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:
AA00010654:00449

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


I COMMUNICABL DISESEl


For release July 10, 1964 ATLANTA, GEORGIA 30333 Vol. 13, No. 27
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JULY 4, 1964


PARALYTIC POLIOMYELITIS


Only two cases of paralytic poliomyelitis were
reported for the week ended July 4. To date, 44 cases of
poliomyelitis, 32 paralytic, have been reported during
1964. During the first 2" weeks in 1965, 103 cases,
86 paralytic, were recorded.
That only two cases were reported this week is
particularly of note since the early weeks of July are
customarily associated with a sharp increase in incidence
of the disease.
To date there has been no apparent geographic
localization of cases.


Polio cumulatedd weekly) through 27th Week for Five Years
1964 1963 1962 1961 1960 1959
Paralytic 32 86 175 162 385 801
Total 44 103 227 249 518 1199


Polio (annual total)
Paralytic 379' 762 988 2525 6289
Total 443' 910 1312 3190 8425
Provisional


Table 1 CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES


(Cumulative totals include revised and


delayed reports through previous weeks)


27th Week Ended Cumulative. First 27 Weeks
July 4, July 6, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 33 29 --- 794 659 ---
Brucellosis ....................... 7 5 8 200 174 289
Diphtheria ........................ 5 5 137 141 314
Encephalitis, primary infectious .. 31 --- 973---
Encephalitis, post-infectious ..... 24 3--- 550 817
Hepatitis, infectious including
serum hepatitis ................ 541 519 519 21,980 24,185 24,187
Measles ........................ .. 4,669 4,614 6,087 418,457 339,840 365,760
Meningococcal infections .......... 34 28 28 1,572 1,476 1,366
Poliomyelitis, Total .............. 2 21 21 103 249
Paralytic .................. 16 16 32 86 175
Nonparalytic .................... 5 -- 9 10
Unspecified .................... 3
Streptococcal Sore Throat and
Scarlet fever .................. 3,917 3,391 '" 255,302 218,283
Tetanus ........................... 5 6 --- 128 121
Tularemia ......................... 11 9 15 131 ---
Typhoid fever ..................... 14 9 19 196 192 311
Rabies in Animals ................. 78 53 70 2,474 2,097 2,095


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.
Anthrax: 2 Psittacosis: Wise-i 18
Botulism: 10 Rabies in Man:
Leptospirosis: 20 Smallpox:
Malaria: 44 Typhus-
Plague: Murine: Ala-1, Fla-1 11
Rky Mt. Spotted: NJ-1, 111-1, Ark-1, Ohio-1i Va-, 68


Tenn-1


Figures for current week exclude missing report from Hawaii.


634-5131


iS j/o I9/:. /







Morbidity and Mortality Weekly Report


EPIDEMIOLOGICAL REPORT

CLOSTRIDIUM PERFRINGES OUTBREAK Washington


In January lo64, approximately 300 students at a
Washington college developed mild gastroenteritis fol-
lowing a noon meal at the college dining room. The pre-
dominant symptoms were diarrhea, abdominal cramps,
headache and nausea. Lamb stew contaminated with
Clostridium p rfringi- s was incriminated epidem iologically.
Among 110 students for whom clinical histories were
available, diarrhea and abdominal cramps were the princi-
pal symptoms.


Consumed Food Did not Consume Food
Attack Attack
No. III Rate (%) No. III Rate (%)
Fish chowder 52 16 31 242 90 37
Lamb stew pie 153 97 63 141 10 7
Tuna casserole 69 12 17 224 95 42
Jello salad 112 57 51 160 43 27
Fruit salad 71 32 45 197 66 33


Symptom


Diarrhea
Abdominal cramps
Headache
Nausea
Fever
Bloody stools
Vomiting


No. of Students
With Symptom
90
83
44
36
9
8
7


Per cent of Total

82
75
40
33
8
7


The illness lasted less than 12 hours in 50 percent and
less than 24 hours in 85 percent.

