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:
AA00010654:00420

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






Morbidity and Mortality


-


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

PUBLIC HEALTH SERVICE


Prepared eb ,he MgM D I 4/

For release June 26, 1964 ATLANTA. GEORGIA 30333

PROVISIONAL INFORMAIlON ON SILICT'ED NOTIXFHABLE DISIA s A W I
DEATHS IN hSLICTED (ITII'rs FOR I Hk ENDII) ILNE 2 Ii


PARALYTIC POLIOMYELITIS


A single case of paralytic poliomyelitis was reported
this week as compared with 9 cases for the same week in
1963. This brings to 29 the total number of paralytic cases
reported in 1964; 68 were reported for the same period in
1963. The total reported to date this year is precisely one-
fifth the median total of 145 paralytic cases reported for
the first 25 weeks during the years 1959-1963.
Only 18 States have reported cases of paralytic polio-
myeliris in 1964, and no State has reported more than 4
cases. Florida and North Carolina each have reported 4
paralytic cases and the rest have reported 3 or less. Para-
lyric poliomyelitis cases recorded in the country in 1964
for the most part have been scattered with little indication
of temporal or geographic aggregation.


Poliomyelitis (Cumulated Weekly) through 25th Week for Five Years


Paralytic
Total


Paralytic
Total


1964 1963 1962
29 68 144
38 77 186


Annual Totals
379" 762
443' 910


1961 1960
144 312
217 428


988 2525
1312 3190


*Preliminary figures


Table I. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks
25th Week Ended Cumulative, FirAt 25 Weeks
Disease June 20, June 22, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 32 25 --- 724 595 --
Brucellosis ............. ........ 8 5 12 186 163 267
Diphtheria ......................... 2 4 6 136 133 304
Encephalitis, primary infectious.. 26 --- 881 ---
Encephalitis, post-infectious ..... 16 42 --- 481 739
Hepatitis, infectious including
serum hepatitis ................ 576 672 673 20,839 23,015 23,017
Measles ........................... 11,827 8,801 9,541 407,002 328,026 351,439
Meningococcal infections .......... 49 9 41 1,456 1,412 1,298
Poliomyelitis, Total .............. 2 9 14 38 77 217
Paralytic ...................... 1 9 9 29 68 145
Nonparalytic .................. --- 8 3 ---
Unspecified .................... --- 1 6
Streptococcal Sore Throat and
Scarlet fever .................. 5,498 4,401 --- 246,024 210,642 ---
Tetanus ........................... 7 9 --- 116 107
Tularemia ................. ....... 6 12 --- 135 i ---
Typhoid fever .................... 11 10 25 174 172 277
Rabies in Animals ................. 90 100 78 2,306 1,971 1,969


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Lumin.
Anthrax: 2 Psittacosis: 14
Botulism: ND 1 10 Rabies in Man:
Leptospirosis: Hawaii 3 15 Smallpox:
Malaria: NY Upstate 1 43 Typhus-
Plague: Murine Ala I 8
Rky Mt. Spotted: Wyo-2, Colo-2, Tenn-1, Okla-1, Va-3, 51
NJ-2, 111-1, Md-I, Pa-1, NC-1


SVo 13. No 25
SAN1) ()N


/


(0 D/ I? #1/ /.q








Mlirliidily and Mortality Weekly Hepirt


EPIDEMIOLOGICAL REPORT

CHICKENPOX- Minnesota-A Fomily Outbreak


An outbreak of ih1LknrLnplox afiC. it .ill 5 children of
a Mirin ,o.'r. ,inal I' urin April. 2 of thi children died.
Neither ;'.ir n: e\Pc ri.n,c the Illnr-e-.. T.i Lhronolo' of
the outbreak .ippL .rI- in the .h A omp.anI ing fi .ur.
The first child ro0 L'..lop rhi illn s nas a 9-year-old
. ,, who on Aprill 2 had onset of malaise and vesicular
rash with a temperature of I I, 'se- Table 1). The
next !.a the rash -prL.ad over his bodi, his trmptrraiure
rose to I'I4 F., and h h .iimr c l dJi'orIlnr'.- in a.i ition,
he developed a cough proiucri'. of frothy sputum. De-
spite treatment with a broad spectrum antibiotic, aspirin
and jn(rhi-rtamine rhLrap\, his condition deteriorated and
early on April 5 he developed heavy, rapid brcatchin and
diarrhea. At 4:30 in the afternoon, the patient died de-
spite attempts at mouth to mouth resuscitation; blood\
mucus was observed in the throat and mouth. No post-
mortem examination was performed.
TABLE I CASE SUMMARY
FAMILY OUTBREAK OF CHICKENPOX
Date of Onset Onset of
Patient Age Sex Chickenpox Outcome Rubella
A 9 M April 2 Died April 5 February 19
B 8 M April 3 Recovered March 5
C 10 F April 3 Recovered March 5
D 6 F April 14 Died April 17 March 8
E 2 M April 15 Recovered -

The second and third cases involved an S-q-car-old
brother and a lII- car-old sister of the fir,'- patient, both
of whom had onset one day folloaine the onset of illness
in the first case. At the onset of his illness, Panentn B
experienced a loA-urade. fever and vesicular rash, first
noted on the trunk; the lolloxinR day the rash spread over
his body He was treated with a broad spectrum anti-
biotic and antihistamine iherap' but, on April 6, he
vomited and ik. icopc.l a loot., hackinc cough and labored
b'r.l.hine his temperature rose to 0I-l'F. lit was admitted
to a local hospital, treated with another antibiotic and
. rIln. 1lit, ubs.t qucnth complained of transient abdomi-
nal rain. headache and respiratory difticuhl but, by
7"\I 9, had improved consi i rabl'. and became afebrile.
He was ifishurk'. I from the hospital on April 17. Patient
C experienced a r.piLaT it nign course of chikenpox.
The exact source of these infections is not knoan, but
cickenpox was prevalent in the community
Paritn' D had onset of illness on April 14, essential-
ly 2 weeks after onset of illness in the iir-r i sibbline,.
Her illness b. cai with a vesicle on the palm of the right
hand and later in the same day lesions Jevvclopcd over
her trunk. he was treated with oral penicillin. The
f '.'. i i'.tnire she Ji.c.clopt I phorophohia and con-
iunctivitis; her temperature rose to 103'F, she became


CHICKENPOX IN A MINNESOTA FAMILY
CH4ONOLOGY 3F OuBRE BA 0*' OA1 OF O5IT

E- FAL CISE


increasingly restless and .e'. eloped respiratory difficulty.
A broad spectrum antibiotic, an antihistamine, and aspirin
were added to the therapeutic reeim-n, and she was
admitted to hospital with a temperature of 101.8 F; she
resisted oxygen rhcrap During the subsequent day,
the rash spread to coier her body. On the morning of
April 1", she vomited some mucoid material, developed
a cough, and by noon was disoriented and weak to the
point where she could not drink: she experienced 2 grand
mal seizures and died at :.00 p.m. Post-mortem examina-
tion was performed with findings consistent with chicken-
pox and pneumonia.
Patient E, the one remaining unaffected child,
became ill on April 15 with the appearance of rash and a
temperature of 101F. Two days later, following the
death of his sister, the patient was admitted to hospital
for precauiionarv reasons. The rash was noted to be
present on the face and scalp, but most abundant on the
trunk; a few lesions were present on the extremities.
The lesions were described as crvnthematous vesicles,
2-4 mms. in diameter, in varying stages of development.
A chest X-ray did not reveal an% abnormality. The patient
pursued an uncomplicated course and was discharged
from hospital on April 21.
Bacteriologic and virologic studies of pleural fluid,
lung tissue, and blood obtained at the post-mortem ex-
amination of Patient B, and blood cultures obtained from
Patient E failed to isolate the ctiolo ic aaent.
It is of interest that I of the children including
the 2 fatalities, had experienced illnesses clinically
typical of rubella in February and March, in each instance
4 to 6 weeks prior to onset of chickenpox. In addition,
all tie children were known to ha' e had mild, intermittent
eczema of sufficient degree that none had been vaccinated
against smallpox. The influence, if an%, of these factors
on the severity of chickenpox infections in the children
is not known, Immunolouic studies of the 3 surviving
children and the parents are in progress to assess the
possibility of a familial immunologic abnormality.
(Rrporlrd by D Fle'minq. V.i)., Iirrt tr. Division of
li i' v P'rrcrnltvon an/d control ,nnnre otra frpartment
of H10,alth. I


218


APRIL









Morbidity and Mortality Weekly Report


219


REPORTED CASES OF POST INFECTIOUS ENCEPHALITIS FOR MAY
4 WEEKS ENDING MAY 30, 1964

REPORTED PRIMARY INFECTION
Herpes Respiratory
REPORTING AREA Mumps Chickenpox Measles Rubella Influenza Simplex Syncitial Vaccinia Pertussis
NEW ENGLAND
Conneclicut 1 1 1
MIDDLE ATLANTIC
New York Up-Slale 1 1 1
Pennsylvania 6
EAST NORTH CENTRAL
Illinois 11 4
Michigan 3 1
SOUTH ATLANTIC
Virginia 7 2
EAST SOUTH CENTRAL
Tennessee 2
WEST SOUTH CENTRAL
Arkansas 1
Texas 2
MOUNTAIN
Utah 1
PACIFIC
Washington 3 1 1
Oregon 4 4 2 1
California 29 4 23 1
U. S. TOTAL 60 5 46 3 2 1 1 1
U. S. CUMULATIVE TOTAL
through 5 30 231 30 120 13 5 2 1 I 1
(States not reporting a case not listed)



POST-INFECTIOUS ENCEPHALITIS MAY

A total of 119 cases of post-infectious encephalitis cases attributed to mumps, measles, and other causes is
was reported for the four-week period ended May 30 (see presented by month in the table below:
table above). This brings to 404 the cumulative total of Three cases of rubella post-infectious encephalitis
post-infectious encephalitis cases reported through the were reported this month bringing to 13 the total number
first five months of 1961. of cases of rubella post-infectious encephalitis reported
The May total compares with 31 cases in January, thus far in 1964. The case reported this month from the
52 cases in February, 65 cases in March, and 137 cases State of Washington is the only case reported to date this
in April, including delayed and revised reports. (See year in an area other than the New England and Middle
MMWR, Vol. 13, pages 46, 102, 1N3, and 1".) Mumps and Atlantic States regions. The case of post-vaccinal en-
measles continued to account for a large majority of re- cephalitis reported this month from Oregon is the first
ported cases, with mumps the chief inciting cause in one- reported in 1964.
half of the cases reported in May. A comparison of the



PERCENT DISTRIBUTION OF POST-INFECTIOUS ENCEPHALITIS DUE TO MUMPS, MEASLES AND
OTHER CAUSES IN 1964, BY MONTH'

MUMPS MEASLES OTHER

PERCENT PERCENT PERCENT TOTAL CASES
CASES TOTAL CASES TOTAL CASES TOTAL

JANUARY 26 84 3 10 2 6 31

FEBRUARY 40 77 6 11 6 11 52

MARCH 39 60 15 23 11 17 65

APRIL 66 48 50 37 21 15 137

MAY 60 50 46 39 13 11 119


CUMULATIVE TOTAL 231 57 120 30 53 13 404


* Includes revised and delayed reports.












Mlorbidili andi Mortalilty l ct kl Kheporl



I Jhlc ( A I % (l)f Pl IFiD N01 FIABiI. DIS A' IL NIT I) I Al I-S1

O)R NX'I-EKN ENDEI)

JUNE 20. 1964 AND JUNE 22. 1963 (25TH WEEK)


Encephalit -1
Ast'p L I
Mc n lng I I Pr imary P I -In P. 1 io.iyc I It Ic T.tal Ca r e P. I .in tr t I i Piralyl it
Ar. ta umulat Lvi. umula Iv(

1t46.- l'ht] Ib. 1'6- 146. 1963 1'96. 1963 l1i, 1]-3 1966 1963
DO


UNITED 'TATE ...


';EV ENGCIA D .. .....
I I . .
New Hdmphi rr......
Verm ntl ..... ....
lla-dihufett 1 I c *
Rh 'd, I land.......
C rnnetc l J ........

MIDDLE ATLANTIC .....
N.-. 'i rk Cl .V .....
N.w York., Lp-S.ate.
New Jr-r *. t r .........
PLnn l vin ia .......

EA.T NORTH CENTRAL...
Oh ......... ......
Indiana ............
Illin ...........
4t hi n. ...... .......
UisconSin.t ..........

W'E T NORTH CENTRAL...
Mirne-*' . .
Manne..,r............

N .Ith Dik .. .
N;u'r h Dakr tla.......
..uih Da*r a.......

Kanis. .............

'iltTH .ATLATI ...
Dr Ia'r r .............
Mtar y I nd ...........
Dlst t. .( C.'lunmia..
Vi r i nia. ..........
W st Vircin a ......
North C lr in .
ulh Car.- ini.....
Ie 'r J ............
FL ridi ...........

EAT I' I H ;r ENT'RAL...
ktnli & V. ..........
T nnic ........ ..
A L t'..il -.3 ............



'-E.T ,OLTH CENTRAL L...
Ar k. Ia I' ..........
L..*j i li n l..........
r l I -,h m .. ... ......
T"t. 1 .. ......... ..


b0

1
I








1




6


M.I r. .......... 2 3 1 -
' n h 1 ... ..... ... .
1. h ........... ... I 1
A .v--i ........... 2 2 -
I .r. i ......... 1 1 -

r ......... -
Ar i.. ......... 1 -
I'I h............... ".....1




5 21 "-n; "........ 5 1
i i r. ..... ..... I I 1 1
P I111 r ........1 5 II 10
la ....... ... .. .
I' ii -I- 1 /"5 .0

P ,,r r Ri. I R


220


I











Mlorluiuiil aid IMorlalit ~

ahlic i CASES 01 SPI(CIIFI) NOTIFIABLE DISIAS1 S. I N 1LI) I AII

FOR WFIEKs ENDED

JUNE 20, 1964 AND JUNE 22, 1963 (25TH WEEK) CONTINUED


Infec t iou. Heip.i[ l I
Bruce lli'st Diphtheria including Serum Hepatitis T.ph.-id Fever

Area Under 20 years Age
Curn. Cum. Total 20 year- and over Unknorn urmulatloue um.

_1b- 196* 196, 1 969 196 1 1996. 1"b. 1964 1'h64 19Y6 196-. 1964


UN TED STATES ... 8 186 2 136 576 265 286 25 20,839 23,015 11 174

NEW ENGLAND.......... 2 42 49 21 25 3 2,144 2,533 10
Maine.............. 39 12 7 1 719 1,179
New Hampshire....... 5 3 153 175 -
Vermont............. 6 3 2 1 265 30 -
Massachusetts...... 2 3 14 8 6 441 707 5
Rhode Island....... 1 I 113 59 5
Connecticut........ 11 1 9 I 453 343 -

MIDDLE ATLANTIC...... 3 5 132 69 63 4,719 4,397 2 30
New York City...... 1 12 3 9 686 613 12
New York, ip-State. 1 80 47 33 2,117 1,963 2 7
New Jersey ......... 2 23 9 14 853 666 1
Pennsylvania....... 2 2 17 10 7 1,063 1,155 10

EAST NORTH CENTRAL... 1 23 6 75 31 42 2 3,151 3,719 4 41
Ohio ............. 1 23 11 10 2 830 1,052 3 22
Indiana............ I 11 3 8 281 349 8
Illinois........... 14 6 14 4 10 533 816 5
Michigan........... 1 3 26 13 13 1,278 1,328 1 5
Wisconsin.......... 4 1 1 229 174 1

WEST NORTH CENTRAL... 5 86 1 21 30 10 16 4 1,173 1,081 2 16
Minnesota .......... 3 11 3 1 2 107 179 1 1
Iowa............... 4 50 5 3 2 171 201 3
Missouri........... I 6 10 4 6 296 413 6
North Dakota....... 2 1 2 3 3 45 29 1 2
South Dakota....... 12 104 51 1
Nebraska........... 11 2 2 27 78 -
Kansas.............. 2 7 7 2 5 423 130 3

SOUTH ATLANTIC....... 2 17 1 28 70 40 28 2 1,973 2,415 2 35
Delaware........... 41 34 -
Maryland............ 20 14 6 381 284 1
Dist. of Columbia.. 31 67 -
Virginia............ 1 7 8 2 6 289 525 1 8
West Virginia ...... 8 7 1 326 382 -
North Carolina..... 11 8 3 366 604 11
South Carolina..... 4 1 1 70 89 3
Georgia............ 6 20 -42 101 I
Florida............ 1 3 1 4 22 8 13 1 427 329 1 11

