Morbidity and mortality

: 2 r/. '4I .


COMMUNICABLE DISEASE CENTER


Vol. 15, No. 35






h4ekk Ending
ember 3, 1966


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



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


EPIDEMIOLOGIC NOTES AND REPORTS
ENCEPHALITIS Texas and Missouri


A total of 90 cases of clinical encephalitis with con-
firmatory or presumptive laboratory evidence and 45 sus-
pect cases with inconclusive or pending data have been
reported from Dallas through September 6, 1966. There
have been 11 deaths. In addition, 25 cases of clinically
diagnosed aseptic meningitis or febrile headache have
presumptive laboratory evidence for St. Louis encephalitis
virus infection. The criteria for the confirmed category is
a fourfold increase in CF antibody titer, and for the pre-
sumptive, a CF or HI antibody titer of 1:10 or greater.
Corpus Christi for the same period has reported 48
laboratory confirmed or presumptive cases of encephalitis


EpidemiologiNotes and Yport
Encephalitis Texas and Missouri
Current Trends
Measles- 1966
International Notes
Quarantine Measures ..


and 28 suspect cases of clinical encephalitis with incon-
clusive or pending data. There have been two deaths.
Aerospraying with Malathion was completed in Dallas
on August 27 and in Corpus Christi on August 29. It is
still too soon to detect a definite reduction in the inci-
dence of human disease related to this spraying operation.
(Continued on page 308)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
35th WEEK ENDED CUMULATIVE, FIRST 35 WEEKS
MEDIAN
DISEASE SEPTEMBER 3. SEPTEMBER 4. 1961-1965 MEDIAN
1966 1965 1966 1965 1961 1965

Aseptic meningitis ............... ... 126 68 68 1,601 1.215 1.234
Brucellosis ........... ....... ..7 5 6 156 165 284
Diphtheria.............................. 7 3 3 120 100 174
Encephalitis, primary:
Arthropod-borne & unspecified ......... 194 50 1276 1,127 --
Encephalitis, post-infectious ........... 10 9 570 530 -
Hepatitis, serum ................ .. 20 556 675 931 23,023 29.714
Hepatitis, infectious ..................... 497 21,716
Measles rubeolaa) ..................... 516 468 704 188.673 239.140 385,628
Poliomyelitis, Total (including unspecified) 5 2 33 65 42 237
Paralytic ............ .............. 5 2 28 61 35 202
Nonparalytic ......... ..... ... 6
Meningococcal infections, Total ......... 27 26 30 2,672 2,274 1.720
Civilian ................... ........... 27 25 -- 2,400 2,093 -
Military ..... ................ 1 272 181
Rubella (German measles) .... ... ....... 225 -- 41,341 --
Streptococcal sore throat & Scarlet fever 4,047 3,534 3.041 302,167 280,208 244.813
Tetanus.............................. 5 6 114 182 -
Tularemia ................ .... 4 9 114 175 "
Typhoid fever ......................... 9 10 17 245 275 318
Typhus, tick-borne (Rky. Mt. Spotted fever) 6 11 184 211
Rabies in Animals ..................... 68 47 47 i 2,906 3,098 2,739

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ............. .. ..... 4 Botulism: ...... 4
Leptospirosis: Hawaii-I ................ .......... 48 Trichinosis: Conn.-1. Me.-, Pa.-1, Ind.-1, Calif.-1 73
Malaria: Ill.-1, Mich.-,l Kans.-1, Colo.-l. Pa.-3. Calif.- 233 Rabies in Man: .... 1
Psittacosis: .... ........... ..... .. ... 31 Rubella, Congenital Syndrome: 20
Typhus, murine: Ohio-1 16 Plague:. .. .. 4


H SERVICE







Morbidity and Mortality Weekly Report


SEPTEMBER 3, 19fi


CURRENT TRENDS
MEASLES 1966


A total of 178,559 cases of measles was reported in
the United States during the first 26 weeks of 1966,
48,938 fewer than the total for the comparable period of
1965 and the lowest total in the preceding 10-year period
(Figures 1 and 2). It is of interest that the progressive
decline follows the availability of measles vaccine.
The Middle Atlantic, East North Central and East
South Central Divisions, however, reported more cases of
measles during the first half of 1966 than of 1965. New
York City in the Middle Atlantic Region, Indiana, Illinois
and Wisconsin in the East North Central Division, and
Kentucky and Tennessee in the East South Central
Division accounted for the majority of increases reported
from their respective regions.
During the first 24 weeks of 1966, seven states
reported 61.9 percent of the total measles cases, compared
to 41.1 percent and 46.3 percent of the totals for the same
periods in 1965 and 1964, respectively (Table 1). Approxi-
mately 51 percent of the total measles cases reported in
the first 24 weeks of 1966 were concentrated in 70 out of
2,072 counties or health districts in 35 states, each of
which recorded 500 or more cases. Only 23.2 percent of
the population of the U.S. resides in these areas. Local-
ized outbreaks of measles occurred in rural as well as
urban areas, as the populations of the 70 counties or
health districts range from 15,720 to over one million.
Measles Deaths
During the 10-year period 1955-64, there has been an
average of 421 deaths per year, with a low of 364 in


Fi
REPORTED MEASLES BY FOUR-WEEI

180,000

160,000

140,000-

120,000-
V)
W
o 100,000-
0
80,000-
z .
iZ


1963 and a high of 552 in 1958. The West South Central,
South Atlantic and East North Central Divisions had the
highest ratios of deaths due to measles per 1,000 pop-
ulation between 1960 and 1964. Data on these deaths are
not currently available concerning the frequency of the par-
ticular complications of measles leading to a fatal outcome.
Measles Encephalitis
There were 128 cases of post-measles encephalitis
reported for the first half of 1966, 58 more than during
the comparable period of 1965 and 23 fewer than during
the respective period in 1964 (Table 2). The ratio of
reported cases of post-measles encephalitis to total
cases in the U.S. was 0.7 per 1,000 cases the first half
of 1966, a substantial increase over the 0.3 per 1,000
cases recorded for same periods in 1965 and 1964. An
apparent increase in the relative frequency of encephalitis
was seen in six of the nine Divisions.


Table 1
States Reporting 10,000 or More Cases of Measles
First 24 Weeks, 1964-1966
State June 18, 1966 June 19, 1965 June 13, 1964

Wisconsin 28,889 12,159 13,120
Texas 20,338 27,782 65,825
California 13,259 12,044 28,743
Michigan 12,014 24,087 25,611
Tennessee 11,313 7,337 22,024
Illinois 10,953 2,194 15,491
New York 10,101 5,047 24,843


gure 1
K PERIODS UNITED STATES, 1956-1966


YEAR


302







SEPTEMBER 3, 1966


160,000-


140,000 -

120,000-


100,000-


80,000-


60,000-


40,000-

20,000-


Morbidity and Mortality Weekly Report


Figure 2
MEASLES CUMULATED BY FOUR-WEEK PERIODS, UNITED STATES
EPIDEMIOLOGIC YEARS, 1964-65 AND 1965-66
COMPARED WITH 10-YEAR PERIOD, 1954-63







/.-1964-65 Epidemiologic Year
S- 1965-66 Epidemiologic Year


44 48 52 4 8 12 16 20 24 28 32 36 40
WEEK NUMBER


Vaccine
From the time of measles vaccine licensure in 1963
through March 1966, approximately 15 million doses of
live attenuated measles virus vaccine were distributed by
manufacturers for use in the United States. The estimated
number of susceptible children has been reduced from
about 20 million to approximately 12 million.

Editorial Note:
In 1965, when approximately six million doses of
measles vaccine were distributed, most of the vaccine
was used by physicians in private practice. As a result
higher socioeconomic groups generally have been more
adequately immunized than the lower socioeconomic


groups. Children in many rural areas have not been
vaccinated against measles. Also, it has been the custom
to concentrate on immunizing 1- and 2-year-olds while
little emphasis has been placed on the protection of
older children.
In October 1965, funds were made available for pur-
chase of measles vaccine through the Immunization
Assistance Act. The program provides measles vaccine
free of charge for all preschool children. Geographical
areas served by this program include 82 percent of the
population of the U.S.


(Reported by the Childhood
demiology Branch, CDC.)


Viral Diseases Unit. Epi-


Table 2
Reported Cases of Post-Measles Encephalitis and Measles First 26 Weeks, 1964-1966

Area 1966 1965 1964
Area
Encephalitis Measles Encephalitis Measles Encephalitis Measles

United States 128 178,559 70 227,487 151 441.270

New England 1 2,136 10 36,252 -- 15,129
Middle Atlantic 19 17,393 13 13,242 24 49.622
East North Central 31 65,108 7 50,831 29 98,383
West North Central 8 8,390 -- 16,025 -- 29,383
South Atlantic 2 14,027 8 23,565 9 36.730
East South Central 12 18,718 1 13.159 6 65.829
West South Central 12 22,686 7 29,640 3 69,629
Mountain -- 11,081 -- 18,562 -- 16,818
Pacific 43 19,020 24 26,211 80 59,747


303










Morbidity and Mortality Weekly Report



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 3, 1966 AND SEPTEMBER 4, 1965 (35th WEEK)


ASEPTIC
AREA MENINGITIS

1966 1965
UNITED STATES... 126 68

NEW ENGLAND.......... 22 1
Maine............. 1
New Hampshire......
Vermont ............
Massachusetts...... 13 1
Rhode Island....... 7
Connecticut ........

MIDDLE ATLANTIC ..... 9 8
New York City ...... 6 2
New York, Up-State. 2
New Jersey......... 2 3
Pennsylvania....... 1 1

EAST NORTH CENTRAL... 9 17
Ohio............... 1 2
Indiana............. 1 1
Illinois............ 1 6
Michigan........... 5 8
Wisconsin........... 1

WEST NORTH CENTRAL... 2 8
Minnesota.......... 2 6
Iowa................. 1
Missouri........... 1
North Dakota.......
South Dakota.......
Nebraska ............
Kansas..............

SOUTH ATIANTIC....... 19 2
Delaware............ 1
Maryland ............ 2
Dist. of Columbia.. -
Virginia............ 3
West Virginia.... 2 -
North Carolina.... 2
South Carolina..... 1
Georgia .............
Florida ............ 10 -

EAST SOUTH CENTRAL... 16 -
Kentucky.............
Tennessee.......... 10
Alabama ........... 5
Mississippi........

WEST SOUTH CENTRAL... 10 5
Arkansas........... -
Louisiana.......... 3
Oklahoma...........
Texas .............. 7 4

MOUNTAIN............. 1 2
Montana............ 1
Idaho.............. -
Wyoming.............. -
Colorado........... -
New Mexico......... -
Arizona.............. 1 1
Utah ............... -
Nevada ..... .. ...

PACIFIC.............. 38 25
Washington......... 1
Oregon ........... ..
California......... 38 21
Alaska ............
Hawaii .............. .

Puerto Rico........... 1


BRUCELLOSIS


1966


ENCEPHALITIS
Primary Post-
including Infectious
unsp. cases


1966 1965
194 50

2 4



1 2
1 -
2

4 13
1 1
1 4
2 5
3

26 8
24 5

2 3



16 10
1
1 1
4
4 6
3 1
1
3 1

4 3

1

1
I1



2 2

9

9



112 1

1

111 1

9 8
1

4
6 3

2
1


12 3


12 3


1966


HEPATITIS


DIPHTHERIA Serum Infectious


1966


1965 1966


1966


-F F F, +


3 20


11
6
2
3


4 1 4 1


Both
Types


556

30
3
2
1
1

1
5

91
26
27
14
24

132
24
10
23
67
8

24
1
5
9
4

3
2

67

15
2
15
6
6
4
4
15

30
8
8
10
4

33
2
7

24

17
3

2
3
2
6
1


132
5
11
114





304









Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEFKS ENDED

SEPTEMBER 3. 1966 AND SEPTEMBER 4, 1965 (35th WEEK) CONTINUEDD


A


.REA


ir;i in I n F

NEW ENGLAND..........
Maine...............
New Hampshire......
Vermont............
Massachusetts......
Rhode Island.......
Connecticut........

