Morbidity and mortality

COMMUNICABLE DISEASE CENTER







asd 41Jlt
m <"

:'" .iF "


Vol. 14, No. 21


Week Ending
May 29, 1965


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


SMALLPOX Washington, D. C.

Variola virus has been isolated from vesicular fluid
specimens obtained from the presumptive case reported
previously (MMWR Vol. 14, No. 20) from Washington, D.C.
Laboratory confirmation of smallpox has been made by the
Laboratory Branch, at the Communicable Disease Center.
This represents the first case of smallpox imported into
the United States since 1949.
Clinically, the patient has continued to improve.
Because a number of skin lesions persist, the patient


CO(N T'E T.S
Smallpox Washington, D.C. ...............
Gastroenteritis Riverside, California .
Reported Deaths in 122 U.S. Cities . .
International Notes Quarantine Measures .


. 177
... 178
... 179
. 184


remains in isolation at a District of Columbia hospital.
A total of 1,019 persons have been identified as
possible direct, indirect or secondary contacts of this
patient. Of these, 1,015 have thus far been vaccinated and
placed under surveillance. (Continue to page 178)


7--
/ 2, -----Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
21st WEEK ENDED CUMULATIVE, FIRST 21 WEEKS
DISEASE MEDIAN
-DISEASE MAY 29. MAY 23, 1960-1964 MEDIAN
1965 1964 1965 1964 1960- 1964
Aseptic meningitis ........ 20 37 28 568 588 529
Brucellosis, ... .:/ 7 15 10 93 164 164
Diphtheria ... ......... 6 6 75 104 194
Encephalitis, lrifiary infectious 27 53 --- 629 719 ---
Encephalitis, post-inrettous 18 27 --- 333 378 -
Hepatitis, infectious including
serum hepatitis .......... 673 670 773 15,536 18,350 20,371
Measles ................ 7,850 30,911 18,515 199,025 368,825 300,747
Meningococcal infections ... 52 61 46 1,718 1,363 1,070
Poliomyelitis, Total ......... 1 5 7 11 31 130
Paralytic ............... 1 4 5 10 25 95
Nonparalytic ....... 1 --- 1 5 ---
Unspecified .....******* --- 1
Streptococcal Sore Throat and
Scarlet fever .... 6,661 8,670 6,211 216,571 219,826 185,750
Tetanus **** ******* ..7 5 --- 88 85 ---
Tularemia ** *........* ** 8 5 --- 83 97 ---
Typhoid fever ... * 5 7 12 140 137 180
Rabies in Animals .*'.* *.** 66 103 75 2,092 1,949 1,722

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: .................. ...... ... 5 Rabies in Man: .. ..... ........ -
Botulism: ................................. 3 Smallpox: D.C.-1 ......................... 1
Leptospirosis: Miss.-1 ....................... 13 Trichinosis: .............................. 52
Malaria: Conn.- 1 ........................... 23 Typhus-
Plague: .................................. Murine: ..................... ......... 7
Psittacosis: .............................. 13 Rky. Mt. Spotted: Ill.-1, N.J.-l, Md.-l, Ga.-1, Tenn.-l,. 22
Colo.-l, Va.-1








Morbidity and Mortality Weekly Report




SMALLPOX (Continued from front page)


These contacts have been placed in one of three
categories of presumed risk:

(1) Direct Contacts This group includes the 118
individuals who may have had face-to-face
contact with the patient or her effects. As shown
in the table below, all 118 have been vaccinated.
These persons are examined and have temper-
atures taken each day.

(2) Indirect Contacts This group includes 655
persons. Of these, 651 have been located, vac-
cinated and placed under"passive" surveillance.
"Passive" surveillance consists of reporting
by the contact any symptoms occurring during
the 16 days following the last possible date of
contact. Those persons not reporting symptoms
will be visited at the end of this period to con-
firm their well being.

(3) Secondary Contacts Included are 246 indi-
viduals who have had intimate contact with
one of the 118 direct contacts. This group is
presumed to be at no risk at the present time;
however, there is a remote possibility of indirect
contact or fomite transmission from the primary
contact. All 246 persons in this group have been
vaccinated and placed under "passive" sur-
veillance.

CONTACTS OF IMPORTED SMALLPOX CASE BY
EXPOSURE GROUP

Total No.. No.
Exposure Group of Persons Vaccinated

Direct Contacts 118 118
Indirect Contacts 655 651
Secondary Contacts 246 246

Total 1,019 1,015


The vaccination status of the 118 persons with direct
contact at the time of possible exposure is presented in
the following table:


Vaccination Status of Primary Contacts
at Time of Possible Exposure

Last Vaccinated Number Percent


Within 3 years 32 27.1
4-7 years 32 27.1
8-15 years 15 12.7
16-30 Years 21 17.8
More than 30 years 8 6.8
Never vaccinated 6 5.1
Unknown date of vaccination 4 3.4


TOTAL 118 100.0


Although only 27 percent had received vaccine within
the previous three years, more than two-thirds of the pri-
mary contacts had been vaccinated within the past 15
years. Of the 6 persons who were never previously vac-
cinated, 4 of them are now beyond the 17 day surveillance
period.
Among the 3 groups of contacts, several persons have
developed febrile illnesses; however, there has been no
suspected secondary case of smallpox discovered thus far.

(Reported by Dr. Murray Grant, Director, D.C. Department
of Public Health, Government of the District of Columbia,
Washington, D.C., and a team from the Communicable
Disease Center.)


GASTROENTERITIS Riverside, California


A major outbreak of gastroenteritis is currently under
investigation in Riverside, California. In excess of 1,000
cases have thus far been recorded. The epidemic began
abruptly on May 19 and apparently reached a peak on
May 24 and 25. New cases, however, are continuing to
occur, a substantial number of which appear to represent
secondary cases among close contacts. Since the beginning
of the epidemic, cases have been observed in all age
groups although children appear to be somewhat more
frequently involved and to have more severe symptoms.


The epidemic appears to be localized essentially to
the city of Riverside. Cases have been recorded in all
areas of the city although there appears to be some con-
centration in one lower socio-economic area. High rates
of absenteeism have been recorded in schools throughout
the city.
The clinical syndrome consists of fever up to 103,
nausea, vomiting, abdominal cramps and diarrhea, fre-
quently reported as bloody diarrhea. Of cultures obtained
from 100 ill persons, over 50 have thus far been identified
(Continue to page 184)


178








Morbidity and Mortality Weekly Report


REPORTED DEATHS IN 122 U.S. CITIES


179


WEEK NO 4 8 12 16 20 24 28 32 36 40 44 48 52 4 8 12 16 20 24 28 32 36 40 44 48 53 4 8 12 16 20 24 28 32 36 40 44 48 52
WK ENDED 26 23 23 20 18 15 13 10 7 5 2 30 28 25 22 21 18 16 13 11 8 5 3 31 28 2 30 27 27 24 22 19 17 14 11 9 6 4 I
MONTH J F M A M J J A S N D J F M A M J J A S 0 N D J F M A M J J A S N D J
1963 1964 1965










180 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 29, 1965 AND MAY 23, 1964 (21st WEEK)


Asetic Encephalitis Poliomyelitis Diphtheria
Aseptic
Meningitis Primary Post-Inf. Total Cases Paralytic
Area
Cumulative Cumulative Cum.
1965 1964 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965
UNITED STATES... 20 37 27 18 1 11 31 1 10 25 75

NEW ENGLAND.......... 1 2 1 1 1 1
Maine.............. 1 I -
New Hampshire...... -
Vermont............ -
Massachusetts...... 1 1 -
Rhode Island....... 1 1 -
Connecticut........ -

MIDDLE ATLANTIC...... 2 9 8 3 1 5 5 4
New York City...... 1 2 1 1 1 2
New York, Up-State. 1 1 2 2 -
New Jersey.......... 1 6 4 2 2 -
Pennsylvania....... 1 1 2 2 -- 2

EAST NORTH CENTRAL... 2 3 1 1 3 3 3
Ohio................ 1 1 2 2 1
Indiana............ 2
Illinois........... 1 1 1 -
Michigan........... 3 -
Wisconsin.......... -

WEST NORTH CENTRAL... 3 2 1 3 1 1 3 18
Minnesota............ 2 1 1 7
Iowa................ 1
Missouri ........... 1
North Dakota....... -
South Dakota....... 7
Nebraska........... 1 2 1 2 1
Kansas............. 3 1

SOUTH ATLANTIC....... 2 1 3 1 12 9 15
Delaware........... -
Maryland............ 1 1 -
Dist. of Columbia.. 1 3
Virginia............ 1 -
West Virginia ...... 1 1
North Carolina..... 2 2 -- 5 2 1
South Carolina..... -
Georgia............. 1 1 8
Florida......... 4 4 3

EAST SOUTH CENTRAL... 1 3 1 3 2 10
Kentucky............ -
Tennessee.......... 1 -
Alabama............ 2 2 9
Mississippi........ 3 -

WEST SOUTH CENTRAL... 4 1 3 3 1 3 1 19
Arkansas............ 4 3 -- 2
Louisiana........... 1 2
Oklahoma........... -
Texas............... 3 1 3 1 15

MOUNTAIN............. 3 2 3 3 3 2 -
Montana.......... -
Idaho.............. -
Wyoming............ 1 1
Colorado............ 3 1 1 1 -
New Mexico......... 1 1 1 -
Arizona............. 2 2 -
Utah............... -
Nevada............. -

PACIFIC.............. 8 17 4 10 1 2 1 2 5
Washington......... 2 2 1 -
Oregon............... 1 1
California......... 6 14 4 9 1 1 1 1 4
Alaska.............. -
Hawaii............. 1 -

Puerto Rico 6










Morbidity and Mortality we ekly Report 181


Table 3. CASES OF .Pt 11-1II) N)1I1IABLE 1)DIM Asl UNITED STATES

FOR I \ks INI) 1)

MAY 29. 1965 AND MAY 23, 1964 (21st W'l Ih) Continued


Brucel- Infectious Hepatitis Meningococcal
loss including Serum Hepatitis Infections Tet anus
Area Total Under 20 years Cumulative
incl. unk. 20 years and over Totals Cumulative Cum.
1965 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965

UNITED STATES... 7 673 311 319 15,536 18,350 52 1,718 1,363 7 88

NEW ENGLAND.......... 36 14 20 940 1,909 4 87 37 4
Maine.............. 3 2 1 191 652 9 5 -
New Hampshire...... 4 1 2 87 136 5 I
Vermont............ 42 238 2 1
Massachusetts...... 18 8 9 360 372 1 29 16 3
Rhode Island....... 4 1 3 121 105 1 13 2
Connecticut........ 7 2 5 139 406 2 29 13

MIDDLE ATLANTIC ...... 150 64 86 2,702 4,159 4 234 157 4
New York City ...... 44 10 34 490 595 2 38 20
New York, Up-State. 36 18 18 1,127 1,860 1 60 44 2
New Jersey.......... 49 30 19 481 765 68 52
Pennsylvania....... 21 6 15 604 939 1 68 41 2

EAST NORTH CENTRAL... 143 86 52 3,009 2,794 9 213 192 8
Ohio.............. 28 12 13 888 727 2 59 54 1
Indiana............. 4 3 1 243 237 29 32 4
Illinois........... 28 18 10 577 477 4 57 42 1
Michigan........... 62 41 21 1,109 1,149 2 41 46
Wisconsin......... 21 12 7 192 204 1 27 18 2

WEST NORTH CENTRAL... 3 26 8 15 1,033 1,042 3 92 74 3
Minnesota........... 4 2 2 93 91 19 14 2
Iowa............... 2 3 1 400 156 5 3
Missouri........... 10 4 6 201 259 3 44 42 1
North Dakota....... 1 1 14 41 4 6
South Dakota....... 16 102 2 -
Nebraska............ 2 1 32 22 9 4 -
Kansas.............. 6 1 5 277 371 9 5 -

SOUTH ATLANTIC....... 2 57 27 27 1,583 1,761 12 341 294 2 25
Delaware........... 1 1 57 40 4 4 -
Maryland........... 6 1 5 303 341 32 20 1
Dist, of Columbia.. 1 1 19 29 4 10 -
Virginia............ 10 6 3 393 262 1 38 33 4
West Virginia...... 1 11 9 2 241 296 23 20 1
North Carolina..... 5 3 2 129 326 5 63 46 2
South Carolina..... 7 2 5 58 61 50 43 1 2
Georgia............. 1 2 2 57 40 1 45 42 3
Florida............ 14 5 7 326 366 5 82 76 1 12

EAST SOUTH CENTRAL... 50 28 20 1,166 1,273 8 131 125 14
Kentucky........... 16 10 4 406 546 4 58 43 2
Tennessee.......... 11 7 4 427 444 4 40 42 5
Alabama............ 10 3 7 180 174 22 23 6
Mississippi........ 13 8 5 153 109 11 17 1

WEST SOUTH CENTRAL... 1 33 18 15 1,318 1,329 5 247 176 3 16
Arkansas........... 1 7 2 5 186 150 1 13 12 4
Louisiana.......... 5 3 2 222 289 3 135 85 2
Oklahoma............ 34 75 17 4 -
Texas............... 21 13 8 876 815 1 82 75 3 10

MOUNTAIN............. 39 11 6 940 1,160 3 58 47 2
Montana............. 1 1 69 111 -
Idaho.............. 6 151 111 7 1 -
Wyoming............. 30 38 1 3 3 -
Colorado........... 12 7 4 191 328 13 10 1
New Mexico......... 13 3 1 184 171 2 10 20 -
Arizona............. 6 179 258 16 3 I
Utah................ 1 1 131 107 6 3 -
Nevada.............. 5 36 2 7 -

PACIFIC............... 1 139 55 78 2,845 2,923 4 315 261 2 12
Washington......... 10 4 4 236 324 24 19 -
Oregon.............. 13 1 8 232 324 23 16 1 3
California.......... 115 49 66 2,220 2,128 4 252 213 1 9
Alaska............. 1 139 89 9 6 -
Hawaii............. 1 1 18 58 7 7 -

Puerto Rico 32 28 4 516 401 3 24 2 17










182 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 29, 1965 AND MAY 23, 1964 (21st WEEK) Continued


Strept.
Measles Sore Th. & Tularemia Typhoid Fever Rabies in
Scarlet Fev. Animals
Area
Cumulative Cum. Cum. Cum.
1965 1965 1964 1965 1965 1965 1965 1965 1965 1965


UNITED STATES.., 7,850 199,025 368,825 6,661 8 83 5 140 66 2,092

NEW ENGLAND.......... 707 33,906 11,826 817 1 1 23
Maine.............. 65 2,413 1,905 28 1
New Hampshire...... 356 182 8 -
Vermont............ 55 833 1,929 6 1 20
Massachusetts...... 276 18,285 3,367 195 1 1
Rhode Island....... 62 3,647 1,248 67 -
Connecticut........ 249 8,372 3,195 513 1

MIDDLE ATLANTIC...... 875 9,985 42,180 439 1 25 1 78
New York City..... 132 1,169 12,757 22 1 13 -
New York, Up-State. 113 2,749 9,238 276 6 1 72
New Jersey......... 161 1,707 10,040 51 2 -
Pennsylvania....... 469 4,360 10,145 90 4 6

EAST NORTH CENTRAL... 2,799 41,529 80,577 838 8 19 4 293
Ohio............... 355 7,617 15,927 147 6 147
Indiana............ 22 1,330 18,716 97 2 4 22
Illinois........... 117 1,835 13,821 126 5 4 1 58
Michigan........... 1,437 21,384 21,155 330 3 2 27
Wisconsin.......... 868 9,363 10,958 138 1 2 1 39

WEST NORTH CENTRAL... 297 14,771 21,140 198 1 8 3 12 390
Minnesota.......... 13 528 246 12 3 83
Iowa............... 74 8,124 15,639 72 3 119
Missouri........... 70 2,332 806 16 1 5 3 2 48
North Dakota....... 97 3,293 3,654 70 17
South Dakota....... 1 76 3 7 1 28
Nebraska........... 42 418 792 2 23
Kansas............. NN NN NN 21 2 2 72

SOUTH ATLANTIC....... 741 20,863 32,409 980 3 24 1 32 13 292
Delaware........... 9 444 320 28 3 --
Maryland........... 36 881 3,110 214 9 2
Dist. of Columbia.. 6 51 337 7 -
Virginia........... 102 3,186 10,537 183 3 3 7 225
West Virginia...... 365 11,793 7,106 322 1 9
North Carolina..... 8 255 1,019 19 4 1 8 1 2
South Carolina..... 36 899 3,843 41 3 4 1
Georgia............. 24 583 145 20 3 14 2 2 25
Florida............. 155 2,771 5,992 146 2 3 28

EAST SOUTH CENTRAL... 395 11,992 57,219 983 14 15 17 546
Kentucky............. 55 2,155 17,104 64 3 6 3 44
Tennessee.......... 255 6,852 19,504 816 10 3 14 492
Alabama.......... 30 2,014 14,190 55 1 3 7
Mississippi........ 55 971 6,421 48 3 3

WEST SOUTH CENTRAL... 653 27,299 61,620 450 3 20 18 16 340
Arkansas........... 3 1,047 974 1 2 10 8 1 48
Louisiana.......... 2 70 75 I 2 2 57
Oklahoma........... 1 156 803 22 1 5 2 3 64
Texas.............. 647 26,026 59,768 427 4 6 10 171

MOUNTAIN............. 605 15,771 13,937 835 1 9 1 13 1 35
Montana............ 75 3,170 2,224 47 1 3
Idaho............... 56 2,114 1,414 56 -
Wyoming............ 64 784 203 13 1 1 1 -
Colorado........... 284 4,345 2,431 416 1
New Mexico......... 1 525 260 121 1 8 6
Arizona............. 84 846 5,348 103 4 1 24
Utah............... 41 3,811 1,138 79 7 1
Nevada............. 176 919 -

PACIFIC............... 778 22,909 47,917 1,121 2 14 1 95
Washington ......... 214 6,577 17,159 311 1
Oregon............. 108 2,805 5,701 18 3 2
California......... 403 10,718 23,778 737 2 9 1 92
Alaska............. 2 122 991 22 1
Hawaii............. 51 2,687 288 33 1 -


Puerto Rico 137 1,597 4,051 12 3 1 10










Morbidity and Mortality Weekly Report


Table 4. DEATHS IN 122 UNITED STATES ( CITIES FOR WI-K ENDID MAY 2'l. 1965


(By place of occurrence and week of filing certificate. Excludes fetal deaths)
*- -r1 I7 r s~


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.---------
Port 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.--------


* I 4-4 ------ -,~


All Cnuser*


65 years
and over


Pnur'unnla
and
Influenza
All Ages


Und t r
1 year
All
Causes


Area


A I I L I e..u Jr.,, h.-., J,
AllIl~


All
Ages


6 and
65 years n
5 yers Influenza
and over
All Ages


4 I 9 4


741
234
40
29
27
50
33
23
33
40
76
10
58
29
59

3,219
39
33
151
40
31
35
60
96
1,618
32
485
243
58
89
26
23
57
39
32
32

2,533
61
37
732
155
222
120
66
347
40
36
51
40
46
166
42
128
31
30
34
101
48

817
62
28
44
127
30
131
67
232
65
31


464
142
28
20
22
26
19
14
22
23
50
6
30
20
42

1,870
22
22
86
20
14
20
32
51
933
20
291
131
46
53
18
14
29
18
29
21

1,422
32
21
386
84
117
68
35
191
25
19
35
21
30
99
23
89
18
17
17
61
34

471
36
15
25
77
17
81
38
123
44
15


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.---------


Total 11,917 6,744 393 718

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 272,810
All Causes, Age 65 and over------------------- 155,540
Pneumonia and Influenza, All Ages------------- 12,518
All Causes, Under 1 Year of Age--------------- 15,920


