIA


Acaseof human anthrax is reported from Pennsylvania
involving a 60-year-old female who has worked as a
spinner in a Philadelphia goat hair processing mill for
the past 2% years. On February 11 she noted a small
pustule on her right cheek that gradually enlarged during
the following several days. The surrounding skin became
red and edematous, with the swelling extending to the
angle of the right jaw and to the adjacent neck. The
patient experienced only mild discomfort and denied fever
or chills. On February 15 the patient was seen by the
company physician who diagnosed cutaneous anthrax and
initiated chemotherapy.
The patient was admitted to the Philadelphia General
Hospital on February 16 with a temperature of 1000 F. A
black eschar 1 x 1 cm was noted and the swelling extended
around the right eye. At no time was the lesion painful.
Penicillin was given and the patient recovered without
complications. The patient had never been immunized for
anthrax.
At the time the lesion appeared, the company was
processing goat hair imported from several Asiatic
countries. There have been 4 other cases of cutaneous
anthrax reported among employees at this mill since 1961;
all had worked in the spinning department.
(Reported by Dr. Sylvan Fish, Chief, Communicable Dis-
ease Section;'and Dr. Milton Werrin, Chief, Veterinary
Public Health Section, City of Philadelphia, Department
of Public Health.)







INTERNATIONAL NOTES QUARANTINE MEASURES


Plague Viet Nam
Because of the continuing occurrenceof plague cases
in the ports of Nhatrang and Saigon and the occurrence of
sporadic cases in the Provinces of Bien-Hoa, Binh-Dinh,
Darlac, Khanh-Hoa, and Long-Khanh, vaccination against
plague is recommended for visitors to Viet Nam. The
standard course of immunization calls for two injections
given 7 to 28 days apart. Vaccination may be obtained
from a private physician.


I 7 A I 1 k


rtal


y weekly Report UNIVERSITY OF FLORIDA



3 1262 08864 2615

THE MOR8 DITY AND MORTALITY WEEKLY REPORT. AITH- A CIRCULA-
TION OF 13 C', IS PUBLISHED BY THE COMMUNICABLE DISEASE
CENTER ATLANTA. CEORGIA 30333.
CHIEF. COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
CMIEF EPIDEr.MI'OL OG' BRANCn A. D. LANGMUIR M.D.
CHIEF. STAT'5TICS SECTION R. E SERFLING PH.D.
A.ST. CHMEF STATISTICS SECTION IDA L. Si-ERMAN, M.S.
C-IEF EUR JEILL DANCE SEC TION D a HENDERSON. M.D.
A''ISTAN T EDITOR MMR R =AuL 0. STOLLEY. M.D.
rN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY THE COMMUNICABLE DISEASE CENTER
'dIELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASES. SUCH
ACCOUNT T SHOULD eE ADDR ESED TO
THE EDITOR
MORBEslOT, AND MORTALITY *EEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA. CEORLG A 'JJ:
NOTE TH.-ESE aROJIIONAL DATA ARE BASED ON WEEKLY TELE-
GRAtlIS TO TIE CDC BY THE INDI'IDUAL STATE HEALTH DEPART.
.*ENTS TME RE OTINi E .EE CONCLUDES ON SATURDAY : COMPILED
O~TA ON A NATIONAL BASIl ARE RELEASED ON THE SUCCEEDING
F i IDA Y
SYMBOLS .---DATA NOT AVAILABI-E
QUANTITY ZERO
TME CONSTRUCTION OF THE MORTALITY CURVES IS DESCRIBED IN
C- 14. NO. I


UNIV. OF FL LIB.
DOCUMENTS DEPT.



U.S. DEPOSITORY


U.S. DEPOSITORY


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