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Mor idity and Mortality 'N S- U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE Prepared by the MEIrose 4-5131 For release January 19, 1962 ATLANTA 22, GEORGIA Vol. 11, No. 2 PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON DEATHS IN SELECTED CITIES FOR WEEK ENDED JANUARY 13, 1962 INFLUENZA Outbreaks of acute febrile respiratory disease, many shown to be due to Influenza B, currently span the United States in an arc ding from the West Coast to Miami, Florida. aef this arc re- port outbreaks of influen rst time. They are Kansas and /Kni cky. States r g addi- tional outbreaks this t include Arizon orado, Iowa, Missouri, Tenn sel, Gee/ia nd Flori |l Afew small out reas are report from ci guous portions of New Yor ani Massachusetts. began immediately after the Chris as holiday involve school age children pred 'rnlilt y. Deaths from pneumonia in 108 United States cities show a moderate excess above expected levels for the second consecutive week. A graph depicting the past four weeks data of pneumonia and influenza deaths is shown on page 11. California Oregon Washington. Previously re- ported epidemics are clearly on the wane. Influenza B has been confirmed from two additional counties in Ore- gon, Hood River and Deschutes Counties, and from four additional counties (Alameda, Amador, Humboldt, and San Diego) in California. Colorado An outbreak of respiratory disease with significantly high adult attack rates has been reported from Rangely in Northwest Colorado. Specimens obtained Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES (Cumulative totals include revised and delayed reports through previous week) Disease Aseptic meningitis............... Brucellosis ................... Diphtheria ...................... Encephalitis, infectious .......... Hepatitis, infectious and serum... M easles ...................... Meningococcl infections ......... Poliom yelitis. total .............. Paralytic .................... Nonparalytic................. Unspecified .................. Streptococcal sore throat and Scarlet fever ............ Tetanus ........................ Tularem ia ..................... Typhold fever ................... Typhus fever, tick-borne, (Rocky Mountain spotted)...... Rabies in Animals ............... Ended January 13, 1962 S1 10 20 19 1,395 7,589 55 10 5 7,579 1 10 2 2nd Week Ended January 14, 1961 15 6 27 21 1,457 8,-59 61 17 10 7 8,457 2 Median 1957 1961 Cumulative 44 First 2 weeks Median 1962 1961 1957 1961 5 4 8 25 19 475 7,730 61 21 11 9 1 20 14 36 36 2,538 13,484 100 16 6 6 13,561 3 20 7 1 116 40 15 46 2,.69 14,720 98 25 13 2 10 16,053 8 18 45 41 860 1-,720 101 60 35 3 7 21 145 Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY Anthrax: Psittacosis- Penn. 1, Mont. I Botulism- Rabies in Man Malaria: Smallpox- Plague: Typhus, murine. Ala. - c~--~aa III I' Morbidity and Mortality Weekly Report from cases in the outbreaks in Southwestern Colorado have now confirmed these due to Influenza B. Iowa Two outbreaks of respiratory disease were reported this week from counties in the Northwestern part of the State. Preliminary results from a telephone survey carried out in Hazleton where an outbreak com- menced about January 9 showed age-specific attack rates similar to those found in Potosi, Missouri (see MMWR Vol. 10, No. 51) following a confirmed Influenza B epidemic. HAZLETON, IOWA