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Morbidity and Mortality * PUBLIC HEALTH SERVICE U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Prpgerd y A# the stI C MElrose 4-5131 For release October 13, 1961 Atlanta 22, Georgia Vol. 10, No. 40 Provisional Information on Selected Notifiable Diseases in the United States and on Deaths in Selected Cities for Week Ended October 7, 1961 Poliomyelitis A total of 68 cases of poliomyelitis, 45 paralytic, has been reported for the current week ending October 7. During the previous week, a total of 67 cases, including 36 paralytic, was reported. The low incidence during 1961 compared to previous years is shown in the following table: Polio (Cumulated Weekly) Through 40th Week for Post Five Years 1961 1960 1959 1958 Paralytic 634 1675 4289 1997 Total 983 2420 6657 4139 1957 1688 5103 The poliomyelitis incidence through September is lower for 1961 than for a comparable period in any pre- vious year since 1912 (see graph on page 2). A new concentration of cases has been noted in Newberry County, South Carolina, where 19 cases, 15 paralytic, have occurred this year. Fourteen of the 19 have had onset since September (see Epidemiological Reports). Only 5 of the 14 cases reported from New York State were from the Syracuse area where the tri-county outbreak is diminishing in intensity. The last reported case from this tri-counry area had onset of disease on September 24. Table 1. Cases of Specified Notifiable Diseases: United States (Cumulative totals include revised and delayed reports through previous week) Disease 40th Week Cumulative (Seventh Revision of International Approxl- Lists, 1955) First .0 weeks Since seasonal low week mate Ended Ended seasonal Oct. Oct. Median Median low Weekly incidence low or sporadic 7, 8, .- Median .- i .- i5-6 point Data not available i.I Ci96C. 1i i9 ": 1 to Quantity zero i5 -:." Anthrax---------- ---- ----062 1 6 15 * Botulism----------------------049.1 5 0 * Brucellosis undulantt fever) ----044 6 22 22 .67 619 625 * Diphtheria----------------------055 10 20 29 422 515 575 113 170 187 July 1 Encephalitis, infectious------082 55 40 65 1,272 1,489 1,568 1,272 1,,89 1,568 Jan. 1 Hepatitis, infectious, and serum--------------- 092,N998.5 pt. 1,151 811 318 58,.25 29,461 15,376 5,6015 3,6Q6 1,,-0 Sept. 1 Malaria-------------------- 10-117 2 "4 58 * Measles------------------------- 085 888 1,026 973 389,283 403,895 451,630 3,655 4,015 4 Sept. 1 Meningitis, aseptic----------340 pt. 146 108 --- 2,438 2,292 2,'.38 2 !9 "'-an. 1 Meningococcal infections---------057 39 28 44 1,657 1,688 1,867 1-2 b 1 Polion'elitis--------------------080 68 130 319 983 2,420 5,092 C880i T 10i, Paralytic--------------080.0,080.1 45 102 135 634 1,675 1,679 .57Y /I 2, l7 ,9 A Nonparalytic---------------- 080.2 14 23 123 231 513 2,579 2 /. 87 2,.16 A Unspecified-----------------080.3 9 5 61 118 232 834 1 206 7,2 Ap . Paittacosle---------------- 096.2 1 54 77 * Rabies in an-------------------094 3 2 * Streptococcal sore throat, . including scarlet fever---- 050,051 3,466 3,800 --- 249,976 241,938 -- 30,7 F--- --/ Au .. Typhoid fever--------------------040 14 15 34 613 635 814 4 505 634 Ay Typhus fever, endemic ------------101 4 2 34 55 * Babies in animale--------------- 60 36 71 2,694 2,801 3,475 3,270 .3.T Oc 1 Anthrax I Ohio F -. W, & <)^^ 0-f /C v/u ee Morbidity and Mortality Weekly Report INCIDENCE OF POLIOMYELITIS IN THE UNITED STATES JANUARY- SEPTEMBER, 1912-1961 '20 '25 '30 '35 '40 '45 '50 "'55 '60 YEARS *PRELIMINARY The other New York cases are scattered throughout the State. Pennsylvania this week reported 2 polio cases, one paralytic and one nonparalytic. Of the 7 unspecified cases reported from Erie County, Pennsylvania, last week, only 2 were paralytic while 5 were nonparalytic. Not included in this week's telegraphic report is a late report from New England. A cluster of 4 paralytic and 4 nonparalytic cases has been noted in Windsor County, Vermont, and adjoining Sullivan County, New Hampshire. The cases have all had onsets during Sep- tember. Of the 8 cases, 5 are unvaccinated. Type I polio- virus was isolated from one adult who died. Additional laboratory studies are in progress. Hepatitis The number of hepatitis cases reported in the last week varied little from what had been reported the preceding week. A total of 1,151 cases was reported for the 40th week; there were 1,111 cases reported for the 39th week. The number of cases of hepatitis reported weekly has remained approximately the same since the beginning of July. Diphtheria Ten cases of diphtheria were reported for the last week. This is approximately one-third the median figure reported for the 40th week from 1956 through 1960. Encephalitis The 55 cases of infectious encephalitis reported this last week represent the largest number of cases reported in one week since October 1, 1960, when 60 cases were reported. Twenty-one of the current cases were reported from New York City. It is unlikely that these represent cases of arthropod-borne encephalitis. EPI DEMIOLOGICAL REPORTS Poliomyelitis South Carolina Nineteen cases of poliomyelitis, 15 of which are paralytic, have occurred in Newberry County, South Carolina since June of this year. All but 5 of the cases had onsets of disease after September 1.(see graph page 8). Seventeen of the cases occurred in Negroes and fifteen of the nineteen had no history of having received (Continued on page 8) CASES PER 100,000 1912 15 1912 '15 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 OCTOBER 8, 1960 AND OCTOBER 7, 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 Paralytic 080.0,080.1 gitis, (undu- (Includes cases not specified by type) Nonparalytic aseptic lant Area fever) Cumulative, Cumulative, fever) 40th Week first 40 weeks 40th Week first 40 weeks 080.2 340 pt. 044 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1961 UNIED STATES---------- 68 130 983 2,420 45 102 634 1,675 14 23 146 6 NEW ENGIAND---------------- 3 3 21 196 2 1 17 153 1 2 1 Maine--------------------- 1 1 2 33 1 1 2 33 - New Hampshire-------------- 1- - Vermont------------------- 1 1 4 7 1 4 2 1 - Massachusetts-------------- 1 9 28 8 19 1 1 Rhode Island--------------- 99 76 -- - Connecticut--------------- 1 5 29 3 23 1 - MIDDLE ATLANTIC-------------- 17 30 261 349 11 20 172 254 5 7 2 New York------------------- 14 15 186 196 10 10 120 132 3 2 1 New Jersey---------------- 1 5 33 69 1 26 50 1 4 - Pennsylvania--------------- 2 10 42 84 1 9 26 72 1 1 1 - EAST NORTH CENTRAL----------- 11 21 113 411 10 16 72 245 3 55 1 Ohio----------------------- 1 8 31 99 1 6 17 48 1 2 - Indiana-------------------- 1 2 12 89 1 2 7 67 - Illinois------------------- 3 6 25 123 2 5 12 84 1 36 1 Michigan------------------- 3 4 23 71 3 3 19 37 1 16 - Wisconsin----------------- 3 1 22 29 3 17 9 1 - WEST NORTH CENTRAL----------- 2 8 58 141 7 25 79 2 1 27 4 Minnesota------------------ 5 6 46 4 6 38 1 9 1 Iowa---------------------- 18 21 9 4 12 - Missouri------------------- 1 3 15 29 3 3 20 1 3 - North Dakota--------------- 3 10 3 - South Dakota--------------- 1 4 1 - Nebraska------------------- 1 8 13 4 8 1 1 1 Kansas-------------------- 7 18 3 5 2 2 SOUTH ATLANTIC--------------- 19 37 167 417 16 35 125 321 2 2 19 1 Delaware------------------- 2 1- I. .