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:
AA00010654:00423

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

F'5 J. Z/9qd/wS/3


Morbidity and Mortality


1/



'W eky


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

PUBLIC HEALTH SERVICE


Prepared by the


C MUN L ISE CT ER


3, No 23
1) )N


For release June 12. 1964 ATLANTA. GEORGIA 30333

PROVISIONAL INFORMAl ION ON S1.I( 11 1) NOTIIIABII 1)151 AN IN
DEATHS IN SI.Li( IID) ( 11I f)R W llK FNDII) JUNE 6.



TETANUS


A toral of 10 cases of tetanus was reported for the
week ended June 6. This brings to 90 the cumulative
total for 1964; for the comparable period of 19 1, H9
cases were reported. Reported tetanus cases for the
first 23 weeks from 1962-1964 and total casts for the
years 1959-1963 are shown in table rightt.
Of the 99 cases reported to date, 61 occurred in the
16 states comprising the South Atlantic, East South
Central and West South Central Regions. Fourteen of
the cases were reported from Florida, 11 from North
Carolina.


REPORTED TETANUS CASES
Through 23rd Week, 1962-64 Annual Totals, 1959-1963

1964 1963 1962 1961 1960 1959
Cases through
23rd week 99 89 78 NR NR NR
Annual total 280" 322 379 368 445


*Preliminary total


The 280 cases reported during 1963
total recorded in the United States.


NR Not reported

is the lowest annual


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
23rd Week Ended Cumulative First 23 Weeki
Disease June 6, June 8, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ............... 25 42 --- 656 533 ---
Brucellosis ................ ...... 6 5 12 171 150 245
Diphtheria ........................ 9 8 4 122 123 291
Encephalitis, primary infectious .. 40 39 --- 800 664
Encephalitis, post-infectious ..... 33 --- 37
Hepatitis, infectious including
serum hepatitis ................ 616 682 683 19,612 21,683 21,684
Measles ........................... 16,797 14,361 16,195 382,786 307,001 325,433
Meningococcal infections .......... 55 34 38 1,357 1,315 1,211
Poliomyelitis, Total .............. 3 5 11 35 62 196
Paralytic ....................... 2 5 7 27 5" 134
Nonparalytic ................... 1 7 2 --
Unspecified ................. .. ---- 1 6
Streptococcal Sore Throat and
Scarlet fever .................. 7,406 5,762 -- 234,011 201,385
Tetanus ........................... 10 4 --- 99 89 --
Tularemia ................ ........ 9 7 --- 118 94
Typhoid fever ..................... 7 11 159 156 237
Rabies in Animals ................ 97 68 68 2,122 1,801 1,799


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cur.
Anthrax: 2 Psittacosis: 14
Botulism: 9 Rabies in Man:
Leptospirosis: 10 Smallpox:
Malaria: Mass-1, Md-1, Minn-1, Calif-I 41 Typhus-
Plague: Murine: Hawaii-1, Fla-1 7
Rky Mt. Spotted:Pa-1, Md-1, NC-I, Del-1, Colo-I 33


_.___
L








Morbidity and Mortality Weekly Report


Number
of Cose -
700,


600


.500


400


300


200


100


REPORTED TETANUS IN THE UNITED STATES, 1947-1963


YEAR- 1947 '49 "51 '53 '55 '57 59 '61 '63
Source: National Morbidity Reports Preliminary


In sharp contrast to diphtheria, tetanus incidence has declined remarkably slowly despite extensive immunization, par-
ticularl) of children. Total cases reported during 1063 are more than half the number reported during 1953. During the same
period of time diphtheria cases dropped from 2.355 in 199S to 294 In 191L3 (provisional data).



EPIDEMIOLOGICAL REPORTS
TETANUS New Jersey


A fatal case of tetanus was reported from New Jer-
sey for the week ended Ma% 30. This is the third reported
case of tetanus in the State thus far in 164; all 3 cases
were fatal.
The most recent fatal case occurred in a 4S year
old Negro male who on May 1' received lacerations of
his brow and ear, which required suturing. At this time
he told his physician that he had previously been im-
munized against tetanus. A tetanus toxoid booster was
given; the patient was instructed to return May 20 for
removal of the sutures.
On May 10. while at work, the patient stepped on a
nail. He did not seek medical attention for this and did
not seek medical attention for this and did not return for
removal of the sutures. On May 2), he noted pain in both
feet, not limited to the specific site of thi wound. lie
returned to his physician, who noted that the facial
wounds were healing well but that the patient had tris-


mus difficulty in swallowing and nuchal rigidity. At this
time, it was learned that the patient had never received
tetanus nor had he been in the Armed Service. He was
hospitalized; his wound was debrided and cleansed; he
was treartd with 200,000 units of tetanus antitoxin and
2,000,000 units of aqueous penicillin, intravenously,
every 6 hours. A tracheotomy was performed.
Despite this therapy, the patient developed genera-
ltzed, intermittent tonic spasms without change in level
of consciousness. He died May 28.
An anaerobic culture of the nail wound was nega-
tive for Clo.ntridium t'irani.

