Morbidity and mortality

(/6 / A/33


Morbidity and Mortality


PUBLIC HEALTH SERVICE

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE UG 1961

Poresp byth t1 MEirose 4-513D C ENT' 9, 4/-5

For release August 18, 1961 Atlanta 22, Georgia 1. tI o. 3'

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

Deaths in Selected Cities for Week Ended August 12, 1961


Poliomyelitis There was a notable increase in
both paralytic and total cases this week. The total for
the current week was 54 cases of which 36 were paralytic.
For the previous week, the total was 36, including 27
paralytic cases.
Despite the rise in cases this week, the number of
cases reported continues below the past years' expe-
rience as shown in the graphs on page 2.


Poliomyelitis Cases (Cumulative)
Weeks 1 through 32 1957 Through 1961
1961 1960 1959 1958


Paralytic
Total


1957


270 777 1,892 716 976
417 1,074 2,924 1,457 2,923


Three additional paralytic cases were reported from
Frederick County, Maryland, bringing to nine the number
of paralytic cases occurring in that county this year.
The nine cases have occurred as follows:


Week Ending
Paralytic cases


7/1 7/8 7/15 7/22 7/29 8/5
3 0 3 1 1 1


Seven of the nine cases have been unvaccinated;
there have been seven type III poliovirus isolations from
the nine cases.
Of the 7 cases reported from Louisiana, 3 were
paralytic. Two of the paralytic cases and one of the four
non-paralytic cases were from New Orleans. Six cases in
all have occurred this year in New Orleans as follows:


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

Disease 32nd Week Cumulative
(Seventh Revision of International Approxl-
Lists, 1955) First 32 weeks Since seasonal low week mate
Ended Ended seasonal
nAug. Aug. Median Median low
Weekly incidence low or sporadic 12, 13, 196-K 191 196. Median .-" li-5t point
-- Data not available 1961 16, 1AI 1, l 1956-0 &- to
Quantity zero 19t.I-6,
Anthrax----------------------- .062 5 10 *
Botuliam---------. ---------.-.049.1 2 8 8 *
Brucellosi undulantt fever)------044 10 18 19 378 515 505 *
Diphtheria------------------------055 9 9 340 378 461 31 51 64 July 1
Encephalitis, infectiou--------082 46 58 54 963 1,063 1,008 963 1,063 1,008 Jan. 1
Hepatitis, infectious, and
serum----------------- 092,998.5 pt. 1,023 645 276 49,739 23,400 13,259 64 946 30920 18 872 Sept. 1
alaria-------------------- 110-117 2 35 7 *
Measles-------------------------085 1,746 1,886 1,932 382,274 396,021 443,647 418,484 428,635 480,316 Sept. 1
Meningitis, aseptic----------340 pt. 132 108 --- 1,285 1,227 1,285 1,227 Jan. 1
Meningococcal infections---------057 29 30 31 1,414 1,455 1,591 2,070 2,187 2,368 Sept. 1
Polioayeliti --------------.-----080 54 126 356 417 1,074 2,919 314 860 2,391 Apr. 1
Paeralytic--- ----------080.0,080.1 36 97 70 270 777 973 210 622 698 Apr. 1
Ioparaelytic--------- -------080.2 16 23 205 95 222 1,488 70 189 1,327 Apr. 1
Unspecified------------------080.3 2 6 81 52 75 458 34 49 .366 Apr. 1
Psittacosi-------------- --096.2 2 4 45 68
Rabies in man---------------------09 3 1 *
Streptococcal sore throat,
including scarlet fever -- 0 -050,051 3,193 3,447 -- 225,336 214,776 6,125 -- Aug.
Typhoid fever---------------------040 15 29 30 421 464 543 307 333 363 Apr. 1
Typhus fever, endemlc--------.--1.01 1 24 50 ** *
Rabies in animals------------------ 60 55 71 2,222 2,436 2,968 2,798 3,409 3,811 Oct. l


