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July 17, 1953

Washington 25, D.C.

Vol. 2, No. 27

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THE

Provisional Information on Selected Notifiable Diseases in the United

for
Week Ended' July II, 1953

NOTICE
WEEKLY REPORT. During this month you will receive a card to verify your mailing address and

As required by law, we are circularizing the mailing list of the MORBIDITY AND MORTALITXITY OF ILLINOIS
your continued interest in this publication. To remain on the mailing list, the self-addressed card
must be returned no later than-

July 31, 1953

91 1953

The total number of cases of poliomyelitis reported for the ily. About one-half of the employees in a sample group were
week ended July 11 was 949 as compared with 1,044 for the same found to be carrying Endameba histolytica, while in another large
week last year. The cumulative total since the seasonal low point manufacturing plant nearby, only 4 percent were found to be carry-
of incidence is 4,112, which is only 2 percent above the total ing the organism. All carriers of the organism are being treated
(4,025) for last year. During the past 4 weeks the total was 2,513 systematically under medical supervision.
cases as compared with 2,663 for the same period last year.

States which showed a substantial increase in the current Shigellosis
week as compared with the previous 2 weeks were: Connecticut, Dr. H. Kleinman, Red Lake Indian Hospital, Minnesota, has
New Jersey, Pennsylvania, Ohio, Ilinois, Kansas, Virginia, North reported 8 additional cases of sonnei type dysentery in the Red
Carolina, and Tennessee.

Lake Indian Reservation. A previous report of cases in this area
In North Carolina poliomyelitis cases have been most numer- appeared in the Communicable Disease Summary for the week
ous in the western third of the State, centering in Caldwell and ended May 23, 1953.
Catawba Counties where 26 and 21 cases, respectively, were Dr. W. L. Halverson, Director, California Department of
officially reported for the current week. For the current week Public Health, gives preliminary information on an outbreak
5 cases were reported in Macon County, Illinois, where mass of shigellosis following a wedding reception attended by 132
immunization with gamma globulin is being carried out. No persons. Of these, at least 62 became ill. Cases also occurred
official reports are available for the other areas where gamma in families of persons who attended the reception. Shigella
globulin has been given on a mass immunization basis, namely, sonnei was isolated from stool specimens of 50 patients. Frozen
in New York and Alabama.

turkeys which were left at room temperature both before and Deaths from poliomyelitis for the current week were reported after they were cooked were suspected as the vehicle of inas follows: Colorado, 1; Oklahoma, 1; Minnesota, 4 (of which 3 fection. The investigation is not yet complete. were in Ramsey County); and Virginia, 1.

A high proportion of nonparalytic cases continues to be Trichiniasis reported from many of the States.

Dr. F. H. Wentworth, Ohio Department of Health, reports an

outbreak of trichiniasis in a family in the northeastern part of the EPIDEMIOLOGICAL REPORTS

State. Preliminary investigation indicates that the vehicle of

infection was prepared bologna which had been ground in a butcher Plague infection

shop in the same grinder in which raw pork had been ground. Mr. Bertram Gross, Hawaii Department of Health, reports The diagnosis was based on the clinical picture and an eosingphilia the finding of 2 plague infections within the endemic area of the which ranged from 18 to 75 percent in the various patients. Hamakua District on June 17, 1953. They were proved positive Information is not yet available whether the pork involved was 'I for P. pestis by mass flea inoculations. One sample was of 2 fleas, from grain or garbage fed hogs. X. hawaiiensis, obtained from 1 male rat, R. hawaiiensis, and the other was of 2 fleas, X, hawaiiensis, obtained from one female rat, Gastro-enteritis R. hawaiiensis. Both rats were trapped in District 3A, Kapulena Dr. W. L. Halverson, Director, California Department of area. Since January 1, 1953, 5 other plague infections have been Public Health, reports 2 outbreaks of gastro-enteritis among found in this area.

persons eating in private homes. The first outbreak involved 5

persons among 13 who ate an evening meal. Only those who had Amebiasis

eaten custard filled cake were affected. The symptoms were Dr. A. L. Marshall, Indiana State Board of Health, has re- nausea, vomiting, and cramps, which began about 4 1/2 hours ported preliminary information on a group of cases of amebiasis, after the suspected food was eaten. A sample of the cake was the majority of which occurred among workers in a single manu- collected for laboratory examination but the results have not facturing plant in the northern part of the State. Thirty-one cases yet been received. The other outbreak occurred among 45 were reported, 1 to 3 each week, over several months. Investiga- persons, involving 11. The incubation period was 1 1/2 to 5 tion of food handlers in the plant cafeteria and in nearby eating hours. Specimens were taken from the food and a laboratory places revealed that a number of such employees were affected. examination on these revealed the presence of coagulase positive The water supply and connections in the plant are being studied hemolytic staphylococcus in potato salad, cole slaw, and borsch. intensively, and water from the city supply is being used temporar- There was no history of any previous illness in the food handler

1

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but a cut was observed on one finger.

Communicable diseases in other areas Dr. Halverson also reports an outbreak of gastro-enteritis Information has been received on the widespread outbreak of among persons who ate in a cafe in California. Of 15 persons Salmonella typhimurium infection in Sweden. The cases have eating the suspected food, 11 became ill about 6 1/2 hours later. been scattered throughout the country, and the infection appeared The symptoms were nausea, abdominal cramps, vomiting, and to spread with explosive force. The primary source of infection diarrhea. A culture of vomitus from one patient was positive for is believed to be a large meat packing house which distributes its staphylococci and streptococci. The suspected vehicles of in- products throughout the country. Rats are reported to be numfection were potato salad, and banana and coconut cream pies. erous in this establishment. A paratyphoid epidemic was traced The pies were made in the cafe one afternoon, cooled, and placed to this same source in 1941. A total of 4,351 cases with 52 in a pie case where they remained until noon the next day. The deaths have been reported, and 27 carriers have been found in the case is equipped with a refrigeration unit and contains a thermom- meat packing house. The mortality rate is about 1 percent, and eter, but the operator failed to check the temperature. On the deaths are chiefly among infants and the aged. Travelers to day following the outbreak, when an investigation was made, it was Sweden are urgently advised to obtain typhoid-paratyphoid discovered that the refrigeration unit was out of order, None of inoculations prior to entering the country. the cream pies were available for bacteriological studies. How

A report from Godthaab, Greenland, states there have ever, numerous Staphylococcus Albus colonies were present in been 12 deaths from poliomyelitis and 30 hospitalized cases the potato salad,

at Egedesminde.

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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Not computed.
2Addition: Oregon, week ended July 4, 1 case.
Addition: Alabama, week ended June 27, 2 cases.

Addition: Alabama, week ended June 27, 1 case.
Deduction: Alabama, week ended June 27, 4 cases.
Deduction: Alabama, week ended June 27, 1 case.
Deduction: Maryland, Arkansas, and Oregon, week ended June 27, 1 case each.
Figures corrected to agree with corrected Illinois report.
Deduction: Alabama week ended June 27, 1 case.
10 Deduction: Alabama, week ended June 27, 1 case.
1 l Deduction: Alabama, week ended June 27, 2 cases.

SOURCE AND NATURE OF DATA

These provisional data are based on reports from State and territorial health departments to the Public Health Service. They give the total number of cases of certain communicable diseases reported during the week usually ended the preceding

Saturday. When the diseases which rarely occur (cholera, dengue, plague, typhus fever-epidemic, and yellow fever) are reported, they will be noted under the table above.

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

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

EACH DIVISION AND STATE FOR WEEK ENDED JULY 11, 1953
(Mumbere 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 JULY 11, 1953-Continued
(Mumbers under diseases are category numbers of the Sixth Revision of the International Lists, 1948)

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Table 3. CASES OF SPECIFIED DISEASES: SELECTED CITIES FOR WEEK ENDED

JULY 11, 1953
(Numbers after diseases are category numbers of the Sixth Revision of the International Lists, 1948)

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