Page images
PDF
EPUB
[blocks in formation]
[graphic][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][merged small][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][merged small][merged small]

Provisional Information on Selected Notifiable Diseases in the United States and on Deaths in Selected Cities for Week Ended August 18, 1956

The number of cases of poliomyelitis reported for the current week is 902 as compared with 883 for the previous week. Except for Michigan which increased from 32 to 62 cases, there was no large numerical increase in any State. Illinois showed a decrease from 218 to 180 cases. Chicago reported 133 cases, 91 of which were paralytic, and 3 deaths. The number of cases reported for the previous week was 166. The numbers of reported cases of poliomyelitis by type for the United States for the current week, disease year, and calendar year are:

[blocks in formation]

Dr. Mason Romaine, Virginia State Department of Health, -has reported a family outbreak of histoplasmosis. An acute illness occurred in the father which was first suspected to be tuberculosis because of X-ray findings. He was admitted to a Veterans' Administration hospital where both the tuberculin test and specimens of sputum were found to be negative for tuberculosis. However, a histoplasmin skin test and complement fixation test indicated that the patient had histoplasmosis. The mother and children were sent to a hospital where it was found that for them tuberculin tests were negative and histoplasmin skin tests were positive. Reports on X-rays of the chest, complement fixation tests, and other examinations are not yet available. A visit was made to the home of these people where samples of "chicken soil" were collected for laboratory examination. The father and 2 children had cleaned a chickenhouse prior to onset of the father's acute illness.

Equine encephalitis

Dr. R. F. Feemster, Massachusetts Department of Public Health, reports that human and equine cases of encephalitis are under investigation in several areas in the southeastern part of the State. Two human cases and 6 in horses have been reported. Laboratory confirmation has been obtained. The wide distribution of cases is in contrast to a limited distri

bution of cases in horses last summer. Emergency mosquito control measures have been authorized.

The Washington State Department of Health has supplied additional information on the cases of equine encephalomyelitis reported last week. The 48 cases in horses were reported in 11 counties located in the eastern half of the State. The diagnosis of 8 suspect human cases has not been confirmed. Among these cases, 1 death has occurred. Western equine encephalitis virus has been isolated from pools of mosquitoes and from the brain tissue of 1 horse. Antibodies have been found in numerous blood specimens from chickens and horses. Mosquito control measures have been stressed in areas where equine cases have occurred.

Shigellosis

Dr. B. E. Marks, California State Department of Public Health, has reported an outbreak of dysentery among persons who ate shrimp and lobster in a hotel restaurant. Forty-four of the 277 persons eating the meal became ill after an incubation period of 2 to 3 days. No organisms were found in specimens of the canned shrimp which were obtained, but the ingredients for the meal in question were in direct contact with the hands of kitchen employees. The food was kept under refrigeration until served. One of 16 food handlers was found to be an asymptomatic carrier of Shigella flexner 4A, and the same type of organism was found in the stools of 14 of those who were ill.

Chemical poisoning

Sarah V. Dugan, Kentucky State Department of Health, has reported an outbreak in which the illness of 38 persons was suspected to have been due to ingestion of a fly spray. All of the patients drank a soft-drink beverage at a concession stand operated in connection with a drive-in theatre. Most of the persons became ill with nausea into 2 hours after drinking the beverage. Some complained of headache and a few had diarrhea. Investigation revealed that the beverage was served in paper cups which had been spread out on a counter, open side up. Straws and icebins were also uncovered. A fly spray containing DDT in a petroleum distillate had been used inside the concession stand presumably after the paper cups were set out on the counter. Although specimens of food and drink from original containers were collected, no chemical examinations were made. All the evidence pointed to contamination of the exposed paper cups as the source of the illness.

Staphylococcus food poisoning

Dr. E. G. Reuter, Yamhill County Health Officer, Oregon, has reported a small outbreak of food poisoning which occurred following the ingestion of sandwiches containing ham and cheese. The incubation period varied from 2 to 5 hours. Laboratory examination of specimens of a precooked ham revealed the presence of large numbers of hemolytic Staphylococcus aureus; and a few of the same organisms were found in a specimen of a pasteurized process cheese. The cheese may have been contaminated by a knife used to slice the ham. No lesions were

THE LIBRARY OFthEnds of food handlers.

SEP 4 1956

UNIVERSITY OF ILLINOIS

Gastro-enteritis

Sarah V. Dugan has provided information on the occurrence of 5 cases of gastro-enteritis following the eating of a sugariced sponge layer cake. The incubation period was about 3 hours. Bacteriologic examination of specimens of the cake showed more than 30 million bacteria per gram, predominately a yellow pigmented hemolytic staphylococcus. Investigation of the bakery where the cake was made revealed no source of contamination except a considerable amount of handling of cakes during inspection, icing, and packing. Illness was reported

only in persons who ate the cake about 3 days after it was baked. Dr. J. R. Amos, Missouri Director of Health, has reported an outbreak of gastro-enteritis among 42 persons who attended a rural family dinner. Ten became ill 1 to 3 days later with gastro-intestinal symptoms, fatigue, headache, and stiffness and retraction of the neck. One of the 10 died within 24 hours after onset with symptoms of tetany. Botulism was suspected but no food remained for laboratory testing. Chemical poisoning was also considered.

Table 1. CASES OF SPECIFIED NOTIFIABLE DISEASES: CONTINENTAL UNITED STATES
(Numbers after diseases are category numbers of the Sixth Revision of the International Lists, 1948)

[merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small]

2Frequencies are too small. Includes revised reports from Iowa ended July 7.

for weeks ended July 21 and 28; Vermont for week ended August 4; and Washington for week

[merged small][merged small][merged small][ocr errors][merged small][ocr errors][merged small][merged small]

Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, ALASKA, HAWAII, AND PUERTO RICO, FOR WEEKS ENDED AUGUST 20, 1955 AND AUGUST 18, 1956

(By place of occurrence.

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

[merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][subsumed][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][subsumed][subsumed][merged small][subsumed][merged small][merged small][subsumed][merged small][subsumed][merged small][subsumed][merged small][merged small][subsumed][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][ocr errors][merged small][ocr errors][ocr errors][ocr errors][ocr errors][merged small][ocr errors][ocr errors][ocr errors][merged small][ocr errors][merged small][subsumed][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][subsumed][subsumed][merged small][merged small][merged small][subsumed][merged small][merged small][subsumed][subsumed][merged small][merged small][subsumed][subsumed][merged small][merged small][subsumed][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][ocr errors][ocr errors][ocr errors][ocr errors][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][ocr errors][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][ocr errors][ocr errors][merged small][merged small][ocr errors][ocr errors][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small]

Table 2. CASES OF SPECIFIED NOTIFIABLE DISEASES: UNITED STATES, EACH DIVISION AND STATE, ALASKA, HAWAII, AND PUERTO RICO, FOR WEEKS ENDED AUGUST 20, 1955 AND AUGUST 18, 1956-Continued (By place of occurrence. Numbers under diseases are category numbers of the Sixth Revision of the International Lists, 1948)

[merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][subsumed][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][subsumed][subsumed][ocr errors][ocr errors][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][subsumed][merged small][merged small][merged small][merged small][merged small][subsumed][subsumed][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][ocr errors][merged small][merged small][merged small][subsumed][merged small][subsumed][merged small][subsumed][merged small][subsumed][merged small][subsumed][merged small][merged small][ocr errors][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][ocr errors][merged small][merged small][ocr errors][merged small][subsumed][subsumed][merged small][subsumed][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][ocr errors][subsumed][subsumed][subsumed][ocr errors][subsumed][subsumed][subsumed][subsumed][ocr errors][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][subsumed][merged small][merged small][subsumed][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][subsumed][subsumed][merged small][merged small][subsumed][merged small][merged small][subsumed][merged small][subsumed][subsumed][subsumed][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small]

Includes cases not specified by type, category number 080.3.

2Includes revised reports from Iowa for weeks ended July 21 and 28; Vermont for week ended August 4; and Washington for week ended July 7.

« PreviousContinue »