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:
AA00010654:00434

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

r'_ ; &C?


Morbidity and Mortality


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

PUBLIC HEALTH SERVICE SEP
SEP 1g94
Prepared by the OM AB 634-5131

For release August 21, 1964 ATLANTA, GEORGIA 30333 vN
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STA N
DEATHS IN SELECTED CITIES FOR WEEK FNDI 1)AUGUST 15, 1964


ASEPTIC MENINGITIS


A total of 88 cases of aseptic meningitis was reported
for the week ended August 15. This brings to 1,084 the
cumulative total thus far in 1964. For the comparable
period of 1963, 961 cases were reported. The cumulative
cases through the 33rd week and the annual totals since
1960 are shown in the accompanying table.


The five States in the Pacific region have reported
388 cases (36 percent of the national total). Of these,
325 cases were reported from California; this year's
cumulative total is not abnormally high for that State.


Of this week's reports, the 30 cases in Kentucky
reflect an outbreak of ECHO-4 meningitis in Nelson County;
an epidemiologic report appears on page 282.

Cumulative Cases Through 33rd Week

1964 1963 1962 1961 1960
1084 961 1167 1419 1363
Annual Totals
1831* 2654 5162 1593
Provisional total.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
33 rd Week Ended Cumulative, First 33 Weeks
Disease August 15, August 17, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 88 45 --- 1,084 961 ---
Brucellosis ....................... 14 7 10 270 233 388
Diphtheria ........................ 5 1 5 165 153 353
Encephalitis, primary infectious.. 35 --- 1,237 ---
Encephalitis, post-infectious ..... 14 27 --- 656 993 -
Hepatitis, infectious including
serum hepatitis ................ 541 746 746 25,368 28,354 28,356
Measles .......................... 919 1,183 1,407 431,759 355,346 383,740
Meningococcal infections .......... 27 25 30 1,798 1,665 1,556
Poliomyelitis, Total .............. 1 23 69 65 182 482
Paralytic ...................... 1 23 48 54 155 322
Nonparaly ic ................... --- 8 16 ---
Unspecified .................. ---- 3 11 ---
Streptococcal Sore Throat and
Scarlet fever .................. 4,079 2,828 --- 279,339 238,988 ---
Tetanus .......................... 7 1 --- 165 1S3 ---
Tularemia ......................... 10 10 --- 217 185 ---
Typhoid fever ..................... 6 20 21 255 288 451
Rabies in Animals ................. 81 81 63 2,964 2,509 2,505

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 2 Psittacosis: Ill 1, Ohio 1 26
Botulism: 11 Rabies in Man:
leptospirosis-Md 1, Tenn 1 26 Smallpox:
Malaria: N.Y. Upstate 1, Ga 2, Calif 1 55 Typhus-
Plague: Murine: Mich 1 17
R__ky Mt. Spotted: NJ-1, Ill-1, NC-4, Ala-1, Va-4, 145
Ore-1, Ohio-1, Okla-l






Morbidity and Mortality Weekly Report


ASEPTIC MENINGITIS

Nelson County, Kentucky Reported through August 8, 1964


E1F


P" |uM


*-_ _i r _1 _I I/ ,rr /_ I [_ ___ 1 -


4 6 8


14 16


18 20 22 24 26' 28 30 I


JULY


AUGUST


Date of Report


ASEPTIC MENINGITIS Kentucky
Since July 5, a total of 71 cases of aseptic meningi-
tis have been reported in Nelson County, Kentucky. Most
of the cases occurred among school-age children. The
illness is characterized by the sudden onset of severe
headache, fever to 1030 F, occasional chills, stiff neck,
backache, sore throat, vomiting and anorexia. Two cases
developed a faint macular rash. The duration of the
illness is 3 to 7 days. Two separate waves of the illness
were noted (See accompanying graph). There is evidence
of continuing spread throughout Nelson County.
In those patients from whom cerebrospinal fluid was
obtained, a range of 40 to 100 cells was seen; the per-
centage of lymphocytes varied from 40 to 100 percent.
ECHO-4 virus has been recovered from the stools of
11 of the patients and from the spinal fluid of 2 others.
The spinal fluid isolations were made at the Virus Ref-
erence Laboratory of the CDC.
(Reported by Mr. J. Clifford Todd, M.P.H., State Epidemi-
ologist, Kentucky State Department of Health.)


