Public Health Reports

PUBLIC HEALTH REPORTS

VOL. 37 DECEMBER 29. 1922. No. 52

INCIDENCE OF SERIOUS MORBIDITY AMONG A GROUP OF WAGE EARNERS.1 By serious morbidity is meant disability from sickness and nonindustrial accidents lasting at least one week. The cases are those for which sick benefits have been paid to members of certain employee sick-benefit associations and company relief departments reporting to the Public Health Service. As pointed out in previous articles,2 the rates should probably be regarded as a minimum statement of the disabilities causing absence from work for a week or longer, on accounit of certain rules of a number of the reporting associations which prevent payment of benefits for disability from venereal disease, from certain chronic diseases contracted prior to the date of joining the association, and from certain other causes of disability. A large proportion of the reporting associations also have age limits for eligibility to membership. The cases have been tabulated according to the diseases reported as causing disability. While practically all of the reporting associations require a physician's certificate naming the ailment causing disability, errors in diagnosis undoubtedly have occurred. It is believed, however, that the diagnoses are sufficiently correct to afford a fairly good picture of serious morbidity among the large number of working people considered. The International List of the Causes of Sickniess and Death has been used in the classification of these data in accordance with the recommendation of the committee on ih-idus- trial morbidity statistics of the American Public Health Association. In some of the accompanying tables and graphs certain related diseases have been grouped not strictly in accordance with the international classification; but in all such instances statements of the diseases included or excluded appear in the footnotes. X From the Statistical Office, U. S. Public Health Service. Data collected and tabulated under the stupervision of Dean K. Brundage. X The statistics for the first half of 1920, for the first nine months of 1920, for the calendar year 1920, and for the entire period from January 192o to June 1921 have been discussed in a series of articles entitled " Sick- ness Frequency Among Industrial Employees," available in the following reprints: (l) Reprint No. 624 from the Public Health Reports of December 3, 1920, pp. 2897-2907; (2) Re-print No. 641 from the Public Health Reports of March 4, 1921, pp. 429-434; (3) Reprint No. 671 from the Public Health Reports of July 1, 19121, P1) 1497-102; and (4) Reprint No. 721 from thc Public Hcalth Reports of January 6, 1922, pp. 2-9. 1wM7°-22-1 (3195) December 29, 1922. 3196

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CD I g I I 3197 9December 29, 1922. Seasonal Variation in Sickntess Incidence. The frequency rates of certain disease groups are presented in Table I according to the month in which disability began, the rate for each month in 1920 being compared with the rate for the corresponding month in 1921. The rates are placed on an annual basis; i. e., the rate for any month represents what the total sickness from any specified cause would have been for the whole year had the rate for that month been maintained throughout the year. The decrease in membership which occurred after March, 1921, was due largely to reduction in the number of persons employed by companies cooperating and to a decrease of nine in the number. of sick- benefit associations reporting. The 1922 figures, however, will show increases both in the number of persons and number of companies reporting. The seasonal fluctuation in the frequency of all diseases combined was fairly similar in both years except during August and Septem- ber, when disease incidence decreased in 1920 and increased in 1921. Table I shows that the increases in August and September, 1921, occurred largely in the "general" group, the digestive group, and in "All other diseases and conditions." Table II, which gives the 1921 rates in more detail, reveals an increase during these two month; in the frequency of typhoid fever, rheumatism, diseases of the stomach, diarrllea and enteritis, diseases of the skin, and diseases of the bones and of the organs of locomotion. The rate for all diseases combined dropped in October, but increased again in November in accordance with seasonal sickness expectancy. Throughout 1921 the rates were somewhat higher than the corresponding figures in 1920 except during the influenza epidemic of January-February, 1920. . Digestive troubles, especially, were more prevalent throughout 19.21 than in 1920, and respiratory illnesses occurred oftener in the last half of 1921 than in the second half of 1920. In the frequency of serious digestive diseases there appears to be little seasonal variation; diseases of the circulatory system, however, exhibit a slight seasonal tendency, a diminished incidence being manifest in the summer and early fall of both years. Deember 20, 1922. 3198 TABLE II.-Number of ease of sickness and nonindustrial accidnts causing absencefrom work for one week or longer per 1,000 persons per year among the membership of certmin sick-benefit associations reporting to the Public Health Serice, by disease cauing dima bility, according to month of onset in the year 1921.

Disease or condition causing disability ( ; >> _ .s correponding title numbers in pert A es I from the International List of the Causes of d S - 8ine and Death). I A C "OZ 1 . . l_: . . . 70. 9 I> 1 2 All diseases and conditionsI ...... I34. 0i1;2. 51128.3 110.¶488.4i76.6 617. 8f .7 81.6 .3 8, i121.6 L General diseases (1-59)...... 40.21 60.21 46.1 O028.714.2 14. 2j7. 6_I 31.0 3. = 25.6 2 2a .2 . .61 Typhoid fever (1) ...... 21 L3| hildnza and (10) ...... 40.71 31 6.7 3.3 3.1 4.7 5.1 1.1 Tuberculosis ofgrtppethe lung (28)...._...... 2d.52. 1.5 2.8 2 252. L92.*1 2.1 k5IL7| .41.9g Cancert forms (3946.. 1 2.875 .4 .2 .2 . ,- Rheumatism (47 48). 7.7 S: ..i.. 7 , 6.3 4 at3- 49 35 4. Occupational posenug (57, 58) . *...... Others (2-9,11-27, 2938, 49-56, 59). 9.5 95 7.2 4.2 Diseases of the nervous system (60-76)2...... 8.3 6.8 5.51 7.2 4.81 8.6 6.7J_7.81_ 6. s5a 4.11 7.1 Insanity (67, 68)...... 2 .2 .7 .2l 2 .8. 'a. _ Neuralgia and neuritis (73)...... 2.6 1. 1 2: 01.5 2.3 2.1I'.9l i1.3 .7 Others (60-66,6,70,72 74) 3.9 2.8 L.61 2 41.713. ,3.21 4.O 3.5t 3.0 1.5l 1 Diseas of the ey 5...... 9 1.9 It.4 1. 0 1.4 .4 1.sf .0 Diseases of the ears (76)...... 7 .8 7 .1.2 .41 . .4 *tL2L2I. 4.7 5.7j 4 2. a3.53.0l 31 3&4 4. Diseases of the circulatory system (77-85). 5.3 L.45.5 A. _- -= :-t=_ Diseases of the heart (77-80)...... 1.8 1.9 2.1 1 9112.317.4t 2.11.0 .7 1.1 1.71 2.7 Diseases of the veis (83)...... 2.1 1.7 2.! 4.9 2.751 .51.40 .9 1.7 1.7 1. Sf 1.6 Others (81, 84, 85)...... 9 1.7 .2 .6 l.SJ1I.9 Disees of the respiratory system ( 989). 211 7 25.0 17.2 16 571.9.7241 .71 11.4 13.EI 17.4 17.7 7. 7.3 Bronchitis ...... 7.7 1.41 & .1 27.31 3.5 IZ}^s(MMkallforms (99, 93)...... 4.4 3.6 3. 91 .1. 1-. 0 f 1.1 Others (6-kS, 93-98). a6 10.0 4 4. _t1.96.54.33.9'.917 511. Diseases of the digestive system (99-118). 31.1 28 121.,4 15. t 6L81:LiL.9 Diseases of the pharyax (100). 14.4 14.0 2.1 4.4i Disease of the stoeb (106, 16). 57 3.4 4.71 31.4 4.0 5. 4. 5.1 5.1 4.1t Diarrhea and enteritis (10)5. 1.4 L2 1.1 ]L.0 1.7i 1.9 3.i 4.4 4.: 2.1i 4.4 Appendicitis (108). 4.0 3.6 4.#L 5.1 3.81 3.7 2. 3.2 5.1 4. 1 3.1 Heemia (109). 2.6 3.4 2.3 3L612b.2&t }5i 2- 5 1.1 L'5 1.9 .2 Others (99, 101, 106, 107, 110118. 3.2 2.8 1.7 1.t 2.S 1.5,.a 2.4 1.1 '. 2.7 diseasesofthe genito-urinary sys- Nonvenereal 2. I tem and annexa (119-133)-_._..._ _. &9 4.0 2I1 u11- 2. e 2.2 iX11& l- Acute nephtis and Bright's diseas (119, 120)...... 71.0 .3 I.1.2} 1.0t .9t 1.01 .61 2 4 .6 .4 Others (M12-133) ...... 44 & 1.8 2.91 L8 1.81 1.3i L7 251161 I The puerperal state (134-141) ...... i3. CO7

Diseases of the skin aiAd celular tissue (142- 9 4.0 4.4 4.C 3.21 3.8F3.2t 3.9j 4.9 4.4 2.. 3.9 145) ..-...... - '1 2.9 Furunck (143)...... L9|L 1-3 4- .511.51 .9 1.6! 1.3 1.1 f 2. 1.9 3 AI1.11 1 Others (142, 14,145)...... 2.51 2 171 t 2.3 2.3 2.1 Diseases of the bones and of the organs of locomotion (140-149)...... 1 5.8 4.17.11 4.61 4.81 5.41 2.7 5.3 4.6 I 2 Diseses of the bones and ofthe joints (146- .8 147)...... 9 1.0 1.81 1.4 1.21 1.8 .4 .811.1 416 .6 Others, including lumbago (148, 149) ...... 4.1 3.2 53 32 3.7j 3.7 2.3 4.51 3.5 i 2.6 3.8 Senility (154) ...... 5,. I 7.18.7 8.4 9.6 9.7 9.81 6.91 9.4 External causes (155-186) ...... 1&2 4.7 9.5! .9.Lg Ill-defined diseases and conditions (187-189) ... 5 &631 4.7 3.41 3.5 2.6 3.5 3.4 2.0 1X7k I Except the venereal diseas. slncluding organs of special sense (eyes, ears). 3199 Decenembr 2s, I922. TABLE III.-Freq len7l of specified disease.s, by ntonth of Oec?irrence in 1920 and among a groutp of wage earnerr.' 1921,

Influenza Other Dsae and, Bron- Pnets- respira Disese Rhea- grippe chitis mnoia tory pofo he matism (10). (89, 90). (91, 92). (86-88, (47 93-98).2 (l00)x 48).

1.1920. January . 142.9 21.6 15.8 12.5 15.0 6.6 February...... - 201.4 19.3 12.5 9.1 12.5 6.8 FMarch .:.. . 37.1 12.0 2.5 6.5 10.0 5.5 Apnl ...... 13.2 8.5 4.7 6.1 7.1 8.0 MAy 4.6 6.3 5.0 5.5 5.5 5.0 June ------. . 2.3 3.2 1.9 4.2 4.0 6.7 June .8 3.8 1.6 2.6 3.4 3.0 Augu . .1.2 3.8 2.0 4.4 3.6 3.4 Septemb-er O2.0 4.1 1.6 2.4 4.1 3.6 October .7.4 3.8 3.2 4.8 7.0 3.4 November .9.3 6.7 2.4 5.7 7.0 4.6 December 18.1 6.2 4.9 6.5 11.2 7.0 1921. Januiary .20.7 7.7 4.4 8.6 14.4 7.7 Febru1ary.40.7 11.4 3.6 10.0 14.0 8.0 FiMarch 25.6 6.8 4.9 5.5 10.4 10.2 April 16.7 5.6 3.9 7.3 8.9 7.7 M1ay 6.7 4.2 1.5 4.3 6.5 6.3 Juine. ------3.3 3.0 a 5 3.9 5.3 4.2 July . 3.1 1.9 1.0 3.8 2.33.9 Atigust 4.7 4.7 .9 4.4 5.9 4.9 Septenber 5.2 4.6 1.3 5.5 2.6 4.6 Octolber 11.1 7.3 2.1 4.4 4.4 4.0 Novembet. 15.4 7.5 2.8 7.2 6.8 .4.5 December 19.0 7.3 3.5 6.9 7.1 .8

I Annuial number of cases per 1,000 memil)ers of certain sick-benefit associations reporting to the Public Health Service. Only those cases of sickness and nonindustrial accidents cauLsing disability for one week or longer are incitided. 2 Includingvolds, laryngitis, p1etiri.;y, puilmonary emphysema, etc., but not including puilmonary tuber- cuilosis nor diseases of the pharynx. In Figure 1 the incidence of certain respiratory diseases has been plotted on a logarithmic scale to show the relative changes from month to month. The variation is extreme for influenza and grippe, even in the year 1921, which was not marked by an epidemic of influenza. The seasonal frequency of bronchitis appears to be similar to "other respiratory" diseases, which include such ailments as colds, laryngitis, pleurisy, pulmonary emphysema, and other similar respiratory illnesses. In 1921, February had the most, July the least, number of respiratory cases lasting a week or longer among the wagre earners in the group under study.

Frequency of Sickness in Different Establishments. The tables and graphs showing the rates in different plants include only those cases of sickness and nonindustrial accidents which caused disability for eight consecutive days or longer, and are therefore on a slightly different basis from the rates by months, which include all sickness and nonindustrial accidents lasting "a week or longer." The number of persons used as the divisor in the calculation of these rates is the yearly average of the number of employees reported as December 29, 1922. 3200 holding membership in each association or relief department on or about the 15th of each month. Attention is called to the wide variation in the rates for different industrial establishments. From the lowest rate (48 cases per 1,ooo persons) to the highest (349 cases per 1,000 persons) is a range of more than 700 per cent, and if we exclude establishment No. 1, which

appears to have an unusually high incidence rate, we still have a difference amounting to more than 360 per cent of the lowest rate. Establishent No. 27, which had the lowest rate, is a steel plant in Ohio. Other steel companies in the group are numbers 8, 10, and 22. Numbers 4, 6, 18, and 19 are large public utility corporations. The rest of the establishments are in various industries. 3201 December 29, 1922. TABLE IV.-Nimber of cases of sickness and nonindustrial aehdents castaing disability for eight consecutive (y8 or longer per 1,000 persons in the year 1921, by establihments reporting.

Reporting establishments. Avpera nui NumbrO

-o nuambe ofr Cases persons- per se. 1,00 All reporting establishments .-.. ---.... --...... 75,191 97.17356 Establishment- No. 1 ...... , 1,271 443 348 5 No. 2 ,--,---...... - 3,290 572 173.9 No...------471.5.I1 No. 4 ..------I----,------4,788 696 145.4 No.5..------1 1,035 149 144.0 No. 6 ...- 3,037 434 141L9 No. 7 , , 715 100 139.9 No. 8...------2,3.54 302121 3 No.9 ------...... ------153 19 12. 2 No.10 ...-- - - - 9 104 1149 No. ------.-.-.-.-.-- -. 7,292 836 114.6 No. 12 ...... 904 113.9103 No. 13 ...... 1,155 131 113.4 No. 11 ...... 990 109 110.1 No. 15 ...... 474 5S 107;J(Y6 No. 16...... 3 No. 17 ...... 4,704 84.6398 No. 18 ...... 10,273 864- 84.1 No.19 ...... 471 36 76.4 No. 20 ...... 17113 76.0 No. 21 ...... 3,508 261 74.4 No. 22 ...... 12,111 71.8870 No.23 ...... , 590 s3.6 No. 24 ...... 5,745 55.5319 No. 25 ...... 32618 55.2 No.26 ...... 1,620 89 54.9 No. 27 ...... 6,956 47.9

TABLE V.-Frequ7encwy of serious morbidity among males in establishment No. 1 compared With the average for miales in 25 other plants, ycar 1.921.'

Males.

Number of cases. Number of cases per cent Diseases and conditions causing disability (with pa ,000. above corresponding title numbers in parentheses from (+) or the International List of the Causes of Sickncss and below Death). (-) the Estab- 25?e Estab- 25 average lishment thr lishment other for 25 No. 1. No. . com-. other ponies. ponies. coin. ponies.

All diseases and conrlitions (1-189) ...... 414 5,590 44 7 85.8 +417 Epidemic diseases in the "general" group (1, -9,19)'. 8 164 8.6 2.5 +24 Purulent infection (20) ...... 4 154 4.3 2 4 +79 Rheumatism, neuralgia, neuritis, and (47, 4, lumbago 73. 149)...... 62 615 66.4 9.4 +0 Tonsillitis and other diseases ofthe pharynx (100) ...... 25 362 26.8 5 5 +387 Influenza and grippe (10) .. 120 734 128. 11.3 + 1,038 Other respiratory diseases including tuberculosis of 6 the lungs (28. 86-98)' ...... 60 950 64.3 14.6 +340 Diseases ofthe digestive systm (99..118) . .51 870 5C 7 13.4 +3 Diseases ofthecirculatory system (77-85) ...... 14 257 15.0 3. +285 Diseases of the skin and cellular tissue (142-145).. 16 220 17.1 3.4 +403 All other diseases and conditins... 54 i, 264 57.9 19.4 +198

Averagenumberof males ...... 933 65,161 ......

'The record applies only to cases of sickness and nonindustrial accidents for secutive days or longer. causing disability eight e- ' Typhoid fever smallpox, scarlet and Ger- man measles, anf chicken pox.measle3, fever, whooping cough, diphtheria croup, mumps, ' Except tonsillitis and oilher diseases of the pharyux. December 29, 1922. 3202 The rates shown in Table IV and Figure 2 are for the puan a whole regardless of the sex composition of the membership. A tabulation of the data at hand according to sex revealed a sickress frequency rate for females nearly 50 per cent greater than the male rate; so a certain amount of variation is to be expected when the proportion of women employed varies in different establishmets. In Tables V and VI the sex factor was eliminated by considering

1 2 s S67 EIf IleII 12tSg 14 IV esQ" tEftftT * £SEsTA8LEaC£eMXTS rthOse n of sicks end n.n-intas.ttccSnLt cad.1 * deltava*i or knrig ; the ra.r V;s,. fi, ,, only the males. Contrary to expectation, the females in establishment No. 1 experienced a lower sickness rate than the males, for the number of cases was 444 per 1,000 males as compared with 349 cases per 1,000 persons of both sexes. An amazing amount of exces disability as measured by the experience for 25 other companies is shown in the final column of Table V, especially for influenza and grippe, for rheumatism, neuralgia, neuritis, and- lumbago, and for da of zpw MfDember 2t. 1I. the sidn and ceuar tissue. In contrast, the rates for these die_ eases in establishment No. 27 as shown in Table VI were markedly below the average of the 25 other companies. Such wide differences in the frequency of disease suggest to the industrial physician that great opportunities exist for reducing di-s- ability rates in many industrial establishments to the very- low frequency that is maintained in certain plants like No. 27. It is im- portant to point out, however, that before the problem can be intelli- gently attacked, we must ascertain in as much detaiI as possible the causes of the widely different sickness rates of certain industrial establishments. TABLE VI.-Freqtency of serious morbidity among males in establishlment No. *7 con- pa7ed with the averagfor malm in 25 other pde*t, yw ff&1.t

Nulmber of cases. NumberEofcas Pt t psees ad conditions caung disabity (with per 1,000. above eorresponding title numbers in parentheaes from (+)or lhe InteratIonal List of the Causes of Sickmess anu below Death). (-4the Estab- 25 2i average lishment Omher Esta.b. Otb fo 2 No.297. cans- lishmnt:No. 27. -CoWll other* parites Persia.. o p-oes.

All diseases and conditions (1-189) ...... 3 5677 47.4 -51 Epidemic diseases in the "general" group (1, 5-I, 19). S. 15. .-..157.. 15 2 2.7 -19 Purulent infection (20)). 22 154 2..2 Rheumatism neuralgia, neuritis, and luwbago...(47, 45.73F149). --- ..- ...... 16.7. r 30 9 -61 Tonsillitisa other diseases of the 27 9 39 1 ...... la I pharynsi(100lO) 6. . -36 Influenza and grippe (10). 30 8A4 4.3 -1i9 Other respiratory dseases inchbitng tubu0o6is of. the tung (28,86-98) .. 56 95 Diseases of the digestive system (99-118). 70.6 851.. .10.1& 14 I 30 Diseases of the circulatory system (77-85 ..25 245 3.8 4.1 -7 Disewse of the skin aDdI cellular tissue (142-445) ...... 8 . 22. .. .. }1.2 --M_ AlU other diseases and conditins ...... 1, 7.0 21L4 -67 Average numbir of males ...... 6, gm IThe ecord applies only to cases of sickness and nindustrL acidents eauig.disablity fer eight con. mcutive d!ksor longesr. 3 Typhoid fever smallpox, tnasles, scarlet fever, whooping cough, diphtheria and croup, mu_ap, Ger. lXan measle, and chieken pox. ' Except tuasillitis:and other diseases of the pharym.

