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:
AA00010654:00443

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 Mortality


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

PUBLIC HEALTH SERVICE

Prepared by the C 633-33]


II


For release September 30, 1965


ATLANTA, GEORGIA 30333


ANNUAL SUPPLEMENT
REPORTED INCIDENCE OF NOTIFIABLE DISEASES IN THE UNITED STAI


RUBELLA (GERMAN MEASLES) IN 1964


During 1964, major epidemics of rubella were recorded
throughout 8 states in the East, South and Midwest (see
figure below). Based on reports available from 23 states,
the epidemic appears to have been the largest since 1935.
Occurring first in New England in mid-winter, the epidemic
spread to the West and South. The Pacific Coast and
Rocky Mountain states were only minimally involved in
the epidemic.
Rubella, as a clinical illness, is of relatively little
concern, systemic symptoms being mild and the course of
the disease being only 3 to 5 days. However, infections


in women in the first trimester of pregnancy can result in
serious congenital malformations as well as a frequently
fatal purpura in children born of these infected mothers. A
substantial number of newborns were afflicted during the
1964 epidemic.

Because of the national importance of this disease,
the Biennial Conference of State and Territorial Epi-
demiologists has recommended that rubella be placed on
the list of nationally reportable diseases, effective
January 1, 1966.


RUBELLA BY MONTH OF REPORT
FOR SELECTED STATES
1955-1964


30000-


24000-


18000


12000


PACIFIC


6000-


I I I pn


SOUTH


- A R A /


58 '59' '60 '61


'62 '63 '64' '65


NORTH CENTRAL






U. A I 2 I A


NORTHEAST


YEAR


9000-


3000- MOUNTAIN
^ .^s^^j-s^~I ^^- J\ ^ ^--u^^ ^^ ^ ^f ^y \ '


12000-


6000-


0
24000-


18000


12000-


6000-


1955 '56 57


I I I I I I


r~t---l--~ Y-~l_ -IU V -


_-, I







2 Morbidity and Mortality Weekly Report








INDEX OF TABLES




Page

Table 1. Diseases Covered by International Quarantine Agreement ............... 3

Table 2. Reported Cases of Specified Notifiable Diseases: United States, 1955-64.. 4

Table 3. (A) Deaths from Specified Notifiable Diseases: United States, 1954-63 ... 5
(B) Deaths from Selected Non-Notifiable Acute Diseases: United
States, 1954-63 ............................................... 6

Table 4. Reported Cases of Notifiable Diseases by Month: United States, 1964..... 7

Table 5. Reported Cases of Notifiable Diseases: United States, by Geographic
Division, by State, 1964.......................................... 8

Table 6. Newly Reported Active Tuberculosis Cases: United States, by Geographic
Division, by State, by Age, 1964 .................. .............. 13

Table 7. Newly Reported Cases of Venereal Diseases: United States, by Geographic
Division, by State; Age and Sex, (Civilian Cases only), 1964......... 14

Table 8. Rabies in Man and Animals, by State, by Type of Animal, United
States, 1964 ................................................ 15

Table 9. Reported Cases of Selected Notifiable Diseases by State, by Age, 1964 ... 16

Table 10. Reported Cases of Selected Notifiable Diseases by State, by Month, 1964 22

Table 11. Acute Diseases Optionally Reported to the Public Health Service, by
State, 1964 ....... ........................................... 25

Table 12. Other Diseases Optionally Reported (Diseases reported by more than
one, but less than 10 States) ........................ ........... 27

Table 13. Number of Deaths by Place of Occurrence in 122 United States Cities
for Year 1964 .................. ............................... 28


Disease Trends. ............ ....... .... ........................... 29-47










EXPLANATION OF SYMBOLS USED IN TABLES

Data not available -------------------
Quantity Zero -----------------------
Report of Disease not required by
State Health Department -------------- NN






a11






Morbidity and Mortality Weekly Report


TABLE 1. REPORTED ItN Dll)E F' OF DI, 4SES COVERED BY INTERNAL 1)I) \. QI \H \VII-. ARI I 11 %T
1955- 1964


Number Reported
International Classification
of Diseases Covered
1964 1963 1962 1961 1960 1959 1958 1957 1956 1955

043 Cholera ........................................... -

058 Plague ........................... ............. 1 3 2 4 1 1

071.0 Louse-borne relapsing fever..........................- -

084 Smallpox .......................................... -

091 Yellow fever ...................................... -

100 Louse-borne epidemic typhus .........................- -


SOURCES OF DATA


This Supplement carries final figures on the reported
incidence of notifiable diseases in 1964 based on sum-
maries submitted by the individual States and Territories
through the National Morbidity Reporting System except
for the data on incidence of tuberculosis, collected by
the Tuberculosis Branch, venereal diseases collected by
the Venereal Disease Branch, and encephalitis gathered
by the Encephalitis Surveillance Unit, of the Communica-
ble Disease Center.
Data obtained by the Tuberculosis and Venereal
Disease Branches have been published in the Supplement.
in prior years. The data for encephalitis in the current
issue have been derived from special summary reports
devoted exclusively to encephalitis and its various mani-
festations. Because 1964 was the first year for which


encephalitis cases were reportable in two categories,
primary including cases of unknown etiology, and post-
infectious, the assignment of cases into these two groups
was centralized in the Encephalitis Surveillance Unit to
assure uniformity in categorizing such cases.

The illustrative materials depicting disease trends
are presented for the first time in a Supplement and are
for the most part based on charts and graphs carried in
the 1964 issues of the Morbidity and Mortality Weekly
Report. The data are from the National %Morbidity Report-
ing System, National Surveillance Programs, and the
National Vital Stati-tics Division. The population esti-
mates used in computation of rates are from the Bureau of
the Census, Current Population Reports, Series P-25.















TABLE 2. REPORTED CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, 1955 1964


DISEASE 19641 19631 19621 19611 19601 19591 1958 1957 1956 1955


Amebiasis .............................................
Anthrax ..............................................
Aseptic Meningitis ....................................
Botulism ..............................................
Brucellosis undulantt fever) ..........................

Diphtheria ............................................
Encephalitis, primary infectious .....................
Encephalitis, post-infectious ........................
Hepatitis, infectious and serum .......................
Leprosy ...............................................
Leptospirosis .........................................

Malaria ........................................... ...
Measles ... .... ........................ .... .....
Meningococcal infections ..............................
Pertussis (whooping cough) ............................
Poliomyelitis, Total ..................................
Paralytic ...........................................
Nonparalytic ........................................
Unspecified .........................................

Psittacosis ...........................................
Rabies in Man3 ........................................
Rheumatic fever, acute4 .............................
Salmonellosis, excluding typhoid fever ................
Shigellosis (bacillary dysentery) ....................
Streptococcal sore throat and scarlet fever ...........

Tetanus ..............................................
Trichinosis ........................................
Tuberculosis (newly reported active cases)5 ..........
Tularemia .............................................
Typhoid Fever .........................................

Typhus Fever, flea-borne (endemic, murine) ............
Typhus Fever, tick-borne (Rocky Mountain spotted) .....
Venereal Diseases (newly reported cases)6
Syphilis ............................................
Gonorrhea ..........................................
Other specified venereal diseases: chancroid,
granuloma inguinale and lymphogranuloma venereum ....

Rabies in Animals .....................................


3,304
5
2,177
23
411

293
2,002
1,585
37,740
97
142

93
458,083
2,826
13,005
122
106
12
4

53
1
7,491
17,144
12,984
402,334

289
198
50,874
342
501

30
277

114,314
300,667

2,115

4,780


2,886
3
1,844
47
407

314

1,993
42,974
103
89

99
385,156
2,470
17,135
449
396
52
1

76
1
7,561
15,390
13,009
342,161

325
208
54,062
327
566

35
216

124,137
278,289

1,979

3,929


3,048
9
2,654
10
409

444

2,094
53,016
80
79

118
481,530
2,150
17,749
910
762
139
9

79
2
7,977
9,680
12,443
315,809

322
194
53,788
328
608

32
240

126,245
263,708

2,141

3,732


2,850
14
5,162
14
636

617

2,248
72,651
63
71

73
423,919
2,232
11,468
1,312
988
305
19

102
3
10,470
8,542
12,571
338,410

379
306
53,727
365
814

46
219

124,658
264,158

2,466

3,599


3,424
23
1,593
12
751

918

2,341
41,666
54
53

72
441,703
2,259
14,809
3,190
2,525
626
39

113
2
9,022
6,929
12,487
315,173

368
160
55,494
390
816

68
204

122,003
258,933

2,811

3,567


3,508
12
..........
20
892

934

2,437
23,574
44
83

71
406,162
2,180
40,005
8,425
6,289
2,045
91

147
7
8,285
6,606
12,888
334,715

445
227
57,307
459
859

51
199

120,766
240,158

2,459

4,177


4,380 5,031
16 26
not previously reportab
6 28
924 983

918 1,211

2,587 2,135
16,294 14,922
39 36
55 47

85 132
763,094 486,799
2,581 2,691
32,148 28,295
5,787 5,485
3,697 2,499
1,941 2,826
149 160

158 278
5 5
6,889 6,427
6,363 6,693
11,861 9,822
264,097 226,973

445 447
176 178
63,000 66,437
587 601
1,043 1,231

71 113
243 240

113,894 123,758
232,513 214,496

2,343 2,433

4,787 4,542


1. Figures include Alaska from 1959; Hawaii, from 1960; both are excluded in prior years.
2. Figures are from the Encephalitis Surveillance Program.
3. Figures for cases of rabies in man represent registered deaths, 1955 1961.
4. Reports from 39 States (see p. 11).
5. Figures are from the Tuberculosis Branch, CDC.
6. Figures are from the Venereal Disease Branch, CDC, (civilian cases only).


3,689
38
le national]
17
1,300

1,568

2,624
19,234
52
44

234
611,936
2,735
31,732
15,140
7,911
6,555
674

568
10
6,562
6,704
10,306
176,392

468
262
68,866
522
1,700

98
293

130,168
224,342

2,981

5,681


3,348
39
S ..........
16
1,444

1,984

2,166
31,961
75
24

522
555,156
3,455
62,786
28,985
13,850
12,453
2,682

334
4

5,447
13,912
147,502

462
264
76,245
584
1,704

135
295

122,392
236,197

3,913

5,799













TABLE 3. (A) DEATHS FROM SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, 1954 1963




(Figures include Alaska from 1959; Hawaii, from 1960; both are excluded in prior years. Numbers after cause of death are category numbers of the

Seventh Revision, International Classification of Diseases, 1955.)





CAUSE OF DEATH 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954


Amebiasis ............................................ 046 92 86 84 88 124 86 95 130 106 131
Anthrax .............................................. 062 1 1 2
Botulism ............................................. 049.1 14 11 10 12 15 4 11 14 18 14
Brucellosis ......................................... 044 5 12 11 6 12 8 8 9 10 15
Diphtheria ........................................... 055 45 41 68 69 72 74 81 103 150 145

Encephalitis, acute infectious ....................... 082 532 582 505 528 570 537 465 424 398 407
Hepatitis, infectious ................................ 092 852 911 976 938 897 897 897 806 841 821
Leprosy .............................................. 060 3 8 8 6 6 3 3 6 5 4
Leptospirosis ........................................ 072 14 10 9 14 11 11 9 8 10 14
Malaria .............................................. 110 117 7 12 3 4 7 6 14 11 18 24

Measles ............................................. 085 364 408 434 380 385 552 389 530 345 518
Meningitis, except meningococcal and tuberculous ..... 340 2,343 2,322 2,263 2,316 2,208 2,247 2,025 1,933 1,873 1,829
Meningococcal infections ............................ 057 733 649 586 644 699 746 785 762 907 1,015
Pertussis (whooping cough) ........................... 056 115 83 76 118 269 177 183 266 467 373
Plague ............................................... 058 1 2 1 1

Poliomyelitis ........................................ 080 41 60 90 230 454 255 221 566 1,043 1,368
Bulbar or polioencephalitis ........................ 080.0 22 35 61 146 299 164 151 402 747 981
With other paralysis ............................... 080.1 5 7 10 14 24 21 13 38 53 65
Unspecified ........................................ 080.3 14 18 19 70 131 70 57 125 243 321

Psittacosis .......................................... 096.2 1 1 1 3 3 3 3 3
Rabies ............................................... 094 2 1 3 2 7 5 5 10 4 13
Rheumatic fever, acute ............................... 400 402 552 550 608 734 795 806 900 1,033 1,131 1,297
Salmonellosia, including paratyphoid fever ........... 041 042 72 62 64 82 72 65 60 62 62 48
Shigellosis (bacillary dysentery) .................... 045 134 134 128 153 133 157 156 156 187 243

Streptococcal sore throat and scarlet fever .......... 050 051 102 102 130 108 130 139 213 240 235 262
Tetanus .............................................. 061 210 215 242 231 283 303 279 246 265 332
Trichinosis ........................................ 128 5 1 7 3 3 4 4 5 4 1
Tuberculosis (all Forms) ............................ 001 019 9,311 9,506 9,938 10,866 11,456 12,361 13,324 14,061 14,940 16,392

Tularemia ............................................ 059 3 1 3 3 7 6 3 4 9 4
Typhoid Fever ........................................ 040 21 15 17 21 22 23 34 54 34 45
Typhus Fever flea-borne (murine) .................. 101 2 -
Typhus Fever tick-borne (Rocky Mountain spotted).... 104 16 12 11 11 10 14 18 16 8 10

Venereal Diseases and Sequelae
Syphilis ........................................... 020 029 2,666 2,811 2,850 2,945 3,069 3,469 3,825 3,870 3,834 4,835
Gonorrhea .......................................... 030 035 23 23 19 38 25 18 21 28 23 15
Other .............................................. 036 039 12 16 11 15 12 20 18 20 28 29


Source: National Vital Statistics Division, Vital Statistics of the United States, Vol. II, for respective year.
















TABLE 3. (B) DEATHS FROM SELECTED NON-NOTIFIABLE ACUTE DISEASES: UNITED STATES, 1954 1963


DISEASE 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954


Abscess of lung ....................................... 521 651 561 543 604 614 652 601 595 500 505
Boil and carbuncle .................................... 690 58 67 93 120 156 117 99 58 43 44
Other local skin conditions (cellulitis and abscess)... 691 698 445 503 520 512 476 436 384 355 283 291
Chickenpox ............................................ 087 129 134 167 126 141 146 113 116 88 120
Diarrhea of newborn ................................... 764 386 410 419 463 492 531 516 527 547 700

Empyema and pleurisy .................................. 518 519 432 408 479 456 468 424 450 416 429 433
Erysipelas ............................................ 052 16 25 32 22 28 26 27 33 28 39
Fungal infections
Actinomycosis ....................................... 132 35 17 21 28 27 21 15 24 23 17
Coccidioidomycosts .................................. 133 71 55 62 55 48 50 53 54 62 78
Blastomycosis ....................................... 134.0 24 17 16 15 13 24 28 27 19 24
Cryptococcosis ...................................... 134.1 73 90 86 71 84 39 55 66 74 56 M
Histoplasmosis ...................................... 134.2 70 82 90 80 63 73 77 67 53 59
Monillasis .......................................... 134.3 105 88 100 108 101 93 82 105 87 75

Gastroenteritis and colitis (Age 4 wks 2 yrs) ....... 571.0 2,370 2,635 2,596 2,957 2,862 3,066 3,412 3,166 3,663 3,900
Herpes febrilis ....................................... 096.0 22 19 21 12 26 26 13 13 7 14
Herpes zoster ......................................... 088 66 69 63 78 58 46 47 52 45 44
Hydatid disease ....................................... 125 10 7 3 10 8 14 5 8 8 8 U
Infections of ear and mastoid ......................... 390 394 261 266 314 389 399 434 404 387 474 459

Meningitis, excluding meningococcal and tuberculous ... 340 2,343 2,322 2,263 2,316 2,208 2,247 2,025 1,933 1,873 1,829
Mononucleosis, infectious ............................. 093 11 18 13 16 21 16 15 18 10 16
Mumps ................................................. 089 48 43 53 42 51 37 45 49 43 45
Pemphigus ............................................. 704 147 142 141 149 168 142 170 149 172 150
Pemphigus, neonatorum ................................. 766 13 16 23 30 23 26 23 22 27 33

Respiratory infections
Bronchitis, acute ................................... 500 1,139 1,118 1,031 1,170 1,135 1,352 1,202 1,105 1,080 990
Influenza ........................................... 480 483 7,083 3,431 2,137 7,872 2,845 4,442 7,463 2,323 2,755 2,680 (f
Pneumonia (primary cause of death) .................. 490 493 63,678 56,564 53,038 58,931 52,194 52,997 53,538 44,780 41,755 38,311
Pneumonia of newborn ................................ 763 3,181 3,350 3,541 3,544 3,761 3,918 3,715 3,400 3,108 3,140
Upper respiratory infections, acute ................. 470 475 867 820 808 911 971 936 1,045 901 904 954

Sepsis of
Abortion ............................................ 651 201 213 220 191 179 159 169 136 159 170
Childbirth .......................................... 680 681 57 55 59 76 58 50 54 48 43 56
Newborn ............................................. 767 768 828 774 722 749 786 1,055 832 662 518 485
Septicemia and pyemia ................................. 053 2,359 2,084 1,886 1,920 1,760 1,663 1,351 1,118 938 897

Viral diseases, undifferentiated ...................... 096.9 511 476 456 434 384 308 267 302 312 255
Worm infestation ...................................... 126 130 44 67 48 56 65 63 56 59 60 61


Source: National Vital Statistics Division, Vital Statistics of the United States, Vol. II, for respective year.
















TABLE 4. REPORTED CASES OF NOTIFIABLE DISEASES BY MONTH: UNITED STATES, 1964


Month
not
DISEASE Total Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Stated

o
Amebiasis ................................. 3,304 206 273 363 307 343 230 292 269 260 278 231 252 -
Anthrax ................................... 5 1 1 1 1 1 -
Aseptic Meningitis ........................ 2,177 121 91 107 108 122 139 232 303 369 227 189 169
Botulism .................................. 23 2 4 3 1 1 1 4 -7 -
Brucellosis undulantt fever) .............. 411 27 40 24 51 28 30 39 54 35 17 28 36 2

Diphtheria ................................ 293 17 18 11 20 36 25 17 10 17 40 35 47 -
Encephalitis, primary ............... ..... 2,002 68 85 83 89 95 93 170 422 471 207 101 74 44
Encephalitis, post-infectious ............. 1,585 137 129 182 228 239 170 143 96 51 55 68 72 15
Hepatitis, infectious and serum ........... 37,740 4,063 4,139 3,794 3,521 3,000 2,471 2,584 2,498 2,790 2,994 2,605 3,244 37
Leprosy ................................... 97 9 9 5 9 10 13 13 7 2 2 7 11 -

Leptospirosis ............................. 142 4 3 2 1 2 18 45 25 4 6 5 27 -
Malaria ................................... 93 8 5 6 5 11 6 9 9 14 4 9 7 -
Measles ................................... 458,083 27,521 44,394 72,969 111,015 111,859 43,974 13,695 4,157 2,428 4,449 7,888 13,634 100 r
Meningococcal infections .................. 2,826 255 259 315 350 216 181 178 119 211 219 224 297 2
Pertussis (whooping cough) ................ 13,005 1,072 991 1,122 1,328 1,414 1,112 1,321 1,157 1,053 871 795 733 36

Poliomyelitis, Total ...................... 122 6 2 13 6 8 14 14 15 14 15 4 11 -
Paralytic ............................... 106 5 2 11 5 7 10 14 14 13 14 2 9 -
Nonparalytic ............................ 12 1 2 1 3 1 1 1 2 -
Unspecified ............................. 4 1 1 1 1 -

Psittacosis-Ornithosis .................... 53 8 1 4 4 2 3 7 4 4 4 3 6 3
Rabies in Man ............................. 1 1
Rheumatic fever, acute* ................... 7,491 871 742 779 785 716 639 601 447 464 474 484 473 16
Salmonellosis, excluding typhoid fever .... 17,144 1,159 1,134 1,094 1,386 1,253 1,354 1,566 1,665 1,822 1,785 1,475 1,411 40 O
Shigellosis (bacillary dysentery) ......... 12,984 1,172 966 858 838 836 816 1,365 1,322 1,392 1,407 991 1,016 5

Streptococcal sore throat and scarlet fever 402,334 40,793 51,323 50,763 49,845 36,674 25,226 18,295 17,789 19,470 26,780 28,114 37,210 52
Tetanus ................................... 289 23 17 10 23 29 31 25 35 30 34 15 17
Trichinosis ............................... 198 17 8 9 26 17 20 18 16 22 16 6 22 1
Tularemia ................................. 342 32 23 9 14 27 38 52 31 28 26 20 42
Typhoid fever ............................. 501 29 27 20 41 34 33 58 39 69 37 40 73 1

Typhus fever
Flea-borne (endemic, murine) .......... 30 1 2 2 1 3 4 5 3 2 7
Tick-borne (Rocky Mountain spotted) ..... 277 1 8 41 46 75 53 38 9 4 2 -

Rabies in Animals ......................... 4,780 302 355 434 565 470 395 417 369 343 354 337 437 2


* Based on Reports from 39 States.







8 Morbidity and Mortality Weekly Report


TABLE 5. REPORTED CASES OF NOTIFIABLE DISEASES:
UNITED STATES, BY GEOGRAPHIC DIVISION, BY STATE, 1964


AREA AMEBIASIS ANTHRAX ASEPTIC BOTULISM BRUCELLOSIS DIPHTHERIA
AREA MENINGITIS


UNITED STATES 3,304 5 2, 177 23 411 293

NEW ENGLAND.......... 28 1 42 2 43
Maine.................. 4 36
New Hampshire ......... 1
Vermont ............... -
Massachusetts .......... 1 14 2 6
Rhode Island ........... 20
Connecticut ............. 27 3

MIDDLE ATLANTIC ...... 1,412 268 9 8
New York City .......... 1,039 44 4
Upstate New York ....... 21 98 5
New Jersey ............. 267 72
Pennsylvania............ 85 54 4 4

EAST NORTH CENTRAL.. 280 1 304 50 11
Ohio ................... .30 1 62 5
Indiana ................. .7 11 1 1
Illinois ................. 213 106 26 9
Michigan ............... 28 107 6 1
Wisconsin .............. 2 18 12

WEST NORTH CENTRAL.. 53 140 8 177 32
Minnesota .............. 4 80 10 18
Iowa ................... 20 3 114
Missouri ............... 4 17 10 1
North Dakota ........... 2 1 2 2
South Dakota ............ 1 10 22 3
Nebraska............... 4 13 5
Kansas................. 24 24 7 6 3

SOUTH ATLANTIC........ 81 165 1 45 80
Delaware............... 13
Maryland............... 10 6 -
District of Columbia ..... 2 7
Virginia................ 24 24 21
West Virginia........... 3 16
North Carolina .......... 16 3 3
South Carolina .......... 2 16 8
Georgia ................ 2 1 16 32
Florida ................. 22 83 5 36
EAST SOUTH CENTRAL .. 110 336 3 20 32
Kentucky ............... 10 251 2 6
Tennessee .............. 36 36 7 2
Alabama................ 50 43 1 4 25
Mississippi............. 14 6 3 5

WEST SOUTH CENTRAL .. 711 1 134 54 47
Arkansas................ 7 1 3 6 3
Louisiana .............. 32 25 5 15
Oklahoma .............. 10 16 8 1
Texas................... 662 90 35 28

MOUNTAIN .............. 308 1 39 31 3
Montana ................ 4
Idaho .................. 1 1 1 2
Wyoming ............... 5
Colorado ............... 10 4 1
New Mexico ........... 38 1 1 1
Arizona ................ 258 20* 2 1
Utah ................... 1 4 26
Nevada ................-

PACIFIC................. 321 1 749 11 23 37
Washington ............... 72 4 11
Oregon .............. ... 21 6 2
California ............. 290 1 628 7 21 26
Alaska ................. 5 -
Hawaii ................. 10 38


Puerto Rico .............. 1 1 13

Includes Meningitis, Other







Morbidity and Mortality Weekly Report 9


TABLE 5. REPORTED CASES OF NOTIFIABLE DISEASES:
UNITED STATES, BY GEOGRAPHIC DIVISION, BY STATE, 1964 Continued

POST-INFECTIOUS ENCEPHALITIS
Primary
Encepha- Post-
AREA litis* Measles Mumps Chickenpox Rubella Influenza Vaccinal Other

UNITED STATES 2,002 300 932 106 59 14 8 166
NEW ENGLAND .......... 43 5 35 3 3 1 6

Maine .................. 1 2 5
New Hampshire ........-- -
Vermont................ .
Massachusetts .......... 16 10 1 -
Rhode Island............ 14 2 21 1 -
Connecticut............. 12 1 4 1 3 1 1

MIDDLE ATLANTIC ...... 506 60 75 25 41 1 3 9

New York City .......... 157 20 21 5 18 1
Upstate New York ....... 54 16 16 8 11 1 5
New jersey ............. 207 16 11 3 -
Pennsylvania ............ 88 8 27 9 12 1 1 4

EAST NORTH CENTRAL .. 326 40 156 8 7 1 3 17

Ohio ................... 144 5 23 3 1 12
Indiana ................. 61 6 8 1 4
Illinois ................. 62 27 104 4 7 1 1 1
Michigan ............... 55 2 19
Wisconsin .............. 4 2 i

WEST NORTH CENTRAL 182 4 68 3 1 9

Minnesota .............. 15 3 56 3 1 5
Iowa ................... 21 3
Missouri .............. 32 1
North Dakota ........... 10 1 2 1
South Dakota ........... 10 1
Nebraska............... 16 -
Kansas................ 78 5 2

SOUTH ATLANTIC ...... 109 45 183 10 2 71

Delaware............... 2
Maryland.............. 5 4 4 1 19
District of Columbia ..... 1 -
Virginia ................ 2 11 20 6 44
West Virginia........... 7 1 3
North Carolina .......... 43 8 4 2 2 5
South Carolina .......... 2 12
Georgia ................ 21 -
Florida ................ 29 21 137 1 2

EAST SOUTH CENTRAL .. 94 16 14 5 1 9

Kentucky ............... 52 1 1 6
Tennessee.............. 23 5 11 5 1 2
Alabama................ .
Mississippi............. 19 10 2-

WEST SOUTH CENTRAL .. 380 17 22 3 3 3 11

Arkansas................ 17 3 9 1 3 2 -
Louisiana .............. 9 6 5 2
Oklahoma .............. 11 -
Texas.................. 343 8 8 1 10

MOUNTAIN.............. 144 8 39 11 13

Montana................ 2 3 -
Idaho.................... 4-
Wyoming ............... 2 1 2 2
Colorado .............. 90 1 20
New Mexico ............. 18 2
Arizona ................ 28 4 3 9 1
Utah ................... 1 9 10
Nevada .................

PACIFIC................. 218 105 340 43 5 1 21

Washington ............. 30 11 28 10 1 -
Oregon ................. 11 8 15 1 4 I
California .............. 169 86 294 32 21
Alaska ................. 3
Hawaii ................. 5 3
Puerto Rico .............. 2 5 1 4

*Includes category "unknown etiology"







10 Morbidity and Mortality Weekly Report


TABLE 5. REPORTED CASES OF NOTIFIABLE DISEASES:
UNITED STATES, BY GEOGRAPHIC DIVISION, BY STATE, 1964 Continued


HEPATITIS MALARIA* MENINCOCOCCAI
(Infectious LEPROSY LEPTOSPIROSIS (Acquired Outside MEASES INFECTIONS
AREA and Serum) and Within U.S.)

UNITED STATES 37, 740 97 142 93 458,083 2,826
NEW ENGLAND.......... 3,364 1 5 23,081 105

Maine.................. 1,037 1 4,168 11
New Hampshire ......... 287 1,120 3
Vermont................ 393 2 2,439 4
Massachusetts .......... 739 2 7,265 42
Rhode Island............ 241 2,610 14
Connecticut........... 667 1 5,479 31

MIDDLE ATLANTIC ...... 7,829 4 11 33 53,880 316

New York City .......... 1,287 4 1 9 15,435 42
Upstate New York ....... 3,490 5 7 13,124 109
New Jersey ............ 1,128 2 6 12,691 80
Pennsylvania............ 1,924 3 11 12,630 85

EAST NORTH CENTRAL .. 6,227 1 5 94,755 372

Ohio ................... 1,587 20,317 102
Indiana................. 511 10,331 62
Illinois................. 1,229 -3 16,906 96
Michigan ............... 2,472 I 30,897 80
Wisconsin .............. 428 2 16,304 32

WEST NORTH CENTRAL 2,119 3 17 6 13, 796 165

Minnesota .............. 245 2 1 3 359 41
Iowa ................... 453 15 5,402 11
Missouri ............... 510 1 1,127 76
North Dakota ........... 64 5,886 13
South Dakota ........... 135 160 5
Nebraska............... 86 1 862 7
Kansas................. 626 1 1 1 NN 12

SOUTH ATLANTIC ....... 3,517 3 12 16 41,120 564

Delaware............... 78 420 7
Maryland ............... 709 1 2 3 3,154 42
District of Columbia..... 76 1 348 17
Virginia................ 550 1 4 13,568 63
West Virginia........... 514 1 10,330 39
North Carolina .......... 523 1 2 6 1,320 102
South Carolina .......... 150 4,269t 75
Georgia ................ 127 1 222 107
Florida ................ 790 1 5 2 7,489 112
EAST SOUTH CENTRAL .. 2,573 9 4 69,697 225

Kentucky ............... 906 3 18,926 76
Tennessee.............. 910 6 1 25,309 71
Alabama................ 488 1 18,678 47
Mississippi............. 269 2 6,784 31

WEST SOUTH CENTRAL.. 2, 954 47 8 4 73,997 327

Arkansas.............. 298 3 1 1,156 36
Louisiana .............. 706 2 2 1 131 142
Oklahoma .............. 153 2 1,081 19
Texas.................. 1,797 45 3 71,629 130

MOUNTAIN .............. 2,376 2 1 2 19,410 74

Montana................ 207 1,949 3
Idaho........ ...... .... 342 1 2,393 8
Wyoming ............... 102 1 239 3
Colorado ............... 622 1 -- 3,494 23
New Mexico ............ 346 1,181 11
Arizona ................ 537 1 1 6,767 8
Utah ................... 181 2,435 7
Nevada................. 39 952 11

PACIFIC................. 6,781 38 82 18 68,347 678

Washington .............. 744 61 1 22,799 57
Oregon................. 667 3 1 9,198 33
California .............. 4,945 28 5 16 34,312 561
Alaska ................. 315 1,110 10
Hawaii ................. 110 10 13 928 17
Puerto Rico .............. 1,159 5 7,535 37

*Includes, according to WHO terminology, two "cryptic" cases (Tennessee and Georgia) and one "induced" case (Upstate
New York), tIncludes Rubella.







Morbidity and Mortality Weekly Report 11


TABLE 5. REPORTED CASES OF NOTIFIABLE DISEASES:
UNITED STATES, BY GEOGRAPHIC DIVISION, BY STATE, 1964 Continued


POLIOMYELITIS
PERTUSSIS PSITTACOSIS- RHEUMATIC
AREA (Whooping Cough) Total* Paralytic Nonparalytic ORNITHOSIS FEVER, ACUTE


UNITED STATES 13, 005 122 106 12 53 7,491
NEW ENGLAND .......... 887 4 4 2 18
Maine .................. 138 1 1 4
New Hampshire ......... 38 1 1 1
Vermont ............... 66
Massachusetts .......... 349 2
Rhode Island ............ 48 13
Connecticut ............. 248 2 2
MIDDLE ATLANTIC ...... 1, 160 13 13 7
New York City .......... 304 2 2 1.
Upstate New York ....... 335 9 9 ..
New Jersey ............. 128 2 2 -3 ...
Pennsylvania ............ 393 2 .

EAST NORTH CENTRAL.. 3,202 22 21 16 5,087
Ohio ................... 411 3 2 3 1,551
Indiana ................ 460 9 9 74
Illinois................. 774 5 5 6 2,059
Michigan ............... 957 3 3 3 1,302
Wisconsin .............. 600 2 2 4 101

WEST NORTH CENTRAL.. 326 11 8 3 2 291
Minnesota .............. 11 3 2 1 1 22
Iowa ................... 153 1 1 1 21
Missouri ............... 45 4 2 2 76
North Dakota ........... 78 1 1 170
South Dakota............ 3
Nebraska.............. 20 1 1 -
Kansas................. 16 1 1 2

SOUTH ATLANTIC........ 1,640 33 29 4 7 119
Delaware............... 74 4
Maryland............... 104 1 1
District of Columbia ..... 19 2
Virginia ................ 298 4 4 .
West Virginia........... 339 1 1 36
North Carolina .......... 142 9 7 2 1
South Carolina .......... 167 2 2 -- 47
Georgia ................ 19 4 4 4 30
Florida ................ 478 12 10 2 1
EAST SOUTH CENTRAL .. 1,887 7 6 1 2 828
Kentucky ............... 872 300
Tennessee .............. 578 3 2 1 2 313
Alabama................ 313 3 3 209
Mississippi............. 124 1 1 6
WEST SOUTH CENTRAL.. 1,384 15 14 2 80
Arkansas............... 90 1 4
Louisiana .............. 18 1 1 15
Oklahoma .............. 34 3 2 -- 13
Texas .................. 1,242 11 11 1 48

MOUNTAIN ............. 991 13 7 4 789
Montana ................ 128 53
Idaho .................. 82 1 1 238
Wyoming ............... 2 2 2 115
Colorado ............... 291 2 1 1 98
New Mexico .......... 49 5 3 34
Arizona ................ 284 2 2 -- 121
Utah ... .... ........ 155 1 1 -126
Nevada .................- 4

PACIFIC ................. 1,528 4 4 15 279
Washington ............. 275 97
Oregon ................. 276 1 1 1 51
California .............. 910 3 3 -14 117
Alaska ................. 61 13
Hawaii ................. 6 -


Puerto Rico .............. 406
*Includes unspecified cases: one each in Ohio and Oklahoma, and two in New Mexico.







12 Morbidity and Mortality Weekly Report


TABLE 5. REPORTED CASES OF NOTIFIABLE DISEASES:
UNITED STATES, BY GEOGRAPHIC DIVISION, BY STATE. 1964 Continued

STREPTOCOC- TYPHUS FEVER
LOSIS (ex. CAL SORE TYPHOID Tick-borne
AREA ho SHIGELLOIS THROAT TETANUS TRICHINOSIS TURMI A FEVER Flea-borne T ne
typhoid SCARLET (Murine) (Rky Mt.
fever) FEVER ine) Spotted)

UNITED STATES 17,144 12, 984 402, 334 289 198 342 501 30 277
NEW ENGLAND ......... 1,463 352 40,943 9 19 1 18 2

Maine ................. 63 24 4,555 4 -
New Hampshire ........ 42 9 567 1
Vermont............... 33 33 652 -
Massachusetts ......... 828 184 5,243 9 3 1 9 2
Rhode Island........... 64 12 3,239 2 6 -
Connecticut ............ 433 90 26,687 9 3 -

MIDDLE ATLANTIC ..... 4,069 983 19,182 28 78 1 70 33

New York City ........ 928 427 1,073 5 33 34 -
Upstate New York ...... 817 192 12,628 9 30 15 2
New Jersey ............ 466 95 2,526 6 7 8 16
Pennsylvania ........... 1,858 269 2,955 8 8 1 13 15

EAST NORTH CENTRAL 2,546 1,718 46,641 53 28 31 83 1 37
Ohio .................. 487 505 7,694 13 19 4 24 12
Indiana ................ 164 49 6,421 16 3 2 24 18
Illinois................ 774 563 6,283 16 5 21 20 7
Michigan .............. 747 482 17,228 7 1 I1 13 1 -
Wisconsin ............. 374 119 9,015 1 3 2 -

WEST NORTH CENTRAL 1,077 809 14,760 21 17 58 40 6

Minnesota ............. 400 311 919 6 5 2 3 -
Iowa .................. 86 36 4,085 6 12 1 7
Missouri .............. 189 105 1,140 4 32 18 1
North Dakota .......... 72 18 5,870 1 1 4 1
South Dakota .......... 36 49 683 2 15 1 1
Nebraska.............. 8 13 88 3 -
Kansas ................ 286 277 1,975 2 7 4 3

SOUTH ATLANTIC ...... 2,780 2,061 40, 130 65 7 35 99 6 125
Delaware.............. 54 17 525 1 2
Maryland.............. 280 133 4,639 4 1 11 1 18
District of Columbia.... 128 96 376 1 1 3
Virginia ............... 353 255 10,703 8 8 11 35
West Virginia.......... 12 7 12,357 1 2 1 4
North Carolina......... 243 345 1,189 11 9 16 1 43
South Carolina ......... 22 16 2,019 6 2 14 2
Georgia ............... 589 624 682 7 14 27 1 17
Florida ............... 1,099 568 7,640 27 2 2 19 3 1

EAST SOUTH CENTRAL 942 727 68,258 38 4 42 46 5 37

Kentucky .............. 572 57 8,330 6 2 7 10 3
Tennessee ............. 220 488 54,365 18 2 27 21 28
Alabama............... 92 102 2,021 8 3 9 5 4
Mississippi ............ 58 80 3,542 6 5 6 2

WEST SOUTH CENTRAL 684 1,944 36,206 35 5 112 54 16 13

Arkansas.............. 144 162 232 8 67 18 1 2
Louisiana ............. 254 108 208 6 6 10 1
Oklahoma ............. 54 173 1,689 4 21 9 8
Texas ................. 232 1,501 34,077 17 5 18 17 15 2

MOUNTAIN ............. 952 1,437 70,953 6 20 58 45 19

Montana............... 60 190 2,658 19 1 6
Idaho. ................ 17 4 5,022 1 8 2 1 2
Wyoming .............. 2 1 2,492 2 12 1 3
Colorado .............. 330 476 29,609 1 1 4 7
New Mexico ........... 119 417 15,893 11 31 -
Arizona ............... 113 272 6,827 1 1 7 -
Utah .................. 270 59 8,413 1 24 1
Nevada................ 41 18 39 -

PACIFIC ................ 2,631 2,953 65,261 34 20 4 46 2 5

Washington ............ 338 505 19,304 3 1 3 -
Oregon ................ 157 403 1,277 1 1 1 2
California ............. 1,673 1,741 40,094 28 17 2 43 3
Alaska ................ 1 17 1,547 1 -
Hawaii ................ 462 287 3,039 2 1 2

Puerto Rico ............... 5 2 582 165 12







Morbidity and Mortality Weekly Report 13


TABLE 6. NEWLY REPORTED ACTIVE TUBERCULOSIS CASES:
UNITED STATES, BY GEOGRAPHIC DIVISION, BY STATE, BY AGE, 1964


Age
AREA TOTAL Under 5 5-14 15-24 25-44 45-64 65 & Over Not Stated


UNITED STATES 50,874 2,778 3,202 4,447 14,019 16,106 9,341 981
NEW ENGLAND .......... 1,739 83 88 152 486 588 323 19

Maine.................. 119 6 7 9 31 34 26 6
New Hampshire ......... 54 2 1 2 13 20 15 1
Vermont ................ 60 1 3 3 8 26 16 3
Massachusetts .......... 977 42 36 77 281 351 190
Rhode Island............ 146 11 17 18 35 44 13 8
Connecticut ............. 383 21 24 43 118 113 63 1

MIDDLE ATLANTIC ...... 10,589 525 556 1,016 3,126 3,366 1,791 209

New York City .......... 4,207 218 221 471 1,457 1,187 565 88
Upstate New York ....... 1,715 89 119 138 445 548 344 32
New Jersey ............. 1,738 111 82 176 526 601 241 1
Pennsylvania ............ 2,929 107 134 231 698 1,030 641 88

EAST NORTH CENTRAL .. 9,259 406 520 765 2,675 2,921 1,791 181

Ohio ................... 1,938 94 149 151 492 596 388 68
Indiana ................. 1,195 53 90 96 270 368 271 47
Illinois*................ 3,370 90 101 301 1,156 1,125 556 41
Michigan ............... 2,196 155 151 188 637 633 410 22
Wisconsin .............. 560 14 29 29 120 199 166 3

WEST NORTH CENTRAL 2,278 159 107 139 514 751 598 10

Minnesota .............. 412 17 17 20 93 126 137 2
Iowa ................... 179 3 6 9 42 74 44 1
Missouri ............... 1,116 95 53 62 234 376 292 4
North Dakota ........... 66 12 6 5 10 21 12
South Dakota ........... 131 15 22 17 23 30 24
Nebraska............... 140 8 2 12 42 47 29
Kansas................. 234 9 1 14 70 77 60 3

SOUTH ATLANTIC ....... 9,007 580 725 757 2,541 2,883 1,462 59

Delaware............... 154 14 10 16 40 53 21
Maryland............... 1,187 54 51 114 364 402 196 6
District of Columbia..... 503 49 46 48 157 165 35 3
Virginia................ 1,900 151 317 173 403 508 319 29
West Virginia........... 577 28 27 30 143 226 123
North Carolina.......... 1,282 70 81 114 374 423 220
South Carolina .......... 683 60 78 71 182 211 77 4
Georgia ................ 1,314 96 67 95 415 399 226 16
Florida ................ 1,407 58 48 96 463 496 245 1

EAST SOUTH CENTRAL .. 4,657 189 302 413 1,199 1,448 1,083 23

Kentucky ............... 1,188 33 49 103 318 359 316 10
Tennessee.............. 1,459 79 151 107 332 454 335 1
Alabama................ 1,259 39 35 125 336 418 295 11
Mssissippi.............. 751 38 67 78 213 217 137 1

WEST SOUTH CENTRAL .. 4,837 296 275 406 1,162 1,466 809 423

Arkansas............... 663 46 86 45 124 193 150 19
Louisiana .............. 1,066 52 35 68 315 367 197 32
Oklahoma .............. 513 3 1 40 117 186 117 49
Texas .................. 2,595 195 153 253 606 720 345 323

MOUNTAIN .............. 1,862 160 274 173 391 504 307 53

Montana................. 120 3 16 11 13 47 26 4
Idaho ................... 73 9 5 4 21 23 10 1
Wyoming ............... 18 1 1 2 3 9 2
Colorado ............... 290 17 17 30 97 69 44 16
New Mexico ............ 359 53 59 34 64 75 70 4
Arizona ................ 652 60 58 52 152 215 115
Utah ................... 100 15 7 11 18 30 18 1
Nevada................. 250 2 111 29 23 36 22 27

PACIFIC ................. 6,646 380 355 626 1,925 2,179 1,177 4

Washington ............. 587 19 15 48 172 203 126 4
Oregon................. 416 14 23 28 123 157 71
California .............. 5,025 301 232 467 1,444 1,664 917
Alaska ................ 338 33 78 63 104 49 11
Hawaii ................. 280 13 7 20 82 106 52 -


Puerto Rico .............. 1,685 145 227 225 408 440 211 29

*Does not include 98 cases of atypical tuberculosis reported from Downstate Illinois.







Morbidity and Mortality Weekly Report


TABLE 7. NEWLY REPORTED CASES OF VENEREAL DISEASES:
UNITED STATES, BY GEOGRAPHIC DIVISION, BY STATE; AGE; AND SEX, BY RACE (Civilian Cases Only). 1964


SYPHILIS
ALL PRIMARY &
AREA STAGES SECONDARY GONORRHEA CHANCROID OTHER*


UNITED STATES

NEW ENGLAND .........

Maine ..................
New Hampshire .........
Vermont ...............
Massachusetts ..........
Rhode Island............
Connecticut .............

MIDDLE ATLANTIC ......

New York City ..........
Upstate New York .......
New Jersey ............
Pennsylvania............

EAST NORTH CENTRAL ..

Ohio ...................
Indiana .................
Illinois .................
Michigan ...............
Wisconsin ..............

WEST NORTH CENTRAL .

Minnesota ..............
Iowa ...................
Missouri ...............
North Dakota ...........
South Dakota ..........
Nebraska ...............
Kansas ................

SOUTH ATLANTIC .......

Delaware ...............
Maryland ...............
District of Columbia.....
Virginia ................
West Virginia...........
North Carolina..........
South Carolina ..........
Georgia ................
Florida ................

EAST SOUTH CENTRAL ..

Kentucky ...............
Tennessee ............
Alabama..............
Missssippi..............

WEST SOUTH CENTRAL ..

Arkansas..............
Louisiana ..............
Oklahoma ..............
Texas ..................

MOUNTAIN ..............

Montana ...............
Idaho ...................
Wyoming ...............
Colorado ...............
New Mexico ............
Arizona ................
Utah ...................
Nevada.................

PACIFIC.................

Washington ............
Oregon................
California ..............
Alaska .................
Hawaii ......... ......