SALMONELLOSIS Minnesota
Two cases of salmonellosis in 2 Minnesota families
were traced epidemiologically to infected turtles.
The first involved a 9-year-old boy who purchased 2
turtles in May. He experienced abdominal cramps, elevated
temperature and one episode of bloody diarrhea on June 1.
These symptoms persisted 3 days. Salmonella braenderup
was recovered from the patient's stool, the turtle water at
home, and turtle water at the retail store of origin.
The second incident involved 2 siblings, aged 2 and
4. The 4-year-old girl experienced elevated temperature
and diarrhea on June 5. Salmonella panama was cultured
from her stool. The same organism was cultured from the
2-year-old, who was asymptomatic. Although they had 2
pet turtles in their home for one year, they handled them
for the 2 previous months only. About 6 weeks before this
episode, the children cared for a neighbor's newly ac-
quired turtle during that family's vacation; the children
placed the neighbor's turtle in the bowl with their 2


(Continued on page 288)


282


EF






Morbidity and Mortality Weekly Report




STAPHYLOCOCCAL FOOD POISONING ON A MILITARY BASE
CASE BY ONSET OF FIRST SYMPTOMS
JULY 29, 1964


BREAKFAST
MEAL
v---r r


6


8


I I
2


4


I I
6


8
8


10
IO


AMIPM
I
TIME OF ONSET IN HALF-HOUR INTERVALS



STAPHYLOCOCCAL FOOD POISONING
Southern Military Installation


An outbreak of gastroenteritis affecting at least 68
men occurred at a military installation in the South on
July 29. The majority of cases had their onset 2 to 6 hours
following the breakfast meal. (See accompanying graph).
Diarrhea and vomiting were the main symptoms with some
of the men complaining of cramping abdominal pains also.
Epidemiologic investigation revealed chipped beef
with cream sauce to be the probable vehicle of contami-
nation (see table). Staphylococci were cultured from this
food in large amounts and was shown to be the same phage
type as that cultured from the nose and a hand lesion of


the matn who prepared the beef. Studies to determine if
this strain is an enterotoxin-producer are in progress.
The salted beef had been stored in a frozen food
locker for 6 months and was removed in order to thaw on
the afternoon of July 28. After thawing several hours, it
was placed in a pan of water and left overnight at room
temperature. A sauce was prepared the morning of July 29
and added to the beef immediately prior to being served,
but the meat was never cooked.

(Reported by a team from CDC).


Consumed Food Did Not Consume Food
Type of Food Attack Attack
No. III Rate (%) No. III Rate (%)
Tomato Juice 204 47 23 263 21 8
Canteloupe 290 53 18 177 15 8
Chipped Beef
with Sauce 147 60 41 320 8 3
Potatoes 161 44 27 306 24 8
Eggs 169 39 23 298 29 10
Pastry 204 34 17 263 34 13
Toast 238 46 19 229 22 10
Milk 301 50 17 166 18 11


283


;-- M,


I I
4


~in









284 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR 'WEEKS ENDED

AUGUST 15, 1964 AND AUGUST 17, 1963 (33RD WEEK)


Aseptic Encephalitis
Aseptic
Meningitis Primary Post-Inf. Poliomyelitis, Total Cases Poliomyelitis, Paralytic
Area
Cumulative Cumulative
1964 1963 1964 1964 1964 1963 1964 1963 1964 1963 1964 1963
UNITED STATES... 88 45 35 14 1 23 65 182 1 23 54 155

NEW ENGLAND........... 2 2 1 1 2 1 2
Maine.............. 1 1
New Hampshire ...... -
Vermont........... -
Massachusetts...... 1 1
Rhode Island....... 2 1 -
Connecticut ........ 1 1 1 -

MIDDLE ATLANTIC...... 13 8 3 10 40 3 10 30
New York City...... 1 2 1 1 -
New York, Up-State. 7 2 7 7 7 5
New Jersey......... 2 3 2 1 2 1
Pennsylvania....... 3 1 3 32 3 24

EAST NORTH CENTRAL... 9 9 5 5 9 29 5 8 21
Ohio................ 1 1 2 1 2 8 1 2 4
Indiana............ 1 1 2 1 1
Illinois........... 3 3 2 2 4 11 2 4 10
Michigan ........... 5 4 1 1 1 4 1 4
Wisconsin.......... 1 1 4 1 1 2

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

SOUTH ATLANTIC....... 1 4 12 3 22 26 3 17 23
Delaware............ 1 1 1 1
Maryland............ 1 1 1 1 -
Dist. of Columbia.. 2 -
Virginia............ 1 4 2 1
West Virginia...... 1 1 2 1 2
North Carolina..... 9 3 5 3
South Carolina..... 2 5 2 4
Georgia............. 2 1 1 6 1 1 5
Florida............. 5 1 8 7 1 7 7

EAST SOUTH CENTRAL... 31 5 1 9 5 38 9 4 36
Kentucky............ 30 4 -
Tennessee......... 1 3 5 1 2 5
Alabama.............. 1 7 2 30 7 2 28
Mississippi........ 1 1 3 1 3

WEST SOUTH CENTRAL... 7 6 2 1 1 6 21 1 1 6 21
Arkansas............ 3 3 3
Louisiana.......... 13 13
Oklahoma............ 1 1 2 2 2
Texas............... 6 2 1 1 4 5 1 1 4 5

MOUNTAIN............. 2 6 2 3 1
Montana............ -
Idaho .............. I 1
Wyoming............. 2 2
Colorado........... 1 I
New Mexico......... 3 1 -
Arizona.......... .. 1 -
Utah............... -
Nevada............. -

PACIFIC.............. 25 14 4 13 2 3 19 2 3 17
Washington........... 1 1 1 2 1 2
Oregon ............ 1 1 2 1 1
California......... 23 14 4 12 1 2 15 1 2 14
Alaska.............. -
Hawaii.............. -

Puerto Rico 4 4








Morbidily and Mortality Weekly Report 285


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

AUGUST 15, 1964 AND AUGUST 17, 1963 (33RD WEEK) CONTINUED


Infectious Hepatitis
Brucellosis Diphtheria including Serum Hepatitis Typhoid Fever

Area Under 20 years Age
Cum. Cum. Total 20 years and over Unknown Cumulative Cum.
1964 1964 1964 1964 1964 1964 1964 1964 1964 1963 1964 1964

UNITED STATES... 14 270 5 165 541 234 279 28 25,368 28,354 6 255

NEW ENGLAND........... 2 43 30 13 17 2,415 3,058 13
Maine.............. 39 10 5 5 787 1,394
New Hampshire ...... 4 1 3 177 267
Vermont............ 4 2 2 306 51
Massachusetts ...... 2 4 7 3 4 507 871 6
Rhode Island....... 125 72 6
Connecticut........ 5 2 3 513 403 1

MIDDLE ATLANTIC...... 1 5 7 122 53 69 5,697 5,532 3 40
New York City...... 3 16 3 13 864 813 15
New York, Up-State, 2 50 19 31 2,532 2,449 1 9
New Jersey.......... 2 18 5 13 1,003 832 1
Pennsylvania....... 1 3 2 38 26 12 1,298 1,438 2 15

EAST NORTH CENTRAL... 2 35 8 87 39 44 4 3,923 4,639 60
Ohio............... 2 25 6 16 3 1,039 1,280 23
Indiana............ 1 1 5 2 2 1 346 419 11
Illinois........... 1 22 6 22 12 10 694 995 14
Michigan........... 5 1 32 16 16 1,547 1,740 9
Wisconsin.......... 1 5 3 3 297 205 3

WEST NORTH CENTRAL... 2 122 2 24 28 12 13 3 1,370 1,283 2 24
Minnesota.......... 1 7 11 5 1 3 1 143 199 2
Iowa............... 1 79 11 6 5 198 237 3
Missouri............ 8 1 3 1 1 1 342 478 1 9
North Dakota....... 2 2 52 37 2
South Dakota....... 13 1 1 1 112 79 1
Nebraska........... 11 2 2 1 1 35 92 1 3
Kansas............. 2 7 7 3 4 488 161 4