ENLUENZA IN THE UNIED STATES. The folowing table shows the number of cases of influenza reported by telegraph by State health officers to the United States Public Health Service for the period from October 1 to December 23, 1922, Wmpared with similar reports during the corresponding period of tbe years 1921 and 1920. December 29, 1922. 3204 Cases of infltenza reported wteekly be telegraph by State health officers, October 1, I9, to December 23, 1922, and corresponding periods of 1921 and 1920. Four Four Forty week Forty- State and year. wes eig ninth Fiftiethweek. | ft in Octo- ini No- we ek. ber. vember. wek.wek New Enigland States: Mlaine- --1 4 114 5 1922...... 3 6 1921...... 2...... 45 ...... 3...... -1920.1920 ...... 7 ....21..21 ...... 3 Massachusetts- 22 57 7 10 2 1922 2 7 7 1 0 2 1921 ...... -..... 27 16 17 8 5 12 1920...... 33 60 15 14 32 12 Conniecticut- 18 23 3 18 10 12 922.-----1 . .. 1921 ...... 14 12 4 3 3 1i 1920 ...... 8 68 10 9 3 15 MiJdle Atlanitic States: Now York- 1922 . .41 58 12 26 17 :0 1921...... 33 62 20 27 23 23 1920 ...... 85 141 50 23 :b26 iNew 31 1922JerFeyi--23. . 2 68 11 31 29 1921...... 15 39 12 8 8 7 1920 ...... 33 53 29 28 2118 East North Central States: Illiniois- 14 35 37 25 i922 . .44 81 1921 50 67 21 15 22 24 1920.------'...-...... 7 90 32 22 23 21 W\i%conlsii- 1922-.--...... 41 1178 373835 32 24 39 33 41 1920 ...... 21 72 'West North Central States: Minniesota- 1922. .4 4 1...... 1921 ...... M1i.so.ri 28 8 8 3 9 44 19221 .; 28 19 18 11 4 Sotith Dakota- 1922 ...... 2 ...... 1921 ...... I3...... '...' 'i. .''i -. 3 .1---- 1920 ...... 3 Nebraska- 31 ... 3. 1922...... 5 1 3 ..... 3..... 2 ...... 1921 -- .. 6 1920-.-.-.-...... 4 ...... 1 ...... Kansas- 5 19-92 . 8 9 4 1 4 8 4 1 3 1921...... 5 9 7 1920 ...... 32 4027 5 13 South Atlanttic States: 6 () 3 ...... 4 9 .14' 8 l191 2...... 2..98. .1 Maryland-|1920 47 1 t5|93|6 510 ..2 1921...... 92. 45 96 10 18 28 is 192o.1 ~~~~~~99~~~~100 ~~~32 45 47 45 District of Columbia- 1922...... 2 3 2..... 1 2 12.4 5 3 52 3 3 2 1921...... 4 25 15 4 2 im ...... 5 Georpia- 122 . .77 239 246 409 894 1,13 7 13 13 22 1921 ...... 5- 43 8 1920 . . 124 98 15 45 16 Florida- 1922....25 55 48 28 49 21 9 8 ..... 1921 .. 44 49 2 1920:...... 50 2 6 2521 East Souith Cenitral States: Kentucky-- is 19 ...... 18 51 9 9 4 Is 1921...... 20 59 10 10 12 12 1920...... 61 96 34 .20 17 Alabama- I -V...... 160 237 70 141 125......

-No weekly report reujived. 2 Estimate for onie week ending December 24. 3205 December 29, 1922.

Cases of influenza reported weekly by telegraph by State hlth offiemrs October 1, 1922, to Deccmnber 23, 1922, and corresponding periods of 1921 and 1920-Conwined.

Four Four weeks weeks Forty- | State and year. in Octo- in No- eighth Fiftieth first ber. vember. week. week. week. week. I - i. | l West South Ceintral States: Arkansas- 1922 ...... 34 48 28 36 1o 40 34 1921...... 35 14 41 53 26 1920...... 62 167 47 78 24 100 Louisiania- 29 1922...... 14 ...... 3 ...... 28 ...... i 1921...... -25 13 ...... 11 ...... 1920...... 62 ...... Texas

5 as ...... IW2...... ---- i..'i i 8 1921...... 8 74 1735.'''''38....6. ''''''. 1920...... 23 74 29 35j 38j 6 Mountain States: Wyom2ng, 1922...... 1 ...... I Colordo t922...... 2 ...... 2. 2 3

1921...... 1 ...... 4 New Mexico- 1 1922 ...... 17 2 ...... 1 1921 .... 1 ...... 2...... 1920...... 9 7 ...... Pacific States: *1 0re- ,! . 1922 ...... 8 7 3 1 ...... - ...... 4

1921 ...... 2 2 ...... California- 1922. 77 15 29 13 24 1921...... 53 42 21 29 7 1920...... 42 16 18 15 1413

* Death. MORTALITY FROM TYPHOID FEVER: 1921. The Department of Commerce, through the Bureau of the Census, announces that there were over 8,000 deaths from typhoid fever in 1921 in the registration area, which comprises 82 per cent of the total population of the United States. The death rate from this disease was 9 per 100,000 population in 1921 as compared with 7.8 in 1920. Of the 34 States shown for 1921 and 1920, only 9 show lower rates in 1921 than in 1920, as follows:

State. 1921 1920 State. s1m2 1920

California ...... 4.3 4.8 NewHampshie.. 6 6.8 Connecticut ...... 3.6 4.1 North Carolira.20 12.5 Maine ...... 7.6 9.0 Vernont... 4 10Q5 Michigan.7.---- - ..- 7 7. 9 Washington...... 5 4 6 Mo.tan.3.. 5 4.8

In 1921 Rhode island had the lowest adjusted rate (2.6 per 100,000 population), while South Carolina had the highest (26.5). Of the 11 states showing rates by color, the lowest adjusted rate for the white population in 1921 was 3.6 and the lowest for the colored was 1.9, t'oth for New York State, while the highest adjusted December 29, 1922. 3206 rate for the white population was 24.8 for Kentucky and for the colored 40.7 for Tennessee. For the 27 States contained in the registration area of 1917 the death rate from typhoid fever per 100,000 population was 13.5 i 1917, 12.6 in 1918, 9.2 in 1919, 7.8 in 1920, and 8.7 in 1921. Deaths and death ratesfrom typhoid and paratyphoidjerer in the registration area (exciusiv of Hawaii) and in the registration States.

Number of deaths. Ad- Crude rate per 100,000 population.' justed Area. rate, 1921 1 1920 1919 1921.' 1921 1920 1919 1918 1917 . *i Registration area..... 8, 007 6,805 7,860 (a) 9.0 7.8 9.2 12.6 13.5 Registration States (191:: 6,390 5,324 6,241 8.7 7.3 8.7 11.9 13.4 153 166 182 43 4.3 4.8 5.4 6.0 69 California...... 97 87 79 10.3 10.1 9.2 8.5 15.4 10.3 Colorado...... 51 57 55 3.5 3.6 4.1 4.0 5.4 9.0 Connecticut...... 26 25 39 11.9 11.5 11.2 17.6 (5) (5) Delaware...... 179 143 175 18.0 17.9 14.6 18.3 (5) (5) Florida (total)...... 86 111 17.2 16.8 13.3 17.7 ---- 112 ...... White. 20.1 17.2 .. 67 57 64 20.2 19.4...... Colored...... 380 3R3 6.0 6.0 5.8 5.9 8.2 Illinois...... 396 12.3 9.7 11.4 13.8 (')17.2 Indiana...... 366 284 332 12.7 7.3 16.6 Kansas...... 153 141 129 8.7 8.6 8.0 18.8 Kentuicky (total)...... 632 490 648 26.3 25.9 20.2 26.9 27.2 35.1 White...... 538 419 536 24.8 24.4 19.1 24.7 25.0 31.6 Colored...... 94 71 112 40.6 40.5 30.2 47.2 46.2 65.9 Louisiana (total)...... 326 280 408 180 17.9 15.5 22.8 39.9 (5) White...... 158 129 221 14.5 14.1 11.7 20.3 35.4 ...... Colored...... 168 151 187 23.8 24.0 21.5 26.6 46.7 . 69 44 7.5 7.6 9.0 5.7 7.7 10.8 Maine...... 59 10.3 6.9 11.8 17.0 18.2 MAaryland (total)...... 152 100 170 10.3 W'hite...... - 91 65 112 7.4 7.4 5.6 9.4 13.3 15.8 Colored...... 61 32 58 24.1 24.7 13.0 23.7 35.0 29.4 Massachusetts...... 122 95 105 3.0 3.1 2.5 2.7 44.1 4.9 Michigan..------292 294 275 7.8 7.7 7.9 7.6 9.5 11.3 Minnesota...... 888 71 79 3.5 3.6 3.0 3.3 3.7 4.3 364 18.6 18.6 20.3 (5) (5) Mississippi (total)...... 333 333 18.6 12.6 11.5 15.3 White...... 108 99 130 13.3 ...... Colored...... 225 234 234 23.4 24.0 25.1 24.9. Missouri ...... 443 341 426 13.2 12.9 10.0 12.5 19.6 20.8 Montana...... 20 27 39 3.4 3.5 4.8 7.2 10.1 15.7 Nebraska...... 66 58 (5) 5.0 5.0 4.5 (b) (5) (1) New Hampshire...... 16 30 15 3.7 3.6 6.8 3.4 4.5 61 New Jersey...... 147 105 100 4.5 4.5 3.3 3.2 5.5 &7 New York (total)...... 386 379 374 3.6 3.6 3.6 3.6 5.7 5.96. White...... 382 369 367 3.6 3.7 3.6 3.6 5.7 Colored ...... 4 10 7 1.9 1.8 4.6 3.3 6.9 7.6 North Carolina (total).:::-' 314 322 444 120 12.0 12.5 17.5 22.8 201.5 White...... 158 167 255 8.8 8.6 9.3 14.4 17.6 23.0 Colored...... 156 155 189 19.3 19.8 19.9 24.5 34.4 44.2 Ohio...... 542 435 457 9.1 9.2 7.5 8.0 13.6 12.6 Oregon...... 47 39 38 5.5 5.9 4.9 4.9 9.5 (5) Pon 653 503 612 7.4 7.4 5.7 7.1 10.9 10.7 ite...... 620 464 574 7.2 7.2 5.5 6.8 10.7 10.5 Colored...... 33 39 38 10.8 11.0 13.4 13.4 18.3 17.8 Rhode Island ...... 17 17 20 2.6 2.8 2.8 3.3 5.7 5.8 South Carolina (total)...... 445 379 440 26 5 26.0 22.4 26.3 35.5 3L9 White...... 141 131 130 17.3 16.8 15.9 16.0 26.0 22.6 Colored...... 304 248 310 35.2 35.0 28. 35.9 44.3 40.3 Tennessee (total)...... 611 434 653 6.6 26.1 18.5 28.0 30.2 38.3 White...... 431 311 462 22.6 22.5 16.4 24.6 26. 8 35 1 Colored...... 186 123 191 40.7 41.5 27.3 42.2 43.9 5L4 Utah...... 42 31 42 9.0 9.1 6.8 9.4 9.4 137 Vermont...... 19 37 11 5.7 5.4 10.5 3.1 &85 7.1 Virginia (total) ...... 379 260 357 16.2 16.1 11.2 15.5 17.9 20.8 Vhite...... 229 157 210 14.2 13.9 9.6 13.1 15.7 15.2 Colored...... 1, 50 103 147 21.3 21.6 14.9 21.3 23.0 34 Washington...... 75 76 57 5.3 5.4 5.6 4.2 7.4 9.4 Wisconsin ...... 81 65 80 2.9 3.0 2.5 3.1 3.8 5.2

. I The adjusted rate makes allowance for the differences in the age and sex composition of the pppulatlOU In different States by showing what the death rate would be if all States had the same proportion of mni and females and the same proportion of the total population in each age group. 2 The crude rate is based on total population and ieuludes all deaths occurriiig within the given StaW. a Rate not calculated. 4 Including District of Columbia. o Not added to registration area untUl a later dato. 3207 December 29, 1922. ABSACTS FROM REPOMRS ON RURAL SANITATION. From time to time interesting information is contained in the progress reports of the cooperative work which is being done by the Public Health Service conjointly with State and county public health authorities in rural sanitation. Recently a clinic was staged in a county where there was not a single specialist on diseases of the eye, ear, nose, or throat. A specialist was secured from a neighboring city. The physicians of the county joined in the work, 12 of them spending the whole day assist- ing in caring for the cases at the clinic. Within a few days after the clinic was held 20 persons with adenoids or diseased tonsils filed applications for operation whenever another clinic might be held. The dentists of this county have engaged to make dental corrections needed by school children for the coming year, andwhere parents of the children are unable to pay the work will be done without cost to them. In another county in which rural demonstrations were being made it was found that 73 children were excluded from the schools during the month because of contagious diseases, such as impetigo contagiosa, scabies, pediculi, and catarrhal conjunctivitis. All were sent home, obtained treatment, and returned to school after recovery. After a raid by the authorities at one place, nine women were brought to the health officer for examination. Four of them were found to be suffering from gonorrhea, and two from syphilis. They were treated at the venereal disease clinic of the county health department. At the baby-welfare conference conducted by one of the county health departments a child 4 months old was brought to the clinic weighing 5 pounds 12 ounces. It had been nourished on canned milk, which was found to be too rich in sugars. A modified pas- teurized cow's milk was substituted, and this was later changed to a buttermilk mixture. One month after this change in diet, the baby weighed 7 pounds 8 ounces. It was apparently healthy. Physi- cians who saw this case believe thatthe child would have eventually died had not its diet been changed. Systematic examination of school cbildren in a rural school showed 31 of 76 children, more than 10 per cent under normal weight. One county reported that only 2 out of 56 rural schools were provided with equipment for sanitary disposal of human exereta. Shortly after the beginning of the demonstration 16 schools were reported to have sanitary toilets, and the work is still in progress. At a large institution in this county plans had been drawn for the installation of a septic tank. The matter was brought to the attention of the sanitary officer, who found that according to the plans storm water from the roof of a large building was to be run through the septic tank. This he knew to be unnecessary and it would result in a large unnecessary cost. He discussed the matter with the authori- DIecember 29, 1922. 3208 ties of the institution. The plans were changed, and thereby the institution was saved more money than thesalary and travel expenses of the sanitary officer amount to in a whole year. Another clinic reports 60 children operated upon for diseased tonsils and adenoids, no specialist being available, one being brought to the clinic especially for this work. At the same time24 children were examined for pulmonary tuberculosis, 17 of whom were found positive and placed under treatment. Two hundred children were examined for glasses and orders taken where needed. In one county it has been stated that arrangements have been made between the county school superintendent and the county health officer whereby no school would be recommended for State aid unless the school has been provided with sanitary privies.

FATAL ATTACK OF SMALLPOX IN UNVACCINATED PRACTITIONER. Dr. Daniel J. Williams, county health officer, Biloxi, Miss., reports December 1 as follows: " We have had nine cases of chicken pox reported. Chicken pox makes us think of smallpox, so I went to investigate and located a genuine case, confluent in type, resulting fatally, The victim, Doctor Fetters, a chiropractor, of Biloxi, recently from Denver, Colo., had never been vaccinated. Biloxi has had a number of mild cases of smallpox during the past few years, and some citizens are not being vaccinated as they should. A few cases like the one mentioned above would help to persuade them of the effectiveness and necessity of vaccination."

MORTALITY FROM DIABETES: 1921. The Department of Commerce, through the Bureau of the Census, announces that about 15,000 deaths in 1921 from diabetes mellitus were recorded in the registration area, which coinprises 82 per cent of the population of the United States. Within this area the death rate from diabetes per 100,000 population was 16.8 in 1921 as compared with 16.1 in 1920. To permit better interstate comparisons in 1921, the table gives adjusted rates, which makes allowances for differences in the sex and age distribution of the population in the various States. In the 34 States of the registration area, the highest adjusted rate (21.8) appears for New York and the lowest (6.4) for Tennessee. For the States with considerable colored populations adjusted rates have been calculated separately for the white and colored populations. In this group of 11 States, the highest adjusted death rate from diabetes for the white population is 21.8 per 100,000 population for New York, and the highest adjusted rate for the 3209 Deiember 29, lt)2. colored population is 22 for Pennsylvania. The lowest adjusted rate for the white population is 6.4 for Tennessee and the lowest for the colored population is 4 for Mississippi. For the 27 States contained in the registration area of 1917, the death rate from dliabetes per 100,000 Population was 17 in 1917, 16.1 in 1918, 15.4 in 1919, 16.5 in 1920, and 17.2 ina 1921. Deaths and death ratesfrcnn diabetes mellitus in the registrat-io-n area (exclusive of Hauaii) and in the registration Skates. Number of deaths. Ad- Crude rate per 1oo,ooo population.2

l~~us'ed ______Area. rate, 1921 1920 1919 1921.1 1921 1920 1919 1918 19,17

Registration area.------14,933 14,062 12, M (21) 16.8 16.1 14.9 15.9 17.0 Registration States (1917)'1.-. 12,648 11,968 10,997 (3) 17.2 16.5 15.4 16.1 17.0 ...... 727 we 8 16.7 20.3 17.1 17.3 C~a1fornia 13 16.4 18.9 Colrao ------316137 294 101 14.1 14.3 14.3 10.8 13.1 14.2 ------267 20.9 21.1 19.5 19.8 21.7 Colnecicu .29-2. () ) Delaue------33 24 25 13.1 14.6 10.7 11.3 Florida(total) ..------104 86 69 10.8 10.4 8.8 7.2 () () Wlhite.------89 74 62 12.7 13.3 11.4 9.9 . colored.------15 12 7 6.4 4.5 3.6 2.1 ...... Ijijnois ..------1,194 1,169 1,025 17.4 18.0 17.9 15.9 16.8 (5) Indiana ..------483 485 482- 13.6 16.3 16.5 16.5 17.1 18.0 'anMS...... 278 294 208 13.9 1.5.6 18.6 13.2 15.3 18.1 Kentucky (total) ..------213 182 186 8.7 4.7 7.5 7.8 7.5 9.7 Wbite...... 187 158 171 8.4 9.1k3 7.2 7.8 7.0 9.7 Colored ..------26 24 1a 10.2 11.2 10.2 7.6 12.1 10.3 Louisiana(total)..------172 141 119 11.8 9.4 7.9 6.6 6.3 (5) White...... 133 105 86 14.5 11.9f 9.5 7.9 8.5 .... Colored ...... 39 36 33 7.1 5.6 5.1 4.7 2.8..... Maine ..------201 168 160 19.1 26.1 21:8 2o.9 21:9 27.8 Mahindte...... 227 220 205 16.6 18.5 18.2 17.1 17.6 16.2 Colored ...... 225 28 29 1(88 10.! 11.4 11.9 12.8 7.0 Massachusetts ..------792 810 748 1-7.7 20t.2 20.9 19.5 20.9 21.3 Michigan...... 627 605 568 15.7 16.5 16.3 15.7 16.8 17.3 Minniesota ..------440 415 322 18.0 18.!1 17.3 13.6 16.8 15.6 Mississippi (total) ...... 104 103 89 6.8 5. 8 5.8 5.0 (5) (5) White...... 73 65 51 9.4 8.5 7.6 6.0...... Colored ...... 31 38 38 4.0 3.3 4.1 4.0...... Missouri ...... 545 413 473 14.3 13.9 12.1 13.9 14.6 14.4 Montana,...... 57 60 54 11.9 9.9 10.81 10.0 14.9 12.9 Nebraska...... 256 269 (5) 19.1I 19.5 2Y.7 (5) (S) ( New Hampsbire ...... 129 104 71 21.3' 29.0 23.4 16.0 22.0 257 NewJersey ...... 641 594 54t3 19.9 19.7 18.6 17.4 18.5 21.3 New York (totna.------2,476 2,439 2,187 21.8 23.4 21.3, 21.2 22.4 24.2 Wbite ...... 2,438 2,404 2,167 21.8 23.5 231.5 21.4 22.6 24.4 Colored...... 38 35 20 19.4 17.0 16.2 9.5S 13.3 15.3' North Caroliina (total)...... 195 198 158 8.4 7.5 7.7 6.2 7.2 6.5 White...... 151 154 128 8.9 8.3 8.6 7.2 7.9 7.7 Colored...... 44 44 30 7.0 5.6 5.6 S.9 5.4 3.7 Ohio...... 1,067 1,025 928 16.1 18.0 17.6 16.3 15.9 1&6. Oregon ...... 170 138 164 20.0 21.2 17.5 21.1 17.1 () Pennsylvania (total).... 1,539 1,430 1,253 17.2 17.3 16.3 14.5 15.5 16.9 W hte...... 1,486 1,404 1,210 17.0 17.3 16.6 14.7 15.7 16.9 Colored...... 53 26 23 22.0 17.6 8.9 8. 8.&8 15.1 RholeIsland...... 121 121 147 I&.0 19.7 20.2 24.5 18.3 20.2 South Carolina (total)...... 124 105 100 9.5 7.3 6.2 6.0 7.1 5.4 Whiite...... 86 74 73 12.0 10.2 9.0 9.0 10.2 7.0 Colored...... 38 31 27 6.1 4.4 3.6 3.! 4.2 3.8 Tennessee (total)...... 145 145 154 6.4 6.1 6.2 6.6 6.8 7.0 White ...... 121 116 128 6.4 6.3 6.1 6.8 7.2 7.5 Colred...... 24 29 26 6.1 5.4 6.4 5.7 5.3 4.8 'ta*h ...... 6 60 50 16.8 14.3 13.2 11.2 14.6 10.7 Vermont ...... 87 69 87 18.8 24.7 19.6 24.7 22.1 Z23. Virginia (total) ...... 216 217 197 10.7 10.1 9.3 8.4 8.5 8.7 Wi"te...179 170 150 11.1 10.8 10.4 9.3 9.8 10.2 Colored...... 57 47 42 9.9 8.2 6.8 6.1 5.7 5.2 Washington . .. 210 190 207 131 15.1 I3.9 15.4 16.9 15.4 Wistonsin...... 468 495 395 16.4 17.5 18.7 15.1 15.5a 16.3 5The adjuisted rate makes allowance fosr the differencesin the age sad sex eempcmttien of thepepuoistoas In different States by showinig what the death rate would be if all States had the same proportioni of miales and females and the samejproportion. of the total population in each age groupt 2'The crude rate is based population said includes all deaths o&:urflg within the State&. I Rate not calculated. ontotal gtvem IIncluding Di-strict of Columbia. "Not added to registrat'iou area until a later date. December 29, 1922. 3210 DEATHS DURING WEEK ENDED DECEMBER 16, 19U Summary of information received by telegraph fromn industrial insurance companies for, week ended December 16, 1922, and corresponding week 1921. (From the Weekly hcalh Index, December 19, 1922, issued by the Bureau ofthee Census, Department of Commerce) Week endel Dee. 16, 1922. Corresponldinweek, 762.