The abrupt onset of the epidemic (see figure) in the
early afternoon of January 17 and its termination by the
evening of January 18 clearly pointed to common-source
transmission. The illness was widespread in all dormito-
ries and also present among a group of students com-
muting to the campus only 2 days each week. These
students customarily arrived after breakfast and departed
before supper, consuming only their noon meals on the
campus. They had been on campus on January 16 and 17.
The frequency of illness among these students by meals
consumed is shown below:


Jan. 16 Breakfast
Lunch
Supper
Jan. 17 Breakfast
Lunch


No. III
0
4
0
0
18


Did not
Eat
60
48
59
60
37


No. III
19
15
19
19
1


Interview of the cooks revealed that the lamb stew
was prepared from 415 pounds of lamb shoulder purchased
on January 8. The lamb was kept at 400F., in a walk-in
refrigerator until the early afternoon of January 16 when
it was roasted and served for dinner that evening. Since
very few students ate the lamb roast for dinner, the re-
mainder was returned to the refrigerator. The length of
time the roast remained at room temperature prior to
cooking and the temperature of the refrigerator at this
time are unknown. The refrigerator which was usually
kept at 400F., had a temperature of 470F., on inspection
on January 21. The following morning the roast was
removed from the refrigerator and was cut into pieces,
reheated and added to a mixture of a commercial dehy-
drated gravy, onions, celery, carrots and dehydrated
potatoes which had been boiled in a caldron for fifteen
minutes. The resultant stew was then dipped from the
caldron into bowls and carried on trays to the serving
lines.

Immediately on notification of the outbreak, the
Spokane County Health Department had visited the
cafeteria and obtained samples of remaining food for
culture. C. perfringens was isolated from an aerobic
culture of the lamb stew. No organisms of significance
were obtained from eleven other foodstuffs. The C.
perfringens was typed at CDC as Type A, the type associ-
ated with food poisoning.


Food histories for the January 17 noon meal clearly
pointed to lamb stew pie as the responsible vehicle.
A portion of the analysis by individual foods served is
shown above right:


(Reported b\ Dr. Ernest Ager, Chief. Division ofEpidemi.
ology, State Department of Health. Olympra. Washrngton.
and Dr. E. 0. Ploeger, Spokane County Health Officer.)


231








Morbidity and Mortality Weekly Report


OUTBREAK OF CLOSTRIDIUM PERFRINGENS
CASES BY INTERVAL FROM MEAL TO ILLNESS
STATE OF MSHIGTON. JANARY 1964


REPORTED IMPORTED CASES OF DENGUE FEVER
U.S.A. 196364


State Dates of Date of
Reporting Age Sex Visit Onset


Puerto Rico*
N.Y.
N.Y.
N.Y.
F Ia.
Conn.
III.
N.Y.
Minn.
Fla.
Ga.
N.Y.


NTERVAL IN HOURS


27
38
33
28
Unk.
Unk.
13
21
42
44
40


8/11-18
8/8-15
8/11-21
8/13-9/2
? -8/29
? -9/5
7/13-8/30
6/1-9/8
1/5-11
2/12-2/21
10/2-?


8/19
8/23
8/25
9/1
9/1
9/5
9/6
9/9
1/20/64
2/25/64
Unk.


EPIDEMIOLOGICAL SUMMARY

DENGUE FEVER U.S.A.



A toral of 28 imported cases of dengue fever was
reported by eight States during the latter part of 1963 and
early 1964 in individuals who acquired the disease while
in the Caribbean.

Eleven of the cases appear to have been acquired
in Puerto Rico, 10 in Jamaica, 3 in the Virgin Islands
and one in Antigua. One of the patients had visited both
Puerto Rico and the Virgin Islands. Nine of the Jamaican
cases occurred among members of two families.
The majority of the cases had dates of onset in
July, August and September when cases were frequently
reported in Jamaica and Puerto Rico. No imported cases
have been reported with onsets later than March.

Of the cases for which clinical data are available,
all experienced fever, ranging from 1010 to 1060
headache, orbital and muscle pain. Nineteen of 24 mani-
fested a rash. Serological confirmation was available for
14 of the cases. All recovered without known sequelae.

Without question the 28 cases reported represent but
a fraction of the actual number which have occurred in
the United States. Many undoubtedly have not been recog-
nized as dengue even among those who sought medical
attention. The absence of reports of imported cases over
the past four months suggests that the dengue incidence
has abated in the principal Caribbean tourist areas. This
is substantiated by reports from these areas.


Virgin Islands*
Mass.
Mass.
N.Y.




Puerto Rico and
Virgin Islands*
Fla.


Jamaica*
Mich.
Mich.
Mich.
Mich.
Minn.
Minn.
Minn.
Minn.
Minn.
N.Y.



Antigua*
Ohio



Unknown*
N.Y.
N.Y.


Unk. F
Unk. F
32 F


10/31-11/10
10/31-11/10
12/21-1/3


58 F ? -2/1


? -7/12
? -7/12
? -7/12
? -7/12
7/24-8/6
7/24-8/6
7/24-8/6
7/24-8/6
7/24-8/6
7/4-8/25


58 F 2/26-3/1


*Island Visited


235


11/15
11/15
1/4 "64






2/5/64


7/14
7/19
7/21
7/22
8/1
8/1
8/1
8/1
8/9
8/27




3/12/64










23:6 lirbidili and Mortality rekly Report



l Ahir i ( As% OF SPH IFIDI) N 11 FIABLF DINEASE.S NIT H) STATES

FOR W'IEK. ENDED

JULY 4. 1964 AND JULY 6. 1963 (2'TH WEEK)


Encephal Ii
Aep ic
Metninne ls Primary P st -Ini. Po'llomyrel Itis Ttal Case P. i .myfl ti Paralytic
Arra
Currulat iv Cumulative
1964 19h3 196'. IQbt 196 1963 196. 1963 146' 1963 1964 1963
l';1TrD .TATE:... 33 29 31 24 21 4. 103 2 16 32 86

NEW ENCLAND .......... I 2 1 1
Maine.............. 1 1
NeS Hilmp-hir ....
Verrm.int............

Rhxl I.land....... 2
C nn ri lcut ........- ]

mIDDLE ATLANTIC ...... 7 11 5 15 5 29 11 5 22
-.. i rk Cit .......- I 1 1-
\- Y.rk. Up-State. 4 2- 2 5 2 5
Nru J r-iey ........ 2 3 2 2
Pennsylvania.......... I 5 5 15 24 11 17

EAST NORTH CENTRAL... 5 6 8 5 2 6 18 2 5 14
Ohi ................. 3 8 2 5 -- 2 3
Indiana............ 1
Illin ........... -5 2 3 7 2 3 6
Michigan........... 2 1 -- 1 3 3
WlsLon-ln...........- .1 1 1

WEST NORTH CENTRAL... 2 4 2 2 1 2
Minne,,'La .......... 2 3 2 2
l -W1 ............... 1
ML as, ur ........... .- 2 1 -
N- rth Dak ta .... -
-,,urh Dal'ira ....... -
brasa......... -
Pansas .............

.:OLTH ATLANTIC....... 1 3 6 18 12 13 9
Dela are........... 1 -
Maryland........... I 1
Dist. of Columbia.. -
Virginia........... 2 1 2 1
est Virainia ...... I 1 1
North Caroli ns ..... I 8 3 4 3
South Car.:. na ....- 2 2 2 1
Georgia............ 1 1 -
Florida ............ 4 5 3 4 3

EAr-T SOUTH CENTRAL... 2 1 2 5 4 11 2 9
Kentucky ............ -
T nnesst .......... 2 2 2 1 2
Alaba-ia............. 2 5 2 8 4 1 6
MLS iS LFppi ......... I

WEST STH CENrTRAL... 4 3 15 2 15
Arkansas............ 1
L.. isliana.......... ... 2- 12 12
fklahoma........... I I -
Texas.............. .. 1 2 1 2

MO'.'NTAIN.... ......... 3 1 6 1 3 1
M,ntana. ..............
Idah ................ i .
L'y -'-. nE ............ .. 2 2
C -.lorad .............. -
Ne HePxLc.' .......... 3 -
Ar zcna ............ -
Utah ...............-
Nevada.............

PACIFIC ............ 3 10 2 10 -1 1 14 1 13
ashinEton ......... I I I
region ............. I 3 1 1 1 1
Cal -rn a ......... 1 1 6 12 11
Alaska ............. -
HPawa i ............- -

Puerto Rico 4









237


Morbidity and Moriality Weekly Report


Table 3 CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES

FOR WEEKS ENDED

JULY 4, 1964 AND IULY 6. 196i (2'TH WEEK) CONTINUED


Infectlouz Hepatitis
Brucellosis Diphtheria including Serum Hepatitis Typhoid Fever

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

1964 1964 1964 1964 1 196 1964 1964 1964 1964 1 1963 1964 1964


UNITED STATES... 7 200 137 541 218 278 -5 21,980 24,185 14 196

NEW ENGLAND ......... 2 42 29 7 20 2 2,199 2,633 1 11
Maine............. 39 2 2 725 1,224
New Hampshire...... 3 3 159 195 -
Vermont........... 5 1 3 1 274 33 -
Massachusetts ...... 2 3 13 2 10 1 459 773 5
Rhode Island....... 4 2 2 120 59 5
Connecticut........ 2 2 .62 349 1 1

