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Provisional Information on Selected Notifiable Diseases in the United States for

Week Ended January 17, 1953
EPIDEMIOLOGICAL REPORTS

incidence of respiratory disease is decreasing in Army installa-

tions in Missouri and New Jersey. Influenza A-prime has been
Influenza

identified in both places. There has been an increase in respira-
The following reports have been received by the Influenza tory disease rates at military installations in Georgia, New York,
Information Center, NIH, and by the National Office of Vital Louisiana, and Texas, while those in Virgin ia have remained the
Statistics.

same. Serologic diagnoses for influenza A-prime have been
Dr. S. S. Kalter, State University of New York, Syracuse, reported from military installations in Virginia, South Carolina,
has reported an outbreak of clinical influenza with 35 cases Oklahoma, Texas, Arkansas, and California.
in 3 days in a school in central New York State. From other Dr. George W. Cox, Texas State Health Officer, has reported
sources the disease is reported to be mild, and no other outbreaks that influenza virus A-prime has been isolated from 3 patients in
have been noted in the State. Material for laboratory tests is Texas by the State health department laboratory. Respiratory
being obtained.

disease is widely prevalent in the State. Dr. D. S. Fleming,
Dr. C. G. Loosli, University of Chicago, reports a sudden Minnesota Department of Health, reports that A-prime virus
increase in prevalence of acute respiratory illness among students has been obtained from throat washings of a patient with clinical
and faculty members, beginning about January 8. The illness influenza, and that a mild type of influenza-like disease is wide-
has been characterized by sudden onset, general aches and pains, spread throughout the State. Dr. L, E. Burney, Indiana Health
headache, conjunctivitis, and a nonproductive cough. Respiratory Commissioner, has reported an outbreak of respiratory disease
symptoms have been minimal. The leucocyte count has been in Earlham College. Approximately 100 cases were found on
normal to low and the duration of fever has been 48 to 72 hours. investigation. Dr. R. A. Vonderlehr, Regional Medical Director,
Material for specific diagnosis is being collected.

Public Health Service, reports the occurrence of respiratory
Dr. R. R. Cross, Mlinois Director of Public Health, has been disease outbreaks in Memphis, and Jackson, Tennessee, and
notified of an influenza-like disease in a community in Carroll in a college in the same State. Dr. Milton Z ises, New Mexico
County. The disease first began about the middle of December, and Department of Public Health, has sent notification of an outbreak
by the first of January an estimated 25 percent of the population of respiratory disease in Sante Fe. School absenteeism has
had been ill. The disease was mild but characterized by chills, been relatively high, and physicians report an unusually excessive
generalized aching, and cough, at temperatures of 101 to 103° F. In number of persons with upper respiratory disease for this time
6 other parts of northwestern Illinois the disease was preceded by of the year. Dr. A. M. Washburn, Arkansas State Board of
an intestinal phase, and in a few cases a secondary pneumonia Health, reports outbreaks of influenza-like disease in 11 counties.
developed which was proved by X-ray. Five paired sera from Absenteeism in schools in these areas varies from 5 to 15 percent.
Carroll County have been examined by the State Division of Dr. G. J. Van Heuvelen, South Dakota Health Officer, has reported
Laboratories and were shown to have significant titers against nearly a hundred cases of influenza in an Indian School in Todd
the A-prime type of virus.

County. Dr. G. E. McDaniel, South Carolina Board of Health,
Dr. E. H. Lennette, Regional Research Laboratory, California, states that a number of physicians in different parts of the State
reports the serologic diagnosis of influenza A in 6 recent cases, have reported an unusual number of cases of an influenza-like
5 of them among Navy personnel in the San Francisco area. A disease, especially in Columbia, Greenwood, and Bishopville.
small number of cases has also been reported from other areas. In some instances the patients have high fever and considerable

The Division of Preventive Medicine, Navy Bureau of Medicine headache and muscular aches. Reports on laboratory tests are
and Surgery, reports an increased incidence of respiratory disease not yet available. Dr. A. A. Jenkins, Utah Department of Health,
in Naval establishments in Florida, Tennessee, Oklahoma, Kansas, reports that influenza-like disease has been prevalent in Utah for
and California. The outbreak of respiratory disease at the Naval the past 2 or 3 weeks. Most of the 1,500 cases reported have
installation in Maryland is persisting, but no longer increasing. been in Salt Lake County, but 11 of the 29 counties have reported
A-prime influenza virus has been identified by Dr. T. G. Ward, some cases. The epidemic has generally been mild, but a few
Johns Hopkins University, in throat washings taken at this base. cases have been severe. Laboratory examination of specimens
A report from the Naval Research Unit No. 4, Great Lakes, showed is in progress. Dr. W. R. Geidt, Washington State Department of
that 8 of 56 paired sera obtained in November and December Health, reports that outbreaks of acute respiratory disease have
1952, had a significant rise in hemagglutination inhibition titer been reported from 3 counties. Dr. J. R. Enright, Hawaii Depart-
to either or both the Lee strain and GL 704-52 strain of influenza of Health, reports a high incidence of respiratory disease since the
B virus. There was no rise in A-prime antigens.

last of December in Honolulu and Oahu. The disease has been
The Preventive Medicine Division, Air Force, reports that characterized by sudden onset, fever, and severe aching pains. A
influenza has been identified by serologic tests recently in Air laboratory test previously reported on sera which proved to be
Force Bases in Colorado, Texas, New Mexico, Wyoming, South A-prime type of infection was from a patient who had acquired the
Dakota, Iowa, Kansas, Kentucky, and New Jersey. Influenza A- disease in the Orient.
prime was reported in December in Air Force Bases in the Based on reports received to date, it is evident that there is
United Kingdom, and also Germany and France. Reports from widespread prevalence of a mild type of influenza A-prime in many
bases in Alaska indicate that there has been influenza-like disease parts of the country, particularly, in the central part. Confirma-
among military and civilian personnel but specific diagnosis by tion of diagnosis of A-prime influenza by virus isolations or sero-
laboratory tests is not yet available.

logic tests have been made in persons living or stationed in 12
The Preventive Medicine Division, Army, reports that the central States and 4 along the eastern seaboard.

An increase of 19 percent occurred in the number of deaths from influenza and pneumonia reported by 58 cities for the week ended January 10. A total of 346 deaths was reported as compared with 291 for the previous week. The numbers reported for these cities by geographic division, with figures for the previous week in parentheses, were: New England, 27 (16); Middle Atlantic, 117 (103); East North Central, 57 (58); West North Central, 40 (32); South Atlantic, 29 (30); East South Central, 6 (14); West South Central, 26 (22); Mountain, 18 (6); and Pacific, 26 (10).

mycin, and gantr is in had no effect and the patient was admitted to the hospital on November 4. The next day small maculo-papular lesions were noted on the trunk. Fever dropped by crisis on this day to 100°without further treatment and gradually came down to normal. X-ray of the chest was negative. Blood and stool cultures vere negative for pathogenic organisms. Blood agglutination test was positive with typhoid antigen in a dilution of 1:80, but negative with typhoid H antigen and with antigens of paratyphoid A and B, brucella and proteus OX 19. A blood specimen obtained on November 10 did not agglutinate proteus OX 19. Complement fixation was negative for Rocky Mounta in spotted fever and for rickettsialpox. It was positive for epidemic typhus in a dilution of 1:256 and for endemic typhus in a dilution of 1:128. A second specimen was obtained on November 25. Complement fixation tests yielded the same results but agglutination with proteus OX 19 was positive in a dilution of 1:80.

Brill's

disease

Dr. Morris Greenberg, New York City Department of Health, reports a case of Brill's disease in a 42-year-old man in Brooklyn. The patient was born in Poland and came to this country about 18 months ago. He does not recall having typhus fever while in Poland. He became ill the first of November with fever of 104° and severe frontal headache. Treatment with penicillin, strepto

Table 1. COMPARATIVE DATA FOR CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES

(Numbers after diseases are category numbers of the Sixth Revision of the International Lists, 1948)

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: data not included

Symbols.—1 dash [-]: no cases reported; asterisk (*) : disease stated not notifiable; parentheses, [ ] in total; 3 dashes [---] : data not available.

Table 2. CASES OF SPECIFIED DISEASES WITH COMPARATIVE DATA: UNITED STATES,

EACH DIVISION AND STATE FOR WEEK ENDED JANUARY 17, 1953

(Numbers under diseases are category numbers of the Sixth Revision of the International Lists, 1948)

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Table 2. CASES OF SPECIFIED DISEASES WITH COMPARATIVE DATA: UNITED STATES,

EACH DIVISION AND STATE FOR WEEK ENDED JANUARY 17, 1953—Continued
( Numbers under diseases are category numbers of the Sixth Revision of the International Lists, 1948)

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Table 3. CASES OF SPECIFED DESEASES: SELECTED CITIES FOR WEEK ENDED

JANUARY 17, 1953
(Numbers after diseases are category numbers of the Sixth Revision of the International Lists, 1948)

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