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:
AA00010654:00455

Related Items

Preceded by:
Weekly mortality index
Preceded by:
Weekly morbidity report
Succeeded by:
Morbidity and mortality weekly report


This item is only available as the following downloads:


Full Text

r 7,1


COMMUNICABLE DISEASE CENTER


Vol. 14, No. 47


Week Ending
November 27, 1965


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


AN OUTBREAK OF GASTROENTE ASSOCIATED CONTENTS
WITH LYMPHOCYTOg DEC 1965 break of Gastroenteritis Associated with
hocytosis Butlersville, Indiana .
is in Puerto Rico . .
BUTLERSVILLE, INDIA SOary of Reported Cases of Infectious Syphilis -
ober 1965 and October 1964 . .
I national Notes Quarantine Measures .
An outbreak of gastroenterms o0 rred e
Muscatatack State Hospital and Training that there have been cases of an illness ch
Indiana between October 2 and November 23, 1965. by diarrhea and lymphocytosis.
The hospital has accommodation for 2,000 patients and The Nursery Unit cares for 238 mental
undertakes the care, treatment, and training of the mentally patients from 3 to 19 years of age. These p
retarded. In the hospital the patients are grouped, ac- grouped functionally in 17 rooms each acc
cording to age, mental capacity and physical handicap, 14 persons, and there is only limited soc
into 41 clinical units geographically widely separated between these groups at specified times.
within the hospital grounds. It is in the Nursery Unit (Continued o


. .401
. 402
. .403
S. 408

aracterized

ly retarded
patients are
ommodating
ial contact

n page 402)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
47th WEEK ENDED CUMULATIVE, FIRST 47 WEEKS
MEDIAN
DISEASE NOVEMBER 27, NOVEMBER 21, 1960- 1964 MEDIAN
1965 1964 1965 1964 1960-1964
Aseptic meaning is .......... 48 50 39 1,931 1,964 2.351
Brucellosis ............... 5 8 8 226 365 365
Diphtheria ........... .... .. 3 3 8 148 247 413
Encephalitis, primary infectious 15 32 1,733 2,997 -
Encephalitis, post-infectious 10 6 610 742 -
Hepatitis, infectious including
serum hepatitis ........... 575 690 793 30,422 34,416 39,085
Measles ................. ... 1,414 2,316 2,371 250,743 473,534 409,863
Meningococcal infections 40 64 42 2,745 2,518 1,982
Poliomyelitis. Total ........ 2 23 52 108 826
Paralytic ............... 1 21 38 85 653
Nonparalytic 1 10 12 -
Unspecified .............. --- 4 11 ---
Streptococal Sore Throat and
Scarlet fever ............. 6,790 7,513 5,573 350,224 354,430 284,458
Tetanus *............. *** 5 2 --- 250 251 -
Tularemia *.............** 2 7 --- 230 300 ---
Typhoid fever ............ *14 5 11 406 411 582
Rabies in Animals .......... 51 76 64 3,899 4,065 3.313

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ..... ................... ......... 7 Rabies in Man: ............................ 1
Botulism: ................. ............... 13 Smallpox: .. ..............................
Leptospirosis: Tenn.-l, Tex.-1 ................. 51 Trichinosis: N.Y. City -1, Pa.-1 ................. 103
Malaria: Mo.-1 .................. ........... 74 Typhus-
Plague: .................................. 6 Murine: Tex.-2 ......................... 26
Psittacosis: Mich.-l, Ariz.-l, Minn.-1 .............. 42 Rky. Mt. Spotted: Oreg.-1, Calif.-1 .............. 258
Cholera: ................................... 2


ado


/ 7 i-7








402


The illness appeared first in one room, two cases
occurring on October 2 and 4 respectively. The next
case in this room occurred on October 26, and by October 28,'
fifty percent of the children had been affected. Eventually
there was an attack rate of 64 percent in this room.
In a second room the first case occurred on October 6,
the second case on October 24, and by October 28 every
person living in the room had been affected. The appear-
ance of cases in other rooms was more sporadic, was
widely distributed, and attack rates were less than
20 percent.
Of the 40 patients affected, 34 had moderate to.
severe, watery, foul-smelling diarrhea which tended to be
remittent. Associated symptoms were lethargy, mild
anorexia and fever, usually not higher than 1010F. White
blood counts on 18 of the earlier patients with diarrhea
have ranged from 25,000 to 95,000 with between 50 and
90 percent of mature lymphocytes. Later a white blood
count survey uncovered another six cases, without diarrhea
and only very mild constitutional symptoms, who had
white blood counts higher than 30,000 of which more
than 50 percent were mature lymphocytes. It was also
noted that as clinical improvement occurred, so the white
counts fell rapidly to normal.


NOVEMBER 27, 1965


The illness generally has been benign. The duration
has ranged from 3 to 25 days and the patients affected
have been between 3 and 13 years of age.
S'No etiological agent has yet been isolated and
bacterial cultures from throats and from specimens of
stool have not yielded any pathogens. The complement
fixation test on sera from 18 typical cases of the illness,
using a group antigen for adenoviruses, has not demon-
strated any significant rise in titer between acute and
and convalescent sera. Heterophil agglutinins and Widal
agglutinins have been normal; parasitological examination
of stools has also been negative.
Active surveillance measures are being continued in
the Nursery Unit in conjuction with ongoing laboratory
investigations directed particularly to possible \iral
agents. To date, all the evidence supports a presumptive
diagnosis of infectious lymphocytosis.



(Reported by Dr. A.L. Marshall, Director. Division of
Communicable Disease Control, Indiana Slate Board
of Health; Dr. Donald H. Jolly, Superintendent of
Muscatatuck State Hospital and Training Center,
Butl crsTille, Indiana; and a team from CDC.)


MYIASIS IN PUERTO RICO


A survey of myiasis in man conducted in Puerto Rico
earlier this year revealed a total of 11 cases occurring
within a 7-year period. Six of these cases were diagnosed
between February and July 1965. Details of the 11 cases
are in Table 2.
All but three of the patients were 50 years of age
or older. The majority of them lived under poor socio-
economic conditions with minimal nursing care available
at home for chronic suppurating lesions. Maggots recovered
from lesions in 6 of the 11 patients were identified as
Cochliomyia hominivorax (Coquerel), the larva of the
primary screwworm fly.
The six cases occurring during this year were all in
the northeast corner of the Island. Primary screwworm fly
infestation of Puerto Rico and the adjoining islands has
been a problem for many years. It was not until 195S that
the first known case of human myiasis in the Island was
reported.*


References:
*Fox, Irving, and Galindo, Lorenzo: Human cutaneous myiasis
due to the primary screwworm, Callitroga hom rLLoras
(Coquerel) in Puerto Rico. Amer J Trop Med: '36-97, Jan 1962.
Patton, W. S.: Warble Flies of Genus H.oderma. Ann Trop
Med & Parasitol: 30 453-16S, 1936
James, M. T.: Flies that cause myiasis in man. U.S. Dept. of
Agriculture Publication, No. 631: U.S. Government Printing
Office, 1947.

(Reported by Irving Fox, Ph.D., Alfredo Hurtado de
ltendoza, M.D., Araceli Ortiz, M.D., Robert P. Belihar,
B.S., and Charles J. Lee. Jr., M.D., University of
Puerto Rico. School of Medicine, San Juan.)
Editorial Note: The Puerto Rican survey of myiasis in
man was supported by grants from the National Institute
of Allergy and Infectious Diseases of the United States
National Institutes of Health; and the Puerto Rico Depart-
ment of Health. (Continued on page 408)


Morbidity and Mortality Weekly Report



AN OUTBREAK OF GASTROENTERITIS ASSOCIATED
WITH LYMPHOCYTOSIS
BUTLERSVILLE, INDIANA
(Continued from front page)









NOVEMBUIR 27. 1965


Morbidity and Mortality Weekly Report


Table I

%I MMNARY OF KIPORII1) ( Ah,% OF INI-I( 1(101)' SYPHILIS

OCTOHH)I 1965 AND OCTOBIH 1964


CASES OF PRIMARY AND SECONDARY SYPHILIS:


By Reporting Areas October 1964 and October 1965 Provisional Data.


R por i ,11 Area


October


NIEW ENC.LAND .. ..... .. ... '
Maine.................... I 1
New Hampshire............ 2 1
Vermont .......... ..... -
Massachusetts............ 31 26
Rhode Island............. -
Connecticut.............. 8 9

MIDDLE ATLANTIC........... 396 486
Upstate New York......... 54 58
New York City............ 199 284
Pa. (Excl. Phila.)....... 16 24
Philadelphia............. 38 12
New Jersey.............. 89 108

EAST NORTH CENTRAL........ 289 271
Ohio ..................... 80 74
Indiana.................. 6 9
Downstate Illinois....... 14 14
Chicago .................. 94 101
Michigan ................. 86 60
Wisconsin................ 9 13

WEST NORTH CENTRAL........ 56 62
Minnesota............... 9 11
Iowa .................... 7 4
Missouri ................ 25 31
North Dakota............. -
South Dakota............ 4 7
Nebraska................. 5 6
Kansas................... 6 3

SOUTH ATLANTIC............ 683 559
Delaware................. 4 6
Maryland................ 59 48
District of Columbia..... 49 53
Virginia................. 15 36
West Virginia ............ 21 7
North Carolina........... 93 75
South Carolina........... 70 63
Georgia.................. 97 90
Florida.................. 275 181


Cumulative
Jan. Oct.


Reporting Area


October


1965


1964


Cumulative
Jan. Oct.


L I __ L J 44


2-.,
2
25
2
240
18
109

3,985
462
2,287
160
262
814

2,547
552
47
184
1,010
684
70

452
78
35
199
2
38
75
25

5,717
48
390
418
274
78
870
702
925
2,012


6
9
3
240
13
132

4,587
556
2,640
154
258
979

1,990
471
56
128
769
506
60

457
109
28
206

44
45
25

5,806
75
444
627
250
44
932
734
969
1,731


L.'OT 1ilni r T 1 T R. \ ........
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....................

U. S. TOTAL...............


36
3

2
6
9
12
3
1

151
5
6
136
1
3

2.017


2.090


I, ,
119
438
1,216
521

1,997
187
584
97
1,129

467
14
7
9
44
95
233
15
50

1,678
57
33
1,554
7
27


19.533


139
376
753
277

2,201
177
621
122
1,281

455
29
6
8
28
157
184
11
32

1,858
64
67
1,704
9
14


19.302


TERRITORIES............... 91 100 727 751
Puerto Rico............... 83 95 704 726
Virgin Islands............ 8 5 23 25


Note:


Cumulative Totals include revised and delayed reports
through previous months.


Table 2
Mi lIASIS IN PI'ERTO RICO

Case No. Age Sex Date Locality Tissue Invaded

1* 65 F 6/19/58 Adjuntas Capillary hemangioma of the
skin of the neck
2 58 M 7/3/59 Lares Adenocarcinoma of parotid
gland
3 76 M 8/3/60 Carolina Muco epidermoid carcinoma
buccal mucosa
4 50 F 11 7/61 Gurabo Carcinoma of left breast
5* "t; M 12/8/63 Guaynabo Carcinoma of penis

6 20 M 2/11/65 Rio Piedras Pemphigus vulgaris
7 M 2/16 65 Bayamon Carcinoma of hypopharynx
8* 7 F 3/17/65 Aguas Buenas Pediculosis
9* 74 F 5/7/65 Rio Piedras Cellulitis of leg

10* 70 M 6/3/65 Hato Rey Ulcer of leg
11* 30 F 7/17/65 Ba', a;mon Eye injury

*Maggot identified as Cochliomyia hominivorax (Coquerel) by Dr. Maurice T. James, Washington State University, Pullman.


