Morbidity and mortality

,rs. /9:


Morbidity and Mortality -




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

PUBLIC HEALTH SERVICE


MElrose 4-5131


For release April 27, 1962 ATLANTA 22, GEORGIA Vol. 11, Njo. 16

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED APRIL 21, 1962



SALMONELLOSIS Following the initial report of an explosive, often bloody diarrhea with fever to 1030 F.
unusual number of Salmonella hartford isolations by Many of thepatients have required parenteral fluids. The
Dr. Joseph Preizler, Director, Bureau of Communicable patients range in age from 1 day to 65 years with a pre-
Diseases, Wisconsin State Board of Health, information ponderance of children in the 2-10 year age group.
regarding S. bartford isolates was sought from other
States. A total of 47 recent isolations of S. bartford was Recent isolates have been obtained in Wisconsin
uncovered in nine States. This is a sharp increase in (18), Minnesota (13), Illinois (1), Ohio (3), New York (1),
frequency for this rare salmonella type. (Of the 28,000 North Dakota (2), Iowa (1), Maine (5), Florida (1), and
salmonella isolations obtained at CDC between 1947 and Pennsylvania (2).
1958, only 20 have been S. bartford). Investigations are proceeding actively to uncover
Clinically the ase has been characterized by the possible underlying cause.

ORI







STable I C ES F SPECIFIED NOTIFIABLE DISEASES IGNITED STATES
(Cumul e tals include revised and delayed reports through previou. week)


Dise ;-


Aseptic meningitis...............
Brucellosis ...................
Diphtheria ....................
Encephalitis, infectious ..........
Hepatitis, infectious and serum...
Measles.......................
Meningococcal infections .........
Poliom yelitis, total .............
Paralytic ....................
Nonpara I yt ic .................
Linspecified .................
Streptococcal sore throat
and Scarlet fever .......
Tetanus ......................
Tularemia .....................
Typhoid fever ........... ....
Typhus fever, tick-borne,
(Rocky Mountain spotted)......

Rabies in Animals .............


Endefe
April 21,
1962


28
9
11
33
1,164
23,809
52
7
7


7,514
4
1
5

115

115


16th Week


1 t We


Ended
April 22,
1961


28
9
8
20
1,834
17,630
46



8,23

8,238


Median
1957 1961


17
11
31
457
18,619
.46
13
9
4




12


Cui larc ive


Fir t


16 week
lledian
1961 1957 1961


4+ 4 __________


291
109
160
461
21,582
2'1,137
811
87
61
11
15

138,933
39
80
121


5

1,33.4


389
167
229
410
28,537
200,921
798
127
82
26
19

150,540


1. 12-


221
250
405
8,482
215,896
900
261
143
75
43




162



1.342


Table 2 NOTIFIABLE DISEASES OF LOW FREQUENCY

Anthrax: Penn. 1 Psittacosis Hass. 1
Botulism: Rabies in Man-
Malaria: Smallpox-
Plague: Typhus, marine. r.c. 1, rex. 1


//11


Prepared by Ihe


- --


Wan


~b~L~DlsI


xx









Morbidity and M'ortality Weekly Report


WEEKLY PNEUMONIA AND INFLUENZA DEATHS


POLIOMYELITIS Seven cases of paralytic poliomye-
litis were reported for the week ending April 21. The 7
cases were reported from five States and represent the
largest number reported in any one week since the week
ending February 3.
Both New York and Texas accounted for two cases
while Arkansas, Kentucky, and Louisiana each reported
one case. A listing of the 7 cases is shown below:

Vaccination
State County Age Sex Onset Status (Salk)
Arkansas Unknown Unk. Unk. Unk. Unk.
Kentucky Hopkins 1 F March 16 OV
Louisiana Ouachita 9 mos. M April 5 OV
New York Herkimer 36 M April 7 OV
New York N.Y. City 7 M April 5 2V
Texas Bexar Unk. Unk. Unk. Unk.
Texas Midland 10 M April 5 OV


The case reported from Bexar County is the second
this year; all other counties are reporting cases for the
first time in 1962.


