*Delayed reports: Chickenpox: Calif, add 7, Guam add 2; Enceph.: Mo. add 1; Hep. B: Va. delete 1; Hep. A: Nev. add 5; Malaria: N.J. 1 Virgin Islands NN: Not notifiable NA NA '' NA NA ་ 4 ་ *Delayed reports: TB: Ohio delete 1, Mich. delete 1, Mo. delete 2, Ky. delete 1; GC: S. Dak, delete 1, Guam add 5; Syphilis: Ky. delete 1; An. rabies: Conn. delete 4, W. Va. add 1 Guam Puerto Rico Virgin Islands NA: Not available 40 ད。. The Morbidity and Mortality Weekly Report, circulation 62,000, is published by the Center for Disease Control, Atlanta, Georgia. The data in this report are provisional, based on weekly telegraphs to CDC by state health departments. The reporting week concludes at close of business on Friday; compiled data on a national basis are officially released to the public on the succeeding Friday. The editor welcomes accounts of interesting cases, Disease Control, Attn.: Editor, Morbidity and Meet Send mailing list additions, deletions, be sure to give your former address, includ outbreaks, environmental hazards, or other public health problems of current interest to health officials. Send reports to: Center for kly Report, Atlanta, Georgia 30333. es to: Center for Disease Control, Attn.: Distribution Services, GSO, 1-SB-36, Atlanta, Georgia 30333. When requesting changes a list code number, or send an old address label. Viral Hemorrhagic Fever - Continued been hospitalized in isolation, and all known contacts have been placed under surveillance. He received immune Current Trends plasma, and his condition has improved. Reported by the World Health Organization in the Weekly Epidemiological Record 51(46,47):354, 363, 1976. Influenza - Worldwide Worldwide: A small, localized outbreak of influenza-like illness among sugar workers in Jamaica has been confirmed as influenza B by serologic testing. Reported by the World Health Organization in the Weekly Epidemiological Record 51(47): 363, 1976. United States: As previously reported (MMWR 25 [46]), serologic tests of blood specimens from a 32-year-old Missouri man confirmed a 4-fold rise in titer to A/New Jersey/76. There has been no evidence of secondary cases. Investigation is continuing. A total of 6,186,866 influenza inoculations were administered during the week ending November 20, for a cumulative total of 25,376,438 vaccinations. Currently Wyoming, Hawaii, the Trust Territories of the Pacific Islands, Puerto Rico, North Dakota, and New Hampshire have immunized over half of their eligible populations. The accompanying map illustrates the percentage of the population 18 and over immunized nationwide, as of November 20. Reported by the National Influenza Immunization Program, CDC. Three incidents of paralytic shellfish poisoning (PSP) involving at least 6 persons were reported in a 1-month period last summer in southeastern Alaska. The first incident involved a Washington-based fisherman who was admitted to the Juneau Hospital on June 30 with typical PSP symptoms of oral numbness, vomiting, double vision, and loss of equilibrium. The day before, the patient had ingested 2-3 dozen steamed butter clams, dug on June 25 in the area of Montague Island in Prince William Sound. The patient recovered after a week, although general weakness persisted. Another crew member had milder symptoms and was not hospitalized. Clam samples were not available for laboratory testing. The second incident occurred on July 14, when a 66 year-old woman was admitted to the Juneau Hospital with symptoms similar to those of the first patient. The woman was a member of a 3-party group from Texas on a sailing cruise of southeastern Alaska. The group had dug several dozen butter clams on July 14 at Funter Bay on Admirality Island, about 20 air miles from Juneau, and had prepared a clam chowder. The patient was the only one who consumed any of the chowder. About 2 hours after eating, she experienced severe vomiting. The group immediately sailed back to Juneau, and during the 5-hour cruise her other symptoms developed. The patient recovered and was released from the hospita! several days later. Clams remaining from those dug were available, and mouse bioassay showed a level of 1,464 micrograms of PSP toxin per 100 grams of clam meat. |