Morbidity and mortality

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
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F