Morbidity and mortality

COMMUNICABLE DISEASE CENTER


Vol. 15, No. 4







Week Ending
January 29, 1966


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


CURRENT TRENDS
MALARIA IN THE UNITED STATES, 1965

Through January 15, 1966, a total of 106 case-reports
of malaria diagnosed in the United States during 1965 had
been received by the Parasitic Disease Unit of the Com-
municable Disease Center. The distribution by species
of parasite in 99 instances is shown in Table 1; the age
and sex distribution is listed in Table 2.
All cases were imported with the exception of two
civilian cases, one crpticr and one introduced, both of
which were caused by Plasmodium vivax. Civilians ac-
counted for 55 cases, of which 10 were Peace Corps
workers and 2 were merchant seamen. Of the 51 cases
occurring in military personnel, 36 cases originated in


( '. ~' "- IY 66
Current Trends
Malaria in the United States . .
International Notes
Influenza Great Britain .
Tuberculosis Morbidity in 35 C '..ri .
Chart Reported Deaths in 122 I .- .


26
27,32
27


South Viet Nam. Plasmodium falciparum was responsible
for 24 of the 36 cases (67 percent) including 4 cases in
individuals who had been discharged from the service be-
fore the malaria was diagnosed.
The increase in the proportion of military personnel
among the cases reported from quarter to quarter in
1965 is shown in Table 3; this increasing percentage in
(Continued on page 26)


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
4th WEEK ENDED CUMULATIVE, FIRST 4 WEEKS
MEDIAN
DISEASE JANUARY 29, JANUARY 30. 1961-1965 MEDIAN
1966 1965 1966 1965 1961-1965
Aseptic meningitis ........... .... 22 27 26 108 131 105
Brucellosis................... ...... 8 3 6 14 19 20
Diphtheria.......... ... ..... .... .......... 4 1 8 9 13 22
Encephalitis, primary:
Arthropod-borne & unspecified .......... 21 31 --- 89 128 -
Encephalitis, post-infectious .. .... .. 12 17 50 51 -
Hepatitis, serum ................... .. 24 851 1 1,129 76
851 1,129 2.7 3.103 4.096
Hepatitis, infectious .................... 764 2.757
Measles rubeolaa) ........ .......... .... 5,727 7,644 8.908 20,064 26,398 30,020
Poliomyelitis, Total (including unspecified) 4 1 15
Paralytic ........................... 4 -13
Nonparalytic .................. -
Meningococcal infections, Total .......... 74 58 52 294 253 205
Civilian .............................. 70 58 268 248
Military ............................... 4 -- 26 5 -
Rubella (German measles)................. 869 --- 3,019 -
Streptococcal sore throat & Scarlet fever .. 10,155 11,401 9,707 36,537 39,665 33,862
Tetanus ................ ... ....... ..... 3 1 6 11 -
Tularemia............ .... ........... 4 5 16 31
Typhoid fever ........................ 9 13 11 19 27 24
Typhus, tick-borne (Rky. Mt Spotted fever) -- 7 3

Rabies in Animals........... .. ....... 78 112 57 278 385 228

NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum, Cum.
Anthrax: ......... .... ... Botulism: N.Y. City- 1 ........ ... .. ... 1
Leptospirosis: ............................... ... ... 1 Trichinosis: N.Y. City- I ... 14
Malaria: N.J. 1, Md. 11 .............. ..... 25 Rabies in Man: ... ..... .....
Psittacosis: Mass.- 1, N.Y. Up-State- ................ 5 Rubella, Congenital Syndrome: .. ..... .... 1
Typhus murine"







Morbidity and Mortality Weekly Report


CURRENT TRENDS
MALARIA IN THE UNITED STATES, 1965
(Continued from front page)


Table 1


Table 3


Confirmed Cases of Malaria by Species
United States, 1965*

Species Total Percent

P. vivax 57 57.6
P. falciparum 33 33.3
P. malariae 6 6.1
P. ovale 3 3.0

Total 99 100.0
*Reported as of January 15, 1966.



Table 2

Age and Sex Distribution of Cases of Malaria
United States, 1965*

Age Male Female Total Percent

0-9 2 4 6 5.7
10-19 7 5 12 11.3
20-29 55 4 59 55.7
30-39 7 2 9 8.5
40-49 6 1 7 6.6
50-59 3 3 2.8
60-69 1 -1 0.9
70+ -- 0.0
Unknown 9 9 8.5

Total 90 16 106 100.0
*Reported as of January 15, 1966.