MIDDLE ATLANTIC...... 3 5 106 44 62 4,981 4,602 30
New York City...... 1 13 2 11 725 645 12
New York, Up-State. 1 50 28 22 2,248 2,056 7
New Jersey......... 2 23 3 20 895 702 1
Pennsylvania....... 2 2 20 11 9 1,113 1,199 10

EAST NORTH CENTRAL... 1 25 6 81 34 39 8 3,327 3,940 4 48
Ohio............... 1 33 12 17 4 888 1,100 1 23
Indiana ............ 1 10 6 3 1 299 372 1 9
Illinois............ 15 6 17 8 8 1 561 845 1 7
Michigan........... 1 4 19 8 11 1,341 1,445 1 7
Wisconsin.......... 4 2 2 238 178 2

WEST NORTH CENTRAL... 5 94 21 26 14 12 1,219 1,120 16
Minnesota.......... 2 5 11 2 1 1 111 181 1
Iowa............... 2 55 1 1 175 205 3
Missouri........... 1 7 10 8 2 314 433 6
North Dakota....... 2 2 45 29 2
South Dakota....... 12 1 105 53 1
Nebraska........... 11 1 1 29 81 -
Kansas............. 2 7 12 5 7 440 138 3

SOUTH ATLANTIC....... 1 19 28 47 20 25 2 2,082 2,518 5 42
Delaware............. 41 35
Maryland.......... 12 6 6- 407 294 1 2
Dist. of Columbia.. 1 33 70 -
Virginia............ I 11 4 7 312 540 9
West Virginia...... .- 4 3 1 336 400 -
North Carolina..... 2 4 4 379 629 12
South Carolina..... 4 71 101 1 4
Georgia............ 6 20 1 1 48 108 1
Florida............ 3 14 3 9 2 455 341 3 14

EAST SOUTH CENTRAL ... 10 5 55 16 35 4 1,514 2,456 1 21
Kentucky............. 3 14 5 5 4 621 709 6
Tennessee.......... 3 1 8 3 5 521 978 8
Alabama............ 3 2 31 6 25 2.6 374 1 5
Mississippi ........ 1 2 2 2 126 395 2

WEST SOUTH CENTRAL ... 18 17 32 20 12 1,626 1,621 1 11
Arkansas........... 4 2 1 1 173 176 4
Louisiana.......... 1 5 9 7 2 372 306 1 3
Oklahoma........... 2 3 2 1 87 83 3
Texas.............. 11 12 18 10 8 994 1,056 1

MOUNTAIN ............. 16 1 39 3 9 27 1,375 1,607 1 4
Montana............ 5 1 4 124 222 -
Idaho.............. 2 2 146 253 -
Wyoming.............. 45 22 -
Colorado........... 16 1 1 14 393 342 -
New Mexico......... 1 1 2 1 1 193 192 -
Arizona............ 1 11 11 312 381 1 4
Utah............... 13 3 3 121 185 -
Nevada............. I 41 10 -

PACIFIC.............. 13 12 126 60 64 2 3,657 3,688 1 13
Washington........ 11 24 10 13 1 423 636 1
Oregon............ 1 13 4 9 .04 479 -
California......... 12 1 87 45 .2 2,645 2,483 1 12
Alaska............. 2 1 1 115 65 -
Hawaii............. --- --- I --- I --- I --- I --- 70 25 ---


Puerto Rico 2 7 10 6 4 422 409 9









238 Morbidity and Morlality Weekl Heporl


Tablc 3 CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

JULY 4. 1964 AND JULY 6. 1961 (27TH WEEK) CONTINUED


Strept ooccal
Henlngococcal Sore Throat and Rabies in
Measles Meningitis Scarlet Fever Tetanus Tularemia Animals
Area
Cumulative Cum. Cum. Cum.
1964 1964 1964 1963 1964 1963 1964 196u 1964 196. 1964 1964
UNITED STATES.. 4,669 3. 1,572 1,476 3,917 3,391 5 128 11 15l 78 2,474