Attack Rate (%) 37 59 50 17 21 9 POTOSI, MISSOURI Attack Rate (%) 38 56 50 27 27 10 Kansas Kentucky Six counties in Eastern and Southwestern Kansas report recent outbreaks of febrile respiratory disease among school age populations. The first outbreak from Kentucky was reported this week from Henderson in Northwest Kentucky. Missouri Outbreaks of acute respiratory disease previously noted in Central and Eastern Missouri spread to the Western part of the State during the second week of January. A survey of representative school systems in St. Louis revealed that increased school absenteeism occur- red over the period November 20 to December 18; in three of the four school systems, absenteeism was first noted among high school students; the epidemic peak in each was reached within a 15 day period. On the clinical side, nausea and vomiting were notably more common among grade school than among high school students. Florida -. Georgia-Tennessee Six Central Florida counties have reported outbreaks of acute respiratory dis- ease in recent weeks with school absenteeism ranging between 20 and 30 percent. Outbreaks are extending throughout the Greater Miami area. Five counties in the northwestern part of Georgia including DeKalb County in the Greater Atlanta area report increased school absenteeism due to acute respir- atory disease. Nine counties, scattered geographically throughout Tennessee, have now reported febrile respiratory disease outbreaks. The greatest concentration appears to be in Maury County in the central part of the State. Massachusetts -New York Outbreaks of influenza- like disease commenced on January 8 in the Berkshires of Western Massachusetts and have involved the com- munities of Stockbridge, Great Barrington, Sheffield and Lenox, Massachusetts, and nearby Albany and German- town, New York. School absenteeism ranging between 10 and 60 percent has been noted. Among Massachusetts cases, in addition to the traditional symptom pattern, arthralgia, particularly of the elbows and knees, has been reported as a significant component. (Thanks are due to the many State Epidemiologists and others who have contributed this information) HEPATITIS- For the first time in two and one-half years the number of cases of hepatitis in the last report- ing week was lower than for the same week in the previ- ous year. A total of 1395 cases was reported for the second week ending January 13, 1962, while 1457 cases were reported for the second week ending January 14, 1961. AGE 0- 5 6-12 13-18 19-35 36-50 51+ Morbidity and Mortality Weekly Report EPIDEMIOLOGICAL REPORTS Two Food Poisoning Outbreaks in 1 Hotel California On October 3, 1961, approximately 45 percent of the 246 individuals attending a company dinner at a prominent hotel in a large California city developed a disease characterized predominantly by diarrhea, stomach cramps, and, to a lesser degree, fever and chills, body aches, headache, and weakness. The average duration of symp- toms was 4 days, and the median incubation period was 28 hours. Ten of 49 patients who were cultured had salmonellae in their stools. No one food item could be identified as the source of the outbreak, but pot roast, cheese sauce, and parfait were under suspicion. Stool specimens were collected from 232 waiters and waitresses and all 87 kitchen personnel. Results of the culturing of patients and kitchen personnel are shown below: No. of No. Salmonella Percentage Group Cultured Isolations Isolations Type Patients Waiters & Waitresses Kitchen Personnel 49 10 20% 6 aova 3 typhimurlum 1 infantis 2% 4 iavo 5% 3 wova 1 schwarzengrund Employees found positive for salmonellae were to be taken off the job and were not to return to work until stool specimens were negative. (Continued on page 16) SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS The chart below shows the average weekly number of deaths from pneumonia and influenza in 108 United States Cities by four-week periods. The first bar on the graph in 1962 includes the four weeks ending January 13th. Weekly data for this period are given in Table 4 on Page 15 of this week's report. The weekly average of 563 deaths for the last four weeks was greater than the expected number. The excess amounted to 11 percent, somewhat less than the excess of 17 percent during the early period of the 1960 influenza epidemic, but significantly above normal after allowance for sampling variation. A description of the method used in constructing the "expected number" curve (based on a one term Fourier series with a linear trend component) is available on request to the Statistics Section, Epidemiology Branch, Communicable Disease Center. PNEUMONIA-INFLUENZA DEATHS IN 108 U.S. CITIES Average number per week by four-week periods 1,000 9 INFLUENZA As 900 700 RECORDED DEATHS* 600 500 "- , 400 "EXPECTED" S NUMBER 400) -- 00 3 I I 11 I I I I 7 1960 13 I 7 13 I 7 S 1961 1 1962 "*CALCULATED FROM 1954-60 EXPERIENCE TIMBER *BY PLACE OF OCCURRENCE 13 I 7 I 1963 See Table 4, page 15 NUMBER OF DEATHS PERIOD NU I] 12 Morbidity and Mortality Weekly Report Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED JANUARY 14, 1961 AND JANUARY 13, 1962 Poliomyelitis, Aseptic Poliomyelitis, Total Cases Poliomyelitis, Paralytic Nonparalytic Meningitis Area UNITED STATES...... NEW ENGLAND.............. Maine.................. New Hampshire......... Vermont............... Massachusetts.......... Rhode Island.......... Connecticut........... MIDDLE ATLANTIC .......... New York............... New Jersey............ Pennsylvania.......... EAST NORTH CENTRAL....... Ohio................... Indiana.............. Illinois.............. Michigan.............. Wisconsin............. WEST NORTH CENTRAL....... Minnesota............. Iowa.................. Missouri.............. North Dakota........... South Dakota......... Nebraska.............. Kansas................ SOUTH ATLANTIC............ Delaware............. Maryland .............. District of Columbia.. Virginia.............. West Virginia......... North Carolina........ South Carolina........ Georgia................ Florida................ EAST SOUTH CENTRAL....... Kentucky............... Tennessee............. Alabama............... Mississippi........... WEST SOUTH CENTRAL....... Arkansas.............. Louisiana............. Oklahoma.............. Texas ................ MOUNTAIN ................ Montana............... Idaho.................. Wyoming.............. Colorado.............. New Mexico............ Arizona.............. Utah ................. Nevada............... P4AC FIC.................. W sh ngton. ....... . Oregon ............. .. Cali r'rnia............ Alaki. ................ H laLL ............... Cumulative Cumulative 2nd week Firt 2 weeks 2nd ,,EEk First 2 weePs 2nd week 2nd week 1962 1361 1962 1961 9962 1961 1962 1961 1962 1961 1962 1961 10 17 16 25 4 10 6 13 1 11 15 5 8 2 3 3 5 8 3 1 3 1 1 1 2 1 1 - 2 2 2 2 1 2 2 1 1 8 1 1 1 3 2 - 2 3 1 4 1 1 1 1 1 1 S 1 5 I - 3 5 - 1 1 3 1 2 -. 3 2 7 -3 1 3 2 5 3 1 1 1 3 1 1 1 2 I I 5 2 3 3 1 3 1 5 3 3 2 3 -3 -3 -5 3 Puerto Rico .............. - Vargin islands ............ .... ... 13 Morbidity and Mortality Weekly Report Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES. L UNITED STATES FOR WEEKS ENDED JANUARY 14, 1961 AND JANUARY 13, 1962 Continued Brucellosis Diphtheria Encephalitis, Hepatitis, Measles Infectious Infectious and serum Cumu- Cumu- 2nd week lative lative Under 20 & 2nd week 2 weeks 2nd week 2 weeks 2nd week 20 yr. over Total Total 2nd week 1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961 UNITED STATES...... 10 14 20 36 19 21 767 505 1,395 1,457 7,589 8,459 NEW ENGLAND.............. 2 41 39 89 67 1,067 582 Maine................. 11 8 19 141 8 New Hampshire......... 8 68 15 Vermont............... 1 2 4 29 5 21 Massachusetts.......... 1 23 18 41 14 587 416 Rhode Island........... 1 5 1 6 7 70 84 Connecticut............. 1 10 11 17 196 38 MIDDLE ATLANTIC.......... 6 4 107 89 196 173 1,414 1,824 New York.............. 4 3 51 43 94 74 719 1,099 New Jersey............ 1 20 25 45 23 552 261 Pennsylvania.......... 2 36 21 57 76 143 464 EAST NORTH CENTRAL....... 5 5 2 166 112 306 267 1,094 2,287 Ohio.................. 75 48 131 98 75 531 Indiana................ 12 4 16 32 79 138 Illinois.............. 5 5 13 6 20 40 388 287 Michigan.............. 2 66 54 120 93 413 444 Wisconsin............. 19 4 139 887 WEST NORTH CENTRAL....... 5 8 3 8 2 98 51 160 130 219 282 Minnesota.............. 1 1 40 16 61 23 30 6 Iowa.................. 2 26 18 47 24 105 85 Missouri.............. I 1 1 14 5 22 46 5 112 North Dakota........... 4 3 7 3 74 77 South Dakota........... 1 1 4 4 8 5 - Nebraska .............. 1 2 2 7 1 1 2 9 2 Kansas ................ 2 2 1 9 4 13 25 NN NN SOUTH ATIANTIC .......... 7 14 2 3 '94 37 144 156 653 1,291 Delaware .............. 5 5 47 Maryland.............. 1 4 3 7 17 82 42 District of Columbia.. 1 1 2 3 42 1 Virgina .............. 1 2 27 13 41 17 272 560 West Virginia......... 20 9 39 35 224 110 North Carolina ....... 1 27 4 31 41 8 133 South Carolina........ 1 9 3 12 17 6 231 Georgia............... 4 1 1 11 14 8 Florida............... 6 7 1 5 4 11 10 159 EAST SOUTH CENTRAL....... 1 2 153 61 217 263 1,013 785 Kentucky .............. 70 26 99 74 105 529 Tennessee............. 1 1 51 25 76 124 684 197 Alabama ............... 19 9 28 51 81 54 Mississippi............ 13 1 14 14 143 5 WEST SOUTH CETRAL....... 6 9 2 50 25 82 83 785 271 Arkansas.............. 1 1 1 13 13 17 2 81 Louisiana............. 3 1 4 6 10 - Oklahoma............. 5 5 12 12 2 Texas ................. 5 8 1 29 24 60 48 761 188 MOUNTAIN ................. 4 5 9 7 54 120 375 492 Montana............... 3 4 4 4 9 30 131 79 Idaho................. 11 9 124 61 Wyoming............... 1 1 2 5 Colorado................ 1 14 42 40 38 New Mexico ............ 1 2 1 3 6 NN NN Arizona............... 13 13 53 245 Utah................... 2 1 3 12 27 43 Nevada............... .- 6 21 PACIFIC.................. .- 7 8 49 84 147 198 969 645 Washington ...... ...... 1 1 6 1 13 19 303 200 Oregon ..... ...... .- 1 7 6 13 43 159 95 California............ 6 5 33 76 114 121 357 340 Alaska................ 1 3 6 8 148 10 Hawaii.................. 1 1 7 2 Puerto Rico.............. 1 1 1 104 19 Virgin Islands.......... .... ---- --- 14 lorbidity and Mortality V~ eeklI Report Table 3. (_ASES OF PACIFIEDD NOTIFIABLE DISEASES t UNITED STATES FOR \ EFKS EhDED JANUARY 14, 1961 AND JANUARY 13, 1962 Contnoued Heningococca I Screpc ec oc,: al ITc- Infectizns S.re Throat & retanus borne rtlaremia Typhoid Fever RabLeS in Animals SSarlec Fever Iyphu s Area C nu- CImu- Area 1Lmu-- (Rcky.Mt. Cui mu- Cumu- lat Iv Sprcred) lacive lative 2nd week 2 weeks 2nd week 2nd week 2nd week 2nd week 2nd week 2 weeks 2nd week 2 weeks 1962 L96 192 62 6 62 16196 19696 962 L962 1962 1961 1962 UNITED STArE: ...... 55 100 7,379 8,.57 1 10 2 7 59 42 116 NEu ENCLAWm.............. 5 8 393 38d - Maine............ ... 15 13 - New HanpihLir ......... -1 0 - Vermont ............... 23 9 - MassachusetCr......... 1 6 98 99 - Rhode Island.......... 33 27 - C.?nnecc r cu ........... 1 2 221 229 - MIDDLE ATLANTIC............ 12 16 453 39-* 3 2 6 New York.............. 7 9 267 228 2 2 4 New Jersey............ 3 3 6 102 - Pennsylvania .......... 2 122 6. 1 2 EASI NORTH CENTRAL....... 9 19 551 64 5 2 7 OhLJ.................. 9 59 171 2 - IndLana ................ 101 125 6 Illinois.............. 1 1 149 102 I 1 1 MichLgan............... 2 6 134 LJ2 - Wisconsin............. 2 3 108 9- - WEST NORTH CENTRAL....... 3 7 232 285 1 18 11 39 Minnesoca............. 17 2- -- 1 3 4 olwa.................. 2 3 63 7 1 9 2 13 Mi sour .............. 2 7 9 1 1 4 3 11 North Dakota.......... L 51 71 -- 3 7 South Dakta.......... 2 6 1- 3 3 Nebraska.............. 6 3 I Kansas................ 1 1 86 98 - SOUTH ATI1.ATC........... 9 13 585 610 1 2 4 10 10 Delaware............... 2 4 4 - Maryland............... 8 8 - District of C.olimbia.. I 2 4 3 - Virginia............... 3 3 121 187 1 2 3 8 8 Weis Virgin........... 216 239 1 1 1 North Carolina........ 3 3 39 19 1 - South Car.ina........ 1 1 26 - Georgia............... 15 - Florida............... 1 2 66 114 I EAST SOUTH CENTRAL....... 2 5 1,418 1,813 1 2 6 4 11 Kentucky .............. 1 3 121 501 2 1 5 Tennessee.............. 1 2 1,2-4 1,274 2 3 3 S Alabama ............... 6 14 1 - Msisssippi ........... 47 24 1 - WEST SOUTH CENTRAL ....... 7 10 1,090 1,279 2 1 4 11 10 28 Arkansas .............. 2 4 1 2 4 Louisiana............. 3 3 1 3 1 1 - Oklahoma.............. 1 1 8 11 1 1 2 2 Texas ................. 3 6 1,079 1,261 3 8 7 22 MOUTAI.................. 5 1,549 2,138 2 1 1 2 Montana............... 46 139 - Idaho ................. 122 183 - Wyoni ng............... 34 2 - Colorado.............. 326 779 - New Mexico............ 663 505 1 1 Arizona............... 2 273 218 1 Utah ................. 119 273 -- Nevada................ 3 7 - PACIFIC................... 8 17 1,308 904 1 11 2 13 Washington............ 2 468 -09 - Oregon............... 3 4 35 0 - California............. 4 10 724 362 1 I 2 13 Alaska................ 1 1 79 84 - Hawa i ................ 2 9 - Puerto Rico.............. 1 1 Virgin Islands ........... .. --- --- -- -- -- -- -- -- -- -- .Morbidity and Mortality Weekly Report 15 Table 4 (B). RFPORTFD PNELMNONIA-INFLLUNZA DEATHS IN RFPOR IN(, CITIES (Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period, see Chart, page 3) Area For weeks ending Area For weeks ending Area 12/11/ ._3..../ Area 116 12/23/61 12/30/61 1/6/62 1/13/62 12/23/61 12/30/6 1/6/62 1/13/62 NEW ENGLAND: Boston, Mass.............. 13 17 11 11 Bridgeport, Conn.......... 2 3 3 2 Cambridge, Mass........... 3 1 1 2 Fall River, Mass........... 0 1 2 0 Hartford, Conn............. 1 2 2 2 Lowell, Mass................ 2 5 4 1 Lynn, Mass................. 2 0 5 1 New Bedford, Mass......... 1 3 2 5 New Haven, Conn........... 1 0 5 1 Providence, R.I........... 1 2 5 6 Somerville, Mass.......... O 2 2 2 Springfield, Mass.......... 3 4 4 9 Waterbury, Conn............ 0 0 1 0 Worcester, Mass........... 7 6 9 10 MIDDLE ATLANTIC: Albany, N.Y............... 4 2 6 0 Allentown, Pa............. 1 3 2 1 Buffalo, N.Y.............. 5 5 5 5 Camden, N.J............... 2 4 3 2 Elizabeth, N.J............. 0 1 3 2 Erie, Pa........... ....... 0 2 6 0 Jersey City, N.J.......... 6 9 5 4 Newark, N.J................ 2 1 7 6 New York City, N.Y........ 73 78 82 96 Paterson, N.J............. 0 6 5 5 Philadelphia, Pa.......... 19 13 15 19 Pittsburgh, Pa ............ 5 2 9 3 Reading, Pa............... 2 4 2 1 Rochester, N.Y............ 7 12 11 8 Schenectady, N.Y.......... 0 0 1 1 Scranton, Pa.............. 2 3 5 0 Syracuse, N.Y............. 3 2 1 0 Trenton, N.J.............. 1 2 5 3 Utica, N.Y................ 1 2 2 0 Yonkers, N.Y.............. 2 2 4 1 EAST NORTH CENTRAL: Akron, Ohio............... 2 1 3 2 Canton, Ohio............... 0 3 6 3 Chicago, Ill.............. 51 42 51 40 Cincinnati, Ohio.......... 0 7 3 3 Cleveland, Ohio..........., 4 3 4 4 Columbus, Ohio............. 3 4 1 4 Dayton, Ohio.............. 0 4 1 1 Detroit, Mich............. 17 12 7 15 Evansville, Ind........... 2 8 5 7 Flint, Mich............... 1 1 4 7 Fort Wayne, Ind........... 1 2 5 7 Gary, Ind. ............... 0 4 1 2 Grand Rapids, Mich........ 5 6 8 4 Indianapolis, Ind......... 5 3 9 10 Madison, Wis............... O 0 0 0 Milwaukee, Wis............ 3 1 4 5 Peoria, 11................ O 1 1 0 Rockford, Ill............. 1 0 0 1 South Bend, Ind........... 2 2 0 2 Toledo, Ohio.............. 2 5 5 5 Youngstown, Ohio........... 0 L 0 2 WEST NORTH CENTRAL: Des Moines, Iowa.......... 1 5 0 I Duluth, Minn.............. 0 1 1 0 Kansas City, Kans.......... 4 3 3 6 Kansas City, Mo............ 6 9 6 7 Lincoln, Nebr............. 0 0 4 0 Minneapolis, Minn......... 3 2 2 5 Omaha, Nebr.............. 3 2 1 6 St. Louis, Mo............. 12 19 22 36 St. Paul, Minn............ 2 5 1 2 Wichica, Kans............. 2 5 7 11 NOTE: All deaths by place l occ..ence. SOUTH ATLANTIC: Atlanta, Ga............. 10 6 4 3 Baltimore, Md............ 6 8 7 9 Charlotte, N.C........... 3 1 4 4 Jacksonville, Fla........ 2 3 3 0 Miami, Fla............... 3 1 2 3 Norfolk, Va.............. 5 8 7 7 Richmond, Va.............. 0 4 4 2 Savannah, Ga.............. 3 2 1 3 St. Petersburg, Fla...... 3 3 6 7 Tampa, Fla............... 0 1 2 3 Washington, D.C.......... 9 15 12 10 Wilmington, Del.......... 4 2 6 3 EAST SOUTH CENTRAL: Birmingham, Ala.......... 1 3 2 2 Chattanooga, Tenn........ 3 3 5 2 Knoxville, Tenn.......... 2 2 0 1 Louisville, Ky........... 9 5 8 13 Memphis, Tenn........... 2 5 10 12 Mobile, Ala............... 3 1 2 0 Montgomery, Ala.......... 2 7 1 3 Nashville, Tenn ......... 2 1 3 4 WEST SOUTH CENTRAL: Austin, Tex............... 3 4 7 11 Baton Rouge, La.......... 2 1 4 3 Corpus Christi, Tex...... O 2 2 1 Dallas, Tex.............. 4 4 4 5 El Paso, Tex.............. 5 4 3 1 Fort Worth, Tex........... 1 3 3 2 Houston, Tex.............. 5 3 5 2 Little Rock, Ark...... ... 