Morbidity and mortality

COMMUNICABLE DISEASE CENTER


./wd O Z
Kar^f d A *


$ .: :


U.S. DEPARTMENT OF HEALTH, EDUCATION, Ak


i jli


EPIDEMIOLOGICAL NOTE t;

RABIES IN ANIMALS
This week 95 cases of rabies in animals aer re-
ported. This is almost identical to the number of cas
reported during the corresponding week last year and the
median for 1960-64. However, the 1965 cumulative total of
1,946 cases represents a substantial increase above the
1960-64 median cumulative total of 1,591. Approximately
one quarter of the cases reported this year are from Ten-
nessee, and a special report on the rabies epizootic in
that State is included in this issue.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
19th WEEK ENDED CUMULATIVE, FIRST 19 WEEKS
MEDIAN
DISEASE MAY 15, MAY 9. 1960 1964 MEDIAN
1965 19641965 1964 1960- 1964
Aseptic meningitis .......... 26 22 22 528 515 464
Brucellosis ...... ........ 4 5 10 79 139 140
Diphtheria ***. ** 14 9 74 88 183
Encephalitis, primary infectious 32 43 --- 571 621 ---
Encephalitis, post-infectious 18 30 --- 289 323 ---
Hepatitis, infectious including
serum hepatitis ......... 607 769 890 14,274 16,925 18,852
Measles ............ 8,944 28,661 20,763 181,837 310,969 263,971
Meningococcal infections ...... 79 56 55 1,603 1,249 986
Poliomyelitis. Total ......... 1 9 8 25 115
Paralytic ............... 1 5 7 20 84
Nonparalytic ***.......* --- 4 --
Unspecified * 1 ---
Streptococcal Sore Throat and
Scarlet fever ......... 7,678 9,531 7,389 201,975 202,790 173,601
Tetanus ......********** 4 7 --- 73 75 --
Tularemia *.. ............ 5 5 --- 67 88 ---
Typhoid fever ........ 11 7 7 123 119 146
Rabies in Animals ***...... 95 97 96 1,946 1,728 1,591

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: ................................... 5 Rabies in Man: ............ ............. -
Botulism: ................................ 3 Smallpox: *..... *......................... -
Leptospirosis: ........ ................... .. 11 Trichinosis: ..... ......................... 52
Malaria: Pa. -1 ............................. 19 Typhus -
Plague: ................................. Murine: .................. .............. 7
Psittacosis: Calif. -2. ............ ...... .. 13 Rky. Mt. Spotted: Va. -2, Okla. -1 ............. 11


CONTENTS

epidemiological Note . . 161
Rabies in Animals . ..... .. 162
Salmonellosis ................ ........ 162
Reported Cases of Encephalitis . .... 163
International Notes Quarantine Measures 168


I


) Vol. 14, No. 19






Week Ending
May 15, 1965



PUBLIC HEALTH SERVICE








Morbidity and Mortality Weekly Report


RABIES IN ANIMALS Tennessee


During 1964, an epizootic of rabies, primarily among
foxes, was prevalent in 5 southeastern States (See MMWR,
Vol. 14, No. 6). The central and eastern counties of Ten-
nessee were severely affected. (See Figure)
Tennessee led the nation in total number of animal
rabies cases during 1964 with the majority of these cases
being foxes. The epizootic in Tennessee has continued
through the first 4 months of 1965. Tennessee reported a
total of 353 cases during the first quarter of 1965 and
239 (68 percent) of these were in foxes (See table). The
cases in Tennessee account for approximately one quarter
of the total cases in the nation since the beginning of
the year.

(Reported by Dr. C.B. Tucker, Director, Division of Pre-
ventable Diseases, Tennessee Department of Public
Health.)



FOX RABIES- 1964

NUMBER OF CASES PER COUNTY
S= I case


1965
ANIMAL
ANIMAL JANUARY MARCH APRIL

FOX 239 45
CATTLE 45 12
SKUNK 32 12
DOG 19 6
CAT 7 4
HORSE 4 1
SWINE 2 2
GOAT 2
WILDCAT 2 1
OPOSSUM 1

TOTAL 353 83


EPIDEMIOLOGICAL REPORTS

SALMONELLOSIS Colorado


A major epidemic of Salmonella san diego gastro-
enteritis associated with a banquet has been reported by
the Colorado State Department of Health.
Oh December 10, 1964, approximately 1,000 people
attended an annual Christmas dinner at which time a
menu of turkey and dressing, potatoes, gravy, green beans,


cranberries, and pumpkin pie was served. Within 24 hours
following the meal a high proportion of the people at-
tending the banquet became ill with chills, fever, abdom-
inal cramps, headache, vomiting, and diarrhea. Ten
persons were hospitalized, but no deaths occurred. Stool
cultures were obtained from 46 persons who attended the


162








Morbidity and Mortality Weekly Report


dinner and -." of these were positive for Salmonella san
,li ll. \lthlou i no exact case count was obtained, it
was estimated that approximately t, of the I .inJ1i persons
amending the banquet became ill.
Food histories were obtained from 7-" persons who
were present at the dinner and the results of these ques-
tionnaires -ume-g-li'd turkey as the vehicle of infection.
None of the roast turkey was available for culture.
Of 9 people u"irlkiliiL in the kitchen, only 5 were
associated with handling and -,r' iiin food. One of these,
the e hef, had experienced gastroenteritis 5 days prior to
the banquet. None of the other kitchen ,nipl,:'rcr. had had
a recent illness. All kitchen workers except for the chef
consumed the turkey dinner and 4 of these became ill.
Salmonella san diego was isolated from all 8 kitchen
workers who submitted a stool culture, including the chef
who did not eat a turkey dinner.
Twelve :35-pound turkeys had been served at the
banquet. These turkeys were removed from the freezer
3 da\ prior to the banquet and placed under running
water to thaw. The following morning they were removed


from their :ini k.i es, at which time the interiors of the
birds were still frozen. The birds were then cooked for
7 to 8 hours, an iii,-inl cient -IrinLth of tiim based on the
need for I to 211 minutes ir iking per pound of meat.
After uikiii' the birds remained at room temperature
until they were served the follrow ing r ciinlifg The turkeys
were sliced as needed during the banquet. As the deeper
meat was reached, it was apparent to the chef that these
areas were not thoroughly cooked and the partially carved
birds were then placed back in the ovens for an unknown
period of time. The 'o cooking procedure was not totally
ofier live since some who were interviewed revealed that
their portions were under-cooked.
The inve-liga;lur-, concluded that several turkeys
were probably endogenou-Il contaminated and that in-
sufficient cooking and the time available for incubation
allowed for multiplication of the organism. This resulted
in a large inoculum and thus, a high attack rate.
(Reported by C.S. Mollohan, M.D., Director of Epidem-
iology, Colorado State Department of Health, and an EIS
Officer.)


REPORTED C SES OF POST-INFECTIOUS AND POST-IMMUNIZATION
ENCEPHALITIS, EIGHT WEEK PERIOD ENDING 4/24/65


Herpes Post-Immunization
State Mumps Chickenpox Measles Rubella Pertussis Influenza
Simplex Rabies Vaccinia

Arkansas .............. ... 1 ....... 1.....
California ........... 32 4 13 ...... 1........ ...
Connecticut ....... ..... .. ...... 1 .... .....
Florida ........ ..... 11 1 1 .. .. .. ........ ..
Hawaii ............. ..... 1 .. ... ......
Illinois ............. 1 2 1 1 ...... .. .. .
Iowa ................ 1 ......
Michigan ............ 1 ........ 3 .... .. ....... 1....
Montana ........... 1 1 .... ........
New Hampshire .. ... 1... ...
New York, Upstate ... 2 6 ..... ...... ..... ........ ...... ...... 1
Pennsylvania ........ 6 2 1 ...... ...... ........ ........ ..... I.
Rhode Island ........ 5 ... .. ..... 3. ........ ..
Texas ............... 12 .... 2 ... ...... 1 ...... .......
Utah ................ 2 ......... ... .... ...... ..... .... .. ...... 1
Virginia ............ 1 2.... ..... ... ....... .. ..... .. ....
Washington .......... 5 ... ... 1 ..........

U.S. Total ........... 81 20 26 2 1 0 2 0 3

U.S. Cumulative
Total (weeks 1-16)
1965* ............... 140 40 40 6 2 0 2 0 3
1964* ............... 150 17 51 8 1 1 2 0 0


*Includes revised and delayed reports
**Corresponding period in 1964


(States not reporting a case not listed)


163










164 Mlorbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

MAY 15, 1965 AND MAY 9, 1964 (19th WEEK)


SEncephalitis 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... 26 22 32 18 8 25 7 20 74

NEW ENGLAND.......... 1 2 3 1 1 1
Maine................ I -
New Hampshire...... -
Vermont............ -
Massachusetts...... 1 1
Rhode Island....... 1 2 -
Connecticut........ -

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

EAST NORTH CENTRAL... 4 11 2 3 3 3
Ohio............... 1 8 2 2 1
Indiana............. 2
Illinois........... 2 2 2 1 1 -
Michigan........... 1 1- -
Wisconsin......... -

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

SOUTH ATLANTIC....... 6 1 11 8 15
Delaware........... -
Maryland........... -
Dist. of Columbia.. -- 3
Virginia........... -
West Virginia- .....- I 1 -
North Carolina..... 2 5 2 1
South Carolina..... -
Georgia............ I 1 8
Florida............. 3 1 4 4 3

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

WEST SOUTH CENTRAL... 3 4 2 2 1 2 1 18
Arkansas.......... _.- 1 -
Louisiana............. 2 -- 2
Oklahoma.......... -
Texas................ 3 1 1 2 1 2 1 15

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

PACIFIC.............. 10 8 6 9 1 1 1 1 5
Washington......... 1 -
Oregon.............. 1I -
California......... 9 8 4 9 1 1 1 1 4
Alaska.............. -
Hawaii.............. -

Puerto Rico 6











.Morbidity and Mortality Weekly Report


Table 3. (ASES OF sPI (ll I ) NOTIFIABLE DIMI AM I I UNITED STA'IATS

()R W Il ks IM) 11)

MAY IS. 1965 AND MAY 9, 1964 (19th \\ I k ) Cotinuttl


Area




UN ITED IF .

NEW ENGLAND..........
Maine.............
New Hampshire......
Vermont...........
Massachusetts......
Rhode Island.......
Connecticut........

MIDDLE ATLANTIC......
New York City......
New York, .'r-S~tLt
New Jersey..........
Penns' I'.ana3.......

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


hr,.lo I-
losis


Total
ncl. unk.


1965 1965

o 67

43
6
3
3
20
7
4


including Setum Hepati is
including Serum Hepatitis


Under 20 years
20 years and over


1965



18
3
2
1
8
3
1

40
2
22
8
8

55
13
10
5
23
4

17

2
10

1
1
3

22
5


3
2

2
2
8

27
10
6
1
10

33
2
3

28

14
1

1
4
3

5


Cumulative
Totals


t


Infections


Cumul1


I I


lI tanus


1965


Puerto Rico 18 14


1965 1965



21 871
2 185
74
1 42
11 328
4 114
3 128

69 2460
17 446
21 1049
15 404
16 561

48 2752
12 825
6 223
11 534
15 1008
4 162

16 975
1 84
7 389
2 184
12
1 15
1 27
4 264

18 1457
56
6 287
18
5 371
1 217
1 118
3 50
52
2 288

11 1087
1 384
5 402
3 161
2 140

16 1241
175
1 206
34
15 826

5 865
1 63
S 144
-30
1 166
1 162
S 170
2 125
5

68 2566
11 216
3 208
54 1994
132
16

4 457


165


----


I


1964

16,425

1778
615
134
222
345
86
376

3857
552
1722
709
874

2595
679
219
435
1082
180

973
85
143
247
38
97
20
343

1614
35
317
27
236
275
307
56
39
322

1188
524
404
163
97

1232
131
261
72
768

1081
105
97
37
307
168
233
98
36

2607
274
297
1908
78
50


native
1964



32
3

1
13
2
13

142
19
42
48
33

182
51
31
41
43
16

70
14
3
39
5

4
5

259
3
18
8
28
19
42
40
26
75

116
42
38
19
17


1965

7J

4

1

3



4

2

2

5
1
3
1



3
2

1






22

1

4

2
1
3
11

12
1
5
5
1

12
4
2

6

2



1

1


359 3 23 1 14










166 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

MAY 15, 1965 AND MAY 9, 1964 (19th 'WFFK) 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... 8,944 181,837 310,969 7,678 5 67 11 123 95 1946

NEW ENGLAND.......... 111 32,270 10,221 917 i 21
Maine.............. 70 2,274 1,419 60 -
New Hampshire...... 5 350 169 11 -
Vermont............. 39 678 1,809 14 19
Massachusetts...... 457 17,633 2,918 140 i 1
Rhode Island....... 94 3,506 1,075 39 -
Connecticut........ 446 7,829 2,831 653 I

MIDDLE ATLANTIC...... 677 8,261 37,455 470 2 19 4 74
New York City...... 82 942 11,450 19 1 10 -
New York, Up-State. 121 2,350 8,294 339 1 6 3 69
New Jersey......... 106 1,437 8,963 56 2 -
Pennsylvania....... 368 3,532 8,748 56 1 1 5

EAST NORTH CENTRAL... 2,448 35,978 68,796 863 4 16 34 280
Ohio................ 374 7,044 13,612 158 4 24 147
Indiana............. 86 1,255 16,706 62 4 2 21
Illinois........... 122 1,534 12,245 189 3 3 3 51
Michigan........... 939 18,528 17,157 317 3 2 24
Wisconsin.......... 927 7,617 9,076 137 1 2 3 37

WEST NORTH CENTRAL... 490 13,698 16,674 202 6 3 16 357
Minnesota.......... 47 471 197 18 3 77
Iowa............... 130 7,492 12,045 73 6 108
Missouri........... 101 2,171 772 4 4 3 43
North Dakota........ 151 3,118 2,975 85 1 16
South Dakota....... 2 70 3 12 1 2 26
Nebraska........... 59 376 682 20
Kansas.................. NN NN NN 10 1 4 67

SOUTH ATLANTIC........ 464 19,441 28,389 898 1 21 3 32 7 267
Delaware........... 16 429 282 37 3 -
Maryland........... 46 808 2,485 255 9 2
Dist. of Columbia.. 7 38 334 2 -
Virginia........... 69 2,938 8,785 288 3 1 4 4 210
West Virginia...... 167 11,148 6,586 158 9
North Carolina..... 26 239 958 7 4 7 1
South Carolina..... 38 833 3,505 18 3 1 4 1
Georgia............ 538 141 2 1 11 1 2 2 21
Florida............ 95 2,470 5,313 131 2 1 23

EAST SOUTH CENTRAL... 427 11,144 42,592 1,155 14 14 13 515
Kentucky........... 69 2,067 16,617 88 3 6 3 40
Tennessee.......... 281 6,285 16,648 966 10 3 10 468
Alabama............ 32 1,895 3,074 29 1 2 7
Mississippi........ 145 897 6,253 72 3 -

WEST SOUTH CENTRAL... 1,068 25,614 54,796 618 3 15 2 16 16 308
Arkansas........... 156 1,039 927 1 7 2 8 3 46
Louisiana.......... 4 64 70 8 1 2 1 53
Oklahoma........... 2 138 728 26 1 4 1 2 58
Texas.............. 906 24,373 53,071 584 1 3 5 10 151

MOUNTAIN ............. 923 14,328 12,038 1,477 1 7 1 12 1 33
Montana............ 65 3,001 1,974 29 1 3
Idaho.............. 112 1,974 1,333 118 -
Wyoming............. 48 708 124 48 -
Colorado........... 372 3,782 2,103 676 1
New Mexico......... 2 508 226 185 7 6
Arizona............ 72 693 4,736 221 1 4 1 23
Utah............... 222 3,489 977' 198 1 6 -
Nevada............. 30 173 565 2 -

PACIFIC.............. 1,336 21,103 40,008 1,078 3 10 4 91
Washington......... 312 6,080 14,487 232 1 -
Oregon............. 63 2,578 4,556 17 1 2
California......... 794 9,842 19,770 791 3 7 4 88
Alaska............. 5 112 968 9 1
Hawaii ............. 162 2,491 227 29 1 -

Puerto Rico 99 1,369 3,582 11 1 1 8










Nlorbidit anld Mortality Weekl report






Week No. Table 4. DEATHS IN 122 I'N1 I ) STATES ( IIII FOR WEEK INI)I ) MAY IS, 1965
19
(By place of occurrence and week of filing certificate. Excluddea fetal deaths)
________ ___ __ T -- 1 rr -


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.-----
Sprinpf ild, 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.--------


A l I i ,* I ,h ul.T, 111,1
and
All 65 years Influ
Ages and over TAlulAga
All Ages


1 year
All
Causes


4' + I 1--fl


40
11
2
1

3
2
1
1
3
7
1
3
2
3

140


7
3
1
3
4
5
63
2
19
16
2
6

2
5
1

1

141
5
1
54
6
7
8
4
18
2
3
2
3

6
6
3
3
2
2
5
1

48
5
1
3
7
2
12
2
9
5
2


*Estimate based on average percent of divisional total.


SOUTH ATLANTIC:
Atlanta, Ca.-----------
Baltimore, Md.---------
Charlotte, N. C.-------
Jacksonville, Fla.-----
Miami, Fla.------------
Norfolk, Va.-----------
Richmond, Va.----------
Savannah, Ca.----------
St. Petersburg, Fla.---
Tampa, la.-----------
ki h i rgt r, D. C.------
Wilmington, Del.-------

EAST SOUTH CENTRAL:
r rminehim, 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.----------


M I 1 .I. .


1,198
123
269
35
80
64
52
82
32
82
73
252
54

560
82
42
30
106
98
52
50
100


65 years
and over


633
50
152
11
39
36
26
46
12
66
36
127
32

287
36
19
17
60
60
27
21
47


167


and
Influenza
All Ages

43
7
9
3
2

4
1
1
3
3
8
2

30
1
2
3
8
8

4
4

35
1

3
2
1
2
7
3
1
2
3
10


7

1
3


1



37



1

21
1

2
2

5

3
2


1 year
All
Causa


75
14
20

5
2
2
5
5
2
1
17
2

46
9
7
3
2
5
5
5
10

69
1
4
1
5
5
5
14
3
15
4
8
2
2

15
1
1
2

6
2
2
1

63

2

2
3
27
4

5
4
6
2


Total 12,007 6866 1 431 637

Cumulative Totals
including reported corrections for previous weeks

All Causes, All Ages ------------------------- 248,893
All Causes, Age 65 and over------------------- 142,055
Pneumonia and Influenza, All Ages------------- 11,711
All Causes, Under 1 Year of Age--------------- 14,415


'll" a.b h I I I I ,- I. I










Morbidity and Mortality Weekly Report


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


Urbana, Illinois


University of Illinois Health Center


UNIVERSITY OF FLORIDA



3 1262 08864 2573


THE MORBIDITY AND MORTALITY WEEKLY REPORT WITH A CIRCULA-
TION OF 13000 IS PUBLISHED BY THE COMMUNICABLE DISEASE
CENTER. ATLANTA GEORGIA 30333
CHIEF. COMMUNICABLE DISEASE CENTER JAMES L. GOODARD. 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 SEC TION D A. HENDERSON. M.D.
ASSISTANT EDITOR. MM*R PAUL D. STOLLEY. 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 CEN T ER
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
SQUANTITY ZERO
THE CONSTRUCTION OF THE MORTALITY CURVES IS DESCRIBED IN
VOL. 14. NO. 1.


Clinic Hours:


Wednesday, 11 a.m.


Fee:


The World Health Organization Assembly has extended
the validity of International Certificates of Vaccination or
Revaccination against Yellow Fever from 6 to 10 years as
of May 12, 1965. Certificates already issued are auto-
matically extended 10 years from the date of vaccination
or revaccination.














ERRATUM


Vol. 14, No. 17, p. 147 Reported Cases of Post-
Infectious and Post-Immunization Encephalitis should
read Five Week Period Ending 4/3/65. U.S. cumulative
total for 1965 should read weeks 1-13.


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UNIV. QFOFL TOR
DCMENTSI DEPOT.






U.S. DEPOSITORY


168


City:


Center:

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