Morbidity and mortality

Sr 2 o / *. / 5/2 z0





Morbidity and Mortai
Wt


For release May 22, 1964 ATLANTA, GEORGIA 30333 Vol. 13. No. 20
PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THF UNITED STATES AND ON
DEATHS IN SELECTED CITIES FOR WLEK ENDED MAY 16, 1964


BOTULISM


California reported 3 cases of botulism, 2 fatal, for
the week ended May 16. This brings the national total to
9 cases thus far in 1964. For the comparable period of
1963, 5 cases were reported.
The 3 cases occurred in San lose and involved a
married couple, both 28, and the wife's 54-year-old uncle.
The group shared a noon meal, Thursday, May 14, which
included a home-preserved product either chili beans or
green peppers).
Saturday night, May 16, the uncle died suddenly; a
stroke was the suspected cause of death. This diagnosis,
however, was not confirmed at autopsy. On Sunday, May I',
the wife experienced respiratory difficulty, diplopia and
dysphagia. She was hospitalized, but died Monday night.


On Sunday afternoon, the husband became nauseated, and
later experienced diplopia and dysphagia. He received
bivalent botulinus antitoxin; a tracheotomy was performed.
His condition is critical.
The couple's 4 children, aged 2 to O, did not ear the
horre-preserved product; none has become ill.
Laboratory studies of the remaining food are in
progress.
All 9 cases of botulism reported in 1964 are related
to home-processed foods.

(Reported by Dr. Raymond tiller, San .ose City Health
Department, and pr. Philip I'. Condit. Chief. Bureau of
Communicable Dis,.rases. Division of Prerentive itfie cine,
California State Department of Public Health.)


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
20th Week Ended Cumulative, First 20 Weeks
Disease Hay 16, Hay 18, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 36 36 --- 547 445 ---
Brucellosis ...................... 10 8 13 149 130 213
Diphtheria ........................ 9 3 6 97 112 269
Encephalitis, primary infectious .. 45 --- 669 -
Encephalitis, post-infectious ..... 28 31 --- 340 571
Hepatitis, infectious including
serum hepatitis ................ 756 769 930 17,655 19,621 19,621
Measles ........................... 26,688 16,213 17,165 308,594 263,488 277,490
Meningococcal infections .......... 51 51 44 1,196 1,187 1,099
Poliomyelitis, Total .............. 1 2 14 26 53 160
Paralytic ...................... I 2 11 20 47 107
Nonparalytic .......... .. ... --- 5 2 ---
Unspecified .................... --- 1 4
Streptococcal Sore Throat and
Scarlet fever ............. ..... 8,366 7,074 --- 211,129 183,930 ---
Tetanus ............ ............. 5 4 --- 77 76
Tularemia ......................... 4 2 --- 92 73 ---
Typhoid fever ..................... 13 5 13 137 136 204
Rabies in Animals ................. 118 102 68 1,843 1,587 1,587


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

Cum. Cum.
Anthrax: 2 Psittacosis: N.Y. City 1 14
Botulism: Calif. 3 9 Rabies in Man:
Leptospirosis: 7 Smallpox:
Malaria: N.C. 1 34 Typhus-
Plague: Murine: 4
SRky Mt. Spotted: N.I. Up-Stn -1. ..l. I%.. l h-I. S.C.-I. V\..I 17