SOUTH ATLANTIC....... 2 27 3 34 58 30 28 2,392 2,889 54
Delaware........... 2 2 46 40
Maryland........... 6 5 1 448 349 3
Dist. of Columbia.. 1 1 40 82
Virginia........... 2 13 9 4 5 374 607 10
West Virginia..... 8 6 2 368 448
North Carolina..... 3 3 3 419 739 15
South Carolina ..... 7 5 2 3 90 120 10
Georgia............. 8 20 60 119 2
Florida............ 3 3 7 24 11 13 547 385 14

EAST SOUTH CENTRAL... 2 14 6 22 10 12 1,768 2,751 25
Kentucky........... 1 4 4 2 2 685 794 7
Tennessee........... 4 1 15 7 8 601 1,065 11
Alabama............ 1 4 3 1 1 319 427 5
Mississippi........ 2 2 2 1 1 163 465 2

WEST SOUTH CENTRAL... 2 26 27 51 29 19 3 1,910 1,985 17
Arkansas........... 4 2 2 192 219 8
Louisiana.......... 1 3 5 14 9 5 439 389 3
Oklahoma............ 1 4 1 1 99 94 4
Texas.............. 15 22 34 18 13 3 1,180 1,283 2

MOUNTAIN ............. 3 24 2 29 8 3 18 1,559 1,836 7
Montana............ .- 3 1 2 140 240 -
Idaho.............. 6 6 189 288 -
Wyoming............ 1 1 48 25 1
Colorado........... 4 2 2 427 373 -
New Mexico......... 1 1 5 3 2 221 214 2
Arizona............ 2 1 8 8 355 430 4
Utah................ 3 20 2 1 1 129 250 -
Nevada............. 1 50 16 -

PACIFIC.............. 15 14 114 40 74 4,334 4,381 1 15
Washington.......... 13 4 1 3 473 750 2
Oregon.............. 2 6 2 4 479 548 -
California ........ 13 1 97 37 60 3,163 2,943 1 13
Alaska................ 131 109
Hawaii.............. 7 7 -- 88 31

Puerto Rico 9 20 16 4 563 509 9








286 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
AUGUST 15, 1964 AND AUGUST 17, 1963 (33RD WEEK) CONTINUED


Streptococcal
Meningococcal Sore Throat and Rabies in
Measles Meningitis Scarlet Fever Tetanus Tularemia Animals
Area --- --- ---- --- ----
Cumulative Cum. Cum. Cum.
1964 1964 1964 1963 1964 1963 1964 1964 1964 1964 1964 1964
UNITED STATES... 919 27 1,798 1,665 4,079 2,828 7 165 10 217 81 2,964

NEW ENGLAND.......... 87 1 50 103 314 166 8 1 28
Maine............... 14 5 17 87 5 24
New Hampshire...... 2 1 4 4 1
Vermont............ 6 1 3 2
Massachusetts...... 35 20 50 25 22 8 1 1
Rhode Island...... 10 1 8 9 7 9 -
Connecticut......... 20 15 20 191 130 -

MIDDLE ATLANTIC...... 76 10 242 231 130 99 1 16 2 86
New York City...... 19 1 33 35 3 7 -
New York, Up-State. 40 2 69 72 108 71 5 2 82
New Jersey......... 8 4 84 32 11 9 5 -
Pennsylvania....... 9 3 56 92 8 12 1 6 4

EAST NORTH CENTRAL... 191 3 256 260 345 139 30 16 14 417
Ohio............... 14 68 73 13 9 8 1 5 220
Indiana............... 39 1 40 31 135 30 5 2 1 20
Illinois........... 15 1 64 50 38 21 10 10 1 82
Michigan........... 78 1 57 79 100 50 6 1 1 41
Wisconsin.......... 45 27 27 59 29 1 2 6 54

WEST NORTH CENTRAL... 38 2 116 104 128 110 9 3 47 22 957
Minnesota.......... I 26 21 3 6 1 2 10 294
Iowa .............. 13 6 5 28 18 3 1 9 346
Missouri........... 1 2 55 33 25 4 3 2 24 145
North Dakota....... 15 15 8 64 27 1 49
South Dakota....... 8 5 2 4 1 1 12 73
Nebraska........... 6 21 2 28
Kansas............ NN 8 11 6 51 1 8 22

