1968 — Sep-Mar 1969, A2 (Asian)/H3N2 “Hong Kong” Influenza/Pneumonia Pandemic–33,800

— 73,492 1968 influenza and pneumonia. Vital Statistics of the US 1968, V. II, Part A, p. 1-7.
— 7,062 Influenza –66,430 Pneumonia
— 68,365 1969 influenza and pneumonia. Vital Statistics of the US 1968, V. II, Part A, p. 1-41.
— 5,971 Influenza –62,394 Pneumonia
–~34,000 Shay, David K. (CDC). Influenza Pandemics of the 20th Century. 2005.
— 33,955 1968 122 reporting cities through January 1969. (Blanchard.)
— 33,800 United States Dept. of Health and Human Services. Pandemic Flu History (website).
— 33,800 U.S. HHS. Pandemics and Pandemic Scares in the 20th Century. 2004.
— 33,000 Kohn, George Childs (Ed.). Encyclopedia of Plague and Pestilence. 2001, p. 364.
— 28,000 Armstrong. Philadelphia, Nurses…Spanish Influenza Pandemic of 1918. 2001.
— 28,000 Iezzoni. Influenza 1918: The Worst Epidemic in American History. 1999, 214.
— 27,586 1968 Influenza and pneumonia, 122 reporting cities.
— 27,550 By Dec 28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
— 19,700 Epidemic timeframe of Dec 1 to 2nd week of Jan 1969 in 122 reporting cities.
Weekly numbers for 122 cities published in Morbidity and Mortality Weekly Report, CDC.
— 384 Aug 4-10 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 8-10-1968, p.303.
— 391 Aug 11-17 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 8-17-1968, p.311.
— 403 Aug 18-24 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 8-24-1968, p.319
— 440 Aug 25-31 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 8-31-1968, p.323.
— 358 Sep 1-7 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 9-7-1968, p.335
— 365 Sep 8-14 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 9-14-1968, p.338.
— 393 Sep 15-21 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 9-21-1968, p.355.
— 414 Sep 22-28 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 9-28-1968, p.367.
— 418 Sep 29-Oct 5. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 10-5-1968, p.375.
— 387 Oct 6-12 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 10-12-1968, p.387.
— 405 Oct 13-19 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 10-19-1968, p.395.
— 438 Oct 20-26 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 10-26-1968, p.403.
— 444 Oct 27-Nov 2. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-2-1968, p.412.
— 442 Nov 3-9 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-9-1968, p.423.
— 438 Nov 10-16. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-16-1968, p.431.
— 508 Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-1968, p.439.
— 446 Nov 24-30. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-30-1968, 451.
— 672 Dec 1-7. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-7-1968, p.459.
— 703 Dec 8-14. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-14-1968, p467.
— 1,052 Dec 15-21. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-21-1968, p475.
— 1,168 Dec 22-28. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-28-1968, p487.
— 1,523 Dec 29-Jan 4 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-11-1969, p. 7.
— 1,688 Jan 5-11. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-17-1969, p. 15.
— 1,436 Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-18-1969, p. 27.
— 1,175 Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-25-1969. p.35.
— 902 Jan 26-Feb 1 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-1-1969, p. 43.
— 835 Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
— 670 Feb 9-15 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p. 59
— 722 Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, p. 67.
— 712 Feb 23-Mar 1 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, p. 75.
— 677 Mar 2-8 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p.87
— 602 Mar 9-15 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p. 95.
— 615 Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, p103.
— 554 Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.

Summary of Sep, 1968-Feb, 1969 Influenza and Pneumonia Deaths (esp. 122 cities).

Alabama ( 89) Dec 29-Feb 1; just Birmingham, Mobile, Montgomery.
Arizona ( 92) Dec 22-Feb 1; just Phoenix and Tucson
Arkansas ( 138) Fall 1968-Spring 1969
California ( 950) Oct 10-Mar 29; 11 cities, esp. LA, Long Beach, San Diego, San Francisco
Colorado ( 246) Nov 24-Mar 22; just Colorado Springs, Denver and Pueblo
Connecticut ( 183) Dec 1-Feb 8; Bridgeport, Hartford, New Haven, Waterbury
Delaware ( 30) Dec 29-Feb 1; Wilmington
District of Co.( 199) Dec 15-Mar 29
Florida ( 430) Nov 3-Feb 22; Jacksonville, Miami, St. Petersburg, Tampa
Georgia ( 191) Dec 22-Mar 1; Atlanta and Savannah
Hawaii ( 17) Dec 29-Feb 1; Honolulu
Illinois ( 985) Oct 13-Mar 22; esp. Chicago; also Peoria and Rockford
Indiana ( 214) Dec 22-Feb 8; esp. Indianapolis; also Evansville, Ft. Wayne, Gary, So. Bend.
Iowa ( 32) Dec 29-Feb 1; just Des Moines
Kansas ( 106) Nov 17-Feb 1; just Kansas City and Wichita
Kentucky ( 323) Oct 13-Mar 22; just Louisville
Louisiana ( 195) Dec 29-Mar 8. Baton Rouge, New Orleans, and Shreveport
Maryland ( 200) Dec 15-Mar 15. Just Baltimore
Massachusetts( 904) Oct 27-Mar 22. Nine cities, esp. Boston, Cambridge, Worcester, Springfield
Michigan ( 592) Oct 27-Mar 29. Flint, Grand Rapids, and especially Detroit.
Minnesota ( 84) Dec 29-Feb 1. Duluth, St. Paul, and especially Minneapolis
Missouri ( 283) Nov 3-Mar 8. Kansas City and especially St. Louis.
Nebraska ( 31) Dec 29-Feb 1. Lincoln and Omaha.
New Jersey ( 262) Dec 8-Mar 29. Camden, Elizabeth, Jersey City, Newark, Paterson, Trenton
New Mexico ( 53) Dec 15-Feb 1. Albuquerque.
New York (2,867) Oct 13-Mar 29. Esp. Buffalo, Rochester, Syracuse, Yonkers; esp. NYC.
No. Carolina ( 42) Dec 29-Feb 8. Charlotte.
Ohio ( 581) Dec 8-Mar 1. Akron, Canton, Cincinnati, Cleveland/Columbus/Dayton/Toledo.
Oklahoma ( 111) Dec 29-Mar 29. Oklahoma and Tulsa.
Oregon ( 57) Jan 5-Mar 15. Portland
Pennsylvania (1,501) Oct 20-Mar 29. Esp. Allentown, Philadelphia, Pittsburgh, Reading.
Rhode Island ( 67) Dec 22-Feb 8. Providence.
Tennessee ( 305) Dec 1-Mar 8. Chattanooga, Knoxville, Memphis and Nashville.
Texas ( 468) Nov 3-Mar 15. Austin, Dallas, El Paso, Ft. Worth, Houston, San Antonio.
Utah ( 35) Dec 29-Feb 1. Ogden and Salt Lake City.
Virginia ( 153) Dec 22-Mar 8. Norfolk and Richmond.
Washington ( 139) Dec 29-Mar 1. Seattle Spokane and Tacoma.
Wisconsin ( 97) Dec 22-Feb 1. Madison and Milwaukee.

Total: 12,660

Blanchard note: This State breakout total represents selected data from the listings of 122 cities in each weekly CDC MMWR we note. We do not duplicate all the cities listed in each report. The numbers derived do not represent just the A2/Hong Kong/68 influenza deaths. There were other influenza variants, especially a B variant which led to yearly “background” influenza deaths. We have, however, found no source which breaks-down the A2/Hong Kong/68 33,800 influenza deaths by State. We assume such a breakout exists somewhere in order for the number of 33,800 A2/Hong Kong/68 deaths to be created, even if the number represents a calculation of access deaths rather than a counting of confirmed A2/Hong Kong/68 deaths. Thus we use as a stand-in for our State breakouts, these selected deaths from the 122 cities listings.

Breakout by States

Alabama ( 89) Dec 29, 1968-Feb 1, 1969; just Birmingham, Mobile, Montgomery.
— 8 3 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–3 Birmingham
–2 Mobile
–3 Montgomery
–14 3 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
–5 Birmingham
–3 Mobile
–3 Montgomery
–20 3 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 5 Birmingham
— 2 Mobile
–13 Montgomery
–26 3 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–13 Birmingham
— 3 Mobile
–10 Montgomery
–21 3 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
— 4 Birmingham
— 5 Mobile
–12 Montgomery

Arizona ( 92) Dec 22, 1968-Feb 1, 1969; just Phoenix and Tucson
–29 2 cities. Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487
–20 Phoenix
— 9 Tucson
–22 2 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–12 Phoenix
–10 Tucson
–18 2 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
— 7 Phoenix
–11 Tucson
–11 2 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 5 Phoenix
— 6 Tucson
— 6 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 2 Phoenix
— 4 Tucson
— 6 2 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
— 3 Phoenix
— 3 Tucson

Arkansas (138) Fall 1968-Spring 1969
–138 State. Gray, et al. “A Retrospective Epidemiologic Analysis of Influenza…” 2012, p. 70.
— 3 Little Rock. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p7.
— 6 “ “ Jan 5-11. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-17-1969, 15
— 12 “ “ Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, 27.
— 7 “ “ Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. 35.
— 10 “ “ Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
— 10 “ “ Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.

California (950) Oct 10-Mar 29; 11 cities, esp. LA, Long Beach, San Diego, SF
— 11 Los Angeles. Oct 20-26. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 10-26-1968, 403.
— 14 “ Oct 27-Nov 2. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-2-1968, 412.
— 10 “ Nov 10-16. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-16-1968, 431.
— 11 “ Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-1968, 439.
— 19 “ Dec 1-7. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-7-1968, 451.
— 17 “ Dec 8-14. NCDC. “Table IV. Deaths in 122…” MMWR, 12-14-1968, 467.
— 19 “ Dec 15-21, NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
— 57 11 cities. Dec 22-28, NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-28-1968, 487.
–19 Los Angeles
— 9 San Francisco
— 86 11 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, 7.
— 2 Berkeley
— 3 Fresno — 7 Pasadena
— 3 Glendale — 8 Sacramento
–13 Long Beach — 7 San Diego
–31 Los Angeles — 9 San Francisco
— 5 Oakland — 5 San Jose
–145 10 cities. Jan 5-11. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-17-1969, p.15.
— 9 Fresno
— 2 Glendale — 5 Sacramento
–17 Long Beach –15 San Diego
–54 Los Angeles –19 San Francisco
— 9 Oakland –11 San Jose
— 4 Pasadena
–164 10 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, 27.
— 7 Fresno
— 5 Glendale — 4 Sacramento
— 8 Long Beach –28 San Diego
–81 Los Angeles –16 San Francisco
— 5 Oakland — 8 San Jose
— 3 Pasadena
–123 9 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. 35.
— 3 Fresno
— 7 Glendale — 3 Pasadena
–11 Long Beach –25 San Diego
–52 Los Angeles — 9 San Francisco
— 3 Oakland — 9 San Jose
— 94 7 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
— 6 Fresno
— 3 Glendale — 9 Oakland
–12 Long Beach –11 San Diego
–47 Los Angeles — 6 San Francisco
–25 Los Angeles. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, 51.
–25 2 cities. Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p. 59.
–15 Los Angeles
–10 San Francisco
–20 Los Angeles. Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, 67.
–21 “ Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
–12 San Francisco. Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75
–24 Los Angeles. Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, 87.
–22 “ Mar 9-15, NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-21-2969, 95.
–16 “ Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.
–16 “ Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.

Colorado ( 246) Nov 24-Mar 22; just Colorado Springs, Denver and Pueblo
–17 Denver Nov 24-30. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-30-1968, 451
–41 3 cities. Dec 1-7. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-7-1968, 451.
–10 Colorado Springs
–24 Denver
— 7 Pueblo
–31 3 cities. Dec 8-14. NCDC. “Table IV. Deaths in 122…” MMWR, 12-14-1968, 467.
— 7 Colorado Springs
–14 Denver
–10 Pueblo
–45 3 cities. Dec 15-21, NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
–12 Colorado Springs
–19 Denver
–14 Pueblo
–19 3 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
— 6 Colorado Springs
— 8 Denver
— 5 Pueblo
–25 3 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
— 4 Colorado Springs
–17 Denver
— 4 Pueblo
–21 3 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 7 Colorado Springs
— 9 Denver
— 5 Pueblo
–16 3 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 5 Colorado Springs
— 8 Denver
— 3 Pueblo
–20 3 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
— 6 Colorado Springs
–11 Denver
— 3 Pueblo
–11 Denver. Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.

Connecticut (183) Dec 1, 1968-Feb 8, 1969; Bridgeport, Hartford, New Haven, Waterbury
— 3 Dec 1-7. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-7-1968, 459.
–12 Dec 8-14. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-14-1968, 467.
–32 3 cities. Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
–14 Bridgeport
–13 Hartford
— 5 New Haven
–31 3 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p7.
–18 Bridgeport
— 9 Hartford
— 4 New Haven
–39 4 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-11-1969, p. 15.
–12 Bridgeport
–14 Hartford
— 4 New Haven
— 9 Waterbury
–22 4 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p. 27.
–11 Bridgeport
— 8 Hartford
— 2 New Haven
— 1 Waterbury
–19 4 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p. 35.
–11 Bridgeport
— 3 Hartford
— 4 New Haven
— 1 Waterbury
–14 4 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
— 7 Bridgeport
— 3 Hartford
— 3 New Haven
— 1 Waterbury
–11 4 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
— 7 Bridgeport
— 1 Hartford
— 2 New Haven
— 1 Waterbury

Delaware ( 30) Dec 29-Feb 1; Wilmington
— 8 Wilmington. Dec 29-Jan 4. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-11-1969, p7.
–12 “ Jan 5-11. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-17-1969, p.15.
— 5 “ Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 4 “ Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 1 “ Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.

District of Columbia ( 199) Dec 15-Mar 29
–21 Dec 15-21, NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
–13 Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
–38 Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-11-1969, p.7.
–22 Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p15.
–18 Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–14 Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–14 Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
–10 Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
–14 Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
–10 Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p. 87.
–13 Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.
–12 Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.

Florida ( 430) (Nov 3, 1968-Feb 22, 1969); Jacksonville, Miami, St. Pete; Tampa
–10 Tampa. Nov 3-9. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-9-1968, 423.
–10 St. Petersburg. Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-68, 439.
–30 3 cities. Dec 1-7. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-7-1968, 451.
–10 Miami
–10 St. Petersburg
–10 Tampa
–16 St. Petersburg. Dec 15-21, NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
–26 2 cities. Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487
–16 St. Petersburg
–10 Tampa
–41 4 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-11-1969, p.7.
— 7 Jacksonville
— 5 Miami
–12 St. Petersburg
–17 Tampa
–38 4 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
— 8 Jacksonville
— 5 Miami
— 9 St. Petersburg
–16 Tampa
–83 4 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–18 Jacksonville
–10 Miami
–24 St. Petersburg
–31 Tampa
–52 4 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 7 Jacksonville
— 8 Miami
–19 St. Petersburg
–18 Tampa
–39 4 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
— 7 Jacksonville
— 7 Miami
–12 St. Petersburg
–13 Tampa
–27 2 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
— 9 St. Petersburg
–18 Tampa
–28 2 cities. Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p. 59.
–11 Jacksonville
–17 Tampa
–15 St. Petersburg. Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, p.67.
–15 Tampa. Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, p.67.

Georgia ( 191) Dec 22-Mar 1; Atlanta and Savannah
–10 Atlanta. Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
–23 2 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-11-1969, p.7.
–15 Atlanta
— 8 Savannah
–36 2 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
–20 Atlanta
–16 Savannah
–20 2 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p. 27.
— 9 Atlanta
–11 Savannah
–17 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p. 35.
–10 Atlanta
— 7 Savannah
–27 2 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
–11 Atlanta
–16 Savannah
–27 2 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
–13 Atlanta
–14 Savannah
–20 2 cities. Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p. 59.
–13 Atlanta
— 7 Savannah
–11 Atlanta. Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.

Hawaii ( 17) Dec 29-Feb 1; Honolulu
–1 Honolulu. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–1 “ Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p15.
–5 “ Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–3 “ Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–7 “ Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.

Illinois (1,010) Oct 13-Mar 29; esp. Chicago; also Peoria and Rockford
–35 Chicago, Oct 13-19. NCDC. “Table IV. Deaths in 122…” MMWR, 10-19-1968, p. 395.
–28 “ Oct 20-26. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 10-26-1968, 403.
–22 “ Oct 27-Nov 2. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-2-1968, 412.
–32 “ Nov 3-9. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-9-1968, 423.
–24 “ Nov 10-16. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-16-1968, 431.
–32 “ Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-1968, 439.
–41 “ Nov 24-30. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-30-1968, 451.
–42 “ Dec 1-7. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-7-1968, 451.
–54 “ Dec 8-14. NCDC. “Table IV. Deaths in 122…” MMWR, 12-14-1968, 467.
–67 “ Dec 15-21. NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
–76 “ Dec 22-28. NCDC. “Table IV. Deaths in 122…” MMWR, 12-28-1968, 487.
–95 3 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…” MMWR, 1-4-1969, p. 7.
–74 Chicago
— 5 Peoria
–16 Rockford
–78 3 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
–65 Chicago
— 8 Peoria
— 5 Rockford
–59 3 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–44 Chicago
— 7 Peoria
— 8 Rockford
–50 3 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–35 Chicago
— 8 Peoria
— 7 Rockford
–27 3 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
–17 Chicago
— 8 Peoria
— 2 Rockford
–36 Chicago. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
–28 “ Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p. 59.
–21 “ Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, p67.
–33 “ Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
–30 “ Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p. 87.
–29 “ Mar 9-15, NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-21-2969, p95.
–46 “ Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.
–25 “ Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.

Indiana ( 227) Dec 22-Mar 1; esp. Indianapolis; also Evansville, Ft. Wayne, Gary, So. Bend.
–10 Indianapolis. Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
–64 5 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…” MMWR, 1-4-1969, p. 7.
— 4 Evansville
— 8 Fort Wayne
–15 Gary
–27 Indianapolis
–10 South Bend
–50 5 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
— 3 Evansville
— 9 Fort Wayne
— 5 Gary
–15 Indianapolis
–18 South Bend
–47 5 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 9 Evansville
–10 Fort Wayne
— 9 Gary
–10 Indianapolis
— 9 South Bend
–20 4 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 4 Evansville
— 3 Gary
— 7 Indianapolis
— 6 South Bend
— 9 3 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
— 3 Evansville
— 3 Gary
— 3 Indianapolis
— 9 2 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
— 3 Gary
— 6 Indianapolis
–18 Gary. Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.

Iowa ( 32) Dec 29-Feb 1; just Des Moines
— 5 Des Moines. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7
— 8 “ Jan 5-11. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-17-1969, p.15.
— 7 “ Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 6 “ Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 6 “ Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.

Kansas ( 118) Nov 17-Mar 8; just Kansas City and Wichita
–10 Wichita Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-1968, 439.
–19 2 cities. Dec 15-21. NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
–10 Kansas City
— 9 Wichita
— 5 Kansas City. Dec 29-Jan 4. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-4-1969, p.7.
–16 2 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p15.
— 7 Kansas City
— 9 Wichita
–22 2 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p. 27.
–10 Kansas City
–12 Wichita
–21 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p. 35.
— 7 Kansas City
–14 Wichita
–13 2 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
— 4 Kansas City
— 9 Wichita
–12 Wichita. Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p. 87.

Kentucky ( 323) Oct 13-Mar 22; just Louisville
–12 Louisville. Oct 13-19. NCDC. “Table IV. Deaths in 122…” MMWR, 10-19-1968, p. 395.
–12 “ Oct 20-26. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 10-26-1968, 403.
–17 “ Oct 27-Nov 2. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-2-1968, 412.
–12 “ Nov 10-16. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-16-1968, 431.
–12 “ Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-1968, 439.
–15 “ Dec 1-7. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-7-1968, 451.
–17 “ Dec 15-21, NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
–11 “ Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
–17 “ Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–28 “ Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p15.
–15 “ Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–31 “ Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–20 “ Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
–34 “ Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
–16 “ Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p. 59.
–15 “ Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
–16 “ Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p. 87.
–19 “ Mar 9-15, NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-21-2969, p95.
–19 “ Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.
–15 “ Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.

Louisiana ( 195) Dec 29-Mar 8. Baton Rouge, New Orleans, and Shreveport
–30 3 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
— 4 Baton Rouge
–15 New Orleans
–11 Shreveport
–28 3 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
— 8 Baton Rouge
–14 New Orleans
— 6 Shreveport
–32 3 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 6 Baton Rouge
–15 New Orleans
–11 Shreveport
–42 3 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 8 Baton Rouge
–15 New Orleans
–19 Shreveport
–17 3 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
— 5 Baton Rouge
— 4 New Orleans
— 8 Shreveport
–11 Shreveport. Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, 59.
–11 “ Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, 67.
–13 “ Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
–11 New Orleans. Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, 87

Maryland ( 200) Dec 15-Mar 15. Just Baltimore
–16 Baltimore. Dec 15-21. NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
–20 “ Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
–36 “ Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–19 “ Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, 15.
–20 “ Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, 27.
–15 “ Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. 35.
–12 “ Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
–10 “ Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, 51.
— 8 “ Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, 59.
–18 “ Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, 67.
–16 “ Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, p.75.
–10 “ Mar 9-15 NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-21-1969, 95.

Massachusetts ( 904) Oct 27-Mar 22. Nine cities, esp. Boston, Cambridge, Worcester, Springfield
— 15 Boston. Oct 27-Nov 2. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-2-1968, 412.
— 16 “ Nov 3-9. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-9-1968, 423.
— 9 “ Nov 10-16. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-16-1968, 431.
— 23 “ Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-1968, 439.
— 10 “ Nov 24-30. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-30-1968, 451.
— 23 “ Dec 1-7. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-7-1968, 459.
— 43 9 cities. Dec 8-14. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-14-1968, 467.
–18 Boston
— 49 9 cities. Dec 15-21 NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-21-1968, 475.
–19 Boston
— 80 9 cities. Dec 22-28 NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 4.
–34 Boston
–19 Cambridge
— 8 Worcester
— 97 5 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–48 Boston
–15 Cambridge
— 4 New Bedford
–12 Springfield
— 9 Worcester
–114 8 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-11-1969, p.15.
–36 Boston
–10 Cambridge
— 5 Fall River
— 9 Lowell
— 9 Lynn
–11 New Bedford
–11 Springfield
–23 Worcester
— 97 6 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–49 Boston
–11 Cambridge
— 5 Fall River
— 7 Lowell
–11 Springfield
–14 Worcester
— 72 6 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–34 Boston
–12 Cambridge
— 5 Lowell
— 4 New Bedford
— 5 Springfield
— 50 5 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
–24 Boston
— 5 Cambridge
— 3 Somerville
–10 Springfield
— 8 Worcester
— 57 5 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
–31 Boston
–13 Cambridge
— 3 New Bedford
— 6 Springfield
— 4 Worcester
— 33 2 cities. Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p. 59.
–22 Boston
–11 Cambridge
— 24 Boston. Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, p.67.
— 13 Worcester. Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, 67.
— 22 Boston. Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
— 11 Cambridge. Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
— 13 Boston. Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p. 87.
— 18 “ Mar 9-15, NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-21-1969, p95.
— 16 “ Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.

Michigan (592) Oct 27-Mar 29. Flint, Grand Rapids, and especially Detroit.
— 15 Detroit. Oct 27-Nov 2. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-2-1968, 412.
— 11 “ Nov 10-16. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-16-1968, 431.
— 11 “ Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-1968, 439.
— 14 “ Dec 1-7. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-7-1968, 451.
— 29 “ Dec 8-14. NCDC. “Table IV. Deaths in 122…” MMWR, 12-14-1968, 467.
— 67 3 cities. Dec 15-21, NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
–56 Detroit
— 4 Flint
— 7 Grand Rapids
— 87 3 cities. Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
–63 Detroit
–19 Flint
— 5 Grand Rapids
— 85 3 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-10-1969, 7
–59 Detroit
–10 Flint
–16 Grand Rapids
— 65 3 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
–29 Detroit
–13 Flint
–23 Grand Rapids
— 48 3 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–23 Detroit
–15 Flint
–10 Grand Rapids
–33 3 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–22 Detroit
— 8 Flint
— 3 Grand Rapids
–32 2 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
–12 Detroit
–10 Grand Rapids
–23 3 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
–11 Detroit
— 5 Flint
— 7 Grand Rapids
–10 Detroit. Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, p67.
–14 “ Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
–11 “ Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p. 87.
–13 “ Mar 9-15, NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-21-2969, p95.
–11 “ Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.
–13 “ Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.

Minnesota ( 84) Dec 29-Feb 1. Duluth, St. Paul, and especially Minneapolis
— 20 3 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
— 4 Duluth
–11 Minneapolis
— 5 St. Paul
–24 3 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p. 15.
— 4 Duluth
–10 Minneapolis
–10 St. Paul
–17 3 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p. 27.
— 2 Duluth
— 7 Minneapolis
— 8 St. Paul
–12 3 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p. 35.
— 3 Duluth
— 5 Minneapolis
— 4 St. Paul
–11 3 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.

Missouri ( 283) Nov 3-Mar 8. Kansas City and especially St. Louis.
–10 St. Louis. Nov 3-9. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-9-1968, 423.
–10 “ Dec 1-7. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-7-1968, 451.
–11 St. Louis. Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
–39 2 cities Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
— 7 Kansas City
–32 St. Louis
–52 2 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
— 8 Kansas City
–44 St. Louis
–42 2 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p. 27.
— 2 Kansas City
–40 St. Louis
–29 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p. 35.
— 7 Kansas City
–22 St. Louis
–24 2 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
–24 2 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
— 6 Kansas City
–18 St. Louis
–20 2 cities. Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p. 59.
–10 Kansas City
–10 St. Louis
–11 St. Louis. Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, 67.
–11 “ Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p. 87.

Nebraska ( 31) Dec 29-Feb 1. Lincoln and Omaha.
— 7 2 cities Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–1 Lincoln
–6 Omaha
–11 2 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–6 Lincoln
–5 Omaha
— 9 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. P.35.
–6 Lincoln
–3 Omaha
— 5 2 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
–4 Lincoln
–1 Omaha

New Jersey ( 262) Dec 8-Mar 29. Camden, Elizabeth, Jersey City, Newark, Paterson, Trenton
— 12 Newark. Dec 8-14. NCDC. “Table IV. Deaths in 122…” MMWR, 12-14-1968, 467.
— 12 “ Dec 15-21. NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
— 16 “ Dec 22-28. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-28-1968, 487.
— 49 5 cities Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, 7.
— 6 Camden
— 5 Elizabeth
–20 Jersey City
— 8 Newark
–10 Paterson
— 43 5 cities Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p15.
— 9 Camden
— 4 Elizabeth
— 5 Jersey City
–16 Newark
— 9 Paterson
–37 5 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 7 Camden
–10 Jersey City
— 6 Newark
— 5 Paterson
— 9 Trenton
–24 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–17 Jersey City
— 7 Newark
–24 4 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
— 6 Camden
–10 Jersey City
— 4 Newark
— 4 Paterson
–10 2 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
— 5 Camden
— 5 Jersey City
–10 Jersey City. Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
–10 Trenton. Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.
–15 Jersey City. Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.

New Mexico ( 53) Dec 15-Feb 1. Albuquerque.
–10 Albuquerque. Dec 15-21, NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
–12 “ Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
— 6 “ Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, 7.
–12 “ Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
— 5 “ Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 4 “ Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 4 “ Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.

New York (2,867) Oct 13-Mar 29. Esp. Buffalo, Rochester, Syracuse, Yonkers; esp. NYC.
— 42 NYC Oct 13-19. NCDC. “Table IV. Deaths in 122…Cities.” MMWR, 10-19-1968, 395.
— 52 “ Oct 20-26. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 10-26-1968, 403.
— 57 “ Oct 27-Nov 2. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-2-1968, 412.
— 42 “ Nov 10-16. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-16-1968, 431.
— 66 “ Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-1968, 439.
— 48 “ Nov 24-30. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-30-1968, 451.
— 11 Rochester. Nov 24-30. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-30-1968, 451.
— 13 “ Nov 24-30. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-30-1968, 451.
— 102 NYC Dec 1-7, NCDC. “Table IV. Deaths in 122…” MMWR, 12-7-1968, p. 459.
— 118 “ Dec 8-14. NCDC. “Table IV. Deaths in 122…” MMWR, 12-14-1968, 467.
— 257 3 cities. Dec 15-21, NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
— 10 Buffalo
–208 New York City
— 19 Rochester
— 292 5 cities. Dec 22-28. NCDC. “Table IV. Deaths in 122…” MMWR, 12-28-1968, 487.
— 11 Buffalo
–242 New York City
— 23 Rochester
— 7 Syracuse
— 9 Yonkers
— 278 7 cities Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, 7.
— 4 Albany
— 7 Buffalo
–208 New York City
— 41 Rochester
— 3 Schenectady
— 6 Utica
— 9 Yonkers
–248 7 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p15.
— 13 Buffalo
–160 New York City
— 39 Rochester
— 4 Schenectady
— 13 Syracuse
— 6 Utica
— 3 Yonkers
–171 7 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p27.
— 3 Buffalo
–120 New York City
— 31 Rochester
— 4 Schenectady
— 5 Syracuse
— 5 Utica
— 3 Yonkers
–167 7 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 7 Buffalo
–129 New York City
— 13 Rochester
— 3 Schenectady
— 3 Syracuse
— 6 Utica
— 6 Yonkers
–115 5 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
— 5 Buffalo
–85 New York City
–16 Rochester
— 5 Utica
— 4 Yonkers
–134 4 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
–117 New York City
— 10 Rochester
— 4 Schenectady
— 3 Syracuse
— 89 2 cities. Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p. 59.
–76 New York City
–13 Rochester
–106 NYC. Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, 67.
— 10 Rochester. Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, 67.
–107 NYC. Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
— 89 “ Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p.87.
— 78 “ Mar 9-15, NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-21-2969, p95.
— 13 Rochester. Mar 9-15, NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-21-2969, 95.
— 84 NYC. Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.
— 11 Rochester. Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.
— 54 NYC. Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.
— 13 Rochester. Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.

North Carolina ( 42) Dec 29-Feb 8. Charlotte.
— 6 Charlotte Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–11 “ Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p15.
— 9 “ Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 4 “ Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 6 “ Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
— 6 “ Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.

Ohio (581) Dec 8-Mar 1. Akron, Canton, Cincinnati, Cleveland, Columbus, Dayton, Toledo.
— 11 Cleveland. Dec 8-14. NCDC. “Table IV. Deaths in 122…” MMWR, 12-14-1968, 467.
— 52 6 cities Dec 15-21, NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
— 8 Akron
— 6 Canton — 4 Dayton
— 7 Cincinnati — 8 Toledo
–19 Cleveland
— 67 8 cities Dec 22-28, NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
— 5 Akron
— 5 Canton — 4 Columbus
— 7 Cincinnati — 9 Dayton
–30 Cleveland — 5 Toledo
–113 8 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–21 Akron — 9 Columbus
–17 Canton –14 Dayton
–14 Cincinnati — 9 Toledo
–17 Cleveland — 2 Youngstown
–118 8 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p. 15.
–12 Akron
— 6 Canton
–16 Cincinnati
–23 Cleveland
–15 Columbus
–16 Dayton
–25 Toledo
— 5 Youngstown
— 69 8 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 3 Akron
— 1 Canton
–18 Cincinnati
–14 Cleveland
–11 Columbus
— 2 Dayton
–13 Toledo
— 9 Youngstown
— 64 8 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 2 Akron
— 6 Canton
–16 Cincinnati
–10 Cleveland
— 8 Columbus
— 9 Dayton
–10 Toledo
— 3 Youngstown
— 46 8 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
— 1 Akron
— 2 Canton
–12 Cincinnati
— 6 Cleveland
— 8 Columbus
— 7 Dayton
— 8 Toledo
–28 7 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
— 4 Akron
— 3 Canton
— 8 Cincinnati
— 8 Cleveland
— 4 Dayton
— 1 Toledo
–13 Cincinnati. Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.

Oklahoma ( 111) Dec 29-Mar 29. Oklahoma and Tulsa.
–19 2 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
— 6 Oklahoma City
–13 Tulsa
–21 2 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p15.
— 5 Oklahoma City
–16 Tulsa
–19 2 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 4 Oklahoma City
–15 Tulsa
–13 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 6 Oklahoma City
— 7 Tulsa
–13 2 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
— 6 Oklahoma City
— 7 Tulsa
–14 Tulsa. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
–12 “ Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.

Oregon ( 57) Jan 5-Mar 15. Portland
— 5 Portland. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
–15 “ Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 9 “ Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 8 “ Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
–11 “ Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, p67.
— 9 “ Mar 9-15, NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-21-2969, p95.

Pennsylvania (1,501) Oct 20-Mar 29. Esp. Allentown, Philadelphia, Pittsburgh, Reading.
–1,501 State. Hrehorovich. “Table 1. Pneumonia…influenza deaths…Dec 1968-Jan 1969.” 839.
— 13 Pittsburgh. Oct 20-26. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 10-26-1968, 403.
— 11 “ Nov 10-16. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-16-1968, 431.
— 15 “ Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-1968, 439.
— 10 Allentown. Nov 17-23. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-23-1968, 439.
— 18 Pittsburgh. Dec 1-7. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-7-1968, 451
— 13 Philadelphia. Dec 8-14. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-14-1968, 467
— 16 Pittsburgh. Dec 8-14. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-14-1968, 467.
— 57 State Dec 15-21, NCDC. “Table IV. Deaths in 122…” MMWR, 12-21-1968, 475.
— 9 Allentown
–21 Philadelphia
–18 Pittsburgh
— 62 State Dec 22-28, NCDC. “Table IV. Deaths in 122…” MMWR, 12-28-1968, 487.
— 6 Allentown
— 5 Erie
–11 Philadelphia — 6 Reading
–26 Pittsburgh — 8 Scranton
— 100 6 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-11-1969, 7
–21 Allentown
— 8 Erie
–15 Philadelphia
–33 Pittsburgh
–14 Reading
— 9 Scranton
— 111 6 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, 15.
–12 Allentown
— 7 Erie
–20 Philadelphia
–57 Pittsburgh
–11 Reading
— 4 Scranton
— 98 6 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, 27.
–10 Allentown
— 9 Erie
–33 Philadelphia
–40 Pittsburgh
— 5 Reading
— 1 Scranton
— 77 6 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. 35.
— 6 Allentown
— 9 Erie
–28 Philadelphia
–29 Pittsburgh
— 5 Reading
— 2 Scranton
— 51 6 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
— 4 Allentown
— 7 Erie
–14 Philadelphia
–20 Pittsburgh
— 3 Scranton
— 52 6 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p.51.
— 4 Allentown
— 7 Erie
— 5 Philadelphia
–24 Pittsburgh
— 7 Reading
— 5 Scranton
— 16 Pittsburgh. Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, 59
— 24 “ Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, p.67.
— 27 2 cities. Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
–16 Philadelphia
–11 Pittsburgh
— 17 Pittsburgh. Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, 87.
— 15 “ Mar 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-28-1969, 103.
— 12 “ Mar 23-29. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 4-4-1969, 111.

Rhode Island ( 67) Dec 22-Feb 8. Providence.
— 5 Providence. Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
–15 “ Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–22 “ Jan 5-11. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-17-1969, 15.
— 6 “ Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, 27.
–15 “ Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969, 35.
— 2 “ Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, 43.
— 2 “ Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.

Tennessee ( 305) Dec 1-Mar 8. Chattanooga, Knoxville, Memphis and Nashville.
–12 Chattanooga. Dec 1-7. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 12-7-1968, 451.
–28 3 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–15 Chattanooga
— 4 Memphis
— 9 Nashville
–55 4 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
–24 Chattanooga
— 3 Knoxville
–10 Memphis
–18 Nashville
–43 4 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–10 Chattanooga
–10 Knoxville
–11 Memphis
–12 Nashville
–52 4 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–15 Chattanooga
— 6 Knoxville
–15 Memphis
–16 Nashville
–39 4 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p43.
— 8 Chattanooga
— 8 Knoxville
–10 Memphis
–13 Nashville
–42 3 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
–14 Chattanooga
— 8 Memphis
–20 Nashville
–12 Memphis. Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p.59.
–12 “ Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, p67.
–10 “ Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p. 87.

Texas (468) Nov 3-Mar 15. Austin, Dallas, El Paso, Ft. Worth, Houston, San Antonio
— 10 Austin. Nov 3-9. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 11-9-1968, 423.
— 13 El Paso Dec 8-14. NCDC. “Table IV. Deaths in 122…” MMWR, 12-14-1968, 467.
— 48 6 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
— 7 Austin –11 Fort Worth
— 9 Dallas — 6 Houston
— 7 El Paso — 7 San Antonio
— 77 6 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-11-1969, p.15.
–11 Austin
–16 Dallas
–11 El Paso
— 3 Fort Worth
–15 Houston
–21 San Antonio
— 80 7 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–15 Austin
— 2 Corpus Christi — 5 Fort Worth
–15 Dallas –12 Houston
–11 El Paso –20 San Antonio
–60 7 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–12 Austin
— 3 Corpus Christi –18 Houston
— 9 Dallas — 8 San Antonio
— 4 El Paso
— 6 Fort Worth
–60 7 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p.43.
— 7 Austin
— 5 Corpus Christi
–13 Dallas
— 5 El Paso
— 6 Fort Worth
–16 Houston
— 8 San Antonio
–44 4 cities. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, p. 51.
— 9 Austin
— 7 Dallas
–16 Houston
— 7 San Antonio
–19 2 cities. Feb 9-15. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-21-1969, p. 59.
–10 Dallas
— 9 Houston
–35 3 cities. Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, p.67.
— 7 Dallas
–17 Houston
–11 San Antonio
–10 Austin. Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.
–10 Houston. Mar 9-15, NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-21-2969, p.95.

Utah ( 35) Dec 29-Feb 1. Ogden and Salt Lake City.
–11 2 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–2 Ogden
–9 Salt Lake City
— 8 2 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
–5 Ogden
–3 Salt Lake City
— 7 2 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–1 Ogden
–6 Salt Lake City
— 6 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. P.35.
–2 Ogden
–4 Salt Lake City
— 3 2 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p.43.
–2 Ogden
–1 Salt Lake City

Virginia ( 153) Dec 22-Mar 8. Norfolk and Richmond
–18 2 cities. Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487
–11 Norfolk
— 7 Richmond
–31 2 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–12 Norfolk
–19 Richmond
–37 2 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p15.
–25 Norfolk
–12 Richmond
–26 2 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–13 Norfolk
–13 Richmond
–17 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 6 Norfolk
–11 Richmond
–14 2 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p.43.
–11 Norfolk
— 3 Richmond
–10 Norfolk. Mar-2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-15-1969, p. 87.

Washington ( 139) Dec 29-Mar 1. Seattle Spokane and Tacoma.
–14 3 cities. Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-4-1969, p.7.
–7 Seattle
–3 Spokane
–4 Tacoma
–31 3 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p.15.
–12 Seattle
–14 Spokane
— 5 Tacoma
–26 3 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
–14 Seattle
— 9 Spokane
— 3 Tacoma
–17 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
–10 Seattle
— 7 Spokane
–18 3 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p.43.
–10 Seattle
— 4 Spokane
— 4 Tacoma
–13 Seattle. Feb 2-8. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-14-1969, 51.
–10 “ Feb 16-22. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-28-1969, 67.
–10 “ Feb 23-Mar 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 3-7-1969, 75.

Wisconsin ( 97) Dec 22-Feb 1. Madison and Milwaukee.
–13 Milwaukee. Dec 22-28. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 12-28-1968, 487.
–21 2 cities Dec 29-Jan 4. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-11-1969, p.7.
— 5 Madison
–16 Milwaukee
–28 2 cities. Jan 5-11. NCDC. “Table IV. Deaths in 122…Cities…” MMWR, 1-17-1969, p15.
–15 Madison
–13 Milwaukee
–19 2 cities. Jan 12-18. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-24-1969, p.27.
— 9 Madison
–10 Milwaukee
— 7 2 cities. Jan 19-25. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 1-31-1969. p.35.
— 3 Madison
— 4 Milwaukee
— 9 2 cities. Jan 26-Feb 1. NCDC. “Table IV. Deaths…122…Cities…” MMWR, 2-7-1969, p.43.
— 5 Madison
— 4 Milwaukee

Narrative Information
Overview

GlobalSecurity.org: “The most recent influenza pandemic occurred in 1968 with the Hong Kong Flu (H3N2) outbreak…resulted in nearly 34,000 deaths in the [US]. The 1968/69 pandemic, which was milder than 1957, is thought to have caused around 1 million deaths worldwide.

“In early 1968, the Hong Kong influenza pandemic was first detected in Hong Kong. It then spread worldwide during the following two winters, causing greater morbidity in some countries the first winter and others the second.

“The first cases in the US were detected as early as September of 1968, but illness did not become widespread in the US until December 1968. Deaths from this virus peaked in December 1968 and January 1969. Those over the age of 65 were most likely to die.

“The same virus returned a year later, in late 1969 and early 1970 [peaking in the UK in January 1970] and in 1972. The number of deaths between September 1968 and March 1969 for this pandemic was 33,800, making it the mildest pandemic in the 20th century.

“In the 1968 pandemic, vaccine became available one month after the outbreaks peaked in the US. There could be several reasons why fewer people in the US died due to this virus.

“First, the Hong Kong flu virus was similar in some ways to the Asian flu virus that circulated between 1957 and 1968. Earlier infections by the Asian flu virus might have provided some immunity against the Hong Kong flu virus that may have helped to reduce the severity of illness during the Hong Kong pandemic.

“Second, instead of peaking in September or October, like pandemic influenza had in the previous two pandemics, this pandemic did not gain momentum until near the school holidays in December.

“Since children were at home and did not infect one another at school, the rate of influenza illness among schoolchildren and their families declined.

“Third, improved medical care and antibiotics that are more effective for secondary bacterial infections were available for those who became ill.” (GlobalSecurity.org, Nov 11, 2005)

Kohn: “U.S. Influenza Epidemic of 1968-69. Epidemic marking the arrival of the Hong Kong Influenza Pandemic of 1968 in the United States. The so-called Hong Kong flu was first identified and subsequently drew much international attention when it broke out in Hong Kong in July 1968, apparently immediately following a similar outbreak in southeastern China. During August, outbreaks were reported from many countries in southeast Asia, including Vietnam, where U.S. forces were deeply engaged in the Vietnam War (1956-75). Consequently the viral disease arrived in the United States before it reached Europe…or other parts of the world…

“The Hong Kong flu virus was first isolated in the United States on September 2, 1968, from a patient who had just returned from Vietnam. During the same week, it was also identified during a flu outbreak at a military school in San Diego, California. Alaska and Hawaii also reported cases among military personnel that week. On September 6, the U.S. surgeon general alerted the health authorities in all 50 states about the possibility of an epidemic spread of influenza and invited their cooperation in monitoring the disease. Those at risk were urged to get immunized with a new vaccine being manufactured at the time.

“During September, scattered cases occurred among civilians in 16 U.S. states; many cases were in the eastern section of the country, mainly in people recently returned from Vietnam. Civilian outbreaks were first reported from Puerto Rico and Alaska during late September and early October. In the continental United States, the first civilian outbreak occurred in Needles California, in the third week of October. Nearly 35 percent to 40 percent of that town’s citizens were struck with an influenza-like disease. Over the next few weeks (October 19 to November 9), influenza attacked four other western states and Hawaii. The disease continued to spread eastward. The first outbreaks on the East Coast occurred in Pennsylvania and New Jersey in the week ending November 16. By November 23, the disease had invaded 21 scattered states and by December 28 all 50 states had been infected. The southeast and south central regions were the last to be involved in the epidemic. However, according to Pyle (see below), the disease may have spread simultaneously from several urban centers.

“The 1968-69 epidemic was widespread and led to school and college closings in 23 states; the week before Christmas was the peak flue period in many (37) states. In fact 29 states and the District of Columbia reported maximum flu activity between December 15 and January 4, 1969. Mortality due to pneumonia-influenza peaked during the week ending January 11, 1969, there were 1,6898 deaths reported that week alone. Generally, mortality curves trailed morbidity curves by three to four weeks. Overall, some 33,000 influenza-related deaths occurred nationwide during the epidemic.

“The Hong Kong viral strain (H3N2) was estimated to have infected 30 million Americans during the last quarter of 1968. Attack rates ranged from 15 percent to 50 percent. The main course of the disease lasted three to seven days, with some symptoms (coughing and listlessness) lingering for weeks; pneumococcal pneumonia was the main bacterial complication. Studies indicated that all age groups were affected; the highest attack rates were in children below five years of age and in adults 45 to 64 years of age. The newly manufactured flu vaccine was not released for use until mid-November, three weeks after the Needles outbreak. At the height of the epidemic, 10 million doses of the vaccine had been distributed and only 6 million Americans had been immunized. This policy came in for considerable public criticism following the epidemic.

“The epidemic gradually declined during January 1969, the H3N2 virus, a subtype of the influenza A virus, did not cause a second wave. However, outbreaks of influenza B were reported from 20 states from late January to the end of March, particularly among elementary schoolchildren. Eight neighboring midwestern states recorded the maximum influenza B activity.

“Further reading: Pyle, The Diffusion of Influenza; Sharrar, “National Influenza Experience in the USA, 1968-69.’”

(Kohn, George Childs (Ed.). Encyclopedia of Plague and Pestilence From Ancient Times to the Present (Revised Edition). NY: Checkmark Books, 2001, pp. 363-364.)

US HEW, Public Health Service, Morbidity and Mortality Weekly Report, V18/N25, 6-21-1969:

US HHS: “In early 1968, a new flu virus was detected in Hong Kong. The first cases in the United States were detected as early as September 1968. Illness was not widespread in the United States until December 1968. Deaths from this virus peaked in December 1968 and January 1969. Those over the age of 65 were most likely to die. The number of deaths between September 1968 and March 1969 was 33,800, making it the mildest flu pandemic in the 20th century. The same virus returned in 1970 and 1972.

“There could be several reasons fewer people in the United States died due to this virus:

The Hong Kong flu virus was similar in some ways to the 1957 pandemic flu virus. This might have provided some immunity against the Hong Kong flu virus.

The Hong Kong flu virus hit in December of 1968, when school children were on vacation. This caused a decline in flu cases because children were not at school to infect one another. This also prevented it from spreading into their homes.

Improved medical care and antibiotics that are more effective for secondary bacterial infections were available for those who became ill.”

(United States Department of Health and Human Services. Pandemic Flu History (website).)

Weekly National Communicable Disease Center Reports for the Previous Week

Aug 31, 1968: “INFLUENZA – 1968-1969

“In July 1968, an outbreak of influenza A2 was reported from Hong Kong, the largest outbreak in that area since 1957. Although strains of influenza virus from this outbreak cross-react to some extent with some previous A2 strains, they do show a marked antigenic change from previous strains. Similar viruses were subsequently isolated from an outbreak in Singapore.

“These developments have led to a re-appraisal of the influenza prospectus for the United States and the following recommendations on the use of influenza vaccine.

INFLUENZA VIRUSES AND VACCINE FORMULATION

“The continued change in antigenic characteristics of influenza viruses isolated over the years is well recognized. Minor variations occur almost yearly. Major antigenic shifts occur infrequently. When they do, they man produce widespread disease, as in 1957 when the A2 (Asian) strains first appeared. There have also been instances when a major change in the virus has not resulted in epidemics, such as the initial appearance of the A1 strains in 1947.

“It is felt that the present change in the influenza virus increases the probability that influenza A2 will occur extensively in the United States in the 1968-69 season.

“As previously forecast, scattered type B influenza may be seen.

“It is only through intensive surveillance that the true extent of the disease will be determined.
“Protection through vaccination depends both upon the antigenic similarity of the vaccine strain to the virus prevalent in the community and upon the amount of antigen administered. Influenza vaccines, under optimal conditions, have achieved 60 percent or greater protection. When A2 influenza virus appeared in the United States in 1957, vaccines containing only A1 antigen gave very little protection….

“Better protection against A2/Hong Kong/68 will require a newly formulated vaccine.

“The development and manufacture of a monovalent influenza vaccine containing a Hong Kong strain will take a considerable period of time, and only a limited number of doses will be initially available….”

Sep 7, 1968: “Influenza. To date, in addition to the epidemic in Hong King, outbreaks of influenza-like illness have been reported from Singapore, the Philippines, Taiwan, and Indonesia. A2 strains from Singapore and Taiwan have been found to be similar to those from Hong Kong. None of these areas has had a major influenza outbreak during the past 2-3 years.

“On September 2, 1968, two cases of influenza-like illness in Atlanta, Georgia were reported. The first case was a man who became ill with a typical influenza-like illness characterized by fever, malaise, cough, and myalgia 4 days after his return to the United States from the Far East; 2 days later his wife, who had not left the United States, also became ill. A2 influenza virus isolates from both of these persons have been shown to be similar to the A2 Hong King/68 strains. With the continuous air and sea traffic from the Far East, it is quite likely that there have been other introductions of the new A2 strains into the United States; However, to date, no outbreaks of influenza-like illness have been reported from the Atlanta area or elsewhere in the United States.”
(National Communicable Disease Center, Public Health Service, U.S. Dept. of Health, Education, and Welfare. “Epidemiologic Notes and Reports Influenza – United States,” Morbidity and Mortality Weekly Report, Vol. 17, No. 36, 9-7-1968, p. 329.)

Sep 14: “Presumptive A2/Hong Kong/68 Influenza – Vancouver, Washington. An outbreak of influenza-like disease which occurred during the last 2 weens of August in seamen aboard a U.S. Merchant Marine Vessel, returning from the Far East, has been diagnosed as presumptive A2/Hong Kong/68 influenza by hemagglutination-inhibition (H1) tests. On September 6, the S. S. Raleigh, docked in Vancouver, Washington, and reported that during the voyage 11 of its 40 crew members had had an influenza-like illness. In the past 3 months, the vessel had made one trip to the Far East, and its only port of call had been Saigon; the ship docked in Saigon on August 12 and left on August 18. One crew member became ill on August 14, two others on August 16, and eventually eight others became ill. The clinical syndrome was typical for influenza-like illness: fever, myalgia, couth, headache, and chills.

“On September 6, 1968, 27 crew members including the 11 persons who had been ill were bled and the sera was tested for HI antibodies on September 12….”

(National Communicable Disease Center, Public Health Service, U.S. Dept. of HEW. “Epidemiologic Notes and Reports Influenza – United States,” Morbidity and Mortality Weekly Report, Vol. 17, No. 37, 9-14-1968, p. 338.)

Sep 28, 1968: “Between August 27 and September 12, 1968, at least 31 members of a 240-man squadron at Wheeler Air Force Base, Hawaii, were affected with an influenza-like illness. Twenty-three squadron members took a week-long trip to the Philippines, Taiwan, and Japan; the first seven illnesses began while the men were away or just after the trip. Most of the 31 men who were ill were confined to quarters for 2-3 days, but none were hospitalized. A2 influenza viruses similar to the Hong Kong strains were isolated from six specimens taken during this outbreak.

“Physicians at Hickam AFB Dispensary, near Honolulu, also report having seen an unusually large number of influenza-like illnesses in personnel returning from the Far East. There has been no evidence of illness in the civilian personnel on the base or in the nearby community.

“In the first week of September 1968, an outbreak involved 22 of 49 students at the Marine Corps Drill Instructors School in San Diego, California. The typical syndrome consisted of dry cough, temperature of 98.6 [degrees]-100 [degrees] F.), myalgia, and headache. Several persons complained of photophobia. Individual illnesses lasted approximately 36 hours, and the entire outbreak occurred over a 4-day period. Nine contacts in four families also had upper respiratory infections….”

(National Communicable Disease Center, Public Health Service, U.S. Dept. of Health, Education, and Welfare. “Epidemiologic Notes and Reports Influenza – United States,” Morbidity and Mortality Weekly Report, Vol. 17, No. 39, 9-28-1968, p. 357.)

Oct 5, 1968: “….In the United States, five influenza A2 virus isolations have been made, three in New York City, one in Seattle, and one in Anchorage, Alaska. All were from persons returning in the last weeks of September from travel in the Far East. No new outbreaks of influenza have been reported in the United States, and there has been no indication of significant pneumonia-influenza excess mortality….” (NCDC, PHS, HEW. “Epidemiologic Notes and Reports Influenza – United States,” MMWR, Vol. 17, No. 40, 10-5-1968, p. 369.)

Nov 16, 1968: “The first documented outbreak of influenza A2/Hong Kong/68 in a civilian population in the United States recently occurred in Needles, California. The outbreak involved 300-500 of the town’s 5,000 residents, and extended over a 6-week period with the peak incidence occurring in the week of October 28-November 3. The clinical syndrome consisted of sore throat, fever, profound malaise, myalgia, and cervical adenopathy, and the illness lasted for approximately 1 to 2 weeks. Attack rates were highest in the high school population with absenteeism rates as high as 10 to 20 percent. Students in the junior high and grade schools appeared to be unaffected….

“Other reports of influenza activity have been received from New Jersey, Colorado, Utah, Alaska, and Illinois. In New Jersey, during the week ending November 16, an outbreak of influenza-like disease occurred in a hospital for mentally retarded individuals. Symptoms consisted of fever, cough, and coryza, and lasted for approximately 3 days….

“In Colorado, reported influenza-like illnesses increased from 62 cases for the week ending November 2 to 670 and 656 reported cases for the weeks ending November 9 and 16, respectively. Absenteeism rates in industries doubled in the past 2 weeks, and absenteeism rates and febrile respiratory illnesses increased in several colleges. A Denver hospital suspended all routine operations last week because of an influenza-like disease in the nursing staff….

“In Salt Lake City, Utah, A2/Hong Kong/68-like virus was isolated from a man who had onset of an influenza-like illness on November 2, the day he returned from California. Epidemiologic investigation of this case revealed secondary spread to his wife on November 9 and to a second person on November 5 who had been at a church meeting on November 3 attended by the index case. Six other persons who worked with this second person subsequently developed an influenza-like illness and five relatives of these six cases then developed an influenza-like disease….”
(NCDC, PHS, HEW. “Epidemiologic Notes and Reports Influenza – United States,” MMWR, Vol. 17, No. 46, 11-16-1968, p. 425.)

Nov 23, 1968: “Reports of documented outbreaks of A2/Hong Kong/68 influenza or of influenza-like illness were received from the following areas during the past week: southeastern Pennsylvania; Colorado Springs, Colorado; southern Arizona; North Carolina; Seattle, Washington; eastern Oregon; and Puerto Rico.

“In Pennsylvania, febrile respiratory illness rates and absenteeism ratees increased in several industries, universities, and one high school. Between October 30 and November 22, an outbreak of A2/Hong Kong/68 influenza occurred among residents at a home for the elderly; five deaths were attributed to the outbreak. It was confirmed by viral isolations

“In Colorado Springs, Colorado, an increase in absenteeism rates in public schools and in three military installations due to influenza-like illness was noted. One of the military installations had an estimated attack rate of 60-70 percent among its personnel, and another installation experienced a 15 percent attack rate among the 30,000 people on the base….” (NCDC, PHS, HEW. “Epidemiologic Notes and Reports Influenza – [US],” MMWR, V17/47, 11-23-1968, p. 433-434.)

Nov 30, 1968: “Since November 23, 1968, documented outbreaks of A2/Hong Kong/68 influenza or A2 influenza have been reported from Connecticut, Illinois, Maryland, Missouri, and New York City….During the past week, Montana, Texas, Ohio, and the District of Columbia have reported isolated outbreaks of influenza-like illness….Since September 2, a total of 25 states and the District of Columbia and Puerto Rico have reported some form of influenza activity…Documented outbreaks of A2/Hong Kong/68 influenza or A2 influenza were reported in Alaska, Puerto Rico, California, Colorado, Utah, Pennsylvania, New Jersey, Connecticut, Maryland, North Carolina, Washington, Missouri, Illinois, and New York City. Outbreaks of an influenza-like illness were reported from Montana, Arizona, Texas, Ohio, and the District of Columbia….

“Although no major outbreaks of influenza have occurred in Oregon, Hawaii, Minnesota, Iowa, Wisconsin, Michigan, Georgia, Alabama, and Virginia, these states have reported sporadic cases of A2/Hong Kong/68 influenza, documented by serologic evidence or viral isolations….” (NCDC, PHS, HEW. “Epidemiologic Notes and Reports Influenza – United States,” MMWR, Vol. 17, No. 48, 11-30-1968, p. 441, 443-444.)

Dec 7, 1968: “During…week ending [12-7-1968], Kansas, New York, Virginia, and Oklahoma reported outbreaks of influenza-like illness. Arizona and the District of Columbia isolated A2 influenza viruses from the outbreaks mentioned previously (MMWR, Vol. 17, Nos. 47 and 48). Scattered outbreaks of influenza-like illness were reported in several areas in Kansas. One university reported an increase in incidence of febrile respiratory illness and in absenteeism rates…An outbreak of an influenza-like illness has occurred in a university in mid-state New York. The outbreak predominantly has involved students in resident dormitories and approximately 1,000 cases were reported in a 1-week period….In Virginia, four isolated outbreaks of influenza-like illness occurred in the Richmond and Tidewater areas. In Oklahoma, isolated cases of influenza and one outbreak of influenza-like disease were reported….

“A Public Health Service Field Station, For Collins, Colorado, experienced an influenza A outbreak during the month of November. As of December 2, 16 of 44 people surveyed at the field station have recently had in influenza-type illness….Absenteeism in the Fort Collins high school was doubled during the second and third weeks of November. A decline to 269 cases was noted during the first week of December….

“…there has been an increase in reported pneumonia-influenza deaths in 122 U.S. cities, exceeding the epidemic threshold. This excess mortality is demonstrated in the West North Central, East North Central, Mountain, and Middle Atlantic Divisions.” (NCDC. “Epidemiologic Notes and Reports Influenza…,” MMWR, Vol. 17, No. 49, 12-7-1968, pp. 453-455.)

Dec 14, 1968: “During the past week, influenza activity has been reported from 11 additional states. It has been manifested primarily by an increase in school or industrial absenteeism, by an increase in febrile respiratory illness, or by colleges closing early for Christmas vacation.

“Documented outbreaks of A2/Hong Kong/68 influenza have been reported from Florida, South Carolina, and Wyoming. In addition to these states, Georgia, Iowa, Kansas, Ohio, and Oregon, which had previous influenza activity, have now documented A2/Hong Kong/68 influenza outbreaks. Outbreaks of influenza-like disease have been reported from Idaho, Indiana, Maine, Massachusetts, South Dakota, and Tennessee. Louisiana and North Dakota have reported documented isolated cases of A2/Hong Kong/68 influenza.

“In all the states reporting outbreaks, influenza activity has been focal and sporadic and limited to either institutions and/or communities. Attack rates in various communities have ranged from 10 to 20 percent and attack rates in various institutions have ranged from 10 to 50 percent. The highest attack rates have been reported from universities and colleges, while highest absenteeism rates have occurred in the junior and senior high schools.

“Currently, 40 states, the District of Columbia, and Puerto Rico have reported some form of influenza activity….the reported pneumonia-influenza deaths in 122 U.S. cities have exceeded the epidemic threshold for the second consecutive week, and pneumonia-influenza deaths in three divisions, the East North Central, Mountain, and Middle Atlantic, have exceeded the epidemic threshold for 2 or more consecutive weeks.” (pp. 461-462, 467.) (National CDC. “Epidemiologic Notes and Reports Influenza – United States,” MMWR, V17/N50, 12-14-1968, pp. 461-468.)

Dec 21, 1968: “As of December 21, 1968, 47 states (all but Hawaii, Louisiana, and Mississippi) have reported one or more outbreaks of influenza-like illness in the civilian population. Widespread occurrence has been reported in 23 states, regional occurrence in 10 states, and isolated occurrence in 14 states.

“Some excess school absenteeism has occurred in 39 states, but only 9 states have reported extensive school absenteeism. A few public or parochial schools in 17 states and one or more colleges or universities in 22 states dismissed classes early for the Christmas vacation. Excess industrial absenteeism has been reported in 27 states. Although some increase in hospital admissions has been observed in 20 states, to date the community hospital facilities have been able to handle this increased load.

“The 51st week was the third successive one in which excess total mortality and excess pneumonia-influenza mortality were seen for the country as a whole…Excess pneumonia-influenza mortality was observed in all geographic divisions except the East South Central. This
was the first week of excess mortality in the South Atlantic and Pacific Divisions.” (NCDC. “Epidemiologic Notes and Reports Influenza…,” MMWR, Vol. 17, No. 51, 12-21-1968, p. 469.)

Dec 28, 1968: “….As of December 28, excess pneumonia-influenza mortality and excess total mortality for 122 U.S. cities were seen for the fourth consecutive week. While excess total mortality for the 122 U.S. cities was slightly lower than the preceding week, excess pneumonia-influenza mortality was slightly higher. Excess pneumonia-influenza mortality was observed in all geographic divisions except for the East South Central and West South Central Divisions.” (NCDC. “Epidemiologic Notes and Reports Influenza – United States,” Morbidity and Mortality Weekly Report, Vol. 17, No. 52, 12-28-1968, p. 477.)

Dec 29-Jan 4, 1969: “Since December 21, 1968 (MMWR, Vol. 17, No. 51), increased influenza activity has been reported from 18 states. The predominant change occurred in the South Atlantic Division where six states reported widespread occurrence for the first time. As of January 4, 1969, widespread influenza activity has been reported in 38 states, regional occurrence in five states, and isolated outbreaks in six states. Isolated documented cases have occurred in Louisiana…The West South Central and East South Central Divisions continue to report the least influenza activity.

“Although 43 states have reported widespread or regional influenza activity over the past 4 months, many states indicate that the epidemic in their state is declining. The Alaska State Department of Health reports that their outbreak peaked in mid-October, and that reports of respiratory illness have been essentially normal since early December. Other states report that the total number of influenza cases has started to decline, but that a true assessment can only be made after schools reopen following the Christmas vacation.”

“Excess total mortality and excess pneumonia-influenza mortality in 122 U.S. cities continued to rise for the fifth consecutive week. This week the reported pneumonia-influenza deaths totaled 1,523…Increased pneumonia-influenza mortality occurred in all geographic divisions except for the Mountain Division which has shown a decline for 2 consecutive weeks. The East South Central Division exceeded the epidemic threshold for the first time.” (NCDC. “Epidemiologic Notes and Reports Influenza…,” Morbidity and Mortality Weekly Report, Vol. 18, No. 1, 1-10-1969, 1-2.)

1968 Annual Supplement Summary: “The most dramatic epidemiological event of 1968 was the pandemic of Hong Kong influenza. In the United States the infection was first introduced from the Pacific during September. Scattered outbreaks and sporadic cases were identified with increasing frequency thereafter. Mortality for pneumonia-influenza rose above the epidemic threshold during the week ending December 7, 1968. A sharp nationwide epidemic ensued. Mortality peaked during the second week of January 1969. The total excess mortality during the epidemic from all causes in 122 cities was 19,700. This Hong Kong influenza epidemic was the most severe since the previous pandemic of Asian influenza in 1957-58 when excess mortality in the same cities was 26,900 deaths.” (NCDC, PHS, HEW. Annual Supplement. Summary 1968. Morbidity and Mortality Weekly Report, Vol. 17, No. 53. Dec 1969, p. 1.)

Jan 5-11, 1969: “An assessment of the current prevalence of influenza for the week ending January 11, 1969, indicates that influenza activity is on the decline in the United States. Widespread influenza activity was reported in 26 states, regional activity in 11 states, isolated outbreaks in eight states, and isolated cases or no activity in five states….State surveillance systems indicate that 26 states reached their peak influenza activity between December 1, 1968, and January 4, 1969. An additional 11 states may have reached the epidemic peak during the week ending January 11. By December 28, five of the eight states in the Mountain Division compared with three of the 16 states in the South Atlantic and in the East and West South Central Divisions had experienced their peak influenza activity.”

“State surveillance systems indicate that 26 states reached their peak influenza activity between December 1, 1968, and January 4, 1969. An additional 11 states may have reached the epidemic peak during the week ending January 11. By December 28, five of the eight states in the Mountain Division compared with three of the 16 states in the South Atlantic and in the East and West South Central Divisions had experienced their peak influenza activity.

“During the past week, 20 states and the District of Columbia continued to report some excess school absenteeism, and two states reported closed schools or colleges because of influenza. Twelve states and the District of Columbia reported increased industrial absenteeism; 19 states noted increased hospital admissions and demands on outpatient services due to febrile respiratory illness. These indices suggest a general decrease in the extent and severity of influenza since the week ending December 21, 1968 (MMWR, Vol. 17, No. 51.)

“Although the degree to which deaths can be directly attributable to influenza cannot be easily determined, isolated reports of death primarily due to influenza in young, apparently healthy individuals, have been received. As in the case of the 1957-58 influenza epidemic, these deaths have occurred in the younger age groups due to influenza pneumonia both with and without apparent intercurrent bacterial invasion, In such instances, viral isolations frequently have been made from lung tissues and pathogenic examinations have revealed evidence of typical pulmonary viral pneumonia.

“Excess total mortality and excess pneumonia-influenza mortality in 122 U.S. cities exceeded the epidemic threshold for the sixth consecutive week…This week the reported mortality for all causes was 18,290 and the pneumonia-influenza deaths totaled 1,688….Increased pneumonia-influenza mortality occurred in all geographic divisions except for the Middle Atlantic, South Atlantic, and East North Central Divisions which showed a decrease for the first time. Most of the reported increase in excess mortality was reported from the smaller cities, while many of the larger cities reported a decline in pneumonia-influenza deaths.” (NCDC. “Epidemiologic Notes and Reports Influenza…,” MMWR, Vol. 18, No. 2, 1-17-1969, p. 9-11.)

Jan 12-18, 1969: “For the week ending January 18, 1969, total mortality and pneumonia-influenza mortality reported from 122 U.S. cities decreased. For this week, total mortality for all causes was 16,439 and the pneumonia-influenza deaths totaled 1,436… This is the first week to show a decrease in total pneumonia-influenza deaths since excess pneumonia-influenza mortality began 7 weeks ago. The Middle Atlantic and East North Central Divisions have reported a decrease for 2 consecutive weeks while the West North Central, New England, Mountain, and East South Central Divisions showed a decrease for the first time. The Pacific, West South Central, and South Atlantic Divisions continued to report an increase in pneumonia-influenza mortality. The overall decline in mortality is consistent with the survey conducted during the week ending January 11 which indicated that influenza activity was decreasing in most states (MMWR, Vol. 18, No. 2).” (NCDC. “Epidemiologic Notes and Reports Influenza…,” MMWR, Vol. 18, No. 3, 1-18-1969, p. 17.)

Jan 19-25: “During the week ending January 25, 1969, 48 states and the District of Columbia reported decreasing influenza activity and one state reported a peak in influenza activity. Widespread influenza activity was reported from 23 states, the District of Columbia, and Puerto Rico; regional influenza activity was reported in three states, isolated outbreaks in five states, and scattered isolated cases in 19 states… The states with wide-spread occurrence are located predominantly in the South Atlantic, East South Central, New England, and Pacific Divisions, while the Middle Atlantic, East North Central, and Mountain Divisions reported the greatest decline in influenza activity. Slightly elevated school absenteeism was reported from 16 states, and no schools were closed because of influenza. Slightly increased industrial absenteeism was reported from nine states and the District of Columbia. According to reports from state surveillance systems, the peak influenza activity occurred during the period between December 15, 1968, and January 11, 1969.

“During the past 3 weeks (January 11-25, 1969), Puerto Rico reported an increasing number of cases of influenza-like disease…Puerto Rico first reported influenza-like illness which was subsequently documented as A2/Hong Kong/68 in September. The peak incidence occurred during the week ending October 26 when 12,853 cases were reported. From November 2 through January 4, the number of reported influenza cases declined slowly to a low level of 2,186 cases. Since then, there has been a progressive increase in reported influenza cases with a total of 8,579 being reported for the week ending January 25.” (NCDC. “Epidemiologic Notes and Reports Influenza…,” MMWR, V 18, N 4, 1-25-1969, pp. 29-30.)

Jan 26-Feb 1: “During the week ending February 1, 1969, all states except Kansas reported decreased influenza activity. In Kansas, influenza activity was first noted in mid-November, progressed to widespread activity, peaked during the week ending January 4, and decreased to almost normal levels over the following 3 weeks. However, during the last 3 days of January, certain metropolitan and rural areas in eastern Kansas noted elevated school absenteeism of 5 to 50 percent, secondary to an influenza-like disease. In Kansas City on January 31, a viral isolate with hemad-sorbing properties of A1/Hong King/68 influenza was obtained….

“During the past week, total mortality and pneumonia-influenza deaths from 122 U.S. cities decreased for the third consecutive week…and all geographic divisions reported a decline in 9 weeks, there was no excess mortality in the age group 65 years and over and no excess pneumonia-influenza deaths in the East North Central Division.” (NCDC. “Epidemiologic Notes and Reports Influenza…,” MMWR, V. 18, No. 5, 2-7-1969, pp. 37-38.)

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