403


--


I


2 017










404 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 27, 1965 AND NOVEMBER 21, 1964 (47th WEEK)


SEncephalitis Poliomyelitis Diphtheria
Aseptic
Meningitis Primary Post-Inf. Total Cases Paralytic
Area
Cumulative Cumulative Cum.
1965 1964 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965
UNITED STATES... 48 50 15 10 52 108 38 85 3 148

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

MIDDLE ATLANTIC...... 5 13 3 2 5 15 4 13 6
New York City...... 4 2 1 2 2 3
New York, Up-State. 5 8 2 1 10 1 9 1
New Jersey.......... 1 3 3 3 2 -
Pennsylvania....... 1 2

EAST NORTH CENTRAL... 8 6 2 1 2 23 2 16 1 7
Ohio............... 3 1 2 3 2 1 2
Indiana............ 1 8 5 2
Illinois........... 1 3 1 6 1 5 2
Michigan............ 3 2 1 1 3 1 2 -
Wisconsin.......... 3 2 1

WEST NORTH CENTRAL... 4 1 11 10 7 8 1 21
Minnesota.......... 4 1 1 3 1 2 7
Iowa............... 5 1 2 1 1
Missouri........... 1 4 3 1
North Dakota....... 1 -
South Dakota....... 1 9
Nebraska........... 3 3 2
Kansas............. 1 1 1 1 1

SOUTH ATLANTIC....... 3 6 3 1 31 1 25 1 38
Delaware........... -
Maryland........... 1 1 1 1 -
Dist. of Columbia.. 3
Virginia........... 1 1 4 4
West Virginia...... 1 -- 1 1
North Carolina..... 12 7 4
South Carolina..... 1 1 1 1 2
Georgia........... 3 3 20
Florida........... 2 3 3 9 8 9

EAST SOUTH CENTRAL... 1 1 3 6 1 5 28
Kentucky............ 1 -
Tennessee.......... 1 1 2 3 1 2 2
Alabama............ 2 2 24
Mississippi........ 1 1 2

WEST SOUTH CENTRAL... 1 1 19 9 16 8 37
Arkansas........... 2
Louisiana.......... 1 2 1 10
Oklahoma........... 2 3 2 2 1
Texas............... 1 15 6 13 6 24

MOUNTAIN............. 3 2 4 5 9 3 5 -
Montana............. -
Idaho............... 1 1 -
Wyoming............ 2 2 -
Colorado........... 2 2 2 -
New Mexico......... 4 1 -
Arizona............ 4 2 -
Utah......... 3 4 -
Nevada............. -

PACIFIC............... 22 21 3 4 6 3 4 3 9
Washington......... 2 1 2 2 3
Oregon............. 1 1 1
California......... 20 21 3 3 3 2 1 2 5
Alaska............. -
Hawaii............. -

Puerto Rico 1 12










Morbidity and Mortality Weekly Report l)5


CASES OF SPH( II-ID NOTIFIABLE D)IS AMSI UNITED STATES

FOR WEEKS FNI)FI)
NO1 ( I MBIR 27. 1965 AND NOVI 1MHR 21, 1964 (47th \ II ) Continucd


Brucel- Infectious Hepatitis nLrn.... ,I
loss 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... 5 575 238 300 30,422 34,416 40 2,745 2,518 5 250

NEW ENGLAND.......... 1 27 9 16 1,731 3,089 4 142 81 1 6
Maine.............. 1 5 2 3 303 963 1 18 6 -
New Hampshire...... 2 2 165 241 9 2 1 2
Vermont............ 1 1 90 366 8 4 -
Massachusetts...... 14 2 11 688 704 2 53 31 3
Rhode Island....... I 1 188 194 1 16 10 -
Connecticut ........ 4 3 297 621 38 28 1

MIDDLE ATLANTIC...... 87 31 56 5,336 7,552 6 364 323 2 17
New York City...... 26 7 19 1,116 1,174 59 45 1 1
New York, Up-State. 26 7 19 1,967 3,289 4 105 97 6
New Jersey......... 9 4 5 997 1,245 1 96 104 2
Pennsylvania....... 26 13 13 1,256 1,844 1 104 77 1 8

EAST NORTH CENTRAL... 1 129 54 67 5,959 5,484 8 415 339 35
Ohio............... 33 14 18 1,615 1,440 5 114 88 3
Indiana............ 1 11 8 3 504 459 49 54 9
Illinois........... 16 5 11 1,125 1,038 1 110 91 16
Michigan............ 60 27 33 2,342 2,174 2 95 75 3
Wisconsin.......... 9 2 373 373 47 31 4

