Morbidity and Mortality W r r k hR e p o r t

U. S. Department ofHEALTH, EDUCATION, AND WELFARE Public Health Service

N A T I O N A L O f f I CE O f V I T A L S T A T I S T I C S

October 26, Î953 Washington 25, D. C, Vol. 1, No. 54

ANNUAL SUPPLEMENT

Reported Incidence of Notifiable Diseases in the United States, 1952

This annual summary of notifiable diseases for 1952 contains the final figures supplied by the health authorities of the various States, the D istrict oi Columbia, the T errito ries , certain pos­sessions, and the Canal Zone,

Beginning January 1, 1952, rev ised morbidity reporting procedures, approved by the Association ol State and Territorial Health Officers, became effective, A few States were not able to change all oi their reporting requirem ents to conform with the procedures agreed upon, since legislative action was required before additional diseases could be added to their lists of report­able diseases.

Trends In IncidenceSince morbidity figures for any one year usually have little

significance unless com pared with the preceding years , the numbers of cases reported in a 10-year period for the country as a whole are shown in table I,

For many years the incidence of diphtheria has been declining and 1952 was no exception. Whooping cough, another disease against which an active immunizing agent is used, again declined. On the other hand, smallpox showed a slight increase in cases reported. There is reason to believe that some of the 21 cases reported in 1952 could not be considered as verified cases if generally accepted c r i te r ia for diagnosis of sm allpox w ere rigidly applied.

For the f i r s t tim e in m ore than a decade the number of cases of typhoid fever failed to decline. However, the increase in the number amounted to only about 10 percent over the number reported in 1951.

Malaria in both civilians and military personnel was reported in la rg er num bers in 1952 as compared with 1951. This was alm ost entirely the resu lt of Infections originating in Korea, Indigenous m alaria in civilians was proven in a comparatively few Instances. One group of such cases occurred In teen-age g irls attending a sum m er camp. Nine cases were reported a few weeks after the girls left the camp site, and a much larger number came to light later Indicating a long latent period which was characteristic of the disease in military personnel. Infection in these teen-age g irls apparently had its origin In a Korean veteran who had a clinical attack of m alaria while visiting in the area where the camp was located.

M eningococcal infections again increased In number In 1952 as it has each year since 1948. Streptococcal infections at the throat including scarle t fever ran about 30 percent over the previous year.

There was an unusually large number of cases of psittacosis reported, 135 as compared with an average of 29 cases In the previous 5 years. Nearly one-half of these cases occurred in 1 State w here th ere w ere two outbreaks of the d isease among w orkers In a poultry p rocessing plant. Even without these cases , the num ber, whose principal source of infection was pslttaclne birds, was more than twice the average for the previous 5 -year period.

The numbers of cases of poliomyelitis and infectious enceph­alitis repo rted In 1952 w ere also g re a te r . A m ore detailed discussion of these d iseases appears In another p art of thisstuRiiiary,

The number of cases of paratyphoid fever, which Includes all salm onella Infections except those due to S. typhosus. In­creased nearly 50 percent over the previous year. This is a

continuation of the upward trend over the past few years, How much of th is increase Is due to more complete reporting and increasing use of laboratory examinations in differential diagnosis of gastro-enteritis, is unknown.

The number of cases of infectious hepatitis reported was more than double the number for 1951. P art of this Increase 1» undoubtedly due to the fact that reporting of the disease has become more complete and that a la rger number of States are reporting the disease.

The reported cases of tuberculosis declined about 1 percent. A portion of th is decline Is due to the change In tuberculosis morbidity reporting rules Initiated as of January 1, 1952, Ae In previous years, the total Includes some cases of arrested tuber­culosis but the large majority are active cases. The data used in compiling this report a re those subm itted by States to the Division of Chronic Disease and Tuberculosis and to the National Office of Vital S tatistics. In a few instances in which the two reports did not ag ree , the la test rep o rt rece ived by either Division of the Public Health Service was used. However, in ail instances they were official reports from States.

The total number of cases of venereal diseases declined, especially syphilis. The data shown In the tables Include cases reported from m ilitary establishm ents located In the States, T errito ries, certain possessions,and the Canal Zone.

Distribution of notifiable diseases by monthsTable 2 shows the monthly d istribution of the notifiable

diseases reported in the United States, except for the venerealdiseases which are shown by qu arte rs . For the m ost part the cases have been allocated to the month in which the rep o rts were received in the office of the State health department,. As in 1951, very few of the States tabulated diseases by month of onset.

Geographic distribution of certain notifiable diseasesIn table 3, final to ta l num bers of rep o rted c a se s of 26

dtseases are shown for each State and the D istrict of Columbia. Table 4 shows cases of diseases with a low frequency and table 5 contains data for the T e rrito r ie s , certa in possessions, and the Canal Zone.

With few exceptions, the distribution of d iseases by geo­graphic divisions or States was not greatly different from that of previous years.

The incidence of poliom yelitis was highest In the North Central and Mountain Divisions and in Texas, as shown in the accompanying map. While Minnesota, California, Illinois, Texas, and Michigan reported the largest numbers of cases, the States having the highest Incidence rates per 100,000 population were confined to the West North Central States. Nebraska had a rate of 163.9; South Dakota, 153,2; Minnesota, 138.7; Iowa, 134,7; and Kansas, 85,8, Nine other States had ra te s in excess of 50 per100,000 population.

As shown In table 3, 37 percent of ail cases of poliomyelitis reported w ere c lassified as paralytic, 22 percent w ere non- paralytic, and the rem ainder were unclassified as to type. It is not known whether the ratio at paralytic to nonparalytic In the unspecified group is the same as in the group which were c las­sified, where the ratio was 61 to 39. There was a wide difference in States reporting by type, some classifying all but a few cases, and some none at all.

Weekly Morbidity

Report

Weekly Morbidity Report 3

There was an Increase la the number of cases of Infectious encephalitis reported in 1952 which was almost entirely due to an extensive outbreak oI arthropod-borne type of infection In the central valleys of California. The total number reported in California was 808, 80 percent ot which were in M y , August, and September. Laboratory examinations revealed that western equine and St. Louis types of infection w ere present, but the form er predominated. North Dakota also showed a concentration of cases in the summer months. Qf the 43 cases reported in 1952, 35 w ere in the months of July, August, and September. In the Mountain States there were 81 cases, 29 being reported 1ft August and September. It is also significant that the U. S. Department of A griculture reported a relatively high incidence of equine encephalomyelitis in the Mountain and Pacific States in 1952.

PERCENTAGE OF TOTAL INFECTIOUS ENCEPHALITIS CASES REPORTED

IN EACH MONTH: 1952

Cases of encephalitis in the remainder of the country weremore evenly distributed throughout the year. The difference in seasonal distribution between {a) California, North Dakota, and the Mountain States and (b) the rem aining parts of the United States is shown in the accompanying chart. Except for the three areas with a concentration of cases in the late summer, many of those reported in o ther p a rts of the country probably were post-infectious types of encephalitis following measles, mumps, and other diseases. This suggestion is substantiated in part by the fact that a larger proportion are reported in the late winter and spring when m easles and mumps a re most prevalent.

Laboratory confirmation of certain notifiable diseasesFor the past 2 years a form has been sent to the States with

a request to tabulate the total num bers of cases reported for

39 diseases and the numbers of cases for which the diagnosis was confirmed by a laboratory test. In the table below, 13 diseases a re listed for which such tests are generally regarded as nec­essary or desirable for confirmation of diagnosis. In one column the number of States reporting is shown and the percentage ot cases confirmed in these States is shown in another column. In 1851 about one-third (31 percent) of the States reported on one o r more d iseases, and In 1052 nearly tw o-thirds (60 percent) reported. Two States which reported In 19S1 did not do so in 1952.

OT KMTES HEPQBTXB3 COHFnWASIOHB CW CEKBUB DISEASES ÂHD EEE0EHT QF CASES CONFJBMEDi ffSITED SIMES, 1951-52

DISEASE AHD YEARHumber of States reporting

Amebiasis:1952-..................................... ..........................1951— - .................* ...........- ........... ............ ..

Brucellosis (uadulant fever)i1952........................- .................... ....................1951 —------------ -------------- ----- — -

Diphtherial1952 — --------------------- ---------- —195 1 ----- ----------------- ---------- — — —

Dysentery, to&cillary (ohlgelloolo):195 2 --------------- ---------------1951— -------- ---------

Encephalitis, infectiousi1952......................................................................1951'— ----- --------------------------- — --------- —

Malaria:1952 — ------------- -------------- -------------- --------------1951----------— --------------------- ------ -

Meningococcal infections:1952—— — ------ ------------» ...........—195 1----— — ------ -------- ------- -- - - -

Rabies in animals:195 2 ------------ -----------------------------

Bocky Mountain spotted fevers1952-------—-------- — .--------------------195 1 -------------— -------- ------- - - - - ---------------

Salmonellosis (paratyphoid fever):195 2 ---------------— ----------------------1951“«----------- ------------------------ -------------- --

Tularemia;1952-— - - ----- — ------- —...................... -195 1----- -------- ---------- - .......... ........

Typhoid fever:195 2------------------------ --------------- — .----------------1951— -----------— ............................... -

Typhus fever, endemic (murine):1952----------- --------- -------- ------------1951----------—— — — -------— - ............

Percentof caaes confirmed.

12 78 »15 4 0 .7

24 78*110 6 6 .1

*17 3 9 .510 44 .6

17 1 3 .97 S£ »6

7 4 9 .33 3 2 .1

17 a e . i9 5 2 .0

12 59 ,65 5 5 ,6

20 9 6 .313 8 9 .2

9 5 3 ,316 S I . 9

-43 7 5 ,aB 9 2 .2

16 7 6 -50 7 4 .0

27 69*714 7 6 .5

0 4 7 .05 8 8 .9

1 Includes the District of Columbia,.

These tabulations indicate the number of cases for which Information was available in certain State health departments. It is probable that other cases were confirmed by laboratory tests, but the information was not available. Likewise, in States not reporting on any disease, a certain proportion of cases may have been confirmed by such te s ts , but lack of information at the State level precluded a tabulation.

Symbols._1 dashj -"] : no cases reported; asterisk * j : âlsease stated not not If tables 5 âasheB^- — J : date cot available.

T a i l s 1. R EPO STED CASES O F SPEC IFIED N O TIFIA BLE DISEASES; D M TE B STATES, 1943-52(Wiisbers a f t e r d iseases are category m stbsrs o f t i e S ix th B ev is isa ct th e I z z ts r^ 't isn a l I*ists, 1^48)

DISEASE 135B 1S5C 1943 19 48--- --

1.947 134* 1945 1944 1943

— — 043.1

--- ----030

IS

t3

3,133

i,5S3432D

3,510?.S

5.5«5424

4,23546

4S 871 00 39

4,951 24

3,3656944

5,32135'

4,09340

5,88740

3,41240

S,04S108

3,24149

4, 43S 61

3,32972

3,733123

tijsentery, h&ctll&rj (ahigeilosis) — — ----------—Encephalitis, acute infectious— — “— ------ — --- ----■—Hepatitis, infectious---- -— — <— ----- -— -----------

— ------ 032.... ...092— —— —————0s0

3,360

1,912 17,428

57'

3, 935

l[ 123 7,349

57

5,73623,36?1,1352,820

44

?,3£929,080

9032*02?

41

S,40323,753

73070S83

12,262 17,0481,032

56

16 j 354- 24,286

72843

18,67534,943

78540

14,150 38,230

I f

37

14,81131,590

771

35

Malaria- — — — - — -“— “ — — ---— ---Meningococcal iafectiosis— — ---- ---------- — - --------

---- 110-117--------035

627*023

£83,0??4,-384

9S, 800

530,118 4,164

i

30 2,184

319,124 3, 70S

3

1?4,151

625,2813,519

3

IS 9, 60S

615,1043,376

14' 15,116 222,375 3,420

1

48,610695,8435,693

62,763 146,013 8,208

57*628 830,291 16,312

1

54,554633,62713,223

1Poliomyelitis, acute----•-----— — — .--------- -— -------Psittacosis and ornithosis— — — ---—-------*------—Q fever— ------ —------ --- -— ----------------------Babies is san1----- -----— -— — ■— ■— — — — ----— >-Babies in. anísala2------------- •---- •---- -------— --

---- --„OgQ— ----- 0 9 5 . 2

~----10S{pt}..... ..034

57,8?S 135 ■ 7

21 7,578

28,5 3 S

25 8 16

s , o o a

33,30026IS

7,901

42,03335210

7,58?

27,726 32 1 24

8, 495

10,8272728

8,920

25,6982 6

3 4

10,850

13,6242 7

4 3

9,928

19,0286

5 6

10,487

12,4501

4 ?

9 , 8 4 9

R o c k y M o u n t a i n s p o t t e d f e v e r — <— —---------------- ----------- -— — — -----------

S a l a o n e l l o s i a { p a r a t y p h o i d f e v e r ) - - « ------------------------ ------------ - — —

S c a r l e t f e v e r a s d s t r e p t o c o c c a l s o r e t h r o a t — ----------- — ------------

S m a l l p o x ------------------------ ------------ -— ••---------------- ----------------- --------------------------------------------

...................0 4 1 , 0 4 2

---- 050,051------------------------

0 6 1

3 2 7

2 , 5 9 6

1 1 3 , 6 7 7

2 1

4 8 4

3471,773

8 4 , 1 5 1

1 1

506

464 1 , 2 3 3

64, 434 3 9

486

570 1,243 87, 220

45 579

547882

91,2955 7

601

5 S 8

9 5 1

93,5951765 6 0

587723

125,5113 3 7

472649

185,5703 4 6

470 712

200,539 397

4 7 3

731150,362

765

T r a c h o s t a — >*— ---------- — -----— .— ----*— — ----T r i c h i n i a s i a - — — — ---------— >— -— ----—— ------- •—T u b e r c u l o s i s , a l l f o r m s - ™ — ----— -— ------ ------------------------

T y p h o i d f e v e r — -----— -------- ------------ — — —

........128---— 001-019— ------059----- - , — 0 4 0

3 , 0 8 8

3 6 7

1 0 9 , 8 3 7

© s a

2,341

2,916 5 9 3

US, 491 702

2,128

1,5843 2 7

121,7429 2 7

2 , 4S4

1,475 3 5 3

134,865 1 * 1 7 9

2, 795

2,565487

137,0061/0862 , 8 4 0

1*540451

134,9461,4013,075

119,2581,3553,268

114,931300

4,211

126,294 781

4,599

120,253 9 6 8

4,690

T y p h u s f e v e r , , e n d e m i c ( m u r i n e ) — - “ “ -----------— ------------------------------------ -

T e & e r e a l d i s e a s e s ; 3

G o n o r r h e a ------------------------— ------------------- --------------- •— -— °-------------- -------------------

S y p h i l i s - - - --------------------- --— •------------------- --— •----------------------------------------------

O t h e r s p e c i f i e d v e n e r e a l d i s e a s e s - 5" - * - —

W h o o p i n g c o u g i ( p e r t u s s i s ) — -------- — ---------------------------------------------- —

— — ---------— 101— ---------030-034....-020-029----,036-038

s- * - -05ê

2 0 $

244,342165,8535,90945,030

3 7 8

254,057 174,924 6,885

s e , e s ?

£ 8 5

286,746 217,558 8,187

120,718

9 8 5

317,950 256,463 11,034 69,479

1,171345,501314,31312,55374,715

2 , 0 5 0

380,666 355,592 14,371

1 5 6 , 5 1 7

3 , 3 6 5

415,855385,52413,461109,860

5,1933 1 3 , 3 6 5

351,767 10,261 133,792

5 , 4 0 1

2 8 8 , 0 2 0

4 0 2 , 2 5 1

1 0 , 8 8 4

1 0 9 , 8 7 3

4 , 5 2 8

2 9 0 , 4 5 5

5 1 8 , 0 9 4

1 3 , 7 6 7

1 9 1 , 8 9 0

i F o r 1 3 4 3 - 5 0 , f i g u r e s r e p r e s e n t r e g i s t e r e d d e a t h s .

* ? c r 1 3 4 5 - 5 1 , f i g u r e s f r o m t h e B u r e a u o f  n i a a l I n d u s t r y , U . S . D e p a r t m e n t o f A g r i c u l t u r e .

,3F o r 1 9 4 3 - 5 1 , f i g u r e s ( c i v i l i a n c a s e s o n l y ) f r o m t h e D i v i s i o n o f V e n e r e a l D i s e a s e s , P u b l i c H e a l t h S e r v i c e .

Weekly

Morbidity

Report

Table 2 . REPORTED CASES OF SPECIFIED NOTIFIABLE DISEASES BY MONTH: UNITED STATES, 1952(Mxatbers a f te r d iseases are category numbers of the S ix th Revision o f the In te rn a tio n a l M ete* 1948)

Aaefciasis-------------•-- ------- — -----— *-046A nthrax--------------- —- --------— — ------ --------------— —*062Botulism ------- -------------------- ------------- •-------- ----------- *049.1B ru ce llo s is (undulant fe v e r )—•--------- ------------------------- -------------- ---------------- -044Cholera — ■------- --------- ------------------- — -------------- '043Dengue------ ------ ------—-— •— -— 090Di phtheria------------------- ------------------------------------ —- —0 5Dysentery,, bacillajpy { s h ig e l lo s i s ) ---------------- — -045Encephalitis, acute infectious-— ---- — - — •— 082Glanders---- ------------ ------«----- •— -¡364*2Hepatitis, infectious-'---- --- ---- —— ----— --092Leprosy-«---- ------ — ----------- •------- ------- -----------------!—060leptospirosis----- --- — ■— ---- -----•“--- :— 072Malaria— — »^— — -— --- — — -— ~— 110-117Measles--*-— — ■— — <— --— — -085Menirigococcal In fe c tio n s -------------------- - ——--057Plague-------------------- ------------ ------------------------------------- 058P o l io n y e l i t is , acute-------------------- ------------ ---------------- ---------------- -<B0Paralytic------ — -— — »— — ---- 080*0,080*1Nonpar alytic--------------------------- 080*2U nspecified ................................... — — -------— — 060.3

Psittacosis and ornithosis-- ------>------ -096.2Q f e v e r ™ - — — — — — — ----------- 108(pt)Babies is aan-----— — ------.— •— .----- ■— •— -034Babies in. anissals— — — — •--------•----— •*— —----Rocky ^fountain spotted fe v e r -—<—— -------------------- 104AS&lsonellosis (paratyphoid fever)-----------041,042Scarlet fever and streptococcalsore th ro a t----— -----—— ----------------- •--050,051

Sa& llpox-—— — — — ---------------------- — -------- -------- — --€©4Tetanus - - — —--- — ---------•----------- •— -061Trachoma-----—— ■ ————•----------•—— ---->-------■--------- —095Triehiniasis— ------------------- — -------------------------------- •---------------—128Tuberculosis, all forms---001-019T ulareala— ■— •— — — — ----— ----— — ---059Typhoid fever— ---- — — — — -— — — -— ---040Typhus fever., endemic {asirine)—— — -— -— ------ 101Typhus fever* epideaie.------------- °— ------ 100Venereal diseases;2 :Chancroid.— <— — --- ------------ — — -035.Gonorrhea— *— ^— ,---- — -0 3 0 -0 5 4Granulosa inguinale---- ---— ■----— -------05SLyfflDhogranxilaaa venereum---------------- •------- — ------057Syphilis, r irim a r y and secondary-*— — -021*0-021-3 Syphilis* other fonss — — 020,021 »4-029

VaoopSng cough (pertussis)'““ «•— >----»-«-056'Yellow fever-*— --------------- — --- •-— — ---091

T otal

4,2804118

* 2 , 5 3 7

•in t

5,960 3,197 ■*■1,912

1*■17,428

5762

*7,023*683, 077 *4,884X5T,879 x21 ,269 *12,802 *23,808

135 7

21 7,578 327

2,S96

x113,67721

14843 , o s e

367109,837

6682,341

205

3,825 a244,342

940 1,224

*13 ¿XI *150,642 X45,03O

Jan. Feb» Mar. A pril liav Jime Ju ly Âyg* Sept. Oet* Joy* Dec*

274 421 432 381 281 319 349 314 370 436 350 $834 7 5 2 S - 1 4 2 5- 10 23 1 3 5 » - 1 - 1 - 3 1

146 157 177 197 186 209 218 230 IBS 188 149 156

_ 1 „ 1 « 1 « « 1 1313 267 241 193 182 139 109 169 282 400 402 263

2,385 1,480 1,785 1,628 2,195 2,187 2,735 l ,7 4 é 1,516 2,238 1,657 1,63292 78 109 115 115 91 2 m 459 8S0 167 80 95

2,005 2,443 1,901 932 815 761 690 1 ,001Jk

1,282 1,325 1,776 1,9936 2 3 8 5 S 2 4 6 3 S 52 2 3 6 Z 1 28 3 3 3 5 4

90 78 64 166 501 1,049 1,439 1 ,150 624 305 114 6972,913 101,220 134,770 140,722 116,649 62,825 17,553 *4,168 2,533 4 ,559 8,332 16,662

562 469 638 551 429 320 330 231 218 321 336 424

565 382 291 313 571 1 ,67? 6,377 15,080 16 ,361 10,081 3,567 1,843235 135 103 105 149 454 2,057 5,012 5 ,699 3,873 1,552 833105 78 33 52 30 241 1,402 3,527 3,582 2 ,116 707 369209 165 149 149 332 960 3,037 5 ,7 ® 5,728 3 ,529 1 ,0 8 1 511

45 3 7 1 24 5 14 4 4 11 10 7- - 1 - 1 1 3 - - 1 »- 2 3 3 - 1 3 1 4 - 3 1

654 727 824 888 794 631 530 476 460 497 526 5712 4 1 5 SB 69 63 61 28 8 5 6

177 85 169 138 157 183 331 245 241 249 220 401

11,331 14,546 16,280 13,773 10,718 6,783 3 ,755 3,897 3 ,262 5,855 9,547 13,9223 1 _ 2 4 1 1 - 1 1 5 2

24 24 21 36 42 41 49 67 51 51 47 293S5 374 672 283 295 473 S8 78 104 162 123 71 •

17 19 26 48 39 46 30 19 38 26 23 36

64 66 36 47 53 59 52 55 43 51 39 m127 114 1.19 124 125 267 330 379 285 210 141 120

11 6 13 14 12 31 14 24 11 17 20 32- " - "* - “ -

----------_ — S4

— — 4— 3?

, 0 0 7 ■

, 7 5 6 ~2 B 0 - 287“

, 0 6 6 - ,3 6 2 - .647 I 4 ,993

--918--54,4£0 ' — 242 --- - 335“

“ 3 , 3 4 6 “ - 3 9 , 3 5 8 -

,304 ! 4,S5£j 3 , 5 1 9

----- 968 -“64,819--- 227--- 311-— 3,584- -35,572

3 , 5 4 S I 2 , 5 9 0 j 2 , 8 9 7 2/185

■ 932"* 54,472^ ----- 191—--291—

5,279— -3 4 ,5 7 7 —

2,576 I

f i g u r e s fo r c a ses not tab u lated b y south inclti&ed in th e “Total,® ^Reports rece ived by q u avers»^Includes eases fo r Hortli C a r o llss not a v a ila b le by q u arters.

but not d istr ihu -écL

*—* s © - t

ZSU

53

*1 -! '

cn

6 Weekly Morbidity R eport

Table 3. REPORTED CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, 1962(Kuabera under dlseasea ar® category nusbers of the Sixth SeTioion o f the International W ate» 1948}

a mk m -

b la s t*

(046)

B rusel-lo e ie

(044)

Diph­th e r ia

(055)

0yesotery , b a c il la ry («h lgel-108 IB)

(045)

Encepha­l i t i s ,scu te

In fec tio u s

(082)

S ftp a titls ,la fec tlo ias

(092)

Lepto­sp iro s is

(072)

MALARIA(110-117)

Acquired l a United S ta te s

or in placenot s ta te d

AcquiredOUt0i&9UnitedS ta tes

tmrm> s ta tu s ........... 4,880 2,837 2,960 23,197 1,912 17,428 62 2,436 4,537

T O KITOURD— -------— 31 78 27 156 57 925 1 133 33Main®------- -------- .1 0 . 3 1 306 - 1 9He« Haapahire—------- 1 . * - - 7 - -Vermont-'----- -------- . . . . . ------ . 32 Z S - - - - ~HasBachUsottrJ------- . . . --------- 3 18 20 106 47 527 1 113 -Fho-lf Ielenfl— *— — . . . . . 1 3 1 10 - 9 - 9 -CoW witliUt— 25 15 4 32 9 7 6 - 10 24

MOTI® MIAOTIC----- —— 1,414 133 IS* 778 423 1,670 - 194 182Rev io rk — - 982 77 41 703 347 1,271 2 162New Je raey —•---- — ----- 4SI 18 32 13 59 » * 191 -Pennsylvania-- ----- — 1 42 81 60 17 399 * 1 *

IASI NOS® CEXTRA t/--- — '833 SOS 269 533 150 1,457 14 444 72QJllo-*“*» 12 11 153 54 1 409 - 14 -M la n a — —------- ------------ 10 10 39 141 42 330 - - 29I l l i n o i s - —“«—- .........—— 83 894 14 127 33 241 - 6 -Michigan-— — ------------- 135 52 45 211 81 205 1 - 43tTl(SOtMlA----. . . . . . 3 138 18 - 13 103 13 424 -

wsar HOBTH OBITHAW— — 71 1,018 180 571 107 2,067 3 90 345Mi nnesot a- — — 53 139 47 233 9 256 1 3 139Iowa------------. . . . . . . . . — — 10 7 24 25 14 6 755 2 67 -MlBBOurl— — — — — — — 3 45 51 211 10 461 • 1 201North Dakota—— — — -- - . 7 13 113 43 147 - 12 -South Dakota-—- - —— . . . . . - 23 S » 23 13 •* - -Nebraoka-—-------- —------—— - 3 15 . 8 292 - 7 -Kanoaa--------------------. . . . . . . . 5 75 24 - 0 123 - 5

S m S AT1AWIC-— ----- ------ 344 168 913 1,243 88 5,118 29 534 1,193D elaw are»---------- . . . . . . . . . . . . . - 4 - - -Maryland-— *------. . . . . . . 7 12 25 148 7 255 - 29 7DlBtriat of Columbia-——— 8 I 6 31 - - - 8- -V trg in ia------ — ----— a 47 166 76 27 938 3 457 -West Virginia-— -— --— — » « 7 38 242 7 959 = 10 -North Carolina-- ■----- — 44 21 202 219 4 675 - 3 303South C arolina— --- . . . . . 4 6 195 16 $ 526 - 20 335Georgia----------— .--------------- 18 64 205 276 20 1,525 26 1 505F lo rid a — — ......... - ................ 181 10 82 235 12 236 - 6 44

«AST SOOTH CBmiAXi-- — 861 136 585 853 111 3,652 1 877 187Kentucky--— — .....— ..— . 7 12 84 28 6 1,1Q7 - 818 -Tennasse©— — 144 41 95 807 77 983 1 5 133A lallt;««'-------— . . . . . . . . . — 10 37 34 2 18 14 1,232 . 52 »M teeieeippi---------------------— 92 46 84 - 14 250 - 2 54

HEBT SOTOH CKNSKAt»--— 720 241 see 15,480 106 476 7 122 1,336Arkansas-*— — .-— — — 73 32 52 74 7 141 1 - 207I-oulolann— ------------ 124 23 SO IS 7 # 5 2 501Oklahoma--—— — -— — --- 23 60 74 121 10 70 1 12 242Texas— *— -- . . . . . . . . . 300 n a 410 15,807 82 265 - 108 386

MODOTAIB......... —.......... .......... 570 80 76 2,659 61 581 1 53 223Montana— — — - . 9 14 - 14 39 - e -Idaho-— ------- 1 14 4 12 19 32 - 4 -Wyoming------- — —-------- — I 4 1 - 1 16 - 2 65Colorado-.—— 9 20 19 51 10 163 - - 119New Moxieo-— 60 3 6 - 3 118 - - 2Arisons-——------- 291 12 ie 2,592 7 110 1 4 37Utah— ....... — 8 18 12 4 7 92 - 34 -Nevada—- - - - - - - —— —— — - - - “ - I - I -

PACIFIC................................ — 986 180 170 986 ais 1,482 6 39 966Washington-— «— — -— - 51 58 30 131 2 227 - 1 59Oregon——-*— — — ---— 868 7 88 22 5 379 - 1$ -California------ — ----- 81? 115 US 833 80S 876 6 19 907

1N.w York C ity only« Sot re p o rta b le In Stst® .

Weekly Morbidity 'Report. 7

Table 3. REPORTED CASKS OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, BACH DIVISION AND STATE, 1953~Contlnu«l

(KuBbara under diaaaaea are category number# of th e Sixth Revision of th e iBtsraational Lists, 19*8)

AREAMeasles

(085)

Meningo­coccal.

Infection®

(057}

POOOMyiUTIS, ACUÌ! P s i t t a ­co sisand

o rn i­th o s is

(096.2)

BableeIn ffi&e

(094)

Bftbieein s a ls a leT o ta l

(080)

P a ra ly tic

(080,0,080*1)

Non-p f tfa l / t ic

(080.2)

Rnspeci-f le a

(080.3) '

UNITED STATES-......... 663,077 4 ?884 57,879 21,263 12,802 23,808 135 21 7,578

HEW SUOLASI)......................— 1X0,047 210 1,357 713 461 103 4 =M aino-'-------- ------- --------. . . . 11,191 39 160 126 34 • « - -S m S sopsh ira------------- —-— 3,680 20 98 52 29 17 - » -Veraont— ---------------- 5,715 8 46 13 6 27 * « -M assachusetts----------— ■— 52,866 77 548 343 203 2 - * -Mjode Ie land---------- -------- — 6,812 21 114 - -■ 114 - - -Cornee t lo u t - - — ------- — 29,583 45 391 179 189 23 4 - ■

MIDDM ATIAHTIC----- --------- 212,166 730 5,225 8,029 960 2,236 21 1 3*0Hew ICork'------------------------— 68,026 317 2,506 1,275 960 271 14 - 339Hew Je rsey ———----------------- 79,972 110 754 754 - - 1 - 1Pennsylvania—— :----- - 44,166 303 1,965 * - 1,965 6 1 *

BASI HORffl C8KTBAL—......... 145,820 857 14,809 5,92« 4,268 4,619 16 1 984Oblò———-----—-— — <—-- 24,401 247 3,333 - - 3,333 3 » 184Indiana*——* — -----. - 9,041 47 1,333 220 211 901 1 » 156I l l ln o i» —■— — ------- ——— 38,239 282 4,002 2,661 1,332 9 9 1 345Michigan------------------ *------— 32,941 169 3,912 1,857 1,910 45 3 = 185WieeaaBln-—-------------------- * 47,19® 112 2,230 1,084 815 331 - - 54

w est nome c r a n u o —— — 26,112 304 14,lb8 3,411 2,519 8,238 9 1 913Mlmwsota-------- -— —----- —- 3,615 80 4,130 2,170 1,871 89 9 • 270lowa------------ ------ 4,324 30 3 564 - - 3,564 - - 886M issouri-------------------------- - - 2,435 100 1,193 279 50 864 - 1 287North Dakota--------------------- 3,191 28 399 75 110 114 * - 72South Dakota----- ------------- — 1,016 8 1,017 » - 1,017 - - 4Nebraska—-----------------------— 3,669 16 2,247 759 443 1,045 - - 41Kansas-------------------------------- 7,863 42 1,718 128 45 1,545 * - 11

SODTH ATLAHTIC....................- 52,720 870 3,871 1,657 913 1,301 3 - 1,489D eiavara----- - - —-------- -—— 424 10 117 • 117 - 7Maryland-------—— -------------- 6,977 91 363 200 163 - - - 2B le t r lc t a f Colusbla— - — 2,044 21 135 35 89 i l - - -V irg in ia .............................. ........ 15,718 199 690 377 263 50 « « 478Weet V irg in ia --------------------- 6,183 56 680 400 199 81 2 * 91Horth C aro lina-------------------- 4,511 197 538 205 156 177 « - 158South C aro lina------------------- - 2,218 66 180 * - 180 - * 897Oecsrgla— -------------------------- 8,573 142 505 384 27 94 1 - 438F lo rid a ................- ........... —— 4,072 68 663 56 16 591 - * 20

M SI BOOTI CKBEHAL........... - 35,347 656 3,409 1,593 482 1,334 2 7 1,76311,391 242 1,762 1,211 296 255 Z 1 m i

T ennessee™ ------- ■--------------- 6,231 203 638 31 21 506 - 2 SOSAìabaaa------------------------------ 14,160 142 297 * - 297 - - 535M iss is s ip p i-— -------------- -— 1,565 69 712 351 185 196 - 4 295

HI9T SCOTO CKHTRA1------- — 28,440 556 6,352 1,300 821 4,231 62 11 1,978A rkansas— — ------ ----------— 3,533 84 386 169 108 109 - S ZZIL ouisiana---------- —»------------ 599 96 671 613 258 - 1 1 276Oklahoma----— — ---------- 1,719 60 1,111 55 17 1,039 « 2 99Texas———---------- —— - — 22,589 314 3,984 463 438 3,083 61 6 1,381

MO0BTAIH............- .................... 21,762 133 2,825 1,023. 474 1,328 6 - 30Montana-—---------------------- -— 4,328 28 260 85 64 111 - - •»Mallo.................................... — - 1,183 14 353 - - 353 4 - -Wycoing— -------------------------- 514 6 155 84 55 16 - - 1Colorado--------------------- ------- 4,931 40 688 255 230 203 1 - -Hev Mexico--------r ------------------ 1,556 20 502 288 85 129 » 10A r izo n a ---———- — ------------ 2,955 15 372 - - 372 1 - 11Uteh--------- ------------ ..........- — 5,675 7 387 303 40 44 « - -Nevato---------------------■------------- 420 3 108 8 - 100 * - "

HPXO 50,663 568 5,863 3,621 1,904 338 12 - 142W*ahi ngt<m— — 5,446 69 1,320 712 294 314 1 - -O re g o n - - - - - - — - ......... 3,674 57 496 345 135 16 - - -C a lifo r n ia ................................... 41 ,543 442 4,047 2,564 1,475 8 11 - 142

8 Weekly Morbidity R eport

Table 3. REPORTED CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, 1952-Continued

(Sumíiere under d ise ases a re category number« of th e S ix th Bevlalon of th e In te rn a tio n a l L in ts , 1948)

AREA

Bocky Mountain

spo ttad fev er

(104A)

Salao-n e llo a ie

(p ara ­typhoidfev e r)

(041,042)

S c a rle t £©v@r asd s tr e p to ­

coccal sore th ro a t

(OSO,OSI)

Tetanus

(061)

Trachoma

(095)

T ric h i-n ia s ie

(128)

Tuber­c u lo s is , a l l fo ras

(001-019)

Tularemia

(059)

Typhoidfever

(040)

WF1DBD fftATSS----—- 327 2,596 113/677 464 3,088 367 109,837 668 2,341

HKW BfaiAHB— — — ------— Z 160 7,157 21 1 46 5,100 3 60Maine—— - — - 8 508 1 - 5 419 - 10Hew Hampshire— — — - - 1 3 se - - - 177 - 7Vermont—--------------- -------- - - 2 185 - - - 382 - 7Maoe&chUBetts-—-------- •----- - 1 146 3,383 9 1 26 2,397 2 21Itto ie la tenfl------------------- — » 2 492 2 - . 6 408 - 3C onnecticut-------— . . . . . . . 1 1 2,193 9 - 9 1,317 1 12

HXBBUB ATIASTIC— — 25 337 22,287 44 1 213 20,643 1 393lew io rk — ------------- —— 11 137 13,832 33 » 179 11,661 1 197New tferoey----- -------------- — 10 11 ‘3,630 11 X 20 3,769 - 3?feiaiay lvan la----- — . . . . ------- 4 189 4,825 - * 14 5,213 * 159

i a w soma CEWRAt-— — Bl 305 25,724 65 7 30 21,782 90 23012 25 7,930 11 - 19 7,228 2 72

In d ia n # '“ “—*—— ——— — Z 10 1,821 10 - 4 1,900 8 34I l l i n o i s — . . . . . . . . ----- ,------ 7 138 4,140 33 - 4 5,019 67 41M ichigan-— *— —— - 132 8,325 e 1 2 6,152 3 53Wisconsin.-— »-«— — — - - - ~ * 3,508 3 6 I 1,483 10 30

WIST HOKTI GBHWtt— — t 244 5,008 26 2,457 26 6,319 54 111Htnnosota—- - — ---------------- 1 96 1,566 9 - 4 2,230 15 15I CVA " “ “ *•“ * -- - "" - — •** *«» •»*»- « - — I 1 751 3 - 19 689 1 27Miflflonri-—- - - - - - - ———— « 143 792 7 2,448 - 2,302 23 49North Dakota— - I 598 2 2 Z 206 « 4South D a k o ta -- — * - - 136 - 7 - 191 - 3Nebraska— * * 319 - - 1 231 1 5Ka&flao—••--------— . - I 844 7 - - 470 14 a

BOOTH ATIANTIC— —----- — 187 287 10,059 126 29 10 18,138 145 373Belovara»—- — ------------- 1 1 180 - - - 245 - 4Maryland———----- — 29 39 1,059 7 * 3 2,720 4 20D is t r ic t o f Columbia—— « - 10 323 - - - 1,865 1 12V irg in ia -—--**........... .... n 39 4,423 12 - 1 4,228 47 77West V irg in ia - -— 4 10 1,136 2 27 1 1,221 - 43North C aro lina— — ------- - 36 4 2,255 26 - 1 2,000 19 41South C aro lina— —— - - - - - 6 1 181 3 - - 1,251 12 44Georgia----- ------------ - ------ 0 95 842 30 1 4 1,985 44 96F lo r id a -------— - — ---------■— 3 68 460 46 1 - 2,603 18 36

ia sp s o o t c m a&— 25 02 3,296 83 6 2 10,034 82 447Kentucky-— ——------------- — 2 8 1,170 7 6 - 2,562 18 121Tonnes aeo-—----- -— —------- 15 52 1,524 11 - 2 3,051 26 100Alabama-—— ™ — —— - as 412 44 - # 2,446 13 57Ml0BiB0ippl — — — 6 - 190 El - « 1,233 25 169

WEST SOOT CXBTRAL— —~ 11 3 IS 15,517 61 92 5 10/129 199 461Arkansas--*»-— *— .4 25 1,758 IS 16 1 1,840 82 146L o u i a i a a © ——* 1 10 181 15 » 2 2,330 27 79Oklahoma— —— — 4 40 659 9 51 2 1,574 38 61Texaa-— — — a 240 12,919 22 25 - 4,385 52 175

m m AIN— — — - 60 114 18,820 9 362 2 6,040 81 129M o n ta n a -------““- ”—« - - — - 5 • 689 1 24 - 324 19 5Idaho—— — —— — —— 22 6 1,052 1 - - 230 4 16Wycming— ----- ------- - 13 6 2,208 - 5 - 96 31 10C olo rado---——'« -——— — 7 59 561 3 1 2 1,206 4 50i w Mexico— - —— ------- 1 3 223 3 21 - 1,026 3 33A rizona—— — ™ — -------- > 2? 6,277 1 310 - 2,865 - 11Utah— 12 13 i , 696 - - - 163 20 4Nevada— - —- - 114 - 1 - 130 * “

PACIFIC--“---------- ------------ 14 772 11,003 47 133 33 11,592 13 137Washington— -------------— * - 44 1,859 1 5 - 2,497 2 11Oregon—— IE 38 1,619 3 48 - 863 3 18C a lifo rn ia - - ---------- ------ 2 690 7,531 43 82 33 8,232 8 108

W eekly M orbid ity Report 9

Table 3. REPORTED CASES OF SPECIFIED NOTIFIABLE DISEASES; TOUTED STATES, EACH DIVISION AMD STATE, 1932—Continued

(Numbers undsr diseases ar« category auafcera of the Sixth Revision of th® latornafciaiml Li at a, 1948)

AEKA

Typhus fever, endemic(laurine)

(101)

« M i DISEASESWhoopingcough

(pertussis)

(056)

Chaa-CTOld

(036)

Crono,rrhea

(030-054)

Granu­losaingui­nale(030)

tyttpho*granulomavenerasi(037).

SyphilisTotal(020-029}

Primary and ascondare

(021,0-081.3)Other

(020/021.1-029)

OHITKD STATES“““--“ 205 3,625 244,342 940 ÌÌ 1

W| !

CJ !1

1 165;853 15,211 150,642 45*030

NEW E8QIAHD--~......™ 33 3,519 1 10 4*020 2,209 1/811 3/486Maine»*---'"--*’“-”"**» - 1 175 - 185 27 158 247Kev Hasip »h ir — — — —« - 1 49 » - 131 7 124 286Vermont--— - - 104 - » 149 15 134 374Massachusetts-- — *''-- - 25 1,389 1 5 2,069 2,069 1,884Rhode Island- — — ----- -- * 4 304 . - 483 38 445 203Connecticut» - ? 998 “ 5 1,003 53 950 49SKIDDIE ATLANTIC-------- 5 288 19,008 SI 155 39,775 1,445 38,330 7,579

Nov YorK---- — ----— — ■% 1194 14,746 x50 *139 28,522 884 27,638 2,341Nev Jeraey---- — ----— - 94 5,062 1 16 3,916 211 3/705 1,693Pennsylvania---- — - — --- - » # * * 7,337 350 6,987 2,945EAST K Ö M C M A L - ™ - „ 315 40,480 46 91 25,206 1,865 23,341 6,262

Ohio-----*«-"-'— - - 116 8,243 .15 2£> 6,184 464 5,720 1,553Indiana- — — - — — — — — -— » 22 2 f 210 1 1 2,8S0 174 2,676 433Illinois“-— --------— --- - 106 80,988 13 30 7,357 794 6,563 70SMichigan-— --------- ~ — - - 65 8,167 16 24 7,424 321 7,103 1 ,9 'SZWisconsin— --- - 6 Q72 i - 1,391 112 1,279 1jS?9

WEST MOOT CS3WBAI.-™--- 1 85 8/395 ■5 6 9,377 545 8,832 1,2«Minne pota— — ~~~--- - - 631 « - 479 SO 429 188Iowa-» ----- - — ------- ■ - - 2 S6S - - 1,141 86 1,055 208Missouri-''--•— --- « 50 4,367 5 3 4,537 212 4,325 357North Dakota -------™ - 3 ISO - - 115 18 97 M»South DaV.otit-~ — 1 328 - - 152 17 135 81Nwbr aoka- - 4 530 - 1 623 3fì 601 loeKfimafla — — — — — — — — I 25 1,726 - 2 2,324 134 2,190 339

S ù lj-m AT Im ST TO---— — -- SO 1,083 77,634 548 553 40,728 3,104 37,624 4,355Del avaro— *•---*•----------- 2 261 - - 385 34 351 39Maryland— — — — — ~ 157 7 3 558 18 16 3,152 202 2,950 227District of Columbia— — — - 369 12,172 44 138 3,456 65 3,391 79Virginio- - - 75 0,761 25 58 6,612 531 6,081 885West Virginia--— — - — — - 45 2,494 - - 2,620 165 2,455 1,861North Carolina-— 12 256 15/895 38 62 3,709 436 3,273 inSouth Carolina— — -— — 10 50 5,915 44 17 6,659 330 6,329 114Georgia-----~------- — - 27 46? 12,769 146 82 3,311 556 2,755 39aFlorida---— . 11 462 11,809 233 120 10,824 785 10,039 091

EAST SOUTH CSHTRAI__— - 40 341 •34,555 130 161 13,568 3,556 10,012 3,603

K@iAtnc ky~ **— ■-* I»—-— 1 33 3,285 5 B 2,055 177 1,879 1,793Tenneosee---- ■— ~ ■— — ■3 103 18,199 1? 44 4,433 370 4,063 006A i'BbOJB’i” — 11 77 3, 831 64 41 2,751 2 ? 751 - SÖ3MÌB3ioaippì---------- — 25 126 9,220 44 60 4,329 258 4,071 30S

WEST SOUTH CENTRAL— — 94 425 36 ,959 139 177 20,037 1,358 18,679 10,705Arkansas-— - - ------ 2 69 1.873 2 1 19 3,003 ‘ 130 2,873 570Louisi a n a - — ■ « — — 8 205 9,661 81 102 7,786 276 7,510 212Ok lahoms- ~ - 45 4,823 4 12 2,351 142 2,209 372Texas--"”'- — — — -- -— — 84 106 20,602 33 44 6,897 810 6,08? 9,631

M O U N T A I H - ^— 1 116 4 963 9 4 4,498 498 4,000 2,779Montana-» — ---— — - - 170 - 16? 22 145 76Itlako— — - «•— — ----- — - 11 400 - - IS? 11 186 77Wyoming- — --- — ---- — --—— - - 248 - - 184 16 168 31

Colorado-- — — 1 24 1/291 1 X 584 66 498 445Nov Mexico— — - 33 831 2 i 641 57 584 216Arizona“ — — — -— -— — —— - 43 1/504 5 1 2,266 255 2,011 1,762Utah--- ------ 1 136 « ~ 262 26 236 167

He-vada--- - 4 303 1 1 19? 25 172 5

PACIFIC--................. 4 334 18,149 11 67 8,644 631 8,013 4,936

Wash ington-- — -- — » 45 1,625 - 4 556 66 490 164

Oregon----""--1*-*"' — ---- - — „ 15 703 1 3 629 56 573 361

Californis— ~— --- - * 274 15,821 10 60 7,459 509 6 ,950 4 ,411

lNev York City onl^r. Hot reportable is State,

■Reported as B rill 's disease.

IO Weekly Morbidity Report

Table 4. CASES OF IN FREQUENTLY- REPORTED NOTIFIABLE DISEASES BY STATE; UNITED STATES, 1952 (Ihaabers under d isease» are category auober« o f th e S ix th H evlelon o f th e In te rn a tio n a l L la to , 1848)

3SMSS REPCBOTG CASES

A r iz o n a -—-—C alifo rn io -------Colorado--—- —C onnecticut-----F lo rid a ------- —Georgia—--------Idaho—---------I l l in o i s « — - - - Iowa«-*— K&iMßg— — ■- to u l olana-------

Michigan— —Mon,tana-------——•M iras te—-------Navata-— ■— •— Kev Hanpehlre—J?oh Jersey-- -.Waw iteictco— — Me« York-— — Worth Curolimv-Ohlo— —--~ —Oregon— --—- Pennsylvania-— South Dakota- — ®o» b——— — W ashington--—- ViBConnln—— •- Wyoming—»— —

Anttea*

( 062)

63

5

3

14

0

1

Botulism(049,1)

10

Dengue

(090)

Glanders

(0 64 .2 )

lep roay

(060)

1»81

as

Q, fever

doe pt*)

ti)(a)

SB&Upoz

(064)

fever lo no ft rep o rtab le Iti C a lifo rn ia , bu t lab o ra to ry t e s te In a sp e c ia l study proved 67 eases. **Made rep o rtab le In. Juno 1952. sS-:h Tori C ity on ly . Hot reportobl® In S ta te ,

Table B. REPORTED CASES OF SPECIFIED NOTIFIABLE DISEASES: TERRITORIES, CERTAIN POSSESSIONS,AND THE CANAL ZONE, 1952

(Huntoere a f te r rtlseaBBB are category numbers of the S ix th R evision o f t t o la te m a tic o a J . L ie t» , 1948. Only d ise ases w ith frequencies a re l i s t e d . For a couplet* l i s t o f d i id u e i , , see ta b le Z)

DISEASE Alaska S sv s ll PuertoBlco

V irg inIs lan d s

CimaiZona1

Amebtaeis” »-»■»*• • — — — *— — 046 m 101 2 54AafelLPftX"”«’*’«"'“- —----------------- --------------— — — — — — — — — *——•062 • - 1 - -■DruGoXloBia (im.dula.iifc £ev»r ) — - —— .——-.044 1 3 Z - -D i p h t h e r i a - * - - - $55 122 S 422 2 B.Dyse&fcery, b o o il la ry (oMg@XIo.al0) —- ”- ——— ——— —— — — — —— -0415 » 84 36 - 12E n c e p h a litis , aaute i n f e c t io u s - - - - - - ——— ——----- ———— — —— 062 « ** - 1 -H@pat,itia? i j a f - e e t l o u o —- - —— —•* — *———»•»—• • — — — •*—«•—.«098 280 68 17 - *19l «profl j r— 060 » 21 14 » 3I i o p t o i j p i r o f l i n • • — 072 - 1 1 • ***M alaria—--------------------— --------- — —................... ............——..........— — 110-117 1 97 134 » 73Meaal ee— — --------- — - — —— — . . —— — — — — — 085 293 $.346 1,471 85 4SIManlngoooccal i t t feot i wi «»' «— »057 6 16 10 1 3P o lio m y e litis , p a r a ly t ic —--«*-"«—*»'— — • — — — • ———— ——^ 3 0 * 0 ^ 0 * 1 - 161 57 » -PoXiomyeXitia, uns peci f i ed- - —1 ——— ■ - - - " 0 8 0 . 3 80 - - 2 SSBaMea In anlmiolo— —* • • 65 • —SalmcmeXlOBle (para typhoid ■ fe w )- ’*—— — «.»— — — • —— — 041,042 - 100 16 - -S c a r le t fo vet and Btreptococc&l a one t h r o a t ™ * ™ ——— —— ———050*051 97 8S 4 * 2’fetam ie—— — 001 - 3 163 1 10^ r lc h ia la s iB - - -—-■— — — — —— — —— — — — »"-"138 .. 1 • » »Tu’berculofl.lg, a l l forsw — ■—— — < . - • . » • .— ———001*019 9S6 «20 6,238 U 574

• 77 - 8Typhus fe v e r , sMemic (a&trlna)»—*—»-------— — — 101 - 6 5 - 2Venereal disease©f

ClliBJQGi*0 i d - — — — • — » • • •— «>■— - • —— «Q S m 25 83 trtmm—— — — — 030*034 485 '738 8,878 32 1,620

Granuloma i ngu l a a l e - - - »— —‘- • —*•**—»«-' -—'— *—— — ——* » • ^ —088 » • 11 -t^yraphogfaaulojna venereum -'»----»*'»-»— ■——————-————— - ——*»———-*“»037 . - 3 » —S y p h ilis , p r ia a ry and #*ooadary*—*— — — —**021.0-021*3 5 4 378 2 —8yphl.ll a , o th er fo r« » -——• — — — «*—— — — 020,021*4-029 84 use 8 ,OSO 102 « —

Whooping cough (p e r tu s s is )* —— —OS® 146 45 972 1 102

1laelad®8 Colon and Fansaa C ity , s la c lu a e 0 W ell'B disease.