Morbidity and mortality

Morbidity and Mortality



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

PUBLIC HEALTH SERVICE


Prepared by the


I COMNIA: DSlSlE CENTER I


Vo 3 N.2


ATLANTA. GEORGIA 30333


For release July 3, 1964


PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED TATIS AND ON
DEATHS IN SELECTED CITIES FOR WEEK ENDED LINE


MALARIA SLRI'EILLAN'E SIVVIIAR

MALARIA I


One case of malaria was reported for the week ended
June 27. This brings to 44 the cumulative total of cases
of malaria reported thus far in 1964. For the comparable
period of 1963, 47 cases were reported. A table of the
cumulative cases of malaria reported through the 26th
week for each of the past 10 years is presented (right).
As noted in the surveillance summary on pages 226
and 227 of this issue, cases of malaria reported in the
United States occur in individuals who acquired the
disease while residing in or traveling in malarious re-
gions. Of the cases reported to date this year, none are


within the


known to
United Stat


Cumulati.


far 10 Years


1955 1956 1957 1958 1959 1960 1961 1962 1963 1964

161 98 48 31 34 26 25 41 49 44

Annual
522 234 132 85 71 72 73 118 107"

'Provisional total.


Table I. CASES OF SPECIFIED NOTIFIABLE DISEASES. UNITED STATES
(Cumulative totals include revised and delayed reports through previous weekl)
26th Week Ended Cumulative. First 26 W-ek;
Disease June 27, June 29, Median Med an
1964 1963 1959 1963 196 196'3 Q199 1963

Aseptic meningitis ................ 37 35 --- 761 630
Brucellosis ....................... 7 6 9 193 169 281
Diphtheria ............... ....... I 3 5 137 136 309
Encephalitis, primary infection .. 59 "43 --- 90 782
Encephalitis, post-infectious ..... 39 -- 520 -7--

Hepatitis, infectious including
serum hepatitis ................ 594 651 651 21,435 23,666 23,668
Measles ........................... 6,741 7,200 7,525 .13,777 335,226 359,673
Meningococcal infections .......... 43 36 35 1,.98 ,-.-8 1,337
Poliomyelitis, Total .............. 4 5 22 42 82 239
Paralytic ..................... 1 2 17 30 70 162
Nonparalytic .................. 1 2 --- 9 5 -
Unspecified ...................... 2 1 --- 3 7

Streptococcal Sore Throat and
Scarlet fever .................. 5,165 4,250 --- 251,385 214,892 ---
Tetanus ........................... 7 8 --- 123 115 ---
Tularemia ....................... 7 8 --- 143 122
Typhoid fever ................ ....... 7 11 19 181 183 292

Rabies in Animals ................. 78 73 73 2,386 2,0,4 2,036


Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY

I um. Cum.
Anthrax: 2 Psittacos~iI Utah 1, Pa 2 17
Botulism: 10 Rabies in Man.
Leptospirosis:Ark 1, Hawaii 2, Calif 1 20 Smallpox'
Malaria: Md 1 44 Typhus-
Plague: urine. 9
Rky Mt. Spotted: Mass-I, NJ-1, Md-2, Pa-1, NC-3, 62
Tenn-3


634.5131


Vol 13. No. 26


F-4 ,, (P-"/L


illihiiiinin.....uiliiiI........... ...








226 Morbidily and Mortality Werekly Report


MALARIA SURVEILLANCE SUMMARY 1963

A total iof 1 I cast- of malaria, with onsets of illness during Il9f was reported to the Malaria Surveillance Unit of
the Communicable Disease ( entr. I wicre iaral. The total included 128 cas-es confirmed by species identification and 20
pretumpti r cases. The 10)t1 total re-prL-e nts a (7 percent increase over the average for the preceding years, during
which pirio,i, active cast In c.riLarlon has o turrl.d. ( onfirmed and presumptive cases- for these c-ars appear in the fol-
loainR table:

TABLE I


CASES
YEAR CONFIRMED PRESUMPTIVE TOTAL

1956 93 32 125
1957 97 6 103
1958 61 11 72
1959 33 21 54
1960 47 16 63
1961 72 13 85
1962 100 19 119
1963 128 20 148


Civilians accounted for 00 and military personnel for S of the 1961 cases. This represented a iwo-fold increase in
hhe number of ci lian c, ts lit.) versus I11 as compared to 1962, and a retluction of the military cases from the 75 in 1962.

Table II
MILITARY AND CIVILIAN CASES OF MALARIA
UNITED STATES 1956 1963


YEAR MILITARY CIVILIAN TOTAL

1956 46 79 125
1957 56 47 103
1958 33 39 72
1959 12 42 54
1960 21 42 63
1961 45 40 85
1962 75 44 119
1963 58 90 148


Thir,, -ifne of the civilian cases occurred in merchant
a total f 12 cases was reported in the M ,R Vol. 12, pae-

The majority of cases occurred in males in thc \oun '
non-militar) as well as military c as ,es. 'Sice 1 .bl- Il .


seamen lan epidemiolneical report on one outbreak involving
6 i). Thrte of the i deaths occurred in merchant seamen.

Jiuli and mid-adult age ranges, a disrrihution evident in the


P",tm.,:,jrm va-ir vaa. thti mort c'lrmmor sptic-is '1 iarcnosis in the 128 confirmed cases. The frequency of species
lian osi, is tabulated bc hI,


I'. *. _____,:___ -8
I,. **.i.'.* qj',l'Iji _____________________________________ ^i


/I' ,,"' .iri'-.r


\MIrc infc.lions









Morbidity and Mortality Weekly Report


TABLE III

MILITARY AND NON-MILITARY CASES OF MALARIA
BY AGE AND SEX
UNITED STATES 1963


Military Cases Non-Military Cases Total Cases
Age Group Male Percent** Male Female Total Percent" Male Female Total Percent"

0-9 0 0 1 1 2 2.4 1 1 2 1.5

10-19 8 16.3 9 2 11 13.2 17 2 19 14.4

20-29 25 51.0 19 7 26 31.3 44 7 51 38.6

30-39 13 26.5 12 4 16 19.3 25 4 29 22.0

40-49 3 6.1 9 3 12 14.5 12 3 15 11.4

50-59 0 0 12 2 14 16.9 12 2 14 10.6

60-69 0 0 1 0 1 1.2 1 0 1 0.8

70+ 0 0 0 1 1 1.2 0 1 1 0.8

Unknown 9 -- 7 0 7 -- 16 0 16 --

TOTAL 58 100 70 20 90 100.0 128 20 148 100.0

SNo female Military Cases
SPercent Age Distribution Based on Cases with Known Age


All but 5 cases of malaria wert acquired outside of the United States. Of the s cases originating in the United
States, 2 were classified as induced and 3 unclassified. The unclassified cases, though unresolved, offered little e'i-
dence in support of autochthonous transmission as a source of the respective infections. fOne ot these cases reported
in the MMWR Vol. I1, page 22l. A large malorit\ of cases reported involved patients acquiring their illnesses in the West
African countries, Thailand, Vietnam, Korea, and Pakistan.
Thirty cases occurred in foreign visitors to the United States; the remainingI 1 cases occurred in Americans either
residing abroad or traveling through malarious areas.
In 71 percent of the cases, the reported attack of malaria represented the individual's first known clinical episode
of the disease.
(Reporteid by Valaria Sn rill,m< c n.i, t'0 C).


The accepted terminology of malaria case is summarized in the following table, based on the recommendations of
the World Health Organization.

1. Autochthonous
a)lndigenous malaria acquired by mosquito transmission in an area where malaria is a regular occurrence.

b) Introduced malaria acquired by mosquito transmission contracted from an imported case in an area a here malaria
is not a regular occurrence.

2. Imported malaria acquired outside of a specified ar-a.

3. Induced malaria acquired through artificial means, i.e., malario-th rapy, blood translusion, common s ranges.

4. Relapsing renewal of clinical activity occurring after an interval from the primary attack greater than that due merel',
to periodicity.


5. Unclassified malaria in which the method of acquisition is unknown.


227










228 Morlbidil and MlortalitN Weekly Report



Sihblc (AASLS OF SPI(IF11) NOTIFIABLE DISEASES INITID 3lTATtS

)FR V tEK.S ENDED

JUNE 2', 1964 AND JUNE 29. 1963 (26TH WEEK)



EnA pepha II l.-
A cp Il
MIningi ll l` Przmnar) P. lnf. P.' lomyel it i Total Case, P. I I.mv>l Ii I -, Paralytic
Ar, a
Cumulitivl Cumulative
1964b 19b3 19Ih6 1964 196. 1963 1Y64 1463 1'64 1963 1964 1963
;NITED STATES... 37 35 59 39 4. 5 42 82 1 2 30 70

NEW EN LAND .......... 2 2 1 I -
Ma i ............... 1 -
N.l. iHamp -ha r ..... -
V.,r r-. n ............ .
M..--t t I -...... -
Rh J, 1.1 1i ....... -
C nnEi I .I --....... -

MIDDLE ATLANTIC...... 5 2 6 8 1 5 14 5 11
N w '-rk ( i t ...... 1 1 1
li. i.'rk. p-'tan. 1 4 2 5 2 5
N-,. I, r,,' ......... I 3 2 2
P ,n-. Iv inl ...... 2 2 1 4 1 9 6

EAST NORTII ENIfRl L... 11 11 10 5 1 1 4 18 3 14
Oh I. ............... 1 2 3 1 2 5 2 3
Indi ni ............ 2 1 1
Ilini .............. 5 3 5 1 7 1 6
MLChLc n. ........... 5 3 2 1 1 3 3
n- .......... I I

WEST NC;RTH CENTRAL... 3 5 -2 2 1 2
Minnrp-,t ........... 3 3 4 2 2
S.. ........... 1

North D ....... -
S iurh Daki ta .......-
Ntbr 3 ka........... -
k.ana ........ .... .. I -

SOUTH ATLANTIC....... 3 16 3 3 18 12 2 13 9
De la ar e......... -
Maryland........... 1 1 1
Dil t. I C.lumbia.. -
Vircinta............ 3 2 2 1
Wi't VirrlnLa..... 1 1 1
N.,rth C arol in.r..... 1 8 3 1 4 3
S ur h Cir..l in, ..... -. 1 2 2 2 1 2 1
,Ce LJ ............ I -
Flo.r d. ............ .- 14 5 3 4 3

EAST OII'TH CENIRL... 2 1 1 4 6 1 2 5
Ken u ...........- -
Tinnti-.s .......... 1 1 2 2 1 I 2
Al bam. ............ 2 2 3 1 2
Miass sippl........ 2 1 1

WEST SOU'TH CENTRAL... 4 4 3 2 15 2 15
Arkansa. ........... 1
L.-ui si in .......... 2 12 12
nkl]ah ona........... .. 1 1 1 -- -
TI a. .............. 1 3 3 1 2 1 2

HOIUTA l ............. 2 5 2 6 1 3 1
Mnnt ini........... -
Idah... ............. -
uy!,, l n ............. 2 2 2
C. llor I..... ........ 4 1 1
ArLz. Mni ........ ... -
Ar.z..n...... ....... -
L itah ............... .
Nevadi............. -

PACIFIC.............. ... 10 8 10 21 1 13 1 12
Wa'hing oln ......... 1 3 3 1 1
Oregon ............. 1 1 1 1 1
Callf rnL ......... 9 7 7 17 11 -10
Alask ............. 1 -
Haau o Ri .............- -- -

Puerto R. 4











Morbidity and Mortality Weekly Report 229


Tabl 3. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDED

JUNE 27. 1964 AND JUNE 29, 1963 (26TH WEEK) CONTINUED


Infectious Hepati is
Brucellosis Diphtheria including Serum Hepatllt. TyphLid Fever

Area Under 20 years Age
Cum. Cum. Total 20 years and over Unknown Cumulative Cum.

196. 1961 1961 196. 64 1964 1 16t. 1964 1963 1964 1964


UNITED STATES... 7 193 1 137 594 281 282 31 21,435 23,666 7 181

NEW ENGLAND........... 2 42 26 5 17 2,170 2,589 10
Maine.............. 39 4 2 2 723 1,205
New Hampshire...... 3 3 156 189
Vermont............ 4 2 2 269 32 -
Massachusetts ...... 2 3 5 5 446 757 5
Rhode Island ....... 3 1 2 116 59 5
Connecticut ........ 7 2 5 i60 347 -

MIDDLE ATLANTIC ..... 3 5 160 100 60 4,876 4,505 30
New York CIEy..... I 26 9 17 712 623 12
New York, Up-State. I 81 67 14 2,198 2,024 7
New Jersey......... 2 19 7 12 872 683 I
Pennsylvania ....... 2 2 34 17 17 1,094 1,175 10

EAST NORTH CENTRAL... 1 24 6 95 39 50 6 3,246 3,851 2 43
Ohio............... 1 25 8 17 855 1,076 22
Indiana............ 1 8 4 4 289 364 8
Tllinois........... 1 15 6 11 5 6 544 835 5
Michigan........... 3 44 21 23 1,322 1,400 1 6
Wisconsin.......... 4 7 1 6 236 176 1 2

WEST NORTH CENTRAL... 3 89 21 20 9 10 1 1,193 1,096 16
Minnesota.......... 3 11 2 2 109 179 1
Iowa................ 3 53 3 2 1 174 204 3
Missouri........... 6 8 5 3 304 420 6
North Dakota....... 2 2 45 29 2
South Dakota....... 12 1 1 105 53 1
Nebraska........... 11 1 1 28 80 -
Kansas.............. 2 7 5 3 2 428 131 3

SOUTH ATLANTIC....... 1 18 28 63 33 28 2 2,035 2,470 2 37
Delaware........... 41 34 -
Maryland............ 14 6 8 395 290 1
Dist. of Columbia.. I 1 32 68 -
Virginia........... 7 12 8 3 1 301 534 1 9
West Virginia...... 6 3 3 332 393 -
North Carolina..... I 2 10 5 5 375 613 1 12
South Carolina..... 1 1 71 97 3
Georgia............ 6 20 5 1 4 47 106 1
Florida............ 3 4 14 9 5 441 335 11

EAST SOUTH CENTRAL... 10 5 34 21 11 2 1,454 2,398 2 20
Kentucky............ 3 10 6 2 2 606 701 6
Tennessee.......... 3 1 18 13 5 513 955 8
Alabama............ 3 2 2 1 1 211 352 1 4
Mississippi........ 1 2 4 1 3 124 390 1 2

WEST SOUTH CENTRAL... 18 1 17 50 31 19 1,594 1,581 10
Arkansas........... 4 4 2 2 171 172 4
Louisiana.......... 1 5 20 13 7 363 300 2
Oklahoma ........... 2 84 81 3
Texas.............. 11 1 12 26 16 10 976 1,028 1

MOUNTAIN ............. 2 16 1 19 4 15 1,336 1,573 3
Montana............ 1 1 119 220
Idaho.............. 5 5 144 247 -
Wyoming............ 45 21 -
Colorado........... 7 7 377 333 -
New Mexico........ 1 1 4 4 191 187 -
Arizona........... 1 2 2 301 373 3
Utah............... 2 13 118 182 -
Nevada............. 1 41 10 -

PACIFIC............. 13 12 127 39 87 1 3,531 3,603 1 12
Washington......... 11 21 6 14 1 399 622 1
Oregon.............. 1 13 4 9 391 476 -
California........ 12 1 87 26 61 2,558 2,415 1 11
Alaska.............. 1 1 113 65 -
Hawaii ............. 5 2 3 70 25 -


Puerto Rico 1 5 17 13 4 339 384 9


~










230 iMorlidilit' and Mortality % elkly Report


Ih.i 4 ( AMSI OF SPI(.IFIID NOTIFIABLE DISEASES UNITED STATES

FOR WEEKS ENDFD
11 NF '". 19'4 AND Jl NE 29. 1963 (26TH WEEK) CONTINUED


Sr rep t occcal
M inno'ceicadl Sre Throat and Rabies in
M, iI.1 Meningil I Scarlet Fever Tiranus Tularrmlt- Animals

Cumulat iv u n Cum. Cum. Cum.
I'J$- 196u 196I 19b3 196- 1963 1964 1964 1964 1964 1964 1964
I'.lTF'. TATF ... 6,741 43 1,498 1,448 5,165 4,250 7 123 7 143 78 2,386

'P-. EW< IA:;D .......... 380 1 43 91 630 541 1 4 13
Li n ............... -- 5 15 89 11
I,,- ji~r-h:rr. ..... 8 9 2 1
V. r ru ........... 51 1 3 1
i-.i, hu,.,r ....... .. 17 19 -2 55 74 1 4- -.
Rh .S. I I in....... 55 I 5 a 58 29 -- .
.nn r it, ......... 79 13 13 508 347 .

11D:.LE T LANTli ...... 1,000 5 156 197 278 204 8 6 65
.Y rr ir ....... 294 26 28 9 24 -
.-. \ r., Ir-.-.ar 419 1 54 62 188 142 2 6 62
S I r ............... 205 4 30 27 43 21 4 -
Snn, l .r ...... 82 46 80 38 17 2 3

FAI' NORTH CENTRAL... 1,511 7 220 237 580 294 2 19 12 15 327
'hiL ............... 2. I. 1 60 67 45 49 3 1 9 168
Inil r,.j............. 231 1 34 29 102 65 1 2 1 17
1 1 I.'. ........... 89 2 5- 43 94 42 1 7 8 3 75
Mi~ hi .ian ........... 602 1 47 71 241 102 6 1 1 29
WL's "cnIn.......... 375 2 25 27 98 36 1 1 2 38

WFiT NORTH CENTRAL... 292 6 96 87 74 97 7 2 29 27 769
l nncr .- t i .......... 2 3 22 17 3 4 1 1 6 232
1.-wu ............... 229 1 6 4 39 22 2 1 6 273
1i .'-.uri ............ 9 2 48 30 6 2 2 1 18 7 123
r- Ih Dak.it ....... 48 9 26 36 1 42
",'uth Dakota ...... 5 9 I 1 1 5 64
%,.br. a k. .. .. .4 5 19 1 21
K nsa -............. Nfl 6 8 24 1 8 1 14

I.UL'TH ATLA'.TIC...... 414 5 338 273 387 317 2 42 18 3 319
Delaware ........... 7 4 2 -
Marvlan ........... 19 23 41 53 10 3 -
Dist. of Columbia.. 2 9 2 -
VirAinia......... 102 2 38 66 110 133 5 4 1 191
Iest Virginia ...... 11. 24 13 157 60 1 22
N.rth Carolina...... 13 1 57 47 8 6 12 4 3
S.uth Carolina..... 43 48 13 2 15 3 1
Georgia............ 44 22 1 1 10 1 58
Florida............ 114 2 91 65 53 93 2 17 1 46

EAST SOUTH CENTRAL... 631 4 138 111 897 861 15 19 4 308
Kentucky ........... 185 46 25 73 71 2 1 43
Tennessee.......... 403 1 46 48 748 715 8 12 4 251
Alabama............. 15 3 29 21 36 10 4 3 14
Mississippi ........ 28 17 17 40 65 1 3 -

WEST SOLTH CENTRAL.. 863 2 139 143 491 450 1 11 3 44 14 349
Arkansas........... 7 1 16 9 4 I 3 2 24 6 88
Louisiana.......... 4 99 58 1 2 3 1 1 31
Oklahoma........... 2 5 29 I 10 1 16 2 57
Texas............... 850 1 19 47 485 438 5 3 5 173

MOUNTAIN.............. 354 2 55 51 997 921 1 4 2 21 83
Montana............ 66 3 29 29 1 11 -
Idah ............... 40 1 3 4 61 114 -
Wyoming............ 2 3 4 3 4 1 4 -
C lorado........... 66 11 12 493 392 4
New Mexico......... 15 1 22 3 194 219 I 39
Arizona............ 103 3 8 114 94 1 39
Utah............... 62 5 14 103 69 1 1 6 -
Nevada............. 8 3 1

PACIFIC.............. 1,296 11 313 258 831 565 13 9 153
Washington......... 85 1 25 19 72 119 -
Oregon............. 328 18 17 15 9 2
Calif:rnia.......... 852 9 255 208 667 390 II 9 151
Alaska............ 4 6 7 21 21 -
Hawaii............. 27 1 9 7 56 26 1-

P',erto Ricn 105 3 23 4 29 11 2 39 13











11orbidily and Morlalily Weekly Heport





laLh 4 (H) RIPO()11 D PNI I MNONIA INLLIIN7A DI Al uS IN RI-PORI IN(, (:ITIIS



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


231


for weeks ending For weeks ending
Area Arca
6/6 6/13 6/20 6/27 6/6 6/13 6/20 6/27


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, III...............
Rockford, Ill.............
South Bend, Ind...........
Toledo, Ohio...............
Youngstown, Ohio...........

WEST NORTH CENTRAL:
Des Moines, Iowa...........
Duluth, Minn...............
Kansas City, Kans.........
Kansas City, Mo............
Lincoln, lebr..............
Minneapolis, Minn ........
Omaha, Ilebr...............
St. Louis, Mo.............
St. Paul, Minn.............
Wichita, Kans.............


7
4

1

2
1
2

1
1
53







4






5
1




4







3
8






5
25
5
2
1
3













7


4
7
4
3



3

3







7

3
3
8
1
5
5


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, 'enn........
Knoxvile, Tenn...........
Louisville, Ky...........
Memphis, Tenn............
Mobile, Ala..............
Montgomery, Ala..........
Nashville, Tenn..........

WEST SOUTH CENTRAL:
Austin, lex..............
Baton Rouge, La.........
Corpus Chribt, 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, Artz............
Pueblo, Colo.............
Salt Lake Cit~ Utah.....
Tuc on, Arlt .............

PACIFIC:
Berkeley, Calif..........
FrEsno, Calif............
Clindale, 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..............

San Juan, P.R...............


1
6

1

2
1
5
6
6
11
2


1
3
1
6
4

3
5


3
1

3
2

2
5
6
3
6
8
3


2
1
5

5






2

1
1
18
3
2






5
1
1

(---)


4 3
6 3

1
I -I
2 3
1 2
5 2
2 3
8 10
8 10
1 4


I
6
2 1
8 21
8 8

4 2
3 3


8
2 1
1
4 7
1
2
3 2
4 2
5 7
2
3 5
3 4
8 1


2
1 1
7 2

6 5







3 1
1
2
2
18 18
1
--
2 3
2
2 3
5 4
5 4
7
1
1 2

--- ---)
(---) (---)


Current 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.....


6
3

1
1
5
1
3
10
8
7
2


1
2
3
6
4

4
2



1
1
2
4
2
3
2
13
2

7
3


1

6
1
4











23
2

5

1
2

5
1
2

(---)


11,632
372
680
6,563


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

NOTF: All draths by place of occnence.











Morbidily and Mortality Weekly Report


SUMMARY OF PNEUMONIA AND INFLUENZA DEATHS


The weekhl aleragc number of pneumonia-influenza

deaths for the four-week period ending June 2" was 3"9

as compared with an expected weekly average of 428.


Week Ending 4 Week

6 6 6 13 6 20 6. 27 Total


NIV... .... I








U.S DEPOSITORY


Weekly
Average


Observed -14 I 2 3"r7 '2 1,518 379

Expected 439 432 425 418 1." 14 428


Excess -22 -80 -48 -46 -196 -49



PNEUMONIA INFLUENZA DEATHS in 108 US CITIES
ARowe um0b9 v pr We l by Four. *.eeA Pr, Oa




SATrs



Sco-
K. ortffet







S Mr.. rr n I I j r-
A o i. i ,' .R .


aC0 *& O S- a II llI c a 2.r


(Se taroble, payr 2.'I)


ERRATUM


In the < pidemiological report on a family) outbreak of
chickenpox in Minncsota, appearing in the Morbidity and
\forralirl Weekl\ Report, Vol. 13, page 219, the next to

last paragraph should read "Patient D" nio "Patient B."
Patient D died; patient B recovered.




E ni'r v AN.*D .4.ORT AL IT AEE*L EFFORT. *ITH A CIRCUL A-
.ATION OVF It.I-O S5 PUBLISHED BY THE COMMUNIC BL E DISEASE
CENTER, ATLANTA. GEORGIA.
CHIEF, COAMUNICABLE DISEASE CENTER JAES i5 GOODCCRD U D
CHIEF EPIDEMIOLOGY BRANC- A. D L A4NCGMO'R M c
CHIEF. STATISTICS SECTION R. F SERC.INGL P r,
AST. CHIEF, STATISTICS SECTION I. L S-EB '.'* i
CHfIE. SLuHVELLANCE SECTION D. -sErCERSON M D
EDITOR. MMR L.* L.IS-AN D
IN ACIDI ON TO tE ESTABLISHED POCEDURE5, FO0 QEQORTING
OBIDITI' *ND MORTALITY. THBE ; I -.' C AP. DISEASE C EN E
IEL.COME ACCOUNTS OF ITEREST*r-G -e s on RAISES S C"ic
ACCOUNTS SHOULD BE ADDRESSED TO'
(LAWRENCE AL.MIN M.D., EDITOR
MORB(I1TY AND0 MORTALITY WEEKLLY Cc*OE.
CO-UNC AtLE D DISEASE CENTER
A*.ANTA, G EORGIA 013
NCOTE; THESE .-E -A *A A 1 E*4EO '*, T.re' IFL .
A rHS TTN COMMUNICABLE DISEASE CENTER n '-.F INC ., a
STATE HEALTH DEPARBTlMENT.

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La. CE GCE'T NEC Frp S'A 'ISr'Ci SECTION COMMUNICABLE i.'S
IA' F C E-.rr cI.B'C -EEA, .. Sf .IE US DEPARTMENT OF
E-E`-- E L. a N C f E.Ir.F & ATLA T JTA GEORGIA 3l31l


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