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:
AA00010654:00439

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








V I f 6.= Vol. 14, No. 8


WEEKLY

USAi^ REPORT

& Week Ending

/ February 27, 1965




U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE / UC HEALTH SERVICE


INFLUENZA AND INFLUENZA-LIKE ILLN


SUMMARY: United States
Excess pneumonia and influenza for the week ending
February 27, 1965, as reported by 122 U. S. cities to the
CDC, has decreased to the epidemic threshold. All geo-
graphic areas, with the exception of the New England
States are well below the epidemic threshold. The New
England States continue to have excess mortality at the
same levels as previously reported. The Middle Atlantic
States, previously well above the epidemic threshold, are
now within normal limits. Georgia, previously unreported,
has experienced a widespread occurrence of febrile dis-


Influenza and Influen 'lin e.- ..n. //
Summary: I'niited .~... .
r.ndermoluoic .p. I ridr An1 om ia4s
Hepatitis Survilljnce >um .
Meningococcal Infections . .


S. 73-74
74
. 75
. 80


ease, much of it being respiratory, during the past several
weeks. There has been serologic confirmation of Type A
influenza and presumptive virus isolation of Type A2
influenza in several areas of Atlanta, Georgia during the
past week. Type A2 influenza viruses have recently been
(Continued on page 74)


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
8th Week Ended Cumulative. First 8 Weeks
Disease February 27, February 22, Median Median
1965 1964 1960 1964 1965 1964 1960 1964

Aseptic meningitis ................ 26 31 21 217 208 184
Brucellosis ....................... 2 11 11 30 56 56
Diphtheria ........................ 6 5 6 28 35 101
Encephalitis, primary infectious.. 22 43 --- 218 247 ---
Encephalitis, post-infectious ..... 11 21 --- 99 67 ---

Hepatitis, infectious including
serum hepatitis ................ 669 1,037 1,065 6,253 7,476 8,902
Measles ........................... 8,354 11,396 11,396 60,212 59,109 72,953
Meningococcal infections .......... 81 70 61 580 447 435
Poliomyelitis, Total .............. 3 2 9 59
Paralytic ...................... 1 2 5 35
Nonparalytic .................. --- 4 ---
Unspecified ................... ---

Streptococcal Sore Throat and
Scarlet fever .................. 10,504 11,828 9,800 85,219 78,297 73,914
Tetanus ........................... 3 4 --- 28 38--
Tularemia ......................... 3 --- 36 51 ---
Typhoid fever ..................... 7 6 10 52 56 58

Rabies in Animals ................. 89 83 75 731 555 520


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.
Anthrax: Pa. 1 2 Rabies in Man:
Botulism: Smallpox:
Leptospirosis: 5 Trichinosis: 20
Malaria: 5 Typhus-
Plague: Murine: 2
Psittacosis: 3 Rky Mt. Spotted: 6

Figures for current week exclude missing report from Texas State Holiday


__


f








Morbidity and Mortality Weekly Report




INFLUENZA AND INFLUENZA-LIKE ILLNESS


Summary: United States Continued
isolated from several university students in the Chicago
area. There are currently no reported widespread out-
breaks of influenza or influenza-like illness in this area.
The previously reported scattered outbreaks of
influenza-like illness in New Hampshire have now been
serologically confirmed as Type A influenza.


The scattered occurrence of influenza-like illness
has been observed in Colorado, particularly the Denver
area, since mid-February. Virus isolation and serological
confirmation of Type B influenza was obtained from one
Denver outbreak during the past week.
Influenza-like illness was reported to be widespread
in-Oklahoma and Louisiana beginning the end of February.


EPIDEMIOLOGICAL REPORTS



PARALYTIC POLIOMYELITIS AMONG PRIMATES


A Fatal Case in a Merchant Seaman
A death due to Plasmodium falciparum malaria oc-
curred in a 43-year-old Norwegian merchant seaman on
January 1, 1965 in a Philadelphia hospital. The victim
was a seaman aboard a Norwegian merchant vessel that
plies the route between West Africa and Philadelphia.

The ship arrived in Baltimore from West Africa on
December 22, 1964, and at that time the patient was al-
ready ill. He was seen on board ship by a physician and
treated as a possible case of influenza for a period of 2
days. He remained with the ship when it went to Phila-
delphia on December 24 and stayed on board until the
28th. He was symptomatic during this entire period. On
the 28th of December he was admitted to a Philadelphia
hospital suspected of having a toxic psychosis, infec-
tious hepatitis, and pernicious anemia. The initial hemo-
gram revealed 2,870,000 red blood cells, 10,000 white
cells and a hemoglobin 59 percent of normal. He was
treated with antibiotics and blood transfusions. His con-
dition deteriorated and he expired on January 1, 1965. An
autopsy revealed splenic engorgement and occlusion of
cerebral capillaries by red blood cells heavily parasitized
with Plasmodium falciparum.