114,314

3,437

84
89
17
2,242
414
591

33,428

18,709
3,357
4,965
6,397

16,401

3,768
1,255
5,375
5,221
782

6,851

293
952
4,054
27
168
462
895

21,570

770
2,733
2,053
2,479
949
2,389
1,739
2,550
5,908

5,837

1,787
1,606
1,714
730

11,073

1,246
3,334
1,542
4,951
2,802

188
19
62
663
754
624
140
352

12,915

363
369
11,965
49
169


22,968

483

7
10
3
284
19
160

5,428

3,165
632
1,140
491

2,474

584
70
1,135
622
63

550

124
37
252

53
56
28

6,761

84
514
693
299
59
1,109
860
1,139
2,004

1,921

178
478
902
363

2,599

227
734
150
1,488
539

32
8
8
35
180
223
14
39

2,213

73
73
2,039
9
19


300,667

7,074

288
151
170
3,982
271
2,212

43,251

25,826
5,814
3,834
7,777

56,067

11,962
3,810
26,637
12,028
1,630

18,821

1,962
1,792
9,551
601
1,108
999
2,808

63,255

1,048
6,296
10,592
7,051
867
8,849
8,358
10,791
9,403

21,343

3,290
9,214
3,711
5,128

42,295

7,011
5,248
3,402
26,634
9, 222

530
640
155
2,034
1,587
3,075
436
765

39,339

3,438
2,140
32,842
568
351


1,247

8


AGE DISTRIBUTION

Syphilis,
Primary &
Age Group Secondary Gonorrhea

0-14 292 4,604

15-19 3,596 61,067

20-24 6,454 105, 807

25-29 4,540 58,623

30-39 5,165 50,072

40-49 2,036 14,655

50+ 885 5,839


Total 22,968 300,667


DISTRIBUTION by SEX by RACE

Syphilis, All Stages

White Nonwhite

Male 27,354 36,002

Female 18,696 32, 262

Total 46,050 68,264


Syphilis, Primary & -Secondary


Male 4,437 9,868

Female 1,352 7,311

Total 5,789 17,179


Gonorrhea


Male 59,732 165,844

Female 22,888 52, 203

Total 82,620 218,047


CONGENITAL SYPHILIS
AGE DISTRIBUTION

Percent of
Age Group Number Known Age
0-1 314 10.0

1-4 47 1.5

5-9 27 0.9
10+ 2,747 87.6

Total Known 3,135 100.0

Unknown Age 381

Total 3,516


Puerto Rico .............. 1,581 849 2,840 11 2
Virgin Islands............ 454 29 1 263.
*Granuloma inguinale and Lymphogranuloma venereum.







Morbidity and Morlality Weekly Report 15



TABLE 8. RABIES IN MAN AND ANIMALS, BY STATE, BY TYPE OF ANIMAL, UNITED STATES, 1964

FROM REPORTS TO THE NATIONAL RABIES SURVEILLANCE PROGRAM, CDC-PHS



Human Rabies in the United States, 1964

BITING NATURE OF INCUBATION DURATION OF DATE OF
LOCALITY AGE SEX ANIMAL EXPOSURE PERIOD ILLNESS DEATH

Wrist &
Minnesota 10 M Skunk Fingers 20 days 6 days 9/1/64



Rabies in Animals by Type of Animal Reported Through Surveillance Program State Report,
Notifiable Diseases
AREA DOG CATTLE OTSERC FOX SKUNK BAT RACCOON TOTAE TOTAL CASES
DOMESTIC WILD CONFIRMED

UNITED STATES 402 527 278 1,061 1,909 352 173 48 4,750* 4,780

NEW ENGLAND ..........
Maine.................. 2 20 3 4 1 30 30
New Hampshire ......... 1 1 1
Vermont................ 3 1 1 1 1 7 7
Massachusetts .......... 1 1 1
Connecticut............. 2 2 2
MIDDLE ATLANTIC ......
Upstate New York ....... 5 18 5 49 33 11 121 121
New Jersey.............. 18 18 18
Pennsylvania............ 1 3 I 6 11 11
EAST NORTH CENTRAL ..
Ohio ................... 6 15 10 37 213 5 1 1 288 284
Indiana ................. 4 8 4 2 19 37 37
Illinois................. 24 14 12 13 164 1 1 229 229
Michigan ............... 11 6 8 1 29 4 59 59
Wisconsin .............. 21 18 15 9 11 6 3 1 84 84
WEST NORTH CENTRAL..
Minnesota .............. 17 69 24 5 297 3 415 441
Iowa. ................... 17 97 29 7 305 4 1 460 463
Missouri ............... 33 32 14 28 79 1 2 3 192 192
North Dakota ........... 2 18 8 1 53 1 83 83
South Dakota............ 6 15 12 57 90 95
Nebraska ............... 3 9 2 24 1 2 41 41
Kansas ................. 2 3 31 2 38 38
SOUTH ATLANTIC .......
Maryland ............... .- 1 1 3 3
Virginia ................ 19 36 14 260 1 2 1 333 333
West Virginia........... 9 3 6 15 2 3 2 40 38
North Carolina........... 1 3 2 6 7
South Carolina .......... 2 2 2
Georgia ................ 2 1 10 1 2 107 123 123
Florida 1 .. 4 6 45 47 3 106 105
EAST SOUTH CENTRAL ..
Kentucky ............... 22 16 7 14 4 1 64 64
Tennessee.............. 30 68 21 405 30 13 4 571 571
Alabama ............... 5 3 2 23 3 36 36
Mississippi............. 67 766
WEST SOUTH CENTRAL ..
Arkansas ............... 10 21 6 27 46 13 1 124 152
Louisiana .............. 14 2 1 68 1 1 87 86
Oklahoma .............. 5 14 11 1 69 1 1 102 98
Texas.................. 70 25 41 27 165 20 4 6 358 348
MOUNTAIN ..............
Montana ................ 4 8 12 12
Idaho................... 2 2
Colorado ............... 3 8 11 11
New Mexico ............ 2 1 2 43 2 50 50
Arizona ................ 24 1 11 6 2 17 10 71 71
Utah ................... 2 1 3 3
Nevada ................. 14 1 15 15
PACIFIC .................
Washington .............. 6 6
Oregon ................. 2 10 12 12
California .............. 36 8 4 14 208 53 1 4 328 328
Alaska ................. 2 9 11

Puerto Rico .............. 7 2 7 -- 17 33 31

*Includes 1 unknown by species.







16 Morbidity and Mortality Weekly Report


TABLE 9. REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY STATE, BY AGE, 1964

(A) DIPHTHERIA

Total <1 1-4 5-9 10-14 15-19 20-24 25-29 30-39 40-49 50-59 60+ Unk.

UNITED STATES 293 5 74 69 45 26 12 12 6 14 8 19 3
NEW ENGLAND.......... 43 1 2 3 4 4 2 5 6 16 -

Maine.................. 36 3 4 2 5 6 16
New Hampshire ......... 1 -
Vermont ................- -
Massachusetts .......... 6 1 1 3 1 -
Rhode Island............- -
Connecticut............. -

MIDDLE ATLANTIC ...... 8 2 1 2 1 2

New York City.......... 4 1 1 2
Upstate New York ....... -
New Jersey ............... -
Pennsylvania............ 4 2 1 1

EAST NORTH CENTRAL .. 11 3 5 2 1

Ohio ................... -
Indiana ................. 1 1 -
Illinois ................. 9 3 4 2 -
Michigan ............. 1 1
Wisconsin .............. -

WEST NORTH CENTRAL 32 2 12 8 4 2 3 1

Minnesota .............. 18 1 9 5 3
Iowa ................... -
Missouri ............... 1 I 1
North Dakota ........... 2 2 -
South Dakota ........... 3 1 1 -
Nebraska............... 5 1 1 1 1 1
Kansas ................. 3 1 1 -- 1

SOUTH ATLANTIC ....... 80 29 19 15 3 2 3 4 2 1 2

Delaware............... -
Maryland............... 1 I-
District of Columbia.....- -
Virginia................ -
West Virginia............ -
North Carolina........... 3 2 1 -
South Carolina ........... 8 2 4 1 1 -
Georgia ................ 32 13 7 7 1 1 1 2
Florida ................ 36 12 8 7 1 2 2 2 2

EAST SOUTH CENTRAL .. 32 2 10 11 4 2 1 1 1 -

Kentucky ...............- -
Tennessee.............. 2 2 -
Alabama................ 25 1 6 9 4 2 1 1 1 -
Mississippi.............. 5 1 2 2 -

WEST SOUTH CENTRAL.. 47 1 18 13 4 4 1 2 3 1

Arkansas............... 3 1 1 1
Louisiana .............. 15 6 6 2 -- -- -
Oklahoma .............. 1 1-
Texas.................. 28 1 11 6 2 4 1 1 2

MOUNTAIN .............. 3 2 1

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

PACIFIC................. 37 2 10 8 9 6 1 1

Washington ............. 11 2 1 5 2 1
Oregon................. -
California .............. 26 2 8 7 4 4 1 -
Alaska ................. -
Hawaii ................. -

Puerto Rico .............. 13 1 3 5 1 1 1 -









Morbidity and Mortality Weekly Report 17


TABLE 9. REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY STATE, BY AGE, 1964 Continued

(B) HEPATITIS (infectious and serum)

Total <1 1-4 5-9 10-14 15-19 20-24 25-29 30-39 40-49 50-59 60+ Unk.

UNITED STATES 37, 740
*40States ................ 32,855 73 1,138 5,942 5,186 3,953 3,810 2,876 3,845 2,148 1,227 1,206 1,451

NEW ENGLAND ..........
Maine .................. 1,037 41 203 178 137 103 79 106 47 44 37 62
New Hampshire ......... 287 ...... ... ..... .
Vermont ................ 393 1 4 75 79 46 33 25 41 9 9 8 63
Massachusetts ............ 739 15 130 110 98 78 74 103 62 30 39
Rhode Island............. 241 1 8 21 33 16 43 31 26 26 15 11 10
Connecticut ............. 667 2 16 78 85 76 90 66 119 59 33 22 21

MIDDLE ATLANTIC .....
New York City .......... 1,287 3 13 74 63 234 278 182 184 100 60 96
Upstate New York ....... 3,490 3 93 853 633 408 303 256 421 268 111 116 25
New Jersey ............. 1,128 16 78 116 162 198 91 198 133 83 50 3
Pennsylvania ............ 1,924 2 46 339 364 258 174 180 262 166 68 65

EAST NORTH CENTRAL ..
Ohio ................... 1,587 5 70 292 224 183 148 114 178 115 50 51 157
Indiana................. 511 1 13 105 112 62 55 43 54 21 21 20 4
Illinois ................. 1,229 3 47 234 160 137 121 104 142 95 55 78 53
Michigan ............... 2,472 9 96 554 468 293 203 197 298 126 87 70 71
W isconsin .............. 428 ...... ... ... ... ... ... ... ... ...

WEST NORTH CENTRAL..
Minnesota .............. 245 1 9 22 30 26 26 19 32 14 7 24 35
Iowa ................... 453. ... ... ... .... ... ... ... ...
Missouri ............... 510 2 24 92 86 71 73 46 46 16 17 12 25
North Dakota ........... 64 1 3 12 16 5 3 5 6 6 2 4 1
South Dakota............ 135 11 17 23 16 9 17 18 5 7 7 5
Nebraska............... 86 ... ... ... ... ... ... ... .. ... .
Kansas ................. 626 32 168 117 63 66 64 58 30 12 15 1

SOUTH ATLANTIC........
Delaware............... 78 1 3 14 11 8 13 17 4 2 2 3
Maryland ............... 709 3 23 146 148 96 90 50 72 38 21 11 11
District of Columbia..... 76 4 13 11 10 3 14 9 7 5
Virginia................ 550 13 83 51 60 60 35 60 25 25 22 116
West Virginia ........... 514 1 23 170 139 53 32 25 31 12 8 8 12
North Carolina.......... 523 1 20 104 126 79 57 35 47 16 17 12 9
South Carolina .......... 150 7 25 15 17 30 13 19 7 2 2 13
Georgia ................ 127 3 5 14 13 9 25 8 12 8 10 14 6
Florida ................. 790 ... ... ... ... ... ... .... ... ... ...

EAST SOUTH CENTRAL ..

Kentucky ............... 906 1 31 216 190 101 65 44 45 22 16 19 156
Tennessee.............. 910 6 51 207 171 137 85 62 82 50 31 28
Alabama................ 488 1 15 93 66 51 57 30 34 34 20 24 63
Mississippi................ 269 7 43 52 49 22 16 21 23 15 13 8

WEST SOUTH CENTRAL ..

Arkansas............... 298 13 77 69 35 27 30 13 12 8 14
Louisiana .............. 706 3 19 151 137 104 80 63 74 33 14 19 9
Oklahom a .............. 153 ... ... ... ... ... ... ... ... ... ... ...
Texas .................. 1,797 ... ... ... ... ... ... ... ... ... ... ... ...

MOUNTAIN ..............

Montana................ 207 9 41 17 23 12 9 17 11 5 7 56
Idaho ................... 342 21 47 64 30 36 22 25 15 16 7 59
Wyoming ............... 102 9 20 9 15 11 6 11 4 6 5 6
Colorado ............... 622 2 30 131 110 57 64 38 42 19 14 14 101
New Mexico ............ 346 2 39 94 74 28 20 19 25 6 9 4 26
Arizona ................ 537 ... ..... ... .... ... ...
Utah ................... 181 6 25 32 25 25 18 22 9 5 4 10
Nevada ................. 39 ... ... ... ... ... ... ... ... ... ... ...

PACIFIC .................

Washington ............. 744 1 18 92 101 68 81 69 112 75 39 35 53
Oregon................. 667 2 22 99 103 63 83 69 77 50 41 31 27
California .............. 4,945 12 193 694 576 523 806 578 662 362 184 184 171
Alaska ................. 315 .. .. ... ...... ... ......
Hawaii ................. 110 3 7 1 18 27 17 24 8 3 2 -

Puerto Rico .............. 1,159 141 361 239 127 115 43 65 23 28 15 2

*Hepatitis cases reported in accordance with age groupings established by consensus of the State and Territorial
Epidemiologists.







18 Morbidity and Mortality Weekly Report


TABLE 9. REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY STATE, BY AGE, 1964 Continued

(C) MENINGOCOCCAL INFECTIONS

Total <1 1-4 5-9 10-14 15-19 20-24 25-29 30-39 40-49 50-59 60+ Unk.

UNITED STATES 2, 826
* 44 States ................ 2,442 460 720 274 151 242 236 40 78 59 68 59 55

NEW ENGLAND..........
Maine.................. 11 3 4 2 1 1
New Hampshire ......... 3 1 1 1 -
Vermont ............... 4 1 1 1 1
Massachusetts .......... 42 8 13 2 3 3 1 3 1 3 2 3
Rhode Island............ 14 3 6 2 1 1 1
Connecticut............. 31 6 6 5 2 1 1 1 1 1 7

MIDDLE ATLANTIC ......
New York City .......... 42 5 13 4 5 2 5 1 3 3 1
Upstate New York ....... 109 31 42 10 5 8 3 2 3 2 2 1
New Jersey............. 80 10 20 4 3 12 22 1 1 1 3 3
Pennsylvania ............ 85 15 26 21 4 2 3 1 3 5 4 1

EAST NORTH CENTRAL ..
Ohio ................... 102 20 40 10 4 8 5 1 3 3 1 7
Indiana ................. 62 20 18 12 2 1 1 2 1 2 1 1 1
Illinois................. 96 23 26 7 6 10 7 3 8 1 2 3
Michigan ............... 80 18 24 13 4 4 2 2 4 3 3 3
W isconsin .............. 32 ... ... ... ... ... ... ... ... ... ... ...

WEST NORTH CENTRAL..
Minnesota .............. 41 6 14 5 6 1 1 1 2 2 3
Iowa ................... 11 1 6 1 1 2
Missouri ............... 76 6 12 6 3 19 22 2 4 1 1
North Dakota ........... 13 6 5 1 1 -
South Dakota............ 5 2 2 1 -
Nebraska............... 7 1 2 1 1 2
Kansas ................. 12 2 4 1 1 1 1 1 1

SOUTH ATLANTIC.......
Delaware............... 7 2 1 1 1 1 1 -
Maryland............... 42 14 13 2 5 3 1 2 2
District of Columbia ..... 17 3 4 2 1 2 1 2 1 1
Virginia................ 63 17 16 5 3 6 2 1 5 4 2 2
West Virginia........... 39 10 13 4 2 3 1 2 3 1 -
North Carolina.......... 102 19 22 23 10 13 5 2 4 1 2 1
South Carolina .......... 75 3 16 7 7 5 22 1 3 2 9
Georgia ................ 107 12 29 15 6 7 17 4 5 3 4 3 2
Florida................. 112 ... ... ... ... ... ... ... ... ... ... ... ...

EAST SOUTH CENTRAL ..

Kentucky ............... 76 ... ... ... ... ... ... ... ... ... ...
Tennessee............. 71 22 15 17 5 5 2 2 2 1 -
Alabama................ 47 10 17 8 3 2 1 1 1 1 2 1
Mississippi.............. 31 4 15 2 1 3 1 1 2 2

WEST SOUTH CENTRAL ..

Arkansas............... 36 9 13 2 1 3 1 1 4 2
Louisiana .............. 142 23 36 20 10 12 32 2 3 2 2
Oklahoma .............. 19 2 7 1 2 5 1 I -
Texas .................. 130 ... ...... ....... ....

MOUNTAIN ..............

Montana ................ 3 1 1 1
Idaho ................... 8 2 1 1 2 1 1
Wyoming ............... 3 1 2
Colorado ............... 23 ... ... ... ... ... ... ... .. ..... ...
New Mexico ............ 11 1 5 1 1 3
Arizona ................ 8 4 1 1 1 1
Utah .................. 7 1 1 1 1 1 1 1
Nevada................. 11 ... ... ... .... .......

PACIFIC...............

Washington ............. 57 14 19 6 3 3 2 2 1 5 2
Oregon................. 33 7 15 4 1 4 1 1 -
California .............. 561 83 172 46 33 86 72 9 18 18 11 11 2
Alaska ................. 10 8 1 1
Hawaii ................. 17 3 1 3 2 1 1 1 5

Puerto Rico .............. 37 15 10 2 3 4 1 2

*Meningococcal Infections cases reported in accordance with age groupings established by consensus of the State and
Territorial Epidemiologists.







Morbidity and Mortality Weekly Report 19


TABLE 9. REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY STATE, BY AGE, 1964 Continued

(D) POLIOMYELITIS PARALYTIC

Total <1 1-4 5-9 10-14 15-19 20-24 25-29 30-39 40-49 50-59 60 Unk.

UNITED STATES 106 12 34 19 7 8 3 2 9 9 2 1
NEW ENGLAND .......... 4 2 1 1

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

MIDDLE ATLANTIC ...... 13 1 3 1 1 1 4 2 -

New York City .......... 2 -
Upstate New York ....... 9 1 2 1 3 1
New Jersey ............ 2 1 1
Pennsylvania ........... -

EAST NORTH CENTRAL.. 21 4 4 3 3 1 1 1 3 1 -

Ohio ................... 2 2
Indiana ................. 9 1 1 2 3 1 -
Illinois ................. 5 1 1 1 -1 1
Michigan ............... 3 1 1
Wisconsin .............. 2 1 -

WEST NORTH CENTRAL 8 1 2 2 1 1 1

Minnesota .............. 2 1
Iowa ................... 1 1 -
Missouri ............... 2 2-
North Dakota ........... 1 -
South Dakota ........... -
Nebraska ............... 1 1
Kansas................. -

SOUTH ATLANTIC ....... 29 3 10 6 4 4 1 1

Delaware .............. -
Maryland ............... 1 -
District of Columbia..... -
Virginia ................ 4 2 1 1
West Virginia .......... 1 1 -
North Carolina.......... 7 2 1 4
South Carolina .......... 2 2 -
Georgia ................ 4 1 1 1 1
Florida ................ 10 2 4 4 -

EAST SOUTH CENTRAL .. 6 1 2 1 1 1

Kentucky ...............
Tennessee .............. 2 1 1
Alabama................ 3 1 1 -
Mississippi............. 1 1

WEST SOUTH CENTRAL.. 14 2 9 2 1

Arkansas............. .
Louisiana .............. 1 1 -
Oklahoma .............. 2 1 -
Texas ................. 11 1 8 2 -

MOUNTAIN .............. 7 1 5 1

Montana ................
Idaho ................... 1 1- -
Wyoming ............... 2 2
Colorado ............... 1 -
New Mexico ............ -
Arizona ................ 2 1 1- -
Utah ................... 1 1 -
Nevada .................

PACIFIC................. 4 1 2 1

Washingron ............. -
Oregon................. 1 I
California .............. 3 1 1 -
Alaska ....................
Hawaii .................

Puerto Rico ..............









20 Morbidity and Mortality Weekly Report


TABLE 9. REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY STATE, BY AGE, 1964 Continued

(E)TETANUS

Total <1 1-4 5-9 10-14 15-19 20-24 25-29 30-39 40-49 50-59 60+ Unk.

UNITED STATES 289
*48 States ................ 245 17 15 15 10 6 6 9 21 19 51 66 10

NEW ENGLAND .........
Maine .................. -
New Hampshire .........
Vermont ...............
Massachusetts .......... 9 1 1 1 2 1 2 1
Rhode Island............- -
Connecticut..............- -

MIDDLE ATLANTIC ......
New York City .......... 5 1 1 3
Upstate New York ....... 9 1 1 2 1 4
New Jersey............. 6 1 1 1 3
Pennsylvania ............ 8 2 1 2 1 2

EAST NORTH CENTRAL ..
Ohio ................... 13 3 1 1 2 2 3 1 -
Indiana ................. 16 3 1 2 1 1 2 6 -
Illinois ................. 16 1 1 1 1 2 2 6 2
Michigan ............... 7 1 1 3 1 -
Wisconsin .............. 1 -

WEST NORTH CEi' FRAL..
Minnesota .............. 6 1 1 3 1
Iowa ................... 6 1 1 1 1 1
Missouri ............... 4 1 1 1 1 -
North Dakota .......... 1 1- -- 1
South Dakota............ 2 1 1 -
Nebraska ...............- -
Kansas ................. 2 1

SOUTH ATLANTIC.......
Delaware ............. -
Maryland............... 4 1 1 2
District of Columbia ..... 1 1 -
Virginia................ 8 1 1 2 2 2
West Virginia............ 1 1
North Carolina.......... 11 5 1 1 1 1 2
South Carolina .......... 6 1 2 1 2
Georgia ............... 7 1 1 2 3
Florida ................. 27... ... ...... ... ... ... ... ...

EAST SOUTH CENTRAL ..

Kentucky ............... 6 1 I 1 1 2
Tennessee .............. 18 2 2 1 4 4 5
Alabama................ 8 2 1 2 2 1
Mississippi............. 6 1 1 1 2 1

WEST SOUTH CENTRAL ..

Arkansas............... 8 1 2 1 2 2
Louisiana .............. 6 2 1 1 2 -
Oklahoma .............. 4 1 2
Texas .................. 17 ... ... ... ... ......

MOUNTAIN ..............

Montana ................-
Idaho.................... 1 -
Wyoming ............... 2 1 -
Colorado ............... 1 -- 1
New Mexico ........... -
Arizona ................ 1 1
Utah ................... 1 1
Nevada ...............

PACIFIC ................

Washington ............ 3 1 1 1
Oregon................. 1 1
California .............. 28 1 3 2 2 1 7 12
Alaska ................. -
Hawaii ................. 2 1 -

Puerto Rico .............. 165 19 19 25 19 8 7 6 10 14 11 25 2

*Tetanus cases reported in accordance with age groupings established by consensus of the State and Territorial Epidemiologists.









Morbidity and Mortality Weekly Report 21


TABLE 9. REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY STATE, BY AGE, 1964 Continued

(F) TYPHOID FEVER

Total 1 1-4 5-9 10-14 15-19 20-24 25-29 30-39 40-49 50-59 60+ Unk.

UNITED STATES 501
*48 States ................ 465 4 70 85 72 34 24 30 41 30 27 31 17

NEW ENGLAND .........
Maine ..................
New Hampshire .........
Vermont ...............
Massachusetts .......... 9 1 l 2 1 1 1 1
Rhode Island............. 6 1 2 1 -
Connecticut............. 3 2 1 -

MIDDLE ATLANTIC ......
New York City.......... 34 6 6 4 3 4 3 5 1 2
Upstate New York ........ 15 1 2 5 2 1 2 1 1
New Jersey ............. 8 3 1 1 2 1
Pennsylvania............ 13 2 3 2 2 1 1 1 1

EAST NORTH CENTRAL..
Ohio ................... 24 3 4 8 1 1 2 3 2
Indiana................. 24 4 7 2 2 2 2 1 2 2
Illinois................. 20 1 2 5 3 2 2 1 2 2
Michigan ............... 13 2 1 2 1 1 1 2 2 1
Wisconsin .............. 2 1 -

WEST NORTH CENTRAL..
Minnesota .............. 3 1 1 1
Iowa ................... 7 1 2 2 2 -
Missouri ............... 18 1 1 2 2 3 1 1 4 3
North Dakota ........... 4 2 1-
South Dakota............. 1 1 -
Nebraska ............... 3 1 1 -
Kansas ................. 4 1 3 -

SOUTH ATLANTIC........
Delaware .......... -
Maryland............... 11 1 2 4 1 1 2 -
District of Columbia .....- -
Virginia........- ... .. 11 3 3 1 2 1 1 -
West Virginia........... 1
North Carolina .......... 16 5 1 3 3 1 1 1 -
South Carolina .......... 14 3 1 1 1 2 1 4 1
Georgia ................ 27 6 10 4 1 1 1 1 3
Florida................. 19 ... ... ... ... ... ... ... ...

EAST SOUTH CENTRAL ..

Kentucky ............... 10 1 2 2 1 1 1 2
Tennessee .............. 21 4 3 3 1 2 2 3 3
Alabama................ 9 1 3 2 2 1 -
Mississippi............. 6 1 2 1 1 1

WEST SOUTH CENTRAL ..

Arkansas ............... 18 5 1 1 2 4 3 2
Louisiana .............. 10 1 5 2 1 1
Oklahoma .............. 9 1 2 4 1 1
Texas .................. 17 ... ... ... ...... ... ... ...

MOUNTAIN ..............

Montana ................ 1 1
Idaho.................... 1 1
Wyoming ............... 1 1
Colorado ............... 4 1 1 -
New Mexico ........... 31 2 3 8 3 2 3 4 2 3 1
Arizona ................ 7 1 1 5
Utah ...................
Nevada ............... -

PACIFIC .................

Washington ............. 3 1 1 -
Oregon .................
California .............. 43 1 6 6 9 5 2 7 4 1 2
Alaska .................
Hawaii .................

Puerto Rico.............. 12 3 1 1 1 1 2 1 1 1

*Typhoid Fever cases reported in accordance with age groupings established by consensus of the State and Territorial
Epidemiologists.







22 Morbidity and Mortality Weekly Report


TABLE 10. REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY STATE, BY MONTH, 1964


(A) HEPATITIS (infectious and serum)

AREA Total Jan Feb March April May June July Aug Sept Oct Nov Dec Mo.Unk

UNITED STATES 37,740 4,063 4,139 3,794 3,521 3,000 2,471 2,584 2,498 2,790 2,994 2,605 3,244 37
NEW ENGLAND .......... 3,364 540 451 384 295 260 221 162 164 214 223 189 261

Maine................. 1,037 225 141 129 98 73 54 40 41 65 54 51 66
New Hampshire .......... 287 66 34 21 12 13 17 15 24 26 21 13 25
Vermont ................. 393 60 56 56 35 43 21 32 14 22 20 11 23
Massachusetts ........... 739 87 80 86 60 49 70 27 46 50 67 58 59
Rhode Island............. 241 22 19 17 21 24 10 9 8 23 27 22 39
Connecticut.............. 667 80 121 75 69 58 49 39 31 28 34 34 49

MIDDLE ATLANTIC ....... 7,829 873 893 846 773 612 581 493 536 556 590 537 539

New York City ........... 1,287 117 113 129 138 91 99 96 91 98 97 107 111
Upstate New York ........ 3,490 419 403 371 348 300 299 194 226 204 243 252 231
New Jersey .............. 1,128 122 160 182 123 84 79 63 65 76 69 51 54
Pennsylvania ............. 1,924 215 217 164 164 137 104 140 154 178 181 127 143

EAST NORTH CENTRAL ... 6,227 592 622 591 579 461 360 458 435 448 496 498 671 16

Ohio .................... 1,587 168 150 155 124 104 112 109 123 114 131 125 156 16
Indiana.................. 511 28 63 53 56 49 38 36 34 35 42 28 49 -
Illinois .................. 1,229 83 121 90 93 117 53 102 103 97 87 126 157
Michigan ................ 2,472 297 252 241 241 154 133 152 161 166 221 183 271
Wisconsin ............... 428 16 36 52 65 37 24 59 14 36 15 36 38

WEST NORTH CENTRAL .. 2,119 243 293 193 163 160 120 114 134 125 191 180 203

Minnesota ............... 245 15 17 21 26 16 13 30 29 19 31 11 17
Iowa .................... 453 29 55 24 24 29 13 6 31 26 47 56 113
Missouri ................ 510 47 81 58 39 35 44 23 24 32 54 42 31
North Dakota ............ 64 20 14 1 3 4 3 6 3 4 4 2 -
South Dakota ............ 135 13 52 16 11 12 1 3 8 4 10 4 1 -
Nebraska................ 86 7 9 2 2 4 4 5 2 7 6 21 17 -
Kansas.................. 626 112 65 71 58 60 42 41 37 33 39 46 22

SOUTH ATLANTIC ........ 3,517 353 396 421 318 282 227 225 243 262 281 218 272 19

Delaware................ 78 2 12 10 9 7 1 1 6 5 14 6 5 -
Maryland................ 709 62 55 107 69 50 59 31 47 45 39 58 87 -
District of Columbia...... 76 6 10 7 1 3 3 5 6 13 8 4 10 -
Virginia................. 550 36 76 60 48 46 33 48 42 40 41 36 44 -
West Virginia............ 514 67 74 72 58 32 28 23 19 33 25 24 41 18
North Carolina........... 523 63 66 72 61 30 33 28 32 37 39 22 39 1
South Carolina ........... 150 8 18 9 15 11 6 5 16 9 19 26 8 -
Georgia ................. 127 11 7 13 9 8 12 12 9 16 17 5 8 -
Florida ................. 790 98 78 71 48 95 52 72 66 64 79 37 30 -

EAST SOUTH CENTRAL ... 2,573 298 288 258 254 235 142 215 147 193 200 144 199

Kentucky ................ 906 167 122 92 125 70 48 62 30 40 39 47 64 -
Tennessee ............... 910 78 117 91 81 95 53 47 65 79 81 55 68 -
Alabama ................. 488 35 34 44 29 44 29 78 36 42 62 30 25 -
Mississippi.............. 269 18 15 31 19 26 12 28 16 32 18 12 42 -

WEST SOUTH CENTRAL ... 2,954 242 337 297 259 249 224 170 252 246 270 190 218

Arkansas ................ 298 45 28 33 23 24 18 12 16 21 35 17 26
Louisiana ............... 706 43 66 65 68 64 67 43 56 85 62 36 51
Oklahoma ............... 153 17 21 19 17 10 9 10 8 9 16 10 7 -
Texas................... 1,797 137 222 180 151 151 130 105 172 131 157 127 134

MOUNTAIN ............... 2,376 274 255 254 224 171 110 150 146 129 210 163 288 2

Montana ................. 207 30 28 20 27 10 7 8 14 11 18 10 22 2
Idaho .................... 342 22 24 19 19 42 14 28 29 25 42 29 49 -
Wyoming ................ 102 3 21 11 1 5 7 5 4 24 7 14 -
Colorado ................ 622 66 73 77 86 29 24 43 36 42 40 38 68 -
New Mexico ............. 346 59 35 41 25 15 16 11 30 16 19 31 48 -
Arizona ................. 537 62 54 57 50 49 29 39 22 23 44 36 72 -
Utah .................... 181 29 16 17 15 20 8 9 10 7 23 12 15
Nevada .................. 39 3 4 12 1 1 5 12 1- -

PACIFIC .................. 6,781 648 604 550 656 570 486 597 441 617 533 486 593

Washington .............. 744 65 69 52 80 68 64 76 29 52 47 48 94 -
Oregon.................. 667 69 93 37 95 61 47 69 33 49 31 53 30 -
California ............... 4,945 481 419 436 458 417 337 428 351 468 381 344 -25 -
Alaska .................. 315 27 13 13 18 15 23 16 14 38 66 37 35 -
Hawaii .................. 110 6 10 12 5 9 15 8 14 10 8 4 9 -

Puerto Rico .............. 1,159 17 69 94 107 56 102 107 112 120 92 79 204









Morbidity and Mortality Weekly Report 23



TABLE 10. REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY STATE, BY MONTH, 1964 Continued


(B) MEASLES (Rubeola)


AREA I-


UNITED STATES

NEW ENGLAND ..........

M aine..................
New Hampshire ..........
VY.e mont.................
Massachusetts ...........
Rhode Island.............
Connecticut..............

MIDDLE ATLANTIC .......

New York City ...........
Upstate New York ........
New Jersey ..............
Pennsylvania............

EAST NORTH CENTRAL ...

Ohio ....................
Indiana..................
Illinois..................
M ichigan ................
W isconsin ...............

WEST NORTH CENTRAL ..

Minnesota ...............
Iowa ....................
Missouri ................
North Dakota ............
South Dakota ............
Nebraska................
Kansas ..................

SOUTH ATLANTIC ........

Delaware................
Maryland................
District of Columbia......
Virginia .................
West Virginia............
North Carolina. ..........
South Carolina ...........
Georgia .................
Florida .................

EAST SOUTH CENTRAL ...

Kentucky ................
Tennessee...............
Alabama.................
Mississippi..............

WEST SOUTH CENTRAL ...

Arkansas ................
Louisiana ...............
Oklahoma ...............
Texas...................

MOUNTAIN ...............

Montana.................
Idaho ....................
Wyoming ................
Colorado ................
New Mexico .............
Arizona .................
Utah ....................
Nevada ..................

PACIFIC..................

Washington ..............
Oregon..................
California ...............
Alaska ................ .
Hawaii ..................


Total Jan Feb Marchj April May June July Aug [Sept I Oct I Nov Dec


458,083

23,081

4,168
1,120
2,439
7,265
2,610
5,479

53,880

15,435
13,124
12,691
12,630

94,755

20,317
10,331
16,906
30,897
16,304

13,796

359
5,402
1,127
5,886
160
862


jMo.Unk


* ~ ____ ____ I -I- t I' I~ --


27,521

1,679

173
5
478
274
107
642

5,525

2,053
1,171
1,350
951

5,731

958
846
1,974
1,356
597

560

10
89
66
386
3
6


I


72,969

2,119

268
102
254
709
229
557


111,015

2,936

536
84
403
767
518
628


44.394

2,080

358
22
586
357
142
615

7,191

2,267
1,437
1,772
1,715

9,565

2,291
1,251
1,905
2,900
1,218

907

70
198
123
512
1
3


I


4,157

400

101
7
31
174
15
72


2,428

212

54
9
13
88
17
31


I


41,120 3,0211 3,867 6,847 10,645 9,449 3,026 1,209 342 257


420
3,154
348
13,568
10,330
1,320
4,269
222
7,489

69,697

18,926
25,309
18,678
6,784

73,997

1,156
131
1,081
71,629

19,410

1,949
2,393
239
3,494
1,181
6,767
2,435
952
68,347

22,799
9,198
34,312
1,110
928


27
532
47
538
1,067
151
403
73
183

3,469

2,045
1,219
96
109

1,345 i

84
4
16
1,241

1,121

253
188
15
146
53
365
59
42

5,070

2,016
656
2,021
339
38


53
489
95
960
911
276
712
34
337

6,326

2,820
2,868
116
522

6,604

130
24
58
6,392

1,775

254
271
5
204
28
802
103
108

6,079

2,776
617
2,330
322
34


85
688
133
2,072
1,198
338
777
21
1,535

8,259

2,639
4,294
225
1,101

15,381

145
19
196
15,021

2,760

179
411
10
594
46
1,176
135
209

9,553

3,488
1,062
4,820
150
33


80
598
46
3,273
3,111
169
1,084
19
2,265

15,865

7,079
5,315
497
2,974

22.389

505
22
379
21,483

4,125

262
355
65
976
74
1,942
291
160

16.552

5,981
1,908
8,511
64
88


83
535
14
4,425
1,411
71
986
11
1,913

26,552

2,687
6,831
15,229
1,805

18,315

147
11
221
17,936

3,392

237
263
56
609
62
1,324
489
352
15,130

5,253
1,940
7,798
69
70


41
183
5
1,390
609
57
173
3
565

5,613

983
2,527
1,981
122

5,590

38
19
71
5,462

1,983

232
218
26
397
90
640
350
30
8,470

1,585
1,515
5,212
66
92


35
33
1
404
392
18
51
32
243

1,278

219
749
261
49

1,501

56
5
61
1,379

1,012

126
124
8
200
67
244
236
7

2,626

155
802
1,589
15
65


5
12
1
75
89
3
29
2
126

395

36
293
64
2

744

19
8
25
692

449


76
66
9
70
29
115
81
3
698

28
136
475
12
47


4,449

794

110
192
22
229
67
174


7,888

1.809

263
197
30
672
223
424


13,634

3,750

601
335
49
1,650
381
734


138
101
1
55
372
31
187
4
1,104

415
141
376
14
158


57
322
21
144
270
29
392
35
1,837

751
245
655
16
170


Puerto Rico .............. 7,535 323 518 1,015 1,474 1,000 645 693 321 616 373 324 233

*Includes rubella.


I I I I I I


111,859

3,035

730
107
248
785
346
819

10,618

2,578
2,282
2,231
3,527

21,34u

4,861
1,894
3,487
7,501
3,597

4,028

74
2,084
122
1,542
28
178
,t notii


43,974

3,025

687
45
167
1,128
432
566

5,587

1,486
1,724
1,317
1,060

9,577

886
1,013
1,278
4,865
1,535

1,103

58
562
23
415
19
26
able w


13,695

1.235
287
15
151
432
133
217

1,594

427
761
293
113

2,812

289
245
688
1,052
538

428

25
55
167
170
10
1
withinn s


341 559 795

59 50 149
140 207 263
40 49 84
102 253 299

711 1,148 2,539 38

133 196 462 38
100 58 85
49 61 103
235 458 1,253
194 375 636

156 535 706

4 5 16 -
19 39 78
19 28 64
97 438 516
8 15 17 -
9 10 15 -
............ ..........

453 709 1,240 55

4 1 4 -
13 18 44
1 2 3 -
41 146 222
214 404 761
45 55 78 55
20 14 7 -
6 9 8 -
109 60 113

430 460 726

142 102 158
196 299 439
53 41 91
39 18 38

406 675 771

25 1 6
4 3 1
6 20 28 -
371 651 736

439 889 1,270


362 162

120 49
138 49
65 41
39 23

618 434

106 35
84 63
94 38
201 108
133 190

149 59

3 1
91 13
10 3
30 41
15 1

tate..........


9,804 11,342

2,859 3,338
2,561 2,391
2,432 3,017
1,952 2,596

16,370 23,872

4,521 5,541
2,303 2,389
2,686 4,543
3,932 7,036
2,928 4,363

1,876 3.289

39 54
418 1,756
239 263
781 958
4 39
395 219
............ .N


AREA








24 Morbidity and Mortality Weekly Report


TABLE 10. REPORTED CASES OF SELECTED NOTIFIABLE DISEASES BY STATE, BY MONTH, 1964 Continued

(C) Meningococcal Infections

AREA Total Jan Feb March April May June July Aug Sept Oct Nov Dec Mo.Unk

UNITED STATES 2,826 255 259 315 350 216 181 178 119 211 219 224 297 2
NEW ENGLAND .......... 105 8 6 11 7 9 5 6 4 7 15 16 11 -

Maine.................. 11 1 1 1 1 3 1 3 -
New Hampshire .......... 3 1 1 1 -
Vermont................. 4 1 2 I -
Massachusetts ........... 42 5 7 1 4 3 1 2 2 7 6 4 -
Rhode Island............. 14 2 1 2 2 1 2 3 1 -
Connecticut.............. 31 4 3 4 1 2 1 1 5 7 3 -

MIDDLE ATLANTIC ....... 316 32 16 24 37 28 30 29 23 12 29 31 25 -

New York City ........... 42 6 2 2 3 2 5 6 3 1 6 3 3 -
Upstate New York ........ 109 12 4 10 10 7 9 11 6 5 12 13 10 -
New Jersey .............. 80 5 5 6 15 9 13 5 8 5 3 6 -
Pennsylvania............. 85 9 5 6 9 10 3 7 6 6 6 12 6 -

EAST NORTH CENTRAL ... 372 40 44 42 41 21 21 26 20 20 25 29 43 -

Ohio .................... 102 14 16 11 7 7 3 6 6 4 9 8 11
Indiana.................. 62 3 7 9 9 4 2 3 3 5 4 5 8
Illinois.................. 96 10 9 11 8 4 11 7 6 3 7 11 9 -
Michigan ................ 80 9 10 7 11 4 1 7 5 8 4 4 10
Wisconsin ............... 32 4 2 4 6 2 4 3 1 1 5

WEST NORTH CENTRAL .. 165 10 12 16 27 15 15 14 5 6 8 11 26

Minnesota ............... 41 4 3 3 3 4 4 4 2 2 1 3 8 -
Iowa .................... 11 1 1 1 1 3 2 1 1
Missouri ................ 76 3 5 9 16 9 7 5 2 1 3 4 12 -
North Dakota ............ 13 1 1 3 1 2 1 2 1 1 -
South Dakota ............ 5 1 1 3 -
Nebraska................ 7 1 1 2 1 1 1
Kansas.................. 12 1 1 2 1 2 2 3

SOUTH ATLANTIC ........ 564 64 70 61 88 48 35 27 21 23 43 46 36 2

Delaware................ 7 1 1 1 1 2 -
Maryland................ 42 6 2 2 5 3 2 2 2 5 2 7 2 2
District of Columbia ...... 17 2 4 2 2 1 1 1 3 1 -
Virginia................. 63 4 4 4 12 8 5 5 2 8 5 6 -
West Virginia............ 39 5 6 3 5 2 4 2 4 4 1 1 2 -
North Carolina........... 102 10 12 8 14 8 7 3 5 6 5 15 9 -
South Carolina ........... 75 8 10 9 22 11 2 1 1 5 2 4
Georgia ................. 107 12 10 16 16 4 4 5 5 5 12 8 10
Florida ................. 112 19 23 14 11 9 10 6 1 3 7 6 3

EAST SOUTH CENTRAL ... 225 16 25 27 41 18 13 15 5 13 10 9 33

Kentucky ................ 76 6 2 11 21 5 3 5 1 4 2 4 12 -
Tennessee............... 71 7 13 7 11 6 3 6 2 2 1 2 11 -
Alabama ................. 47 2 5 6 5 5 7 3 2 1 7 4 -
Mississippi.............. 31 1 5 3 4 2 1 6 3 6 -

WEST SOUTH CENTRAL ... 327 34 37 52 36 23 19 15 14 17 29 15 36

Arkansas................ 36 4 1 6 3 3 3 1 3 4 4 4 -
Louisiana ............... 142 13 13 30 21 9 13 5 6 7 8 4 13
Oklahoma ............... 19 2 4 1 1 2 1 1 3 2 2 -
Texas ................... 130 15 20 21 9 10 2 5 6 6 14 5 17

MOUNTAIN ............... 74 11 6 6 5 4 4 5 3 6 6 10 8 -

Montana................. 3 1 1 -
Idaho.................... 8 2 1 2 1 1 1 -
Wyoming ................ 3 1 2 -
Colorado ................ 23 6 1 1 2 1 1 1 2 7 1 -
New Mexico ............. 11 1 4 1 1 1 3 -
Arizona ................. 8 2 1 2 1 2 -
Utah .................... 7 1 2 2 1 1
Nevada.................. 11 2 1 1 1 I 2 1 2

PACIFIC.................. 678 40 43 76 68 50 39 41 24 107 54 57 79

Washington .............. 57 4 4 8 4 4 4 2 4 5 9 6 3 -
Oregon.................. 33 4 4 8 1 1 2 1 7 5
California ............... 561 34 33 61 50 45 32 34 19 100 43 44 66
Alaska .................. 10 1 3 1 1 1 1 2 -
Hawaii .................. 17 2 1 5 2 2 1 1 3 -

Puerto Rico .............. 37 1 6 5 4 7 4 1 2 1 2 1 3









Morbidity and Mortality Weekly Report 25


TABLE 11. ACUTE DISEASES OPTIONALLY REPORTED TO THE PUBLIC HEALTH SERVICE, BY STATE, 1964

AIMAL ANKLYO- CONJUNCTIVITIS DERMATOPHYTOS I DIARRHEA
BITES STOMIASIS CHICKENPOX (Pink Eye) (Ringworm) OF ERYSIPELAS
AREA BITES (Hookworm) NEWBORN


NO. CASES REPORTED ... 104,236 6,965 166,655 7, 188 5, 796 700 138

No. States Reporting ...... (12) (13) (40) (23) (26) (14) (18)


NEW ENGLAND ..........
Maine.................. ... ... 2,433 138 16
New Hampshire ......... 54 ... 954 ... 2
Vermont ................ ... ... 1,337 1 ...
Massachusetts .......... 19,925 ... 15,763 ...
Rhode Island............ 1,013 ... 3,316 ... 24 ... 3
Connecticut................ 252 8,804 61 68 ... 10

MIDDLE ATLANTIC ......
New York City .......... ...... 6,183 39 ... 52
Upstate New York ...... ... 238 13 ... 32
New Jersey ............. ... .. ... ... 23
Pennsylvania............. 16,165 64 ... ... ... ... 7

EAST NORTH CENTRAL ..
Ohio ................... ... ... 9,198 4 1 30 11
Indiana ................. 9,162 ... 5,112 1,629 218 ... 16
Illinois ................. 27,437 ... 11,870 ... 114 102
Michigan ............... 24,478 1 14,142 527 1,424 356 21
Wisconsin ......... ..... ... 35,669 16 173 ... 2

WEST NORTH CENTRAL..
Minnesota .............. 3,741 8 72 1 42 15 13
Iowa ................... ... ... 4,175 176 152
Missouri ............... .. 1 752 1 227 2 3
North Dakota ........... .. ... 2,352 994 138 ... 17
South Dakota ............ ... ... 25 ...
Nebraska................ ... ... 233 ...........
Kansas... .................... 5 ... ... 82 ... 2

SOUTH ATLANTIC........
Delaware............... ... 1 621 1
Maryland............... ... ... 1,670 ... ... ... 5
District of Columbia ..... ... ... 226 3 ... 16
Virginia ..........................
West Virginia........... 1,169 ... 4,525 332 ... 7 7
North Carolina ... ... ... ............
South Carolina ....................
Georgia ................ ... 3,818 1 ..........
Florida................. ... 1,726 3,815 ... ... 17
EAST SOUTH CENTRAL ..
Kentucky ............... ... 2 4,693 1,154 20
Tennessee ................ ........
Alabama................ ... ... 1,400 ...
Mississippi............. ... 1,066 1,101 ... ... 20

WEST SOUTH CENTRAL ..
Arkansas............... 1,032 9 300 6 1
Louisiana ................ ... ... ............
Oklahoma ..........................
Texas .................. ... ... ... .... .

MOUNTAIN ..............
Montana ................. 57 ... 1,557 ... 26 ... 3
Idaho .................. .. ... 584 ... .. ... 2
Wyoming ............... 3 ... 161 ... 10
Colorado .................. ..... ... 71
New Mexico ............ ... ... 210 ... 1 ... 1
Arizona ................ ... ... 4,331 ... 440
Utah ................... ... ... 1,130 ... 140
Nevada ................. ... ... 118 3 8

PACIFIC .................
Washington ............... ... ... 14,979 1,388 2,231 1
Oregon............... ... ... 38 10 104 ... 13
California .............. ... ... ... ... ... 27
Alaska .................... ... 761 620 63
Hawaii ................. ... 12 1,806 71 ... ... 2


Puerto Rico .............. ... ... 1,oo ... ...







26 Morbidity and Mortality Weekly Report

TABLE IL. ACUTE DISEASES OPTIONALLY REPORTED TO THE PUBLIC HEALTH SERVICE, BY STATE, 1964 Continued

GASTROENTERIC MENINGITIS MONONUCLEOSIS, RESPIRATORY RUBELLA
AREA INFECTIONS HISTOPLASMOSIS (Other & INFECTIOUS MUMPS INFECTIONS (German
AREA Unspecified) Measles)


NO. CASES REPORTED ... 58, 766 497 2, 523 6,939 212, 932 224, 785 448,796

No. States Reporting ...... (20) (19) (35) (29) (38) (15) (36)


NEW ENGLAND ..........
Maine.................. 36 ... 21 105 2,271 ... 7,463
New Hampshire ......... 3 ... 9 7 411 ... 1,331
Vermont ............... ... ... 4 181 2,120 ...
Massachusetts .......... ... ... 85 ... 12,465 ... 37,105
Rhode Island............ ... ... 34 77 2,583 ... 11,399
Connecticut ............. ... ... 11 1,168 7,118 1,400 40,737

MIDDLE ATLANTIC ......
New York City .......... ... ... 201 ... 2,743 ... 21,292
Upstate New York ....... ... ... 267 ... ... ... 40.332
New Jersey ............. .... 42 ... .........
Pennsylvania............ ... 2 132 445 .........

EAST NORTH CENTRAL ..
Ohio ................... 933 19 ... 84 11,973 ... 19,194
Indiana.................. ...... 19 82 588 6,853 ... 13,037
Illinois ................. 68 27 312 ... 14,598 ... 29,685
Michigan ............... ... ... 191 775 19,867 546 18,922
Wisconsin ................ ... 4 ... 2 27,711 ... 96,583

WEST NORTH CENTRAL..
Minnesota .............. 100 5 95 1,609 161 356 3,232
Iowa .................. ... 289 43 195 9,105 ... 18,481
Missouri ............... ... 12 29 46 1,388 8 573
North Dakota ........... ... ... 8 ... 1,294
South Dakota ............ ... ... ... I 31
Nebraska............... ... ... ... ... 193 ......
Kansas................. 56 14 14 ......

SOUTH ATLANTIC........
Delaware ............... ... ... 13 ... 447 154 802
Maryland.............. ... ... ... 103 ... 1,159 ... 3,583
District of Columbia ..... ... I 37 9 106 1,018 455
Virginia................ ... 5 ... ... ...
West Virginia........... 8,314 ... ... 184 7,154 42,138 6,774
North Carolina .......... 53 ... ... ............
South Carolina .......... ... ... I 6
Georgia ................ ... ... 79 ... ... 503 497
Florida ................. ... 1 ... ... 5,715 ... 8,661
EAST SOUTH CENTRAL ..
Kentucky ............... 3,052 12 251 89 6,351 ... 18,027
Tennessee .............. ... ... ... ... ... 33,637
Alabama ................ ... 2 66 112 1,709 ... 3,574
Mississippi............. 4 28 62 83 985 ... 6,784

WEST SOUTH CENTRAL ..
Arkansas............... 3 48 57 33 1,014 ... 1,025
Louisiana .............. ... 5 ... ............
Oklahoma ................. ... ... ............
Texas.................. ... ...............

MOUNTAIN ..............
Montana................ 203 ... 6 16 ... ... 2,367
Idaho .................. 149 ... 20 34 974 ... 462
Wyoming ............... ... ... 4 5 217 ... 25
Colorado .................. ... .. ... 5,463 ... 11,817
New Mexico ............. 14,214 ... 34 17 507 19,154 351
Arizona ................ 14,897 3 ... 925 4,426 69,727 6,653
Utah ................... 409 ... 22 28 2,107 3,806 588
Nevada................. 20 ... ... 380 596

PACIFIC.................
Washington ............. 12,994 1 103 47 21,496 ... 11,119
Oregon................. 102 ... 71 ... ... 38,757 4,190
California .............. ... ... ... ... 25,119 ...
Alaska ................. 3,156 ... 14 ... 712 12,985 747
Hawaii ................. ... ... ... 68 4,006 ... 929


Puerto Rico.............. ... ... 58 ... 1,007 ... 884







Morbidity and Mortality Weekly Report


TABLE 12. OTHER DISEASES OPTIONALLY REPORTED TO THE PUBLIC HEALTH SERVICE, 1964

(Reported by more than one, but less than 10 States)


Actinomycosis
Adenovirus
Ascariasis

Blastomycosis
Coccid]oidom cosis

Colorado Tick Fever

Coxsackie Infections (excluding meningitis)
Cryptococcosis
Dengue
ECHO Infection (excluding meningitis)
Erythema
Food Poisoning, unspecified

Impetigo

Keratoconjunctivitis
Nocardiosis
Ophthalmia Neonatorum
Otitis Media
Pediculosis
Q Fever

Rickettsialpox
Scabies
Schistosomiasis
Staphylococcal Infections

Toxoplasmosis
Trachoma
Vincent's Infection


Conn. 1, Iowa 2, La. 1, Mich. 1, Minn. 2, Pa. 1
Minn. 16, Utah 1
Ark. 36, Iowa 1, Ky. 26, Minn. 10, Miss. 293,
Wash. 1
Ark. 28, 111. 1, Minn. 1, Mo. 3
Ariz. 905, Calif. 275, Ill. 1, Minn. 3, Mont. 1,
Oreg. 1, Utah 4, Va. 2, Wash. 1
Colo. 100, Idaho 10, Mont. 4, N. Mex. 1, Nev. 1,
Oreg. 19, Utah 12, Wyo. 16
Minn. 15, Utah 1
Fla. 1, Mo. 1
Fla. 1, Ill. 1, Mich. 1, N.J. 2, Ohio 1, P.R. 2,440
Minn. 7, Utah 1
Fla. 56, Wash. 302
Conn. 20, 111. 319, Minn. 77, N.Y.C. 404,
Oreg. 30
Alaska 577, D. C. 1, Mich. 1, 714, Mo. 28, N. D. 946,
N.H. 3, N.Y.C. 2, Oreg. 53, Wash. 2,680
Ind. 12, N.Y.C. 8, Oreg. 1
Ark. 2, Minn. 1
Ill. 10, Minn. 1
Alaska 5, 158, Nev. 17
Mich. 111, Oreg. 1
Calif. 16, Colo. 5, Idaho 10, Iowa 1, Mass. 1,
N. Mex. 3, Pa. 1, Vt. 3, Wis. 3
N. Mex. 1, N.Y.C. 3
Mich. 27, N.D. 257, N.H. 1, Oreg. 35, Wash. 125
Fla. 3, N.Y.C. 337
Alaska 318, Ariz. 1,851, D.C. 6, Ill. 956,
N. Mex. 1, Oreg. 148, Utah 10, Wash. 2,469
Fla. 1, Minn. 3, Pa. 4
Ariz. 1,713, Mo. 2, Nev. 6, Oreg. 9, Wash. 19
Alaska 1, Idaho 12, Ky. 12, Mo. 1, R.I. 3, Wash. 14









28 Morbidity and Mortality Weekly Report



TABLE 13. CUMULATIVE WEEKLY TOTAL NUMBER OF DEATHS IN 122 UNITED STATES CITIES
FOR YEAR 1964 (THROUGH 53RD WEEK ENDED JANUARY 2, 1965)

(By place of occurrence and week of filing certificate. Excludes fetal deaths)
Pneu- Pneu-
All Causes monia Under All Causes monia Under
and 1 year AREA and I year
AREA All 65 years In nza AREA All 65 years nfluenza All
Ages and over All Ages Causes Ages and over 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.........
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...........
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..........


38,797

13,318
2,162
1,479
1,439
2,873
1,326
1,308
1,364
2,483
3,463
,668
2,463
1,478
2,973

174,796

2,478
1,882
7,609
2,336
1,618
2,148
3,800
5,261
89,103
2,017
26,156
10,128
2,663
5,415
1,368
2,050
3,147
2,400
1,504
1,713

134,830

3,182
1,912
39,308
8,635
10,850
6,284
4,336
19,154
2,072
2,410
2,136
1,693
2,577
8,239
1,874
6,609
1,563
1,485
2,033
5,373
3,105

44,532

3,084
1,338
2,083
7,050
1,483
6,558
3,821
12,697
3,697
2,721


23,555

7,558
1,294
959
979
1,535
857
922
925
1,388
2,103
469
1,589
959
2,018

100,381

1,344
1,212
4,287
1,301
941
1,290
2,152
2,508
50,786
1,186
14,826
5,591
1,840
3,510
879
1,324
1,900
1,335
1,072
1,097

74,776

1,771
1,166
20,623
5,098
5,958
3,417
2,492
10,388
1,335
1,171
1,250
791
1,711
4,493
989
3,867
875
900
1,245
3,314
1,922

26,815

1,983
888
1,055
4,244
979
4,133
2,265
7,273
2,357
1,638


1,813

502
193
82
51
32
93
72
59
44
106
53
243
19
264

7,046

55
94
319
117
42
123
265
268
3,268
190
701
259
196
533
66
72
89
141
157
91

5,055

30
188
1,779
239
182
128
102
736
134
125
149
123
195
236
2
146
27
143
149
199
43

1,786

131
33
153
252
63
163
180
443
110
258


2,127

735
112
40
60
265
72
45
50
175
235
30
111
82
115

9,483

166
81
467
156
96
126
228
500
4,478
140
1,493
525
83
336
52
70
203
154
55
74

8,539

201
98
2,503
473
724
417
312
1,131
104
211
126
174
149
555
161
474
135
115
122
227
127

2,814

174
56
245
417
95
387
284
725
238
193


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 .........


60,378

6,617
13,619
2,106
3,493
4,326
2,875
4,552
1,855
4,117
3,718
10,840
2,260

31,843

4,891
2,573
2,005
6,365
6,810
2,339
1,809
5,051

56,936

1,970
1,712
1,346
7,470
1,936
3,806
10,088
3,009
9,871
4,141
5,678
2,770
3,139

21,275

1,742
1,100
6,473
872
4,981
939
2,656
2,512

84,006

948
2,538
1,947
2,261
3,512
27,186
5,000
1,758
5,984
3,449
5,104
10,078
1,982
7,402
2,730
2,127


30,384

2,866
6,843
895
1,629
2,411
1,324
2,290
779
3,234
2,142
4,839
1,132

16,180

2,404
1,277
1,164
3,456
3,242
1,067
850
2,720

28,388

1,141
837
625
3,564
925
1,990
4,505
1,554
4,804
2,166
3,050
1,454
1,773

11,768

797
719
3,639
516
2,731
488
1,492
1,386

49,349

628
1,377
1,408
1,014
2,159
15,460
2,901
1,255
3,667
2,007
2,829
5,729
1,214
4,463
1,816
1,422


2,580

241
346
79
86
25
185
140
169
279
399
506
125

1,723

101
199
70
587
306
46
138
276

2,383

231
73
36
227
108
100
265
185
349
110
261
262
176

1,101

106
118
284
73
299
62
72
87

2,771

16
81
19
63
69
1,121
160
18
133
106
151
271
195
249
62
57


4, 494

577
1,003
199
279
241
279
367
135
93
238
936
147

2,392

367
157
145
479
566
220
147
311

4,799

128
153
129
649
250
314
842
266
834
329
482
239
184

1,457

182
76
472
65
291
54
184
133

4,865

32
203
68
258
204
1,736
289
47
284
206
396
407
143
357
139
96


Total................... 647,393 361,596 26,258 40,970


*Not included among the 108 cities (see page 41).






Morbidity and Mortality Weekly Report













DISEASE TRENDS


A nthrax ......................................

Botulism ......................................

Brucellosis ...................................
D iphtheria ....................................

Encephalitis ..................................

H hepatitis .....................................

M alaria ......................................

Measles (Rubeola) .............................

Meningococcal Infections .......................

Pertussis .....................................

Pneumonia-Influenza Deaths 108 Cities .........

Poliomyelitis .................................

R abies .......................................

Rocky Mountain Spotted Fever (tick-borne typhus) .
Salmonellosis .................................

Shigellosis ...................................

Trichinosis ...................................

T etanus ......................................

Tuberculosis ..................................

T ularem ia ....................................

Typhoid Fever ................................

Typhus Fever (flea-borne, marine) ...............

Venereal Diseases ............................


Page

.... 30

.... 30

.... 31

... 32-33

... 34-35

.... 36

.... 37

.... 38

.... 39

.... 40

.... 41

... 42-43

... 44-45

. .. 46

.... 47

.... 48

.... 48

.... 49

.... 50

.... 51

.... 52

.... 53

... 54-55


. . .

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






Morbidity and Mortality Weekly Report


ANTHRAX Human Cases, 1953-1964


'53 '54 '55 '56 '58 59 '6061 62 63 64 '65 '66 '67 68


BOTULISM United States, 1899-1964


50


CASES


SOURCE: 1899-1949; Meyer, K. F. and Eddie, B. Fifty Years of Botulism in the United States
and Canada. Report from George Williams Hooper Foundation, July 1950.






Morbidity and Mortality Weekly Report 31


7,oo BRUCELLOSIS
Reported Human Cases, United States, 1947-1964

6,000


a/)oo.*
V) O 499 1 5
LU4
< 4o000
U
U. 3 ,310
IA.
, 32,00



,0 444
I 44
Ij0O, 363 324 63 71 3


U---71 636409 407 411
1947 '48 '49 '50 '51 '2 '553 54 55 "56 '57 '58 '59 '60 '"61 '8"62 '"63 "'64 '65
YEAR


BRUCELLOSIS
Reported Human Cases and Case Rates by State, 1964













an


200.

100.
60o:
so:
40-

20.

I0.

4.

2.


Morbidity and Mortality Weekly Report



DIPHTHERIA
Reported Annual Case and Death Rates
d Case-Fatality Ratio, United States, 1920-1964
TOXIN -


.~. 4


INTRODUCTION
OF TOXOID



I
\ GENERAL USE
OF TOXOID


t'2o0 1930 1940
YEAR


1aSo 196o '70o


DIPHTHERIA
Geographic Distribution, United States, 1964


HAWAII
RATES PER 100,000 POPULATION

* Reported case
El Less than 2.0 02.0 or greater


D
ALASKA






Morbidity and Mortality Weekly Report


DIPHTHERIA
Deaths, Nonfatal Cases, and Carriers by Immunization Status
United States, 1964


IMMUNIZATION DEATHS NONFATAL CASES CARRIERS
STATUS NO.- % NO. % NO.-%

U FULL 0 0 46 20 8 54
LAPSED 0 0 23 10 12 8
INADEQUATE 4 13 54 23 19 13
NONE 26 87 107 47 38 25
TOTAL 30 100 230 100 150 100
UNKNOWN STATUS 3 15 14
TOTAL REPORTED 33 245 164


70 I


50-


m 40-
ui
U
LL

ii
O 30-
0n


z





0-


DIPHTHERIA
Cases by Five-Year Age Groups, United States, 1964










1 Previous Primary Immunization*


5 t0 15


25 30 35 40 45 50
AGE


*"Full" and "Lapsed" Immunization Status


55 60 65 70 75 80 85 90


Itcb







ENCEPHALITIS
Reported Cases by Etiologic Group
and Month of Onset, 1964


POSTINFECTIOUS


300-
3O-



270-



240-



210-

IS-

180



150-



120-



90-



60-



30-

A


4' F M A M j 4 "
MONTH


SARTHROPOD-BORNE
0
*
...
0 lm N


A 8 0 N'D


POSTINFECTIOUS ENCEPHALITIS
Associated with Measles, Mumps, Varicella, and Rubella
By Month of Onset, 1964


--- MUMPS
.-- MEASLES


_-VARICELLA
......... RUBELLA


A.
I Nb
I
i
I

I
/
I
%. I* 9'
Ni


I 9'
I 9' .9'
I 9'
I 9' '5
I 9'
I 9' A
I
1~ 9'9' .i Nb
a 9'


MONTH


Om, --
/ UNKNOWN
ETIOLOGY


.** *

amoe~m moII S


LJ~ -






Morbidity and Mortality Weekly Report


ARTHROPOD-BORNE ENCEPHALITIS*
Human Cases by State, 1964


*Eastern encephalitis: Florida 4; Georgia 1
Encephalitis attributed to Tensaw virus: Indiana 1






Morbidity and Mortality Weekly Report


HEPATITIS
Case Rates by States, 1964








MALARIA
Reported in the United States, 1933-1964


MALARIA
Military and Civilian, United States, 1956-1964


200,000-

100,000-

50,000-


Coan


193 1940 1945 1950 1955
YEARS


Molaria Control Program

-War Areas Control Program
Relopses Overseas Cases

Malaria Eradication Program

Relapses From Korean Veterons

r-PRIMAQUINE Treatment of Servicemen
SRturning Fom Molorious Areas


1960 1965 1970


/
/
I
CIVILIAN /
I
CIVILIAN I

I
I
I
I
A /


120-




100




80
so


U
U-
o 60

LU


z40




20




n


1956 '57 ''58 '59 60 ''61 '62 3 '64 '65
YEAR


MILITARY


10,000-

5,00-


1,000-

500-




100-

So


In.'


0



'4
p


C
'*8
p

'4




'4


C
'V


.'r __ "-. '. .







Morbidity and Mortality Weekly Report


MEASLES
Reported Cases and Deaths by Month, United States, 1960-1964
(on overlapping Log Scale)


NUMBER OF
REPORTED
CASES


NUMBER OF
REPORTED
DEATHS


MEASLES RUBEOLAA)
Deaths in the United States
Percent Distribution by Age, 1959-1963


-J 25
F-
0
1- 20
0


> 15

U
u. 10
0
I-
z
w 5
U
. 0
LU


I 2 3 4 5 10


I I I I ~ I I I I *


15 15 and o
AGE


II Ir






Morbidity and Mortality Weekly Report


MENINGOCOCCAL INFECTIONS


Reported by Year

United States, 1920-1964


MENINGOCOCCAL
Reported Case Rates


INFECTIONS
by State, 1964


19.
Is-
18
17-
16-


S4-


12
I.-





O .
Z '





4,
LL
0






2-
4-


'20 6 '40 'SO 'ofo I4
YEAR


ALASKA






Morbidity and Mortality Weekly Report


PERTUSSIS
Reported in the United States, 1947-1964


160,000.

140,000.

120,000.

100,000.

80,000.

60,000.

40,000.

20,000.


YEAR 1947 '49 'SI '53 '55 '57 '59 '61 43 '65 67 '69


PERTUSSIS
Deaths in the United States, 1947-1963


2,000.

1,800.

1,600.

1,400.

1,200.

1,000.

800.

600.

400.

200.

0.


TOTAL DEATHS


INFANT DEATH


YEAR 1947 '49 '51 '53 '55 '57 '59 '61 '63 '65 '67 '69






PNEUMONIA AND INFLUENZA
Weekly Deaths in 108 United States Cities


7 1t 3 t 39X ItaI6 8f f 1V 4I t 4304I 91 ia R
MWP OCr NOV O JAN MS MA Am P M AUM ,AA. Au*
to"3 m~4


7 tl 0 9t 1439 8IfI ? tl i4 1tl 1308tll S
EP OCT rOV MO |I N EP MAR APR MAY JUN A,.
s* 13o4






42 Morbidity and Mortality Weekly Report

POLIOMYELITIS
Annual Incidence Rates, United States, 1935-1964

40

z INACTIVATED
0 VACCINE
I--
<30
TOTAL



OOR



a 10.
a It



= */*,. VACC



U 0 *PARALYTIC
1351 37" 130 41' 43 151 '1471 1%91 16511 "531 55' 7571 % = '61
*Paralytic cases prior to 1951 assumed to be 50% of total. Since 1951, cases re
prorated among paralytic and nonparalytic cases.


200 POLIOMYELITI
Paralytic Cases by Date of On
18

160S
o
S140.

120.

1 00

a. 80.

< 60 MI\.
U I A INonV-


AL
:INE


ported as unspecified were


IS
set, 1961-1964


12 20 28 36 44 52 12 20 28 36 44 52 12 20 28 36 44 I2


1962 1963


1964





Morbidity and Mortality Weekly Report

PARALYTIC POLIOMYELITIS
Geographic Distribution in the United States, 1964


* REPORTED CASE


PARALYTIC POLIOMYELITIS
Five-Year Age Groups, United States, 1964


= ADEQUATELY IMMUNIZED*


5 10 15 20 25 30 35 40 45 50 55 60 65
AGE


* 4 or more doses of inactivated vaccine and/or full series of oral vaccine more
than 30 days prior to onset.


D
ALASKA

















HW\
HAWAII


40-


30-
o-



20-



10-






Morbidity and Mortality Weekly Report

RABIES
Reported Human Cases in the United States, 1938-1964


YEAR


RABIES
Cases in Wild and Domestic Animals, 1953-1964


\. ^TOTAL


WDOMESTICLD



DOMESTIC


n I I I I I I I I I IIIIl l


SOURCE: USDA and USDHEW, PHS


8,000


6,000




4,000



2,000


1953 '54 '55 '56 '57 'S6 '59 '0 's1 %'2 '63 '64 85 '66





Morbidity and Mortality Weekly Report


N
K\\


I7









K\\


RABIES
Human Deaths by 5-Year Age Groups, United States, 1946-1964





\- 7


0 5 10 15 20 20 30 35 40 45 50 55 60 65 70 75 80
AGE


RABIES
Counties Reporting Animal Cases, 1964


POSITIVE STATES-46
POSITIVE COUNTIES- 1139


K






Morbidity and Mortality Weekly Report

ROCKY MOUNTAIN SPOTTED FEVER
Reported Cases in the United States, 1935-1964


100.


0------------------


1935 3 39 '"41'


43 "45 '47 49 "'5
YEAR


53 "55' 57 W 9 "61 "G3 '5'


ROCKY MOUNTAIN SPOTTED FEVER
Counties With 1 or More Reported Cases, United States, 1963


600.



500.


400.



300.



200.






Morbidity and Mortality Weekly Report


Human
650-

600-

550-

500-

450-

400-

350-

300-

250-

200-

150-

100-

50-

0 -F
J F


SALMONELLAE
Isolations in the United States, 1963-1964


MAM J J ASONDJ FMA MJ J A SOUND
1963 1964


-650

-600

-550

-500

-450

-400

-350

-300

-250

-200

-150

-100

-50


SALMONELLA
0- Human Isolations Per 100,000 Population, 1964

5

0-

5

0

5

0O

5

0

5

0

5

0 .


10 20


30 40 50 60
AGE IN YEARS


90


* = = *


VVA


a * *


70 80


100


I
I00















700


600


500


400


300


200


100


Morbidity and Mortality Weekly Report


SHIGELLAE
Seasonal Distribution of Isolations from 17 States


1964


Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec


TRICHINOSIS
Reported Cases, United States, 1947-1964


500-



400 -
U,

U
L 300
0


S200-
z


100-


1947 '49


'53


'57 '59 '61 '63 '65
YEAR






Morbidity and Mortality Weekly Report


TETANUS
Geographic Distribution of Cases in the United States, 1964


States with case rates of 0.3 per
100,000 or greater


PUERTO
RICO
(165 Cases)


* Reported case


TETANUS
Reported in the United States, 1947-1964



700,

600

u 500,

U 400.

IX 300.

2 200
200.
z


0
YEAR- 1947 '49 '5 5 "55' 5 "59' '61 '63 '65 '67 '6;


D
ALASKA


















HAWAII






Morbidity and Mortality Weekly Report


TUBERCULOSIS
Cases and Deaths, United States, 1955-1964


80,000





60,000




U
u. 40,000-
o

z
20,000


NEWLY REPORTED CASES


DEATHS ALL FORMS OF TUBERCULOSIS


1955 '56


'57 '58 '59 '60 '61
YEAR


'62 '63 '64


TUBERCULOSIS
Newly Reported Cases, 1964
Percent Distribution of Total by Age*


28.1%


2%8.9%


U-.


15 25


32.3%


45
AGE


' *Excludes cases with age not stated


18.7%






Morbidity and Mortality Weekly Report


TULAREMIA
Reported Cases by Year, United States, 1948-1964


1200 -
1100-

1000-

900-

800-

700-
600-

500-

400.

300-

200-
100-

0O


48 '49 '50 '51 '52 '53 '54 '55 '56 '57 '58 '59 '60 '61 '62 '63 '64
YEAR


TULAREMIA
Seasonal Distribution, Percent of Cases by Month, United States, 1959-1963


OJ -. .. .. -.


MAR APR MAY JUNE


JULY AUG SEPT
MONTH


OCT NOV DEC


JAN FEB






Morbidity and Mortality Weekly Report


6000"
TYPHOID FEVER
Reported Cases, United States,
5000



4000-
u


o 3000


z
2000



1000




1942 44 46 48 50 52 54! 56 58 60
YEAR


1942-1964


>2 64 66 68 70


TYPHOID FEVER
Reported Case Rates by State, 1964


PUERTO
RICO
B





Morbidity and Mortality Weekly Report


TYPHUS FEVER, FLEA-BORNE (ENDEMIC, MURINE)
Reported Cases, United States, 1949-1964


1949 '51 '53 '55 '57 '59 '61 '63 '65 '67
YEAR


MURINE TYPHUS
Geographic Distribution of Cases, United States, 1964


1000-


800-


600-



400-


200-


I.'


D





Morbidity and Mortality Weekly Report


SYPHILIS
Primary, Secondary, and Congenital
United States, Calendar Years 1948-1964


PRIMARY-SECONDARY SYPHILIS


q _CONGENITAL SYPHILIS
1aa u nJo umo m Iomm q


'48' 0'


V2 '54 '56 '58 '60o 12 '4 6 66
YEARS


GONORRHEA
Reported Civilian Cases, United States, 1954-1964


300,000-


250,000 -


200,000


150,000


100,000


50,000



'54' '55 "56 ''57 '58 '59 '6061 '62'63 '63'4 '"65'
YEAR


70,000-


50,000




30,000 *


10,000

0






Morbidity and Mortality Weekly Report



GRANULOMA INGUINALE AND
LYMPHOGRANULOMA VENEREUM
Reported Civilian Cases, United States, 1954-1964


LYMPHOGRANULOMA VENEREUM


1000.

900-

800-

700-

600-

500-

400-

300-

200-

100-

0
















oU
uJ
U
U-
0


'54' 5 56 37 '38 '39 '" 6 '82 '63 '84 '65
YEAR


CHANCROID
Reported Civilian Cases, United States, 1954-1964
3500


3000


2500


2000



1500


1000


500


GRANULOMA INGUINALE


'54 's55"56 ''7' '5 ''S9 'O '61 '2 63 '64 '
YEAR






Morbidity and Mortality Weekly Report


3 1262 08864 26lllllll llllllllllllll
3 1262 08864 2664


THE ANNUAL SUPPLEMENT TO THE MORBIDITY AND MORTALITY
WEEKLY REPORT IS PUBLISHED BY THE COMMUNICABLE DIS-
EASE CENTER. PUBLIC HEALTH SERVICE. DHEW. ATLANTA.
GEORGIA 30333


JAMES L. GODDARD, M.D.
ALEXANDER D. LANGMUiR M.D.
IDA. L. SHrERMAN. M.S.
DONALD A. "ENDERSON M.D.


CHIEF, COMMUNICABLE DISEASE CENTER
CHIEF, EPIDEMIOLOGY BRANCH
ACTING CHIEF. STATISTICS SECTION
CHIEF. SURVEILLANCE SECTION


THE 1964 SUPPLEMENT WAS PREPARED FOR PUBLICATION BY
ERNESTINE TOMLINSON. MAXINE SPOON. DIANNE VEST AND
LEO MORRIS.


a-
0 m



m
0 5
a.^
"anu
EdS fl
*I


U.S DEPOSITORY


4




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