NEW ENCLAND........... 276 3 46 91 417 323 I 5 2 15
Maine............... -8 5 15 15 42 2 13
New Hampshire ...... 4 4 1
Vermont............ 27 1 3 17 1
Massachusetts...... 132 19 d2 33 49 5 -
Rhode Island....... 23 2 7 9 62 16 -
C'nnecticut........ 42 13 18 290 212 -

MIDDLE ATLANTIC...... 789 2 196 202 219 134 1 9 2 67
New York City...... 233 1 27 30 8 15 -
New York, Up-State. 352 54 65 190 87 2 2 64
New Jersey......... 161 1 69 27 13 6 1 5 -
Pennsylvania....... 43 46 80 8 26 2 3

EAST NORTH CENTRAL... 957 3 223 238 438 226 1 20 1 13 1 338
Ohio............... 174 1 61 68 41 26 3 1 1 179
Indiana............ 199 34 29 88 22 1 3 1 17
Illinois........... 159 54 43 36 59 7 8 75
Michigan........... 203 2 49 71 171 84 6 1 29
Wisconsin.......... 222 25 27 102 35 1 1 2 38

WEST NORTH CENTRAL... 330 1 97 89 121 105 7 3 32 32 801
Minnesota .......... 1 22 18 5 6 I 1 9 241
Iowa.............. 29 6 5 26 20 2 1 14 287
Missouri........... 162 48 30 2 1 2 I 19 3 126
North Dakota........ 136 1 10 4 69 73 2 44
South Dakota....... 2 5 3 4 1 2 3 2 66
Nebraska........... 5 19 2 23
Kansas............. NN 6 8 16 1 1 8 14

SOUTH ATLANTIC....... 296 7 346 279 486 305 42 18 13 332
Delaware............ 6 2 6 2 14 7 -- -
Maryland........... 20 23 43 90 3- -
Dist. of Columbia.. 2 12 4 6 -
Virginia........... 109 1 39 67 140 96 5 4 191
West Virginia...... 94 24 13 112 86 1 1 23
North Carolina .... 8 2 59 50 5 10 12 4 1 4
South Carolina..... 13 48 13 24 10 3 -
Georgia............ 44 22 1 3 1 10 8 66
Florida............ 46 91 65 94 93 17 3 47

EAST SOUTH CENTRAL... 444 2 141 113 626 621 15 19 10 318
Kentucky........... 17 46 25 33 73 2 1 1 44
Tennessee.......... 280 1 47 49 559 535 8 12 9 260
Alabama............ 131 30 21 24 12 4 3 14
Mississippi ........ 16 1 18 18 10 1 I 3 -

WEST SOUTH CENTRAL... 414 5 144 146 289 506 2 13 4 48 11 360
Arkansas............ 1 1 17 9 1 1 1 4 28 1 89
Louisiana.......... 1 100 59 4 2 3 1 31
Oklahoma .......... 39 1 6 29 60 4 16 3 60
Texas............... 374 2 21 49 224 499 1 6 3 7 180

MOUNTAIN............. 339 2 57 52 715 676 4 3 24 3 86
Montana............ 49 3 4 18 3 14 -
Idaho.............. 32 3 4 32 42 -
Wyoming............ 3 4 1 5 1 4 -
Colorado........... 60 11 12 376 260 1 5
New Mexico............ 26 22 4 67 164 1 39
Arizona............. 91 1 4 8 122 105 1 2 41
Utah................ 81 1 6 14 113 82 1 -
Nevada ............ 8 3 l

PACIFIC .............. 824 9 322 266 606 695 13 4 157
Washington......... 70 25 19 74 63 -
Oregon.............. 283 18 17 11 8 1 3
California........ 465 9 264 216 512 404 II 3 154
Alaska.............. 6 6 7 9 12 -
Hawaii ............. --- --- 9 7 --- 8 --- 1 --- -

Puerto Rico 137 23 5 17 7 2 42 1 14









Morbidly and Mortality Weekly Report





SlabIhl (C) TOTAL DEATHS UNDER I 'EAR OF AGE IN REPORTING (II IE



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


239


For weeks ending For weeks ending
Area Area
6/13 6/20 6/27 7/4 6/13 6/20 6/27 7/4


NEW ENGAIJAD:
Boston, Mass............... 20 14 10 14
Bridgeport, Conn.......... 3 2 2
Cambridge, Mass........... 2 -
Fall River, Mass... ...... 1 1 -
Hartford, Conn........... 4 4 5 5
Lowell, Mass.............. 1 1 3
Lynn, Mass................ 1 1 2 -
New Bedford, Mass.......... 1 2 1
New Haven, Conn............ 2 2 3 -
Providence, R.I........... 5 3 4 4
Somerville, Mass.......... I -
Springfield, Mass......... 4 1 1 1
Waterbury, Conn............ 1 1 3 2
Worcester, Mass........... 2 1 5

MIDDLE ATLANTIC:
Albany, N.Y................ 2 5 1
Allentown, Pa............. 4 3 2 1
Buffalo, N.Y.............. 9 10 9 5
Camden, N.J................ 3 1 2 2
Elizabeth, N.J........... 5 3 2 1
Erie, Pa................. 4 3 1 2
Jersey City, N.J.......... 1 6 6 4
Newark, N.J ............... 6 5 26 9
New York City, N.Y......... 80 87 81 78
Paterson, N.J............. 2 1 2 3
Philadelphia, Pa.......... 16 15 23 57
Pittsburgh, Pa............ 12 12 6 5
Reading, Pa............... 2 2 1 2
Rochester, N.Y............ 5 6 6 5
Schenectady, N.Y.......... 1 1
Scranton, Pa.............. I 3 2
Syracuse, N.Y............. 5 5 2 3
Trenton, N.J.............. 1 5 1 4
Utica, N.Y................ 1 2 2
Yonkers, N.Y.............. 2 5 4 1

EAST NORTH CENTRAL:
Akron, Ohio................ 3 4 6 3
Canton, Ohio............... 2 2 2 -
Chicago, Il1l.............. 52 39 34 42
Cincinnati, Ohio........... 9 7 6 8
Cleveland, Ohio............ 7 17 6 12*
Columbus, Ohio............. 6 10 5 7
Dayton, Ohio............... 5 3 8 3
Detroit, Mich............. 36 16 16 17
Evansville, Ind........... 2 3 2
Flint, Mich............... 3 5 4 4
Fort Wayne, Ind........... 4 4 2 2*
Gary, Ind ................ 3 7 2 3
Grand Rapids, Hich........ 4 3 2 2
Indianapolis, Ind......... 8 11 6 11
Madison, Wis............. 7 2 3 2
Milwaukee, Wis............ 7 8 7 6
Peoria, III.............. 6 2
Rockford, 11l............. 2 2 1
South Bend, Ind........... 7 4 2
Toledo, Ohio............... 3 3 6 7
Youngstown, Ohio........... 5 1 2 2

WEST NORTH CENTRAL:
Des Moines, Iowa........... 4 3 2 1
Duluth, Minn.............. I -
Kansas City, Kans......... 3 10 4 3
Kansas City, Mo............ 10 6 5 6
Lincoln, Nebr............. 2 2 3
Minneapolis, Minn......... 5 10 10 7
Omaha, Nebr................ 5 6 1 5
St. Louis, Mo.............. 7 15 13 16
St. Paul, Minn ............ 4 4 4 6
Wichita, Kans.............. 3 5 4 2

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

NOTE: l4 deals by place ol ocrunence.


SOUTH ATLANTIC:
Atlanta, Ga............. 5 14 8 22
Baltimore, Md............. 15 13 16 10
Charlotte, N.C........... I 3 1 1
Jacksonville, Fla........ 2 5 5 8
Miami, Fla............ ... 1 9 5 4
Norfolk, Va.............. 9 5 4 4
Richmond, Va............. 8 2 3 10
Savannah, Ca.............. 2 1 2 3
St. Petersburg, Fla...... 2 2 1 2
Tampa, Fla............... 2 3 2 7
Washington, D.C........... 12 15 7 13
Wilmington, Del........... 1 4 2 6

EAST SOUTH CENTRAL:
Birmingham, Ala........... I 4 10 2
Chattanooga, Tenn........ 6 6 2 1
Knoxville, Tenn.......... 3 2 2 1
Louisville, Ky........... 6 3 9 20
Memphis, Tenn............ 10 12 14 11
Mobile, Ala............... 2 2 5 1
Montgomery, Ala.......... 1 3 1 2
Nashville, Tenn.......... 5 1 6 2

WEST SOUTH CENTRAL:
Austin, Tex .............. 4 1 5
Baton Rouge, La.......... 2 2 2 3
Corpus Christi, Tex...... 4 1 3 1
Dallas, Tex.............. 13 13 21 6
El Paso, Tex............. 5 3 4 3
Fort Worth, Tex.......... 5 4 6 5
Houston, Tex............. 11 13 8 7
Little Rock, Ark.......... 6 1 5
New Orleans, La.......... 24 10 20 17
Oklahoma City, Okla...... 8 7 5 7
San Antonio, Tex......... 6 9 9 9
Shreveport, La........... 3 B 2 4
Tulsa, Okla.............. 3 2 3 3

MOUNTAIN:
Albuquerque, N. Mx ...... 4 6 I
Colorado Springs, Colo... -
Denver, Colo............. 2 9 7 16
Ogden, Utah............... 2 1 1 1
Phoenix, Ariz............. 7 8 1 6
Pueblo, Colo............. 2 1 1 1
Salt Lake City, Utah..... 5 2 5 1
Tucson, Ariz............. 5 5 1 2

PACIFIC:
Berkeley, Calif.......... 2 2 1
Fresno, Calif ............ 6 8 9 3
Glendale, Calif........... 2 3 2
Honolulu, Hawaii.......... 5 6 3 5
Long Beach, Calif........ 2 4 3 5
Los Angeles, Calif ....... 44 31 43 23
Oakland, Calif........... 2 10 8 4
Pasadena, Calif.......... 2
Portland, Oreg........... 5 4 10 8
Sacramento, Calif........ 7 2 1 3
San Diego, Calif......... 10 2 11 7
San Francisco, Calif..... 7 7 6 15
San Jose, Calif .......... 4 1 2 -
Seattle, Wash........... 9 7 9 4
Spokane, Wash............. 5 2 4 3
Tacoma, Wash............. 3 1 2

San Juan, P.R............... (---) (-- ) (---) (--)


oCurrent Week Mortality for 108 Selected Cities

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


10,545
369
685
5,950









Morbidity and Mortality Weekly Report


INFANT DEATHS IN 108 CITIES


The weekly average number of infant deaths in 108
cities for the four-week period ending July 4 was 686 as
compared with an expected 712 weekly average.


UNIVERSITY OF FLORIDA

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3 1262 08864 2805


OFATHS UNDER ONE YEAR OF AGE IN o10 US. CITES
A.rege. MNvbr pw WiS by FAm >- Wk FArtedo


Week Ending 4 Week Weekly

6/13 6/20 6/27 7/4 Total Average

Observed 704 673 680 685 2,742 686
Expected 710 711 712 713 2,846 712

Excess -6 -38 -32 -28 -104 -26


YELLOW FEVER Uganda


One confirmed fatal case of jungle yellow fever was
reported from Mengo District (Buganda Province), Uganda
in a patient who died on May 10.
This is the first case of human yellow fever reported in
an East African country in more than 10 years. The last
case in Uganda was reported from another Province in
1952.
(Weekly Epidemiological Record, WHO, June f1, 1964.)


(See Table, page 239)


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USS DEPOSITORY


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THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA-
TION OF 11.000 IS PUBLISHED BY THE COMMUNICABLE DISEASE
CENTER, ATLANTA, GEORGIA.
CHIEF. COMMUNICABLE DISEASE CENTER JAMES L. GODDARD, M.D.
CHIEF, EPIDEMIOLOGY BRANCH A. 0. LANGMUIR, M.D.
CHIEF, STATISTICS SECTION R. E. SERFLING, PH.D.
ASST. CHIEF. STATISTICS SECTION I. L. SHERMAN, M.S.
CHIEF, SURVEILLANCE SECTION D. A. HENDERSON, M.D.
EDITOR, MMWR L. K. ALTMAN, M.D.
IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY, THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASES, SUCH
ACCOUNTS SHOULD BE ADDRESSED TOI
LAWRENCE K. ALTMAN, M.D.. EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
NOTES: THESE PROVISIONAL DATA ARE BASED ON WEEKLY TELE-
GRAMS TO THE COMMUNICABLE DISEASE CENTER BY THE INDIVIDUAL
STATE HEALTH DEPARTMENTS,
SYMBOLS: DATA NOT AVAILABLE
QUANTITY ZERO
PROCEDURES FOR CONSTRUCTION OF VARIOUS MORTALITY CURVES
MAY BE OBTAINED FROM STATISTICS SECTION. COMMUNICABLE
DISEASE CENTER. PUBLIC HEALTH SERVICE, U.S. DEPARTMENT OF
HEALTH. EDUCATION, AND WELFARE, ATLANTA, GEORGIA 08SS3.


240


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