Policies in force ...... 51, 549,831 47,908,368 Nuimber of death claims. 9. 386 8,509

Death-claims per 1, 000 policies in force, annual rate . 9.5

Deaths from all causes in certain large cities of the United States during the wveek en&d December 16, 1922, infant mortality, annual death rate, and coomparison Wtith corre_ sponding week of 19291. (From the Weekly Health Index., December 19, 1922, issuedby the Bureaut of the Census, Department of Commerce.)

Week ended Annual Douths under Ifn Dec. 16,1922. death 1 year. 1,000per --- City.City ~population~~~Estimated _ raltore talUtrate, 1922. Total Death sponding ended sponding ended deaths. rate.' week Dec. 16, we Dg .i' 1921. 1922. 1921.

Total...... 28,474,219 7,276 13.3 12.2j 949 842. Akron, Ohio...... ' 208,435 30 .7.5 5,3 7 3 77 Albany, N. Y...... 116,223 46 20.6 19.5 5 2 115 Atlanta, Ca...... 220.047 86 20.4 15.3 16 5...... Baltimore, Md...... 762,222 229 15.7 12.3 23 22 63 Birmingham, Ala...... 191,017 62 16.9 14.0 8 6..... Boston, Mass...... 764,017 238 16.2 13.7 35 24 . 9 Bridgeport, Conn...... 3 143, 555 35 12.7 11.6 4 6 51 Buffalo, N. Y...... 528, 163 141 10.8 34 21 134 Cambridge, Mass...... 110,944 34 16.0 12.7 3 1 51 Camden, N. J...... 121,915 32 13.7 13.5 5 6 . Chicago, Ill. 2,833,288 597 11.0 11.2 81 Cincinnati, Ohio.... 404,865 134 17.3 14.9 10 12.64 Cleveland, Ohio...... 854, 565 166 10.1 9.9 23 28 .60 Columbus, Ohio...... 253,455 56 11.5 13.5 5 8 53 Dallas, Tex...... 171,974 43 13.0 14.5 6 Dayton, Ohio...... 161,824 53 17.1 9.6 7 3 ii' Denver, Colo...... 267,591 ill 21.6 15.1 10 24 ...... Detroit, Mich...... '993,678 223 11.7 9.8 39 36 7 Duluth, Minn...... 104,183 20 10.0 1 Erie, Pa...... 109,528 34 16.2 12.7 6 117 Fall River, Mass...... 120,790 42 18.1 11.2 8 6 11 Flint Mich 111,794 20 9.3 ...... 2 Fort Worth, Tex.. 114,717 21 9.5 3 Grand Rapids, Mich...... 143,572 32 11.6 11.1 3 5.1. Houston, Tex...... 150,087 37 12.9 11.9 6 2 IndianapoUs Ind...... 333,257 78 12.2 15.4 9 11 6t Jersey Citv, II. J...... 305,911 73 12.4 11.9 10 11 6 Kamsas City, Kans...... 113,801 21 9.6 11.0 6 0 131 Kansas City, Mfo...... 343,988 96 14.6 12.7 15 10 Los Angeles, Calif...... 634,866 178 14.6 12.3 17 16 70 LouisvUle, Ky...... 256,877 48 9.7 17.2 4 6 43 Lowell, Mass...... 114,423 33 15;.0 9.2 2 2 33 Mass...... 101,673 18 9.2 3 76 Mephis, Tenii...... 167,862 60 18.6 17.6 6 ...... 21 Milwaukee, Wis...... 476,603 105 11.5 9.2 15 17 73 Minneapolis, Minn...... 400,970 77 10.0 12.1 8 13 44 Nashville Tenn...... 122,832 32 13.6 15.0 7 5...... 43 New Bedford Mass...... 127,542 24 9.8 5.0 3 ..5 38 New Haven, o ...... 169,987 33 10.1 15.9 7 9 8i New Orleans La...... 399,616 140 18.3 16.9 21 12 . New York i.Y...... 5,839,746 1, 403 12.5 11.3 194 166 75 Bronx Borouigh ...... 809,536 150 9.7 8.4 13 16 44 Brooklyn Borough ...... 2,117,164 462 11.4 10.2 73 58 76 Manhattan Borough ...... 2,271,888 649 14.9 13.5 87 83 81 Queens Borough ...... 516,757 99 10.0 8.8 15 7 81 Richmond Borough...... 124,401 43 18&0 17.6 6 2 110 I Annual rate per 1,000 population. 2 Deaths unider 1 year per 1,000 birth3-an annual rate based on deaths under 1 year for the weekad births for 1921. Citfies left blank are not in the registration area for birthb. 3 Enumerated population Jan. 1, 1920. 3211 Decenmber 29, 1922. Deatlf3coflt all cattles int C 'sItait lanqe cities of th,1ftited States (lui ing the week ended Decemi,ber 16, 1922, itJiut mtortaility, annual (leath/ rate, and comnparison with corre- week of 1921. (From the lWeetly lIealth Indle.r, Deeestmbe, 1.9, 19M , im5ed(l spondingby t/le Bireau of the (Ceits,s, Departstent of Continerce.)-Confintued.

Week etidel Deaths De-. Annuialdeath 1 year.unider Infalit 16, 1t922. mor- F,timaled rate per tality iolOtt ('i . p0IpJlull)l)ti corre- SVeek rate, 1922. Total Death sponding (Corre- week deaths. rate. week De.etided16, spondingweek enldedl 192. 1922. 1921. Dec.1922.1w, ______~I

Newark, N ...... 431,792 102 12.3 12.1 13 21 58 Norfolk,Va ...... 124,913 2.; 10(.4 13.3 31 7 56 Oakland, ('alif ...... 233,279 67 13.0 10.1 12 2 Omaha, Nebr...... '200.739 62 16.1 19.3 10 14 130 Paterson, N. J...... 138,521 36 13.6 13.7 2 6 31;10 Philadelphia Pa ...... 1, 894, 50 585 16.1 12.6 73 54 Pittsburgh Pa ...... 607.902 1st 1.i. 5 13.53 25 30 Portland, 6reg :...... 269,240 11.6 12. 2 4 6 .39.9 Providence, R. I...... 241,011 64 13A. ,i 10 48 Richmond, V ...... 178. 365 39 11.4 17.2 6 10 72 IRoteeter, N. Y ...... 311,548 55% .9.2 9.4 6 5 46 St. Losiis, AMo...... 793,008 176 11.; 11.3 6 13 st. Paltt, Minn...... 239,836 65 14. I 12.3 9 7 ...... 888 Salt LAke (City, Utah .. . ..-.-.. 123.918 46 19.4 16.3 168 Tex 178, 056 6 122 San Antoniio, ...... 657) 19.0 ...... 16 San Franicisco, (alif...... 529.792 164 16.1 14.3 6 ...... 8 ...... i .,eattle, Wash ...... l 3315,312 49 8.1 11.4 3 4 28 spokane, Wash ...... l 104, 445 3.5 17. 5 14.0 4 1 80 Springfield, Mlass...... 140,032 25 9.3 10.7 1 3 1 syracuse, N. Y ...... 181. 012 i8 16.7 9.4 9 , 100,339 4 108 Tacoma, Wash ...... 13 6.8 ...... 24 Toledo. Ohio..------260,717 80 16.0 12.i.. 1 10 11 96 Trenton. N l...... 125.075 4.3 17.9 18.3 4 6 62 Washington, D. C ...... 3437,571 1.36 16.2 14.8 4 1i 23 Woreestor, 'Mass...... 188.449 ' 44 12.2 14.9 6 5 63 Yonkers, N. Y...... 105. 42 23 11.4 9.6 7 3 144 Youngstow-n, Ohio...... 144,970 37 13.3 14.9 8 7 104

a Entumnerated 1pnputa ion Jan. I, 92s) 199,37'-22 PREVALENCE OF DISEASE.

No health department, State or local, can effectitely prevent or control disease without knowledge ofwhen, where, and under what conditions cases are octurring.

UNITED STATES.

CURRENT STATE SUMMARIES. Reports for Week Ended December 23, 1922

These reports are preliminary, and the figures are subject to change when later returns are received by the State bealth offlcers ALABAMA. COLORADO. C,as Os. (Exclusive of Denver.) Di p h th e riap..eri ------1 Case. Pelagra ..- Chicken pox ..... 22 Pneumonia...... Diphtheria ...... 15 Scarlet fever...... Impetigo contagiosa ...... 3 Tuberculosis...... s...... 10 Measles.. 2 Typhoid . lever...... Mumps...... 6 Whooping cough ...... 17 Pneumonia...... 10 . 3B ARKANSAS. Scarlet fever ...... 6 Chicken pox...... 18 Smallpox ...... ;. 16 Tuberculosis ...... -. 14 Diphtheria ...... Typhoid fever 14 40 ...... Influenza ...... - 4 9 Whooping cough ...... Malaria ......

Measles ...... 1 CONNECTICt. Pneumonia...... 1 Cerebrospinal meningitis .2 Scarlet fever...... 4 Chicken pox ...... 57 Sallpox...... 1 1 Conjunctivitis (infectious)84...... Trachoma ...... 1 Diphtheria ...... 2 Tuberculosis ...... 2 German measles .... Typhoid lever...... 16 Hookworm disease .. ..1.. Whooping cough...... 1 Influenza . 12 . 1 encephalitis ..... , , CAUFORNIA. Lethargic Measles . 274 Cerelrospinal meningitis: Mumps...... 16 Riverside ...... 1 Pneumonia (lobar) ...... 47 San Francisco ...... 1 Poliomyelitis ...... 1...... Whittier 1 fever 107 ...... Scarlet ...... ,. Diphtheria ...... 179 Septic sore throat ...... 1

Influenza ...... 24 Tuberculosis (all forms) ,,,,. . ,. 28 Lethargic encephalitis: Typhoid fever...... 2 1 Ontario ..... Whooping cough ...... 53

Measles ...... 12 Scarlet fever...... 174 FLORIDA. Smallpox ...... tb Dengue .... ,,..,,,...... 5 Typhoid fever ...... 12 Diphtheria...... 20 Whooping cough...... 34 Influenza ...... ,.,,,,,,.,,,,.,,....., 21 (3212) 3213 Decemilbler 29, 1922. FLORIDA-Col1t inuied lases. KAN,S %5 -Contintled. Mfalaria ...... Measles. Gases. p}eunsioia .... Mumps...... 20 Scarlet fever ...... 5 .Smallpox...... Pneumonia...... 48 4I Scarlet fever...... Typhoid fever...... 2 Smallpox..... 15t Trachoma.; 10 GEORGIA. 7 1 Chicken pox...... Tuberculois. 31 Dengule...... Typhoid fever. 10 Diphtheria...... Whooping cough. 16 Dysentery tbacillary)...... Hookw orm disease .... Dengue LOUISIANA. Dengue ...... Influenza...... 1, 19921 10 Malaria...... Diphtheria. 42 Measles...... Scarlet fever. 9 .Smallpox...... lneilmonia...... 34 Typhoid 9 Poliomveitis...... 17 fever...... 1'. .;carlet fever ...... 9 I Septic sore throat ...... }X.sfS-~MAIE. .. Chicken po.- 17 Smallpox ...... 7 Diphtheria.------Tutwerculowis (ptulmouary) .. 1 9 Typhoid Influen7a. 6 fever...... Measles...... 16 ILLINOIS. Mumps...... 1 Pneumonia. ' Cerebrospinal meningitis: Scarlet fever. 18 Madison Couinty. 17 D)iphtheria: Seprtic sore throat ...... 1 Tetanus. 1 Cook County (including Chicago). 201 Tiberculosis Chicago ...... 6 ...... 183 Typhoid fever...... Edgar County ...... 2 9 Whooping cotugh ...... Kaoe County...... 10 23 Madison County...... 9 MARYLANDJ. Sangamon CouInty ...... 12 Cerebroapinal menilgitis...... Stephenson Couuty...... 10 Chicken Scattering...... 114 pox...... 146 Inflienza. Diphtheria...... 25r, Dysentery 93 Pnetimonia...... 1 Scarlet 353 German measles . fever: Iifluenza. 17 CoOQk County (including Chicago) ...... 5t 100 Measles. 119 Chicago...... 89 Peoria Cointy...... 16 Mumps. 20 Stephenson Pneumonia (all forms)...... Conty...... 10 Scrlet fever 107 Scattering...... 162 ...... 76 Smallpox: Septic sore throat ...... 3 Stephenson Tuberculosis...... Cotinty...... 13 Typhoid 3n SCattering. fever...... 5 Typhoid fever. 21 Whooping cough...... Whooping 9 8i cough ...... 168 MASSACHIUSETTS. INDIANA. Chicken pox...... IDAA !48 Diphtheria...Dihhra...... Conjunctivitis (supprative)... 4 SScarlet fever 107 Diphtheria ..... 101 ...... 84 Smallpox. German measles. 10 TyphoidTpodfever. 5 fever...... 12 Influeisza. 28 1 Diphtheria IWA Malaria...... 1 )ihtei...... Lethriene alitis ...... Scarlet fever. 67 Measles ...... 713 S3mallpox. 100 73 3 Ophthalmia...... 20 KANSAS. Piseulmoni (lobar) 10 ('erebrospinal meningitis ...... Scarlets...... fv Chicken Septic sore throat...... 9 pox.c 96 Diphtheria. TIeahoma...... 3 G'erman measles. 94 Tuiberculosis (all forms) ...... 11 3 Influenza. Typhoid fever ...... 1 11 3 II 'Week elIded Fri(lay. Whooping couigh ...... 2, December 29, 1922. 3214

MICUGAN. NEW JERSEY. c,ases. Cases. Diphtheria ...... 194 Cerebrospinal meningitis ..--.-.-----.-. 1I Measles ...... 48 Chicken pox ...... 172 Pneumonia...... 139 Diphtheria ..----: ------211 Scarlet fever...... Influenza 276 .... 3a Smallpox...... 60 Measles ...... 4 a Tuberculosis...... 40 Pneumonia ...... 184 Typhoid fever ...... 14 Poliomyelitis ......

Whooping cough...... 146 Scarlet fever ...... 167 Typhoid fever ...... 9 WINNESOTA. Whooping eough ...... Chicken pox2...... 9 131 Diphtheria ...... 109 NKW MEXICO. Measles...... 19 Chicken pox ...... Pneumonia ...... 3 Conjinctivitis ...... 5 Poliomyelitis...... 1 Diphtheria: Scarlet fever...... 247 Albuquerque...... 8 Sm pox...... 35 Scattering ...... 18 Trachoma ...... 5 Hookwarm disee...... 1 Tnberculosi ...... 44 Lethargic eneephalitis ...... 1 Typhoid 2 fever...... Mumps ...... 3 Whooping cough...... 10 Pneumonia ...... 17 Scarlet fever ...... 1i MisSJSIPPI...... Smallpox ...... 1 Diphtheria ...... 20 Tuberculosis ...... 29 Scarlet fever...... 7 Typhoid fever...... 7 Smalpx...... 8 Typhoid fever...... 11 NEW YORK.

MISSOURI. (Exclusive of New York City and Eric and Monroe Chicken pox...... 21 Counties.) Diphtheria ...... 49 Diphtheria ...... 154 Epidemic sore throat...... 6 Influenza ...... 20

Isfluenza...... 44 MeasleS ...... 112 Pneumonia...... 6 Pneumonia. 178

Scarlet fever ...... 67 Poliomyelitis ...... I .... Sm pox...... 24 Scaslet fever ...... 20 Tetanus ...... 1 Smallpox ...... I Tuberculosis ...... 2 Typhoid fever ...... i Typhoid fever...... 2 Whoopin.acough ..------166 Wbooping cough ...... 5 OPJ GON. MONTANA. Chicken pox ...... 28 Diphtheria ...... 2 Diphtheria: Scarlet fever...... 24 Portland ...... S...... Smallpox ...... 16 Scattering 15 Typhoid ------. fever...... 2 Influenza ...... 4 NEBRASKA. Measles ------... 2 Mumps ...... -3 Chicken pox ...... 50 Pneumonia ...... '11...... I Diphtheria: Scarle fever: Omaha...... 15 Potrtland ------....------11 9cattering ...... 14 Lethargic encephalitis: Scattering ...... 12 Smallpox ...... 16 Omaha...... T'ubercukti'-...... ---.--...... ------30 Measles ...... 2 fever . MUMps...... 6 Typhoid ...... 3 Whooping coujgh ...... 2 Pneumonia ...... 3 Scarlet fever- SOUT}[ DAKOTA.

Buffalo County ...... a Chicken pox ...... 7

Holt County...... 8 Diphtheria ...... 6

Omaha ...... 9 Dysentery (amebic) ...... 1 Thayer County ...... 15 Pneumonia ...... 7 Scattering ...... 40 Scarlet fever ...... 28 Smapox...... 3 Smallpox ...... 1 Typhoid fevor...... 3 Trachorna ...... 3 Whooping cough...... 3 Typhoid fever ...... I I Deaths. 3215 lecemnir 29, 1922. TEXAS. Ia:es. WEST VIRGINIA. Diphtheria...... 2.13 28 Diphtheria. Cases.22 Influenza..------Influenza: Measles ...... 17 Plrineeton. 75 Peilagra --.--...... -. 3 Williamson Pneumonia...... 11 Measles: 13 Scarlet fever..... 16 Wheeling. Scarlet 77 VERMONT. fever. 21 Chicken pox...... 48 Typhoid fe-er. 10 Diphtheria ...... Mfeasles...... 4 WISCONs.iN. Mumps...... 7 Milwaulk;ee: Pneumonia...... 4 Chick-en pox. 33 Scarlet fe-er.... 17 Diphtheria. 32 Whooping cough ...... 65 Measles. 674 Ophthalmia neonatoriiu.. WASEUNGTON. Scarlet fever. Cerebroipinal meningitis: Tuberculosis. 942 Pacific County ...... Whooping couigh...... Seattle ...... Scattering: 11 Chlickeni pox ...... 61 Cerebrospinal ...... Diphtheria: meningitiS ('hicken pox. 1.54 Benton . Countty ...... 12 Diphtheria ...... 71 Scattering ... 9 German meles.ws D)ysentery (annehie) .... 13 Influenza. :12 Lethargic encephalitis: I Measles. -,2 Spokane ('ounty...... 1 152 Measles...... Pneumonia. 23 7 Scarlet fever. 144 Mu1mps ...... 29 Smallpox. Scarlet fever: 41 Tuberculosis . Seattle. it .Seattering. 10 Typhoi(d fever. if, Whooping cough ...... 121 Smallpox...... 14 TNubercullosis.. 20 W OMIN'G. Typhoid fever ... .. Whooping cough ...... 2 Diphtht.ria. 12 9 Scarlet fever. 2s

Reports for Week Ended December 16, 1922. DISTRICT OF COLUMBIA. KENTUCKT-eont inued. Iaes. 'ases. Cerebrospinal mneningitis. I Mumps ...... Chicken pox...... Pneumonia ~~~...... 1 23 21 Diphtheria ...... -.-.-.- 19 ScarletPneumonia.fever...... Influenza. 1 Measles. Septic sore throat ...... 1 Sarlet fever. Smanpox ...... Tuberculosis. 17 Trachoma. '25 Typhoid 20 Tuberculosis: 26 fever.. 2 Whooping cough ...... Jefferson County...... 29 Scattering ...... Typhoid fever. 4 KENTUCKY. Whooping cough ...... 3 Chicken lDiphtheria:pox...... 25 NORTH DAKOTA. Chicken pox ...... Jefferson County...... 12 8 Scattering...... Diphtheria...... 32 Influtenza. 26 German measles...... Malaria. Measles. Measles: Pneumonia...... fever Scarlet ...... 5.) Henderson Couinty...... 38 Jefferson Counlty ...... ------Smallpox ...... S McCracken County. ,.1I Tuiberculosis...... 1 Nelson Typhoid fever. 7 County...... 111 Whooping couigh...... 1 December 29, 1922. 3216 SUMMARY OF CASES REPORTED MONTHLY, BY STATES.