1/









Morbidity and Mortality Weekly Report


Figure I CURRENT US. POLIO INCIDENCE
COMPARED WITH YEARS 1955-1960; APRIL-AUGUST, BY WEEK

PROVISIONAL DATA SUPPLIED BY NATIONAL OFFICE OF VITAL STATISTICS
AND COMMUNICABLE DISEASE CENTER



TOTAL
.oo0 /55



",500 A0. /
a / t s /
". ,/ ", /


I o00 -'- N





W N N. I I I i4 i I I5 I II I IlI 0I I I I I G S ll I A4 I 40 I I a I IS I SO II I II II1 S* I


S- PARALYTIC '



2 -



A




o I NG APR MAY JUN JUL. AM.
NI-I-.
A ~b0
6,r ..-*
~ / >I2..j
2 < s
z ~





ND. ENING APR. MAY .1011 SOC. *0


EPIDEMIOLOGICAL REPORT

Hepatitis Cases by Age United States

The observation of an unusual proportion of hepatitis
cases among adults in New Jersey and the revelation of
an underlying cause, a common source epidemic traceable
to Raritan Bay derived clams, led to the initiation on
April 29, 1961 of the nation-wide reporting of cases
by age under 20 years and 20 years or over (MMWR,
Vol. 10, No. 17). A total of 33 States were able to pro-
vide this age breakdown routinely beginning with the
first week; all but a few Stares now routinely report this
information.
A summary of reports received since April 29 through
the present week appears on page 8. For the country,
as a whole, 40.9% of the cases occurred among those 20
years of age and over. No States except those in the New
England, Middle Atlantic and Pacific districts show a
percentage of cases 20 years and over which exceeds
50%. In only three States does the proportion of cases
among adults exceed 60%. These States are New Jersey,
Connecticut and New York which show figures of 73, 63,
and 62 percent, respectively.
It is pertinent to note that since the week of July 8,
California has reported 982 cases of hepatitis, 368 of
which were in persons under 20 years of age, 588 over
20, and 26 unspecified. Thus, during the past six weeks,
62% of cases from California have also been among
adults.


International Notes


Age
16 mos.
2
11
3
4
2


Race
N
N
W
N
N
W


Paralytic
Sex Status
F Paralytic
M Paralytic
M Paralytic
M Paralytic
M Paralytic
M Non-paralytic


Vaccine
Status Laboratory
OV Type I
OV Type I
OV Type III
OV
? Type 1
OV Type I


Three additional suspect cases of more recent onset
are being investigated.
The six paralytic cases from New York are from 6
different counties including one from Madison County.
Not yet reflected in the telegraphic reports are three
additional paralytic cases from the Oneida City vicinity
(Madison County) and a fourth case across the county
line in Oneida County. The onsets of the five cases
range from August 2 to August 8. A previous case oc-
curred in Madison County on June 28.
The three paralytic cases in Georgia are all from
the Atlanta area. All had onsets in late July; none had
either Salk or Sabin vaccine. This brings the reported
total in the Atlanta area to 11 cases, 10 paralytic.


Cholera A bacteriologically confirmed case of
cholera has been reported through WHO from the Portugese
Colony of Macao. Macao is located on the South China
Coast, 35 miles from Hong Kong. This case follows un-
confirmed reports of cholera in epidemic form occurring
since early August in the bordering Chinese mainland
province of Kwangtung.
For all travelers to the Hong Kong area, cholera
immunization is strongly recommended d.

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
Florida Broward County Ilealth
Fort Lauderdale Department
605 S. W. 26th Street
Tel. JA 3-1461


Clinic Hours Fee
Monday-Friday No
8 a.m.


Date of
Onset
April 29
June 7
June 15
June 28
July 2
July 2










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 AUGUST 13, 1960 AND AUGUST 12, 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 specftled by type) Nonparalytic aseptic lant

Cumulative Cumutive, atifever)
32nd Week first 32 weeks 32nd Week first 32 weeks 080.2 340 pt. 044

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

UNITED STS -------- 54 126 417 1,074 36 97 270 777 16 23 132 10

NEEW ENGAD----------- 1 5 5 105 1 3 5 88 2 22 -
Maine---------------------- 6 6 1 -
New Hampshire------------ -- -
Vermont---------------- -- 1 1 -
Massachusetts-------------- 4 2 14 2 2 12 2 10 -
Rhode Island--------------- 79 1 64 11 -
Connecticut--------------- 1 2 6 1 2 6 -
MIDDLE ATLANTIC-------------- 7 21 36 113 7 18 33 87 3 7 -
New York------------------- 6 5 18 69 6 4 16 51 1 5 -
New Jersey---------------- 1 11 10 27 1 10 9 24 1 -
Pennsylvania--------------- 5 8 17 4 8 12 1 2 -
EAST NORTH CENTRAL-------- 7 16 39 134 3 10 22 69 3 4 24 1
Ohio----------------------- 1 1 14 31 1 6 12 1 1
Indiana-------------------- 4 4 20 3 3 13 1 1
Illinois------------------ 3 9 12 45 1 5 7 31 2 2 10 1
Michigan------------------- 1 2 4 31 1 1 4 12 1 12
Wisconsin------------------ 2 5 7 1 2 1 -
WEST NORTH CENTRAL------- 3 8 26 62 1 4 11 36 2 3 8 3
Minnesota------------------ 2 3 24 2 3 18 7 -
Iowa --------------------- 2 1 6 10 1 2 2 1 1 3
Missouri------------------- 8 10 2 7 -
North Dakota------------ 1 1 3 2 1 -
South Dakota--------------- 1 3 1 -
Nebraska------------------- 2 3 4 1 2 3 1
Kansas--------------------- 2 5 8 1 2 3 1 1
SOUTH ATLANTIC------------- 17 25 84 180 14 21 62 129 2 4 9 2
Delaware------------------- 2 1 -
Maryland------------------- 3 1 11 3 3 1 11 2 -
District of Columbia------- 1 1 -1 -
Virginia------------------- 4 3 6 6 2 1 4 4 2 2 8
West Virginia-------------- 4 3 11 16 3 3 7 13 -
North Carolina------------- 3 7 36 3 5 32 -
South Carolina------------- 1 12 8 73 1 11 7 47 I -
Georgia-------------------- 3 22 5 3 16 4 1
Florida-------------------- 2 3 16 41 2 2 10 27 1 1
EAST SOUTH CENTRAL------- 8 36 47 8 18 43 7 -
Kentucky------------------ 18 8 4 5 -
Tennessee------------------ 3 8 8 3 4 7 2 -
Alabama------------------- -- 1 5 9 1 5 9 -
Mississippi-------------- -- 4 5 22 4 5 22 5
WEST SOUTH CENTRAL---------- 10 10 73 145 4 8 36 87 6 2 15 1
Arkansas------------------ 4 8 1 3 -
Louisiana------------------ 7 1 22 37 3 15 24 4 1 -
Oklahoma------------------- 2 8 5 -
Texas---------------------- 3 9 45 92 1 8 20 55 2 1 14 1
MOUNTAIN--------------------- 3 5 35 37 1 2 20 19 2 4 3
Montana------------------- 1 3 13 1 2 9 4 2
Idaho-------------------- 2 1 11 5 5 1 2 -
Wyoming-------------------- 2 6 -
Colorado------------------- 1 4 4 1 4 4 -
New Mexico---------------- 3 2 -
Arizona-------------------- 1 7 4 1 5 4 -
Utah---------------------- 7 3 4 1 1
Nevada-------------------- -
PACIFIC---------------------- 6 28 83 251 5 23 63 219 1 5 36
Washington----------------- 2 5 15 15 2 5 11 15 5
Oregon--------------------- 2 1 10 20 1 3 13 1 1
California----------------- 2 21 56 208 2 17 47 183 4 31
Alaska----------------- 2 2 -
Hawaii-------------------- 1 2 6 1 2 6 -

Puerto Rico------------------ -- 11 5 372 --- 11 5 365 --- -











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 AUGUST 13, 1960 AND AUGUST 12, 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. aisles
infectious

Area Cumulative, Cumulative,
32nd Week first 32 weeks '082 32nd Week first 32 weeks 085


19i 1, 1.-I il 196, 19%i nIEC 1961 196'Z 1961 1960 1961 1960


UNTED STATES-- ------- 9 340 378 46 58 1,023 6*5 49,739 23,00 1,746 1,886

NEW ENGLAND---------------- 6 10 2 33 22 1,382 705 119 134
Maine---------------------- 2 90 44 16 5
New Hampshire------------- 9 93 21 1
Vermont-------------------- 6 152 10 2 23
Massacausetts-------------- 5 7 2 11 12 506 356 70 74
Rhode Island-------------- I 2 7 183 143 1 7
Connecticut---------------- 1 5 3 358 131 30 24
MIDDLE ATLANTIC-------------- 19 11 12 11 115 93 6,929 2,600 403 308
New York------------------- 7 2 8 2 52 41 2,895 1,362 200 198
New Jersey----------------- 1 7 23 9 1,674 189 114 70
Pennsylvania--------------- 12 8 4 2 40 43 2,360 1,049 89 40
EAST NORTH CENTRAL----------- 15 32 1 7 169 103 10,007 4,329 309 704
Ohlo---------------------- 1 14 1 43 46 3,379 1,452 39 57
Indiana------------------- 1 5 3 10 9 1,573 502 7 36
Illinois-------------------- 10 4 1 1 45 24 1,718 881 81 54
Michigan------------------ 3 8 1 62 23 3,088 1,326 102 295
Wisconsin------------------ 1 1 9 1 249 168 80 262
WEST NORTH CENTRAL ---------- 29 18 9 3 62 44 4,953 1,726 76 28
MHnnesota------------ -- -. 18 5 9 6 1,085 182 2 -
Iowa----------------------- 2 19 9 1,429 296 14 8
Missouri------------------ 2 1 1 14 1,115 637 48 7
North Dakota-------------- 2 1 9 2 1 2 120 132 11 13
South Dakota-------------- 6 5 4 132 122 -
Nebraska------------------ 2 1 14 7 519 186 1
Kansas-------------------- 2 1 6 553 171 NN NN
SOUTH ATLANTIC-------------- 6 63 100 3 8 157 80 6,206 2,813 197 124
Delaware------------------- 3 1 146 179 1 1
Maryland------------------- 1 1 1 4 11 12 599 288 39 11
District of Columbia------- 2 3 2 73 32 1 2
Virginia------------------- 13 10 20 21 991 555 54 23
West Virginia-------------- I 1 17 12 1,176 528 36 26
North Carolina------------- 1 7 5 1 1 26 2 1,307 238 9 10
South Carolina---------- -- 4 2 31 9 321 47 6 5
Georgia-------------------- 14 20 5 2 579 187 -
Florida-------------------- 1 23 29 1 2 63 28 1,014 759 51 46
EAST SOUTH CENTRAL--------- 25 40 4 1 134 82 7,522 3,436 120 116
Kentucky------------------ 8 1 38 32 2,238 1,315 30 32
Tennessee------------------ 3 6 1 49 31 2,990 1,115 87 81
Alabama-------------------- 9 20 35 12 1,319 734 1 -
Mississippi---------------- 5 13 4 12 7 975 272 2 3
WEST SOUTH CENTRAL----------- 3 171 133 4 7 102 39 3,638 1,928 155 153
Arkansas------------------- 3 4 1 25 3 724 89 1 5
Louisiana------------------ 20 28 11 1 381 89 1 1
Oklahoma------------------- 4 6 1 5 1 243 252 11 2
Texas--------------------- 3 14 95 3 6 61 34 2,290 1,498 142 145
MOUNTAIN--------------------- 7 33 2 6 42 63 3,077 1,910 128 116
Montana--------------------- 2 3 1 3 7 278 76 15 28
Idaho---------------------- 11 5 1 225 237 13 8
Wyoming-------------------- 5 4 121 22 4 2
Colorado---------------- 4 3 1 17 23 1,035 684 66 23
New Mexico---------------- 4 1 4 4 343 245 NN -
Arizona--------- --------- 3 1 14 472 444 17 23
Utah---------------------- 4 4 9 8 509 169 13 26
Nevada--------------------- 1 6 94 33 6
PACLFIC---------------------- 5 1 11 13 209 119 6,025 3,953 239 203
Washington----------------- 2 18 10 685 451 12 6
Oregon-------------------- 28 21 951 656 86 73
California----------------- 1 9 13 149 88 4,165 2,647 128 119
Alaska-------------------- 4 1 14 184 145 4 -
Hawaii-------------------- 40 54 9 5