7 3 13 6 New Orleans, La.......... 3 7 7 2 Oklahoma City, Okla...... 0 1 1 5 San Antonio, Tex......... 7 13 7 10 Shreveport, La........... 4 2 8 12 Tulsa, Okla.............. 6 4 2 6 MOUNTAIN: Albuquerque, N. Mex...... 5 1 2 3 Colorado Springs, Colo... 2 0 7 2 Denver, Colo............. 5 2 6 1 Ogden, Utah............... 5 1 3 4 Phoenix, Ariz............ 4 5 8 7 Pueblo, Colo............. 2 1 3 0 Salt Lake City, Utah..... 0 0 4 1 Tucson, Ariz............. 3 0 1 3 PACIFIC: Berkeley, Calif.......... 1 1 0 3 Freano, Calif............ 3 4 2 3 Glendale, Calif.......... 0 0 1 0 Honolulu, Hawaii.......... 3 1 3 1 Long Beach, Calif........ 1 3 0 1 Los Angeles, Calif....... 16 13 17 18 Oakland, Calif........... 11 1 2 0 Pasadena, Calif.......... 1 0 3 3 Portland, Oreg............ 8 3 9 3 Sacramento, Calif........ 3 5 5 4 San Diego, Calif......... 1 0 4 6 San Francisco, Calif ..... 3 8 1 10 San Jose, Calif.......... 1 1 6 3 Seattle, Wash............ 9 5 3 6 Spokane, Wash............ 0 1 0 1 Tacoma, Wash............. 1 2 4 2 San Juan, P.R.............. 6 3 2 1 Current Week Mortality for 108 Selected Cities 4(A) Total Mortality, all ages................... 4(B) Pneumonia-Influenza Deaths, all ages........ 4(C) Total Deaths under 1 Year of Age............ 4(D) Total Deaths, Persons 65 years and over..... 12,591 627 830 7,230 S111il IIII ll lHIHI Ill 3 1262 08863 9934 Morbidity and Mortality Weekly Report Four weeks after the first outbreak, another outbreak occurred that was traced to the same hotel. Approximately 1400 persons attended a banquet at the hotel on November 4. Of 98 persons interviewed, 28 reported having had a diarrheal illness shortly after the banquet. Sympromology in the November outbreak was similar to that found in the October one, with diarrhea and stomach cramps the pre- dominant symptoms. However, there was less weakness and fever in the November outbreak. The average duration of symptoms was two days with a median incubation period of 24 hours. No one food item was incriminated in the outbreak. Stool specimens from 25 patients were negative. (Reported by Mr. Carroll Carson, Epidemiology Assistant, Los Angeles County Health Department, and Dr. John Gardner, Chief, Division of Preventive Medical Services, Long Beach City Health Department.) International Notes Quarantine Measures Smallpox Europe Six new cases of smallpox have been officially re- ported from Bradford, England. Unofficial reports indicate the cases resulted from contact with a Pakistani girl who arrived in England on December 16 from Pakistan; these cases apparently are not related to the earlier two cases in England also imported from Pakistan. A smallpox suspect who was a contact of the Schaffhausen, Switzerland, smallpox case is in isolation in Bruchsal, Germany. Three smallpox suspects, contacts of the Dusseldorf, Germany, cases, are under observation in Dusseldorf. U1.NIVO F FL L'IL DOCUMENTS DEP U ** *S U S DEPOSITORY Notes: These provisional data are based on weekly telegram to the Commni- cable Disease Center by the Individual State health departments. Symbols: --- Data not available Quantity zero Procedure for construction of various mortality curves may be obtained from Statistics Section, Communicable Disease Center, Public Health Service, U. S. Department of Health, Education, and Welfare, Atlanta 22, Georgia. 1 c4Sri-: 0 sr. 5 n -p gI '1 h2 c 0 13 .1 S:I OP1 ?Iv "5 3S; |
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