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:
AA00010654:00430

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 Mo



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


PUBLIC HEALTH SERVICE


Prepared by the


O7NICABLE *: ^D^i^


For release June 5, 1964 ATLANTA, GEORGIA 30333 Vol. 13, No 22

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR W FI-k ENDED MAY 30, 1964

TYPHOID FEVER

A total of 11 cases of typhoid fever was reported for
the week ended May 30. This brings the cumulative total 1955 564 1960 225
1956 --__ 645 1961 -- 226
to 155 thus far in 1964. In 1963, when the fewest cases of 1 41 193
1957 441 1962 -- 193
this disease occurred since reporting began, 149 cases 1958 320 1963 149
were reported for the comparable period. 1959 -- 231 1964 155
This week's cases were reported from 8 States. Rhode
Island, Ohio, and Indiana reported 2 cases each, single
cases were reported by New York City, Illinois, North Scotland, which has totaled 160 confirmed cases (see
Carolina, Arkansas, and Louisiana. International Notes Quarantine Measures, page 18').
A table of typhoid cases (preliminary totals) reported Phage type 34 is identified in the Aberdeen epidemic;
through the 22nd week of each of the past 10 years this is a very rare phage type and should act as a good
appears right, marker for identification of contact cases, according to
None of the cases this week are known to be associ- Dr. Philip R. Edwards, Chief, Bacteriology Section,
ated with the epidemic of typhoid fever in Aberdeen, Laboratory Branch, CDC.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
22nd Week Ended Cumulative. First 22 Weeks
Disease Ma30, June 1, edian Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 42 26 --- 630 491 ---
Brucellosis ....................... 1 9 10 161 145 235
Diphtheria ........................ 9 1 5 113 115 287
Encephalitis, primary infectious.. 39 20 --- 760 1625
Encephalitis, post-infectious ..... 34 -- 402
Hepatitis, infectious including
serum hepatitis ................ 650 630 633 18,987 21,001 21,001
Measles ........................... 24,569 13,196 15,331 365,988 292,640 308,401
Heningococcal infections .......... 37 44 35 1,286 1,281 1,172
Poliomyelitis, Total ............. 1 3 19 32 57 185
Paralytic ...................... 1 1 14 25 49 127
Nonparalytic ................... --- 6 2 ---
Unspecified .................... 2 --- 1 6
Streptococcal Sore Throat and
Scarlet fever .................. 6,782 5,522 --- 226,606 195,623 ---
Tetanus ........................... 6 3 -- 89 85 ---
Tularemia ......................... 12 6 --- 109 87 ---
Typhoid fever ..................... 11 3 9 155 149 226
Rabies in Animals ................. 80 67 67 2,025 1,733 1,731


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.
Anthrax: 2 Psittacosis: 14
Botulism: 9 Rabies in Man:
Leptospirosis: 10 Smallpox:
Malaria: NJ 1, NY Up-State 1 37 Typhus-
Plague: Murine:NC 1 5
SRky Mt. Spotted:NJ-1,Md-1,Colo-l,Va-1,Tenn-1,Okla-l 28


634-5131








Moirbidity and Mortality %X rkly Report


TUBERCULOSIS 1963 Provisional Total


A provisional total of 3.413 new active* cases of
tuberculosis was reported in the ('nircl Statcs for 1)(11.
A gr.tph of the new active cases of tuberculosis since 1953,
in luding the 1%'(, provisional total, appears above.
Since provisional totals for a year are usually higher
than the final total for that same %ear, it appears that there
aill be a small decline in the final total for :966 as com-
pared with that lf 1962.


*Active cases include:
1) Diiagno.cdtl cases with rub.rcl.- bacilli demon-
strated.(Includes all forms:pulmona r\ and extra-pulmonar.).
2) Diagno- t cases iihour rubhercle bacilli de-
monstrated but where there is X-ra. or histological evi-
dence consistent with active tuberculosis. (Includes all
forms: pulmonar) and erira-pulmonar% 1.
3) ('nr'i plaintd pleuris, with Iffusion.