Puerto Rico------------------ --- 1 44 100 -- --- 10 624 515 --- -

NN-NOt Notfliable










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 AUGUST 13, 1960 AND AUGUST 12, 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 Meningoecocal Psi tta- sore fever,
infections cosls tsore fever, Rabies in
throat, endemic aniMals
animals
Area etc. Cumulative,
110-117 057 096.2 050,051 32nd Week first 32 weeks 101

1961 i96i 19eC i961 i9F,1 i961 19CL i91 196" 1961 1961i 196

UNITED STATES--------- 29 30 2 3.193 15 29 421 464 1 60 5

EW ENGIAND------------------ 2 69 8 7 -
Maine-------------------- 4 1 2 -
New Hampshire-------------- 1 2 -
Vermont----------------- -
Massachusetts-------------- 1 15 3 2 -
Rhode Island--------------- -
Connecticut--------------- 48 3 3 -
MIDDLE ATLANTIC------------- 8 9 1 87 2 6 49 35 6
New York------------------- 3 3 1 69 2 25 22 6
New Jersey----------------- 3 2 9 1 12 1 -
Pennsylvania---------- ---- 2 4 9 1 4 12 12 -
EAST NORTH CENTRAL----------- 7 3 1 166 1 8 52 57 8 7
hi o----------------------- 30 3 18 14 -
Indiana-------------------- 26 1 1 11 14 1
Illinois------------- ------ 3 1 9 4 20 17 4 1
Michigan---------------- 4 2 54 2 8 2 2
Wisconsin------------------ 1 47 1 4 2 3
WEST NORT CNTRAL ---------- 2 3 119 3 1 27 27 18 20
Minnesota--------------- 2 6 5 1 2 4
a----------------------- 10 1 4 11 6
Missouri ------------------ 36 3 1 15 17 2 3
North Dakota------------ 2 64 1 1 3
South Dakota--------------- 1 3 1 3
NebraskI----------------- 1 2 1 1
Kansas-------------------- 2 2 1 -
SOUTH ATLANTIC--------------- 5 5 390 2 2 69 73 7 11
Delaware------------------- 4 1 1 -
Maryland------------------- 17 1 1 -
District of Columbia------- 1 1 1 9 6 -
Virginia------------------- 1 3 79 5 16 1 6
West Virginia------------- 1 41 6 3 5 5
North Carolina------------- 1 3 12 8 -
South Carolina ------------- .- 28 5 10 -
Georgia-------------------- 1 1 21 19 1
Florida-------------------- 220 1 9 9 -
EAST SOUTH (CENTRA------- 2 3 735 1 44 59 11 2
Kentuck------------ 1 43 8 13 3 2
Tennessee----------------- 2 670 1 29 31 4 -
Alabama----------------- 2 1 6 10 4
Mississippi--------------- 21 1 5 -
WEST SprUT CENTRAL---------- 2 1 539 3 8 96 147 1 11 6
Arkansas------------------ 1 3 12 32 2
Louisiana----------------. 2 2 1 8 52 1
Oklahoma -------------- 4 3 10 9 -
exas----------------- 1 533 2 1 66 54 1 11 3
MOUNTAIN------------- ------ -- 2 872 2 1 34 20 1 -
Montana ------------------- 33 2 8 5 -
Idaho--------------------- 1 44 1 -
Wyoming------------------- 1 2 3 -
Colorado---------------- 1 371 5 -
aew Mexico---------.------- 222 7 6 -
Arizona----------.------- 114 6 6 1
Utah------------------ 88 2 -
Nevada----------------- -- -
PACIFIC------ -------------- 1 4 216 2 2 42 39 4 3
Washington-------------- 49 7 4 -
Oregon------------------ 20 7
California----------------- 1 4 128 2 2 35 28 4 3
Alaska---------------- 19- -

Puerto Rico-------- ---- -. 11
Puerto RicoLoI1-----------6









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 week of filing certificate. Excludes fetal deaths. Data exclude figures shown in parentheses in table 4)

32nd 31st A ted cn Cumulative, first 32 weeks
week week Adjusted change,
ended ended average, adjusted
Area d 32nd average
Au12gs Augus, week to 1961 1960 Percent
^ Augusr 196 ch e
12, 51.' 19tl-6-, current change
week

TOTAL, 117 HEPORTING CITIES--------------------- 10,6.1 10,952 10,328 +3.0 370,495 375,968 -1.5

New England---------------------------------(14 cities) 595 614 606 -1.8 22,752 23,527 -3.3
Middle Atlantic-----------------------------(20 cities) 2,925 3,1?6 2,753 +6.2 105,705 103,982 +1.7
East North Central--------------------------(21 cities) 2,274'- 2,352 2,188 +3.9 79,160 81,098 -2.4
West North Central---------------------------(9 cities) 787 773 750 +4.9 25,222 26,189 -3.7
South Atlantic------------------------------(1 cities) Q72 986 880 +10.5 32,055 32,500 -1.4
East South Central--------------------------(8 cities) ~481 519 485 -0.8 16,759 17,127 -2.1
West South Central--------------------------(13 cities) 947 991 992 --.5 31,549 33,163 -4.9
Mountain-----------------------------------(8 cities) 334 363 330 +1.2 11,819 11,730 +0.8
Pacific------------------------------------(13 cities) 1,326 1,228 1,3.4 -1.3 45,-74 46,652 -2.5

*Includes estimate for missing reports.


15,000 NUMBER OF DEATHS IN SELECTED CITIES 15,000


CURRENT WEEK
14,000 14,000.
------. 5-WEEK MOVING AVERAGE

ADJUSTED AVERAGE

13,000 13,000



12,000 / 12,000



11,000 --- ---1,000







9,000 9,000
r i T T TI I I I I T I I T I TI I I T II I I T i
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC










Morbidity and Mortality Weekly Report 7


Table 4. DEATHS IN SELECTED CITIES

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


32nd 31st Cumulative, 32nd 31st Cumulative,
week week 1961 week week
week week first 32 weeks ee1 de first 32 weeks
ended ended Area ended ended
Area August August August August
12, 5, 12, 5,
1961 1961 1961 1960 1961 1961 1961 1960


NEW ENGLAND:
Boston, Mass.-----------
Bridgeport, Conn.--------
Cambridge, Mas.---------
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, Mas .----------

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, .J.-----------
Utica, N.Y.-------------
Yonkers, N.Y.-----------

EAST NORTH CENTRAL:
Akron, Ohio-------------
Canton, Ohio-------------
Chicago, 111.------------
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, Il..------------
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.------------


21.
41
19
19
40
18
15
21
35
40
14
36
34
-9


37
32
143
49
32
31
52
76
1,482
39
506
90
27
100
17
42
73
49
25
23


55
23
70.
144
219
99
68
255
33
40
43
30*
51
152
36
97
37
26
20
85
57


58
30
36
109
(32)
130
76


237
27
19
28
53
21
16
18
40
39
17
29
22
48


38
31
130
45
33
38
73
98
1,502
42
543
281
23
91
14
36
33
28
25
22


53
35
680
151
195
110
85
338
46
32
40
15
31
144
29
139
22
26
41
90
50


63
25
32
114
(18)
107
80


7,778
1,242
932
868
1,536
791
706
857
1,48.
2,003
438
1,467
885
1,765


1,491
1,117
4,773
1,387
922
1,271
2,251
3,272
53,983
1,264
16,643
6,146
747
3,206
777
1,145
1,947
1,443
915
1,005


1,834
987
23,952
5,077
6,626
3,646
2,617
10,783
1,158
1,383
1,241
984
1,466
4,630
1,040
3,963
909
909
936
3,171
1,848


1,709
829
1,219
4,113
(899)
3,866
2,242


8,198
1,342
1,021
925
1,559
789
783
779
1,465
2,076
-39
1,501
899
1,751


1,446
1,130
.4,772
1,411
947
1,257
2,278
3,123
52,831
1,245
15,973
6,300
767
3,235
779
1,215
1,997
1,371
899
1,006


1,822
1,121
25,081
5,076
6,852
3,824
2,368
11,185
1,184
1,290
1,199
1,033
1,351
4,765
1,032
4,018
960
943
916
3,275
1,803


1,797
819
1,123
4,184
(838)
4,00.
2,422


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:
Jirmingam, 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.--------------


234
61
53


113
222
38
48
82
51
84
33
(50)
67
189
45


89
46
25
108
82
40
32
59


24
29
23
123
32
75
145
55
179
80
85
37
60


24
12
103
15
86
17
47
30


23
(41)
(26)
43
34
465
96
36
80
64
83
191
(36)
113
62
36

(30)


232
65
55


103
245
38
51
73
46
89
33
(65)
79
185
44


80
32
33
145
110
30
30
59


35
24
14
117
36
57
189
62
155
73
123
43
63


27
11
106
26
91
19
46
37


15
(32)
(31)
41
52
433
80
26
94
46
64
174
(29)
140
30
33

(39)


7,618
2,128
1,498


3,673
7,987
1,144
1,849
2,461
1,632
2,562
1,048
(2,267)
2,183
6,223
1,293


2,788
1,524
894
3,689
3,678
1,299
1,006
1,881


1,097
906
712
3,993
1,132
2,062
5,296
1,793
5,407
2,426
3,290
1,656
1,779


1,008
520
3,699
534
2,691
538
1,575
1,254


549
(1,434)
(1,081)
1,288
1,761
16,095
3,137
1,066
3,445
2,015
2,835
6,333
(1,128)
4,215
1,492
1,243

(1,099)


*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.


8,057
2,288
1,495


3,833
8,237
1,287
1,981
2,397
1,341
2,570
1,143
(2,352)
2,165
6,320
1,226


2,799
1,528
940
3,756
3,693
1,328
1,140
1,943


1,141
921
808
4,103
1,255
2,184
5,519
1,881
5,979
2,443
3,351
1,762
1,816


1,002
542
3,839
537
2,516
523
1,599
1,172


551
(1,'77)
(1,266)
1,332
1,796
16,610
3,108
1,110
3,568
1,886
2,890
6,443
(1, 139)
4,495
1,517
1,346

(1,135)




u lNlvtiii K ll u- LORIDA

IIIII3lllll lllllill6lilllIII
3 1262 08864 0189


":" MR!~


Morbidity and Mortality Weekly Report


HEPATITIS CASES BY AGE
CUMULATIVE TOTALS
Week 17 through Week 32, 1961


State or Area
NEW ENG.
Maine
New Hampshire
Vermont
Massachusetts
Rhode Island
Connecticut
MID. ATL.
New York 1
New Jersey,
Pennsylvania
E. NO. CENT.
Ohio
Indiana
Illinois
Michigan 1
Wi sconsin
W. NO. CENT.
Minnesota
Iowa
Missouri
North Dakota
South Dakota
Nebraska
Kansas
SO. ATL.
Del aware
Maryland
District of Columbia
Virginia
West Virginia
North Carolina
South Carolina
Georgia
Florida
E. SO. CENT.
Kentucky
Tennessee
Alabama
Mississippi
W. SO. CENT.
Arkansas
Louisiana
Oklahoma
Texas
MOUNT.
Montana
Idaho
Wyoming
Colorado
New Mexico
Arizona
Utah
Nevado
PACIFIC
Washington
Oregon
California
Alaska
Hawaii
UNITED STATES 2


Under 20 Years Age Un- Percent*
Total 20 Years and Over specified 20 and Over


50
43
43
240
70
150

1,183
639
906

1,256
631
840
1,633
116


857 583 109
983 724 249
533 410 123
354 -


307 196
216 120
100 67
1,026 551


84
127
44
408
92
211
171
38

274
413
2,220
62
18
1.084


55

19
36
48

114


97
197
614
37
2
9.636


11
49
27
387

24

11
30
36

57


120
201
852
15
8
6,650


165 15.8
10 25.6
23.1
354 -


47
6
88

5
127
14
342
8
211

38

57
15
754
10
8
4,808


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 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
Stares 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.




I DYNiv OF L I -
LUMEt4TS DEPTH

SL

us ..- ,oo -

U S DEPOSITORY





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a~ d Ca


*Percentage based on total cases with age specified.

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