MIDDLE ATLANTIC......
New York City......
New York, Up-State.
New Jersey.........
Pennsylvania.......

EAST NORTH CENTRAL...
Ohio. ..............
Indiana............
Illinois...........
Michigan...........
Wisconsin..........

WEST NORTH CENTRAL...
Minnesota..........
Iowa ...............
Missouri. .........
North Dakota.......
South Dakota.......
Nebraska...........
Kansas.............

SOUTH ATLANTIC ......
Delaware ..........
Maryland.............
Dist. of Columbia..
Virginia...........
West Virginia......
North Carolina.....
South Carolina.....
Georgia............
Florida............

EAST SOUTH CENTRAL...
Kentucky...........
Tennessee..........
Alabama............
Mississippi........

WEST SOUTH CENTRAL...
Arkansas............
Louisiana..........
Oklahoma...........
Texas..............

MOUNTAIN.............
Montana ...........
Idaho..............
Wyoming............
Colorado...........
New Mexico.........
Arizona............
Utah...............
Nevada.............

PACIFIC..............
Washington ........
Oregon. ...........
California........
Alaska............
Hawaii.............


Puerto Rico..........


MENINGOCOCCAL INFECTIONS, POLIOM
MEASLES (Rubeola) TOTAL
"I Total
Cumulative CumulItive
1966 1966 1966 i 1965
1966 1965 1966 1965 96 1965

516 188,673 239,140 27 2,672 2,274 5 2

10 2,243 36,748 118 113 -
1 196 2,789 9 16 -
80 381 9 7 -
6 231 1,256 4 6
2 776 19,277 48 37 -
S 72 3,899 13 14 -
1 888 9,146 35 33 -

24 17,977 14,646 3 318 297 1
14 8,274 2,333 1 45 51 -
9 2,525 4,114 89 84 -
1,845 I 2,539 2 97 78 1
1 5,333 5,660 87 84

121 68,4271 55,377 7 416 322 1
2 6,333 1 8,853 1 113 85 -
9 5,674 1,813 3 75 41 1 -
6 11,332 2,653 1 77 90 -
69 14,316 26,336 2 109 69
35 30,772 15,722 42 37 -

S 8,666 16,427 1 142 117 1
1,639 1 631 34 23
5,303 8,977 22 7 1
530 2,586 1 55 52 -
1,078 3,671 9 11 -
40 113 4 3
76 459 8 10 -
NN NN NN 10 11

55 15,124 24,722 2 448 438 -
256 502 4 7
2,096 1 1,156 46 42
S 382 76 11 8
20 2,138 4,049 49 50
29 5,210 13,571 1 25 24 -
3 479 382 1 114 87
1 655 1,010 47 58 -
S 234 616 63 57
2 3,674 3,360 89 105

38 19,624 13,653 4 234 178 -
5 4,699 2,425 1 85 71
28 12,236 7,807 3 77 55 -
1 1,678 2,310 50 32
4 1,011 1,111 22 20

133 24,326 30,671 1 367 304 4
1 971 1,084 33 14 -
99 104 137 169
6 480 203 18 19
126 22,776 29,280 1 179 102 4 4

43 11,899 19,623 1 85 72 -
5 1,808 3,707 4 2
5 1,552 2,772 5 8 -
2 159 843 6 5
22 1,299 5,615 1 46 14 -
S 1,130 676 10 11 -
3 5,280 1,291 10 16 -
6 628 4,516 14 -
S 43 203 4 2

92 20,387 27,273 8 544 433
38 3,525 7,217 37 33
24 1,746 3,203 1 34 32 -
25 14,512 12,899 7 454 343
4 471 177 15 18
1 113 777 4 7 -
20 2,652 2,344 10 6


YELITIS
Paralytic
Cumul6
1966


225

18
-


7
3
7

17
10
7



88
6
14
2
11
55



1



11



1 |



4
3

3



20
3
17



3



3

33



27

6



34
20
3
10
1


!


