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:
AA00010654:00459

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




COMMUNICABLE DISEASE CENTER


Vol. 14, No. 51


Week Ending
December 25, 1965


U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC
.4


A CRYPTIC CASE OF MALARIA NEVADA


A cryptic case of malaria was reported recently
from Las Vega-. Nevada. The patient was a 47-year-old
white man, who became ill on September 2.5. 1965. Shortly
after the onset of illness he experienced daily rises in
temperature to 104-1050 F., but there were no clinical
sign, pointing to a localized infection. The spleen was
notpalpable and several blood cultures yielded no growth.
On October 6, however, malaria parasites were discovered
in a peripheral blood film. A diagnosis of Plasmodium
vivax malaria was made and this was confirmed sub-
sequently at the Communicable Disease Center. The
patient was treated with chloroquine and he became


SON IK
A Cryptic Case of Mal.,r,L N
Current Trends Mal.Lr,. in t
Epidemiologic Report-
Salmonellosis Ne:; J-r.-'\ .
Infectious -\.hili- N.. rrml.,.r


afebrile soon after the -tart of thJi3p-~ i tF had no
blood transfusions and denied taking drugs by injection.
The patient has lived in Las Vegas since June 1
where his residence is located three blocks from the
downtown district. Prior to June 1, he had lived in
Riverside, California for the preceding 12 years. In 1945,
the patient was in India and was thought to have acquired
(Continued on page 434)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
51st WEEK ENDED CUMULATIVE, FIRST 51 WEEKS
MEDIAN
DISEASE DECEMBER 25, DECEMBER 19, 1960-- 1964 MEDIAN
1965 1964 1965 1964 1960-1964
Aseptic meningitis .......... 24 39 38 2,077 2,115 2,518
Brucellosis ... ............... 8 13 7 249 396 396
Diphtheria .... ............... 2 2 5 155 288 449
Encephalitis, primary infectious 24 50 1,852 3,170 -
Encephalitis. post-infectious .* 7 8 641 771 -
Hepatitis, infectious including
serum hepatitis ............... 561 743 898 32,958 37,158 42,049
Measles ......-........... 2,762 3,252 3,511 262,071 485,019 425,602
Meningococcal infections ...... 50 79 49 2,966 2,762 2,151
Poliomyelitis, Total ......... *_ 1 13 59 115 881
Paralytic ............... 1 10 43 90 701
Nonparal. tic ........... .- -- --- 10 14 ---
Unspecified --- 6 11 -
Streptococcal Sore Throat and
Scarlet fever ... ...... 6,712 10,417 6,728 381,790 387,809 310,985
Tetanus ................* 3 --- 273 266 -
Tularemia ...... ** ......... 2 8 --- 238 321 ---
Typhoid fever ... ........... 5 11 8 441 447 619
Rabies in Animals **... 39 102 42 4,155 4,458 3.507

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ....... ..... ... ................ 7 Rabies in Man: ...................... ...... 1
Botulism: ............................... 18 Smallpox: ........ .....................
Leptospirosis: ............................. 64 Trichinosis: ....... .... .... ......... 107
Malaria: Colo.-2, Ky.- ........................ 84 Typhus-
Plague: ................................... 6 Murine: ... ............. ..... ............ 26
Psittacosis: Tex.-1. Tenn.-1 ................. 50 Rky. Mt. Spotted: Md.-1 ..................... 261
Cholera: 2


F", .' : I/


a4d








Morbidity and Mortality Weekly Report


DECEMBER 24, 1965


A CRYPTIC CASE OF MALARIA NEVADA
(Continued from front page)


malaria there; in 1953, he spent one-half day in Tijuana,
Mexico. Otherwise, he has had no foreign travel.
No other cases of malaria, civilian or military, have
been reported in either the Las Vegas or Riverside
vicinity in the past three years. Anopheles freeborni is
the principal malaria vector in the western United States
and it has been shown to exist, in low density, in Las
Vegas.
Since it is not possible, on epidemiologic grounds,
to differentiate between a long delayed relapse of a


Plasmodium vivax malaria or an occult introduction, this
case has been classified a cryptic*.

*Terminology of Malaria and of Malaria Eradication. Report or
a drafting committee, World Health Organization, Geneva,
1963, p. 32.

(Reported by Dr. Otto Ravenholt, Director of the Clark
County District Health Department, Nevada; Dr. Theodore
Jacobs, Attending Physician of the patient; and an EIS
Officer).


CURRENT TRENDS
MALARIA IN THE U.S.A. 1965


Through December 23 case report forms documenting
a total of 80 confirmed and presumptive cases of malaria
occurring during this year in the United States had been
received by the Parasitic Diseases Unit of the Com-
municable Disease Center. The age and sex distribution
of these 80 cases is shown in Table 1 where it will be
noted that 67 were in males; 51.3 percent of the total
cases occurred in the 20-29 year age group.

Table 1
AGE AND SEX DISTRIBUTION OF CASES OF MALARIA
UNITED STATES, 1965*

Age Group Male Female Total Percent

0-9 2 3 5 6.3
10-19 7 4 11 13.8
20-29 38 3 41 51.3
30-39 6 2 8 10.0
40-49 3 1 4 5.0
50-59 3 3 3.8
60-69 1 1 1.3
70+ -
Unknown 7 7 8.8

Total 67 13 80 100

*Reported as of December 23, 1965.


There were 43 cases in civilians of whom six were
Peace Corps workers and two were merchant seamen;
the other 37 cases were in military personnel.
As the year progressed there was an increase in the
proportion of military personnel among the cases reported


by date of onset of the illness. During the four quarters
of the year the increase was:

1st. Quarter 2nd. Quarter 3rd. Quarter 4th. Quarter


23.5%


35%


56o


This increasing proportion of military to civilian cases
is related to the return of service men who have been
infected in Viet Nam.
Of the total of 80 cases, the distribution by species
of parasite in 75 instances is shown in Table 2. The
country of origin of 20 of the 80 cases reported was
Viet Nam. In 10 of these 20 cases the parasite was
Plasmodium fotlcparum: P. vivax was identified in 8
and the species was not identified in two.


Table 2
CONFIRMED CASES OF MALARIA BY SPECIES
UNITED STATES, 1965*

Species Total Percent

P. vivax 50 66.7
P. falciparum 18 24.0
P. malariae 5 6.7
P. oralc 2 2.7

Total 75 100

*Reported as of December 23, 1965.


(Reported by the Parasitic Diseases Unit of CDC).


434









DV.( I 111BI. I 24, 1965


Morbidity and Mortality Weekly Report


EPIDEMIOLOGIC NOTES AND REPORTS
SALMONELLOSIS New Jersey


Follow ing a catered birthday party hold on opir-mirilir
26 in a private house in northern New Jersey, 32 of the
43 guests who attended the party developed acute i.i-ir-
enteritis. Nine of those affected were admitted to two
ho-pital- in New York and these cases of food poisoning
were repori'ed to the New York State Department of Health
which in turn notified the New Jersey Health DeiI.irTIieni
An epidemiiologi al' nr-li.ilion followed.
The food for the pIrit was provided mainly by a
commercial caltring establishment. In addition, the
housewife herself prepared certain items in the home,
and a Iirrhrda cake had been purchased from a bakery
nearb\. The food was laid out buffoi style; the party
started at noon and continued until 10:30 that evening.
After the party at about 11 p.m., the host decided
to have some more turkey but he noticed it had a bad
odor and a bitter taste. The turkey was accordingly


discarded and none was available later for laboratory
examination.
All the vue>-i- who had attended the Iprtl were
contacted by the staff of the New Jersey Health Depart-
ment, either in person or by mail. Of the 32 guests who
became ill, 22 required the care of a Ih 'iciun and 10 of
these were admitted to hospital. It was not possible
to define incubation piriod-. but the average time from
leaving the party until the onset of -.\nipiom, was 13
hours. There was no ag prediliction and the age range
.in.ung those who were ill was from 4 years to 51 years.
The median temperature recorded was 103F, the range
being from 1010F-106F. Frequency of -.mpton,, was
abdominal pain, 94%; diarrhea, 88%; chills, 85%; headache,
., fever, tI'., nausea, 53%; and vomiting, 4l %.


(Continued on page 440)


Table 3
SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS


NOVEMBER 1965-NOVEMBER 1964

CASES OF PRIMARY AND SECONDARY SYPHILIS: By reporting areas November 1964 and November 1965 Provisional data.

November Cumulative November Cumulative
Reporting Area Jan. Nov. Reporting Area Jan. Nov.
1965 1964 1965 1964 1965 1964 1965 1964
NEW ENGLAND............... 44 39 439 442 EAST SOUTH CENTRAL........ 211 205 2,480 1,750
Maine.................... 2 6 Kentucky ................ 6 19 126 158
New Hampshire............ 2 27 9 Tennessee ................ 33 65 471 441
Vermont.................. 2 4 3 Alabama................... 115 71 1,322 824
Massachusetts ........... 29 23 269 263 Mississippi .............. 57 50 561 327
Rhode Island............. 3 4 21 17
Connecticut.............. 8 12 116 144 WEST SOUTH CENTRAL......... 154 213 2,143 2,414
Arkansas.................. 11 28 198 205
MIDDLE ATLANTIC........... 414 397 4,434 4,984 Louisiana ................ 25 61 606 682
Upstate New York......... 45 37 506 593 Oklahoma ................. 4 13 101 135
New York City........... 240 241 2,558 2,881 Texas .................... 114 111 1,238 1,392
Pa. (Excl. Phila.)....... 11 12 171 166
Philadelphia............. 44 29 306 287 MOUNTAIN................... 41 44 504 499
New Jersey............... 74 78 893 1,057 Montana.................. 5 2 19 31
Idaho.................... 2 1 9 7
EAST NORTH CENTRAL........ 221 248 2,759 2,238 Wyoming .................. 9 8
Ohio.................... 33 55 584 526 Colorado................. 1 5 45 33
Indiana.................. 2 9 49 65 New Mexico............... 11 13 106 170
Downstate Illinois ...... 11 10 187 138 Arizona.................. 16 21 245 205
Chicago.................. 85 107 1,094 876 Utah..................... 2 17 11
Michigan ................. 87 58 770 564 Nevada .................. 4 2 54 34
Wisconsin................ 3 9 75 69
PACIFIC................... 159 272 1,852 2,130
WEST NORTH CENTRAL........ 58 51 505 508 Washington ............... 7 7 63 71
Minnesota................ 10 6 86 115 Oregon................... 5 4 38 71
Iowa...................... 8 5 43 33 California............... 143 260 1,713 1,964
Missouri................. 24 28 223 234 Alaska................... 7 9
North Dakota............. 2 Hawaii................... 4 1 31 15
South Dakota............. 4 38 48
Nebraska ................ 9 7 81 52 U. S. TOTAL............... 1,833 1,996 21,356 21,298
Kansas................... 7 1 32 26
TERRITORIES............... 78 54 804 805
SOUTH ATLANTIC............ 531 527 6,240 6,333 Puerto Rico.............. 76 52 780 778
Delaware................. 2 6 51 81 Virgin Islands........... 2 2 24 27
Maryland ......... ....... 54 31 447 475
District of Columbia..... 31 35 449 662
Virginia................. 20 37 294 287
West Virginia............ 17 7 95 51
North Carolina........... 77 106 938 1,038 Note: Cumulative Totals include revised and delayed reports
South Carolina........... 71 68 772 802 through previous months.
Georgia .................. 72 85 996 1,054
Florida................ ....... 187 152 2,198 1,883


135









436 Morbidity and Mortality Weekly Report



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 25, 1965 AND DECEMBER 19, 1964 (51st 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... 24 39 24 7 59 115 43 90 2 155

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

MIDDLE ATLANTIC...... 3 5 7 1 5 15 4 13 6
New York City...... 1 2 1 2 2 3
New York, Up-State. 2 1 10 1 9 I
New Jersey......... 1 3 2 3 3 3 2 -
Pennsylvania....... 1 3 1 2

EAST NORTH CENTRAL... 3 5 5 3 2 24 2 17 7
Ohio............... 1 3 3 2 2
Indiana............ 1 1 9 6 2
Illinois........... 1 1 1 6 1 5 2
Michigan........... 2 2 1 3 1 3 1 2 -
Wisconsin .......... 3 2 1

WEST NORTH CENTRAL... 1 1 1 12 10 8 8 21
Minnesota.......... 1 1 3 1 2 7
Iowa............... 5 1 2 1 1
Missouri............ 1 1 1 4 3 1
North Dakota....... 1 -
South Dakota....... 9
Nebraska........... 4 4 2
Kansas............. 1 1 1 1 -

SOUTH ATLANTIC....... 3 2 2 2 1 32 1 25 1 40
Delaware........... -
Maryland........... 1 1 1 1 -
Dist. of Columbia.. 3
Virginia........... 1 1 4 4 -
West Virginia...... 1 -
North Carolina..... 12 7 4
South Carolina..... 1 1 2
Georgia............ 3 3 1 22
Florida............ 2 1 2 10 8 9

EAST SOUTH CENTRAL... 2 1 4 6 2 5 31
Kentucky........... 2 1 -
Tennessee........... 2 3 1 2 2
Alabama............ 1 2 2 27
Mississippi ........ 1 1 1 2

WEST SOUTH CENTRAL... 3 3 1 1 21 12 18 11 1 39
Arkansas............ 1 1 1 1 2
Louisiana........... I 2 1 11
Oklahoma........... 2 3 2 2 1
Texas.............. 3 3 1 16 8 14 8 1 25

MOUNTAIN.............. 1 3 5 11 3 6 -
Montana............ -
Idaho............... 1 -
Wyoming............ 2 2 -
Colorado........... 2 2 2 -
New Mexico......... 1 5 I -
Arizona............ 1 4 1 2 1 -
Utah............... -
Nevada..............

PACIFIC.............. 9 21 4 9 3 5 3 9
Washington......... 2 2 3 3 3
Oregon............. 1 1 1 1 1 1 1
California......... 6 16 3 5 2 1 2 5
Alaska............. -
Hawaii ............. 3 -

Puerto Rico 16










Morbidity and Mortality Weekly Report 137


CASES OF SPIt IlHI-D N( IIlIAHI. DISEASES: UNITED STATES

()R WEEKS ENDED

DI( ILBIR 25, 1965 AND DI('IMB R 19, 1964 (51st W'l K) Continued


Brucel- Infectious Hepatitis Meningococcal
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... 8 561 261 245 32,958 37,158 50 2,966 2,762 3 273

NEW ENGLAND......... 25 8 15 1,844 3,301 3 154 96 7
Maine.............. 7 3 3 328 1,013 18 9
New Hampshire..... 2 1 1 169 261 9 2 2
Vermont............ 91 381 8 4
Massachusetts...... 9 3 6 731 759 3 59 40 4
Rhode Island....... 3 1 2 206 228 18 11 -
Connecticut ........ 4 3 319 659 42 30 1

MIDDLE ATLANTIC...... 1 105 46 59 5,894 8,078 7 394 349 22
New York City...... 24 8 16 1,224 1,280 1 65 48 4
New York, Up-State. 30 12 18 2,204 3,512 5 117 106 7
New Jersey......... 16 4 12 1,063 1,320 103 109 2
Pennsylvania....... 1 35 22 13 1,403 1,966 1 109 86 9

EAST NORTH CENTRAL... 106 65 38 6,442 5,981 6 448 369 36
Ohio............... 39 23 16 1,748 1,571 2 123 96 3
Indiana............. 6 3 3 537 494 50 59 9
Illinois........... 6 6 1,195 1,141 1 119 99 17
Michigan........... 38 24 13 2,547 2,369 2 107 79 3
Wisconsin .......... 17 15 415 406 1 49 36 4

WEST NORTH CENTRAL... 7 26 10 8 1,828 2,097 5 145 158 2 25
Minnesota.......... 6 3 3 224 229 33 33 10
Iowa............... 4 8 4 4 589 432 1 13 9 4
Missouri........... 8 405 505 3 58 75 2 6
North Dakota....... 34 64 13 20 1
South Dakota...... 1 22 135 4 3 -
Nebraska............. 2 99 84 1 11 7 2
Kansas ............ 4 3 1 455 648 13 11 2

SOUTH ATLANTIC....... 62 32 21 3,370 3,428 7 558 528 63
Delaware........... 6 4 1 93 78 11 7 -
Maryland........... 12 7 5 610 632 1 55 43 3
Dist. of Columbia.. 50 70 11 17 -
Virginia........... 13 4 3 780 558 2 74 64 6
West Virginia ..... 5 5 458 490 1 30 35 1
North Carolina..... 9 3 6 342 551 119 94 11
South Carolina..... 141 153 2 69 59 7
Georgia............ 2 2 120 112 63 87 10
Florida............. 15 7 6 776 784 1 126 122 25

EAST SOUTH CENTRAL... 52 17 13 2,346 2,519 1 230 209 34
Kentucky........... 25 1 2 853 878 1 88 70 8
Tennessee.......... 20 12 8 799 895 72 66 12
Alabama............ 6 4 2 406 486 43 46 12
Mississippi........ 1 1 288 260 27 27 2

WEST SOUTH CENTRAL... 28 14 14 2,719 2,904 6 372 309 59
Arkansas............ 1 1 342 291 19 34 13
Louisiana.......... 6 5 1 461 683 2 200 133 11
Oklahoma........... 55 132 22 16 1
Texas.............. 21 8 13 1,861 1,798 4 131 126 34

MOUNTAIN ............. 24 13 1 1,795 2,287 2 108 107 3
Montana............ 156 190 1 3 1 -
Idaho.............. 3 199 345 1 14 5 -
Wyoming............ 1 1 55 93 6 5 -
Colorado........... 4 3 1 378 597 30 22 2
New Mexico......... 8 8 391 328 11 47 -
Arizona............ 7 379 492 21 8 1
Utah............... i 1 221 191 18 8 -
Nevada............. 16 51 5 11

PACIFIC.............. 133 56 76 6,720 6,563 13 557 637 1 24
Washington......... 6 3 3 515 661 47 48 -
Oregon............. 25 13 11 597 650 37 27 4
California......... 99 40 59 5,284 4,815 13 447 542 19
Alaska............. 235 313 18 7
Hawaii............. 3 3 89 124 8 13 1 1

Puerto Rico 18 16 2 1,377 995 11 36 2 59









438 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

DECEMBER 25, 1965 AND DECEMBER 19, 1964 (51st 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... 2,762 262,071 485,019 6,712 2 238 5 441 39 4,155

NEW ENGLAND........... 56 37,427 21,965 1,195 2 7 48
Maine.............. 1 2,934 3,785 232 4
New Hampshire...... 383 854 18 5
Vermont............ 18 1,438 2,422 26 32
Massachusetts...... 17 19,485 7,153 272 2 3 2
Rhode Island....... 3,970 2,509 28 I 1
Connecticut........ 20 9,217 5,242 619 3 4

MIDDLE ATLANTIC...... 751 18,465 53,450 319 I 68 2 258
New York City...... 268 3,711 15,529 10 30 -
New York, up-State. 30 4,461 13,120 239 1 16 2 242
New Jersey......... 297 3,874 12,357 45 7 -
Pennsylvania....... 156 6,419 12,444 25 15 16

EAST NORTH CENTRAL... 1,073 63,422 106,302 516 1 17 3 54 4 637
Ohio............... 84 9,246 20,197 60 2 12 1 339
Indiana............ 2,351 23,201 126 1 7 1 17 1 75
Illinois........... 155 4,197 16,773 62 7 12 91
Michigan........... 99 27,785 30,199 167 2 7 2 66
Wisconsin.......... 735 19,843 15,932 101 1 6 66

WEST NORTH CENTRAL... 116 17,515 31,578 248 30 17 14 825
Minnesota.......... 59 906 346 13 1 1 4 182
Iowa............... 21 9,307 23,745 45 2 2 227
Missouri.......... 3 2,681 1,128 4 20 11 3 127
North Dakota....... 28 4,035 5,448 107 2 50
South Dakota....... 116 67 13 3 2 61
Nebraska........... 5 470 844 2 3 36
Kansas............. NN NN NN 66 4 1 142

SOUTH ATLANTIC........ 244 27,012 40,447 691 35 1 81 2 538
Delaware........... 516 420 30 5 -
Maryland........... 33 1,293 3,450 196 21 27
Dist. of Columbia.. 12 140 358 5 -
Virginia........... 14 4,294 13,015 209 9 9 1 327
West Virginia...... 84 14,827 9,952 50 3 27
North Carolina..... 1 416 1,267 20 8 16 3
South Carolina..... 29 1,219 4,302 26 3 9 3
Georgia............ 27 655 214 4 15 12 72
Florida............. 44 3,652 7,469 151 1 6 1 79