(Rrprrtd by Dr. t illiam ./. Dougherly. Director, Division
of Prr ntire V I -i ais. \ in Ji'rr y Department of Health)

Editor'" \%rrl:A report of the previous 2 cases of tetanus
in New Jersc} appeared in the MMfWR Vol. 13. page 159.


19.4









195


Morbidity and Mortality Weekly Report







OUTBREAK OF DIARRHEA ASSOCIATED WITH ECHO-17 VIRUS
IN A JUVENILE INSTITUTION: CASES BY DATE OF ONSET

ALLEGHENY COUNTY, PA. 1963


_______ *


Day 28
of Onsel


29 30
AUGUST


*


2 3 4 5 6 7
SEPTEMBER




ECHO 17 Pennsylvania


D CHILDREN

ADULT ATTENDENT
ECHO-17 ISOLATION


8 9 10 II 12


A total of 26 children and adults experienced febrile
diarrhea in an outbreak which affected the pre-school unit
of an Allegheny County juvenile institution. Involved were
20 children between the ages of 6 months and 4 years, 5
adult attendants of the ward, and an 11-year-old mentally
retarded child, who became ill 7 days after he entered the
ward. An epidemic curve is shown above.

The illness was characterized by greenish-yellow
diarrhea (seldom over 5 stools per day), temperature
elevation (100 103.80F rectal), and a transient erythem-
atous rash in 3 patients. All patients recovered with
supportive care.

Two clear peaks of incidence appeared 6 days apart
(See Epidemic Curve). Together with the occurrence of
this illness 7 days apart in one pair of siblings and the
onset of illness 7 days after the above 11-year-old entered
the unit, the epidemic curve suggests an incubation
period of 6-7 days.

No index case could clearly be identified. Several
children who were admitted during the first peak became


ill immediately. The presence of ECHO 17 virus in the
community was documented by its subsequent isolation
from the son of a physician practicing in the area. The
virus may have been introduced into the unit by a new
admission.

Of 41 pre-school children who spent at least 5 days
in the unit during the period from August 28 through
September 20, approximately one-half (20) became ill.
Eleven of 15 children who entered the unit during this
period became ill.

Bacteriologic cultures for enteric pathogens were
negative; rectal swabs from 5 patients with typical ill-
nesses yielded ECHO17. Further laboratory studies are
in progress.

(Reported by Edwin Brown, M.D., Chief, Division of
Disease Control, Joseph Sarandria, Laboratory Director,
and Herbert R. Domke, M.D., Health Officer, Allegheny
County Health Department, and Dr. W. D. Schrack, Jr.,
Director, Division of Communicable Disease Control,
Pennsylvania State Department of Health.)


13











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.EW FN N .......... 2 I 1
.............. 1 1
I I -
V.rm hnt........... -

Ph.,. I lnd..... 1 1 -
Snne Itt LU..I .... -- -

1IDDLE AlLANIC ...... 1 2 5 6 5 7 5 5
:.u \,-r C at .. 1 1-
N;c' 1 rk, Up-State. 3 2 4 2 4
N.- i J, r cv ......... .3 2 2 -
P, nn v yl'v in' r ....... 1 3 3 1

EA`T NORTH CEN'TRAL... 7 9 10 3 1 3 16 1 3 13
i'h I... .............. 4 2 2 3
Ind i.na............. 1 1 .- I 1
Illin..- ........... .1 1 2 2 I 6 1 5
Mt hai1 n. .......... 7 3 1 3 3
uLiLOnn in......... 1 1

LF.T I NORTH -CENTRAL.. 4 1 7 1 1 2 1 2
Minneu-.a ............. 3 1 7 1 1 2
Tws. .............. -
'li -'t ur i..... ... .
N,,r th D ik t ..... .
-uth DH ... -
h braJ. .......... -
k.n]s S ......... .... .