HEPATITIS The 1,164 cases reported for the week
ending April 21, 1962, represent little change from the
1,168 cases in the previous week. This is in contrast to
the 1,834 cases reported for the comparable week (ending
April 22) in 1961. The cumulative totals for the first 16
weeks of the year are shown below for 1959-1962 and
for 1954.


Hepatitis (Cumulative Totals)
1962 1961 1960 1959 1954
Weeks 1-16 21,582 28,537 12,377 8,482 20,916


INFLUENZA No outbreaks of influenza were reported
this week. For the second successive week, deaths from
influenza and pneumonia for 108 cities hqve remained
within normal limits. It appears that Influenza B has run
its course this season.




EPIDEMIOLOGICAL REPORTS

Strep. Faecalis Food Poisoning Perry County, Kentucky

On Thursday, December 7, 1961, approximately 80
students and four school personnel of 114 persons de-
veloped cramps and diarrhea of 5-6 hours duration 9 hours
following a turkey dinner. The causative organism was
felt to be Streptococcus faecalis.
On the 114 persons interviewed, 84, or 74%, had a
history of illness. The following is a tabulation of food
histories collected during the investigation:

ATE DIDN'T EAT
Food No. III Total Attack No. Ill Total Attack
No. Rate No. Rate
Turkey 82 106 77% 2 8 25%
Dressing 66 84 78% 18 30 60%
Potatoes 64 86 74% 20 28 71%
Bread 43 62 69% 41 52 79%
Milk 56 76 74% 28 38 74%
Dessert 62 88 71% 22 26 85%

At 6:00 P.M. Sunday, December 3, 1961, turkeys were
taken from the school cafeteria deep freeze and allowed
to thaw in an unheated room until Monday morning. The
turkeys did not completely thaw but were cut up and
cooked in pressure cookers for 40 minutes. The turkey
was deboned and placed in refrigerators about 10:00 A.M.


122








Morbidity and Mortality Weekly Report


Tuesday. The meat was then taken from the refrigerator
and placed in an oven to heat. It was served immediately
after heating.
The summaries below of the results of laboratory
analyses on food samples were collected in the school
cafeteria on December 8, 1961.
It appears significant that, while samples of the raw
frozen turkey and the dressing contain the average ex-


pected bacterial count, the cooked turkey contained a
larger bacterial count. The majority of the organisms were
enterococcus (Strep. faecalis). Anaerobic cultures were
negative.
(Reported by J. Clifford Todd, M.P.H., State Epidemiolo-
gist, Bureau of Medical Services, and Bertrand W. Russell,
Communicable Disease Investigator, Division of Pre-
ventive Medicine, Department of Health, Kentucky.)


Total Total Strep
Food Bacteria Count Coliform Count Staph Enterococcus Enterics
Products Standard per gin standard per grm Count per grm.
Raw frozen
Turkey 750 600 No growth 100 No growth
Dressing 600 1 No growth No growth No growth
Cooked
Turkey 9300 1 No growth 2800 No growth


SUMMARY OF DEATHS AMONG PERSONS 65 YEARS AND OVER IN 108 U. S. CITIES


The number of deaths among persons 65 years and
over reported by 108 U. S. cities declined during the
fourth four-week period of this year to expected levels.
This follows a twelve-week period during which weekly
totals were in excess of the expected figures.
The decline to normal levels in the 1962 Influenza B
epidemic has occurred, notably, during the same period
as the decline following the 1960 A2 influenza epidemic.


