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:
AA00010654:00436

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


COMMUNICABLE DISEASE CENTER ,,




.... .. .


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


EPIDEMIOLOGIC

INFLUENZA
For the second successive week, Influenza-Pneumo-
nia mortality reported from 122 U.S. cities remains above
the "epidemic threshold" although headed downward.
(See graph page 91) The East North Central, West North
Central, and West South Central Divisions contribute
most substantially to the elevated national total. Within
these Divisions are States previously described as
recognizing the presence of influenza.
Information has recently been received which notes
recognition of scattered influenza-like illnesses occurring
in parts of Utah. Laboratory investigation of cases is
under way.


Serological confirmation of Type A influenza in
characteristic cases previously described in North Caro-
lina, Tennessee, and Arkansas (presumptive) is now
complete. An acute-convalescent serum pair from a single
case in Minnesota is reported to show a significant anti-
body titer increase to Type A influenza although there is
no evidence of related illnesses.


Table I. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
10th Week Ended Cumulative. First 10 Weeks
Disease March 13, March 7, Median Median
1965 1964 1960 1964 1965 1964 1960 1964
Aseptic meningitis ................ 25 28 19 272 259 229
Btucellosis ....................... 5 7 7 39 73 73
Diphtheria ........................ 12 3 8 43 38 110
Encephalitis, primary infectious.. 38 33 --- 293 308 ---
Encephalitis, post-infectious ..... 10 18 --- 126 101
Hepatitis, infectious including
.serum hepatitis ................ 811 1,026 1,026 7,824 9,457 11,104
Measles ........................... 12,148 14,223 14,223 82,973 85,605 100,813
Meningococcal infections .......... 107 83 49 803 587 558
Poliomyelitis, Total .............. 2 3 2 11 66
Paralytic ...................... 2 3 2 7 40
Nonparalytic ................... --- 4 ---
Unspecified .................... -
Streptococcal Sore Throat and
Scarlet fever .................. 12,784 12,895 10,541 110,923 103,216 95,974
Tetanus ......................... 1 1 --- 34 42-
Tularemia ......................... 7 4 --- 45 63 -
Typhoid fever ..................... 14 5 9 76 64 82
Rabies in Animals ................. 112 86 79 951 722 668

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 2 Rabies in Man:
Botulism: Ala-1 1 Smallpox:
Leptospirosis: W.Va-2 9 Trichinosis: NY Up-State-7 27
Malaria:Ore-1, S.C.-1 8 Typhus-
Plague: Murine: Calif-2 4
Psittacosis: 3 Rky Mt. Spotted: 6


*. I


Vol. 14, No. 10







Week Ending
March 13, 1965


r 1C #


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Morbidity and Mortality Weekly Report




EPIDEMIOLOGICAL NOTES
Influenza International Summary


Since January 1965, the presence of influenza or
influenza-like illness has been reported to the world
Health Organization from 12 European countries and one
in Asia. The relative amounts of disease have varied
considerable. In some areas scattered, sporadic cases
ha\e been recognized, while in others, relatively wide-
spread illness appears to hate occurred.

Isolation of .12 strain viruses or serological confir-
mation of Type A influenza has been accomplished in
nine of these countries and T pe B viruses have been
isolated in three. Of interest is the observation that two
of the Type B isolates have been made in countries where
laboratory confirmed Type A influenza was also occurring.
A summary table based on published W.H.O. "Epidemio-


logical Notes" through early March appears on page 90.
(Estimates of geographical distribution are necessarily
interpretations from available information.)
Laboratory characterization of the 1965 strains
carried out by the World Influenza Centre, London, has
shown similarities among A2 strains recovered in Russia,
Finland, and Sweden and between them and a strain present
in England in 1964. The A2 strain isolated from an out-
break in Puerto Rico during the fall of 1964 has likewise
been shown to be related to the 1964 England antigen.
Recently characterized Type B strains recovered in
England from school outbreaks and sporadic cases early
in the present year show more similarity to a Type B
strain isolated in Singapore in 1964 than standard test
antigens isolated in the late 1950's.


INTERNATIONAL INFLUENZA SUMMARY 1965


Europe
U.S.S.R.
Eastern Germany
England
Finland
Poland
Netherlands
France
Sweden
Fed. Rep. of Germany
Asia
Japan


I X
INFLUENZA-LIKE


Hungary
Austria
Romania


Omitting USA and based on "Epidemiological Notes" appearing in 1965 Weekly Epidemiological Records
(W.H.O., Geneva).
. Information not available


January
January
January
February
February
February
February
February
March

January


A2
A2
B
A2

A2,B
A2,B
Az


A
A
B
A
A
A,B
A,B
A
A











Morbidity and Mortality Weekly Report


PNEUMONIA-INFLUENZA DEATHS IN 122 UNITED STATES CITIES


MA
Un

*se


1200-

1100.

1000-

900-

800.

700-

600-

500-

400-


in 300-
I
WEEf NC
< WK ENCDE
S MONTI
S-
125-
I.

100-

U 75-

50-


Z 25-


MOUNTAIN
8 CITIES


8 CITIES


ALL
CITIES


242832 36 40 44 48 53 4 8 12 16 20 24 28 32 36
13 11 8 5 3 31 28 2 30 27 27 24 22 19 17 14 11
J J A S O ND J F M A M J J A S
1964 11965


40 44 48 52 4 6 12 24 28 32 36 40 44 48 52 4 8 12 16 20
6 3 1 29 26 23 23 20 18 15 13 10 7 5 2 30 28 25 22 21 18 16
ON D JF AM JASO NQJFMAM
N J 1962 MA M J N631964
19621963 19631 1964


WK. NO.


WK NQ


1111 11 t I I I 1 t L 1 L L I I I I II It I I I IL I 1 1111 1 II ( t III II I I I I ( I I I L I I L1111 ( II II ) I I L I I ) 1


I I


' '











92 M1orbidil) and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MARCH 13, 1965 AND MARCH 7, 1964 (10th Week)


SEncephalitis Poliomyelitis Diphtheria
Aseptic
Meningitis Primary Post-Inf. Total Cases Paralytic
Area
Cumulative Cumulative Cum.
1965 1964 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965
UNITED STATES... 25 28 38 10 2 11 2 7 12 43

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

MIDDLE ATLANTIC...... 3 5 13 1 3 3 2
New York City...... 1 2 I
New York, Up-State. 2 2 2 -
New Jersey......... 2 2 11 1 -
Pennsylvania....... 1 1

EAST NORTH CENTRAL... 3 3 6 1 1 2
Ohio................ 1 1
Indiana............. 3 1
Illinois........... 3 1 1 1 -
Michigan........... 1 1
Wisconsin........... -

WEST NORTH CENTRAL... 1 7
Minnesota........... 4
Iowa................ -
Missouri............ 1
North Dakota.......
South Dakota....... 1
Nebraska........... -
Kansas............. -

SOUTH ATLANTIC....... 3 1 5 5 2 8
Delaware............ 1 1 -
Maryland........... -
Dist. of Columbia.. 3
Virginia............ .
West Virginia...... .
North Carolina..... 1 3 -
South Carolina..... 1 -
Georgia............. 2
Florida............ 2 3 2 2 2

EAST SOUTH CENTRAL... 2 1 4 1 2 5
Kentucky........... 2 1 -
Tennessee.......... .- 1 -
Alabama............. 2 4
Mississippi........ 4 1

WEST SOUTH CENTRAL... 3 1 5 3 2 2 10 16
Arkansas ........... 1 1 1
Louisiana.......... 2 1 2
Oklahoma........... 1 -
Texas............... 3 3 3 1 1 9 13

MOUNTAIN............. 1 6 -
Montana............ .
Idaho............... .
Wyoming............ -
Colorado........... 1 4 -
New Mexico.......... .
Arizona............ 1 -- -
Utah............... -.... 1 -
Nevada.............. .

PACIFIC.............. 9 11 4 6 I 1 2
Washington......... 3 -
Oregon............. 2 1 1 -
California......... 7 7 3 6 i 2
Alaska............... .
Hawaii............... .

Puerto Rico 2 5










Morbidity and Moriality h weekly Report 9'


Table 3. CASES OF sPi(I ll ) N01(O IIAI I 1)I.tAM% UN III) STATES

H)R WEEKS 1 NI I)
MARCH 13, 1965 AND MARCH 7, 1964 (10th Week) (.ONTINII)D


Brucel- Infectious Hepatitis MHnlngococcal
loss including Serum Hepatitis Infections etnus
Area Total Under 20 years Cumulative
incl. unk. 20 years and over Totals Cumulative Cum.
1965 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965

UNITED STATES... 5 811 442 285 7,824 9,457 107 803 587 1 34

NEW ENGLAND.......... 53 26 23 470 1,129 1 36 15 2
Maine .............. 14 8 6 110 411 5 1
New Hampshire ..... 3 3 39 109 1 1
Vermont ............... 2 1 1 34 133 -
Massachusetts...... 20 8 10 157 206 1 16 7 1
Rhode Island....... 2 2 47 47 5 2
Connecticut........ 12 6 4 83 223 9 5 -

MIDDLE ATLANTIC...... 4 146 76 70 1,407 2,119 12 123 62 1
New York City...... 33 11 22 242 288 1 18 9
New York, Up-State. 50 32 18 659 1,005 2 30 20 1
New Jersey......... 19 8 11 171 318 5 42 16
Pennsylvania....... 4 44 25 19 335 508 4 33 17

EAST NORTH CENTRAL... 178 105 47 1,571 1,370 9 86 91
Ohio............... 39 22 6 501 389 2 24 28
Indiana............ 17 14 130 110 1 9 12
Illinois........... 44 20 16 293 214 18 20
Michigan........... 67 43 24 567 593 2 19 26
Wisconsin.......... 11 6 1 80 64 4 16 5

WEST NORTH CENTRAL... 61 40 18 518 600 9 43 24 2
Minnesota.......... 5 1 4 44 35 1 10 5 1
Iowa............... 16 10 4 209 90 1 2
Missouri........... 19 15 4 103 147 8 23 9 1
North Dakota....... 4 4 9 31 3 3 -
South Dakota....... 1 1 7 67 2 -
Nebraska............ 1 12 16 1-
Kansas............. 15 10 5 134 214 4 4 -

SOUTH ATLANTIC ....... 76 46 25 813 896 28 167 126 10
Delaware........... 5 1 4 36 14 3 2 -
Maryland........... 9 7 2 177 153 4 12 12 1
Dist. of Columbia.. 7 18 3 2 -
Virginia........... 28 17 7 162 139 1 20 10 1
West Virginia...... 10 10 153 164 2 12 11 -
North Carolina..... 4 2 2 76 171 3 28 15 1
South Carolina..... 2 2 28 30 4 22 14
Georgia............. 3 2 1 36 14 5 27 10 3
Florida............. 15 7 7 138 193 9 40 50 4

EAST SOUTH CENTRAL... 71 45 15 613 647 13 47 51 1 8
Kentucky.............. 31 16 5 220 308 8 19 16 1
Tennessee.......... 24 20 3 243 217 1 15 22 3
Alabama............. 4 1 3 89 86 2 9 7 1 3
Mississippi ....... 12 8 4 61 36 2 4 6 1

WEST SOUTH CENTRAL... 1 59 39 19 715 650 19 111 77 6
Arkansas............ 6 5 1 105 84 1 8 4 1
Louisiana.......... 16 12 4 128 115 9 50 33 2
Oklahoma........... 1 29 40 3 13 3 -
Texas............... 37 22 14 453 411 6 40 37 3

MOUNTAIN.............. 49 13 7 431 622 2 43 26 1
Montana............ 43 59 -
Idaho.............. 5 59 50 4 1
Wyoming............... 24 26 1 2 1 -
Colorado............ 11 7 4 65 161 8 6 1
New Mexico......... 14 6 1 80 109 1 12 11
Arizona............ 15 98 130 11 2
Utah............... 4 2 57 66 4 1
Nevada ............. 5 21 2 4 -

PACIFIC.............. 118 52 61 1,286 1,424 14 147 115 4
Washington......... 7 2 5 106 154 7 11
Oregon............. 14 6 8 109 160 1 12 4
California......... 83 39 44 960 1,020 13 126 95 4
Alaska.............. 13 4 4 102 51 1 2
Hawaii.........-..... 1 1 9 39 1 3 -

Puerto Rico 18 15 3 158 142 1 3 9 7










94 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
MARCH 13, 1965 AND MARCH 7, 1964 (10th Week) CONTINUED


Strept.
Measles Sore Th. & Tularemia Typhoid Fever Rabies in
Scarlet Fev. Animals
Area
Cumulative Cum. Cum. Cum.
1965 1965 1964 1965 1965 1965 1965 1965 1965 1965
UNITED STATES... 12,148 82,973 85,605 12,784 7 45 14 76 112 951

NEW ENGLAND.......... 2,570 18,345 4,277 1,225 1 2 13
Maine.............. 143 1,683 582 101 -
New Hampshire...... 28 274 61 16 -
Vermont............ 31 181 1,143 2 2 12
Massachusetts...... 1,377 10,445 784 134 1 -
Rhode Island...... 147 2,150 308 72 -
Connecticut........ 844 3,612 1,399 900 1

MIDDLE ATLANTIC...... 429 2,990 14,690 656 1 8 2 26
New York City...... 34 309 5,061 35 5 -
New York, Up-State. 144 996 3,244 452 2 2 24
New Jersey......... 98 549 3,284 92 -
Pennsylvania....... 153 1,136 3,101 77 1 1 2

EAST NORTH CENTRAL... 2,380 14,335 18,756 1,795 3 10 7 52
Ohio................ 537 3,012 3,049 265 1 3 -
Indiana............. 46 653 4,286 290 2 7
Illinois........... 107 466 4,310 288 1 4 15
Michigan........... 1,386 7,540 5,233 578 2 3 1 11
Wisconsin............. 304 2,664 1,878 374 1 2 19

WEST NORTH CENTRAL... 898 6,541 2,095 713 1 4 3 13 160
Minnesota.......... 34 174 80 67 -- 6 44
Iowa............... 562 3,626 874 188 1 52
Missouri........... 127 844 257 30 2 3 1 23
North Dakota....... 170 1,717 873 278 1 8
South Dakota....... 4 51 3 31 1 1 1 9
Nebraska........... 1 129 8 2 7
Kansas............. NN NN NN 119 1 1 17

SOUTH ATLANTIC....... 1,320 11,156 8,391 1,404 3 15 5 21 24 158
Delaware............ 17 208 106 29 2 --
Maryland........... 45 379 1,209 105 6 2
Dist. of Columbia.. 12 175 3 -
Virginia........... 334 1,589 2,073 376 3 2 21 133
West Virginia...... 670 7,551 2,232 524 1 2 2
North Carolina..... 13 140 324 7 1 3 3 7 --
South Carolina..... 30 208 1,362 54 1 3 1 2 --
Georgia............ 39 309 106 27 1 6 1 13
Florida............. 172 760 804 279 2 8

EAST SOUTH CENTRAL... 717 4,473 11,341 1,964 3 13 2 8 30 326
Kentucky........... 104 377 5,472 327 1 3 1 4 4 21
Tennessee.......... 439 2,798 4,960 1,403 2 9 1 3 25 298
Alabama............ 144 973 234 117 1 1 1 7
Mississippi........ 30 325 675 117 -

WEST SOUTH CENTRAL... 1,655 10,613 10,221 1,109 8 1 11 26 149
Arkansas........... 19 648 215 5 4 1 5 1 23
Louisiana.......... 2 23 28 18 1 2 3 34
Oklahoma........... 7 65 73 70 3 1 6 28
Texas.............. 1,627 9,877 9,905 1,016 3 16 64

MOUNTAIN............. 788 6,693 3,757 2,096 5 10 1 20
Montana................ 216 1,962 875 24 1 3
Idaho.............. 108 1,026 499 195 -
Wyoming............ 2 178 19 61 1 -
Colorado........... 173 1,083 491 969 -
New Mexico......... 60 185 83 353 6 -
Arizona............ 43 217 1,386 185 3 1 17
Utah............... 182 1,990 260 309 4 -
Nevada............. 4 52 144 -

PACIFIC.............. 1,391 7,827 12,077 1,822 2 4 7 47
Washington......... 387 2,439 4,653 374 -
Oregon............. 199 1,233 1,352 25 I
California ......... 706 3,372 5,240 1,299 2 3 7 46
Alaska............. 4 69 749 25 -
Hawaii............. 95 724 83 99 1 -

Puerto Rico 100 397 1,051 17 1










Morbidity and tlortalit~ Wreekl h report


Table 4. DEATHS IN 122 INITI) STATES ( ITIlS FOR WEEK INI)FD MAR(.H 13, 1965

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


Area


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.--------
Buffal.o., 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--------
Daytcn, Ohio---------
Detroit, Mich.--------
Evansville, Ind.------
Flint, Mich.----------
Fort Wayne, Ind.------
Gary, Ind.-------------
Grand Rapids, Mich.---
Indianapolis, Ind.----
Madison, Wis.--------
Milwaukee, Wis.-------
Peoria, Ill.----------
Rockford, Ill.--------
South Bend, Ind.------
Toledo, Ohio----------
Youngstown, Ohio------

WEST NORTH CENTRAL:
Des Moines, Iowa------
Duluth, Minn.---------
Kansas City, Kans.----
Kansas City, Mo.------
Lincoln, Nebr.--------
Minneapolis, Minn.----
Omaha, Nebr.---------
St. Louis, Mo.--------
St. Paul, Minn.-------
Wichita, Kans.--------


Al I .n,' -

All 65 years
Ages and over


841
338
33
31
36
63
28
12
32
53
75
17
49
25
49

3,475
53
46
160
61
30
46
78
87
1,749
36
452
252
48
109
26
51
62
50
44
35

2,907
48
40
823
151
233
129
92
440
37
54
59
31
65
182
45
147
34
30
52
138
77

1,017
73
22
46
166
25
123
107
313
85
57


528
201
18
24
25
41
20
9
20
28
46
15
36
17
28

2,032
30
25
89
36
14
30
47
39
1,017
21
256
152
37
67
15
42
33
29
29
24

1,679
25
23
446
89
148
60
54
247
25
37
34
14
47
107
27
93
20
18
31
85
49

626
49
12
21
110
19
74
66
183
53
39


nPiln nil, I
and
Influenza
All Ages


Und, r
1 year
All
Causes


*Estimate based on average percent of divisional total.


Area


SOUTH ATLANTIC:
Atlanta, Ga.-----------
Baltimore, Md.---------
Charlotte, N. C.-------
Jacksonville, Fla.-----
Miami, Fla.------------
Norfolk, Va.-----------
Richmond, Va.----------
Savannah, Ga.----------
St. Petersburg, Fla.---
Tampa, Fla.------------
Washingt.n, D. C.-----
Wllmington, 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, Utqh------------
Phoenix, Ariz.---------
Pueblo, Colo.----------
Salt Lake City, Utah---
Tucson, Ariz.----------

PACIFIC:
Berkeley, Calif.-------
Fresno, Calif.---------
Glendale, Calif -------
Honolulu, Hawaii-------
Long Beach, Calif.t----
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.----------


ALIl i ,uA~L p',I


1,247
147
264
26
90
74
69
94
64
86
79
199
55

654
102
52
46
104
160
56
26
108

1,337
62
49
47
145
35
84
250
63
259
91
133
67
52

417
30
20
122
17
104
15
51
58

1,702
25
40
41
53
70
619
95
35
109
59
85
206
40
126
57
42


65 years
and over


643
63
140
12
42
45
35
49
33
67
45
83
29

362
53
31
34
67
82
27
14
54

704
34
29
24
77
15
45
126
39
127
48
76
32
32

244
12
15
70
11
56
14
28
38

1,020
15
25
30
28
43
352
53
26
70
35
45
123
25
82
41
27


and
Influenza
All Ages


I year
All
Causes


Total 13,597 17,838 716 732

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 135,922
All Causes, Age 65 and over------------------- 77,816
Pneumonia and Influenza, All Ages------------- 6,124
All Causes, Under I Year of Age--------------- 7,911


Week No.
10


_ 1 _r










Morbidity and Mortality Weekly Report


EPIDEMIOLOGIC REPORT
Trichinosis Minnesota

On January 4, 1965, a physician in Houston County
notified the Minnesota State Department of Health of a
number of cases of suspected trichinosis. A total of 18
patients had experienced 2 or more of the following symp-
toms: weakness, myalgia, intermittent fever, severe head-'
aches, periorbital edema, vomiting, and diarrhea. An
eosinophilia, ranging from 13 to 54 percent, was found in
those persons studied. Three patients had required hos-
pitalization.
Investigation showed that all of the families in-
volved raised their own meat, including pork and beef.
The only common source exposure involved the con-
sumption of a locally manufactured summer sausage. Two
families ate this sausage at their homes during early De-
cember, and 3 other families were served this sausage
at a midnight breakfast on December 14, 1964.
The sausage is produced from United States Depart-
ment of Agriculture inspected pork butts and beef rounds
by a local locker company. The pork butts are allegedly
boned and frozen to comply with Minnesota regulation.
The meat is then thawed, ground, put in U.S.D.A. in-
spected natural beef casings and smoked at 1000 F. for
3 days. The sausage is refrigerated until sold. Approxi-
mately 600 lbs. per month are sold through the locker
company store and by local stores in the area. The owner
of the locker company is one of those persons reported to
have symptoms characteristic of trichinosis.
Although conclusive evidence is lacking, there are 3
possible mechanisms to explain the contamination; one
lot or a part of a lot of sausage was contaminated in a
grinder, a fresh (rather than frozen) pork butt was in-
cluded by mistake, or the freezing process did not ade-
quately kill all of the larvae.-
Because this product was sold across the State line,
Iowa authorities are investigating several cases of sus-
pected trichinosis in the northern part of that State for
possible association with sausage manufactured in
Minnesota.
(Reported by D. S. Fleming, M.D., Director, Division of
Disease Prevention and Control, Minnesota Department
of Health).


UNIVERSITY OF FLORIDA



3 1262 08864 2482 .


THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA-
TION OF 13.000 IS PUBLISHED BY THE COMMUNICABLE DISEASE
CENTER. ATLANTA. GEORGIA 30333.
CHIEF. COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
CHIEF EPIDEMIOLOGY BRANCH A. D. LANGMUIR, M.D.
CHIEF. STATISTICS SECTION R. E. SERFLING. PH.D.
ASST. CHIEF ST ATISTICS SECTION IDA L. SHERMAN, M.S..
CHIEF SURVEILLANCE SECTION D. A. HENDERSON. M.D.
ASSISTANT EDITOR. MMInR PAUL D. STOLLEY. M.D.
IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY. THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASES. SUCH
ACCOUNTS SHOULD BE ADDRESSED TO
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA. GEORGIA 30333
NOTE THESE PROVISIONAL DATA ARE BASED ON WEEKLY TELE-
GRAMS TO THE CDC BY THE INDIVIDUAL STATE HEALTH DEPART-
MENTS. THE REPORTING WEEK CONCLUDES ON SATURDAY; COMPILED
DATA ON A NATIONAL BASIS ARE RELEASED ON THE SUCCEEDING
FRIDAY.
SYMBOLS --DATA NOT AVAILABLE
QUANTITY ZERO
THE CONSTRUCTION OF THE MORTALITY CURVES IS DESCRIBED IN
.OL. 14. NO. I.


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