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ESAP. ;/z Morbidity and Mortality U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE Prepared by the MElrose 4-5131 For release April 13, 1962 ATLANTA 22. GEORGIA Vol. 11, Io. 14 PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON DEATHS IN SELECTED CITIES FOR WEEK ENDED APRIL ', 1962 POLIOMYELITIS Four paralytic cases were reported for the week ending 4/7/62, compared to nine cases for the corresponding week in 1961. One case (New York) is a delayed report with onset in 1961. One case from Minnesota and one from Connecticut are the first to be re- ported from these States in 1962. The case in Minnesota occurred in an 8-year-old white male with onset on March 22; he had received three injections of Salk vaccine pre- viously. The case in Connecticut was in a 1%-year-old white female, who had received four injections of Salk vaccine and had onset of disease on March 18, 1962. Lab HEPATITIS Viral hepatitis cases reported for the week ending 4/7/62 totaled 1,235 cases. Comparative figures for the past five years are shown below: Hepatitis (Cumulative Totals) for the Past Five Years 1962 Weeks 9-14 7,431 Weeks 1-14 19,230 1961 11,680 25,012 1960 4,849 10,731 1959 3,144 7,536 1958 1,981 4,736 INFLUENZA With the waning of the epidemic of In- fluenza B in the United States, interest centers on oratory studies are in progress. I luenza A2 (Asian) throughout the world. Five European One paralytic case is reported from Texas ies have reported outbreaks of Asian influenza this JIP 1962 Table I. CASES OF S C IED NOTIFIAB DISEASES L'NITED STATES (Cumulative totals in ~ vised and delay re rts through previous week) '-Ath WspOW 0 __ Cumulative Disease Ended E ed ian First 14th weeks April 7, Mpli 1957 1961 ed tan 1962 1961 1962 1961 1957 1961 Aseptic meningitis............... 30 34 --- 235 324 -- Brucellosis ..................... 13 14 14 90 148 183 Diphtheria...................... 7 13 14 141 213 236 Encephalitis, infectious .......... 35 19 29 376 361 347 Hepatitis, infectious and serum.. 1,235 1,986 448 19,230 25,012 7,536 Measles ........................ 22,077 15,126 19,197 193,168 166,302 184,278 Meningococcal infections ......... 50 55 55 722 708 799 Poliomyelitis, total .............. 4 9 18 80 112 233 Paralytic.................... 4 9 10 54 69 130 Nonparalytic..................- 4 10 25 69 Unspecified. ................. 4 16 18 34 Streptococcal sore throat and Scarlet fever ............ 8,538 9,021 --- 123,432 133,336.. Tetanus ................... .....- --- 31 Tularemia ..................... 11 --- --- 76 Typhoid fever ................... 5 15 13 106 128 140 Typhus fever, tick-borne, (Rocky Mountain spotted) ...... 1 --- --- 4 Rabies in Animals............... 101 93 93 1,109 943 1,178 Table 2 NOTIFIABLE DISEASES OF LOW FREQUENCY Anthrax: Mass. 1 Psittacosis: Conn. 1 Botulism: Rabies in Man- Malaria: Smallpox- Plague: Typhus, marine: Tenn. 1, Ga. 2, Tex. 1 :/yy. 0 Morbidity and Mortality Weekly Report REPORTED MALARIA MORBIDITY AND MORTALITY IN THE UNITED STATES 1932- 1961 TVA MALARIA CONTROL PROGRAM WaIr monglmen, ntorvoal,and onlimngrial WPA MALARIA CONTROL DRAINAGE PROGRAM 200.000 --WAR AREAS PROGRAM To p military tfroinees fm mIaldroe-onhlarMt mnwoa 100000_ _E( -TEND EC PROG.." _-- 0 0.00O' t 4ma 4 Tdiorr lro 'llj IWM DDO __"__00 s P-1 W.."' aP 0-2 1- - 0,000 _____ss ___o MALARIA ERADICATION PROGRAM