Distribution of Military Cases by Quarter,
1965*

Military Total Percent
Quarter Cases Cases Military
Cases

1st 4 18 22
2nd 7 21 33
3rd 12 28 43
4th 22 30 73
Onset date
unknown

Total 51 106 48
*Reported as of January 15, 1966.




military personnel is the result of returning servicemen
who acquired malaria in South Viet Nam.

The four military servicemen who were recently dis-
charged after serving in Viet Nam developed falciparum
malaria after they had returned to the United States during
the month of December. Three of these patients main-
tained that chloroquine-primaquine prophylaxis was taken
regularly; information is lacking from the fourth case.
Two of these four cases terminated fatally.



(Reported by the Parasitic Disease Unit, CDC.)


INTERNATIONAL NOTES
INFLUENZA Great Britain


Outbreaks of a febrile respiratory illness in children
associated with up to 50 percent school absenteeism have
been recognized since mid-January in parts of Great
Britain. First reported in Scotland and northern England,
the illness has been uniformly mild and has subsequently
appeared in scattered areas farther to the south, including
London. There has been little evidence of a substantial
amount of comparable illness in the adult population and
no notable increase in demand for hospital services has
been observed.
Influenza and influenza pneumonia mortality in
England and Wales during the first 4 weeks of 1966 has


shown a progressive increase to a total of 140 deaths.
This is in contrast to a total of 56 deaths registered
during the same 4-week period of 1965 when there was no
evidence of influenza occurring in epidemic form.
Strains of type B influenza virus have been isolated
from children involved in the outbreaks presently occurring
in various parts of Britain. From preliminary studies
these new strains appear similar to those type B strains
isolated in England during 1964 and 1965. A few strains
of type A2 influenza virus recovered from sporadic cases
of influenza in adults this year have not shown any clear
relationship to the present school-associated outbreaks.


JANUARY 29, 1966






JANUARY 29, 1966


Morbidity and Mortality Weekly Report




MORTALITY IN 122 UNITED STATES CITIES


TUBERCULOSIS MORBIDITY IN 35 COUNTRIES


Since the introduction of anti-tuberculosis drugs in
the early 1950's and their subsequent widespread use in
the chemotherapy of tuberculosis, there has been a dra-
matic decline in mortality recorded in those countries
from which statistics are available. While account must
be taken of variations from country to country in criteria
for the reporting, registration and certification of tuber-
culosis, the statistics reported to national and inter-
national agencies are the only data available for the
measurement of morbidity trends.
Undoubtedly there has also been a decline in mor-
bidity from tuberculosis in many countries due to chemo-


therapy, to chemoprophylaxis and to the protection by
other means of contacts of known open cases of the
disease. The measurement of morbidity in recent years in
35 countries as represented by "new case" rates is
shown in Table 4. When there is added to these totals
the numbers of persons previously reported with active
or latent tuberculosis who are living longer as a result
of effective h-r,,,.ri,, r i..', tuberculosis manifestly con-
tinues to be a world-wide communicable disease problem
of great economic importance.
(Reported by Tuberculosis Branch, CDC.)
(Table 4 on page 38)








28 Morbidity and Mortality Weekly Report



CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 29, 1966 AND JANUARY 30, 1965 (4th WEEK)


ENCEPHALITIS HEPATITIS
ASEPTIC Primary Post- Both
AREA MENINGITIS BRUCELLOSIS including Infectious DIPHTHERIA Serum Infectious Types
unsp. cases
1966 1965 1966 1966 1965 1966 1966 1965 1966 1966 1965
UNITED STATES... 22 27 8 21 31 12 4 1 24 764 851

NEW ENGLAND .......... 1 3 1 35 51
Maine.............. 1 7 15
New Hampshire...... 2 4
Vermont.............. 8
Massachusetts..... 2 1 18 10
Rhode Island....... 1 4 6
Connecticut........ 4 8

MIDDLE ATLANTIC...... 5 1 9 15 2 9 155 187
New York City ..... 1 3 2 5 19 32
New York, Up-State. 1 2 2 1 52 83
New Jersey.......... 2 2 7 -- 3 18 25
Pennsylvania....... 1 1 2 4 2 66 47

EAST NORTH CENTRAL... 3 6 1 3 4 2 3 155 178
Ohio................ 1 1 3 1 29 70
Indiana............ 1 19 21
Illinois........... 4 1 1 2 33 17
Michigan........... 2 1 1 2 1 71 62
Wisconsin.......... 3 8

WEST NORTH CENTRAL... 4 1 2 1 3 2 24 72
Minnesota.......... 1 2 11 4
Iowa.............. 2 1 2 30
Missouri........... 6 14
North Dakota....... 1 1
South Dakota....... 1 1 2
Nebraska............. 2 3 2
Kansas............. 1 3 19

SOUTH ATLANTIC....... 3 2 2 5 2 1 1 1 55 89
Delaware........... 1 -- -1 1
Maryland............ 1 1 1 8 13
Dist. of Columbia.. 1
Virginia........... 3 10 15
West Virginia...... 9 26
North Carolina..... 1 1 1 11 16
South Carolina..... 3 2
Georgia............ 2 2 1
Florida............. 2 1 11 14

EAST SOUTH CENTRAL... 2 59 41
Kentucky ........... 2 18 17
Tennessee.......... 26 17
Alabama............ 4
Mississippi........ 11 6

WEST SOUTH CENTRAL... 3 2 1 2 2 55 83
Arkansas............ 9 11
Louisiana.......... 1 2 5 11
Oklahoma............ 1 12
Texas............... 3 1 2 41 49

MOUNTAIN............. 1 2 1 66 32
Montana ........... 5
Idaho .............. 1 8
Wyoming............. 2 1
Colorado ........... 1 2 1 5
New Mexico......... 21 3
Arizona............. 18 10
Utah................ 19 4
Nevada ............ 1

PACIFIC.............. 7 13 2 4 3 7 160 118
Washington......... 1 1 6 15
Oregon............. 1 21 6
California......... 5 10 2 4 3 7 132 92
Alaska.............. 1
Hawaii............. 1 1- --- --

Puerto Rico...........- 10 18








Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 29, 1966 AND JANUARY 30, 1965 (4th WEEK) Continued


MEASLES (Rubeola)
AREA
Cumulative
1966
1966 1966 1965
UNITED STATES... 5,727 20,064 26,398

NEW ENGLAND......... I 67 270 7,109
Maine.............. 4 31 904
New Hampshire...... 4 135
Vermont............. 29 109 28
Massachusetts...... 14 56 4,109
Rhode Island....... 7 27 831
Connecticut ........ 13 43 1,102

MIDDLE ATLANTIC...... 785 3,232 965
New York City...... 389 1,549 120
New York, Up-State. 86 396 348
New Jersey......... I 44 302 166
Pennsylvania....... 266 985 331

EAST NORTH CENTRAL... 2,476 8,376 4,547
Ohio................ 101 469 1,001
Indiana............ 76 345 209
Illinois.......... 507 1,766 147
Michigan ........... 550 1,305 2,304
Wisconsin.......... 1,242 4,491 886

WEST NORTH CENTRAL... 253 710 1,927
Minnesota.......... 114 344 33
Iowa............... : 89 166 1,079
Missouri........... i 4 34 175
North Dakota....... 43 157 542
South Dakota....... 1 20
Nebraska........... 3 8 78
Kansas............... NN NN NN

SOUTH ATLANTIC....... 370 1,944 3,878
Delaware............ 9 35 66
Maryland ........... 113 311 55
Dist. of Columbia.. 21 84 3
Virginia........... 9 121 585
West Virginia...... 136 983 2,818
North Carolina..... 2 32 69
South Carolina..... 8 93 38
Georgia............. 4 28 94
Florida............. 68 257 150

EAST SOUTH CENTRAL... 833 2,425 1,371
Kentucky............ 337 830 84
Tennessee........... 465 1,522 936
Alabama............. 19 30 223
Mississippi ........ 12 43 128

WEST SOUTH CENTRAL... 310 1,115 2,124
Arkansas........... 1 22 25
Louisiana........... 4 16 5
Oklahoma............ 10 21
Texas............... 305 1,067 2,073

MOUNTAIN............. 288 832 2,306
Montana............. 95 198 825
Idaho............... 58 200 360
Wyoming............ 12 56
Colorado............ 22 61 302
New Mexico.......... 1 4 53
Arizona............. 94 327 57
Utah................ 18 26 650
Nevada............. 4 3

PACIFIC............... 345 1,160 2,171
Washington......... 118 346 623
Oregon.............. 29 128 473
California.......... 194 667 808
Alaska............. 1 1 25
Hawaii.............. 3 18 242
Puerto Rico.......... 79 248 105


MENINGOCOCCAL INFECTION
TOTAL


)66

74

9

1

7


12
12

4
5
3

9
4

1
2
2

2


2
9
4
3


Cumulative
1966 1


294

25

7

11
2
4

56
13
10
18
15

48
19
4
6
15
4

13
3
2
5

1

2

51

6

3
2
9
10
4
17

8
3
4
1


23
2
6

15

13
1









57
5
3
40
7
2


I I


19


POLIOMY


1961


Total

6 1965


ELITIS
RUBELLA
Paralytic
Cumulative
1966 1966 1966

869


NS,



965
253

17
5
1

7
1
3

36
9
8
12
7

32
12
4
9
4
3

14
3

6
3


2

60
2
3
1
8
6
9
5
12
14

15
7
4
4


29
2
6
6
15

3



1

2



47

2
44
1
I


t


-


117
11
2
31
20
3
50

42
26
15

1

230

15
39
44
132

44
8
32

4




69
4
10

5
29



21

109
33
76



1





64
9
1

11

37
6


193
89
30
73


I I I I I I:









30 Morbidity and Mortality Weekly Report


CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

JANUARY 29, 1966 AND JANUARY 30, 1965 (4th WEEK) Continued


STREPTOCOCCAL TYPHUS FEVER RABIES IN
SORE THROAT & TETANUS TULAREMIA TYPHOID TICK-BORNE ANIMALS
AREA SCARLET FEVER (Rky. Mt. Spotted)
1966 1966 Cum. 1966 Cum. 1966 Cum. 1966 Cum. 1966 Cum.
1966 1966 1966 1966 1966
UNITED STATES... 10,155 3 6 4 16 9 19 7 78 278

NEW ENGLAND.......... 1,602 1 1 1 1 1 3
Maine.............. 101
New Hampshire...... 27
Vermont............ 61 1 3
Massachusetts...... 375 1 1
Rhode Island....... 76 -
Connecticut........ 962 1 1

MIDDLE ATLANTIC...... 476 1 1 2 6 1 5 24
New York City...... 26 1 1 1 4
New York, Up-State. 355 I 5 23
New Jersey......... 1
Pennsylvania....... 95 1 1

EAST NORTH CENTRAL... 887 1 3 2 5 20 35
Ohio................ 117 2 1 3 17 24
Indiana............ 115 1 1 1 1 1 4
Illinois........... 147 2
Michigan........... 352 2
Wisconsin.......... 156 1 2 3

WEST NORTH CENTRAL... 353 2 1 26 81
Minnesota.......... 10 1 14
Iowa............... 126 5 16
Missouri........... 38 16 36
North Dakota....... 130 3
South Dakota....... 9 3 10
Nebraska........... 8 1 2
Kansas............. 32 2 I -

SOUTH ATLANTIC....... 808 2 5 3 4 5 10 31
Delaware........... 37
Maryland ........... 89
Dist. of Columbia.. 2
Virginia........... 219 2 1 1 1 8 21
West Virginia...... 152 1 1 1 2 5
North Carolina..... 18 2 1 1 3 -
South Carolina..... 33
Georgia............ 4 2 4
Florida............ 254 1 1

EAST SOUTH CENTRAL... 1,615 2 5 1 1 4 43
Kentucky........... 209 1 2 5
Tennessee.......... 1,180 1 3 1 1 4 36
Alabama ........... 78 2
Mississippi........ 148 -

WEST SOUTH CENTRAL... 943 1 1 1 9 47
Arkansas........... 2 3
Louisiana.......... 1 1 5
Oklahoma .......... 35 1 2
Texas.............. 905 1 1 8 37

MOUNTAIN............. 1,965 1 1 4
Montana ........... 42 1
Idaho.............. 110 -
Wyoming............ 42
Colorado ........... 752
New Mexico......... 263
Arizona............ 116 1 1 3
Utah............... 639
Nevada ............. 1

PACIFIC............. 1,506 1 2 2 10
Washington......... 469 -
Oregon............. 62 -
California......... 924 1 2 2 10
Alaska.............. 10
Hawaii.............. 41
Puerto Rico..........








Morbidity and Mortality W'ekly Report






DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JANUARY 29, 1966


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

All Causes Pneumonia Under All Causes Pneumonia Under

Area All 65 years and I year Area All 65 years aanflu rAl
AAll 65 yer Influenza All I
Ages and over Ages and ovr A
All1 Ages Causes All Ages Causes


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----------
Youngstown, 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.--------


835
274
46
36
29
48
31
21
31
71
94
20
44
28
62

3,497
55
37
172
34
38
47
64
106
1,756
40
510
196
65
139
35
33
59
45
31
35

2,720
69
38
774
168
243
142
79
390
40
51
44
47
35
157
29
141
42
34
36
110
51

875
65
38
46
130
42
120
54
244
75
61


547
178
31
25
19
27
21
17
23
41
60
15
31
16
43

2,029
29
25
100
20
26
28
42
45
996
21
310
104
41
76
25
22
41
30
22
26

1,566
41
27
393
99
148
85
49
236
31
22
27
27
24
97
10
81
22
19
22
72
34

552
43
27
25
81
29
75
39
151
42
40


*Estimate based on average percent of divisional total.


SOUTH ATLANTIC:
Atlanta, Ca.-----------
Baltimore, Md.---------
Charlotte, N. C.-------
Jacksonville, Flat-----
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.----------


1,260
128
271
33
77
94
56
93
41
111
98
209
49

663
90
38
54
143
152
56
57
73

1,207
50
44
26
155
40
91
202
69
190
91
134
52
63

427
50
26
110
17
122
20
37
45

1,729
16
58
33
54
74
515
114
52
138
79
105
206
48
156
51
30


Total 13,213 7,673 552 689

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ----------------------- 53,779
All Causes, Age 65 and over------------------- 31,064
Pneumonia and Influenza, All Ages------------- 2,500
All Causes, Under 1 Year of Age ------------ 2,803


Week No.







Morbidity and Mortality Weekly Report


JANUARY 29, 1966


Table 4
New Tuberculosis Cases Reported During Recent Years

Number Case Rate
Country and Year of Per 100,000
New Cases Population

United States (1964) 50,874 26.6
Puerto Rico (1964) ... 1,685 65.4


Australia (1964) . .
Belgium (1964) . .
Canada (1963) . .
Ceylon (1964) . .
Czechoslovakia (1964) .
Denmark (Respiratory)
(1964)* . .
Ecuador (1964) . .
Eire (1963) . .
England and Wales (1963)(a) .
Finland (1964) . .
France (1962)(b) .
German Federal Republic
(1964)*................
Hong Kong (1964). .
Hungary (1963) . .
Iceland (1962) . .
Iraq (1964) . .

Israel, total cases (1963)(c) .
Jewish population .

Japan (1964)* . .
Luxembourg (1964) .
Malta (1964) . .
Mexico (1964) . .
Netherlands, The (1963)(d) .

New Zealand (1964)*,
Europeans . .
Maoris ..............

Northern Ireland (1964) .
Norway (1963). ..
Peru (Reporting areas)
(1963) ..............
Poland (Pulmonary) (1963) .
Portugal (1964)* . .
Scotland (1964) ........
Singapore, State (1963) .

South Africa, Republic
(1964) Whites . .
Coloureds . .
Asiatics . .
Bantu . .

Spain (1964) . .
Sweden (1964) . .
Switzerland (1963)(e) .


3,446
3,997
5,705
7,774
11,376


720
5,862
2,502
19,902
7,107
31,022


15.3
120.1
88.1
42.3
155.2
66.7


54,555 93.6
12,557 340.1
22,658 224.2
79 43.4
5,460 76.3

682 28.1
555 25.7

355,500 365.8
189 57.3
73 22.6
16,190 40.8
4,650 38.9


653 27.1
395 210.1

553 37.9
884 24.1


21,460 445.7
76,124 248.0
11,694 129.3
2,831 54.4
4,654 262.2


1,163 34.9
7,802 458.1
1,083 208.4
56,653 475.5

21,116 67.4
3,135 40.9
4,320 74.9


*Provisional, (a) Formal notifications = 18.937, Deaths of TB
persons not notified before death = 965.
(b)New cases registered by TB dispensaries.
(c)Including Jewish population. (d)New cases and relapses of active
tuberculosis, fe)New cases registered by dispensaries of
"A.sociation Suisse centre la Tuberculose.*
Source: Public Health authorities of respective countries.


THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA-
TION OF 15 300, IS PUBLISHED AT THE COMMUNICABLE DISEASE
CENTER. ATLANTA. GEORGIA.
CHIEF, COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
CHIEF. EPIDEMIOLOGY BRANCH A.D. LANGMUIR, M.D.
ACTING CHIEF. STATISTICS SECTION IDA L. SHERMAN, M.S.
CHIEF. SURVEILLANCE SECTION D.A. HENDERSON. M.D.
EDITOR: MMWR D.J.M. MACKENZIE, M.B.,
F.R.C.P.E.

IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY, THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASE IN"
VESTIGATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH
OFFICIALS AND WHICH ARE DIRECTLY RELATED TO THE CONTROL OF
COMMUNICABLE DISEASES. SUCH COMMUNICATIONS SHOULD BE AD-
DRESSED TO:
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
NOTE: THE DATA IN THIS REPORT ARE PROVISIONAL AND ARE BASED
ON WEEKLY TELEGRAMS TO THE CDC BY THE INDIVIDUAL STATE
HEALTH DEPARTMENTS. THE REPORTING WEEK CONCLUDES ON SAT-
URDAY; COMPILED DATA ON A NATIONAL BASIS ARE RELEASED ON
THE SUCCEEDING FRIDAY.


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