EAST SOUTH CENTRAL... 137 16,031 69,294 1,005 1 26 47 2 828
Kentucky........... 3'7 3,696 18,842 92 1 4 10 1 96
Tennessee.......... 98 8,830 25,147 836 21 19 1 674
Alabama............ 2 2,356 18,533 66 1 10 16
Mississippi........ 1,149 6,772 11 8 42

WEST SOUTH CENTRAL... 76 32,111 73,855 382 97 60 12 683
Arkansas........... 1,194 1,155 66 15 1 98
Louisiana.......... 2 131 122 1 8 11 2 88
Oklahoma........... 4 238 1,058 43 11 10 2 139
Texas............. 70 30,548 71,520 338 12 24 7 358

MOUNTAIN............. 146 20,968 21,544 1,208 16 33 1 96
Montana............ 10 3,911 4,059 79 4 1 1 6
Idaho.............. 84 3,079 2,277 208 -
Wyoming............ 873 296 20 4 1 -
Colorado........... 18 6,007 3,424 477 1 9
New Mexico.......... 2 693 1,137 169 13 21
Arizona............ 30 1,537 6,766 141 14 57
Utah............... 2 4,643 2,572 113 8 1 2
Nevada............. 225 1,013 1 2 1

PACIFIC.............. 163 29,120 66,584 1,148 14 1 74 2 242
Washington.......... 36 7,571 21,316 257 7 8
Oregon............. 33 3,502 8,997 22 5 8 9
California.......... 91 13,785 34,198 758 9 1 58 2 223
Alaska............. 1 208 1,159 11 2
Hawaii............. 2 4,054 914 100 1 -

Puerto Rico 109 2,981 7,331 2 16 14










Morbidity and ortalit, W rekl lelport


-139


Week No. Table 4. D)[ATHS IN 122 I NI1'1) STATES ( ITIt H)R WHFK INI)F ) DI( I hM I H 25, 1965

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

A I I i -' 7n.i u .., 1 a l[i l r II i' a.Le'** P li wT,, i,.. 1. 1 1 ii0 r
Are All 65 years and 1 year Area All 65 years and I year
Se Influenza All s Influenza All
Ages and over All Ages Causes All Ages Causes


NEW ENGLAND:
Boston, Mass.----------
Bridgeport, Conn.-----
C.imbrli g Mass.------
Fall River, Mass.-----
Hartford, Conn.-------
Lowell, Mass.---------
Lynn, Mass.-----------
New Bedfo'rd, Mass.----
New Haven, Conn.------
Providence, R. I.-----
Somerville, Mass.-----
SpringfLeld, Mass.----
Waterbury, Conn.------
Worcester, Mass.------

MIDDLE ATLANTIC:
Albany, N. Y.---------
Allentown, Pa.*-------
Buffalo, N. Y.---------
CAmdJn, 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.--------


750
248
38
32
22
50
48
17
38
52
65
9
32
31
68

3,245
41
36
160
32
28
49
71
89
1,669
44
501
163
51
85
31
29
67
33
20
46

2,533
67
32
805
127
204
110
48
369
53
53
45
30
47
150
25
122
37
29
35
99
46

748
41
16
28
116
21
124
60
232
73
37


443
152
26
19
16
24
24
14
23
23
35
6
17
16
48


1,918
22
23
103
23
14
33
44
36
990
27
284
90
35
64
19
18
37
16
15
25

1,430
40
21
434
86
97
63
32
196
35
25
25
12
26
100
11
75
18
21
27
59
27

467
26
10
11
69
15
79
45
138
50
24


*Estimate based on average percent of divisional total.


SOUTH ATLANTIC:
Atlanta, Ga.-----------
Baltimore, Md.----------
Charlotte, N. C.-------
Jacksonville, Fla.-----
Miami, Fla.------------
Norfolk, Va.-----------
Richmond, Va.----------
Savannah, Ga.----------
St. Petersburg, Fla.---
Tampa, Fla.------------
Ishingr-.n, D. C.------
i lnIrncL-n, Del.-------

EAST SOUTH CENTRAL:
BirmLngham, 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.----------


1,038
126
284
19
63
60
36
76
23
76
68
181
26

478
81
21
24
112
87
41
42
70

961
35
29
18
152
34
53
136
40
171
71
111
60
51

408
47
23
125
19
86
14
48
46

1,771
19
48
42
40
57
574
145
45
106
85
111
224
34
143
49
49


1,096
15
22
32
16
38
342
89
35
64
59
69
128
22
92
38
35


Total 11,932 6,857 487 604

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------ 627,661
All Causes, Age 65 and over------------------- 354,607
Pneumonia and Influenza, All Ages------------- 25,391
All Causes, Under 1 Year of Age--------------- 36,844


'
















EPIDEMIOLOGIC NOTES AND REPORTS
SALMONELLOSIS New Jersey
(Continued from page 435)


Food histories indicated that three items were possible
sources of infection, namely, turkey, turkey stuffing,,
and pickles and olives. Of these, the most probable was
the turkey.
The turkey had been taken from a refrigerator to be
stuffed on the evening of September 24 and thereafter
put back in the refrigerator. It had been cooked on the
morning of September 25, being roasted for 3 hours at
350F. It was then left unrefrigerated on display in the
front window of the caterers from about 3 p.m. to 9 p.m.
after which it was again put in the refrigerator until
9:30 a.m. on September 26. It was sliced at 11 a.m. that
day and brought to the party at about 12:30 p.m.
Cultures obtained from the host and hostess of the
party both yielded a group B salmonella which was
identified in the New Jersey State Laboratory as
Salmonella heidelberg. All of the nine persons admitted
to the two New York hospitals yielded cultures of group
B salmonella, five of which were not serotyped; the
four serotyped were identified as Salmonella schottmulleri.
At the catering establishment both food handlers who
had prepared the food for the party were asymptomatic.
However, stool cultures were obtained from both and one
of these yielded Salmonella heidelberg. The close rela-
tionship of these two strains of group B salmonella is
of interest:


Somatic Antigen


Flagellar Antigen
Phase 1 and 2


S. heidelberg 1.4.5.12 r 1.2
S. schottmulleri 1.4.5.12 b 1.2
(para typhoid B)
There were no food residues available from the party
but a sample of a frozen turkey from the same lot as the
one served at the party was obtained from the catering
service. This was negative for salmonella. In the kitchen
of the catering establishment there were no violations
of accepted sanitary procedures at the time of the
inspection following the outbreak. The food handler who
gave a positive culture of S. heidelberg was temporarily
removed from work and not permitted to return until three
successive negative stool cultures had been obtained.
There were no further outbreaks related to this
catering establishment and all the persons affected at
the party made a quick and complete recovery.
(Reported by William J. Dougherty, State Epidemiologist,
New Jersey State Department of Health; and an EIS
Officer).


THE MORBIDITY AND MORTALITY WEEKLY R
TION OF 14.000. 15 PuBLIS1 ED AT THE
CENTER. ATLANTA. GEORGIA.
CHIEF. COMMUNICABLE DISEASE CENTER
CHIEF. EPIDEMIOLOGY BRANCH
ACTING CHIEF. STATISTICS SECTION
CHIEF. SURVEILLANCE SECTION
EDITOR- MMWR


Morbidity and Mortality Weekly Report


IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY. THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE IN-
VESTICATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH
GFFICA..LS AND WHICH- ARE DIRECTLY RELATED TO THE CONTROL OF
COMMUNICABLE DISEASES. SUCH COMMUNICATIONS SHOULD BE AD-
CRESSED TO-
THE EDITOR
MORBIDIT Y 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 BV THE INDIVIDUAL STATE
I-EALTm DEPARTMENTS. THE REPORTING WEEK CONCLUDES ON SAT-
URDAY; COMPILED DATA ON A NATIONAL BASIS ARE RELEASED ON
THE SUCCEEDING FRIDAY.


.* a>

'- z


o m
IA S f


I UNIV OF FL LIB.
DOCUMENTS DEPTH.






S U.S DEPOSITORY


440


DECEMBER 24. 1965 a
o
-j~

IL -
0-
c-
I.-
IEFORT. WITH A CIRCULA- -
COMMUNICABLE DISEASE

JAMES L. GODDARD. M.D.
A.D. LANGMUIR. M.D. Z
IDA L. SHERMAN. M.S. 3
D.A. HENDERSON, M.D.
D.J.M. MACKENZIE, M.B.,
F.R.C.P.E.




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