DEATHS 65 YEARS AND OVER RECORDED IN
108 UNITED STATES CITIES
WEEK ENDING 4 week
3/31 4/7 4/14 4/21 Total Average
Observed 6,720 6,667 6,431 6,491 26,309 6,577
Expected 6,667 6,620 6,567 6,508 26,362 6,590
Excess 53 47 -136 -17 -53 -13


DEATHS AT AGE 65 AND OVER IN 108 U.S. CITIES
Average number per week by four-week periods
8,500


8,000

INFLUENZA A2

RECORDED
DEATHS*


7,000

6,500^ "EXPECTED"
/NUMBER ""




5,500------------ ------------


7
1960


11 1961
1961


1962 1963


SBY PLACE OF OCCURRENCE


**CALCULATED FROM t957-1961 EXPERIENCE


(See Table, paige 127)


123


NUMBER

OF

DEATHS


PERIOD NUMBER I
I












124 Morliditli and Mlortalil 1 ec kly Re(orl



Tabli CASES OF SPE( IFIED NOTIFIABLE DISFA4EN L UNITED STATES

FOR 'h F[ki ENDED

APRIL 22, 1961 AND APRIL 21. 1962



Po lic.Ii'my, e it l s Aseptic
I Polim:.?.,elicil, rTtal ClieS Pol omielitis, Paralytic Nonparalytic MeningitLs


Area




UNITED STATES......

NEW ENGLA D...............
Main .......... ...... .
Neu Hampshire ...........
Vermont...............
Massachusetr .........
Rhode I land .........
Connectic. u ...........

MIDDLE ATLANTIC..........
Nlew Yor ...............
New JersEi ...........
Pennsylvania

EAST NORTH CENTRAL.......
Ohio..................
Indian ...............
1llinois ..............
Michigan...............
Wiscon in..............

WEST NORTH CENTRAL......
MLnne ota ..... .......
Io ....... ...........
MLSnourt ...... .......
North Dakota..........
South Da -ta ..........
Nebraska ..............
Kansas ................

SOUTH ATLANTIC..........
Delaware.............
Marvl and ............
District of Colunmbti ..
VLrainia..............
Weit Virginia.........
North Car l in ........
South Car.lina ........
Georgia ...............
Florida...............

EAST SOUTH CENTRAL.......
Kentucky..............
Tennessee .............
Alabama ..............
tl ssis ippi ...........

WEST SOUTH CENTRAL .......
Arskansai ........... .
Louisiana ............
Oklahoma..............
Texa ...... ........

MOUNTAIN.................
Montana...............
Idaho .................
Wyomin ...............
Col rado..............
New Mexic ............
Arizon ,..............
itah..................
Nevada..... ...........

PACLFIC ..................
Washington..... .....
Oregon................
California............
Alaska ................
Hawai ........ .......


LimulaEtve Cumulative
16th week First 16 seeks 16th wueE First 16 wtCkS 16th i-ek 16th week

1962 19 19 161 2 61 1962 11 62 1961 1962 61 1 1 1962 1961


7 4 87 127 7 4 61 82 28 28

1 3 1 3 -


2 2 -


1 -
~ ~ -



2 2 31 11 2 2 18 10 1 -
2 2 31 5 22 18 1
4 4 -
2 2 -

-8 17 6 11 3 9
S4 8 4 4 1
3 2 2 1 1
1 3 3 1 5
I 1 1 2
3 1 -

6 4 3 3 1 1
1 1 1 1 1 1
S 3 1 2 -
2 -

2 -




6 13 9 5 1 -
2 2 -


1 -
6 2 -
1 3 1 2 -
S 1 -
2 2 -
1 3 1 2 i

1 4 14 3 3 3 3
1 1 13 1 1 2 1 1
I I

2 I
2 1 2 2 2 -

4 19 16 4 1 17 7 1 3
1 1 1 1 -
1 5 4 1 5 -

2 1 13 11 2 1 11 5 3

S 5 16 3 10 1 2
2 1 1 1 -
S3 1 -

-
I -- I
2 2 2 1 -
1 6 -- 4



1 7 33 1 5 26 17 10
2 1 2 1 1
2 1 -
6 28 4 22 16 9

I 1 1 -


Puerto Rico............... 5 2 5 2


I










Morbidity and Mortality Weekly Report 125


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
FOR WEEKS ENDED

APRIL 22, 1961 AND APRIL 21, 1962 (Continued)


