Morbidity and mortality

S


3 -6 ( /q


Morbidity and Mortality



PUBLIC HEALTH SERVICE

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

Prepared by the s T MElrose 4-5131

For release September 22, 1961 Atlanta 22, Georgia Vol. 10, No. 37

Provisional Information on Selected Notifiable Diseases in the United States and on

Deaths in Selected Cities for Week Ended September 16, 1961


Poliomyelitis There was a sharp increase in polio-
myelitis during the week ending September 16. A total of
98 cases, including 62 paralytic, were reported for the
current week. These figures represent a high in total and
paralytic cases for 1961. During the previous week; there
was a total of 62 cases, of which 37 were paralytic. How-
ever, the incidence of poliomyelitis continues to remain
well below previous years despite this late summer in-
crease. This is shown in the following table:


Pollomyelitis Cases (Cumulative) Through 37th
1961 1960 1959 1958
Paralytic 513 1312 3455 1461
Total 780 1908 5474 3000


Week
1957
1395
4444


The only significant concentration of polio cases in
the United States continues to be in New York State.
(See Epidemiological Reports).

Hepatitis The total of 1130 cases of hepatitis in
the last week represents an increase over the 995 cases
reported last week. This is the first interruption of a
slightly downward trend which has been occurring over
the last several months. Hepatitis continues at a record
high level.

Encephalitis There were 37 cases of infectious
encephalitis reported in the last week. The number of
encephalitis cases continues to be unusually small. There
has been no reported epidemic occurrence in the country.


Table I. Cases of Specified Notifiable Diseases: United States
(Cumulative totals include revised and delayed reports through previous week)

Diese 37th Week Cumulative
(Seventh Revision of International Approxi-
Lists, 1955) First 37 weeks Since seasonal low week mate
Ended Ended seasonal
Sept. Sept. Median Median low
Weekly incidence low or sporadic 16, 17, 1i6-c 196 Median 19LC-61 1' 60 196- point
-- Data not available 1961 19,'60 i96-6c to
Quantity zero 1 I9--0-
Anthrax-------- ---------062 5 13 *
Botulism----------------------049.1 2 5 10 *
Brucellosis undulantt fever)-----0. 4 9 15 15 439 573 579 *
Diphtheria----------------------055 9 22 17 389 450 531 80 III 134 July 1
Encephalitie, infectiou --------08 37 50 65 1,135 1,331 1,324 1,135 1,331 1,324 Jan. I
Hepatitis, infectious, and
serum--------------092,N998.5 pt. 1,130 730 300 54,954 26,912 14,568 2,130 1,371 546 Sept. 1
lria----------------110-117 4 1 42 47 I *
Measles-------------------------085 734 800 945 387,062 401,382 449,039 1,434 1,517 1,804 Sept. 1
Meningitis, aseptic----- ----340 pt. 137 129 -- 2,002 1,880 --- 2,002 1,880 -- Jan. 1
Meningococcal infection---------057 27 33 37 1,562 1,596 1,756 47 60 69 Sept. I
Polia~ elltis--------------------080 98 173 398 780 1,908 4,437 677 1,698 3,909 Apr. 1
Paralytic -----------080.0,080.1 62 112 194 513 1,312 1,389 453 1,155 1,114 Apr. I
Nnparallytic-------------080.2 28 48 156 178 416 2,327 153 389 2,166 Apr. 1
Unspecified----------------080.3 8 13 48 89 180 721 71 154 629 Apr. 1
Plittacoalse--------- -- -----096.2 2 2
Babies in man--------------------094 I JO%- *
Streptocceal sore throat, \
including scarlet fever----050,051 3,058 3,513 -- 230, -- 20,498 --- Aug.
ITphoid fever----------. -------040 18 21 559 56 714 445 .438 534 Apr. 1
Jrphus fever, endemic---------- --101 1 27 51 *
Rabies in animals--------------- 51 48 '8 2,509 2,687 \ 63 3,085 3,655 4,211 Oct. I

-- OCT 96


: /0/


37








Morbidity and Mortality Weekly Report




CURRENT U. S. POLIO INCIDENCE
Compared With Years 1955-1960, April-December, by week


EPIDEMIOLOGICAL REPORT


Poliomyelitis New York State
Through Monday, September 18, 67 cases of paralytic
poliomyelitis have occurred in the counties of Onondaga,
Madison, and Oneida in Upstate New York. Of the 67
cases, 38 have occurred in Onondaga County (25 in Syra-
cuse), 17 in Madison County and 12 in Oneida County.
Type I poliovirus has been isolated from 13 of these
cases. The 64 paralytic cases with onset of symptoms
since July are shown by county:
Week Ending 7/29 8/5 8/12 8/19 8/26 9/2 9/9 9/16
Onondago County 1 2 1 4 11 11 4 3
Madison County 0 4 3 5 2 1 1 0
Oneida County 0 2 2 2 3 1 0 1
Total 1 8 6 11 16 13 5 4
In addition to the 67 paralytic cases, there are 19 non-
paralytic cases reported from the tri-county area.


Since the oral polio immunization program in the tri-
county area on August 29-31 there have been 23 cases of
paralytic polio. Nine had not received the oral vaccine.
The interval in days between the immunization program
and onset of symptoms for the 14 paralytic cases who had
received oral vaccine is shown in the table below:

PARALYTIC CASES
Interval in days between oral vaccine and onset of symptoms


Some day 1 2
2 .0 3


5 6
1 1


The only paralytic polio cases in the tri-county area
in those who received the oral vaccine have occurred
within 7 days of the administration of vaccine.


(Continued on page 8)


|116 17|1 18 9120zo121122| 121241 12612|71281291M S1S 132|1313S I 515613i |39114o 4l 1 |4243144i45|46147148149501 o 1 1521








Morbidity and Mortality Weekly Report 3

Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, AND
PUERTO RICO, FOR WEEKS ENDED SEPTEMBER 17, 1960 AND SEPTEMBER 16, 1961

(By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955)


Poliomyelitis 080 Brucel-
Menin- losis
Total sParalytic 080.0,080.1 gitis, (undu-
(Includes cases not specified by type) _onparalytic aseptic lant
Area Cumulative, Cumuative, fever)
37th Week first 37 weeks 37th Week first 37 weeks 080.2 340 pt. 044

