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Morbidity and Mortality PUBLIC HEALTH SERVICE U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Pfpsy td by th MElrose *l. For release May 19, 1961 Atlanta 22, Georgia vol .9 Provisional Information on Selected Notifiable Diseases in th itedIAt nJ61nn Deaths in Selected Cities for Week Ended May 13, Hepatitis The current weekly toral of 1,562 cases Typhoid Fever Nin n c s wer rted this he first significant decrease noted this year. If this week distributed throughout te cumulative d continues, it will represent the expected seasonal 1961 total for the 19th week stands at 196 cases repre- line arriving somewhat later than normal. This decline sending a small increase over the 188 reported during the urred despite major increases in reported cases from comparable period one year ago. There does not appear ana, Illinois, Maryland, North and South Carolina, to be any significant regional localization of the current isiana, Colorado, and Utah. cases. A tabulation of hepatitis cases reported by age appears on page 8. States and areas with an adult concen- tration include Connecticut and New Jersey (71 percent), New York City (64 percent), Upstate New York (55 per- cent), Missouri (54 percent), and Indiana (50 percent). Twenty-three States had a childhood preponderance of cases. Poliomyelitis A total of 10 cases of poliomyelitis, 8 paralytic, was reported to the Communicable Disease Center during the 19th week ending May 13, continuing the low seasonal incidence depicted in the graph on page 2. California reported 2 paralytic cases in Los Angeles County, one a 17 year old white male, and the Table I. Cases of Specified Notifiable Diseasess United States (Cumulative totals include revised and delayed reports through previous week) Disease 19th Week Cumulative (Seventh Revision of International Approxi- Lists, 1955) First 19 veeks Since seasonal low week mate Ended Ended seasonal Hay Hay Median Median low Weekly incidence low or sporadic 13 14, 1,6-&: 1961 Median -6 point -- Data not available 1961 6 1 6- to Quantity zero 195-Il . Anthrax------------ ----- 062 2 1 , Botulim------------------------019.1 3 * Brucellosis undulantt fever)-----044 10 25 22 200 313 308 * Diphtheria---------------------- -055 11 9 9 264 291) 330 844 826 1,030 July 1 Encephalitis, infectious------082 43 28 33 522 530 499 522 530 C99 Jan. 1 Hepatitis, infectious, and sernu------.----------092,N998.5 pt. 1,562 778 383 33,792 14,843 9,321 48,999 22,653 1 ,653 Sept. 1 Mala --------------------- 110-117 1 1 20 * Measles---------------------------085 19,858 20,763 21,153 258,003 267,199 310,729 294,213 302,158 347,398 Sept. 1 Meningitis, aseptic---------340 pt. 31 30 --- 464 531 --- 464 531 --- Jan. 1 Meningococcal infections--------057 6 36 52 952 986 1,06. 1,608 1,696 1,869 Sept. 1 Poliomyelitis-------------------.080 10 9 36 148 281 441 45 65 148 Apr. 1 Psralytic ----------080.0,080.1 8 5 18 93 201 305 33 47 97 Apr. 1 Naoparalytic-------- ------080.2 1 4 14 30 50 82 5 14 34 Apr. 1 Unspecified-----------------080.3 1 4 25 30 54 7 4 17 Apr. 1 Psittacoeis-------------096.2 1 20 35 * Fabies in man----------.----- -094 * 8treptococcal sore throat, Including scarlet fever----050,051 7,380 6,299 --- 173,592 158,793 --. 271,24 --- --- Aug. 1 Typhoid fever---------------.---.-00 19 7 16 196 188 268 82 61 88 Apr. 1 Typhus fever, endemic ------------101 2 10 14 * Babies in animals------------.