1966










306 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

SEPTEMBER 3, 1966 AND SEPTEMBER 4, 1965 (35th WEEK) CONTINUED


STREPTOCOCCAL TYPHUS FEVER RABIES IN
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE ANIMALS
AREA SCARLET FEVER (Rky. Mt. Spotted)

1966 1966 Cum. 1966 Cum. 1966 Cum. 1966 Cum. 1966 Cum.
1966 1966 1966 1966 1966
UNITED STATES... 4,047 5 114 4 114 9 245 6 184 68 2,906

NEW ENGLAND.......... 634 1 3 1 6 2 4 69
Maine.............. 59 1 24
New Hampshire...... 6 1 23
Vermont............ 82 2 20
Massachusetts...... 99 2 1 3 1 2
Rhode Island....... 31
Connecticut........ 357 1 1 3 1

MIDDLE ATLANTIC...... 94 11 2 43 38 4 182
New York City...... 6 4 17 -
New York, Up-State. 81 2 1 11 13 4 171
New Jersey......... NN 1 7 10
Pennsylvania....... 7 4 1 8 15 11

EAST NORTH CENTRAL... 355 2 12 1 13 1 32 1 17 6 381
Ohio................ 20 1 4 3 16 9 180
Indiana............. 104 2 1 4 1 3 1 1 1 82
Illinois........... 95 1 3 5 3 7 2 48
Michigan........... 88 3 4 1 31
Wisconsin.......... 48 1 6 2 40

WEST NORTH CENTRAL... 65 6 1 12 2 22 2 7 650
Minnesota.......... 2 1 150
Iowa............... 25 1 5 1 132
Missouri........... 4 1 6 2 10 1 2 204
North Dakota....... 1 1 27
South Dakota....... 6 2 1 68
Nebraska........... 2 1 18
Kansas............. 32 2 5 1 1 51

SOUTH ATLANTIC....... 476 28 1 10 2 45 2 82 11 384
Delaware........... 1 1 -
Maryland........... 13 2 1 8 23 2
Dist. of Columbia.. 2 --
Virginia........... 173 4 2 8 1 27 4 203
West Virginia...... 126 1 1 2 46
North Carolina..... 2 4 1 3 2 6 18 3
South Carolina..... 43 1 I 8 5 -
Georgia............ 7 7 2 2 1 8 5 80
Florida............ 112 10 9 50

EAST SOUTH CENTRAL... 770 13 20 1 26 3 33 16 386
Kentucky........... 28 1 3 3 7 6 81
Tennessee.......... 695 2 10 1 12 2 20 8 276
Alabama............ 12 6 4 6 1 6 1 14
Mississippi........ 35 4 3 5 1 15

WEST SOUTH CENTRAL... 475 1 23 1 49 25 6 10 594
Arkansas........... 6 2 1 40 1 2 2 63
Louisiana.......... 5 3 7 35
Oklahoma ........... 10 1 4 9 4 2 152
Texas.............. 459 1 15 2 8 6 344

MOUNTAIN ............. 696 2 6 12 3 3 66
Montana............. 30 2 7
Idaho.............. 67 -
Wyoming ............ 25 -
Colorado............ 377 2 3 2 8
New Mexico......... 28 1 2 1 1 12
Arizona............ 32 1 3 2 34
Utah............... 137 2 3 1
Nevada ............. 1 4

PACIFIC.............. 482 1 16 3 1 34 1 7 194
Washington......... 81 11 10
Oregon.............. 9 1 1 1 3
California......... 385 1 15 3 1 20 1 6 181
Alaska ....... -
Hawaii........ -
Puerto Rico.......... 33 7 11










Morbidity and Mortality Weekly Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED SEPTEMBER 3, 1966


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

All Causes Pneumonia Under All Causes Pneumonia Under

Area All 65 years and year Area All 65 years Infd I All
Ages and over Influenza Causes Ages and ver All Ages Causes
All Ages Causes All Ages JCauses


NEW ENGLAND:
Boston, Mass.----------
Bridgeport, Conn.----
Cambridge, Mass.------
Fall River, Mass.----
Hartford, Conn.-------
Lowell, Mass.---------
Lynn, Mass.-----------
New Bedford, Mass.----
New Haven, Conn.------
Providence, R. I.-----
Somerville, Mass.-----
Springfield, Mass.----
Waterbury, Conn.------
Worcester, Mass.------

