Morbidity and mortality

'5 ^A bO/I'I / k


Morbidit


PUBLIC HEALTH SERVICE
U.S. DEPARTMENT OF HEALTH


i/


UI


For release June 30, 1961 Atlanta 22, Georgia Vol. 10, No. 25

Provisional Information on Selected Notifiable Diseases in the United States and on

Deaths in Selected Cities for Week Ended June 24, 1961


Poliomyelitis Seventeen cases, eighi paralytic were
reported this week by thirteen different States. The total
number of cases, although at a record low level for this
season of the year, represents an increase over that of
the past three weeks.
An additional two non-paralytic cases were reported
this week from the Atlanta area bringing the total for the
year to nine of which four are paralytic. From prompt
laboratory studies, this was identified as a presumptive
Type III outbreak and over 250,000 children under the
age of 15 were fed Type III oral vaccine during the past
week. A concurrent Salk vaccine campaign has also been
in progress.


Three paralytic cases, all with onsets in mid-June,
have now been reported from South-central Louisiana.
Seven cases in all have occurred in Louisiana this year
of which six are paralytic. All are among children under
the age of five years.
Hepatitis The current weekly total of 1,233 cases
represents a decrease of 114 cases from that reported
last week. Decreased numbers of cases are recorded for
all sections of the country except for the east-south-
central district of Kentucky, Alabama, Mississippi, and
Tennessee which show an increase from 166 to 215 cases.
Over three-fourths of these cases are among persons
under 20 years of age.


Table I. Cases of Specified Notifiable Diseases: United States
(Cumulative totals include revised and delayed reports through previous weeg)

Disease 25th Week Cumulative
(Seventh Revision of International Approxi-
Lists, 1955) First 25 weeks Since seasonal low week mate
Ended Ended seasonal
June June Median Median low
Weekly incidence low or sporadic 24, 17, 1.4- 6 Median -56 point
-- Data not available pI ioed 196 16 -.- 196- ]-6... to
Quantity zero I 1 ,.-
Anthrax-------------------- 062 3 10 *
Botulism---------------------049.1 1 4 4 *
Brucellosis undulantt fever)---044 11 17 23 267 412 407 *
Diphtheria----------------------055 5 4 8 303 325 388 883 860 1,085 July 1
Zncephalitis, infectious---- -- 0082 33 33 33 718 760 720 718 760 720 Jan. 1
Hepatitis, infectious, and
serum---------------092,N998.5 pt. 1,233 661 285 42,048 19,122 11,290 57,255 26,723 16,700 Sept. 1
Malaria-------------------- 110-117 1 23 25 *
Measles-------------------------085 10,966 11,023 11,001 351,437 362,813 409,065 387,647 395,698 445,734 Sept. 1
Meningitis, aseptic----------340 pt. 24 39 --- 667 710 --- 667 710 --- Jan. 1
Meningococcal infections--------057 30 41 40 1,167 1,218 1,334 1,823 1,948 2,122 Sept. 1
Poliom'eliti --------------------080 17 41 118 219 428 850 116 212 557 Apr. 1
Paralytic-------------080.0,080.1 8 28 66 139 312 581 79 158 373 Apr. 1
nparalytic--------------080.2 8 12 32 47 78 175 22 42 127 Apr. 1
Unspecified--------.--------080.3 1 1 20 33 38 94 15 12 57 Apr. 1
Psittacoesi----------------096.2 1 8 35 51 *
Rabies inn man------------------094 2 *
Streptococcal sore throat,
including scarlet fever----050,051 4,059 4,104 -- 204,111 191,337 --- 301,763 --- -- Aug. 1
Typhoid fever--------------------040 25 37 30 278 298 370 164 168 190 Apr. 1
TFphus fever, endemic -----------101 1 4 15 34 *
abies in animals------------ --- 71 64 76 1,755 2,002 2,390 2,331 2,976 3,172 Oct. 1







Morbidity and Mortality Weekly Report



DIPHTHERIA CASES AND RATES BY STATE
UNITED STATES


ALASKA
ALASKA


Typhoid Fever Six cases are reported by New York
State this week. These cases, plus another not yet re-
ported officially, occurred among a group of school chil-
dren age 7 to 13 years in Westchester County. The dates
of onset for these cases range between June 4 and June
19. All appear to relate to a common exposure at a
school cafeteria.