1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1961

UNIED STAES--------- 98 173 780 1,908 62 112 513 1,312 28 48 137 9

W ENGAND------------------ 2 13 17 172 2 8 14 133 5 8
Maine---------------------- 2 1 21 2 1 21 -
New Hampshire-------------- 1 1 -
Vermont-------------------- 1 2 3 5 1 3 1 2 -
Massachusetts-------------- 1 1 8 26 1 1 7 18 4
Rhode Island--------------- 2 96 1 74 1 3 -
*Connecticut------------ 6 4 24 4 3 19 2
MIDDLE ATLANTIC-------------- 52 35 185 257 33 24 133 195 19 10 2 1
New York------------------- 46 21 131 148 27 12 88 104 19 8 1
New Jersey----------------- 3 9 28 57 3 7 25 44 2 1
Pennsylvania--------------- 3 5 26 52 3 5 20 47 1
EAST NORTH CENTRAL---------- 12 36 85 311 8 16 49 171 1 18 37 1
Ohio--------------------- 3 5 22 73 1 3 11 32 2 -
Indiana-------------------- 2 10 11 66 6 5 47 1 4 2
Illinois------------------- 1 8 20 99 1 6 9 64 2 15 1
Michigan------------------- 3 10 17 55 3 1 14 24 9 18 -
Wisconsin------------------ 3 3 15 18 3 10 4 3 -
WEST NORTH NTRAL----------- 3 17 43 109 2 7 20 58 2 18 3
Minnesota------------------ 4 5 35 4 5 28 12 -
Iowa----------------------- I 13 14 1 6 3 3 3
Missouri------------------- 1 5 11 20 1 3 3 12 1 3 -
North Dakota---------------- 1 2 2 9 3 -
South Dakota--------------- 1 1 4 -
Nebraska------------------- 1 4 11 3 7 1 -
Kansas--------------------- 4 7 16 3 4 -
SOUTH ATLANTIC-------------- 8 32 137 309 4 24 101 223 3 8 11
Delaware------------------- 2 1 -
Maryland------------------- 1 11 23 34 1 9 23 29 2
District of Columbia------- 1 1 -
Virginia------------------- 1 4 9 15 1 4 7 13 3
West Virginia-------------- 1 2 18 29 1 12 23 1 2 -
North Carolina------------- 2 5 13 65 1 4 7 46 1 1 -
South Carolina------------- 3 6 15 104 1 2 10 67 2 4
Georgia-------------------- 2 27 14 2 20 12 -
Florida-------------------- 2 29 48 2 20 33 5 -
EAST SOUTH CENTRAL---------- 7 3 61 116 5 2 37 59 1 12 2
Kentucky------------------- 2 22 56 5 5 -
Tennessee------------------ 2 13 22 1 7 16 1 2
Alabama-------------------- I 9 11 1 9 11 12
Mississippi---------------- 4 1 17 27 4 1 16 27 -
WEST SOUTH CENTRAL----------- 7 9 109 196 3 7 57 116 4 2 4 2
Arkansas------------------- 1 11 18 1 4 10 1 1
Louisiana------------------ 3 36 38 2 27 24 1 -
Oklahoma------------------- 2 3 12 2 8 1
Texas---------------------- 4 6 59 128 1 4 26 74 3 2 3
MOUNTAIN--------------------- 4 40 57 2 23 24 3 -
Montana-------------------- 3 13 2 9 -
Idaho---------------------- 13 5 6 1 -
Wyoming-------------------- 2 18 -
Colorado------------------- 2 6 9 2 6 8 -
New Mexico----------------- 3 4 1 -
Arizona-------------------- 7 4 5 4
Utah----------------------- 8 4 4 1 1
Nevada---------------------- 2
PACIFIC---------------------- 7 24 103 381 5 22 79 333 1 2 42
Washington----------------- 1 2 19 22 2 14 22 6 -
Oregon--------------------- 1 12 26 1 5 15 -
California----------------- 5 21 69 324 4 19 57 287 1 2 36 -
Alaska--------------------- 2 2 -
Hawaii--------------------- 1 3 7 1 3 7 -- -

Puerto Rico------------------ 1 9 6 432 1 9 6 425 -








4 Morbidity and Mortality Weekly Report

Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, AND
PUERTO RICO, FOR WEEKS ENDED SEPTEMBER 17, 1960 AND SEPTEMBER 16, 1961 Continued

(By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955)


Diphtheria 055 Hepatitis, infectious, and
Encephalitis, serum 092,N998.5 pt.
infectious ___
Area Cumulative, Cumulative,
37th Week first 37 weeks 082 37th Week first 37 weeks 085

