Morbidity and mortality

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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