EPIDEMIOLOGICAL REPORTS
Diphtheria in the United States 1960
During 1960, information concerning 873 clinical
cases and 247 carriers of diphtheria were submitted to
the Surveillance Section of the Communicable Disease
Center. As depicted by the map, the majority of the
cases (81%) were reported from the fifteen States in the
South Atlantic and East and West South Central Districts.
Two major outbreaks, the largest since 1956, occur-
red in 1960 in Scott County, Kentucky (MMWR Vol. 10,
No. 2) where 51 cases with one death were recorded, and
in Plainview, Texas (MMWR Vol. 10, No. 1 & Vol. 9,
No. 51) which experienced 56 cases and one death. Cases
in both outbreaks occurred predominantly among unim-
munized children.


As in previous years, diphtheria cases in the United
States concentrated among children: 78% of the cases
were among those under 15, the greatest number occurring
among those 3 to 6 years of age.
Although there were a somewhat greater number of
cases among white persons (495) than among non-white
(366), attack rates among non-white persons were approxi-
mately six times greater, and cases in this latter group
tended to concentrate more among younger children.
The immunization status of the cases bore a definite
relationship both the the occurrence of disease and it se-
verity. Of the 873 cases reported, both the immunization
status and severity of disease were recorded for 625.
Immunization Status'
Illness Severity Fully Lapsed Inadequate None Total
Mild 42 35 33 244 354
Moderate 10 13 16 102 141
Severe 9 4 2 57 72
Death 0 1 4 53 58
Total 61 53 55 456 625
*144 cases with severity unspecified; 54 cases immunization status
unspecified; 50 cases both unspecified.


(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 JUNE 25, 1960 AND JUNE 24, 1961

(~y 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 specilfed by type) Nonparalylic aseptic lant

Cumulative, Cumulative, fever)
25th Week first 25 weeks 25th Week first 25 weeks 080.2 340 pt. 044