1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960


UNIED STATES-------- 9 22 389 450 37 50 1,130 730 54,954 26,912 734 800

NEW ENGLAND----------------- -- 6 10 1 1 51 29 1,625 818 28 113
Maine--------------------- 2 6 2 104 49 2 10
New Hampshire------------- 10 140 25 4 16
Vermont------------------- 1 166 11 2 15
Massachusetts-------------- 5 7 1 28 15 636 407 11 55
Rhode Island-------------- 1 1 5 201 161 4
Connecticut--------------- 1 6 7 378 165 9 13
MIDDLE ATLANTIC------------ 20 13 7 11 156 118 7,568 3,105 116 100
New York------------ 7 3 7 3 86 63 3,202 1,656 67 71
New Jersey----------------- 2 5 28 5 1,823 213 33 11
Pennsylvania-------------- 13 8 3 42 50 2,543 1,236 16 18
EAST NORTH CENTRAL-------- 1 15 36 6 4 211 119 11,029 4,897 215 238
hio----------------------- 1 15 6 2 55 51 3,700 1,655 16 16
Indiana----------------- 1 5 1 30 8 1,703 553 37 23
Illinois----------------- 1 10 5 1 47 29 1,927 1,023 83 14
Michigan------------------ 3 9 70 28 3,425 1,492 47 91
Wisconsin------------------ 2 9 3 274 174 32 94
WEST NORTH CENTRAL------- 1 2 35 24 5 1 94 30 5,357 1,896 43 27
Mnnesota------------------ 1 24 6 22 1 1,167 216 5 2
Iowa----------------------- 2 1 7 1 1 31 6 1,562 319 9 2
Missouri------------------ 2 7 10 1,203 698 1 1
North Dakota--------------- 2 1 4 2 126 141 10 20
South Dakota--------------- 6 5 1 3 141 127 1 -
Nebraska--------------- 2 1 4 10 6 555 199 17 2
Kansas----------- 2 19 2 603 196 NN NN
SOUTH ATANTIC------------- 2 11 80 133 6 2 145 70 6,832 3,173 44 32
Delaware ---------- 2 1 158 194 1 3
Maryland------------------- 1 1 2 6 8 624 322 6 4
District of Columbia----- 2 1 83 40 1
Virginia------------------ 3 15 16 1 17 15 1,087 629 4 10
West Virginia------------- 1 4 1 17 11 1,279 591 13 6
North Carolina------------- 2 7 7 3 54 7 1,481 273 13 1
South Carolina--------- 4 5 42 1 12 3 351 50 1 2
Georgia------------------ 1 1 22 21 3 618 210 1 1
Florida------------------ 1 1 27 42 37 21 1,151 864 5 4
EAST SOUTH CETRAL-------- 3 1 32 46 4 3 138 85 8,224 3,849 54 81
Kentucky----------- 8 1 46 17 2,424 1,415 8 12
Tennessee------------------ 3 7 1 37 20 3,260 1,254 39 56
Alabama-------------------- 3 16 21 3 23 31 1,439 842 13
Mississippi-------------- 1 5 17 1 2 32 17 1,101 338 7 -
WEST SOUTH CENTRAL------- 3 7 187 152 2 5 82 36 3,999 2,190 86 73
Arkansas------------------ 4 5 1 21 3 787 113 5 -
Louisiana--------------- 1 23 31 6 2 425 112 1 -
Oklahoma------------------- 5 5 14 1 3 4 269 274 1 -
Texas------- ------ 3 1 155 102 1 4 52 27 2,518 1,691 79 73
MOUNTAIN------------------ 8 35 2 7 48 66 3,329 2,189 57 54
Montana------------------- 2 3 2 10 7 298 97 6 16
Idaho---------------------- 11 1 2 5 241 260 2 2
Wyoming------------------- 5 1 135 23 1 1
Colorado------------------- 4 3 5 21 34 1,123 799 22 19
New Mexico-------------- 1 4 5 4 365 263 -
Arizona-------------------- 3 7 5 517 485 9 12
Utah----------------------- 6 1 3 1 540 193 17 1
Nevada-------------------- 1 9 110 69 3
PACIFIC--------------------- 6 1 4 16 205 177 6,991 4,795 91 82
Washington----------------- 1 26 19 790 539 7 17
Oregon------------------- 2 33 17 1,065 781 13 11
California----------------- 2 3 14 130 134 4,764 3,253 53 53
Alaska------------------- 4 1 13 1 321 151 14 -
Hawaii---------------- 3 6 51 71 4 1

Puerto Rico--------------- 5 48 110 33 24 732 591 40 2

W-PNot NOtiflable








Morbidity and Mortality Weekly Report 5


Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, AND
PUERTO RICO, FOR WEEKS ENDED SEPTEMBER 17, 1960 AND SEPTEMBER 16, 1961 Continued