WEST NORTH CENTRAL... 1 10 4 6 1,696 1,888 134 140 22
Minnesota........... 1 2 1 1 193 218 32 30 9
Iowa............... 562 335 12 8 4
Missouri........... 2 2 377 463 53 64 4
North Dakota...... I 1 30 63 12 20 1
South Dakota....... 22 134 3 3 -
Nebraska........... 1 1 89 65 10 6 2
Kansas............. 4 2 2 423 610 12 9 2

SOUTH ATLANTIC...... 45 15 29 3,127 3,209 9 513 493 1 61
Delaware............ .. 78 73 10 7 -
Maryland............ 6 4 2 556 580 50 36 3
Dist. of Columbia.. 1 1 47 68 11 16 -
Virginia........... 21 5 15 736 512 3 68 59 6
West Virginia...... 4 3 1 426 455 26 35 1
North Carolina..... 3 1 2 310 521 4 109 84 11
South Carolina..... 2 2 135 142 1 64 57 7
Georgia............ 1 1 111 105 60 81 10
Florida............ 7 2 5 728 753 1 115 118 1 23

EAST SOUTH CENTRAL... 39 21 17 2,167 2,333 2 209 192 32
Kentucky........... 13 8 4 778 826 79 66 8
Tennessee.......... 16 10 6 732 826 2 67 57 10
Alabama............ 5 1 4 382 450 38 43 12
Mississippi........ 5 2 3 275 231 25 26 2

WEST SOUTH CENTRAL... 1 31 19 10 2,573 2,685 1 350 284 51
Arkansas............ 7 4 3 324 266 18 31 12
Louisiana.......... 6 3 3 439 648 196 129 8
Oklahoma........... 1 54 126 21 13 1
Texas.............. 18 12 4 1,756 1,645 1 115 111 30

MOUNTAIN............. 33 16 8 1,667 2,077 2 98 86 3
Montana............ 5 3 1 146 176 2 1 -
Idaho.............. 1 194 292 2 13 4 -
Wyoming............ 48 83 5 5 -
Colorado........... 11 6 5 358 545 27 16 2
New Mexico.......... 6 5 1 348 294 11 35
Arizona............ 7 355 458 20 8 1
Utah............... 3 2 1 203 178 17 7 -
Nevada............. 15 51 3 10 -

PACIFIC............... 1 174 69 91 6,166 6,099 8 520 580 1 23
Washington......... 29 14 12 477 615 2 41 48 -
Oregon............. 6 1 5 524 631 36 25 4
California......... 1 127 53 73 4,870 4,465 6 417 487 1 19
Alaska............. 10 217 271 18 7 -
Hawaii............., 2 1 1 78 117 8 13

Puerto Rico 20 17 3 1,295 949 11 35 54


L I 1









406 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 27, 1965 AND NOVEMBER 21, 1964 (47th WEEK) Continued


Strept.
Measles Sore Th. & Tularemia Typhoid Fever Rabies in
Scarlet Fev. Animals
Area
Cumulative Cum. Cum. Cum.
1965 1965 1964 1965 1965 1965 1965 1965 1965 1965
UNITED STATES... 1,414 250,743 473,534 6,790 2 230 14 406 51 3,899

NEW ENGLAND........... 31 37,145 19,137 -1,040 2 7 48
Maine .............. 15 2,899 3,355 228 -- 4
New Hampshire...... 1 383 575 8 -- 5
Vermont............ 6 1,375 2,374 62 32
Massachusetts...... 5 19,357 6,015 148 2 3 2
Rhode Island....... 3,951 2,195 39 I 1
Connecticut........ 4 9,180 4,623 555 3 4

MIDDLE ATLANTIC..... 234 16,222 52,931 201 1 2 66 14 215
New York City...... 103 2,870 15,445 3 1 30 -
New York, up-State. 7 4,285 12,969 111 1 15 14 200
New Jersey......... 58 3,047 12,289 32 7 -
Pennsylvania....... 66 6,020 12,228 55 1 14 15

EAST NORTH CENTRAL... 549 58,798 104,487 481 14 2 46 1 594
Ohio............... 22 8,996 19,858 53 9 321
Indiana............ 55 2,187 23,034 111 5 2 14 68
Illinois........... 97 3,215 16,728 75 6 11 84
Michigan........... 76 27,157 29,416 145 2 7 58
Wisconsin............ 299 17,243 15,451 97 1 5 1 63

WEST NORTH CENTRAL... 80 17,111 30,842 281 30 1 15 11 784
Minnesota.......... 11 759 342 20 I 1 5 168
Iowa............... 1 9,187 23,515 63 2 3 220
Missouri........... 3 2,638 1,052 1 20 9 3 118
North Dakota....... 60 3,950 5,052 112 46
South Dakota....... 115 51 13 3 58
Nebraska........... 5 462 830 1 2 1 3 36
Kansas............. NN NN NN 71 4 138

SOUTH ATLANTIC....... 78 26,117 39,313 597 34 1 78 9 508
Delaware........... 1 509 415 7 4 -
Maryland........... 2 1,205 3,436 104 1 21 1 26
Dist. of Columbia.. 6 94 356 -
Virginia........... 6 4,185 12,849 148 8 9 6 307
West Virginia...... 52 14,435 9,168 176 3 23
North Carolina..... 5 410 1,232 25 8 15 3
South Carolina..... I 1,120 4,290 27 3 9 3
Georgia............. 626 212 15 12 1 69
Florida............. 5 3,533 7,355 110 5 1 77

EAST SOUTH CENTRAL... 74 14,826 68,631 1,111 1 23 1 43 7 796
Kentucky........... 27 3,010 18,699 13 3 10 3 91
Tennessee.......... .44 8,324 24,743 894 1 19 1 15 4 648
Alabama............ 2,347 18,445 60 1 10 16
Mississippi........ 3 1,145 6,744 144 8 41

WEST SOUTH CENTRAL... 71 31,553 73,050 536 1 96 4 59 4 623
Arkansas........... 1,088 1,150 1 66 15 1 90
Louisiana.......... 2 116 121 2 7 1 10 1 81
Oklahoma............. 7 226 1,035 15 11 1 10 1 131
Texas.............. 62 30,123 70,744 519 12 2 24 1 321

MOUNTAIN............ 109 20,477 20,123 1,429 16 32 1 93
Montana............ 14 3,842 3,731 36 4 I 5
Idaho.............. 45 2,963 2,047 104 -
Wyoming............ 1 856 275 41 4 1 -
Colorado........... 33 5,916 3,340 816 9
New Mexico ....... 2 687 751 255 12 21
Arizona............ 8 1,398 6,729 83 14 1 55
Utah............... 6 4,601 2,257 93 8 1 2
Nevada............. 214 993 1 2 1

PACIFIC.............. 188 28,494 65,020 1,114 14 3 60 4 238
Washington......... 51 7,433 20,604 307 7 8
Oregon............. 10 3,405 8,826 16 5 8 9
California.......... 75 13,408 33,710 654 9 3 44 4 219
Alaska............. 6 203 1,143 56 2
Hawaii............. 46 4,045 737 81 -

Puerto Rico 32 2,759 7,053 7 -- 15 1 14









107


Morbidity and Mlortalitl Weekly report






Week No. Table 4. DEATHS IN 122 U'NITH) STATES ( ITIS% FOR WEEK ENDED NOVI1MHI R 27, 1965


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

All Iau. P rU ,.'n d und. r All .- i ... ..... 1 r
Area All 65 years and 1 year Area All 65 years and I year
Ag and over Influenza All Ages an over nflunza All
Ages Ages Causes All Ages au


NEW ENGLAND:
Boston, Mass.---------
Bridgeport, Conn.--...
Cambridge, Mass.------
Fall River, Mass.-----
Hartford, Conn.-------
Lowell, Hass.---------
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.---------

BAST 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.--------


674
202
37
34
19
48
35
18
31
37
65
18
38
26
66

2,979
32
32
108
31
22
28
57
58
1,591
30
495
117
45
121
24
38
54
32
22
42

2,419
62
37
700
145
197
123
71
343
37
39
44
25
48
116
34
101
44
41
38
105
69

738
42
24
44
124
10
112
70
225
61
26


405
110
26
20
14
23
23
12
24
16
35
14
22
18
48

1,743
19
22
65
16
15
18
35
29
913
22
279
67
27
80
15
24
39
15
14
29

1,380
36
20
375
83
107
78
42
192
28
17
21
15
33
65
16
63
22
27
26
70
44

428
22
15
23
64
6
75
44
124
39
16


Total 11,083 6,266 470 584

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 576,140
All Causes, Age 65 and over------------------- 325,221
Pneumonia and Influenza, All Ages------------- 23,221
All Causes, Under 1 Year of Age--------------- 33,975


SOUTH ATLANTIC:
Atlanta, Ca.------------
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.-------
Chattanri..-. 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.----------


1,052
142
195
38
68
58
43
86
37
52
75
218
40

487
69
30
38
103
105
49
23
70

967
42
17
26
115
34
72
192
35
194
63
80
36
61

336
32
20
106
11
79
7
39
42

1,431
23
30
35
31
54
496
55
39
73
63
100
190
26
124
57
35


*Estimate based on average percent of divisional total.










408


Morbidity and Mortality Weekly Report


MYIASIS IN PUERTO RICO
(Continued from page 402)


Myiasis is the condition arising from the invasion of
the tissues or organs of animals or man by the larvae of
dipterous flies. Patton classifies the myiasis-producing
flies into three groups: (1) those which select living
tissues or organs in which to lay their eggs or deposit
their larvae; (2) those normally breeding in dead animals
or decaying vegetation which occasionally lay their eggs
or deposit their larvae in diseased tissues of animals
or man; and (3) a group of miscellaneous unrelated diptera
the larvae of which occasionally find their way into the
the human body, usually the gastro-intestinal tract.




INTERNATIONAL NOTES QUARANTINE MEASURES


INTERNATIONAL CERTIFICATES OF VACCINATION


The Division of Foreign Quarantine of the USPHS
has been informed that a large number of persons travelling
abroad from the United States fail to have their Inter-
national Certificates of Vaccination against Smallpox
and Cholera properly completed and validated before
departure.
In order to be valid, all such certificates for smallpox
and cholera vaccination require the "Approved Stamp"
of the Health Officer of the area in which the vaccination
has been performed as well as the signature of the
physician who did the vaccination. Failure to have the
"Approved Stamp" applied may subject the traveller to
surveillance or detention according to the requirements
of quarantine authorities at the point of arrival abroad
where such certificates are required.
In areas in the United States where there is no local
Health Officer, certificates may be sent or taken to the
State Health Officer for validation. This validation is a
requirement of the International Sanitary Regulations.


-HE MORBIDITY AND MORTALITY WEEKLY
TION OF 14.000. iS PUBLISHED AT THE
CENTER ATLANTA. GEORGIA.
CHIEF COMMUNICABLE DISEASE CENTER
CHIEF, EPIDEMIOLOGY BRANCH
ACTING CHIEF STATISTICS SECTION
CHIEF SURVEILLANCE SECTION
EDITOR MMWR


NOVEMBER 27, 1965 a


LL
U--m

o
--

REPORT. WITH A CIRCULAR -
COMMUNICABLE DISEASE
Lu-
JAMES L. GODDARD. M.D.
A. D. LANGMUIR. M.D. -
IDA L. SHERMAN. M.S. -
D. A. HENDERSON. M.D.
D.J.M. MACKENZIE. M.B..
F.R. C.P.E.


IN ADDITION TO THE ESTABLISH-ED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE IN-
VES.TIGA TION WHICH ARE OF CURRENT INTEREST TO HEALTH
OFFICIALS AND WHICH ARE DIRECTLY RELATED TO THE CONTROL OF
COMMUNICABLE DISEASE:. 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
HEALTH. DEPARTMENTS. THE REPORTING WEEK CONCLUDES ON SAT-
URDAY COMPILED DATA ON A NATIONAL BASIS APE RELEASED ON
THE SUCCEEDING FRIDAY.


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