M6orbiditiy and Mortality N eekly RHlporl


REPORTED


Figure I
CASES OF VIRAL HEPATITIS BY EPIDEMIOLOGICAL YEAR
UNITED STATES SINCE 1958
4 WEEK PERIODS-ARITHMETIC SCALE


'. 9 6 6 6 964 i96


1958 1959 1960 1961 1962 1963 1964 1965
EPIDEMIOLOGICAL YEAR


1966 1967 1968 1969 1970


VIRAL HEPATITIS 1st Quarter 1964

During the first quarter of 1964, a total of 12,118
cases of viral hepatitis was reported. This figure repre-
sents a decrease of 13 per cent over the comparable
period of 196,3 it reflects the continuation of a longer
term downward trend which began in 1961 (see figure 1).
A more gradual decline in the number of reported cases.
however, has followed the 1961 peak than followed the
previous peak year, 1953 (not shown).
During the first 3 months of 1964, Ne% England
experienced the highest attack rate of any geographic
area I13.1 cases per 100.000 population). Although
Maine's attack rate (50.9 per 100.000) is the nation's
highest, this Stare reported 39 per cent fewer cases
during the first quarter of 1964 than during the corre-
sponding period of 1063. Vermont and New Hampshire
have the second and fourth highest attack rates (43 6 and
19.4 per 110.000, respectively); both represent increases
from the comparable quarter of 1963.
The following states also showed major increases
in the number of cases reported during the first quarter
of this ecar as compared to that of 1% I
Reported Cases First Quarter
1963 1964
South Dakota 15 81
Hawaii 9 44
Kansas 66 261
Wyoming 10 32
North Dakota 11 32
Nevada 9 24
U, S. A. 13,844 12,118


The seasonal peak for hepatitis occurred during
February (figure 1). The notable similarity in seasonal
distribution of this disease in the United States and in
Canada is shown in the graph on the opposite page.
It would appear that a continuing decline in the
prevalence of viral hepatitis in the United Stares may
be expected during the coming months.
(Reported by IHcpat'tii STurc-illancr L nit. CD)C






SCOMBROID FISH POISONING CALIFORNIA
A mother and her daughter experienced scombroid fish
poisoning, an unusual type of food-borne disease, within
0 minutes after eating pan-fried albacore.
Fifteen minutes after eating the albacore, pan-fried in
her home, the mother developed headache, urticaria, edema,
rash, dizziness, and nausea. Thity-five minutes later,
her daughter commenced to experience similar symptoms of
headache, rash, edema, urticaria, and a tingling sensation.
The father, who had also consumed some of the same fish,
remained symptom-free except for mild diarrhea 3 hours
later. A:l recovered.
The suspect fish was a 22 lb. albacore. Caught early
in the morning, it had hung in a fish bag on the outside of
the boat until early evening when it was placed in cold
water in an ice chest for the trip home. It was too large to
place in a refrigerator and was, therefore, kept outside for
the night (low temperature 9c''Fl. The temperature rose to
86F the following morning: the fisherman watered the


8000

7000

6000

5000

P 400Q

3000

200Q

1000


166









Morbidity and Mortality Weekly Report


REPORTED CASES OF VIRAL HEPATITIS CANADA AND UNITED STATES
500o 3-week moving averages


,USA















:ANADA


week 5 10 14 18 23 26 30 35 39 44 48 52 5 10 14 18
I I I I II I I/ I II I I I I
Jan Feb Mar Apr MayJunJul Aug Sep Oct Nov Dec Jan Feb Mar Apr
1963 I 1964
Sources: "Notifiable Diseases Weekly Summary." Prepared in the Public Health Section, Health and Welfare
Division, Dominion Bureau of Statistics, Ottawa, Canada, for week ended April 25; and CDC data.


albacore with his garden hose. At ioon, it was brought to
the victims' home, where it was cleaned and placed in the
freezer. About one month later, the fish was removed,
allowed to thaw on the kitchen counter, and was pan-
fried 6 hours later.
Bacteriologic studies were not reported. The rapidity
of onset and the symptoms, however, indicated scombroid
fish poisoning.
(Reported by Murray Cooper, R.S., and Doris Husman,
P.H.N.. Pasadena Department of Public Health, and
Philip K. Condit, M.D., Chief, Bureau of Communicable
Diseases. California State Department of Health).
Editor's Note:
Although cases such as these are customarily termed
scombroidd fish poisoning" 1 (see MMWR, Vol. 13, page
30), Dr. Lionel Farber, Hooper Foundation, University of


California, notes: "Even though most of the fish impli-
cated in California 'food poisoning' outbreaks of this
nature were Scombroids, including tunas, mackeral, yellow-
tail and bonita, we feel that they are all examples of
bacterial food spoilage and should be so Jesignated. Tire
name 'Scombroid poisoning' implies an inherent toxic
property of these fish and that really fresh samples could
also give rise to the effects. However, what is involved is
poor handling, lack of proper refrigeration and conditions
enabling various proteinaceous food spoiling bacteria to
grow, including organisms of the Pseudomonas, Achro-
mobacter and Proteus genera." 2
1. Halstead, B. W.: Poisonous fish-like vertebrates. In Con-
ference on Shellfish Toxicology, 1957. U. S. Department
of Health, Education, and Welfare, Public Health Service,
Washingron, D. C., 1957, pp. '"-'6
2. Personal communication.


