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Morbil and Mortality B PUBLIC HEALTH SERVICE U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Pfporefd by Ir D/h o I."TE,- MEIrose 4-5131 For release July 7, 1961 Atlanta 22, Georgia Vol. 10, t-. 26 Provisional Information on Selected Notifiable Diseases in the United States and on Deaths in Selected Cities for Week Ended July 1 Hepatitis The current weekly total of 999 cases repre- Polio IC huWeek h the 26th Week sents a decrease of 234 cases from that reported last /for Past Fiv week and a notable, continuing decline in cases. De- "r creases are evident generally throughout the country. 1961 158 195 A comparison of the weekly incidence on a national basis Para lytic Z 33 62 Paralytic 14 46 / 69 3 628 with each of the last two years and 1954 is depicted Total n Toral \237 469 10 644 141 on page 2. Poliomyelitis Eighteen cases, eight paralytic, were A small f6bao Lcon ten on of cases has become reported this week by eleven States. Although a distinct apparent in the Bradenton Manatee County, Florida seasonal increase in cases would normally be anticipated area. Five paralytic cases have been reported; another by this time of year, the national incidence remains at a four suspect cases are under investigation. Of the para- remarkably low level. lyric cases, two occurred in April, one in mid-June, and Table I. Cases of Specified Notifiable Diseases: United States (Cumulative totals include revised and delayed reports through previous week) Disease 26th Week Cumulative (Seventh Revision of International Approxi- Lists, 1955) First 26 weeks Since seasonal low week mate Ended Ended seasonal July July Median Median low Weekly incidence low or sporadic 2, ix,-u Median .i f5'-, point -- Data not available soad 1961 1961 1." 195- -1 '- to I to Quantity zero 19" .-6,, Anthrax-------- ------ 062 3 10 * Botulism----------------------049.1 2 6 A Brucellosis undulantt fever)----044 14 9 18 281 -21 416 * Diphtheria-----------------------055 5 4 9 309 329 397 889 865 1,092 July 1 Encephalitis, infectious------082 29 35 35 7.7 795 758 7-7 795 75 8 Jan. 1 Hepatitis, infectious, and serum---------------092,N998.5 pt. 999 588 266 43,039 19,710 11,612 58,246 27,27; 17,011 Sept. 1 Malaria-------------------- 10-117 2 1 25 26 * Measles-------------------------085 8,161 8,198 9,528 359,600 371,011 418,593 395,810 W03,723 455,262 Sept. 1 Meningitis, aseptic----------340 pt. 38 --- 705 75 --- 03 25 --- Jan. 1 Meningococcal infections--------057 43 43 38 1,211 1,261 1,371 1,867 1,91 2,162 Sept. 1 Poliomelitie------------------080 18 41 142 237 -69 1,022 134 253 729 Apr. 1 Paralytic-------------080.0,080.1 8 3- 42 147 346 690 87 192 -82 Apr. 1 NMoparalytic-------- ------080.2 7 7 81 5- 85 216 29 49 168 Apr. I Unspecified-----------------080.3 3 19 36 38 116 18 12 79 Apr. 1 Psittacosis------..---------096.2 3 4 38 55 A * Rabies in man-----.-------------096 1 3 * Streptococcal sore throat, including scarlet fever ----050,051 3,217 3,304 --- 207,867 194,641 --- 305,519 --- --- .u Typhoid fever-------------------060 14 29 26 292 327 388 178 19- 208 Apr. 1 Typhus fever, endemic--- ----------101 2 4 17 38 * Rabies in animals------------- 69 6 3 7 1,824 2,045 2,-69 2,400 3,018 3,251 Oct. I Figures for current week exclude missing reports from Florida. Rabies in Man Kentucky .3 4-- Morbidity and Mortality Weekly Report CURRENT U.S. HEPATITIS INCIDENCE compared with years 1954, 1959, 1960 DATA PROVIDED BY NATIONAL OFFICE OF VITAL STATISTICS and COMMUNICABLE DISEASE CENTER 2,000- 1,800- 1.400- 1,200- C3 W l- O - eco 0 . 1,000- Ia 800- z 600- 0 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I II WEEK 7 21 4 18 4 18 I 15 29 13 27 10 24 8 22 5 19 2 16 30 14 28 II 25 9 23 ENDING JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Depicted is the weekly annual incidence of reported hepatitis cases for the past two years and the previous high year of 1954. A pronounced seasonal decline in cases is evident this year. The number of reported cases has fallen from a high of 2,091 cases for the week ending March 4 to 999 cases for the current week ending July 1. two in late June. Three are in Negro and two in white children. An immunization campaign is being planned. An additional four cases, one paralytic, were re- ported this week from the Atlanta metropolitan area. This brings the total for the year to 13 of which 6 are paralytic. EPIDEMIOLOGICAL REPORTS Coxsockie B-2 Epidemic Adams County, Washington An epidemic of a febrile illness, characterized by excruciating headache, dizziness and severe myalgia is reported from an area in and around Lind, Adams County, Washington. A number of cases with pleurodynia, several with orchitis and one with a probable myocarditis have been observed. No cases of aseptic meningitis have yet been uncovered. The epidemic commenced in late May and has con- tinued to date with additional cases being noted at in- creasing distances from the focus at Lind. An age distribution of 67 cases studied shows the disease to be predominantly concentrated among children and adolescents. AGE AND SEX DISTRIBUTION OF CASES Age Male Female Total 0-4 6 2 8 5-9 6 11 17 10-19 15 6 21 20-29 3 4 7 30-39 4 2 6 40-49 3 3 6 50 + 1 1 2 Total 38 29 67 Cases among adults have been almost exclusively among those with children in the household. Stool specimens from four cases have yielded Cox- sackie B-2; additional specimens are being studied. (Reported by Dr. Ernesr A. Ager, Head, Communicable Disease Control Section, Washington Stare Department of Health.) (Continued on page 8. ( v ",, I I.\ \. %6 /V\ i- V / V 1959 ,, 400- 200- 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 JULY 2, 1960 AND JULY 1, 1961 (By place of occurrence. Numbers under diseases are category numbers of the Seventh Revision of the International Lists, 1955) Poliomyelitis 080 Brucel- Menin- losis Total Paralytic 080.0,080.1 gitis, (undu- (Includet cases not specdrled by type) Nonparalytic aseptic lant Area Cumulative, Cumulative, fever) 26th Week first 26 weeks 26th Week first 26 weeks 080.2 340 pt. 044 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1961 UNITED STATES--------- 18 41 237 469 8 34 147 346 7 7 38 14 EW ENGLAND---------------- -- 10 3 33 8 3 31 2 1 Maine--------------------- 6 6 - New Hampshire------------- - Vermont------------------ - Massachusetts-------------- 2 6 2 6 1 Rhode Island--------------- 10 21 8 19 2 - Connecticut---------------- 1 1 - MIDDLE ATLANTIC-------------- 1 1 18 45 1 14 32 3 - New York------------------- 1 1 8 35 1 6 24 - New Jersey----------------- 