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COMMUNICABLE DISEASE CENTER PUBLIC HEALTH SERVICE Within the past wi EMIOLOGIC NOTES CO,\ TE\ TS Influenza-State Reports ................... 26 INFLUENZA New Jersey ........................... 26 Connecticut ................... ........ 26 Massachusetts ...................... 26 eek, notifications of focal outbreaks Antimony Poisoning-Virginia . .... 27 of influenza-like illnes-e- have been received from New Jerse., Connecticut, Massachusetts, and Pennsylvania. Serological confirmations of influenza A2 infection have been completed in the former two States but no virus isolations have yet resulted from laboratory studies. Generally, the outbreaks have been scattered. whilee at times insolhing a substantial number of school aged individuals, there has been little evidence in current epidemiological comment of spread to adults. Accounts of the recent experiences in these four States are printed on pages 26 and 27. Other States in the Middle Atlantic and New England divisions have not reported similar findings. Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES (Cumulative totals include revised and delayed reports through previous weeks) 3rd Week Ended Cumulative, First 3 Weeks Disease Median January 23, January 18, 1960 1964 Median 1965 1964 1965 1964 1960 1964 Aseptic meningitis .......... 32 41 24 100 90 79 Brucellosis .............. 7 3 7 17 10 21 Diphtheria ............... 3 2 5 12 11 40 Encephalitis, primary infectious 25 19 --- 90 80 --- Encephalitis, post-infectious. 10 5 --- 34 19 -- Hepatitis, infectious including serum hepatitis .......... 770 872 1,183 2,254 2,366 2,967 Measles ................. .6,805 5,946 8,095 18,754 14,819 21,112 Meningococcal infections 71 62 62 198 155 157 Poliomyelitis, Total . 8 1 27 Paralytic .............. 5 15 Nonparalytic ............ ---. 1 - Unspecified ............ --- Streptococcal Sore Throat and Scarlet fever ........... 9,541 8,141 8,508 28,139 23,685 23,546 Tetanus ................. 3 6 *-- 11 15 Tularemia ................ 11 13 --- 24 29 Typhoid fever ............. 9 7 8 13 16 16 Rabies in Animals .......... 93 44 57 273 163 163 Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY Cum. Cum. Anthrax: 1 Rabies in Man: Botulism: Smallpox: Leptospirosis: Trichinosis: 1 Malaria: Typhus- Plague: Murine: - Psittacosis: Ga. 1 1 Rky. Mt. Spotted: Ga. 1 3 Fs .* / ti ,/' Morbidity and Mortality Weekly Report INFLUENZA State Reports New Jersey Focal outbreaks of febrile respiratory disease were observed among residents of two institutions from ap- proximatel. middle January: At a State training school for boys, cases 'with clinical characteristics of influenza were studied in the State Laboratory. Three of file acute- convalescent serum pairs demonstrated substantial liter rises to influenza AV. A similar clinical illness among some 12-15 percent of patients on t\wo of 13 ward= in a large psychiatric hospital is currently being investigated but no laboratory documentation is available preently. Elsewhere in the State there have been reports of respiratory illnesses contributing to increased absenteeism in schools and perhaps industries although this information has not been full. substantiated on initial survey. (Reporrtd by Dr. i illiam J. Dougherty, Director, Preve nti..e Disease Control and Dr. Martin Goldfield. Director, Laboratories, Neu Jersey State Department ofHealth.) Connecticut From middle to late December 1964, moderate amounts of respirator. illness were noted in eastern Connecticut. In rrore recent weeks, presumable the same disease has been responsible for up to 20 percent school absenteeism in scattered areas over the State. There is little evidence of progression at the present time. Diagnostic antibody titer rises to influenza A2 have recently been described in paired serum specimens sub- mitted from nine different geographical regions in the State. (Reported by Dr. James C. Hart, Director, Preventable Diseases and Mr. Earle K. Borman, Director, Laboratory Services, Connecticut State Department of Health.) Massachusetts Scattered outbreaks of an influenza-like illness affecting predominantly school children have been reported from some six communities in the eastern half of the State during the past 1-2 weeks. In Clinton, one of the first towns to be affected, absenteeism in a junior-senior high school reached nearly 30 percent at its peak. The illness, characterized bs headache, arthralgias, fever up to 103 , cough, and lacrimation has not been reported as affecting large numbers of adults. Clinical specimens representative of the major geographical foci are being processed in the State Virus Laboratory. (Reported by Dr. Nicholas J. Fiumara, Director, Com- municable Diseases, lassachusetts Department of Public Health.) Pennsylvania Rapid appearance of febrile respiratory disease in Allegheny Counti (Southwest Pennsylvania) during recent weeks resulted in daily school absenteeism rising to 20-40 PNEUMONIA-INFLUENZA DEATHS IN 122 UNITED STATES CITIES 1100- Io- 1000- 0o- 900- 800- 700- ALL CITIES WEEK NO 40 44 8 52 4 8 12 16 20 24 28 32 36 40 44 48 52 4 12 16 20 24 28 32 36 40 44 48 53 4 8 12 16 20 24 28 32 36 WK ENDED 6 3 1 29 26 23 23 20 18 15 13 10 7 5 2 30 28 25 22 21 18 16 13 11 8 5 3 31 28 2 30 27 27 24 22 19 17 14 11 MONTH O N D J F M A M J A S N J J S N N Di F M A M J J A S 1962 1963 196311964 1964 1965 Morbidity and Mortality Weekly Report percent in some instances. The clinical illness is de- scribed as "influenza-like" although laboratory tests have not yet demonstrated the etiological agent. In one large high school, it is estimated that perhaps one-half of the 2000 students reported respiratory illnesses during the past week. Noteworthy is the observation that none of the 60 members of the school's football squad having received commercial influenza vaccine in the fall of 1964 was ill during this time. (Reported by Dr. Edwin Brown, Allegheny Con.'i-y Ep- idemiologist and EIS Officr,' qlirn' to the County Health Department.) ANTIMONY POISONING Virginia Twenty persons experienced nausea, \omiting, ab- dominal pain and varying degrees of prostration 15-45 minutes after drinking punch poured from a large gray "granite" enamelware coffee pot while attending an annual church-school meeting in a Virginia community. Cherry juice, powdered citric acid mix, sugar, saccharin, and lemon juice concentrate were mixed in a 2-gallon gray enamelware coffee pot, and stored in a refrigerator for 24 hours. Children attending Bible classes were served cookies and punch by age groups in the order of Kindergarten, Primary, Junior and Junior High. The Nursery group was not served because others were already becoming ill by the time their turn arrived. Cases occurred as follows within each group: Classes by order Of Serving Kindergarten Primary Junior Junior High Nursery * Pupils Teachers Total Ill Total Ill 17 9 3 0 13 10 3 1 9 0 3 0 5 0 1 0 8 0 1 0 52 19 11 1 * Did not receive punch. The small quantity of remaining punch, negative for the ususl bacteriological pathogens, had a pH of 4.6 and a positive qualitative test for antimony. Simulated punch made up in the laboratory in the same coffee pot using the same ingredients and refrigerated for the same length of time showed a pH of 4.6 and a concentration of antimony of eleven (11) parts per million or 0.:325 mg per ounce. The punch was served in 3 oz. cups and most drank onlI one serving. Recovery was prompt and uneventful. It is noted that of the groups who drank the punch, only the first 2 groups were affected; none of the older children (Junior and Junior High) were ill and only one of the 11 teachers. In an effort to explain this phenomenon, consideration was given to the possibility of armingg concentrations of antimony at different levels due to settling, However, samples taken at different levels in the pot of simulated punch did not show any appreciable variation. V'rginla State Health authorities postulate that at this low con- centration of antimony the smaller body weight of the younger group may have been significant to the development of disease. Notably, a similar episode occurred the previous year during this annual church-school meeting. (Reported by Dr. J.B. Kenley, Director, Bureau of Epide- miology, Virginia State Department of Health; Dr. Andrew F. Scheele, Director, Prince It illiam County Health Department; Mr. W. French Skinner, Director, Hureiau of Laboratories, Virginia State Department of Health.) Editor's Note: Antimony is often contained in the binding : between the enamel and metal of older utensils, t'itrnc acid can diss.ol e the binding behind a worn enamel coat, releasing sufficient antimony to cause toxic symptoms. 28 lorbidilt and Mortality Weekly Report Tabk i CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES FOR WEEKS ENDED JANUARY 23, 1965 AND JANUARY 18. 1964 (3rd WEEK) Encephalitti Poliomyelitis Diphtheria Aseptic Meningitis Primary Post-Inf. Total Cases Paralytic Area Cumulative Cumulative Cum. 1965 196. 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965 UNITED STATES... 32 41 25 10 1 3 12 NEW ENC LArUD.......... 1 - Maine .............. - New Hampshire...... - Vermont ............ - Massachusects ...... I Rhode Island ....... - Connecticu ........ -- - MIDDLE ATLANTIC...... I 3 10 1 1 New 'ork City ...... 6 1 New York, Up-State. 1 1 3 New Jersey......... - Pennsylvania........ 1 1 EAST NORTH CErTiRAL... 3 7 3 4 1 1 Ohio ............... 1 1 2 - Indiana............ I I I I Illinois ........... - Michigan............. I 1 Wisconsin .......... I - WEST NORTH CENTRAL... I 4 Minne ,ota.......... - lIowa................ - Missouri........... 1 1 North Dakota....... Scuth Dakota....... 2 Nebraska ........... I 1 Kan,a ............. - SOUTH ATLANTIC....... 7 9 6 i 1 3 Dela are........... I I - Maryland...........- -- Dizt. of Columbia.. - Virginia........... - West Virginia...... - North Carolina..... - South Carolina..... - Georgia............ - Florida............. 6 8 1 2 EAST SOUTH CENTRAL... 2 4 - Kentucky........... I - Tennes-ee........... - Alabama............ - Mississippi........ 1 JEST SOUTH CENTRAL... 3 2 Arkansa ...........- - Louisiana............ - Oklahoma........... - Texas .............. 3 2 2 MOUNTAIN.............. 4 - M'ntana........... - Idaho.............. - Wyoming.......... .... Colorado........... 4 I - New Mexico.......... - Arizona............ - Utah................ - Nevada ............. - PACIFIC............... 13 10 3 5 - Washington. ........ - Oregon............. - California.......... 11 7 2 5 Alaska............. - Hawaii.............. 2 3 Puerto Rico - Morbidily and Mortality Weekly Report 29 Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WE FK ENDED JANUARY 23, 1965 AND JANUARY 18, 1964 (3rd WEEK) Continued Brucel- Infectious Hepatitis Meningococcal losis including Serum Hepatitis Infections Tetanus Area Total Under 20 years Cumulative ncl. unk. 20 years and over Totals Cumulative Cum. 1965 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965 UNITED STATES... 7 770 382 341 2,254 2,366 71 198 155 3 11 NEW ENGLAND.......... 44 23 17 137 330 2 8 5 1 Maine.............. 10 5 3 29 128 - New Hampshire ..... 2 2 11 44 I Vermont............. 7 2 5 12 44 Massachusetts...... 8 5 2 47 48 1 5 1 Rhode Island....... 6 4 2 12 15 - Connecticut........ 11 5 5 26 51 1 1 4 MIDDLE ATLANTIC...... 162 77 85 443 535 8 27 22 1 1 New York City...... 30 7 23 73 78 3 7 5 New York, Up-State. 71 44 27 211 278 1 6 9 1 1 New Jersey.......... 19 4 15 57 55 2 8 2 Pennsylvania....... 42 22 20 102 124 2 6 6 EAST NORTH CENTRAL... 111 65 39 382 301 7 22 16 Ohio............... 34 22 10 122 101 2 10 6 - Indiana............. 8 13 2 2 1 Illinois........... 20 11 9 74 34 1 6 3 Michigan........... 45 26 19 148 139 1 1 5 Wisconsin.......... 12 6 1 30 14 1 3 1 - WEST NORTH CENTRAL... 6 52 31 21 161 146 5 13 5 2 Minnesota........... 11 6 5 14 5 2 2 2 1 Iowa............... 3 21 13 8 86 25 - Missouri............ 3 6 2 4 26 31 2 6 2 1 North Dakota...... 1 1 1 1 3 1 - South Dakota....... 2 12 - Nebraska............ 3 7 - Kansas............. 13 9 4 29 65 1 2 - SOUTH ATLANTIC...... 68 34 31 234 205 20 45 42 1 5 Delaware............ 1 1 4 2 1 2 - Maryland............ 18 10 8 45 36 2 2 3 Dist. of Columbia.. 1 2 2 - Virginia........... 11 2 7 44 22 3 6 4 1 1 West Virginia...... 16 11 5 48 23 1 3 4 - North Carolina..... 3 1 2 23 43 3 5 6 South Carolina..... 3 2 1 9 4 3 3 7 - Georgia............ 1 1 19 5 2 11 6 3 Florida............. 14 8 5 40 68 5 13 12 1 EAST SOUTH CENTRAL... 63 34 25 131 176 3 14 12 - Kentucky........... 23 12 8 44 84 7 4 - Tennessee.......... 26 18 7 48 56 2 4 6 - Alabama............ 10 4 6 27 26 1 3 2 - Mississippi ....... 4 4 12 10 - WEST SOUTH CENTRAL... 85 46 35 239 133 8 24 21 1 1 Arkansas........... 8 3 5 25 17 2 1 - Louisiana.......... 19 8 11 36 17 2 6 6 Oklahoma........... 4 1 3 9 7 2 5 2 - Texas.............. 54 34 16 169 92 4 11 12 1 1 MOUNTAIN............. 1 39 12 10 134 167 3 6 11 - Montana ............ 3 3 10 17 -- Idaho.............. 3 28 14 1 - Wyoming............. 7 2 3 13 3 I - Colorado............ 6 3 3 9 30 1 1 3 - New Mexico......... 7 2 2 28 39 2 5 5 - Arizona............ 7 31 29 - Utah................ 1 6 2 2 15 31 1 - Nevada............. .- 4 . PACIFIC.............. 146 60 78 393 373 15 39 21 1 Washington.......... 17 6 11 33 47 2 Oregon............. 18 6 12 47 38 1 - California.......... 103 48 55 277 264 15 37 18 1 Alaska............ 8 36 14 1 - Hawaii.............. 10 1 - Puerto Rico 9 5 4 11 10 - 30 Morbidity and Mortality Weekly Report Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES FOR WEEKS ENDED JANUARY 23, 1965 AND JANUARY 18, 1964 (3rd WEEK) 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.. 6,805 18,754 14,819 9,541 11 24 9 13 93 273 NEW ENGLAND.......... 1,584 5,331 816 976 3 5 Maine.............. 203 698 75 158 - New Hampshire...... 28 115 5 - Vermont............ 20 207 3 3 4 Massachusetts...... 991 2,957 189 102 - Rhode Island....... 209 571 37 45 - Connecticut........ 153 970 303 668 1 MIDDLE ATLANTIC...... 238 660 2,861 452 2 2 3 10 New York City...... 32 99 1,192 16 1 1 - New York, Up-State. 50 207 567 261 1 1 3 8 New Jersey.......... 59 113 458 70 - Pennsylvania....... 97 241 644 105 2 EAST NORTH CENTRAL... 1,286 3,017 2,645 992 3 13 Ohio............... 361 658 364 107 - Indiana............. 89 142 557 159 1 4 Illinois........... 36 92 987 148 - Michigan........... 583 1,526 482 400 2 4 Wisconsin........... 217 599 255 178 5 WEST NORTH CENTRAL... 413 1,238 381 370 1 2 19 55 Minnesota........... 7 15 3 14 5 13 Iowa................ 143 573 104 69 5 17 Missouri........... 47 129 32 29 1 1 6 10 North Dakota....... 150 427 239 127 6 South Dakota....... 16 3 45 2 3 Nebraska........... 66 78 1 4 Kansas............. NN NN NN 86 1 2 SOUTH ATLANTIC........ 1,254 2,886 1,789 1,263 4 9 4 5 17 39 Delaware............ 15 66 20 21 - Maryland............ 11 29 303 96 3 3 1 1 Dist. of Columbia.. 27 13 - Virginia........... 329 485 345 332 1 3 11 33 West Virginia...... 836 2,102 616 525 1 1 North Carolina..... 6 56 48 14 2 - South Carolina..... 4 21 271 23 2 - Georgia............. 17 28 49 30 3 4 1 1 Florida............ 36 99 112 209 3 3 EAST SOUTH CENTRAL... 440 999 2,226 1,412 3 5 1 1 25 98 Kentucky........... 49 59 1,253 85 1 5 Tennessee........... 248 659 855 1,210 2 3 23 88 Alabama............. 107 169 89 81 1 1 1 1 2 5 Mississippi........ 36 112 29 36 - WEST SOUTH CENTRAL... 655 1,507 859 829 3 6 1 3 17 38 Arkansas........... 4 6 29 12 1 3 2 3 5 Louisiana.......... 1 1 3 5 11 Oklahoma ........... 12 17 12 76 2 3 1 1 4 8 Texas............... 639 1,483 817 738 5 14 MOUNTAIN ............ 434 1,722 711 1,381 2 1 1 1 5 Montana ............ 102 570 227 83 - Idaho............... 99 295 106 197 - Wyoming............. 2 56 6 43 1 1 - Colorido ........... 64 245 63 477 - New Mexico......... 4 51 42 210 - Arizona............ 13 43 172 183 1 5 Utah............... 150 459 65 188 2 - Nevada.............. 3 30 - PACIFIC.............. 501 1,394 2,531 1,866 1 5 10 Washington......... 184 325 1,068 353 - Oregon.............. 61 365 331 30 - California......... 177 526 873 1,378 5 10 Alaska............. 16 25 235 4 - Hawaii............. 63 153 24 101 1 - Puerto Rico 26 84 189 8 - Morbidity and Mortality Weekly Report Table 4. DEATHS IN 122 UNITED STATES CITIES FOR WEEK ENDED JANUARY 23, 1965 (By place of occurrence and week of filing certificate. Excludes fetal deaths) All Causes Pneumonia Under All Causes Pneumonia Under Area All 65 years and 1 year Area All 65 years and I year AgesInfluenza All Influenza All All Ages Causes Ages and over All Ages Causes 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.---- Springfield, 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.-------- 795 229 57 41 31 54 32 36 23 64 60 20 57 29 62 3,765 57 45 174 32 42 44 68 106 1,946 41 562 202 60 109 25 39 78 68 28 39 2,650 64 40 789 147 244 122 82 350 46 41 38 24 54 188 32 118 35 37 36 94 69 921 51 34 44 128 30 144 74 252 98 66 521 129 42 28 23 33 18 26 14 43 42 14 40 22 47 2,258 40 30 105 19 23 28 41 52 1,179 20 307 121 45 73 11 26 49 41 23 25 1,485 30 31 412 84 143 72 44 189 31 26 25 6 38 106 19 75 14 20 16 60 44 529 31 16 21 80 18 101 43 142 56 21 50 13 13 1 1 1 4 2 3 6 6 181 3 4 6 3 3 3 7 80 8 23 7 6 9 1 3 7 4 4 115 1 9 42 6 4 i 3 22 2 2 2 6 5 1 1 6 1 2 28 2 2 1 1 4 13 5 *Estimate based on average percent of divisional total. '' 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 Diego, Calif.------ San Francisco, Calif.-- San Jose, Calif.------- Seattle, Wash.--------- Spokane, Wash.--------- Tacoma, Wash.---------- 1,201 132 284 55 79 78 44 99 32 83 88 184 43 643 82 31 41 171 132 54 45 87 1,236 46 29 17 162 40 77 256 56 213 103 118 52 67 442 43 19 134 18 107 19 55 47 1,825 12 60 43 50 64 688 78 36 119 72 119 210 34 165 44 31 Total 13,478 7,740 582 803 Cumulative Totals including reported corrections for previous weeks All Causes, All Ages ------------------------- 41,936 All Causes, Age 65 and over------------------- 23,810 Pneumonia and Influenza, All Ages------------ 1,947 All Causes, Under 1 Year of Age--------------- 2,526 Week No. 3 618 64 135 28 37 38 15 56 12 69 53 87 24 340 38 21 22 95 63 27 19 55 615 23 15 11 75 16 43 117 28 107 52 64 22 42 252 22 8 83 12 57 7 33 30 1,122 9 34 34 24 51 410 49 26 68 41 69 134 21 99 31 22 ' UIIIVERSITY OF FLORIDA 3 1262 08864 2516 32 Morbidity and Mortality Weekly Report THE MORBIDITY AND MORTALITY WEEKLY REPORT, WITH A CIRCULA- TION OF 13,000 IS PUBLISHED BY THE COMMUNICABLE DISEASE CENTER. ATLANTA, GEORGIA 30333. CHIEF, COMMUNICABLE DISEASE CENTER 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 MORTAL T, TH-E 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 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 QUANTITY ZERO THE CONSTRUCTION OF THE MORTALITY CURVES IS DESCRIBED IN VOL. 14, NO. 1, JANUARY 15I 1965. x m )I- > 6 z m P n 30 z m m i,,1-"] F- m EN OP m -n 0 |
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