1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1961

UNIED S S---------- 17 41 219 428 8 28 139 312 8 12 24 11

NEW ENGAND-------------- 3 3 23 3 3 23 -
Maine-------------------- 1 6 1 6 -
New Hampshire------------ -
Vermont---------------- -
Massachusetts------------- 2 6 2 6 -
Rhode Island--------------- 2 11 2 11 -
Connecticut-------------- 1- -
MIDDIE ATLANTIC---------- 3 17 44 2 14 31 1 1 1
ew York------------------- 1 7 34 1 6 23 1
ew Jersey---------------- 5 6 4 6 -- -
Pennsylvania------------- 2 5 4 1 4 2 1 1
EAST NORm CENTRAL------ 1 4 25 49 1 16 19 2 3
Ohio---------..... -------- 1 1 10 21 1 5 7 -
Indiana-------------------- 1 3 1 2 1 -
Illinois------------------ -- 1 7 10 6 7 1 2
Michigan------------------ 1 2 14 2 4 1
Wisconsin----------- ----- 3 3 1 -
WEST NORTH CENTRAL------ 1 5 11 26 1 5 13 1 4 1 6
Minnesota----------------- 2 3 12 1 3 9 1 1 1
Iowa --------------------- 3 2 7 1 3 3
Missouri.------------------ 1 4 4 3 1 -
North Dakota-------------- .
South Dakota-------------- -
Nebraska----------------- 2 2 1
Kansas----------------- 2 1
SOT ATLANTIC------------- 7 5 27 60 4 5 20 49 3 1 1
Delaware------------------- 2 1 -
Maryland---------------- -
District of Columbia------ -
Virginia------------------ 1 1 1 1 1
West Virginia-------------- 3 4 2 4 -
North Carolina------------- 1 4 17 1 3 17 -
South Carolina------------- 2 1 4 7 2 1 4 5 -
Georgia-------------------- 3 1 9 4 1 1 7 3 2 -
Florida------------------ 1 2 4 27 2 2 20 1 -
EAST SOUTH CENTRAL------- 2 22 14 2 8 11 2 -
Kentucky------------- -- 15 8 2 5 -
Tennessee---------------- 2 1 1 1
Alabama------------------- 1 1 1 1 -
Mississippi--------------- 1 4 4 1 4 4 2 -
WEST SOiUT CENTRAL----- 3 4 37 51 1 1 20 33 2 3 3 2
Arkansas------------------ 1 2 1 2
Louisiana---------------- 2 9 15 1 6 11 1 -
Oklahoma------------------ 3 3 -
Texas---------------------- 4 26 33 1 14 '19 3 3
MOUNTAIN-------------------- 1 20 22 1 12 12 1
Montana-------------------- 1 1 10 1 1 6
Idaho---------------------- 4 4 1 1 -
Wyoming------------------- 1 -
Colorado------------------ 3 1 3 1 -
New Mexico----------------- 1 2 -
Arizona-------------------- 5 3 3 3 -
Utah----------------------- 6 1 4 1 1
Nevada---------------- --- -
PACIFIC---------------------- 3 16 57 139 1 14 41 121 2 2 13
Washington--------------- I 9 7 1 5 7 4
Oregon--------------------- 1 5 16 1 11 1 -
California----------------- 1 16 41 110 14 33 97 1 2 9 -
Alaska------------ 2 2 -
Hawaii--------------------- 2 4 2 4 -

Puerto Rico--------------- 30 4 244 27 4 237 2 2








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 JUNE 25, 1960 AND JUNE 24, 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. Measles
infectious
Area Cumlative, Cumulative,
25th Week first 25 weeks 082 25th Week first 25 weeks 085