167











lMorbidil and Mortality Weekly Report



Thlic i CASES OF SPE(IFIFD NOTIFIABLE DISEASFS I UNITED S1 ATES

FOR WXEKh ENDED

MAY 16. 196- AND MAY IN. 196 ( 2zoh WEEK)


Encephalitls
Aseptic
Meningitis Primary Posi-Inl. Pollomyeliti Tot' al Cases P, IL .myeliti Paralytic
Area
Cumulatlv< Cumulative
1964 1963 1964 19b4 1946 1963 1664 1963 196. 1963 196' 1963
UNITED STATES... 36 36 45 28 1 2 26 53 1 2 20 47

NEW ENGLAND.......... 2 3 1 I- -
Maine............... 1 l
New Hampshire ...... -
Vermont ............ -
Massachusetts...... 3
Rhode Island..... -
Connect cut ........ -

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

EAST NORTH CENTRAL... 5 5 7 6 1 3 15 I 3 12
Ohio............... 2 2 2 4 2 3
Indiana ............ -
Illinois ........... I 2 5 I 6 1 5
Michigan ........... 3 4 3 3 3
Wisconsin.......... i -

WEST NORTH CENTRAL... 1 1 9 1 -
Minnesota............ 1 5 1 -
lowa............... -
Missouri...........- 2 -
North Dakota .....
South Dakota....... .
Nebraska .......... .
Kansas............. -

SOUTH ATLANTIC....... 3 7 12 5 12 6 9 5
Delaware............ -
Maryland........... -
Dist. of Columbia.. I 4 -
Virginia........... 1 2 5 ]
West Virginia......- 1 1 -
North Carolina..... 5 2 2 2
South Carolina..... -
Georgia ........... -
Florida............. 1 2 9 4 2 4 2

EAST SOUTH CENTRAL... 11 6 1 2 3 1
Kentucky........... 9 5- -
Tennessee.......... 1 11 1
Alabama ............ 2 1 2 1 1
Mississippi........ -

WEST SOUTH CENTRAL.. 9 1 1 2 11 1 1 II
Arkansas............
Louisiana........... 1 9
Oklahoma........... 2 .
Texas .............. 7 1 2 2 1 2

MOUNTAIN............. 3 2 1 1
Montana............
Idahn .............. 1
I-h 1
Wyomin ............
Colorado ...........
New Mexico .........
Arizona.............
Utah ........ ...... -
Nevada ............

PACIFIC.............. 7 7 2 13 1 1 10 1 1 9
Washington ......... 1
Oregon ............. 5 I I I 1
California......... 6 7 2 8 8 7
Alaska.............
Hawa I .............

Puerto Rico 2 -


168











MlorIidity and Morlality ~eekly Report 169


I1ble i. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

MAY 16, 1964 AND MAY 18. 1961 ( 20th 'WELK) C oniinued


Infectious Hepaticis
Brucell-.iLS Diphtheria including Serum Hepatitis Typhoid Fever

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

1964 1964 1964 196. 1964 196. 1964 196- 196" 1963 19b4 196-

UNITED STATEs... 10 149 9 97 756 378 325 53 17,655 19,621 13 137

NEW ENGLAND.......... 2 7 17 78 35 43 1,856 2,241 7
Maine................ 7 14 22 12 10 637 1,034
New Hampshire...... I I 135 158
Vermont ........... 12 5 7 234 29 -
Massachusetts..... 2 3 18 4 14 363 664 4
Rhode Island....... 6 2 92 53 3
Connecticut........ 19 11 8 395 303