REPORTED TUBERCULOSIS-NEW ACTIVE CASES
UNITED STATES, 1953-1963


*
Provisional total


'56 '57 '58 '59 '60 '61 '62 '63 '64


EPIDEMIOLOGICAL REPORTS

MALARIA Pennsylvania


A case of Plasmodium falciparum malaria, diagnosed
in a seaman who had arrived in Philadelphia from Africa,
has been reported from Pennsylvania.
An 18-year-old Belgian seaman aboard the S. S. Lulua
complained only of feIer for 2 days when his ship docked
at Philadelphia on October 24. He denied other symptoms.
On physical examination, the arrending physician noted a
qucsrionabl enlarged spleen.
Because of the patient's fever, employment, and
innerar\, his attending ph\ sician suspected malaria. The
patient was hospitalized; a smear was read as positive
for malaria at the hospital laboratory. It has since been
confirmed as P. falciparum at CD)C National Malaria
Respos irry.
The seaman was treated with quinine and Chloroquine
phosphate. His fever remitted in 2 days. He. reioin-d his
ship in New York on October 29.
The S. S. Lulua, a freighter of the Belgian Lines,
arrived in Maradi, Republic of Congo, on 'cptember 20
and departed on September 26 for Luanda, Angola. She
arrit.d there Scpttmber 2' and departed October 2. The


S. S. Lulua arrived in New York City on October 16,
lca ing October 23 for Philadelphia, where she stayed
in port on the 24th. Alter making addritonal stops at
Baltimore, Newport News, and New York City, the ship
sailed for Antierp, Belgium, on No\ember 2. Aboard the
ship were -~ officers and men. No other clinical illness
was known to exist aboard the 'hip during the trip.
(rK pr'l j by 1Pr. S M I. I:U ( I, '1 ( i r. r nabll 4 .scast
Control, ptilia/i Ipil I i pa t"- i *', 'f Pt / blit atl and
Dr. W. D. Scbrack, r I I br .. I'. *i ol .'( ri ,' .rmui-
, ia'lI Disease Control, 'ir-j ri % iJ'j it llf I partIi', nt
of Health),

r:'ti.,'s \,lti This is the secondd recent outbreak of
malaria occurring in seamen sailing Irom African poris
for the unitedd Stares. The firsi outbreak involved 6 s\ m-
tomatic and 3 as\mptomaric cases aboard the M V Ran-
borp (Sre MMW'R, Vol. 12, p. 365).
This patient is believed to ii.hve acquired his illness
in Luanda. No blood smears were taken ol the other crew
members aboard the S. Luluu.


186


CASES

80,000.



60,000.



40,000.



20,000.



I,


1953 '54 '55








Morbidity and Mortality Weekly Report


SALMONELLOSIS Illinois

W'lhin dJ.n% after a Chicago family of 3 provided a
home for Tobias, a trai, Basset hound, all 3 experienced
diarrhea and abdominal cramps. Salmonella infants was
isolated from stool samples from each of the patients.
The same organism was cultured from the dog, which had
experienced diarrhea at the time it was found.
Epidemiologic in tstigation revealed that another
family of 3, residing down the hall of the same apartment
house from Tobias' master, all experienced symptoms of
gastroenteritis within 48 hours of first contact with the
dog. Stcol specimens from all 3 revealed S. infants.
A teen-ager, who frtquentlv baby-sat for the first
family, also experienced diarrhea and abdominal cramps;
her stool culture was positive for S. infants.


(Report,'d by Samuel L. .1,'i.!,1 '.,*. M.O., M.P.H., Com-
missioner of H'i,:!!,: and 0. Rrl'i','k,. M.D. and H. L.
Slutsky. Ph.P., Epi.lr-i'.,uoli,!, City of Chicago Board
of Health. .




INTERNATIONAL NOTES QUARANTINE MEASURES

TYPHOID FEVER United Kingdom


An epidemic of typhoid fever involving 160 confirmed
and -9 suspect cases has occurred in Aberdeen, Scotland
through Ma. 31. Secondary cases are reported in indivi-
duals who had direct contact with the first group of cases.
First reports of the epidemic were received by the Divi-
sion of Foreign Quarantine on May 25, when 48 cases
were confirmed.
Two cases have occurred in Dundee;both individuals
became infected in Aberdeen. Thus far, all others have
occurred in Aberdeen residents.
Phage trpe 34 is identified in the confirmed cases.
This is an extremely rare phage type.
A meat product canned in South America is suspect.
One po-.sibility under investigation is that a meat slicing
machine became contaminated by this product; in turn,
other cold meats might have been contaminated.Remaining
cans from the shipment are being removed from sale.
Aberdeen has closed schools until further notice.
All persons not having urgent business in Aberdeen are
asked to delay their travel there.

iRepoted ,y Dr. Joe L. Stockard, Assistant Chief for
Epiden, ,,!,,iy and Immunization, Division of F,,rv,:,,
Qunarainf'. U. S. Public Health Service, W.. i,'i .:',,i.
D. C. )


POLIOMYELITIS Chile

A total of 228 cases of poliomyelitis was reported in
Chile this year through May 2. Santiago Province reported
140 cases, Valparaiso Province 15 cases, and O'Higgins
and Valdivia Provinces 9 cases each. The remaining 55
cases occurred in 12 other Provinces. An earlier report
of this epidemic appeared in MMWR, Vol. 13, p. 132.
The outbreak of poliomyelitis in the Province of
Santiago, which began in the middle of January, 1964,
reached its highest incidence Jlring February and the
first half of March. The weekly numbers of cases by date
of hospitalization show a maximum of 18 cases in each of
the weeks which ended February 15, February 22 and
March 14, and a eradual decline during subsequent weeks.
Smaller outbreaks continued to occur in northern and
southern regions of the country during April.
Of the 140 cases reported in Santiago Province
through May 2, the ages are known for 121 as shown
below. The cases have been concentrated in the pre-
school age group with 95 percent under 5 ,ears-of-age.
In fact, 80 percent of the cases occurred in children
under 3 years-of-age.


AGE
Under 6 mos.
6.11 mos.
1
2
3
4
5
6
7+


CASES

9
27
36
25
12
6
3
2
1
121


%OF
TOTAL
7
22
30
21
10
5
2
2


Trivalent oral polio vaccine was administered in
Santiago Province during February and March. A total
of 140,952 children under the age of 5 were given a first
dose; 29,222 received the second dose, and 18,163 were
revaccinated. A total of 17,211 doses were administered
to persons over the age of 5. The second stage of the
camp aien began April 20.
The age distribution is very similar to the Santiago
Province epidemic in late 1961, when 80 percent of the
cases also were under 3 years-of-age. In that epidemic.
approximately 480 cases were reported during the last 13
weeks of 1961. In December, 1961, there were 404,263
children between 3 months and 7 tears-of-age vaccinated
in a mass oral polio immunization program in Santiago
Pro, inLt with Type I (97 percent of the estimated popu-
lation in this age group).

(Reported in the Weekly Epi!/". ,' ,ul ,,l.;',.. R. p,,rt. Pan
American .sr,ti ..:y BHur, u, World Health Oria',u l'ln,.
Vol. 3 ,, Nos. 20 and 21, May 13 and 2u, 1'n.,.


187










188 11orlbidil, and MIortality M eekl Report



IhiL 4i ( AMSP OF SPI( IFIEl) NOTIFIABLE DISEASES UNITED STATES

FOR WEEK ~ ENDED

MAY W0 1964 AND JUNE I 196i ( 22nd WEFK)


Encephal tli

Mentinllis Primary Post-Inf. PollimyeLltis, Total Cases PL iomyelC 1 s, Paralytic
Area
Cumulative Cumulatlve
196. 1963 1964 1964 1964 1963 1964 1963 1964 1963 1964 1963

UNITED STATES... 42 26 39 34 1 3 32 57 1 1 25 69

NEW ENGLAND.......... 3 1
Matine .............. 1 1
Netw lampshire...... -
V rm nt ............ -
Masaachuset ...... -
Rhode Island....... -
Connecticut......... ---

MIDDLE ATLANTIC...... 5 2 14 3 2 5 7 5 5
New Y.Yrk City...... 2 2 1 1 -
Neu York, Up-State. 2 2 1 2 2 4 2 4
New Jersey......... I 9 2 2 -
Penn'ylvans ....... 2 2 3 1

EA'T NORTH CENTRAL... 3 3 2 6 3 15 3 12
Ohio................ 1 1 -- 2 4 2 3
Indiana............ 1 I- -
Illinois....... .... 1 1 5 1 6 1 5
Michigan........... 2 1 I 3 3
Wisconsin.......... -- 1 -

WEST NORTH CENTRAL... 1 2 1 1 1 1
Minnesoc a .......... 1 2 1 1 1
IOW a.................... -
Miss.uri......... ... -
North Dakota....... -
South Dakota ....... -
Nebraska........... .
Kansas ............ -

4OUTH ATLANTIC....... 4 4 5 1 14 6 11 5
De la-are........... 1- -
Maryland........... -
DLit. of Columbha.. _
Virginia........... 2 -- 1 I
West Virginia...... 1 .
North Carolina...... 1 5 2 2 2
South Carolina..... I 2 -2 -
Georgia............ 1 1 1 1 -
Florida ............ 1 3 3 4 2 4 2

EAST SOUTH CENTRAL... 10 1 7 1 3 3 1 2
Kentucky ........... 6 2 -
Tennessee.......... 3 1 1 1 1
Alabama.............. 1 2 2 1 1
Mssssipp........ I 5 -

WEST SOUTH CENTRAL... 3 1 1 2 13 1 1 2 13
Arkansab........... -
L.u istana......... 1 11 I 11
SI lah.Rna............ 1 1 1 1
Texa ............... 3 1 2 1 2

MOU';TAN ............... 2 3 3 1 2 1
Montana... ....... ... 2 -
Idah,............... .. 1 -
Wyo mlng ............. 1 -
C olorrad ........... 1 1-
New Mexico.......... 1 -
Ar i.Z nda............- -
Utah ............... .
Nevada .............. .

PACIFIC............ .... 17 11 4 23 1 10 1 9
WashinRton........... 4 4 1 I
OrePion............. 4 -- I I 1 1
Calif.rnia......... 12 11 4 15 8 7
Alaska ............. -
Haua ............. 1

Puert, Rico 1 4 1 4










Mlorliditl and Morlalit\ Weekly Report 189


Tablc 5. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES

FOR WEEKS ENDED

MAY 50 1964 AND JUNE 1 196 ( 22nd WEEK) Continued


Infectious Hepartt L
Brucellosis Diphtheria including Serum Hepatitis Typhoid Fever

Area Under 20 years Age
Cun. Cum. Total 20 years and over Unknown Cumulative Cum.

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

UNITED STATES... 1 161 9 113 650 305 287 58 18,987 21,001 11 155

NEW ENGLAND.......... 2 5 26 48 24 19 5 1,957 2,354 2 10
Maine.............. 5 23 18 11 6 1 670 1,091 -
New Hampshire...... 4 3 1 140 164 -
Vermont............ 10 5 3 2 248 30 -
Massachusetts...... 2 3 14 8 5 1 386 695 5
Rhode Island....... 105 55 2 5
Connecticut ....... 2 2 408 319 -

MIDDLE ATLANTIC...... 3 1 5 157 69 88 4,302 4,032 1 25
New York City...... 1 23 2 21 618 539 1 11
New York, Up-State. 1 67 36 31 1,908 1,800 4
New Jersey......... 2 29 10 19 794 612 1
Pennsylvania....... 2 1 2 38 21 17 982 1,081 9

EAST NORTH CENTRAL... 19 6 115 58 50 7 2,896 3,359 5 35
Ohio............... 1 30 17 13 758 965 2 19
Indiana............ 1 12 10 2 250 324 2 7
Illinois........... 12 6 27 12 14 1 489 719 1 5
Michigan............ 2 39 19 20 1,188 1,190 3
Wisconsin.......... 3 7 1 6 211 161 1

WEST NORTH CENTRAL... 1 78 I 19 25 14 7 4 1,067 967 12
Minnesota.......... 2 1 11 3 1 2 94 162 -
Iowa............... 1 46 5 2 3 161 165 3
Missouri............ 4 1 260 382 5
North Dakota....... 2 1 1 42 28 -
South Dakota....... 12 1 2 1 1 104 48 1
Nebraska............ 10 2 1 1 24 72 -
Kansas.............. 2 7 11 8 3 382 110 3

SOUTH ATLANTIC....... 15 1 23 55 30 19 6 1,819 2,226 1 31
Delaware........... 40 29 -
Maryland........... 7 4 3 348 254 1
Dist. of Columbia.. 1 30 66 -
Virginia........... 6 6 2 3 1 268 -83 7
West Virginia...... 8 6 2 304 360 -
North Carolina..... 1 5 4 1 334 575 1 11
South Carolina..... 1 4 4 1 3 65 84 3
Georgia............ 6 17 1 1 41 89 I
Florida............. 2 2 23 12 9 2 389 286 8

EAST SOUTH CENTRAL... 8 1 5 41 25 16 1,303 2,211 19
Kentucky............ 3 13 10 3 549 637 6
Tennessee.......... 1 1 13 8 5 457 889 7
Alabama............. 3 2 12 5 7 185 328 5
Mississippi........ 1 1 2 3 2 1 112 357 I

WEST SOUTH CENTRAL... 12 16 47 30 15 2 1,376 1,384 2 12
Arkansas........... 3 3 3 153 160 1 6
Louisiana......... 1 5 11 8 3 300 254 1 2
Oklahoma............ 1 2 2 77 72 3
Texas............... 7 11 31 17 12 2 846 898 I

MOUNTAIN............. 13 1 41 3 5 33 1,223 1,412 1
Montana............. 1 1 112 202 -
Idaho.............. 16 16 127 219 -
Wyoming........... 38 21 -
Colorado............ 3 3 353 299 -
New Mexico......... I 1 4 2 2 175 170 -
Arizona............ 1 13 13 271 323 1
Utah............... 10 3 3 110 168 -
Nevada.............. 1 1 1 37 10 -

PACIFIC............. 11 12 121 52 68 1 3,044 3,056 10
Washington........ 11 10 5 5 334 516 -
Oregon............. 1 19 9 10 343 409 -
California......... 10 1 91 38 53 2,219 2,050 9
Alaska.............. 1 90 63 -
Hauai ............. 58 18 -

Puerto Rico 3 7 7 327 309 7










IlI) 'lorhidilM adii Mlortality ik r ll

I.lih A ( AMs ()1 %P( IFI-II) NOTIFIABLE DISLASIS I. NITF) STATFS

FOR WV ES INDI-

MAY 41) i.1 AND) JlN 1 )196 ( 22nd l k) .(.uniinutJ


rrpt i Loc .il
Mn, ang-t ..il 'I.-r ThTr.at Ind Rablc- in
I, i. 1. niln 1 i S-ar lr Ft.vr T.ranu. 'lularJnm .i Animals
Ar. -- --------------------------- I -
Cumulu t iv, < um. CI m. Cum.
1'6.- 1'46. 1'. 16h3 1q6- 1963 196u 9 l )6 196.4 19b'i

itrTEDin .1E'... .'-,569 37 1,286 1,281 6,782 5,522 6 89 12 109 80 2.025

' f'. ENi LAND .......... 558 37 79 982 649 I 12
L n.r ............... 155. 5 13 103 108 10
%,S. H.ipsh r ..i 7 2 1 14 I
V, r-,. n ............. 0O I 2 18 8 I
1- .- h..h, .. t r ....... 162 lb 37 88 123 I -
Rh !. I .in1I.. ... 93 2 7 89 2 -
n i. t i .......... 10 13 18 683 35 -

MIDDLE ATLANTIC...... 2,211 2 121 176 464 456 1 5 3 47
'.,- \ rL Cit ...... 516 1I 21 23 23 21
% ). ri I r-'-iI itie. 682 I <5 53 322 250 1 3 45
N,.. I 'r r ......... .54 l,- 26 49 66 I 3 -
Pnns-'. lvjnL ....... 559 .1 74 70 119 I 2

EA-T NI1RTH CENTRAL... 5,25 3 195 209 927 667 I 8 1 10 18 269
'hM ............... 1,111 1 56 59 132 48 1 2 1 10 142
Indian. ..... ... .. 932 32 24 124 89 1 1 I 1 13
lIlinlnn ............ 693 2 43 34 140 72 4 6 3 64
Michi n .......... 1,570 46 66 350 235 1 1 3 23
isc.nin .n .......... 39 18 26 181 223 1 1 27

rEST NORTH CENTRAL... 5,492 3 77 75 192 192 2 5 24 25 639
Minni -t .......... 14 13 20 13 1 6 194
I.,a ................ 5,251 3 4 48 52 1 2 1 16 220
MLNss*ur ........... .. 9 42 27 4 4 2 14 2 106
Nrth Da o.Lta....... 232 2 8 3 113 86 35
';outh DaL..... a..... 7 13 I 1 1 55
N;, bra Jk ........... 1 5 19 16
kans ............. NN 5 5 24 8 13

