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Morbidity and Mortality U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE Prepared by the I COMMNIC: LE DISAEl iE I For release September 11. 1964 ATLANTA, GEORGIA 30333 Vol. 13, No. 36 PROVISIONAL INFORMATION ON SELECTED NOTIFIABLE DISEASES IN THE UNITED STATES AND ON DEATHS IN SELECTED CITIES FOR WEEK ENDED SEPTEMBER 5, 1964 ENCEPHALITIS A total of 211 cases of primary encephalitis was reported for the week ended September 5. This brings to 2,024 the cumulative total recorded during 1964. Of the cases reported during the past week, 148 were from Texas; the remainder were scattered throughout the country. In Texas, the cases were reported principally from 2 epidemic areas, Harris County (Houston) and the South Plains area (Plainview). (See MMWR Vol. 13, pp. 289 and 301) In .JJdi rLi4u FtO idernmics small outbreaks continue d I ar ir 'o. an outbreak of 23 cases renli vye l, identified Louis Encephalitis was reco~eiyjd (hi. week in Da I Ill, Kentucky. Epd,"i'olog'prT of i' of these outbreaks are included.in this issue on pa -s 4, 315, and 320. k c/ -y Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNT1rTTSTATES (Cumulative totals include revised and delayed reports through previous weeks) 36th. Week Ended Cumulative. First 36 Weeks Disease September 5, September 7, Median Median 1964 1963 1959 1963 1964 1963 1959 1963 Aseptic meningitis ................ 46 34 --- 1,279 1,105 --- Brucellosis ....................... 10 12 7 301 260 430 Diphtheria ......................... 5 2 8 179 160 380 Encephalitis, primary infectious.. 211 --- 2,024 -- Encephalitis, post-infectious ..... 7 23 ... 681 1,089 Hepatitis, infectious including serum hepatitis ................ 560 682 682 27,112 30,396 30,396 Measles ........................... 540 664 725 433,837 357,669 386,328 Meningococcal infections .......... 41 25 28 1,891 1,745 1,563 Poliomyelitis, Total .............. 3 12 65 76 249 682 Paralytic ....................... 1 11 37 62 213 454 Nonparalytic ................... 1 1 --- 10 25 - Unspecified ................... 1 ---1 4 11 Streptococcal Sore Throat and Scarlet fever ................. 3,939 2,930 --- 291,302 247,743 --- Tetanus ...........................11 5 --- 193 172 --- Tularemia ......................... 6 2 --- 235 197 --- Typhoid fever ..................... 14 20 20 285 338 529 Rabies in Animals ................. 81 67 57 3,244 2,681 2,681 Table 2. NOTIFIABLE DISEASES OF LOW FREQUENCY Cum. Cum. Anthrax: 3 Psittacosis: 30 Botulism: 11 Rabies in Man: Leptospirosis: N.Y. Upstate-1 30 Smallpox: Malaria: Tenn.-l 61 Typhus- Plague: Murine: 19 Rky Mt. Spotted:Md.-1, D.C.-I, Va.-1, Ky.-l, 174 Tenn.-2, Ga.-l, Calif.-1 N.C.-4 634-5131 Fs e~, bD IS11/ .?)/S6 Morbidity and Mortality Weekly Report REPORTED CASES OF SUSPECT ENCEPHALITIS* BY WEEK OF ONSET HARRIS COUNTY, TEXAS-1964 FATAL CASES 0. 0. __ _ __ _ ___ ___ _ 16 23 30 6 13 20 27 4 II 18 25 I MAY JUNE 609 Cases with known date of onset. 8 15 22 29 JULY i 12 19 26 SEPT ENCEPHALITIS TEXAS Harris County Through September 8, a total of 629 suspected cases of St. Louis Encephalitis, including 27 deaths, have been reported from Harris County (Houston), Texas. (See previous reports, MMWR, Vol. 13, pp. 290 and 302) The epidemic curve for the 609 cases with known date of onset is shown above. A peak in incidence appears to have been reached during the week ended August 29. The overall attack rate is 50.6 per 100,000. The age specific attack rates, as shown below, are of a similar order of magnitude for age groups less than 60 years. There then follows a progressive rise with advancing age. The attack rate among the non-white population (55.3 per 100,000) is somewhat greater than the rate in the white population (45.0 per 100,000). AGE An SEX MoSTRIBUIOT OF REPORTED VRAL ENCEALITIS Hnris County. Teas .M. C.-.,....T- Though *stlne I, 9Is *A"C -p Ma* F-l. T.l. Ca..' r pR r IO O *O" 0-9 71 6 114 I7.3 10.19 5 33 9 43.4 29 9 54 114 06l 39 33 39 12 36.4 4 0-9 29 fl 57 .3 r-9 29 29 $a 51.6 0 0 22 52 82.5 .t4.. 6 5 12 - 356 271T 629 SO. The 27 deaths represent a case fatality ratio of 4 percent; 25 of the deaths were in persons over 50 years of age. Sera from 317 suspected cases have been studied to date. Of these, 11 demonstrate confirmatory evidence (rising titer) of recent-infection by St. Louis Encephalitis (SLE) virus, 141 show presumptive evidence (high HAI titer in acute specimens) of SLE infection and 12 are negative. In addition 153 sera are incompletely studied and considered inconclusive. Isolations of St. Louis Encephalitis virus have been obtained at the Texas State Health Department Laboratory and at CDC from a wild bird (blue jay) and from pools of the mosquito, Culer Quinquefasciatus, collected in Harris County. (Reported by Charles A. Pigford, M.D., Director of Public Health, Houston, Van C. Tipton, M.D., Director, Com- municable Disease Division, Texas State Department of Health, and a team from the Communicable Disease Center.) South Plains Area Through September 8, 51 cases, including 4 deaths, of suspected encephalitis have been reported from the south plains area of Texas. This represents an increase 314 Morbidity and Mortality Weekly Report of 10 cases and 1 death over the number reported last week (See MMWR, Vol. 13, pp. 291 and 305). Hale County accounts for 58 of the 51 reported cases. Laboratory studies to date have implicated Western Encephalitis virus as the principal responsible agent. A sustained high incidence is occurring; during the weeks ended August 15, 22 and 29, 13, 11 and 15 cases respectively were reported. As seen in the table below, the overall attack rate is now 144 per 100,000. Tie highest rate, 383 per 100,000, is found in the 0-4 age groups. AGE SPECIFIC ATTACK RATES FOR REPORTED VIRAL ENCEPHALITIS Hale County, Texas, 1964 Age Group Population* No. Cases Attack Rate/100,000 0-4 4,704 18 383 5-9 4,495 8 178 10-19 7,010 4 58 20-29 4,798 9 188 30-39 4,546 9 198 40-59 7,455 5 67 60+ 3,790 0 0 Total 36,798 53 144 * 1960 Census Western Encephalitis virus has been isolated from brain tissue from one of the fatal cases at the CDC Laboratory, Greeley, Colorado. Isolations of Western Encephalitis virus from Culex tarsalis mosquito pools were reported previously. (Reported by Dr. Van C. Tipton, Director, Division of Communicable Disease Control, Texas State Department of Health, and a team from the Communicable Disease Center.) KENTUCKY Danville Twenty-three cases of suspected encephalitis, including one death, were reported from Danville, Kentucky. Laboratory studies have tentatively identified St. Louis Encephalitis virus as the responsible agent. The earliest case experienced an onset of illness on July 12; most, however, occurred during late August and early September: REPORTED CASES OF SUSPECTED ENCEPHALITIS DANVILLE, KENTUCKY 1964 M FATAL CASE II 4 II 18 25 JULY Coses with known dote of onset. ILLINOIS Throuh September 6. ILLINOIS Since July 29, a total of 26 cases of suspected en- cephalitis, including 2 deaths, have been reported from scattered areas in southern Illinois. Nine of the cases and both deaths occurred in McLeansboro, Hamilton County (see MMWR, Vol. 13, page 305). All of the McLeansboro patients were over 70 years of age; cases in other areas range from 6 to 82 years. Serologic confirmation of infection with St. Louis Encephalitis virus has been obtained in 4 of the McLeansboro cases thus far. In addition to the human cases, 31 cases of horse encephalitis have been reported during the past 2 weeks. These cases are geographically dispersed throughout the state. Further studies are in progress. (Reported by Norman J. Rose, M.D., Chief, Bureau of Epidemiology, Illinois Department of Public Health, and a team from CDC). 15 22 29 5 12 AUG SEPT The age distribution of the cases ranges from 4 to 89 years. For the 20 patients with known ages, 6 are under 20 years-of-age, 10 are between 20 and 59 years, and 4 are age 70 or older. The sex distribution is approximately equal. The only fatality occurred in an 89 year old female. Clinically, symptoms of severe, persistent headache and high fever have been characteristic of most cases. Additional symptoms have included vomiting, coma, and slurred speech. Cerebrospinal fluid examinations have revealed pleocytosis and elevated CSF protein levels in cases studied. Complement fixation studies conducted at the Kentucky State Health Department Laboratories revealed presumptive serologic evidence of St. Louis Encephalitis virus infection in sera from 2 of the cases studied to date. (Reported by Dr. Russell E. Tcau:ue, Commissioner of Health, Kentucky State Department of Health.) (Encephalitis, continued on page 132(. 315 316 Ilorbidity and Mortality Weekly Report Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES UNITED STATES FOR WEEKS ENDED SEPTEMBER 5, 1964 AND SEPTEMBER 7, 1963 (36th WEEK) Aseptic 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... 46 34 211 7 3 12 76 249 1 11 62 213 NEW ENGLAND........... 1 1 4 1 4 Maine............... 1 1 New Hampshire....... - Vermont............. 1 1 Massachusetts...... I 2 2 Rhode Island....... 1- - Connecticut........ 2 1 - MIDDLE ATLANTIC...... 7 7 10 2 4 12 84 4 11 66 New York City...... 1 3 3 1 1 New York, Up-State. 3 1 9 7 8 5 New Jersey......... 3 5 2 1 2 1 Pennsylvania....... 3 1 2 1 4 76 4 60 EAST NORTH CENTRAL... 6 6 11 1 2 13 31 1 11 23 Ohio............... 3 4 2 8 2 4 Indiana............ 2 2 2 1 Illinois........... 2 2 7 1 4 12 4 11 Michigan........... 1 4 1 3 5 1 2 5 Wisconsin.......... I 2 4 1 2 WEST NORTH CENTRAL... 7 2 1 5 5 4 4 Minnesota........... 7 2 1 3 1 3 Iowa............... - Missouri........... 3 2 - North Dakota....... - South Dakota....... 1 - Nebraska............ I 1 Kansas............. I 1 - SOUTH ATLANTIC....... 1 1 16 1 1 23 31 1 18 28 Delaware............ 1 1 Maryland ........... 1 I 1 - Dist. of Columbia.. - Virginia........... 1 1 1 2 1 West Virginia..... 1 2 1 2 North Carolina..... 2 9 3 5 3 South Carolina..... 2 1 2 5 2 4 Georgia ............ 3 1 1 11 1 1 10 Florida............ 7 -- 9 7 8 7 EAST SOUTH CENTRAL... 2 5 6 6 5 51 6 4 49 Kentucky........... 4 - Tennessee .......... 1 4 2 3 9 2 2 9 Alabama............ 1 1 4 2 39 4 2 37 Mississippi........ 2 3 3 WEST SOUTH CENTRAL... 5 1 156 1 1 7 22 6 21 Arkansas........... 7 4 3 Louisiana .......... 1 13 13 Oklahoma........... 1 2 2 - Texas.............. 4 148 1 5 5 4 5 MOUNTAIN............. 2 4 7 2 4 1 Montana............. 1 - Idaho............... 1 1 Wyoming.............. 2 2 - Colorado........... 1 4 1 1 - New Mexico......... -- 3 1 - Arizona............ 1 - Utah................ - Nevada............ - PACIFIC.............. 15 12 6 3 3 19 3 17 Washington......... 3 5 2 2 2 Oregon ............ 1 1 2 1 1 California......... 12 6 4 3 2 15 2 14 Alaska..............- - Hawaii.............- - Puerto Rico _- --- --- -- -I 4 --- 4 Ilorbidity and Mortality Weekly Report 317 Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNIT ID STATES FOR WIFK s ENDED SEPTEMBER 5, 1964 AND SEPTEMBER 7, 1963 (36th WEEK) Continued Infectious Hepatitis Brucellosis Diphtheria including Serum Hepatitis Typhoid Fever Area Under 20 years Age Cum. Cum. Total 20 years and over Unknown Cumulative Cum. 1964 1964 1964 1964 1964 1964 1964 1964 1964 1963 1964 1964 UNITED STATES... 10 301 5 179 560 256 269 35 27,112 30,396 14 285 NEW ENGLAND.......... 2 44 36 20 15 1 2,540 3,283 13 Maine............... 39 10 6 4 814 1,490 New Hampshire...... 9 3 6 198 322 Vermont............ 2 1 1 317 55 - Massachusetts....... 2 5 9 6 3 546 918 6 Rhode Island....... 4 3 1 134 76 6 Connecticut ....... 2 1 1 531 422 1 MIDDLE ATLANTIC...... 5 7 114 46 68 6,047 5,971 41 New York City...... 3 23 8 15 922 915 16 New York, Up-State. 2 28 15 13 2,665 2,615 9 New Jersey......... 2 20 2 18 1,050 892 1 Pennsylvania....... 3 2 43 21 22 1,410 1,549 15 EAST NORTH CENTRAL... 41 8 101 43 56 2 4,254 4,935 4 67 Ohio................ 2 22 12 10 1,117 1,367 22 Indiana............. 1 1 4 4 361 440 3 16 Illinois........... 26 6 27 11 15 1 784 1,063 1 17 Michigan........... 6 1 47 20 27 1,684 1,841 9 Wisconsin.......... 6 1 1 308 224 3 WEST NORTH CENTRAL... 4 131 26 32 12 15 5 1,460 1,367 1 27 Minnesota.......... 7 11 7 5 2 162 209 3 Iowa................. 1 83 1 1 212 249 4 Missouri............ 1 10 1 11 6 5 363 500 1 10 North Dakota....... 2 2 55 46 2 South Dakota....... 1 15 1 116 96 1 Nebraska............ 1 12 4 4 4 39 94 3 Kansas............. 2 7 9 1 8 513 173 4 SOUTH ATLANTIC....... 1 28 1 41 56 33 21 2 2,556 3,111 3 62 Delaware............ 48 55 - Maryland............ 7 5 2 483 380 4 Dist. of Columbia.. 43 83 - Virginia........... 13 6 3 3 396 643 1 11 West Virginia...... 7 4 3 381 476 North Carolina..... 3 9 8 1 442 794 1 18 South Carolina.... 7 2 1 1 94 131 11 Georgia............. 1 9 1 21 5 3 2 70 129 1 4 Florida............. 3 13 20 9 10 1 599 420 14 EAST SOUTH CENTRAL... 15 4 10 42 19 22 1 1,868 2,931 27 Kentucky.......... 4 10 6 3 1 709 829 7 Tennessee........... 5 1 22 10 12 648 1,139 13 Alabama............ 4 3 6 4 2 2 333 471 5 Mississippi........ 2 1 3 6 1 5 178 492 2 WEST SOUTH CENTRAL... 3 34 27 52 30 19 3 2,078 2,152 2 21 Arkansas............ 1 6 10 5 5 209 244 2 11 Louisiana.......... 4 5 12 6 6 484 431 3 Oklahoma............ 2 6 101 99 4 Texas.............. 18 22 30 19 8 3 1,284 1,378 3 MOUNTAIN............. 2 27 2 21 3 2 16 1,637 1,957 7 Montana............ 2 1 1 143 251 - Idaho............... 4 4 212 318 Som n ......... .. 50 25 1 Colorado............. 7 1 6 443 403 - New Mexico......... I 1 2 2 234 227 2 Arizona............ 2 1 6 6 368 452 4 Utah............... 2 23 137 264 - Nevada............. 1 50 17 - PACIFIC.............. 18 14 106 50 51 5 4,672 4,689 4 20 Washington......... 13 8 4 4 494 823 2 Oregon.............. 2 8 1 5 2 513 569 - California ........ 16 1 75 35 40 3,414 3,149 4 18 Alaska............. 12 9 3 153 115 - Hawaii.............. 3 1 2 98 33 Puerto Rico --- --- 9 --- --- --- --- 635 588 --- 10 318 Morbidity and Mortality Weekly Report Table 3. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES FOR WEEKS ENDED SEPTEMBER 5, 1964 AND SEPTEMBER 7, 1963 (36th 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... 540 41 1,891 1,745 3,939 2,930 11 193 6 235 81 3,244 NEW ENGLAND........... 40 3 55 109 278 154 8 1 29 Maine.............. 13 5 17 87 11 25 New Hampshire...... 2 1 4 3 1 Vermont............. 1 4 16 2 Massachusetts...... 20 1 22 51 11 9 8 1 1 Rhode Island....... 2 1 9 10 3 12 - Connecticut........ 3 1 17 23 177 103 - MIDDLE ATLANTIC...... 46 5 256 243 127 63 19 5 93 New York City...... 11 35 39 12 4 - New York, Up-State. 22 71 75 93 41 7 5 89 New Jersey......... 12 3 88 34 19 8 6 - Pennsylvania....... 1 2 62 95 3 10 6 4 EAST NORTH CENTRAL... 96 8 272 266 353 147 1 33 1 20 7 447 Ohio................ 7 1 70 76 19 19 9 1 229 Indiana............ 22 2 43 31 160 36 5 2 1 22 Illinois........... 11 1 68 51 36 24 1 12 1 13 4 91 Michigan............ 33 3 62 81 93 40 6 1 1 45 Wisconsin........... 23 1 29 27 45 28 1 3 1 60 WEST NORTH CENTRAL... 7 3 121 113 99 78 9 1 49 20 1,030 Minnesota.......... 1 28 22 5 3 1 2 4 314 Iowa............... 6 6 12 7 3 1 8 371 Missouri........... 1 1 56 33 3 24 5 158 North Dakota....... 6 16 12 79 65 1 54 South Dakota ...... 1 1 5 3 1 1 14 2 76 Nebraska .......... 6 24 2 31 Kansas............. NN 8 11 1 1 8 26 SOUTH ATLANTIC....... 58 7 401 320 523 350 53 21 10 442 Delaware........... 6 2 12 7 - Maryland........... 4 26 49 15 3 3 1 1 Dist. of Columbia.. 12 6 2 1 1 Virginia........... 2 46 73 113 87 6 4 6 234 West Virginia...... 23 1 31 16 148 120 1 26 North Carolina.... 4 69 55 10 8 13 5 5 South Carolina..... 2 50 15 6 43 4 2 Georgia............ 2 5 60 25 19 4 11 2 99 Florida............. 21 1 101 79 198 82 21 1 75 EAST SOUTH CENTRAL... 90 6 165 129 759 669 5 25 1 26 11 386 Kentucky............ 7 52 29 70 80 2 7 1 3 54 Tennessee........... 75 54 57 664 543 1 10 17 8 316 Alabama............ 6 35 21 10 9 5 3 16 Mississippi........ 2 6 24 22 15 37 2 3 1 5 - WEST SOUTH CENTRAL... 67 4 173 164 571 526 3 21 2 77 10 469 Arkansas........... 20 11 1 7 2 43 3 116 Louisiana.......... 1 3 114 67 2 3 3 2 42 Oklahoma........... 8 29 6 11 19 81 Texas............... 66 1 31 57 563 515 2 11 12 5 230 MOUNTAIN............. 58 66 59 699 538 5 1 38 2 115 Montana ............ 9 3 27 42 18 - Idaho.............. 8 3 6 75 40 - Wyoming............ 9 5 4 11 2 2 7 - Colorado........... 21 11 16 283 136 8 New Mexico......... 1 27 4 139 138 1 47 Arizona............ 7 5 9 81 71 1 2 50 Utah............... 3 7 14 83 109 1 1 13 1 Nevada ............. 8 3 9 PACIFIC.............. 78 5 382 342 530 405 2 20 3 16 233 Washington......... 7 1 30 26 37 70 1 - Oregon............... 21 21 25 9 6 1 8 California.......... 31 4 312 271 423 291 2 18 2 16 225 Alaska.............. 7 12 18 18 - Hawaii............. 19 12 8 43 20 I - Puerto Rico --- --- 29 7 --- 5 55 --- 18 Morbidity and Mortality weekly Report Table 4 (D) TOTAL DEATHS AMtNI (, PERSONS 65 YEARS AND OVER IN REP() I IN(, CITIESS (Tables 4(A), 4(B), 4(C), and 4(D) will be published in sequence covering a four-week period.)o 319 Area For weeks ending Area For weeks ending 8/15 8/22 8/29 9/5 8/15 8/22 8/29 9/5 NEW ENGLAND: Boston, Mass............... Bridgeport, Conn........... Cambrldge, 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.......... Cary, 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............ 110 17 11 19 25 18 17 19 22 30 6 30 23 35 14 34 60 33 15 16 42 33 879 19 306 83 30 40 9 24 29 29 21 19 31 22 351 107 88 63 46 169 35 14 26 16 18 70 10 69 17 17 19 54 41 31 15 25 51 21 66 38 155 50 22 135 20 13 18 19 15 25 19 28 31 6 34 14 46 19 23 71 27 13 20 42 57 906 14 263 94 33 70 19 17 28 21 15 16 27 14 381 80 129 52 56 207 28 33 23 4 30 72 23 63 9 18 12 44 37 29 16 19* 64 18 64* 42 138 38 25 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......... *hrc.'p-rc, 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..... 11,178 428 790 6,068 *Estimate based on average percent of divisional total. Totals for previous weeks include reported corrections. NOTE: All deaths by place of occurrence. 320 Morbidity and Mortality Weekly Report SUMMARY OF DEATHS AMONG PERSONS 65 YEARS AND OVER IN 108 U.S. CITIES The weekly average number of deaths among persons 65 years and over in 108 cities for the four-week period ending September 5 was 5,858 as compared with an expected weekly average of 6,121. Week Ending 4 Week Weekly 8/15 8/22 8/29 9/5 Total Average Observed 5,820 5,657 5,886 6,068 23,431 5,858 Expected 6,097 6,108 6,126 6,153 24,484 6,121 Excess -277 -451 -240 -85 -1,053 -263 9.00 NUMBER OF 8300 DEATHS 8.oo I" .*1 1 r r LJMIwuf llllllllll1262 08864 2987lllllllllllllllllll 3 1262 08864 2987 DEATHS at AGE 65 and OVER in lB U S. CITIES Averoa. N.mbir per W.0b ty Four, Wree Prloda rI f-0-.. aOwti ,fLMrfla B / * rt *'W Ef. JAi d *WY~i* ThN fiSa. irrv~-~ IIt~i IILLLIThiII X K X a~ , 1961 .- -CEr U .1 Or 3cC. CE-r 1962 '963 .. (See table page 319) COLORADO An additional 13 cases of suspected encephalitis have been reported in Colorado (See MMWR, Vol. 13, pg. 305). This brings to 24 the number of cases which have occurred since August 1.There have been no deaths. The cases have been reported from 9 counties in separate areas of the State; 6 cases each have been recorded in Fort Collins and Adams Counties. The cases range in age from one to 65 years. Sera from 3 cases have demonstrated significant HI antibody titer rises to Western Encephalitis virus; 2 of these cases occurred in 8 and 18-year-old males in Adams County (near Denver), the other in a 9-year-old girl in Weld County (near Greeley). Serologic evidence of infection by St. Louis Enceph- alitis virus has been demonstrated in an 18-year-old male patient in Jefferson County (southwest of Denver). (Reported by Dr. C. S. Mollohan, Chief, Division of Epidemiology, Colorado State Department of Public Health and a team from CDC.) THE MORBIDITY AND MORTALITY WEEKLY REPORT. WITH A CIRCULA- TION OF 12,000 IS PUBLISHED BY THE COMMUNICABLE DISEASE CENTER, ATLANTA. GEORGIA. CHIEF, COMMUNICABLE DISEASE CENTER JAMES L. GODDARDM.D. CHIEF. EPIDEMIOLOGY BRANCH A. D. LANGMUIR. M.D. CHIEF. STATISTICS SECTION R. E. SERFLING. PH.D. ASST. CHIEF. STATISTICS SECTION 1. L. SHERMAN, M.S. CHIEF. SURVEILLANCE SECTION D. A. HENDERSON. M.D. DEPUTY CHIEF. SURV. SECTION J. D. MILLER. M.D. EDITOR, MMWR L. K. ALTMAN, M.D. ASSISTANT EDITOR. MMWR P. 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: LAWRENCE K. ALTMAN. M.D., 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. 3n - a 0 0 A - O-S--TORY | NuM~~~p C 1 P L1 UVMAEN'ISLDE" "O ryi c om i 0 :IE IT IC.CU.~O ~gY IC1 I TPCII~~CI MPer Wo -- |
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