Morbidity and mortality

1.w d .L J I


Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


I CM MUNCAL DISEA II*:


For release October 30, 1964 ATLANTA, GEORGIA 30333 Vol. 13, No. 43

PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED OCTOBER 24, 1964


EPIDEMIOLOGICAL NOTES

The 1964 cumulative total of cases of primary
infectious encephalitis reached 2,755 the week ended
October 24, 1964. Many of these cases represent arthropod-
borne viral encephalitis. The Houston, Texas epidemic
has ended and the current cases are mainly from New
Jersey and Pennsylvania.


ENCEPHALITIS NEW JERSEY AND PENNSYLVANIA
Through October 28, 1964, a total of 120 suspected
cases of St. Louis Encephalitis, including 8 deaths, has
been reported from Camden and Burlington Counties, New
Jersey and contiguous areas of Pennsylvania. The
epidemic curve shows the peak incidence appears to
have been the week ended September 19 (see graph).


B 2

0 ,1







WEEK ENDED


REPORTED CASES OF ENCEPHALITIS
BY WEEK OF ONSET
NEW JERSEY AND PENNSYLVANIA
1964


(Continue to page 382)

Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
43RD Week Ended Cumulative, First 43 Weeks
Disease October 24, October 26, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 66 49 --- 1,757 1,539 ---
Brucellosis ...................... 5 8 8 342 311 490
Diphtheria ........................ 10 9 20 224 216 468
Encephalitis, primary infectious.. 103 --- 2,755 1-
Encephalitis, post-infectious..... 829 --- 718 1,314 -

Hepatitis, infectious including
serum hepatitis ................ 684 851 863 31,756 35,912 35,912
Measles ........................... 1,061 1,208 1,504 438,986 363,933 393,066
Meningococcal infections ......... 46 51 36 2,238 1,988 1,828
Poliomyelitis, Total ............. 6 10 56 104 363 1,142
Paralytic ...................... 1 10 41 81 311 741
Nonparalytic .................. 1 --- 12 36 ---
Unspecified .................... 4 --- 11 16 ---
Streptococcal Sore Throat and
Scarlet fever .................. 6,024 5,218 --- 326,608 279,209 ---
Tetanus ........................... 6 4 --- 236 228 ---
Tularemia ......................... 7 8 --- 281 247 ---
Typhoid fever ..................... 5 6 22 357 451 681

Rabies in Animals ................. 57 61 45 3,764 3,158 3,121


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.
Anthrax: Calif. 1 4 Psittacosis: Ore. 1 39
Botulism: 15 Rabies in Man: 1
Leptospirosis: 37 Smallpox:
Malaria:Fla. 1, Calif. 1 81 Typhus-
Plague: Marine: 22
Rky Mt. Spotted: Tenn. 1, Ga. 1 214


634-5131






382 Morbidity and Mo



E\CEPHALITIS (continued from front page)
The overall attack rate is 14 per 100,000 population.
The age and sex distribution, shown in the following
table, reveals that nearly two-thirds of the cases occurred
in females over 40 years of age. The 8 deaths all occurred
in patients over 60, 7 of them in women. These 8 deaths
represent a case fatality ratio of less than 7 percent.
Sera from 85 of the suspected cases have been
studied to date. Of these, 17 have confirmatory evidence
of SLE virus. An additional 68 sera have been found to
be presumptive for recent SLE virus on the basis of a
single HAl titer of 160 or greater.
St. Louis Encephalitis virus has been isolated in
the New Jersey State Health Department Laboratory from
pools of Culex pipiens quinquefasciatus mosquitoes
collected within the epidemic area.

(Reported by W. J. Dougherty, M. D., Director, Division
of Preventive Disease Control Programs, and Martin
Goeldfield, M. D., Director, Division ofLaboratories,
New Jersey State Department of Health, and W.D.Schrack,
Jr., M.D., Director, Division of Communicable Diseases,
Pennsylvania Department of Health.)


reality Weekly Report


REPORTED CASES OF VIRAL ENCEPHALITIS
NEW JERSEY AND PENNSYLVANIA, 1964


Age
0- 9
10- 19
20 29
30- 39
40 49
50 59
60-69
70- 79
80 89
Total


Male
4
4
3
7
4
6
4
7
0
39


VIRAL HEPATITIS SURVEILLANCE SUMMARY

There were 9,320 cases of viral hepatitis reported July 1963 through June 1964 to 40,657 (21.6 per 100,000).
in the United States during the spring quarter of 1963-64 Comparison of these data with those for previous epi-
(March 29, 1964 through June 27, 1964), representing a demiological years (July through June) is presented in
rate of 4.9 cases per 100,000 population for this quarter, the table below:
This brings the total of cases reported during the period


REPORTED CASES

EPIDEMIOLOGICAL SUMMER FALL WINTER SPRING TOTAL
YEAR QUARTER QUARTER QUARTER QUARTER YEAR
1958-59 3403 4028 7169 4902 19502
1959-60 4700 6026 9793 9917 30436
1960-61 8940 12403 23026 19898 65267
1961-62 14229 15580 17995 13533 61337
1962-63 10272 11330 13848 9864 45314
1963-64 8969 10250 12118 9320 40657
INCIDENCE PER 100,000 POPULATION PER QUARTER
1958-59 2.0 2.3 4.0 2.8 11.1
1959-60 2.7 3.4 5.5 5.5 17.1
1960-61 5.0 6.9 12.8 11.1 35.8
1961-62 7.9 8.7 9.8 7.4 33.8
1962-63 5.6 6.2 7.4 5.3 24.5
1963-64 4.8 5.4 6.4 4.9 21.6


Both the total cases and incidence per 100,000 popu-
lation in 1963-64 are the lowest reported since 1959-60.
The figure p. 383) shows reported cases of viral hepatitis
in the United States by 4-week periods since July 1952.
The continuing decline in incidence since the 1960-61


peak is shown in this graph. On the basis of the previous
epidemiological cycle (1952-53 through 1957-58), a
further decline in incidence may be expected during
1964-65 to a level slightly below that recorded in 1963-
64.


Femole
Fo.atI
0
2
7
11
17
12
19
10
3
81








Morbidity and Mortality Weekly Report


Morbidity rates for the entire epidemiological year
just completed (July 1963 June 1964) and the pre-
ceding one (July 1962 June 1963) in the 50 States is


presented in the
States remained
New Hampshire,


map below. Incidence in most of the
stationary or decreased except for
Vermont, Kansas, and South Dakota.


CASE RATE OF REPORTED VIRAL HEPATITIS BY STATE
EPIDEMIOLOGICAL YEARS 1962-1963 and 1963-1964


C4liE -A'E PE
uL14'UX O I.PULF'-.4
LeJ hon 15
S15a-29
30 59
o 60 ond orer


(Reported by Hepatitis Surveillance Unit, CDC.)


383


I J









384 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

OCTOBER 24, 1964 AND OCTOBER 26, 1963 (43RD WEEK)


Aseptic Encephalitis
Aseptic
Meningitis Primary Post-Inf. Poliomyelitis, Total Cases Poliomyelitis, Paralytic
Area
Cumulative Cumulative
1964 1963 1964 1964 1964 1963 1964 1963 1964 1963 1964 1963
UNITED STATES... 66 49 103 8 6 10 104 363 1 10 81 311

NEW ENGLAND.......... 2 1 2 2 2 8 2 2 8
Maine.............. 2 2
New Hampshire..... -
Vermont............. 1 1
Massachusetts...... 1 3 3
Rhode Island....... 1 2 -
Connecticut........ 2 2 2 2 2 2

MIDDLE ATLANTIC...... 9 8 52 1 1 4 15 114 4 13 92
New York City...... 1 6 2 2 -
New York, Up-State. 3 8 1 10 8 9 5
New Jersey......... 4 34 1 2 3 3 2 2 3
Pennsylvania....... 1 11 1 2 103 2 84

EAST NORTH CENTRAL... 10 8 17 1 3 2 22 55 2 14 45
Ohio................ 4 2 9 1 3 8 2 4
Indiana............ 1 8 4 4 3
Illinois............ 5 4 7 1 1 5 17 1 5 16
Michigan............ 2 1 1 4 19 2 19
Wisconsin.......... 1 1 2 7 1 1 3

WEST NORTH CENTRAL... 3 1 9 9 6 7 5
Minnesota.......... 2 1 4 3 4 2 4
Iowa.............. 1 -
Missouri............ 4 4 3 -
North Dakota....... I -
South Dakota....... -
Nebraska ........... 1
Kansas............. 1 1 1 -

SOUTH ATLANTIC....... 3 6 5 1 2 29 65 1 2 24 56
Delaware .......... 1 1 1
Maryland........... 1 1
Dist. of Columbia.. -
Virginia........... 2 1 1 4 18 1 4 13
West Virginia...... 1 3 1 3 1 3
North Carolina .... 1 10 3 6 3
South Carolina.... 1 3 7 1 3 6
Georgia............ 1 1 19 -1 18
Florida............ 1 3 1 9 12 1 8 11

EAST SOUTH CENTRAL... 1 2 2 1 6 65 5 60
Kentucky ........... 1 2 .
Tennessee.......... 1 1 1 3 10 2 9
Alabama.............- 2 48 2 44
Mississippi........ 1 7 1 7

WEST SOUTH CENTRAL... 3 2 1 10 23 8 22
Arkansas........... 4 3
Louisiana......... 13 13
Oklahoma............ 1 1 3 2 -
Texas.............. 2 7 6 6 6

MOUNTAIN............. 3 3 8 8 6 5 5
Montana............ 1 I 1 -
Idaho.............. 1 1 1 1
Wyoming............ 2 2
Colorado............ 2 1 8 -- 1 1 1 1
New Mexico......... 3 1 -
Arizona ............ 1 1 3 3
Utah............... -
Nevada..............- -

PACIFIC.............. 34 19 7 3 3 21 3 18
Washington.......... 1 2 2 2
Oregon.............. 1 1 2 1 1
California.......... 32 17 6 3 2 17 2 15
Alaska............. -
Hawaii............. -

Puerto Rico 5 1 4









Morbidity and Mortality Weekly Report 385


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

OCTOBER 24, 1964 AND OCTOBER 26, 1963 (43RD WEEK) CONTINUED


Infectious Hepatitis
Brucellosis Diphtheria including Serum Hepatitis Typhoid Fever

Area Under 20 years Age
Cum. Cum. Total 20 years and over Unknown Cumulative Cum.
1964 1964 1964 1964 1964 1964 1964 1964 1964 1963 1964 1964


UNITED STATES... 5 342 10 224 684 330 311 43 31,756 35,912 5 357

NEW ENGLAND.......... 2 44 49 23 21 5 2,895 3,994 1 16
Maine.............. 39 14 9 4 1 909 1,788
New Hampshire...... 7 4 3 226 462
Vermont............ 4 3 1 353 98 -
Massachusetts....... 2 5 7 2 5 645 1,052 1 7
Rhode Island....... 9 5 4 174 91 6
Connecticut........ 8 3 2 3 588 503 3

MIDDLE ATLANTIC...... 5 1 10 126 67 59 6,989 7,117 1 60
New York City...... 5 18 5 13 1,079 1,108 1 31
New York, Up-State. 2 56 33 23 3,027 3,061 10
New Jersey......... 2 10 4 6 1,178 1,056 2
Pennsylvania....... 3 1 3 42 25 17 1,705 1,892 17

EAST NORTH CENTRAL... 48 8 112 62 45 5 4,993 5,772 1 78
Ohio................ 5 19 7 10 2 1,302 1,591 19
Indiana............ 1 1 12 6 6 431 515 23
Illinois........... 27 6 19 9 8 2 928 1,214 22
Michigan........... 6 1 59 39 20 1,979 2,199 1 11
Wisconsin.......... 9 3 1 1 1 353 253 3

WEST NORTH CENTRAL.. 1 142 4 32 43 19 18 6 1,722 1,589 28
Minnesota.......... 9 4 16 6 2 2 2 202 246 3
Iowa............... 88 11 7 3 1 278 298 4
Missouri.......... 10 1 18 6 11 1 431 548 11
North Dakota ...... 2 2 2 2 62 70 2
South Dakota....... 1 17 2 129 108 1
Nebraska........... 13 4 2 2 47 105 3
Kansas............. 3 7 4 4 573 214 4

SOUTH ATLANTIC....... 2 35 54 73 38 33 2 3,002 3,636 68
Delaware........... 1 1 66 70
Maryland.......... 8 5 3 547 457 6
Dist. of Columbia.. 1 1 61 100
Virginia........... 1 16 9 6 2 1 472 735 11
West Virginia...... 8 7 1 427 554
North Carolina..... 1 4 10 4 6 500 899 19
South Carolina..... 7 4 4 117 151 11
Georgia............ 12 26 8 2 6 94 160 5
Florida............ 3 21 24 9 14 1 718 510 16

EAST SOUTH CENTRAL... 17 1 23 42 21 21 2,178 3,357 34
Kentucky........... 6 10 4 6 773 958 10
Tennessee.......... 5 2 21 11 10 772 1,311 16
Alabama............ 4 1 16 8 4 4 415 533 6
Mississippi........ 2 5 3 2 1 218 555 2

WEST SOUTH CENTRAL... 1 41 4 36 49 29 19 1 2,472 2,505 29
Arkansas........... 6 2 3 7 4 3 235 280 13
Louisiana.......... 4 1 10 14 6 8 607 517 5
Oklahoma........... 7 3 1 1 1 120 113 7
Texas............... 1 24 1 23 25 18 7 1,510 1,595 4

MOUNTAIN ............ 30 3 46 6 17 23 1,918 2,292 10
Montana............ 5 1 3 1 170 296 -
Idaho.............. 10 10 273 386
Wyoming............ 7 2 4 1 70 28 1
Colorado............ 8 1 3 4 501 473 -
New Mexico......... 1 1 5 1 4 266 274 2
Arizona............ 2 2 7 7 426 520 7
Utah............... 26 4 1 3 161 298 -
Nevada.............. 1 -- 51 17 -

PACIFIC.............. 1 22 14 144 65 78 1 5,587 5,650 2 34
Washington........ 13 13 6 6 1 563 973 2
Oregon.............. 2 12 2 10 582 678 -
California......... 1 20 1 115 55 60 4,092 3,803 2 32
Alaska............ 240 157 -
Hawaii............. 4 2 2 110 39 -


Puerto Rico I -1 1 12 11 9 2 827 738 1 13








386 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
OCTOBER 24, 1964 AND OCTOBER 26, 1963 (43RD WEEK) CONTINUED


Streptococcal
Meningococcal Sore Throat and Rabies in
Measles Meningitis Scarlet Fever Tetanus Tularemia Animals
Area ---
Cumulative Cum. Cum. Cum.
1964 1964 1964 1963 1964 1963 1964 1964 1964 1964 1964 1964
UNITED STATES... 1,061 46 2,238 1,988 6,024 5,218 6 236 7 281 57 3,764

NEW ENGLAND.......... 213 2 72 124 542 355 9 1 33
Maine............... 27 6 18 21 20 28
New Hampshire...... 33 1 4 1 2
Vermont............ 3 4 5 4 16 2
Massachusetts...... 51 1 30 58 65 60 9 1 1
Rhode Island....... 36 10 11 37 24 -
Connecticut......... 63 1 21 28 414 235 -

MIDDLE ATLANTIC...... 101 6 291 272 159 202 19 111
New York City...... 19 38 41 8 4 -
New York, Up-State. 38 2 84 85 96 145 7 105
New Jersey......... 9 2 96 41 32 21 6 -
Pennsylvania....... 35 2 73 105 23 32 6 6

EAST NORTH CENTRAL... 145 3 306 305 482 457 2 45 21 4 532
Ohio............... 8 77 80 68 56 12 1 270
Indiana............. 20 48 41 41 99 1 12 2 1 24
Illinois........... 13 2 80 60 99 63 1 13 13 2 102
Michigan........... 52 1 70 92 195 160 7 2 52
Wisconsin........... 52 31 32 79 79 1 3 1 84

WEST NORTH CENTRAL... 36 3 133 122 280 223 2 16 54 19 1,157
Minnesota.......... 1 29 24 2 8 1 3 2 9 358
Iowa............... 14 1 8 7 91 50 1 6 1 8 418
Missouri........... 8 2 60 35 12 19 4 28 175
North Dakota....... 13 19 13 162 42 56
South Dakota....... 3 7 12 5 1 15 82
Nebraska.............. 6 25 1 35
Kansas............. NN 8 11 1 99 2 8 1 33

SOUTH ATLANTIC........ 101 12 451 365 641 545 57 28 9 520
Delaware........... 2 6 4 9 4 -
Maryland........... 2 32 51 51 29 3 1 2
Dist. of Columbia.. 1 1 15 6 20 1 1 1 -
Virginia........... 13 4 54 82 148 160 7 6 6 272
West Virginia...... 61 33 19 195 185 1 1 33
North Carolina..... 10 1 76 67 9 48 13 7 5
South Carolina..... 1 2 55 20 20 42 5 2
Georgia............ 3 67 30 26 2 4 13 1 113
Florida............ 11 1 113 86 163 74 23 1 93

EAST SOUTH CENTRAL... 55 1 177 140 1,395 958 31 30 7 486
Kentucky........... 3 1 57 31 65 44 8 2 56
Tennessee.......... 30 56 64 1,230 864 12 20 7 356
Alabama ............ 15 40 23 63 32 6 3 17
Mississippi........ 7 24 22 37 18 5 5 57

WEST SOUTH CENTRAL... 100 7 209 178 489 536 1 27 5 97 8 525
Arkansas........... 1 24 11 2 8 4 58 1 130
Louisiana.......... 2 126 74 1 14 4 5 1 50
Oklahoma........... 2 11 31 29 16 1 1 20 2 87
Texas............... 98 4 48 62 457 506 14 1 14 4 258

MOUNTAIN ............. 142 3 77 70 1,236 1,016 6 2 47 1 129
Montana............. 51 1 1 3 32 76 18 1
Idaho.............. 18 3 6 182 60 1 -
Wyoming............ 1 5 7 34 149 2 1 9 -
Colorado........... 17 1 14 20 644 216 8
New Mexico......... 32 1 30 4 174 309 1 -- 51
Arizona............ 8 7 11 73 141 1 1 56
Utah............... 15 7 16 96 65 1 1 20 2
Nevada.............. 10 3 1 11

PACIFIC.............. 168 9 522 412 800 926 1 26 3 9 271
Washington......... 56 1 40 34 167 247 3 -
Oregon............. 21 21 31 16 12 1 1 1 10
California.......... 76 8 442 326 574 492 21 2 9 261
Alaska............. 3 7 12 4 37 -
Hawaii.............. 12 12 9 39 138 -

Puerto Rico 98 2 32 8 8 2 59 1 25







Morbidity and Mortality Weekly Report





Table 4 (C). TOTAL DEATHS UNDER I YEAR OF AGE IN REPORTING CITIES



(Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period.)o


387


For weeks ending For weeks ending
Area 1 Area13 10/101 1 1
10/3 10/10 10/17 10/24 10/3 10/10 10/17 10/24


NEW ENGLAND:
Boston, Mass............... 16 16 11 13
Bridgeport, Conn.......... 2 4 3 1
Cambridge, Mass........... 2 1 1
Fall River, Mass........... 1 3
Hartford, Conn............ 8 9 5 3
Lowell, Mass.............. 5 1 1
Lynn, Mass................. 1 2 3
New Bedford, Mass......... 1 1 -
New Haven, Conn........... 4 6 5
Providence, R.I........... 3 4 4 7
Somerville, Mass.......... 1 1
Springfield, Mass......... 6 4 1
Waterbury, Conn............ 4 4 4
Worcester, Mass........... 3 4 -

MIDDLE ATLANTIC:
Albany, N.Y................ 3 2 2 5
Allentown, Pa............ 3 3 3
Buffalo, N.Y............... 9 9 9 8
Camden, N.J............... 5 5 41
Elizabeth, N.J............ 2 1 -
Erie, Pa.................. 4 3 2 -
Jersey City, N.J........... 4 6 7 2
Newark, N.J................ 4 24 5 8
New York City, N.Y........ 77 76 62 97
Paterson, N.J............ 2 2 1 4
Philadelphia, Pa.......... 30 30 39 33
Pittsburgh, Pa............ 13 8 11 11
Reading, Pa............... 1 1 1 5
Rochester, N.Y............. 6 3 5 7
Schenectady, N.Y.......... 1 3 -
Scranton, Pa.............. 1 1 1 -
Syracuse, N.Y.............. 5 4 3 5
Trenton, N.J.............. 4 4 3 6
Utica, N.Y................. 1 2 2
Yonkers, N.Y.............. 1 1 1

EAST NORTH CENTRAL:
Akron, Ohio................ 6 4 3 8
Canton, Ohio............... 1 1 4
Chicago, Ill.............. 45 60 43 47
Cincinnati, Ohio.......... 7 9 9 8
Cleveland, Ohio............ 22 9 9 11
Columbus, Ohio............. 11 1 6 6
Dayton, Ohio............... 2 7 4 3
Detroit, Mich............... 26 20 16 22
Evansville, Ind........... 2 3 3
Flint, Mich............... 2 4 3 3
Fort Wayne, Ind........... 3 2 3
Gary, Ind................. 3 4 2
Grand Rapids, Mich........ 3 3 3 4
Indianapolis, Ind.......... 10 8 15 9
Madison, Wis.............. 2 4 8 8
Milwaukee, Wis............. 20 3 8 12
Peoria, Ill............... 5 7 2
Rockford, Ill............. 2 2 2
South Bend, Ind........... 1 3 1
Toledo, Ohio.............. 6 2 10 4
Youngstown, Ohio........... 2 3 3 3

WEST NORTH CENTRAL:
Des Moines, Iowa........... 7 3 1 3
Duluth, Minn............... 2 2 3 1
Kansas City, Kans......... 6 4 6 3
Kansas City, Mo............ 6 14 10 8
Lincoln, Nebr............ 2 5 2
Minneapolis, Minn......... 11 10 7 11
Omaha, Nebr.............. 2 5 10 6
St. Louis, Mo.............. 25 10 18 12
St. Paul, Minn........... 5 4 3 4
Wichita, Kans............. 3 3 2 3

*Estimate based on average percent of divisional total.
Totals for previous weeks include reported corrections.

NOTE: All deaths by place of occurence.


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 Di. ,, Calif .........
San Francisco, Calif.....
San Jose, Calif.........
Seattle, Wash.............
Spokane, Wash............
Tacoma, Wash............


10
10
8
6
7
8
3
4
2
2
11
5


9

1
5
5
5
1
6


1

1
12
6
8
15
2
f5
10
6
9
2


2
1
10
2
12

5
3


1
2
1
8
2
24

1
3
3
7
8
5
3
4
1


OCurrent Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages.................... 12,023
4(B) Pneumonia-Influenza Deaths, all ages........ 512
4(C) Total Deaths under 1 Year of Age............. 776
4(D) Total Deaths, Persons 65 years and over..... 6,604




UNIVERSITY OF FLORIDA.



3 1262 08864 2870


Morbidity and Mortality Weekly Report


INFANT DEATHS IN 108 CITIES


The weekly average number of infant deaths in 108
cities for the four-v.eek period ending October 2-i was
"29 as compared with an expected "-4 weekly average.




Week Ending
4-Week Weekly

10 3 10 10 10 17 10 24 Total Average



Observed 744 704 692 776 2916 729

Expected 744 746 748 750 2988 747


Excess 0 -42 -56 26 -72 -18


DEATHS UNDER ONE YEAR OF AGE IN 108 US CITIES
Awrag Numtb.ur p.. Wli byI Fou,. S- Pfrlod


ODrr ___________


NUMBI

OD
DEAir


a Mra# I P I


3 -O
I- I ---- -- I ---- -




S _-. --




I '* I s IT '*I


INTERNATIONAL NOTES QUARANTINE MEASURES


Immuni;at!,on Inforrmaton for International Trai'el

1963-64 edition Public Healt/ Serice Publication .o. 384


SECTION 5


OCEANIA
Samoa (American), page 66 (United States)

Delete the information under REQUIRED and insert:

Smallpox vaccination is required of all travelers arriving

in American Samoa.


T-EE MORBIDITf AND MORTA.LIT r EE .L'F REPORT. ITT.- A CIRCULA-
TION OF 12.00' li PUBLE .EC. BE T E COMM IUNiCABLE DISEASE
CENTER. ATLANTA. GEORGIA 303:3J
C IEEF. COMruNIC AB LE DISEASE CENTER JAMES L. GODDARD. M.D.
C -IEF. E PIDEF.r OLOC BRANCH A. D. LANGMUIR. M.D.
C-lEF. STA TITIC. 5EC TON A. E SE RFLI.NG. P .D.
4SST. CriEF. STA STTC5 5EC TION I. L S .ER4AN. M.S.
C-iErF. SuR'a .L.ANCE SECTION D. A. A ENDERSON. M.D.
ASSISTANT EDITOR. MAI P. PAUL C. STOLLE. M.D.
IN ADDITION TO Tr-E ESTA r sLIMED PROCEDURES FOR REPORTING
MOr BlDiT AND MORTALITY. THE COF.4MUNiCABLE DISEASE CENTER
*EL.CO. ES ACCOUNTS OF INTERESTrIG OUTBREAKS OR CASES. SUCH
ACCOUNTS SHOULD GE ADDRESSED TO
T~-E EDITOR
MORAIDITV AND MORTALITY At EE LV REPORT
COCMMuNi CABLE DISEASE CENTER
ATLANTA. GEORGIA 3"'333
NOTES THESE PROlISIONAL DATA ARE BASED ON WEEKLY TELE-
GRAMS TO THE COMMUNICABLE DISEASE CENTER BY THE INODI'DUAL
STATE HEALTH C.EPFARTMENTS.
5MF.BOLS -..DATA raOT AVAILABLE
QUANTITY ZERO
PROCEDURES FOR CONSTRUCTION OF VARIOUS MORTALITY CURVES
MAY BE OBTAINED FROM STATISTICS SECTION. COMMUNICABLE
DISEASE CENTER. PUBLIC HEALTH SERVICE, U.S. DEPARTMENT OF
HEALTH, EDUCATION, AND WELFARE. ATLANTA, GEORGIA 30333.


0

n














UNIV OF FL LIB
DOCUMENTS DEPT







U.S DEPOSITORY


388


(See table, page 387)


x
m




zc
C
m



0r,
Z

> m
Z Z



r-
F"
S-n
m1


W ,
C





a 5
a u-

o, m

II


0

m
YI-3


*1


m


"m
Om
"11
TI
x TI


ER


0.. D..
le #/ll


" o


*" *i. Lu ocou uc


+0 ci- L (i6 ..aa'e- ag r-87)r

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 EAIWW3T5J_GZ9H1A INGEST_TIME 2013-02-07T16:45:25Z PACKAGE AA00010654_00394
AGREEMENT_INFO ACCOUNT UF PROJECT UFDC
FILES