MIDDLE ATLANTIC:
Albany, N. Y.----------
Allentown, Pa.---------
Buffalo, N. Y.---------
Camden, N. J.---------
Elizabeth, N. J.-------
Erie, Pa.-------------
Jersey City, N. J.----
Newark, N. J.---------
New York City, N. Y.--
Paterson, N. J.-------
Philadelphia, Pa.----
Pittsburgh, Pa.-------
Reading, Pa.-----------
Rochester, N. Y.------
Schenectady, N. Y.----
Scranton, Pa.----------
Syracuse, N. Y.--------
Trenton, N. J.--------
Utica, N. Y.-----------
Yonkers, N. Y.--------

EAST NORTH CENTRAL:
Akron, Ohio-----------
Canton, Ohio----------
Chicago, Ill.---------
Cincinnati, Ohio------
Cleveland, Ohio-------
Columbus, Ohio--------
Dayton, Ohio-----------
Detroit, Mich.--------
Evansville, Ind.------
Flint, Mich.----------
Fort Wayne, Ind.------
Gary, Ind.------------
Grand Rapids, Mich.---
Indianapolis, Ind.----
Madison, Wis.---------
Milwaukee, Wis.-------
Peoria, Ill.----------
Rockford, Ill.---------
South Bend, Ind.-------
Toledo, Ohio----------
Youngstown, Ohio------

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


626
179
36
22
24
49
29
14
27
60
54
10
40
29
53

3,070
50
45
145
43
28
42
62
76
1,589
36
411
181
40
89
25
39
69
44
20
36

2,455
62
36
689
164
207
105
79
326
42
45
41
20
41
151
32
143
28
41
40
107
56

802
77
20
25
117
18
130
80
221
62
52


*Estimate based on average percent of divisional total.


SOUTH ATLANTIC: 1,055 563 52 68
Atlanta, Ca.----------- 96 40 6 13
Baltimore, Md.--------- 236 119 6 9
Charlotte, N. C.------- 39 14 6 5
Jacksonville, Fla.----- 63 37 2 4
Miami, Fla.------------ 92 59 1 7
Norfolk, Va ----------- 51 26 4 4
Richmond, Va.----------- 69 34 4
Savannah, Ga.----------- 34 17 1 4
St. Petersburg, Fla.--- 74 66 8 2
Tampa, Fla.------------ 69 45 6 3
Washington, D. C.------ 195 87 10 11
Wilmington, Del.------- 37 19 2 2

EAST SOUTH CENTRAL: 502 240 23 35
Birmingham, Ala.------- 93 53 7
Chattanooga, Tenn.----- 32 19 3 2
Knoxville, Tenn.------- 36 24 4 1
Louisville, Ky.-------- 67 16 9 6
Memphis, Tenn.---------- 119 57 3 10
Mobile, Ala.----------- 43 18 2
Montgomery, Ala.------- 36 19 1 3
Nashville, Tenn.------- 76 34 3 4

dEST SOUTH CENTRAL: 1,033 517 22 85
Austin, Tex.----------- 38 20 2 3
Baton Rouge, La.------- 41 20 2
Corpus Christi, Tex.--- 19 10 -
Dallas, Tex.----------- 137 59 1 11
El Paso, Tex.----------- 39 14 2 7
Fort Worth, Tex.------- 74 42 1 6
Houston, Tex.---------- 167 82 1 11
Little Rock, Ark.------ 50 25 3 5
New Orleans, La.------- 192 101 7 14
Oklahoma City, Okla.--- 87 40 8
San Antonio, Tex.------ 100 57 1 8
Shreveport, La.-------- 50 27 1 4
Tulsa, Okla.----------- 39 20 3 6

MOUNTAIN: 380 220 12 29
Albuquerque, N. Mex.--- 33 15 4 2
Colorado Springs, Colo. 17 13 1 1
Denver, Colo.---------- 107 55 3 9
Ogden, Utah------------ 21 14 3
Phoenix, Ariz.--------- 90 57 1 5
Pueblo, Colo.---------- 16 8 1 3
Salt Lake City, Utah--- 50 31 4
Tucson, Ariz.---------- 46 27 2 2