Brucellosis Diphtheria Encephalitis, Hepatitis, Measles
Infectious Infectious and serum
Area
Cumu- Cumu- 16th week
lative lative Under 20 &
16th week 16 Weeks 16th week 16 weeks 16th week 20 yr. over Total Total 16th week
1962 1962 1962 1962 1962 1961 1962 1962 1962 1961 1962 1961
UNITED STATES...... 9 109 11 160 33 20 623 434 1,164 1,834 23,809 17,630

NEW ENGLAND.............. 1 24 24 48 32 2,569 1,433
Maine................. 8 6 14 1 142 47
New Hampshire......... 1 2 3 3 10 123
Vermont............... 2 1 3 3 89 40
Massachusetts .......... 10 12 22 8 1,318 711
Rhode Island........... 1 1 11 131 204
Connecticut ........... 1 3 2 5 6 879 308

MIDDLE ATLANTIC .......... 3 2 4 6 89 73 162 305 5,845 3,233
New York.............. 1 2 3 2 40 49 89 125 3,021 1,151
New Jersey............ 4 16 12 28 53 2,460 853
Pennsylvania.......... 2 1 33 12 45 127 364 1,229

EAST NORTH CENTRAL....... 1 29 5 4 1 152 140 304 400 2,962 5,360
Ohio ...... .......... 2 36 22 62 148 779 916
Indiana............... 2 2 47 28 79 73 279 361
Illinois.............. 1 24 1 34 53 91 74 802 700
Michigan ............. 1 3 2 32 29 61 103 852 1,445
Wisconsin............. 2 3 8 11 2 250 1,938

WEST NORTH CENTRAL....... 5 49 1 28 41 29 106 201 1,148 504
Minnesota............. 4 1 11 6 5 15 39 9 32
Iowa.................. 3 26 1 10 7 19 64 995 196
Missouri .............. 1 2 15 6 23 42 44 132
North Dakota........... 1 3 1 4 8 93 134
South Dakota.......... 1 4 1 1 4 -
Nebraska............... 6 11 1 29 31 2 10
Kansas ................ 1 9 1I 7 8 15 13 NN NN

SOUTH ATANTIC........... 1 8 4 32 8 2 90 57 152 209 1,23 1,781
Delaware.............. .- 2 1 3 6 7 53
Maryland............... 2 6 3 10 34 14 155
District of Columbia.. 1 2 3 3 5 26 43
Virginia.............. 1 3 1 5 18 9 27 30 33 510
West Virginia........... 22 1 23 32 35 358
North Carolina........ 2 4 2 28 19 47 55 3 198
South Carolina......... 2 4 5 9 17 4 41 131
Georgia ............... 2 4 2 2 9 21 38
Florida............... 1 1 13 2 2 4 15 20 34 262 295

EAST SOUTH CENTRAL....... 4 11 2 111 24 136 259 1,905 1,124
Kentucky ............. 47 6 53 81 289 434
Tennessee ............ 2 4 33 7 41 97 1,430 589
Alabama ............... 1 3 14 6 20 44 91 47
Mississippi ........... 1 4 2 17 5 22 37 95 54

WEST SOUTH CENTRAL....... 1 7 6 65 5 1 36 24 62 114 4,007 689
Arkansas .............. 1 1 5 7 1 3 1 4 27 7 29
Louisiana............. 1 7 -- 7 4 11 18 6 1
Oklahoma.............. 3 1 1 18 120 16
Texas.................... 5 1 48 4 1 25 19 46 51 3,874 643

MOUNTAIN ................. 2 7 8 2 51 124 1,052 740
Montana.............. 6 3 3 3 255 15
Idaho ................. 13 3 34 46
Wyoming ............... 1 1 2 3 20 6
Colorado .............. 1 12 48 326 147
New Mexico............ 1 11 NN NN
Arizona............... 14 29 329 481
Utah .................. 3 1 4 27 88 39
Nevada ................ 2 6

PACIFIC.................. 1 7 10 12 7 72 61 143 190 3,091 2,766
Washington ............. 1 14 6 22 24 895 309
Oregon.................. 1 10 9 19 25 806 168
California............ 1 5 5 11 7 47 45 93 136 1,339 2,276
Alaska............... 1 5 7 4 22 9
Hawaii...... ......... 1 1 2 1 29 4

Puerto Rico.............. 14 11 4 15 12 66 16










126 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

APRIL 22, 1961 AND APRIL 21, 1962 (Continued)


Meningococal Streptococcal Tickborne
Infections Sore Throat & Tetanus Typhus Tularemia Typhoid Fever Rabies in Animals
Scarlet Fever (Rcky Mt.
Area Cumu- Spotted) Cumu- Cumu-
lative lative lative
16th wk. 16 weeks 16th week 16th wk. 16th wk. 16thwk. 16thwk. 16 weeks 16th week 16 weeks
1962 1962 1962 1961 1962 1962 1962 1962 1962 1962 1961 1962
UNITED STATES.... 52 811 7,514 8,238 4 1 1 5 121 115 79 1,334

NEW ENGLAND......... 4 55 437 683 3 -
Maine.............. 1 7 11 33 1 -
New Hampshire ...... 3 10 -
Vermont............ 2 38 52 .
Massachusetts...... 1 21 87 191 -- 2 -
Rhode Island....... 4 42 94 -
Connecticut ........ 2 18 259 303 -

MIDDIE ATLANTIC..... 3 118 444 748 2 15 6 2 35
New York........... 52 295 381 2 8 5 2 24
New Jersey ......... 2 30 70 149 -
Pennsylvania....... 1 36 79 218 2 1 11

EAST NORTH CENTRAL.. 11 173 847 1,134 2 17 34 11 257
Ohio............... 4 52 87 328 1 8 24 4 127
Indiana............ 2 18 120 205 1 1 7 1 91
Illinois........... 2 27 135 137 3 1 5 21
Michigan........... 3 64 214 261 3 1 1 10
Wisconsin.......... 12 291 203 2 1 -

WEST NORTH CENTRAL.. 4 39 211 291 6 31 12 383
Minnesota.......... 1 7 25 5 3 1 68
Iowa............... 1 7 88 30 14 6 165
Missouri........... 9 1 50 5 6 4 64
North Dakota....... 1 3 38 131 1 30
South Dakota....... 1 2 4 47
Nebraska........... 1 6 2 1 3 8
Kansas............. 6 59 71 1 1

SOUTH ATLANTIC...... 5 131 645 623 1 1 17 11 12 109
Delaware........... 16 7 17 -
Maryland........... 5 30 23 2 1
Dist. of Columbia.. 6 5 1 2 -
Virginia............ 1 25 183 202 1 4 4 9 54
West Virginia...... 9 153 178 1 3 3 34
North Carolina..... 1 36 16 33 -
South Carolina..... 3 9 104 22 1 -
Georgia............ 6 3 4 1 2
Florida............ 19 147 144 1 3 3 18

EAST SOUTH CENTRAL.. 4 54 1,341 1,624 10 11 13 177
Kentucky........... 12 186 415 2 2 6 50
Tennessee.......... 2 22 1,078 1,170 4 8 7 120
Alabama............ 1 11 15 8 4 1 7
Mississippi........ 1 9 62 31 -

WEST SOUTH CENTRAL.. 5 78 692 910 1 1 2 39 18 19 276
Arkansas........... 9 2 4 1 1 5 1 6 38
Louisiana.......... 3 33 2 3 11 1 1 11
Oklahoma........... 1 5 37 63 3 7
Texas .............. 1 31 651 840 1 1 20 16 12 220

MOUNTAIN............. 2 23 1,336 1,452 6 12
Montana............. 3 45 34 1 -
Idaho.............. 3 205 96 -
Wyoming............. 2 69 77 2 -
Colorado............ 4 424 525 -
New Mexico......... 307 329 2 6
Arizona ............ 2 8 165 171 I 6
Utah............... 121 180 -
Nevada............. 3 40 -

PACIFIC............. 14 140 1,561 773 1 8 4 10 85
Washington......... 1 14 545 292 -
Oregon............. 13 40 55 -
California......... 13 108 944 369 1 8 4 10 85
Alaska............. 4 17 52 -
Hawaii............ 1 15 5 -
Puerto Rico......... 5 1 1 1 7










Morbidity and Mortality Weekly Report





Table 4 (D). TOTAL DEATHS AMONG PERSONS 65 YEARS AND OVER IN RfPORTING CITIES



(Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period.0


127


Area For weeks ending Area For weeks ending
3/31 4/14 Area 4/21 3/31 4/7 4/14 4/21
3/31 4/7 4/14 4/21 3/31 4/7 4/14 4/21


NEW ENGLAND:
Boston, Mass..............
Bridgeport, Conn..........
Cambridge, Mass...........
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, 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..............
Youngstoun, Ohio..........

WEST NORTH CENTRAL:
Des Moines, Iowa..........
Duluth, Minn..............
Kansas City, Kans........
Kansas City, Mo...........
Lincoln, Nebr............
Minneapolis, Minn........
Omaha, Nebr...............
St. Louis, Mo............
St. Paul, Minn...........
Wichita, Kans.............


156
26
27
17
25
8
19
17
16
37
10
21
17
37


33
20
91
22
20
14
49
43
1,013
10
319
64
14
101
14
34
39
36
22
18


25
21
395
81
120
57
51
194
24
24
34
14
19
68
23
56
13
22
32
77
40


39
10
20
88
12
82
39
120
41
24


136
18
20
11
24
17
15
14
23*
43
10
28
16
32


26
20
87
22
10
20
40
44
1,055
19
301
115
20
79
14
25
48
27
22*
19


32
28
376
95
127
66
47*
205
22
25
22*
20
21
80
17
66
19
14
19
56
31


41
10
25
68
17
62
40
144
35
28


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..............


45
130
11
18
36
27
56
15
86
32
104
21


38
28
13
61
73
15
15
32


20
14
12
58
23
41
109
35
93
37
60
29
21


8
15
76
14
62
7
29
24


4
18
30
21
50
312
60
23
90
30
49
110
19
64
33
33


San Juan, P.R.............. 16 9 22 (--


oCurrent 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.....


69
123
17
28
47
27
48
17
66
44
80
15


57
31*
19
91
66
20
9
32


22
11
5
65
15
40
62
32
70
26
55
23
17


21
5
62
12
56
6
36
27


11,331
491
685
6,491


*Estimate based on average percent of divisional total
Totals for previous weeks include reported corrections.
NOTE: All deaths by place of occurrece.




urJIVERSITY OF FLORIDA

III3 1262 08863 9553III ll
3 1262 08863 9553


128


INTERNATIONAL NOTES QU

Immunization Information for Inte
edition.Public Health Service Pu

Section 5


Morbidity and Mortality Weekly Report

S 8CUMENTF "4-


ARANTINE MEASURES '" --

ernational Travel 1961 .
publication No. 384 U.S DEPOSITORY


ASIA
Pakistan, page 47


The following information on smallpox vaccination for
Pakistan supersedes the information in the booklet and
in the Morbidity and Mortality Report, No. 12, dated
March 30, 1962 Smallpox vaccination required of all
departing passengers. Period of validity for the certifi-
cate is 3 years. In the case of primary vaccination the
certificate becomes valid on the 8th day and immedi-
ately on the date of a revaccination.


Notes: These provisional data are based on weekly telegrams to the Communi-
cable Disease Center by the individual State health departments.
Symbols: --- Data not available
Quantity zero
Procedures 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, Georia.


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