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:
AA00010654:00452

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
F5 ;./


Vol. 14, No. 44


COMMUNICABLE DISEASE CENTER





V.' s


4lA^# t SA


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


MEASLES MASON COUNTY, KENTUCKY

During the week ended October 23, twenty-three of the
24 cases of measles reported from Kentuck were recorded
by Mason County (population 19,000), located in the north-
eastern part of the State. Further investigation revealed a
localized school-centered epidemic in this County. A
selective county-wide measles vaccination program was
conducted in an effort to abort the epidemic.
The cases in Mason County were found to be local-
ized in the eastern portion of the County in the Orange-
burg School district. The earliest known case occurred
on October in the first grade and was followed by a peak
of 14 cases in the same grade between October 15 and 20.


Meas.-.- %\1,. -n ( Lunr I I t "'
Curr-ni I r. rn M1.. .
Surve-ill. r.. umni-m,u -.
Sanimumnell.t .. .

f^"Z ', V ."'
2. \ \ '
A second peak pEC-ca.e- inol\ ng portion. of the fir-t
and second graes occurred from October 97 through
November 1. Scatte d'f.--aa---4-4 occurred in other grades
and in preschool chi _able 1). Of pre-chool-age
cases, all but two resulted from contact with school-age
children and siblings.
(Continued on page 378)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
44th WEEK ENDED CUMULATIVE. FIRST 44 WEEKS
MEDIAN
DISEASE NOVEMBER 6, OCTOBER 31, 1960- 1964 MEDIAN
1965 1964 1960- 1964
Aseptic meningitis .......... 43 46 68 1,794 1,806 2,232
Brucellosis .............. 3 9 8 209 350 350
Diphtheria ................ 10 10 10 135 233 375
Encephalitis, primary infectious 30 55 1,616 2,844 ---
Encephalitis, post-infectious 6 8 587 728 -
Hepatitis, infectious including
serum hepautis ........... 633 668 921 28,681 32,433 36,694
Measles .................... 1,356 1,304 1,449 246,184 467,776 403,312
Meningococcal infections ... 45 60 47 2,588 2,357 1,875
Poliomyelitis, Total ......... 1 3 16 49 101 740
Paralytic ...... ......... 1 2 13 36 80 587
Nonparalytic ... .......... 1 9 11 ---
Unspecified .....***. ..... --- 4 10 -
Streptococcal Sore Throat and
Scarlet fever .. ...... 6,489 6,540 5,549 329,400 333,180 268,482
Tetanus **............... 6 3 226 240 -
Tularemia .. .............. 4 4 --- 221 286 ---
Typhoid fever ** .............. 6 6 18 374 362 543
Rabies in Animals ......... 45 90 57 3,674 3,861 3,178

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: .................... ............ 7 Rabies in Man: ............................. 1
Botulism: ....... ..... .................... 13 Smallpox: .......... .... .................
Leptospirosis: 11.-1, Ohio-2 ... ............ ...... 46 Trichinosis: N.Y. Upstate-2, N.J.-1 ............... 100
Malaria: N.C.-1, Ore.-1, S.C.-l, Va.-1 .............. 72 Typhus-
Plague ... ............................... 6 Murine: ..... .......................... 22
Psittacosis: .............................. 37 Rky. Mt. Spotted: Ga.-2 .................... 248
Cholera: ........................... ....... 2


c"Id


y^;/9


/y9el


Week Ending
November 6, 1965









Morbidity and Mortality Weekly Report


NOVEMBER 6, 1965


MEASLES MASON COUNTY, KENTUCKY
(Continued from front page)


Table 1
PRESUMPTIVE MEASLES CASES
October 4 November *
Mason County

Age (years) <1 2 3 4 5 6 7 8 9 10+ Total

No. of cases 3 2 4 4 3 24 17 2 1 0 60


Orangeburg School


Grade No. of Children No. of Cases Attack Rate (%)

First 70 30 43%
Second 60 10 17%
All Other 326 3 1%


*Presumptive cases include clinically confirmed cases plus
those currently under investigation.

During the past 10 years, peaks in measles inci-
dence in Mason County were recorded in 1956 and 1961










300o


(/)


LU
0:
Z 120
too00
so


(Figure 1). A marked rise in cases during October appear-
ed to forecast a measles season of epidemic proportions
in the ensuing winter and spring.
In an attempt to abort the outbreak of measles in
Mason County, susceptible first and second graders, plus
those in special education classes and one private kinder-
garten, were designated as a "target population." Of 861
children in this group, 368 were thought to be immune. Of
the remainder, 345 were immunized with further atten-
uated live virus measles vaccine on November 2 and 3.
The proportion of susceptible first and second graders
was thus reduced from 43 percent to less than 20 percent.
Intensive surveillance procedures have been instituted
to determine whether or not this has effectively contained
the outbreak of measles.


(Reported by Mr. J.R. Sills, Administrator. Mason County
Health Department; J.W. Skaggs, D.I'.M., Acting Director,
Epidemiology Division, Keritucky State Health Depart-
ment; Dr. Russell E. Teague, Commissioner of Health,
Kentucky State Department of Health; and an EIS Officer.)


Figure I


REPORTED CASES OF MEASLES
MASON COUNTY. KENTUCKY
1956-65


1957 1958 1959 1960 1961 1962 1963 r964" 1965 1966
MONTH OF REPORT


* 1964 ESTIMATED DUE TO RUBELLA EPIDEMIC.


378


1956


















A total of 4.1ii:1 cases of measles was reported for
the 4-week peridil ended November 5, '1.115 more than were
reported during the pro. ,'ling 4 weeks of this year (Fitirr
2). This seasonal increase was noted in five sections of
the country but was most pronounced in the Middle Atlan-
tic, East North Central and East South Central rention-.
Eight States have reported more than -'(H cases in
the past 4 weeks: Wisconsin, \t.-t Virginia Texas, M~cIh-
igan. Kentucky, Tennessee, Illinoi- and New Jersey. The
majority of these liatie- have had more cases during the
41st through 44th weeks of this year than were reported for





Figure 2.
REPORTED MEASLES
BY FOUR-WEEK PERIODS, UNITED STATES
1965 COMPARED WITH II YEAR PERIOD, 1954-1964


180,000-

140,000

100,000.

60,000.

20,000 -


----HIGHEST NUMBER, 1954-64
A ---- LOWEST NUMBER, 1954-64
\/ 1965


/ \

/ \




4 8 12 16 20 24 28 32 36 40 44 48 52
Week Number


379


comparable periods in either 1963 or 1964. Allhi iulh mea-
sles is li.ing reported in most of the larger metropolitan
areas, rural outbreaks continue to account for i.II., of
the reported cases (\IMIHR, Vol. 14, No. 40).
Th.- number of cases of measles in the New Engl.inid.
Mountain and P;. ilil States for the 41st through the 44th
weeks was less in 196.5 than in any other recent year
(Table 2). The New England and Mountain region, are the
only sections of the country which had widespread epi-
demics of measles luring the early part of 1965.
(Reported by the Childhood Virus Disease Unit of CDC.)




Table 2
Reported Cases of Measles by Geographic Division
Weeks 41-44, 1960-1965

Area 1960 1961 1962 1963 1964 1965*

New rEnland 603 785 281 319 786 160
Middle Atlantic 981 481 489 697 311 569
East North Central 1,251 1,074 1,579 915 573 1 162
West North Central 226 138 367 137 150 202
South Atlantic 417 469 382 552 355 461
East South Central 204 334 226 279 377 514
West South Central 270 672 304 280 360 290
Mountain 369 472 725 405 511 331
Pacific 873 1,145 1,246 911 703 362

Total 5,194 5,570 5,599 4,495 4,126 4,051

*Provisional data.


SURVEILLANCE SUMMARY
SALMONELLA August 1965


The isolations of salmonella during August from
human sources number 1,t7 and from non-human sources,
659. For July 1965, the comparative figures were 1,800
and 769 respectiel%. The increasing seasonal incidence
of isolations from humans at this time of the year is
expected on the basis of data for 1963 and 1964 (Figure 3).
Among the isolations from human sources Salmonella
typhi-murium and S. typhi-murium var. copenhagen pre-
dominated, while the age and sex distribution of individuals
harboring salmonellae were consistent with patterns
previously noted. Out of 67 serotypes, 7 serotypes
accounted for 66.2 percent of the total isolations reported.
Among the seven most common serotypes reported in
August is Salmonella thompson which was also a prominent


isolate in July. The large number of S. thompson isolates
for the second month in succession is mainly the result
of a nursery outbreak in a hospital in New York State.
Preliminary data indicate a small number of clinical
cases with a much larger number of asymptomatic carriers
identified by a culture survey of infants in wards and of
hospital personnel.
Of the non-human isolates, 60 serotypes were
identified; 7 accounted for 60.3 percent of the 659 iso-
lations reported. Salmonella typhi-murium and S. typhi-
murium var. copenhagen again predominated. The animal
species from which the majority of isolations were
obtained are in order of frequency.
(Continued on pa,'7' Ji3S )


NOIF MIIi R 6, 1965


Morbidity and Mortality Weekly Report



CURRENT TRENDS

MEASLES 1965










380 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 6, 1965 AND OCTOBER 31, 1964 (44th WEEK)


SEncephalitis Poliomyelitis Diphtheria
Aseptic
Meningitis Primary Post-Inf. Total Cases Paralytic
Area
Cumulative Cumulative Cum.
1965 1964 1965 1965 1965 1965 1964 1965 1965 196. 1965 1965
UNITED STATES... 43 46 30 6 1 49 101 1 36 80 10 135

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

MIDDLE ATLANTIC...... 3 7 8 1 5 15 1 4 13 5
New York City...... 2 2 3 1 2 2 3
New York, Up-State. 3 1 1 1 10 1 1 9 -
New Jersey......... 2 2 3 3 3 2 -
Pennsylvania ...... 2 2

EAST NORTH CENTRAL... 10 7 9 1 2 22 2 16 6
Ohio............... 1 2 8 2 2 1
Indiana.......... 1 8 5 2
Illinois.......... 1 3 1 1 1 6 1 5 2
Michigan........... 7 1 1 3 1 2 -
Wisconsin........... 1 3 2 I

WEST NORTH CENTRAL... 4 2 3 1 11 9 7 7 1 20
Minnesota.......... 3 2 1 1 3 1 2 7
Iowa............... 1 5 2 1
Missouri........... 1 4 3 -
North Dakota ...... 1 1 1-
South Dakota....... 1 8
Nebraska........... 3 3 2
Kansas .. .......... 2 1 1 1 1 I

SOUTH ATLANTIC....... 2 2 1 1 28 1 22 3 35
Delaware........... -
Maryland............ 1 1 1 1 -
Dist. of Columbia.. -. 3
Virginia............ 2 4 4 -
West Virginia...... 1 1 -
North Carolina.... 11 6 4
South Carolina..... -- 1 1 1
Georgia............. 1 1 3 18
Florida............ 2 1 9 8 9

EAST SOUTH CENTRAL... J 1 1 2 6 1 5 5 24
Kentucky............ 1 -
Tennessee.......... 1 3 1 2 2
Alabama................ 1 2 2 5 20
Mississippi........ 1 1 1 1 2

WEST SOUTH CENTRAL... 1 2 1 1 17 9 14 8 1 34
Arkansas........... 1 2
Louisiana.......... 2 1 1 8
Oklahoma........... 1 1 3 1 2 1
Texas.............. 1 1 1 14 6 12 6 23

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

PACIFIC................ 22 22 4 2 6 3 4 3 9
Washington.......... 3 2 2 2 3
Oregon............. 2 1 1 1 1 1
California......... 17 19 4 2 3 2 1 2 5
Alaska............. -
Hawaii.............. I -

Puerto Rico 12









Morhidity and Mortality Weekly Report 381


CASES O( SPP I~(II0) NO)IFHAHII DISEASES: UNITED STATES

I()R WEEKS IND)ED
NOV MHI K 6. 1965 AND OCTOBER 31, 1964 (44th WEEK) Continucd


Brucel- Infectious Hepatitis M, Ini., ..l,
losis including Serum Hepatitis Infections Tetanus
Area Total Under 20 years Cumulative
incl. unk. 20 years and over Totals Cumulative Cum.
1965 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965
UNITED STATES... 3 633 282 320 28,681 32,433 45 2,588 2,357 6 226

NEW ENGLAND.......... 23 7 13 1,640 2,945 130 75 5
Maine.............. 3 2 1 285 922 17 6
New Hampshire...... 1 1 160 230 7 2 1
Vermont............ 88 355 8 4
Massachusetts...... 7 1 6 641 663 46 31 3
Rhode Island....... 5 5 180 180 14 10
Connecticut........ 7 3 1 286 595 38 22 1

MIDDLE ATLANTIC...... 98 42 56 5,045 7,161 10 337 302 1 14
New York City...... 42 18 24 1,043 1,100 2 57 42
New York, Up-State. 22 7 15 1,867 3,119 3 97 86 5
New Jersey......... 17 9 8 953 1,212 2 85 99 1 2
Pennsylvania....... 17 8 9 1,182 1,730 3 98 75 7

EAST NORTH CENTRAL... 127 74 51 5,574 5,099 11 384 312 32
Ohio................ 19 11 8 1,522 1,339 2 102 81 3
Indiana............ 11 7 4 471 434 1 49 49 8
Illinois........... 25 18 6 1,047 947 2 102 80 15
Michigan........... 63 35 28 2,182 2,025 4 86 71 3
Wisconsin........... 9 3 5 352 354 2 45 31 3

WEST NORTH CENTRAL... 1 31 16 14 1,613 1,754 1 130 134 2 21
Minnesota.......... 7 6 185 208 1 31 29 1 9
Iowa................ 1 7 6 1 544 284 12 8 4
Missouri........... 8 6 2 346 439 52 60 1 3
North Dakota....... 29 62 11 20 1
South Dakota....... I 1 21 130 3 3
Nebraska............ 3 2 1 85 48 10 6 2
Kansas............. 5 2 3 403 583 11 8 2

SOUTH ATLANTIC....... 45 18 25 2,943 3,042 7 487 463 3 53
Delaware........... 76 67 10 6 -
Maryland........... 13 9 4 520 555 1 47 33 1 2
Dist. of Columbia.. 41 63 1 10 16
Virginia........... 2 1 687 478 59 56 7
West Virginia...... 5 4 1 406 434 1 26 34 1
North Carolina..... 3 3 291 502 1 101 78 1 8
South Carolina..... 2 1 1 130 119 62 55 6
Georgia............. 2 2 104 99 1 59 72 8
Florida............. 18 2 15 688 725 2 113 113 1 21

EAST SOUTH CENTRAL... 72 36 27 2,070 2,231 5 201 185 29
Kentucky........... 34 18 7 751 790 1 77 62 6
Tennessee........... 17 8 9 689 787 1 64 56 10
Alabama............ 9 3 6 365 432 35 43 11
Mississippi........ 12 7 5 265 222 3 25 24 2

WEST SOUTH CENTRAL... 1 37 16 20 2,443 2,534 2 329 273 48
Arkansas........... 1 304 255 16 27 11
Louisiana.......... 2 1 1 406 618 181 126 6
Oklahoma............ 1 1 53 122 20 12 1
Texas.............. 34 15 18 1,680 1,539 2 112 108 30