- Maryland------------------- 1 21 27 93 20 26 86 1 - District of Columbia------- 2 2 1 Virginia------------------- 2 10 23 2 8 21 10 West Virginia-------------- 1 4 23 38 1 4 15 30 3 - North Carolina------------- 3 5 17 74 3 5 10 54 - South Carolina------------- 14 5 29 122 12 4 22 80 2 1 Georgia-------------------- 28 16 21 14 - Florida------------------- 29 51 20 36 5 1 EAST SOUTH CENTRAL----------- 3 7 71 173 4 40 75 3 2 Kentucky------------------ 3 26 93 5 5 - Tennessee------------------ 4 17 34 1 8 24 3 - Alabama-------------------- 1 9 15 1 9 15 1 - Mississippi---------------- 2 19 31 2 18 31 1 WEST SOUTH CENTRAL----------- 8 11 131 234 4 6 68 141 3 5 4 Arkansas------------------- 1' 15 24 1 6 16 - Louisiana------------------ 4 4 44 46 4 1 34 28 3 - Oklahoma------------------- 1 4 14 9 1 - Texas---------------------- 3 6 68. 150 4 28 88 3 2 3 MOUNTAIN--------------------- 1 42 66 1 24 33 3 - Montana-------------------- 3 16 2 12 1 - Idaho---------------------- 14 5 6 1 - Wyoming-------------------- 18 - Colorado------------------- 6 13 6 12 - New Mexico----------------- 3 5 2 2 - Arizona-------------------- 8 4 6 4 - Utah----------------------- 1 8 5 1 4 2 - Nevada--------------------- - PACIFIC---------------------- 5 12 119 433 2 12 91 374 1 33 Washington----------------- 2 3 22 30 3 14 30 4 Oregon-------------------- 14 31 7 17 - California----------------- 3 9 79 363 2 9 66 318 1 29 Alaska ------------ --- 2 -2 - Hawaii--------------------- 4 7 4 7 - Puerto Rico------------------ 8 6 460 8 6 453 - 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 OCTOBER 8, 1960 AND OCTOBER 7, 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. M infectious Measles Area Cumulative, Cumulative, 40th Week first 40 weeks 082 40th Week first 40 weeks 085 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 UNITED STAS ---------- 10 20 422 515 55 40 1,151 811 58,425 29,461 888 1,026 NEW ENGLAND------------------ 1 7 11 2 54 22 1,796 881 114 203 Maine-------------------- 2 1 2 1 115 52 35 6 New Hampshire-------------- 2 1 155 27 4 4 Vermont----------------- 7 182 12 2 9 Massachusetts-------------- 1 6 8 30 9 720 440 59 163 Rhode Island-------------- 1 1 4 7 211 174 7 Connecticut---------------- 1 9 4 413 176 14 14 MIDDLE ATLANTIC-------------- 20 13 25 4 141 89 8,017 3,510 82 118 New York----------------- 7 3 22 1 71 49 3,408 1,907 47 52 New Jersey---------------- 2 3 29 11 1,902 242 17 40 Pennsylvania--------------- 13 8 3 41 29 2,707 1,361 18 26 EAST NORTH CENTRAL------- 15 38 11 15 220 133 11,652 5,303 186 198 Ohio----------------------- 1 16 5 10 80 48 3,915 1,817 11 38 Indiana-------------------- 1 5 2 23 12 1,758 592 19 24 Illinois------------------ 10 6 3 41 39 2,068 1,127 75 20 Michigan--------------- 3 9 3 3 70 29 3,621 1,576 38 40 Wisconsin------------------ 2 6 5 290 191 43 76 WEST NORTH CENTRAL-------- 1 1 37 27 1 2 84 53 5,605 2,055 44 41 Minnesota----------------- 1 24 9 16 9 1,220 257 2 Iowa----------------------- 2 7 33 8 1,655 342 3 2 Missouri------------------- 2 18 15 1,254 742 4 5 North Dakota--------------- 1 3 1 6 126 150 23 33 South Dakota-------------- 6 5 2 4 150 133 2 Nebraska------------------ 2 1 6 6 574 217 10 1 Kansas--------------------- 2 1 11 5 626 214 NN NN SOUTH ATLANTIC--------------- 5 10 95 164 9 5 205 85 7,316 3,416 52 115 Delaware------------------- 3 4 172 205 Maryland ------------------ 1 1 3 1 5 7 653 349 7 8 District of Columbia------- 2 15 108 42 2 1 Virginia------------------ 5 15 26 3 1 51 6 1,175 652 22 10 West