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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. C a e 3 n a n o gn S*n UNIV. QFOFL TOR DCMENTSI DEPOT. U.S. DEPOSITORY 168 City: Center: |
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