Morbidity and mortality

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.


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INGEST IEID E8U93PCGI_UPL2QH INGEST_TIME 2012-12-04T22:47:13Z PACKAGE AA00010654_00321
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES