Morbidity and mortality

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.


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