SiLTH ATLANTIC....... 6 5 16 3 2 1 16 7 1 1 12 6
Dt I are. ........... -
Maryland ......... .. I -
Dist. i.lumbia. .
Vir iLnia........... 3 3 -
-', t Virc(inia...... 1 1 I 1 1 1
N.Jrth C.iro'l n3 ..... 1 7 2 1 3 2
'.,ul h Car.'l in.i..... 2 1 2 2 -
LGei' r ia ............ 1 -
FInrld. ........... 3 5 11 4 2 4 2

E'T SOLTH CENIRAL... 3 2 2 3 3 1 2
.n nt c ky ........... -
Tl nn, ........... 2 1 1 -
Al bam ............ 2 2 2 1 1
M i'lls ippl ........ -

WEST ROt TH CENTRAL... 2 3 2 13 -- 2 13
Ark.n ad ..........3- -
1.,"u i l an,........ .. 1 11
Ol I a hima............ 1 I 1
T i ...... .... 1 2 I 2

MOUlNTAIN.... ........- 4 1 4 1 1 3 1
Hn l.ma............ .
liah ................ ..- 1 -- I
Wy' .Lnr. .......... .- 1 2 ] 2
'. .,ru ........... 3 I 1 I
4r'u H, Ki,'. M ........
Ari Z.-nii ...... ... -.-
Itah............... .
'.I V 11 .. .. .

FPt IFIt ........... 8 13 3 9 2 1 12 2 1 11
Wa ihin .n ....- i
'1r ............ 1 1 1 I
Il rni i......... 8 12 3 7 10 2 9
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'IWI IL4. 1 ....... 1

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I'-n. 196- 196- 196-1 1b6- 11b-- l0-. 14%6- bib-. 19Ji I'-.b 1-64

UN'ITED 1i iFF1 ... 6 171 9 122 bib 2."* 263 5. 14-,612 21,683 159

NEW E4NGLAID........... 7 33 78 33 -0 5 2,035 2, 9 10
Maine.............. 7 ),0 23 12 11 6'13 1,110
New Hamps ire ...... 7 3 17 168 -
Vermont..... ...... 1 0 28 30 -
Massachunett c ...... 2 3 18 7 li I 40- 714 -5
Rhode Island. ...... 3 1 2 108 56 -
Connec ii t ........ ... 17 6 11 725 326 -

MIDDLE ATLANTIC ..... 3 5 124 71 53 ,.25 ,163 25
New Y.ork City...... 1 27 6 21 6.5 3j6 11
New York, LU-State. 1 .6 38 8 1,454 1,864 4
New Jersey.......... 2 201 7 13 814 627 1
Pennsylvania ...... 2 2 31 20 11 I,012 1,106 9

EAST NORTH CEIJ1RAL... 19 6 92 53 32 7 ',)87 3,.83 35
Ohio................ 1 21 10 8 3 778 989 19
Indiana............ 1 16 8 8 266 3.0 7
Ill nois........... 12 6 18 12 5 I 507 752 5
Michigan...... ..... 2 28 19 9 1,216 1,237 3
Wiscons nr........... 3 9 ? 2 3 220 165 1

WEST NORTH CENTRAL... 3 81 19 39 20 18 1 1,106 1,017 12
Minnesota......... 1 3 11 5 1 4 9 172 -
Iowa............... -6 2 1 1 163 180 3
Missouri........... 1 5 12 3 8 1 272 399 5
North Dakota....... 2 ..9 -
South Dakota........ 12 10 49 1
Nebraska.......... .. I 1 24 72 -
Kansas............ 2 7 2 ) 1 5 -.02 116 3

SOUTH ATIANTIC....... 15 2 25 39 21 14 1,858 2,283 2 33
Delauare............ 1 1 .1 31 -
Maryland ........... -. 3 2 1 351 262 1
Dist. of Columbia.. 30 67 -
Virginia........... 6 10 1 5 278 .94 7
West Virginia...... -. 4 3 1 308 30 -
North Carolina..... 1 13 12 1 37 583 11
South Carolina...... 4 1 -1 66 85 3
Georgia........... .. 6 1 18- 1 90 -
Florida........... 2 1 3 7 2 5 396 301 2 10

EAST SOUTH CENTRAL ... 5 39 21 16 2 1,353 2,261 19
Kentucky............. 3 13 4. 7 2 572 655 6
Tennessee......... 1 13 8 3 470 907 7
Alabama ........... 3 2 9 7 2 l 335 5
Mississippi.... .... 1 2 2 116 36- 1

WEST SOUTH CENTRAL ... 18 16 5 29 22 3 1,430 1,434 12
Arkansas........... I 1 3 157 165 6
Louisiana.......... 1 5 11 10 1 311 262 2
Ok ahoma........... .2 2 1 79 77 3
Texas .......... .... ii 1 1 37 17 17 3 883 930 1