EAST SOUTH CENTRAL... 10 5 37 14 22 1 1,414 2,357 1 18
Kentucky........... 3 9 4 5 590 686 6
Tennessee.......... 3 1 17 5 11 1 495 942 1 8
Alabama............. 3 2 10 5 5 209 349 3
Mississippi......... 1 2 1 I 120 380 1

WEST SOUTH CENTRAL... 18 16 63 36 26 1 1,544 1,525 10
Arkansas........... 4 6 5 1 167 170 4
Louisiana.......... I 5 19 9 10 343 284 2
Oklahoma........... 2 2 1 1 84 77 3
Texas............... I 11 36 21 14 1 950 994 -

MOUNTAIN............. 14 1 23 6 5 12 1,317 1,526 3
Montana............. 4 1 2 1 118 213
Idaho................ 2 2 139 241
Wyoming............ 3 3 5 21
Colorado............. 3 3 370 322
New Mexico......... 1 1 2 1 1 187 182 -
Arizona............ 1 6 6 299 362 3
Utah............... 11 3 1 2 118 175 -
Nevada.............. l 41 10

PACIFIC.............. 13 12 97 38 59 3,404 3,462 11
Washington ........ 11 12 5 7 378 594 1
Oregon............. 11 6 5 378 456 -
California......... 12 1 69 26 43 2,471 2,324 10
Alaska............. 2 1 1 112 63 -
Hawaii............. 3 3 65 25 -


Puerto Rico -I 4 9 7 2 377 371 9


;jli










222 Morliditl and Morialit, Weekly Relporl


Tahic ; CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

JUNE 20. 1964 AND JUNE 22. 1963 (25TH WEEK) CONTINUED


Streptococcal
Meningococcal Sore Throat and Rabies in
Measles Meninpitis Scarlet Fever Tetanus Tularemia Animals
Arta
Cumulative Cm um. um.um.
1964 1964 19641 19 63 19 1963196 1969 196. 1964 1964

UNITED STATES... 11,827 49 1,456 1,412 5,498 4,401 7 116 6 135 90 2,306

NEW ENGLAND.......... 676 2 42 87 632 554 3 1 13
Maine .............. 134 5 15 28 81 1 11
New Hampshire...... 1 4 8 l
Verm..n ............. 16 1 3 2 I
Massachusetts...... 270 1 19 38 100 44 3 -
Rh.ide Island....... 155 1 4 9 82 37 -
C nnecticut........ 100 13 18 412 392 -

MIDDLE ATLANTIC...... 923 13 151 192 460 215 8 8 59
Neu Y *rk City ...... 256 26 26 13 11 -
New York, Up-State. 298 3 53 60 381 132 2 8 56
New Jersey......... 260 7 26 27 35 42 4 -
Pennsylvania....... 109 3 46 79 31 30 2 3

EAST NORTH CENTRAL... 3,880 9 214 231 651 459 4 17 1 12 13 312
Ohi. ............... 1,000 1 60 64 76 40 1 3 I 159
Indiana............ 821 33 29 98 64 1 1 17
Illinnis.......... 192 6 52 42 98 77 6 1 8 4 72
Michigan........... 1,377 46 69 216 198 3 6 1 3 28
Wisconsin.......... 490 2 23 27 163 80 I 1 6 36

WEST NORTH CENTRAL... 1,096 3 90 83 147 114 1 7 1 27 29 742
Minnesota.......... 6 19 16 11 18 1 1 1 14 226
Iowa............... 1,020 5 4 33 37 2 I 10 267
Missouri........... 2 2 46 30 24 5 2 1 17 116
North Dakota........ 68 I 9 4 60 41 3 41
South Dakota....... 4 7 10 2 59
Nebraska.............. 5 19 I 20
Kansas............. 1N. 6 6 12 2 1 8 13