(Reported by Dr. Sylvan Fish, Chief, Communicable
Disease Section, Department of Public Health, Phila-
delphia, Pa.)


Florida
An outbreak of paralytic poliomyelitis involving 3
primates at the Yerkes Primate Center, Orange Park.
Florida, occurred during the summer of 1964. On July 27,
a 9-month-old gorilla, who had entered the nursery at the
center 10 days previously, was noted to have a quad-
riplegia. Cerebrospinal fluid examination revealed a
pleocytosis. Type I poliovirus was recovered from both
stool and throat washings. At that time, type I poliovirus
was also isolated from 5 of 14 other stool specimens from
primates housed in the same nursery. On August 27, all
personnel having contact with the primates were given
trivalent oral polio vaccine.
On September 6, a 4-year-old orangutan developed
paralysis and on September 14, a one-year-old gorilla
developed a left hemiplegia. Type I poliovirus was re-
covered from stool specimens from both cases. On Sep-
tember 17, stool specimens were obtained from as many
animals as possible in an effort to determine the preva-
lence of poliovirus in the primate population at that time.
Type I poliovirus was isolated from 32 percent of the
primates who were studied. Type 1 oral polio vaccine was
administered on September 18 to all primates at the center
except the monkeys. No subsequent cases have been
reported.
(Reported by Dr. Norman Guillovd. D.V.l., Yerkes Lab-
oratory of Primate Biology, Orange Park. Florida and a
team from CDC).
Editor's Note: This represents the only outbreak of polio-
myelitis in the United States during 1964; it is also the first
known outbreak among large primates.


MALARIA








Morbidity and Mortality Weekly Report


HEPATITIS SURVEILLANCE SUMMARY
(THROUGH JANUARY 2, 1965)


REPORTED CASES
40 OF VIRAL HEPATITIS
CASE RATE BY FOUR-WEEK PERIODS
U. S. Since July 1952





20-- -



1.0


I ..., ,


I 27 I 27 I 27 27 27 I 27 I 27 I


27 I 27 I 7 I 27 I 27 I 7 I 27 I 7 I 27


I Yoar 1952 I


1953 I 1954 I 1955 I 1956 1 1957 1 1958 I 1959 I 1960 1


1961 1 1962 1963 I 1964 | 1965 1966 1967 1 1968 1


The total cases and incidence of viral hepatitis per
100,000 population in the first 2 quarters of 1964-65 are
the lowest reported since 1959-60. The continuing decline
in incidence since the 1960-61 peak year is evident in the
figure shown above.
There were 7,581 cases of viral hepatitis reported in


the United States during the summer quarter and 8,502
cases reported during the fall quarter of the epidemio-
logical year 1964-65. This represents rates of 4.0 and
4.4 cases per 100,000 population for these 2 quarters,
respectively (see table below).


REPORTED CASES

EPIDEMIOLOGICAL SUMMER FALL WINTER "PRIN\( TOTAL
YEAR QUARTER QUARTER QUARTER QUARTER YEAR

1958-59 3403 4028 7169 4l'112 19502
1959-60 4700 6026 9793 9917 30436
1960-61 8940 12403 2:u6 19898 6'-
1961-62 14229 15580 17995 13533 1;1,:7
1962-63 10272 11330 13848 9864 4-P: 14
1963-64 8969 10250 12118 9320 40657
1964-65 7581 8502

INCIDENCE PER 100,000 POPULATION PER QUARTER

1958-59 2.0 2.3 4.0 2.8 11.1
1959-60 2.7 3.4 5.5 5.5 17.1
1960-61 5.0 6.9 12.8 11.1 35.8
1961-62 7.9 8.7 9.8 7.4 33.8
1962-63 5.6 6.2 7.4 5.3 24 1
1963-64 4.8 5.4 6.4 4.9 21.6
1964-65 4.0 4.4


IWerkNNmbw 2T7


I r I ( 1 I 1 1 1 I 1 I I 1 I I I










76 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 27, 1965 AND FEBRUARY 22, 1964 (8th 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... 26 31 22 11 2 9 2 5 6 28

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

MIDDLE ATLANTIC...... 3 6 2 2 2 2
New York City...... 2 -
New York, Up-State. 1 2 2 1 1 -
New Jersey......... 1 1 -
Pennsylvania....... 1 2 1

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

WEST NORTH CENTRAL... 2 1 5 3 7
Minnesota.......... 1 1 4
Iowa............... -
Missouri............ 1 -
North Dakota....... -.
South Dakota....... -
Nebraska............. 3 1
Kansas............. 1

SOUTH ATLANTIC....... 2 9 5 1 5 2 2 8
Delaware............ -.
Maryland............ 1
Dist. of Columbia.. 3
Virginia........... 1
West Virginia...... -
North Carolina..... 3 1
South Carolina..... .
Georgia............. 1 2
Florida............ 2 9 4 2 2 2

EAST SOUTH CENTRAL... 1 3 1 1 3
Kentucky............. 2 -
Tennessee.......... 11 -
Alabama ............ .- -
Mississippi........ 1 1 -

WEST SOUTH CENTRAL ... 2 2 -1 5
Arkansas........... -
Louisiana.......... 1
Oklahoma.............
Texas .............. ..--- --- --- --- 1 --- I --- 3

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

PACIFIC.............. 13 15 7 1 i -
Washington............ -
Oregon.............. -
California......... 12 15 7 -1 1 1 -
Alaska.............. -
Hawaii ............. -1-

Puerto Rico










Morbidity and Mortality Weekly Report 77


Table 3. CASES OF SPECIFIED NO) IIIAHI I 1)II AI I% NI II1) STATES

FOR WEEKS I N) [)

FEBRUARY 27, 1965 AND FFBRUARY 22, 1964 (8th Week) (ONTINUIH)


Brucel- Infectious Il-. 1 lI 11 Meningoc ocal
loss including Serum Hepatitis Infections lTetnus
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... 2 669 362 265 6,253 7,476 81 580 447 3 28

NEW ENGLAND........... 42 18 22 379 929 5 33 13 1
Maine.............. 13 5 8 87 339 1 5
New Hampshire ..... 7 2 5 36 91 I 1
Vermont............ 1 31 112 -
Massachusetts...... 18 10 7 124 166 2 14 6
Rhode Island....... 1 1 41 35 4 2
Connecticut........ 2 2 60 186 2 9 5 -

MIDDLE ATLANTIC...... 102 51 51 1,135 1,651 12 85 55 I
New York City...... 5 1 4 186 223 1 13 8
New York, Up-State. 58 32 26 546 799 3 20 17 I
New Jersey......... 13 5 8 137 239 4 33 14
Pennsylvania....... 26 13 13 266 390 4 19 16

EAST NORTH CENTRAL... 152 83 56 1,267 1,074 9 74 66
Ohio................ 64 37 18 407 310 3 21 21
Indiana............. 12 8 4 101 81 1 10 8
Illinois........... 24 15 8 235 150 3 17 14
Michigan........... 44 20 24 459 494 1 16 19
Wisconsin.......... 8 3 2 65 39 1 10 4

WEST NORTH CENTRAL... 44 31 11 412 489 6 25 19 2
Minnesota.......... 2 1 1 35 28 4 5 1
Iowa................ 14 13 1 180 73 -
Missouri........... 11 7 4 76 116 5 14 8 1
North Dakota....... I 1 3 28 3 2
South Dakota....... 6 58 1 -
Nebraska........... 4 2 11 13 1
Kansas............. 12 10 2 101 173 1 3 3 -

SOUTH ATLANTIC....... 76 41 32 626 711 16 120 104 9
Delaware.......... 7 1 6 27 9 2 1
Maryland............ 15 11 4 126 115 1 6 11 1
Dist. of Columbia.. 6 14 3 1
Virginia........... 18 12 3 104 107 2 17 8 1
West Virginia ...... 7 7 131 126 2 10 8
North Carolina..... 2 2 66 154 5 22 11 1
South Carolina..... 5 3 2 25 20 3 15 13
Georgia............ 2 1 1 31 11 2 21 9 3
Florida............ 20 4 16 110 155 1 24 42 3

EAST SOUTH CENTRAL... 95 60 24 485 500 1 28 32 2 7
Kentucky........... 47 29 7 173 254 8 7 1 1
Tennessee........... 31 23 8 193 155 12 13 1 3
Alabama............ 10 6 4 75 61 7 6 2
Mississippi........ 7 2 5 44 30 1 1 6 1

WEST SOUTH CENTRAL... 2 21 11 10 587 502 7 69 60 1 5
Arkansas........... 1 10 6 4 95 69 2 6 4 1
Louisiana.......... 11 5 6 101 91 4 27 24 1 1
Oklahoma............. 1 26 28 1 9 3 -
Texas.............. --- -- --- --- 365 314 --- 27 29 --- 3

MOUNTAIN ............. 26 12 7 332 484 7 31 25 1
Montana............ 4 3 1 35 51 -
Idaho............... 3 51 43 4 4 1
Wyoming............ 23 20 1 1 -
Colorado........... 40 112 7 6 1
New Mexico......... 6 3 3 58 88 7 10 -
Arizona............ 4 76 107 2 6 2 -
Utah............... 8 6 2 45 53 1 4 1 -
Nevada............. 1 1 4 10 2 4 -

PACIFIC............... 111i 55 52 1,030 1,136 18 115 73 2
Washington......... 14 6 8 94 133 3 7 6
Oregon............. 5 3 2 83 135 2 8 3
California......... 84 44 40 767 804 13 99 59 2
Alaska............. 7 2 1 78 44 1 2
Hawaii............. 1 1 8 20 3

Puerto Rico 12 10 2 112 93 2 6 1 7










78 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

FEBRUARY 27, 1965 AND FEBRUARY 22, 1964 (8th 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... 8,354 60,212 59,109 10,504 36 7 52 89 731

NEW ENGLAND.......... 1,701 14,162 3,306 1,057 1 10
Maine............... 117 1,469 435 144 -
New Hampshire...... 28 214 24 19 -
Vermont............ 6 119 890 4 -- 1 9
Massachusetts...... 906 8,239 588 118 -
Rhode Island....... 274 1,777 208 31 -
Connecticut........ 370 2,344 1,161 741 1

MIDDLE ATLANTIC...... 339 2,168 10,670 571 1 5 1 20
New York City...... 32 246 3,951 32 3 3
New York, Up-State. 71 707 2,165 394 1 2 1 18
New Jersey......... 109 379 2,309 59 -
Pennsylvania....... 127 836 2,245 86 2

EAST NORTH CENTRAL... 1,721 10,903 12,472 1,578 7 7 41
Ohio............... 469 2,280 2,082 359 2 -
Indiana............. 64 451 2,758 175 2 1 7
Illinois........... 41 320 3,269 198 1 1 8
Michigan........... 766 5,749 3,316 514 1 2 10
Wisconsin.......... 381 2,103 1,047 332 1 3 16

WEST NORTH CENTRAL... 1,124 4,954 1,524 550 3 1 3 8 132
Minnesota........... 30 123 30 30 4 37
Iowa................ 808 2,789 650 121 43
Missouri........... 152 585 188 54 2 1 3 2 18
North Dakota....... 113 1,316 647 171 7
South Dakota....... 25 3 22 7
Nebraska........... 21 116 6 -- 1 5
Kansas............. NN NN NN 152 1 1 15

SOUTH ATLANTIC........ 1,194 8,509 5,772 1,338 12 3 16 14 118
Delaware........... 20 122 63 9 1 2 -
Maryland........... 46 197 896 183 1 6 2
Dist. of Columbia.. 10 111 2 -
Virginia........... 90 1,150 1,346 254 3 1 2 12 99
West Virginia...... 842 6,058 1,723 490 1 2
North Carolina..... 8 118 233 50 2 4 -
South Carolina..... 44 154 841 90 2 1 -
Georgia............ 14 199 98 14 5 2 9
Florida............ 130 501 461 246 6

EAST SOUTH CENTRAL... 617 3,208 7,889 1,833 9 3 39 265
Kentucky........... 96 267 4,143 390 1 6 15
Tennessee.......... 279 2,050 3,157 1,246 7 2 33 244
Alabama............ 202 653 194 87 1 1 6
Mississippi........ 40 238 395 110 -

WEST SOUTH CENTRAL... 59 6,020 5,839 116 8 9 7 95
Arkansas........... 48 620 168 8 4 3 2 21
Louisiana.......... 6 17 13 4 1 2 3 27
Oklahoma............ 5 46 47 104 3 1 2 18
Texas.............. -- 5,337 5,611 --- --- --- 3 --- 29

MOUNTAIN ............. 830 4,945 2,699 1,696 4 2 7 2 17
Montana............ 257 1,584 668 124 2
Idaho.............. 120 764 375 176 -
Wyoming............ 24 126 16 69 1 -
Colorado........... 86 698 281 568 -
New Mexico......... 13 99 60 323 1 3 -
Arizona............ 22 136 967 158 1 3 2 15
Utah............... 308 1,513 209 278 4 -
Nevada............. 25 123 -

PACIFIC.............. 769 5,343 8,938 1,765 2 10 33
Washington......... 246 1,693 3,560 344 -
Oregon.............. 95 913 1,030 40 1
California......... 300 2,142 3,624 1,302 1 10 32
Alaska............. 7 56 662 58 -
Hawaii.............. 121 539 62 21 -

Puerto Rico 34 242 656 13 1










Morbidity and Mortality Veekly Report






Table 4. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED FEBRUARY 27, 1965


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

Al I C.u- Pn.um.,niad U' er All ausrs Pr. un.r,, ,a ul r
e I and II year
Area All 65 years and I year Area All 65 years nln I yeAl
Influenza All
Ages and over Influenz Al Ages and over Inluenza All
All Ages Causes All Ages Causes


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.-------
Trent.-n, 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----------
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.--------


895
320
39
31
29
59
30
29
38
58
81
18
58
36
69

3,507
49
47
169
39
32
43
88
126
1,682
45
594
189
60
99
24
38
66
57
27
33

2,523
58
36
734
134
233
125
74
407
47
43
27
20
57
101
37
141
35
29
26
101
58

859
43
19
38
162
30
130
87
237
69
44


571
192
23
20
23
27
20
22
27
35
53
15
41
24
49

2,060
23
32
100
23
20
26
52
49
980
27
358
111
42
59
16
30
41
36
20
15

1,451
30
22
399
76
140
67
46
228
29
29
14
15
37
64
20
76
19
19
20
63
38

533
30
17
16
98
23
75
56
133
54
31


*Estimate based on average-percent of divisional total.


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.----------


Total


1,225
131
279
34
66
93
59
106
43
76
89
200
49

553
93
24
45
112
114
38
34
93

1,112
43
34
22
146
39
89
159
41
207
83
139
53
57

419
28
21
129
18
107
9
45
62

1,662
25
48
29
42
90
574
105
37
108
75
99
182
39
122
61
26


9
11
5
4
9

76
4
1
3
6
4
4
11
3
21
2
10
3
4

33
1
4
14
1
8

4
1

108
2
4

7
4
42
11

6
8
4
3
2
3
7
11


I 4 ~4 4 -


12,755


7,288


Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 108,557
All Causes, Age 65 and over------------------- 62,078
Pneumonia and Influenza, All Ages------------- 5,332
All Causes, Under 1 Year of Age--------------- 6,455


Week No.
8




LIIIIVERSIT Y OF Fl ORIDA



3 1262 08864 2490


Morbidity and Mortality Weekly Report


MENINGOCOCCAL INFECTIONS


There has been a marked and sustained increase in
the number of meningococcal infections reported in the
United States through the first 7 weeks of 1965 as com-
pared to the similar period in 1964. The accompanying
table summarizes this increase by comparison with the
corresponding cumulative totals for 1964. The increase in
reported cases is generalized, although most marked in
New England, Middle Atlantic, and Pacific regions. The
marked increase in New England, however, is based on a
relatively small number of cases.

The seasonal variation in meningococcal infection
is such the peak numbers of cases have generally occurred
in March and April. Accordingly, it may be anticipated that
a further increase may be observed even more during the
next several months.


MENINGOCOCCAL INFECTIONS, UNITED STATES
CUMULATIVE TOTALS, FIRST TO SEVENTH WEEK


United States
New England
Middle Atlantic
East North Central
West North Central
South Atlantic
East South Central
West South Central
Mountain
Pacific


1964


1965


499
28
73
65
19
104
27
62
24
97


Percent
Change


+32

+180
+59
+18
+12
+22
-7
+24
+9
+54


The occurrence and distribution of sulfonamide-
resistant Group B meningococci was presented recently
(Volume 13, No. 50). No satisfactory alternatives to sul-
fadiazine prophylaxis have yet been described when
sulfonamide-resistant strains have been shown to be
present. In particular, oral penicillin and tetracycline
have not yet been shown to be satisfactory or reliable for
mass prophylaxis; experience with their use in prophy-
laxis is still too limited to draw clear conclusions or make
definite recommendations.*

*Eickhoff, Theodore C. and Maxwell Finland: Changing sus-
ceptibility of Meningococci to Anti-microbial Agents New
England Journal of Medicine 272:395-98 February 25, 1965.


THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA-
TION OF 13000 IS PUBLISHED BY THE COMMUNICABLE DISEASE
CENTER. ATLANTA. GEORGIA 30333
CHIEF. COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
CHIES. EPIDEMIOLOGY BRANCH A. D. LANGMUIR. M.D.
CHIEF. STATISTICS SEC TION R E. SERFLING. PH.D.
ASST. CHIEF. STATISTICS SEC TION IDA L. SHERMAN, M.S.
CHIEF SUR EILLANCE SECTION D. A. HENDERSON. M.D.
ASSISTANT EDITOR. MMAR PAUL 0. 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
oOL 14. NO. 1.


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