Morbidity and mortality

r n / r f t'^ / "


Morbidity and Mortali



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

PUBLIC HEALTH SERVICE


Prepared by the


For release October 23, 1964


I CO M NCB LEDIEASE ENTE:


634-5131


ATLANTA, GEORGIA 30333


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED
DEATHS IN SELECTED CITIES FOR WEEK ENDED OCTOBER 17, 1964
EPIDEMIOLOGIC NOTES
Botulism


Four cases of botulism were reported from California
this week, making the cumulative total of cases reported
thus far in the United States this year 15, compared to 34
for a similar period in 1963. The 4 cases from California
represented an outbreak attributable to home canned
peppers. California leads all other States in the number
of cases reported this year, with a total of 7.

The majority of cases in 1963 were due to commercial
products whereas this year, all cases have been attributed
to the consumption of home canned products. No cases of
type E botulism have been reported to date this year.

The following table presents the number of cases of
botulism outbreaks for the 10 highest years since 1899.


STATES AND ON


CASES OF BOTULISM HIGHEST YEARS 1899- 1963

CASES DEATHS YEAR
1st 89 56 1919
2nd 71 43 1935
3rd 63 22 1921
4th 59 48 1922
5th 50 31 1924
6th 48 31 1931
7th 47 18 1939
8th 47 14 1963
9th 46 34 1932
10th 44 32 1941
SOURCE: 1899-1949 Meyer, K. F. and Eddie, B. "Fifty Years of
Botulism in the United States and Canada," George Williams
Hooper Foundation, University of California, San Francisco.
1950-1963 State Reports received by NOVS and CDC.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
42nd Week Ended Cumulative, First 42 Weeks
Disease October 17, October 19, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 61 45 --- 1,691 1,490 ---
Brucellosis ....................... 2 8 11 337 303 484
Diphtheria ........................ 12 4 11 214 207 448
Encephalitis, primary infectious.. 89 22 --" 2,650 1,285 -
Encephalitis, post-infectious ..... 5 --- 710
Hepatitis, infectious including
serum hepatitis ................ 628 744 876 31,039 35,061 35,061
Measles ........................... 961 981 1,325 437,905 362,725 391,530
Meningococcal infections .......... 60 37 43 2,194 1,937 1,781
Poliomyelitis, Total .............. 2 6 59 95 353 1,086
Paralytic ...................... 1 5 39 76 301 700
Nonparalytic .................. 1 --- 11 36 --
Unspecified .......... ....... 1 --- 8 16
Streptococcal Sore Throat and
Scarlet fever ................. 5,395 5,467 --- 320,619 273,991
Tetanus ............................ 10 5 --- 230 224 --
Tularemia ......................... 11 13 --- 274 239 ""
Typhoid fever ...................... 6 14 18 352 445 656
Rabies in Animals ................. 58 73 57 3,705 3,097 3,077


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 3 Psittacosis: Mich. -1, Fla. -1 38
Botulism: Calif. -4 15 Rabies in Man: 1
Leptospirosis: N.Y. Up-State -1 37 Smallpox:
Malaria: Ind. -2, Calif. -1 79 Typhus-
Plague: Murine: 22
Rky Mt. Spotted: Md. -1 212






Morbidity and Mortality Weekly Report



GONORRHEA


The number of cases of gonorrhea reported each year
in the United States since 1941 (exclusive of known mili-
tary cases) is presented in the table below. The peak
incidence of 415,855 cases was reached in 1946. In the
past decade, the number of cases has ranged from 214,872
to 278,289. The number of cases recorded in 1963 was
the largest number reported since 1950.


Reported Cases of Gonorrheal/
Exclusive of Known Military 1941-1963
Calendar Year Number of Cases


1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1/Alaska and Hawaii included since 1956.


198,691
243,555
290,455
288,111
313,363
415,855
380,666
345,501
317,950
286,746
254,470
244,957
238,340
242,050
236,197
224,687
214,872
232,818
240,254
258,933
264,158
263,714
278,289


As shown in the table below, the highest rate is
found in the age group 20-24 years. An increased number
of cases was recorded in all age groups in 1963 as com-
pared to 1962.

Reported Cases of Gonorrhea*
United States 1962 and 1963

1962 1963
Number Number Cases per
Age Group of Cases of Cases 100,000 Pop.

