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COMMUNICABLE DISEASE CENTER U.S. DEPARTMENT OF HEALTH, EDUCATION, AND Vol. 14, No. 4 s R[PFUR _ Week Ending January 30, 1965 IBLIC HEALTH SERVICE EPIDEMIOLOGIC NOTES C.\ E i-s INFLUENZA Group A influenza infections have been demonstrated by serological conversions in 4 States during the past few weeks. In addition to confirmations in New Jersey, Con- necticut, Massachusetts, and Penns l\ ania.(some reported in MMWtR, Vol. 14, No. 3), focal outbreak of influenza in Missouri has presumptively been ascribed to Type A virus by fluorescent antibody study of nasal secretions from typical cases. An outbreak of influenza-like disease has been reported from northern Maine but laboratory tests are Epidemiologic Reports .................. .. 34 Influenza State Reports ............ ..... 34 New Jersey; Missouri; Maine; Pennsylvania 34 International . . ... 40 as yet incomplete and the cliological agent not identified. The only virus isolate yet typed is an influenza A2 strain recovered in Allegphtn County, Pennsylvania. The outbreaks occurring in these States continue to be sporadic and scattered. In gcnoral, children principally appear to be affected at times resulting in marked school Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES (Cumulative totals include revised and delayed reports through previous weeks) 4th Week Ended Cumulative, First 4 Weeks Disease Median January 30, January 25, 1960 1964 Median 1965 1964 1965 1964 1960- 1964 Aseptic meningitis .......... 26 27 26 126 117 105 Brucellosis ....... ........ 4 9 7 21 19 22 Diphtheria ................ .1 7 20 13 18 60 Encephalitis, primary infectious.. 31 30 *-- 123 110 -- Encephalitis, post-infectious .... 18 4 --- 52 23 --- Hepatitis, infectious including serum hepatitis ........ .. 851 1,116 1,129 3,104 3,482 4,096 Measles ................. 7,639 7,060 8,908 26,393 21,879 30,927 Meningococcal infections ...... 60 50 50 258 205 205 Poliomyelitis, Total ......... 1 4 7 1 5 31 Paralytic .............. 1 3 5 1 3 19 Nonparalytic ......... .. 1 ~ R DA 2 Unspecified ...... ........ .. 14 _ Streptococcal Sore Throat and Scarlet fever ............ 11,335 10,177 9,470 39,517 33,016 Tetanus .................1 5 --- 12 --- Tularemia ................ 5 7 .-. 29 . Typhoid fever .... ......... 14 2 9 I 181 24 Rabies in Animals .. .. 95 81 57 368 /Jst4 228 Table 2. NOTIFIABLE DISEASES OF LOW F J4ENCY Cum. -- Cum. Anthrax: 1 Rabies in Man: Botulism: Smallpox: Leptospirosis: Hawaii 1, Texas 1 2 Trichinosis: Minn. 16 17 Malaria: Conn. 1 1 Typhus - Plague: Murine: - Psittacosis: 2 Rky. Mt. Spotted: 3 ~-T K~---- Morbidity and Mortality Weekly Report EPIDEMIOLOGIC NOTES INFLUENZA Continued absenteeism. Extension of the illness into adult and older age populations is not being generally observed although in some areas cases are being identified among all age groups. Attention is called to the charted influenza and pneu- monia mortality data reported to CDC from 122 United States cities (page 35). In the United States as a whole, influenza and pneumonia deaths are below the epidemic threshold. In the Middle Atlantic Division, irregular ex- cursions above the "epidemic threshold" have been evi- dent in past weeks. Several cities within the Eastern Divisions have reported fluctuations in numbers of deaths, at times well above seasonal expectations. Although some of the increases may reflect already identified influenza activity in the area, others cannot yet be explained. EPIDEMIOLOGIC REPORTS INFLUENZA State Reports New Jersey Since early January 1965, health workers, physicians and other paramedical personnel have been aware of an increased incidence of acute febrile respiratory disease throughout the State. Influenza activity was first confirmed ata State school forboys, 9 to 16 years of age, near James- burg in Middlesex County. On January 1, 1965, older boys returning from vacations in the Newark, New Brunswick, and Paterson areas, developed acute febrile respiratory illnesses. During the following week, the daily number of new cases reached a peak. The over-all attack rate in the ensuing epidemic was 22 percent among the 700 inmates and 5 percent among school employees. The illness was characterized as an acute systemic febrile respiratory disease with temperatures up to 1040 F. Serologic con- firmation of group A influenza was performed by the State Laboratory; virus isolation attempts are under way. Subsequent outbreaks of clinically similar illness were noted in 3 institutions in the Middlesex-Somerset County areas: a psychiatric hospital, a chronic disease hospital, and a State university. Attack rates within these institutions have been uniformly low (10 percent); no laboratory confirmations have been made to date. From a survey of physicians, it would appear that in- creased respiratory illness is occurring in scattered areas throughout the State. There has been no widespread school or industrial absenteeism to support this sureyv to date. (Reported by William J. Dougherty, M.D., Director, Divi- sion of Preventable Disease Control, Martin Goldfirld, M.d)., Director of Laboratories, New Jersey State Depart- ment of Health, and an EIS officer assisting in the investi- yation). Missouri A consolidated school in Princeton. Missouri, with about 700 students experienced a sudden increase in its daily absentee rate to more than 25 percent early in the week of January 24. Because of continuing high absen- teeism, the school was closed on January 27. Clinically the accountable illness was characterized as being influenza-like but of only moderate severity. ,Epidemiological and laboratory studies are under wa\ in the State Health Department and the CDC Field Station, Kansas City, Kansas. Employing fluorescein labeled A2 influenza antiserum, presumptive diagnosis were made in four of seven school children whose nasal epithelial cells demonstrated specific fluorescent staining. Additional confirmatory tests are pending. Retrospectively, it appears likely that a similar illness was present in towns east of Princeton earlier in January and was responsible for the brief closing of schools in one of them. (Reported by Dr. E.A. Belden, Communicable Disease Consultant, Missouri Department of Public Health and Welfare. and the CDC Kansas City Field Station). Maine In northern Aroostook Counts, near the Canadian border, outbreaks of febrile respirator\ disease were observed beginning in early to middle Januar Affecting only moderate numbers of individuals, the illness appears tohave spread in a diffuse pattern through parts of central Maine in more recent weeks. Augurta is noted, however, to be the only urban area in the State %where there are evidences of modest increases in absenteeism in scattered schools and in ph.iicians' descriptions of the heightened occurrence of re-piratory diseases. The syndrome has been observed primarily in younger age groups and has not made an impact on baseline industrial absenteeism. Laboratory processing of specimens i presently under way at CDC. (Reported by Dr. Dean H. Fisher. Commissioner, I aint Department of Health and Welfare J. Pennsylvania Influenza virus Type A2 has been recovered h\ the Allegheny County Laboratory from a case involved in an outbreak recently recognized in the Counts. Some increa-e in school absenteeism is now being recognized in Pitt.-burgh. (Reported by Dr. Edwin Brown, Epidemiioloqi.t. an EIS Officer, and Mr. Joseph Sarandria, Laboratory Director, Allegheny County Department of Health). (Continued on ba k page Morbidity and Mortality a weekly Report PNEUMONIA-INFLUENZA DEATHS IN 122 UNITED STATES CITIES 40 44 48 52 4 8 12 16 20 24 28 32 36 40 44 48 52 4 8 12 16 20 24 28 32 36 40 44 48 53 4 8 12 16 20 24 28 32 36 6 3 1 29 26 23 23 20 18 15 13 10 7 5 2 30 28 25 22 21 18 16 13 11 8 5 3 31 28 2 30 2727 24 22 19 17 14 11 ON D J F M A M J A S O N N J F M A M J J A S O N D J F M A M J J A S 1962 11963 1963 1964 1964 11965 W.N. CENTRAL 10 CITIES WK. NO. 40 44 48 4 8 12 16 20 24 28 32 1964 1965 NEW ENGLAND 14 CITIES 40 44 48 53 4 8 12 16 20 24 28 32 36 1964 1965 MOUNTAIN 8 CITIES 40 44 48 53 4 8 12 16 20 24 28 32 1964 '1965 PACIFIC 16 CITIES E.S. CENTRAL 8 CITIES O'"'""""'""I'"""'""'"'"""""""** nean ts..1minalinin inst at ni **I at at 40 44 48 4 8 12 16 20 24 28 32 1964 1965 W.S. CENTRAL 13 CITIES MIDDLE ATLANTIC 20 CITIES SOUTH ATLANTIC 12 CITIES 40 44 48 4 8 12 16 20 24 2832 36 1964 1965 (" WEEK NO WK ENDED S MONTH Q -- WK. NO 200-1 nl~~, I,, 1~~ ~1~1~~1~ ~11~~~1~ ~~r,~~ 1,,,rl ,I,,,l,,~r ' ' WK 36 Morbidity and Mortality Weekly Report Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED JANUARY 30, 1965 AND JANUARY 25, 1964 (4TH WEEK) SEncephalitis 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... 26 27 31 18 1 1 5 1 1 3 1 13 NEW ENGLAND........... 1 1 2 - Maine.............. - New Hampshire...... - Vermont............ - Massachusetts...... 1 - Rhode Island....... 2 - Connecticut........ - MIDDLE ATLANTIC...... 1 1 15 7 - New York City...... 2 - New York, Up-State. 1 2 5 - New Jersey.......... 7 - Pennsylvania....... 1 4 2 - EAST NORTH CENTRAL... 5 5 4 1 1 Ohio............... 1 3 - Indiana............. I Illinois............ 3 1 - Michigan........... 1 5 1 Wisconsin.......... -- - WEST NORTH CENTRAL... 3 2 3 Minnesota.......... 3 - Iowa............... -- - Missouri........... 1 North Dakota....... - South Dakota....... 1 - Nebraska............ i Kansas............. 1 - SOUTH ATLANTIC....... 4 5 1 3 2 1 4 Delaware........... - Maryland............ 1 - Dist. of Columbia.. -- - Virginia........... 2 3 1 - West Virginia...... -- - North Carolina..... 1 1 - South Carolina..... -- - Georgia............. 1 I Florida............. 2 2 2 2 EAST SOUTH CENTRAL... 1 1 1 Kentucky............ 2 1 -- - Tennessee.......... 1 - Alabama.............. -- - Mississippi........ - WEST SOUTH CENTRAL... 2 1 1 1 1 1 3 Arkansas............ 1 1 1 - Louisiana.......... - Oklahoma........... - Texas............... 1 1 3 MOUNTAIN............. 2 3 - Montana............ - Idaho............... - Wyoming..............- Colorado........... 2 3 - New Mexico ......... - Arizona............ - Utah................ -- Nevada............. - PACIFIC.............. 13 9 4 7 1 1 - Washington ......... 1 3 - Oregon............... - California......... 10 4 4 7 1 1 - Alaska.............. - Hawaii.............. 1 2 Puerto Rico - 11M rlidilI and Mortality Weekly Report 37 Tahbl 3. CASES OF %PI (f1I1) N(II VIABLE DISEASES: UNITED STATES IOR U I I ks INI)II) JANI'ARY 30, 1965 AND JANI'ARY 25, 1964 ( 4TH WEEK) (ON'INUED Brucel- Infectious Hepatitis MIningacottal loss including Serum Hepatitis Infc tions Tt tnu 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 85: 454 353 3,104 3,482 60 258 205 1 12 NEW ENGLAND.......... 51 20 25 188 471 7 15 6 1 Maine............... 15 10 5 44 194 3 4 New Hampshire...... 4 3 15 5 -- 1 Vermont............ 8 4 1 20 51 Massachusetts...... 10 2 6 5 : 2 7 1 Rhode Island....... 6 2 4 18 18 1 - Connecticut........ 8 2 6 34 70 2 3 5 MIDDLE ATLANTIC...... 188 8 01 630 793 9 36 30 1 New York City...... 32 10 22 105 113 2 9 6 - New York, Up-State. 83 44 39 294 389 2 8 12 1 New Jersey......... 25 5 20 82 114 4 12 4 Pnn.l...ana ....... 48 28 20 149 17/ 1 7 8 - EAST NORTH CENTRAL... 1 176 115 56 558 464 11 33 26 Ohio................ 68 44 22 190 136 3 13 10 Indiana............ 21 15 5 29 27 3 5 3 Illinois........... 17 12 4 91 51 2 8 5 Michigan........... 62 39 23 210 228 3 4 7 - Wisconsin.......... 1 8 5 2 38 22 3 1 WEST NORTH CENTRAL... 1 72 47 21 233 203 1 14 7 2 Minnesota.......... 4 1 2 18 9 1 3 2 1 Iowa................ 1 30 19 9 116 29 - Missouri........... 14 12 2 40 48 6 3 1 North Dakota....... 1 1 2 13 3 1 South Dakota....... 2 2 4 13 Nebraska............ 2 1 5 7 Kansas............. 19 14 5 48 84 2 1 SOUTH ATLANTIC....... 90 46 &1 324 320 16 61 51 5 Delaware........... 1 1 5 2 2 - Maryland........... 13 6 7 58 56 : 3 5 Dist. of Columbia.. 1 1 3 8 1 1 Virginia........... 15 7 6 59 37 3 9 5 1 West Virginia...... 26 20 6 74 52 3 6 4 North Carolina..... 17 7 10 40 64 4 9 8 South Carolina .... 2 2 11 8 2 5 7 Georgia............. 1 1 20 6 1 12 6 3 Florida............ 14 5 8 54 87 1 14 16 1 EAST SOUTH CENTRAL... 1 41 27 13 172 255 1 15 14 1 1 Kentucky............ 1 17 11 5 61 126 7 4 Tennessee.......... 17 11 6 65 79 4 7 1 1 Alabama............ 1 1 28 35 1 4 2 Mississippi........ 6 5 1 18 15 I WEST SOUTH CENTRAL... 1 83 50 29 322 198 5 29 30 1 Arkansas........... 11 6 5 36 24 2 3 Louisiana.......... 11 6 5 -7 22 6 10 Oklahoma........... 1 12 10 2 21 15 1 6 2 Texas............... 49 28 17 218 137 4 15 15 1 MOUNTAIN ............. 32 7 4 166 241 2 8 14 Montana............ 5 4 1 15 19 - Idaho.............. 8 36 16 - Wyoming............ 1 1 14 3 1 - Colorado............ 9 51 1 6 - New Mexico.......... 3 2 1 31 59 5 5 Arizona............ 10 41 49 2 2 Utah............... 4 1 19 38 1 Nevada............. 1 1 1 6 PACIFIC.............. 118 55 63 511 537 8 47 27 1 Washington.......... 15 7 8 48 75 2 Oregon............. 6 4 2 53 51 1 2 California.......... 92 43 49 369 380 7 44 23 1 Alaska.............. 36 21 1 Hawaii.............. 5 1 4 5 10 2 Puerto Rico 16 13 3 27 15 1 38 Morbidity and Mortality Weekly Report Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED JANUARY 30, 1965 AND JANUARY 25, 1964 (4TH 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... 7,639 26,393 21,879 11,335 5 29 14 26 95 368 NEW ENGLAND.......... 1,778 7,109 1,157 1,044 1 6 Maine .............. 206 904 114 107 - New Hampshire...... 20 135 8 - Vermont............ 8 28 311 25 1 5 Massachusetts...... 1,152 4,109 254 169 - Rhode Island....... 260 831 68 51 - Connecticut........ 132 1,102 402 691 I MIDDLE ATLANTIC...... 299 959 4,309 447 2 3 13 New York City...... 21 120 1,629 27 1 New York, Up-State. 135 342 1,013 299 1 3 11 New Jersey......... 53 166 716 65 - Pennsylvania....... 90 331 951 56 2 EAST NORTH CENTRAL... 1,530 4,547 4,285 1,452 1 1 4 17 Ohio................ 343 1,001 658 256 - Indiana............. 67 209 852 189 4 Illinois........... 55 147 1,489 269 2 2 Michigan........... 778 2,304 913 483 4 Wisconsin.......... 287 886 373 255 1 1 2 7 WEST NORTH CENTRAL... 689 1,927 522 459 2 1 1 15 70 Minnesota.......... 18 33 7 7 6 19 Iowa................ 506 1,079 134 103 7 24 Missouri........... 46 175 66 5 1 1 1 1 11 North Dakota....... 115 542 308 72 6 South Dakota....... 4 20 3 63 3 Nebraska........... 78 4 4 Kansas............. NN NN NN 209 1 1 3 SOUTH ATLANTIC....... 993 3,879 2,525 1,509 2 11 4 9 15 54 Delaware........... 66 27 9 1 1 - Maryland........... 26 55 404 305 3 1 2 Dist. of Columbia.. 3 3 46 8 - Virginia........... 100 585 538 296 3 9 42 West Virginia...... 716 2,818 833 569 1 1 I North Carolina..... 14 70 62 17 2 2 2 4 - South Carolina..... 17 38 401 96 2 - Georgia............. 66 94 64 23 4 3 4 Florida............. 51 150 150 186 2 5 EAST SOUTH CENTRAL... 372 1,371 3,069 1,458 2 7 1 2 39 137 Kentucky............ 25 84 1,703 149 1 1 6 Tennessee.......... 277 936 1,219 1,189 2 5 1 1 38 126 Alabama............ 54 223 96 47 I 1 5 Mississippi........ 16 128 51 73 - WEST SOUTH CENTRAL... 617 2,124 1,323 966 6 6 8 11 49 Arkansas........... 19 25 65 4 3 2 3 2 7 Louisiana.......... 4 5 1 17 1 1 6 17 Oklahoma............ 4 21 16 72 3 1 8 Texas............. 590 2,073 1,241 873 3 3 3 17 MOUNTAIN............. 584 2,306 943 1,938 1 3 1 2 2 7 Montana............. 255 825 268 90 1 1 Idaho............... 65 360 140 161 - Wyoming.............. 56 12 23 1 Colorado............ 57 302 91 878 - New Mexico......... 2 53 53 296 1 1 - Arizona............ 14 57 255 223 1 6 Utah................ 191 650 88 267 1 3 - Nevada............. 3 36 - PACIFIC.............. 777 2,171 3,746 2,062 1 5 15 Washington.......... 298 623 1,455 539 - Oregon.............. 108 473 447 36 - California.......... 282 808 1,417 1,413 5 15 Alaska.............. 25 400 18 - Hawaii.............. 89 242 27 56 1 - Puerto Rico 21 105 272 6 - Morbidity and mortality Weekly Report Table 4. 1)FATHS IN 122 UINITFD STATES ( ITIN FO)R WEEK INI) N ) JANUARY 30, 1965 ti\ place of occurrence and week of filing certificate. Excludes fetal deaths) Area 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---------- Chicag,, 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.-------- I t- ft I--- Al I ( ui , All Ages 65 years and over Pni urr, -ni a and Influenza All Ages 1'nl r 1 year All Causes I .. r All Ages 65 years and over 41 I I I I $ -- 95' 350 52 44 32 71 30 22 27 56 85 13 49 59 65 3,710 42 43 173 44 43 49 91 123 1,940 41 480 227 56 102 24 35 60 53 42 42 2,889 62 43 8:. 160 210 138 73 431 39 53 49 37 47 180 31 176 40 35 45 112 73 86 54 26 39 138 27 113 85 259 68 55 6&'2 215 39 29 21 35 17 17 21 31 48 7 35 46 41 2,199 22 31 109 24 28 38 50 75 1,135 26 250 129 34 68 15 21 45 29 32 29 1,609 42 27 456 91 121 77 46 224 29 24 23 11 30 98 19 110 21 26 27 60 47 523 37 16 23 84 21 72 46 144 48 32 *Estimate based on average percent of divisional total. SOUTH ATLANTIC: Atlanta, Ca.----------- Baltimore, Md.--------- Charlotte, N. C.------- Jacksonville, Fla.----- Miami, Fla.------------ Norfolk, Va.----------- Richmond, Va.---------- Savannah, Ga.---------- St. Petersburg, Fla.--- Tampa, Fla.------------ Wishinpt.rn, 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 Rcu o, 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.---------- 1,223 127 272 44 77 83 59 95 35 81 91 208 51 634 118 47 34 130 126 56 40 83 1,169 51 39 37 '49 50 74 200 64 194 79 119 54 59 460 41 21 124 21 126 20 48 59 1,591 17 49 45 51 84 499 85 37 119 72 95 219 32 110 38 39 and Influenza All Ages 1 year All Causes Total 13,495 7,739 651 755 Cumulative Totals including reported corrections for previous weeks All Causes, All Ages -------------------------55,356 All Causes, Age 65 and over------------------- 31,515 Pneumonia and Influenza, All Ages------------- 2,595 All Causes, Under 1 Year of Age--------------- 3,272 Week No. 4 UNIVERSITY OF FLORIDA II 1 26lli I 8ll lll llllll6lllI l11111 3 1262 08864 2656 Morbidity and Mortality Weekly Report (Continued from page 34) EPIDEMIOLOGIC REPORTS INFLUENZA International Outbreaks of influenza in Russia and East Germany have recently been observed. The following information is from a summary prepared in late January by the World Health Organization: The epidemic of influenza in Leningrad began about January 1, 1965, peaked on January 18th, and declined thereafter. Several thousand people were reportedly involved, not as many as in the influenza epidemic occur- ing there three years ago. The illness is described as being generally mild, affecting predominately children. During recent days the epidemic has been reported in cities in the north and east of Russia and from Tallinn, Riga, and Moscow. A2 viruses have been isolated in Leningrad and Moscow. Tests to determine the antigenic characteristics of these viruses have not been completed. Four A2 viruses have been isolated from scattered outbreaks in the Baltic Sea area of East Germany. There are no outbreaks of influenza reported presently from other countries in Europe. (Reported by W. Charles Cockburn, M.D., Chief, Medical Officer, Virus Unit, World Health Organization, Geneva). THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA- TION OF 13,000 IS PUBLISHED BY THE COMMUNICABLE DISEASE CENTER, ATLANTA, GEORGIA 30333. CHIEF. COMMUNICABLE DISEASE CENTER JAMES L. GODDARD. M.D. CHIEF, EPIDEMIOLOGY BRANCH A. D. LANGMUIR, M.D. CHIEF, STATISTICS SECTION R. E. SERFLING, PH.D. ASST. CHIEF, STATISTICS SECTION IDA L. SHERMAN, MS 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 NOTE: THESE PROVISIONAL DATA ARE BASED ON WEEKLY TELE- GRAMS TO THE CDC BY THE INDIVIDUAL STATE HEALTH DEPART- MENTS. THE REPORTING WEEK CONCLUDES ON SATURDAY: COMPILED DATA ON A NATIONAL BASIS ARE RELEASED ON THE SUCCEEDING FRIDAY. SYMBOLS:-:-DATA NOT AVAILABLE QUANTITY ZERO THE CONSTRUCTION OF THE MORTALITY CURVES IS DESCRIBED IN VOL. 14, NO. 1, JANUARY 15. 1965. r* ?i 5" 0 *> 3 M M am In m n D UNIV. OF FL LIB DOCUMENTS DEPT U S DEPOSITORY t4 2 n m -U I m |
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