MOUNTAIN............... 13 1 3 3 7 2 1,25 1 .5' 2 3
Montana............. 112 210 -
Idah .............. 6 133 2?22
Wyc.ming ............ 1 2 21
Colorado........... 6 361 306 -
2 6 361 306
tlew M I o. ........I... 1 1 I I 177 17 -
Arizona............ 7 7 278 338 2 3
Utah............... 1- 10 1 113 169 -
Nevada ............. 1 2 10 -

PACIFIC ............. I 1' 12 117 48 61 8 3,161 3,183 10
Waihington ...... 1 1 8 1 353 5-0 1
Oregon............. 1 3 2 352 -28 -
Californi ..... .. 1 11 1 75 30 -5 2,9- 2,132 9
Alaska............. 1 b6 2 6 U10. 03
Ha I ............. 3 20 5- -

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Morbidity and Moriality l l c Ileport 199





aIbli (( 1)IIAL DIA III I NDI)t I I-AR OF A.(.1 IN RIPORTIN(, ( IIIl.



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


For weeks ending For iu-ee enrdin
A r e a I T 5 3 A r a
5/16 5/23 5/30 6/6 5/16 5/23 5/30 6/6


NEW ENGLAID:
Boston, Mass.............. 7 12 8 12
Bridgeport, Conn.......... 1 2
Cambridge, M.ss........... 2 5
Fall River, Mass....... .. 3 2 2 2
Hartford, Conn............ 6 9 3 6
Lowell, Mass.............. I 14 -
Lynn, Mass ................ 1 I 2 2
New Bedford, Mass.......... 1 2 -
New Haven, Conn........... 10 6 2 -
Providence, R.I........... 5 4 2 2
Somerville, Mass.......... I I -
Springfield, Mass......... 1 2 2 1
Waterbury, Conn............ 6 1 1 -
Worcester, Mass........... 3 2 1

MIDDLE ATLAN'TIC:
Albany, N.Y................ 4 4 2
Allentown, Pa............. 3 1 2 3
Buffalo, N.Y.............. 10 7 4 15
Camden, N.J................ 6 4 2 4
Elizabeth, .J.............. 2 1 1 1
Erie, Pa.................. 2 2 3 1
Jersey City, N.J.......... 5 4 3 6
Newark, N.J............... 4 23 7 5
New York City, N.Y......... 79 80 86 90
Paterson, N.J ............. 3 6
Philadelphia, Pa.......... 24 30 17 45
Pittsburgh, Pa............. 14 17 10 14
Reading, Pa............... 2 2 2
Rochester, N.Y............ 5 6 7 9
Schenectady, N.Y.......... 1 2
Scranton, Pa .............. 3 2 2
Syracuse, N.Y............. 1 3 2 4
Trenton, N.J ............... 5 4 2 5
Utica, N.Y ................ .I -
Ycnkers, N. ............... -

EAST NORTH CEnTRAL:
Akron, Ohio............... 3 3 2 2
Canton, Ohio............... 2 4 3 2
Chicaco, Ill.............. 43 36 39 33
Cincinnati, Ohio.......... 14 4 7 10
Cleveland, Ohio........... 11 7 18 12
Columbus, Ohio.............. 9 3 13 10
Dayton, Ohic............... 2 3 5 10
Detroit, !Ulch............. 24 21 28 12
Evansville, Irnd ........... 4 1 3
Flint, ;hch..... ........ 7 5 7 3
Fort Wayne, Ind........... 3 2 4 3
Gar Ind................. 3 3 6
Grand Rapids, Plich........ 3 1 3
Indiar,apcl is Ind ......... 7 19 7 13
Mao di n, i .............. .- 2 3 5
Mh lauke, ............ 12 5 5 11
Peoria, Ill............... 4 3 2
Rock ford, 111 ............. 1 2 2
South Bend, Ir.-........... 2 3 4 3
Tcled.i Oh ............ .... 2 3 7 3
Yiourng t.-,.n, I .. ... ...... 4 7 4

WEST NORTH CENTRP.L:
Des Ml..ir I a o.......... 2 3 1 6
Duluth, inn. ............. 2 2 -
an,.- CLt.,, Kjrn ....- ...... 2 4 3 in
Karn3i CLPt, : .' ........... 3 5 13 12
L ir,n" :., r ............. 2 3 1
Minnc 3pol i :hinn ......... 5 46 6 8
Omaha, :kbr ............... 3 4 ? 6
St. L.iuti :................ 17 16 12 12
St Paul, Mlnn............ 3 8 5 7
WiLhia, in 1............. 6 1 7 4

,'Et~ atrc b35td _n aui r~gc pcrc.nc .o d' .'l i.inal tota l.
Totals for prcviou- ceka include rcportcd ccrrections.

