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:
AA00010654:00463

Related Items

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


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Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prpared by the


MElrose 4-5131


For release February 2, 1962 ATLANTA 22. GEORGIA Vol. 11, No. 4
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED JANUARY 27. 1962


INFLUENZA Epidemics of respiratory disease at-
tended by increased school absenteeism are currently
prevalent throughout the Midwestern and Southeastern
States. Following the first Midwestern identification in
Missouri and Southern Illinois, epidemic Influenza B
spread to involve Eastern Kansas, Western Kentucky,
Central Tennessee, and North Georgia. This week, in
addition to further spread within these States, a marked
increase in reported outbreaks has occurred in the neigh-
boring States of Ohio, North Carolina, Arkansas, Min-
nesota, Wisconsin, Iowa, North Dakota, and Nebraska.
On the periphery of this epidemic activity, scattered
outbreaks were noted in South Carolina, Alabama, Indiana,
Wisconsin, Oklahoma, and Texas.


Scattered outbreaks of acute febrile respiratory
disease wer the Northeastern United States.
Increase and/or respiratory disease
outbre A e obser i Southern Maryland (three
cou a.r-sftew Jersey (e ,ounties), Pennsylvania
(rw tiess, Connecricu o counties), Massachu-
set tyo ccf4Bei962erm wo counties), and New
Yor( (tw counties).
idemic has wa d i the Pacific Coast States
and iS vid cin l a d in the Rocky Mountain
area.
Influenza 'Bfle now been confirmed by virologic
isolation or serologic titer rises in outbreaks in 18 States
and the District of Columbia. Additional States reporting


Table I. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES
(Cumulative totals include revised and delayed reports through previous week)
4th Week Cumulative
e Ended Ended First 4 weeks
Disease Nedian
January 27, January 28, 1957 1961 Nedian
1962 1961 1962 1961 1951 1961
Aseptic meningitis ............... 17 26 --- 55 90 ---
Brucellosis ..................... 1 7 10 22 30 43
Diphtheria ...................... 9 22 22 49 94 94
Encephalitis, infectious .......... 20 22 25 85 87 87
Hepatitis, infectious and serum... 1,508 1,851 574 5,626 6,123 1,953
Measles ........................ 10,621 9,414 9,432 31,411 32,523 32,523
Meningococcal infections ......... 41 52 52 192 212 219
Poliomyeliris, total .............. 3 8 34 29 41 87
Paralytic.................... 2 5 29 16 23 48
Nonparalytic .......... 2 2 5 6 28
Unspecified.................. 1 1 3 8 12 11
Streptococcal sore throat
and Scarler fever ............. 8,516 9,707 --- 30,382 34,413 .
Tetanus .............. .. 3--- --- 6-- -
Tularemia ............. ...... 4 .--- 30
Typhoid fever ................... 8 11 11 22 30 48
Typhus fever, rick-borne,
(Rocky Mountain sported)...... 2 --- ---
Rabies in Animals ............... 56 55 79 227 197 319


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Psittacosis wia. I
Botulism: Ky. I Rabies in Man
Malaria: Smallpox:
Plague: Typhus, murine:









Morbidity and Mortality Weekly Report


confirmations this week include Ohio, Minnesota, North
Carolina, Wisconsin, Kansas, Iowa, and Utah. No evi-
dence of Influenza A activity has yet been uncovered.
Deaths from pneumonia and influenza in 108 United
States cities remain elevated above expected levels for
the fourth consecutive week (see accompanying graph,
page 27). Excess mortality this week is recorded in
three of the nine geographic divisions of the country.
Epidemics of respiratory disease confirmed as In-
fluenza B are occurring in Poland, Spain, Denmark, and
the United Kingdom.

HEPATITIS A total of 1,508 cases was reported for
the 4th week ending January 27, a decrease of 72 cases
over the number reported in the preceding week. For the
corresponding 4th week of 1961, 1,851 cases of hepatitis
were reported. The interruption in the continuous rise in
hepatitis cases at this early date in 1962 would suggest
that the number of hepatitis cases in 1962 will be lower
than the total of 72,000 reached in 1961.

POLIOMYELITIS Three cases of polio, 2 paralytic,
were reported for the week ending January 27. This equals
the record low of 3 cases, 3 paralytic, which were re-
ported for the week ending February 25, 1961.


EPIDEMIOLOGICAL REPORTS

Clostridium Food Poisoning Connecticut, 1961

Three outbreaks of Clostridium perfringens food poi-
soning occurred in Connecticut during the year 1961.
The last occurred on December 5, 1961, and is described
below.


Approximately half of 68 people who had dined at a
restaurant developed mild diarrhea and abdominal pain of
a few hours duration within eight to 14 hours after eating.
In a few cases, nausea occurred but there was no vomiting.
Of the 68 individuals, 38 ate roast beef, 18 are broiled
lobster, 9 ate turkey, and 3 ate picked-out lobster. Of the
26 with illness, 21 had eaten roast beef, four had eaten
turkey, and one had eaten lobster.
Five roasts of beef, boned by the wholesale meat
distributor, and averaging about 18 lbs. in weight, were
used for this meal. These were cooked for about 3 hours
in a 3500 oven, coming out of the oven at about 4:15 P.M.
Some were then kept on the steam table and some beside
the steam table until used at 7:30 P.M. Gravy was au jus
gravy made at about 5:30 P.M. from the drippings of the
roasts, a commercial beef base and seasonings. Drippings
from the roasts were also used to moisten some of the
turkey when it was removed from the refrigerator and
warmed for use.
Samples of turkey, roast beef, and gravy were avail-
able for laboratory examination. No food poisoning or-
ganisms were found in the samples of turkey or roast beef
examined. Clostridium perfrangens was isolated from the
gravy. Samples of the commercial beef base used in the
gravy were negative. Nose and throat cultures of the meat
cooks were negative.
The laboratory of the Connecticut State Department of
Health routinely does anaerobic cultures on all samples
of food examined in relation to food-borne outbreaks,
except when epidemiological evidence strongly suggests
that the outbreak is staphylococcal.
Two other outbreaks apparently due to Closrrndum
perfringens were identified in Connecticut in 1961, through
this routine use of anaerobic cultures. One of these oc-
(Continued on page 32)










Morbidity and Mortality Weekly Report




WEEKLY PNEUMONIA AND INFLUENZA DEATHS


, .jO UNITED STATES
108 crtes


00MBE
NUMBER


EP DEMI:
T.-RE OLD


NORMAL
,NCiOENCE


SUMMARY OF DEATHS AMONG PERSONS 65 YEARS AND OVER IN 108 UNITED STATES CITIES


The chart below shows the average weekly number of
deaths among persons 65 years and over by four-week periods.
As in previous MMWR charts in this series, the "expected
number" of deaths was computed by use of a Fourier Series
with a linear trend component. One Fourier term was used in
this chart.
For the four-week period ending January 27th excess
mortality (see table below) in persons 65 years of age and
older averaged 395 deaths per week, about five percent above
expected levels. The total number of deaths in elderly persons
during this period of the current Influenza B epideumc was at
about the same level as in the corresponding period (see chart)


of the 1960 Influenza A2 epidemic. However, excess mortality
has been considerably less in 1962. Dunng the first four weeks
of 1960 there was a total d approximately 2,900 excess deaths
in comparison to a figure of approximately 1,600 excess deaths
during the first four weeks of 1962.