The following summary of monthly State reports is published woekly and covers only those States which reports are received during the current week.

i a2. co 0; '0 State. 0- aD A0 = co aR =3 4) th CS . 9 04 C8 October, 1922.

Colorado ...... 454 .------8 ...... 3 218 1751 Ohio ...... 6 2,162 11 30 516 ...... 10 1,434 80 33 November, 1922.

Arkansas . . ... 2 125 76 273 5 22 1 52 4 70 Florida ...... 122 103 124 3 11 2 6 3 39 Indiana ...... 934 40 ...... 206 ...... 2 481 49 4g Louisiana ..... 1 182 17 105 2 13 3 41 21 70 Maryland ..... 6 466 127 . 15 404 1 7 307 ...... 125 Michigan ...... 1,315 11 ...... 109 ...... 1 1,173 97 117 Minnesota ...... 2 858 3 26 ...... 7 982 174 33 New Jersey...... 10...... 1 117 71 5 1,280 ...... 10 605 1 13 New York ...... 18 1,935 273 6 762 ...... 66 1,735 5 225 RhodeLsland ...... 2 158 ...... 522 1 43 ...... 11 West Virginia ...... 4 535 48 66 ...... 3 315 28 84

CITY REPORTS FOR WEEK ENDED DECEMBER 9, 1922. ANTHRAX.

City. Case3. Deaths.

Delaware: Wilmington ...... 1 .

CEREBROSPINAL MENGITIS. The column headed "Median for previous years" gives the median number of cases reported during the corre3ponding weeks of the years 1915 to 1921, inclusive. In instances in which data for the ful seven years are incomplete, the median is that for the number of years for which information is available.

Wee ene Median Week ended Median Dec. 9, 19 City. 9,o192 City. forpre year. Cases. Deaths. years. Cases. Deaths

Alabama: New JerseC : Montgomery ...... 0 1 ...... Newark.....0 1...... California: New York; LosAngeles ...... 0 1 ...... New York ...... 5 4 2 San Francisco...... 0 1 S...... Schenectady ...... 0...... I Illinois: North Carolina: Chicago ...... 1 1 ...... Greensboro 0 ...... I Kewanee...... 0 1 ...... Pennsylvania: Indiana: Reading...... 0 1 . Laporte ...... I Texas: Massachusetts: 1 Tx s: ...... 0 1 Gardner ...... 0...... 1 Washington: Michigan: Seattle.0 1 ...... Detroit ...... 0 1 ...... Wisconsin: Missouri: Madion ...... O 1 .... St. Louis ...... 0 2 Mad. M_sori.0..... 3217 Decenil;r 29, 1022. CITY REPORTS FOR WEEK ENDED DECEMBER 9, 1922-Continued. DENGUE.

Cit Y. ~~~~~~~~Case's. Deaths.

G;eorgia: Lotiisiafla. New orleans.------12 .

DIPHTHERIA. See p. 3223; aIsa Current State summaries, p. 3212, anid Mlonthly suimmaries lby

States, p. :12,16. IFUNA

Cases. _Deaths Dea!bs, ~~~week' City. W'eek Week ended City. Week Week ~ened ca: Ied eiided Dec. 9, ended ended lDec. 9, Dee. 10, Dee. 9, 1922. Dec. 10, Dec. 9,; 192-2. 1921. 192Z2. 1I21. 19,22.

Alabama: Montana: Birmingham 2 2 Billinags...... 1..... Arkansas: Great Falls ...... Little Rock ...... Nebraska: California: I ; ... . L,os Angeles .------6 Nevada: Oaklan 3 Re..o...... Pasadena-- I .. New Jersey:.1 Sacramento.------East ...... Ora'nge..... I...... San Francisco 4 21 Hackensack...... 1..... Santa Barbara ...... JIersey City ...... Connecticut:.1 1I.....---- Bridgeport ...... I Newa:k ...... 21 New Britain ...... Trenton l .--- ... 1.... District of Coitimbia:.- New York:.1 3 s Washiington...... ------A.lbany ...... 1..... Florida: IButTfabo...... 2 ...... Tamnpa...... 3 2 Jamestown ...... I...... Georgia:I New York...... 25 35) 7 3 Atlanta...... Peekskill .1..... Brunswick ...... North Savannah ...... 1. Carolina:1 Valdosta...... I..... Ohio: Illinois:I Akron ...... 13 Chicago ...... 2 AkshLabula...... Easqt St. Lo uis- 21'_ 2-- Pekin 1.. Cinrinnati .5 (Cleveland.:1'.. 3..... Louisyville ...... 3 11 Lotuisiana: Pennsylvania 3 New Orleans...... 2 laryland: Providenee .1.... Cumberla nd.. Sduth Carolina: Ch3rleston...... 17 ..... Bostonl...... 6 .... Texas: Cambridge 2 ...... 1..... Dallas ...... 2 2 New Bedfo~iI..... I Utah:I 2 Quincy...... S,'alt Lake (City . ..1...... Saugus ...... Virginia: I~~2. Iti''in ond .------. Worcester...... 1..1 Rtoanoke ...... M6ichigan: Wisconsin: Detroit.. La(Crrosse.1.----- Missouri: Wyoming:I Kansas CtilY.1.1 C'hevenne ...... 1. December 29, 1922. 3218 CITY REPORTS F-A WEEK ENDED DECEMBER 9, 1922-Continued. LEPROSY.

LETHARGIC ENCEPHALITIS.

California: Oakland...... 1

MALARIA. -~~~~~,1 Alabama: Tennessee: 4 Birmingham ...... 15 .. Me-mphis ...... Georgia: Vi ia: Atlanta ...... I1-1--- Richmond ...... 1......

MEASLES. See p. 3223; also Current State summaries, p. 3212, and Monthly sUmmaries by States, p. 3216. PELLAGRA.

City. Cases. Deaths. City. Cases. Deaths.

North Carolina: Texas: Charlotte ...... 1 El Paso...... Houston...... 2

PNEUMONIA (ALL FORMS).

Alabama: Georgia: Birmingham...... 5 Atlanita ...... 14 Arkansas: Brunswick ...... 1...... Little Rock...... 7 Rome ...... 4 ...... ii California: Savaininah ...... Alameda...... 2 ...... I Valdosta ...... 2 Glendale...... i lI)}nois: 2 LFong Beach...... Bloomington .------I.sAnee...... 24 .2 Chicago ...... 212 52 Oaln...... 11 8 Cicero ...... 3 Pasadena...... 2 .''''''''i Decatur ...... 4 1 Richmond...... East St. Louis ...... 3 Riverside...... 2 Elgiin ...... 1...... Sacramento...... 4 Evaniston...... 1...... San Brnardino...... 2 ...... Freeport ...... 5 San Diego...... 2 Jacksonville ...... 4 San Francisco...... 14 9 Kewanee ...... 3 ...... i1 San Jose...... 1 ...... 1 La Salle ...... ---. 1 Santa Ana...... Mattooni ...... 1 Santa Barbara...... 1 Oak Park ...... ,...... Colorado: Pekin ...... 1... '''''''''i Denver...... 17 Peoria...... Sprinigfield ...... 2 Pueblo .... 3 Indiaina: Connecticut: Fort Waynie ...... 3 Bridgeport...... 3 2 Bristol...... 4 Gary ...... 1 Hartford...... 5 Huntington ...... 6 Indianapolis ...... I Manchester...... 1 Laore...... New Haven...... Michigan ...... 1 1 1 New London...... Mishaka...... District of Columbia: Muncie ...... 1 17 . 1 Washington...... Terre Hauite ... Florida: 1. Iowa: Tampa...... Burlington ...... 2 3219 December 29, 1922. CrY REPORTS FOR WEEK ENDED DECEMBER& 9, 1922-Continued. PNEUMONIA (ALL FORMS) Continued.

I if City. Cases. Deaths. City. Case. Deaths.

Kansas: Montana: Kansas City .. 7 ...... 2 Butte...... ------, 4 Great Falls...... 4 Topeka I 2 Wichita. 2 Hclena...... 1 Kentucky: Nebraska: Covinigton ...... ,,,,,,, 2 Lincoln...... 5 Heinderson.------Omaha...... 8 Lexiuiton .------Nevada: Lolisville. .------14 8 Reno...... Louisiana: New Hampshire: I...... New Orleans ...... ,,,,,,,. 27 Ccncrd...... Maine: Dover...... 1 Auburn .------,,,,,,,,- 1 Keene...... Bangor .------I New Jcrsey:. 3 Biddeford...... 2 Atlantic City. ..2...... 1 Lewiston -----..--. ------Bayonne...... Portland .------,,,-.,,- Belleville ...... 2 ...... Sanford .------., 3 2 Bloomielde...... Clifton...... 4 Maryland: 12 ...... Baltimore ...... 59 27 East Orange...... Massachusetts: Garfield ...... 3 AmesburY.------Hackensack ...... Arlington ...... Harrison...... i.. 1 Beverly .------Hoboken ...... i Boston.Bevcrly ..,,,,,,,,...... 2 26 Jersey City ...... 2 Cambridge .. 5 3 Kearny... 3 Chelsea 4 I ---...,,,,,,,, Montclair...... 1 Clinton...... Morristown ...... Danvers . 1 Newark...... 57 Easthampton...... , 2 ...... Orange...... 4 Everett...... 5 ...... Passaic. . 8 17 ...... Fall River Planfield...... Fitchbtirg ...... 2 ...... Summit. 3 2 Framingham....,,,,,,,, ...... 3 Trenon.. 17 Greenfield ..... ,,,,,,.,. West New York...... 1 HaverhUl ...... 4 West Oraage...... Holyoke . .l New Mexico Lawrence ...... 1 Albuquerque. 3 Lowe ... 6 1 New York: 1...... Lynn ...... ,,, ,,3 Albany. 15 MNalden...... i 3 12 Auibun...... 2 Medford ...... 1 Buffalo. 8 Milford ... I ...... Cooes... 4 I New Bedford ... ,,,,,. 2 Elmima. 2 ...... Newburypor ...... 2 Geneva...... Newton ...... 2 Honell.. 2 Pittsflield ...... Ithaca...... ; Plymouth ...... 1 Lackawanna. a 1 .Qiny------...... 2 Middletowu.. 3 1 Revere .... 2 ...... Mount Vernon...... 2 Salem ...... New York ..... 318 1 144 Saugus ...... 2 Newburgh...... 3 Somerville...... 4 1 Niagara Falls. 6 4 Southbridge ...... Port Chester. 4 1 Springfield ...... 5 Rochester. 17 2 Taunton ...... ,,. 4 Saratoga Springs. 1 ...... Wakefield...... 3 Scnectady. Waltham 3 ...... Syracuse. 18 Wobutn ...... 5 Worcester 1 Troyr. 4 ...... 5 Watertown...... 9. 1 Michigan: '''''''''i White Plains. Ann Arbor...... 2 '1 Ynkers.. 9 ...... i Battle Creek .1...... North Caro.lina: Detroit...... 78 2910 Charitte.. 6 Flint 3 ...... 111 Rocky Motnt. Grand Rapids .. 14 Wilmingto.. Hamtramck...... Ohio: Highland Park ...... 5 5 ...... Kalamazoo 21 Akron...... 6 5 Barberton. 2 ...... Pontiac ...... 2 Bellaire...... I ...... Port Huron Mmnneeota:1 ...... 1 Cambridgre ...... I ...... Canton ...... i.. Duluth ...... 3 Cleveland ...... 5 . 19 Minneapolis3 .9 ...... 12 St. Cd.smbus ...... Paul.01s P al...... '10 Dayton...... St.mri East Cleveland...... 1...... 1...... : KansaCity .16 11 Hamilton...... St. Joseph ...... ; 4 Mansfield...... 1....i ...... 1 Marion ...... I ...... nee etn1er 29.), 1922. 3220 CITY REPORTS FOR WEEK ENDED DECEMBER 9, 1922 Continued PNEUMONIA (ALL FORMS)-Co'stintied.

City. Cases. D)eaths. City. Case3. Deatlhs

Ohio-Continued. Texas: Middletown ...... I. Dallas ...... 4 New Philadelphia ..1...... El Paso ...... I----.----.I . I Fort Worth Piqtla ...... 3 ...... Salein --..|.. Galveston ...... |. I Houston ...... Sandusky ...... 6 Tiffin ...... Utah: Toledo ...... Salt T ake Cily ...... 8 Youngstown ...... 3 Vermont:

...... Zanesville ...... Rtl!lland . I Oklahoma: Virginia:

Oklahoma ...... 2 Alexandria ...... 1.. Ortegon: Norfolk ...... '...... 4 2 Portland ...... 7 Petersbuirg ...... i..... Pennsylvania: Portsmoutth ,,, I Philadelphia ...... 112 85i Riclimonid ...... I....5 Roanoke ...... 1.. Rhode Island: WVest Virginia: Cranston .1...... I Huntiiigton ------. 3 Pawttucket ...... 2 Wheeling ..------.-1 ...... 5 Providence ...... Wisconsin: Souith Carolina: Beloit ...... 2 Charleston ...... 2 Fond dii Lac ...... 1. ('olumbia 31 Kenosha ------

Souith Dakota: Madison.1 ...... Sioux Falls ...... Milwaukee ...... 3 Tennessee: Oshkosh ...... 2 6 Racine ..--'-1 Memphis ...... 3 ..- 4 Nashville ...... Superior I-|

POLIOMYELITIS (INFANTILE PARALYSIS). The coluimn headel "Median for previots years" gives the median nuimber of cases reported during the corresponding weeks of the years l9l1 to 1921, inclusive. In instances in which data for the ftill seven years are incomplete, the median is that for the uimimber of years for which information is available.

Week ended ended M.-deeianiIedian1 Week Median Dec. 9, Dec:. 9, 1922. for pre- for pre- City. vilus City, Iviouis years. years. Cases. Deaths. Cases. Deaths.

Alabama: I New York: Birminghain ...... 0 New York .1.6 Illinois: I Syracuse ...... O 1 ...... Chicago...... 1...... E Pennsylvania: Maryland: 1 Erie 01 1...... Baltimore...... 0 Texas: I)allas 01 1 Massachusetts: ...... Boston...... 0 1 2 New Jersey: Paterson ...... 0 1 ......

RABIES IN ANIMALS.

City. Cases. | City. Cases.

California: Tennessee: Los Angeles ...... 7 empis...... Oakland ...... Virginia: Itiversi(le ...... Alexandria ......

SCARLET FEVER. S p. :3223: also (Orrfent State shlminarie., p. 3212, and(I Monithl summaries )y States, p. 3216. 3221 December 2, 1922. CITY REPORTS FOR WXEE ENDED DECEMIE k 1-CoItinnd SMALLPOX.

The column headed "Medin for previou years" gives the median number caues reported during ame aespoding weeks of the years 1915 to 1921, inclusive. In instaes in wbiec data for the ful seven years are incomplete, the median is that for the number of ye f which form ion available.

If I I Weelc ended Median Dec. 9, 1922. Week ended for pre- Medinc Dec. 9, 1922. City. vious City. forpre- years. vious Cases. Deaths. years. Cases. Deaths.

______I. -I I l ..j Californi: Nebraska: 1 ...... Lo Angeles...... 1 0nha...... 3 2 ...... Oaklalcd ------1 3 ...... New Mexico: San Francisco. 1 1 ...... Albuquerque...... Colorado: North Carolina: 0 1 Denver...... 11 21 8 Winston-Salem illinois: North Dakota: 0 1 0 5 ...... Grand Freeport...... Forks...... 0 3 ...... Indiana: Ohio:

0 4 ...... Elwood ...... Dayton...... 1 3 ...... Fort Wayne...... 0 1 ...... Oklahoma: 2 Indianapolis...... 2 ...... Oklahoma...... 1 Iowa: n..-4...... 0 2 Council Bluffs...... 2 4 ...... Oregon: ...... _. 0 1 Muscatine...... Portland...... 8 1 Sioux City...... 1 1 ...... Texas: ...... Minnesota: Houstn ...... 0 1 Duluth ...... 0 12 ...... Utah: .s...... 12 Minneapoils...... 3 ...... Salt Lake City...... 7 2 20 3 ...... Washington: ...... Mfississippi: Seattle...... 2 3 Bilox...... 2 ...... SI?otmne...... 23 6 ...... Missouri: WestVa: 1 St. Louis...... Bue d...... 1 1 Montana: Wisconsin: 1 Great Falls.... 2 ...... Eau Claire...... 0 2 lissoula ...... 0 1 ...... Superior...... 0

- TETANUS.

City.

AlalmLa Montgomery...... assachusetts: Attleboro...... Oklahom Oklahoma.

TUEBERCULO&

See p. 3223; also Current State summaries, p. 3212. December 29, 1922. 3222 CITY REPORTS FOR WEEK ENDED DECEMBER 9, 1922-Continued. TYPHOID FEVERL The column headel "Melian for previosa3 yers"1 gives the median numb9r of ca3es reported durig the rresponding weeks of the years 1915 to 1921, inclusive. In initances in which data for the full aevg years are incomplete, the median is that for the number of years for which information is available. _ . Week ended Week ended Median Dec. 9,1922. forprenMedian Doec. 9, Iwj City. City. forviouspre. vious . years. Cases. Deaths. years. Cases. Death&

Alabama: Missouri: 1 Birmingham 1 ...... Kansas City. 2 2 Mobile ...... 1. St... Louis 3 8 1 California: Nebraska: Los Angeles .1 3 3 Omaha. O ...... Sacramento 1.. New Jersey: San Diego 1 ...... Trenton. San Franicisco 2 1...... New Mexico: Santa Ana 1...... Albuqierqie.. New York: Colorado: 1 Bffalo. 2 2 ...... Denver 0 ...... 3 Pueblo 0 2 l New York...... 24 19 . o I Conmecticut: Newbnirgh O 1. 0 1 1 Niagara Fails. 0 ...... 1 Hartford 1 O New Havei .1 1 North Tonawanda. 1. District of Columbia: O 1 . Washiigton. 5 1 . OTroy. O 1 . Georia: 2 1 O 1 ... . savannah...... O BucTynhs.: Ililiolls: ('incinnati ...... 1 2 I 5 2 ...... Cleveland ...... O 3 2 Chicag. O 6 1 Springfield 0 3 ...... Piquia...... 1 Indiana: Toledo. 2 Laporte ...... 2...... Pennsylvania: . O 1...... 1 ...... Chambersburg Michigan City ...... Iowa: Coatesville...... O Council Bluffs 0 5 r...... Brie:. 1. 2 ...... Harrisburg. 1 1. Sioux City ...... 0. o Kansas: McKcesport...... 1 Philadelphia ...... 4 8.f Atchison I...... 2 2. Kanisas City .0 1...... Pittsburgh. Kentucky. South Carolinia: O 1. Hender sn 0 I...... Charleston O ...... Louisviel. 3 I...... Tenniessee: Knoxville...... O 1 '1 l.oisiania: o ...... New Orleans. 2 13 1 Memphis. Maine: Texas: Lewiston I...... Dalas. Marylanq. VVirginia: o 1. Baltnore.. 7 8 2 Roanoke. o 1. Massachusetts: Washingtoln: 1 2.1 Boston. 2 I 1 Siokane. o 1. Chelse ..0 I...... West 7irgiiuia: Fall River. 2 2. Bluefeld. Mlichigan: Wheeling ...... Detroit. 5 2...... Wisconsin: Mlinn;esota: .Greein Bay ...... O 1. inneapolis... 1...... Marinette . .... O 1. 3223AQ Deciber 29, 1922. CITY REPORTS FOR WEEKENDED D)ECRMBER %, 1922--Continued. DIPHTHEZRIA, MEASLES, SCARLEPT FEVER, AND TUBERCIL0OS,S

TtlDiphtheria. Measles. Scarlet Tubercu. Toul-etal fever. losis. City. tion Jan. from ,12. all AA

Alabama: Birmingham...... 178,806 47 9... 3 Mobile...... 60,77 2.5 4...... 3 . Montgomery...... 43,464 15 .1...... 3...... Arkansas: Hot Springs...... 11,695 1.14 .. . LittleRock_.... 65,142 1...... 2. 2...... North LittleRock...... 14,048 .....1.1.. . 1... california: 1 . 1.:.1.. Alameda...... 28,806 4 1 Eureka ...... 12,923 9. 1...... Glendale ...... 13,536 7 ...... 3...... LongBeach...... 55,593 15 7 . 2.1...... LosAngeles .~---- 576,673 176 45 4 1 - 37 1 61 Oakland...... 216,261 52 15.... 2-14.13 5 1 Pasadena ...... 45,354 14 1 . 14.2.. 1 Richmond...... 16,843 2.I...... Riverside. ~~~~~~~19,34.1 11 2.7. ... 21 5. 1 1.1 Sacrmento...... 65,908 l ... " San Bernardino...... 18,721 8 5 . I.4-- SanDiego.~~~~... 74,683 28 9 .25 .4 SanFancsco . 506.676 147 27 5 2 .5.19.. 1 ... SanJose. 1313...1. 11... .1...... ~~~~~~~~39,842 ... Santa Ana 4 ...... 15,485 ...... Santa Barbara ..19,44.1 ... . Cruz ...... Santa ...... 10,917 3 ...... 2 ... 21,107 .. . . Vaelleo...... Colorado: Deaver ...... 256,491 87 36 4...... 19 . Pueblo...... 4,5 9 7 1 .... 2...... Connecticut: Bridgeport ...... 143,555 36 10 8.9.1 4 Bristol ...... 20,620 1i 6.25, 1 .

...... Fa irael (town)...... 11,475 2 3 . . 3. 1.... Hartford ~.3..6...2 1---- .13,476 32 ...... Manchester (town) .18,370.. 2 16.1.. Meriden (city) . 29,367 .2 1.2.. ...j...... MlOrd (town) 1 ...... 10,193 ...... New Hiasen ....4 New London...... 162,537 4324 1 8... Norwalk 2..5,688 6 ..1---:------1...... Nowlk...... 27,743 3 ...... Delaware:...... StoningtOn (town)...... 10,236 4 ...... I

1018 2 5 ... 5 ...... District Of Columabia: 11 18 2 73 2 2 7 Washington43,7 1 8 2 7 ...... Florida:.,7 St. 14,237 12 22 . TamaPetersburg...... 51,608 19 ...... 2....4.i...... 1.... 11,555 . Geo7ya...... 1...... Atlanta...... 200,616 69 7... .4... 3... Brunswick . 14,13-4. . . 1 Macon. 52,995. .~~ ~ ~ .....21 . 13,2.52. .3 . . K::.... ~~~~~~~~5.. Savannah 22 40 4 --- ...... Valdosta .... io, ---- Idaho: 210,393 5 ...... I... Illinois:.1,01 2...... Alton I462 ~~36,397 7 12 .....J.1...... 2. Bloomington2.7...1on .. 2 4 Blueag ---an-- -- 11,424 ..1... Cheicago.2,701,705--s ------599 259 12 147 ....t214

13 5 . ... 4 2 ...... East ' St. ~43,818 I1 66,767 20 3 I.. 32 ... ..-...... 27,454 7 1 ..1 Evanston ...... 37,234 8 6 4 3- Freeport. 12 ..... ~~~~~~~19,669 6...... December 29, 1922. 3224

CITY REPORTS FOR WEEK ENDED DECEMBER 9, 1922-Continued. DIPHTHERIA. MEASLES, SCARLET FEVER, AND TUBERCULOSIS-Continuied.

_ I Diphtheria. Measles. fever. Tulbe.r- 'I'otal feer cublOB". Popula- d oaths a City. ion Jan. rom 1, 1920. .0 all eJ V; caLuses. 0 IV a I el 2 I- L. 4 L) r,X Illinoic-Continued. 3 ...... I...... Galesburg...... 23,834 ...... Jacksonville ...... 15,713 7 ...... Kewanee...... 16,026 4 ...... La SaUe...... 13 050 ; 4...... Mattoon...... 13 552 5 ...... Oak Park...... 39,858 9 6 I'eoria...... 76 121 21 2 Qiincy...... 35 978 ...... Springfield ...... 59,183 20 a ...... '. . .'. . lodiana: ...... 29,767 ...... Anderson...... 2 I.... 11,55 ...... Bloomington...... 2 ...... Crawfordsville...... 10,139 ...... I 6 ...... i East Chicago ...... - 35,967 1 ...... Fort Wayne...... 86,549 32 6 ..... Frankfort 11 585 2 2 ...... 55 378 6 5...... ::::: :::: ...... i Gxary ...... 'I, Hammond ...... - 36,004 9 2 ..... 4 .....1 Himtington...... 14,000 7 1 ..i...... Indianapolis...... 314,194 94 69 Kokomo...... 30 067 4 ..i...... La Fayette .....-- 22,486 4 10 Laporte...... 15.158 2 ...... Logansport...... 21,626 5 ..:...... ichigan City...... 19,457 6 1 15 195 4 2 I 13 1 Misbawaka...... 1 1 Muincie...... 35,24 6 Soujth Bend...... 70,983 7 1 "i0 3 Terre Haute...... 60,083 10 7 ..... Iowa: Burlington-:...... 24,057 6 7 ..... Clinton...... 24,151 5 Council Bluffs...... 36,162 ... 2 ....i 56,727 .... 22 Davenport ...... 14j Des Moines...... 126,468 ...... 30 Duibuquie...... 39,141 ...... Iowa City...... 11,207 .1 2 ...... Marshalltown...... 15,731 . Mason City...... 20,065 i 7...... Muiscatine ...... 16,068 4 23,003 ...... 6 : ...... Ottumowa ...... I. Sioux City...... 71,227 ...... 7 Waterloo...... 36,230 ...... I ,.5 Kansas: 'I Atchinson...... 12,630 ...... Coffeyville ...... 13 4.52 .I - ...... --- ....--...... 1 . Fort Scott...... 1 693 I ...... Huitchinson ...... 23 298 .5. Kansas City...... 101,177 .4...... 1 L.Awrence...... 12,456 7 ...... Parsons...... 16,028 4 1 ...... -- '2 ...... ''i ..... 15, .....--,----.--...... , Salina...... 085 2 Topeka ...... 50,022 14 24 1 li- 4 ..... 2 wichila...... 72,217 24 8 1 ...... 2 Kentucky: Covi7 gton...... 57, 121 24 3 2 ...... -...... 2 ...... Henderson ...... 12,169 Lexington...... 41,534 1 1 Louisville...... 234,891 - 21 ..1'' ...... Owensboro...... 17,424 24,735 Paducah ...... :2 11 ...... Louisiana: ...... *-...... ---l ...... 20 14 New Orleans...... 387,219 1548 --.- -33...... - 4.8...... 8642...... 0...... Maine: i 8 7 ...... Auburn...... 16,985 ... -- - -- Bangor...... 25 978 ...... 1--- Bath...... 14,731 ...... -I...... Biddeford...... 18,008 ,.!22 ------I ...... I...... Lewiston...... 31,791 15 2 4 Portland...... 69, 272 Sanford (town)...... 10,691 Waterville ...... 13,351 ...2...... 3225 December 29, 1922.

CfTY REPORTS FOR WEEK ENDED DECEMBER 9, 1922-Continued. DIPHT-ERIA, MEASLES, SCARLET FEVERt, AND TUBERCULOSI-ontinued.

Diphtheria. Measles. Scarlet Tuber- Total fever. culosi. Popula- deaths City. tion Jan. from 1, 1920. all causes. 4) ; A A czwa * [ - L) Marvland: Baltimore...... 733,826 221 60 3 59 26 1 18 13 Cumberland...... 29, 837 10 1 ...... 2 - -1 2 1. lassachusetts: 12, £67 2 ...... 2 ...... Adams (town)...... -- -- ...... 1%036 4 2 ...... Amesbuiry (town)...... 18,665 6 ...... --...... - 11 ...... Arlington (town)...... - ---1 19, 731 ...... ' ...... ------I Attleboro. 2 ...... 10,749 ...... Belmont (town)...... 11 ------I Beverly .------22, 561 2 ...... - ...-.1 ...... Boston .. 748,060 223 71 3 41 37 ...... 32 12 Braintree (town)...... 10,580 2 ...... 2 ...... -...... Brookline...... 37, 748 6 4 --- --1 ...... 109,694 35 8 .. Cambridge...... ''''i' 121 ''''''I 1 ...... Chelsea .--- 43,184 13 5 1 ...... 8 1 ...... Chicopee...... 36,214 ...... ''''''I ...... 1...1...... 12, 979 5 1 ''''''I Clinton .... '''--'I _.... Danvers 11, 108 .... .--- ...... - ''---I ...... Dedham...... 10,792 2 ...... --- --1 !...... Everett ...... 40, 120 6 ...... 47 ...... Fall River...... 120,485 23 3 ...... 3 1 . . . ff5 Fitchburg...... 41,029 8 6 ...... 7 Fram ingham...... 17,033 ...... 3 .. 3 Gardner...... 16,971 4 ...... ,5 -- ---1 Greenfield...... 15, 462 3 2 ...... --- --1 1 Haverhill 5, 884 11 ...... 3 31 47 . .. 1.2 ...... 60, 203 19 8 -- --1 Holyoke 1 --- -1 . . . 1 Lawrence...... 94,270 22 ...... -- - -1 ..... 2 2 Leominster...... 19,744 2 ...... -- -1 1 ..2 Lowell...... 112, 759 30 ...... --- . . Lynn ...... 14S 28 2 ...... 181 1 4 49, 103 11 -- -1 1----- 4 1 Maiden...... 141 ...... ----1 39,038 5 -- 1. Medford...... - - - 3 1- - - - - Melrose ...... 18,204 2 ...... - - 211----- Methuen...... 15 189 2 7 ...... -- - -1 Milford...... 13,471 4 ...... 1...... ---- 1-- 1...... New Bedford...... 121,217 23 2 1 2 1. 15,618 6 ----- 1---- ...... Newburyport...... ---- ...... Newton ...... 4A,054 13 1 1--- -- North 2 - ;1 Adams...... 22,282 ...... -- 1- - - - Northampton ...... 21,951 13 2 ...... 1------Pittsfield *--- -1 1 2 ...... 41,763 16 ...... 9 2 ------I ,...... Plymouth ...... 13,045 6 ...... 1------I ...... 47,876 10 ...... --- 1------Revere...... 28,823 8 ...... Salem...... 42, 529 14 1 --' ' ' '- ' 'I 1-- --- ...... Saugus ...... 10, 874 2 ...... - - -1 1---- .,...... Somervlle...... B, 091 28 2 --- 1 Southbridge...... 14, 245 2 3 ...... t .-. .1 1-- -- 22 Springfield...... 129,614 37 1 512 1 ...... Taunton...... 37,137 15 1 ...... ,...... Wakefield...... 13,025 2 1 ...... ,...... 1--- 8 1- Waltham ...... 30,915 12 ...... 1 4 3 1-- - 21,457 ...... i. .. . 1 13 -23 Webster... 13, 258 7 ...... [...... 0 13, 443 ...... ,...... Wese e. 18,604 10 ,...... 1---- Winchester...... 10,485 3 Fs***@* ...... 1-- ...... Winthrop ...... - 15,455 1 >@@v@@e ...... 1---- Woburn...... 16,574 3 ..... l*oov ...... ,! ...... Worcter...... 179, 754 51 @s@ves 1 Michian: t......

11,101 . . 2 .- ...... 9 9 2 19,516 ...... Battle Creek...... 36,154..... 3...... 8...... BentonHrarbor ...... 12,233 0 2 16.. Detroit . i ...... 993,678 192 82 6 18 ...... 1 I 97 3 Flint...... 4 5 1 Grand Rapids...... 137,634 37 7 1 1 11 1 Hamtam ckr...... 48615 11 5 2...... 32.1 EHiddnd Park...... I 46499 13 4...... 3.... . d...... 12,130 1.2.... Ironwood ...... 15739 1 1.3.... Kalamazoo...... 19 8...... 2.... I...... lcember 29, 1922. 3226

CITY REPORTS FOR WEEK ENDED DECEMBER 9, 1922-Continued. DIPHTHERIA. MEASLES, SCARLET FEVER, AND TUBERCULOSIS-Continued. w- Diphtheria. Measles. Scarlet Tuber. Total fever. culosla. Popula- ldeaths ._ _ City. tion Jan. from 1, 1920. all .1AI i 2 causles. | a g

Michigan-Contiinued...... Pontiac .------34, 273 4 2 ...... Port Huron...... 2-5,944 7 3 ...... -- .. ,...... $ault Ste. Marie. 12,096 3...... 2 ...... milnnesota: Duluth...... 9,917 13 2 8...... I...... -4. Hibbing.--- 15,089 2 I ...{- ...... 4 ... I ...... 2 .... Mankato...... 12,469 1 ...... "I ...... Minneapolis...... 380,582 90~~~~~~~~~~...... 48 1.''''40.'''21.71. 40 ...... 21 ...... Si. Clouid...... 15, 87.3 1 ~~~~~~2. 234,698 60 26 4 61 1 9 5 St. Paul...... 1...... 1 Winona...... 19, 143 12 4 1... I Mississippi: Biloxi...... 10,937 2 ...... Missouri: Joplin ...... 29,902 10 7 KansasCity...... 324,410 - -9i 206:::: 1 6 7' 2'4 St. Joseph ...... - 77,939 26 I.... St. Louis ...... 772, 897 190 44 1 17 ...... 31 1 43 14 13 ...... 1 Springfield...... -. - 39,631 ...... Montana:. A~naconda------11,668 100 15, 4 ...... Billings ..... 3 ...... I...... 2 12 1 ...... Butte ...... 41,611 Great Falls...... 24, 121 ...... Helena...... 12,037 Missoula ...... 12,668 Nebraska: Lincoln ...... 54,948 I. Omaha...... 191,601 6 .1i Nevada: ------..... Reno. 12,016 14 . ''...... --'--l------...... '------.. 3..L.. -.. -I'.'.'-. New Hampshire: Berlin.------16,104 concord...... 167 9 % 1 1 ...1...... 1...... 7 Dover...... 22'13,029 Keene...... 11, 210 New Jersey: Asbury Park...... 12,400 - - --- ....-.. Atlantic 24 - -- -- 1.l' .'80.' .' -.l '------^...... I1..... City...... 50,707 ...... 1 .7.1.1i ...... Bavonne ...... 76,754 7 1....2 ...... 13ell ,ville ...... 15,660 .. Bloo nfield...... 22,019 2. ..4..... 1 I1-1.. I Clifton...... 26,470 4 3...... !::--:::l 42 2 ... 1 East Orange...... 50,710 Englewooa ...... 11,627 37 8- ...1 I Garfield...... 19,381 73 ..----1 .. 6 ...... I-..... Hackensack...... 17,667 ...... Harrison...... 15 721 2....1 Hoboken...... 68166 4 4..... 4..1...2...... 298,103 312...... 10 ...... 1 2 Jersey City...... l. Kearny...... 26 724 4 2.1 ..-- 1 28''810 Montclair...... 32 ...... 1.1.. Morristown ...... 12548 42 I.. Newark...... 414,524 6 .....5 2 14 .. --11---- Orange .------33,268 ...... --- 3------1- 2 3 I ...... 63,811 ' 2012 4315.111 210 41 16.. 4...... 22.l Passaic...... 3 ...... I...2... Paterson...... 135,875 12. . 0...... 161...... 2 Phillipsburg...... 16,923 3 2....1 .1. 1 . Plainfield...... 27,700 Summit ...... 10,174 - Trenton 421 651 5 31 1 212 ..... 119,289 1 651 20 3...... 46 3....2 1. Union 20, ...... (town)...... 5 2 . .. * .4 ...... West Hoboken...... 40,074 -- 29 926 dtest New York-...... 6 3. West Orange...... 1.5,573 9 .2. 3 New Mexico: 6 5 2.i4 .. Albuguerque...... S10 Niew Yorlc: Albany..------113, 341 Aubumr ...... 36,192 77i Buffalo ...... 503, 4. . 4 . .. Cohoes ...... 22, 981 - -- . .. 391 98 .I 4 .I...... ' Elmira ...... 45, (.eneva ...... 14,Ol Glens Falls...... 18, &6.3 3227 De mber2, 1909 CiTY REPORTS FOR WEEK ENDED DECEMBERDiphtheria.Measles.9, 1922-Continued.S,carlet Tul~~~~~~~~ DIPHTBERIA, MEASLES, SCARLET FEVER, AND TUBERCUL Continued. Diphtheria. MKeasles. |Scarlet Tulber- Toa _ever. culc Popula- deaths ess. ton Jan. from City. 1,1920. all .us causes. 5: 9 0 1..I !i New York-ContiJu1ed. 4.2 15,025 3 ...... Hornell...... Hudson...... 11,745 2 ...... 5 2 .... . 1 17,004 . 1 ithaca...... 2 ...... 32 ...... 17,918 6 ...... I.1... Lacklkawana..------13,029 .....3 ...... ----!.- ..... Little Falls...... Lockport ...... 21, ?08 4 1 Mount Vernon...... 42,726 .8 13---I2...... 3 New York...... 5,620, 048 1,259 220 13 65l 154 i ...... 14 ...... Newburo ...... 30,366 *2 1 .~~~2...... 3...... 1 10 ...... Niagam Falls...... 50,760 .. 1 . 2 5 ...... I,- 15,482 1 ..2...... 5 : ...... North Tonawanda...... 5 ...... Olean...... 20,506 I...... 1.. 2 ...... 1 5 ...... PeekAkill .------.. 15,868 . 7 ...... Port Chester...... 16,573 2 ...... Pougbkeepsie...... 35,000 10 '--2 1 ...... '''''i2 Rochester...... 295,750 52 -20 3 6 1 4 ...... 2 181 4 . saratoga springs...... 13, ...... 1 ...... Schenectady...... 88,723 18 7 2 1 25 41 ...... Syracuse ...... 171,717 42 .31 2 2. 14 13 8 -2 3 . 2 Troy...... 72,013 21 6 ...... --. ---1 $ 1 Watertown...... 31 285 8 ...... 1 2 ..... 1 White PlainA...... 21,031 4 ...... ------...... - Yonkers...... 100,176 26 8 2 6.. 3 ...... 3 North Carolina: ...... Charlotte...... 46,338 9 ...... 4 ...... 1 Durham...... 21,719 6 . 1...... 2...... 8 ......

Greensboro...... 15, 861 10 ......

Raleigh ...... 9 ...... I 24,418 ...... - -2 ...... Rocky Mount...... 12,742 7 ...... ------Salisbury ...... 13,884 3 ...... Wilmington...... 33,372 17

Winston-falem ...... 48,395 9 6 ...... 3 .. 3 North Dakota: Fargo...... 21, 961 0 Grand Forks...... 14,010 ...... Ohio: Akron...... 208,435 30 2 4...... 11. 19 ...... 113 ...... A,shtabula 22,082 * 2 ...... 1 Barberton...... 18,811 5 2------1- 2 8 Bellaire...... 15,061 3 Bucrus ...... 10, 425 2 .... Cambridge...... 13,104 4 2 I -...... --- --..---- Canton...... 87, 091 16 1 I1--.--- 12 ...... 1 . Chillicothe ...... 15,831 5 2 ...... 8 Cincinnati...... 401,247 126 30 1 3 4 ..... 21I.... 13 8 Cleveland...... 796,841 173 69 1 2 36 1 163 2 28 16 Columbus...... 237 031 60 121... 181.... 71..1.. 9 .3 Coshocton ...... 10,847 Dayton...... 1.52, 559 39 5 ...... 2. 13 ...... :1::::: East Cleveland...... 27,292 3 ...... --.----- 1 1 .... . Findlay...... 17,021 2 1. 132 ...... -- Fremont ...... 12,468 4 Hamilton ...... 39,67.5 15 6...... Kenmore. 12,683 ...... Lancaster ...... - 14,706 4 37,295 ...... 1 391...L.: 104 ...... Maraion...... 27,824 4 | ..... 2 ...... i ...... Slro ... -.--! -.- ...... 27, 891 0 .... Martins Ferry...... 11,634 2 | 1 1-.--.18 1...... I ...... 1 Middletown.. 23, 94 8 New Philadelphia.. 10, 718 ...... Newark...... 26,718 6 Niles ...... 7 Now 13,080 !.. ------o...... 271 6 .... 11 . -,,-,1 - ',,-1,, Pqa..... - - 24,966 4 - .1-....- - 4 -.14''''l''''''l'''l'''l'''::..2::4 ...... -- :...... 15,044 ' -- .-1'-- Salem ...... 10,305 41~ ------11 8. 11 Sandissky 3 1----- ...... 22,897 7 1 SpringfleTid. 60,840 13 71...... 4I..... Steuibenville ...... - 28.508 10 1 3 I ...... ----I . - . 14,375 9 3|1i211611 ...... --. 243,164 i50 Youngstown f ...... 132,358 18 441... 21 1I Zanesville 29,569 4 12 ...... I 40 ..... 2 ...... Ptllmonary tuberculosis only. 19937°-22_ 3 wecember 29. 1922. 3228

C.IY REPORTS FOR -WEEK ENDED DECEMBER 9, 1922-C*ntinued. DIPSTRTEWFA, MEASLES, SCARLET FEVER, ANND TUB3RCULOSIS-Contnued.

D1iphthera. Ifeasles. Scarlet Tuber. Irotal fever. culosis. Popula- eaths City. Ition Jon. diYom 1, 1920. all 8 'uses. 8 AW I1 F1M A u Oklahoma: 91,295 3 2 295 21 3 Oklahoma...... 91 1 .- Tulsa...... 72,075 ...... 5 4 ... Oregm: Portland...... 258,288 62 10 2 7 ... Pennsylvania: 7 2 Allentown...... 73,502...... 17 **- Altoona-...------60,331 ...... 5 2 ...... I 2 . ... Ambrid e...... 12,730. 1 Beaver Fails...... 12,802 - ...... 4 ...... 4 1 Berwick...... 12, 181 2 ...... 50 358 ...... I 8 4 . ... Bethlehem 1 Braddock...... 20,879 ...... 40 . ... Bradford..------15,525 ...... i...... Buler...... 23,778...... Cansburg...... 10,632 ...... C^rEseCartisle.------10,916 ...... ,...I...... e...... 11,516 ...... 20 ,. ... Coneki...... 10,501 3 Cha bersburg ...... 13,171 ...... 4L . ...z '''i 1 2 Clbarlerd...... 11,516 ...... '.i. * .. C eer..... 58,030 I...... 27 1 ,,, Coatesville...... 14,515 I...... 34 .'''i. ,...... 0 Connellsville ...... 13,801 ...... 3 1 ,. .,. . .,b Dickson...... 11,019 I...... 1 1 .. .., 5 ...... Dubois...... 13,681 ...... Duquesne...... 19,011 ...... Easton ...... 33,813 ...... 3 ...... Brie...... 93,372 .... .4 ...... 1 ..... Farrell...... 15,586 ...... 2 .. i. 1 . ,.... Groensburg...... 15,033 ...... 1 .. .. Hariburg.:...... 75,917 ...... 2. 16 .. .. Hazelta...... 32,277 ...... 7I. 1 .. .. Homestead...- ...... 20, 452 ...... 2 2. ....i. l w. 67,327 ...... 3. 1., ,....I.. .. Jcbnstown...... 25 Isn ter...... 53,150 ...... 5 a McKees Rocks...... 16,713 ...... 7 . 1 ,.... McKeesport ...... 46,781 ...... Mabanoy City ...... 15,599 ...... 1 I. .. :...... Maessen...... - 18,179 ...... 6. .. O. Mount Carmel...... 17,469 ...... ^...... Nanticoke...... 22,614 ...... 2 I 1 .. New Castle...... 44, 938 ...... < 61 New Kemsingtoss...... 11,987 ...... i ...... Noristown...... 32,319 ...... 128 .. .. North Braddock ...... 14,928 ...... 56 .OilCIty...... 21,274 ...... 2 P idelphia...... I,92i3, 779 61i. ...f... "i i. 1 P., Poe 10,48 t...... 3 1 znrlxlle...... &.. 68 Pittsburgh...... 588,343 ...... 5QL I. 8 ...i..1 P 16,500 ...... 2 ...... tsvlb ...... 21,876 ...... 9._ I...... Read g...... 107,784 ...... 1 ...... Seratoi ...... 137,783 ...... 3 30...... l...... ,.. .. Shamoln...... 21,204 ...... Sharon...... 21, 747 ...... 4 .... Steeltn...... 13,428 ...... 1 ...... 15 721 ...... v.t...... Sunbury 4 i' ; S ...... Uniontown...... 15 692 ...... Warren ...... 14,272 ...... 4 ...... W hington...... 21,480 ...... 2 .....*t, ...... West Chster...... 11, 717 ...... 7 1...... Wilkes-Barre...... 73,833 ...... 6 ...... Wilklnsburg.. .m...... 24,403 ...... , William t...... 36,198 ...... 1 ....*...... 'i' W oo awn...... 12,495 ...... 1 ... Y05k...... 47,512 ...... 1 Rhode Island: I Crnston...... 29,407 8 ...... 15 ... 4 ... Newport ...... 30,255 ...... 1 844 12 '' ..4 ...... I Pawtucket ...... I'L3 . Pmrldeace...... 237,596 I 11 107 .. 3229 Decemiber 29, 1'921 CITY REPORTS FOR WEEK ENDED DIECEMBER 9, 1922-Continued. DIPHTHERIA, MEASLES, SCARLET FEVER, AIND TUBERCULOSIS-.Colitiiiued.

heria. Measles. Scarlet Tuber- Dipht fever. rupues! Prwrswsle_ UtMLnsAfiafheTotal ~~~~II- culosis. City. tion Jan. from 1,1920. all . causes. U 0;a; 1- --F~ -I I South Carolina: 957 16 ...... Charleston...... 67, ...... 2 1 2 Columbia.------37,524 ...... 1...... '''7' 5 ...... Greenvlle...... 23,127 ...... 1....-. South Dakota: 1 Sioux Falls...... 25,202 7 5 2 ...... Tennessee: Chattanooga...... 2 ...... 2, 57,895 ...... Knoxville ...... I 77,818 ...... 6S, Memphis.------182,351 49j 15 2 2 ..... 3 , 8 2 118,342 ...... Nashville..------...... 2 Texas: * 14 1 ...... 40,422 ...... Beaumont ...... 2 ...... Christi ------.----- 10,522 2 ...... Corpus ...... i Dallas....,,,,,,,,,,,,,,---- 1 -5, 976 36 19 El Paso .---,, 77 560 22 1 ------.. ---- ... 4 3 Fort Worth ...... 106,482 31' 2 1..3 1 Galveston.------41,255 15 ...... Houston 47 10 I . 1 .------138,276 I---1 ...... 1 1 Waco ...... 38,500 9 1 Utah: ...... Salt Lake City ...... 118, 110 28 12 --... 1 Vermont: ...... Barre...... 10,008 Buirlington...... 22,779 10 2 Ruitland ...... 14,954 S ...... 1,,,,, ...... Virginia: ...... ,,,,, ...... Alexandria...... 4...... 18,060 3.. ---,....- 2 Charlottesville ...... 10,688 ...... 1. 1 Danville...... 21, .539 8 2 '- ...... --. ---...... , Lvnehbuirg ...... ,.| 30,070 7 4 I ...... Norfolk ...... 2 -... 16 ...... 115,777 2 o 10 Petersburg ...I....,,.j 31,012 12 1 ii 2 1. .. _21''' 3 Portsmouth ...... I .--21- .54,387 10 2 ...... Richmond ...... I 171,667 61 20 ...... '...... '' Roanoke ...... 50,842 17 8 -- .....--!.--...; ...... Washington: 3...... 7..,,,,,,,,,,.,,,,1 11 Aberdeen ...... 15,337 ...... 1.-...... 2 12; ...., Everett ... 27,644 ...... ---,,-...... -...-..--- Seattle... 315,312 Spokane ...... I 104,437 7 Tacoma ...... I 96,965; ...... Vancouver ,-! 12,6f37 ...... Yakima .------.-.- ...... i 18,539 ...... West Virginiia: 23-.1------I16 1..-. ~~2121.... 41 Bluefield ...... 1.5,282 8 4 1. I4. Charleston ...... 39,608 8 -8 ,,,,,I,,-*z oon-oO v-w*oo-1., .. . ..!. .1- ('larksbtirg ...... 27,869 2 .. ------Fairmont...... 17,8.51 2 ...... 3 Huntington .. .. 50, 177 12 1313 I . 2 1. Morgantos n ... .. 12,127 --.---- -.1------.13 Moundsville ...... 10,669 3 1 Wheeling ...... ---...... 1------...... Wisconsin: 56,208 17 3 2------Appleton ...... 19,561 9 Beloit ...... 2 ~~~~~~~2 ...... 11 Eau Claire. 21,284 20,906 1 .I __ __. Fond dti Lac ...... Z3, 427 Green Bay...... 31,(17 ...... -..|...|.*3 ! Janesville ...... 18, 293 3 Kenosha ...... -.- 40,472 ,-, 1...... 2 2 La Crosse ...... 30,421 Madison ...... 38,378 Marinette ... .. 13,610 ...... Milwaukee ...... 457,147 ... 21 10. Oshkosh. 33, 152 It 2 2 ..... Racine 58, 593 9 6 30,955 15 8. Stevens Point 1 .. 7 TMuperior...... 11,371 Waiikesha.B'aikerior...... 39,671 11 3 .11...... Wausai. 12,558 ; .--- .----- West Allis . .-- 18,661 4 Wyoming: 13,745 4 Cheyenne ...... 13.829 1 2 FOREIGN AND INSULAR.

CANADA. Communicable Diseases-Ontario-October, 1922 (Comparative). Communicable diseases were reported in the Province of Ontario, Canada, during the month of October, 1922, as follows:

October, f922. -Oetober, iu.

Cases. Deaths. Cases. Deat.

Cerebrnolnal meningitis .4 4 4 4 Diphtheia . ; . . 16 68I ...... 166 0 16 3 )ese....: 10S Ptseunmsen (influenzal) ...... 14 Pneumoni (primary)...... 137 1X Poliomyelitis ...... 2 3821 4 ¢Scrlet fsever...... 3695 154 S Smallpox ...... 1 21 16 0 . 112 T ...... e...... 175 176118 Typhold fever...... -...... 11132 30 100 Whooping couh...... 149 129 11 7

Venereal Diseases-October, 1922 (Compative). During the month of October, 1922, 2 cases of chancroid, 170 cases of gonorrhea, and 229 cases of syphilis were reported in the Province, as compared with 4 cases of chancroid, 256 of gonorrhea, and 271 of syphilis reported during the corresponding month in the year 1921.

CUBA. Commucable Diseases. Communicable diseases have been notified in Cuba as follows: Provinces.

New cases reported Nov. 1-10, 1922.

Province. | | Chicken- Dih pw d Scarlet Small- Type pox. ther M. la MeaslmS tYfepveor.do fevIer. pwcM evr 7 Camagusy . . . ~~~~16...... ~ ~ ~~~1 ...... Cabna2 8 4 1 12 2 .... 47 Idatansas ...... 4 2...... 2 5 2 6 12 Oriente ...... 6...... 0. 7 1 . 4 ...... 2 ...... PinardedERo ...... 2 1 SataC .. .. . 1 5 ...... 4 ...... Toal...... 13 181 1 23 2 6 83 (3230) 3231 Dcember 29, 1922. INDIA. Measures Against Plae Outbreaks-Rawal. According to information dated October 19, 1922, a medical commission was appointed during the current. year to study the endemic conditions observed to exist at Rawalpindi, Punjab, northern India, and believed to be the focus of the annual outbreak of plague reported in northern India. The commission recommended the destruction of old grain and fruit markets, which had been proved not adapted to rat proofing. Rat poisoning and inocu- lation were stated not to have been effective in preventing plague in the infected areas, and spread of plague into the surrounding country had been observed to follow outbreaks of the disease in the city. MEXICO. Smallpox-State of Sonora During the month of November, 1922, smallpox was reported present ill the State of Sonora, Mexico, occurring in the northern section of the State. Four cases, one of which terminated fatally, were reportel att Empalme. Vaccination was enforced for all persons travel:ng on trains and for all residents of Empalme. PANAMA. Communicable Diseases-November, 1922.' Communicable (liseases were notified for the Panama Canal during the month of Noveember, 1922, as follows:

Disea-se. Canal Colon. Panlama. Nowdresi- Total.

Chicken p ox------6 3 16 iphtheria ...... 1...... 3 17I~ 16 Dysenlery- ...... 1 1 5 1 8 Hookworm disease ...... 2B...... 131119 so Malaria ...... 70 8 16 31 124 Measles 1 ...... 1 ...... Mumps...... 1 ...... 12 Pneumiouia..... 1 2 8 11 Poliom ...... yelitis ------1...... 8catlet fever.1.... 1 Tuberculosis ...... 6 11 10 Typhoid fever 5 32 ...... 1...... 12

SPAIN. Typhoid Fever Epidemic-Chiclana, Cadiz. An epidenici outbreak of typhoid fever, with more than 100 reporte(d cases, occurre(l at Chiclana, vicinity of Cadiz, Spain, during the last week in Noveember, 1922. The outbreak was attributed to 'Correction: Report ofr, ommw,ieable diseases, Panama Canal, month of september 1922, Public Uealta Reports, Dec. 1, 1922, I-. 3t*, shouild have beeni stated as for the monith of October, lvzi Deeseber 29, 1t22. 3232 polluted river and well water. It'- was stated that antityphoid vaccination would he made obligatory. The town -s a summer residence suburb of the city of Cadiz; population about 10,900. UNION OF SOUTH ARCLA. Anthrsx-Cape Province. DuTing the week ended October 5, 1922, outbreaks of snthrax were reported in the Cape Province, Union of South Africa, occurring in six districts and on seven farms.

CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVE Reports Received During Week Ended December 29, 1922.1 The reports contained in the following tables must not be considered as complete or final, either as regards the list of countries included or the gtww far the pwucular countries for which reports are given. CHOLARA.

Calcutta ...... Nov. 5-11. Rangoon...... Oct. 22-28.

PLAfiUI

In------d ia --- S------ept.-17-30, 1922: Cases, 3,00o8 Bombay .------Oct. 22-28 3 3 deaths,2,087. Karawhi.----- Nov. 5-11.1 1 upfras Pv'rudencyF ,--.--...... 4Q...... o,.... 8 D Rangoon.------Oct. 22-Nov. 4. .23 22 Siam: Bangkok ------Oct. 8-14...... : ..1 Syria: . Beirut ... ept. 4-24...... 3

SMALLPOX.

A .abia: Aden ...... Nov. 12-18 ...... 2 ...... 3Ia7il: Rio de Jsmeiro ...... Nov. 5-18 ...... 8 5 0ao Paulo ...... SepL25-Oct. 15S... A 1 Canda: Ontario ...... Oct. 141: Cas, 25; de3tis, L Toronto ...... Dec.3-9 .... China: Amoy .....Oct. 29-Nov. 4 ...... Present. . Do. ChungAing ...... do ..... Haubln...... Oct.30-Nov. 12 ... 9.- Dominican Republic: San Pedro de Macoris ...... Nov. 12-18...... 21 . Santo ...... Nov. 19-25 ...... 1...... 1 Egypt-.AS4t.2Domingo . uguaro ...... Aug. e24 Pt. 22 ...... 1 France: Paris . Nov. 1-10 ...... 1.....1

Lono .Nov. 12-25 ...... 6 4

Salocki l...... Oct. 30-Nov. 5.... . 4 lef: Calcutta .. .. Nov. 5-1. 2 . Madras ...... do.13 3 flesgeem...... 42 2 XFrom modical officers of the Public Health Service, American consuls, and other sources. 3233 December 29, 1922. CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Conti.iued. Reports Received During Week Ended December 29, 1922-Continued. SMALLPOX-Continued.

Place. Date. Cases. I Deaths. Remarks.

Mexico:

Premt Dinstvbrict., City ...... ,...... MexicoSonoma(State)*o...... Nov. -11 .6...... Including municipallties in Fed. Empeime ..---- . ,.4 1 Mfonth of November, 1922. Sonora (State)Sin .Oct.23-No. 19 79 2 ~~~~~~~~~Present November, 1922. Huelva.------Oct. 1-31 ...... 3...... Valencia ...... Nov. 19-25 ...... 2 . switzerland: Berne ...... Nov. 12-18..... 9...... Zurich ...... ,.,...... do...... 11 . Turkey: Constantinople ...... do .13 Union of South Africa: Cape Province...... Oct. 22-28 ...... Outbreaks. YrPHUS FEVER.

Chile: Talcahuano ...... Oct. 29-Nov. 4.... 8 . China: Harbin ...... Oct. 29-Nov. 18--- ...... 3 . Egypt: Alexandria ...... Nov. 12-18 ...... 1 Cairo ...... Auig. 22-Oct. 22 . . 3 Mexico:. Mexico City ...... Nov. 5-11 .14...... Including municipalities in Fed- Union of South Africa: eral District. Cape Province ...... Oct. 22-28 ... Outbreaks.

Orange Free State ...... od . .; Do. Transwaal ...... ! doj . Do.

Reports Received from July 1 to December 29, 1922.1 CHOLERA.

Place. Date. Cases. Deatls. Remarks.

China: Amoy ...... MMay 14-Jtine24... 1 4 Antung ...... Sept. 21-Oct. 1...... Prevalent in Chinese city and in settlements along Yalu River. Oct. 9-15, 1922: Present in Chinese city. Manchuria- Dairen ...... Sept. 18-24 ...... 3 2 Newchwang ...... July 27...... Present. Stated to have been imported from Shangbai. Pootuing...... Auig. 3 ...... Present. Shanghai...... June 25-July 31 ...... Atig. 1-Oct. 8 1922 Cases, 6, foreign: deaths, 56 Chinese. Jully 29, 1922: statcd to be 2.5i cases in ('hinese isolation hos- pital. Tientsin.. ... July 25-Atig. 19 . 4 2 W oosung ..... Aug. 3...... Aboit 75 deaths reported for week. Grece: previous Athens...... June ...... Saloniki...... Jutne 7-17...... 30 11 At quarantine station: Among ii passengers from vt-,.sel carrying Runsian refulgees. I From medical officers of theG Public llelth .Seryk', Ameritan constuls, andl other sources. Decanber 29, 1922. 3234 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued. Reports Received from July 1 to December 29, 1922-Continued. CHOLERA-Continued.

. Place. Date. CAses. Deaths. Remaks. !I _ Feb. 26-June 24, 1922D ...... India ...... Apr. 23-Jule 17... 12 33,979. June 2-Aug. 6, ign. Bombay...... 7 6 Deaths, 9,346. Aug.Sept.23 De...... July 2-Oct. 21.... 7430. 536 378 1922: Cases, 11,8: d; Calcutta...... Apr. 23-June 24... feb Juml 25-Nov. 11... 127 103 (Report for week edd Do...... 25, 1922, not received.) Madras...... May 21-June 17.. 3 i 8 4 Do ...... July 16-Nov. 4... May 7-June 24.. 116 65 RanLoon...... June 25-Oct. 28... 100 66 Indo-China: Including area of 100 square b. Saigon...... June 25-Aug. 19 .. 30 28 Japan: Epidemic. 4...... I...... Tokyo...... 3ct. Present...... Yokcohama ------4Oet. 5...... Phbllpine Islands: Mani] ...... May 21-June24. I...... i. June 25-Sept. 2... 14 I1 case, 1 death in naMent, Do...... Do Aug. 27-Sept. 2, 1922. Provvinc- Bataan...... June 4-10...... Batangas...... May 26-Jtne 24.. 11 June 25-July 22... 7 Do ...... 4 Eulacan...... Apr. 30-May 6. 1 Cagayan...... A uig. 2 2 Camarines Sur. Mar. 25-Apr. 1.... 1 1 Laguna...... Apr. 16-22...... 15. 6 Marinduque ...... June 25-July 1 Mindoro ...... Apr. 23-29...... Nueva Ecija ...... June 11-17...... Apr. 16-Jun. 24... 6 ...... 1 Pamj5angalJO...... June 25-July 8 .... June 18-24...... a 101 Pa Do...... n ...... Aug. 27-Sept. 2.... 2 3 Apr. 2-Jtme 24 .... Tarlac...... Miay 2Wune 10. 4 Union.------Atug. 6-Sept. 9..... 3 21 ...... July 9-Sept. 7, 1922: Cae, 101; Poland...... deaths, 28. station: Cases ...... June 11-24...... 8 3 Repatriation oo- Rono.. persons Do...... June 25-Aug. 5.... l33 10 curring arong repa- I triat trussia. Volhynia ...... July 2-&...... ,1 Zamosc...... Aug. 21...... ,...... Rumania: Bucharest...... do 1922: Cas, 11; Crangasi.------...... , To July 31, : ca in soldier deaths, 6. First Province- from frontier on Dnlster River. Caga, suburb ef Cobusea...... July 24...... I ...... Bucharest. 11. Codaeshti ...... I ...... Reported Aug. Choler repote Orhei ...... I ,..-...... Prefecture. Aug. 11 among troops In gai- son. 11 Raswutzi...... 4 ...... L Reported July 29. I A . 30-Juns 17. II i Bangkok...... oOD ...... July -Oct. 7.... 14I 8tatettlements: ingpore ..... July 16-22...... L Syria: cs ...... A inteior. *Alpo ...... May 27-June 3...... '1 few in ]Do...... Jam 25-Sept. 2...... Present in interior. On Vefsels: Station. . . Chloe...... July 16...... I ...... At Kavak Quarantine l Bosporus from Novyaksy*, A Russian iack pam r.Cas occurred tn a recosed car- rier. Vessel carried reoJ for Saloniki Greece. bodies buied at se 12 om landed at KA"a during §tay. c A Dairen, Manchuria, CMl ...... Sept. 18-24...... I At Name and origin of vessel not I stated. 3235 33December 2,'1

TYPHUS CIIOLEIA, PLAGUE, SMALLPOX, FBVE AND YLO ~~~FEVEBR-.continued. Reporw Reeived from July 1 t December 29, _lCntmued lPIAGYU.L Prae Date. Cases. Deaths. Remarks. 1-1 .'- Algeria- Aug. 27...... 1 Oran ...... Aug. 1-1. 10 Asia Minor: Sm yrna. May 28-June 17. .. S Do...... June 30-Aug. 26... 8 11 District. Australia: New South Wales- June 1-15. Sydney...... 2 ...... 1I..AgA~. 2-Junr e10192210,(oWId.2ln92 9pa 19 plagU.age Queensland- Brisbane...... luly 23-Nov. 4- -- ...... I ...... 3 plague rats. Azres: ...... b...... FY slnds ------...... Jan 16-Feb. 8, 1922: Cas, 6; Feb. 2-8...... - i. i, deaths, 4. IDof...... Nov. 9...... I 1 St. Yli kel Island...... Sept. 9-Oct. 14.... 202 26 Jan. 1-May 13, 1922 Cas, 98; deaths 55. June 25-Nov. 11 1992 dase, 8; deths, 64. Ia localities 3-9 miles from Ponta Delpda. .Ron Deig ...... Oct. 1-Nov. 11.... 7 1 In vinmity, 180 cases. Bah...... June 11-17...... 1 ...... May 7-June 4,1922: Rodent; oc De ...... Aug. 20-Oct. 28. .. 7 curring In one section of the Penb ...... May 7-13 ..... 1 city. Many dead rats found. Port Aime...... July 30-Sept. 30... 1 BritishUm Africa: ...... Ke*gson1y...... 1 Mar. 1-June 30, 1922: Cases, simm...... 371; Sept. 8-14..... deaths, 344. July 9-15, 1922: N*iobi ...... Feb. i-28 ...... 15 ...... 15 Deaths, 14. Taganyila Trritory. Sept. 17- 3...... 2 I Uganda...... July-August, 1922: Cases, 185; 186. CApe Verde Islands: deaths., St. Vincent...... Sept. 4 ...... I Present. Ceylon: Cokabo...... May 6-June 24.... 13 10 Plague rats, 5. Do...... June 25-Oct. 28... 39 35 Plague rats, 13. China: Aog ...... May 7-June 24...... 87 May 20, 1922: From 10 to 28 Do...... June 25-July 15...... 76 deaths reported daily. JulY Canton...... May 1-June 30.... .28 23 6l-Aug. 12, 1922: Prest; stated to be decrasing. . Do Sept. 1-30 ......

Chunjcing...... Sept. 24-30...... W Do. POow ...... May 7-June 10.. IJne 17-24 "22: Prest. Ju Do ...... July 2-Aug. 12.... 3 1 21: Mildly epidemic; 2 fatal June 4-24 ...... 176 104 cases in foreign phicians. H.ong...... June 25-Nov. 4.... 156 108 Aug. 13-Sept. 30,192: Present. St-31-Oct. 7,192: Plague in

Nanking...... Sept. 21-Oct. 7....I.....t...... Cuba: NoV. 11-20...... 1 Ecuador:abana...... Guayaquil ...... Juem 1-15 ...... I...... Rats fowd infected. 16; examined, 3.406. Do ...... July 1-Nov. 15.... Rats examined 30,175; found in- footed 100. Egypt~E ...... Jan. i-iune 29, 1922: Cases, 20; City-...... deaths 120. Jan. -Nov. 16, Alexandria.. June 1-28...... 21 6 1922: bje, 473; death, Z0. July 2-Nov. 8..... 19 8 Port Sad June 12-25...... 2 5 Septicemic, 1. July 2-Nov. 8..... 32 22 Foreign cases, 2; deaths, 2. Suez...... Do. May 2lune 25. . . 7 6 July 10-Nov. 15... 10 5 Aug. 5, 1922 One ca Imported A"o t...*...... from Mauritius on S. S. Doa. Do...... bea. Doe......

Asiout.... May 30-Jujne 23. .. 14 8 Septicemic, 1. July Il-Nov. 8.... 11 6 Ma 26-June 30. . . 1i JQY 2-Sept. 2..... 29 13 December 29, 1922. 3236 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued.

Reports Received from July 1 to December 29, 1922-Continued. PLAGUE- Continued.

Place. Date. 'ases. Deaths. Remarks. ;~1 Egy;t-Continued. BrovinceContiiiued. S Fayoum.- June .3-29...... Do.. July 2-20...... 13 34 Garbleh...... May 26-Juine-30.... 37 13 Do... Juily 2...... 3 Menoufieh...... July 20...... 1 Muinieh...... June 2-29-. 24 7 Do...... Juily 14-Nov. 14... 27d 12 Sinnuris (districtl)-.... Sept. 3-9.. 1 ...... France: Paris..------Aug. 11-18...... 4 ...... Greece: Patras...... Apr. 24-Jutne 25... 5 3 Pireus...... Aug. 1-31 ...... 3 1 Hawaii: I 1 At Kalopa Homesteads. Case Hamakua...... June 39-July 4.... Hawaiian. JJuly S-Nov. 10.... 1 Hamakla Mill Co. One Do ...... rat trapPed- found ositveplagFe July 14,1922. Oct.WS'ov. I@' 1922 3 plague rats. 4 Japanese and Filipinos,; buboaie Honokaa...... Ltig. 19-Sept. 10... and septicemic. Oot. 5, 192M: 1 One case, one deatl "Rported nositive Oct. 12. Al Honokaa Mill, occurring in family of fatal case reporte4.,Aug. 24 1922. Aug. 12-SepA,_ 13, 1922. 3 plague rats found. 1 Japanese. Pneumonic. Henokaa Mill...... Aug. 24...... 1 1 Contact wilh case at Kalopa Kalopa.------July 13.... Homesteads, Juily 4. rat at ...... One plague trapped Paau]hau ..... : June 30..... Paauhaui Gulch, June 29; .1. found poksitive June 30, 1922. 1. I' Sept.25, July 7...... II At Pohakea: Japanese. Paanuilo...... 1922: One plague rat found at Hamakua mill. cas Aug. 1-16.. IIz Aug. 1, 1922, Japanese child; Pohakea ...... reported positive for plague Aug. 6, 1922. Form, pneu. momc. Aug. 16, 1 fatal cage in Japanese. July 12...... 1 1 Hawaiian. Reported positive, Pohakuhaku...... July 19.

...... 1922: Cases, I...... Apr. 23-June 24, India...... 6,310; deaths, 4,812. June 25- ''I' Sept. 30, 1922: Cases, 12,334; deaths 8,648. Bombay...... Apr. 2.3-June 24.. 168 123 Surroting country, July 2-8, Do...... Juine 25-Nov. 4.... 99 76 1922: Cases, 21; deaths, 16. Calecutta...... Apr. 23-Jutne 24 . .. *36 54 Do...... I June 25-Sept. 23... 17 16 Karachi . ... May 23-Jtune 24. .. .9 55 Do...... June 25-Nov. 11.. 8 7 Madras Presidency. May 21-June 24.... 74 36 Do...... June 25-Nov. 11... 2, 855 1,881 Rangoon6 ...... May 6-June 24.... I $a .1..AdU1 Do...... June 25-Nov. 4.... 500 449 Indo-China: Saigon...... Apr. 23-Juine 24... 30 21 19... 30 7 Including area of 100 square kil- Do...... June 25-Aug. ometers. Italy: Juine 17 1 ...... Catania ...... at 28... 19 ...... Occurring in suiburbs, viz, Naples ...... July IS-Sept Torre Annunziata, July 18- Sept. 28 1922, 18 cases; San Giovanni a Teduecio, July 25, I 1922, 1 case. Japan:.July 11 20. 7 6 Re rted as having occulrred Osaka ...... e4uring past month: ("sUs, 9; I I dcaths,8. 3237 Decunber 29, 1922.

TY CHOLEA, PLAGUE, SMALLPOX,FEVR-Contn-Rued.US I, AND YRLL&W,

ReoWts Received fsesn July I to D)eceamer 29, l.!Z-Coox0tiniaed. PL&9O1J-Costitme4.

Place. Date. ;Cases. Deaths. Remarks. ------ll-

Ja,va...... Month of April, 1922; Repo of the 7 Provinces of ava: Cases, 413; deaths, 495. May 1-31, 1922: Cases, 23; deaths, Ma0 occurring in 6 Provinees. June 1-30, 1922: Cases, 2;22 deatbs, 2W9; occurring In Provisno July 1-Aug. 31, 1922;C;ses 416; deathw, 447; g in g Provinews. Sept. 1-30, l12: Cases, 199; deaths, 248. In 7 Provinces. Eas Soerabaya...... Java May 7-June 24.... 3 3 Do -...... - Sept. 17-23...... 1 I Smarang.------Sept. 1-30...... 61 Soerkarta- Keporen...... y 20...... Epidemic...... Sept. 26...... Epidemic. Locality in disrict of Praimbanan...... Madagascar ------.. . Nov. 4,1922: Present. Tananarive Province- Amboninampama- Oct. 9-15...... 1 1 rinana. Anketrina. May 4 ...... 1 Native village: Disease stated to have bcen presnt sinee about Apr. 27, 1922. Fenrivo ...... Oct. 16-22 ...... 4 3 Tamftave ...... June 26-July 2. 2 1 Do 13 .Aug. 21-Sept...... Present. Aug. 17, 1922: 1 case. Aug. 18, 1922: 1 death. Aug. 21-Sept. 17 1922: Deaths, 5. Sept. 11-17: Cses,3. Tananarive ...... May 29-Jume 18....1 2 1 Do July 10-Oct. 22.... 6 6 M ritius Island ...... I...... Aug. 7-19, 1922: Case, 2. Oct. 19,1922: 65 fatal cases reported.. Mesqptamla: Bagdad...... Apr. 1-June 30.... 188 Do -...... --... July 1-Sept. 30.... 268.32 ......

Mexi.o:T*mpico...... ept. 24-Nov. 25: 2 plague rats. Vera Cr...... e 1922: 1 PSOUe: ...... J...... I...... 30, plague rat. Jaffa...... July 4-Nov. 13.... 55 2 In native quarter. (Entered in previous issues under Jerusa- lem.) P.M...... Oct...... May 1-15, 1922: Css, 35; deths, ti es- . 19. June 1-30, 1922: Cases, 87; Ancon...... Oct. 11-3 1 ...... 1 1 deaths, 15. Juily 1-Oct. 31

B . a (lIualga- Sept. 1-30...... 2 . .... 1922: Cases, 182; detin, 80'. yoc).ob)n. Jan.-June, 1922: Cases, 394; deaths, 173. Calao ...... Sept. l-Oct. 31 8 3 Jsap.-Jue, 1922: Case, 24; Oct. Catacaos ...... 1-31. 1 ...... deaths, 10; couintry district, Cancay...... do. 3 ...... cases, 2 (corrected report). ...yo....d..... do. 7 ...... Chsi3v o. 3 ...... do. 6 ...... i do 1 ...... Guadaloupe ...... I do. 6 Huacho ...do...... 8 4 Huaral ....do. 5 1

..... do 1 ...... do. 8 7 Jan. 1-June 30, 1922: Cas, 30; (country) do...... 16 9 deaths, 16; country district, Paita ...... -...d 1 eas , 28; desUw, 18 (oar Santa ...... do. 4 rected report). St. Luis (Cafhete)...... do 1 Philpin Trji:-Islands:...... anil June 3. From S. B. Tabn g *om Amy, Do .. Aug. 20-26. . C3hina. Portualy: 12 1......

Lisbon...... July 23-Nov. tO.. 6 6 Aug. I-Oct. 23, 1U. Deaths, IO. December 29, 1922. 3238 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued. Reports Received from July 1 to December 29, 1922-Continued. PLAGUE-ContIlnued.

Place. Date. Cases.iDaths. Remarks.

Portuguese West Africa: Angola- Oct. 25-28...... Present. Loanda...... Aug. 24, 1922...... present Guinea...... :: Reported Seneal: Dakar...... June 1-30. 1 Do...... July I-Oct. 31..... 8 8 Siam: Bangkok...... Apr. 30-June 3.... 4 3 Do ...... July 2-Oct. 14..... 14 12 Spain: 9 in Barcelona ...... Sept. 24-Nov. 14. . 23 Stated to be confined to factory Oct. 18...... 2 ...... which disease first appeaired Cartagena...... 2 18, 1922; 18 present. Valencia ...... do...... Oct. cases Straits Settlements: Singapore...... Apr. 30-Juine 24. .. 8 9 Do .------July 9-Aug. 26.... 3 3 Syria: 1 Mleppo -...... - Sept. 9-16...... 1 ...... Oct. 8-14, 1922: plaguerat. Alexandretta ...... Beinrt ...... Juily 30-Sept. 24... 10 Tuinis: 'rilmis ...... June 30-Sept. 9.... 4 1 Turkey: Constantinople ...... Aug. 20-Oct. 28-.. 14 8 1tnioui of Souith Africa: Orange Free State- rodent ...... Onte dead plague-infected Grootkom Farm...... May 7-13...... founid. Locally adj6ins Tm- cart's Berg Farm, onl which plague-infected mouse was found precedinig week. Renidezvouts Rv.Station; tay 14-20.------I------I...... Plague-infectedfounid niear. wild rodent On S. S. Ardeola ...... Juine 25-Jily 8. At Liverpool. Fouir plague-In- fected rats fotuid dead. Vesscl from Las Palmas, Canary Is- lands, June 26 1922. ov. l . ]I At Habana, Cu6a, from Bacre S. S. Barcelonia ...... lona, Spain, via Canary Ls- lands. Patient from Canary Islanids. of S. Dumbes...... Aim,Ag. 5.----.---. I . At Suez, Egypt, from Island S. Mauritius. Patientt ill two days before arrival. Declared positive Aug. 6. 19 At Messina, Italy. Cas on Greek vessel ...... Juily .------board. Vessel no allowed to enter. 29. AAt hamburg, Germany. - Plague S. S. Iegie ...... July rats folunid. Vessel from Buenos Aires, Argenlitna. M 30. I ...... At Thursday Island quarantine, S S. Sotuthgate ...... lay Australia. Vessel left Calcutta May 2; Rangoon1, May 9. Ves- sel badly rat-infested. June 1-3. I II At Mantila P. I., from Amoy, S. S. Taisang ...... Chinia. i'atieut lantded at M1a- llila JuIie 1, 1922. The Taisang was 21 days cen route d:r.ct from Amoy.

SMALLPOX.

Algeria: Algiers...... Nov. 1-10...... ii ....I----- Arabia: Adeni ...... Mfay 7-Juniie 24.. 1 . 21 Do...... July 2-Nov. 18.... 60 27 Argeintina: Rosario...... June 1-30...... 3 Asia Minor. In Smyrna...... May 14-June 24... 4 ...... distriet. Do...... June 25-Aug. 26... 13 ...... Do. 3239 De,muber 29, 1822

CHIOLERA,%0" PLAGUE, SMALLPOX,~~~FIEVER-Continued'TYPIWS FEVER, AND YELLOW Reports Received from July 1 to Deemba 29, 192ontiued. 8SALL X-Continued.

Plaoe. Date. Cases. I Deths. Remarks. *1- I. Austria: Vienna...... Oct. 22-28...... Bermuda: a1 - Hamilton ...... Sept. 3-30...... 3 ...... Bolivia: La Paz...... Mar. 1-Apr. 30.... 97 16 Brazil: Bahia...... June 25-Oct. 28. 3 Para ...... May 29-Juns 26. 8 . 17...... Do. --- July 3-Sept. 141 12 Aug. 22-28,1922: Casm, 16. Pernambuco...... Sept. 24-Oct. 14... 5 ...... Rio de Janieiro ...... - May 14-June 24... 48 Do...... Juno 25-Nov. 18... 49 San Paulo...... Apr. 10-June 11... 3 10 Do-...... Sept. 25-Oct. 15... 4 I British East Africa: Keneva Colony...... i...... Apr. 1-June 30 1922= Cass, Dar -Salam...... Apr. 1-Juane 10...... Do...... July 16-Aug. 12... is18 July 9-15, 192i. Deathu, 5. Nairobi ...... Mar. 1-31...... 22 2 Tanganyika Territory...... Aug. 20-Oct. 7.... 16 Zanzibar...... May 1-June 10.... 6 Do...... June 24-July 1. ... 232 Canada: Alberta- Calfary...... June 18-24...... 1 ...... Manitoba Winnipeg...... May 6June 17.... a ...... Do...... Sept. 3-Dec. 2..... 46 ...... New Brunswick- Kent County...... June 25-July 1.... 2 Madawaska County.... June 4-17...... 6 Do...... Sept. 10-Nov. 11.. 4 Onitario...... pt. 1-Oet. 31, 1i2 Cases, Fort William and Port Aulg. 5-Sept. ?. . . 2. Arthur. deaths, Hamiltoni ...... July 30-Dec. 2..... 4 London ...... Aug. 2648ept. 2. .. 1 Niagara Falls...... Nov. 2-Dec. 2..... 6 North Bay.;...... June 317...... 2 Do. -... July 15-Aug. 12... 3 Ottawa...... June 11-July 1.... 17 Do...... July 2-Nov. 18.... 21 Toronto...... 18-Dec. Saskatchewan- Jun 2.... 14 Rpna...... Sept. 17-23...... 11 Iported. Aug. 20-26...... Ceyrlon:Cyo:Saskatoon...... Cooinmbo...... May 14-20... 1~ Do ...... July 15-Oct. 14.... 19 ...... Chile...... ne2... Prevalent July 3, 1922, tbtei*. Concepcion...... r14-Ju ...... out southrn ProvWn . Do...... June 27-Sept 4...... 30 Quillon...... In C Prvin: demic n May, 1922, wwitk' T; 5 cee.'uJn Do...... June 27-Julv 3...... San Patricio...... May 15-22...... - Talcahuano...... May 22-June 24. .. 33 May 1-22,1922: Premet. Do...... June 25-July 3s... 5 7 Temuco...... Provine ot Cautia; epidemic In MAY, 1922 Valpraiso...... Mar. 25-lime 19...... 115 Inemplet seveal disticts ot China: Do...... June 25-July 30...... 46 reporting. Amoy...... May 7-1b...... Prest, June 18-24, 1922: 1 death. Sept. 24-30, MM A Do...... July 15-Nov. 4.... Present. Oct. 121, I12: May 29-June 18.. Chunghing...... Do...... July 3-16...... 5 Do. May 28-June 24...... Preset. June 25-Nov. 4...... Do. Foochow...... May 14-20...... Aug. 13-19, im: Preset. De...... Aug. 27-Oct. 28... Pre". ELm kw ...... June 25-July 1...... December 29,1922. 3240

CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued.

Reports Received from July 1 to December 29, 1922-Continued.

SMALLPOX-Continued.

Place. Date. Cases. Deaths. Remarks.

China-Continued. Honkong...... May 14-June 24. 41 32 Do.------July 16-Sept. 16. 5 2 Aug. 13-16. 1922: Presenit. Mdanchuria- Dairen.------May 15-June 18.. 4 1 Do ...... June 26-Sept. 17.. 7 1 Harbin...... May 22-28 ..... 1...... Do...... July 30-Nov. 12.. 10...... Mukden ...... June 18S-24 ...... Present. Do .J...... uly 16-Sept.29 ...... Do. ?-anklng .M...... ay 7-Jujne 24...... Do. Do-...... Junie 25-Nov. 4...... Do. Shanghai...... May 22-Nov. 12... 2...... Native. TNentsin...... May 14-20...... Present. une 4 3 Including territory, of Kia. Tsingtau...... May 9-J 18... ochow, leasedIJapanese along- Hallwapeptulation, JapaneseShuntuingresidents, Ts'uian.anid Do...... June 26-Oct. 29. 9 5 Do. Chosen (Korea): Chemulpo .May...... 1-31...... I..... Fusan ...... Ma 1-June 30. 11147 0 Do...... Jul 1-31 ...... 13 9 N seoul ...... May 1-Juine30.. 26 Do...... July 1-31 ...... 23 ...... Cuba . . July 1-Augco. 19'22:31,Cases,77 City- for Preston... Antilla...... June 18-24 ..... I...... Reported Do...... Sept. 17-21..... 2..... Cienfuegos...... June 74-July 1.... 1.I Habana . Jul~~~~y1-Autg.31 10 Sagnia la Grande.....Oct. 15-21 IIn vicinity, at IRancho Veloz. Santiago...... June 1 .3,). 3 1-Nov..30.. 2 Province-K...Do.-...... Sept. Aug, 20-31 ...... aa7s...... do...... Haaa...... 1...... Santa Clara ...... do...... 4 . Domenica ...... Aug. 5-S'-ept. 9....:...... Present. Atug. 23: Epidemic. -Island in Islands. DominicanRepublic: ~ ~ ~ Leewvard Puerto Plata...... Sept. 12-Oct. 14... 8...... 21 June 24.. 167 2. City andi Couintry. (Corrected San Pedro de Macoris....IMay Ireport.) re- Do...... June 25-.Nov%. 18 .. 447 2 City and district. (Corrected I ~~~~~port.-) Santo Domingo...... June 4 21 ...... 9 including viciniity. Do...... June 253-Nov. 25. 7 July 30-Aug. 3, 1922: A few cases, and1 Vicinity. ~~~~~~~~~~~~~~~~cityEcuador: Gusayaqull...... Jujly 16-Nov. 15.. 19 ..... Milagro ...... sep't. 115 ..... I...... Nobol ...... I. ..d(10 I Alexandria...... Juily 23-Aug. 12... 2 2 Cairo ...... pr. 30--June 24. 13i Do...... Juily 23 -Sept. 22...~ 7 3 Port Said...... May7JJune21.. Do...... Juily 23-29...... I ...... Finland ...... June 1-33 ..... 2 1----- Do...... July 1-15 ...... 1----- .... Fiume ...... June 13 19..I Do...... July 10-16...... France: Paris...... Juine 1-10 ..... Do...... Oct. 22- Nov. 10.. 2..... Germany: .... 2 Dresden ...... Nov. 12 18 .... Great Britain:Oubekrpreunrdaeo Halifax .... ~~~~~~~~~~~~~~~~Jutne17, 1922. Hujddersfield...... Do.. Hull...... Nov. 12-11..... I..... - ...... In port hos.Atal. .... 13 19 Liverpool ...... utg. 19,22: Outbreak. To London ...... July 30-Nov. 25. 5 19 Oct. 22-28, deaths, Sh fineld...... May 284- June 17...... Nov. 3, 1922: Cases, 23; Souithampton ...... June IS 24.....I 2...... 2. 3241 Deember 29, 19

C4OLERA, PLAGUE, SMALLPOX,FEVER-Continued.TYPHUS FEVER, AND YLLOY-O Reports Received from July 1 to December 29, 1922.Ontinued. IKALLPOX-Continued.

PlSce. Date. Cases. Deaths. Remarks. I l l l - - Greec°e:oi - --- - GrSaloniki.. WAY 1-June 23.... 3' I Do...... July 17-Nov. 5.... 5 Syra Island...... May 26... .iz5' Haiti: Cape Haitien...... June 11-17...... i1 plaine du Nord...... do .--. Vicinity of Cape Hatlt. Pte ...... eat...... India ...... Feb. 26-Mar. 2s, Dm Bombay...... Apr. 23-Juae 24... .isqQ 1,162 (date a July 2-Oct. U1..... Do...... 678 Mar.' NlMfay repo,t20, 19 Calcutta...... Apr. 2-June 24... 84 6 015. June 4-24: Cae,, 281 June 25-Nov. 11... 26 26 deaths, 919. June 254 30,2i I o. Karachi...... May 23-Jun 24. .. 35 9 Db...... uly 16-Nov. 4.... 19 5 Madras...... Ma-y14June 24. .. 207 9' June125 1921 Case. Do...... July 2-Nov. 11.... 57W 269 RuaI1 on...... May 7-June 24.... 37 is Do...... July 2-Nov. 14.... 116 37 Indo-China: Saigon...... Jime 30-Aug. 19... 36 Including area oflii square km Italy: Trieste...... Sept. 1-Nov. 11.... 13 4

Kobe...... June 19-25...... 2 ...... Taiwan Island...... June 11-30...... 26 3 Do .... Juy 22-Aug.10.... 27 4 Yokohama...... May29-Yune 25 .... 4 2 Do...... June 26-July 20.... S Java: East Java- 45 Soorabaya...... Aug. 13-Oct. 14.... 49 West Java- ...... Batavia...... Apr. 28-June30.... 20 3 City and Provice. Do .. July 9-Nov. 3. ,, 72 9 Province. Luxemburg...... Jue 15-...... 1 1 Mlta ...... 15.... 4 ...... June 1-2,1922:Cues, 2, Mesopotamla may 1-June Badd...... A r. 1-Jmne 30.... 36 40 Do...... 3.... Mexico: -&tt. 104 30 Chihuahua...... June 22-Dee. 2.... 7 Guadalajara...... May 1-June26...... i Do . . - July 1-Oct. 31. 9 Manzanillo...... June 6,25. - ...... 4 Estimated cases, 4 to 10. Do...... June 27-July 3.... Mexico City...... 1 Mlay 21-June 24... 129 ...... 1)eortD 11-

Do .,^,t Jue 25-Now. 11... 237 ...... bcmlmEp"feI FV& NoNes...... July 22-Dee. 2..... 6 6 stated80ora. Soora (State)...... 4Pre3t in November 1922...... November, 1922. Om Lu;P...... W T...... July 23-Nov. it...... 1i P ama July 1-31...... 1 aCal...... AJly 1-31, 1922: Casa,4,of which Colon ...... July 1-Oct 5...... 1 nonresident and n0 locaby ...... - Panama July I-Aug, 15.... 2 ...... or t. 2B, M: Case-,, 3; of these, non. resident, 2.

Teheran ...... Apr. 23-May 22.... 2 ...... May 1-15, 192: Case, 5; daths, 4. June 1-33 1922: Cses, 16; death, 7. Aug. 1-31, I9W2 Cases, 28; deats 5. Cai ...... Jan.-June...... 2 ...... Country, I me. DO...... I...... MY, 1-ptt 3.... 26 F 14A...... Jn.-June...... 65 21 County, ea se,, deths, I Do...... 25 7. kiy I-Sept. 26.... 17 7 Country(Cmete)wp.a, deaths, *Pld ...... KW. 26-June 24, 19221 Cases 1,210; deaths 241. Do ...... Jule24-8 i Cses,.253 Cases, 53; deat. s. 9 l)ecewber 29, 1922. 3242 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW 0 ~~~~FEVER-Continued. Reports Received from JulY 1 to December 29, 1922-Continued. SMALLPOX-Continued.

__T Place. Date. C:ases. Deaths. Remarks.

1'ortugal: 25... 6 8 Corrected report. Lisbon ------May 29-June June 25-Nov. 19... 436 142 Do. Oporto ...... Aug. 27-Oct. 7.... 4 ...... Portuiguese East Africa: Lourenco Marques ...... July 23-29...... 1 ...... Portuguese West Africa" Angola- Loand n...... June 25-Oct. 3...... 16 Russia: Esthonis . May 1-June 30.... 6 ...... 2 Do. . ------July 1-Sept..30 ...... Lettonia ... May..... 1-June. 30.... 51 ...... Do...... July 1-Sept. 30 ... 24 ...... Senega: gene& ar...... June 1-30...... 4 4 Spain: 1 Bamlona...... June 22-28...... Do - .-.-.-.-.-.---. June 29-Sept. 13...... 3 Bilbao -..---. . Aug. 1-Sept. 30...... 5 Aug. 1-30 ...... 1 Cadis...... 11-17...... 1 Conmna. ------June Do...... Oct. 15-Nov. 11...... 3 Huelva Apr. 1-June 30...... 4 .----- . 5 Do...... July 1-Oct. 31 ...... 11-17. Week ended June 11, 1922; Many Seville...... June ...... 36 Do...... June 18-Nov. 19. 227 Valencia...... May 21-27..... Do. ..--...--...... Nov. 518...... 4..... Straits Settlements: Singapore...... Apr. 0June 5.... 11 2 Do...... July 30-Aug. 19 ... 3 Switzerland: Basel.------May 28-June 3.... Do ...... Sept. 17-23... I Berne ...... May 14-20.... 1 Do...... July 9-Nov. 18. ... 43 July 1-31...... 1 1Lucerne...... Aug. 1-31, 192: Cas", 74. Zurich Canton..------...... ,...... Zurich .. Apr. 23-June 12... 9 Do...... June 25-Nov. 18... 100 Syria: Present. Aleppo ...... June 4-24...... Damascus. ....------. June 18-24...... Do ...... June 25-Oct. 14 .... i 3 Tunis: I. Tunis ...... July 17-23...... Turkey: Constantinople...... May 21-June 24 ... 21 Do June 25-Nov. 18.. 21 ...... Apr. 1-June 30, 1922: Cases, 173; union of South Africa...... deaths, 12 (colored);, white, cases, 36. July 1-Aug.31, 1922. Colored, cases, 232; deaths, 3; white, 9 cases. Apr. I-June 30, 1922: Cases, 87; ...... I Cape Province...... I.. deaths, 3 (colored); white, 6 cases. July 1-Aug. 31, 1922: Cases, 89: deaths, 2 (cdolrd). Do Aug. 2-Oct. 21...... I...... Outbreaks...... 1-May 31, 1922: Cases, 20 ...... Apr. Natal ...... -....-.- ...... deaths, 8 (colored); white, 20 cases. July 1-31, 1922: Cae,5 (colored). . May 1-31, 1922: Cases 12; deaths, Orange Free State...... 1 (colored). July 1-Aug. 31, 1922: 5 cases (colored). Ouitbreaks. Do ...... Sept. 3-9...... Southern Rhodesi. May 11-Julne 28. c,7 4 In native cases, 3 cases...... June 29-Aug. 23. a ...... Do Apr. 1-June 30 1922: Cases, 54 Transvaal...... I ....' ..' ' (colored); white, 10 cases. July 1-A ug. 31, 192: Coloded, cases, 133; deaths, 1; white, 9 I cases. Do.Ju...... Jiily -Oct.21 ...... Outbreaks...... Johannesburg ...... May 1-31. 'i'' 3243 December 29, 1922. CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued. Reports Received from July 1 to December 29, 1922-Continued. SKALLPOX-Continued.

Place. Date. Cases. Deaths. Remarks. Virgin lslands: St. Thomas...... June -iS...... I I At quarantine. From vessel from Dominican Republic. yutgoslavia...... Sept. 4-24, 1921: Cases, 11; deaths, 4. Cro3tia-Slavonia- Zagreb .. .. Jtne 4-10...... 1 ...... Do...... Aug. 612.-...... Serbia.... .i...... Oct. 23-29, 1921: Cases, 5. Belgrade ... June 11-17...... Do .. .. Aug. 14-Nov. 5... 37 On vassels: S. S. Changsba...... May 11. 1 ...... At Hongkoong, China. Case landed from vesel; patient intendinr paseer. Vess3f proceedea to Austmlian ports. S. S. Claii MacWilliams.... Atug. 13...... En route from Durban d De lagos Bay, Union of South Aflica, for Newcastle, Austra- lia, via Mauritlus. Arrived Newcastle Aug. 25, 1922; proceeded to Sydney in quarantine. Patient, colored fire man. S. S. Comeric ...... do.---- I At sea, en route to Durban, S. A.; from Bydney, Australia. (Public Health Reports, June 23 1922 p 1856.) Sch. Fanicy Me.May ...... 2fl- ...... At At Thom Vir Islands. From San Pedro de Mcoris, Dominican Republic. 1 case removed to quauantine June 5; died June 18. S. S. Montoro ...... I July 8. 1 At Darxin, Australia. Vessel left Slnppore June 28 for Dar- win via Java ports. Case, Chinese, developed July 4. Case landed at quaantine; vessol proceeded ip quarantine to Sydney via northern S. S. helley. Apr. 19i. 1 At ea, en route from Hongkng.Kts. Vessel left A r. 17. Arrived ThurayIslanduar-Honigkon= antine, AuItralia, Apr. 28,1I22. Case, member of crew; type, confluent hemorrha S. S. St. Albans.| Ma 18. 1 At Thursday Jsland quarantlne, Australia. Case in person of Chinese steeage r. VesselleftShlmonosl,Japan,a for Melbourne via HQOn and Manila. Let Thursday island for Australian ports

TYPHUS FEVER.

Algeria: Algiers...... May 1-31 ...... 16 4 Do...... Aug. I-Oct. 31..... 6 4 Oran ...... June 1-30...... 3 1 Do...... July I-Oct. 10..... 1 4 Asia Minor: Smyrna...... May l4-June 24.... 8 City and district. (Corrected ...... report.) Do...... Junie 2.5-Aug. 19... 11 District. Australia: Brisbane...... July 9-Aug. 12.... 2 ...... Austria: Vienna...... May 7-June 10..... 3 Bolivia:DoBoii:Do...... July 2-Aug. 19..... 3 La Paz...... Mar. I-Apr. 30.... 15 I8 19937 ° -22---4 Decenber 29, 1922 3244 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YBLL(W FEVBR-Continued. Reports Received from July 1 to December 29, 1922-Continued. TYPHUS FKIER-Contlnued.

Place. Date. Cases. Deaths. Remarks. . _ I_ Bulgaria: I SoB a...... May 28-June 17.... 4...... Do ...... t Sept. 24-30...... 1 1 Chil Antofapsta ...... Nov. 5-11...... Concepcion ...... Apr. 11-May 29.... 1...... 101 27-Oct. 16.... 15 13 Do ...... June 1 Talcahuano. ------... Oct. 8-Nov. 4..... Apr. 2-22...... 6 olt D ------July 18-Sep'. 30... 28 China: An1Ang -...... - May 15-21...... Do .. July 10-Nov. 12... 264...... ----- Foochow...... May 14-20...... Do...... Aug. 6-12...... - 4...... Hankow...... July 9-15...... Manchuriar- I2...... Harbin...... May A-June 11.... Do...... Juno 26-Nov. 12... Tsingtau ...... Sept. 11-18...... Czechosldvakia: ,12. FraLmie...... June 11-17...... July 1-Aug. 26.... 21...... 1 Danzig (free city)...... June 4-10...... t: E,gy 4-24...... 9 6 rl'exand ia...... i June July 22-29, 1922: 1 imported Do ...... June '5-Nov. 18... 35 17 paratyphoid. fever, Mr. 8, Cadre ' Mar. 19-June 24... 19 62 Relapsingz :S.A. Do...... June 2.5-Oct. 22.... 53 42 1922; 1 case. May 28-June 3...... 1. Port Said...... 11 21) . July 2-Sept 2..... Do... May 1-6, 1922: 3 cas typhus Germany -.. ---- ...... of Berln...... Apr. 30-June 24. .7 fever at quarantine station De...... June 25-Oct. 21. 19 Osternothafen, in perss r Coblenz...... July 2-Nov. 18.... 26 3 turning fromt Russia. o . May 28-June 3... 1...... K ...... 3-9...... 1...... berg ... Sept. S...... July 22-Aug. 26... 2 Gret Britain: Glasgow ...... Sept. 17-23 . 1 }. Greee: Athe...... Oct. 25-Nov. 3 ... 2 2 Firwus. Aug. 1-31 ...... 1 Russian Seoniki...... May 1-June 18 ... j 2 in refugees. Indo.Chna Aug. 6-10...... 1. Jaa: ast Java- D...... July 23-Aug. 5... 4 2 Apr. 1-June 30 7 2 Aug. 1-Sept. 30.. .6. Meicty...... Apr. 23-Jue 21.. 6.11...... rncludlng municipalities In Fs .37 ...... eral District. Do...... June 25-Nov. 11. 317 ...... Do. 7... Present. Oct. 1-7, 1922; De" San Luis Potosi...... Sept. 10-Oct. 2. Netherlands: Amsterdam..------July 30-Aug. 5... 1.1 ...... Norway: Christiania...... Aug. 15...... Province .. 5...... Fiumarken...... July 26-Aug. 5... 12 2 Occurring in 3 localities. Jafa.a...... June 27-Nov. 6... Relapsing fever, 1 case. Persia: Teheran...... Mar. 22-June 22.. 8 I In previous reports given as for Jerusalem. 3245 Deember 29, 1922.

CHNOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND FEVER-Continued. YELLOW Reports Received from July 1 to December 2, l92S-Continued. T"rlU8 FEVR-Continued.

Pfwe. Date. Cases. Deaths. Remarks. >

Poland ...... Mar. 26-Apr. 22, 192= Cases, 5,65; deaths, 34. Apr. 23- June 24, 1922; Cases, 9402. deaths, 631. Recurrent tvuius Mar. 26-Apr. 22,1922 Gase

Apr. 23- y5;y d6,19,, 922. Cs,155. deaths, 34. (Corrected report.)1,58; May 7-June 24, 1922: Cases 4,790; deth,. 111. June 25- Sept. 30, 192 Cse, 1060; deaths, 215. Recttrnust June 25-Sept. 30, 1922: Cases 4,617; deaths, Warsaw...... Apr. 23-June 24... 1I ...... Amo tea ;t mad permanent Portugal: 0orto ...... May 4-Junie 24 9 4- Do...... June 29-Sept. 30. . 3 1 - Aug. 4...... SeNial.----- I ...... Yil}ge Lisbon...... Apr. 1-3ay 31, 1922: Cases, 62. Masy I-Jun* 2D .... 17 Cerenauli ...... May 1Q1...... Daljrs...... Oct. 22-28_ ...... 7 Ccesinau ...... Apr. I-Jun# 20.... 36 Cluj ...... May 1-June 20.... 22 Conatausa ...... do...... 3 Galatz...... May I-June 30 .... 2 Jaty...... Jme 1-30...... 1 Sulia ...... May 1-31...... 2 District- Chisinau ...... July 1-31...... 4 ...... Apr. 1-30, 1922: Cases, 14; current typhus, cases, 7. Do...... Sept. 1-30...... typhus: Cases, 9. province- eI.current Bucovina...... Jan. 1-31...... 35 13 Transylvania...... do If 3 Russia:

Esthols ...... Apr. 1-June 30. 44 Sept. 1^, 1922: Remurent tY- Do ...... July 1-Sept. 30.... 16 Lettonia...... phbus, cses, partyphus, I . Apr. 1-June3k.... Recurent ttyphus: cies *. Do...... July 1-Sept. 30.... as Rerent typs: Cases, 21; Siberia: 93 prtp s_emes, 3. Vavostok ..... July 1-31...... Spain: Barceloa ...... Jy 13-Nov.22... 3 Madrid...... May 1-June 3...... 16 Do...... July 1-Aug.3...... 7 Seie ...... May 21-Juno 3...... 1

Lacerne...... Aug. 1-3. Syria: Aleppo...... BDS~s...... Oct. 15-21...... Tunis: Oct. 1-7...... 1 ...... d in interior. Tunis...... Turkey: June 4-10...... 2

Constantinople...... May 21-June 24 ... 16

O ...... Jwly 9-Oct. 21 41 U2lian ofSot A...... Apr. 1-June 30, 1922: Cases, 1,220; deaths, 214 (colored); white 17 cases. July 1-Aug. 31, 122: Cases, 1,106; deaths, 179 (col ared)' white 4case. Cap Pr-via.--...... I.. Apr. 1-3tne 3,0 122 Cases, 1,067; deaths, 194 (colored); white 16 cases, July 1-Aug. 31, 122. Cases, 1,041; deaths, 165 (colored); white, 4 Do cas...... Aug. 20-Oct. 28.. Outbreaks. Diamond fields...... -...... Sept. 28, 1922 Outbreaks at native locations near Kimber- ley. Delport Sept. 28 ...... Outbreak. . Gong-Gpn...... Winter's Rush ...... 12 Including Longlands. East London ...... do .- December 29, 1922. 3246 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Contilnued.

Reports Received from July 1 to December 29, 1922-Continued. TYPHUS FEVER-Continued.

Place. Date. Cases. Deaths. Remarks.

Unio'i of Souith Africa-Cotltd...... Apr. I-June 30, 192: Cases, Natal ... ; ...... deaths, 7 (colored). julyS7;j- Aug. 31, 1922: Cases, 25; deaths, 4 (colored). Outbreaks. Do .. .Sept. I-Oct. 28...... 30, 1922: State "I'll ...... Apr. 1-Jime Cases, 97; Orange Free ...... I------...... deaths, 10 (colored); white, i case. July 1-Augg 31 1922: Cases, 36; deaths, 10(coiored) Do ...... Aug. 27-Oct. 21 ...... Outbreaks. -.----- ...... Apr. 1-June 30, 1922: Cases, 29; Transvaal...... I------deaths 2 (colored). July 1- Aug.31, 1922: Cases, 6 (colored). Do...... Auig. 27-Oct. 28 ...... Johannesbuwrg...... May 1-June 30.... .Outbreak.s. 1 ...... Do...... July 1-31...... 2 Yugoslavia..------I...... (1921).Aisg. 7-13, 1921: new cases. Bo3nia-Herzegoviina. Aug. 7-13...... 1 ...... Sept. 4-10...... lDo. Croatia-Slavonia...... Do Serbia- ...... Belgrade.. May 6-June 3..... 2 Voivodina.. Aug. 7-13...... 1 Do. On vessels: 1 At. Station: Juily 18...... Kavak qtarantine S. S. Chios...... Bosorus, from Novorossysk, a Russian Black Sea port. vessels carried refugees for Saloniki, Greece. 1 From Danzig, May 30,1922. At S. S. Smolensk...... embarkation detention camp Southampton, England. (Public Health Reports, June 30, 1922, p. 1610.)

- YELLOW FEVER.

Brazil: Bahia...... July 30-Aug. 26.... 3 2 Mexico: Ciudad Victoria...... Sept. 27-Dce. 2.... 2 1 Origin of 1 fatal case Tampico. Nov. 25...... 1 In person arrived ill from Ciudad Monterey...... Viotoria. 1 Tampico .... July 27-29. From Pantico. Patient brought to Tampico on eighth day of illness. Do.. Aug.30 ...... I,. 6 Of these, 5 with origin at Panuco, State of Vera Cruz: 1 with origin at Tampico. Nov. 5, 1922:1 case. 3 Tuxpam...... Oct. 14-Dec. 1...... I On vessel: Nov. 28 ...... 1 ...... Probable case. At Tampico, S. S. H. H. Rogers...... Mexico. sea between Paramaribo and Schr. Wiliam E. Burmham. 13 ...... At Sept. Mobile Quarantine, Ala., where the vessel arrived Sept. 14, 1922. The vessel left Fre town, Sierra Leone, June 25 and touched at Mungo and Paramaribo.