MIDDLE ATLANTIC...... 2 4 172 94 78 4,016 3,745 2 22
New York City...... 1 31 9 22 583 499 2 8
New York, Up-Stare. 1 77 57 20 1,780 1,668 4
New Jersey......... 2 28 9 19 737 585 -
Pennsylvania....... I 1 36 19 17 916 993 9

EAST NORTH CENTRAL... 19 6 106 52 q4 10 2,685 3,124 1 29
Ohio................. I I 27 11 14 2 706 913 17
Indiana............ I 9 4 4 1 229 296 1 5
Illinois.......... 12 6 31 17 13 1 -49 679 4
Michigan............ 28 15 13 1,110 1,082 3
Wisconsin.......... 3 11 5 6 191 154 -

WEST NORTH CENTRAL... 74 18 39 23 6 10 1,012 911 I 11
Minnesota.......... 2 10 3 3 88 154 -
Iowa.............. 42 8 5 2 1 151 161 3
Missouri........... 4 4 3 1 251 356 1 4
North Dakota....... 2 3 1 2 41 21 -
South Dakota....... 12 2 1 99 43 1
Nebraska............ 10 20 71 -
Kansas.............. 2 7 19 13 6 362 105 3

SOUTH ATLANTIC....... 4 12 20 76 47 28 1 1,694 2,098 1 30
Delaware........... 2 2 37 27
Maryland............ 11 9 2 328 229 -
Dist. of Columbia.. 1 I 28 63 -
Virginia........... 4 6 6 4 2 22 470 7
West Virginia ...... 12 10 2 287 326
North Carolina..... 14 12 2 325 543 10
South Carolina .... 3 5 3 2 61 81 1 3
Georgia............ 3 15 39 85 1
Florida............ 2 25 8 16 1 347 274 8

EAST SOUTH CENTRAL... 8 46 31 14 1 1,213 2,037 4 19
Kentucky........... 3 15 12 2 1 518 600 7
Tennessee.......... ) 1 17 10 7 421 822 1 6
Alabama ............ 3 2 5 4 I 168 291 3 5
Mississippi........ 1 1 9 5 4 106 324 -

WEST SOUTH CENTRAL... I 12 1 15 49 32 17 1,281 1,312 2 10
Arkansas ........... 3 8 3 5 139 154 1 5
Louisiana.......... .- 1 1 5 14 9 5 275 243 1 1
Oklahoma............ 1 3 1 2 75 71 3
Texas.............. 7 10 24 19 5 792 844 1

MOUNTAIN ............. 2 12 1 42 5 6 31 1,143 1,346 1
Montana ............ 4 2 2 109 200
Idaho.............. .- 11 11 108 206 -
Wyoming............ 37 20 -
Colorado........... 8 1 7 335 281 -
New Mexico........ I 1 1 169 164 -
Arizona ............ I 13 13 246 306 1
Utah............... 2 9 5 2 3 103 159 -
Nevada............. 36 10 -

PACIFIC................... 8 1 12 148 59 89 2,755 2,807 2 8
Washington........ 1 11 25 8 17 299 475 1
Oregon............. 15 5 10 312 383
California........ 1 7 1 97 42 55 2,005 1,870 2 7
Alaska............ 7 2 5 85 61 -
Hawaii............. 4 2 2 54 18 -

Puerto Rico 3 14 12 2 1 308 285 6











170 4lorliilid amnd M1oriali- erckly Replorl


Table 3. (As 01-t SPE( IF11I) NOTIFIABLU DISFASEN I NITED STATES

MOR WEEKS ENDED

MAY 16, 1964 ANI) MAY 18, 1963 ( 20th WEEK) Continued


Streptococcal
Meningoin ,cal S..re Throat and Rabies in
I -li HM nlingit Sjarlet Fivtr T, t In- Iul .iri nii Animals
Ar. _
Cumulative Cu m. Cum. Cum.
196- 1964 196. 1963 196- 1963 1964 196- 196. 1964 1964 1964
LNITED qTATE?... 26,688 51 1,196 1,187 8.366 7,074 5 77 4 92 118 1,843

NEW ENGLAND.......... 912 4 36 77 1,124 879 I 1 12
Maine.............. 341 2 5 12 62 56 10
New Hampshire...... 8 2 12 14 I
Vermont............ 90 1 2 7 2 -
Massachusetts...... 199 2 15 37 149 126 1 -
Rhode Island...... 110 2 7 109 46 -
Connecticut........ 164 13 17 785 635 -

MIDDLE ATLANTIC...... 2,431 6 114 170 612 505 3 3 39
New York City...... 632 1 20 22 40 49 -
New York, L'p-S.ate. 588 1 43 53 445 242 3 38
New Jersey......... 490 14 25 80 110 2 -
Pennsylvania....... 721 4 37 70 47 104 I I

EAST NORTH CENTRAL... 5,660 7 189 193 977 792 5 8 33 236
Ohio............... 1,076 2 54 54 161 107 1 1 17 122
Indiana............ 1,026 1 32 24 83 101 1 2 11
Illinois........... 718 40 30 164 145 2 5 11 59
Michigan........... 1,961 2 45 61 385 263 1 1 1 18
Wisconsin.......... 879 2 18 24 184 176 1 2 26

WEST NORTH CENTRAL... 2,13- 2 72 71 311 198 3 1 23 27 591
Minnesota.......... 28 14 12 36 33 1 10 178
Iowa............... 1,690 3 4 106 73 I 1 11 201
Missouri .......... 12 2 41 26 49 2 13 1 102
North Dakota...... 366 5 3 96 83 3 33
South Dakota ....... 4 3 3 1 49
Nebraska............ 38 4 17 1 15
Kansas............. NN 5 5 21 6 I 8 13

SOUTH ATLANTIC....... 1,477 10 258 222 881 572 35 1 17 11 265
Delaware............. 18 1 4 1 30 -
Maryland........... 74 2 20 33 117 20 2
Dist. of Columbia.. 2 1 8 4 2 -
VtrRlr.a............ 788 2 31 52 239 167 4 3 6 169
West VirRinia..... 230 19 12 266 126 1 2 17
North Carolina.... 37 2 44 37 36 125 10 4 1 3
South Carolina..... 202 2 42 13 64 14 3 -
CEria.............. 3 18 11 2 3 1 1 10 2 46
Florida............ 123 72 59 125 117 14 30

EAST SOUTH CENTRAL... 5,851 1 116 93 1,288 968 1 10 16 14 268
'fntu kv........... 188 41 20 95 113 1 1 2 38
Tennessee.......... 1,580 38 41 1,085 783 4 11 11 219
Alabama............ 4,014 1 20 16 5 11 1 4 3 1 11
Mississippi......... 69 17 16 103 61 1 1- -

WEST SOUTH CENTRAL... 3,670 9 114 124 540 628 2 10 1 21 17 271
Arkansas........... 23 10 8 1 2 1 9 5 72
Louisiana........... 5 85 49 6 3 28
Oklahoma............. 39 4 26 7 9 11 4 39
Texas.............. 3,608 4 15 41 532 613 2 5 1 8 132

MOUNTAIN............. 787 I 44 40 1,224 1,218 2 1 7 6 71
Montana ........... 104 3 42 38 1 -
Idaho.............. 40 1 3 55 102 -
Wyoming............ I 3 1 29 22 1 1 3 -
Colorado........... 148 9 11 517 547 2 2
New Mexico.......... 16 19 2 245 295 1 1 36
Arizona............ 356 3 6 125 107 3 33
Utah............... 85 2 11 210 106 3 -
Nevada............. 37 1 7 3 1 1 -

PACIFIC.............. 3,766 11 253 197 1,409 1,314 1 8 7 90
Washinqt. n ......... 1,339 19 15 516 52 -
Vrr 'rr .............. 05 16 1 2 15 1
Calrfornia ......... 1,983 II 205 161 805 669 I 8 7 89
Al ska ...... ....... 12 6 5 13 71 -
Hawazi ............. 27 7 5 53 8 -

Pu'rto PLco 213 16 4 21 43 28 9










Morbidity and Mortality Weekly Helporl 17





T.ihL 1 1)) TOTAL DIA A'l l AM()N(, P IRSONS 65 VI ARS AND (VI R IN R P()ORTIN(, ( IIt



(Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period.)0


ArFa For week ending Art For weeks ending
4/25 5/2 5/9 5/16 4/25 5/2 5/9 5,16


NEW ENGLAND:
Boston, Mass ..............
Bridgeport, Conn..........
Cambridge, Mas ...........
Fall River, Mass..........
Hartford, Conn............
Lowell, Mas ..............
Lynn, Mass................
New Bedford, Mass ........
New Haven, Conn...........
Providence, R.1...........
Somerville, I-ass ..........
Springfield, rtass.........
Waterbury, Conn...........
Worcester, Mass...........

MIDDLE ATLANTIC:
Albany, N.Y...............
Allentown, Pa.............
Buffalo, II.Y...............
Camden, N.J...............
Elizabeth, N.J............
Erie, Pa...................
Jersey City, N.J.........
Newark, Nl.J...............
New York City, II.Y........
Paterson, N.J.............
Philadelphia, Pa..........
Pittsburgh, Pa.............
Reading, Pa...............
Rochester, N.Y ...........
Scheneccady, l.Y..........
Scranton, Pa..............
Syracuse, Nl.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, ich ...............
Fort Wayne. Indd...........
Cary:, Ind.................
Grand Rapid;, Mich ........
Indianapol s,i Ind .........
Madison, Wis ..............
Milwaukee, Wi ............
Peoria, Ill...............
Rockford, Ill.............
South Bend, In.......... .
Toledo, Ohio..............
Youngstown, Ohio..........

WEST NORTH CENTRAl:
Des Moines, lowa .........
Duluch, Minn .............
Kansas City, Kans........
Kansas City, Mo.........
Lincoln, INebr............
Minneapolis, Minn........
Omaha, Nebr..............
St. Louis, Mo ............
St. Paul, Minn...........
Wichita, Kan ............


128
30
26
26
27
15
21
14
27
38
11
38
19
45


25
15
72
25
12
28
33
43
950
26
294
83
34
75
11
23
46
26
17
16


24
25
383
93
110
51
42
153
18
27
16
20
28
89
16
75
17
26
34
55
35


34
29
13
73
17
69
40
112
50
18


SOUTH ATLANTIC:
Atlanta, Ca..............
Baltimore, Md ............
Charlotte, N.C...........
Jack on lllc, Fl ........
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 CiETRAL:
AuztLn, Tex..............
Baton Rouge, La..........
CIrpum Christi, Tex......
Dallas, Tex..............
El Pa.:, Tex .............
Fort Worth, Tex...........
Houston, Tex.............
Little Rock, Ark.........
New Orlcans, La..........
Oklahoma City, Okla......
San antonio, Tl X.........
Shreveport, La..........
Tul a, Okla..............

MOUNTAIN:
Albuquerque, N. Mex......
Coloradio prints, Colo...
Denver, C.lo .............
Ogden, Utah..............
Phoenix, Ariz..............
Pueblo, Colo.............
Salt Lake Cit,, Utah.....
Tucson, Ariz .............

PACIFIC:
Ber lelEy, Calif..........
Fresno, Calif............
Clendale, Calif..........
Honolulu, Hawai .........
Long Beach, Calif........
Los Angeles, Calif.......
Oakland, Cal f ...........
Pasadena, Calif ..........
Portland, Oreg............
Sacramncno, Calif ........
San Diego, Calif .........
San Franci~ co, Calif.....
San Jose, Calif..........
Seattle, Wash............
Spokane, Wash............
Tacoma, Wash..............

San Juan, P.R..............


53
130
20
28
51
30
.42
16
60
34
97
25


42
25
20
92
.7
15
17
59


21
8
10
6-
13
31
93
-0
82
25
64
20
31


14
16
61
13
57
15
29
23


9
26
28
31
38
271

24
73
32
59
97
23
86
34
33

25


Current Week Mortality for 108 Selected Cities

4(A) Total Mortality, all ages...................
((B) Pneumonia-Influenza Deaths, all aes........
4(C) Total Deaths under 1 Year of Age............
4(D) Total Deaths, Persons 65 years and over.....