SOUTH ATLANTIC....... 531 7 333 265 586 349 1 40 18 12 315
Delaware .......... 11 4 2 17 1- -
Maryland........... 36 23 41 95 10 1 3 -
Dist. of Columbia.. 1 9 4 5 -
Virginia........... 157 36 63 131 135 5 4 4 190
West Virginia...... 131 2 24 13 119 84 1 3 22
North Carolina..... 7 56 43 22 14 12 4 3
South Carolina..... 43 48 13 34 36 3 1
Georgia............. 44 22 1 10 2 56
Florida........... 144 5 89 64 163 69 15 3 43

EAST SOUTH CENTRAL... 1,485 1 134 109 772 750 I 15 19 6 304
Kentucky........... 258 46 24 44 93 2 1 1 43
Tennessee.......... 568 45 47 679 633 1 8 12 5 247
Alabama............ 645 1 26 21 30 10 4 3 14
Mississipp ........ 14 17 17 19 14 1 3 -

WEST SOUTH CENTRAL... 905 6 137 141 488 596 10 3 40 14 335
Arkansas........... 7 2 15 9 1 2 3 22 2 82
Louisiana........... 1 4 99 58 1 3 3 1 30
Oklahoma........... 17 5 28 12 39 15 4 55
Texas............... 880 18 46 475 553 5 2 8 168

MOUNTAIN............. 453 53 49 765 669 3 1 19 82
Montana............ 87 3 9 22 10 -
Idaho .............. 35 2 3 32 44 -
Wy.,' ng ............ 2 3 4 7 1 -
Colorado............ 106 11 12 280 161 4
New Mevico......... 7 21 3 209 218 1 39
Arizona.......... ... 116 3 7 87 111 39
'tah ............... 92 5 14 141 112 I 1 5 -
Nevada ............. 8 8 3 I -

PACIFIC.............. 1,878 8 302 255 997 695 13 7 144
Washingt.on......... 245 1 24 18 138 81 1 -
Oregon ............. 371 18 15 16 10 2
Calif.,rnia......... 1,244 6 246 208 786 537 II 7 142
Alaska............. 2 6 7 31 26 -
Hawaii............. 16 1 8 7 26 41 -

Puerto RI~c; 163 20 4 35 14 32 2 13










Morbidity and NMorlalitl Weekly Report




Tahk -I (A) TOTAL DEATHS IN REPORTING CITIESS


223


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


Area For weeks ending Area For weeks ending
5/Area 6/6 = 6/13 6/20 5/30 6/6 Area6/13 6/
5/30 6/6 6/13 6/20 5/30 6/6 6/13 6/20


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. .........
Neuark, 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, III. ..............
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, Mnn. ........
Omaha, Nebr .............
St. Louis, Mo. ............
St. Paul, Minn. ...........
Wichita, Kans ...........


165
44
33
37
46
25
35
19
37
71
17
42
24
62


55
26
109
45
28
48
59
101
1,718
32
449
189
41
104
19
28
58
30
34
39


51
33
742
153
200
93
81
371
39
54
42
24
34
128
31
94
21
13
45
111
55


47
28
31
131
24
115
60
222
79
36


304
34
38
37
54
29
29
20
35
47
8
43
22
57


54
49
166
50
19
41
80
87
1,604
37
530
180
43
107
34
30
55
34
27
32


63
37
633
174
197
104
100
312
39
44
41
34
49
142
38
145
30
29
36
93
70


58
22
33
134
24
107
66
215
63
53


296
50
22
18
48
37
23
30
45
49
7
37
17
52


41
44
138
45
48
55
64
84
1,633
46
364
171
44
116
24
54
60
33
28
29


59
36
744
151
191
136
69
376
32
38
52
30
62
168
52
115
34
26
40
93
74


54
24
34
126
35
127
90
228
65
54


246
35
32
28
61
25
33
34
42
61
12
33
37
47


43
37
132
35
28
33
89
88
1,654
44
258
133
60
93
16
41
64
66
43
38


60
33
728
145
224
118
85
359
39
49
45
34
45
181
22
135
26
28
47
88
60


55
35
35
125
25
110
57
219
61
60


SOUTH ATLANTIC:
Atlanta, a. .............
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, C lo.. ............
Ogden, Utah................
Phoenix, Ariz .............
Pueblo, Colo. .............
Salt Lake City, Utah.......
Tucson, ArLz. .............