1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960


UNITED STATES--------- 5 4 303 325 33 33 1,233 661 42,048 19,122 10,966 11,023

NEW ENGAND------------ 1 4 9 1 30 17 1,162 575 1,422 1,332
Maine--------------------- 2 4 69 40 43 96
New Hampshire------------- 1 71 20 6 5
Vermont-------------------- 5 130 9 20 164
Massachusetts-------------- 1 4 6 1 19 6 413 286 853 729
Rhode Island--------------- 1 2 4 160 110 164 41
Connecticut---------------- 3 3 319 110 336 297
MIDDLE ATLANTIC------------ 1 16 9 10 3 176 99 6,048 2,011 2,781 1,624
New York----------- 7 1 5 80 41 2,488 1,001 1,179 1,160
New Jersey--------------- 1 3 25 1 1,482 158 792 329
Pennsylvania--------------- 1 9 7 5 71 57 2,078 852 810 135
EAST NORTH CENTRAL--------- 13 25 1 5 247 118 8,529 3,651 2,829 4,006
Ohio----------------------- 1 14 1 50 36 2,971 1,196 371 660
Indiana-------------------- 1 4 33 5 1,403 450 157 274
Illinois------------------ -- 10 3 1 2 52 23 1,436 767 484 334
Michigan------------------- 1 3 2 110 50 2,511 1,078 948 1,219
Wisconsin----------------- 1 2 4 208 160 869 1,519
WEST NORTH CENTRAL-- ---- 24 18 1 135 36 4,301 1,484 193 161
Mfnnesota------------------ 13 5 34' 3 974 149 8 16
Iowa----------------------- 1 2 35 8 1,229 255 93 83
Missouri------------------ 2 24 19 957 552 25 26
North Dakota--------------- 2 1 4 2 91 115 57 35
South Dakota------------- 6 5 2 123 116 -
Nebraska -------------- 2 1 25 436 143 10 1
Kansas------------------ -- 2 1 13 2 491 154 NN NN
SOUTH ATIATIC------------ 1 2 61 75 4 3 133 81 .5,124 2,267 618 675
Delaware----------------- 4 8 130 133 25 10
Maryland-----------------. 1 1 4 3 32 5 464 226 226 71
District of Columbia------- 2 4 1 59 16 5 12
Virginia------------------ 1 12 9 23 7 742 454 207
West Virginia-------------- 1 2 13 16 1,043 438 194 156
North Carolina------------- 7 2 24 11 1,108 177 76 24
South Carolina-------- 1 2 19 6 1 289 42 21 23
Georgia-------------------- 1 13 17 5 5 512 162 8 16
Florida--------------- 23 25 22 27 777 619 63 156
EAST SOUTH CENTAL------- 1 12 39 1 6 215 81 6,590 2,908 756 644
Kentucky------------------ 3 1 79 14 1,964 1,149 110 136
Tennessee----------------- 1 2 6 1 57 29 2,666 944 469 447
Alabama-------------------- 5 20 2 57 27 1,105 605 140 32
Mississippi---------------- 2 12 1 3 22 13 855 210 37 29
WEST SOUTH CENTRAL------ 2 162 118 2 1 90 44 3,039 1,560 460 720
Arkansas------------------ 3 2 1 9 586 69 10 3
Louisiana--------------- 2 17 26 11 300 64 -
Oklahoma------------------- 3 6 9 1 227 216 69 33
Texas------------- 139 84 1 1 61 43 1,926 1,211 381 684
MOUNTAIN--------------- 7 31 76 43 2,672 1,587 395 605
Montana-------------------- 2 2 8 1 255 61 47 78
Idaho---------------------- 11 16 8 172 204 74 43
Wyoming------------------- 5 6 1 102 13 1 -
Colorado------------------- 4 3 18 14 923 542 106 326
New Mexico--- --------- 4 5 1 302 229 NN -
Arizona------------------ 3 16 17 387 373 146 99
Utah---------------------- 3 7 1 451 145 20 57
Nevada--------------------- 1 80 20 1 2
PACIFIC------------------- 1 4 1 14 14 131 140 4,583 3,079 1,512 1,256
Washington---------------- 1 12 13 579 369 104 64
Oregon------------------- 21 19 779 538 210 394
California----------------- 1 1 14 11 95 105 3,047 1,986 1,186 729
Alaska------------------- 3 1 2 2 1 142 132 6 62
Hawaii-------------------- 1 2 36 54 6 7

Puerto Rico--------------- 1 37 90 34 7 492 419 44 -

N1NNot NotItable









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 JUNE 25, 1960 AND JUNE 24, 1961 Continued

(By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955)

Strepto-
coccal Typhoid fever 040 Typhus
Malaria Menngoccocal Psitta- sore fever,
infections cosis throat endemic Rabies in
throat, endemic
animals
Area etc. Cumulative,
110-117 057 096.2 050,051 25th Week first 25 weeks 101

1961 1961 1960 1961 1961 1961 1960 1961 1960 1961 1961 1960

UNITED STAES---------- 1 30 41 1 4,059 25 37 278 298 1 71 64

NEW ENGIAND------------------ 2 3 265 6 4 -
Maine---------------------- 7 1 1- -
New Hampshire------------- 4 -
Vermont----------------- 6 -
Massachusetts-------------- 1 1 114 1 2 -
Rhode Island--------------- 1 11 1 -
Connectieut---------------- 1 1 123 3 1 -
MIDDIE ATLANTIC-------------- 6 7 398 6 1 33 15 2 12
New York------------------- 3 2 303 6 1 17 12 2 12
New Jersey----------------- 2 1 49 6 -
Pennsylvania--------------- 1 4 46 10 3 -
EAST NORH CENTRAL----------- 6 12 1 426 3 36 31 4 13
Chio---------------------- 1 2 38 11 5 1 3
Indiana-------------------- 1 79 2 7 9 1 5
Illinois-----------.------.. 1 3 62 1 16 8 2 3
Michigan ---------------- 4 4 1 175 1 5 2
Wisconsin------------------ 2 72 1 4 -
WEST NORTH CENTRA--------- 2 55 1 1 19 17 23 12
Minnesota---------------- 5 5 1 2 1
Iowa----------------------- 11 1 1 1 11 5
Missouri------------------- 1 2 1 10 13 5 6
North Dakota--------------- 37 -
South Dakota--------------- 1 1 4
Nebraska----------------- 1 1 -
Kansas--------------------- 2 -
SOUTH ATLANTIC----------- ---- 2 11 346 5 3 45 38 8 6
Delaware------------------- 1 1 -
Maryland------------------ 1 92 -
District of Columbia------- 1 1 6 2 -
Virginia------------------- 52 1 5 4 2
West Virginia--------- ---- 56 4 2 1 1
North Carolina------------- 1 2 14 1 1 7 8 2
South Carolina------------- 1 21 2 6 -
Georgia------------------- 4 3 1 18 8 1
Florida-------------------- 4 110 6 7 3 -
EAST SOUTH CENTRAL--------- 4 1 890 3 4 30 47 9 7
Kentucky------- ---- 58 1 6 13 1 3
Tennessee----------------- 3 785 1 1 20 23 5 3
Alabama-------------------- 1 1 3 1 2 3 8 3 1
Mississippi--------------- 44 1 1 3 -
WEST SOUTH CENTRAL----------- 4 2 626 6 24 57 106 14 10
Arkansas------------------- 1 1 1 7 18 2 2
Louisiana---------------- 1 1 1 19 5 43 1 -
Oklahoma----------------- 49 5 5 -
Texas---------------------- 2 576 5 5 40 40 11 8
MOUNTAIN-------------------- 1 716 23 17 2 2
Montana------------------- 14 3 5 -
Idaho------------------- 48 -
Wyoming------------------ 1 2 -
Colorado------------------- 165 -5 2
New Mexico----------------- 251 6 4 1 -
Arizona------------------- 1 152 5 6 1 -
Utah---------------------- 83 2 -- -
Nevada--------------------- 3 -
PACIFIC--------------------- 1 5 3 337 1 4 29 23 1 9 2
Washington---------------- 1 62 3 1 -
Oregon------------------- 1 33 4 4 -
California----------------- 4 2 229 1 26 18 4 2
Alaska---------- 12 5
Hawaii----------------- 1 1 I -

Puerto Rico----------------- 1 1 9 16








Morbidity and Mortality Weekly Report



NUMBER OF DEATHS IN SELECTED CITIES


The chart shows the number of deaths reported for
117 major cities of the United States by week for the cur-
rent year, a 5-week moving average of these figures
plotted at the central week, and an adjusted average for
comparison. For each region the adjusted average was
computed as follows: From the total deaths reported each
week for the years 1956-1960, 3 central figures were
selected by eliminating the highest and lowest figure
reported for that week. A 5-week moving average of the
arithmetic mean of the 3 central figures was then com-
puted with adjustment to allow for population growth in
each region. The average value of the regional increases
was 2 percent which was incorporated in the adjusted
average shown in the chart.
Table 4 shows the number of death certificates re-


ceived during the week indicated for deaths that occurred
in selected cities. Figures compiled in this way, by week
of receipt, usually approximate closely the number of
deaths occurring during the week. However, differences
are to be expected because of variations in the interval
between death and receipt of the certificate and because
of incomplete reporting due to holidays or vacations. If a
report is not received from a city in time to be included
in the total for the current week, an estimate is used.
The number of deaths in cities of the same size may
also differ because of variations in the age, race, and sex
composition of the populations and because some cities
are hospital centers serving the surrounding areas. Changes
from year to year in the number of deaths may be due in
part to population increases or decreases.


Table 3. DEATHS IN SELECTED CITIES BY GEOGRAPHIC DIVISIONS


(By place of occurrence and weekof filing certificate. Excludes fetal deaths. Data exclude figures showningarentheses in table 4)

Pere2 2 Cumulative, first 25 weeks
week week ___________
ended ended average, adjusted
ended ene 25th average
June June week to 191 19 Percent
24, 17, 1956-60 current change
1961 1961 week
week

TOTAL, 117 REPORTING CITIES---------------------- 10,856 11,278 10,910 -0.5 293,879 302,086 -2.7

New England-----------------------------(14 cities) 673 730 651 +3.4 18,198 19,018 -4.3
Middle Atlantic---------------------------(20 cities) 3,009 3,164 2,990 +0.6 84,183 83,459 +0.9
East North Central--------------------------(21 cities) 2,320* 2,529 2,337 -0.7 62,829 64,846 -3.1
West North Central--------------------------(9 cities) 767 777 781 -1.8 19,859 21,090 -5.8
South Atlantic------------------------------(U cities) 930 1,014 933 -0.3 25,294 26,290 -3.8
East South Central---------------------------(8 cities) 477* 470 481 -0.8 13,333 13,748 -3.0
West South Central--------------------------(15 cities) 891 910 1,003 -11.2 24,959 26,626 -6.3
Mountain-------------------------------- (8 cities) 363 303 351 +3.4 9,243 9,413 -1.8
Pacific-----------------.----.------------- (15 cities) 1,426* 1,381 1,383 +3.1 35,981 37,596 -4.3

*Includes estimate for missing reports.


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

(ly place of occurrence and week of filing certificate. Excludes fetal deaths)
I I I. 7 I


Area


NEW ENGIAND:
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.---------

MIDDIE 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.-----------
Evansvlie, Ind.---------
Flint, Mich.-------------
Fort Wayne, Ind.---------
Gary, Ind.---------------
Grand Rapids, Mich.----
Indianapcolis, 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.-------------


25th 24th
week I week


ended
June
24
1961


ended
June
17
1961


Cumulative,
first 25 weeks


1961


1960


4 4 4 4


249
35
22
23
40
29
16
28
40
49
19
45
30
48


57
31
150
29
22
50
73
78
1,483
29
487
228
28
70
27
32
49
30
19
37


42
27
721
151
168
109
87
327
22
36
37
34
43
137*
30
100
19
33
40
112
55


61
32
48
101
(38)
113
81


4


220
48
23
31
42
38
14
27
51
80
12
57
25
62


36
30
143
42
28
38
71
90
1,605
50
464
226
32
97
24
31
59
49
24
25


60
32
761
159
219
97
79
362
33
51
26
24
55
139
48
122
36
27
31
101
67


52
21
31
163
(26)
81
62


6,220
971
755
697
1,209
642
575
683
1,199
1,584
343
1,179
709
1,432


1,182
884
3,771
1,095
747
1,008
1,810
2,615
43,044
1,009
13,163
4,959
581
2,523
624
904
1,555
1,154
733
822


1,432
809
19,053
4,006
5,215
2,880
2,075
8,604
924
1,107
974
772
1,154
3,716
831
3,115
740
731
739
2,504
1,448


1,342
647
969
3,255
(710)
3,066
1,737


6,631
1,089
825
767
1,228
629
635
641
1,169
1,672
373
1,209
735
1,415


1,134
934
3,839
1,133
754
995
1,844
2,541
42,482
1,013
12,719
5,039
628
2,581
616
989
1,617
1,082
718
801


1,449
901
19,907
4,102
5,589
3,090
1,866
8,952
946
1,024
969
822
1,075
3,812
836
3,222
759
737
742
2,596
1,450