59
114
13
29
36
23
47
16
67
28
78
20


32
21
21
64
47
9
18
53


20
5
12
68
19
<0
71
28
87
41
46
29
25


12
7
64
8
55
1I
33
29


18
34
26
19
38
282
61
20
26
26
44
112
25
88
35
28

(---)


11,370
413
667
6,301


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

NOTF. All death& b) pla;r of occurrence.









172


Morbidity and Mortality Weekly Report


SUMMARY OF DEATHS AMONG PERSONS 65 YEARS
AND OVER IN 108 U.S. CITIES

ThL %Lteklh average number of deaths among persons
iS \tar. and ov.er in 10I cries for rhe four-week period
rnJing Mla 1(, a.s i,.A'S as compared with an expected
weekly average of 'i,( 1.





Week Ending
Week Ending 4 Week Weekly
4.25 5 2 5 9 5 16 Total Average

Observed 6,522 6,338 6,260 6,301 25.421 6,355
Expected 6,768 6,705 6,643 6,579 26,695 6,674

Excess -246 -367 -383 -278 -1,274 -319


9m

or 400,
OsA ris
a-.


UNIVERSITY OF FLORIDA


11111111111111111
3 1262 08884 2904


OATHS or AL 6l and OVER m in US OTIS
"" t f, n tfl f R ftf


-* %c *
h*- ,


.russ A.


--

---M


INTERNATIONAL NOTES QUARANTINE MEASURES


INFLUENZA France


Small foci of mild influenza-like illness have occurred
in Paris and its suburbs since mid-February, as well as
in some departments in Northwest, West, Center, and
Northeast France. Cases continue to be reported.
Strains of virus A2 have been isolated, serologic
evidence of infection wirh virus A-2 as obtained from 4?
patients in the above regions.

(h'. f., t. ,t : i rekl I.pidi rc.u,!oen il R'i o ,i \f I,'
I' I d I, a/tll' (Ori an : :..ri la. I 19 .


'T.E MO BRDIT ANC a r E E E L E L REPORT. wITr a CIRCULAR
1AT' % Or I' :.. I UBLIS'-ED R, THE COIMMUn'ICaBLE DISEASE
Cr-.'E .r T ANTA GEC.CC.'A
CM Lt C'?M"jN'C ABLE D-iEA5E CE*-'F JAMuE L GODDARD u D
CrM rr 8r ECCLO:. Br c*. A 0 LANG.M4jlR M D
C-IFF SlaT5'SICS FC TIC-l- R E SERFLINC. PH D
STy .-L'. STA%'1 TiCS SI TIO.N I L 5 ERBMAN M S
C-'Er S.j .EiL _A*CE %EC'.-'r D A -ENDERSON. M D
E'T .A IueA AL TMANr MD
IN ADO..T N TC. TI-E Et ARBL : ROCiED-PE5 FOR REPOR TING
;as: CSr- a IC QurR'ALi'> ,.Ir CJuM U IC-AE-L D-SEASE CENTEr
rL :0 MES ACC:...,TS DV .,NTrE %..E ).IT0REA 5 QR* CASES SUC"
A f i 3:AO'5 r 53 .Lr. AI. A C ESE7 7
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EG7'E T ESTE L 1r.'*5I a .A A AR R E B e ED ON E E L. TELE.
-. r rC- E CARL E C-5A- SE CE NTED T*E N I UUAL
S- 'E EAL 3E ar uiE"-'5
S'MeoOLS A4TA NO' A.A'.LABLE
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A, PRE C T iANEE rFPC M ST ATISTICS SEC TION CO MUNUIC ABLE D1S-
EASE CE'.Ewa F E_.LIC -EAL.I- SEr-'CE. uS DEPARTUENr or
-E _- T. E .CA .N ANI. AELrARE ATLAPITA. C.EOar.iA '31


(See table, page 171)


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