PUBLIC HEALTH REPORTS VOL. 40 DECEMBER 18, 1925 No. 51 THE NOTIFIABLE DISEASES

PREVALENCE DURING 1924 IN STATES The tables which appear on the following pages have been com- piled from data furnished by the health officers of the several States, the District of Columbia, and insular possessions. The data for syphilis and gonorrhea were furnished by the Division of Venereal Diseases of the Public Health Service. The following is a list of the diseases included: Anthrax. Poliomyelitis. Cerebrospinal meningitis. in animals. Chicken pox. Rabies in man. Dengue. Rocky Mountain spotted fever. Diphtlheria. Scarlet fever. Goniorrhea. Septic sore throat. Influenza. Smallpox. Malaria. Syphilis. Measles. Tuberculosis (all forms and pulmonary). Muumps. Typhoid fever. Pellagra. Typhus fever. Pneumonia (all forms). Whooping cough. The following table shows the States (including the District of Columbia and insular possessions) for which morbidity and mortality data were received:

Morbidity Mortality Morbidity Mortality

Alabama -Alabama Nebraska- Tebraska. Arizona -Arizona. Nevada -Nevada. Arkansas -Arkansas. New Hampshire- New Hampshire.' California -California. New Jersey-New Jersey. Colorado -Colorado. New Mexico - New Mexico. Connecticut- Connecticut. New York-New York. Delaware -Delaware. North Carolina- North Carolina. District of Columbia..--. District of Columbia. North Dakota- North Dakota. Florida -Florida. Ohio -Ohio. Georgia -Georgia. Oklahoma-Oklahoma. lialho - - Idaho. Oregon -Oregon. Illinois -Illinois. Pennsylvania - Pennsylvania. Indiana -Indiana. Rhode Island Iowa -Iowa. South Carolina - South Carolina. Kansas- -- ansas. South Dakota- South Dakota. Kentucky- Kentucky. Tennessee-Tennessee. Louisiana -Louisiana. Texas-Texas. Mlaine -Maine. Vernmont -Vermont Maryland Maryland. Virginia -Virginia. Massachusetts - Massachusetts. Washington-W ashington. Michigan -Michigan. West Virginia-- est Virginia. Minnesota - Minnesota. Wisconsin -Wisconsin. Mississippi- Mississippi.' Wyoining-Wyoming. Alissoulri-M-Missouri. Hawai-i Territory- Hawaii Tqrritory. MIonitana - --- Montana. Porto Rico-Porto Rico.

1 Data not gi'ven by months. 697103°-25t--1 (2741) December 18, 1925 2742 For the purpose of comparison with States, the data for New York City are given in a separate table. The populations given in the tables and used in computing case and death rates were estimated as of July 1, 1924, unless otherwise indicated. For most of the diseases four tables are given: (1) Estimated expectancy, or average, (2) morbidity, (3) mortality, (4) rates. The estimated expectancy, given in the tables for some of the diseases, is the result of an attempt to ascertain from the experience of recent years how many cases of the disease under consideration might be expected in 1924. In most instances the estimated ex- pectancy is the median number of cases reported by the State for the years 1917 to 1923, inclusive. When several epidemics have occurred during these years, or when for other reasons the median is not satisfactory, epidemic years are excluded, and the estimated expectancy is the mean of the number of cases reported for the non- epidemic years. The aim has been to ascertain how many cases of each disease may reasonably be expected in the absence of epidemics. The column headed "Number of years" shows the number of years for which data are available for each State. In comparing the figures for 1924 with the estimated expectancy or with the average for preceding years, it should be borne in mind that there has been a gradual improvement in the reporting of com- municable diseases during the last few years. An increase in the numnber of cases reported may be due to better reporting, of the par- ticular disease rather than to an increase in the number of cases existing. A relatively large number of reported cases of a communicable disease, as indicated by a high case rate (and more especially when accompanied by a relatively small number of deaths, as indicated by a low fatality rate), usually means that the health department of that State is active and that the cases of the disease are being well reported by the practicing physicians. It does not necessarily mean that the disease is more prevalent in that State than in other States. A high fatality rate may mnean that the disease was unusually viru- lent in a State, that the physicians did not treat the disease in that State with the success usual elsewhere, or that the practicing phy- sicians did not report all of their cases. On the other hand, an un- usually low fatality rate may be due to the fact that the disease in the State was unusually mild, that the physicians treated it withl unusual success, that the practicing physicians reported their cases satisfactorily, or that the registration of deaths was incomplete, or the assignment of the causes of death inaccurate. In somne instances comparatively large numbers of cases of diseasec; reported in certain States may be due to the system of reporting, 2743 December 18, 1925 rather than to unusual prevalence of the diseases. For instance, in Mississippi, physicians report some diseases monthly to the State health officer, giving the number of cases occurring in their practice during the month. This method of reporting probably is responsible, in part, at least, for the comparatively large number of cases of certain diseases reported in Mississippi. Tabulations of reported cases and deaths from communicable diseases, similar to the tables here presented, have been isue(d by the United States Public Health Service for the years 1912 to 1923, inclusive (reprints numbered 163, 208, 298, 345, 426, 505, 551, 643, 681, 791, 879, and 974). Summary CHICKEN POX 47 States: I Cases reported, 1924 (population 111,600,680) -202, 081 Cases per 1,000 inhabitants, 1924 - 1. 81 46 States: 1 Cases reported, 1924 (population 108,563,905) - 197, 541 Average, years 1922 and 1923 -_ 141, 897 Cases per 1,000 inhabitants, 1924 - 1. 82 Cases per 1,000 inhabitants, average- __ 1. 33 44 States: ' Deaths registered, 1924 (population 103,540,196) - 123 Deaths per 1,000 inhabitants, 1924 - 0. 00 Cases reported for each death registered, 1924 - 1, 604. 86

DIPHTHERIA 47 States: 1 Cases reported, 1924 (population 111,600,680) - 119, 831 Estimated expectancy, based on years 1917-1923 - 141, 594 Cases per 1,000 inhabitants, 1924 - 1. 07 Cases per 1,000 inhabitants, estimated expectancy - 1. 34 46 States: 1 Deaths registered, 1924 (population 110,967,644) -9, 756 Deaths per 1,000 inhabitants, 1924 - 0. 09 Deaths per 100 cases, 1924 - 8. 19

INFLUENZA 46 States:1 Deaths registered, 1924 (population 110,967,644) - 20,147 Deaths per 1,000 inhabitants, 1924 - 0. 18

MEASLES 47 States: 1 Cases reported, 1924 (population 111,600,680) - 511, 305 Cases per 1,000 inhabitants, 1924 - ______4. 58 44 States: 1 Cases reported, 1924 (population 103,536,151) - 488, 917 Estimated expectancy, based on years 1917-1923 - 290, 923 Cases per 1,000 inhabitants, 1924 -_____ 4. 72 Cases per 1,000 inhabitants, estimated expectancy -2. 96 sThe District of Columbia is also included. December 18,1925 2744 46 States: 1 Deaths registered, 1924 (population 110,967,644) - 8, 370 Deaths per 1,000 inhabitants, 1924 -0. 08 Deaths per 100 cases, 1924 -1.64

MUMPS 41 States: Cases reported, 1924 (population 98,058,324) - -125, 354 Cases per 1,000 inhabitants, 1924 - - 1. 28 37 States: Cases reported, 1924 (population 91,149,888) -- - 124, 938 Average, years 1922 and 1923 - -49, 294 Cases per 1,000 inhabitants, 1924 - - 1.37 Cases per 1,000 inihabitants, average - 0. 55 39 States: Deaths registered, 1924 (population 93,512,052) - -81 Deaths per 1,000 inhabitants, 1924 - -0. 00 Cases reported for each death registered, 1924 -1, 528. 00 PELLAGRA 12 States: Cases reported, 1924 (population, 37,860,436)-8 860 34 States: ' Deaths registered, 1924 (population, 88,002,092) - 2, 969 Deaths per 1,000 inhabitants, 1924 -_-_-_- __- __- _ 0. 03

PNEUMONIA 45 States: 1 Deaths registered, 1924 (population, 110,338,641) -108, 700 Deaths per 1,000 inhabitants, 1924 - 0. 99

POLIOMYELITIS 38 States:1 Cases reported, 1924 (population, 91,462,119) --- 5, 199 Cases per 1,000 iinhabitants, 1924 __--- - 0. 057 36 States: 1 Cases reported, 1924 (population, 89,219,248) - - 5, 177 Estimated expectancy, based on years 1917-1923 - - 2, 033 Cases per 1,000 inhabitants, 1924 - -0. 058 Cases per 1,000 inhabitants, estimated expectancy- 0. 024 45 States: 1 Deaths registered, 1924 (population, 110,750,791) --- 1, 128 Deaths per 1,000 inhabitants, 1924 - -0. 010

SCARLET FEVER 47 States: 1 Cases reported, 1924 (population, 111,600,680) -184, 738 Estimated expectancy, based on years 1917-1923 -136, 688 Cases per 1,000 inhabitants, 1924 - 1. 66 Cases per 1,000 inhabitants, estimated expectancy- _ _ 1. 29 46 States: 1 Deaths registered, 1924 (population 110,967,644) - 3, 109 Deaths per 1,000 inhabitants, 1924 - 0. 03 Deaths per 100 cases, 1924 -1. 71 'The District of Columbia is also included. 2745 llecember 18, 1925

SMALLPOX 47 States: I Cases reported, 1924 (population, 111,600,680) _ 56, 488 Cases per 1,000 inhabitants, 1924 - -0. 51 45 States: 1 Cases reported, 1924 (population, 107,386,279) - - 52, 234 Estimated expectancy, based on years 1917-1923 - - 35, 746 Cases per 1,000 inhabitants, 1924 - - 0. 49 Cases per 1,000 inhabitants, estimated expectancy 0-O. 35 46 States: 1 Deaths registered, 1924 (population 110,967,644) - - 900 Deaths per 1,000 inhabitants, 1924 - -0. 01 Deaths per 100 cases, 1924 - -1. 59

TYPHOID FEVER 45 States: 1 Cases reported, 1924 (population, 106,084,846) - 34, 825 Estimated expectancy, based on years 1917-1923 -38, 791 Cases per 1,000 inhabitants, 1924 -0 . 33 Cases per 1,000 inhabitants, estimated expectancy -0. 39 44 States: 1 Deaths registered, 1924 (population, 105,451,810) -7, 212 Deaths per 1,000 inhabitants, 1924 - 0. 07 Deaths per 100 cases, 1924- - 20. 76 WHOOPING COUGH 47 States: 1 Cases reported, 1924 (population, 111,600,680) -164, 150 Cases per 1,000 inhabitants, 1924 -1. 47 43 States: 1 Cases reported, 1924 (population, 103,482,161) - 143, 008 Average, years 1922 and 1923 - 133, 344 Cases per 1,000 inhabitants, 1924 - 1. 38 Cases per 1,000 inhabitants, average - 1. 31 46 States: 1 Deaths registered, 1924 (population, 110,967,644) - 8, 385 Deaths per 1,000 inihabitants, 1924 -0 . 08 Cases reported for each death registered, 1924 - 19. 55 ' The District of Columbia is also included. December 18, 1925 2746

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- 0 December 18, 1825 2832 DEATHS DURING WEEK ENDED DECEMBER 5, 1925 Summary ofinformation received by telegraph from industrial insurance companies for week ended December 5, 1925, and corresponding week of 1924. (From the Weekly Health Index, December 9, 1925, issued by the Bureau of the Census, Department of Commerce) Week ended Corresponding Dec. 5,1925 week, 1924 Policies in force - 62, 275, 844 57, 890, 437 Number of death claims -- 11, 651 10, 658 Death claims per 1,000 policies in force, annual rate.. 9. 8 9. 6 Deaths from aU causes in certain large cities of the United States during the week ended December 5, 1925, infant mortality, annual death rate, and comparison with corresponding week of 1924. (From the Weekly Health Index, December 9, 1925, issued by the Bureau of the Census, Department of Commerce.)

Week ended Dec. Annual Deaths under 5, 1925 death 1 yer Infant City______rate per V/__ mortality City City ~~~~~~~~~~1,000Week Corre- weekrate e~~~~~~~orre- ended Total1 Death' spon(ing ended sponiding D deaths rate week, Dec.5, 5, 1924 1925 1924' 19252

I Total (68 cities) -7,139 12.9 13.0 764 847 3 61

Akron - -37--- 6 7 67 Albany4______------35 15 2 5 09.2109 Atlanta - -67 --- 11 9 White -- 38--- 4 Colored - -29 (5) 7 Baltimore 4 ------221 14.5 14.5 22 38 66 White ------156-- - 9 33 Colored - -65 (5) 13 209 Birmingham - -57 14.5 23.6 9 14 White ------25- - 2

Colored - -32 (5) ------7 Boston - -225 15. 14.4 20 22 53 Bridgeport ------32 ------6 232 Buffalo - -163 15.3 12.2 20 14 81 Cambridge ------31 14.4 21.0 2 6 m13 Camden -42 17.0 12. 4 8 1 127 Chicago4 -694 12.1 11.9 75 81 66 Cincinnati -121 15.4 16.9 10 18 59 Cleveland -204 11.4 11.1 18 22 45 Coluimbus ------83 15.5 14.0 6 7 55 Dallas ------37 10.0 13.0 9 6- White ------29- 9- Colored -8 () -0 Denver -86 16.0 17.2 9 18 Des Moines-- 36 12.6 10.4 0 2 0 Detroit ------298 12. 5 9.8 44 42 76 Duluth - 16 7.5 &87 2 1 43 El Paso ------25 12.4 16.14 7- Erie ------23 -4 0 78 Fall River-4 ---- 42 18.1 13.4 7 3 102 Flint ------17 6.8 5.5 43 63 Fort Worth -25 &6 6.3 2 2- White ------22- 2- Colored -3 (5)- 0- Grand Rapids -40 13.6 13.0 6 5 94 Houston -52 16.4 8.5 7 6- Whlite------33- - 5 Colored -19 (5)- 2- Indianapolis-111 16i. 1 9.7 8 7 57 Jersey City -56 9.3 13.2 6 9 43 Kansas City, Kans -28 11.8 12.4 4 1 79 White------20- -67 3 Colored - ---- 8 (5)- 1 -18t Annual rate per 1,000 population. 2 Deaths under 1 year per 1,000 births-an annual rate based on deaths under 1 year for the week and estimated births for 1924. Cities left blank are not in the registration area for births. 3 Data for 60 cities. 4 Deaths for week ended Friday, Dec. 4, 1925. s In the cities for which deaths are shown by color, the colored population in 1920 constituted the fol- lowing per cents of the total population: Atlanta 31, Baltimore 15, Birmingham 39, Dallas 15, Fort. Worth 14, Houston 25, Kansas City, Kans., 14, Louisville 17, Memphis 38, Nashville 30, New Orleans 26, Nor- folk 38, Richmond 32, and Washington, D. C., 25. 2833 December 18, 1925 Deaths from all causes in certain large cities of the United States during the week ended December 6, 1925, infant mortality, annual death rate, and comparison with corresponding wek of 19*4. (Fro= the Wely Health Index December 9, 1925, issued by the Bureau of Xw Census, Department of Cemmerce.)-Continued

Week ended Dec. Annual Deaths under t 6,1925 death mortnanrty rate per 1.000 rate My Week ~~~week | Totil | lth | eorre- Cor eed TOta Death sponding ended 'sponding De.5 deaths rate week, Dec. 5, week 1925 .1924 1925.1924 1925 I Kansas City, Mo - -106 15.0 10.7 5 10 Los Angoles - -236 --- 18 29 49 Louisv e_-_-----_--72 14.6 15.0 5 3 42 White -- 53--- 4 38 Colored - -19 (5) 1 _ 68 Lowell - 32 14.3 1&1 4 a9 Lynn - -18 9. 0 9. 1 2 1 50 Memphis - -6 19.7 19.7 8 8 White---- 30--- 4 Colored _-----__------6 ()- 4 Milwaukee - -109 11.3 11. 1 22 17 102 Minneapolis - - 94 1L 5 15.6 12 13 64 Nashvill 4 - -43 1& 5 13.9 5 8-- White --- 28- 2 Colored - 15 (a)-3 - New Bedford- 28 10.8 9. 0 4 3 F6 New Haven - -49 14.3 13 3 7 4 91 New Orleans ------147 18&5 29.0 14 13

White ------93 11 - _- Colored - -54 (5) 3 New York -- - 1,302 1L1 110 128 169 51 Bronx Borough --122 7.0 I 2 10 29 so Brooklyn Borough -- 448 10.4 10.6 49 46 so Manhattan Borough- 585 1& 5 13.6 58 86 60 Queens Borough -- 99 9.0 11.4 10 13 46 RichmondBrough-__ _ - 48 18 7 25.1 1 4 18 Newark, N. - -110 12 7 1L 1 14 14 64 Norfolk -34 -----2 7 37 White ------22 --- 2 59 Colored _------_-----12 (1) 0 Oakland _------63 12.9 17.3 7 7 0 Oklahoma City - - 16 -- - 3 0 Omaha- - - -- 66 1& 3 17.3 7 7 72 Paterson -__ -_-_--__ -_-_ 31 1L4 13.- -6 6 101 Philadelphia - -558 14.7 1& 7 63 60 79 Pittsburgh - -82 15.O 14.8 28 23 93 Portland, Oreg - - 69 12.7 11.3 3 3 30 Providence O- - 10.6 15.2 6 6 48 Richmond - -54 1& 1 15.O 7 4 84 Whifte - - 37 -- 3 . 54 Coed. ------17 (5) ______4 143 Rochester - -63 9.9 11.7 6 7 48 St Louis - -223 14.2 14f.5 16 17 St. Paul ------57 12.1 11.52 3 17 Salt Lake City 4_...... 29 1l. 312.60 45 San Antonio------47 11 4 717.217 . San Diego - 36 17.1 1i. 3 3 70 San Francisco ------145 1. 6 13.4 63 23 Schenectady -- -2 12L 3 12.5 2 1 56 Seattle ------52- - 0 2 0 Somerville ------24 12.3 9.9 3 1 79 Spokanc------24 11.5 1 412 5 22 Springfield, Mss - -29 9.9 9.1 6 4 89 Syracuse ------42 11.4 12s86 7 75 Tacoma ------21 10 5 01016 0 Toledo - - 61 11.1 14.9 3 13 27 Trenton ------50 19.7 91& 79 148 Washinton, D. C --145 15.2 15.3 14 14 79 White--- - 95 --- 4 32

Colored ------50 (5) ------10 ______183 Waterbury------18- 23 43 Wilmington, Del - -32 13.7 14.8 3 4 68 Worcester ------49 12.8 12.85 11 57 Yonikers------19 & 9 6.7 2 0 44 Ytiongstown------23 7.5 5710.161

Deaths for week ended Friday, Dec. 4, 1925. In the cities for which deaths arc shown by color, the coloied populat"on in 1120 constituted the fol- lowing per cents of the total population: Atlanta 31, Boltimore 15, Bfitmingh:.ai :9, Dallas 15, Fort Worth 14, Houston 25, Kansas City, Kans., 14, Louisville 17, Memphis IS, Neshville 30, New Orleans ;, Norfolk 38, Richmond 32, and Washington, D. C., 25. PREVALENCE OF DISEASE

No health department, State or local, can effectively prevent or control disease without knowledge of when, where, and under what conditions cases are occurring

UNITED STATES X

CURRENT WEEKLY STATE REPORTS

These reports arc preliminary and the figures are subject to change when later returms are received by the State health officers Reports for Week Ended December 12, 1925 AIABAMA C;ases ARKANSAs-continued Cases

Chicken po .- -o - - - - 33 Smallpox ------2 Dengue _ 2 Trachoma 3 Din3litneria. --- 29 Tuberculosis - 12 Influenza. 118 TYphoid fever ------16 Malaria. 18 Whooping cough 6

Measles --- 4 Mumps 23 CALIPORMA Paratyphoid fever 1 Cerebrospinal meningitis: Pcllagra 9 Los Angeles 4 Pneumonia _. 113 Oakland Poliomyelitis 1 Chicken pox 338 Scarlet fever. 16 Diphtheria. 489 Smallpox. 16 Influenza 24 Tetanus. 1 Lethargic encephalitis: Trachoma 5 Los Angeles County Tuberculosis 35 San Gabriel Typhoid fever. 17 Measles 32 Whooping cough 9 Mumps 249 Poliomyelitis: ARZONA Compton 16 Chicken pox 15 Fresno County 112 Diphtheria 5 San Francisco. 1 Measles ------2 Scarlet fever 142 Mumps 33 Smallpo.x, Paratyphoid fever 2 Los Angeles S Poliomyelitis 1 Oaklandt------1016 Searlet fever 25 Sacramento 11 Tuberculosqis 98 Scattering 1.3 Typhoid fever. 5 Typhoid fever ARKANSAS Whooping cough

Cerebrospinal meningitis- 1 CONNFCTICUT 1- Chicken pox 16 Chicken pox Diphtheria 2 Conjunctivitis (infectiou:s) .0, Hookworm disease 3 Diphtheria. Influenza .----. 43 German measles --- 3 Malaria 28 Influenza - - - Measles ------1 --- Lethargic encephalitis 142 M um ps .------4 Malaria ------Paratvpboid fever 2 Measles. Pellagra--- 4 Mumps- 7 Scarlet fever 13 PaIratyphoid fever- 1 (2834) 2835 December 18, 1925

CoNNzC?_uT-ontinued ('Isms ILLINOIs-continued Cases pneumonia (broncho) 24 Poliomyelitis: Pneumonia (lobar) 55 Iroquois County ._--- I Poliomyolitis --- 1 Rock Island County ------1 scarlet fever- a3 Scarlet fever -_--_ 351 Septic wore throat- 33 Smallpox: TubeCUlOs. --- 25 McLean County .------. a Typhoid fev v r- 14 Scattering- 3 Whooping cough _ 29 Tuberculosis --- 266 Typhoid fever: DELAWARZ Cook County ------7 Chicken pox --- 6 Scattering - 33

Diphthria------. - . 4 Whooping cough -.- - 110 Measles -- 3 Pneumonia- 5 8 Scarlet fever -_- Anthrax-Jennings County - - I 3 Tuberculos - Chicken pox -.- as Whooping cough- 19 Diphtheria. 49 nLOBIDA Dysentery. -. 21 Influenza . 24 Chicken pox------I------13 Measles ------42 Dengue- 2 Diphtheria- 27 Pneuinonia _ 10 Influenza _-- 13 Poliomyelitis ------1 Scarlet fever------216 Malaria --- 22 5 Smallpox --- 23 Measles -- Trachoana- 4 Mumps - - 21 Tuberculosis -- 69 Pneumonia - 14 Typhoid fever- 9 Poliomyelitis- 28 Scarlet fever- 6 Whooping cough- smallpox - 15 IOWA Tuberculosis- 16 10 Cbicken pox- 83 Typhoid - 41 fever- 6 Diphtheria Whooping cough -- German measler- 2 OKORGIA Measles -- 3 16 Mumps ------18 Chicken pox- 4 Diphtheria- - - - 23 Pneu- Poliomyelitis- 1 Dysentery --- - - 7 IHookworm disease------Scarlet fever- 62 Influenza- 19 Septic sore throat - -- 1 Malaria- 23 Smallpox 21 Measles --- 4 Tuberculosis- 6 - Mumps ------20 Typhoid fever 1 Paratyphoid fever- 2 Whooping cough -_- 17 Pellagra------7 KANSAS Pneumonia ------75 2 ------meningitis: - Cerebrospinal Poliomye tis_ -- -- Scarlet fever -_ 6 Colby-__ -- I Septic so throat----- 6 ]Eureka ------1 7 Chicken pox -_ 11 SmallpoL------___ 25 Tetanus------1 Diphtheria -_- Influenza-_ 11 TuberculoSis --- 33 1 encephalitis - -- Typhoid fever -_----__----_--__-__ 30 Lethargic 1 Whooping cough------8 Malaria- Meses ------Munmps . --- Cerebrospinal meningitis: Pellagra --- 1 Cook County ------2 Pneumonia -- 54 1 Gallatin County -_- _---- 1 Poliomyelitis-Haven- Sangamon County- -- 1 Scarlet iever: Kansas City- 9 Diphtbezia: 52 - _ ----- 87 Scattering- Cook County 4 Sangamon County ------5 Smallpox ------26 Tetanus- 1 Scattering------51 Influenza ------23 Tuberculosis- 118 Typhoid fever -- 9 Aleasles ------45 Pneumonia ------228 Whooping cough- Decmnber 18, 1825 2886

LOUISIANA Ca,e' MNCHIOAN Cawew Diaphtheria. 3 Diphtheria ...---.,,,-,--,,, 14:1 Influensa , 25 M0easle3 ----271 Mtalaria .-- - 6 Pneumonia------119; Pneumonia 29 Scarlet fever ------3

Poliomyelitis ------I Smallpox- Scarlet fever -.-.----.--.--..-- 15 Tuberculosis ------3.. fever Smallpox ------8 Typhoid - .. Tuberculosis .------.- -4.3------4 Whooping cough ------,-.-i! Typhoid fever -.------.. 15 MINNESOTA Whooping cough 11 Cerebrospinal meningitis -,- MAINE Chicken pox

Diphtheria , Cerebrospinal meningitis ------,,,,,,,,- ,,,,,, 42 Mesles Chicken pox .-----.- 18 ------..------2 Pneumonia Diphtheria ------2 ------n- 6 3 Mleasles. . 3 Pollomyelitis ------Mumps ,....----.--- 19 Scarlet fever ------236 Pneumonia.------11 Smallpox -.------..--.------. Tuberculosis ------48 Scarlet fever .-- .-- ... --- .-- 16

Typhoid fever ------....--...... 8 Tuberculosis .-- 3 Typhoid fever -.------.. 5 Whooping cough ------13 Whooping cough ------17 M18srn1f

MARtANDI Diphtheria ------22 Chicken pox .-.--- 138 Scarlet fever .------12 Smallpox ...... 6 Diphtheria ...- 42 German measles ,,,,------3 Typhoid fever .. ,, 11

Influenza ------.--. 38 MISSOPUE

Measls ------289- Mumps 18 Chicken pox ...... 110 Diphtheria .-- Paratyphoid fever 2 69 Influenza ...... - - 12 Pneumonia (broncho) 20 Measles Pneumonia (lobar) 63 .-- 4 Mumps ------8 Rabies------1 Ophthalmia neonatorum 1 Scarlet fever. ..-- - - 42 Pneumonia 5 Septic sore throat Poliomyelitis .- I Tuberculosis 88 Scarlet feoer 140 fever -. 27 Typhoid Septic sore throat. 1 Whooping cough , - - 41 Smallpox ------4 MASSACRt'SETTS Trachoma 1 Tuberculosis- 35 Cerebrospinal meningitis -.--4 Typhoid fever. Chicken pox 280 Whooping cough 12 Ccnjunctivitis (suppurative)-5 Diphtheria 101 MONTANA German mesles- 20 Influenza ------11 Chicken pox- 24 Lethargic encephalitis 2 Diphtheria. 2 Measles -1,258 Measles ------2 Mumps --38 Mlumps------f4ver 42 Ophthalmia neonatorum .- 17 Scarlet ------Pnc-umonia (lobar) -159 Smallpox- 15 Poliomyelitis 4 Trachoma 10 Scarlet Zcver------22 Tuberculosis- 3 Septic sore thr-at 2 Typhoid fever 8 Tetanus -.- 1 Whcoping cough. 10 Trachoma _____--__------2 NEBRAS'KA

Trichinosis -- -- Tubeclosis (pulmonary) 105 Cerebrospinal meningitis Tuberculosis (other fcrms) 21 Chicken pox. 3310 Typhoid fever 6 Diphtheria- 10

Whooping cough -204 Lethargic encephalitis - - Week ended Friday. 2837 December 18, 1925

NEIEA8KA- flntifnUid CaSe3 ORLAROVA Cas (Exclusive of Tulsa and Oklahoma City) Meases ------..-.-.-.-- --- mumps 9 Corebrospinal meningitis: ...... 40 Scarlet fe Canadian County .-----.-----.

..... 12 Sinallpo- ...... ,,,,.,, Tillman County . -.- .. . I ------I TubercUlwsi -- Chicken pox .. . -...... 21 Typhoid fever ------I- 1 Diphtheria ,-- 41 Whooping coughb ------17 Influenza -.------10l NEW JERSEY Malaria -- 29 Measles 4 1 Cerebrospinal meningitis ,-.,- Mumps ------3 448 Chicken Po-.- 5 Pe'lagra .-.-- 119 D)iphtherla ------Pneumonia ------73 Dysentery 1 Poliomyelitis-Marshall County Influenzsa ,,,,,,,- 13 Scarlet fever 38 Malaria ------.- 2 Smallpox -, 7 -3;9 lea.sles Typhoid fever- 34 Paratyphoid fever I Whooping cough 22 Pnieumonia ,-IZ--127, OREGON Poliomyelltis -.-- --1 Scarlet fver -148 Chicken pox 25 Trichinosis 1 Diphtheria: Typhoid fever -, 14 Porl andJ 13 Whooping cough -44 Scettering- 13 NEW MEXICO Influenza---- 3 Measles ------4 Chicken pox , ,A, Mumps- 27 ('onjunctivitis Pneumonia ------Measles .------Poliomyelitis 1 MIumps -.----- Scarlet fever: Pellagra -1 Portland-- 14 Pneumonia ,,---- Scattering- 34 Scarlet fever -.------Sn-.nllp)x: sore throat Septic Portla nf- 9 Tuberculosis 47 21 4 Scattering Typhoid fever Tuberculosis-- 10 Whooping cough 9 Typhoid fever 1 NEW YORK Whooping cough 27 (Exclusive of New York City) RHODE ISLAND Diphtheria -..---- Chicken pox- 12 Influenza 16 Diphtheria- 12 Lethargic encephalitis German measles- 2 Measls- 775 Influenza ------3 Pneumonia -331 Measles- 216 Poliomyelitis 5 Pneumonia- 3 Scarlet fever 181 Searlet fever- 7 Typhoid fever 24 Septic sore throat 1 Whooping cough -232 TuberculWsis- 2 Typhoid fever-Providence 1 NORTH CAROLLNA Whooping cough- 13 Cere.brospinal meningitis- 1 SOUTH DAKOTA Chicken pox- 125 Diphtheria- 60 Chicken pox 22 German measles 4 Diphtheria-- a Measles ------35 Mumps- 62 7 Poliomyelitis -1 Pneumonia- Scarlet fever ------7 Scarlet fever-- 71 Smallpox ------10 Smallpox- 3 Typhoid fever ------24 Tuberculsis-- 1 6 Whooping cough 6 Whooping cough 2 Deaths.

697130-25t - 7 Decelber 18, 1825 2838

TENNESS5 Case Cases Cerebrospinal meningitis-White County.-. Smallpox: Chicken pos . Tacoma ------21 I Ipppu_u------.u. ------._...__._-.-. 2 Yakima County ...... ------.. 19

Infn-- - uen . 3 - I Sattering -.--- 42 Malaria .-....------...------Tuberculosis ,- - 23 Mumps Typhoid fever .------.------5 PeIagra------Whooping cough ...-- . 28 Pneumonia WEST VIRGINI Scarlet fever ------Tuberculosis -_- Cerebrospinal meningitis: Typhoid fever ------21 Hfinton .- .- .

Whooping cough ------Wheeling -..- Diphtheria 13 TEXAS Scarlet fever 14 Cerebrospinal meningitis .--- Typhoid fever: Charleston ,, Chicken pox 2 Clarksburg .- - Diphtheria ------65 Influenza Fairmont ... 30 Ifinton Mumps 2 3 Pellagra 2 Huntington 5 Pneumonia Montgomery 1 ------9 Weston Scarlet fever 35 1 Smallpox 21 W,TOMNA1M Tuberculosis 16 Milwaukee: Typhoid fever 1 Cerbrospinal meningitis--2 Whooping cough 30 Chicken pox -192 Diphtheria -41 UTAH German measles- 1 Cerebrospinal meningitis Mumps --32 1 Ophtbalmia neonatorum--2 Chicken pox 134 Pneumonia- 14 Diphtheria ------24 Measles Scarlet feer- 12 4 Smallpox- Mumps 13 1 Tuberculosis 16 Pneumonia 10 Scarlet fever Whooping cough- 43 4 Scatter ing: Smallpox-Cedar City 1 Chicken pox ---- Tuberculosis 2 -191 Diphtheria -38 Typhoid fever 1 Whooping cough German measles --.-_-- 10 16 Inluenza 28 VERMONT Measles- 19 Mumps- 97 Chicken pox 42 Pneumonia -16 Measles 12 Poliomyelitis Mumps- 2 1 Scarlet fever 143 Poliomc;clitis Smallpox Scarlet fever- 7 7 Tuberculosis . 14 Whooping cough 18 Typhoid fever 7 WASHINGTON Whooping cough 101 Cerebrospinal meningitis: WYOMING Spokane- Cerebrospinal meningitis-Sheridan County 1 Thurston Couuty 1 Chicken pox- 33 Chicken pox 130 Diphtheria- 2 Diphtheria -_- -_- 29 German measles 3 German measles -- 4 Impetigo cantagiosa 1 Meas!es 6 Mumps --11 Mumps 22 Sar'et fever -- 7 Poliomyelitis-Tacoma 1 Smallpox-Sweetwater County-_- 7 Scarlet 'ever 81 Whooping cough 6 2839 December 18, 1925 Reports for Week Ended December 5, 1925

DISTRICT OF COLUMBIA NORTH DAKOTA-continued Cases Cases Chicken pox ,--,-- - 21 German measles- 4

Diphtheria -. - 31 Influenza ------10

Measles - ,- 4 Measles --- 6 Pneumonia ------13 Mumps - 36 Scarlet fever- 15 Pneumonia - 7 Tuberculosis - -22 Scarlet fever - - - 83 Typhoid fever - 2 Smallpox- 3 whooping cough -- 10 Tuberculosis - - - 3 Typhoid fever - NORTH DAKOTA 1 Chicken pox - -23 Whlooping cough -, 25 Diphtheria -6 SUMMARY OF MONTHLY REPORTS FROM STATES The following summary of monthly State reports is published weekly and covers only those States from which reports are received during the current week:

Cere- bro Influ- Ma- Mea- Pella- Polio- Scarlet Small- Ty. Dp- my -t t State spinal theriaa laria sles gra fe pox phoid gitis

October, 1925 Arkansas -1 47 109 256 3 28 2 16 I 132 llawai -24 8 14 - 2 0 Michigan -474 22 - 160 10 667 13 216 November, 19*5

Arizona -- 26 1 5 . 4 64 0 30 Connecticut- 1 173 29-- 2f 3 185 0 17 Michigan --474 16 -- 411 13 875 18 84 Vermont -0 22 0 0 14 0 9 91 0 1

PLAGUE-ERADICATIVE MEASURES IN THE UNITED STATES

The following items were taken from the reports of plague-eradi- cative measures from the cities named: Los Angeles, Calif. Week ended Nov. 28, 1925: Number of rats trapped -___- 1, 841 Number of rats found to be plague infected O--0 Number of squirrels examined _-_-_-__-_-- 192 Number of squirrels found to be plague infected _ 0 Number of mice trapped -2, 953 Number of mice found to be plague infected _-O--0 Date of discovery of last plague-infected rodent Nov. 6, 1925. Date of last human case, Jan. 15, 1925. Oakland, Calif. (Including other East Bay communities) Week ended Nov. 28, 1925: Number of rats trapped -______-- ______558

Number of rats found to be plague infected ------December 18, 1825 2840 Totals: Number of rats trapped Jan. 1 to Nov. 28, 1925 --- 76, 555 Number of rats fottnd to be plague infected -- 21 Number of squirrels examined May 1 to Aug. 1, 1925 - - 7,277 Number of squirrels found to be plague infeeted _-- 0 -Number of mice trapped Jan. 1 to Nov. 28, 1925 - -27, 800 Date of discovery of last plague-infected rat, Mar. 4, 1925. Date of last human case, Sept. 10, 1919. GENERAL CURRENT SUMMARY AND WEEKLY REPORTS FROM CITIES Diphtheria.-For the week ended November 28, 1925, 37 States reported 1,660 cases of diphtheria. For the week ended November 29, 1924, the same States reported 1,978 cases of this disease. One hundred and two cities, situated in all parts of the country and hav- ing an aggregate population of about 29,000,000 reported 886 cases of diphtheria for the week ended November 28, 1925. Last year for the corresponding week they reported 965 cases. The estimated ex- pectancy for these cities was 1,469 cases. The estimated expectancyis based on the experience of the last nine years, excluding epidemics. Measles.-Thirty-four States reported 2,580 cases of measles for the week ended November 28, 1925, and 848 cases of this disease for the week ended November 29, 1924. One hundred and two cities reported 1,179 cases of measles for the week this year, and 325 cases last year. Poliomyelitis.-The health officers of 38 States reported 38 cases of poliomyelitis for the week ended November 28, 1925. The same States reported 83 cases for the week ended November 29, 1924. Scarlet fever.-Scarlet fever was reported for the week as follows: Thirty-seven States-this year, 2,837 cases; last year, 2,997 cases. One hundred and two cities-this year, 1,135 cases; last year, 1,279 cases; estimated expectancy, 939 cases. Smallpox.-For the week ended November 28, 1925, 37 States re- ported 467 cases of smallpox. Last year for the corresponding week they reported 614 cases. One hundred and two cities reported smallpox for the week as follows: 1925, 89 cases; 1924, 213 cases; estimnated expectancy, 42 cases. One death from smallpox was re- ported by these cities for the week-at Los Angeles, Calif. Typhoid fever.-Four hundred and ninety-five cases of typhoid fever were reported for the week ended November 28, 1925, by 36 States. For the corresponding week of 1924, the same States re- ported 454 cases of this disease. One hundred and two cities reported 76 cases of tvphoid fever for the week this year and 161 cases for the corresponding- week last year. The estimated expectancy for these cities wa's 99 cases. Infliienza and pneeumonia.-Deaths from influenza and pneumonia were reported for the week by 95 cities, with a population of more than 28,000,000, as follows: 1925, 754 deaths; 1924, 752. 2841 December 18, 1925 City reports for week ended November 28, 1925 The "estimated expectancy" given for diphtheria, poliomyelitis, scarlet fever, smallpox, and typhoid fever is the result of an attempt to ascertain from previous occurrence how many cases of the disease under consideration may be expected to occur during a certain week in the absence of epidemics. It is based on reports to the Public Health Service during the past nine years. It is in most instances the median number of cases reported in the corresponding week of the preceding years. When the reports include several epidemics or when for other reasons the median is unsatisfactory, the epidemic periods are excluded and the estimated expectancy is the mean number of cases reported for the week during nonepidemic years. If reports have not been received for the full nine years, data are used for as many years as possible,but no year earlier than 1915 is included. In obtaining the estimated expectancy, the figures are smoothed when neexssary to avoid abrupt deviations from the usual trend. For some of the diseases given in the table the available data were not sufficient to make it practicable to compute the estimated expectancy.

Diphtheria Influenza Population Chick- Mea- Mumnpe Pneu Division, State, and July 1, en pox. Cases, sles, cases monia, city 1923, cam esti- Cases Cases Deaths ewes re- deaths estimated re- mated re- re- re- re- re- potdexpec- ported ported ported porte Potdprted tancy

NEW ENGLAND Maine: Portland - 73,129 4 2 1 0 0 0 0 2 New Hampshire: Concord -22,408 0 1 0 0 0 0 0 1 Manchester-81,383 0 5 0 0 0 0 0 1 Vermont: Barre- 110,008 1 0 3 0 0 0 0 2 Burlington-23,613 0 1 0 0 0 1 0 0 Massachusetts: Boston -770,400 46 64 13 3 3 85 5 19 Fall River -120,912 1 5 1 1 0 71 2 3 Springfield 144,227 1 5 1 1 1 1 1 4 Worester - 191,927 2 6 4 0 0 27 0 6 Rhode Island: Pawtucket-68,799 0 2 2 0 0 0 0 1 Providence-242,378 0 14 5 0 1 113 0 6 Connecticut: Bridgeport- 1143, 555 2 11 11 1 0 20 0 4 Hartford- 1138,036 6 10 1 0 0 13 0 8 New Haven- 172,967 20 4 0 0 0 3 1 9 MIDDLE ATLANIC New York: Buffalo -536,718 19 31 9 4 0 2 1 15 New York- 5,927,625 179 190 150 12 9 377 21 157 Rochester -317,867 14 6 7 1 0 17 0 5 Syrcuse -184,511 10 13 1 0 0 1 11 7 New Jersey: Camden -124,157 5 5 4 0 0 4 0 5 Newark -438,699 29 18 6 0 0 9 2 12 Trenton -127,300 7 6 0 1 1 0 1 2 Pennsylvania: Philadelphia- 1, 922, 788 134 76 101 0 3 54 9 47 Pittsburgh-613,442 28 34 17 0 3 6 0 33 Reading -110,917 13 6 2 0 0 2 0 4 EAST NORTH CENTRAL Ohio: Cincinnati-406,312 11 21 7 0 3 0 0 10 Cleveland-888,519 55 50 71 2 0 74 2 27 Columbus-261, 082 7 14 2 2 1 1 0 4 Toledo -268,338 16 18 10 0 0 13 0 2 Indiana: Fort Wayne-93,573 0 5 3 0 0 1 0 2 Indianapolis- 342,718 15 22 11 0 0 10 0 7 South Bend--6,709 17 2 3 0 0 1 0 1 Terre Haute- 68,939 4 3 0 0 0 0 0 1 Illinois: Chicago-2,886,121 120 211 77 1 2 8 7 42 Peoria -79,675 9 3 0 0 0 0 2 1 Springfleld-61,833 5 4 2 0 0 1 6 0 'Population Jan. 1, 1920. December 18, 1825 2842 City reports for week ended November S8, 1956-Conitinued

Diphtberia Influe Me- Pneqi. Chick- BU,M M mona Division, State, and Ppulatio[uly 1, en POX, Cases caw came deaths city 1923. cass estt- Camg Cases Deaths rv re -r estimated reC mated ro- m re- ported porbd ported ported expee- pord ported ported tancy I I I1 I I I I -I' MAST NORTN CENTRAL- continued Mlebigm- Detroit ------1,155,000 2 79 20 2 1 70 4 27 Flint --- 117,968 12 16 2 0 0 0 0 2 Grand Rapids- 14-,947 17 6 1 2 0 1 0 4 Wisconsin: Madison - 42,519 30 1 0 0 0 0 0 0 Milwaukee-484,595 189 30 15 0 0 3 17 8 Racine -- 64,393 4 2 2 0 0 0 2 2 Supior------1'39,671 0 1 0 0 0 0 0 0 WEST NORTH CENTRAL Minnesota: DulUth lOt;, 289 23 5 0 0 0 1 0 4 Minneapolis- 409,125 80 29 19 0 0 3 1 6 St. PauI -241,891 17 22 14 0 0 2 2 6 Iowa: Davenport- 61,262 1 2 4 0 0 0 Sioux City 79,662 8 3 3 0 1 O Waterloo - -- 39,667 2 1 0 0 2- ..--- Missouri: Kantas City- 351,819 36 15 4 2 1 1 1 6 St. Joseph - 78,232 10 5 0 0 0 1 0 8 St. Louis -803,853 31 66 39 0 0 2 0 . North Dakota: Fargo -24,841 3 0 1 0 0 0 30 1 Grand Forks 14,547 1 1 0 0- I 0 South Dakota: Abetdeen-15.89 14 0 0 0 0 20 . Sioux Falls- 29,206 2 1 3 O 0 0 0 0 Nebraska: Lincoln - 58, 761 7 2 1 0 0 0 0 0 Omaha - - 204,382 8 8 2 0 0 0 0 6 Ransas: Topeka- 52,555 16 4 0 0 0 1 1 1 Wichita -79, 21 16 9 1 0 0 0 0 0 SOUTH ATLANTIC Delaware: Wilmington.--- 117,728 3 3 8 0 0 1 0 2 Maryland: Baltimore 80 98 44 26 12 2 iCO 55 18 Cumberland.--.-773,32,361 0 1 0 3 0 0 0 1 Frederick -11,301 1 0 0 0 0 1 0 0 District of Columbia: Washington- 437,571 19 26 24 2 1 3 0 6 Virginia: Lynchburg- 30,277 2 2 1 0 0 0 0 1 Norfolk -159,089 4 6 0 0 0 1 0 4 Richmond-181,044 1 1n 18 0 0 1 2 3 Roanoke -_ 55,502 0 4 5 0 0 0 0 4 West Virginia: Charleston -45,597 1 4 3 0 0 0 1 2 Huntington- 57,918 0 3 1 0 0 2 0 1 Wheeling- 1 56,208 2 3 0 0 0 1 0 2 North Carolina: Raleigh -29,171 1 3 3 0 0 0 0 1 Wilmington-35,719 --1 Winston-Salem 56,230 0 3 3 0 0 4 0 1 South Carolina: Charleston-71, 245 0 3 4 0 0 0 0 2 Columbia - - 39,688 0 1 1 0 0 0 3 0 Grcenville -25,789 0 1 2 0 0 0 0 1 Georgia: Atlanta -222,963 2 7 8 34 2 0 1 19 Brunswick- 15,937 0 u 0 0 0 0 0 0 Savannah - 89,448 0 4 0 7 0 0 1 1 Florida: St. Petersburg 24,403 2 1 0 0 0 1 0 1 Tampa -56,050 0 2 2 2 0 0 0 2 'Population Jan. 1, 1920 2843 December 18, 1925

City reports for tweek ended November 28, 1925-Continued

Diphtheria Influenza PouainChick- Mea- Mumps Pneu- Division, State, and uly 1 en PoX, | & ' cahs | sdes, | ' ieat city.estimAtee 1923 prtedrtcases matedecti- Cowsre- ptre- Dethsre- r-es portedredeatprted est Portedexpec-poteported p ortedore ported tancy

EAT SOUTH CENTRAL Kentucky: Covington-57,877 0 3 0 0 0 0 0 2 Louisville -257,671 6 13 5 2 0 0 0 8 Tennessee: Memphis 170,067 7 14 3 0 1 0 0 10 Nashville -121,128 0 6 4 0 0 4 0 5 Alabama: Birmingham 195,901 4 7 4 10 2 2 0 7 Mobile -63,858 0 0 2 8 2 0 0 2 Montgomery- 45,383 0 1 3 0 0 0 14 0 WEST SOUTH CENTRAL Arkansa: Fort Smith-30,635 3 2 2 0 0 0 - Little Rock- 70,916 0 3 2 0 0 0 0 0 Louisiana: New Orleans- 404,575 0 12 6 10 3 1 0 17 Shreveport- 54,590 3 0 2 0 1 0 0 0 Oklahoma: Oklahoma City 101,150 3 4 1 0 0 0 0 2 Texas: Dallas -177,274 7 14 13 1 0 0 0 4 Galveston-46, 877 0 1 1 0 0 0 0 0 Houston- 154,970 0 5 11 0 1 0 0 4 San Antonio- 184,727 0 4 2 0 2 0 0 6 MOUNTAIN Montana: Billings -16,927 11 1 0 0 0 0 9 1 Great Falls- 27,787 5 2 1 0 0 0 81 0 Helena- 112,037 0 0 0 0 0 0 0 1 Missoula -_.1 12, 668 4 0 0 0 0 0 0 1 Idaho: Boise -22,806 2 0 1 0 0 0 0 0 Colorado: Denver -272,031 22 15 2 0 1 1 0 10 Pueblo -43,519 2 4 4 0 0 0 0 1 New Mexico: Albuquerque- 16,648 11 1 1 0 0 0 1 0 Arizona: Phoenix -33,899 --- 2 0 0 0 3 Utah: Salt Lake City 126,241 37 4 6 0 0 0 11 3 Nevada: Reno -12,429 0 0 0 0 0 0 0 0 PACIFIC Washington: Seattle ------1 315,685 29 7 2 0 4 18 . - kane ------104:573 41 5 4 0 0 0 3 O O 1 1 Tacoma ------101,731 O 3 0 Oregon: Portland -273,621 8 7 8 0 0 2 4 6 California: Los Angeles 666,853 15 40 38 7 0 2 6 18 Sacramento-69,950 3 3 3 0 0 1 1 1 San Francisco - 539,038 42 23 7 1 1 2 6 7 I Population Jan. 1, 1920. December 18, 1825 284 City reports for eek ended November 28, 1925-Continued

Scarlet fever Smallpox Typhoid fever _Tuber- Whoop. Division, State, Cases, Cases, Si Cases, , Death, and city esti- Cases esti- Cases Deaths deaths esti- Caes Deaths cas al mated re- mated re- re- re- mated re- re- re- causes xpect- ported ipect- ported ported ported expect- ported ported ancy ancy anicy

NEW ENGLAND Maine: Portland 7 0 0 0 2 0 I I 0 22 New Hampshire: Concord. 1 0 0 0 0 1 0 II 0 9 2 Manchester_ 13 0 0 0 0 0 II 0 14 Vermont: Barre 1 0 0 0 0 0 0 I 0 3 1 0 Burlington_- - 0 0 0 0 0 I 0 3 Massachusetts: Boston 36 47 0 0 0 12 2 IL 32 207 Fall River- 1 0 0 0 0 2 1 1 27 Springfield --- 7 3 0 0 0 2 0 0 43 Worcester- 10 11 0 0 0 2 0 2 7 Rhode Island: Pawtucket--- 1 0 0 0 0 0 0 23 Providence__ 9 0 0 0 3 1 a 9 67 Connecticut: Bridgeport 5 4 0 0 0 1 1 0 1 29 Hartford- 6 1 0 0 0 3 0I cI 8 38 New Haven_ 5 5 0 0 0 2 0 cI 2 44 MIDDLE ATANTIC New York: Buffalo- 17 13 0 0 0 3 5 0 8 115 New York 117 97 0 0 0 1101 19 19 2 47 1,314 Rochester- 10 6 0 0 0 0 1 1 0 14 63 Syracuse- 13 1 0 0 0 1 0 0 0 14 43 New Jersey: Camden- 2 12 0 0 0 0 0 0 0 0 26 Newark- 16 13 0 0 0 8 2 0 0 4 96 Trenton- 2 4 0 0 0 5 0 0 0 0 32 Pennsylvania: Philadelphia- 52 66 0 0 0 31 6 3 0 24 412 Pittsburgh_- - 29 79 1 0 0 7 1 0 0 2 174 Reading- 2 4 0 0 0 0 0 0 0 3 30 EAST NORTH CENTRAL Ohio: Cincinnati. 14 15 0 0 0 6 1 1 0 0 96 Cleveland- 28 16 2 0 0 15 3 1 35 217 10 1 6 0 Columbus- 8 0o 3 1 0 0 0 69 Toledo 15 16 0 0 0 0 3 4 1 0 45 Indiana: Fort Wayne- 1 0 0 0 0 1 0 0 0 0 30 Indianapolis_ 11 16 3 35 0 1 0 0 1 2 93 South Bend.. 3 4 0 2 1 0 0 1 11 00 00 Terre Haute._ 3 12 0 0 2 0 1 0 21 Illinois: 0 0 Chiago- 118 116 1 1 43 5 0 20 0 610 Peoria 6 3 0 0 0 0 0 0 13 0 0 Springfield 2 0 0 0 0 1 0 1 11 Michigan: 0 0 Detroit- 70 67 2 0 18 3 0 26 262 0 0 Flint 10 3 0 0 2 0 0 11 27 0 0 Grand Rapids 8 18 0 0 0 1 0 30 31 Wisconsin: 0 0 Madison- 0 5 0 0 0 0 13 6 0 Milwaukee -- 29 9 1 0 8 1 10 20 92 0 Racine 3 6 0 0 2 0 0 0 11 0 Superior- 1 6 0 0 0 0 0 0 0 12 WEST NORTH CENTRAL Minnesota: Duluth- 3 18 1 1 0 4 0 8 28 Minneapolis-- 33 71 2 0 O 1 1 O 1 0 90 St. Paul 13 32 3 0 O 4 1 O 0 3 55 I Pulmonary tuberculosis only. 2845 December 18, 1925 City reportk for week ended November 28, 1925-Continued

Scarlet fever Smallpox Typhoid fever Tuber- Whoope Diviskm, State, Cases, _ Cases, Cases, Dehs, and cases causes esti- Cases Deaths re- esti- Cases Deaths dty matedesti- Casesre- mated re- re- re- e ported portedr ported portd t- ported ported portedre- ancy anc ancy

WEsT NORTH CEN- TRAL-contd. Iowa: O 1 1 0 3 --- 0 0 - Davenprt.'-SiouxCity 3 0 1 1 O0 0 0 Waterloo , 3 6 0 1 .- 0 1 3 Missouri: KansasCity 10 13 1 0 0 4 1 0 0 10 98 St.Joseph 4 0 0 0 0 1 0 0 0 1 30 St.Louis - 32 56 0 0 0 10 3 2 1 5 209 North Dakota: Fargo-2 6 0 0 0 0 1 0 0 2 7 GrandForks-_ 1 0 1 0 . - 0 0 8 South Dakota: Aberdeen 1 2 0 0 - 0 0 1 SiouxFalls---- 1 5 0 0 0 0 0 0 0 0. 6 Nebraska: Lincoln- 1 1 0 0 0 0 0 0 0 31 16 Omaha - 4 8 1 2 0 3 0 0 0 1 48 Kansas: Topeka- 2 2 0 0 0 4 1 1 1 3 19 Wichita 4 2 0 0 0 0 0 0 0 1 25 SOUTH ATLANTIC Delaware: Wilmlington 4 2 0 0 0 3 1 0 0 0 30 Mairyland: Baltimore 20 12 0 0 0 18 4 5 2 23 193 Cumberland- 1 0 0 0 0 0 0 0 0 1 7 Frederick 0 0 0 0 0 0 0 0 0 0 3 Dist. of Columbia: Washington 18 21 0 0 0 12 3 4 1 7 121 Virginia: Lynchbnrg-. 1 1 0 0 0 1 0 0 0 0 5 Norfolk - 2 1 0 0 0 0 0 0 0 0 Richmond 7 15 0 0 0 4 1 1 0 1 59 Roanoke 1 2 0 0 0 1 1 0 0 4 15 West Virginia: Charleston - 1-1 0 0 0 0 3 0 1 0 3 18 Hluntington - 2 2 0 0 0 1 0 0 1 0 20 Wheeling 2 7 0 0 0 0 1 1 0 0 14 North Carolina: Raleigh - 1 3 0 0 0 2 0 0 0 0 16 Wilmington 1 0-- 1.. Winston-Salem 1 3 0 1 0 1 0 0 0 2 16 South Carolina: Charleston -.- 1 0 0 0 0 3 0 1 1 0 33 Columbia 0 0 0 0 0 0 0 0 0 0 Greenville 1 1 0 0 0 0 1 0 0 0 11 Georgia: Atlanta- 6 0 2 0 0 2 1 1 0 0 81 Brunswick - O-0 0 0 0 0 1 0 0 0 0 3 Savannah 1 0 0 0 0 4 1 0 0 0 25 Florida: St. Petersburg 0 1 0.0 0 2 0 0 0 0 16 Tampa- . 0 0 0 0 0 1 0 0 0 0 21 EAST SOUTH CEN- TRAL Kentucky: Covington 2 2 0 0 0 2 0 1 0 0 20 Louisville 4 7 1 1 0 9 2 0 1 5 76 Tennessee: Memphis 4 14 0 1 0 3 1 0 2 1 54 Nashville 3 3 1 0 0 2 1 0 0 0 36 Alabama: Birmingham-. 5 4 0 0 0 2 2 3 0 2 70 Mobile-1 0 1 0 0 4 0 0 0 0 29 Montgomery-_ 1 2 0 0 0 0 0 0 0 0 17 December 18, 1825 2846 City reports for week ended Novemtber 28, 1925-Continued

Scarlet fever Smallpox Typhoid fever ~~~~~~~~Tube r Whoop. Division, State, Cases, I Cases,I~~~~~~~~~~~,~~~~ingdeath Cases, cough, Deaths, and city esti- Cases esti- Cas Deaths esti- Cas Deaths case all mated re- re te mated re re- re. causes expect ported exmxted ported-red ported por epect- ported ported ported ancy ancy ancy

WEST SOUTH CENTRAL Arkansas: Fort Smith- 2 1 0 1 0 0 Little Rock____ 2 1 1 0 0 2 1 3 0 0 Louisiana: New Orleans- 6 9 1 1 0 10 2 2 1 2 132 Shreveport 1 3 1 0 0 0 1 0 1 0 24 Oklahoma: Oklahoma City 3 2 O O O O O 3 1 O 22 Texas: DaBas-4 10 0 0 0 1 2 0 0 14 39 Galveston 1 0 0 0 0 0 1 1 0 0 6 Houston. . 1 2 0 0 0 2 0 1 0 0 52 San Antonio.. 1 4 0 1 0 6 1 0 0 0 62 MOUNTAIN Montana: Billings-1 1 0 0 0 0 1 0 0 0 8 Great Falls-- 1 2 1 0 0 0 0 0 0 0 4 Helena-0 0 0 0 0 0 0 0 0 0 5 Missoula . 1 0 0 1 0 0 0 0 0 0 6 Idaho: Boise-1 0 0 0 0 0 0 0 0 1 9 Colorado: Denver-9 11 5 0 0 10 1 0 0 16 76 Pueblo-2 0 0 0 0 1 0 0 0 1 9 New Mexico: Albuquerque_ 1 8 0 0 0 5 1 1 0 0 9 Arizona: Phoenix -- 5 0 0 13 0 0 31 Utah: Salt Lake City. 3 4 1 0 0 1 0 2 1 7 32 Nevada: Reno-0 0 0 0 0 0 0 0 0 0 3 PACIFIC Washington: Seattle- 7 22 1 3- 1 1 0 Spokane- 6 21 4 1-1 - 1 Tacoma- 2 1 0 24 0 0 0 0 0 0 23 Oregon: Portland . 7 15 4 0 0 0 1 1 0 0 California: Los Angeles 18 23 2 6 1 18 a 0 0 0 211 Sacramento..._ 2 4 0 0 0 1 1 0 0 0 14 San Francisco. 10 15 0 0 0 9 1 4 0 9 136 2847- December 18, 1925 CiV repoe for week enad Notvemr ft, 1925-Continued C.bomla Lethargic PoloyeBti(inms meningitis encep tis Peiagra tiPl paralysis)

Division, State, and city C me, Dest Cas Dett Casma Deths epect-mated Cas Detbs I ~~~an"y

NEW ENGLAND MIassachusetts: Boston . I a ( cI 0 I 1 0 FalJ River- I I I ,. ( 0 D 0 0 MIDDLE ATLANTIC 0 New York: New Yorkl 0 ItI 2 0 0 5 5 2 Syracuse- 1 0 0 0 0 0 0 Pennsylvania: II Philadelphia 1 I 0 1 0 0 0 pittsburgh . 1 0 0 0 0 1 EAST NORTH CENTRAL Obio: Cincinnati . , 0 0 I 0 0 0 0 0 Cleveland 0 0 0 0 0 0 1 0 Toledo. 0 I 0 0 0 0 0 Indiana: 0 Indianapolis 1 0 0 0 0 0 0 Illinois: 0 Chicago 0 0 0 0 1 1 0 Michigan: 0 .2 Detroit - 0 1 0 0 0 0 0 WST NORTH CENTRAL Minnesota: Minneapolis . 0 0 1 1 0 0 0 0 0 Missouri: 1 Kansas City . 0 0 2 2 0 0 0 1 0 SOUTH ATLANTI 0 District of Columbia: 0 Washington . O0 0 11 0 0 0 0 0 North Carolina: Raleigh- 0 0 0 0 0 1 0 0 a South Carolina: O Charleston 0 0 0 0 0 1 0 0 0 Georgia: Savannah 0 0 .0 0 1 0 0 0 EAST SOUTH CENTRAL 0 0 Alabama: Birmingham 0 0 0 0 0 0 0 1 Mobile 1 I 0 0 2 0 0 WEST SOUTH CENTRAL 0 Arkansas: 0 Little Rock 0 0 0 0 0 0 1 1 Louisiana: New Orlcans 0 0 1 1 0 I 0 0 0 Shreveport 0 0 0 I 0 0 Oklahoma: 0 0 0 Oklahoma City 0 1 0 0 0 0 0 0 £MOUNTAIN I Utah: Salt Lake City 0 0 0 0 O 0 0 1 0 PACIC Oregon: Portland 0 1 0 0 o o 0 0 0 California: Los Angeles 0 0 1 0 O 0 1 0 0 San Francisco 0 0 0 0 O 1 0 5 0

I Typhus fever-i case, St. Louis. December 1% 1823 2848 The following table gives the rates per 100,000 population for 103 cities for the 10-week period ended November 28, 1925. The popula tion figures used in computing the rates were estimated as of July 1, 1923, as this is the latest date for which estimates are available. The 103 cities reporting cases had an estimated aggregate popula tion of nearly 29,000,000, and the 96 cities reporting deaths had more thuan 28,000,000 population. The number of cities included in each group and the aggregate populations are shown in a separate table below: Summary of weekly reports from cities, September 20 to November 28, 1925-Annual rates per 100,000 population DIPHTHIERIA CASE RATES

Week ended-

Sept. Oct. Oct. Oct. Oct. Oct. Nov. Nov. Nov. Nov. 26 3 10 17 24 31 7 14 21 28

103 cities .2102 3120 140 154 4 168 2182 166 A 174 6181 160 New England -84 77 99 124 8 97 137 97 127 144 104 Middle Atlantic -81 84 114 129 129 149 126 141 143 150 East North Central -113 3140 104 174 189 195 187 194 189 162 West North Central-155 195 207 236 259 282 267 240 226 178 South Atlantic -117 225 191 224 9 268 228 211 252 7 289 7 225 East South Central -63 69 97 97 109 97 137 69 132 120 West South Central -79 65 83 93 102 264 199 213 176 181 Mountain- 2 195 134 200 162 372 2 176 286 s 340 10 322 134 Pacific ------107 107 107 110 142 157 148 145 186 165

MEASLES CASE RATES

10 cities- 2 36 41 55 70 4 93 2 105 154 '176 230 7 212 New England -184 250 385 447 '599 604 852 937 1,130 827 Middle Atlantic -32 35 47 65 87 110 159 171 256 239 East North Central 24 ' 26 26 25 47 57 74 88 10B 124 West North Central - 6 8 6 10 10 12 15 10 15 31 South Atlantic -31 25 16 55 ' 40 59 154 232 7 293 358 East South Central -11 11 11 6 40 17 17 17 51 34 West South Central-0 0 0 0 14 5 9 9 9 5 Mountain 2 29 10 38 10 29 2 20 38 ' 75 1 29 10 Pacific ------20 3 12 29 12 15 17 20 32 26

SCARLET FEVER CA£:E RATES

103 cities 2' 66 3 91 96 126 4 132 2160 170 '192 6184 | 204 New England -47 89 109 132 8 130 201 271 246 209 214 Middle Atlantic -49 62 65 75 96 106 111 142 144 149 East North Central -70 3104 117 151 142 194 167 189 196 220 West North Central-147 195 135 276 296 305 384 400 421 454 South Atlantic -66 69 98 137 '134 193 185 172 '114. 7141 East South Central ------80 80 132 154 132 80 109 183 137 18:3 West South Central -14 51 65 56 42 42 102 121 93 139 Mountain- 288 181 153 48 115 2195 172 '170 10 166 172 Pacific -81 93 107 142 133 148 162 206 197 249

1 The figures given in this table are rates per 100,000 population, annual basis, and not the number of cases reported. Populations used are estimated as of July 1, 1923. ' Helena, Mont., not included. ' Superior, Wis., not included. 4 Barre, Vt., and Winston-Salem, N. C., not included. ' Denver, Colo., not included. ' Wilmington, N. C., and Reno, Nev., not included. Wilmington, N. C., not included. I Barre, Vt., not included. ' Winston-Salem, N. C., not included. 10Reno, Nev., not included. 2849 December 18, 1925 SummN of weey reportsfrom cties, September *0 to Novetnber 28, 19*-Annual rates per 100,00 population-Continued SMALLPOX CASE RATES

Week ended-

Sept. Oct. Oct. Oct. Oct. Oct. Nov. Nov. Nov. Nov. 26 3 10 17 J 24 31 7 14 21 28

103ceties .6 3 2 5 8 4 7 210 10 ' 8 17 716 New England-0 0 0 0 8 7 0 0 0 0 0 Middle Atlantic-0 0 0 0 0 0 0 0 0 0 East North Centrl- 2 '0 1 8 4 17 12 13 32 32 West Nortb Central -2 2 10 0 4 27 12 4 17 10 South Atlantic - , 6 0 6 & O0 6 12 6 721 2 East South Central - 34 0 17 46 6 6 29 34 11 11 West South Central 0 0 0 0 0 0 0 0 0 9 Mountain - 2 39 10 10 29 10 210 19 5 38 10 20 10 Pacific -41 26 46 58 78 46 49] 44 78 9

TYPHOID FEVER CASE RATES

103 cities - 245 340 37] 36 433 26 28 ' 12 617 714 New England -22 47 17 25 815 17 22 2 32 17 Middle Atlantic -34 32 31 28 25 21 12 8 20 14 East North Central -31 318 22 32 9 16 19 9 3 4 West 'North Central -17 35 33 21 33 19 31 17 15 8 South Atlantic -94 54 55 70 978 27 64 10 7 31 7 29 East South Central- 217 143 177 132 160 109 183 46 34 23 West South Central-217-7 102 97 60 46 83 83 51 60 32 32 Mountain- 2 98 115 124 48 t67 2'S8 38 '0 "o 20 19 Pacific -23 29 9 20 32 20 9 3 6 15

INFLUENZA DEATH RATES

96 cities- 2 3 3 4 3 6 4 8 111 13 12 6 8 7 9 New England -0 0 0 0 ' 2 12 5 7 2 12 Middle Atlantic -3 3 3 5 8 10 14 14 6 8 East North Central -5 3 7 3 8 9 7 12 10 6 5 West North Central -4 7 4 7 7 11 7 13 2 2 South Atlantic -2 4 2 2 92 6 18 2 715 710 East South Central - 0 17 0 17 6 29 40 29 46 29 West South Central - 0 20 15 10 20 41 15 31 10 36 Mountain -10 0 10 0 38 210 10 0 1 "20 10 Pacific - 4 0 0 11 4 12 4 15 4 19 4

PNEUMONIA DEATHI RATES

O6cities -'57 362* 66 94 496 11122 141 138J 15i 7130 New England - 55 32 60 97 '87 112 139 137 144 161 Middle Atlantic - 66 68 64 94 104 137 153 144 160 145 East North Central - 42 247 65 94 83 119 125 137 146 100 West North Central - 28 37 46 61 63 99 88 83 103 83 South Atlantic - 92 87 76 129 '124 134 207 162 7 158 7 146 East South Central - 46 109 120 103 132 114 166 177 240 194 West South Central - 51 66 66 56 117 138 163 122 163 158 Mountain - 278 143 95 124 115 278 105 181 "10234 162 Pacifc - 57 98 57 83 79 1253 95 114 91 102

2 Helena, Mont., not included. 3 Superior, Wis., not included. 4 Barre, Vt., and Winston-Salem, N. C., not included. 'Denver, Colo., not included. 6 Wilmington, N. C., and Rcno, Nev., not included. 7 Wilmington, N. C., not included. 8 Barre, Vt., not included. 9 Winston-Salem, N. C., not included. "Reno, Nev., not included. 11 Helena, Mont., and Tacoma, Wash., not included. "2 Tacoma, Wash., not included. December 18, 1825 2850 Number of cities included in summary of weekly reports and aggregate population of cities in each group, estimated as of ,July 1, 1923

Number Number Aggrpte Aggregate reportineofctiesof ctiesting PoPulationof populatiou Group of cities n cities of cities resotngr At' reporting retoting

Total -..------103 96 28,977,311 28,321,621 New England ---- 12 12 2,098, 746 2, 098, 746 Middle Atlantic -10 10 10,304, 114 10,304, 114 East North Central- 16 16 7,135,899 7, 135,899 West North Central -14 11 2, 515,330 2 381, 454 South Atlantic - 21 21 2,542, 498 2, 542 49s East South Central -7 7 911,885 911,885 West South Central -8 6 1,124, 564 1,023,013 MIountain -9 9 54',445 546,445 Pacific-- 6 4 1, 797, 830 1,377, 572 FOREIGN AND INSULAR

THE FAR EAST

Reportfor weelc ended November 14, 1925.-The following report for the week ended November 14, 1925, was transmitted by the Far Eastern Bureau of the League of Nations' Secretariat, located at Singapore, to the headquarters at Geneva:

Plague Cholera Smallpox Port C t Dh Cases Deaths Cases DeathsJ Cases Deaths

Calcutta - 0 14 1 0 Bombay ---0 0 5 3 Madras --- 0 --. 3 1 7 Rangoon ---2 2 0 0 Karachi - - -I 0 13 0 Necapatam - - -0 0 0 0 Colombo -- - 0 0 0 0 0 0 Singapore - -2 2 0 0 0 0 }'ort Swettenham - - 0 0 0 0 0 0 Penang - -0 0 0 0 0 0 Batavia --- 0 0 0 0 0 0 Soerabaya O-- -- -0 0 0 0 0 0 Samarang - -0 0 0 0 0 0 }3elawan Deli - - 0 0 0 0 0 0 Macassar - -0 0 0 0 0 0 Sandakan () -0 0 0 0 0 0 ()-0 0 0 0 6 0 Manila-0 0 1 0 0 0 Bangkok-0 0 27 21 0 0 Saigo and Cholon -0 0 0 0 0 0 Ilongkong -0 0 0 0 0 0 Shanghai-0 0 1 0 2 Amoy-0 0 0 0 0 0 Nagasaki -0 Ol 0 0 0 0 Yokchama-0 0 1 0 0 0 Shimonoseki -0 0 0 0 0 0 MIoji-0 0 0 0 0 0 Kobe-0 0 2 0 0 Osaka ------0 09 0 0 Keelung (Taiwan) -0 0 0 0 0 0 Fusan - 0 0 0 0 0 0 Adelaide-0 0 0------O O OO Brisbane -_- 0 0 0 0 0 0 Fremantle -0 0 0 0 0 0 Melbourne -_----- 0 0 0 0 0 0 Sydney -0 0 0 0 0 0 Rocklhampton -0 0 0 0 0 0 PortDarwin -0 0 0 0 0 0 Broome -0 0 0 0 0 0 PortMoresby - 0 0 0 0 0 0 Basra-0 0----- O 5 4 Suez ------0 0 0 0 0 Alexandria -0 0 0 0 0 0 PortSaid -1 1 0 0 0 0 Mombasa (Kenya) -0 0 0 0 0 0 Zanzibar ------0 0 0 0 0 0 Massowah-0 0 0 0 0 0 Djibuti-0 0 0 0 0 0 Durban-0 0 0 0 0 0 Cape Town-0 0 0 0 0 0 Tamatave ------3 4 0 0 0 0 Mauritius-0 0 0 0 0 0 Seychelles------O O O 0 (2851) lecember 18, 1825 2852 BRAZIL Mortality-Prel'ailing disea.ses-State of Rio Grande do Sul-Yeqr, 192/4.-During thte year 1924, 25,429 deaths from all causes weiZP reporte(d in the State of Rio Granide do Sul, as compared witlh 25,55i deaths rep orted for the yeair 192:3. Estimated population, 3,023,00(. The prevailinig diseases presest during the period were stated to hfav( been tuberculosis, typhoid fever, and syphilis. It was state(d that most of the typholid fever deaths occurred in the rural sections of thle State. Porto Alegre (population, estinmated, 241,903).-The total nllmbeor of reported deaths for Porto Alegre (luring the year un(ler report wtas 4,269, of which number 769 wiere from tuberculosis and 109 froin typhoid fever. It was stated that most of the fatalities from typhoid fever occurred in sections of the city where the water supply was not generally available. The nunmber of deaths of children under 2 years of age diminished from 1,503 in tlhe year 1923 to 1,479 in 1924. against rabies.-The Pasteur Institute at Porto Alegro was stated to have administered treatment against hydrophobia to 1,137 persons, of whom all buit 137 had been bitten by dogs. Plague-Certain maritime Stafes-October, 1920.-According to in- formation dated November 7, 1925, plague was reported present in October, 1925, in the interior of tlle States -of Alagoas, Bahia, Ceara, and Pernambuco. CANADA Communicable diseeaes-Ontario-September, 1925.-During tile month of September. 1925, conmmunicable diseases were reported in the Provinice of Ontario, Canada, as follows:

1925 1924 Disease Cases Deaths Cases Deaths

Cerebrospinal meningitis - - 4 1 7 7 Chicken pox ------88 -- 106 Diphtheria ------271 16 183 6 Dysentery -----8 German measles ------6 Gonorrhea ------134-- 175 -- Influenza ------10 6 1 Lethargic encephalitis --9 1 5 5 Measles------59- 233 Mumps --- 29- 100 Paratyphoid fever 3-- - - 3 Pneumonia - - - - 85--- 82 Poliomyelitis - -37 35 2 Scarlet fever ------162 5 1195 Septic sore throat- 4- 6- Smallpox -25 - 13- Syphilis --7985 Tuberculosis --14861119 62 Typhoid fever - -130 8 114 13 Whooping cough ------295 7 225 5 2853 December 18, 1')25 Smallpox was reported according to locality, during the period under report, as follows: Cases-Elora, 8; Fergus, 2; Kemptville, 2; Kitchener, 5; Nicholl, 4; Trenton, 4. CHINA North Manchuria Plague-Prevention Service-Report for year endcd September, 192'.-Information received through the North Man- (lhuria Plague-Prevention Service for the year ended September, 1925, shows the occurrence of plague during that period as follows: North Manchuria.-Two cases of plague occurring in Russian tarabagan hunters were reported May 29, 1925, at Hahonteh, a simall station between Hailar and Manchouli, on the Chinese Eastern Rtailway. One of thie cases, wlhich developed pneumonic complica- tions, ended fatally. North Shansi Province.-A rather serious epidemic was reported from Hsing-hsien District in North Shansi Province, about 35 miles from Paotehchow, where in 1917-18 an epidemic of pneumonic plague (leveloped. Chinese medical officers sent to the locality reported 20 out of 27 villages to be affected, witlh a total of 790 deaths, practically atll bubonic in type. The epidemic covered the month of October. 1924. CUBA Communicable diseases-Provinces-September and October, 1.925.- Cases of disease were notified in the Provinces of Cuba for the nonths of September and October, 1925, as follows: SEPTEMBER, 1925

Oriente ETota Disease delRioarRoilabana |Ma|zas SaintaiClar Cama|guay

Chicken |6 8 D h poxa ------12- 3 4 16 I 10 36 Diph ria 8 13 5 256 431 Measles ------9 88 26 11 5 325 186 Paratyphoid fever -5 9 1 6 1 22 Scariet fever -19 l- - 19 Tetanus (infantile) - -1 1--- 2 Typhoid fever-5 54 21 62 2 16 160 OCTOBE:R,l12

2 Chickren ipox.-.------12 ------1B 1 Diphtheria ------2 13 1 4 2 4 26 Malaria 2 87 1 8 57 310 465 Measles- 5 84 2 19 2 107 219 Paratyphoid fever - 5 5 ' 2 9 ------1 22 Scarlet fever------16 7 ---- 23 Tetanus (infantile) -1 1 3 1i Typoid fever - 7 37 7 ------83 1 697130-25t- 8 December 1& 1825 2854 EGYPT Plague-Port Said--October 30-November 1I, 19,5.--During the period under report two cases of plague, both fatal, wr reported in Egypt. The cases occurred at Port Said. The total number of cases reported in Egypt from January 1 to November 12, 1924, was 136, as compared with 359 cases reported during the corresponding period of the preceding year. MALTA Communicable diseases-October, 1.925.-Communicable diseases were reported in the Island of Malta during the month of October, 1925, as follows:

Dise Ces Dsease as

Chicken ., ,.------4 Scarlet fever ...... 4 Diphther-a----p--x- 14 .Sftilpo- .- Malta (undulant) fever------54 Tuberculosis- -- 21 Measles-- 64 Typhoid fiver -55 Pneumonia (includiug broncho-pneumonia) 9

Population, civil, estimated, 223,088. Smallpox.-From October 1 to November 18, 1925, 50 cases of smallpox were reported in the Island of Malta. Of these, 14 cases occurred at Valetta and 21 cases at Floriana. a locality in the vicinity. PORTUGUESE WEST AFRICA Screening against mosquitoes-Lourenco Marques.--All buildings for dwelling purposes whether already occupied or to be constructed, are required bv order of the municipal authority dated August 31, 1925, to be thoroughly protected against mosquitoes by screening doors and windows. RUMANIA Measures against importation of p7ague.-According to information dated October 31, 1925, inspection and control of arriving passengers and merchandise from Saloniki, Kavalla, and Mitylene, Greece, have been put in force at Rumanian ports to prevent importation of plague. Epidemnie scar7et and typhoid fever-Kishener.-Under the same date, scarlet fever and typhoid fever were reported present in epi- demic form at Kishenev, Bessarabia. SALVADOR Mortaity - Gadroenteritis - Measles - Malaria - July-Septem- ber, 1925.-During the three months ended September 30, 1925, 7,231 deaths from all causes were reported in the Republic of Salvador, Central America. Of this number, 155 each were reported for gastroenteritis and measles. MIalarial fevers were stated to be prevalent. Population, 1,500,000. 2855 December 18,1925 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER The reports contained in the following tables must not he considered as complete or final M regards either the lists of countrie Included or the figures for the particular countries for whieh reports are given. Reports Received During Week Ended December 18, 1925' CHOLERA

Place Date Cases Deaths Remarks

Iljdia: Calcutta ------Oct. 11-31 - 18 18 Inlo-China: Saigon -Oct. 12-18-I 1 Including 10) square kiloneters Do -Oct. 26-Nov. 1 1 1 of surrounding country.

PLAGUE

Egypt - . . Oct. 30-Nov. 12, 125: Cases, 2; deaths. 2. Total, Jan. I-Nov. 12,1925: (CASs, 136; correspond- ing ppriod, 1924, eases, 359. Port Said -Oct. 30-Nov. 12 2 2 Bubonic, I; septicemic, 1. India: Rangoon - Oct. 11-24-9 8 Sept., 1925: Cases, 74; deaths, 42, Five imported. Rats found fected, 10. Java: Batavia Oct. 10-16 101 96 Province. Cheribon -Sept. 13-26- 72 124 Pekalongan -do1- Soerabaya -Sept. 27-Oct. 10 - 24 24 Tegal - Sept. 13-26 -22 Senegal: Dakar -Sept. 13- I

SMALLPOX

Algeria: Algiers -Oct. 21-31 - 5 Do -Nov. 1-10- 5 Canada: Province- Manitoba-

Winnipeg- Nov. 29-Dec. 5-- I -- Ontario: Elora -Sept. 1-30 . 8 Fergus------do-- 2 Kcnptville- do- --- 2 Kitchener- do-- 5 Nicholl-do. 4 Trenton-do-- 4 Great Britain: England- Newcastle-on-Tyne- Nov. 15-21-3 Shefeld -do- 1 India: Calcutta -Oct. 11-31-6 4 Irak: Bagdad -Oct. 18-24-1 1 Java: Batavia -Oct. 10-23-5-- Province. Pasoeroean -Sept. 27-Oct. 3..- 14 Soerabaya -Sept. 27-Oct. 10.- 181 28 South Bantam-Sept. 13-26- 2 Malta - - - - Oct. 1-Nov. 18, 1925: Case, ZO. Floriana ------Oct. 1-Nov. 18 21 Valetta ------do-14 - - Mexico: Durango -November, 1925-- 3 Guadalajara -Nov. 2-30 -- 1 Mexico City -do- 2 San Luis PotosL- Nov. 22-28 - - 1 Persia: Teheran -May 22-June 22 -- 28 Do -June 23-July 22- 47 Poland - - - - Sept. 27-Oct. 10, 192: Cases, 2 I From medical officers of the Public Health Service, American con3uls, and other sources. Dwcember 16, 1825 2856 CHOLERA,PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued Reports Received During Week Ended December 18, 1925-Continued SKALLPOX-Continued

Place Date Cas Deaths Remarks

Portugal: Lisbon-Nov. 1-14-65- Oct. 12-Nov. 15, 1925: Deaths, 53. Oporto -Nov. 15-21- 1 Spain: Madrid - October, 1925 - Malaga - Nov. 8-14------2 Tunis: Tunis - -- Oct. 1-Nov. 10..O. 23 ------

TYPHUS FEVER

Algeria: Algiers - Oct. 21-31 - 1. Chosen: Seoul ------Oct. 1-31-2 Egypt: Alexandria -- Oct. 29-Nov. 4 2 1 Mexico: Durango -November, 1925 -- MIexico City -Nov. 15-21- 7 Palestine: Safad ------Oct. 27-Nov. 2 1 Poland - - - Sept. 27-Oct. 10, 1925: Cases, 52: Sweden: deaths, 2. Stockholm -Oct. 23-31- 1 Tunis: Tunis- Oct. 1-10 - 1 Union of South Africa: Cape Province- Cape Towi - Sept. 1-Oct. 2 1

Reports Received from June 27 to December 11, 1925 1 CHOLERA

Place Date Cases Deaths Remarks

Algeria: Algiers May 11-20-- Ceylon Jan. 25-June 27, 1025: Cases, 172: Colombo tay 10-1-- 2 deaths, 120. June 28-Aug. 8, 1925: Cases, 27; deaths, 21. Do Oct. 4-10- 2 2 Immigrants. China: Foochow -Aug. 23-Oct. 24_ 19 9 Hongkong -Sept. 13-19 2 2 Nanking -Sept. 6-12 Sporadic caes. Shanghai -July-September. Foreign: Cases, 58; deaths, 1 South Manchuria- Native: Cases, 2,000; deaths, Yingkou -Sept. 27-Oct. 3-_ 2 203. Swatow -Oct. 8-31 Present. India Apr. 26-June 27, 1925: Cases. Bombay -May 10-June 27_ 33,647; deaths, 19,950. June Do -June 28-Aug. 15-.. 7 28-Aug. 29, 1925: Cases, 16,453; Calcut -May 3-9 58 49 deaths, 9,239. Sept. 13-Oct. 3, Do -May 17-23 _ 81 1925: Cases, 3,430, deaths, Do -June 14-20 2 11 2,094. Do -July 5-Oct. 10 11 Karachi- Aug. 30-Sept. 5 1 1 Madras Presidency June 6-20 1 Do -July 5-Oct. 3 49 19 Rangoon-MIay 3-June 6 22 15 Feb. 8-14, 1925: Cases, 2, deaths, Do June 14-27 12 8 2. (Received out of date.) Do June 28-Oct. 10- 9 8 IFrom medical offioers of the Public Health Service, American consils, and other sources. 2857 December 18, 1925 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YBLLOW FEVER-Continued Reports Received from June 27 to December 11, 1925-Continued CHOLERA-Contlnued

Place | Date 1 Cases Deathsj Remarks

Indo-Chilna ,,,,,,,...I-I-I July, 1925: Cases, 12; deaths, 8; corresponding period, 1924, cases, 19; deaths, 10. Cambodia . , July 1-31 ,. 2 July, 1924: Cases, 7; deaths, 4. Cochin-China- do 8 2 July, 1924: Cases, 7; deaths, 5. Saigon- May 4-June 7 4 3 Including 100 square kilometers Do . June 23-July 12 - - 3 2 of surrounding country. Do . Aug. 3-9 . I I Do. Laos do 3 Tonlin. July 1-31 ,, a 11 July, 1924: Cases, 2. Japan: Kobe Sept. 4-8-- 5 2 Taiwan Island, Taihoku -- Oct. 1-8-- Present. Yokohama Sept. 2- 5

Philippine Islands: ----- ~i- Manila - , June 1528 3 Do June 29-Aug. 16. 17 Do Sept. 7-Oct. 185. 233 86 Albay- Tabaco June 14-20 1 4 Batangas Sept. 6-Oct. 3 3 Bulacan- -do 1 Do June 28-Sept. 19-- 5 Do Sept. 27-Oct. 10... 83 42 Camarines Sur July Capiz . Sept. 20-28 1 Lagonoy June 6-12 1 Laguna Set 6-12 1 Leyte jly' &-sept. 19 2 Mountain Province June 23-29 1 11 Nueva Ecija Sept. 13-Oct. 3_ 3 1 Rizal Province Aug. 2-8- 2 Do Aug. 16-Sept. 22 26 15I Surigao Aug. 16-22- 1 Zambales Sept. 22-26- 1 Siam. June 28-Aug. 22, 1925: Cases, 10; deaths, 5. Bangkok Apr. 29-June 27 9 4 Do Aug. 23-29 1 1 Do Oct. 4-17- 36 14 Imported, 29. Turkey: Constantinople May 16-22- On vessel 1 At Nagasaki. Reported Sept. 2, 1925, arrived on vessel from China. Steamship President Lin- At Kobe, Sept. 5, 1925, from coln. Shanghai. Steamship Amboise Sept. 16- 2 2 At Hongkong, Ch.na, from Yokohama, via Shanghai. In port at Shanghai Sept. 11-13, 1925. Arrived at Suez Oct. 15, having received free pratique at the intermediary ports of Saigon, Singapore, Colombo, and Dijibuti. Destination, Marseille.

PLAGUE

Algeria: Algiers -Oct. 11-20. Brazil: 1.1 Bahia -May 3-June 13 ---- 5 4 Do -Sept. C-12 1 1 British East Africa: Tanganyika Territory- Sept. 20-28 2 Uganda -Feb. 1-28 28 28 Do -July 116 102 Entebbe -May 4-June 30 79 74 Apr. 1-May 31, 1925: Cases, 129; deaths, 118. Ceylon: Colombo -lMay1--JuneM _ 11 10 Do - June 28-Oct. 3,. 22 19 ZP4mb4t 14, 1820 2858 CEOLRA, PLAGVUf, SMALLPOtt, IPEtS F"Er, AND YfLLoW -R-t-Cunt1nued kepotto Recelved from trie 2t to Deeembor 11, 1925-Continued PLAGUD-Cof1tifite6

#i906Plea ] DateDat Cas __fDeaths RemReii China: Foochow-----.------May 24-31 ... . -- Reported present In epidemi, -- form. Do - Aug. 298-29- Present. Nanking - July 25-Oct. 31 -----'--i'- Do. North Manchuria r May 27 Swatow ------Oct. 11-17- Endemic. Ecuador: Gua%aqui -- June 1-15 1 I May 16-June 30, 1925: Rats ex- Do- Sept. 1-Oct. 31--- 15 8 amined, 30,347; found lnfietel, 95. July 1-Oct. 31, 1925: Rats taken, 77,781; rats found in- fected, 357. Egypt ------;------I------Jan. 1-Oct. 28, 1925: Cases, 134; Corresponding period year 1924: Cases, 358. City- Alexandria June 17-24.----- 2 2 Bubonic. Do . Sept. 10-16- 1 Kanta:-ra Oct.. 28 ------1 Government of Suez, bubonic. Port Said June 17-18- 1 1 Do- .June 28-Sept. 3_ 11 3 Do Oct. 1-7- 2

Suez --- June 14-27- 3 2 Do .---- Aug. 19- 1 Septicemic. Province- Assiut . June .5--- .i--- 1 Beni-Souef . June 10-16 8 4 Do Aug. 6-12- 2 Do . Oct. 25 Bubonic. Charkich June 6-8- I 1 Do Oct. 25 1 Septicemic. Kena ------Ju1ne 17 Minia Junie 6-17- 3 France: Chatezih Gombert- Oct. 13 18 Distant 8, kilometers from Nfarseille- Aug. 13-18- AMarseille. Gold Coast - March-April. Greece: Athens -.--- July 1-Oct. 10- 62 Do . Oct. 21-31- 18 3 Including Pireus. Cephalonia Nov. 10- 1 Ionian Islands. Case stated to Pir-us - Jtly 18-Aug. 14- 9 have originated at Patras. Pyrgo- . Sept. I 1 Saloniki ------Sept. 22-OCt. 12... 2 Hawaii Territory: lUonokaa- June 28 Plague-infected rat. Do . Aug. 7 -- . 15 Plague-infected rat near Paauilo. Do Aug. -_- 19 Kukuihaele -- July 31 Plague-infected rat. 12- Do. Paauhau Aug. 1 India ------Apr. 26-June 27, 1925: Cases, Bombay . Apr. 26-June 27~ 10,166; deaths, 8,913. June 26- Do _ June 28-Oct. 17- 19 Oct. 3. 1925: Cases, 11,132; Calcutta - May 30-June 6- deaths, 7,603. Do . July 5-11- 1 1 Kiarachi..------May 18-June 6 4 3 Do July 31-Aug. 6 I 1 Do Sept. 6-Oct. 24 25 13 Madras ------May 10-June 27- 15 8 Do June 28-Sept. 19- 185 78 Do . Sept. 28-Oct. 10. . 59 27 Do Oct. 20-26- 7 8 Rangoon . May 3-June 27.--- 113 95 Feb. 8-14, 1925: Cases, 13; deaths, Do June 28-July 4---- 20 18 13. (Received out of date.) Do ------July 12-Oct. 10.. 240 203 Indo-China July 1-31, 1925: Cases, 46; deaths, 36; corresponding period, 1921: Cases, 26; deaths, 22. Annam-n July 1-31------8 8 July, 1924: Cases, 4; deaths, 4. Cambodia-_____ .do 16 13. July, 194: Cases, 9; deaths, 9. Cochin China- Saigon Apr. 20-June 21 3 3 Including 100 square kilometers of surrounding country. Do- ---- Aug. 31-Sept. 20.. 4 Do.

Kwang-Chow-Wan- _-do ------.- 22 I5 2859 December 18, 1925 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-continued Reports Received from June 27 to December 11, 1925-Continued PLAGUB-Continued

Place Date Cases Deaths Remarks

Irak: Bagdad - .--. May 24-June 0L . Do --- June 21-27-- .. ltaY: Naples Province, Secondigliano. Sept. 3-5 . 2 From the Bulletin Quarante. naire, Egypt, Sept. 17,1925. Japan: Taiwan- Taihoku-- Oct. 2-6 . 1 Java: Batavia . May 6-June 19 32 31 Do- July 5-31 65 65 In Province. Do- Aug. 8-14- 28 26 Do. Do- Aug. 22-Sept. 11-. 100 101 Do. Do- Sept. 26-Oct. 9 128 125 Do. Besoeki Residency- Aug. 4-Sept. 5- Epidemic. Cheribon- Apr. I-June 27- Do- June 28-Sept. 12_ 269 DMokiakarta- Sept. 2-5- Do. Kediri- do- Do. Pasoeroean Residency Mar. 7-May 25 Epidemic in several localities. Do- July 13 Do. Pekalongan- Apr. 9-June 27- Do- June 28-July 25- 9 Do . Aug. 1-Sept. 12 78 Soerabaya- May 7-27- 3 Do- June 28-Aug. 29.- 7 Do- Sept. 6-19- 18 Epidemic at Teman. Do- Sept. 2--28- 7 Soerakarta Residency- May 28- Epidemic at Kalidgambe. Do- Aug. 5-12- Epidemic at Klaten. Do- Sept. 11-17- 5--- Epidemic in 4 localities. Tegal --- Apr. 2-May I6E 32 Do- May 24-June 13 --- 16 Do- Aug. 1-22- 70 11 Madagascar: Province- Itasy- Apr. 1-15- Do- July 1-15- 4 Bubonic, 3; septicemic, 1. Tananarive- Apr. 1-June 30.... 200 Do- July-August 66 Bubonic, 25; pneumonic, 28; sep- Town- ticemic, 17. Tamatave (port)- Apr. 1-15 2 Do- June 1-7- 1 Tananarive Town- Apr. 16-May 31- 5 5 Do Aug. 1-31- 5 Mauritius- April, 1925: 1 case. August, 1925 1 case. Sept. 18, 1925: Plge- infected rats found. Nigeria- December, 1924 -- 17 13 Do--- January, 1925- 10 6 Do- March-June 25 20 Do- July, 1925 21 15 Peru- July-August, 1925: Cases, 40; Barranca- July-August------6 deaths, 18. Callao ------do- 3 2 ------~ 5 Canete------do 1 Huacho- July ---- 3 7 Lima (city) July-August- 15 1 Lima (country)- -do - .------6 Russia: Kalmyk District- May 19-31 10 8 North Caucasus June 6-7- 2 2 Urt-- May 25-June 3-- 2 2 In laboratory worker and con- tact. Province of Bukeevsk. Senegal- March-June 155 81 Do- July-August- 150 89 Siam ------June 28-Aug. 22- 37 27 Bangkok-- Apr. 26-June 20 13 11 Do- June 28ept. 26.4_ 6 5 Do- Sept. 18, 1925: Plage-infected rats found. : Singapore -May 3-30 9 9 Do June 28-Aug. 1.._ 3 3, December 18, 182 2860 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVE-Continued Reportx Received from June 27 to December 11, 195-ContInued PLAGUD-Contlnued

Place Date Cases Deaths Remarks

Syria: Beirut -S------Sept. 4-Oct. 10 a 3 ... Tunis: Tunis----.------.--- Aug. 12-18 --- Plague rodent. Turkey: Constantinople_- May 25-31- 1 ... Union of South Africa: Cape Province- Kimberley- -- June 14-20- 1 1 In a Malay camp. Do -July 5-11 ---- Oneplague-infected house mouse. Orange Free State- Boshof District- June 28-Aug. 15-. 5 2 Natives. On vessel: Steamship Efstrntios Ca- July 7-11 ------4 1 At Alexandria, Egypt. Vessel voundis. arrived July 7, 1925. Regular route, ports in Syria, Greece, and Port Said. Dead rats re- ported found on board. Steamship Arcadia-- July 24-27 . 2- At Pirsus, Greece, from Alex. andria, Egypt. Steamship Anatolia-- Aug. 8 - 1 -Do. Stmship City of Nor- Apr. 15 - . 1 At Port Said, Egypt, Apr. 14, wich. 1925, from Rangoon, Colombo, and Perim; destination, Lon- don. Case oecurred in first offleer of vessel. Steamship Naxos - Sept. 12 -1 At Rhodes, from Dodecanese is- lands via Alexandria, Egylpt. The vessel left Alexandria Sept. 9, 1925.

SMALLPOX

A Igeria: Algiers May -Jtune 30-. 43 2 Do July 1-Aug. 20-. 67 Do Sept. 1-Oct. 20-. 15 Constantine -do 47 Bolivia: La Paz ------Apr. 1-June 30 10 Do July 1-Aug. 31 - 8 Brazil: Bahia June 285-ept. 5 8 6 Do Sept. 19-26- 2 Pernambuco _- Apr. 26-May 30- 40 21 Do June 7-27- 5 Do ..---- July 5-18- 1 Porto Alegre June 14-20-_ 1 Do Aug. 9-15- 1 Rio de Janeiro May 9-June 27- 1 Do June 28-Aug. 15- 122 36

Do-- - - Aug. 29-0ct. 31 - - 299 165 British East Africa: Kenya- Mombasa Apr. 19-June 20 -- 27 13 Do July 5-Oct. 10 73 20 Nairobi May 3-9- 3 2 Tanganyika Territory Apr. 5-May 23--- 82 24 Do June 48 3 Do Aug. 9-15--14-27- 1, 181 427 Do Aug. 23-Sept. 26. 40 5 Uganda Feb. 1-28- 2. Entebbe - June 1-30- 1. Bril s5i South Africa: _\orthern Rhodesia Apr. 28-May 4- 3 Do Sept. 8-14- 34, Natives. Do- Oct. 6-12- Do. Southern Rhodesia June 11-July 1 2, Do- Aug. 20-Sept. 16- 4. Do. Bulgaria:

Sofia _- - - - - Aug. 6-19- 2. 2861 December 18, 1925 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FZVER, AND YELLOW FEVER-Continued Reports Received from June 27 to December 11, 1925-Continued SMALLPOY-Cont1nue - - J-sDt D Fla DW Ca Dew Romar}s

Canada: Alberta- Calgary--- Aug. 2-Sept. 26 . 2 .---- British Columb;ia- Vancouver June 1-28 7 -i Do- July 6-Oct. 25. 18 1-- New Brunswiek- Restigouche County June 1-30- 1 Ontario- May 31-Sept. 30, 1925: Cases, 52; Galt- June 14-20._ deaths, 1. Kingston .- .do-- 1

------Aug. 23-Nov. 14l.. 2

North Bay- June 28-July 18.-- 3 7---- - Toronto Oct. 4-Nov. 21 4 Saskatchewan- Regina- May 24-30- 3 China: Amoy- May 17-June 30... 12--- .- Do July 12-Oct. 24---- Present. Antung- May 11-June 21. 7 Do June 29-Aug. 9. 3 Do Sept. 7-13- 4 Canton May 10-June 13-- 17 Do. Chungking- May 3-30 6-- Widespread. Foochow May 9-Oct. 24 Present. Hongkong -- Apr. 19-June 13... Do July 19-25- 11 .- Manchuria- Dairen Apr. 13-June 115 Do June 28-Oct. 18-28'. 12 12 Harbin- May 13-June 2.-- 2 4-- Do Oct. 1-21- 2 Nanking May 9-Oct. 31 Do. Shanghai May 3-June 6- 178 Do July 6-Oct. 31. 1 Swatow May 17-Oct. 31 Stated to be endemic. Tientsin May 9-June 6 8~ Do July 12-18 Chosen January-May- 1,66f3 Seoul January-June, 1925: Cases, 341; deaths, 74. Colombia: Buenaventura Sept. 15-29 1 .

Czechoslovakia - .. Apr. 1-June 30, 1925: Cases, 3; , I- deaths, 1. Occurring in State of Slovakia. Egypt January-July 1, 1925: Cases 341; Alexandria May 21-27_- deaths 74. July 2-Aug. 4, Cairo Mar. 19-May 13-- 5 1925: 6ases, 45; deaths, 15. Do June 18-24 17 France February-June, 1925: Cases, 102. Paris May 21-31-_ July-August, 1925: Cases, 91. Germany: Baden (State) July 12-25- 2 Il Stuttgart July 5-Sept. 19..-- 4 I Gibraltar Year 1924: Cases 6. Gold Coast. . January-June, 1925: Cases, 1,121; deaths, 99. July-Augus, 1925: Cases, 289; deaths, 46. Great Britain: England and Wales May 24-June 27, 1925: Cases, 441. Birmingham July 7-13- June 28-Nov. 14, 1925: Cases, Cardiff F4ne 14-20------1 1,059. Do Aug. 2-8 14 8 Hull Oct. 25-Nov. 14 13 Newcastle-on-Tyne- May 31-June 27 4 Do June 28-Nov. 7.-- 25 Sheld Oct. 4-31- 38 Greece ------January-June, 1925: Cases, 47; Athens- May 1-31----- 2 deaths, 8. July, 1925: Cases, 2. Do- Xune 24-30- 3 Do July 1-31- 14 1 Do Bept. 1-30- 8 8aloniki ,- Sept. 22-28- -I'-----i December 18, 1825 2862 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YBLLOW FEVER-Continued Reports Received from June 27 to December 11, 1925-Continued SMALLPOX-Continued

Place Date Cams Deaths Remarks

Haiti: Port au Prince - Aug. 23-29 Reported at Jean Rabel Aug. 27. Hungary: Budapest - July 5-18- 13 India ------13 Apr. 26-June 27, 1925: Cases, Bombay - Apr. 26-June 27i- 115 37,107; deaths, 9,152. June 2X- June 28-Oct. 17 48 28 Sept. 19, 1925: Cases, 22,Ot.; Do- deaths, 5,248. Calcutta- May3-9 109 100 Do- May 17-23 75 61 Do- May 31-June 20-- 88 81 Do- July 5-Oct. 10. 71 60 Karachi- May 18-June 27 6 1 Do- June 28-July 4 1 1 Do- Auig. 30-Sept. 2&- 10 6 Do- Oct. 18-31- 7 3 Madras- May 18-June 27 152 Do- June 28-July 18- 68 25 Do- Aug. 2-Oct. 31.-.- 168 65 Rangoon------May 3-June 27-- 207 99 Do- June 28-July 4---- 2 1 Do- July 12-Sept. 19__ 29 14 Indo-China-- July, 1925: Cases, 144; deaths, 35; corresponding period, 1924- cases, 119; deaths, 51. Annam- July 1-31- 39 7 July, 1924: Cases, 11; deaths, 7. Cambodia- ---do ------62 18 July, 1924: Cases, 28; deaths, 13. (3ochin China- do- 12 7 JulY, 1924: Cases, 73; deaths, 31. Saigon- Apr. 20-Mar 31 13 9 Including 100 square kilometers Do- Aug. 17-Oct. i11- 17 4 of surrounding country. Tonkin- July 1-31- 31 3 July, 1924: Cas, 7. Irak- Jan. 11-June 27 1925: Cases,186; Bagdad- Apr. 26-June 20..-. 4 deathsf62. iune 28-Sept. 5, Do- Sept. 27-Oct. 3- 1 1 1925: (Casem, 76; deaths, 25. Italy -- -- Dec. 28-June 27--- 97 Do- June 28-Aug. 1---- 29 Catania - Aug. 17-23- Syracuse Province ---do------1 Turin- Aug. 17-Sept. 13- 7 Venice- July 27-Aug. 2- 3 Jamaica - Apr. 25-June 27, 1925: Cases, 110. June 28-Oct. 31, 1925: Cases, 244 (reported as alastrim). Kingston -Apr. 26-June 27 19 Reported as alastrim. Do-- June 28-Oct. 31 93 Do. Japan: Kobe -May 24-June 27- 2 Nagasai -May 1-21- 2 Do July 6-19 1 Taiwan -June 1-30 11 Do -July 1-31 1 Tokyo -June 14-20- 1 ------i- Yokoham -May 25-June 12-- 3 i--- Java: Bantam Residency June 14-27- 2 Do-- ug. 1-8-_- 4 1 Batavia.-- May 2-June 28 2 1---- Do -July 4-31 5 Do Aug. 8-Sept. 25.- 6 Province. Besoeki -Aug. 23-Sept. 5. 14 Brebes -Apr. 22-28- 1 Cheribon -Apr. 16-22- Do -July 12-Aug. 15- Do. Kediri Residency --- July 14- Epidemic. Pasoeroean -Aug. 30-Sept. 5- 35 Do -Sept. 17- Do. Pekalongan-Apr. 2-8- Rembang Residency pr. 23- Epidemic at Kawedanan. Do -Aug. 8- Epidemic at Montong. Soerabaya -Apr. 16-June 27 304 Do -June 28-Aug. 8 373 43 Do- Aug. 16-Sept. 2B 93 South Bantam-Apr. 16-22- 1 Tegal ------Mar. 29-May 2 2 - u------.------May-June, 1925: Cases, 4. JIuy, 1925: Case, 1. lAtnua------.-I- February-May, 1925: Cas, 6. I August, 1925: Cases, 3. 2863 fecetiber 18, 1925 CvIOLMA, PLAGU, SMALLP O,YPHU8 FEVER, AND YELLOW PINY -Cntnued

Reports Itecetved from Jute 27 to December 11, 1925-Continued SMALLPOX-Continued

a i~~- Plae Date Casesm Deaths Remaks

-~~~ I~j~

Malta- June 1-30------9 Do July 1-Aug. 31 9 --'-'--i-- Do.-_- -.-4 Oct. 5-21- 24 4 Valetta and vicinity. From con- tact at Lazaretto, 1 ca. Floriana- -do- 14 Valetta- -do- 7 Mexico --. January-June, 1925: D e a t h 9, Durango-.- July-Octber- 31 2,667. Guadalajar-- JJune 22 ------10 Do- June GNov. 168

Maata -.. Nov. 9-15- ...... In vicinity, ease. Merida- Sept. 20-qt. 18-- Mexico City- May 24-Joly 27 1212 Including municipalities in Fed. Do- July 6-11- 3 eral district. Do- July 2B-Slept. 5---- 8 Do. Do- Sept. 27-Nov. 7 6 Do. Caxaci, State .- . Aug. 14- 2---- Epidemic at El Ilule and other San Luis Potosi- Atig. 16-8ept. 19-- localities. Do .- Oct. 11-24- Do --- Nov. 8-14- 2 Tampico- June 1-10- Do- July 1-31- Torreon -..- Aug. 1-Oct. 31.---- 12 Morocco: Tangier- May 17-June 5- Present among natives. Nigera December, 1924: Cas, 40; deaths, 16. Do -I-I- January-June, 1925: Cases, 1,541; deaths, 169. July, 1925: Deaths, 21. Persia: Teheran- Mar. 21-May 21 29 Peru: Arequipa- June 1-30- Do- Aug. 1-31- 4 Lima ------do- 5 Poland- Mar. 1-June 27, 1925: Cses, 41. July 5-12, 195: Cas, 2. Aug. 2-8, 1925: Case, 1. Portugal: Lisbon- Apr. 26-June 27 36 6 Do June 28-Oct. 11 100 20 Oporto- June 14-20 1 Do July 19-Aug. 29 7 1-- Do- Nov. 8-14- . --- Rumania- January-May, 1925: Cases, 29; death, 1. Russia December, 1924: Cases, 1,000; Ukraine -July 1-31 19 January-April, 1925- Cases, 5,875. Later than previously published reports. Siam: Bangkok------Apr. 28-June 27 27 19 Do -June 28-July 11 2 Spain: Malaga -May 24-June 20_ 15 Do -July 5-Oct. 17--. I------46 Do -Oct. 25-Nov. 7-. 4 Valencia -May 31-June 27. 3 1 Straits Settlements: pingore -may 17-23- 1 Do .- July 6-11-- 1 -i Sumatra: Pedang -July 12-25 5 Switzerland: Berne ---- June 7-13 Lueerne -June 14-20 . 4 Syria: Beirut Apr. 21-30 1 Tripoli Jan. 3-Apr. 15, 1925: Cases, 14. Tunis: Tun1s- May 6-June 30 46 DO July 1-Oct. 6 91 Turkey:

Constantinople-__... May 16-2 ---- 2 I)ecember 18, 1825 2864 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued Reports Received from June 27 to December 11, 1925-Continued SMALLPOX-Continued

Place Date Cases Deaths Remarks

Union of South Africa - July 1-31, 1925: Cases, 8. Cape Province- May 24-Sept. 12. --- Outbreaks. Port Elizabeth- Apr. 18-25 - 8 1 Orange Free State- Aug. 9-Sept. 5 --- Outbreak in Ladybrand district. Transvaal -May 3-June 6 --- Outbreaks. Do -Aug. 30-Oct. 3 --- Do. Johannesburg- Sept. 5-11-1 Uruguay 1924: Cases, 8. Do .-- - -December,February-May, 1925: Cases, 11. Mont,avideo -|Aug. 1-31- 1

TYPHUS FEVER

Algeria: Algiers - May 11-20- 6 2 In vicinity, 12 cases. Isolated. Do- July 1-Oct. 20- 21 8 Constantine July 1-10- 17 l .,-- District. Do- July 21-31 7 l-- Department. Oran - do 8 Do. Bolivia: La Paz- Apr. 1-June 30- 5 Do Aug. 1-31- 1 Bulgaria November-December, 1924: 1 Sofia ------May 28-June 3 2 case. January-June, 1992: Cases, 124; deaths, 7. July- August, 1925: Cases, 39; deaths, 5. Canary Islands: Santa Cruz de Teneriffe- Sept. 14-20- 1 Chile: Iquique .- Aug. 8-22- 2 Valparaiso May 10-June 277 2 Do June 28-Oct. 24- 17 China: Antung , Oct. 26-Nov. 1 2 Manchuria- Harbin May 19-June 2____ 2 Do Scpt. 2-Oct. 14.---- 3 Chosen January-Miay- 394 6 Czechoslovakia April-June, 1925: 1 case, occur- ring in Province of Russinia, July, 1925: Cases, 3. Egypt- January-June, 1925: Cases, 1,011; Alexandria May 7-June 3- 3 ------i- deaths, 211. July 2-Aug. 4, Do July 9-Sept. 17 1925: Cases, 107; deaths, 19. Cairo Mar. 26-May 13-- 6 Do July 16-29- 3 Do Sept. 10-16- 1 Port Said May 14-20- 1 1 Do July 30-Aug.12.--- 1 Do 3 Esthonia Aug. 20-26- Apr. 1-May 30, 1925: Cases, 6. August, 1925: Cases, 1. Great Britain: Scotland- Glasgow Sept. 6-Oct. 8- 2 Greenock May -- Do Aug. 6-18- 7 Greece January-June, 1925: Cases, 57; Athens May 1-31- deaths, 6. July-August, 1925: Cases, 17; deaths, 3. Do Sept. 1-Oct. 31 21 23 Including Pireus. Kalamata Apr. 1-30- 2 Patras June 28-July 4 Iralk: Bagdad ------July 12-18- 1 I- Ireland: Cork County Aug. 25 3 Latvia April-June, 1925: Cases, 26. September, 1925: Cases, 1. Libau ------July 14-20 jjii;i-iJ- July-August, 1925: Cases, 9. Lithuania- March-June, 1925: Cases. 162; I deaths, 8. July-August, 1925; Cases, 8. 2865 Decembo 18, 19R5 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FBVIR, YELLOW FWVSR-OoDtlnUed AND) Reports Received from June 27 to Dlecember 11, 1925wContinued TYPHUS FBVER-Continued Ple Date Case IDeah Remarks - -I. Mexico - - January-June, 1925: Deaths, 124. Mexico City- *May 24-June 6. Including municpalities in Fed- eral district. Do. . June 28-Aug. 1 39 Do. Do . Aug. 16-Oct. 24-.-. 9 Do. Do . Nov. 1-14- 14 Do. San Luis Potosi June 28-Nov. 7_ i Tampico Aug. 20-31-- Morocco- a January-June, 1925: Cases, 421. July, 1925: Cases, 59. Palestine I, Sept. 15-Oct. 19, 1I9: 9 'ases, Bertusia Oct. 20-2 occurring in 6 loealities, viz, Dagania July 21-27------14-- Beit (Gan, Haifa Kehmria, Ri. Ekron- ---dn_ w , sshon, Salad, and Tel-Aviv. Haifa Aug. 20-Sept. 28... 2. Jaffa district June 28 Do Aug. 20-Sept. 14.-.. 2, Jerusalem July 29-Oct. 26.---. 3' Maijdal --- May 26-June 8 Ramleb . May 19-25- I. Safad June 9-15- I. Do July 21-27- Tel Aviv .do Paraguay: Asuncion__ Sept. 13-19- Persia: I Teheran -- Apr. 21-May 21.-.- Peru: 1 Arequipa- Apr. 1-June 30-- 3 Do July 1-31- 1 Do Sept. 1-30 Poland 1 1. Mar. 1-Apr. 11, 1925: Cases, 1,195; deaths, 74. Apr. 19- June 27, 1925: Cases, 1,001; deaths, 87. July 5-Aug. 15, 1925: Cases, 173; deaths, 16. Aug. 16-Sept. 26, 1925: Cases, Portugal: 81; deaths, 3. Oporto May 31-June 6 ------Do 1 July 5-Sept. 26- 2 ------Rumania January-June 1,490 167 Constantza May 1-June 30------Do 2 Sept. 1-10- 1 ------Russia ------December, 1924: Cases, 5,062 January-April, 1925: Cases. 34,062. Later than Ukraine ------previousl3 July 1-31- 248 .-- Spain: published reports. Seville Aug. 20-26- 1 Valencia------June 7-13- Tripoli June 1-30 3 Tunis: Tunis May 21-June 17--. 16 8 Do July 8-Sept. 18--- Turkey: 12 5 Constantinople May 11-31 7 2 Union of South Africa June, 1925: Cases, 61; deaths, 4 Cape Province May-June, 1925-- 16 6 July, 1925: Cases, 161; deaths Do July, 1925- 31 4 34. Do Aug. 23-Oct. 10..- Outbreaks. East London Sept. 13-19- 16----- Native. Port Elizabeth Aug. 30-Sept. 5 1 Natal May-June, 1925.. 17 Do July, 1925 . 15 5 Durban Feb. 1-June 27-- 17 Do June 28-Aug. 29... 2 Orange Free State May-June, 1925.... 53 5 Do July, 1925- 99 ao Do Sept. 6-12- Outbreaks. Hoopstad July 5-11- Do. Transvaal May-June, 1925... 17 1--4 Do July, 1925- 16 5 Do Aug. 9-15 . Do. Johannesburg 19-25 Yugoslavia: July . 1 Belgrade June 8-14 . 1 Zagreb . May 8-21-- = _ December 18, 1825 2866 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued Reports Received from June 27 to December 11, 1925-Continued YELLOW FEVER

Plav.A Date% I ClasA Taths VRmnarl.o

Gold Coast Apr. 1-30-1 Do July, 1925 _ 1 1 Ivory Coast: Lahou - June 1-10--__ 1 1 Liberia: Monrovia -Aug.7- 4 Nigeria -April-June- 12 6 Do -July, 1925 - 4 3 Ibaden -Apr. 24-30-1 Lagos ------Apr. 29-May 5... 1 4

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