PACIFIC: 1,429 848 31 63
Berkeley, Calif >------- 16 10 -
Fresno, Calif.--------- 42 25 1 2
Glendale, Calif.------- 26 15 -
Honolulu, Hawaii------- 44 19 3 5
Long Beach, Calif.----- 74 55 1 3
Los Angeles, Calif.---- 403 227 8 20
Oakland, Calif.--------- 102 57 4
Pasadena, Calif.------- 34 24 1
Portland, Oreg.--------- 106 54 1 7
Sacramento, Calif.----- 46 31 3
San Diego, Calif.------ 91 49 3 5
San Francisco, Calif.-- 159 91 2 3
San Jose, Calif.------- 44 34 4 1
Seattle, Wash.--------- 143 93 6 5
Spokane, Wash.---------- 55 38 1 3
Tacoma, Wash.---------- 44 26 1 1

Total 11,352 6,304 365 653

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 444,769
All Causes, Age 65 and over------------------- 255,645
Pneumonia and Influenza, All Ages------------- 19,105
All Causes, Under 1 Year of Age--------------- 23,493


Week No.










308


EPIDEMIOLOGIC NOTES AND REPORTS
ENCEPHALITIS Texas and Missouri
(Continued from front page)


A total of five cases of clinical encephalitis with
one death has been reported from St. Louis, Missouri. Two
cases showed a fourfold increase in CF 'irtn'. l titers
for SLE. There have been no new cases since September 1,
1966.
(Reported by Dr. Van C. Tipton, State Epidemiologist,
Texas State Department of Health; Dr. Hal J. Dewlett,
Director, Dallas ( Health Department; Dr. William R.
Metzger. Director of Public Health and Welfare, Corpus
Christi- 'ueces County Health Department, Dr. E. A.
Belden, Consultant. Communicable Disease Control, Mis-
souri Department of Public Health and Welfare; Dr. C.
Howe Eller, Commissioner of Health, St. Louis County,
Missouri: and teams from CDC.)





INTERNATIONAL NOTES

QUARANTINE MEASURES



Immunization Information for International Travel
1965-66 : .Public Health Service Publication No. 384


The following information should be added to the list of
Yellow Fever Vaccination Centers in Section 6:


Page 76


City: Des Moines, Iowa


Center: Des Moines-Polk County Health Department
Argonne-Armory Building
602 East First Street


Clinic Hours: Thursday, 2:30 p.m.


Fee: Yes


SEPTEMBER 3, 1966


THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCULA-
TION OF 15,600. IS PUBLISHED AT THE COMMUNICABLE DISEASE
CENTER, ATLANTA, GEORGIA.
CHIEF, COMMUNICABLE DISEASE CENTER DAVID J. SENCER, M.D.
CHIEF, EPIDEMIOLOGY BRANCH A.D. LANGMUIR, M.D.
ACTING CHIEF, STATISTICS SECTION IDA L. SHERMAN, M.S.

IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY, THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE INVES-
TIGATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH OFFICIALS
AND WHICH ARE DIRECTLY IELATEC T j TrE CONTROL OF COM-
MUNICABLE DISEASES. SUCH C :MU-.I' .: T.iON: SiMuLO BE ADDRESSED
TO:

THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
NOTE: THE DATA IN THIS REPORT ARE PROVISIONAL AND ARE
BASED ON WEEKLY TELEGRAMS TO THE CDC BY THE INDIVIrJAL
STATE HEALTH DEPARTMENTS. THE REPORTING WEEK CONCLUDES
ON SATURDAY; COMPILED DATA ON A NATIONAL BASIS ARERELEASED
ON THE SUCCEEDING FRIDAY.


I








-4
o
0>

o c B



-D4 XM Z
ogn
SmI

~n5
M IC
Mu~


0-

m


In
mon

Som

m o
nu


Morbidity and Mortality Weekly Report


0
S-u-

o ---g


0 cc


= or
cc

UJ C
Z_>