0.14 3,881 4,048 6.9

15-19 51,679 54,509 361.9

20-24 91,591 98,541 853.0

25-29 53,298 54,543 517.2

30-39 46,153 47,742 205.9

40-49 12,816 14,352 61.7

50+ 4,296 4,554 10.3

Total 263,714 278,289 149.2

*Exclusive of known military cases.


(Reported by Venereal Disease Branch
ble Disease Center.)


of the Communica-


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS

The weekly average number of pneumonia-influenza
deaths for the four-week period ending October 17 was
389 as compared with an expected weekly average of 434.


Week
9/26 10/3
Observed 371 348
Expected 420 429
Excess -49 -81


Ending
10/10
412
438


10/17
425
447


4 Week
Total
1,556
1,734


Weekly
Average
389
434


-26 -22 -178 -45


(See table page 379)


374


PNEUMONIA-INFLUENZA DEATHS in 108 U.S CITIES


*W LAftAoavWNcE





SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS SEPTEMBER 1964 SEPTEMBER 1963


CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area September 1964 and September 1963 Provisional Data

Cumulative Cumulative
Reporting Area September Jan. Sept. reporting Area september Jan Sept
_Reporting Area Reporting Area 14 _4
1964 1963 1964 1963 1964 1963 1964 1963


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

MIDDLE ATLANTIC...........
Upstate New York........
New York City...........
Pa. (Excl. Phila.)......
Philadelphia.............
New Jersey..............

EAST NORTH CENTRAL........
Ohio.....................
Indiana...................
Downstate Illinois.......
Chicago...................
Michigan .................
Wisconsin...............

WEST NORTH CENTRAL.........
Minnesota................
Iowa....................
Missouri.................
North Dakota.............
South Dakota.............
Nebraska .................
Kansas...................

SOUTH ATL-NTIC ............
Delaware.................
Maryland.................
District of Columbia.....
Virginia.................
West Virginia............
North Carolina...........
South Carolina...........
Georgia..................
Florida..................


432
53
233
20
22
104

225
43
6
20
82
59
15

48
14
5
18

4
3
4

538
9
45
60
16
12
92
72
83
149


365
4
8
3
214
13
123

4,075
501
2,344
130
246
854

1,725
397
47
115
669
446
51

401
101
24
175

37
39
25

5,236
69
398
557
214
37
861
671
879
1,550


4,408
499
2,445
110
506
848

1,468
290
39
86
678
330
45

370
56
24
169
4
24
50
43

4,699
39
423
553
243
30
680
549
807
1,375


A- A I


EAST SOUTH CENTRAL.......
Kentucky.................
Tennessee................
Alabama..................
Mississippi..............

WEST SOUTH CENTRAL.........
Arkansas.................
Louisiana.... .............
Oklahoma.................
Texas...................

MOUITAIN ............ ..... .
Montana.................
Idaho....................
Wyoming.................
Colorado..................
New Mexico..............
Arizona..................
Utah.....................
Nevada...................

PACIFIC................
Washington...............
Oregon...................
California.............
Alaska...................
Hawaii...................

U. S. TOTAL...............


1,757


1,349
116
334
670
229


1,958
147
541
113
1,157

395
28
4
8
20
149
154
10
22

1,674
61
55
1,536
8
14

17,178


1,161
119
301
513
228

2,058
160
422
143
1,333

359
6
6
10
28
92
158
13
46

1,605
89
47
1,449
5
15

16,467


TERRITORIES............... 78 58 647 570
Puerto Rico............... 78 58 627 557
Virgin Islands........... 20 13





Note: Cumulative Totals include revised and delayed reports
through pre ious months.


1,900









376 Morbidity and Mortality Weekly Report



Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

OCTOBER 17, 1964 AND OCTOBER 19, 1963 (42nd 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... 61 45 89 5 2 6 95 353 1 5 76 301

NEW ENGLAND.......... 2 6 2 6
Maine............... 2 2
New Hampshire...... -
Vermont............ 1 1
Massachusetts...... 3 3
Rhode Island....... -
Connecticut........ 2 2

MIDDLE ATLANTIC...... 7 8 37 1 14 110 1 13 88
New York City...... 7 1 2 1 2 -
New York, Up-State. 2 1 5 10 8 9 5
New Jersey......... 5 25 2 1 2 1
Pennsylvania....... 7 101 82

EAST NORTH CENTRAL... 6 5 10 1 1 19 53 13 43
Ohio............... 1 1 2 8 2 4
Indiana............. 7 1 7 4 3 3
Illinois........... 3 3 1 1 5 16 5 15
Michigan........... 2 1 3 19 2 19
Wisconsin.......... 1 1 2 6 1 2

WEST NORTH CENTRAL... 5 16 9 6 7 5
Minnesota.......... 4 -- 3 4 2 4
Iowa................ -
Missouri........... 4 3 -
North Dakota....... 1 1 -
South Dakota....... -
Nebraska............ 1 1
Kansas............. 1 15 1 1 -

SOUTH ATLANTIC....... 8 3 9 1 4 25 63 3 20 54
Delaware........... 2 1 1
Maryland........... 1 1 1 1
Dist. of Columbia -
Virginia........... 1 1 3 18 3 13
West Virginia..... 1 1 3 1 3
North Carolina..... 1 10 3 6 3
South Carolina..... 2 3 6 3 5
Georgia.............. 1 19 1 18
Florida............. 7 1 5 1 9 11 8 10

EAST SOUTH CENTRAL... 4 2 3 6 65 5 60
Kentucky............ 3 2 1 -
Tennessee........... 2 3 10 2 9
Alabama............. 2 48 2 44
Mississippi ........ -- 1 7 1 7

WEST SOUTH CENTRAL... 3 1 9 23 8 22
Arkansas........... 1 4 3
Louisiana.......... 1 13 13
Oklahoma............ 2 2
Texas.............. 2 7 6 6 6

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

PACIFIC.............. 27 21 6 3 1 3 21 1 3 18
Washington......... 1 1 2 1 2 2
Oregon............. 1 2 1 1
California.......... 26 20 4 2 1 2 17 1 2 15
Alaska.............. -
Hawaii............... -

Puerto Rico 5 4









Morbidity and Mortality Weekly Report 377


Table 3. (ASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

OCTOBER 17, 1964 AND OCTOBER 19, 1963 (42nd WEEK) CONTINLIID


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... 2 337 12 214 628 330 271 27 31,039 35,061 6 352

NEW ENGLAND........... 2 44 57 31 23 3 2,846 3,882 1 15
Maine............... 39 14 9 5 895 1,752
New Hampshire...... 2 2 219 439
Vermont.......... 3 1 1 1 349 85
Massachusetts...... 2 5 16 8 8 638 1,033 6
Rhode Island....... 12 7 4 1 165 89 6
Connecticut........ 10 4 5 1 580 484 1 3

MIDDLE ATLANTIC...... 5 1 9 124 63 61 6,863 6,964 2 59
New York City...... 1 5 32 11 21 1,061 1,084 1 30
New York, Up-State. 2 35 21 14 2,971 2,991 10
New Jersey......... 2 17 6 11 1,168 1,035 1 2
Pennsylvania....... 3 2 40 25 15 1,663 1,854 17

EAST NORTH CENTRAL... 48 8 97 58 38 1 4,881 5,647 77
Ohio............... 5 24 12 12 1,283 1,567 19
Indiana.............. 1 1 8 4 3 1 419 505 23
Illinois........... 27 6 9 3 6 909 1,190 22
Michigan........... 6 1 50 33 17 1,920 2,135 10
Wisconsin.......... 9 6 6 350 250 3

WEST NORTH CENTRAL... 1 141 1 28 34 18 16 1,662 1,546 1 28
Minnesota.......... 9 1 12 8 5 3 196 241 3
Iowa............... 1 88 1 1 250 277 4
Missouri........... 10 1 12 7 5 413 542 1 11
North Dakota....... 2 2 1 1 60 69 2
South Dakota...... 16 2 129 108 I
Nebraska........... 13 4 45 102 3
Kansas............. 3 7 12 6 6 569 207 4

SOUTH ATLANTIC....... 33 5 54 60 26 32 2 2,929 3,540 68
Delaware........... 3 1 2 65 67 -
Maryland........... 6 3 3 539 441 6
Dist. of Columbia.. 3 2 1 60 99
Virginia........... 15 11 4 6 1 463 725 11
West Virginia...... 6 4 2 419 533 -
North Carolina..... 3 12 9 3 490 870 19
South Carolina..... 7 4 2 2 113 150 11
Georgia............ 12 1 26 86 155 5
Florida............ 3 4 21 15 1 13 1 694 500 16

EAST SOUTH CENTRAL.. 17 3 22 51 34 16 1 2,135 3,283 2 34
Kentucky............ 6 13 8 4 1 762 930 1 10
Tennessee.......... 5 2 16 15 1 751 1,285 1 16
Alabama........... 4 3 15 17 9 8 407 519 6
Mississippi........ 2 5 5 2 3 215 549 2

WEST SOUTH CENTRAL... 1 40 2 32 45 29 15 1 2,423 2,453 29
Arkansas........... 6 1 1 3 2 1 228 276 13
Louisiana.......... 4 1 9 12 6 6 593 498 5
Oklahoma .......... 7 117 111 7
Texas.............. 1 23 22 30 21 8 1 1,485 1,568 4

MOUNTAIN............. 30 3 39 9 12 18 1,872 2,251 10
Montana............ 2 1 1 165 292
Idaho.............. 4 4 263 372
Wyoming ............ 5 2 3 63 27 1
Colorado........... 3 3 493 467
New Mexico........ 1 1 5 1 4 261 266 2
Arizona............ 2 2 10 10 419 516 7
Utah.............. 26 10 6 4 157 294
Nevada............. 1 51 17 -

PACIFIC.............. 21 14 121 62 58 1 5,428 5,495 32
Washington ....... 13 5 1 4 550 947 2
Oregon............. 2 10 7 3 570 665 -
California........ 19 1 77 29 48 3,977 3,693 30
Alaska............. 27 24 2 1 225 152 -
Hawaii.............. 2 1 1 106 38 -

Puerto Rico 11 29 19 10 816 712 12








378 Morbidity and Mortalil% Weekly Repori


Table 3 CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES

FOR WEEKS ENDED

OCTOBER I". 1964 AND OCTOBER 19. 1963 (42nd WEEK) CONTINUED


Streptococcal
Me ningocccal fore Trat 3ar and Rabies in
Mealec MenLngltSc scarlet Fever Tetanu5 Tularemia Animals
ArE
Cumulative CUTm. C-m. Cum.
196 1964 196- 1963 1961963 196 163 6 196 1964 196- 1964 1964

.rNITED STATES... 961 b0 2,10- 1,937 5,3c5 5,467 10 230 11 27- 58 3,705

NEW ENGLAND.......... 129 6 70 119 371 467 9 1 33
Maine .............. 33 6 17 66 126 28
New Ha3mpih re........ 1 4 2
Verm-ont ............ 11 4 12 1 2
Mass-ahu-,ett ....... 58 5 29 56 46 12 1
RhoJe Il la- n ....... 8 10 11 27 28 -
Connecticut........ 15 1 20 27 220 270 -

MIDDLE ATLANTIC ...... o 6 285 26d 15) 186 19 3 111
New York Cit ....... 8 1 38 40 4 7-
New York, Up-Scate. ?l 3 82 85 111 114 7 3 105
New Jeriev......... 2 I 94 -1 28 34 6 -
Penn.'Ian is....... 15 1 71 102 16 31 6 6

EAST NORTH CENTR.L... 77 6 305 297 479 422 1 43 1 21 8 528
Ohi ................ 8 2 7 7 80 .9 53 12 1 3 270
Indiana ........... 32 1 50 41 100 87 1 II 2 1 23
Illinoi. ........... 1 78 60 43 75 12 13 3 100
Mic'igan........... 1 1 69 87 173 17 7 1 2 52
Wisconsin.......... 35 1 31 2) 114 60 1 3 1 83

WEST 'NORTH CENTRAL... 27 i 130 120 218 125 2 1 2 54 18 1,136
Minnesoi t a.......... 29 23 6 20 1 2 2 8 349
Iowa ............... 1 7 7 39 44 5 I 6 410
Mis o ,ur ........... 3 1 58 34 26 1 2 28 2 173
North Dakc a ....... 2 19 13 98 50 1 56
South Da.t ....... 3 7 0 1 15 1 82
Nebra-ka ........... 2 6 25 1 34
Kan aa ............. t. i 8 11 -1 1 2 8 32

SOUTH .ATLk.Nl IC....... 73 11 439 359 641 510 3 57 2 28 9 511
Dela. re ........... I 11 6 -
Marn and........... 3 32 31 57 19 3 -
Disc. ic C, olumbia.. 1 1V 6 6 2 1 -
Virginia........... 5 50 80 178 101 7 6 4 266
West Virg nia ...... j, 33 19 197 Ii 1 32
North Carolina ..... 5 2 75 6. 52 35 13 7 5
South Carolina..... 3 1 53 20 15 58 1 5 2
Georgia............ I 1 6- 29 15 2 4 2 13 3 112
Florida. ...... ...... 21 6 i? 86 110 116 2 23 1 2 93

EAST -OUTHL CENTRAL... 163 1 176 139 1,037 1,1-5 2 31 30 2 479
Kentuck\ .......... 105 56 31 1-2 85 8 2 1 56
Tennessee.......... 37 56 63 716 966 1 12 20 1 349
AlaJama............. 21 -. 23 126 -8 6 3 17
Mis-i::ipp ........ 2- 22 53 46 1 5 5 57

WEST .0I1.TH CENTRAL... 101 7 202 173 596 468 I 26 4 92 11 517
Arkan as ........ ... 10 23 11 17 4 1 8 2 54 3 129
Loutilzn .......... 2 124 71 2 17 4 5 1 49
Oklahom- ......... 2. 1 11 31 16 8 I 20 1 85
Texas ............... 89 4 44 60 561 439 I- I 13 6 254

MOUNTAIN ............. 160 1 74 b3 1,07? 1,104 6 2 45 3 128
Mon: na ............ '8 3 43 58 18 1
Idaho .............. 3 6 82 72 1- -
Wyoming............ 3 5 38 33 2 8 -
Colorado ........... I 13 19 309 -46 8
New Mexico......... 35 29 4 335 338 1 3 51
Arizona............ 7 7 10 96 76 1 55
Utah ................ 29 7 14 176 81 I 2 19 2
Nevada ............. 10 3 II

PACIFIC.............. 185 21 513 399 815 1,040 1 25 3 4 262
Washington ......... 51 39 32 259 252 1 3 -
Oregon............. 19 21 29 15 i6 1 10
Calitf,,rni ......... 92 17 434 317 477 525 21 2 4 252
Alaka .............. 7 12 36 52 -
Hawai .............. 16 12 9 28 195 -

Puerto Rico. 88 30 8 6 21 59 24








Morbidity and Mortality Weekly Report





Table 4 (B). REPORTED PNEUMONIA INII I IENZA DEATHS IN REPORTING CITIES


379


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


For weeks ending For weeks ending
Area Area
9/26 10/3 10/10 10/17 9/26 10/3 10/10 10/17


NEW ENGLAND:
Boston, Mass.............. 4 6 18 5
Bridgeport, Conn........... 7 2 6 7
Cambridge, Mass............ 5
Fall River, Mass.......... -
Hartford, Conn............. 1 -
Lowell, Mass.............. 2 2 2 5
Lynn, Mass................ 1 2 1
New Bedford, Mass......... 2 -
New Haven, Conn........... 1 3 2
Providence, R.I........... 1 3 2
Somerville, Mass.......... 1 1 2
Springfield, Mass......... 6 1 7 2
Waterbury, Conn........... -
Worcester, Mass........... 8 6 1 3

MIDDLE ATLANTIC:
Albany, N.Y................ 1 2 4 -
Allentown, Pa............. I 3
Buffalo, N.Y............... 3 7 3 3
Camden, N.J............... 1
Elizabeth, N.J............ 1 1
Erie, Pa .................. 2 2 6 2
Jersey City, N.J......... 6 8 5 4
Newark, N.J................ 6 3 8 6
New York City, N.Y......... 38 42 56 57
Paterson, N.J............. 2 5 2
Philadelphia, Pa.......... 15 5 12
Pittsburgh, Pa............ 2 4 6 6
Reading, Pa............... 7 3 1 7
Rochester, N.Y ............ 16 9 10 11
Schenectady, N.Y........... 2 1 2 -
Scranton, Pa.............. 2 1 1 2
Syracuse, N.Y.............. 1 1 4
Trenton, N.J............... 2 1 3
Utica, N.Y................. 2 4 5 5
Yonkers, N.Y............... 3 1 -

EAST NORTH CENTRAL:
Akron, Ohio............... 2 1
Canton, Ohio............. 1 4 7
Chicago, Ill................ 24 23 24 34
Cincinnati, Ohio........... 1 3 4 6
Cleveland, Ohio............ 7 1 3 4
Columbus, Ohio............ 2 6 4
Dayton, Ohio.............. 1 4
Detroit, Mich.............. 10 12 13 11
Evansville, Ind........... 1 2 2 3
Flint, Mich................ 2
Fort Wayne, Ind........... 1 3 2 4
Gary, Ind................. 2 2 3
Grand Rapids, Mich........ 2 3 4 6
Indianapolis, Ind......... 1 4 4 7
Madison, Wis............... -
Milwaukee, Wis............ 3 2 2 4
Peoria, Ill............... I -
Rockford, Ill............. 4 2 1 2
South Bend, Ind........... 7 3 4 5
Toledo, Ohio.............. 7 4 2 2
Youngstown, Ohio........... -

WEST NORTH CENTRAL:
Des Moines, Iowa........... 2 1 2 1
Duluth, Minn............... -
Kansas City, Kans......... 2 7 4 3
Kansas City, Mo............ 6 3 8 5
Lincoln, Nebr............. 1 -
Minneapolis, Minn......... 3 3 7 8
Omaha, Nebr................ 4 3 1 4
St. Louis, Mo.............. 6 6 7 13
St. Paul, Minn............. 1 2
Wichita, Kans............. 7 2 7 2

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

NOTE: All deaths by place of occurrence.


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:
BLrnii- hai m, 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.............


OCurrent Week Mortality for


3
3
2
2

3


5
7
4



2
2

7
9
1
1
3


3
1
3
4

2
8
5
13
2
2
3
3


1
4
5
1
2

1
1





2
1
17
2

2
3
3
2
1


2


8
1


2

4
6
3
9
2



1

12
10
1
4
7


2
1

5
3

8
3
9
1
3
4




3


6


1


1



1
19
1

1
1
1
3
1

1
2


9
10
3
1

2
2
4
3
2
9
1



4

5
2


2


7
1

2
1
2
5
1
5
1
3
7



1

4

4


3


1
3
2
2

16
6

I
1
2
5
5
4
2


108 Selected Cities


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


11,613
425
692
6,438





3 1I262 0 4 27Illlllllllill 4811 Ill
3 1262 08864 2748


380 Morbidity and Mortality Weekly Report





INTERNATIONAL NOTES QUARANTINE MEASURES

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

SECTION 5



EUROPE

Poland, page 60


Under smallpox add: Except: (a) children under 3 months
of age who have not been in an infected local area during
the 14 days preceding arrival; (b) travelers arriving di-
rectly from the following countries, provided they have
been resident there for a period of 14 days, and these
countries are free from smallpox; USSR (the whole ter-
ritory,) all European countries, Canada and the United
States of America.


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


Page 73

City:
Center:


Clinic Hours:
Fee:


Page 73


City:
Center:


Clinic Hours:
Fee:


Pascagoula, Mississippi
Jackson County Health Department
Tel: 762-1117
Wednesday 3:00 p.m.
No



Gulfport, Mississippi
Harrison County Health Department
Tel: 863-1036
Monday 3:00 p.m.
No


THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA-
TION OF 12,000 IS PUBLISHED BY THE COMMUNICABLE DISEASE
CENTER. ATLANTA, GEORGIA 30333.
CHIEF, COMMUNICABLE DISEASE CENT-R 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 1. L. SHERMAN. M.S.
CHIEF. SURVEILLANCE SECTION D. A. HENDERSON, M.D.
ASSISTANT EDITOR, MMWR 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 CENTER
ATLANTA, GEORGIA 30333
NOTES: THESE PROVISIONAL DATA ARE BASED ON WEEKLY TELE-
GRAMS TO THE COMMUNICABLE DISEASE CENTER BY THE INDIVIDUAL
STATE HEALTH DEPARTMENTS.
SYMBOLS:-.-DATA NOT 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.


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