SOUTH ATLANTIC........ 67 3 383 313 483 284 3 50 20 18 405
Delaware.......... 6 2 11 1 -
Maryland........... 3 25 49 31 5 3 -
Dist. of Columbia.. 12 6 6 1 -
Virginia........... 4 1 46 72 101 84 5 4 7 216
West Virginia...... 26 27 16 145 60 1 1 25
North Carolina ..... 2 67 52 8 36 13 4 5
South Carolina ..... 49 15 12 16 4 2
Georgia............. 53 24 1 3 11 7 89
Florida............. 32 98 77 168 82 3 21 3 68

EAST SOUTH CENTRAL... 44 155 124 891 662 1 16 25 9 356
Kentucky........... 5 51 27 168 38 1 3 1 1 48
Tennessee.............. 38 52 54 692 592 8 17 8 293
Alabama............. 1 34 21 25 7 4 3 15
Mississippi........ 18 22 6 25 1 4 -

WEST SOUTH CENTRAL... 126 2 163 160 605 441 1 17 3 74 12 418
Arkansas........... 19 11 7 5 3 41 1 102
Louisiana........... 2 2 109 65 1 2 3 3 1 33
Oklahoma........... 7 7 29 14 6 19 1 71
Texas............... 117 28 55 583 433 1 9 11 9 212

MOUNTAIN ............. 114 65 55 630 516 1 5 1 31 1 104
Montana............. 18 3 10 30 18 -
Idaho............... 21 3 4 22 64 -
Wyoming............ 5 4 1 13 1 2 4 -
Colorado........... 15 11 14 179 100 8
New Mexico.......... 5 26 4 277 142 1 47
Arizona............. 37 5 9 103 67 1 1 46
Utah............... 16 7 14 38 99 1 1 9 1
Nevada............. 2 8 3 1 2

PACIFIC.............. 176 6 368 315 553 411 14 3 3 3 193
Washington......... 8 2 29 25 57 59 1 -
Oregon.............. 22 21 23 8 1 1 1 1 7
California......... 135 4 299 248 460 315 12 2 2 2 186
Alaska.............. 2 7 11 18 21 -
Hawaii............. 9 12 8 10 15 -

Puerto Rico 115 28 6 6 6 1 49 1 16








Morbidity and Mortality Weekly Report




Tabkl 4 (A) TOTAL DEATHS IN REPORTING CITIES


287


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

For weeks ending For weeks ending
Area 8/8____ Area _______

7/25 8/1 8/8 8/15 7/25 8/1 8/8 8/15


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................
Youngst-rwn. 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. ............


237
35
24
24
60
25
27
22
48
71
15
38
23
73


39
39
134
47
37
56
53
113
1,648
42
550
110
47
118
18
44
79
54
30
33


58
40
747
166
205
127
75
298
35
25
48
29
51
146
33
116
30
27
39
106
67


72
24
41
138
24
166
73
228
89
42


233
48
31
24
65
24
23
17
32
69
12
34
25
52


49
23
149
41
28
34
58
87
1,497
33
553
268
41
103
23
27
60
38
28
35


76
47
778
168
204
135
100
512
45
58
48
34
51
169
34
158
31
32
40
133
60


45
20
46
148
42
154
82
264
75
54


178
36
31
20
42
21
15
21
43
60
7
29
37
47


37
26
116
34
35
31
72
90
.,438
30
379
208
39
81
22
32
74
39
34
35


64
36
716
190
223
124
88
400
51
48
39
35*
48
182
38
131
34
32
25
119
56


65
16
43
128
25
124
64
251
79
49


229
45
18
18
60
24
16
22
38
67
11
46
24
47


42
42
130
36
30
35
69
86
1,480
36
296
174
48
94
21
38
55
37
25
25


47
35
697
166
182
112
87
314
38
48
31
60
50
168
30
111
19
24
40
69
57


71
17
43*
141
25
127
89
253
75
58


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 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 ............


oCurrent Week Mortality for 108 Selected Cities

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


121
262
28
68
74
54
77
18
74
90
155
42


77
48
52
125*
132
48
22
103


43
34
29
144
24
76
234
60
207
90
97
54
84


39
29
106
23
98
14
45
42


14
51
46
39
58
508
105
27
98
59*
90
180
34
110
45
40


10,897
378
779
5,822


NOTF: All deaths by place of occurrence.


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




UNIVERSITY OF FLORIDA

IIIll llllIllllIIII II11111 l l1111
3 1262 08864 2839


Morbidity and Mortality Weekly Report


TOTAL DEATHS REPORTED IN 108 CITIES
The weekly average number of total deaths in 108
cities for the four-week period ending August 15 was
11,235 as compared with an expected weekly average
of 10,873.


TOT4L DEATHS RECORDED IN 1OB U S CITIES
A-9.a ,E1 bP p", W by F-p --k 1nod4


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OFATHO


TOTAL DEATHS REPORTED IN 108 CITIES


Week Ending 4 Week Weekly
7/25 8/1 8/8 8/15 Total Average

Observed 11,358 11,648 11,037 10,897 44,940 11,235
Expected 10,950 10,901 10,847 10,793 43,491 10,873

Excess 408 747 190 104 1,449 362


(S.L IIOELL SIS continued from pagr 289)

turtles. Salmonella panama was isolated also from the
2 pet turtles and from samples taken at the retail store.
At the time of the epidemiologic investigation, the neigh-
bors had moved to an unknown address, and their turtle
was not available for culture.
(Reported by D S Fleming, 1.D., V.P.H., Director,
Dinis'ioTr of Disease Prevention and Control, linnesota
Department of Health, and an EIS Officer.)

Editor's ,Aot: An earlier report of 1-4 cases of salmo-
nellosis in Minnesota acquired from turtles appeared in
the MMWR Vol. 13, p. 1". S. panama was the serotype
involved in that outbreak.


L t-II I

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IIIMI


UNIV OF FL LIB.
DOCUMENTS DEPT






U S DEPOSITORY


IIInllI


1962 I '963 I 1964


(See table, page 281)


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T.-E .hORBIDI T ArD .MORTALIT. EEKLV REPORT. AIT A CIRCuLA-
TIO ~ OF 1 .:C. 15 PU.J LISTED 6B TPnE COMMuNIC ABLE DISEASE
CENTER. ATLANTA. CEORGIA.
C- IEF. COMMUNICABLE DISEASE CENTER JAMES L.GODDAR D.M.D.
C-IEF. E IDEMIOL G B6R'INCH '. D. LANCM.'JI, I..C-.
C-HIEF. STATISTICS 5ECTIOrN E. ERF-LING. P ..D.
455T. C' IEF. STA TISTICS SEC TION I. L. SMERMAN M..Z.
*: IEF. .uF R Ei..iL DANCE EC TIOra C. A. ENrDE SON. 0 .%.D.
DE uTV CHnIEF. SuIR. SECTION J. D. MILL A M.D.
EDI TOR. 'aRPftA L. AL TM4N, M.D.
ASSIST TANT EDITOR. Mw.,'R O. STOLLEY. M.D.
IN ADDITION TO -THE ESTABLISHED OCEDujRES FOR REPORTING
MORBIDITV AND MORTALIT. Ti-.E COMMUNICABLE DISEASE CENTER
RELCOPAES .CCOuNTA OF INTERESTING OJTBE EA.S OR CASES. SuCH
ACCOL-.rT i -O.,LD BE ACCRESSED TO.
LA ENCE K. AL ThMAra. M.D.. EDITOR
riFAC IDITv ANr MORTALITY AEEf Lv REPORT
COMPAUNICAB LE DIaEASE CENTER
ATLANTA. CEOC'ClA J0333
NOTES. THESE PRO.ISIONAL DATA ARE BASED ON bIEEiLrv TELE-
GRAMS TC THE COM..IuNICABLE DISEASE CENTER BV THE IrADI lDu.AL
STATE HEALTH DEPARTM.IENTS.
SYM5 OLS DATA NOT AVAILABLE
QUANTITY ZERO
PROCEDuPE' 'OR COPNSTRJCTION OF ,ARIOuS MORTAL.IT CURvES
,MA. EnE OE TC INED FROM STATISTICS SECTION. COMM.~uNIC A 6LE
DISEASE CENTER. JuEBL.IC HEALTH SERlICE. U.S. DEPARTMENT OF
-IEALT -. EDUC ACTION. AraD WELFARE A LArn TA. GEORGIA 30335.


288


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