OVne ,*I 0 0~_sDDT _;d tr.0atm.l 20,000- ALARA SURVEILLANCE CAS ES AND PREVENTION SmO PRIMAOUINE Trtetment of Sf.cprmen- S...0on ftrnports returning hfromn 0 _i-'m _L malaftous ar 600- DEATHS 1 I I . YEARS OF v-/u. sT-s.ls *IN SUCCEEDING YEARS STARTING WITH 1958 THE TOTAL REPORTED DEATHS WERE AS FOLLOWS: 1958-0 1959-1 1960-0 1961-1 winter. In the Far East, Japan and South Korea re- port substantial outbreaks. Although the United States has not had any known epidemics, there have been re- ports of serologic titer rises to the Asian virus in the following States: California, Missouri, and Oregon. The number of pneumonia and influenza deaths in 108 United States cities does not exceed expected levels this week. The East South Central States alone exceeded expected levels. EPIDEMIOLOGICAL REPORTS Food-Borne Salmonellosis Outbreaks A total of 20 reports ot salmonellosis outbreaks were received from 8 States during 1961. A line listing of the outbreaks is included on Page 112. Five of these were associated with poultry, and one each with roast beef, creamed carrots, cheese pudding and fish. Eggs were implicated as the source of infection in two outbreaks, one involving homemade ice cream and the other eclairs made at a commercial bakery. A commercial salad dressing preparation accounted for four outbreaks of salmonellosis in two States (See MMWR, Vol. 10, No. 30). In five outbreaks, the food vehicle could not be determined; however, salmonella were recovered from affected persons. Salmonella typhimurium was isolated in 10 outbreaks; in one of these Salmonella java was also recovered. Salmonella infants was isolated in two outbreaks and S. oranienburg, S. thompson, S. enteritidis, S. montevideo, S. java, S. heidelberg, and S. blockley in one outbreak each. Malaria Surveillance United States 1961 In 1961, reports on 85 cases of malaria were received from 25 States, the District of Columbia, and the military services. Table 1, page 107 presents the cases according to geographic distribution and classification. Analysis of the 85 cases reveals that 72 were re- ported as "confirmed" on the basis of a positive blood smear. The remaining 13 cases were classified as pre- sumptive; in these, clinical and epidemiological evidence suggested malaria but confirmation by blood film was lacking. Plasmodium vivax was diagnosed in 60 cases; Plasmodium falciparum in 11 cases; and Plasmodium malariae in 3. The type of parasite was not identified in the remaining 11 cases. Five of the cases were classified as indigenously acquired and two were reported as recurrences of pre- vious infections. Blood transfusions are believed to be the vehicle for infection in one of the indigenous cases. In one other indigenous case occurring in a drug addict, a contaminated needle and syringe was believed to be the source of infection. Despite a number of epidemiologi- cal studies the source of infection in the remaining in- digenously acquired cases could not be determined. Seventy-eight of the 85 cases reported were of foreign origin. Thirty-three of these were in civilians, 26 of whom were Americans traveling abroad and 7 were visitors to this country. Forty-five of the cases of foreign origin occurred in military personnel who had been stationed overseas. One death was reported as directly attributable to malaria. 106 1o~4 5s1 .SSI Is.o .9.1 Morbidity and Mortality Weekly Report MALARIA SURVEILLANCE UNITED STATES 1961 ORIGIN Sta ce No. Con- Pre- Fseign Count Indigenous Cases firmed sumptive Military Civilian Visitor Arizona 1 1 1 Callforn. I 14 14 5 6 2 1 Connmaticut 1 1 1 Dl...l 1 1 1 Delcnaa i I I D.C. 1 1 1* Florida 6 6 2 4 G.orgio 4 1 3 oHawai 2 1 1 2 Illlnoi. 1 1 1 Kano. 1 I 1 Kemlatky 4 3 1 4 Main. I I 1 Maryland 4 4 3 1 Maos. 8 6 2 6 2 Mfchigan. 1 1 New Jrey I 1 1 Now Meilca 2 1 1 2 Nw York City 6 4 2 1 5 N. Carolina 7 6 1 7 Oregon 1 Ponn. 4 2 2 2 2 S. Dakota 1 1 1 Tannose.. 2 2 2 Tioas B 7 1 6 1 Virginio 1 1 1 Waihingron 2 2 2 TOTALS 15 72 13 45 26 7 7 SStot, not r.portlng .ases or not listed. SInfertion bellved acquired via blood transfusion. * Infection believed acquired via contaminated hypodennic needle (drug addict}). The reported malaria morbidity and mortality in the United States from 1932 through 1961 is depicted in Figure 1, page 106. The morbidity curve for the past four years approaches a straight line and reflects disease acquired almost exclusively outside the United States. Malaria remains a major health problem in many parts of of the world. Increasing contact with such areas, both of U. S. military and civilian populations, may maintain the morbidity curve at its present level, with minor fluctua- tions, depending on the progress of eradication throughout the world. (Case reports included in the Malaria Surveillance Sum- mary for 1961 were submitted by State Health Departments and the military services. To facilitate reporting National Malaria Surveillance Report forms are available from the Surveillance Section, Communicable Disease Center. In addition a National Malaria Depository is maintained at CDC under the direction of the Chief, Microbiology Section, CDC. Blood smears may be submitted either with the Surveillance Form or may be mailed directly to the National Malaria Depository, Communicable Disease Center, Atlanta 22, Ga.) SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS The average weekly excess number of pneumonia- influenza deaths in 108 U. S. cities during the fourth four-week period of this year ending April 7 showed a decline as compared with the comparable figure for the third four-week period of this year. The average weekly excess of 71 pneumonia-influenza deaths is less than half the average weekly excess of 148 reported during the the comparable period of the Influenza A2 epidemic of 1960. PNEUMONIA-INFLUENZA DEATHS IN 108 CITIES 3/17 3/24 3/31 4/7 Total Average Observed 627 560 572 534 2293 573 Expected 513 506 498 489 2 006 502 Excess 114 54 74 45 287 71 PNEUMONIA-INFLUENZA DEATHS IN 108 U.S. CITIES Average number per week by four-week periods 000 INFLUENZA A9 000 700 -_ -- 600 0 5000 "EXPECTED\ NUMBER 400 300 li____ 111 Il__lIl_ I___l___ I I DEATHS*v^ 4 .; ; ;:;;; .- - PERMIOo MmER I O a I I 1v E 1C960Co ....1i O961, i *BW PLACE OF OCCURRECEw *CAULTD ROM ,1954-4o EXPEIEnE 7 S3 13 1962 1963 (See Table, page 111). 107 NUMBER OF DEATHS RECORDED / DFATHSi (See Table, page III). r VV 108 Morbidity and iMorlality Weekly Report T.ihl 3 CASES OF SPE(.IFIED NOTIFIABLE DISEASES UNITED STATES FOR EEK., ENDED APRIL 8, 1961 AND APRIL 7, 1962 SI Pol omyelit s, Aseptic Pll0omi.E1itt T tal Ca:se Polimyelicis, Paralytic Nonparalytic Meningitis LrITED 3TATES...... NTEW E;ij LAiND .............. i. L l n-E ................. DC hamp hi re......... rmr. .......... . Rh-ode lar-n .......... -. f.n : Ct1Ci u............. MIDDLE ATLANTIC .......... D!,' YIr .............. JE ,, J rsF. . . PNnnsyl.,anta ZTA T r:ORTH CEINTRAL....... Oh .... .............. IndJLna ............... Il inoois .............. Hichi gan.............. WISConsi in......... ... WEST NORTH CENTRAL ....... rlionere' a ..... ....... Ic a................... i5OiT ATLANTIC.......... MIar 3nd ............. District of Columrbia.. VL rC inrir... ........... North Carolin ....... Cc -rgu a ... ....... .... F1 r ida.............. .. EAiT SOUTH CENITRAL....... KEn tuc ... . . Kenreck ............. Alabama. .............. llssi s tppi........... ;E:A SOUTh CEiTRAL ..... . Arkanss.............. , Loui: Sa na............. Ol.1aham a.............. TIr a .............. .... MI'OL';T iAI N ............. . flaoradon................ ArLonr~ ............. tI ah... ........ .... .. NLvadh ....... ......... PACIFI................... Warhinznai............. Or g nn. .............. . Alaska ................ H a a ................ Cumulat ive' Cumularive 14th week First 14 weeks 14th week First 14 weeks 14th week 14th week 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 1962 1961 4 9 80 112 4 9 54 69 30 34 1 1 3 1 1 3 1 1 1- -1 1 1- - 2 2 - I 1 1 1 I I - 1 30 6 1 17 5 1 1 30 3 1 17 2 - 2 2 1 1 1 9 16 6 10 3 14 4 8 4 4 1 4 1 2 1 - 1 3 3 2 3 -1 I 7 3 1 1 3 1 6 2 1 3 2 2 1 1 1 1 1 1 1 1 1 3 2 - 1 I - 2 5 12 2 5 8 2 1 2 1 2 - S 1 1 1 2 - 1 1 3 1 2 - 1 3 14 2 3 3 -- - 1 1 2 1 2 1 S 1 14 14 1 1 12 - 1 3 14 1 2 3 3 I 10 10 1 1 8 4 2 3 5 15 3 9 2 1 2 1 1 1 - 1 2 2 1 2 1 1 1 1 14 14 1 1 12 6 2 4 5 7 30 14 1 1 1 10 10 1 1 8 4 1 2 3 5 15 3 9 2 1 2 1 1 1 - 3 3 2 1 1 - 2 2 2 1 - 4 6 26 4 4 20 13 7 I 1 1 1 1 -- Pui r Rico.............. -- 2 2 -- 2 2 -- -- Morbidity and Mortality Weekly Report 109 Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED APRIL 8, 1961 AND APRIL 7, 1962 (Continued) Brucellosis Diphtheria Encephalitis, Hepatitis, Measles Infectious Infectious and serum Area Cuu- Cumq- 14th week lative lative Under 20 & 14th week 14 weeks 14th week 14 weeks 14th week 20 yr. over Total Total 14th week 1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961 UNITED STATES...... 13 90 7 141 35 19 677 461 1,235 1,986 22,077 15,126 EW ENGAND................ 1 3 31 24 55 49 2,914 1,418 Maine ............... 12 9 21 2 205 23 New Hampshire......... 1 1 2 1 4E 82 Vermont ............... 1 1 2 4 87 38 Massachusetts......... 1 2 15 11 26 20 1,478 728 Rhode Island.......... 1 1 2 3 3 119 300 Connecticut........... 1 1 19 977 247 MIDDLE ATLANTIC.......... 1 2 2 8 3 96 109 205 254 4,798 2,730 New York.............. 2 3 2 31 52 83 107 2,561 1,089 New Jersey........... 1 33 29 62 73 1,808 640 Pennsylvania.......... 1 2 5 32 28 60 74 429 1,001 EAST NORTH CENTRAL...... 4 24 3 3 1 161 77 244 390 2,428 4,360 Ohio.................. 48 26 75 142 486 812 Indiana............... 2 1 19 4 26 96 385 150 Illinois.............. 3 19 35 13 48 59 576 525 Michigan.............. 1 1 2 1 1 56 31 87 84 729 1,162 Wisconsin ............. 2 2 3 3 8 9 252 1,711 WEST NORTH CENTRAL....... 4 41 1 26 2 50 29 90 180 526 694 Minnesota............. 4 9 11 5 18 49 28 8 Iowa ................. 3 21 1 17 6 30 75 393 435 Missouri................- 1 11 7 19 16 26 138 North Dakota.......... 1 4 3 7 2 63 113 South Dakota........... 1 1 4 2 2 5 13 - Nebraska........ .... 6 11 2 3 21 3 - Kansas ................ 1 7 1 1 5 6 11 12 NN NN SOUTH ATIANTIC.......... 