(By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955)

Strepto-
coccal Typhoid fever 040 Typhus
Malaria Meningoccocal Psitta- sore fever,
infections cosis thoat, ee Rabies in

Area etc. Cumulative,
110-117 057 096.2 050,051 37th Week first 37 weeks 101

1961 1961 1960 1961 1961 1961 1960 1961 1960 1961 1961 1960

UNIID STATES--------- 4 27 33 2 3,058 18 21 559 565 1 51 48

NI EW NGIAND----------------- 2 4 2 95 16 8 -
Maine---------------------- 1 1 7 1 2 -
New Hampshire------------- -- -
Vermont------------------ -
Massachusetts-------------- 2 1 1 30 10 3 -
Rhode Island--------------- 12 2 -- -
Connecticut---------------- 2 45 3 3 -
MIDDLE ATLATIC-------------- 1 3 5 89 5 3 68 41 1 4
New York------------------- 2 4 61 3 3 34 27 1 4
New Jersey----------------- 1 16 17 1 -
Pennsylvania--------------- I 1 12 2 17 13 -
EAST NORTH CNTRAL ----------- 9 11 2 168 2 1 75 75 7 3
Ohio----------------------- 4 16 25 19 1 1
Indiana------------------- 79 1 19 22 1 1
Illinois------------------- 2 3 23 1 25 20 1
Michigan----------------- -- 3 8 1 19 1 4 9 -1 -
Wisconsin------------------ 1 31 2 5 4 -
WEST NORTH CETRAL--------- 4 91 1 2 29 34 17 13
Minnesota --------------- 1 5 1 3 6
Iowa--------------------- 1 1 6 10 1
Missouri------------------- 1 17 19 2 3
North Dakota-------------- 60 1 I -
South Dakota--------------- -. 1 1 3 3 1 -
Nebraska------------------ 2 1 2 3
Kansas--------------------- 19 1 2 2 -
SOUTH ATLATIC ------------- 3 1 296 1 2 90 85 6 9
Delaware--------------- --- 1 3 1 1 -
Maryland------------------- 2 2 3 -
District of Columbia----- 2 1 10 7 -
Virginia------------------- I 52 14 18 3 5
West Virginia-------------- 2 66 1 9 7 -
North Carolina------------- 13 13 8 1 -
South Carolina------------ 22 6 11 -
Georgia------------------- 25 20 -
Florida------------------- 136 1 10 10 2 4
EAST SOUTH CETRAL--------- 1 3 6 796 2 4 57 75 5 3
Kentucky-----------------. 1 1 83 1 10 15 3 1
Tennessee----------------- 2 1 676 1 2 39 42 2 1
Alabama---------------- 1 8 1 6 13 1
Mississippi--------------- 4 29 1 2 5 -
WEST SOUTH CNTRAL----------- 1 392 2 5 122 165 1 11 12
Arkansas------------------- 18 37 2 7
Louisiana----------- -- 2 1 16 54 1 1
Oklahoma------------------ 1 9 12 10 --
Texas--------------------- 381 1 5 76 64 1 8 4
OUNTAIN----------------- -- 860 4 49 31 2
Montana----------------- 64 2 16 9 -
Idaho--------------------- 59 1 2 -
Wyoming ----------------- 3 4 -
Colorado------------------ 230 6 --
New Mexico---------------- 281 2 11 8 1
Arizona----------------- 125 6 7 1
Utah-------------------- 98 2 1 -
Nevada-------------------- 3 4 -
PACIFIC------------------- 5 3 271 1 4 53 51 4 2
Washington---------------- 90 7 5 -
Oregon----------------- 1 11 1 1 8 -
California----------- ----- 3 3 131 1 2 45 37 4 2
Alaska --------------- 39 1 1 -
Hawaii-------------- 1 -