5 6 4 6 - Pennsylvania--------------- 5 4 4 2 3 - EAST NORTH CENTRAL----------- 2 4 27 53 2 3 18 22 1 3 Ohio----------------------- 1 11 21 1 6 7 1 - Indiana-------------------- 3 1 2 - Illinois------------------- 4 7 14 3 6 10 1 2 - Michigan------------------- 1 3 14 1 3 4 - Wisconsin------------------ 3 3 1 1 - WEST NORTH CETRAL----------- 2 1 13 27 1 1 6 14 4 10 Minnesota------------------ 1 3 13 1 3 10 4 - Iowa----------------------- 2 7 1 7 Missouri------------------ 2 6 4 1 1 3 - North Dakota-------------- 1 South Dakota--------------- 1 2 Nebraska------------------- 2 2 - Kansas--------------------- 2 - SOUTH ATANTIC--------------- 6 3 33 63 1 2 21 51 5 1 1 1 Delaware------------------ 2 1 - Maryland------------------ - District of Columbia------- - Virginia------------------ 1 1 1 West Virginia-------------- 1 2 4 6 2 2 6 1 - North Carolina------------- 1 4 18 3 17 - South Carolina------------- 4 7 4 5 - Georgia-------------------- 5 14 4 1 8 3 4 Florida------------------- --- 4 27 --- 2 20 --- - EAST SOUTH CENTRAL----------- 1 1 23 15 1 8 12 - Kentucky------------------- 1 16 8 2 5 - Tennessee------------------ 2 1 1 1 - Alabama-------------------- 1 1 1 Mississippi----------------- 1 4 5 1 4 5 - WEST SOUTH CENTRAL----------- 3 7 40 58 3 5 23 38 2 2 1 Arkansas------------------- -" 1 2 1 1 - Louisiana------------------ 2 3 11 18 2 3 8 14 - Oklahoma------------------- 3 3 - Texas---------------------- 1 3 27 36 1 2 15 21 1 2 1 MOUNTAIN-------------------- 1 20 23 1 12 13 2 - Montana-------------------- 1 10 1 6 - Idaho--------------------- 4 4 1 1 - Wyoming-------------------- 1 - Colorado------------------- 1 3 2 1 3 2 2 - New Mexico----------------- 1 2 - Arizona-------------------- 5 3 3 3 - Utah----------------------- 6 1 4 1 - Nevada--------------------- - PACIFIC---------------------- 3 13 60 152 1 12 42 133 2 1 23 1 Washington---------------- 9 7 5 7 2 1 Oregon--------------------- 2 7 16 1 11 2 - California----------------- 1 13 42 123 1 12 34 109 1 21 - Alaska--------------------- 2 2 - Hawaii--------------------- 24 2 4 2 4 - Puerto Rico------------------ 1 4 268 24 4 261 - 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 JULY 2, 1960 AND JULY 1, 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 Cumulative, Cumulative, 26th Week first 26 weeks 082 26th Week first 26 Weeks 085 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 1961 1960 UNITED STATES---------- 5 4 309 329 29 35 999 588 43,039 19,710 8,161 8,198 NEW NGLAND------------------ 1 5 10 4 1 21 20 1,183 595 1,142 993 Maine---------------------- 2 2 69 42 27 179 New Hampshire------------- 2 73 20 2 6 Vermont------------------ 3 133 9 131 Massachusetts-------------- 1 4 7 1 1 7 12 420 298 815 523 Rhode Island--------------- 1 3 2 3 162 113 100 10 Connecticut--------------- 1 7 3 326 113 198 144 MIDDLE ATLANTIC-------------- 1 16 10 5 5 188 82 6,235 2,093 2,231 1,290 New York----------- --- 1 7 2 5 77 46 2,565 1,047 1,094 956 New Jersey----------------- 1 3 43 4 1,525 162 584 227 Pennsylvania--------------- 9 7 2 68 32 2,145 884 553 107 EAST NORTH CENTRAL------- 13 25 1 6 197 115 8,724 3,766 1,697 3,123 Ohio----------------------- 1 14 1 1 57 42 3,028 1,238 278 199 Indiana------------------- 1 4 2 37 7 1,438 457 100 139 Illinois------------------- 10 3 1 40 17 1,476 784 258 229 Michigan------------------ 1 3 2 60 49 2,571 1,127 491 996 Wisconsin------------------ 1 3 211 160 570 1,560 WEST NORTH CENTRAL--------- 2 26 18 3 85 36 4,386 1,520 112 154 Mfnnesota------------------ 2 15 5 23 11 997 160 2 81 Iowa----------------------- 1 2 19 8 1,248 263 58 6 Missouri------------------- 2 2 20 11 977 563 28 26 North Dakota--------------- 2 1 8 2 99 117 16 41 South Dakota--------------- 6 5 1 1 124 116 - Nebraska------------------ 2 1 12 1 448 144 8 Kansas--------------------- 2 2 3 493 157 NN NN SOUTH ATIANTIC-------------- 61 75 3 4 104 83 5,221 2,350 766 365 Delaware------------------ 6 12 136 145 16 4 Maryland------------------ 1 1 26 4 490 230 168 59 District of Columbia------- 2 1 3 60 19 8 14 Virginia------------------ 12 9 1 18 18 753 472 325 98 West Virginia-------------- 1 2 18 18 1,061 456 194 103 North Carolina-------------. 7 2 2 1 28 5 1,136 182 54 8 South Carolina--------- 2 19 1 290 42 1 16 Georgia------------------- 13 17 6 1 518 163 - Florida------------------ -- 23 25 --- 2 --- 22 777 641 --- 63 EAST SOUTH CENTRAL------- 12 39 2 96 65 6,688 2,973 544 510 Kentucky------------------- 3 1 1 23 17 1,987 1,166 46 91 Tennessee----------------- 2 6 44 26 2,710 970 452 380 Alabama----------------.---- 5 20 13 19 1,120 624 20 33 Mississippi---------------- 2 12 1 16 3 871 213 26 6 WEST SOUTH CENTRAL--------- 2 2 164 120 4 2 73 44 3,112 1,604 314 486 Arkansas------------------- 3 2 1 14 2 600 71 2 16 Louisiana------------------ 2 17 28 12 7 312 71 3 Oklahoma------------------- 3 6 2 2 227 218 8 Texas------------------- 2 141 84 3 47 33 1,973 1,244 312 459 MOUNTAIN---------------- 7 31 1 58 35 2,730 1,622 380 536 Montana------------------- 2 2 255 61 26 Idaho-------------------- 11 4 2 176 206 44 17 Wyoming-------------------- 5 5 107 13 - Colorado------------------- 4 3 21 27 944 569 186 158 New Mexico--------------- 4 6 2 308 231 NN Arizona------------------ 3 1 17 4 404 377 114 178 Utah----------------------- 3 4 455 145 25 115 Nevada-------------------- 1 1 81 20 11 42 PACIFIC---------------------- 1 5 1 9 14 177 108 4,760 3,187 975 741 Washington----------------. I 14 15 593 384 62 54 Oregon-------------------- 1 26 19 805 557 130 299 California--------------- 1 8 13 136 73 3,183 2,059 756 360 Alaska-------------------. 1 4 1 1 1 143 133 22 - Hawaii------------------- 36 54 5 28 Puerto Rico---------- 1 1 38 91 28 13 520 432 25 19 NN-N Not tifiable 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 JULY 2, 1960 AND JULY 1, 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 infeoco si sore fever, Rabies in infections cosis throat, endemic aein throat, endemic Area etc. Cumulative, 110-117 057 096.2 050,051 26th Week first 26 weeks 101 1961 1961 1960 1961 1961 1961 1960 1961 1960 1961 1961 1960 UITED STAS---------- 2 43 43 3 3,217 14 29 292 327 2 69 43 NW ENGLAND------------------ 6 4 208 1 6 5 - Maine---------------------- 1 6 1 1 2 - New Hampshire-------------- 2 - Vermont------------------- 1 - Massachusetts-------------- 3 4 72 1 2 - Rhode Island--------------- 60 - Connecticut---------------- 2 67 3 1 - MIDDLE ATLANTIC-------------- 11 8 1 241 3 1 36 16 1 7 New York------------------- 1 7 1 167 2 1 19 13 7 New Jersey----------------- 3 58 1 7 - Pennsylvania--------------- 