Week No.
21


I 13:


All
Ages


['ll,| l I
I year
All
Causes


1,094
138
262
48
57
89
50
62
35
77
73
164
39

554
76
69
31
102
122
42
32
80

1,025
41
25
21
147
24
76
190
52
170
77
97
59
46

418
36
17
129
24
89
19
47
57

1,516
16
29
28
43
62
557
35
24
110
62
90
185
31
146
58
40




UNIVERSITY OF FLORIDA

3lii iiii i 1 11111 8ill 2Ill11111111111 1
3 1262 08864 2433


Morbidity and Mortality Weekly Report


GASTROENTERITIS (Continued from page 178)

as salmonella group B. Of the organisms serotyped, all
have been Salmonella typhi-murium.
A common-source dissemination of infection is felt
to have occurred. Studies to identify the source and the
mechanisms of contamination are currently underway.


(Reported by Dr. Philip Condit, Director, Division of
Communicable Diseases, California State Department of
Public Health, and Dr. Everett Stone, Director, Riverside
County Health Department, Riverside, California and a
team from the Communicable Disease Center.)


THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA-
TION OF 13.000 15 PUBLISHED BY THE COMMUNICABLE DISEASE
CENTER. ATLANTA. GEORGIA 30333.
CHIEF. COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D.
CHIEF. EPIDEMIOLOGY BRANCH A. D. LANGMUIR, M.D.
CHIEF. STATISTICS SECTION R. E. SERFLING. PH.D.
ASST. CHIEF. STATISTICS SECTION IDA L. SHERMAN,'M.S.
CHIEF. SURVEILLANCE SECTION D. A. HENDERSON. M.D.

IN ADDITION TO THE ESTABLISHED PROCEDURES FOR REPORTING
MORBIDITY AND MORTALITY. THE COMMUNICABLE DISEASE CENTER
WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASES. SUCH
ACCOUNTS SHOULD BE ADDRESSED TO
THE EDITOR
MORBIDITY AND MORTALITY WEEKLY REPORT
COMMUNICABLE DISEASE CENTER
ATLANTA, GEORGIA 30333
NOTE THESE PROVISIONAL DATA ARE BASED ON WEEKLY TELE-
GRAMS TO THE CDC BY THE INDIVIDUAL STATE HEALTH DEPART-
MENTS. THE REPORTING WEEK CONCLUDES ON SATURDAY: COMPILED
DATA ON A NATIONAL BASIS ARE RELEASED ON THE SUCCEEDING
FRIDAY.
SYMBOLS.---DATA NOT AVAILABLE
QUANTITY ZERO
THE CONSTRUCTION OF THE MORTALITY CURVES IS DESCRIBED IN
VOL. 14, NO. 1,


INTERNATIONAL NOTES QUARANTINE MEASURES


Immunization Information for International Travel
1963-64 edition Public Health Service Publication No. 384


The following information should be added to the list of
Yellow Fever Vaccination Centers in Section 6:


Page 71


City: Chicago, Illinois


United Air Lines Medical Department
O'Hare Field Station
O'Hare International Airport


Friday, 9:00-11:00 a.m.


Yes


UNIV OF FL LIB.
DOCUMENTS DEPT.




S DEPOSITORY
L u S DEPOSITORY


184


3



a a
o

a.
0 1
o a
3n5
tao *
Ia"


Center:


Clinic Hours:


Fee:

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 E85SXC12N_FL7JM8 INGEST_TIME 2013-02-07T16:41:53Z PACKAGE AA00010654_00367
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES