Morbidity and mortality

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


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