MOUNTAIN............. 26 7 6 1,581 1,957 2 92 78 3
Montana............ 2 137 170 2 1
Idaho............... 5 191 276 11 3
Wyoming............. 1 1 41 79 5 5
Colorado........... 4 3 1 337 516 24 14 2
New Mexico.......... 5 4 1 331 269 11 30
Arizona............. 6 335 429 2 19 8 1
Utah................ 3 3 194 167 17 7 -
Nevada............. 15 51 3 10 -

PACIFIC.............. 1 174 66 108 5,772 5,710 7 498 535 21
Washington.......... 9 2 7 434 579 1 39 41 -
Oregon.............. 16 6 10 500 584 1 35 21 4
California......... 135 53 82 4,559 4,188 5 398 453 17
Alaska............. 8 5 3 207 247 18 7 -
Hawaii.............. 1 6 6 72 112 8 13 -

Puerto Rico 32 22 10 1,235 893 11 34 1 52









382 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
NOVEMBER 6, 1965 AND OCTOBER 31, 1964 (44th X EEK) Continued


Strept.
Measles Sore Th. & Tularemia Typhoid Fever Rabies in
Scarlet Fev. Animals
Area
Cumulative Cum. Cum. Cum.
1965 1965 1964 1965 1965 1965 1965 1965 1965 1965
UNITED STATES... 1,356 246,184 467,776 6,489 4 221 6 374 45 3,674

NEW ENGLAND.......... 67 37,036 17,848 745 1 7 44
Maine.............. 21 2,856 3,137 116 4
New Hampshire...... 382 447 5 3
Vermont............. 25 1,344 2,353 39 31
Massachusetts...... 11 19,338 5,579 104 1 3 2
Rhode Island....... 7 3,950 2,027 43 1 -
Connecticut........ 3 9,166 4,305 438 3 4

MIDDLE ATLANTIC...... 187 15,514 52,574 151 64 7 179
New York City...... 69 2,602 15,414 10 29 -
New York, Up-State. 16 4,243 12,865 84 15 5 164
New Jersey.......... 72 2,843 12,255 40 7 -
Pennsylvania....... 30 5,826 12,040 17 -- 13 2 15

EAST NORTH CENTRAL... 384 57,266 103,674 455 14 40 1 543
Ohio............... 8 8,938 19,692 26 9 277
Indiana............ 33 2,050 22,944 151 5 9 65
Illinois........... 120 3,000 16,682 76 6 10 84
Michigan........... 98 26,843 29,144 137 2 7 1 56
Wisconsin.......... 125 16,435 15,212 65 1 5 61

WEST NORTH CENTRAL... 46 16,848 30,451 323 28 1 14 7 747
Minnesota.......... 2 715 337 7 1 1 3 154
Iowa............... 24 9,113 23,384 103 2 1 210
Missouri........... 8 2,609 1,038 20 1 9 3 108
North Dakota....... 9 3,840 4,835 189 45
South Dakota....... 115 37 14 3 56
Nebraska............ 3 456 820 3 2 36
Kansas.............. NN NN NN 7 4 138

SOUTH ATLANTIC........ 129 25,490 38,854 589 33 2 74 3 485
Delaware............ 1 508 415 27 4 -
Maryland............ 9 1,183 3,421 62 20 25
Dist. of Columbia.. 3 83 355 11 -
Virginia........... 4 3,923 12,741 139 8 8 291
West Virginia...... 94 14,187 8,945 223 3 1 22
North Carolina..... 2 401 1,187 14 8 15 3
South Carolina..... 12 1,098 4,277 29 3 1 9 3
Georgia............. 618 203 1 14 1 10 2 67
Florida............ 4 3,489 7,310 83 5 74

EAST SOUTH CENTRAL... 237 14,494 68,254 1,193 1 22 3 41 7 770
Kentucky........... 103 2,831 18,598 95 3 10 1 84
Tennessee............. 126 8,179 24,510 935 1 18 1 13 6 629
Alabama............. 3 2,344 18,418 75 1 1 10 16
Mississippi........ 5 1,140 6,728 88 1 8 41

WEST SOUTH CENTRAL... 77 31,316 72,554 660 2 93 51 15 591
Arkansas............ 3 1,088 1,149 1 1 64 13 4 87
Louisiana.......... 111 119 3 1 7 9 74
Oklahoma........... 211 1,024 1 11 7 2 128
Texas............. 74 29,906 70,262 655 11 22 9 302

MOUNTAIN............. 96 20,185 19,295 1,065 16 31 84
Montana............ 24 3,818 3,335 57 4 1 5
Idaho............... 19 2,865 1,988 58 -
Wyoming............ 1 853 274 51 4 1 -
Colorado........... 35 5,800 3,295 479 1 9
New Mexico......... 679 539 218 12 14
Arizona............ 13 1,375 6,716 87 13 53
Utah............... 4 4,587 2,156 115 8 1 2
Nevada.............. 208 992 2 1

PACIFIC.............. 133 28,035 64,272 1,308 1 14 52 5 231
Washington......... 13 7,319 20,296 313 7 1 8
Oregon.............. 16 3,341 8,757 23 5 8 9
California......... 46 13,199 33,428 834 1 9 36 4 212
Alaska............. 2 192 1,130 51 2
Hawaii............. 56 3,984 661 87 -

Puerto Rico 56 2,629 6,828 15 14 13











Morbidity and Mlortality ~ceklN Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK FNDID) NOVI MIBI R 6, 1965


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

All Causes Pneumonia Under All Causes Pneumonia Under
I and I1 year
Area All 65 years year Area All 65 years and 1 yr A
Al 6 er Influenza All As Influenza all
Ages and over All Aes Causes Ages and over All Ages Caue
All Ages Causes All Ages Causes


NEW ENGLAND:
Boston, Mass.---------
Bridgeport, Conn.-----
Cambridge, Mass.------
Fall River, Mass.-----
Hartford, Conn.-------
Lowell, Mass.---------
Lynn, Mass.------------
New Bedford, Mass.*---
New Haven, Conn.------
Providence, R. I.-----
Somerville, Mass.-----
Springfield, Mass.----
Waterbury, Conn.------
Worcester, Mass.------

MIDDLE ATLANTIC:
Albany, N. Y.---------
Allentown, Pa.--------
Buffalo, N. Y.--------
Camden, N. J.---------
Elizabeth, N. J.------
Erie, Pa.-------------
Jersey City, N. J.----
Newark, N. J.---------
New York City, N. Y.--
Paterson, N. J.-------
Philadelphia, Pa.-----
Pittsburgh, Pa.-------
Reading, Pa.----------
Rochester, N. Y.------
Schenectady, N. Y.----
Scranton, Pa.---------
Syracuse, N. Y.-------
Trenton, N. J.--------
Utica, N. Y.------ ---
Yonkers, N. Y.--------

EAST NORTH CENTRAL:
Akron, Ohio-----------
Canton, Ohio*---------
Chicago, Ill.---------
Cincinnati, Ohio------
Cleveland, Ohio-------
Columbus, Ohio--------
Da)ycn, 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.t--------
Kansas City, Kans.----
Kansas City, Mo.------
Lincoln, Nebr.--------
Minneapolis, Minn,----
Omaha, Nebr.-----------
St. Louis, Mo.--------
St. Paul, Minn.-------
Wichita, Kans.--------


720
253
35
30
25
61
28
22
26
45
54
12
51
37
41

3,264
47
33
135
44
34
42
73
80
1,673
43
490
191
51
111
30
21
66
40
19
41

2,615
82
37
743
152
218
118
70
373
48
54
43
30
53
162
39
107
36
18
47
128
57

822
50
25
37
146
33
117
75
248
62
29


*Estimate based on average percent of divisional total.


439
144
17
16
14
36
23
12
18
29
35
7
37
25
26

1,922
24
26
79
30
18
28
41
43
1,007
23
267
95
35
69
19
12
42
23
15
26

1,518
48
23
399
100
125
58
35
224
35
28
29
17
30
99
24
65
18
12
28
82
39

499
33
16
20
87
22
78
39
146
39
19


"


584
55
111
8
40
47
22
60
16
50
42
103
30


Total 12,190 7,032 478 637


Cumulative Totals
including reported corrections for


All Causes, All Ages -------------------------
All Causes, Age 65 and over-------------------
Pneumonia and Influenza, All Ages-------------
All Causes, Under 1 Year of Age---------------


previous weeks


540,514
305,097
21,779
31,966


Week No.


SOUTH ATLANTIC:
Atlanta, Ga.-----------
Baltimore, Md.----------
Charlotte, N. C.-------
Jacksonville, Fla.-----
Miami, Fla.------------
rN.rri 1k, Va.------------
Richmond, Va.-----------
Savannah, Ga.-----------
St. Petersburg, Fla.---
Tampa, Fla.-------------
Washington, D. C.------
Wilmington, Del.-------

EAST SOUTH CENTRAL:
Birmingham, Ala.-------
Lhartano'oa, 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.-----------


1,113
126
229
33
86
82
43
103
34
68
70
184
55

618
82
42
40
121
153
52
45
83

1,065
41
23
28
159
35
79
163
62
206
91
90
37
51

386
43
19
107
12
87
10
57
51

1,587
14
50
48
47
59
585
52
32
114
49
100
196
38
121
45
37


' "









384


SURVEILLANCE SUMMARY
SALMONELLA August 1965
(Continued from page 379)


Figure J.
REPORTED HUMAN ISOLATIONS OF SALMONELLA
IN THE UNITED STATES


JF MAMJ JASO N DGJ F MMA MJ J A SON DJ FMAM J dASO N D
1963 1964 1965


During the month two rare serotypes were reported
for the second time to the Salmonella Surveillance Unit.
Salmonell, ruiri, which was recovered from poultry by-
products in Maryland in April, was isolated in August
from animal feed in Florida. Salmonella drypool reported
in the United States for the first time in July was isolated
in August from bone meal in Wisconsin. Salmonella
taksany, which has been recovered on several occasions
from turkeys, was isolated Trom animal feed in Delaware
this August.
(Reported by the Salmonella Surveillance Unit, CDC.)


NOVEMBER 6, 1965


THE MORBIDITY AND MORTALITY WEEKLY REPORT WITH A CIRCULA-
TION OF 14.000 IS PUBLISHED AT THE COMMUNICABLE DISEASE
CENTER ATLANTA. GEORGIA.
CHIEF COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
C"IEF. EPIDEMIOLOGY BRANCH A.D. LANGMUIR. M.D.
ACTING CHIEF. STATISTICS SECTION IDA L. SHERMAN. M.S.
CI*IEF SUR WEILL ANCE SECTION D. A. HENDERSON. M.D.
EDITOR MMWR O.J.M. MACKENZIE. M.B..
F R.C.P.E.

IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY THE COMMUNICABLE DISEASE CENTER
WEL COME-. ACCOUNTS OF INTERESTING OUTBREAKS OR CASE IN-
VESTIGATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH
OFF 'CIALY AND WHICH ARE DIRECTLY RELATED TO THE CONTROL OF
COMMUNICABLE DISE CASES. SUCH COMMUNICATIONS SHOULD BE AD-
DRESSED TO
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA. GEORGIA 30333
NOTE- THE DATA IN THIS REPORT ARE PROVISIONAL AND ARE BASED
ON WEEKLY TELEGRAMS TO THE CDC BY THE INDIVIDUAL STATE
-hEAL T DEPARTMENTS. THE REPORTING WEEK CONCLUDES ON SAT-
LRAOY; COMPPILED DATA ON A NATIONAL BASIS APE RELEASED ON
THE SUCCEEDING FRIDAY.

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