PACIFIC:
Berkeley, Calif. ..........
Fresno, Calif. .............
Glendale, Calif. ..........
Honolulu, Hwa3 i..... .......
Long Beach, CaliL ........
Los Angeles, C lif. ........
Oakland, Calif ...........
Pasadena, Calif. ..........
Portland, Oreg ...........
Sacramento, Cali .........
San Diego, Calif. .... .....
San Francisco, Calif ....
San Jose, Calif ..........
Seactle, Wash. ...........
Spokane, Wash ...........
Tacoma, Wash. ..............


116
225
52
66
76
64
78
30
78
78
213
49


89
50
45
152
116
32
45
90


36
26
25
144
22
83
196
51
194
72
110
71
43


28
19
118
13
80
17
57
46


14
43
30
40*
55
520)
95
32
104
61*
86
211
37
126
53
41


San Juan, P.R. .............. (--)I (---) ( ) (
6. -


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages...................
-(B) Pneumonia-Influenza Deaths, all ages........
4(C) Total Deaths under I Year of Age.............
4(D) Total Deaths, Persons 65 years and over.....


11,226
377
675
6,074


NOTF: All deaths by place o occurence.


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









221


lorblidilv and Morlalily WreekI Reporl


TOTAL DEATHS REPORTED IN 108 CITIES


1ThV t.Ik[ aI.rapig number of 1Ioal dI.Iahs in 10i
ir.ic.. lor the lour-w%'vk pc riod ending l un t) 20 a... I1, ISO
a.s compare d Hlh an t.xp-ecrd .t'eklI average ol 11,-241.




Week Ending

4 Week Weekly
5 30 6 6 6 13 6 20 Total Average


Observed 11,130 11,064 11,216 11,226 44,636 11,159


Expected 11,352 11,276 11,205 11,138 44,971 11,243

Excess -222 -212 11 88 -335 -84


UNIVEiRSIT OF pLOUII


31262 05864 2797


TOTAL. DATmS RECORDED IN O U 3 CITIE
-,el iim io. h F- Si l


(See Table. page 223.)


ERRATUM

The correct number of confirmed cases of rabies in
animals during 1963 was 3,92. Due to a typographical
rransposition, the total appearing on page 202 of MMWR,
Vol. I1, appears incorrectly as 3,312. The totals on
page 204 are correct.


r' E OMIa 1e''. AIND MOI TAlIT EIIE L EPOR"' iflT A CIRCULA-
LATON OF e .000 S PUB.LIHED *Y T1H COMMUNitCALE DISEASi
CENTER. ATLANTA. GEORGiA,
CHI1E COMM-UNCABLE DISEASE CENTER JAMES L. ODDARO. M. .
CNItr EPIDOEMO6LOGY S* NCM A. D. LANGMUWI, M.D.
CIEr, sTATnTTCI SECTION f. E. SERFLt.NG PM D.
A**sT CHMEF"i ITATSTICs IsCTION I. L. SHERMAN, M.S.
CIrE, Suv.tELLA NCE SECTiON D0 A. EDECERSON. M.0.
EBIT0R IMM *R LI.l.K. L 7MAM D
AN ACODT W TO t EsITAL~lEiEO RAOCEOUREs rCr IPO T0NIW
MOaBSICT AND MORAL.I'V. T- COMMUINICABLE DISEASE CENTER
WELCOMES ACCOUNTS- OF rTN*taESTING OUTE)IAKS OR CASES. UCH



ATL .NTA .EOROGa 3 at
NOTrE S1.HS cr.l #stONAL DAft A*R *ABED ON WERVLY TEL:E
S-IW *T *,g Q COMtUN-CABSLE CSI*asE CEINt*ER T INDIVIDUALL
SYiMOL.- D AAT* NOT AVA.LAbi.
QUANM Ttr ZErto
fegLO -. [ ; c > .iP.*ar *[ r ca i "o uo a R T ELI & v
UMAT* RE I g* s.C, r*rc r ''s'.CS t1.CD0>.0A. COUTuJIC BL E L.
*EAS CE.*'T I aB. r C -- .. geB..rF ul DEPARTMENT OF
NEAtTN A Et C .A. I*.r IEr.*Er m A..T CEORCGIA* IJl


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