Morbidity and mortality

T- -


Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


I CO *MMUIALfIS C


ATLANTA, GEC)RGIA 30333


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THIE UNIT"
DEATHS IN SELECTED CITIES FOR WEEK ENDED NOVEMBER 7, 1964

EPIDEMIOLOGIC NOTES


ENCEPHALITIS
The 1964 cumulative total of cases of primary infec-
tious encephalitis reached 2,878 the week ended November
7. There were 58 cases reported this week; 12 of these
were from New Jersey. The epidemic in Camden and
Burlington Counties, New Jersey and contiguous areas of
Pennsylvania has apparently ended and these cases
represent delayed reports.

RABIES
To date this year, only one case of human rabies has
been reported (see MMWR, Vol. 13, No. 38). This case


occurred in Minnesota and the biting animal was believed
to have been a skunk. Fifty-six cases of rabies in animals
were reported this week making the cumulative total thus
far this year 3,914. This is somewhat higher than the
3,300 cases reported through the past 45 weeks of 1963
and the 3,222 cases which represent the median number
of cases for the same period 1959-1963. The increased
number of cases of animal rabies is largely accounted for
by increased incidence of skunk rabies in the Midwest
and fox rabies in Virginia and Tennessee.
This week, a special report on the significance of
rabies in the Order Rodentia is included.


Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES
(Cumulative totals include revised and delayed reports through previous weeks)
45th Week Ended Cumulative. First 45 Weeks
Disease November 7, November 9, Median Median
1964 1963 1959 1963 1964 1963 1959 1963
Aseptic meningitis ................ 56 41 --- 1,859 1,628 ---
Brucellosis ....................... 1 2 11 347 317 511
Diphtheria ........................ 7 7 13 241 233 494
Encephalitis, primary infectious.. 58 23 --- 2,878 1,366 "
Encephalitis, post-infectious ..... 2 --- 729 ---
Hepatitis, infectious including
serum hepatitis ................ 666 805 805 33,087 37,499 37,499
Measles ........................... 1,885 1,606 1,904 442,175 366,988 397,137
Meningococcal infections .......... 50 38 36 2,345 2,067 1,911
Poliomyelitis, Total .............. 3 6 37 110 378 1,210
Paralytic ..................... 3 6 28 86 322 787
Nonparalytic ................... --- 13 39 ---
Unspecified ....................- --- 11 17 ---
Streptococcal Sore Throat and
Scarlet fever .................. 7,180 6,090 --- 340,340 291,140 ---
Tetanus ........................... 4 10 --- 244 242 ---
Tularemia ........................ 5 2 --- 291 259
Typhoid fever ..................... 38 9 11 401 473 715
Rabies in Animals ................. 56 59 58 3,914 3,300 3,222

Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY
Cum. Cum.
Anthrax: 4 Psittacosis: Tenn 1 41
Botulism: 15 Rabies in Man: 1
Leptospirosis: 95 Smallpox:
Malaria: N.Y. City 1, Pa 1, Va 1 87 Typhus-
Plague: Murine: 22
SRky Mt. Spotted: 217
Figures for current week exclude missing report from Hawaii.


--


For re ease oem er I


I / -


l N b 13 1964






Morbidity and Mortality Weekly Report


MARYLAND Squirrel Rabies


On October.21, 1964', the Bureau of Laboratories of
the M\ar land State Department of Health confirmed a case
of rabies in a gray squirrel by both fluorescent antibody
and Sellers tests. The squirrel came from a home in Anne
Arundel County which had adopted it during the first week
of October. It had been found with a wounded paw and
either bht or severely scratched nine people during the
two weeks before its death on October 17 or 18. The
body was discarded but recovered after one of the victims,
bitten on October 16, sought the advice of a physician.
All nine of the exposed individuals are now receiving


duck embryo origin rabies vaccine. The Department of
Game and Inland Fish is assisting in an animal trapping
program in the area. This is but the second case of
animal rabies found in Maryland during 1964. The first
was a fox from Montgomery County found infected during
September.
(Reported by Dr. J. Howard Beard, Anne Arundel County
Health Officer, Annapolis, Varyland and Dr. Kenneth L.
Crawford, Public Health Veterinarian, Division of Epi-
Jermology, Maryland State Department of Health, Balti-
more, Maryland.)


THE ROLE OF RODENTS IN THE EPIDEMIOLOGY
OF RABIES


A substantial number of the humans bitten by animals
receive their wounds from some member of the Order
Rodentia. In most of these cases the perplexing question
is whether or not the patient was exposed to rabies as a
result of the bite. The following data are given to assist
in the evaluation of this question.
The Order Rodentia is very large, both in numbers
of species and numbers of individuals. It includes many
species of rats and mice, both those found as pests in
human habitats and the many and varied wild varieties:
gophers, muskrats, voles, lemmings, porcupines, nutria,
and beaver. Also included are the many members of the
squirrel family: woodchucks (or groundhogs), marmots,
prairie dogs, tree squirrels, ground squirrels, and chip-
munks. Guinea pigs and hamsters are domesticated
rodents.
Because they frequently bite, occasionally even
when unprovoked,, large numbers of rodents are examined
for rabies by health laboratories each year. A review of
the rabies examinations done at the laboratories of three
State Health Departments during 1962 show that 21.5
percent of the animals examined were from the Order
Rodentia (Table 1). The rodent species most often found
biting man, and examined for rabies, are squirrels.
In spite of the relatively large number (Table 1) of
rodents examined for rabies very few are found infected.
For the 10 year period from 1954 through 1963, only 199
of the 47,211 laboratory confirmed cases of animal rabies
reported in the United States were rodents (Table 2).
This is 0.42 percent of the total number of rabid animals;
the 82 squirrels reported infected during this period
represents only 0.17 percent of the total. Thirteen different
rodent species were reported rabies-positive during this
10 year period (Table 3). In the number of cases reported,
squirrels were followed by woodchucks, rats, muskrats,
mice, gophers, chipmunks, hamsters, beaver, porcupines,
prairie dogs, flying squirrels and guinea pigs.


Table 1
RODENTS EXAMINED FOR RABIES AT THE LABORATORIES
OF THREE STATE HEALTH DEPARTMENTS* 1962

Animal Number Examined Number Positive
Beaver 1 -
Chipmunks 63 -
Gophers 64 -
Ground Hogs 4 -
Guinea Pigs 10 -
Hamsters 157 -
Mice 74
Muskrats 21
Rats 106** -
Squirrels 288
Voles 68
Woodchucks 2 -
858 0
Total animals examined by these laboratories 3975
Percent of rodents in the total animals sampled 21.5%
*Arkansas, Minnesota, and Tennessee (During 1962, there were 501
cases of rabies in other wild life species in these 3 States)
**27 of these 106 were called "rats and mice"



Table 2
REPORTED LABORATORY CONFIRMED CASES OF RABIES
IN ALL ANIMALS, RODENTS, AND SQUIRRELS
1954 1963

All Animals Rodents Squirrels
1954 7276 19 8
1955 5839 12 10
1956 5836 29 11
1957 4796 28 15
1958 4808 40 20
1959 4077 13 1
1960 3455 18 6
1961 3467 13 5
1962 3725 11 1
1963 3932 16 5
Totals 47211 199 82
Percent of total confirmed rabies
cases 0.42 0.17


398







399


Morbidity and Mortality Weekly Report


Table 3
REPORTED LABORATORY CONFIRMED CASES OF RABIES IN RODENTS
1954 1963


Guinea Flying Prairie
Pigs Hamsters Mice Rats Squirrels Squirrels Chipmunks Gophers Muskrats Woodchucks* dogs Porcupines Beaver Total
1954 5 8 2 4 19
1955 1 10 1 12
1956 1 6 11 5 1 2 3 29
1957 3 2 15 2 1 2 2 1 28
1958 1 4 3 20 6 1 5 40
1959 5 1 1 4 2 13
1960 1 3 6 1 1 4 1 1 18
1961 1 5 1 1 4 1 13
1962 1 1 1 4 4 11
1963 3 5 4 4 16

Total 1 5 13 22 82 1 7 12 19 32 1 1 3 199

*Also includes "ground hogs"


It should be noted that the number of reported cases
of rabies in rodents has decreased in recent years. This
is at least partly due to the fact that the traditional
examination of brain smears for Negri bodies has been
widely supplemented, or replaced, by the fluorescent
rabies antibody test. This more specific test has helped
to eliminate the necessity of differentiating between
Negri, and "Negri-like", inclusion bodies. Since in-
clusion bodies other than Negri bodies are frequently
found in animal brain smears it seems likely that many
false-positive diagnoses were made during the time


when this test was almost exclusively used as a diag-
nostic criteria.
Occasional cases of rabies do occur in rodents of
different species but certainly less frequently than even
the scant number of reported cases indicates. Rabies
infection in a rodent appears to be rare enough to merit
the conduction of virus isolation and serum neutralizing
identification tests on animal specimens suspected of
being rabies-positive by other tests.


(Reported by Rabies Surveillance Unit, CDC)


SUMMARY OF REPORTED CASES OF INFECTIOUS SYPHILIS OCTOBER 1964 OCTOBER 1963
CASES OF PRIMARY AND SECONDARY SYPHILIS: By Reporting Area October 1964 and October 1963 Provisional Data

Cumulative Cumulative
Reporting Area October Jan Oct Reporting Area october Jan Oct
1964 1963 1964 1963 1964 1963 1964 1963
NEW ENGLAND............... 37 56 402 395 EAST SOUTH CENTRAL........ 196 144 1,545 1,305
Maine.................... 1 2 5 9 Kentucky ................. 23 15 139 134
New Hampshire............ 1 9 5 Tennessee................ 42 38 376 339
Vermont .................. 1 3 7 Alabama.................. 83 71 753 584
Massachusetts............. 26 36 240 247 Mississippi............... 48 20 277 248
Rhode Island............. 2 13 15
Connecticut............... 9 15 132 112 WEST SOUTH CENTRAL........ 246 240 2,201 2,298
Arkansas ................. 30 13 177 173
MIDDLE ATLANTIC........... 486 703 4,570 5,111 Louisiana ................ 82 54 621 476
Upstate New York.......... 58 86 556 585 Oklahoma................. 9 21 122 164
New York City............ 284 415 2,640 2,860 Texas.................... 125 152 1,281 1,485
Pa. (Excl. Phila.)...... 24 34 154 144
Philadelphia............. 12 41 258 547 MOUNTAIN .................. 46 47 453 406
New Jersey............... 108 127 962 975 Montana.................. 1 3 29 9
Idaho...................... 2 6 6
EAST NORTH CENTRAL........ 271 186 1,994 1,654 Wyoming .................. 5 8 15
Ohio...................... 74 34 471 324 Colorado................. 4 3 28 31
Indiana.................. 9 7 56 46 New Mexico................ 8 17 157 109
Downstate Illinois....... 14 15 128 101 Arizona.................. 21 13 184 171
Chicago.................. 101 86 769 764 Utah..................... 1 2 9 15
Michigan................. 60 37 506 367 Nevada................... 9 4 32 50
Wisconsin................. 13 7 64 52
PACIFIC................... 187 254 1,861 1,859
WEST NORTH CENTRAL........ 62 44 457 414 Washington............... 3 17 64 106
Minnesota................ 11 8 109 64 Oregon................... 12 8 67 55
Iowa..................... 4 1 28 25 California .............. 171 226 1,707 1,675
Missouri ................. 31 22 206 191 Alaska................... 1 1 9 6
North Dakota............. 4 Hawaii................... 2 14 17
South Dakota............. 7 2 44 26
Nebraska................. 6 2 45 52 U. S. TOTAL............... 2,090 2,274 19,274 18,741
Kansas................... 3 9 25 52
TERRITORIES............... 100 128 747 698
SOUTH ATLANTIC............ 559 600 5,791 5,299 Puerto Rico............... 95 126 722 683
Delaware.................. 6 5 75 44 Virgin Islands............ 5 2 25 15
Maryland................. 48 51 446 474
District of Columbia..... 53 46 610 599
Virginia................. 36 36 250 279
West Virginia............. 7 7 44 37
North Carolina............ 75 74 932 754 Note: Cumulative Totals include revised and delayed reports
South Carolina........... 63 58 734 607 through previous months.
Georgia .................. 90 106 969 913
Florida.................. 181 217 1,731 1,592









400 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 7, 1964 AND NOVEMBER 9, 1963 (45TH WEEK)


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... 56 41 58 2 3 6 110 378 3 6 86 322

NEW ENGLAND.......... 2 2 2 8 2 8
Maine............... 2 2
New Hampshire...... -
Vermont............ 1 1
Massachusetts...... 3 3
Rhode Island....... 2 -
Connecticut........ 2 2 2 2 2

MIDDLE ATLANTIC...... 5 5 26 1 15 116 13 93
New York City...... 1 5 2 2 -
New York, Up-State. 3 3 1 10 9 9 6
New Jersey ........ 2 12 3 4 2 3
Pennsylvania....... 1 8 1 103 84

EAST NORTH CENTRAL... 3 8 13 1 23 57 1 15 46
Ohio............... 3 3 8 2 4
Indiana............ 1 5 8 4 5 3
Illinois........... 1 6 4 5 17 5 16
Michigan........... 1 2 1 1 4 20 1 2 20
Wisconsin.......... 3 8 1 3

WEST NORTH CENTRAL... 4 1 10 6 1 8 5
Minnesota.......... 4 3 4 2 4
Iowa................ I 1 1 -
Missouri ........... 4 3
North Dakota.. 1 1 i
South Dakota....... -
Nebraska............. 1
Kansas................ 1 1

SOUTH ATLANTIC....... 5 2 5 2 3 33 70 2 3 27 60
Delaware............ 1 1
Maryland........... I- 1 1 1 1 1
Dist. of Columbia.. 2 1 -
Virginia........... 1 2 1 4 18 4 13
West Virginia...... 1 1 3 1 3
North Carolina ..... 1 12 3 1 7 3
South Carolina..... 1 3 7 3 6
Georgia............ 1 2 2 21 1 2 2 20
Florida............ 1 2 1 10 15 1 9 13

EAST SOUTH CENTRAL... 8 1 3 1 6 70 1 5 64
Kentucky........... 7 -
Tennessee.......... 1 1 3 10 2 9
Alabama..,........... 1 2 52 1 2 47
Mississippi........ 2 1 8 1 8

WEST SOUTH CENTRAL... 3 2 1 1 10 24 1 8 23
Arkansas........... 1 4 3
Louisiana.......... 13 13
Oklahoma........... 1 3 2 -
Texas............... 3 1 1 7 7 1 6 7

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

PACIFIC.............. 24 21 7 1 3 21 3 18
Washington......... 1 2 2 2 2
Oregon ............. -2 1 2 1 1
California.......... 23 19 3 1 2 17 2 15
Alaska.............. -
Hawaii............. -- --- -

Puerto Rico 5 I 4









Morbidity and Mortality Weekly Report 401


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED

NOVEMBER 7, 1964 AND NOVEMBER 9, 1963 (45TH WEEK) CONTINUED


Infectious Hepatitis
Brucellosis Diphtheria including Serum Hepatitis Typhoid Fever

Area Under 20 years Age
Gum. Cum. 'otal 20 years and over Unknown Cumulative Cum.
1964 1964 1964 1964 1964 1964 1964 1964 1964 1963 1964 1964

UNITED STATES... 1 347 7 241 666 333 295 38 33,087 37,499 38 401

NEW ENGLAND.......... 2 44 47 24 18 5 2,992 4,220 1 17
Maine.............. 39 14 8 5 1 936 1,883
New Hampshire...... 1 1 231 507
Vermont............. 4 2 2 359 110 -
Massachusetts...... 2 5 17 12 4 1 680 1,088 1 8
Rhode Island....... 2 1 1 182 99 6
Connecticut........ 9 2 7 604 533 3

MIDDLE ATLANTIC...... 5 10 144 73 71 7,295 7,416 3 64
New York City ..... 5 29 11 18 1,129 1,157 1 33
New York, Up-State. 2 57 30 27 3,155 3,191 2 12
New Jersey......... 2 19 10 9 1,231 1,098 2
Pennsylvania....... 3 3 39 22 17 1,780 1,970 17

EAST NORTH CENTRAL... 49 8 118 58 54 6 5,218 6,042 1 80
Ohio............... 5 37 22 12 3 1,376 1,649 19
Indiana............ 1 1 7 3 4 442 538 24
Illinois........... 28 6 22 9 13 969 1,282 1 23
Michigan........... 6 1 47 23 24 2,072 2,297 11
Wisconsin........... 9 5 1 1 3 359 276 3

WEST NORTH CENTRAL... 142 34 47 33 13 1 1,801 1,653 1 30
Minnesota.......... 9 18 5 3 2 213 259 3
Iowa............... 88 26 20 5 1 310 306 4
Missouri........... 10 1 3 2 1 442 565 1 13
North Dakota....... 2 2 1 1 63 76 2
South Dakota....... 17 2 1 1 131 110 1
Nebraska........... 13 4 48 113 3
Kansas............. 3 7 11 7 4 594 224 4

SOUTH ATLANTIC....... 36 6 66 55 25 29 1 3,098 3,798 23 92
Delaware............ 1 I 68 72
Maryland........... 2 2 557 479 1 8
Dist. of Columbia.. 1 1 64 106
Virginia........... 16 4 4 13 5 8 491 758 11
West Virginia...... 7 4 3 441 578 -
North Carolina..... 4 1 1 10 8 2 513 954 19
South Carolina ..... 7 6 1 5 125 154 11
Georgia............. 12 29 4 4 103 166 22 27
Florida............ 4 1 25 11 5 5 1 736 531 16

EAST SOUTH CENTRAL ... 18 1 26 45 25 18 2 2,272 3,476 5 39
Kentucky........... 6 14 7 5 2 800 1,005 10
Tennessee.......... .- 5 2 15 8 7 802 1,361 1 17
Alabama ........... .- 4 1 19 12 6 6 444 544 1 7
Mississippi........ 3 5 4 4 226 566 3 5

WEST SOUTH CENTRAL.., 1 42 36 42 19 22 1 2,576 2,590 1 32
Arkansas........... 6 3 255 288 1 14
Louisiana.......... 4 10 11 3 7 1 629 532 5
Oklahoma.......... .. 7 3 3 125 117 9
Texas.............. 1 25 23 28 16 12 1,567 1,653 4

MOUNTAIN ............. 31 3 39 7 10 22 1,996 2,381 2 12
Montana............ .- 1 171 306
Idaho................... 4 4 280 408
Wyoming.............. .. 1 1 80 32 1
Colorado........... 9 1 8 525 485
New Mexico ......... 1 1 7 3 4 276 282 2 4
Arizona............ 2 2 10 10 439 538 7
Utah............... 27 7 2 5 174 312
Nevada............. 1 51 18 -

PACIFIC.............. 22 14 129 69 60 5,839 5,923 1 35
Washington ........ 13 10 4 6 589 1,009 2
Oregon............. 2 7 4 3 591 708 -
California......... 20 1 99 48 51 4,287 3,991 1 33
Alaska............. 13 13 260 174 -
Hawaii................ --- -- --- --- --- -- 112 41

Puerto Rico 12 12 12 866 766 13









402 Morbidity and Mortality Weekly Report


Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

FOR WEEKS ENDED
NOVEMBER 7, 1964 AND NOVEMBER 9, 1963 (45TH WEEK) CONTINUED


Streptococcal
Meningococcal Sore Throat and Rabies in
Measles Meningitis Scarlet Fever Tetanus Tularemia Animals
Area ---
Cumulative Cum. Cum. Cum.
1964 1964 1964 1963 1964 1963 1964 1964 1964 1964 1964 1964
UNITED STATES... 1,885 50 2,345 2,067 7,180 6,090 4 244 5 291 56 3,914

NEW ENGLAND.......... 446 1 76 125 580 916 9 1 33
Maine............... 73 6 18 67 543 28
New Hampshire...... 24 2 4 1 2
Vermont............. 9 4 5 1 2
Massachusetts...... 174 31 58 75 55 9 1 1
Rhode Island....... 72 10 11 47 30 -
Connecticut......... 94 1 23 29 390 287 -

MIDDLE ATLANTIC...... 196 10 312 284 277 220 1 21 112
New York City...... 12 2 44 44 12 9 -
New York, Up-State. 34 5 91 91 214 172 7 106
New Jersey........ 16 3 102 41 22 27 6 -
Pennsylvania........ 134 75 108 29 12 1 8 6

EAST NORTH CENTRAL... 224 9 321 313 711 440 1 46 22 6 551
Ohio................ 91 4 85 83 91 86 12 1 278
Indiana............. 27 2 51 42 152 68 1 13 2 3 28
Illinois........... 14 3 83 63 88 72 13 14 2 107
Michigan........... 42 71 92 248 127 7 2 1 53
Wisconsin........... 50 31 33 132 87 1 3 85

WEST NORTH CENTRAL... 92 1 135 126 371 224 17 1 56 20 1,192
Minnesota........... 3 29 24 12 23 4 2 4 372
Iowa............... 31 8 7 66 46 6 1 10 430
Missouri........... 10 1 61 36 54 18 4 1 30 2 179
North Dakota........ 45 20 14 137 67 1 57
South Dakota....... 3 3 7 19 4 1 15 2 84
Nebraska........... 6 25 35
Kansas.............. NN 8 13 83 66 2 8 1 35

SOUTH ATLANTIC........ 130 10 473 383 867 556 2 60 1 29 5 535
Delaware............ 6 4 11 2 -
Maryland............ 3 1 34 53 100 4 3 2
Dist. of Columbia.. 16 7 14 4 1 1 -
Virginia............ 24 1 57 85 244 154 7 6 2 281
West Virginia...... 78 1 35 20 277 179 1 33
North Carolina..... 4 78 70 15 28 2 15 7 5
South Carolina..... 6 55 20 24 78 5 2
Georgia............. 2 7 79 33 22 6 4 1 14 1 115
Florida............. 13 113 91 160 101 24 1 2 97

EAST SOUTH CENTRAL... 160 2 183 145 1,496 1,046 32 30 11 513
Kentucky............ 49 2 60 31 189 144 8 2 57
Tennessee.......... 98 56 67 1,155 827 12 20 11 382
Alabama............ 13 43 24 91 28 7 3 17
Mississippi........ 24 23 61 47 5 5 57

WEST SOUTH CENTRAL... 157 1 216 186 560 576 27 3 101 13 553
Arkansas........... 27 14 2 8 3 61 4 135
Louisiana.......... 126 74 1 2 4 6 4 57
Oklahoma............ 1 1 13 31 22 8 1 20 1 90
Texas............... 156 50 67 537 564 14 14 4 271

MOUNTAIN............. 305 2 80 73 1,498 1,212 6 49 139
Montana............ 177 1 3 84 47 19 1
Idaho.............. 22 3 6 85 54 1 -
Wyoming.............. 1 5 7 211 192 2 10 -
Colorado............ 14 14 20 527 425 8
New Mexico......... 63 2 32 4 179 221 1 52
Arizona............ 2 8 11 164 136 1 65
Utah............... 26 7 18 248 137 1 20 2
Nevada............. 10 4 11

PACIFIC.............. 175 14 549 432 820 900 26 3 1 286
Washington.......... 70 2 43 39 164 169 3 -
Oregon.............. 20 21 32 29 29 1 1 10
California......... 80 12 465 337 607 541 21 2 1 276
Alaska.............. 5 7 12 20 53 -
Hawaii............. --- --- 13 12 --- 108 --- --

Puerto Rico 41 32 9 8 1 61 25









Morbidity and Mortality Weekly Report




Table 4 (A). TOTAL DEATHS IN RIPOR)11(M, CITIES


403


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

a For weeks ending a For weeks ending
Area 10/17 1 10/311 1Area17 10/17 10/24 10/31 11/7

10/17 10/24 10/31 11/7 10/17 10/24 10/31 11/7


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 .............


241
39
24
21
53
32
18
29
41
56
18
46
30
63


55
41
163
45
34
41
70
97
1,721
25
496
205
39
113
27
40
53
43
33
26


68
44
729
148
210
113
94
319
37
28
48
41
48
166
50
139
35
22
42
117
55


40
27
43
161
16
131
79
259
76
56


259
37
29
26
61
24
30
24
41
77
19
56
32
46


47
48
160
57
21
37
76
97
1,727
39
597
197
48
120
22
39
85
41
41
37


48
49
772
175
206
124
65
380
42
43
51
33
49
159
70
129
29
31
26
105
55


61
31
36
127
37
131
66
253
78
44


243
30
30
25
49
24
24
29
57
73
14
39
25
65


59
35
149
44
30
40
62
86
1,691
42
516
197
56
101
24
51
44
36
29
26


49
43
754
169
239
126
88
369
41
41
44
24
40
145
40
131
25
36
44
95
40


60
37
51
120
47.
120
69
207
69
41


264
39*
24
23
49
15
19
30
52
57
13
38
37
60


54
42
151
33
30
41
79
106
1,701
36
414
174
62
108
19
36
47
28
33
35


71
38
661
158
214
124
80
354
46
55
39
35
38
152
26
134
36
25
41
102
56


55
19
28
140
32
110
102
202
75
43


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. .............


OCurrent Week Mortality for 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.....


11,279
446
740
6,250


NOTF: All deaths by place of occurrence.


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


~---






3 IIIIIIIi lilil262 0 4 2ill
3 1262 08864 2730


Morbidity and Mortality Weekly Report


TOTAL DEATHS REPORTED IN 108 CITIES


The weekly av'era.e .'Limber of.total deaths in 108
cities for the four-week period ending November 7 was
11,632 as compared wirhT'an expected weekly average of
11,502.


NUMBER

OF

E-ATHS


Week Ending 4.Week Weekly

10/17 10/24 10/31 11/7 Total Average

Observed 11,623 12,088 11,538 11,279 46,528 11,632
Expected 11,291 11,427 11,572 11,719 46,009 11,502

Excess 332 661 -34 -440 519 130


TOTAL DEATHS RECORDED IN 100 U.S CITIES
..rl* .aI w.. W.. k y l r. IF. S d








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p'









I 't 1/11 1 11 1 i11 11 !! !.


Rl D I I SC.! I 9 7
OIl*fC *CA..fl t1 rWI 1 SB.~ B I .BSE


(See table page 403)


DENGUE FEVER New Jersey


A case of dengue fever imported into New Jersey
from Venezuela has been reported. The victim was an
adult male Venezuelian who traveled by ship from
Venezuela to Philadelphia. En route, he developed a high
temperature of 1030 1040F, shaking chills, migrating
joint pains and a maculopapular rash. He was hospital-
ized in New Jersey in May and made a complete recovery.
Serological specimens were positive for Group B arbovirus
by complement fixation and hemagglutination -inhibition
tests. This probably represented a case of dengue fever
contracted in Venezuela where it was epidemic at that
time.

(Reported by W. J. Dougherty, M.D., Director, Division
of Preventive Disease Control Programs, New Jersey
State Department of Health).




Editor's Note: During the period May 31 to August 9,
10,660 cases of dengue were reported in Venezuela.
(Weekly Epidemiological Report of the Pan American
Sanitary Bureau, September 9, 1964)




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 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 I. 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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