Morbidity and mortality

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


.'


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. -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


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