Virginia-------------- 1 4 17 16 1,349 638 13 14 North Carolina------------- 7 8 3 3 68 9 1,613 306 1 78 South Carolina------------- 1 1 9 46 16 2 388 54 1 - Georgia------------------- 1 2 25 26 6 10 637 230 - Florida------------- 3 2 35 53 24 31 1,221 940 6 4 EAST SOUTH CENTRAL------- 2 36 52 2 2 141 115 8,757 4,219 34 75 Kentucky----------------- 9 2 53 29 2,603 1,534 2 47 Tennessee------------------ 3 7 1 2 39 44 3,438 1,375 30 24 Alabama-------------------- 1 19 24 19 26 1,513 916 2 3 Mississippi---------------- 1 5 19 1 30 16 1,203 394 1 WEST SOUTH CENTRAL---------- 2 6 196 174 3 5 69 59 4,263 2,340 126 62 Arkansas------------------- 2 4 14 2 10 4 832 123 - Louisiana-------------- 23 34 9 4 458 131 - Oklahoma------------------- 1 8 17 1 1 5 3 286 288 - Texas-- ----------- 2 3 161 109 4 45 48 2,687 1,798 126 62 MOUNTAIN--------------------- 2 10 35 1 2 52 47 3,482 2,336 61 70 Montana-------------------- 2 3 1 2 1 307 109 29 8 Idaho--------------------- 11 5 2 258 265 4 5 Wyoming---------------- 5 136 23 8 Colorado------------------- 4 3 13 22 1,173 852 5 7 New Mexico-------------- 2 3 4 1 380 274 NN - Arizona-------------------- 3 1 1 22 9 548 525 15 10 Utah--------------------- 6 5 10 557 208 7 23 Nevada-------------------- 1 4 3 123 80 1 9 PACIFIC--------------------- 6 1 3 3 185 208 7,537 5,401 189 144 Washington---------------- 18 29 860 622 24 39 Oregon----------------- 24 22 1,160 878 39 48 California----------- --- 2 3 3 118 153 5,105 3,660 60 57 Alaska--------------------- 4 1 20 4 355 166 63 - Hawaii------------------- 5 57 75 3 - Puerto Rico--- ----------- 2 1 52 113 21 9 780 615 60 9 NN-Not otifitable 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 OCTOBER 8, 1960 AND OCTOBER 7, 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 Menlngoccocal Psitta- Malaria Meinoccocl sit- sore fever, Rabies in infections cosis throat, endemic a in throat, endemic animals Area etc. Cumulative, 110-117 057 096.2 050,051 40th Week first 40 weeks 101 1961 1961 1960 1961 1961 1961 1960 1961 1960 1961 1961 1960 UITED STATES-------- 39 28 3,466 14 15 613 635 4 60 36 NEW ENGLAND------------ --- 1 3 148 18 8 - Maine---------------------- 2 1 2 New Hampshire------------- - Vermont ----------------- 25 - Massachusetts-------------- 3 19 12 3 Rhode Island--------------- 4 2- Connecticut--------------- 1 93 3 3 MIDDIE ATANTIC------- ------ 4 3 87 2 2 72 45 4 5 New York------------------ 2 2 49 1 1 36 30 4 5 New Jersey----------------- 21 1 17 2 - Pennsylvania--------------- 2 1 17 1 19 13 - EAST NORTH CENTRAL----------- 9 10 251 2 2 79 84 4 4 Ohio---------------------- 3 36 1 26 23 1 2 Indiana-------------------- 1 102 1 19 22 2 Illinois------------------- 1 1 27 1 26 21 1 2 Michigan------------------- 7 5 40 1 5 13 Wisconsin------------------ 1 46 3 5 - WEST NORTH CENTRAL--------- 6 2 167 32 36 1 19 5 Minnesota------------------ 1 1 11 5 1 4 Iowa----------------------- 42 2 6 6 5 Missouri------------------ -- 2 19 21 1 5 North Dakota--------------- 4 75 1 3 - South Dakota-------------- 3 3 - Nebraska------------------- 1 1 2 - Kansas-------------------- 37 2 2 1 - SOUTH ATLANTIC-------------- -- 4 1 254 5 3 101 97 5 11 Delaware------------------ 1 1 1 1 - Maryland------------------ 1 2 5 - District of Columbia------- 1 10 7 - Virginia----------------- 55 2 17 22 5 West Virginia-------------- 2 86 9 9 1 2 North Carolina------------- 1 17 14 8 1 - South Carolina------------- 13 1 8 12 - Georgia-------------------- 3 1 29 22 1 - Florida------------------- 80 1 11 11 2 4 AST SUT CENTRAL--------- 3 1 620 1 4 63 94 3 4 Kentucky--------------- 2 35 1 14 19 1 - Tennessee------------------ 1 539 3 40 53 1 2 Alabama------------------- 5 1 7 17 1 2 Mississippi-------------- 1 41 2 5 - WEST SOUTH CENTRAL----------- 1 1 688 2 3 136 179 2 22 6 Arkansas------------------- 1 1 23 41 10 2 Louisiana-------------- 3 1 1 21 56 - klahoma---------------- 4 12 12 1 Texas---------------------- 1 1 681 1 80 70 2 12 3 MOUNAINU--------------------- -- 4 746 1 53 35 - Montana------------------- 16 16 9 - Idaho---------------------- 59 1 3 - Wyoming------------------- 73 3 4 - Colorado------------------- 2 239 6 1 - New Mexico----------------- 163 1 15 8 - Arizona------------------ 1 111 6 9 - Utah----------------------- 83 2 1 - Nevada--------------------- 1 2 - PACIFIC--------------------- 7 7 505 1 1 59 57 1 3 1 Washington---------------- 1 3 197 7 5 - Oregon------------------ I 18 1 8 - California----------------- 5 3 186 1 1 51 43 1 3 1 Alaska--------------------- 1 62 1 - Hawaii-------------- 42 - Puerto Rico---------- --- 3 1 18 18 2 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 DIVBIONS (By place of occurrence and weekof filing certificate. Excludes fetal deaths. Data exclude figures shown in parentheses in table 4) 40th 39th PeJcent Cumulative, first 40 veeks week week AJuted change, ended ended average, adjusted Area 40th average Oct. Sept. week to 1961 1960 Percent 1961 1961 week 1961 1961 1956-60 euant chbane week TOTAL, 117 REPORBIM CITIES---------------------- 10,769 10,919 10,939 -1.6 457,002 460,215 -0.7 New England-------------------------------(14 cities) 655 703 658 -0.5 28,042 28,809 -2.7 Middle Atlantic---------------------------(20 cities) 3,080 2,959 3,032 +1.6 130,198 127,435 +2.2 East North Central----------------------(21 cities) 2,24,* 2,328 2,336 -3.9 97,615 99,622 -2.0 West North Central------------------------ (9 cities) 751 759 763 -1.6 31,167 31,991 -2.6 South Atlantic---------------------------- (U cities) 865 976 918 -5.8 39,419 39,448 -0.1 East South Central--------------------------(8 cities) 515* 513 498 +3.4 20,735 20,896 -0.8 West South Central------------------------(13 cities) 997 904 978 +1.9 39,150 40,273 -2.8 Mountain----------------------------------(8 cities) 338 381 350 -3.4 14,589 14,399 +1.3 Pacific--------------------------------. (13 cities) 1,324 1,396 1,406 -5.8 56,087 57,342 -2.2 *Includes estimate for missing reports. NUMBER OF DEATHS IN rI I IT I II IT I I I T I l IT IL T T l T I IT l T I T II JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Morbidity and Mortality Weekly Report 7 Table 4. DEATHS IN SELECTED CITIES (By place of occurrence and week of filing certificate. Excludes fetal deaths) 40th 39th Cumulative, 4th 39th Cumulative, week week week week ended ended first 40 weeks ened ended first 40 weeks ended ended A ended ended Area Oct. Sept. a Oct. Sept. 7, 30, 7 30, 1961 1961 1961 1960 1961 1961 1961 1960 I1 I______________ I___ H___ I I EF :1 JEW 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, Chio---------- Columbus, Ohio----------- Dayton, Ohio------------ Detroit, Mich.----------- Evansville, Ind.-------- Flint, Mich.------------ Fort Wayne, Ind.--------- Gary, Ind.-------------- Grand Rapids, Mich.----- Indianapolis, Ind.------- Madison, Wisa.-------- 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.----------- 237 31 31 29 46 18 19 29 44 60 5 41 21 44 47 34 132 44 25 40 63 111 1,577 45 424 209 25 86 20 33 61 50 30 24 45 30 679 149 198 101 65* 293 34 40 35 27 38* 122 32 106 22 41 31 96 60 60 19 40 124 (31) 105 63 247 41 24 25 40 31 23 21 41 70 11 37 23 69 52 36 146 38 25 38 53 113 1,490 27 419 179 23 110 27 31 44 56 21 31 62 33 717 149 181 125 55 314 35 45 26 28 37 123 32 128 41 32 25 93 47 56 25 42 117 (32) 138 58 9,646 1,529 1,159 1,075 1,906 971 869 1,036 1,825 2,492 516 1,765 1,062 2,191 1,827 1,381 5,843 1,707 1,169 1,566 2,751 4,050 66,371 1,553 20,408 7,637 928 4,034 958 1,411 2,433 1,815 1,122 1,234 2,280 1,232 29,571 6,231 8,075 4,572 3,191 13,276 1,448 1,703 1,520 1,212 1,785 5,647 1,314 4,896 1,135 1,137 1,146 3,932 2,312 2,158 1,031 1,493 5,104 (1,114) 4,756 2,756 10,051 1,636 1,250 1,124 1,936 951 966 977 1,793 2,551 536 1,792 1,085 2,161 1,731 1,387 5,792 1,688 -1,168 1,547 2,856 3,889 64,821 1,521 19,592 7,673 948 3,989 950 1,497 2,446 1,630 1,082 1,228 2,282 1,376 30,756 6,323 8,395 4,723 2,991 13,573 1,462 1,595 1,472 1,246 1,647 5,847 1,263 5,002 1,214 1,135 1,155 3,969 2,196 2,184 1,014 1,397 5,013 (1,047) 4,987 2,940 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: Birmingham, 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.------------- 231 61 48 121 213 40 44 56 45 75 31 (53) 39 170 31 77 52 39 112* 113 43 33 46 31 28 29 118 44 94 143 43 168 72 93 49 85 33 26 104 15 67 19 43 31 16 (50) (34) 42 77 458 92 31 105 61 81 152 (47) 123 52 34 (33) 198 65 60 107 234 40 70 66 48 59 39 (48) 61 212 40 79 44 23 134 103 46 36 48 37 21 9 116 33 63 179 62 168 55 94 39 28 32 24 146 13 73 19 49 25 14 (28) (31) 52 62 470 82 38 109 59 89 195 (27) 131 48 47 (26) S _________ A __________ 9,375 2,629 1,865 4,514 9,802 1,427 2,285 3,011 1,985 3,080 1,310 (2,701) 2,630 7,790 1,585 3,402 1,879 1,118 4,602 4,515 1,626 1,282 2,311 1,362 1,088 876 4,991 1,410 2,589 6,595 2,261 6,730 2,965 4,072 2,015 2,196 1,247 658 4,606 665 3,275 676 1,934 1,528 689 (1,729) (1,327) 1,607 2,214 19,813 3,838 1,325 4,270 2,475 3,529 7,747 (1,401) 5,175 1,878 1,527 (1,344) 9,846 2,764 1,846 4,708 10,040 1,568 2,365 2,899 1,602 3,108 1,351 (2,826) 2,612 7,690 1,505 3,377 1,893 1,125 4,592 4,472 1,656 1,387 2,394 1,374 1,152 939 4,962 1,533 2,680 6,765 2,302 7,169 2,975 4,031 2,169 2,222 1,222 666 4,764 660 3,073 657 1,935 1,422 676 (1,747) (1,538) 1,650 2,180 20,196 3,838 1,376 4,444 2,324 3,639 7,940 (1,380) 5,531 1,903 1,645 (1,422) *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. i 3 1262 08863 9728IIIIIIII 3 1262 08863 9728 Morbidity and Mortality Weekly Report polio immunizations. The age distribution of the cases is shown below: Age Group 0-4 5-9 10 14 15 No. Cases 5 9 4 1 The one death has occurred in a nine year old Negro girl who had not received polio immunizations. Type III poliovirus was isolated from the first seven cases. Newberry County has a Negro population of 10,434 and a White population of 18,982. Since August, 15,000 doses of inactivated vaccine have been given. Intensified control efforts are continuing. No. of Cases 3 2- 'I- POLIOMYELITIS NEWBERRY CO., S. C. June 3 October 7 F nH77 I June. July Aug. I Sept. I Oct. QUARANTINE MEASURES Immunization Information for International Travel 1960 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 Idaho Twin Falls Center South Central District Health Department 309 2nd Avenue, East Tel. REdwood 3-6711 Clinic Hours Tuesday 8:30 a.m. - 4:30 p.m. 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 I 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 fellow fever) this is noted below table 1. DNIV OF FL LIB - DOCUMIENTS DEPT US DEPOSITORY C- W "!! ' a ) .z a" e 2 z F g 0 r Z 'Z mn Travel to the Congo The Congolese Government, as a result of wide- spread smallpox in the country, is requiring certificates showing 1961 smallpox vaccination for all travelers to and from the Congo. t=t ;a I ' ,r P F |