![]() ![]() |
![]() |
UFDC Home | Search all Groups | World Studies | Federal Depository Libraries of Florida & the Caribbean | Vendor Digitized Files | Internet Archive | | Help |
Material Information
Subjects
Notes
Record Information
Related Items
|
Full Text |
COMMUNICABLE DISEASE CENTER adt Vol. 15, No. 5 Week Ending February 5, 1966 U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE MALARIA CURRENT TRENDS Through February 7, 1966, a total of 20 case reports of malaria with onset in January 1966, had been received by the Communicable Disease Center. All cases were imported. Seventeen of the cases occurred in military personnel, and 15 of these originated in South Viet Nam. The species diagnosis in 14 of the 15 cases from South Viet Nam was Plasmodium falciparum; P. malariae was the species in the 15th case. The remaining 2 cases were infected in Panama and Thailand, and the species was P. vivax in both instances. One of the 20 military patients infected in VietNam developed falciparum malaria after discharge from the service. Each of the three civilian Malaria Current Tren . . Measles- Current International Notes Mercury Poisoning in ..j Quarantine Measures Epidemiologic Notes and Reports Type B Influenza Massachusetts . SERVICE 33 34 .. 35 40 S. 40 patients contracted his disease in West Africa. This group included a ship's captain and a Peace Corps worker. Additional case reports have brought the 1965 total to 130 cases (MMWR, Vol. 15, No. 4). Ninety percent of these additional cases had onset dates within the fourth quarter of 1965; these cases reflect the increasing (Continued on page 34) CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES (Cumulative totals include revised and delayed reports through previous weeks) 5th WEEK ENDED CUMULATIVE, FIRST 5 WEEKS MEDIAN DISEASE FEBRUARY 5, FEBRUARY 6, 1961-1965 MEDIAN 1966 1965 1966 1965 1961- 1965 Aseptic meningitis ... ..... .... ... 20 17 19 128 148 130 Brucellosis. .. ......... ... 2 4 16 19 23 Diphtheria................... ......... 2 2 9 12 15 31 Encephalitis, primary: Arthropod-borne & unspecified ........... 24 24 --- 113 152 Encephalitis, post-infectious ............ 14 16 64 67 Hepatitis, serum ...... ........... .... 26 1 1,225 102 4021 5,321 Hepatitis, infectious ..................... 732 3,489 Measles rubeolaa) .......... ..... ...... 5,857 7.994 9,346 25.921 34,392 39.366 Poliomyelitis, Total (including unspecified) 4 1 19 Paralytic ........_..... .......... 3 16 Nonparalytic ...................... - Meningococcal infections, Total .......... 62 63 64 356 316 269 Civilian ....... ....................... 58 54 326 302 Military............................ 4 9 30 14 - Rubella (German measles) ................ 1,154 --- 4,173 - Streptococcal sore throat & Scarlet fever .. 10,338 11.789 9,728 46,745 51,454 43,600 Tetanus ................................. 2 5 8 16 - Tularemia........ ........ ..... ....... 1 2 17 33 - Typhoid fever .......................... 6 6 6 25 33 34 Typhus, tick-borne (Rky. Mt. Spotted fever). 3 7 6 - Rabies in Animals .................. 62 90 73 340 475 301 NOTIFIABLE DISEASES OF LOW FREQUENCY Cum. Cum. Anthrax: .................. ................ ...... Botulism: .......... ..... ... .. .. 1 Leptospirosis: ...................................... 1 Trichinosis: N.J.- 2 ..... ..... 16 Malaria: Va. -1 .................................... 26 Rabies in Man: ..... ..... ... .... .. Psittacosis: Wise.- .................. ................ 6 Rubella, Congenital Syndrome: .. .. ... .. .. . Typhus, marine: ..................... ............. ............... Morbidity and Mortality Weekly Report MALARIA CURRENT TRENDS (Continued from front page) numbers of returned servicemen with malaria acquired in South Viet Nam. During 1965 there has been a total of seven cases of shipboard malaria reported; of these five were P. fal- ciparum and two were P. malariae infections. Five ships were involved and in all instances the infection was acquired in West Africa. (Reported by the Parasitic Disease Unit of the Surveil- lance Section, CDC.) MEASLES CURRENT TRENDS During the first 4 weeks of 1966 a total of 20,064 cases of measles was reported. The comparable total for 1965 is 26,398. Figure 1 shows the range of incidence of measles over the period 1954-1963. During this period the highest total for the first 4 weeks of the year was 48,624 and the lowest was 26,921 (Figure 1). Measles vaccine was first licensed for general use in March 1963 but it was not until 1964 that the quantity of vaccine distributed had reached a level indicative of substantial use. STATES REPORTING MORE THAN 500 CASES OF MEASLES Weeks 1-4, 1961-1966 State 1961 1962 1963 1964 1965 1966 Wisconsin ..... 4,153 605 6,824 373 886 4,491 New York (incl. NY City) 4.117 2,248 1,127 2,642 468 1,945 Illinois .............. 1,256 2.110 513 1,489 147 1,766 Tennessee. ... 779 2,144 649 1,219 936 1 '-. Michigan .... .. 141 1,127 13,129 913 2,304 1,305 Texas 899 4,501 1,003 1,241 2,073 1,067 Pennsylvania 2,367 567 705 951 331 985 W. Virginia 429 bb0 1,02 b33 2,818 983 Kentucky 1,634 496 455 1,703 84 830 California 1,81 1,630 844 1,417 bUb 667 (Reported by the Childhood Virus Disease Unit, CDC.) MEASLES REPORTED BY FOUR-WEEK PERIODS-UNITED STATES EPIDEMIOLOGIC YEARS 1964-65 AND 1965-66 COMPARED WITH 10-YEAR PERIOD, 1954-1963 170I000 150,000, 130,000. 110.000. 90,000. 70,000 50,000 30.,000 10o00 - -- Hghest Number, 1954-1963 ---- Lowest Number, 1954-1963 i'c L, -:.L. a^.4.: *rC. WEEK NUMBER INTERNATIONAL NOTES MERCURY POISONING IN GUATEMALA An outbreak of central nervous system illness involving 14 cases, with 8 deaths at the time of the first report, occurred in the western highlands of Guatemala in the region around Quetzaltenango in the summer of 1965. The cases had developed during the period July to September 1965 in Indian families of a predominantly farming population living in scattered groups in a remote mountainous area. The crops grown include wheat, corn and potatoes, while livestock consists of chickens, pigs and a few horses and cattle. Corn is the main and pre- ferred staple. Water comes from unprotected wells or from shallow streams and there are virtually no sanitary facilities. The illness was at first thought to be an arthropod-borne encephalitis and, early in September, assistance was sought from the Pan American Health Organization by the Guatemalan Ministry of Health. PAHO arranged for three investigators to visit the area affected. During the investigation, interviews with local health officials, physicians, affected families and their neighbors and a review of hospital records brought to light an additional 31 cases with 12 deaths making a total of 45 cases of CNS illness causing 20 deaths for the whole outbreak. All had a strikingly similar clinical picture. FEBRUARY 5, 1966 FEBRUARY 5, 1966 Morbidity and Mortality Weekly Report Table 1 INCIDENCE OF CNS ILLNESS AND DEATHS IN WESTERN GIUATEMALA July October, 1965 Village Community Slguila . . Panorama......... Centro ......... La Union ........ Palomora ........ San Jos6 ........ Total .......... Population t 500 400 269 200 1,722 3,091 Case petr Number 1000 Cases a Inhabitants 2.0 :17.5 29.7 10.0 h.7 14.5 Iu Deaths Death Number Super 1000 per case Inhabitants Iatio (" ) .5 40 6.5 44 :~.;t 410 The illness began with weakness in the legs which sometimes progressed to spastic paralysis with hyper- flexion and a positive Babinski; in some instances the arms were also involved. The lesions were symmetrical without loss of sensory or sphincter function. Neither fever nor malaise was a prominent symptom unless a pulmonary complication developed. The involvement of the legs was almost invariably followed in 4 to 7 days by impairment of vision, usually progressing to total blindness. Once established, there was no regression in either the paralyses or the visual impairment. In fatal cases there was a period of impaired consciousness merging into coma before death. All patients were of poor nutritional status. The sexes were equally affected and the age distribution ranged from 2 to 55 years with over half the cases being under 10 years of age. The duration of illness varied and most cases had difficulty in walking and impaired vision for 1 to 4 weeks before coming to the hospital; patients who died had remained in the hospital for periods ranging from 1 week to 1 year before death. The weeks of onset of 43 of the 45 cases occurring in 1965, or of their admission to the hospital, ranged from July 11 to September 19, 1965. There had been four cases in 1964 and one in 1963, all of which occurred during the same season of the year as the 1965 cases. Thirty-eight of the 45 cases occurred in three villages in the wheat-growing area; there was a high incidence within given families, frequently affecting children under 10 but never those who were breast feeding (Table 1). Both the clinical and epidemiological evidence suggested a toxic rather than an infectious origin. Inquiry revealed that the families concerned par- ticipated in a wheat co-operative whereby they received each year, in May, a certain quantity of wheat seed which was treated with the fungicide methyl mercury dicyandiamide("Panogen 15"). The farmers were expected to return, to the co-operative organization at the end of the harvest, an amount of wheat equal to the quantity of treated seed given to them the previous spring. They had been warned not to eat the treated seed. Several farmers' families had not heeded this warning and had ground the panogen-treated v heat to make tortillas. The distribution of illness among the members of the families who admitted eating the treated wheat was uneven. In one instance the first sign of illness in a family using the wheat appeared one week after it was eaten: in another it was 3 weeks later that the first symptoms appeared. Certain other families who had eaten the treated wheat suffered no symptoms at all. presumably due to dilution of the meal from the treated wheat with corn meal, or with wheat flour made from untreated wheat. Specimens of kidney, liver, spleen and brain obtained from fatal cases of the illness in Guatemala have been examined in the CDC Toxicology Laboratory and have yielded amounts of alkyl mercury (9 to 20 ppm of Hg) consistent with fatal mercury poisoning. Table 2 compares the Guatemala findings with those of episodes of fatal mercury poisoning in other countries. Examination of a specimen of the treated seed contained 17 ppm expressed in metallic mercury. Table 2 CNS ILLNESS IN GUATEMALA Comparative Results of Tissue Content Estimations of Alkyl Mercury in Fatal Poisoning Specimen Guatemala 1965 in ppm Other Countries Range in ppm Kidney . .... .18 3 to 51 Liver . ... .20 15 to 39 Spleen . ... .9 4.5* Brain . ... 15 3 to 48 *One estimation only. (Reported by the Department of Public Health, Guatemala Ministry of Health; The Pan American Health Organi- S.-';.* Zone Ill; and an EIS Officer.) Reference: Bidstrup, P.L. (1964) Toxicity of Mercury and Its Compounds, pp 74-87. Elsevier Publishing Company, New York. ~ 36 Morbidity and Mortality Weekly Report CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED FEBRUARY 5, 1966 AND FEBRUARY 6, 1965 (5th WEEK) ENCEPHALITIS HEPATITIS ASEPTIC Primary Post- Both AREA MENINGITIS BRUCELLOSIS including Infectious DIPHTHERIA Serum Infectious Types unsp. cases 1966 I 1965 1966 1966 1965 1966 1966 1965 1966 1966 1965 UNITED STATES... 20 17 2 24 24 14 2 2 26 732 918 NEW ENGLAND.......... 2 1 20 64 Maine............... 4 15 New Hampshire ...... 5 Vermont............. 1 9 Massachusetts..... 1 13 15 Rhode Island ....... 1 11 Connecticut........- 1 1 9 MIDDLE ATLANTIC...... 1 3 1 7 2 3 16 89 164 New York City ..... 2 1 5 1 10 15 23 New York, Up-State. 1 3 29 86 New Jersey.......... 2 15 15 Pennsylvania....... 1 1 3 1 30 40 EAST NORTH CENTRAL... 3 1 5 9 2 145 186 Ohio............... 3 2 45 58 Indiana............. 2 1 15 14 Illinois........... 1 30 55 Michigan........... 1 1 5 1 50 47 Wisconsin.......... 1 1 1 5 12 WEST NORTH CENTRAL... 1 2 1 2 50 60 Minnesota.......... 1 2 13 6 Iowa................ 21 29 Missouri........... 5 8 North Dakota....... 1 2 - South Dakota....... - Nebraska............. 1 Kansas............. 1 9 15 SOUTH ATLANTIC....... 3 3 4 3 1 2 2 71 81 Delaware ........... 2 2 Maryland ........... 1 7 33 Dist. of Columbia.. 1 1 Virginia ........... 1 3 29 11 West Virginia...... 4 17 North Carolina..... 1 1 1 1 1 9 9 South Carolina..... 2 2 Georgia ............ Florida............. 2 1 1 1 1 1 18 6 EAST SOUTH CENTRAL... 1 1 1 1 80 80 Kentucky............ 1 44 33 Tennessee.......... 1 1 1 19 22 Alabama............ 7 16 Mississippi........ 10 9 WEST SOUTH CENTRAL... 3 2 1 2 1 2 58 84 Arkansas........... I 9 15 Louisiana.......... 1 1 1 1 2 9 12 Oklahoma............. 1 2 Texas.............. 1 1 1 39 55 MOUNTAIN............. 1 51 39 Montana............ 1 9 Idaho............... -- 5 1 Wyoming............ 2 Colorado............. 1 7 11 New Mexico......... 23 4 Arizona............ 12 6 Utah............... 1 5 Nevada............. 2 1 PACIFIC............... 9 7 1 6 4 4 3 168 160 Washington.......... 1 13 11 Oregon............. 1 24 10 California.......... 8 6 6 2 4 3 130 122 Alaska............. 1 17 Hawaii.............. 1 11 - Puerto Rico.......... 20 24 Morbidity and Mortality Weekly Report CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED FEBRUARY 5, 1966 AND FEBRUARY 6, 1965 (5th WEEK) -Continued AREA UNITED STATES... NEW ENGLAND.......... Maine.............. New Hampshire...... Vermont........... Massachusetts ...... Rhode Island....... Connecticut........ MIDDLE ATLANTIC...... NewsYork City...... New York, Up-State. 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............ Dist. 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............. PACIFIC............... Washington......... Oregon.............. California......... Alaska............. Hawaii............. MEASLES (Rubeola) 1966 5,857 95 8 1 8 48 2 28 687 415 33 27 212 2,017 135 58 385 350 1,089 273 64 108 31 68 1 1 NN 487 79 15 65 208 3 22 6 89 905 506 370 11 18 533 1 2 530 285 35 24 7 48 161 10 575 188 52 332 1 2 Puerto Rico.......... 30 Cumulative 1966 1965 25,921 34,392 365 8,860 39 1,067 5 156 117 101 104 5,192 29 1,027 71 1,317 3,919 1,176 1,964 138 429 388 329 202 1,197 448 10,393 5,993 604 1,157 403 266 2,151 197 1,655 3,199 5,580 1,174 983 2,481 408 51 274 1,198 65 256 225 863 2 23 9 90 NN NN 2,431 5,067 35 74 390 76 99 9 186 721 1,191 3,783 35 88 115 40 34 94 346 182 3,330 1,797 1,336 143 1,892 1,188 41 332 61 134 1,648 3,053 23 40 18 7 10 29 1,597 2,977 1,117 3,000 233 1,117 224 433 19 91 109 357 4 60 488 73 36 863 4 6 1,735 2,965 534 832 180 586 999 1,206 2 33 20 308 278 127 MENINGOCOCCAL INFECTIONS, TOTAL Total 1966 62 1 1 6 1 2 1 2 10 2 1 3 4 4 2 1 1 1 4 2 3 1 1 6 2 4 10 2 2 2 4 1 1 10 9 1 9 I I I Cumulative 1966 1965 356 316 26 18 5 7 1 1 12 8 2 1 4 3 62 44 14 10 12 9 19 17 17 8 57 38 20 14 5 4 6 10 18 6 8 4 17 17 3 3 4 6 9 3 1 3 2 65 69 2 8 3 2 5 11 3 6 13 13 13 5 5 13 18 14 15 21 5 7 8 7 2 7 33 40 4 3 8 14 2 6 19 17 14 5 2 10 1 1 2 1 1 1 67 64 5 3 3 49 60 8 1 2 1966 1,154 193 S 5 -1 102 13 72 43 27 S 16 273 - 47 S 39 S 38 149 61 S 51 10 77 5 14 40 - 1 S 17 70 15 55 250 150 S 44 - 546 S46 8 2 -I --- Morbidity and Mortality Weekly Report 38 CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED FEBRUARY 5, 1966 AND FEBRUARY 6, 1965 (5th 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... 10,338 2 8 1 17 6 25 7 62 340 NEW ENGLAND.......... 1,931 1 1 3 Maine.............. 250 - New Hampshire...... 35 - Vermont............ 77 3 Massachusetts...... 313 I - Rhode Island....... 75 - Connecticut........ 1,181 - MIDDLE ATLANTIC...... 275 1 2 8 1 4 28 New York City...... 26 1 4- - New York, Up-State. 249 1 2 3 26 New Jersey......... 1 2 - Pennsylvania ....... 1 1 2 EAST NORTH CENTRAL... 983 3 1 6 4 39 Ohio............... 91 2 3 1 25 Indiana............. 169 1 1 4 Illinois........... 121 2 Michigan........... 405 I 1 2 4 Wisconsin.......... 197 1 1 4 WEST NORTH CENTRAL... 455 2 1 17 98 Minnesota.......... 7 4 18 Iowa ............... 126 2 18 Missouri........... 12 10 46 North Dakota....... 210 3 South Dakota........ 14 1 11 Nebraska............ 6 2 Kansas............. 80 2 -- - SOUTH ATLANTIC....... 923 1 3 5 2 6 5 12 43 Delaware........... 22 - Maryland ........... 244 Dist. of Columbia.. 1 Virginia........... 202 2 2 3 1 11 32 West Virginia...... 197 1 1 5 North Carolina..... 14 2 1 3 South Carolina..... 49 1 1 Georgia ............ 5 2 1 4 Florida............. 189 1 1 2 EAST SOUTH CENTRAL... 1,462 5 1 6 49 Kentucky ........... 112 2 5 Tennessee.......... 1,093 3 1 6 42 Alabama............. 95 2 Mississippi........ 162 - WEST SOUTH CENTRAL... 1,001 1 1 1 1 16 63 Arkansas........... 4 2 5 Louisiana.......... 2 1 1 5 Oklahoma............ 13 I 2 4 Texas............... 982 1 12 49 MOUNTAIN............. 1,505 1 2 4 Montana............ 56 - Idaho.............. 159 - Wyoming ............ 72 Colorado............ 625 - New Mexico......... 269 - Arizona............. 106 1 3 Utah................ 211 1 1 - Nevada............ 7 - PACIFIC.............. 1,803 2 1 1 3 13 Washington......... 667 - Oregon.............. 61 - California......... 881 2 1 1 3 13 Alaska............. 102 - Hawaii............. 92 - I I I I ) I I 9 Puerto Rico .......... Morliility and Mortality Weekly Report DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED FEBRUARY 5, 1966 5 (By place of occurrence and week of filing certificate. Excludes fetal deaths) All Causes Pneumonia Under All Causes Pneumonia Under Area All 65nd ars1 year Area All 65 years I na 1 ar a Influenza All nAge flueza All Ages and over nfluenz Ages and over A Ages auses Ages an over All 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, 111.--------- Cincinnati, Ohio------ Cleveland, Ohio------- Columbus, Ohio-------- Dayton, Ohio---------- Detroit, Mich.-------- Evansville, Ind.------ Flint, Mich.---------- Fort Wayne, Ind.------ Gary, Ind.------------ Grand Rapids, Mich.--- Indianapolis, Ind.---- Madison, Wis.--------- Milwaukee, Wis.------- Peoria, 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.-------- 887 284 54 36 25 59 33 27 38 73 75 15 62 30 76 3,594 58 35 149 48 35 53 79 76 1,867 41 551 209 59 114 37 29 51 41 25 37 2,731 70 36 824 137 204 140 89 393 33 55 43 17 64 155 45 127 36 32 42 113 76 906 63 27 39 148 25 147 73 267 83 34 545 164 37 23 16 34 21 22 30 36 52 8 38 18 46 2,089 37 25 93 22 20 37 44 36 1,068 27 303 111 42 83 26 20 33 17 19 26 1,549 48 21 427 82 123 69 57 227 18 28 27 6 47 83 23 77 19 22 28 69 48 573 45 15 24 87 20 91 39 174 60 18 *Estimate based on average percent SOUTH ATLANTIC: Atlanta, Ca.----------- 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.---------- 1,141 145 200 59 63 100 67 73 34 103 75 172 50 588 84 56 29 89 137 49 40 104 1,288 35 32 33 157 47 84 236 51 242 95 146 65 65 432 29 26 115 20 104 23 53 62 1,593 21 43 25 54 78 430 96 37 115 111 93 203 39 169 44 35 Total 13,160 7,621 576 666 Cumulative Totals including reported corrections for previous weeks All Causes, All Ages ----------------------. 66,862 All Causes, Age 65 and over------------------- 38,646 Pneumonia and Influenza, All Ages------------- 3,073 All Causes, Under 1 Year of Age--------------- 3,462 Week No. & srr of divisional total. Morbidity and Mortality Weekly Report FEBRUARY 5, 1966 QUARANTINE MEASURES Immunization Information for International Travel 1965-66edition Public Health Service Publication No. 384 The following change should be made in the list of Yellow Fever Vaccination (:nters in Section 6: Page 72 Delete City Anchorage, Alaska Center Health Center, Greater Anchorage Health District, 217 E. St., Telephone: BR 6-3351 Clinic Hours Mon. Fri. 8-11:30 a.m. 1-4 p.m. Fee Yes Add City Anchorage, Alaska Center Greater Anchorage Area Borough-Health Department 217 E. Street Telephone: 272-6467 Clinic Hours Mon. -Fri. 8-11:30 a.m. 1-4 p.m. Fee Yes EPIDEMIOLOGIC NOTES AND REPORTS TYPE B INFLUENZA Massachusetts Infection with type B influenza virus has been con- firmed, in representative cases, in outbreaks of febrile illness occurring in eastern Massachusetts (MMWR, Vol. 15, No. 3). Recovery of two strains of type B virus and identification of greater than four-fold increases in com- plement fixing (CF) antibody titers in three additional instances has been reported. Preliminary tests show these type B influenza virus strains to be similar to those re- covered in the United States in 1964-65. (Reported by Mrs. Joan Daniels, Chief, Virology Labora- tory, Institute of Laboratories, Massachusetts Department of Public Health; and the Respirovirus Unit, CDC.) THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCULA- TION OF 1 ,300. IS PUBLISHED AT THE COMMUNICABLE DISEASE CENTER, ATLANTA. GEORGIA. CHIEF, COMMUNICABLE DISEASE CENTER AVID J. SENCER, M.D. CHIEF, EPIDEMIOLOGY BRANCH A.D. LANGMUIR. M.D. ACTING CHIEF. STATISTICS SECTION IDA L. SHERMAN, M.S. 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 INVES. TIGATIONS WHICH ARE OF CURRENT INTEREST TO HEALTH OFFICIALS AND WHICH ARE DIRECTLY RELATED TO THE CONTROL OF COMMUNICABLE DISEASES. SUCH COMMUNICATIONS SHOULD BE ADDRESSED 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 SATURDAY: COMPILED DATA ON A NATIONAL BASIS ARE RELEASED ON THE SUCCEEDING FRIDAY. 0 n E" - i ,Jr ,-,, C , U.S. DEPOSITORY .c-o o o e u.u > '----C z =_ I m 3 m o a o > rn ijC rVn * m C 2 m '1 C -0 m on 41E |
Full Text |
xml version 1.0 encoding UTF-8
REPORT xmlns http:www.fcla.edudlsmddaitss xmlns:xsi http:www.w3.org2001XMLSchema-instance xsi:schemaLocation http:www.fcla.edudlsmddaitssdaitssReport.xsd INGEST IEID E21UPUHMF_3VRL3O INGEST_TIME 2012-10-15T14:06:20Z PACKAGE AA00010654_00350 AGREEMENT_INFO ACCOUNT UF PROJECT UFDC FILES |