6 2 27 7 3 111 62 178 369 1,334 1,624 Delaware.............. 4 5 47 Maryland .............. 2 5 14 19 18 104 147 District of Columbia.. 1 3 3 6 67 6 Virginia .............. 1 4 2 17 9 30 48 427 472 West Virginia........... 1 1 15 3 18 132 389 275 North Carolina........ 2 4 52 20 72 49 88 224 South Carolina........ .- 2 5 3 8 11 53 99 Georgia............... 2 4 4 2 6 65 31 13 Florida............... 1 1 11 3 2 13 8 22 36 170 341 EAST SOUTH CENTRAL....... 1 4 3 11 2 108 35 144 327 1,533 967 Kentucky.............. 43 18 62 85 136 206 Tennessee............. 2 4 1 45 6 51 145 1,132 556 Alabama............... 1 3 8 3 11 50 113 113 Mississippi.......... 1 1 3 4 1 12 8 20 47 152 92 WEST SOUTH CENTRAL....... 6 1 55 4 53 35 95 155 3,973 568 Arkansas .............. 9 5 14 32 31 37 Louisiana.............. 1 7 11 4 15 10 11 - Oklahoma.............. .- 3 4 6 9 126 6 Texas................. 5 1 44 3 29 26 60 104 3,805 525 MOUNTAIN................ 2 7 12 11 56 98 880 967 Montana............... 6 4 4 4 15 242 71 Idaho................. 6 4 28 51 Wyoming............... 4 4 5 6 126 Colorado.............. 1 1 1 15 23 305 147 New Mexico............ 1 1 4 5 7 NN NN Arizona............... 14 22 230 510 Utah.................. 1 2 2 4 11 69 38 Nevada ................ 11 24 PACIFIC ................. 3 5 10 12 5 55 79 168 164 3,691 1,798 Washington............ 1 9 14 30 20 1,216 207 Oregon ................ 1 1 6 10 20 28 655 177 California ............ 2 4 5 11 5 40 55 101 116 1,754 1,401 Alaska................ .- 5 17 18 5 Hawaii................. 48 8 Puerto Rico.............. -- 11 --- -- -- 31 --- 19 110 Morbidity and Mortality Weekly Report Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED APRIL 8, 1961 AND APRIL 7, 1962 (Continued) Meningococal Streptococcal Tickborne Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals Scarlet Fever (Rcky Mt. Area Cumu- Spotted) Cumu- Cumu- lative lative lative 14th Wk. 14 weeks 14th week 14th wk. 14th wk. 14th wk. 14th wk. 14 weeks 14th week 14weeks 1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962 UNITED STATES.... 50 722 8,538 9,021 1 11 5 106 101 93 1,109 NEW ENGLAND......... 5 47 598 742 1 3 - Maine.............. 6 22 42 1 - New Hampshire ..... 3 1 20 - Vermont............. 2 40 28 - Massachusetts...... 3 18 114 297 1 2 - Rhode Island....... 4 51 38 - Connecticut........ 2 14 370 317 - MIDDLE ATLANTIC..... 5 109 602 1,193 12 2 26 New York.............. 2 51 329 745 6 2 16 New Jersey......... 2 26 102 218 4 Pennsylvania....... 1 32 171 230 2 10 EAST NORTH CENTRAL.. 15 156 1,159 1,228 3 2 14 41 7 189 Ohio............... 3 46 97 361 2 6 29 3 79 Indiana............ 2 16 111 133 8 1 78 Illinois............ 2 23 249 234 1 3 2 17 Michigan........... 5 59 468 304 3 2 3 9 Wisconsin.......... 3 12 234 196 2 2 6 WEST NORTH CENTRAL.. 1 33 280 300 3 6 20 10 326 Minnesota.......... 1 4 33 12 4 1 56 Iowa............... 6 98 77 9 6 145 Missouri........... 9 10 18 1 5 4 56 North Dakota........ 2 42 131 1 26 South Dakota....... 1 4 --- 2 1 39 Nebraska........... 5 2 1 2 3 Kansas............. 6 93 60 2 1 SOUTH ATANTIC..... 7 113 739 742 1 3 15 4 22 90 Delaware........... 1 13 17 7 - Maryland........... 4 23 68 1 2 1 Dist. of Columbia.. 6 7 2 2 - Virginia........... 22 247 215 3 3 15 47 West Virginia...... 1 9 152 227 1 1 5 26 North Carolina..... 4 32 32 42 - South Carolina..... 6 102 25 1 - Georgia............ 6 7 3 3 3 I Florida............ 1 15 152 153 3 1 15 EAST SOUTH CENTRAL.. 4 49 1,107 1,639 I 9 9 17 157 Kentucky........... I 12 104 349 2 3 4 42 Tennessee.......... 19 893 1,242 4 5 11 109 Alabama............ 1 10 10 8 1 3 1 2 6 Mississippi........ 2 8 100 40 - WEST SOUTH CENTRAL.. 4 68 739 1,189 1 2 35 18 31 233 Arkansas........... 8 2 6 1 1 4 2 8 36 Louisiana.......... 1 28 5 8 11 5 10 Oklahoma............. 4 24 7 3 7 Texas.............. 3 28 708 1,168 1 17 16 18 180 rMIOLNTAIN ............ 1 22 1,525 1,173 6 1 11 Montana............ 3 59 91 1 - Idaho.............. 3 175 88 - Wyoming............ 2 117 21 2 - Colorado............ 4 639 322 - Niew MExico.......... 205 306 2 5 Arizona............ 1 7 238 170 -1 1 6 Utah............... 92 164 - Nevada............. 3 11 - PACIFIC............. 8 125 1,789 815 6 7 5 77 Washington......... 2 13 555 254 - Oregon............. 1 13 44 89 - California......... 5 95 1,013 439 6 7 5 77 Alaska............. 4 140 27 - Hauai i............. 37 6 - Puerto Rico......... --- 4 -- 4 --- -- -- --- -- 6 Morbidity and Mortality Weekly Report 111 Table 4 (B) REPORTED PNEL MIONIA INFLUENZA DEATHS IN RIPORTIN(, CITIES (Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period.0 For weeks ending For weeks ending Area 3/24 3/31 Area 17 3/ 3/17 3/24 3/31 4/7 3/17 3/24 3/31 4/7 NEW ENILAD: Boston, Ma3s.............. Bridgeport, Conn.......... Cambridge, Mass........... Fall PRlv r, Mass.......... Hartford, Conn............ Lowell, 3s .............. Lynn, ai-3................ New Bedfora, Mass......... New Haven, Conn........... Providren e, 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.......... ScranEon, 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, Il1............. South Bend, Ind ......... Toledo, Ohio............. Youngstown, Ohio......... WEST NORTH CENTRAL: Des Moines, Iowa.......... Duluth, Minn.............. Kansas City, Kans....... Kansas City, Mo........... Lincoln, Nlebr............. Minneapolis, Minn......... Omaha, Nebr............... St. Louis, Mo............. St. Paul, Minn............ Wichita, Kans............. 14 3 0 0 1 1 1 0 5 1 0 6 0 6 4 0 6 1 1 4 3 6 68 5 24 14 1 8 0 3 1 5 7 5 2 0 40 6 11 8 1 17 1 1 1 5 3 2 2 2 1 0 5 5 0 3 1 2 1 2 2 2 8 0 3 SOUTH ATLANTIC: Atlanta, Ga............... 5 6 4 4 Baltimore, Md............ 9 9 6 8 Charlotte, N.C............ 1 0 1 1 Jacksonville, Fla........ 4 2 1 3 Miami, Fla............... 0 1 4 1 Norfolk, Va.............. 10 2 8 5 Richmond, Va............. 2 2 4 3 Savannah, Ga............. 3 2 3 2 St. Petersburg, Fla...... 2 4 7 3 Tampa, Fla............... 2 3 1 6 Washington, D.C.......... 10 6 13 11I Wilmington, Del.......... 3 2 6 2 EAST SOUTH CENTRAL: Birmingham, Ala.......... 3 4 0 5 Chattanooga, Tenn........ 6 10 4 6 Knoxville, Tenn.......... 1 0 0 1 Louisville, Ky... ....... 11 13 9 27 Memphis, Tenn............ 4 8 9 6 Mobile, Ala............... 0 0 1 1 Montgomery, Ala.......... 3 1 4 2 Nashville, Tenn........... 5 2 4 5 WEST SOUTH CENTRAL: Austin, Tex............... 4 5 3 7 Baton Rouge, La.......... 2 1 2 1* Corpus Christi, Tex...... 2 1 0 0 Dallas, Tex.............. 5 3 3 7 El Paso, Tex.............. 7 0 3 2 Fort Worth, Tex.......... 4 3 3 2 Houston, Tex.............. 4 3 2 6* Little Rock, Ark......... 5 9 7 2 New Orleans, La.......... 11 6 15 5 Oklahoma City, Okla...... 1 3 1 1 San Antonio, Tex.......... 8 3 4 5 Shreveport, La........... 11 5 7 7 Tulsa, Okla.............. 5 4 8 7 MOUNTAIN: Albuquerque, N. Mex...... 2 1 4 2 Colorado Springs, Colo... 1 1 2 3 Denver, Colo............. 6 5 11 6 Ogden, Utah............... 3 2 3 3 Phoenix, Ariz............. 2 3 3 4 Pueblo, Colo.............. 1 1 3 2 Salt Lake City, Utah..... 0 2 2 0 Tucson, Ariz.............. 1 0 3 1 PACIFIC: Berkeley, Calif.......... 0 0 0 0 Fresno, Calif ............ 4 0 3 3 Glendale, Calif.......... 0 1 0 0 Honolulu, Hawaii......... 4 4 3 0 Long Beach, Calif........ 0 0 0 1 Los Angeles, Calif....... 14 26 23 15 Oakland, Calif........... 1 4 0 3 Pasadena, Calif.......... 0 1 0 0 Portland, Oreg............ 4 4 3 3 Sacramento, Calif........ 0 2 2 3 San Diego, Calif......... 5 4 2 2 San Francisco, Calif..... 5 5 1 7 San Jose, Calif.......... 6 6 4 1 Seattle, Wash............ 5 7 10 4 Spokane, Wash............. 0 1 1 1 Tacoma, Wash............... 1 3 1 0 San Juan, P.R............... 1 2 4 4 oCurrent Week Mortality for 108 Selected Cities 4(A) Total Mortality, all ages................... 11,870 4(B) Pneumonia-Influenza Deaths, all ages........ 534 4(C) Total Deaths under 1 Year of Age............ 831 4(D) Total Deaths, Persons 65 years and over..... 6,672 *Estimare based on average percent of divisional total Totals for previous weeks include reported corrections. NOTF. 11 death% by place of occurrence. UNIVERSITY OF FLORIDA 3 1262 08864 0007 112 Morbidity and Mortality Weekly Report Notes: Taeme provimolel data are based Oe weekly elegems to the Comnmeal. Stable Disease Center by the Individual Sate heallk depaimenta. s. Symbol --- Dala not avllable 1 g Quantity mere I I' 1? -', I", Procedures for constctlon of vr.oB morally curves my be ohtabled fro I n Slatistles Section. Commenicble Dimenu Cntser, Public Healh Service, I Ji I ; '; V i U. S. Deprtment of Health. Educatoln, mad Welfare. AllInt SL Georgin. - --- DOCUMENTS QEPT I- "- .iE >EOSIT).'RY 0 I o CIj I I I j i ,DEPOS RY INTERNATIONAL NOTES QUARANTINE MEASURES have been confirmed. These cases were landed on March Gdaisk is listed a non-infected local area. has occurred United Kingdom Llanstrissant Rural District Two .. Death s have occurred.' in the 11 confirmed cases thus far reported. United Kingdom Ogmore Urban District One confirmed 8 --T- ----- .- - cise, infected in the Rhondda Districr, has been reported. Ogmore district is not considered an infected local area. . + A T 0 lf > M Sap -Eoe Pa Gdn -- T s cassf salo have bee confir T cae wr lande on March 9' 2L uj 0 BI B - 0 fo a p i f In w o c f I.' "N *9 -N aO ' --r Republ ic of Germany f A t l - 0 Ia f'eZ4 ha occur- ed aSZZ a m INTERNATIONAL NOTES QUARANTINE MEASURES Smallpox Europe m Poland Gdansk Three suspect cases of smallpox have been confirmed. These cases were landed on March 21 from a ship arriving from India with one case of small- pox aboard. Gdansk is listed as a non-infected local area. Federal Republic of Germany Monshau Kreis A total of 32 cases of smallpox have been confirmed. One death A C has occurred. | United Kingdom Rhondda Urban District Thirteen confirmed cases, including four deaths, have been re- prwe t ported to date. i n United Kingdom LIanstrissant Rural District -Two H J deaths have occurred in the 11 confirmed cases thus far reported. t4'/ United Kingdom Ogmore Urban District One confirmed U|3 case, infected in the Rhondda District, has been reported. 'l| w5 Ogmore district is not considered an infected local area. |
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