SL'TH ATLANTIC ....... 1,554 11 289 239 657 391 1 37 17 4 283
Delauir. .......... 8 2 1 4 -
.ir land........... 5- 1 21 37 69 50 2
Dist. *'t C.luntb ja.. 5 q 9 4 1 -
Virr ini ........... 731 33 57 196 118 5 3 1 176
Wes. Virginia...... 371 20 13 210 123 I IB
Nr h ar i na..... 10 2 48 39 6 16 I II 4 3
.,ut h Car lu a..... 122 3 46 13 46 11 3 -
(e- risa ............ 7 27 12 9 3 I 10 2 48
lrld .............. 241 5 81 62 119 64 1. 1 38

EAST SOL'TH CENTRAL... 2,943 2 125 101 919 774 11 16 5 283
Krntuck ............ 91 1 43 22 17 8 1 I 38
Tenn srr .......... 964 1 -3 45 864 725 5 11 5 232
Alaha.m. ........... 1,798 22 18 2 19 .. 3 13
Mrs' lssippi ........ 90 17 16 36 22 I ] -

WE;T OtV'TH CENTRAL... 2,,'0 3 121 135 376 559 10 6 28 10 299
Arkania ............. 37 1 13 8 9 2 4 13 1 77
L.. Jl siana ......... 2 87 55 9 15 3 29
n I lah.-a............ 58 A 27 27 2 14 1 43
Texas............... 2,325 17 45 33] ,44 5 I 8 150

MOL'NTAIN ............. 733 i ,8 42 939 942 2 5 14 3 79
Mon. ana............. 121 3 60 14 6 -
Idahi............... 79 1 3 99 79 -
Wv- ing ............ 4. 3 1 22 -
C .I 'r.d ............ 98 10 11 297 331 2 4
New Mexic ........... 3 20 3 182 281 1 38
Ariz na............ 252 3 7 11 104 1 37
U tah............... 176 I 11 183 I1 1 -
N vada ............. 3 -

PACIFIC............... 3,413 1, 273 225 1,326 892 1 10 12 114
W'jhinwl i ......... 1,08I 9 1 1 ]6 408 24i I -
.a" .. .... .. ..- '45 1 17 13 19 13 1
Calif ,rn ......... 1,8,+9 + 222 186 832 530 1 9 12 113
AI1 .i ............ 1 b 5 37 -
Hau a .... ......... 16 7 5 30 101 -

Purri i', 7 1 17 18 13 31 I 9
_______~ ~~ __ I I_ I_ _










llorlbidit andl Mortlali \\eekl Report






I il i (ll) RIP()R IID PNII M()NIAINII.L'I /. 1 D AI IIu IN RI POR I IN(. ( I II



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


For weeks ending


5/9 5/16 1 5/23 5/30


NEW ENGLAND
Boston, 1ias ............... 3 10 3 14
Bridgeport, Conn......... 1 3 4 7
Cambridge, ass ........... -
Fall River, Liss .......... 1 2 1
Hartford, Conn............ 1 I 1
Lowell, Mas ............... 2 5 3 4
Lynn, Mass................ I I 2 1
New Bedford, Miss......... 1 2 2
New Haven, Conn........... 1 1 -
Provideni e, R.I ........... 3 2 -
Somerv 1 1lc, Mas .......... 1 2
Springfield, Mass......... 4 3 8 5
Waterbury, Conn........... -
Worcester, Hass........... 6 3 5 6

MIDDLE ATLANTIC:
Albany, N.Y. .............. 2- 2 -
Allentown, Pa ............. I 1 1 2
Buffalo, N.Y.............. 5 2 4 2
Camden, N.J ............... 1 3 1 1
Elizabeth, N.J............ -
Erie, Pa.................. 1 2 4
Jersey City, t'.J.......... 6 8 6 2
Ni wark, 11.J............... 5 5 4 9
NeL York City, I.Y........ 68 65 60 71
Paterson, .J ............. 2 u 2
Philadelphia, Pa.......... 9 10 5 12
Pittsburgh, Pa............ 1 3 8 3
Reading, Pa................ 5 2 4 3
Rochester, N.Y............. 8 7 7 5
Schenectady, Il.Y........... 1 3 -
Scranton, PaJ............. 1 2 1 -
Syratuse, N.Y............. 6 I 2 3
Trenton, N.J .............. 2 1 3
Utica, N.Y................ 3 1
Yonkers, N.Y.............. 2 3 2 2

EAST NORTH CENTRAL:
Akron, Ohio ............... 1 1 1
Canton, Ohio .............. 2 3 3
ChiicaV Ill................ 38 34 27 29
Cxncinnati, Ohio........... 4 i 3 7
Cleveland, Ohio........... 3 3 4*
Columbus, Ohio.........**. 2 2 3 2
Dayton, Ohic.............. 2 4 -
Detroit, Mich ............. 15 13 9 8
Evansville, Ind........... 1 I 2 4
Flint, Mich................ I 4 1 5
Fore Wayne, Ind........... 1 3 1 3
CGar Ind.................. 1 3 2 -
Crand Rapids, rich........ 5 2 5
Indianapolis, Ind......... 6 2 3 3
Madison, Us ............... -
Milwaukee, 1.1 ........... 4 2 I 4
Pe.ori ill............... 1 2
Rockford, Il ............. I 2 3 2 2
.-uth B~nd, Ind........... I 2 2 6
Tol. 'hi) ... ............... 2 i
Youn, t.,.-n. Oh i ........... 2 i

WEST NORTH CENTRAL:
Des 'lointe l .ai. ........... 7 I 1 5
Duluth, inn .......... .. .. I -
Kansao C 't., Li15ns ......... 3 4 3 3*
Kansas Cit>, Mc............. 8 4 6 4
Lincol n. lNebr............. 1 3 -
Mi-nneapolis, mEin.......... 4 2 5
Omaha, Ntbr ............... 2 1 3 1
St. Louis, ................ 6 7 6 5
St. Paul, Minn ............ 3 2 1 3
Wichitc Kans.............. 5 5 5 3


*Estimate based on average pirca nt of divisiorial total.
Totals for previous Weeks include reported correction,.

h01F \l1 death- bi pll ,e l t- urn t r


SOUTH ATLANTIC:
Atlanta, Ga..............
Baltirnr,r Id ............
Charlotte, N.L ...........
Jacksonville, F i.........
Il .~I, Fla................
Nor olk, Va ..............
R L hmond, Va.... ........
,.siannah, G .............
St. Pcccrabour,, Fla......
lampa, Fla...............
La 'hi.rgtion, D.C..........
Wiliinn ton, D l ..........

EASI SOUtiH CENITRA.:
Biri, i n hamr, Ala ...... .
Chattan .p Terin. ........
LKnou svi It Tc ...........
L .u i 'i 1 ill X- . .
lemiphi Tenn............
Mobi !c, Al ..............
ilont E,'r r i Ala ..........
:.ishv lle, Tcnn ..........

WEST tOL'TH CE'lTRAL:
Aui.t in, T'x. ..... .
B.,L -li RouLe L. .........
Corpus Chri cit, lex......
Daill.s, Tex...............
El P. o, Te .............
F.-rt Vi.rtrch, Tr ..........
Hous.torn, T................
Little RcA Ark .........
lcij Orleans, La..........
uklahona City, O la ......
San Antonio, T-:...........
Shreveport, La ...........
Tulsa, Okla ..............

lOiULNT.It;:
.-ilbtquercque, 1N. 1r ......
,-.l.'raJ, Spring, Coil....
Denver, Col..............
dedcan, L Uth.. ...........
Ph. ni', Ariz ............
P,.blbO, Col.- ............
-air LaC. r C n Lt r .....
iL. n, .. .........

PAC IFIC:
B,. r l. ', (.alif ..........
Fr.. n- Cali ............
l nJ3al C i ff ..........
H.t n. I j Ha i ........
L.re Be achi, Ca if ........
i ~t R e; Cal f .......
Oak .i nl C 1 i........... .
Ps id.-n C l I..........
P .rt nd, Or,.c ..........
S i.- r i, ntn, C al I ........
'un Di.-c. C 1 1 ........
-an F r n r, ., 1 1 1 ... .
orn I. : C lif ..........
:.. ttlE, W3 th ............
p.-.l ni Wa h ............
Tal ama, l ish............. .

can Juan, P.R ..............


For iueck ending


5/16


4 9
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5/11


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Current WeeC Mortality for 10I8 etI. iLte'r Citis

-(A) T-,tal tic.rtal ity, ,ll L:cs ............ 11,125
S.(BI Pneum-,niia-Int lu. nza ULtactha, ill ag ........ 440
-,(C) Total [Deathli under I i .ir t Ag ............. 65
,(D) i:tal D,:.-chs, Persons 65 vcir and ovti .r... ,12v


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Morbidilv and Mortality Weekly Report


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS

Th,. vrc.kl aiterage number of pnrumon ia-influcnza
death. lotr Ihr lour-uccL.ek prrIoJd nding Ma\ I0 wa. a l
.1, cLomparrd wirh an ixxprd ctJ wrek-ki average of 4I1.





Pneumonia-Influenza Deaths in 108 Cities

Week Ending 4 Week Weekly

5 9 5 16 5 23 5 30 Total Average

Observed 437 415 373 440 1,665 416
Expected 476 466 456 447 1,845 461
Excess -39 -51 -83 -7 -180 -45


*PXP
*.

IY e -XS
PZ4"


PNEUMONIA-LINFLUENZA DEATHS in tO0 LAS CrfT3C
**aU*tZ .


lt.l,:. i


, 6. ,


.9e1
CAIoaaurn -m .... .,...


(See Table, page 191)


SMALLPOX Argentina


Three imported cases of smallpox were reported in
Boli%,an visitors to Argentina. Two girls, age 8 months
and 7 years, were diagnosed as cases of variola minor
(alastrim) on May 11 in La Quiaca, Jujuy Protince,
Argentina. On May 18, a third case was diagnosed. All
3 indi iduals were repatriated to Bolivia Revaccination
of the population near the border is in progress.


IRrprtei in Ii rikly Epi.fem.'ological Report, Pan Ameri-
Can .iLSnitary Rurrau, RH.', Vol. 3. No. 22. Hay '7, 19641





Immunization rInformatior for In temarnianal Travel
1'm 3-1 edition Puiblc HTalti, Srrr-irr Pu'li~taton N o. 38.

SECTION 5 AFRICA
Rhodesia (Southern), page 30
Insert:
Smallpox Cerrificare required from all travellers arriving
from Northern Rhodesia and '\asaland.
All other information remains the same.


T t MORSBITV AND MORIT YALTY *EEKLY REPOR. frt A CIRCUL*
L AT10N OF 1.1,OO IS PUBU.ISdLO ,P T-nE CO-Ou.* ABLE DISE 5SE
C NT EtR ATIANTA. GEORGIA.
C EF. COEMMUNICAL( DISErAS CENTR JAM.E L GODCDARD, M,..
C. .. tPOM.l..ODY 9RANCC A ANGOUIR. UM.D.
C IET STAT* TICS ACTION H. Si LING 5 P4,OD.
ASSI CLSrf. STTITICS SCCTIONM L. I-Eq*-A. "
C- EC. SURAILtANCC SECTION o. -., ENOESON M.D.
COBTOr, IACrR L. I. ALTMAN. M.D.
iN AD*DIION TO TH-E EITAgLiSbEm. PRaOCEDLREkS FOR REPORTING
MO."I TT AND MOmlAL1T TNE COMMUNICABLE DISEASE CENTER
AEI..COMEI 4CCD NTI Or ISNI ITCEN0 OU'OyET S OR CASES. IUC-
ACCOUNTS MOULO BE ADDRESSEBl TO
LAI-rnNCEE L-MAIN MO., EoDTrr
IMORB LDIT Ae uOR TAL TT WEERL RE PORT
COMMUNICABLE DIs*ASE CENTE
A-LANTA GEOROI'A 1711
MOTES T-ESIE PRQVISIONAL DATA A*RE BASED IO AECELI 'EL6
-orpa TO TlN COMMUNICABLE DISEASE CENFEsR 4Y -ir I*CD'.'rL'*.
5IY BOLI .I DAtA NOT Av .tL PLE
ca'**C E'. f sl C 'ST l r I r. e eC a -l-' C "j-. E S
A* BE CBe AE- c rC Du S*'A 5s.CS SE f'-ON C OMMUN C ABLE C-S-
rASC CEr..r r I .'_ C -E L ... S E.- .E AC E0 C' A E. a .F A I A.-A G EO GIA 303i 1


SNIV T D PT.





SI DEPOSITOR

U S DEPOSITORY


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3 1262 08864 2921


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