Deaths 65 Years and Over Recorded In 1 08
United States Cities

Week Ending: 4-Week Weekly
Jan. 6 Jan. 13 Jan. 20 Jan. 27 Total Average
Observed 6 970 7 250 7 150 7 164 28 534 7134
Expected 6 689 6 728 6 758 6 780 26 955 6739
Excess 281 522 392 384 1 579 395


DEATHS AT AGE 65 AND OVER IN 108 U S CITIES
Average number per week by four-week periods
8,500 F--- T- -- ..- I -


-iCALC..LATlEDC, r .95' .96* E CER9-*NCE


(See Table, page 31)


NUMBER

OF

DEATHS










PERIOD NL


* CLeCE Cr 3CCu.eENICE














28 llMorbidita and M1orlalilt Weekly Report



T.blc CASES OF SPE( IFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEFKS ENDED


JANUARY 28, 1961 AND JANUARY 27, 1962



P, I iomyel t t: s, Aseptic
P.I lomr.lt s[ Totral Cases Poliomyelitis, Paralytic Nonparaly ic Meningitis


Ar. a





UNITED -TAETT ......

:T;W ENH LAIT ..............
S. nc ....... .............

N l .i .r. i r .........
V rm r, .-. ...............

Rh. j nIoan .........
Rh. .lT I lENRA L.......
Ci..nr,. c L uL ..... .......

'liDndi ATLANI IC ..........
I':. Y'rk ..............

rri v J.,an ,'..........
P( nrnr i'.' '.'an .o .

E-,-T ';l 'RTHl CEITIRAL .. ....
Ohi ...................
Ind ri ... ............. .
I li l ,< ..............
li hi n ................
Wi .:c -in .............

JEII NIORH CEITR4L.......
L nn. .[a ...... .. ......

I i.ar l............. .
SS13' .uri ...............
Fl ri Du r ...........
i Lt Da l. a ..........




itii H ATLa nTIC. ... .......
t a'. r e ..............
5 l)7rH ALn jT p........... .
rCt i r : .f (' I. mbita "
Vr L L J ........ .......
'E : [ V r i n .. ... .... .
lr h Car.l ............
.rc.L.r h C.r.- 1 il .........
C(., :.r i j...............
Fl r da. ...............

EmtT 'OUT] CEICTRAL .......
I n c c k.. ..............
T-nr.-: ~ E............ .
A1 a a-na ...............
i -.i ts Lppi ...........

W IT SOUTH CENTRAL ......
Arkjnsa:..............
LU i i j .............
l I'k I ho: ........
I h,. r ............. ..
Wasi ng n............

TIC'INTAII ..................
llon i aria .............. .
Id3he ................
U'.c'.m ng ................
C .:. M1 d ...............
r i,.w Mt -'.' .. ... .......
tr i ..on ...............
lutah ..................
e .3d i . .

PAC IF I' ..................
Wa- h i ngn.... ........
iree n ............... .
.j 1 L r n ,ja ... .......
A l11 k 3 ............. ...
h ii... .................


I


Cumulative Cumulative
4th week First 4 weeks 4ch week First weeks 4th week 4th week


Pu..r [c RIL '. ..............

Virgir. Isand........... .__ __ __ __ __ __ __ __ _.. -...


19b62 l61 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961


3 8 29 41 2 5 16 23 2 17 26




-- --1
--1





1 14 1 8 1 2
1 14 1 8 1 1




1 1 8 1 1 6 2 3
1 1 4 1 1 3 1

2 2
1















1 1 4 1 1 3 2 1
I i 2



1 -

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1 3 1 1 2


2 1 2







1 3 3 1 1- 2 5

2 1 1 -
2 1 1 1 2 3






1- 2 -

1 1 4 -
-. -



















2 8 2 6 1 9



1 1 6 -
5 1 2 3

1 2 1
I 2 1 -







1 1 2 =


2 2 8 1 2 6 1 6 9



2 4 8 1 2 6 1 1 8












Morbidity and Mortality Weekly Reporl 29


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES I'NITED STATES

FOR WEEKS ENDED

JANUARY 28, 1961 AND JANUARY 27. 1962 Continued


Brucellosis Diphtheria Encephalitis, Hepatttis, Measles
Infectious Infectious and serum
Area
Cumu- Curmu- 4th week
lative lative Under 20 &
4th week 4 weeks 4th week 4 weeks 4th week 20 yr. over Total Total .th wetk
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961

UNITED STATES...... 1 22 9 49 20 22 914 473 1,508 1,851 10,621 9,414

NEW ENGLAND .............. 4 1 40 39 80 61 1,652 487
Maine................. 1 12 7 19 1 182 18
New Hampshire......... 2 1 3 2 10 15
Vermont .............. 1 1 19 6 11
Massachusetts......... 3 1 23 26 49 21 1,005 241
Rhode Island.......... 1 1 2 5 43 140
Connecticut........... 2 3 6 13 406 62

MIDDLE ATLANTIC.......... 8 5 92 64 156 267 1,245 2,365
New York.............. 4 3 46 31 77 151 601 1,394
New Jersey............ 15 13 28 31 459 209
Pennsylvania.......... 4 2 31 20 51 85 185 762

EAST NORTH CENTRAL ....... 1 7 1 1 198 82 286 3.8 1,569 2,628
Ohio.................. 65 33 101 142 110 596
Indiana................ 25 5 32 42 92 149
Illinois.............. 1 7 35 17 52 55 764 425
Michigan .............. 1 1 68 25 93 99 411 346
Wisconsin............... 5 2 8 10 192 1,112

WEST NORTH CENTRAL....... 11 2 10 1 63 -7 125 156 212 344
Minnesota............. 1 2 1 8 28 37 15 2
Iowa.................. 3 19 10 38 22 105 84
Missouri.............. 1 10 8 18 38 4 138
North Dakota........... 1 13 6 19 6 76 91
South Dakota.......... 2 2 4 17 10 -
Nebraska.............. 2 7 3 3 16 2 29
Kansas................ 4 1 1 5 10 15 20 N [NN

SOUTH ATLANTIC........... 3 2 16 2 2 126 49 185 202 638 1,082
Delaware .............. 1 1 2 3 2 76
Maryland.............. 1 18 2 20 14 68 40
District of Columbia.. 1 1 2 2 4 3 31 2
Virginia.............. 1 1 28 13 42 34 238 315
West Virginia......... 15 4 25 33 191 127
North Carolina........ 2 1 49 16 66 55 41 351
South Carolina........ -- 4 1 6 14 14 36
Georgia............... 4 3 1 4 27 5 3
Florida............... 1 1 9 2 6 9 16 19 48 112

EAST SOUTH CENTRAL....... 1 1 2 235 54 290 368 1,301 608
Kentucky.............. 1 I 136 22 158 121 104 354
Tennessee............. 1 2 55 18 74 170 63C 207
Alabama............... 28 1 29 49 299 45
Mississippi........... 16 13 29 28 26E 2

WEST SOUTH CENTRAL....... 1 13 1 2 81 43 131 104 1,760 295
Arkansas.............. I 37 19 56 22 4 16
Louisiana............. 1 4 4 -
Oklahoma............. 2 6 4 10 10 5C 1
Texas................. 1 10 1 2 37 20 64 68 1,702 278

MOUNTAIN................. 6 1 1 16 10 99 133 189 448
Montana............... 5 6 4 12 6 49
Idaho.................. 8 8 1' 166
Wyoming............... I I 2( 12
Colorado................ 2 3 30 47 41 35
New Mexico............. 1 4 2 15 16 1r NN
Arizona ............... 29 16 8; 141
Utah.................. 1 4 4 38 31 .4
Nevada................. 1 2 1

PACIFIC.................. 3 3 3 7 63 85 156 212 2,05! 1,157
Washington............ 16 11 29 18 1,17( 184
Oregon ................ 7 13 20 61 16( 197
California................. 2 2 3 7 31 60 97 123 66: 755
Alaska................ 1 1 9 9 9 51 16
Hawaii................ 1 1 1 5

Puerto Rico....... ...... 2 3 3 2 5 4 21 32

Virgin Islands ........... ... ... ... -











30 Morbidity and Mortality Weekly Report


Table 3. CASES S OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES

FOR WEEKS ENDED

JANUARY 28, 1961 AND JANUARY 27, 1962 Continued


Meningococcal Streptococcal Tick-
Infections Sore Throat & Tetanus borne Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever Typhus
Area Cumu- (Rcky.Mt. Cumu- Cumu-
lative Spotted) lative lative
4th week 4 wee1s 4th week 4th eek week 4th week 4th week 4 weeks 4th week 4 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962

UNITED STATES...... 41 192 8,516 9,707 3 1 4 8 22 56 55 227

NEW ENGLAND.............. 1 14 565 476 -
Maine ................. 1 3 28 14 -
New Hampshire......... 7 5 -
Vermont............... 19 30 -
Massachusetts......... 8 166 159 -
Rhode Island.......... 40 22 -
Connecticut........... 3 305 246 -

MIDDLE ATLANTIC.......... 8 28 496 714 1 1 2 1 10
New York.............. 3 15 303 414 1 1 6
New Jersey............ 4 7 91 105 -
Pennsylvania.......... 1 6 102 195 1 2 4

EAST NORTH CENTRAL ....... 6 38 744 1,199 1 1 3 5 9 15
Ohio .................. 2 15 113 352 1 2 2 -
Indiana............... 2 135 182 4 4 13
Illinois............... 2 5 211 143 1 3 2
Michigan.............. 1 12 285 338 -
Wisconsin............. 1 4 184 1 1 -

WEST NORTH CENTRAL....... 1 8 355 357 2 15 8 82
Minnesota............. 32 13 1 1 11
Iowa................... 3 92 63 10 3 39
Missouri.............. 2 11 24 2 2 2 13
North Dakota........... 1 177 103 2 7
South Dakota........... 7 1 1 10
Nebraska.............. 1 2
Kansas................. 1 2 36 153 -

SOUTH ATLANTIC........... 10 32 782 636 1 1 4 6 6 12 21
Delaware .............. 2 5 5 4 -
Maryland .............. 1 1 30 21 2 2 1 1
District of Columbia.. 1 4 5 -
Virginia.............. 2 7 159 162 1 1 3 6 11
West Virginia......... 1 2 208 237 1 1 1 4
North Carolina........ 3 7 28 31 -
South Carolina........ 1 188 13 -
Georgia............... 10 1 1 -
Florida............... 5 164 153 1 2 1 5 5

EAST SOUTH CENTRAL....... 4 14 1,916 1,805 1 1 1 12 5 30
Kentucky.............. 1 4 143 484 2 2 9
Tennessee............. 2 6 1,623 1,260 10 3 20
Alabama............... 1 23 32 1 1 1
Mississippi........... 1 3 127 29 1 -

WEST SOUTH CENTRAL....... 4 19 973 1,240 1 2 7 12 17 46
Arkansas.............. 2 2 3 9 3 4
Louisiana ............. 6 8 7 1 2 1 1 1
Oklahoma.............. 1 13 15 1 1 3
Texas................. 2 10 949 1,209 1 1 4 10 13 38

MOUNTAIN.................. 7 1,129 2,109 1 2 4
Montana............... 1 90 180 1 -
Idaho................. 1 157 148 -
Wyoi ng .............. 12 81 -
Colorado............... 319 524 -
New Mexico............ 259 475 1 1 2
Arizona ............... 2 171 217 2
Utah .................. 120 471 -
Nevada................ 3 1 13 -

PACIFIC.................. 7 32 1,556 1,171 1 4 3 19
Washington............ 2 612 586 -
Oregon................ 5 53 76 -
California............ 7 24 830 452 I 4 3 19
Alaska................ 1 24 51 -
Hawaii................ 37 6 -

Puerto Rico.............. 4 7 1 1

Virgin Islands........... --- ---












Morbidity and Mortality Weekly Report 31





T.ihl 4 (D). TOTAL DEATHS AMONG PERSONS 65 YEARS AND OVER IN RFPORTIN(, CITIES



(Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period.0


Area For weeks ending Area or weeks ending
1rea 1/13/62 120/62 1/27/62 1/6/62 1Area/13/62]1/0/ 1/27/62

1/6/62 1/13/62 1/20/62 1/27/62 1/6/62 1/13/62 1/20/62 1/27162


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

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

EAST NORTH CENTRAL:
Akron, Ohio...............
Canton, Ohio...............
Chicago, Ill..............
Cincinnati, Ohio..........
Cleveland, Ohio..........
Columbus, Ohio............
Dayton, Ohio..............
Detroit, Mich.............
Evansville, Ind...........
Flint, Mich...............
Fort Wayne, Ind...........
Gary, Ind.................
Grand Rapids, Mich........
Indianapolis, Ind .........
Madison, Wis..............
Milwaukee, Wls............
Peoria, ll ...............
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............


146
27
20
21
17
19
26
22
20
37
11
31
16
45


18
30
84
27
21
30
58
63
1,020
20
232
141
29
77
17
33
24
18
21
17


32
20
440
L10
117
73
43
206
17
26
22
12
38
88
18
71
14
21
14
67
29


43
24
23
78
26
75
48
210
38
21


167
30
20
27
25
24
14
20
17
45
13
27
23
45


27
15
82
22
21
37
30
51
1,070
20
257
86
23
65
20
28
42
53
28
25


22
31
485
118
104
66
41
203
37
26
30
15
28
86
17
105
16
19
31
79
42


47
29
24
77
13
79
50
240
58
39


142
21
23
24
28
20
19
16
24
45
17
23
23
31


34
25
63
24
24
27
46
74
1,001
20
270
87
16
72
11
24
35
38
19
21


38
16
479
110
123
63
49
256
14
20
19
12
36
75
18
75
18
9
25
65
31


47
18
14
97
17
67
24
212
45
29


SOUTH ATLANTIC:
Atlanta, Ga............... 64 54 80 63
Baltimore, Md............ 143 137 146 122
Charlotte, N.C........... 34 23 16 18
Jacksonville, Fla........ 36 34 33 39
Miami, Fla............... 40 50 60 43
Norfolk, Va.............. 29 25 34 19
Richmond, Va............. 46 45 37 54
Savannah, Ga............. 14 12 23 29
St. Petersburg, Fla...... 70 75 80 70
Tampa, Fla............... 45 38 57 49
asihington, D.C ......... 109 100 103 83
Wilmington, Del.......... 29 12 31 24

EAST SOUTH CENTRAL:
Birminpham, Ala.......... 52 33 60 58
Chattanooga, Tenn........ 32 22 26 55
Knoxville, Tenn........... 16 20 24 20
Louisville, Ky........... 46 102 65 86
Memphis, Tenn............. 66 60 98 83
Mobile, Ala............... 22 26 22 28
Montgomery, Ala.......... 13 25 21 26
Nashville, Tenn .......... 49 41 55 33

WEST SOUTH CENTRAL:
Austin, Tex............. 25 29 40 22
Baton Rouge, La.......... 20 18 17 21
Corpus Chriati, Tex...... 12 12 17 10
Dallas, Tex.............. 70 74 71 70
El Paso, Tex.............. 17 19 25 36
Fort Worth, Tex........... 49 34 42 43
Houston, Tex............. 125 70 122 96
Little Rock, Ark......... 37 27 50 34
New Orleans, La.......... 108 81 119 91
Oklahoma City, Okla...... 37 65 34 30
San Antonio, Tex......... 69 69 96 78
Shreveport, La........... 26 30 29 53
Tulsa, Okla............... 41 37 23 46

MOUNTAIN:
Albuquerque, N. Hex...... 19 14 19 17
Colorado Springs, Colo... 16 10 7 21
Denver, Colo............. 65 70 93 66
Ogden, Utah............... 11 6 19 19
Phoenix, Ariz............... 49 61 53 66
Pueblo, Colo.............. 15 9 11 14
Salt Lake City, Utah..... 34 20 32 27
Tucson, Ariz............. 26 31 29 23

PACIFIC:
Berkeley, Calif.......... 16 16 14 27
Fresno, Calif................ 14 35 29 34
Glendale, Calif.......... 34 36 34 29
Honolulu, Hawaii......... 18 10 24 25
Long Beach, Calif........ 32 54 25 49
Los Angeles, Calif....... 360 363 318 341
Oakland, Calif........... 63 79 48 79
Pasadena, Calif.......... 25 28 29 26
Portland, Oreg............ 83 75 68 67
Sacramento, Calif........ 47 42 44 37
San Diego, Calif......... 54 50 62 57
San Francisco, Calif .... 102 150 131 117
San Jose, Calif.......... 25 39 25 32
Seattle, Wash............ 74 93 83 91
Spokane, Wash............ 37 43 34 46
Tacoma, Wash.............. 38 32 24 37

San Juan, P.R.............. 111 26 12 15


Current Week Mortality for 108 Selected CitiesO

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.....


12,597
601
879
7,164


Totals for previous weeks include reported corrections.

NOTF All death by place of occurrrcr .




UNIVERSITY OF FLORIDA

i111111111111111111111111
3 1262 08863 9942
-_ _-


Morbidity and Mortality Weekly Report


curred at a cub scout dinner in February. Of 240 individ-
uals attending this dinner, 75 experienced nausea, abdomi-
nal pain, and diarrhea 6 to 8 hours after eating. Clostridium
perfringens was cultured from a sample of the roast beef
used at this meal. The other outbreak was a family out-
break with 9 of 17 people who ate the dinner becoming ill
8 to 9 hours after the meal. The illness was mild and
consisted of diarrhea and abdominal pain of a few hours
duration, associated with slight nausea. Clostridium
per/ringens was found in smoked ham and in homemade
cheese used at this meal.
(Reported by James C. Hart, M.D., Director, Division of
Preventable Diseases, State of Connecticut Department of
Health.)
Editor's Note: The incubation period in these three
epidemics, 6 to 14 hours, and the clinical symptomology,
mild illness with diarrhea and abdominal pain in the ab-
sence of vomiting, form a rather consistent clinical
picture.


INTERNATIONAL NOTES QUARANTINE MEASURES

Smallpox Europe
England Five new cases of smallpox have been re-
ported in England bringing to 21 the total number of
cases in the recent outbreak. Seven deaths have occurred.
Three tertiary cases have occurred in Bradford where 11
cases had previously been reported. The other two cases
were reported from Woolwich, a suburb of London, where
a 36 year old insurance agent became ill with smallpox
on January 13, and from Horn Church, Essex, where an
individual became ill on January 30. The Horn Church
case has not yet been confirmed.

Germany No additional cases have been reported fol-
lowing the initial reports of 4 cases with one death in
Dusseldorf, Germany.


Immunization Information for International Travel
1961 edition Public Health Service Publication No. 384
The following name should be added to the list of Yellow
Fever Vaccination Centers in Section 6:


City
Arizona
Tucson


Center
Pima County Health
Department
161 W. Alameda Street
Tel: MA 3-0571


Clinic Hours Fee
Friday, 3 p.m. Yes
by appointment


Notes These provislonal dat are based on weekly teleamas to the Comrmeai
ble Disease Ceter by the Individual State health deparmeats.
Symbol: --- Data nt available
Quality waro
Procedwe for oolmtraction of various mortality crves may be obtained from
Statleica Secllon. Communicable Disease Center. Public Health Service,
U. S. Depuaemnt of health, Educatioa, usd Wellsre. Atluat 22 Georgi.


_UNIV OF r:L -~
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