7 1 16 10 3 1 - EAST NORTH CENTRAL----------- 10 12 2 255 2 3 38 34 9 6 Chio----------------------- 1 48 1 12 5 2 1 Indiana-------------------- 1 3 69 1 7 10 2 3 Illinois------------------- 2 2 34 1 1 17 9 4 2 Michigan------------------- 4 6 30 1 1 6 1 - Wisconsin------------------ 3 2 74 1 4 - WEST NORTH CENTRAL----------- 2 58 3 2 22 19 24 12 Minnesota----------------- 3 5 1 3 1 Iowa----------------------- 24 1 1 2 12 6 Missouri------------------- 3 1 1 11 14 3 4 North Dakota--------------- 2 11 - South Dakota-------------- 1 2 1 3 - Nebraska-------------- -- 1 1 1 3 1 Kansas--------------------- 17 2 - SOUTH ATLANTIC-------------- 1 3 10 123 6 45 44 3 - Delaware------------------- 1 1 1 1 - Maryland------------------ 1 1 9 - District of Columbia------- -- 2 1 3 2 6 4 - Virginia------------------- 57 1 5 1 West Virginia------------- 1 39 4 2 1 North Carolina------------ 6 12 7 8 1 South Carolina------------ 1 1 2 7 - Georgia----------- ----- -- 1 1 18 9 - Florida-------------------- --- --- 2 --- --- --- 1 6 8 -- --- EAST SOUTH CENTRAL--------- 2 4 737 2 3 32 50 9 2 Kentucky-------------- 1 1 1 6 13 4 1 Tennessee------------------ 697 2 1 22 24 4 - Alabama------------------- 1 1 3 9 1 1 Mississippi---------------- 3 39 1 1 4 - WEST SOUTH CENTRAL----------- 4 2 461 3 10 60 116 1 20 13 Arkansas------------------- 1 3 7 21 7 6 Louisiana------------------ 1 3 5 46 1 - Oklahoma------------------- 14 5 5 1 - Texas---------------------- 3 2 446 3 4 43 44 1 11 7 MOUNTAIN--------------------- 1 832 1 24 17 1 1 Montana-------------------- 1 3 5 - Idaho---------------------- 50 - Wyoming------------------- -- 6 1 2 - Colorado------------------ 559 5 - New Mexico----------------- 6 4 - Arizona-------------------- 1 132 5 6 1 Utah---------------------- -- 78 2 1 - Nevada--------------------- 6 1 2 - PACIFIC-------------------- 1 6 1 302 3 29 26 1 2 2 Washington----------------- 1 46 3 1 - Oregon-------------------- 1 7 2 6 - California----------------- 1 4 217 1 26 19 1 2 2 Alaska--- ------------ 1 29 - Hawaii ---------- 3 - Puerto Rico----------------- 1 10 16 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 SELECTED CITIES BY GEOGRAPHIC DIVISIONS (By place of occurrence and weekof filing certificate. Excludes fetal deaths. Data exclude figures shown in parentheses in table 4) 26th 25th Percent Cumulative, first 26 weeks week week Adjusted change, ended ended average) adjusted Area July June 26th average IJy Je week to 1961 1960 Percent 1961 1961 1956-60 current change 1961 11 week TOTAL, 117 RPORTING CITIES------- -------.-----. 11,089 10,908 10,830 +2.4 305,020 313,031 -2.6 New England---------------------------------(14 cities) 656 673 645 +1.7 18,854 19,682 -4.2 Middle Atlantic-----------------------------(20 cities) 2,985 3,009 2,955 +1.0 87,168 86,663 +0.6 East North Central--------------------------(21 cities) 2,354 2,320 2,314 +1.7 65,183 67,182 -3.0 West North Central-------------------------(-9 cities) 698 767 770 -9.4 20,557 21,856 -5.9 South Atlantic-----------------------------(11 cities) 987* 930 932 +5.9 26,281 27,196 -3.4 East South Central---------------------------(8 cities) 531 477 489 +8.6 13,864 14,177 -2.2 West South Central--------------------------(13 cities) 988 891 1,005 -1.7 25,947 27,638 -6.1 Mountain---------------------------------(8 cities) 413 363 346 +19.4 9,656 9,749 -1.0 Pacific-------------------------------------(15 cities) 1,477* 1,478 1,374 +7.5 37,510 38,888 -3.5 *Includes estimate for missing reports. 15,000 NUMBER OF DEATHS IN SELECTED CITIES 15,000 14,000- -- CURRENT WEEK 14,000 ------- 5-WEEK MOVING AVERAGE ADJUSTED AVERAGE 13,000 13,000 12,000 12,000 11,000 11,000 10,000 10,000 9,000 9,000 SII I T I I I I T I I I I T I I I I T I I I T I I T I I I T T IT I 1 JUL AUG SEP OCT NOV DEC I JAN FEB MAR APR MAY JUN 1960 1961 Morbidity and Mortality Weekly Report 7 Table 4. DEATHS IN SELECTED CITIES (By place of occurrence and week of filing certificate. Excludes fetal deaths) Area NEW ENGLAND: Boston, Mass.---------- Bridgeport, Conn.------- Cambridge, Mass.-------- Fall River, Mass.------- Hartford, Conn.--------- Lowell, Mass.----------- Iynn, 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.------------ 26th week ended July 1, 1961 25th week ended June 24, 1961 Cumulative, first 26 weeks 1961 I -f I 203 47 33 23 44 26 23 22 42 61 14 52 19 47 48 32 149 36 16 33 49 81 1,486 32 480 177 27 100 23 35 64 54 33 30 56 35 689 159 198 130 73 326 30 41 46 34 42 123 30 130 34 23 24 76 55 41 25 32 122 (19 87 52 249 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 27 34 43 137 30 100 19 33 40 112 55 61 32 48 101 (38' 113 81 6,423 6,861 1,018 1,133 788 858 720 792 1,253 1,269 668 644 598 661 705 667 1,241 1,205 1,645 1,737 357 384 1,231 1,245 728 761 1,479 1,465 1,230 1,212 916 967 3,920 3,981 1,131 1,168 763 785 1,041 1,046 1,859 1,913 2,696 2,627 44,530 44,061 1,041 1,057 13,643 13,216 5,136 5,259 608 652 2,623 2,672 647 634 939 1,022 1,619 1,680 1,208 1,127 766 744 852 840 1,488 1,509 844 938 19,742 20,662 4,165 4,230 5,413 5,764 3,010 3,191 2,148 1,934 8,930 9,274 954 977 1,148 1,070 1,020 1,008 806 849 1,196 1,109 3,839 3,961 861 860 3,245 3,341 774 779 754 774 763 762 2,580 2,687 1,503 1,503 1,383 1,521 672 692 1,001 935 3,377 3,473 (7291 (6861 3,153 3,324 1,789 1,990 26th 25th Cumulative, week we first eeks Area ended ended first weeks July June 1, 24, 1961 1961 1961 1960 WEST NORTH CENTRAL-Con.: St. Louis, Mo.--------- St. Paul, Minn.--------- Wichita, Kans.---------- SOUTH ATLANTIC: Atlanta, Ga.------------- Baltimore, Md.----------- 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: Birmingham, 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.------------- 232 58 49 97 256 38 60* 79 47 85 29 (70) 80 177 39 67 46 22 187 89 29 36 55 23 41 16 121 32 60 196 53 166 80 101 56 43 37 14 150 19 77 16 42 58 15 (48) (37) 37 56* 480 152 41 117 82 75 209 (35) 130 45 38 (30) 217 73 41 102 254 28 42 84 45 75 29 (55) 57 174 40 91 42 34 111 87 30 36 46 33 18 22 123 29 43 141 50 117 79 117 49 70 40 23 110 22 73 16 42 37 19 (60) (40) 40 56 535 105 31 110 95 93 185 (43) 119 61 29 (35) 6,235 1,757 1,190 3,014 6,612 935 1,528 '2,003 1,318 2,106 871 (1,904) 1,778 5,093 1,023 2,292 1,273 737 3,085 3,044 1,065 842 1,526 901 753 601 3,273 938 1,716 4,361 1,468 4,376 2,010 2,734 1,365 1,451 820 435 3,022 424 2,188 441 1,283 1,043 448 (1,178) (884) 1,045 1,512 13,291 2,566 889 2,818 1,673 2,357 5,226 (927) 3,453 1,206 1,026 (930) 6,758 1,922 1,241 3,168 6,917 1,095 1,673 1,972 1,127 2,131 972 (1,987) 1,835 5,267 1,039 2,324 1,260 798 3,076 3,022 1,119 957 1,621 957 777 663 3,410 1,037 1,840 4,598 1,596 4,936 2,025 2,797 1,466 1,536 810 453 3,212 458 2,090 417 1,308 1,001 447 (1,222) (1,027) 1,106 1,469 13,908 2,597 923 2,972 1,559 2,384 5,373 (906) 3,752 1,250 1,148 (925) *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. UNIVERSITY OF FLORIDA lIl I1 26II I IIIBIBl 111l IIIII0IIII illIIIIIIIIIIII IIII 3 1262 08864 0072 Morbidity and Mortality Weekly Report Rabies Death Kentucky The third human death this year due to rabies was reported this week by Kentucky. The patient, a 74-year-old resident of Powell County, died on June 26. Approximately five weeks previously he had investigated a commotion in his chicken house and had found a fox under the shed. On attempting to chase the fox away, he was bitten on his left thumb. The fox was killed and discarded. The man refused rabies vacci- nation initially, but after two calves had died within the following two weeks of apparent rabies, he assented to vaccination. He received 14 doses of duck embryo vac- cine, the last, three days before onset of symptoms. On June 22, he experienced tingling on his left side, followed subsequently by progressive paralysis, photo- phobia, hydrophobia and death. Post mortem examination revealed Negri bodies in brain material. (Reported by Dr. Joe Skaggs, Public Health Veterinarian, Kentucky State Department of Health.) Hepatitis Possible Common Source Outbreak, Minnesota Between June 2 and June 20, twenty cases of hepati- tis occurred among 600 employees of two companies housed in one of the newer office buildings in downtown St. Paul. The cases were scattered throughout the various departments and various floors of the building. All denied known exposure to previous cases; none had consumed raw oysters or clams; inoculations or the receipt of blood products was denied; the water supply for the building was found to be satisfactory. Seventeen of the 20 ate lunch more or less regularly at the cafeteria; two addi- tional patients carried their lunch and drank coffee at the cafeteria. Notably, preceding this outbreak, one case of hepatitis had occurred (onset, May 12) in an employee of the food handling service operating the cafeteria in the building. This person had worked until the day of onset making sandwiches and salads and waiting on patrons. Gamma globulin prophylaxis was offered to all em- ployees on June 21. (Reported by Dr. D. S. Fleming, Director, Division of Disease Prevention and Control, Minnesota Department of Health.) 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 American Samoa Hospital of Friday, 1 p.m. Yes Pago Pago American Samoa (Tutuila) Dept. of Medical Services Tel. 570 SOURCE AND NATURE OF MORBIDITY DATA These provisional data are based on reports to the Public Health Service from the health departments of each State 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 :he 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 I shows the States reporting these diseases. When diseases of rare occurrence are reported b\, a State (cholera, dengue, plague, louse-borne 'relapsing fever, smallpox, louse- borne epidemic typhus, and vellow fever) this is noted below table 1. S""IOV OF RL YI t U.SS DEPOSITORY -* F IO C, , - - I S1 m C gail ^ m^ |
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