1,452
673
899
3,366
(659)
3,199
1,929


Area


WEST NORTH CENTRAL-Con.:
St. Louis, Mo.-------
St. Paul, Minn.---------
Wichita, Kans.----------

SOUTH ATLANTIC:
Atlanta, Ga.-------------
Baltimore, MM.-----------
Charlotte, N.C.--------
Jacksonville, Fla.-------
Miami, Fla.-------------
Norfolk, Va.-------------
Richmond, Va.------------
Savannah, Ga.-----------
St. Petersburg, Fla.---
Tampa, Fla.-------------
Washington, D.C.--------
Wilmington, Del.--------

EAST SOUTH CENTRAL:
3irmingham, Ala.--------
Chattanooga, Tenn.------
Knoxville, Tenn.--------
Louisville, Ky.-------
Memphis, Tenn.--------
Mobile, Ala.-------------
Montgomery, Ala.--------
Nashville, Tenn.-------

WEST SOUTH CENTRAL:
Austin, Tex.-------------
Baton Rouge, La.--------
Corpus Christi, Tex.-----
Dallas, Tex.-------------
El Paso, Tex.------------
Fort Worth, Tex.--------
Houston, Tex.-----------
Little Rock, Ark.--------
New Orleans, La.---------
Oklahoma City, Okla.-----
San Antonio, Tex.--------
Shreveport, La.----------
Tulsa, Okla.-------------

MOUNTAIN:
Albuquerque, N. Mex.-----
Colorado Springs, Colo.-
Denver, Colo.-----------
Ogden, Utah-------------
Phoenix, Ariz.-----------
Pueblo, Colo.--------
Salt Lake City, Utah-----
Tucson, Ariz.-----------

PACIFIC:
Berkeley, Calif.--------
Fresno, Calif.----------
Glendale, Calif.--------
Honolulu, Hawaii-------
Long Beach, Calif.-------
Los Angeles, Calif.------
Oakland, Calif.---------
Pasadena, Calif.--------
Portland, Oreg.---------
Sacramento, Calif.------
San Diego, Calif.-------
San Francisco, Calif.----
San Jose, Calif.-------.
Seattle, Wash.----------
Spokane, Wash.----------
Tacoma, Wash.-----------

San Juan, P. R.------------


25th
week
ended
June
24,
1961


24th
week
ended
June
17,
1961


217 263
73 60
41 44


102 91
254 236
28 38
42 72
84 87
45 59
75 66
29 34
(55) (66)
57 74
174 216
40 41


91 89
42* 47
34 24
111 107
87 96
30 31
36 19
46 57


33 33
18 15
22 15
123 120
29 27
43 64
141 168
50 61
117 174
79 51
117 96
49 47
70 39


40 28
23 14
110 101
22 15
73 71
16 17
42 40
37 17


19 19
(60) (41)
(40) (31)
40 39
56 56
535 481
105 90
31 31
110 107
57* 68
93 113
185 191
(43) (25)
119 125
47* 38
29 23

(35) (22)


Cumulative,
first 25 weeks


1961



6,003
1,699
1,141


2,917
6,356
897
1,468
1,924
1,271
2,021
842
(1,834)
1,698
4,916
984


2,225
1,227
715
2,898
2,955
1,036
806
1,471


878
712
585
3,152
906
1,656
4,165
1,415
4,210
1,930
2,633
1,309
1,408


783
421
2,872
405
2,111
425
1,241
985


433
(1,130)
(847)
1,008
1,456
12,811
2,414
848
2,701
1,553
2,282
5,017
(892)
3,323
1,147
988

(900)


*Estimate based on average percentage of divisional total.

() Figures shown in parenthesis are from cities which have
been reporting less than five years and hence are not in-
cluded in Table 3.


I


1960



6,537
1,853
1,182


3,060
6,687
1,066
1,620
1,905
1,083
2,064
947
(1,933)
1,775
5,080
1,003


2,236
1,221
769
2,989
2,947
1,093
933
1,560


923
745
638
3,290
986
1,773
4,410
1,546
4,788
1,954
2,697
1,417
1,459


773
435
3,114
444
2,025
400
1,255
967


437
(1,187)
(993)
1,068
1,418
13,441
2,504
892
2,871
1,506
2,331
5,184
(871)
3,629
1,201
1,114

(883)




UNIVERSITY OF FLORIDA

ll llilllI lllllll IIIII I ll IIl II
3 1262 08864 0080


Morbidity and Mortality Weekly Report


Seventy-three percent of the cases occurred among
unvaccinated persons and 53 of the 57 deaths. Among
those fully vaccinated (i.e. a primary series within four
years or a primary series at any time with a booster with-
in four years) there were no deaths and 42 of the 61 cases
in this group were classed as mild. The only recorded
death among persons who had received a primary series
at any time occurred in a 35-year-old North Dakota woman,
a diabetic, who was reported to have received a primary
series at age 9.

Botulism Type E Washington
At 9:00 p.m. on May 24th, twelve persons on the
Hoh Indian Reservation consumed a meal consisting of
freshly prepared pork chop suey, berry sprouts, fresh raw
salmon, smoked elk meat and salmon eggs. The elk meat
had been smoked fourteen days before and stored without
refrigeration. The uncooked salmon eggs had been placed
in a fruit jar last November, covered with paper and
stored in a shed near the family home.
Nine hours after the meal, a 22-year-old man devel-
oped blurred vision, dizziness, abdominal pain and
vomiting. Within an hour, three other adults developed
similar symptoms. The man died in cardio-respiratory
collapse ten hours after onset; the other victims recov-
ered completely within 72 hours.
The eight remaining persons, all children, consumed
portions of the same food but were not ill. Notably, the
salmon eggs they ate were taken from the top of the jar;
the adults ate the remainder; the fatal case additionally
drank the juice remaining in the jar.
Blood from the fatal case and emesis from a non-
fatal case contained a heat labile toxin not neutralized
by either Type A or B botulism antitoxin. Material from
the salmon egg jar contained botulinus toxin Type E at
a titer of 40 M.L.D. per ml. C. botulinum, Type E, was
grown from the emesis material, the salmon eggs and from
the smoked elk meat.
(Reported by Dr. Ernest A. Ager, Head, Communicable
Disease Control, Washington State Health Department).




QUARANTINE MEASURES
Immunization Information for International Travel-1960 edition
Public Health Service Publication No. 384

The following name should be added to the list of Yellow
Fever Vaccination Centers in Section 6:
City Center Clinic Hours Fee
Texas U. S. Quarantine Station Friday, 9 a.m. No
El Paso Santa Fe Street Bridge
Tel. KEystone 3-9351
ext. 339 or 265


NOTICE
Due to observance of Independence Day on July 4, the
report for the week ending July 1 (Vol. 10, No. 26) will
be mailed on Friday, July 7 rather than Thursday, July 6.



FOR SOURCE AND NATURE OF MORBIDITY DATA SEE

LAST WEEK'S MORBIDITY AND MORTALITY WEEKLY


REPORT






SN F ....LJB
Dcu FS LDEPT.

S DEPOSITORY



US DEPOSITORY


m
> 0

MO o
n
0-

o- O

C3
>0

m0
m -. 3

0g-




al
C
o -
n
Q-
o2
Ow
3-

0
o


I



n-




s "
5g


ti
N Id

xml version 1.0 encoding UTF-8
REPORT xmlns http:www.fcla.edudlsmddaitss xmlns:xsi http:www.w3.org2001XMLSchema-instance xsi:schemaLocation http:www.fcla.edudlsmddaitssdaitssReport.xsd
INGEST IEID EIJ94MJTL_YQN3KT INGEST_TIME 2012-10-15T13:53:55Z PACKAGE AA00010654_00303
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES