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Vol. 14, No. 9 Week Ending March 6, 1965 U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE EPIDEMIOLOGICAL NOTES INFLUENZA With the spread of Type A influenza in eastern U.S. from early January 1965, 22 States have now confirmed its presence serologically, and 10 of them have recovered A2 strain viruses as shown in the table (page 82). In a single instance,a T pe B virus has been recovered from a localized outbreak in Colorado, a State where serological evidence of Type A infection has also been reported. Seven other States describe influenza-like illnesses as yet not confirmed as influenza by laboratory methods. The epidemiological patterns in confirmed and sus- pect influenza outbreaks continue to be variable in some regions moderately widespread and in others scattered CONTENTS I: d'-plmi'. I', ic Notes Influenza . International Notes Influenza . . .. . 82-88 and sporadic. Influenza and pneumonia mortality reported from 122 U.S. cities during the week ending March 6 shows another excursion above the "epidemic threshold" ac- counted for by slightly elevated totals in the Middle At- lantic, East North Central, and West South Central Divi- sions. Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES (Cumulative totals include revised and delayed reports through previous weeks) 9th Week Ended Cumulative. First 9 Weeks Disease March 6, February 29, Median Median 1965 1964 1960 1964 1965 1964 1960 1964 Aseptic meningitis ................ 29 23 23 247 231 210 Brucellosis ....................... 4 10 10 34 66 66 Diphtheria ........................ 3 7 31 35 106 Encephalitis, primary infectious.. 37 28 --- 256 275 -- Encephalitis, post-infectious ..... 17 16 --- 116 83 --- Hepatitis, infectious including serum hepatitis ....... ......... 710 955 1,215 7,013 8,431 10,117 Measles ........................... 9,396 12,273 13,980 70,814 71,382 86,933 Meningococcal infections .......... 115 57 57 695 504 502 Poliomyelitis, Total .............. 5 2 9 64 Paralytic ...................... 1 2 5 38 Nonparalytic ...................- --- 4 --- Unspecified .....................- --- Streptococcal Sore Throat and Scarlet fever .................. 12,068 12,024 10,643 98,125 90,321 85,433 Tetanus ........................... 5 3 --" 33 41 -- Tularemia ......................... 2 8 -- 38 59 - Typhoid fever ..................... 8 3 8 61 59 66 Rabies in Animals ................. 100 81 79 839 636 -_ 589 Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY / Anthrax: Botulism: Leptospirosis: Hawaii 1, Texas 1 Malaria: New York Up-State 1 Plague: Psittacosis: Cum. 2 7 6 3 Rabies in Man: Smallpox: Trichinosis: Typhus- Murine: Rky Mt. Spotted: 520 r C. 6 -A If p MAR 19 6 Morbidity and Mortality Weekly Report INFLUENZA SUMMARY-1964-65' 1964 Puerto Rico Hawaii Oregon Maine 1965 Connecticut New Jersey Massachusetts Pennsylvania Missouri Maine New York Vermont New Hampshire Iowa Michigan Kansas Alabama Texas Florida Ohio Wisconsin Colorado Washington, D. C. Georgia Illinois Louisiana 1965 Mississippi Arkansas Tennessee North Carolina Oklahoma South Carolina Virginia * Based on State Reports. CONFIRMED OUTBREAKS X August X September X October X November December January January January January January January January January January January February February February February February February February March March March March INFLUENZA-LIKE ILLNESS X January X January X February X February X February X February X March INTERNATIONAL NOTES INFLUENZA EUROPE Czechoslovakia, Spain, Denmark and Switzerland No outbreaks of an influenza-like illness have been reported up to February 23, 1965. Austria (Information on March 2, 1963). A moderate rise in the frequency of mild respiratory illnesses has been ob- served during the last fortnight. No case of influenza virus has been confirmed. (Continued on page 88) A A A A A A A A A A A A A A A A A B,A A A A A Morbidity and Mortality % weekly Report PNEUMONIA-INFLUENZA DEATHS IN 122 UNITED STATES CITIES 200- W.N. CENTRAL 10 CITIES 5IUU ~ 50 WK NO 40o 44 48 53 4 8 12 16 20 24 28 32 1964 1965 15C 100 MOUNTAIN 8 CITIES 1,, E.N. CENTRAL 100- 21 CITIES 75- 50I 25- 40 44 48 53 4 8 12 16 20 24 28 32 1964 1965 40 44 48 53 4 8 12 16 20 24 28 32 36 1964 '1965 W.S. CENTRAL 13 CITIES 100- - 50- SOUTH ATLANTIC 12 CITIES . AV*LZL WK NO 40 44 48 53 4 8 12 16 20 24 28 32 40 44 48 4 8 12 16 20 24 28 32 40 44 48 53 4 8 12 16 20 24 28 32 36 1964 1965 1964 1965 1964 1965 200 PACIFIC 16 CITIES 100- 50- 0 NEW ENGLAND 14 CITIES i..e n a l o n i st s u s i ss e b u s i n e s i s e d I n d e ed e ra l .' ^ "l'ir l,,i|, il n,,l ,,li ,l l,,,h ,,h l l . -1- 1, 1- .., I I"Ih. I"r%., .i n, an1s|II I I 84 Morbidity and Mortality Weekly Report Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED MARCH 6, 1965 AND FEBRUARY 29, 1964 (9th Week) Asetic Encephalitis Poliomyelitis Diphtheria Aseptic Meningitis Primary Post-Inf. Total Cases Paralytic Area Cumulative Cumulative Cum. 1965 1964 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965 UNITED STATES... 29 23 37 17 2 9 2 5 3 31 NEW ENGLAND.......... 1 1 2 1 Maine............... . New Hampshire ...... - Vermont ............ - Massachusetts...... 1 1 Rhode Island....... 1 2 - Connecticut........ - MIDDLE ATLANTIC...... 3 8 2 2 2 2 New York City ...... 3 1 New York, Up-State. 1 1 1 1 - New Jersey......... 2 4 1 - Pennsylvania...... 1 1 1 EAST NORTH CENTRAL... 4 4 4 1 2 Ohio............... 3 1 Indiana............ 1 1 Illinois........... 1 1 1 - Michigan............ 3 2 - Wisconsin.......... - WEST NORTH CENTRAL... 3 4 7 Minnesota........... 3 1 4 Iowa............... . Missouri............ - North Dakota....... - South Dakota....... 2 - Nebraska........... I Kansas............. . SOUTH ATLANTIC....... 5 1 8 1 5 2 8 Delaware........... - Maryland........... - Dist. of Columbia.. 3 Virginia........... 1 1 1 - West Virginia...... - North Carolina..... 3 1 South Carolina..... - Georgia............ 2 Florida............ 3 1 7 2 2 2 EAST SOUTH CENTRAL... 5 4 1 3 Kentucky........... 5 3 - Tennessee.......... 1 - Alabama............. 2 Mississippi ......... 1 WEST SOUTH CENTRAL... 5 3 2 2 1 6 Arkansas............ 1 1 1 - Louisiana ......... 1 Oklahoma........... 2 - Texas............... 3 2 1 1 1 4 MOUNTAIN............. 1 2 4 1 - Montana............ - Idaho............... . Wyoming .. ......... - Colorado............ 1 1 4 - New Mexico.......... . Arizona........... - Utah................. 1 - Nevada............. . PACIFIC............... 6 8 8 7 1 1 2 2 Washington............ 1 - Oregon ............. - California.......... 6 7 4 7 1 1 2 2 Alaska.............. -. Hawaii............. 1 2 - Puerto Rico 3- = . Morhidily and Mortality Weekly Report 85 Table 3. (AIS 01- P IPl (IF-I ) NO'l HIIIAl I) D1 1 AI I UNITED STATES FOR WEEKS INI)H) MARCH 6, 1965 AND FEBRUARY 29, 1964 (9th Week) (ONTINLIED Brucel- Infectious Hepatitis MeningIocccal loss including Serum Hepatitis Infections Tetanus Area Total Under 20 years Cumulative incl.unk. 20 years and over Totals Cumulative Cum. 1965 1965 1965 1965 1965 1964 1965 1965 1964 1965 1965 UNITED STATES... 4 710 387 293 7,013 8,431 115 695 504 5 33 NEW ENGIAND.......... 38 20 17 417 1,015 2 35 14 1 2 Maine............... 9 7 2 96 368 5 1 - New Hampshire...... 36 97 1 1 Vermont............. 1 32 115 - Massachusetts...... 13 5 8 137 187 1 15 6 1 1 Rhode Island....... 4 4 45 42 1 5 2 - Connecticut........ 11 8 3 71 206 9 5 - MIDDLE ATLANTIC...... 126 62 64 1,261 1,876 26 111 58 1 New York City...... 23 7 16 209 252 4 17 9 - New York, Up-State. 63 39 24 609 906 8 28 18 1 New Jersey......... 15 6 9 152 280 4 37 14 - Pennsylvania....... 25 10 15 291 438 10 29 17 - EAST NORTH CENTRAL... 128 78 46 1,395 1,245 5 77 81 - Ohio............... 55 40 14 462 347 1 22 25 - Indiana............. 14 10 4 115 90 8 10 - Illinois........... 14 4 9 249 201 1 18 17 - Michigan........... 41 22 18 500 552 1 17 24 - Wisconsin .......... 4 2 1 69 55 2 12 5 - WEST NORTH CENTRAL... 2 45 22 20 457 543 9 34 21 2 Minnesota.......... 4 3 39 32 5 9 5 1 Iowa............... 13 5 6 193 84 1 1 1 - Missouri........... 2 8 4 4 84 129 1 15 8 1 North Dakota....... 2 2 5 29 3 3 South Dakota....... 6 65 1 2 Nebraska........... 11 16 1- 1 Kansas............. 18 13 5 119 188 1 4 3 SOUTH ATLANTIC....... 78 47 26 737 796 19 139 115 1 10 Delaware............ 4 2 2 31 14 1 3 1 - Maryland........... 9 8 1 168 135 2 8 11 1 Dist. of Columbia.. 1 1 7 15 3 2 Virginia........... 30 18 8 134 113 2 19 9 1 West Virginia...... 12 11 1 143 141 10 10 - North Carolina..... 6 2 4 72 163 3 25 12 1 South Carolina..... 1 26 27 3 18 13 - Georgia............. 2 1 1 33 12 1 22 10 3 Florida............. 13 5 8 123 176 7 31 47 1 4 EAST SOUTH CENTRAL... 1 54 34 20 540 569 6 34 41 7 Kentucky............ 14 9 5 187 276 3 11 8 1 Tennessee.......... 26 19 7 219 192 2 14 20 3 Alabama............ 1 9 4 5 85 69 7 7 2 Mississippi........ 5 2 3 49 32 1 2 6 1 WEST SOUTH CENTRAL... 1 53 30 22 656 572 23 92 68 1 6 Arkansas........... 4 1 3 99 73 1 7 4 1 Louisiana.......... 1 11 5 6 112 103 14 41 26 1 2 Oklahoma........... 3 2 1 29 35 1 10 3 - Texas............... 35 22 12 416 361 7 34 35 3 MOUNTAIN............. 50 23 12 382 540 7 40 25 1 Montana............ 8 4 4 43 53 - Idaho.............. 3 54 46 4 1 - Wyoming............. 1 1 24 24 1 1 - Colorado............ 14 12 2 54 139 1 8 6 1 New Mexico......... 8 3 1 66 94 1 10 10 - Arizona............ 7 83 116 5 11 2 - Utah............... 8 4 4 53 58 4 1 - Nevada............. 1 5 10 2 4 - PACIFIC.............. 138 71 66 1,168 1,275 18 133 81 2 4 Washington......... 5 3 2 99 141 7 6 - Oregon.............. 12 6 6 95 154 3 11 4 - California......... 110 57 53 877 903 14 113 66 2 4 Alaska.............. 11 5 5 89 44 1 2 - Hawaii............. .- 8 33 1 1 3 - Puerto Rico 28 22 6 140 117 2 8 7 86 Morbidity and Mortality Weekly Report Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED MARCH 6, 1965 AND FEBRUARY 29, 1964 (9th 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... 9,396 70,814 71,382 12,068 2 38 8 61 100 839 NEW ENGLAND.......... 1,602 15,764 3,837 1,394 1 1 1 11 Maine.............. 71 1,540 531 121 - New Hampshire...... 21 235 28 27 - Vermont............ 31 150 1,064 34 1 10 Massachusetts...... 829 9,068 669 127 1 1 Rhode Island....... 226 2,003 249 50 - Connecticut........ 424 2,768 1,296 1,035 1 MIDDLE ATLANTIC...... 393 2,561 12,475 598 2 7 4 24 New York City...... 29 275 4,498 26 2 5 - New York, Up-State. 145 852 2,510 409 2 4 22 New Jersey......... 72 451 2,801 76 - Pennsylvania....... 147 983 2,666 87 2 EAST NORTH CENTRAL... 1,052 11,955 15,370 1,283 7 4 45 Ohio............... 195 2,475 2,505 183 2 - Indiana............. 156 607 3,294 187 2 7 Illinois........... 39 359 3,818 244 1 3 11 Michigan........... 405 6,154 4,256 300 1 10 Wisconsin........... 257 2,360 1,497 369 1 1 17 WEST NORTH CENTRAL... 689 5,643 1,787 601 3 3 15 147 Minnesota........... 17 140 75 11 1 38 Iowa............... 275 3,064 740 135 8 51 Missouri........... 132 717 191 4 2 3 4 22 North Dakota........ 231 1,547 770 285 7 South Dakota ...... 22 47 3 31 1 8 Nebraska........... 12 128 8 5 Kansas............. NN NN NN 135 1 1 16 SOUTH ATLANTIC....... 1,247 9,836 6,770 1,395 12 16 16 134 Delaware........... 69 191 80 2 - Maryland........... 57 334 1,059 369 6 2 Dist. of Columbia.. 2 12 138 22 - Virginia............ 105 1,255 1,498 317 3 2 13 112 West Virginia...... 823 6,881 1,978 467 I 2 North Carolina..... 9 127 279 22 2 4 - South Carolina..... 24 178 1,113 38 2 - Georgia............ 71 270 105 34 5 3 12 Florida............ 87 588 520 126 6 EAST SOUTH CENTRAL... 547 3,756 9,720 1,818 1 10 2 5 31 296 Kentucky........... 6 273 4,851 153 1 2 2 2 2 17 Tennessee.......... 309 2,359 4,027 1,430 7 2 29 273 Alabama............ 175 829 211 81 1 1 6 Mississippi........ 57 295 631 154 - WEST SOUTH CENTRAL... 1,813 8,958 7,940 973 8 1 10 20 123 Arkansas........... 9 629 214 3 4 I 4 1 22 Louisiana.......... 4 21 27 1 I 2 4 31 Oklahoma........... 12 58 66 90 3 1 4 22 Texas.............. 1,788 8,250 7,633 879 3 11 48 MOUNTAIN............ 960 5,905 3,216 1,880 1 5 2 10 2 19 Montana............ 162 1,746 773 48 1 1 1 3 Idaho.............. 154 918 456 153 - Wyoming............ 50 176 17 30 -- 1 - Colorado............ 212 910 350 1,004 - New Mexico......... 26 125 81 236 2 6 - Arizona............ 38 174 1,167 157 3 1 16 Utah............... 295 1,808 228 250 4 - Nevada............. 23 48 144 2 - PACIFIC.............. 1,093 6,436 10,267 2,126 2 7 40 Washington......... 349 2,042 3,951 321 - Oregon............. 121 1,034 1,176 32 1 California......... 524 2,666 4,351 1,631 1 7 39 Alaska............. 9 65 720 27 - Hawaii ............. 90 629 69 115 -- 1- Puerto Rico 55 297 841 14 1 Morbidity and Mortality Weekly Report Week No. Table 4. DEATHS IN 122 UNITED STATES CITIES FOR WEEK FNDFI) MARCH 6, 1965 9 (By place of occurrence and week of filing certificate. Excludes fetal deaths) All Causes Pneumonia Under All Causes Pneumonia Under a nd Ii year I and 1 year Area All 65 years and 1 year Area All 65 years anf n yAll Ages and over Influenza All Ages and over Ifluen Ca A All Ages Causes 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.-------- 718 197 52 34 32 41 22 24 27 44 71 15 57 35 67 3,420 42 47 123 40 23 48 92 104 1,758 38 513 218 52 94 28 28 68 37 37 30 3,091 70 51 911 197 243 146 89 473 43 60 66 29 48 188 44 128 36 29 44 130 66 947 71 32 40 147 29 137 78 301 74 38 467 117 38 26 26 24 18 15 18 24 44 13 37 24 43 2,026 28 22 65 22 13 28 52 58 1,043 17 322 121 38 61 16 20 41 21 24 14 1,770 36 26 518 118 136 84 46 267 31 31 41 10 32 95 24 81 23 15 31 83 42 578 53 17 22 92 22 69 51 190 42 20 *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.---------- 1,303 145 281 39 74 103 57 101 44 107 114 192 46 660 115 58 41 134 132 48 46 86 1,332 35 34 42 170 44 109 259 71 214 95 132 68 59 445 32 23 130 20 102 19 57 62 1,791 19 49 48 47 55 639 91 43 126 75 95 220 51 151 41 41 676 64 152 19 33 60 25 52 22 83 59 85 22 348 52 27 19 78 66 30 24 52 675 23 16 20 92 25 62 109 35 96 56 69 37 35 253 21 13 79 11 47 11 30 41 1,068 13 31 36 24 43 359 59 31 75 45 51 124 28 101 22 26 Total 13,707 1 7,861 727 733 Cumulative Totals including reported corrections for previous weeks All Causes, All Ages ------------------------- 122,324 All Causes, Age 65 and over------------------- 69,978 Pneumonia and Influenza, All Ages------------- 6,064 All Causes, Under 1 Year of Age--------------- 7,179 " " Morbidity and Mortality Weekly Report INTERNATIONAL NOTES INFLUENZA Continued France (Information on February 23, 1965). Serological evidence of infection with virus A has been obtained in epidemic foci in Gueret (Creuse Department) and in Brive (Correze), as well as in cases in Bourg-en-Bresse (Ain) and in Toulon (Var). Influenza-like illness has also been, reported at the Niort Hospice (Deux-Sevres). Netherlands (Information on March 2, 1965). In the second half of February, influenza B virus has been isolated from one patient and serological evidence of influenza B has been obtained in 3 others. Influenza A2 virus has been isolated from one patient in an outbreak of clinical influenza on a Swedish ship in Rotterdam. There is no evidence of epi- demic influenza in the civilian population. Sweden (Information on February 26, 1965). Since the be- ginning of February between 800 and 1000 cases of in- fluenza-like disease have been observed in Stockholm and northern Sweden where the incidence appears to be de- creasing already. Serological evidence of influenza A has been obtained in 4 cases and a hemagglutinating agent, preliminary identified as influenza A2 virus, has been isolated from a patient recently arrived from Finland. During the last week 2 minor outbreaks of clinical in- fluenza have been reported from military units in Stock- holm and from a boarding school in northern Sweden. There is, as yet, no evidence of an epidemic spread of the disease. (Reported in the Weekly Epidemiological Record of the World Health Organization, March 5, 1965.) UNIVERSITY OF FLORIDA 3 1262 08864 2623 THE MORBIDITY AND MORT ALITY WEEKLY REPORT. WITH A CIRCULA- TiON OF I j.00 15 I PUBLISHED BY THE COMMUNICABLE DISEASE CENTER. ATLANTA GEORGIA 30333 Ci-mIEF. COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D. C-MIEF EPIDEMIOLOGY BRANCH A. D. LANOMUIR. M.D. CHIEF. .TATISTICS SECTION R. E SERFLING. PH.D. A ST C IEF. STATISTICS SECTION IDA L. SHERMAN, M.S. CHIEF SURVErLLANCE SECTIONN D. A. HENDERSON. M.D. ASSISTANT EDITOR MM R PAUL D. STOLLEY. M.D. IN ADDITION TO THE ESTABLIS-ED PROCEDURES FOR REPORTING MORBID IT AND MORTALITY TnE COMMUNICABLE DISEASE CENTER WELCOMES ACCOUNTS OF INTERESTING OUTBREAKS OR CASES. SUCH ACCOUNTS SHOULD BE ADCRESSEO TO THE EDITOR MORBIDITY AND MORTALITY WEEKLY REPORT COMMUNICABLE DISEASE CENTER ATLANTA GEORGIA 30333 NOTE TI-IESE PROVISIONAL DATA ARE BASED ON WEEKLY TELE- GRAME TO THE COC BY THE INDIVIDUAL STATE HEALTH DEPART- MENTS. T1-E REPORTING WEEK CONCLUDES ON SATURDAY; COMPILED DATA ON A NATIONAL BASIS ARE RELEASED ON THE SUCCEEDING FRIDAY. SYMB6OLS---DATA NOT AVAILABLE O QUANTITY ZERO THE CONSTRUCTION OF THE MORTALITY CURVES IS DESCRIBED IN ,OL. 14. NO 1 n C ,- a n * n Um SUNIV OF FL LIB DOCUM NTS DEPT SDEPOSI . U.S DEPOSITORY |
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