---- 67 96 96 1,363 1,591 1,893 1,939 2,572 2,675 Oct. 1 is t tren decl occ Indi Lou I/* A b W /7 / 'w / 7 Morbidity and Mortality Weekly Report CURRENT U.S. POLIO IN( compared with years 1956 th CIDENCE rough 196 DATA PROVIDED BY NATIONAL OFFICE OF VITAL STATISTICS -*---- S**ND COMMUNICABLE DISEASE CENTER ,A, \ - / *,./ 'v N/ J '4i I / / 1956 / 1957 / Ai The graph shows reported 1961 poliomyelitis (paralytic and non- paralytic) cases in the United States by week of onset and compares cur- rent incidence with the years 1956 through 1960. A cumulative total of 148 cases has been reported through May 13 which compares with 281 cases during the comparable period one year ago. Wk. ending- J F M A JAN FEB MAR APR MAY JUN other unspecified. Texas accounted for 2 paralytic cases, both in pre-school age children in different counties. The remaining cases were reported by 6 States each account- ing for one case. A current summary of enterovirus isolations reported in 1961 to the Communicable Disease Center is included below. ENTEROVIRUS SURVEILLANCE REPORTS RECEIVED TO DATE FROM STATE LABORATORIES ON 1961 SPECIMENS Other State Poliovirus Cox- and Total I II III ECHO sackie Unsp. Florida 1 3 4 Hawaii 3 2 5 Idaho 4* 1 5 Illinois 1 1 Maryland 2 4 2 8 Massachusetts 1 3 4 Minnesota 2 2 New Jersey 1 1 Ohio 1 1 Texas 2 2 Washington 1 I Wisconsin I 1 2 Total 12 0 7 5 5 7 36 Only one case with symptoms. EPIDEMIOLOGICAL REPORTS Streptococcal Infection and Rheumatic Fever - North Dakota In a preliminary report,Dr. Kenneth Mosser, Director, Division of Preventable Diseases, North Dakota State Department of Health, described an outbreak of strep- tococcal infection and rheumatic fever which occurred in a North Dakota city of 10,000 population. The appearance of the rheumatic fever cases began around March 1 and since that date a total of 13 acute cases and 3 recur- rences have been reported. It is felt that these cases are the result of group A, type 5 beta hemolytic infections. The State Department of Health in cooperation with local physicians has conducted throat swab surveys in the public schools. Results indicate a Group A beta hemolytic streptococcal prevalence rate of 46 percent. Thirty-four percent of the typable organisms have been type 5. Additional studies are continuing. Outbreak of Erythema Infectiosum Minnesota Early in March, physicians of the Minneapolis - St. Paul Metropolitan area called attention to a rash unassociated with constitutional symptoms among children. Cases showed a characteristic malar flush, and an evanescent, recurrent rash which sometimes showed on the arms a lacy appearance outlining the vascular pattern. Exertion, heat, and sunlight caused recurrence of the rash which persisted for as long as two to three weeks. Physical findings were otherwise normal except for occasional low grade fever. Several hundred cases have been reported among the younger school population with occasional cases occurring among adult contacts of children. Diagnoses initially included atypical rash, atypical measles, virus rash, ECHO rash, etc., but on the basis of clinical and epidemiologic findings, the diagnosis of erythema infectiosum has been made. Speci- mens, including stools, throat washings, and blood, are (Continued on page 8) 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 MAY 14, 1960 AND MAY 13, 1961 (By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955) Poliomyelitis 080 Brucel- Menin- loss Total Paralytic 080.0,080.1 gitis, (undu- (Includes cases not specified by type) Nonparalytic aseptic lant Area Cumulative, Cumulative, fever) 19th Week first 19 weeks 19th Week first 19 weeks 080.2 340 pt. 044 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1961 UNED STAES---------- 10 9 148 281 8 5 93 201 1 4 31 10 NEW ENGLAND------------------ 1 3 9 1 3 9 1 Maine---------------------- 1 5 1 5 - New Hampshire------------ - Veront---------------- - Massachusetts ----------- 2 4 2 4 1 Rhode Island----------- - Connecticut---------------- 1 - MIDDLE ATLATIC--------- 2 1 14 40 2 11 28 1 6 - New York------------------- 1 5 32 4 21 1 4 - New Jersey----------------- I 5 6 1 4 6 1 - Pennsylvania--------------- 1 4 2 1 3 1 1 - EAST NORTH CENTRAL----------- 1 5 21 39 3 13 13 1 2 7 Ohio----------------------- 2 8 18 2 4 5 1 - Indiana-------------------- 1 3 2 - Illinois------------------- 6 6 5 4 1 - Michigan------------------- 2 1 12 1 3 2 4 Wisconsin------------------ 1 3 3 1 1 1 1 - WEST NORTH CENTRAL--------- 4 14 3 8 7 Minnesota------------------ 1 8 1 6 - Iowa----------------------- -- 1 3 1 6 Missouri------------------- 2 1- - North Dakota------------ . South Dakota-------------- 1 Nebraska------------------- 2 2 - Kansas--------------------- - SOUTH ATLANTIC------------ 1 13 45 9 36 1 2 2 Delaware------------------- 2 1 - Maryland------------------ 1 - District of Columbia------ - Virginia------------------ 2 1 West Virginia-------------- 2 3 1 3 - North Carolina------------- 3 14 2 14 - South Carolina------------- 1 2 1 2 - Georgia-------------------- 2 3 2 2 - Florida-------------------- 1 3 22 2 15 1 1 EAST SOUTH CENTRAL-------- 1I 15 9 3 8 - Kentucky----------------- 14 6 2 5 - Tennessee----------------- - Alabama-------------------- 1 1 - Mississippi--------------- 1 2 1 2 -- WEST SOUTH CENTRAL----------- 3 20 27 3 11 20 2 - Arkansas----------------- - Louisiana---------------- 1 6 6 1 4 5 - Oklahoma------------------- 3 3 - Texas---------------------- 2 13 18 2 7 12 2 - MOUNTAIN ------------------- 17 14 10 8 3 1 Montana-------------------- 1 4 1 3 - Idaho---------------------- 3 4 1 1 - Wyoming------------------- - Colorado------------------ 3 1 3 1 3 1 New Mexico----------------- 1 - Arizona-------------------. 3 2 1 2 - Utah----------------------- 6 1 4 1 - Nevada--------------------- - PACIFIC---------------------- 3 1 41 84 3 1 30 71 10 Washington----------------- 3 6 6 3 Oregon------------------ -- 3 12 1 8 1 California---- ------------ 2 1 33 64 2 1 27 55 6 - Alaska--------------------- - Hawaii--------------------- I 2 2 1 2 2 - Puerto Rico---------------- 14 3 107 14 3 104 - 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 MAY 14, 1960 AND MAY 13, 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. esles infectiousMeae Area Cumulative, Cumulative, 19th Week first 19 weeks 082 19th Week first 19 weeks 085 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 UNITED STATES---------- 11 9 264 290 43 28 1,562 778 33,792 14,843 19,858 20,763 MEW ENGIAND ------------ 1 3 8 2 34 29 895 464 2,099 2,517 Maine---------------- 2 1 49 34 55 176 New Hampshire------------ 1 62 15 116 165 Vemont------------------ -- 1 115 8 47 213 Massachusetts-------------- 1 3 5 13 17 299 241 924 1,071 Rhode Island------------- 1 1 5 122 77 494 104 Connecticut---------------- 1 14 11 248 89 463 788 MIDD ATLANTIC---------- 1 1 12 8 11 2 215 112 4,945 1,496 4,409 2,801 New York--------- --- -- 1 5 1 4 2 9A 73 1,989 750 1,573 2.092 New Jersey----------- 1 6 51 11 1,212 130 1,014 447 Pennsylvania--------------- 1 7 6 1 71 28 1,744 616 1,822 262 EAST NORTH CENTRAL-------- 8 22 3 4 395 122 6,771 2,862 5,313 6,944 Chio---------------------- -- 1 14 1 1 115 47 2,493 903 933 1,434 Indiana----------------- 1 3 2 95 12 1,152 397 352 433 Illinois------------------- 5 2 1 75 16 1,069 594 446 1,172 Michigan----------------- 1 3 2 99 44 1,890 827 1,883 1,798 Wisconsin----------------- 11 3 167 141 1,699 2,107 NEST NORTH CENTRAL------- 1 19 16 2 130 49 3,490 1,264 950 553 Minnesota------------------ 1 8 5 26 10 780 124 46 191 Iowa---------------------- 1 2 45 6 1,009 219 641 252 Missouri----------------- 2 1 25 14 782 462 153 10 North Dakota------------ 2 1 3 5 73 97 94 83 South Dakota-------------- 6 5 1 1 118 113 1 - Nebraska--------------- 2 11 4 338' 113 15 17 Kansas-------------------- 1 1 19 9 390 136 NN NN SOUTH ATIANTIC--------------- 4 51 60 3 231 98 4,103 1,748 1,507 822 Delaware-------------- 4 9 110 98 32 7 Maryland----------------- 1 1 2 28 9 373 170 244 113 District of Columbia----- 2 2 42 11 6 26 Virginia----------------- 1 9 8 60 17 563 365 525 188 West Virginia------------- 1 2 24 8 915 314 297 142 North Carolina------------- I 6 2 55 2 925 124 153 24 South Carolina-------- 1 15 17 2 248 33 105 62 Georgia------------------ 10 11 11 1 404 143 11 1 Florida------------------ 2 21 21 1 30 50 523 490 134 259 EAST SOUTH CENTRAL------ 1 1 9 36 1 3 182 118 5,473 2,322 1,194 1,703 Kentucky ---------------- -- 1 3 1 73 37 1,590 951 361 377 Tennessee---------------- 2 5 67 37 2,273 734 603 1,160 Alabama ------------------- 1 2 18 2 18 32 883 471 145 55 Mississippi--------------- 2 12 1 1 24 12 727 166 85 111 WEST SOUTH CENTRAL-------- 4 5 152 111 6 3 120 71 2,346 1,205 1,005 1,921 Arkansas-----------------. 2 1 22 2 471 53 80 159 Louisiana--------------- 1 14 26 20 1 201 44 11 Oklahoma------------------ 1 2 6 10 9 176 183 78 29 exa----- ------ 4 3 134 78 6 3 68 59 1,498 925 847 1,722 MOUNTAIN ------------------ 7 28 1 103 74 2,195 1,244 652 1,141 Montana------------------- 2 2 2 2 218 50 35 74 Idaho-------------------- 11 4 12 119 165 33 133 Wyoming----------------- 5 1 87 9 11 Colorado-------------------. 4 2 52 30 752 426 253 385 New Mexico--------------- 3 8 4 270 200 NN - Arizona------------------ 2 15 21 301 264 298 233 Utah---------------------- 3 21 5 375 111 25 214 Nevada--------------------- 1 1 73 19 8 91 PACIFIC-------------------- 1 3 1 21 9 152 105 3,574 2,238 2,729 2,361 Washington --------------- -- 21 10 472 261 290 463 Oregon------------------- 18 17 612 424 199 694 California----------- ---- 21 9 112 76 2,338 1,400 2,227 1,099 Alaska------------------ 1 3 1 1 2 125 115 8 27 Hawaii------------------- 27 38 5 78 Puerto Rico------------- 1 5 31 78 30 13 315 361 23 41 1tf-NOt NOUIrtable 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 MAY 14, 1960 AND MAY 13, 1961 Continued (By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955) Strepto- Mengooal Psitta- coccal Typhoid fever 040 Typhus Malaria Meningoccocal Paitta- sore fever, Malaria infections cosis sore fever, Rabies in throat, endemic anil Area etc. Cumulative, 110-117 057 096.2 050,051 19th Week first 19 weeks 101 1961 1961 1960 1961 1961 1961 1960 1961 1960 1961 1961 1960 UIED ES------ 64 36 1 7,380 19 7 196 188 67 96 I ENGIAND------------------ 5 4 522 1 6 3 - Maine--------------------- -- 17 1 - New Hampshire-------------- 5 - Vermont ------------------ 25 - Massachusetts------------- -- 2 2 194 1 2 - Rhode Island------------ 1 36 - Connecticut--------------- 2 2 245 1 3 1 - MIDD ATLATIC------------ 9 10 989 4 1 19 9 20 New York------------------- 8 5 613 1 1 8 7 19 New Jersey-------------- -1 3 201 2 3 - Pennsylvania-----------.. 2 175 1 8 2 1 EAST NORTH CENTRAL---------- 12 9 1,029 2 2 26 25 13 4 Ohio----------------------- 3 3 225 1 7 3 2 - Indiana-------------------- 1 1 143 2 8 4 2 Illinois------------------- 4 1 154 2 1 15 5 2 2 Michigan--------------- 4 4 337 1 5 1 - Wisconsin----------------. 170 1 4 4 - WEST NORTH CHTRAL --------- 4 1 179 3 1 20 11 16 28 Minnesota---------------- 1 8 5 1 4 2 Iowa-------------------- 1 71 1 7 10 Missouri------------------- 2 6 3 11 8 5 6 North Dakota---------- 52 - South Dakota--------------- 1 1 1 10 Nebraska---------------- 1 1 1 - Kansas--------------------- 41 2 - S TH ATLANTIC -------------- -- 16 4 461 3 31 24 11 10 Delaware------------------- 3 - Maryland----------------- 5 1 21 - District of Columbia------- 4 1 2 1 - Virginia------------------ 4 196 1 3 5 5 West Virginia------------- 134 4 1 5 5 North Carolina------------ 3 1 24 6 7 - South Carolina------------ 2 24 2 6 - Georgia------------------- 1 12 1 - Florida------------------ 2 1 55 2 4 5 1 EAST SOUT CENTRAL-------- 6 2 1,178 3 1 27 35 12 17 Kentucky----- -------- 2 272 6 11 3 6 Tennessee----------------- 3 857 3 19 18 8 7 Alabama------------------- 2 22 2 4 1 4 Mississippi--------------- 1 27 1 2 - WEST SOUTH CENTRAL----------- 5 3 898 2 1 29 53 13 14 Arkansas------------------ 5 3 16 3 1 Louisiana------------- 2 1 4 4 12 1 - Oklahom ------------------ 1 20 3 5 - Texaae-------------------- 3 1 869 2 1 19 20 9 13 MOUNTAIN-------------------- 1 1,255 16 12 3 Montna------------------ 43 2 5 - Idaho-------------------- 84 - Wyoming------------------- 86 1 1 - Colorado ---------------- -- 507 5 2 New Mexico--------------- 255 3 4 - Arizona------------------- 1 161 2 2 1 Utah ----------------- 115 2 - Nevada ------------------ 4 1 - PACIFIC----------------- 6 3 1 869 2 22 16 -2 - Washington----------------- 2 1 386 2 1 - Oregon---------------- 61 - California----------- --- 3 2 1 374 2 20 15 2 - aska ----------- 1 46 - awaii- ----------- 2 - Puerto Rico--------------- 1 5 1 1 8 16 1 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 ELECTED CITME BY GOGRAPHIC DIVISIONS (By place of occurrence and week of filing certificate. Excludes fetal deaths. Data exclude figures shownin parentheses In table 4) 19th 18th Percent Culativ, first 19 weeks veek veek Adjumted change, ended ended average, adjusted Area 19th average ay ay week to 1961 1960 Percent 13, 6, &1961 1960 1961 19el 1956-6C current change 19tI 19ti week TOTAL, 117 EPOIRTIO CITIES--------------------- 11,264 11,386 11,033 +2.1 226,873 236,532 -4.1 e England---------------------------------(14 cite) 730 724 668 +9.3 13,998 14,938 -6.3 Middle Atlantic---------------------------(20 cities) 3,111 3,323 3,087 +0.8 65,089 64,915 40.3 East North Central------------------------(21 citieeJ 2,565* 2,551 2,331 +10.0 48,152 50,778 -5.2 West North Central--------------------------(9 cities) 742 748 794 -6.5 15,278 16,445 -7.1 South Atlantic-----------------------------(11 cities) 1,015 1,000 927 +9.5 19,660 20,769 -5.3 East South Central-------------------------(8 cities) 496 479 491 +1.0 10,371 10,835 -4.3 West South Central-------------------------(13 cities) 927 949 975 -4.9 19,439 20,860 -6.8 Mountain-----------------------.--..---.----( cities) 330 360 348 -5.2 7,181 7,352 -2.3 Pacific-----------------------------------(13 cities) 1,348* 1,252 1,412 -4.5 27,705 29,640 -6.5 *Includes estimate for missing reports. NUMBER OF DEATHS IN SELECTED CITIES JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN 1960 1961 Morbidity and Mortality Weekly Report 7 Table 4. DEATHS IN SELECTED CITIES (Py place of occurrence and week of filing certificate. Excludes fetal deaths) T T II I i Area 19th 18th Cumulative, e ek week first 19 weeks ended ended May 13, 1961 NEW ENGLAND: Boston, Mass.-- 235 Bridgeport, Conn.----- 36 Cambridge, Mass.----- 31 Fall River, Mass.----- 29 Hartford, Conn.---------- 57 Lowell, Mass.------------ 35 Lynn, Mass.-------------- 23 New Bedford, Mass.------ 19 ew Haven, Conn.--- 58 Providence, R.I.----- 70 Somerville, Mass.----- 25 Springfield, Mass.----- 46 Waterbury, Conn.----- 25 Worcester, Mass.--------- 41 MIDDLE ATIANTIC: Albany, N.Y.---------- 62 Allentown, Pa.------- 32 Buffalo, N.Y.------- 154 Camden, N.J.--------- 41 Elizabeth, .J.------ 19 Erie, Pa.--------- 32 Jersey City, N.J.---- 54 Newark, N.J.-------- 92 New York City, N.Y.- --- 1,580 Paterson, NJ.---- 45 Philadelphia, Pa.------ 518 Pittsburgh, Pa.------- 109 Reading, Pa.--- ---- 25 Rochester, N.Y.--------- 108 Schenectady, N.Y.-------- 19 Scranton, Pa.------------ 33 Syracuse, N.Y.-------- 73 Trenton, N.J.----------- 61 Utica, N.Y.- ---------- 30 Yonkers, N.Y.---------- 24 EAST NORTH CENTRAL: Akron, Ohio--------- Canton, Ohio------------ Chicago, Ill.----------- Cincinnati, Ohio-------- Cleveland, Ohio------ Columbus, Ohio---------- Dayton, Chio------------ Detroit, Mich.----------- Evansville, Ind.-------- Flint, Mich.------------ Fort Wayne, Ind.-------- Gary, Ind.------------- Grand Rapids, Mich.------ Indianapolis, Ind.------ Madison, Wis.--------- Milwaukee, Wia.---- Peoria, Ill.------------ Rockford, Ill---------- South Bend, Ind.----- Toledo, Ohio------------- Youngstown, Chio------ WEST NORTH CENTRAL: Des Moines, Iowa--------- Duluth, Minn.----------- Kansas City, Kans.------ Kansas City, Mo.--------- Lincoln, Nebr.- ----- Minneapolis, Minn.------- Omaha, Nebr.------------- 59* 32 752 152 211 108 86 351 41 55 34 32 48 140 31 154 37 44 32 103 63 52 20 37 123 (24) 110 59 May 6, 1961 1961 1960 4.-4 I 246 29 33 31 48 27 25 29 54 69 11 36 33 53 28 30 139 55 40 36 86 121 1,630 41 528 273 26 86 18 29 71 30 23 33 53 24 757 180 211 113 80 361 49 45 36 31 41 155 44 140 17 28 38 93 55 55 19 32 115 (21) 131 63 4,793 747 595 530 928 477 449 519 918 1,226 261 920 545 1,090 924 670 2,858 853 564 761 1,392 2,051 33,452 751 10,212 3,727 425 1,960 469 705 1,219 882 565 649 1,092 601 14,574 3,082 4,065 2,229 1,585 6,519 725 846 767 599 875 2,862 610 2,422 570 560 556 1,909 1,104 1,023 487 749 2,461 (539) 2,402 1,352 5,217 855 638 600 941 488 527 527 903 1,317 304 960 556 1,105 883 721 2,951 876 588 772 1,452 1,959 32,955 787 10,000 3,924 475 2,036 480 763 1,261 842 568 622 1,129 731 15,606 3,248 4,338 2,467 1,435 6,988 762 797 732 608 833 2,986 635 2,546 595 568 583 2,047 1,144 1,110 520 710 2,645 (505) 2,475 1,522 Area WEST NORIs CENTRAL-Con.: St. Louis, Mo.----- St. Paul, Minn.------- Wichita, Kans.--------- SOITH ATLANTIC: Atlanta, Ga.------------ Baltimore, NM.--------- Charlotte, N.C.------- Jacksonville, Fla.------ Miami, Fla.------------- Norfolk, Va.------------ Richmond, Va.----------- Savannah, Ga.------------ St. Petersburg, Fla.--- Tampa, Ha.-------- Wasnington, D.C.------ Wilmington, Del.--------- EAST SOU CENTRAL: 3irmingnam, 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. Nex.--- Colorado Springs, Colo.-- Denver, Colo.------ Ogien, Utah--------- Phoenix, Ariz .--------- Pueblo, Colo.------- Salt Lake City, Utah--- Tucson, Ariz.------- PACIFIC: Berkeley, Calif.------- Fresno, Calif.------ Glendale, Calif.------ Honolulu, Haaii------- Long Beach, Calif.---- Los Angeles, Calif.----- Oakland, Calif.--------- Pasadena, Calif.-------- Portland, reg.--------- Sacramento, Calif.----- San Diego, Calif.------- San Francisco, Calif.---- San Jose, Calif.----- Seattle, Wash.---------- Spokane, Wash.---------- Tacoma, Wash.---------- San Juan, P. R.-------- 19th week ended May 13, 1961 18th week ended May 6, 1961 4 4-+ 232 62 47 132 259 32 52 77 45 92 36 (62) 50 193 47 94 33 24 140 101 42 19 43 26 32 22 114 33 68 131 56 183 62 90 53 57 35 14 111 21 71 16 37 25 20 (32) (37) 40 56 476 93 31 88 54' 117 167 (40) 129 44 33 (46) 219 69 45 101 218 32 55 91 70 76 38 (63) 68 205 46 82 45 27 75 115 39 37 59 42 44 19 104 47 67 135 46 136 91 102 54 62 27 20 104 10 82 18 66 33 20 (38) (60) 40 49 420 79 32 115 52 71 156 (38) 147 36 35 (38) Cumulative, first 19 weeks 1961 1 1960 4,646 1,290 868 2,269 4,940 688 1,140 1,477 987 1,570 670 (1,459) 1,330 3,815 774 1,746 956 540 2,233 2,305 810 620 1,161 675 591 458 2,405 717 1,319 3,254 1,082 3,298 1,510 2,015 1,037 1,078 610 320 2,248 302 1,654 322 949 776 327 (841) (652) 778 1,144 9,918 1,859 635 2,018 1,191 1,741 3,889 (695) 2,564 867 774 (676) 5,136 1,406 921 2,399 5,294 867 1,289 1,518 877 1,664 761 (1,537) 1,365 3,945 790 1,748 971 581 2,312 2,369 886 720 1,248 733 606 510 2,558 766 1,362 3,433 1,235 3,737 1,563 2,123 1,058 1,176 608 345 2,420 338 1,632 297 970 742 345 (952) (801) 838 1,108 10,755 1,946 701 2,223 1,177 1,878 4,019 (643) 2,834 936 880 (682) *Estimate based on average percentage of divisional total. () Figures show in parenthesis are from cities which have been reporting less than five years and hence are not in- eluded in Table 3. I IlIllll lllII0 l 0 3 1262 08864 0247 Morbidity and Mortality Weekly Report being examined for virus with negative results to date. (Submitted by D. S. Fleming, M.D., Director, Division of Disease Prevention and Control, Minnesota Department of Health.) Staphylococcal Food Poisoning Idaho A total of 43 students, one teacher and a cook be- came ill 3-5 hours after eating lunch at a school in Idaho. Symptoms were characterized by abrupt onset of nausea, vomiting and abdominal discomfort. Potato salad prepared the day preceding the outbreak by a cook with a lesion on her finger was the responsible food. Potatoes were cooked and peeled and then left overnight without refri- geration. The next morning they were sliced, other in- gredients were added and again it was allowed to stand until lunch. Abundant hemolytic coagulase-positive Staphylococcus aureus phage type 6/47/53/57/83 was cultured from the salad as well as the cook's lesion. (Submitted by Dr. John A. Mather, Chief, Preventive Medicine Section, Idaho Department of Health.) HEPATITIS CASES BY AGE* WEEK ENDING MAY 13, 1961 Under 20 Years Age Un- State or Area 20 Years and Over specified Total Maine 1 1 New Hampshire 1 1 Massachusetts 7 6 13 Rhode Island 3 2 5 Connecticut 4 10 14 Upstate New York 20 25 3 48 New York City 16 29 45 New Jersey 15 36 51 Indiana 45 45 5 95 Illinois 31 16 28 75 Minnesota 18 6 2 26 Iowa 31 10 4 45 Missouri 11 13 1 25 North Dakota 1 2 3 South Dakota 1 1 Nebraska 2 4 5 11 Kansas 17 2 19 Maryland 24 4 28 District of Columbia 1 1 2 Virginia 38 15 7 60 West Virginia 20 2 2 24 North Carolina 44 11 55 South Carolina 7 1 9 17 Georgia 7 2 2 11 Florida 19 11 30 Kentucky 46 10 17 73 Tennessee 55 11 1 67 Alabama 14 4 18 Arkansas 16 6 22 Oklahoma 8 2 10 Texas 41 21 6 68 Montana 2 2 Colorado 3 3 46 52 New Mexico 6 2 8 Utah 17 4 21 Washington 10 4 7 21 Oregon 11 7 18 Alaska I 1 States not reporting age classification are not listed. SOURCE AND NATURE OF MORBIDITY DATA These provisional data are based on reports to the Public Health Service from the health departments of each Stare 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 1 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 yellow fever) this is noted below table 1. UNIV OF PL L1t DOCL ;,MEENT 5 EPT U S DEPOSITORY .I | lP C| SnDo Cm !I ..:1 !I la ^B |
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