VOTF0 I drath- 1) pl,,- .l ,1. i-uri.., ,


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 (r l,- jns, 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..............

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


8
II
9
2
7
7
9
1

5
2
1


3
1
1
5
12
2
6
1


2
2
2
15
1
6
12
7
12
4
6
5
5


6

2

4

1
2


2 6
1 3
3 3
6 4
41 35
11 7

7 4
2 12
4 12
4 5
2 3
5 9
3
3 1

(---) (- --)


5
3
5
5
5
10
4
2

(---)


0urrent Week Mortality for 108 Selected Cities


4(A) Total Mortality, all ages ...................
41Bj Pneumonia-Influenza Deaths, all ages........
4(C) Total Deaths under 1 Year of Age............
4(D) Total Deaths, Persons 65 years and over.....


11,064
417
80S
6,101









200


iirlbiilit-, and Mortalily 1rLekl Reporl


DEAT L UNDER ONE YEAR OF AGE IN 9m LL. CITIES
r7 ftmn ~ iM &r /Fll 'm .l"


INFANT DEATHS IN 108 CITIES


rTh, ttrkl .kit rait. numbt.r ,I infant .in .arh% in IIIS
c. It tl.- tor rh, lIurn*e.r Lk ptr it' A ndling I urnL 4 .1 -I1 I
1i LO t ip.lrt th .in -\pr.'Lit -l _11" %I LL kl i vrj.'rJct .







Total Deaths Under One Year of Age Recorded in 108 Cities


Week Ending

5 16 5 23 5 30 6 6


4 Week
Total


Weekly
Average


Observed 668 725 656 809 2,858 714
Expected 710 709 709 709 2,837 709

Excess -42 16 -53 100 21 5


(See Table, page 199)


INTERNATIONAL NOTES QUARANTINE MEASURES


INFLUENZA Hungary


Influenza virus A2 was isolated in an outbreak which
affected 40 of 100 Budapest factory workers, who ex-
perienced s mptoms of influenza in a 3-day period be-
pinning April 28. Similar small outbreaks, which have
shown little tendency to spread, have been reported since
April ~0 in several other communities.
II ,prit,,ri in the 1 eekly Epidrmiuloirial Record. H10,
Ao. 21, May 2, 196;.)


J S REPOSITORY


*-E p.*: T, arC h* i I' It *C Et L EPOIT WITI a C IRCULA.
_ATION OF inCIO iS PUBLIiSHEO BY THE COMMUIICAi.LE DISEASE
CENTER, *TLANTA* CEORGIA.
C-e FE COMMUNICABLE ODIEASE CENTER JIAME L CGODC.RCO ,O,
C EF, E IMrMIOLOIY IT RANCH A. L iGANLMI..R D
CHItfr, STA IC SECTION R. ,E S^ERFLING Pm D
*ASS CM~Ei 5t SAtsAICS SEC TION L. L SEAMAN m S
C I SUIVE .lI.ANCE SECTION 0. A -ENDEI S.0 M C
EDITOR M+M*UR L W. AL MU M D
IN ADDITION TO THE ESTABLISHED PROCCEDURIES FOR REOOTIN
Mt0ID1t' 0 AND MORTALLY TIHE CQOMUNICAB.LE DISEASE CENTER
WELCOMES ACCOUNT OF INTERESTING OUTllREAC OR C sES SUCn
ACCOUNTS SHOULD E AODcE55E'D TO
L*.ARENCE *I ALTMAN, I 0B.. EDITOR
AROEIITY *AN I cMORTAALITY EEKLY REPORT
eCOMauNICABLE DISEASE CENTER
ATLANTA, GEORGi*A 3033)
NOT ES THESE PItlOYVisONs A r CA rF AFP ON !EE'Ll IELE-
eF-a* T" '-,i COI*MNI CABLE DISEASE CENTER Y T-'E 'INDi .rC.-aL
ST*TE HEALT DEPARTMENTS
svOLS DA *A NOT AV AILAEBLE
QUJANT-T ZERO
', ,- F P : n .5'" :.. TiS O- sc O.iS UrOTTd C i I .u 'iE,5
F.* *P AIr' i. .*.* S' 'A C S SL'C 'O C C'mJIVuiCI ABLE DS-
i r Cr*.*r r r. r -ra. %r FICr J 5 DEP*PTMENT OF
..ra *- a,-- AC .rc I. .'.I 'a S EORG'.a il1


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