Puerto Rico-------------- 1 17 17 3 5








Morbidity and Mortality Weekly Report


The chart shows the number of deaths reported for
117 major cities of the United States by week for the cur-
rent year, a 5-week moving average of these figures
plotted at the central week, and an adjusted average for
comparison. For each region the adjusted average was
computed as follows: From the total deaths reported each
week for the years 1956-1960, 3 central figures were
selected by eliminating the highest and lowest figure
reported for that week. A 5-week moving average of the
arithmetic mean of the 3 central figures was then com-
puted with adjustment to allow for population growth in
each region. The average value of the regional increases
was 2 percent which was incorporated in the adjusted
average shown in the chart.
Table 4 shows the number of death certificates re-


ceived during the week indicated for deaths that occurred
in selected cities. Figures compiled in this way, by week
of receipt, usually approximate closely the number of
deaths occurring during the week. However, differences
are to be expected because of variations in the interval
between death and receipt of the certificate and because
of incomplete reporting due to holidays or vacations. If a
report is not received from a city in time to be included
in the total for the current week, an estimate is used.
The number.of deaths in cities of the same size may
also differ because of variations in the age, race, and sex
composition of the populations and because some cities
are hospital centers serving the surrounding areas. Changes
from year to year in the number of deaths may be due in
part to population increases or decreases.


Table 3. DEATHS IN SELECTED CITIES BY GEOGRAPHIC DIVISIONS


(By place of occurrence and weekof filing certificate. Excludes fetal deaths. Data exclude figures shown In parentheses in table 4)

37th 36th Perent Cumulative, first 37 weeks
week teek Adjusted change,
week week arag$adjusted
Area ended ended aer7e adjusted
Aa e37th average
Sept. Sept. week to 1961 196 percent
16, 9, 1956-60 current change
1961 1961 week
week

TOTAL, 117 EEPORTING CITIES---------------------- 11,053 10,787 10,490 +5.4 424,559 427,962 -0.8

New Enland-------------------------------(14 cities) 715* 674 623 +14.8 26,082 26,673 -2.2
Middle Atlantic---------------------------(20 cities) 3,129* 3,210 2,865 +9.2 121,179 118,407 +2.3
East North Central-------------------------(21 cities) 2,384 2,360 2,265 +5.3 90,718 92,686 -2.1
West North Central--------------------------(9 cities) 768 722 737 +4.2 28,909 29,892 -3.3
South Atlantic----------------------------(U1 cities) 884 1,040 874 +1.1 36,695 36,782 -0.2
East South Central---------------------------(8 cities) 565 390 481 +17.5 19,202 19,,26 -1.2
West South Central--------------------------(13 cities) 907 871 958 -5.3 36,215 37,536 -3.5
Mountain-----------------------------------(8 cities) 364* 287 333 +9.3 13,513 13,448 +0.5
Pacific----------------------------------- (13 cities) 1,337 1,233 1,354 -1.3 52,046 53,112 -2.0

*Includes estimate for missing reports.


15,000 NUMBER OF DEATHS IN SELECTED CITIES


e CURRENT WEEK
14,000 -
....... 5-WEEK MOVING AVERAGE

ADJUSTED AVERAGE

13,000







o, iooo -- t .
12,000



11,000 -- ---







9,000 M.
I T I T i I I T I I I I T T1 IT I I T I 1 T
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC









Morbidity and Mortality Weekly Report 7

Table 4. DEATHS IN SELECTED CITIES

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


Area


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, Wis.---------
Peoria, Ill.------------
Rockford, Ill.----------
South Bend, Ind.------
Toledo, Chio-------------
Youngstown, Ohio---------

WEST NORTH CENTRAL:
Des Moines, Iowa---------
Duluth, Minn.-----------
Kansas City, Kans.------
Kansas City, Mo.---------
Lincoln, Nebr.----------
Minneapolis, Minn.-------
Omaha, Nebr.------------


37th
week
ended
Sept.
16
19.I


264
42
36
19
43
24*
28
26
43
63
15
34
26
52


35
32
130
47
42
34
63
75
1,625
40
490
186
25
105
16
26
65
45
27*
21


56
32
659
160
199
129
78
328
39
48
31
25
53
141
34
122
29
25
37
104
55


58
36
30
132
(32)
108
70


36th
week
ended
Sept.
9
1961


Cumulative,
first 37 weeks


4 4 *


219
35
29
29
59
19
21
21
40
72
10
45
26
S49


34
45
114
43
39
40
54
105
1,809
40
399
111
17
123
27
35
71
43
22
39


54
27
718
147
191
124
83
323
35
40
41
30
50
110
38
107
27
25
23
93
74

56
21
37
111
(34)
115
49


8,941
1,421
1,079
991
1,780
906
803
968
1,704
2,317
492
1,648
1,002
2,030


1,688
1,276
5,435
1,589
1,086
1,462
2,581
3,744
61,820
1,452
19,089
7,038
861
3,734
884
1,307
2,268
1,670
1,044
1,151


2,098
1,138
27,447
5,793
7,527
4,236
2,987
12,361
1,343
1,592
1,424
1,128
1,677
5,264
1,217
4,542
1,044
1,047
1,059
3,639
2,155


1,984
966
1,381
4,741
(1,026)
4,405
2,563


9,285
1,518
1,156
1,051
1,781
889
895
905
1,668
2,356
496
1,673
1,015
1,985


1,614
1,284
5,444
1,569
1,095
1,440
2,611
3,579
60,143
1,421
18,168
7,194
875
3,713
888
1,388
2,281
1,536
1,020
1,144


2,114
1,282
28,648
5,835
7,826
4,371
2,760
12,687
1,335
1,481
1,374
1,168
1,546
5,435
1,184
4,633
1,120
1,066
1,059
3,713
2,049


2,043
936
1,288
4,702
(967)
4,622
2,730


Area


WEST NORTH CENTRAL-Con.:
St. Louis, Mo.-------
St. Paul, Minn.----------
Wichita, Kans.-----------

SOUTH ATLANTIC:
Atlanta, Ga.------------
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:
Hirmingham, 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.-----------

San Juan, P. R.-------------


37th
week
ended
Sept.
16,
1961


36th
week
ended
Sept.
9,
1961


Cumulative,
first 37 weeks


1961 1 1960


4 141


226
60
48


111
214
33
50
59
41
62
31
(56)
48
195
40


77
49
35
142
104
45
46
67


29
27
27
115
29
77
128
69
153
61
99
46
47


25
14
120
17*
83
16*
43
46

22
(25)
(34)
36
44
494
93
27
90
60
93
196
(37)
108
48,
26


(40)


230
64
39


112
245
43
64
70
42
73
35
(54)
55
258
43


56
38
19
76
102
37
23
39


39
17
9
147
25
54
99
54
180
64
78
50
55


21
24
85
14
59
16
35
33

17
(39)
(19)
26
63
414
87
28
95
68
88
153
(35)
130
42
22

(34)


8,732
2,434
1,703


4,200
9,142
1,320
2,121
2,811
1,848
2,892
1,202
(2,542)
2,472
7,212
1,475


3,156
1,732
1,017
4,270
4,199
1,494
1,170
2,164


1,261
1,009
816
4,626
1,291
2,374
6,051
2,092
6,233
2,757
3,786
1,888
2,031


1,156
600
4,240
622
3,041
622
1,794
1,438

639
(1,616)
(1,232)
1,469
2,031
18,454
3,575
1,217
3,925
2,317
3,266
7,218
(1,300)
4,813
1,719
1,403

(1,251)


9,248
2,618
1,705


4,398
9,348
1,454
2,224
2,713
1,494
2,894
1,266
(2,647)
2,437
7,147
1,407


3,149
1,748
1,047
4,243
4,181
1,526
1,286
2,246


1,286
1,061
889
4,639
1,421
2,478
6,270
2,141
6,709
2,776
3,779
2,018
2,069


1,154
614
4,412
618
2,894
613
1,814
1,329

625
(1,672)
(1,439)
1,536
2,039
18,761
3,537
1,273
4,102
2,160
3,346
7,335
(1,291)
5,127
1,744
1,527

(1,319)


*Estimate based on average percentage of divisional total.

() Figures shown in parenthesis are from cities which have
been reporting less than five years and hence are not in-
cluded in Table 3.




""ivrallY OF FLORIDA

3ilii2 0I886 0 l0lilA 1111 i111111
3 1262 08864 0015


Morbidity and Mortality Weekly Report


Hepatitis Age Distribution in U. S,

The chart below lists the hepatitis cases above and
below age 20 for individual States since the initiation of
the age reporting the week of April 29 (17th week). Three
sections of the country; New England, Middle Atlantic,
and Pacific, continue to have the highest percentage of
their cases in the adult group.




HEPATITIS CASES BY AGE CUMULATIVE TOTALS
Week 17 through Week 37, 1961

Under 20 Yeaw AgeUn- Percent*
State or Area Total 20 Years and Over specified 20 and Over


NEW ENG.
Maine
New Hampshire
Vermont
Massachusetts
Rhode Island
Connecticut
MID ATLANTIC
New York
New Jersey
Pennsylvania
E.NO.CENTRAL
Ohio
Indiana
Illinois
Michigan
Wisconsin
W. NO. CENTRAL
Minnesota
Iowa
Missouri
North Dakota
South Dakota
Nebraska
Kansas
SO. ATLANTIC
Delaware
Maryland
Dist. of Columbia
Virginia
West Virginia
North Carolina
South Carolina
Georgia
Florida
E. SO. CENTRAL
Kentucky
Tennessee
Alabama
Mississippi
W. SO. CENTRAL
Arkansas
Louisiana
Oklahoma
Texas
MOUNTAIN
Montana
Idaho
Wyoming
Colorado
New Mexico
Arizona
Utah
Nevada
PACIFIC
Washington
Oregon
California
Alaska
Hawal
UNITED STATES


64
90
57
370
94
170

1,490
788
1,092

1,577
761
1,049
1,970
141

496
741
541
66
30
256
290

59
301
45
657
490
685
134
245
742

1,043
1,253
653
480

372
260
126
1,254

104
143
58
496
114
256
202
54

379
527
2,819
199
29
26,312


28
7
24
205
45
62

568
240
468

607
436
470
572


255
460
340
36
18
69
172


201
32
381
361
513
68
162
429

694
914
481

244
140
84
654

66

24
44
59

129

134
255
879
135
4
12,169


36
S7
29
154
44
103

905
548
378

372
299
308
458

198
209
180
29
7
42
117

90
13
215
109
171
29
66
285

150
326
172

128
71
36
496

27

20
31
45

73

166
255
1,169
34
17
8,617


76
4
11
5
5

17


246
598
26
271
940
141

43
72
21
1
5
145
1

59
10

61
20
1
37
17
28

199
13

480

49
6
104

11
143
14
421
10
256

54

79
17
771
30
8
5,526


SOURCE AND NATURE OF MORBIDITY DATA


These provisional data are based on reports to the
Public Health Service from the health departments of
each State and Puerto Rico. They give the total number
of cases of certain communicable diseases reported
during the week usually ended the preceding Saturday.
Total figures for the United States and the Pacific Divi-
sion include data for the States of Alaska and Hawaii.
Cases of anthrax, botulism, and rabies in man are not
shown in table 2, but a footnote to table 1 shows the
States reporting these diseases. When diseases of rare
occurrence are reported by a State (cholera, dengue,
plague, louse-borne relapsing fever, smallpox, louse-
borne epidemic typhus, and yellow lever) this is noted
below table 1.


UNIV OF FL LIB
DOCUMENTS DEPT






LI S- DEPOSITORY


C E
C5
A"' n

orO7
Na r 0






-m
0.

mn


m.:
^h
>M 6a! "


* Percentage based on total cases with age specified

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