PUBLIC HEALTH REPORTS VOL 36 NOVEMBER 11, 1921 No. 45

TIE TREATMENT OF LEPROSY WITH THE ETHYL ESTERS OF CHAULMOOGRA OIL. Although the treatment of leprosy with the ethyl esters of chaul- moogra oil at the Leprosy Investigation Station of the Public Health Service at Kalihi, Hawaii, and at the Territorial Leper Colony at Kalaupapa, has given very encouraging results, nevertheless over- optimistic and extravagant statements which have appeared from unauthorized so-urces in the public press make it necessary at this time to call attention to the therapeutic status of the ethyl esters of chaulmoogra oil in the treatment of leprosy. The ethyl esters of chaulmoogra oil may- be regarded as the most valuable therapeutic agent in the treatment of leprosy which has. been developed up to the present time. They are superior to chaulmoogra oil in that they (1). may be administered practically to all patients, and (2) their use, when injected subcutaneously, is not accompanied by the pain, discomfort, or slow absorption and frequent abscess formation attendant on the use of crude chaul- moogra oil. In properly selected cases, especially in the young and in those who are in the early stages of. the disease, the clinical improvement is rapid and striking. The results are less favorable in older persons and in cases of long duration. At this time we can not say that the ethyl esters of chaulmoogra oil are a cure for leprosy. The cases which have been paroled from the Leprosy Investigation Station at Kalihi and from the Territorial Leper Colony at Kalaupapa are cases which no longer exhibit clinical evidence of leprosy and in which the disease has apparently been arrested. Whether these cases of arrested disease- constitute permanent cures or not is a question which only the passage of time can answer. As in the case of arrested tuberculosis,' one would expect a certain percentage of relapses to occur in lepers paroled with the disease in an arrested condition. A certain percentage of these relapses do occur. Up to the present time 8 per cent of the patients paroled from the two leper institutions in Hawaii mentioned above have relapsed and have returned to these institutions for treatment. Therefore, in regard to the treatment of leprosy with the ethyl esters of chaulmoogra oil we may say at present that their use has' 71028-21-1 (2769) November 11, 1921., 2770

resulted in the apparent cure of the disease in a considerable number of cases, but whether these "apparent cures" be permanent or not is a matter which requires time to determine. The results have, however, been so favorable as to lend a hopeful aspect to the treat- ment of a disease which has long been regarded as hopeless, and to lead us to believe that a therapeutic agent has been developed which surpasses in value anything- which has been-brought forward up to the present time. MORBIDIrT IN ENGLAND AND WALES, 1920. The following table shows the nurmber of cases of notifiable diseases reported in England and Wales for the calendar year 1920 and the case rates per 1,000 population. The figures are taken from "Incidence of Notifiable Infectious Diseases in Each Sanitary District in England and Wales during the year 1920," issued by the Minitry of Health. The population is given as 37,426,800.

Englan.mand wales,

Disease. Numbe Rateper of cas 1000pop notifed. ulate.. .~~~~~~~~~~~~~~~~~~cm ,

Cerebrospinal meningitis 0. Continued fever ...... 35 .00 Diphtheria...... : ...... 69,481 1.86 Dy utsr7...... :133...... Dysente y.1353 ...... 04 KytipelaS...... -...... 16,051.43 encephaitis ...... 02 Malaria in England) ...... 00 32 ...... 10, 30 PIguOphthlmla...... neonatorum .... 3 .0 .00 Pneum.nia...... 38,859 L04 38 .00 ...... Puep eve ...... 2,88 .OB ~~~~~~~~~~~~~2,8M 08 fever 7 fever...... 19,490 .1

feverTr& ~~~~~~~~...... 38339 .:0100 Tuberculosis )...... 61,655 1. 65 Tuberculosis (other...... 15 851 .42 ...... 3,108O8 ..... 00...... 2 .00

0HIO WORKMEN'S COMPENSATION ACT CONSTRUED.

DATA FROM TYPOID CAUSED BY DRINKIG WATEItS COMPENSABL UNDER WORK COMPSATION ACT. On September 12, 1921, the Ohio Court of Appeals, first appellate district, decided 1 that death from typhoid fever caused by drinking impure water is compensable under the workmen's compensation statute. Toi I TRhe Industria CmIsso of Ohio v. Cross et aL 2771 November 11, 1921. The decedent was employed by the city park department as inspector of certain construction work. The only drinking water available in the vicinity of the place where the construction work was being done was from a spring near by. After the decedent was taken rn, the spring water was examined by the health department and found to contain typhoid fever germs. In the course of the opinion the court of appeals said: "While there might be an extended discussion and difference of opinion as to what is meant by the term 'injured,' in construing the term as used in the statute, we do not think the legislature meant that the injury must be caused by the application of external force. The man was as much injured by the contracting of typhoid fever as if injury had been infficted by external forde." STATE AND INSULAR HEALTH AUTHORMES, 1921. DIRCETORY, WITH DATA AS TO APPROPRIATIONS AND PUBLICATIONS. Directories of the State and insular health authorities of the United States for each year from 1912 to 1920 have been published in the Public Health Reports I for the information of health officers and others interested in public-health activities. These directories have been compiled from data furnished by the respective State and insular health officers and include data as to appropriations and publications. Where an officer has been reported -to be a "full-time" health officer, that fact is indicated by an asterisk (*). For this purpose a "full-time" officer is defined as "one who does not engage in the practice of medicine or any other business, but devotes all his time to official duties." ALABAMA. ALABAMA-Continued. Board of censors of the State Mtedical Association, Assistant sanitary engineers: acting as a committee of public health: *J. C. Carter, E. M. Thos. E. Kilby, governor, ex officio chairman, *E. B. Johnson, C. P. H. Montgomery. *Wm. Ropes, C. E. W. Welch, M. D., M1ntgomery. *C. C. Walker, B. C. E. W. D. Partlow, M. D., Tuscaloosa. Countyorganization: J. N. Baker, M. D., Montgomery. *D. H. Swengel, M. D., acting director, Mont- V. P. Gaines, M. D., Mobile. gomery. S. . Gay, M. D., Selma. Public health nursing: W. R. Jackson, M. D., Mobile. *Jessie L. Marriner, R. N., Montgomery. W. S. Britt, M. D., Eufaula. Venereal disease control: H. S. Ward, M. D., Birmgham. *W. C. Blasingame, A. M., Montgomery. B. L. Wyman, M. D., Birmingham. Field lecturer: R. S. Hill, M. D., Montgomery. A. J. Dickinson, D. D. Exeutive health officer:- Communicable disease: *8. W. Welch, M. D., State health officer, Monte *L. T. Lee, M. director, Montgomery. gomery. D.,afling Registrar of vital statistics: Inspection: *H. G. Perry, M. D., Montgomery. *C. A. Abele, Ch. E., Montgomery. State laboratory: Chief clerk: *E. W. Cheyney, M. D., Montgome. *Fannie Kate Centerfit, Montgomery. State sanitary engineering: Appropriation for fisal year bnding September 30, *G. H. Hazlehurst,C. E., M.C. B., Montgomery. 1922, $150,000. Reprints Nos. 83, 123, 190, 288, 344, 405, 488, 5"4, and 605 from the Public Iealth Reports. Novembe 11, 192L 27

ARIONA. - ARKANSA8-f soures of revenue: Board of health: Other Thomas E. Campben, governor, president, Fee for marriage licenss, 50 cem eah, ae Phoenix. deposited in the State teny to main the central bureau of vital statisti. w. J. Galbraith, attorney general, vice pred- dent, Phoenix. Licens fees for hotels, restaurts, and rooming A. M. Tuthill, M. D., secretary,. Phoenix. hous are deposited in the State treaury to maintai the bureau of mnitation. Executive helth offlcr: A. X. Tuthi D., State ntedent of CAIORNIA. publichealth. Phoenix. Board ofhealth: Executive seeretary: George E. Ebright, M. D., ,president, San *Hannah C. Egeiston. Franisco. Regstrar of vital statistics: Fred F. Gundrum, M. D., vice president, Sa. A. M. Tuthill, M. D., Phoenix. ramento. Bureau for ontrol of venereal diseses Walter M. Dickle, Xf. D., seretary, Sacra- A. M. Tuthill, M. D., director, Phoenix. mento. Child hygien departmt: Walter Lindley, X. D. Los Angeles. *Mrs. Chas. R. Howe, director. Edward F. Glmer, Rf. D., San Francisco. Tuberculosis department: Adelaide Brown, M. D., San Francisco. - *T. C. Cuvellier, director. Robert A. Peers, M. D., Colfax. Statistician: Attorney for board ofhealth, *Ruth W. Fritsci. John C. NcFariand, Los Angeles. Appropriations for fiscal year ending June Executive health officer: 30, 1i= Walter N. Dickle, X. D., secretary and Operating expense 10,250 exeutive officer, State board of health, Childb one ...... 3,000 Sacramento. Tuberculos ...... s. 3,000 *Mason E. Franklin, assistant -to secretary, Venereal diseases ...... 3,000 Saramento. Bulletin and publicity ...... 2,000 District health offices: Ysdae ...... 1,000 *Allen F. Gillihan, M. D., northern division.

Total ...... 22, 250 *Galvin Telfer, M. D., southern divion. Publication issued by health department: Sanitary inspector: Quarly bulletin. *Edward T. Ross; Sacramento. Dental hygienist., ARANSAS. *Charlotte Greenhood, San Francisco. Bureau of vital statistics: Board of health: *L. E. Ross,-director, Sacramento. F. 0. Nahony, M. D., president, El Dorado. Bureu of registration of nurs: C. F. Crosby, M. D., Heber Springs. *Anne C. Jamme, R. N., director, 8acramnto. H. L. Montgomery, M. D., Gravelly. Bureau of tuberculosis: H. R. Webster, M. D., Texarkana. *Edith L. M. Tate-Thompson, director, Sacra. 0. L. Wililamson, M. D., Marann. menbo. Leonidas Kirby, M. D., Harrn Bureau of food and drugs: S. A. Southall, 1M. D., Lonoke. *Erwin J. Lea, direetor, Berkeley. Executive health officer: Bureau of communicable diseases: *C. W. Grrison, M. D., State health officer, *W. H. Kellogg, X. D., director, Berkeley. Little Rock. Bureau of social hygiene: Bureau of vital statistics: *Elizabeth McMnus, diector, Los Angles. *Mrs. mary Ellis Brown, statistician, LIttle Bureau of sanitary engineoring: Rock. *Ralph Hllscebor, C. E., director, Berkeley. Hygienic laboratory: Bureau of child hygiene: *Gordon E. Davis, acting director, Little Rock. *Ethel M. Walters, M. D., director, San Fran. Chief hotel inspector: cisco. P. Cle, Sihm Spins. Appropriations forbiennW period ending Sanitary engineer: June 30, 1923: Little Rock. *M. Z. Bair, Statutorysalaries ...... 847,800 Appropriations for biennial period ending Traveling and contigont (Inciuding June 30, 1923: printing) .....0.0D,(1000 Executive department-salaries and Support of district health officers 27,50 27,800 miscellanous ...... of food and druglaboratorY. s, and Slpport Bureau of vital statistics-salaries of hygienic laboratory. 86,30 31.000 Support s...... ellane.. Sanitay nspectors .35,400 Bureau ofvenerea disea control....- 25,000 Vital statistics 42,000 Malaria control ...... 10,000 ConcagouasdLseases.. .. .C450 Bureau of chid 88,800 Total. .... 9B,900 hysiee. 2773 November 11, 1921.

CAIFORMNA-Continued. CONNECTICUT-Continued. Appropriations for bienni3l period end- lxecutive health officer: ing June 30, 1923-Continued. *John T. Black, M D., commissioner of health,

Bureau of social hygiene...... $51, 600 Hartford.

Bureau of sanitary engineering ...... 68,770 Laboratory director: Tuberculosis-Subsidy and admin- C. J. Bartlett, M. D.

istration ...... 600,000 Sanitary engineering: (Administration, S60,0O0.) J. Frederick Jackson, C. E., director. Public health nurses ...... 10,000 Preventable diseases:

Malaria control (emergency) ...... 20,000 *Stanley H. Osborn, M. D., director. Plague and parasitology (emergency) 5,000 Vital statistics: Dental hygiene ...... 15,000 , director. Bureau of child hygiene and public health nursing: Total ...... 1, 218, Other souirces of revenue: *Margaret K. Stack, R. N., director. Division of Fees for registration of nurse, $15 each. venereal diseases: Daniel Renewal ofregistration certificate, S1 per year. E. Shea, M. D., director. Licensing of cold-storage warehouses, rated Appropriations for fiscal year ending June 30, 1922: according to capacity. General administrative expenses..... $13;,500 Fees forcertifled copies of records. Salary commissioner ...... 4,000 Publications issuled by health department: Purchase and free distribution of Biennial report. antitoxin ...... 12,500 Monthly bulletin. Preventable diseases ...... 15,000 Weekly newsletter. Vital statistics ...... 12,500 Sanitary engineering ...... 12,500

COLORADO. Laboratory ...... 25,000

Board of health: Child hygiene ...... 18,000 H. Wm. Sharpley, M. D., president, Denver. Venereal dises control work...... 10,000 K. G. Olmsted, M. D., vice president, Denver. Mental hygiene ...... 3,000 R. L. Drinkwater, M. D., secretary, Denver. Total C. W. Thompson, M. D., Pueblo...... 128,000 Tracy R. Love, M. D., Denyer. Available for laboratory construction .... 9W, 718.42 Other sources of revenue: 0. W. Bumpus, D. O., Denver. Sherman Williams, M. D., Denver. Medical practice, registration fees. Publications issued by health department: Hugh F. Lorimer, M. D., Ordway. Monthly bulletin. J. M. Barney, M. D., Denver. Executive health officer: Annual vital statistics report. R. L. Dri.kwater, M. D., secretary State board Biennial report of State department of health. of health, Denver. First and second biennial reports of the indus- Bacteriologist: trial wastes board. Wm. C. Mitchell, M. D., Denver. Health and safety manual for teachers. Medical inspector: Compilation of health laws. *J. W. Morgan, M. D., Denver. HotuQe fly as a disease carrier and how con- State food and drug commissioner: trolled. DELAWARE. * Wilbur F. Cannon, Denver. Division of venereal diseases: Board of health: *S. R. McKelvey, M. D., director, Denver. Wm. P. Orr, M. D., president, Lewes. Appropriations for fiscal year ending Nov. 30,1921: L. S. Conwell, M. D., secretary, Dover. J. W. Clifton, M. D., Smyrna. Salaries ...... $ 21,900 Detention home fund...... 1 25,000 W. F. Haines, M. D., Seaford. Laboratory equipment ...... 1 10,000 C. A. Ritchie, M. D., Wilmington. G. W. K. Forrest, M. D., Wilmington. Printing and publications ...... 1,250 Edgar Q. Bpillock, M. D., Wilmington. Traveling expenses ...... 4,800 Executive health officer: Samplesand supplies ...... 600 L. S. Conwel, M. D., secretary State board of Venereal diseases ...... 20,000 health, Dover. Inc.idental expenses..'...... ,,,, 1 2,000 Pathologist and bacteriologist: Total ...... 85,550 *Herbert J. Watson, Newark. Appropriations for the fiscal year ending Jan. 5,1922: CONNECTICUT. State board of health ...... so, 003 Public health council: Laboratory ...... 10,000 Vital statistics Edward K. Root, M. D...... 2,000 antitoxin and S. B. Overlock, M. D. Diphtheria immunizing agents ...... 5,000 C.-E. A. Winslow, D. P. H. Venereal disease control work ...... James W. Knox. 2,500 Supervising nurse for midwives...... 2,000 Robert A. Cairns, C. E. James A. Newlands, B. S. Total ...... 2 7,500 ears 1921 and 1922. November11, 192L 2774

DISRIC OF COLUMDIA FI)IA-0ontinued. Executive health officer: Appropriatios hrheth dp CW. C. Fowler, ILD., health officer, Wash- Onequrt mil taxtied upon the mssable ington. proper of the Stt; rdud from onebaL Assistant health officer: minl by 192 lgaUr *Lewis A. Newfeld, M, D., Washington Fiscal year en Decmbe 31. Chiefclerk and deputy health offier: Publcation by helthdepertmet: *Arthur G. Cole, W shigto Pamphlets coverig al paes ofpublic health. Chief bureau of preventable disas and director Public hath in an d ed bacterlologilalaboratory: through tbe"wekly and daily papers of the *Francis M. Munson. M. D., Washington. State. Bacteriologist: GEORGIA. 'John A. Noble. Washngtn Board ofhealth: Jr., Augusta. Serologist: W. H. Doughty, M. D., president, *W. F. Landon, Washington. James H. McDuffle, M. D., vice president, Co. Chemist: iumbus. *Thomas aloolm Price, Ph. D., Washington. T. F. Aberromble, M. D., secetary, Atlanta. Chiefsanitary inspector: Chas. H. Richardson, M. D., Macon. V. R. Holman, Washington. A. D. Little, M. D., ThomasviUe. Chief food inspector: John W. Daniel, E, D., Savannah. *Reld R. Ashworth, D. V. S., Washington. B. C. Teasley, M. D., Hartwell. Chiefmedical and sanitary insptor of shool A. L. Crittenden, M. D., Sheilman. *Joseph A. Murphy, Ki. D., Washington. Robert.F. Maddox, Atlanta. Appropriations for the fiscal year ending June 30, A. C. Shamblin, M. D., Rome. J. C. Verner, M. D., Commee. J. L. Walker, M. D., Waycross. ... ,100,890 M. S. Brown, M. D., Fort Valley. Prevention of comm icabledieses 40,000 M. L. Brittain, State srinte t ofschools, . 7,000 Disinfecting servic...... ex offilcio, Atlanta. Isolation wards at hospitals ...... 16,500 Peter F. Bahnsen, State ve naran, ex officio, Milk and food inspection and regula- Atlanta. tion ...... 8,700 Executive health officer. Dispensary service including treat- CT. F. Aberembie, M. D., commsoner, ment of tuberculosis and venereal Atlanta. disease ...... 12,500 CJoe P. Bowdoin, M. D., deputycommissioner, Exsmination, advice, and care of Atlanta. children under 6 years of age under Division of venereal disease control: contract with child-welfare society. 18,000 *Joe P. Bowdoin, M. D., director, Atlanta. MiceLlaneous .15,450 Division of county health work: *M. F. Haygood, M. D., director, Atlanta. Total .219,00 Division of laboratories: Publications issued by halth department: CT. F. Sellers, M. Sc., director, Atlanta. Weekly report byheath department. Division ofsanitary eeering: Annual report of health offlcer. CH. C. Woodlall, director, Atlanta Monthly statement of averaga grade of milk Division of serology: sold. CE. L. Webb, A. B., director, Atlanta. FLORIDA. State tubculosis sanatorum: Board ofhealth: *Edson W. Olidden, 2d, L D.,supeitendent, Calvin T. Young, M. D., president, PlantCity. Alto. of vital statistics: Charles H. Mann, Jacksonville. Bureau *W. A. Davis, M. D., director, Atlanta. F. CliftonMoor, M. D., Tas. of-child hygiene: Executive health officer: Division *Dorothy Bocker, M. D., director, Atlanta *Ray3ond C. M. D., State health Turec, Georgia trainig shool for mental defectives: officer, JacksonviUe. *Geo. H. Preston, M. D., Gracewood. statistics: Bureau of vital AppropriatIon for the fScal Yr G. D. P. H., director, Jack- CStuart Thompson, Dec. 31, 12:

sonville. General appropriation ...... $75,190 Bureau ofsanUtary engnering: Statetuberculosissanatorium ...... 56,000 CGeorge W. Simons, Jr., director, Jacksonville. Venerea disa control ...... 15,000 Bureau ofdiagnostic laboratories: Total by *B. L. Arms, M. D., director, Jacksonville. Venereal diseas control (Federal Gov- Bureaufomunicable ie and health units: ernment funds) ...... A. M. director, Jacksonville...... 15,000 George Dame, D., Rural sanitation (n anal Health Bureau of child welfre: Board funds) ...... ,000 *WIlliAm B. Keating, D., director, Jackson- VI" Total...... e.e..... 106,80 2775 November 11, 1921. HAWAIL IDAHO. Board ofhealth: Deportment of public welfare: F. E. Trotter, M. D., president and executive David Burrell, commissioner. Qflcer,o Honolulu. F. W. Almond, M. D., medical advisor. Harry Irwin,attomeygeeral, Honolul Paul A. Mader, bacteriologist. P. Withingtcn, M. D., Honolulu. Edw. F. Rodenbaugh, chemist. D. S. Bowman, Hmolulu. A. H. Wilson, dairy, food, drug, hotel, and R. A. McNally, Hoolulu sanitary inspector. 3. Ordeastein, Honolulu. C. K. Macey, dairy, food, drug, hotel, and san S. S. Pamon, Honolulu. itary inspector. Executive health officer: Executive health offlcer: *7. Z. Trotter, M. D., president ofthe board of David Bunrell, commissioner of public welfare, health, Honolulu. Boise. Seeretary: Appropriations for biennial period ending Jan. 3, *M. R. Weir, Honolulu. 1923: Bacteriologist: Salaries and wages: A. N. Sinclair, M. D., Honolulu. Commissioner ...... ,7,2005 Tuberculosis bureau: Medical advisor .10,000 A. L. Davis, M. D., director, Honolulu. Bacteriologist .4,800 Medical inspector ofschools: Chemist .4,000 A. L. Davis, M. D., Honolulu. Inspector .4,800 Health officer: Inspector ...... :. M. 4,000 James T. Wayson, D., Honolulu. Other salaries...... 12,800 Sanitary engineers Expen3e3 other than salaries.14,700 *3. W. Tay, Honolulu. Venereal disease control .5,000 Food commissioner and analyst: *M. B. Bairos, Honolulu. Total.67,306 Oahu insane isylum:. The above appropriations are made to cover a *W. A. Schwallie, M. D., superintendent, period of two years. Honolulu. Leper settlement: ILLINOIS. *J. D. MoVeigh, superintendent, Kalaupapa, Molokai. Director of public hxealth: *W. 3. Goodhue, M. D., resident physician, *Isaac D. Bawlings, N. D., Springfleld. Kalaupapa, Molokai. Assistant director of public health: Chiefsanitary inspector, HawaLi *Thomas H. Leonard, M. D. C. Charlock, Hilo. Division of sanitation and engineering: Chiefsanitary inspector, Maui: *Harry F. Ferguson, C. E., chief sanitary engi- G. Weight, Wailuku. neer. Chiefsanitary inspector, Kauai: Division of communicable diseases: F. B. Cook, Waimea. *J. 3. McShane, M. D., D. P. H., chief. Appropriations for the biennial period Division ofchild hygiene and public health nursing: ending June 30,1923: *C. W. East, M. D., chief. Generlexpense...... 567,300 Division of tuberculosis: Vital statistics ...... 17,680 *Thomas H. Leonard, M. D., acting chief. engine ...... Division of diagnostic laboratory: Saitary 15,600 *Thomas G. Hull, Ph. D., chief. itaton...... 147,240 Division of biologic and research laboratories: Pure food ...... 22,500 *Thomas G. Hull, Ph. D., chief of Bacteriological bureau ...... 18,000 laboratorie Quartine and medical service...... Division of vital statistics: 127,340 *Sheldon L. Howard, Rat campaign ...... registrar. 24,000 Division of public health Mosquito campaign...... 4,800 instruction: Medical and dental supervision and *Baxter K. Richardson, chief. Division of social hygiene: treatment of school children ...... 54,000 *C. C. Copelan, M. D., chief. Tuberculosis ...... 302,000 Care of lepers and their children..... Divlsion of hotel and lodging-house inspection: 632,370 *W. W. McCulloch, superintendent. Owre of the insane...... 293,596 Misoe S...... Appropriations for isca year ending June 6,150 30, 1922± Total . 1,732,576 Salaries ...... 318,960 Publications issued by health department: Office expense ...... 16,495 Annual report ofpresident. Traveling expenses ...... 77,300 Regisrar-General'asrport. Operating, supplies and expenses-..... 85,000 NoTenber 11, 192L 2776 ILLINOIS-Contlnued. NDIANA-Continued.

Appropriations for fisndl yer onding June Appropriatios for the fia year endig 33, 1922-Continued. Sept. 39, 192-Continued. and Equipmett rep...... $17,514 Weightsid mesases...... 8 10,000 Co ntingent ...... 34,400 Laboratoryof hygiene ...... 12,000

Pri nti...... 2 ,50 Hydrophobiafud ...... f 6,000

Baby book ...... 5,000 Total ...... 570,169 Division of tuberculosis.... Publications issued by health department: 10,000 ImInois Health News (monthly). Division of infant and child hygiene.. 20,000 Social Hygiene (monthly). Division of rural hygie .25,000e Division of veneral diseae .42,300 INDiANA. Housing .15,000 Board of health: Total .2'0.. ,30. John H. Hewitt, M. D., president, Terre Haute. Publication issued by heath deartent Hugh A. Cowing, I. D., vicepresident, Muncie. Monthly bulletin. Chas. B. Kern. M. D., LaFayette. Adah McMahan, Mf. D., La Fayette. IOWA. Board of health: J. N. Hurty, M. D., secretary, Indianapolis. Executtve health officer: Frank T. Launder, I. D., presdent, Garwin. N. E. Kendall, governor, Des VJ. W. N", M. D., State health comnis- Moines. sigper, Indianspolis. W. C. Ramsay, seretary otstate, Des Moines. Assistanit State health commissioner G. C. Haynes, auditor of state, Des Moines. W. 3. Brbank, trwuer of state, Des Moines. *W. F. King, M. D., indianapolis. Divism of statistics: Hans V. Pedersen, saitary engineer, Des *H. 11. Wright, dietor, IndianapoUs. Moines. Laboratory of hygiene: G. F. Severs, M. D., Centervile. *Wm. Shimer, Mf. D., ditor, dnapolis. Henry C. Eschbach, M. D., Albia. Division of food and drugs: C. S. Grant, M. D., Iowa City. *Ivy Miller, State food and drug commisioner, Executive health officer: Indianapolis. *Guilford H. Sumner, M. D., State health com- Traveling milk laboratory: missi er, Des Moines. *Frank C. Wilson, directo. Assistnt secretary: Water and sewage laboratory: *H. W. Grefe, Des Moines. *L. A. Geupel, sanitary engineer, Indianpois Chiefclerk: Division of child hygiene: *L. V. Clemens, Des Moines. *Ada E. Schweitzer, M. D., diector, Indian- Laboratories: .pus *Don M. Griswold, M. D., director, Iowa City. Division of tuberculosis: Sanitary engineer: *H. W. McKane, M. D., diretor, Indianapolis. *Hans V. Pedersn, Des Moines. Division of epidemiology: Bureau of venereal diseas: *Wm. Shiner, M. D., director, Indianpoli. W. S. Conkling, M. D., diretor. Division of venereal dieases: Lecturer in charge of women's work: *W. F. King, M. D., director, Indiaapolis. Jeannette F. Throckmorton, M. D. Division of school hygiene: State housing commioner: *H. R. Conirey, director, Indinapolis. *Edwin H. Sands. Division of housing: Appropriations for fiscal year ending June *W. F. Sharpe, director, Indianapolis. 30, 1922: Apprpriations for the fiscal year ending State bbard of health work...... $10,000 Sept. 30, 1921: Housinkdepartment ...... 5,000

Salaries (specific) .6...... 3,000 Bacteriological laboratory ...... 15,000 Antitoxin Board of health oicee ...... 30,000 department ...... 2,000 Food and dugs 30,000 Vital statistics ...... 10,000 Weights and measures 10,000 Salaries of employees ...... 11,400 Laboratory of hygiene 12,000 Social hygiene ...... 25,000 Hydrophobia fund ...... 6,000 Total 78,400 Baby book ...... 0...... S,00O The above dos not include speal apprpria- Division of tuberclosis ...... 10,000 tion for clical Division of infant and child hygiene 15,000 Publioatins issued by health department: Division of rural hygiene ...... 25,000 Biennial report. Division of venereal diseases...... 33,000 Quarterly bulletin. Total ...... 179,000 Appropriations, for the fiscal year ending Board of health: Sept. 30, 1922: H. L. Aldrich, M. D., president, Caney.

Salaries (specific) ...... 4,000 W. M. Earnest, M. D., vice president, Wash.

Board of health office...... aO,OOO ington. Food and drugs ...... 30,000 Clay E. Coburn, M. D., KansasV1 2777 November 11, 1921,

KANSAS-Continued. KENTUCKY. Board of health: Board of health-Continued. John G. South, M. D., president, Frankfort. 0. D. Walker, M. D., Salina. W. W. Richmond, M. D., Clinton. 1. T. Axtell, M. D., Newton. George T. Fuller, IL D., Mayfield. C. H. Ering, M. D., Lamed. H. H. Carter, D. O., Slielbyville. 1. 1. Entz, M. D., Hillsboro. Joseph E. Wells, M. D., Cynthiana. C. H. M. D., Topeka. Lerrigo, George S. Coon, M. D., Louisville. M. D., Manhattan. Belle Little, F. A. Stine, m. D., Newport. G. Egan, attoney. J. 0. C. Dilly, M. D., Louisville. health officer: Executive A. T. McCormack, M. D., secretary, Louisville. ;. J. C rIng, MX. D., U. S. P. H. S. (Reserve), Executive health officer: secretary State board of health, Topeka. *A. T. MeCormack, M. D., State health officer, Division of vital statites: Louisville. Chas. H. Lerrigo, M. D., State registrar, Topeka. Bureau of sanitation: of communicabl di and snitation: Division *J. N. McComack, M. D., director, Louisville. A. J. Warrn, M. D., chief, Topeka. Bureau of vital statistics: Division of food and drugs: *J. F. Blackerby, director, Louisville. Frak Rowlad, assistmt chief food and drug Bureau ofbacteriology: inspector, Topeka. *Liian H. South, M. D., diretr, Louisville. Division of child hygiene: Bureau of sanitary engineering: Moore, M. D., chief, Topeka. Helen *F. C. Dugan, State sanitary engineer, Louis- Division of water and sewage: ville. Albert Jewell, chief, Lawrence. Prof. Bureau of pure food and drugs: Divisio of public health education: *Sarah H. Vance, director, Louisville. M. S. 3. Crumbine, D., director, Topeka. Bureau of venereal diseases: of veneral diseass: Divison *Jethra Hancock, M. D., Louisville. B. K. Kilbourne,M L D.,IU. S. P. H. S. (Reserve), Bureau of tuberculosis: director, Topeka. *J. S. Lock, M. D., director, Louisville. Water and iewage laboratories at Kans Univer- Bureau of public health nursing: sity: N., director, Louis Albert Jewefl, director, Lawrence. *Marian Wittiamson, R. Prof. ville. * Food laboatory at Kansas University: - Prof. E. H. S. Bailey, director of food analyses, Bureau ofchild hygiene: Lawrence. Annie Veech, M. D., Louisvile. Bureau for prevention of trachoma and blindness. at Kansas University: Dmg laboratory *C. F. Kober, director, Lebanon. Prof. L. E. Sayre, direetor of drug analyses, Bureau of public health education: Lawrence. *Mrs. Jane T. Dahlman, director, LouisvilK Food laboratory at Kansas Agricultural College: Wm. King, director of food analyses, Bureau of housing: Prof. *J. C. director, Louisville. Manhatta;n. Mfurphy, Bureau of county health work: Director of laboratories: Louisville. William Levin, D. P. H., Topeka. *P. E. Blackerby, M. D., director, Appropriations for scal year ending June 30, 1921. Appropriations for the fiscal year ending 1922: $257,500. June 30, Publication issued by health department: Salaries ...... 23,700 Monthly bulletin. Miscellaneous ...... 8,000 Water and sewage division 5,000 LOUISIANA. Free distributi of antitoxins, etc..... 2,500 Board of health: diseases. 10,000 Suppression of communicable Oscar Dowling, M. D., president, New Orleans. 3,000 Public health exhibit car J. M. Mosely, M. D., Arcadia. Laboratory of hygiene ...... 5,000 T. T. Tarlton, M. D., Grand Coteau. Division of child hygiene ...... 7,500 L. C. Chamberlain, M. D., New Orleans. Division of food and drugs ...... 7,500 T. A. Roy, M. D., Mansura. Divisio of venereal dseams ...... 7,500 B. A. Ledbetter, M. D., New Orleans. M. W. Swords, M. D., secretary, New Orleans. TotaL ...... 79,700 Executive health officer: Other sources of revenue: *Oscar Dowling, N. D., president State board Marrge fees, approximately, $11,000. of health, New- Orleans. Water and ioe analyses fees, approximately, Bacteriologist: $14,000. W. H. Beemann, M. D., New Orleans. Food and drug laboratories at Kansas Uni- Registrar: versity maintaed by university mainte. J. Goo. Dempsey, M. D., New Orleans. nance fund, -and food laboratory at Kansas Sanitary engineer: A4ieultural College mai by agricul- John H. O'Ndll, New Orleans. tural college maintenance fund. Child hygiene: Publications issued by halth dep ent: Agnes Morris, New Orleans. lMemt ir bu llti Maud Loeber, KL D., medical lecturer, New Bienial reporL Orleans November 11, 1921. 2778 LOUSANA-Continued. MARYLAND. Public health nursing: Board of Healtlh: Mrs. Coale Alpha, New Orleans. Wm. H. Welch, ]K. D., president, Baltimore. Chemists: Alexander Armstrong, attomey general, Balti- J. Roy Keeny, Phar. D., Now Orleans. more. Leonard C. Scott, M. D., Ph. D., New Orlean. John S. Fulton, R. D., secretary, Baltimor Bureau of venereal diseases: Wim. W. Ford, ]M: D., Baltimore. C. Hampson Jones, t. D., Baltimore. Robt. C. Howe, It. D., U. S. P. H. B., New. Orleans. Tolley A. Biays, Baltimore. Appropriations for fiscal year ending June. Benjamin C. Perry, Bethesda. 30, 1922: E. F. Kelly, Phar. D., Baltimore. Executive health officer: Isolation hospital at Alexandria ...... $ 12,500 *John S. Fulton, 1. D., State hoalth offier, Venereal disease control work... 12,500 Baltimore. General ...... 75,000 Bureau of communicable diseases: Total ...... 100,000 *Robert H. Riley, Mt. D., chief, Baltimore. Other source of revenue: Bureau of vital statistics: Fees from inspection of oil. Frederic V. Beitler, M. D., chief, Baltimore. Publications issued by health department: Food and drug commissioner: Monthly bulletin. *A. L. Sullivan, chief, Baltimore. Quarterly bulletin. Bureau of bacteriology: Annual almanac. *R. C. Salter, chief, Baltimore. Biennial report. Bureau of sanitary ongineering: Miscellancous leaflets. Robert B. Morse, C. E., chief, Baltimore. MANE. Bureau ofchemistry: Wyatt W. Randall, Ph. D., chief, Baltimore. Public health council: Division ofaccounts and property: S. J. Beach, ML. D., Portland. CWalter N. Kirknan, chief, Baltimore. Hiram W. Ricker, South Poland. Appropriations for fiscal year ending Sept. R. D. Small, Mt. D., Portland. 30, 1921: J. Q. Gulnac, Bangor. Salaries Executive health officer: ...... 156,000 Expenses...... 84,000 C. F. KendaU, M. D., State commissioner of

health, Augusta. Total ... 240,000 Division of administration: Publications issued by the health department: Annual report. Division of communicable diseases: Health officer's bulletin. *A. G. Young, 11. D., director, Augusta. Division of diagnostic laboratories: MASSACHUSETTS. *H. E. Thompson, ML. D., director, Augusta. Division of sanitary engineering: Public health cotncil: *P. C. McGouldrick, director, Augusta. Eugene R. Kolley, M. D., chairman, Boston. Division of vital statistics: Roger 1. Lee, N. D., Cambridge. CC. F. Kendall, M. D., State registrar, Augusta. J. i:. Lamoureauix, Mt. D., Lowell. Division of venereal diseases: Richard C. Strong, IL. D., Boston. *George H. Coombs, M. D., director, Augusta. G. C. Whipple, Cambridge. Division of publichealth nursing and child hygiene: Warren C. Jewett, Worcester. *Edith L. Souile, R. N., director, Augusta. Sylvester Ryan, M. D., Springfield. District health officersP Executive health ofFeer: * , Biddeford. *Eugene R. Kelley, X. D., State commissionaer *E. P. Goodrich, M. D., Lewiston. of public health, Boston. J*. W. Loughlin, M. D., Damariscotta. Division of sanitary engineering: * , Waterville. *X. H. Goodnough, directorand chiefengineer, *H. D, Worth, M. D., Bangor. Boston. F. Stevens, Mt. D., Mtillinocket. *J. Division of water and sewer laboratories: *G. H. Hutchins, Mt. D., Presque Isle. *H. W. Clark, director and chemist, *A. L. Smith, Mt. D., Machias. Boston. Appropriations for fiscal year ending June Division of communicable diseases: 30, 1922: *Bernard W.Carey, 14. D.,diretor, Winthrop. Salaries and clerk hire ...... $28,000 *L. 1 . French, M. D., epidemiologist. Office expense and epidemic fund..... 18,000 *Edith A. Becklor, bacteriologist, BostaL District and local health officers...... 35,000 Division of hygiene: Venereal disease control work...... 10, 000 *C4erill E. Champion, It. D., director, Cam- bridge. Total ...... 91,000 Other source of revenue: Division of food and drugs: Census Bureau, Washington, D. C., about $800. *Clerman C. Lythgoe, diretor and analyst, Publications Issued by the department of health: Newton. Annual report of department of health. Division of biologic laboratories: Annual report on vital statistics. *G. Benjamin White, Ph. D., dinctor and Monthly scientific bulletin. pathologist, Boston. 2779 Novemaber 11, 1921.

MASSACHUSETTS8-Cotinued. MICHIGAN-Continued.

Division of biological laboratories-Continued. BureAu of nursingand child hygiene: Antitoxin and vaccine laboratory.: Harriet Leck, R. N., directcr. ,assitant director, Bureau of communicable diseases: Boston. W. J. V. Deacon, M. D., D. P. H., director. Wassermann laboratory: Bureau of dentistry: W. A. Hinton, M. D., assistant director, Kenneth R. Gibson, D. D. B., director. Canton. Bureau of institutional health administration: Milton J. Rosenan, M. D., consulting path- Robert A MacGregor, M. D., direztor. ologist and bacteriologist, Boston. Bureau of education: Division of tuberculosis (sanatoria): director. *Sumner Remich, M. D., Reading. Marjorie Delavan, H. of Appropriations for fiscal year ending Bureau embalming: Nov. 30,1921: F. J. Pienta, director. Appropriations for fiscal year ending June 30,1922: Division of adn'inistration ...... 31,20 .00 Personal service ...... 167,6690 Division of hygiene ...... 44,000.00 855 Division ofcommunlmablediseases 79,090.00 Supplies .... 26, Contractual service Division of venereal diseases..-.... 21,670.00 ...... 25,000 Production and distribution of Hospitalization, care and treatment 25,000

antitoxin and vaccine ...... 53,460.00 Maintenance of eqipment .335 Wasnann laboratory ...... 9, 700.00 Laboratory equipment .28,603 Manufature and distribution of Other equipment .6, 20 arsphenamine ...... 11,166.00 Total .279,603 Division of food and drug ispec- Publications issued by health department: tion ...... 40,930.00 Monthly;bulletin. Division of water supply and sew- Annual report. 675. 00 age disposal ...... 74, Communicabie disease pamphlets. An inveatigationrelative to water- Sex hygiene pamphlets. supplyneedsandresources ...... 75,000.00 Engineering bulletin. Stateexamineis of plumbers ...... 4,700.00 MINNESOTA. Division of tuberculosis ...... 156,860.00 Maintenance of four sanatoria Board of health: Egil Boeckmann, M. D., president, St. Paul. (tuberculosis) ...... 961,046.90 Maintenance of Peinkese Hospital C. L. Scofleld, M. D., vice president, Benson. N. M. Watson, M. D., Red Lake Falls. (leprosy) ...... X17,000.00 A. E. Hedback, M. D., Minneapolis. Total .1,50,497.90 S. Mark White, M. D., Minneapolis. Publicationsissued by health department: L. P. Wolff, C. E., St. Paul. Monthly bulletin. 0. W. Holcomb, M. D., St. Paul. report. F. N. Hunt, M. D., Fairmont. Mis9ellaneous pamphlets deaUng with health F. W. Cappelen, C. E., Minneapolis. matte Executive health officer: *A. J. Chesley, M. D., secretary and executive MICHIGAN. officer, St. Paul. Public health council: Division of records: Guy L. Kiefer, M. D., president, Detroit. *0. C. Pierson, director, St. Paul. Division of preventUble diseases: Jame3 G. Tumer, ML D., vice president, Houghton. 0. McDaniel, M. P., director, Minneapolis. Division of sanitation: C. M. Grand C. Slemons, D., Rapids. *H. A. Whittaker, director, Minneapolis. Frank M. Gowdy, M. D., St. Joseph. Leland W. Carr, Lsbsing. Division of vital statistics: *Mrs. Gerda C. Pierson, director, St. Paul. Executive health officer: Division of venereal diseases: *Ehard M. Olin, M. D*, State health com- missioner, Lansing. H. G. Irvine, M. D., director, St. Paul. *L. W. Feezer, assistant director, St. Paul. Deputyhealthcommismioner: *Margaret Sheridan, educational supervisor. George H.Ramsey, M. D., Lansing. *Audrey Walton, chief social worker. Bureau of engineering: Appropriations for fiscal years ending July E. D. Rich, C. E., State sanitary engineer 31, 1922 and 1923: director, Lang. General fumd .0...... 000 Bureau of laboratories: M, Vital statistics ...... 10,000 C. C. Ph. Yomg, D.,director. Communicable diseases ... 25,000 Minna R. Crooks, N., bacteriologist. Laboratories ... 40,000

R. L. Kahbn, immunologist. Sanitary engineering ... 7,000

Allan Lemon,clnicalpathologist. Free antitoxin ... 0,000 S. R. Johnson, D. V. S., veterinary pathologist. Prevention of blindness...... o....o.;,000 Emnet Badger, ehemist, water and sewage. Venereal dise. . 30, Ca" L. Blis, phyilcal chemist. Total 6 143,000

I ax motl. November 11, 1921 2780

MINNESOTA-Continued. ML9SOURI-Continud. Other source of revenue: Executive health officer: Aid tfrom county and city for branch laboratory *Cort¢O 3. 33l1, M. D., secretaty State board at Duluth, W00. ofhealth and State comi i of health, Publiations issued by helth department: Jeers City. Educational pamphlets. Divii of venereal dies: Biennial report. *R. L. Rusell, M. D., director, Jefferson City. Division ofchild hygien0: MISSISSIPPL *Irl Brown Krause, M. D., director, Jeffern City. Board of health: W. W. Hall, Mt. D., president, Shelby. Statistician: J. HE McNeil, M. D., Olive Branch. *Jas. Wark, Jeffern City. B. Lampton Crawford, M. D., Tylertown. Appropriations for biennial period ending Dec. 31,1922: T. F. Elkin, K. D., Tupelo. H. F. Garrisan, M. D., Clinton. Board of health fund, bureau of licen sure $15,000 L. L. McDougal, M. D., BooneviUe...... Salaries ...... 49,600 C. D. Miichell, M. D., Jackson. Division of venereal diseases ...... 19,000 L L. Parsons, M. D., Brookhaven. T. W. Reagn, M. D., Union. Public health and child hygiene ex- B. M. Gavin, M. D., Ovett. hibits...... 5,000 W. H. Watson, M. D., Brandon. Traveling 10,000 9,000 J. H. Whldbam, M. D., Ecru. Printing ...... 4,000 Executive health officer. Postage ...... *W. S. Leathers, M. D., secretary State board Laboratory and contingent expense... 4,000 of health, Jackson. Cooperative rural sanitation fund...... 20,000

Bureau of vital statistics: Total ...... 135,600 *R. W. Hall, M. D., diretor, Jackson. Bureau of child welfare: MONTANA. *F. J. Underwood, M. D., director, Jackson. Board of health: Hygienic laboratory: L. H. Fligman,lM. D.,president, Helena. *C. R. Stingily, M. D., direetor, Jackson. B. L. Pampel, ML D.,vicepresident, LivingsD. Bureau ofsanitary inspection: D. J. Donohue, IM. D., Butte. G. M. D., Billings. *Cyrus K. Shipp, M. D.,chiefsanitaryinspector, E. Balsam, University. E. M. Porter, M. D., Great Falls. H. A. Krooze, C. E., sanitaryengineer, Jacksi. Executive health officer: Bureau of rural sanitation: *W. F. Cogswell, X. D., secretary, Helena. *W. S. Leathers, M. D., acting director,Jackson. Division ofcommunicable dases: M. Helena. Bureau of venereal diseases: *John J. Sippy, D., epidemiologist, *Hardie Hays, M. D., director. Division ofchild welfare: Bureau of public health nursing: *Mary Margaret Muckley, R. N., director, *Mary D. Osborne, R. N., director, Jackson. Helena. Appropriations for fwal year ending Dec. Division of food and drugs: 31, 1921: *H. M. Shea, director, Helea. Administrative office 830,000 Division ofSocial hygiene: ...... *F. J. O'Donnell,director, Helena. Bureau of vital statistics ...... 12,000 Division of vital statistics: Municipal sanitation ...... 12,000 F. D., Stateregistrar, Helena. Rural sanitation...... 40,000 *W. Cogswell,M. Division of water and sewage: Hygienic laboratory ...... o20,oo Bozeman. Child welfare 30,000 *W. M. Cobleigh, direefor, ...... *H. B. Foote, bacteriologist, Bozeman. Venereal diseases ...... 20,000 Water and sewage laboratory and food and drug Total ...... 164,000 laboratory: Publications issued by health department; *W. M. Cobleigh, director, Bozeman. Biennial report. *R. C. Sherwood, analyst, Bozeman. Monthly bulletin. Hygienic laboratory: *E. D. Hitchcock, M. D., director, Helena. MISSOURL *Richard M. Johnson, assistant bateriologist, Board of health: Helena. Emmett P. North, M. D., president, St. Louis. Appropriations for fisal year eding June Franklin E. Murphy, M. D., vice president, 30, 1922: ,8 Ksas City. ries.... of child welfare Cortes F. Enloe, L D.,secretary,Jefferson City. Division ... 4,265 board of 4,500 R. S. Vitt, M. D., St. Louis. Expenses bealth... El. E. Brunner, M. D., Carrollton. Hygienic laboratory .... 10,190 T. A. Son, M. D., Bonne Ter Inspect.on of water plants ... 4,325 T. H. Wilcoxen, M. D., Bowling Green, Food and water laboratory ... 8,4q5 2781 November 11, 1921 MONTANA-Continued. NEW BAMPSmRL Appropriations for isal year ending June Board ofhealth: 80, 03. Robert Fletcher, Ph. D., C. E., president, Enforcing food and drug law...... 84,690 Hanover. Division ofcommnuncable dbeases..... 11,930 D. E. Sullivan, M. D., Concord. venerealdiseasecosntrol work...... 4,645 George C. Wilkins, M. D., Manchester. Board- of entomology (spotted fevet Sibley G. Morrill, M. D., Concord. work) ...... 9,600 Albert 0. Brown, governor, Manchester. Division tl statistics...... 2,900 Oscar L. Young, attorney general, Laconia. Executive health officer: Total ...... 67,340 Charles Dwaa, X. D., secretary State board Othersoures ofrevenue: ofhealth, Concord. Fees for embalmers' license. Laboratory ofhygiene: Publcations issued by health department: *Charles D. Howard, chemist, Concord. Monthly bulletin. *Clara Isreali, M. D., bacteriologist, Concord. Special bulletins on communicable diseases. *Joseph X. Duval, inspector, Concord. Biennial report. *Charles L. Pool, sanitary engineer. Robert Fletcher, C. E., engineer, Hanover. Bacteriological laboratory: Department ofpublic welfare: H. N. Kingsford, M. D., bacteriologist, Han- *H. H. Antles, secretary, Lincoln. over. Bureau of health- Venereal disease division: Executive health officer and epidemiolo- *Charles A. Weaver, M. D., Manchester. gist- Appropriations for fiscal year ending Aug. *L H. Dillon, M. D., chief of bureau 31, 1922: ofhealth, Lincoln. State board ofhealth ...... $...... 26, 1.50

Bacteriologist- Laboratory of hygiene ...... 15,500

*L. 0. Vose, Lincoln. Vital statistics ...... 2,800 Division of venereal diseases- P. H. Bartholomew, M. D., director, Total ...... 450 Lincoln. Publications issued by health department: statistician- Quarterly bulletin. *May F. Hyland, Lincoln. Biennial report. Divison of child hygiene- NEW JERSEY. *Margaret McGreevy, R. N., director. Sanitary engineer- Board of health: *R. N. Tracy, C. E., Lincoln. Henry Spence, M. D., president, Jersey City. Medical examining board- Thomas B. Lee, M. D., vice president, Camden. 3. E. Spatz, M. D., Fairfield. Oliver Kelly, Oak Tree. H. 3. Lehnhoff, Mf. D., Lincoln. Clyde Potts, C E., Morristown. E. T. McGuire, M. D., Mead. H. E. Winter, V. M. D., Plainfleld. Appropriations for biennl period J. Oliver McDonald, M. D., Trenton. ending June 30, 1923: Harold J. Harder, C. E., Paterson. David D. Chandler, Newark. Salaries ...... $59,760 Maintenance ...... 46,170 Executive health officer: *Jacob C. Priee, K. D., director of health, Total ...... 105,930 Trenton NEVADA. Laboratory of hygiene: Board ofhealth: *R. B. Fits-Randolph, chief, Trenton. Emmet D. Boyle, governor, president, Cason Bureau of adminitration: city. *Chas. J. Merrell, chief, TrentonL S. L. Lee, M. D., secretary, Carson City. Bureau of food and dru: George Brodigan, secretary ofstate. *Walter W. Scofleld, chief, Trenton. W. H. Hood, M. D. Reno. Bureau of medical supervision: Alice Thompson, M. D., Reno. *A. C. Hunt, M. D., chief, Trenton. Executive health officer: Bureau of child hygiene: *S. L. Le, EL D., seretary StaW board of Julius Levy, M. D., consltant, Trenton. health, Carson City. Bureau of local health administration: State hygienic laboratory at State university: *David C. Bowen, chief, Trenton. Alice Thompson, M. D., diretor, Reno. Bureau of engineering: Appropriations for iscal year ending Dec. 31, *H. P. Croft, chief, Trenton. 1921: Bureau of vital statistics: Salary ofsecretary ...... 5 ...... $5,000 *David S. South, chief, Trenton. State board ofhealth ...... 3,300 Bureau of venereal disease control: A. J. Caelman, 1f. D., chief, Total ...... : 8,300 Trenton. Puticatons Issued by health depa utm Appropriations for fiscal year ending June 30, 1922: Blennialreport. Salaries ...... $143,880 Specia bulletins ' 63,500 November 11, 1921. 2782 NEW JRSEt-Continued. NEW YORK-Continued.

Appropriations for fiscal year ending June Division of laboratories and resarch: 30, 12--Continued. *Augustus B. Wadsworth, M. D., diretr, Child hygiene ...... 8150,000 Albany. Venereal diseasecontrol ...... 35,000 Division of public health nursitg: *Mathilde S. Kuhiman, R. N., director, Albany. Total ...... 392,380 Appropriations for fiwal year ending June Publications issued by healthdepartment: 30,1922: Monthly bulletin. Annual report. Personal service ...... 8 545,250 Maintenance and operation ...... 378,600 NEW MEXMCO. Total ...... 923,850 Board ofpublic welfare: Other sources of revenue: Mrs. A. Otero-Warren, chairman, Santa Fe. Fees from certified transcripts of birth, death, A. G. Shortle, M. D., secretary., Albuquerque. and marriage certificates, and registration of Mrs. R. P. Donohoo, Albuquerque. laboratories,approximately$1,000per am Mrs. Max Nordhaus, Albuquerque. Licensing latoratories, $175. Charles Lembke, Albuquerque. Sale of serums, $1,500. Executive health officer: Publications issued by health department: *0. X. Waller, M. D., U. S. P. H. S., temporary Monthly Health NeWS. director of public health, Santa Fe. Health Officers' Bulletin. Division ofpreventable diseases and vital statistics: Public Health Nurses' Bulletin. *G. S. Luckett, M. D., chief, Santa Fe. Vital Statistics Bulletin. Division ofsanitary engineering and sanitation: NORTH CAROLINA. *H. F. Gray, Gr. P. H., chief, Santa Fe. Division ofpublic-healthnursingand child hygiene: Board of health: *Margaret Tupper, R. N., chief, Santa Fe. J. Howell Way, M. D., president, Waynesville. Public health laboratory: Richard H. Lewis, M. D., LL. D., Raleigh. *Myrtle Greenfleld, chief, Albuquerque. J. L. Ludlow, C. E., Winston-Salem. Appropriation for fiscal year ending Nov. 30, 1922, Thomas E. Anderson, M. D., Statesvllie. $27,000. A. J. Crowell, M. D., Charlotte. Chas. O'H. Laughinghouse, M. D., Greenville. NEW YORK. E. J. Tucker, D. D. S., Roxboro. Public health council: Cyrus Thompson, M. D., Jacksonvllie. Hermann M. Biggs, M. D., LL. D., chairman, F. R. Harris, M. D., Henderson. Albany. Executive health officer: Homer Folks, LL. D., New York. W. S. Rankin, M. D., secretary State board of Simon Flexner, M. D., LL. D., New York. health and State hcalth officer, Raleigh. Henry N. Ogden, C. E., Ithaca. Assistant to the secrtary: T. Mlitchell Prudden, M. D., LL. D., New York. Ronald B. Wilson, Raleigh. Jacob Goldberg, M. D., Buflalo. Bureau of tuberculosis: Mrs. Ella L. Blair, New York. L. B. McBrayer, M. D., chief of bureau and Executive health oflcer: superintendent of the State sanatorium, *eerna,= U. Rigs, U. D., IL. D., commis- Sanatorium. sioner of health, Albany. Laboratory of hygiene: Deputy commusioner of health: C. A. Shore, M. D., diretor, Raleigh. *Matthias Nicoll, Jr., M. D., Albany. Deputy State registrar: I Secretary: F. M. Register, M. D., Raleigh. *John A. Smith, M. D., Albany. Bureau of medical inspection of schools: Executive clerk: G. M. Cooper, M. D., director, Raleigh. *Fenimore D. Beagle, Albany. - Bureau of enuinecring and in3pecticn: Division of public health education: H. E. Miller, C. E., director, Raleigh. *B. R. Rickards, director, Albany. Bureau ofpublic health nursing and infant hygiene: Division of sanitation: Mis Rose M. Ehrenfeld, R. N., diretor, *Charles A. Holmquist, C. E., director, Albany. Raleigh. Division of vital statistics: Bureau of county health work: *Otto R. Eichel, M. D., director, Albany. K. E. Miller, M. D., director, Raleigh. Division of child hygiene: Bureau of epidemiology: *Elsie Blanchard, M. D., director, 4Ibany. J.5. Mitchener, M. D., chief, Raleigh. Division of communicable diseases: North Carolina Sanatorium: *Edward S. Godlrey, M. D., director. Albany. L. B. McBrayer, M. D., superitendent, Division of tuberculosis: Sanatorium. *Frederick W. McSorley, M. D., director, Appropriations for fiscal year ending Nov. Albany. 30, 1921: Division of venereal diseas: State board of health (executive offic). 854,500 *J. S. Lawrence, M. D., director, Albany. Vitalstatistics ...... 20,000 2783 November 11, 192lg

NORTH CAROLINA-Continued. O IO-Continued Approprlationsfor iscal year ending Nov. Division of sanitary engineering: 30,1921-Continued. *W. H. Dittoe, chief. Laboratory of hygiene ...... 65,000 Bureau of plumbing Inspection- Tuberculosis sAnatorium...... 100,000 *A. A. Manchester, chief. School inspection...... 600000 Division of laboratories: County health work...... 53,000 *Fred Berry, chief. Epidem ogy ...... 11,000 Division of vital statistics: Venereal disease control work...... 21,000 *U. G. Murrell, M. D., chief. Public health nursing and infant Division of hygiene: hygiene...... 6,500 *R. G. Leland, M. D., chief. Engineering and inspection...... 49,000 Bureau of tuberculosi- *J. A. Frank, M. D., chief. TotaL ...... 430,000 Bureau of child hygiene- Other sources of revenue: Intenational board 15,000 *Natalie Merrill, chief. bealth ...... BureiPu of venereal diseases- Federal Government ...... 15,000 *P. M. Wright, M. D., chief. American Red Cross ...... 6,500 Bureau of hospitals- Counties, for county health work...... 110,000 *Henry J. Southm%yd, chief. Fees paid the laboratory ...... 15,000 Bureau of public health nursing- Publications issued by health department: *Hulda A. Cron, R. N., chief. Monthly bulletin. Division of industrial hygiene: Sperial bulletins. *E. B. Starr, M. D., chief. Biennial report. Appropriations for fiscal year ending June NORTH DAKOTA. 30,1922: Board ofhealth: Personal services ...... 150,000 William Lemke, attomey general, president, ...... 97,035 State aid for health districts Bismarck...... 150,000 W. C. Nolte, M. D., vice president, Jamestown. Total ...... 397,035 H. E. Frec, M. D., cetwry, Grand Forks. Executive health officer: Publication issued by health department: .L Z. Frene_, II D., secretary State board of Monthly public health journal. health, Grand Forks. OKLAKOY.A. Appropriations for biennial period ending June 30, 1923: Executive health officer: *A. R. Lewis, M. D., Comraissloncr of health, Salaries (specific) ...... 2,800 Oklahoma City. Misellneous...... 4,100 Assistant commissioner of h3alth: Total ...... 6,900 *J. P. Folan, Oklahoma City. Chemist: Publications ied by health department: City. Quarterly bulletin. *W. A. Walker, Oklahoma statistical data. Bacteriologist: Annual *L. E. Wood, Oklahona City. Biennialrpor Satitary engineer: OO. *H. J. Darcey, Oklahom-a Cty. Public heal council: Director of publicity: Harry H. Snively, M. D., chairman. *Leia Hoagland, Oklahoma City. G. D. Lummis, M. D. Bureau of vital statistics: C. 0. Probat, 3K. D. *W. B. Dennis, chief, Oklehoira City. F. C. Croxton. Appropriations for the fiscal year ending R.M. Calfee. June 30, 1922: James E. Bauman, scretary. Salaries ...... $40,800 Executive health offloer: Biological supply ...... 7, 500 *Hrr H. Snively, M. D., director of healthP Travelingexpenses for sanitaryengineer 1,250 Columbus. Maintenace of laboratory ...... 5,000 Assistant director of health: Control ofepidemics ...... 5,000 Jamws B. Bauman. Maintenance of bureau of venereal Division of adm on: disease ...... 15,000 James E. Bauman, chief. Contingent ...... 6 ,000 *M. E. Hahurst, chiefclerk. . Total . 79550 Divisin of c ble disea : *Frank G. Boudreau, M. D., chieL OREGON. Bureau of trachoma clinics- Board of health: , chief. W. B. Morse, M. D., president, Salem. Bureau local health gon- C. J. Smith, M. D., vice president, Portland. *H. T. Thonburgh, IL D., chieL Andrew C. Smith, M. D., Portlani. November 11, 1921. 2784 OREGON-Cntinuied. PENNSYLVANIA-Continued Board of health-Continued. Bureau ofhousing: F. M. Brooks, M. D., Portland. *John Moltor, chief, Harrisburg. George E. Houck, MC. D., Roseburg. Bureau of.vital statistics: J. H. Rosenburg, M. D., Prineville. *WilmerR. Batt, MI. D., Statoregistrar,Harris- Executive lea th officer: burg. *proderick D. Stricker, M. D., State health Division ofaccounts: officer, Portland. *Clinton T. Williams, chief, Hurrsburg. Registrar of vital statistics: Division of purchasing: *Frederick D. Stricker, IC. D., Portland. *Charles I. Clappier, jr., chief, Jlasburg. Bacteriologist: Division of child health: Wilma Hemstock, Portland. *Mary Riggs Noble, M. D., chief, Harrisburg. Appropriation for fiscal year ending Dec. 31, 1921, Bureau of drug control: $25,000. *Thomas S. Blair, M. D., chief, Harrisburg. Publications issued by health department: Division of public health education: Annual report. *William C. Miller, M. D., chief, Harrisburg. Biennial report. Division of nurses: Quarterly bulletin. *Alce MC. O'Halloran, chief, Harrisburg. Pamphlets and posters. Division of newspapers: CLida R. Beckwith, chief, Harrisburg. PENNSYLVANIA. Appropriations for biennial period end- ing May 31, 1923: Advisory board: Tubercutlosis work Charles B. Penrose, Mt. D., Philadelphia...... $2,p50,000 Adolph Koenig, M1. D., Pittsburgh. General fund ...... 1,.585,000 School inspection ...... 200,000 Edgar MC. Green, M. D., Easton. Saries A. A. Cairns, It. D., City Hall, Philadelphia...... 985, 1 Lee Masterton, C. E., Johnstown. Total...... 5,270,120 Clarence J. Marshall, V. M. D., Philadelphi. Executive health offlcer: PHILIPPINE ISLANDS. *Edward Martin, K. D., commissioner of Council of hygiene, advisory board to the director health, Harrisburg. of health: Deputy commisionor of health: Fernando Calder6n, M. D., preddent, Manila. *John D. McLean, M. D., Harrisburg. Leonclo Lopez Rizal, M. D., secretary, Manila. Assistant to the commis3loner: Gervasio Ocampo, M. D., Manila. *Thomas W. Jackson, M. D., Harrisburg. Josl Albert, M. D., Manila.. Executive secretary: Benito Valdez, M. D., Mania. *James F. McCoy, Harrisbturg. Lus Torres, LL. B., Manila. Assistant to executive secretary: Tomas Earnshaw, Manila. *Florence Rinkenbach, Harrisburg. Food inspection-committee: Dental division: S. V.-del Rosario, M. D., anistant director of *C. J. Hollister, chief, Harrisburg. health, chairnan. Division of medical inspection: John Rider, member. *J. Moore Campbell, MC. D., chief medical di- Granville Perkins, M. D., member. rector, Harrisburg. F. J. Brown, member. Division ofschool health: Leprosy investigation committee: CWilliam J.Crookston, MI. D.,chief,Harrisburg. J. P. Bantug, Ph. G., M. D., chairman. Division oflabcratories: Liborio Gomez, Ph. D., MC. D., recorder. *John L. Laird, M. D., chief of laboratories, W. H. Wade, M. D., member. Philadelphia. Granville A. Perkins, Ph. D., member. Division ofsanatoria: Proceso Gabriel, M. D., member. *Royal H. McCutcheon, M. D.,medicaldirector Samuel Tietze, M. D., member. Pennsylvania State Sanatorium for Tuber- Daniel de la Pas, M. D., mmnber. culosis No. 1, Mlont Alto. Luis Guerrero, M. D., member. *W. G. Turnbull, M. D., medical director, Committee on diagnosi of leprosy: Pennsylvania State Sanatorium for Tubercu- W. H. Wade, M. D., chairman. losis No. 2, Cresson. Proceso Gabriel, M.-D., member. CHenry A. Gorman, M. D., medical director, Liborio Gomez, Ph. D., M. D., member. Pennsylvania State Sanatorium for Tubercu- Committee on leprosy treatment, Culion losis No.3,'famburg. J. Aveilana Basa, MC. D., chief. Division of tuberculosis: Catalino Nicohs, M. D., member. CA. P. Francine, M. D., chief, Harrisburg. Jose Mario Alonzo, M. D., member. Division of genito-urinary dispensaries: Santiago-icslano, M. D., member. *8. Leon Gans, M. D., chief, Harrisburg. Gavino Limkako, ht. D., member. Division ofsupplies and biological products: Felisberto Sols, MC. D., member. *Roy G. Miller, chief, Harrisburg. Guillermo Fernandez, M. D., member. Division of engineering: Dahmaelo Jugueta, MC. D., member. CC. A. Emerson, Jr., chiefengineer, Harrisburg. Mis Ruilna Agoncillo, member. 2785 November 11, 1921.

PtHIIPPINE ISLANDS-Continued. PHIIUPPINE )kLANDS-Continued. Committee on leprosy treatment, Culion-Contd. Publicationsissued by health service: Mrs. Jwefa V. Jugueta, member. DaLvuews bulletin. Miss Serfia Cadapan, member. Monthly bulletin. Mis LeonaCaransa, member. Annual report. Florencia de Gusman, member. Occasional pamphlets. Mis Victoria L. Vicente, member. Ulpiano Evangelista, member. PORTO RICO. Pablo de Castro, member. Insular board of health: Choler vaccination committee: W. F. Lippitt, M. D., president, San Juan. Lescio Lopez Rizal, M. D., chairman. Josd Lugo Vina, M. D., secretary, San Juan. Otto Schobl, M. D., member. W. A. Glines, M. D., San Juan. Promeso Gabriel, M. D., member. Fernando Marquez Roig, pharmacist, Rio Board of masseurs: Piedras. Felipe Arns, M. D., chairman. Josd A. Diaz, M. D., San Juan. Miss Enriqueta Macaraig, R. N., member. Jos6 S. Belaval, M. D., San Juap. T. Sugimoto, R. N., member. G. A. Ramirez de Arellano, engineer, San Juan. Committee on the insane: Executive health officer: Catalno Gavino, M. D., chief, San Lazaro *AJejandro Ruiz Soler, M. D., commissioner of Hcspital, act;ngchairman. health, San Juan. Elias Domingo, M. D., San Lazaro Hospital, *Antonio Fern6s Isern, M. D., assistant com- member. missioner of health, San Juan. Felipe Arenas, M D., medical inspector, Division of property and accounts: Health8tationTNo.2,MeisicStation, member. *Antonio Llabres, chief, San Juan. Committee on tuberculosis: Division of sanitary engineering: Catalino Gavino, M. D., chief San Lazao *G. A. Ramirez de Arellano, sanitary engineer, Hospital, acting chairmq. San Juan. Proceso Gabriel, M. D., member. Bacteriological laboratory: Samuel Tietse, M. D., member. *F. J. Hernindez, M. D., director, San Juan. Board ofembalmers: Chemical laboratory: Manuel Gomez, M. D., chairman. *R. del Valle SArraga, chemist, director, San Felipe Arenas, M. D., member. Juan. J. P. Bantug, Ph. G., M. D., member. Division of transmissible diseases and statistics: Board of physical examination: *Pedro N. Ortiz, M. D., chief, San Juan. J. m. Raymundo, M. D., officer in charge of Appropriptions for fiscal year ending Health Station No. 1, Intramuros. June 30,1922: Executive health offlicer: Departnient of health (proper), *Vicente de Jesu, M. D., director of health, salaries and contingent expense. ..$190,197.25

Manila. Leper colony ...... 24,070.50

Assistant director of health: Quarantine hospital ...... 13,705.00

*Salvador V. del Rosario, M. D., Manila. Mosquito extermination ...... 30,000.00

Division of Provincialsanitation: Suppression of anemia ...... 30,000.00 *Eugenio Hernando, M. D., chief, Manila. Emergency fund for control and Division of Manilasanitaticn: suppression of epidemics (un- *Andres Catanjal, M. D., chief, Manila. expended balance previous year) . 12,274.03 Office ofstatistics'and epidemiology: Trust funds for control and suppres. *Manuel Gomez, M. D., chief, Manila. sion of epidemics (fines for viola- -

Office ofhealth education: tion of sanitary regulations) ...... 3,464.63

*Josd P. Bantug, M. D., chief, Manila. Insular sanatorium ...... 161, 795.00

Office ofdistrict nursing: Care of tuberculosis patients ... 10,000.00 *Carmen R. Leogardo, R. N., chief, Manila. Education and support of poor deaf-

Clerical office: mute children ...... 1,200.00

*Mamerto Tianco, chief, Manila. Girls' charity sebool ...... 75,465.25 Office of property: Boys' charity school ...... 110,461.65 *Generoso S. Quintero, chief, Manila. Blind asylum...... 39,544.150

Insane asylum...... 120,417.00 Appropriations for fisl year ending Total Dec. 31, 1921: ...... 822,594.81 Salaries and wage ...... $516,294 Publication issued by health department: Miscellaneous expenss ...... 91,817 Annual report. Furniture and equipment ...... 21,850 Aid to speciallyorganized Provinces. 196,953 RHODE ISLAND. Board of health: Total ...... 1,p526,914 R. Morton Smith, M. D., president, Riverpoint. Appropriation for the treatment of Tbomas J. McLaughlin, M. D., vice president,

segregated lepers ...... 150, 000 Woonsocket. 710280-21 2 November 11, 1921. 2786

RHODEZIAND--Continucd SOUTH CAROLINA-Continued. Board of health-Continued. Appropriatios fr fAsl year ending Alexander B. Briggp, M. D., Ashaway. Dec. 31, 1921: Norman M. MacLeod, M. D., Newport. Administrative ofice ...... $47,8000 William F. Williams, M. D., Bristol. Bureau of child hygie...... ne ,480.00

Joseph M. Bennett, H. D., Province. Bureau pf vital statistic ...... 6,480.00 M. S. Budlong, M. D., Providence. Division of veereal disease control. 33,88600 Executive health officer: Laboratory ...... 11,60.00 B. U. Richards, M. D., setary State board Bureau of rural sanitation...... 10,000.00 of health and State registrar, Statehouse, Malaria cooperative work...... 15,000.00 Providence. Tuberculosis saatoria ...... 61,889.95 Pathologist: Total ...... 199,255.95 Lester A. Round, Providence. Publications issued by health depa t: Chemist: Annual report. Stephen De M. Gage, Providence. Bulletins of various departments Appropriations for fiscal year ending Dec. 31, 1921: SOUTH DAKOTA.

Executive department...... $ 16,500 Board of health:

Chemical laboratory ...... 15,000 J. W. Freeman, M. D., president, Lead.

Pathological laboratory ...... 18,000 R. D. Alway, M. D., vice president, Abedeesn

Child-welfare division ...... 16,000 J. Howard Smith, M. D., Huron. Prosecuting cas of Illegal medical H. R. Kenaston, M. P., Bonesteel. practice ...... 1,8W Park B. Jenkins, M. D., superintendent, Waubay. Total ...... 6 7,300 Executive health officer: Publications issued by health department: Park B. Jekins, . D., superintendent and Quarterly bulletin. executive officer, Waubay. Annual report of births, deaths, and marriages. Division of vital statistics: Annual report of State board of health. Park B. Jenkins, M. D., director. SOUTH CAROLINA. Divlsion of sanitary engineering: Excutive committee, board of health: A. H. Wieters, director. Robert Wilson,jr., M. D.,chairman, Charleston. Division of educatio and publicity: R. A. Marsh, M. D., Edgefeld. M. C. Haecker, director. C. C. Gambrell, M. D., Abbeville. Division of public health mnrs E. A. Eines, M. D., Seneca. Mrs. E. P. Wanzer, director. Miles J. Walker, M. D., York. Division ofrecords and accounts: William Egleston, M. D., Hartsville. Edna Jenkins, direct. S. C. Calder, Ph. G., Greenville. Division of medical licensure: W. M. Lester, M. D., Columbia. H. R. Kenaston, M. D., director. Samuel M. Wolfe, attorney general, Columbia. Laboratories at Vermilion: Walter E. Duncan, comptroller general, Co- J. C. Ohlmacher, M. D., director. lumbia. Division of preventable dises: Executive health officer: -, ,director. *James A. Bayae, M. D., State health officer, Division of child hygiene: Columbia. , director. Department of county health units: Appropriations for fscal year ending June *L. A. Riser, M. D., Columbia. 30, 1922: Bureau of child hygiene and supervisor of public Salary of superintendent...... 4.....$,000 health nursing: Salary of employees, administration ex- *Mrs. Ruth A. Dodd, R. N., Columbia. pense, per diem, mileage, and expense Bureau of venereal diseases: of members, printing and neessary *C. V Akin, M. D., U. S. P. H. S., Columbia. publications, division of medical li- Laboratory department: censure, division of venereal diseases, *F. A. Coward, M. D., in charge, Columbia. division of public health nursing...... 42,700 J. R. Cain, chief bacteriologist, Columbia. *H. M. Smith, M. D., serologist, Columbia. Total ...... 46,700 Bureau of vital statistics: Publications issued by health departnt: CC. W. Miller, Columbia. Mothers' book. Bacteriologist and chemist: Biennial report. F. L. Parker, jr., M. D., Ph. D., Columbia. TENNESSEE. South Carolina Sanatorium: *Ernest Cooper, M. D., superintendent, Co. Board ofhealth: lumbla. W. J. Miller, M.- D., president, Johnson Cit. Epidemiologist: E. M. Sanders,M. D.,vlcepresident,Nashvlile A. H. Hayden, M. D., Columbia. C. B. A. Turner,M. D., Dyer. Sanitary engineer: T. F. Peck, Nashville. *E. L. Filby, C. E., Columbia. Executive health ofl!cer: State hotel inspector: *01h West, M. D., secetary State board of C*J. H. Woodward, Columbia. health, Nashville. 2787 November 11, 1921,

TiN ued. TEXAS-Continued. Division of vital statistics: Bureau of rural sanitation: *C. B. Crittenden, M. D., director, Nashville. Alex P. Harison, M. D., director, Austin. Diviion ofrural sanitation: Bureau of food and drugs: *E. L. Bishop, M. D., director, Nashville. E. H. Golaz, chemist, director, Austin. Dividan of laboratories: 0. C. Gehrhardt, assistant chemist. William Littere, If. D., drector, Nashvle. W W. Battle, assistant chemist. Division of sanitary engneerg: Bureau of laboratories: *C. N. Harmb, drector, Nashvile. G. M. Grabam, M. D., director. Divi of venereal disease cntrol: Bureau of vital statistics: Mrs. June Agee, deputy State registrar. *Olin West, M. D., ating director, Nashville. Divii of oal hygiene: AppropriationsforflscalyearedingAug. *A. G. Buckner, D. D. B., director, Nashville. 31, 1921: General State directing nurse: ...... $72,200.00 Special for rual sanitation 31,400.00 *Miss M. 0. Nisbet, R. N., Nashville...... Pare food and drugs commissioner: Venereal disease control work...... 46,293.46 Bureau of vital statistics D. J. Frazier, Nashville...... 7,850.00 of 35 Appropriatios for biennial period end- lepers ...... 24,018.

ing July 1, 1923: Total ...... 181,761.81 Administration, office, etc ...... $20,300.00 Publications issued by health department: Epidemic fund ...... 5,000.00 Biennial report. Malaria control fund ...... 6,000.00 Monthly health magazine. Trachoma control fund..-.. 4,000.00 Pamphlets; leaflets, and placards. Vital statistics 21,800.00 UTAH. Rural sanitation fund ...... 23,000.00 Board of health: Sanitary engineering fund...... 21,200.00 Fred Stauffer, M. D., president, Salt Lake Laboratories fund ...... 23,640.00 City. Venereal diseases ...... 29,956.72 T. B. Beatty, K. D., secretary, Salt Lake

Total ...... 154,896.72 City. Other sources of revenue: 11. K. Merrill. M. D., Logan. International health board, rural sanitation, Ezra Rich, M. D., Ogden. $23,00 Clarence Snow, M. D., Salt Lake City. International health board, malaria control, A. F. Doremus, C. E., Salt Lake City. amount not denitely determined. S. S. Burnham, D. D. S., Salt LJake City. Amqrican Red Cross, cooperation in nursing Executive health officer: service. *T. B. Beatty, N. D., State health commis- United States public health service, coopera- sioner, Salt Lake City. tion in malaria control. Appropriations for biennial period ending United States Govenment, cooperation in MWar. 31, I.423: Salaries venereal disease control...... $15,000 account 10,500 Individualcounties andoities in State,coopera- Contingent ...... Vital-statistics account 3,000 tin in malaria control, venereal disease con- ...... trol, and rural sanitation. Venereal disease control work...... 3,G00 Total TEXAS...... 32,100 Publications issued by health department: Board of health: Quarterly bulletin. Manton M. Carrick, M. D., president, Austin. Biennial report. Dickson G. Thompson, M. D., Waxahachie. Fiscal year ends Dec. 31. Thomas B. Fisher, M. D., Dallas. Mf. M. Brown, M. D., Mexia. VERMONT. Nettie Klein, M. D., Texarkana. Board of health: M. F. Bledsoe, M. D., Port Arthur. F. Thomas Kidder, M. D., president, Wood- M. P. Smart, M. D., Manor. stock. Executive health officer: William T. Slayton, M. D., Morrisville. Kanton M. Caruiek, I. D., Austin, State Charles F. Dalton, ht. D., secretary, Bur- health officer. lington. Assistant State health officer: Executive health officer: James D. Blevins, M. D., Austin *Charles F. Dalton, M. D., secretary State Bureau of venereal dsease: board of health, Burlington. James D. Blevins, M. D., director, Austin. Laboratory of hygiene: Bureau of child hygiene and public health nursing: *B. R. Stone, M. D., director, Burlington. Mrs. Lyda K. King, R. N., director, Austin. Sanitary enginoer: Bureau of sanitary engineeing: J. W. Votey, C. E., Burlington. V. M. Ehlers, C. B., director, Austin. Sanitary Inspoctor: E. G. Eggert, assistant, Austin. *Henri L. rache, M. D., Burlington. November 11, 1921. 2788 VERMONT-C4mtlnud WASHNGTON. Division of venereal diseases: Board of health: *Heari L. Paehe, M. D., Burllgton, Paul A. Turner, M. D., dirtor ofbalth,chufr. Divisio of tuberculosis: man- *H. W. Slocum, Burlingto. W. W. Brand, IL D. Divion of piomyelitis.: James H. Egan, Mf. D. *W. L. Ayock, U. D., reseawrh, Burlington. R. E. Elvins, M. D. *Bertha E. Weisbrod, R. N., afteresri, Bur- Herbert C. Liesr, IL D. lington. C. E. Dorisy, secretary, Seattb. Division of public health nursing: Executive health officer: *Elizabeth P. Van Patten, R. N., Burlington. *PuL A. Tune, M. D., director of heath, Appropriations for fiscal year ending June 30, 1922. Sattle. Total budget, $0,000. Epidemiologist: Other source of revenue: *A. U. Simpson, M. D., Settle Private donatios for study and treatment of Chief of laboratory: Infantile parysis. *A. U. Simpson, M. D., Seattle. Publkationsismed by health department: Sanitary engineer: Quarterly bulletin. *C. E. Dorisy, Seattb. Biennial report. Registrar: *C. E. Dorisy, Seattle. Board ofhelth: Appropriations for biennial period ending W. If. Smith, M. D., president, Alexandria. Mar.31, 1923: W. T. Wilson, Riehluod. Salay of director ...... 0,000 J. B. Fisher, M. D., sece;tary, Midlothima Salaries and wages...... - ooo Mrs. Chas. Hall Davis, Petersburg. Supplies, material, and service...... 28,230 Isaac Peirce, U. D., Tazewell. W. F. Dmrw, ML D., Pebug. Total ...... 80Z30 H. T. Marshall, M. D., University of Virginia. Guy B. HIarrson, D. D. 8., Richmond. WEST VIRGII George B. Lawson, M. D., Roanoke. Public health council: S. A. Sutton, D., Norfol J. L. Pyle, M. D., preident, Chester. G. L. Morriss, M. D., B kgham W. T. Henshaw, M. D., commissioner ofhealth, Executive health offir: Charleston. *Eni G. WilIiam, M. D., State health com- H. G. Camper, I. D., Welch. mhaioner, Rihmond. B. -F. Shuttleworth, M. D., Clarksburg. Assistant health commissiomr: W. M. Babb, Mf. D., Keysr. *Roy K. Flannagan,-f. D., Richond. V. T. Churchman, If. D., Charleston. Registrar of vital statistic: Thee. L. Harnis, Parkersburg. *W. A. Plecker, M. D., Richmond. Executive health officer: Bacteriologist: *W. T. Neushaw, N. D., commissioner of *A. H. Straus, Richmond. health, Charleston. Sanitry engineer: Division of preventable diseass *Richard Meser, C. E., Richmond. Vacat; comm er acting. Appropriations for fis year ending Division of sanitary engineering: Feb. 28,1922: *Ellis S. Tisdale, dector, Charleston. Administration ...... $28,294.00 *R. C. Beckett, Charleston. Sanitary engineering ...... 15,750.00 *Chas. H. Young, Charleston. Publicity ...... 6,000.00 Divison of vital statistics: Rural sanitation ...... 2, 000. 00 *Carl F. Raver, If. D., M. P. H., Charleston. Malaria ...... 5,000.00 Division ofchild welfar and publicealth nursng: Inspection of hotels and convict *Jean T. Dilon, R. N., director, Charleston. campps ...... 3,500Q00 *Edna M. Hardsaw, R. N., field supervisor. laboratory ...... ,0O00 *Gertrude H. Wuesthoff, R. N., assistant field Child welfre and school inspection. 28,500. 00 supervisor. health Publi nursing ...... 6,100.00 Hygienic labormtory: Veneral dia ...... 22,415.58 *Chas. E. Gabel, Ph. D., Charleston. Control of epidemics ...... 6,000. *Luch F. Gabel, chemist, Charleston. Vital statistics.18,510.00 *Winifred Lamberson, assistant bacteriologst, Prevention of blindness...... 2,5. 00 Charleston.

Total ...... 163,569.58 Bureau of venereal diseases: Publications Issued by health department: *F. F. Fansworth, If. D., director, Charleston. Monthly bulletinL Bureau of rural sanitation: Annual report. - - , director, Chrlest 2789 November 11, 1921.

W VIRGIN -Continued. WISCONSIN-Continued.

Appropriatios for fil year ending June Laboratory servioe-Continued. 30, 1922: *Gladys Hadley, director cooperative labora-

For generalus ...... s.... $60,000 tory, Superior.

Salary of ...... 4,800 *Lucille Works, directorcooperative laboratory,

Bureau of venereal diseses...... 10,000 Oshkosh. *Henry Miller, director cooperative laborato- Total ...... 74,840 ry, Kenosha. Other sources of revenue: *C. D. Partridge, M. D., director cooperative Fees for granting certicates to practice medi- laboratory, Wausau. cine. *Lydia Lacey, director, cooperative laboratory, Fees from labogatory work for private indi- Green Bay. viduals. *Walter Ashby, director, cooperative labora- Publications issued by health department: tory. Beloit. Quarterly bulletin. Appropriations for fiscal year ending June Annual report. 30, 1922: WISCONSIN. General administration ...... $51,000 Board of health: Emergency appropriation for epi- demics ...... 7,500 Wm. F. Whyte, M. D., president, Madison. Branch laboratory and State coopera- I. D. Steffen, M. D., Antigo. tive laboratories ...... 7,950 E. S. Hayes, M. D., Eau Claire. Prevention of infantile blindness ...... 1,500 G. Windesheim, M. D., Kenosha. Venereal disease control work ...... 41,250 C. A. Richards, M. D., Rhinelander. Bureau of sanitary engineering ...... 10,000 Otho Fiedler, M. D., Sheboygan. Bureau of communicable diseases ...... 13,300 C. A. Harper, 11. D., State health officer, Madi- Bureau of child welfare and public

son. health nursing ...... 31,100 L. W. Hutcheroft, assistant State health offlcer, Comfort station supervision...... 5,000 Madison. Licensing of embalmers, botels and Executive health officer: restaurants, plumbers, and barbers.. 38,000 *0. A Harper, M. D., State health officer, Total Madison...... 20,600 Bureau of vitalstatistics: Publications issued by health departmcnt: *C. A. Harper, M. D., State registrar, Madison. Quarterly bulletin. Bureau of communicable diseases: Biennial report. *Robert Olesen, M. D., acting director, Madi- WYOMING. son. Board of health: Bureau of sanitary engineering: Fred A. Hodson, M. D., president, Sheridan. *C. M. Baker, Statesantary engineer, Madison. G. A. Fox, M. D., vice president, Cheyenne. *E. J. Tully, chemical engineer, Madison. Albert B. Tonkin, M. D., secretary and execu- Bureau of education: tive officer, Cheyenne. *L. W. Bridgman, acting director, Madison. Edw. S. Lauzer, M. D., Rock Springs. and health Bureau of child welfare public nursing: J. D. Lewellen, M. D., Powell. *Mrs. Mary P. Morgan, director, Madison. J. F. O'Dohnell, M. D., Casper. Bureau of nursing education: Executive health officer: director, Madison. Albert B. Tonkin, X.D., State health officer, Bureau of plumbing and domestic sanitary engi- Cheyenne. neering: Venereal disease control: en- *Frank R. King, State domestic sanitary J. F. O'Donnell, M. D., Casper. gineer, Madison. Appropriations for biennial period enfding Bureau of social hygiene: Mar. 31, 1923: *1. F. Thompson, M. D., director, Madison. State board of health ...... $19,000 service: Laboratory Salary ofsecretary ...... 8,000 *W. D. Stovall, M. D., director State labora- Salary of venereal disease officer ...... 6,000 tories, Madison. *M. S. Nichols, chemist State laboratory, Madi- Total .33,000 son. Publications issued by health department: *Katherine Wattawa, director branch labora- Biennial report. tory, Rhinelander. Bimonthly bulletin. DEATHS DURING WEEK ENDED OCT. 29, 1921. $ummay of information received by telegraph from industrial insurance companies for week ended Oct. 29, 1921, and corresponding week, 1920. (From the Weekly IIealth Index, Nov. 1, 1921, issued by the Bureau of the Census, Department of Commerce.) Week ended Corresponding Oct. 29, 1921. wee, 1920.

Policies in force ...... 48,053, 197 44,375,549

Number of death claims ...... 8,114 7,445 Death claims per 1,000 policies in force.. 8.8 -R. 7 November11, 1921. 2790 Deaths from all causes in cetain large cities of th Uniete States during the week ended Oct. 29 1921, infant oraiy ssanual death rate, anid coMParisn Weatl corrlpodi week o/precedi,ng year. (From the Weekhj Health Index, Nov. 1, 1921, sse by the Bureau of the Censu, Department of Commerce.)

WpekeMed Deaths under 1 Infant Oct._2__1921 Average tal.kyr City. poultito,a We er deth. eath rate enddrede ul ,1921. Total D Previous wee deahsrte. yearor 1000-Oct..29,12. years' Oct1.29ectded I I Akron, Ohio...... 229,196 30 6.8 '8.8 24 68 Albany, N.Y...... 115,071 34 15.4 C 11.4 3 3 67 Atlanta, Ga...... 207,473 55 13.8 (, 1±3 6C 8..... watoe,Md ...... 752,863 -188 13.0 A 148 X6 A 28 101 Birmingham,Ala. . ~~~~~~181,133 51 14.3 A 16.8 4 A 5 aton,M ...... 757,634 191. 13.1 A 14.3 22 A, 31 5g rdgport,Conn...... 140,967 33 11.5 A 14.7 6 A 7 76 Buffl,N.Y...... 519,608 120 12.0 C 10.9 26 C 19 100 Cambridge Mass. . 110 444 20 9.4. A 13.1 3 A 4 54 Camden,NW.J. . . 119,672 24 10.5 3 ...... 3. Ill...... W 596 11.2 A A Chicago, 2, R,65 1I.1 9T 106 .... Cicnati, Ohio...... 403,418 105 1?.S C 11.4 9 C 11.5 Cleveland, Ohio...... 831,138 176l I1l.OC0I&O. 25 C 32 75 Columbus, Ohio...... 245,358 71 15.1 0 11.7 8 C 6 93 Dallas, Tax...... 105,282 40 12.6 A 12.6 3 A 2.... ayo,Ohio...... 158,119 31 10.2 C 12.8 6 C 2.9 Denver, Colb.....-...... 283,152 73 14.5 A 13.0 le0 . Detroit,'Mich ...... 1,070,450 167 8. C 8.&8 26 C 3.....49 Fall River, Mass...... 129,668 25 10.8 C 17.3 2 C 14 31) Grand Rapids, Mich...... 141,197 28 10.3 C 13.1 SC II 85 . 144,34 Houtston, Tex...... 38 13.7 ...... 9 Ind.a PoRs 325,215 71 11.4 C 12.5 4 ...... C 13.3 N.eyMy, J ~303,788 6 107C 11.8 10 C 14 81 KansasCity,Kans...... 103,884 35 17.6 C 9.7 3 C 2 72 KansasCity,Mo ...... 331,157 82 11.7 C 13.3 15 C 22 LosAngeles,Calif...... 611,921 139 11.8 A 12.5 13 A 11.6.... Louisville, Ky...... 236,083 68 16.0 C 18.7 5 C 10 58 Loell, Mass ...... 113,757 32 14.7 A 1.3.8 11 A 9 177 Memphi,Tenn...... 165,339 55 17.3 C O9.5 6 C 6.... Milwaukee Wis...... 468,386 82 9.1 A 10.3 15 A 17. i Minneapoll's,M ...... n.... 392,815 86 11.4 C 8.0 15 C 7 85 Nashvil Tenn ...... 122,036 53 22.6 C 17.1 2 C 5.... NewBeIod mass...... 125,012 22 9.2 A 12.8 4 A S..GI New Haven, Conn...... 167,007 25 7.8 C 12.7 .4 C 7 48 NewOrlens LSa...... 391,657 147 19.4 A 18.9 12 A IS..... NewaY~rk,Near, J...... -.Y...... 5,751,867424,88.5 1,17770 10.78.6 C 11.910.0 16114 C 1821 6263 Norfolk, Va...... 121,290 30 12.9...... S...... OaklandkCalif . . 228,472 40 9.2 A 10.7...... A S. OTasba, 197,066 49 13.0 ...... - 5...... Paterson, N.J...... 137,463 32 12.1. . 2. . 34 Philadelphia Pa8,22 45 1.96 ...;' S Pobrgland, 6e...... 602,452 104 14.2 C 12.8 29 C 21 103 Porlad,i5eg: ...... 244,8&59 43 8.5 C 10.8 2 C 6 20 Providence,R.I...... 286,645 53 11.5 C 9.6 8 C 9 65w Richmond, Va...... 175,686 .39 11.6 C 12.4 6 C 3 77 Rochester,N. Y...... 306,229 61 10.4 C 8.0 12 C 11 93 St. Louis, Mo 174 ...... 786,164 11.5 C 12.5 18 C 24 .... St. Paul, Miunn...... 237,781 42 9.2 C 6.2 3 C 1.30 &AltLakeCity, Utah ...... 121,595 28 12.0 A 9.4' 5 77 San Franciseo,Calif...... 6... 20,646 112 11.2 C 11.9 1 6 29 Spokane, Wash...... 306,442 29 14.5 C 13.5 2 C 5 44 Springfield,Maws...... 131,877 27 10.4 C 11.5 7 C 5 106 8yracusN.Y...... 177,285 32 .4 C 13.2 50C 3 80 Torledo, 6hio .....3,696...... 63 12.9 A 13.0 A, 9 81 Trenton, N.J...... 122,..... i 760 28 11.9 A 17.2 7 A 9 106 Wshingiton, D.C ...... 454,2 128 14.7 A 13.6 16 A 12 93 Wibmington, De .113,40 15 6.9 C I&.5 5 C 8.... Worcester Mass .184,972 42 11.8 C 11.2 3 C 7.32' Yonkers,k.Y .103,324 1s 9.1 A 12.1 3 A 5 68 1 rnal te per 1,00oppulation. 2"'A"indicates datal the cormpeadin week of the year 1913 to 197, inclusve. 'IC" kmbates data for the correspoding wieek of the year190 8Deaths under 1 erPer 1 600 births--an annual rate based on deaths under 1 year for the week and estimated births fr12. Cities left blank are not in the registration area for births. ' Data based on statistics of 1915,1916, and 1917. 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.

CURRENT STATE SUMMARIES. Telegraphic Reports for Week Ended Nov. 5, 1921.

These reports are prlimnary and the figures are subject to change when later returns are received by the State health officers.

ALABAMA. CALIFORNIA-continued. - Cases. Cases. Cerebrospinal meni ngitis...... e...... 3 Poliomyelitis: I Diphtheria ...... 40 Alturas...... 1 Influenza ...... 14 Grass Valley...... 1I 1 MIalaria ...... 11 ModoeModoc County ...... I Pellagra...... 10 San BomardinoBernardino...... 1I

Pneumonia...... 3 San Francisco ...... 3 3

Scarlet fever ...... 27 Stockton ...... 4

Smallpox ...... 1 Scarlet fever ...... 150 Tuberculosis ...... 13 Smallpox: Typhoid fever ...... 23 Los -AnzelesAngeles ...... 11 Salinas ...... 8 ARKANSAS. Scattering ...... 30 Typhoid fever ...... 13 meningitis...... 2 Cerebrospinal Yellow fever-Los Angeles ...... 1 Chicken pox ...... 4 Diphtheria ...... 53 COLORADO. Hookworm disease...... 1 (Exclusive of Denver.) Influenza...... 7 Anthrax.1...... 0alaria ... 201 Chicken pox ...... : 5 Meases ... 1 Diphtheria ...... 45 Pellagra...... 4 Measles ...... 1 Scarlet fever ...... 16 Mumps ...... 1 Smallpox...... 7 Pneumonia ...... 6 Trachoma ...... 3 Scarlet fever ...... 33 Tuberculosis...... 8 Smallpox...... 14 Typhoid fever ...... 18 Tuberculosis ...... 119 Typhoid fever ...... 19 CALiFORNIA. Vincent's angina ...... 1 Cerebrospinal meningitis: Whooping cough ...... 1 Oakland ...... ; 1 DELAWARE.

Loa Angeles ...... 1 Diphtheria ...... Z ...... 5 SantaCru...... 1 Malaria. 2

...... 1 Diphtheria...... 364 Measles..... Influenza...... 8 Pneumonia...... 1 Lethargic encephalitis: Scarlet fever: Sacramento...... 1 Wilmington ...... 8 San Francisoo...... 1 Scattering ...... 4 Stockton...... 1...... Tuberculosis ...... 7 Measles...... 14 Typhoid fever...... 2 D1) November 11, 1921. 2792

LORIDA. vimois-continued.iLois-continued. Casm. casek Cerebrrospinal meningitis ... 1 SculetScarlet fever: Diphtheria ...... 36 Chicago...... 112 112 Influenza ...... 19 DeoatwDeatur ...... 8 s Malaria...... 16 Peoria...... Peoria ...... 9

Ophthalmi neonatorum...... 1 RockfordRoc ord...... 9 9 Scarlet fever...... a Bmtteringttenng ...... 146 146 15 Typhoid fever ...... 2 SMSUPOXSm pox ...... 15 Typhoid fever.fever: GEORGIA. Chicago...... 11 11 Cerebrospinal meningitis ...... ; 1 Scattering...... :...... 39;...... 39 54 Chicken pox...... 3 Whooping cough ...... ;. 54 Dengue...... 3 INDANA.nqDUNA. Diphtheria...... 90 Dysentery (amebic)...... 1 CerebrwpinalCerebrepinal meningitis: Dysentery (bacillary)...... Henry CotmtyCounty ...... 1 German measles...... 3 Marion County ...... I Hookworm disease...... 17 Diptheria...... 426 Malaria...... 13 tablest(ables in animas:.anims&. Lake County ...... 1 I Measles ...... 4 County

...... Mumps...... 1 BUMTMullia CoimtyCoumty .1...... I m Pneumn ...... 3 SmletSarlet fever...... 1 Scarlet fever...... 29 Smallpox...... 23 23 Septic sore throat...... 6 Typhoid fever...... 38 38, Smapox...... IOWA. Tetanus...... 19 Tuberculosis (all forms)...... 4 Cerebrospinal maninititis:meningitis: Typaid fv...... 22 DyersviUeDyersville ...... 2 2 Steamboa.t Rock...... I ILLIOJ8. Diphtheatheda ...... go PoliomyoMlsPeliomyetls ...... 4

Scarlet fever...... 1@ Berwyn ...... 1 Peoria. 1 Smallpolpn,w ..11...... Rockford .1 Diphtberia: 3 Auror. .12 'ngitiss...... 8 OwebrospinalCOebrospinalegmtis 51 Blue Isld. .11 Chicken pox...... 51 480 Chicao. 293 Diphtheria...... 480 I Cicero GernmnGerman measles...... I .12 2 Influenza...... 2 Deoatur.20 2 Louis. MeaslesMeasles...... 2 East St. 18 6 lavana. 8 Pneumonia...... 6 ...... 2 Joliett. 11 PoUomyelitisPoomyelits.... M Mattoon ...... 16 SmletScarlet fever...... 1 North Chicago. 9 Small...... 44isi Peoria...22 TubercuiodsTuberculosi ...... 4425 Robinson. 8 T"hoidTyphoid fever...... 17 Rockford. 22 'WhoopingWhooping cough...... 17 Scattering. 2" LOUL91ANA.LOUISIANA. Inluea. .. 22 Lethargic encephalitis: Cerebrospinal ...... I meningitis.------30I Auror.. 1 Diphtheria...... 30 13 Chiago. .1 Influenza...... 13 7 Stephensom County-Rock Grove Town- PoDagm.P elgaga...... 7 .1 14 ship SmletScarlet i;;;.feverr...... 14 ...... 3 Pneumonia..... 166 smalipoxsmalpox. 203 Pollomyeliti: Typhoid fever...... 20 AJton. 1 Chicago. 4 XAM. 8 Cook County-New Trier Township ...... Chic"nChicken pox ...... 38 Jasper County-South Muddy Townhi 1 Diphtheria...... 38 Diphtheria I La Salle County- German measles...... 1 I Eagle Township ...... momimMeas ...... It1 Rutland Mum Township 1...... 1 Mum ...... ;...... 11 I Princeton ...... Pneumonia...... I Saunemin ...... 1 SculetPoliomyelitisPoiomyelitisfever ...... 1. . 4 Towauda ...... Scarlet fever...... 4 2793 November 11, 1921,

mNE--continued. MISSOURI. Cases. C;" x...... Cerebrospinal meningitis ...... 2

Tuberculosis b6.. Chicken pox ...... 39 fever. Typhoid 7 Diphtheria ...... 230 Whooping cough 33 Epidemic sore throat 13 MALYLAND.1 Influenza .1 8 Useases ..5 Chicken pox. 2 Mumps.6 Diphtheria ...... 92 PoliomYelitiso..... 4 Dysentery. 3 Scarlet fever .117 Inflena. .21 Smallpox .60 Malaria ...... 6 Tetanuse. 3 Measles .24 Trachoma ...... Mumps. 5 Tuberculosis...... 35i Ophthalmia neonatorum. 2 Typhoid fever .18 Paratyphoid fever .1 Whooping cough. : 12 Pneumonia (all forms) .47 Poliomyelitis. 7 MONTANA. Scarlet fever ...... 55 Cerebrospinal meningitis-Columbia Fals. 1 berculosis. 46 Diphtheria. n Typhoid fever .33 Poliomyelitis: Vincent's angina...... 1 Dooey. 1 Whooping cough ...... 21 Helena .1 MAssACEusETTs. Sarletfever. 7

Smallpox ...... 18 Cerebrospinal meningitis. 6 Typhoidoever ...... 2 Chicken pox ...... 128 . Conjunctivitis (suppurative) .15 NEBRASKA. Diphtheria .248 Anthax-Omaha ...... German measles.. 6 Cerebrospinal meningitis: Mese... 107 Johnson County ...... 1 Mumps. 3 Opht}almia nonatorum.16 WayneCounty ...... Chiclken pox ...... 29 Peagra ...... Diphtheria: Pneumonia (lobr) ...... 66 Poliomeltis.. 6 Omaha ...... 47 Scattering ...... 22 Srietfever. 152 German measles ...... 2 Septic sore thrat .1 Measles ...... 7 Rmallpox .1 MUmpS ...... Tetanus .1 Trachoa.. 3 Scarlet fever ...... 30 Smallpox ...... 5 Taberculosis (all foms).167 Typhoid fever .23 Tuberculo3is ...... 10 Typhoid fever ...... 2

MINNESOTA. Whoopong cough ...... 1

Carebrospinal mningits...1 NEW JERSEY.

Chicken pox .15 Chicken pox...... 80

Diphtheria: Diphtheria ...... 186

Minneapolis...... ' Dysentery ...... 1

Scattering .80 Influenza ...... 7

Measles. 4 Malaria ...... 1

Pneumonia. 2 Measles ...... 40

Poliomyelitis Pneumonia ...... 107

Salet fever. .163 Poliomyelitis ...... 4

Smallpx .21 Scarlet fever ...... 134 .. ..oa 2 Smallpox ...... 6

Tuberuos.... . 61 Trachoma ...... 2

Typhoid fever ...... 13 Typhoid fever ...... 20

Whoopig cough Whooping cough ...... 58

mm. NEW MExICO.

Diphtheria .72 Chicken pox ...... 3 Scarlet fever .31 Dlphtherla:

Smallpox. 5 Belen ...... 8 Typhoid fever .14 Scattering ...... 27 ! Wook ended Friday. November 11, 1921. 2794

NEw MxExIo- ntinued. TEXAS. Casea.

Me ...... 2 Chickenp ...... 15

mumps ...... Diphtheria ...... 205

Paratyphoid fever ...... Influen ...... 14

Pneonia...... 6 Pellagra ...... 1

carlet fever ...... 14 Scarlet bver ...... 4

Septic sore throat ...... 1 Typhoid fever ......

Tuberlosis ...... 29 VERMONT. Typhoid fever ...... 10 Chicken pox ...... 6 NEW YORE. Diphtheria ...... 14

(Exclusive of New York City.) Measlep ...... 5

Mulmps ...... 21 Cerebrospinal meningitis ......

Pneumonia ...... 2 Diphtheria ...... 390 Poliomyelitis ...... 4 Influeh ...... 10 Salet fever...... 27 Let encephalitis ...... 3 Typhoid fbver ...... 3 Measles ...... 33

...... 9 Pneumonia ...... 169 Whooping cough Poliomyelitis ...... 23 WASHINGTON. Scarlet fever ...... 0 Chickon poX ...... 78 Typhoid fever ...... 97 Diphtheria: Whooping cough ...... 98 Chehalb ...... 26

NORTH CAROLINA. Scattering ...... 42

Measles ...... 4 Cerebrospinal meningitis ...... 2

MumpS ...... ,,,.19 Chicken pox...... 41 Poliomyelitis: Diphtheria ......

Aberdeen .1......

Chehalis ...... Scarlet fever ...... 149

Davenport ...... 1 Septie sore throat ...... 11

Fife ...... 12 I fever 27 1...... 1 Typhoid ......

King County ...... 2 Whooping oough ...... 61 . Lincoln County ...... 1 OREGON. Pierce County ...... 1 Chicken pox...... 7 eattle ...... ,Diphtheria: Spokane ...... 2 Portland ...... 42 Spokane County ...... 1 Scaterig ...... 14 Summner ...... Impetigo contagiosa ...... 4 Tacoma ...... Influenza ...... I Scarlet fever Malaria. ..Spokane ...... 11 Measles ...... 2 ...... 15 Pneumonia...... 2 Smalpox: Poliomyelitis: Spokane ...... 18 Eugene ...... 2 Tacoma ...... 12 Portland ...... Satterlng ...... 41 alem...... 1 Tuberculosis ...... 14 Puerperalsepticemia ...... Typhoid fever ...... 11 Whooping cough...... 38 carlet fever WEST VIRGINIA. Portland ...... 13 Diphtheria: Sattering ...... 5 Charleston ...... 15 Smallpox ...... 23 Clarksburg ...... 13 Trachoma...... 1 Eins ...... 20 Tuberculosis ...... 6 Fairmont ...... 9 Typhoid fever ...... 4 Huntington ...... 14 SOUTH DAKOTA. Parkersburg. 9

Scattering ...... 6 Cerebrospinalmeningitis ...... 2 Scarlet fever ...... , 27 Chicken pox ...... 5 Smallpox ...... 5 Diphtheria ...... 13 Typhoid fever ...... 7 Ophthalmia neonatorum ...... 3

Pneumonia ...... 1 WISONSIN. Poliomyelitis ...... 2 Milwaukee: Scarlet fever ...... 56 Cerebrospinal

Smallpox ...... 12 Chicken pox ...... 57

Typhoid fever ...... 3 Diphtheria .... 2795 November 11, 1921.

WIscoNmN-cotinued. wCONxIIx-continued.

Milwaukee-Continued. Caes. Scatteing-Continued. Cases.

German measles ...... ,,... 1 Diphtheria...... _. 103 Influenza...... ,3 Pneumoni.. 8 Scarlet eveL " 31 ..asl ...... Smallpox 6 Pneumonia ...... 1 Tuberculosis. 13 Poliomyelitis ...... 4 Typhoid fever .2 Sewet fever ...... 167 Whooping cough ...... 14 S lpox..35 Scattering: Tuberculosis .18

C4rbraspinalmTypd fever ...... 7

Cbicken pox.. 56 Whoopingcough...... 38 Delayed Reports for Week Ended Oct. 29, 1921.

DISTRICT Of COLUMBIA. KETUCKY-continned- Case. Cases. Chicken pox ...... 4 SmallPOX

Diphtheria 25 Fulton County...... 11

Influenza 2 Scattering ...... 4

Letrgic encephalitis ...... 1 Tonsillitis ...... 3

Measles ...... 8 Trachoma ...... 22

Sarlet fever...... 19 Tuberculosis:

smapx...... Jeffeon County...... 10

Tuberculosis 19 Scattering ...... a

Typhoid fe .... 3 Typhoid fever ...... 24

Whooping cough ...... 3 Whooping cough ...... 1

KENTUCKY. NEW YOBK.

hickena ...... p...... ox...... 2 (Exclusive of New York City.) Diphtheria:

Christian County ...... 13 Cerebrospinal meningitis ...... 4

Daviess County ...... 48 Diphthia.. 313

Ceunty ...... 8 Influenza .. 14

Jefferson County ...... 74 Lethargic encephalitis .. 4

Logan County ...... 8 Measles.. 29

Battering - .- 55 Pneunmna ...... 162 German measles 2 Poliomyelitis:

Influenza 13 Deposit ...... 1 Measles: Hempstead

Grant County ...... 2 Parishville ...... I

Jefferson County ...... 9 Rochester ......

Pnelumoni ...... 17 Webster ....1

Poliomyelitis-Ohio County ...... Wilna......

Sarlet fever: Scarlet fever ...... 241

Jefferson County ...... 13 Smallpox...... Owen County 8 Typhoid fever 106

Scattering ...... 28 Whooping cough ...... 38 SUMMARY OF CASES REPORTED MONTHLY BY 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:

State. 0 j 0

1921. a Aizon(September)...... 5 ...... 1 ...... g...... 9 California(Sptember) ...... 11 527 38 47 49 2 65 236 246 115 a.o (.p8ember) ...... , ...... 2 9...... 9 ...... 58 29 03 Iowa(Augt) ...... 1 66 ...... 1...... 48 I8 . Nbmtna (September)...... 27 4 5 . 12 25 64 25 Ohio (Sept.mber ...... 5 2,196 29 3 53 69...... 758 39 761 ...... ,,14 734 243 681 102 22 16 230 15 32D November 11, 1921. 2796 TYPEUS E New York, N. Y. Two cases of typhus fever have been reported in New York City as follows: One case on October 27 and one on November 2. CITY REPORTS FOR WEEK ENDED OCT. 22, 1921. CEREROSPINAL MENINGITIS. The column headed "Median for previous years" glvs the median number of cases reported during the corresponding weeks of the yea 1915 to 1920, inclusive. In instances in which data for the ful six yearsareincomplete the median is that for the number of years for which information is available.

Week ended MelnWeek ended Oct. 22,1921. Mda Oct. 22, 1921. City. frcity. P yem Came. Deaths. .Ye' Casw. D)eatbs.

California: Missouri: San Francisco. 1 Kansas City-.-.-.-.. 1 0. District of Columbia: New Jersey: Washington . 0 1 1 Jersey City . 0 .1 Illinois: New York: Chicago. 2 1 1 Cohoes .. 0 1 Maryland: New York .. 2 6 2 Baltimore . 0 2 .. Ohio: Massachusetts: Cleveland ... 0 .1 Wobu u . 0 1 1 Oklahoma: Michigan: Tulsa ...... 1. Ann Arbor . 0 1 West Viginia: Muskegon . .1 Huntngton .. 0 1 Mtinnesota. Duluth ...0 1

DIPHTHERIA. See p. 2802; also Telegriphic weekly reports from States, p. 2791, and Monthly summaries by States, p. 2795. INFLUENZA.

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

Alabama: Massachusetts-Continued. Birmingha ...... 1 Lawrence. 2 Califomia: Michigan: Los Ang.eles1.. Detroit. .2 San Francisco .1 .. Grand Rapids. 2. Stockton. 1 ..Missouri: Connecticut: Kansas City ...... 1 Bridgeport .1 1 New Jersey: Hartford .1 .. New Brunswick. .1 District of Columbia: New York: Washington. 1 .. NewYork .29 4 Florida: Rochester .-1 1 Tampas...... 5 . . Saratoga Springs. 3 . Georgia: Troy ...... 1..1 Albany. 1 .. Ohio: Atlanta. 5 .. Cleveland. .1 Illinois: Cleveland Heights.1. Chicago . 12 1 Portsmouth ...... 1 ...... Chicago Heights..1 Pennsylvania: Danville .1 .. Philadelphia .2 2 Indiana: Rhode Island: Kokomo ...... 1 Providence. .1 Loulisiana: South Dakota: New Orleans .2 2 Sioux Fals.. 2 Maryland: Texas: Baltimore .4 1 Dalls...... 1 Massachusetts: Fort Wortho.. Boston .2. Wisconsin: Everett ...... 1 ...... 1.....I Haverhill ...... 2...... 2797 November 11, 1921. CITY REPORTS FOR WEEK ENDED OCT. 22 1921-Continued. LETHARGIC ENCEPHAITIS.

MALARIA.

Alabama: Illinois: Birhm ...... i.. 1 1 Ch icagogo...... 1...... Arkansas: Louisiana: FortSmith ...... 2 1 New Orleans ...... 3 Little Rock ...... 1 ...... M.... aryland: North Little Rock...... 2 ...... Baltimore...... - 2 . Colih)rnla: WMassachusetts: Los Anges1 ...... Northampton . . 1 1 Sacramento...... - I ...... Michigan: gam Bernardino...*...... ^ 1 ...... Detroit ...... Florida Missolri: Tamps...... 3 ...... Kansas City.1 Gergia: New York: Atlantta...... 1 ...... NewYork.. . Brunswick ...... 4 ...... Tennessee: Rome ...... 1 Memphis ...... 10 5 Savannab ......

MEASLES. -See p. 2802; also Telegraphic weekly reports from States, p. 2791, and Monthly summaries by States, p. 2795. PELAGRA.

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

Alabama: Tennessee: Birmingham .1 2 Nashville ...... 1...... ,.1 Georgia: Texas: Atlanta ...... 1 Dallas ...... 1 Savannah ...... 2 Waco...... 1 Louisiana: Virginia: Baton Rouge ...... 1 ...... Portsmouth .....1 ...... North Carolina: Roanoke ...... 1 ...... Raleigh ...... 1 Winston-Salem ...... 2

PNEUMONIA (ALL FORMS). Albana: Delaware: Birmingam...... l...... 5 Wilmington ...... 3 Mobile...... l...... 1 District of Columbia: Arizona: Washington ...... 8 1 Florida: ...... Tucson...... Tampa...... 1 Arkansas: Georgia: Fort Smith...... 1 1 Albany...... i Little Rock...... Atlanta ...... California: 18 Macon...... 1 3 LOLos AglsAn ... 7 Savannah ...... 3 Oakrland...... 6 5 Illinois: Pasadena...... 3 Alton...... ~:...... i Sacramento...... 2 Aurora...... '''' San Bernardino...... 1 Blue Island...... 1 San Francisco...... 4 Chicago...... 121 24 San Jose...... 1 Cicero...... 1 ...... Colorado: -...... Danville ...... 2 .'' '''i Denver...... 3 East St. Louis...... Pueblo...... 1 Elgin...... 3 1 Connecticut: ...... Freeport...... 1 Bridpport...... 4 Galesburg...... 2 Hartford...... 3 Kewanee ...... Meriden...... 2 Mattoon...... 2 ...... New Haven...... 2 Oak Park...... i ...... New London...... 'i Peoria...... ' 1 Norwalk...... Springficld...... November 11, 1921. 2798 CITY REPORT FOR WEEK ENDED OCT.- 22, 1921-Continued. PNEUMONIA (ALL FORMS)-continued.

City. Cases. Deaths. City. Cases. Deaths. 1I Indiana: I New Jersey: East Chicago...... 1 Atla City...... 1 Elkhwt a...... i, Clifton...... 1 Fran korto...... Elizabeth...... S 1 Gary r...... Englewood...... atnn...... 2 Hackensack...... *----..... Indianapoas...... 11 Hoboken...... *...... 1 Muncie n...... 1 Jersey.City ...... Terre Haute...... 2 Kearny...... 2 Kansas: Morristown...... 1 2 Hutchinson...... I ...... New Brunswick...... 1 Kansas City...... 1 ...... Newark ...... 3 Topeka...... 3 ...... i Oraag.. Wichita...... IPasac !...... Kentucky: Paterson...... Covington...... Phillipsburg...... Louisille...... 7 Plainfield...... i1..... Louisiana: Trenton...A...... New Orleans...... 11 West Orange...... 2 I. Maine: New York: .11 Bangor...... a Albany...... Portland...... Auburn...... Marvland: Binghamton... 2 Baltimore...... I 13 Buffalo...... *...... 2 8 Cumberland..... C3rtland...... 3 Massachusetts: Elmira ...... Belmont. '1 Ithaca...... 7 Boston ...... i, 9 Jamestown...... 1 2 Brockton...... Middletown...... 2 ...... Brookline...... 1 Mount Vernon...... Cambridge...... 2 New York...... 209 Chelsea...... 2 Niagara Falls...... 2 Chicopee...... 1 Olean...... 1 Fall River...... I...... Port Chester...... 1 Fra nunham...... i Rochester...... Haverhill...... Saratoga Springs. 1 Holyoke...... 1 Schenectady...... lAwrence...... Syracuse...... 1 Leominster...... Troy...... Lowell...... 2 Yorikers...... Lynn...... North Carolina: 2 lUalden...... i Charlotte...... New Bedford...... ,...... Wilmington...... 2 Newton...... 3 Winston-Salem . Pittsfield...... 2 1 Ohio: .8 Somerville...... ,...... 1 Akron...... Springfield...... i.1 Canto n ...... Cincinnati . 7 Taunton...... 2 Watertown...... 1 Cleveland...... Webster...... Columbus...... 83 Worcester...... Cuyshoga Falls...... Michigan: Dayton...... 2 Ann Arbor 1 Detroit...... , 12 IKenmore.Hamiltrn-...... - ...... Flint ...... Portsmouth ...... 1 Grand Rapids...... 2 Salem ...... Hamtramck...... 2 1 Sanduy...... Ishpeming...... '''''..''i B3P r igi...... Jackson ...... Toledo ...... i Kalamazoo...... 2 1 Zanesville.....:::::'..... Muskeon...... a... . ,1 Oklahoma: Port Huon...... ma City ...... Minnesota: Ore¶,on:Or laho Hibbing ...... Portland ...... Minneapolis. 8 Pennsylvania: St. Paul ..... 6 Philadelphia. 42 Missouri: Rhode Island: 28 Kansas City...... 5 4 Pawtucket ...... Montana: Providence ...... 2 Anaconda ...... 1 South Carolina:

Great Falls ...... 2 Charleston ...... Mssoula...... 1 Tennessee: Nebraska: Memphis ...... Lincoln ...... 2 Nashville ...... 1

Omaha ...... 3 Texas: New Hampshire: El Paso ...... 8 Concord ...... Waco ...... I2799 November 11, 1921. ClTY REPOTs1 FoR WEEK ENDED OCT. 22, 1921-CoDtinued. PNEUMONIA (ALL FORMS)-Continued.

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

Utah: West Virginia: Salt Lake City ...... 6 Charleston...... 2 Vermont: Huntington ...... I Burlington ...... W...... 3 W eeling...... 1 ...... 1 Virginia: Wisconsin: Alexandria1 .. Oshkosh......

Danville . .1...... Racine...... 2 Norfolk...... 2 Richmond .... .3 .....

POLIOMYELITIS (INFANTE PARALYSIS). The column headed "Median for previous years" gives the median number of cases reported during the corresponding weeks of the years 1915 to 1920, inclusive. In instances in which data for the full six years are incomplete, the median is that for the number of years for which informationi is available.

Week ended Week ended Median Oct. 22, 1921. yMedian Oct. 22, 1921. City.City. fo°vpreoPu-~~vious City. forviouspre- years. Cases. Deaths. years. Cases. Deaths.

California: Mtissouri: Los Angeles ...... 0 2 1 Kansas City...... 0 2 1 Sacramento ...... 0 1 1 Springfield ...... 1...... San Bernardino .. 1. St. Louis .....0 1. San Francisco...... 0 2 1 New Jersey: Stockton ...... 0 6...... 8 Befleville ...... I.....1 Connecticut: Elizabeth ... . 0 1

New Haven ...... 0 4 1 Jersey City ...... 0 1 ...... Illinos: New YorkL: Chicago...... 3 8 Middletown...... 0 1 1 Cicero . .I...... 1 NewYork...... 3 42 5 Danville ....0 1 1 Ohio: Indiana: Cleveland ...... 1 1..1 Mishawaka...... 04 1 ...... Pennsylvania:

Louisiana: Chester ...... 2. Baton Rouge ..1.hldep .... .8 1 Maryland: Pittsburgh ...... 1 1. Baltimore .....0 6 ...... Wilkinsurg ...... 2..... MSassachusetts: Rhode Island: Adams...... 1...... Cumberland...... I.....1 Cambridge ...... 0 1 ...... Texas: Chelsea ...... 0 O ...... El Paso...... 0 1. Chicopee ...... 0 1 ...... Utah: Haverhill ...... 0 Salt Lake City .. 0 1. Newburyport ...... O Virginia: Pittsfield...... O 1 1 Norfolkk...... 0 2. Michigan: Washington: Detriot ...... I 3 1 Seattle ...... 0. 7... Jackson ...... O 2 ...... Tacoma .0 1. Minnesota: Wisconsin: Rochester...... 1 ..... Madison...... 01..O St. Paul ...... 1 ......

RABIES IN ANIMALS.

City. Cases.

Massachusetts: Lawrence...... 1 Missouri: Kansas City ...... 3

SCARLET FEVER. See p. 2802; also Telegraphic weekly reports from States, p. 2791, and Monthly summaries by States, p. 2795. November 11, 1921. 2800 CITY REORTs FOR WEEK ENDED OCT; 22, 1921-Continued.

The column headed "Median for previous years" gives the median number of cases reported durin the corresponding weeks of the year 1915 to 1920, inclusive. In instanes in which datafor the full six yearsare incomplete, the median is that for the number of yer for which informatlon savailable.

MeinWeek ended Me~Week ended City. forpre-vious City. forpre.vious years. Cases. Deaths. Y. Cases. Deaths.

Alabama: Nebraska: Mobile ...... 0 1 ...... Lincoln...... 1 1. California: Ohio: I Bea hay...... n ...... 05 . Long ...... LosAngles...... 0 17 ..... Fremont 0 2..... OaklanJ ...... Spnngfeld.0 2. Riverside ..o.... 1South Carolina: San Franciscoo..... 0 2..... Columabia ...... 0 1..... Sim-Jose...... 0 5 ...... Tennessee: Santa Cruz ...... 0 1 ...... Nashville ...... 1 Colorado: Texas: Waco ... Denver ...... 6 5 ...... Indiana: SatLakeCity...... 2 3 . South Bend0.. . 1...... Wahington: Iowa: Aberdeen ...... 0 4 . Mason City ...... 0 2 ...... Belliam...... 1 Kansas: ..Seattle....1 - --- z . KansasCity.. 0 2...... pokane ...... 5 7 . . Topeka ...... 0 1 ...... Tacoa...... 0 20 Minnesota: Vancouver ...... 0 2 . Minneapolis ...... 4 1 ...... West Virginia. St. PauI...... 3 2 ...... Bluefield...... 0 1 . Virginia ...... 1 ...... Parkersburg...... 0 2 . Missouri: Wisconsin: KansasCity.... 5 16 5 Milwaukee...... 2 4 . Monitana: Oshkosh.1 1 ...... GreatFalls ...... 0 29 ...... Racine...... 0 1......

TETANUS.

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

Alabama: Ohio: Mobile ...... 1 Piqua 1 1 Indians: Pennsylvania Indianapolis ... 1Philadelphia...... Massachu4etts: Rhode Island: Chelsea...... 1 Haverhill . . . 1 1 South Carolina: New Bedford...... ;. 1 ...... Charleston...... Missouri: Tennesse St. Louis...... 1 ...... p. . .1 New York: Schenectady ...... 1....1

TUBERCULOSIS. See p. 2802; also Telegraphic weekly reports from States, p. 2791. 2801 November1 1, 1921.

. CITY REPORTS FOR, WBEK ENDED OCT. 22, 1921-Continued. TYPHOID FEVER.

Th ecolumn headed "Median for previous years" gives the median number of cases reported during the eorresponding weeks of the years 1915 to 1920, incltsive. In instances in which data for the full six yearsareincomplete, the median Isthat for the number of years for which information is available.

Weelc ended MedianMda'WeekOct. 22,ended1921. MediarIOct. 22, 1921. City.city. ~viousforpre- City.City. ~viousforpre- yeas.] Casm Deaths. years. Cases. Deaths.

leftesota:

Brimingbam...... 1 2 Rochester ...... 1 Gadsden...... I1- St. Paul ...... 0 2 Mobile ...... i1' California: KansasCity...... 3 3 '1 Los Angeles...... 2 3 1 St. Joseh... 1 3 Sacramento...... 0 5 St. L ...... 8 4 San Franis...... 2 Mostana...... Colorado: 1 Denver...... 3I Nebras 0: 1 Pueblo...... 31 Oma . 1 4 Connecticut: New Jersey: Bridgeport...... 0 Atlantic City ..1.... Manchester...... 2 East Orange .. 0 12 New Haven ...... 2 2 Hoboken...... 0 District of Columbia: Jersey City . . 2 1 1.... Washington...... 7 3 Newark .1...... 51 Georgia: Trenton...... 2 Atlanta...... 3 1 New Mexico: 1 .i... Brunswick}...... 0 1 Albuquerque ..1.... Rome....Rm.,,,,,...... - 0 New York: 5 Savannah...... 1 2 Buffalo...... 4 ..... Idaho: Elmira .. 0 Boise...... i10 1 Glens Falls . . 0 1 IllBnois: Ithaca...... - 0 . Champalgn...... Lockport ...... 0 .i... 15 13 Newburgh ...... 0 1 1 New York...... 31 Danville. Niagara Falls .. 0 3 .i..... Decatur...... 1 Oneida ...... Freeport...... 0 1, Peekskill...... Kewanee...... 0 Port Chester. . 0 Springfield...... 0 2 Roche3ter .. 1 ..... Indiana: Syracuse .1...... I 1 Elkhart -...... 0 1 Yonkers...... 0 2 3.... Indianapolis...... 5 ..... North Carolina: Marion...... 0 1 Durham ...... 1 19 1.... Muncie...... 1 .1 Greensboro . . 0 South Bend...... 0 2 Raleigh ...... 0 Iowa: Wilmington . . 0 5 Muscatine...... 0 2 Ohio: Waterloo Cleveland ...... , 4 ...... ,.,,, ,...... 1 16 Kaisas: Columbus...... 1 S Kansas City...... 1 6 East Cleveland' 0 3 Kentucky: 3.... Fremont .,...... 1 3 Lexington...... 12 Lima.. 1 Louisville...... 3 Sanduskv ,,,,, , 0 1. Louisiana: 8prtingfid...... 1 29 New Orleans...... 4 2 ToNl¢do...... 4 1 Maine: Oklahoma: 2. 1 Portland...... 1 1 Oklahoma City0...... 2.... Maryland: 6 Oregon: 1 Baltimore...... 17 101 Portland.2 21 Cumberland...... 1 2 Peninsylvania: Massachusetts: 4 Carrick...... 1 Adanm...... 0 Coatesville . 4 Boston...... 3 12 Johnstow ..1 2 Clinton...... 0 112 Lancaster. 1, Fall River...... 5 1 New Castle ...... 1 1, Haverhil...... 0 11 Philadelphia.14 14 Lawrence...... 0 2 Pittsburg. 3 9 Lowell...... 0 Reading. 4 2, New Bedford...... 2 Sunbury. . 0 1, ...... West Chester ...... 0 I. Northbridge , I...... 2, Norwood...... South Carolina: Worcester...... 2 Charlestoni ...... 0... Mihltan: South Dakota: Detrt...... 10 1. Siou F'alls ...... 0, 2. Flint...... 2 Tennessee' Jackson...... 0 Knoxville ...... 3 2 Ka soo...... 0 Memphis ...... 2 1 Pontiac...... 0 Nashville ...... 1 3 2 710230-21- November 11, 1921. x CITY REPORTS- FOR WEEK ENDED OCT. 22, 1921-Continued. TYPHOID FEVER--Continued.

Week ended Oct. ended Medianfor pre Oct.Week22, 1921. City. fo p,r1921. City. for pre. ___ious City. Vears. years. Cases. Deaths. Cases. Deaths.

texasc Washington: Dallas ...... 0 2 ...... Aberdeen. 1 Fort Worth ...... 0 2 ...... Seattle...0-.Q 3 Utah: mge . 0 1. Salt Lake City ...... 1 Wes ia: Vermont: .i Bleld..... 0-.- 15 . Burlington ...... 0 1 ...... Ciarton. 0 1 . Virginia: RJtah:Sane~~~~ . air.ont .0 1. Alexcandria ...... 0 3 ...... O akersburg...... 0 1 . "6 1 Danville ...... 0 8 1 Wheeling.2 Lynchburg . 0...... 1 Wisco$in:1 Norfolk ...... 2 1...... Beloit.. O ...... ;. 2 1 4JrpjGay ...... O 0 4 . }RichmondRoanoke .1 2 Rac.ne 0 1.

DIPHTHERIA, MEASLES, SCARLET p*ER, AND TUBERCULOSIS. ~~~~tiei. Mesls Scarlet Tuber. Popula- Total Diphferia. Measles. fevr. nulosis. tion Janu- deaths ._- City. ary 1 from . subjectto1920, alln . . creto,causes.

Alabama: Anniston...... 17,734 ...... 3 ...... 1 ...... Birmingham...... 178,270 51 28 14 4 Gadden ...... 14,737 ...... 17 ...... 4...... Mobile...... 60,151 ...... Montgomery...... 43,464 14 5 ...... Tuswaloosa...... l1 996 ...... 4 ...... Arizona: ...... Tucson...... 20,292 17 ...... 1 ...... 4 Arkansas: Fort Smith...... 28,811 9 6 3 .-..j..2 1 Hot 8pring.i ...... 11,695 4 3 ...... 2 ...... LittleBo i...... 64,997 6 ..... 5 ...... North LUttle Rock...... 1 ...... 5 ...... Calforia: 14,048 ...... Alameda...... 28,806 2 ...... Berklcy...... 55,886 9 2 ...... Eureka...... 12,923 5 ...... , ...... Long Beach...... 55 593 22 .; ...... Lo Angeles....._...... 576,673 161 88 ','.-1 14 12 Oakclandi...... 216,361 50 10 sses ...... 51 8 51 .14 Pasadena...... 45,354 21 o-@@s ...... 1 5 1 Richmond ...... 16,843 3 **v@@@ ...... Riverside...... 19,341 5 4 1 ...... Sacramento...... 65,857 18 10 v oSov ...... San Bernardino...... 18,721 8 .... . 1 ...... San Diego...... 74,683 27 @to@e6 @ San Francisco...... 508,410 147 37 ...... 7 ...... San Jose...... 39,604 6 5 *vP@@v Santa Barbara...... 19,441 3 4 @@@@@* Santa Cruz...... 10,917 2 **vs ...... Stockton...... 40,296 9 4..i Valejo...... 21,107 2 eFeio ...... Colorado: ...... Colorado Springs...... 30,105 10 1 ...... 1 25 2 12 Denver...... 256,369 49 1 ...... 9 -...... 11 Pueblo...... 42,908 8 15 ...... 3 ......

Trinidad...... 10,906 ...... 1 ...... Connecticut: I Bridgeport...... 143,538 21 13 7 5 2

...... Bristol...... 20,620 4 ...... Danbuiry (city)...... 18,943 ...... Derby ...... 11,238 2 ...... Fairfeld (town)...... 11,475 0 2...... Hartford...... 138,086 29 ...ii ...... Manchester (town)...... 18,370 2 ...... 2803 November 11, 192L CITY REPORTS FOR 'WEEKI ENDE OCT. 22, 1921-Confinued. DIPHTHERI, MEASLES, SCARLET FKWR, AND TUBERCULOSIS-Continued.

D Se Janu- deathshTotal Dipteria. Measles. City. !=tion3 11920,W [bslIclfrom to all creto,causes.

Connecticut-Confinued. Meriden (town)...... S ...... Milford (town)...... V3 '2 *...... L ...... ''''i New Haven...... 3!4 27 3 8 2 New London...... 6 ...... 4 I ...... Norwalk...... 6 ...... Norwich (town)...... 2548 .6 2 Delaware: .is18 Wbinton ...... llOjl68 21 2 1. I...... I...... Districtlolumbia:of Washington...... 43757' 128 23 1 3 9 13 1 Florida: 18 Tampa...... 51,252 15 5 ...... I...... -1 Georgia: .... Atlanta 8 2 ...... 200,,kiI 61 .7 ...... Brunswiclc... 14,41 6 ...... 1...... La Grange.:::::::::::' 17,038- ,...... Macon...... 52,995 :.:::.I:...... Rome...... 7 ...... Savannah. 83,252 2 7 1 ...... Valdosta...... 10,788 32 ...... Idaho: 1 13 ...... Boise...... 21,5393 4 ,'_ -.1 Pocatello...... 15;001 4 1 . . .. .: ...... Illinois: 4 3 ...... 2 ...... Alton...... 24,682 24 Aurora .... . 36,397 14 ...... 2 6 2 Bloomington...... 28,725 11 8 ...... 2 ...... Blue Island ...... 11,424 6 7 ...... Centralia...... 12,491 3 ...... 1 2 ...... Champaign...... 15,873 ...i.. -Chicago...... 2,701,705 92 ...... Chicago Heights... . 19,653 6 ...g.. I Cicero ...... 44,995 7 I 9 ...... i.. .. Danville ...... 33,750 ;8 ...... -15 ..... i...... 5 Decatur .... ; 43,818 16 ...... East St. Louis...... 66,740 16 10 1 Elgin...... 27,454 3 2 Evanston...... : 37, 215 7 4 1. Frceoport ...... 19,669 5 5 6 Galesburg...... 23,834 5 ...... Jacksonvlle...... 15,713' ...... Kewanee...... 16,026 4 ...... 3 ...... La Salle...... 14 050 2 2 ...... Mattoon...... 13,552 3 15 ...... 13 '2 ...... Oak Park...... 39,830 9 ...... 2 4 ...... Pekin ...... 12,086 1 1 ...... Peoria. 76,121 *20 10 ...... 13 ...... Quinicy...... 35, 78 8 1 ....*1 ... 1 ...... 21 1...1...... 8 ...... Rockford...... 65,651 115 Rock Island...... 35,177 ...... Springfield...... 59,183 20 4 1 ...... Indiana: 2 2 1 Bloomington...... 11 595 ...... East Chicago...-...... 35,967 '9 ...... Elkhart...... 24,277...... 1...... Frankfort ...... 11,185 41 ...... 2 ...... 55 378 13 1 Gary...... 10 Hammond...... 36,004 3 3 6 ...... Huntington...... 14,000 6 ...... -2 ...... 21.. 5 ...... Indianapolis...... 314,194 72 94 2 5 ...... Kokomo...... 30,067 4 6 . La Fayette...... 22,486 10 1.2 1 ... 1 Logansport...... 21,626 3 .1...... 2...... Marion...... 23,747 *11 37 ...... Mishawaka...... 15,195 2 1 .2...... 2 1 Muncie...... 33,624 3 ...... Richmond...... 26,765 2 1 ...... Souith Bend...... 70,983 12 5 ...... Terre Haute...... 66,083 15 29 ...... 2 1 Iowa: 24 3 1 Burlington...... 057. 4 2...... Council Bluffs...... 3B 162 ...... 1 ...... Noveinber-11i, 1421, CITY, REPORTS FOR WEEK ENDED 'OCT. 22, 1921-Continued. DIPHTHERIA, MEASLES, SCARLET FEVER, AND TUBERCULOSIS-Continued.

Popula- 1'otal :piphtheria. Mcasles. scarletfever. culosis.Tuber- tion Janu- deaths City. ary I,i1920, from subjectto all .~ . correction. causes. an co Cs co Cs~~~~~J Iowa-Continued. Davenport...... 56,727 3 ...... Des Moines.... 126,468 1.I -.2 14 ...... Iowa 11,267 1 1 ...... MasonCit'y...... City...... 20,065 .6 ...... Muscatino...... 16,068 4 ...... Ottumwa...... 23,003 ,6 t.. .. 5 ...... Sioux City...... 71,227 14 2 5 ...... Waterloo...... 33) 230 4 '..1 2 ...... Kansas: Atchison...... 12,630 10 .... -...... Coffeyville...... 13,452 3 5 ...... Fort Scott...... 10, 623 6 12II- 1...... Hutchinsonl,...... 23,298 20 I-...... Kansas City...... 101,177 28 ...... 5 ...... Lawrence...... 12,456 . .4...... -5.1...... Leavenworth ...... 16,912 2()k ..1 . 2 ...... Parsos...... 16,028 2 ...... I 2.2 ...... SaUna...... 15,035 6 4 I...... Topeka...... 50,022 20 60 -1 ...... 14 Wichita...... 72,128 41 ...... Kentucky: .1 ......

Covington...... 57, 121 19 4 ...... 5 Le ton...... 41,534 20 4 2 ...... Louisville...... 234,891 70 53 3 15 6 Louisiana: Baton Rouge...... 21,782 7 2 1 ...... 2 1 Monroe...... 12,675 5 1...... I...... New Orleans...... 387,219 124 ...... I...... 8. 21.1 Maine: Auburn...... 16 985 6 ...-....--....--.-.3......

...... 3 .. .. Bangor...... 25,978 ... I... Bath...... 14,731 --...... - ...... Lewiston...... 31,791 8 ...... Portland...... 69,272 26 11 .-...... Sanford ...... 10,691 3 Watervile...... 13,351 ,...... Maryland: Baltimore...... 733, 826 210 43 2 9 ... 26 22 19 Cumberland...... 29,837 9 4 . ..2...... Massachusetts: Adams...... 12,967 2 ...

0 ...... Amesbury...... 10,036 ...... Arlin on ...... IQ,665 3 .... Attleb 19, 731 4 Belmont...... ro...... 10,749 . Beverly ...... 22,561 5 ... Boston...... 748,060 173 ...... l...... 1 Braintree...... 10,.580 ...... 1 .. ..-1.. .. 1------Brockton...... 06, 138 12 3 1.--14 ::;:... 3iD.1-- ...... Brookline...... 37, 718 11 Cambridge...... 109,694 24 ..,...I1 *--- 3 Chelsca.... 43,184 13 2 ...... Chicopee...... 35 211 9 4 3 Clinton...... 12 979 ...... : ...1 . 1 ...... Danvers...... 11, 103 ...... 1. .. .. I ..... Dedham...... 10,792 --- .-.. . -.-- ...... - Eastbampton...... 11,261 3 3 Everett ...... 40 120 5 ...... Fall Rivcr...... 120, 485 37 3 ..1 2 2' 2.3 i3 Framiingham ...... 17,033 7 3 I I 3 Gardnur...... 16,971 3 l-z-ll1...... 1...... 2 ...... l 1 Greenfleld ...... 11i 462 5 1 ..... 1 Haverhill...... 53,881 13 7 -----.-- I...... Holyoke ...... 60,203 3 3 ''''' '''' 2 2 Lawrence ...... 16 .''''' ...... ' .... Leominister ...... 19,744 3741 -1 LoweJl ...... 112,479 33 1-..... 1''' 99,148 17 12 2...... 2 ...... 32 ...... 1 1 I...... 2 1 32 ...... M(aiden...... 49, V3l 14 4 Medford...... 39,038 .4 1 Mclr;e...... 18,204 1 1. Mothuen....-...... 15,189 1 .1.I- ii~~~~...... 2805 ~~~~~November 11, 1921. CITY REPOIRTS FOR -:WEEK. ENDED OCT. -22, 1921--Continued. DIPHTHERIA, PEASLES- SCARLET FEVER AND TUBERCULOSIS-Continued.

Dhth~~~ Mi ~ Scarlet Tuiber- Popula- +~otal iea. fever. culoels. tion Janu- deaths __ ~ary- 1,1920, fo City. subj~3ect to all creto.causes. A

AMassachusetts-Continued. Natick...10,p907 ...... 1. New Bedord ..;121,217 24 10 1...... 4 ....5 2 Newburyport ...... 15,618 4...... Newton...... 46,054 6 6 1.1.....I...... NorthAdams ...... 22,282 4...... 1.... 1.... Northampton ...... 21,951 9...... 1.... I...... Northbridge...... 10,174 0.1...... Norwood ...... '12,627 1.1.....I...... Peabody ...... 19,552 2 2...... 2.... Pittsfield...... 41,751 11 11 .:...... 1 1 ....2 Plymnouth...... 13,045 .4 ...... Quiincy ...... 47,878 7.1...... 1....2 2 Salem...... 42,529 7 2....1....1I....1.... Somerville...... 93,091 14 5...... 2 ....3 1 Southbridge ...... 14,245 1....2...... §pringfleldT....2...... r 63' 29 ,8.. 1.4..6.4 Tanon...... 37,137 22...... 1.. . Wakefield...... 13,025 1 2...... 2.... 1.... Waltham .30...... 915 7 4 . 1.... 1.... 5 Watertown .~~~: .21,457 2.1...... Webster...... 1.....3,258 4...... West Sprngfield ...... 13,443 4...... Westfield... ---:" 18,604 4 3....1...... Winthrop ...... 15,455 2...... Woburn...... 16,574 5...... i .. Worcester...... 179,754 36 14 1 2 .... 14 1I Michia: 1,0 . 19 AinnArbor...... 19,516 12 6 II...1.1 ...... BattleCreek...... 36,164 .....7...... 6...... BentonHarbor...... 12,233 3 1...... 3.... 1.... Detroit . . . 993,739 190 100 9 27 .... 63 2 6 42 Flint-...... 91,599 17 20 ...... 22 ....1... GrandRapids...... 137,634 33 18 1...... 9....2.... Hamtraiinck ...... ;.48,615 12 8...... 1.... HighlandPark ... 46,499 8 3....2.... 2 ...... 10,500 1...... 348 5 1...... 8 ...... 17 13. . .. Kail ..m....oo... 48,858 ...... 9-I...... Mar...uette .... 12,718 3.1...... s.egon ...... 36,570 8 3...... 3 . Pontiac. . .34,~~~~~~2739 6...... 6. 1. PoitHuron. ....25,..944 4 4.1...... I....2.... Sault Ste. Marie.... 12,096 3...... Minnesota: Austin.''- 10,118 :4 - - - --..4 ...... Duluth. . .98,917 13 12.. . - Ribbing ...... 15, 089 1....2...... Minepoi ...'..... 380,582 71 108 1i 3 55 2 37 5 Rochester...... 13,722 20 .1...... St.'Cloud ...... 15,873 .....4...... 6... St.Paul...... 234595 45 iS...... 27 13.6. Winona...... 19,143 4 3...... 3 ...... MLssouri Independence ... 11,686 5...... p..n...... 29,855 .....3...... 2 ...I ...'..... KansasCity ...... 324,410- 76 91 2 2 1, 16 .... 1 3 ...... h... 77,939 -26 10 2...... 14 1...... p...... 772,897 190 102 1 1 .... 14 1 9 28 Springfied...... 39,631 11 38...... 2...... Montana:~ BRililings...... 15,100 3 1...... Butte...... 41,61 9...... GreatFalls...... 24,121 8 2...... 1D...... Nebraksk:1268 4. Lincoln . ~~~~~~~54,934 14 3.1...... 1.... Omaha . 41 36 2...... 6...... Nevada: ~~~~~~~191,601 Reno...... 12,016 '4 ...... New Concord...... Hmsieeln.6,...... 2 104167. 5.21. November 11, 1921. 28O6

-CITY REPORTS.FOR WEEK - ENDED OCT. 22, 1921-Continued. DIPHTHERIA, MEASLES, SCARLET FEVER, AND TUBERCULOSIS-Continued.

Measles. Scarle -Pbptla- -Total; Diphtheria. fever. culonis.Tuber- tioni Janu- deaths City. arJ1,92 from - sbectto all .2 .2I creto.causes.,~ j .

New Hampshire-Continued. -I Dover...... 13,029 I4 11I ...... -.-.. i Keene...... 11,210 It ....I ...... i: ...... 1 New Jersey: ..... Asbury Parkl...... 12,400 7 -1-tz ;sv .....i ...... * .... Atlant*ic City...... 50,682 ,' 1'.1-''2t ...... Bavonne ...... : . 76,754 .3' I';t'4t ...... Belleville...... 1.5,660 1 * 1-^--.e...... , ...... - 2 ..... a Bloomfield 22,019 11 ...... Clifton...... 26,470 .5 4 ...... Js^,, t ...... East Orange.:...... 50,710 I ...... Elizabeth...... 95,682 *j*,-E- 7 ...... , 1 '.1''t''''>' Englewood...... 11,627 ...... ,...-.. .12 ...... Garfield .I...... 3 19 381 ", &-,te I...... ,...... Gloucester City...... 12, 162 ...... ,...... U. Hackensack ...... 17,667 t t.t.;'t *, ,.-.... 1-ti; ..... Harrison.... 15,721 . t.t.¢. ;' - w . ..,...... Hoboken...... 68, 166 11 ts ,. @ * e . 1 Irvington ...... 25,480 2 .*+.-it ...... Jersey City...... 297,864 17 **t.-W .-..... Kearny...... 26,724 5 'htb ... 1 ...... Montclair...... 28,810 .: W.-s 5 ...... Morristown ...... 12, 548 17 , 1 New Brnnswick...... 32,779 6 3 ''''i' ...... 70 19 14 19 Newarkl...... 414,216 ...... , . 5 6 Orange...... 33,268 4 4 _...... 1 ...... 1 19 Passaic...... 63,824 7 3 ...... 1 Paterson...... 135,866 3 ...... 5 ,..... Perth Amboy...... 41,707 7 ...... '''i 3 ...... 1 ...... Philipsburg.---.. 16,923 3 ...... Plainfweld...... 27,700 6 ...... 1 4 ...... Rahway...... 11,042 .._-...... summit...... 10, 174 _...... Trenton...... 119,289 44 .,,. 1. 1 ...... Union ... . 20,651 2 .**...... West Hoboken...... 40,068 0 2 .w.. .*...... West New Yorkl...... 29,926 92 ..... _ ''i ...... West Orange...... 15,573 12 ,-* *t- ...... New Mex.ico: Albuquerque...... 15,157 332 .._,... 2 2 7 New York: .1 Albany...... 113,344 .4-.-'t ...... 2 3...... Auburn...... 36,192 ..-.S ...... 2 1 Binehampton...... 06,800 14 1 8 ...... -..- Buffalo...... 506,775 106 2 ...... 33 8 Cohoes...... 22,987 5 .,>.. 2 1 3 1..i Cortland ...... 13,204 04 ...... Elmira...... 45,505 14 2 ..... 6 ..... '''''i Geneva...... 14,648 9' ..... 1 3'...... Glens FaUsl...... 16, 7 ...... 2 Herkimer...... 10,453 '-''i ...... 184 2. HIudson ...... 11 745 3 3 ...... 3. Ithca...... 17,004 4 13 ...... Jamestown...... 38 917 5 ...... 13 ...... Lockrort...... 21,308 4 2 1L, ...... Middetown...... 18,420 1 . 3 ...... i...... Mount Verno.. 42,726 ...... ,...... 4 3 ...... 1 2. Newburgh...... '::':' 30 366 ...... Yok I...... 21 279 New .5,"621, 151 1,211 14 1 191 2 ...... Niagara Falls. 50,760 8 ....*...... 7 I...... North Tonawanda. 15,482 21 ...... Olean. ,506 6 ...... 1. 1 ...... Oneida. 10541 1M ...... I...... Peekkl. 15,868 3 ...... 2 ...... Port Cherr. 16,573 13 ...... 9 Poughkeepse.. 85- 000 25 ...... Rochester ...... 295,7150 64 2 .-;;

26 12 ...... Rome. 341 ...... -1.- Wsato ...... 13 181 9. 1...... spig..; 4 8chenet ey...... 88,723 11' I ...... ''''i 'Pul ...... tuecn ny 171 717 41 .....1.. 4 2 1 T r o jr...... 72,013 12 ...... I Pulmonary tulberculosis mlly...... 2807 November 11, 1921.

CITY REPORTS FOR WEEK ENDED OCT. 22, 1921-Continued.

DIPHTHERIA, MEASLES, SCARLET FEVER, AND TUBERCULOSIS-Continued.

Diphtheria. Measles. Scrlet Tuber. Popula- Total fever. culosis. tion Janu- deaths City. arl,1920, from sbeetto all . ~ . creto.causes.

New York-Cotinued. White PlAns. 21 ,01 3 ...... Yonkers...... 100, 225 14 I 1.... . 6 ...... 2 North Carolina: Charlotte...... 46,338 17 2D 1 2 2 iDurhans...... 1,719 4 3 ...... ,...... 1 Greensboro...... 5 ...6 ...... Raleigh...... 24,418 14 ..... Rocky Mount...... 12,742 6 ...... Sallsbery...... 13,884 1 ...... W Nge D...... 38,372 12 Winston.Salem...... 48,395 13 6 4 2 Nortf Dakota: ...... Fargo...... 21,961 0 9 ...... 2... Ohio: ...... Akron...... 208,435 31 25 ...... 23 19 Alliance...... 21 6O3 4 ...... Barberton...... 18,811 3 1'''i ...... Bucrr.... 10,425 0 1 ...... Canton...... 87,091 14 16 2 ...... i Cincinnati...... 401,247 102 32 3 3 7 ...... i Cleveland...... 60 10 49 ...... Columbus...... 237,081 40 15 4 13.. Cuyahoga Falls...... 10,200 '1 1 ...... Dayton...... 152,659 38 17 ...... 6 3 4... East Cleveland...... 27,292 2 ...... 1 1 Elyria...... 20,474 4 ...... 6 ...... Findlay...... 17 021 5 ...... 1 ...... 12, 468 4 3...... 18 ...... KYenmoe...... 39,675 6 7 ...... Ironton....Ham ilSton...... 14 007 3 2 12683 2 .... IroTntnKenmore...... i ,...... Lancaster.ov@@ 14,705 6 '''' ...... Lima...... 41,306 12 14 ...... LForain...... 37,295 10 ...... Mlarion .. 27,891 11 ...... Middletown...... 23,59 9 2 ...... Newark...... 26,718 9 20 ...... New Philadelphia...... 10, 718 10 ...... Norwood 24,966 ...... Piqua...... 15,044 3 ...... Portsmouth...... 33,011 10 ...... Salema...... Salem .... 10,305 3 ...... 7 ....5...... *..... Sandusky...... 22,897 7 1 ..... 1 -. Springfield...... 60,840 23 ....2...... *Steubenville...... 28,508 9 ...... Tiffln .-; 14,375 9 754 ...... , 12 1 Toledo...... 243,109 46 ...... 1 7 115 Youngstown...... 132,358 ...... 1 ...... Zanesville...... 29,56 9 ...... Oklahoma: 1 2

Oklahoma City. 91,258 25 11 12 2 ......

T lsa...... 72,075 6 ...... 7 ...... Or~n: t....^. or tland...... 258,288 55 28 3 7 1 2 Pennsylvania: Allentowsn ...... 73, 502 8 ...... 2 2 ...... Altoona...... 60,331 7 ...... 5 ......

Ambridge...... 12,730 1 ...... 2 - ......

Berwick...... 12,181 2 ...... Bethiehem ...... 60,358 8 ...... Braddlck...... 20,879 ......

Butler...... 23,778 ...... 2 ...... Canonsburg...... 10,632 ...... Carbondale...... 18,640 .....~~. Carnegie...... 11 516 ...... 2...... 1050 ...... , ...... Cardk ...... '''i'...... Charleri...... 11,516

Chester...... 58, ~~~~...[...... 1...... 11 1 Dickson ...... City...... 049 2 ...... Donor ... 14 131 ...... Dubois...... 12681 ~~~~~...... 19,011 ....sn...... 33,813 ...... Noembe 11, 1921.- 28O8-' CrITY REPORTS FOR WEEK NND> OCT.$2, l2fG-Continued.- DIPHTHERUA, MEASLES, SCARLET FEVER. AND'fJBE3EULOSIS-Continued.

Scarlet Tuber- Popula- 'Total Diphth:a. Mc . fever. culosis. tion Janu- deaths City. arv 1, 1920, from subJcotto' al | .2 I II correction. ca

Pennsyivania-Continued. Erie...... 93,372 3 ...... S Farrell...... 15, 586 9 1 ...... Greensburg...... 15, 033 ...... 1 ...... Harrisburg...... 75,917 ...... Hazleton ...... - 32,277 3 31 ...... Johnstown ...... ;. 67,327 ...... 2 Lancaster...... 53,150 6 ...i.. ,...... McKesport. 45,975 3 ...... 1 ,...... McKees Roc. 16,713 8 1 ,I 4 Meadville.M il...... 14 568 ...... ,...... Monessen...... 18 179 ...... ,*--w-- Nanticoke...... 22,614 5 ...... ''''i' ,...... New Castle...... 44938 .4 ...... Now Kensington...... 11,987 1 ...... Norristown...... 32,319 6 ...... 11 ,...... Oil City...... 21,274 ...... Old Forge...... 12 237 ....i...... Philaddlphia...... 823, 158 50 ...... 73 Phoenixville. 10,484 1 ...... , ...... Pittsburgh...... 588,193 46 27 Pittston~...... 8,497 1 ...... 1 ...... Plymouth...... 16,500 3 Potistow rn...... 17431 ...... Pottslle...... 21,876 6...... Punxsutawney...... 10,311 ...... Reading...... 107,784 ''''i'' Scranton ...... ;.; 137,783 14 5 Sunbury...... 15,721 1 ''i' ...... Uniontown... 15 692 2 ...... Warren ...... 14,256 2 ...... Washington ...... 421480 1 ...... WestChae 11, ...... -. 717 ...... Wilkes-Barre...... 73,833 ...... I 2 ...... Wilkainsburg....;; 24,403 ...... 2 1 ...... W iamsport...... 36,198 ...... 1 2 1 Woodlawn...... 12'495 ...... 2 ...... York...... 47 512 ...... 7 ...... Rhode Island: Cranston...... 29 407 6 14 ...... 7...... :...... N rwpt...... 30,255 7 1 ...... Pawtucket...... 64,248 17 10 7...... Providence...... 237,595 61 ...... i...... 2 i. 2. .* ..7 South Carolina:

Chirleston...... 67,957 19 7 1 ..... 13 2 Columbia...... 37,524 ...... 6 ...... 6 South Dakota: ...... : ...... I... Sioux Fails...... 25,176 10 1 1 ...... Tennessee: Knoxville...... 77,818 ...... i. 13 2 1 2 2 Memphis...... 162,351 19 4 3 3 Nashville ...... 118,342 31 27 2 4 3 Texas: ...... Beaumont...... 40,422 14 1 ...... [...... Corpus Chrst...... 10,522 3 1 ...... Dallw ...... 158,976 44 7 ...... 1...... El Paso...... 32 2 1... 1 77,543 ...... 5 Fort Worth...... 106,482 ...... 2 2 ...... Galvesto ...... 44 253 Z...... i

Houston...... 138 076 37 ...... Waco...... 38,500 11 3 3 2 Utas:

Slt Lake City...... 118,110 30 6 ...... 8 Vermont: Burlington...... 22,779 7 11 2 ...... Rutland...... 14,954 2 ...... 2 .....i Virgina: ...... I....I

Alexandria...... 18,060 4 ...... 9 Danvlle...... 21,539 3 1 ...... Lynrchburg...... 29,9 12 7 1 2 N-orfolk...... 115, 777 ...... 4 2l 3 Petersburg...... 31,002 2 3 2 Portsmouth...... 54,387 10 5 1 Richmond...... 171,667 39 13 13 1 4 Ruanke...... 50,812 9 25 13 1 2809 November 11, 1921. CITY- REPORTS FOR WEEK- ENBED OCT. 22, 1921-wsCofttinued. DIPHTHERIA, MERASLES, SCARLET FEVER,- AND TUBERCULOSIS-Continued.

Measles. Scarlet Tuber- Popuila- Tcotal -Diphtheria. fever. culosis. tionJanu- deaths -- . . .__ City. ary 1,1920I, from suibjeetto all . £.orrect-io1. causes. coSS

Washington: 57*.. . Seattle6...... 5W7 1...I...... I Spokane...... 104.431 2.... 4 ....I...... 1 ..... Tacoma ...... 96-96 ..... 7.... 1...... West Virginia.1 Charle3ton...... 39,60 13.. 11 1...... 4.... 2.... Fairmont...... 17,851..... 2.... 2...... Huntington...... 50,177 11 18 1 ...... 2...... Martinsburg...... 12,515.....2. Morgantown...... 12 127 2 . 3..... Moufndsville...... 10,669 4T 12 ...... Parkersburg ...... 20,0150 5 12 .I11 ....1.. Wheeling .54...... ,322 16 18 ...... 13 1 1... Wisconsin: Appleton...... 19,561 ...... 11 ...... BDeoit...... 21,284 3 11...... Eau Claire ...... 20,880. I Fonddu Lao...... 23,427 5... 2...... GreenBay ...... 31,017 ...6. I.I...... janesvillel...... 18,293 2. .. Kenosha...... 40,472 4 14. . .1...... I LaCrosse ...... 30,363.... 5...... 12 ...... Madison ...... 38,37.8 5 2 ...... 1.... 1.... Manitowoc ...... 17,563...... 1....26.... Marinette...... 13,610 ...... 2...... Milwaukee ...... 457,147 .....34.... 1....25 ...... 4113.... Oshkosh ...... 33,162 14 79 1 ...... 1 ...... 58,593 14 ...... 9 .... RaeineSheboygan ...... 30,955 ...... Superior...... 39,624 .....10'....13 s I...... 12 ...... 2 ...... Wyoming:Wausau...... 18,661.....I...... 1 Cheyenne...... 13,829 2 ...... FOREIGN AND INSULAR.

PLAGUE' RATS ON VESELS Australia. Under date. of September 21, 1921,, plague-infected rats were stated to have. been conveyed. from Bi.Bbane, Queensland, to other ports in the State, and to Sydney in ,je Stateof .New South Wales. AUSTIAAI4. Plage-Plague-infeced Rats-Queensland. The occurrence of plague in Queensland, Australia, has been re- ported under' dates of September'17 aiid 24, 1921, as follows: At Brisbane, one ca'se ending fatally Auitt 23, 1921, occurring in an employee in:a produce store; at KelWik'Grove, Septemiber 20,'1921, a death from plague in a person employed as office -cleaner 'i the city of Brisbane; at Townsville, a fatal case occurring September 21, 1921. During the period September 17 to 24, 1921, of 4,269-rats examined at Brisbane, 28 rats were found plague infected. One plague- infected rat was reported found on the steamship Kuranda. Plague-infected Rats-Sydney., At Sydney, New South Wales, Australia, the finding of plague rats on the' wharves and of one plague rat on a vessel arriving from Brisbane was reported during the two weeks ended September 24, 1921. JAMAICA. Infectious Disease (Alasintr Kaffir Pox). During the week ended October 15, 1921, 37 new cases of alastrim or Kaffir pox were reDorted in the Island of Jamaica. Typhoid Fever-Kingston and Victy. During the period under report two cases of typhoid fever were reported inKingston and 27 cases in the surrounding country. MEXICO. YeDlow Fever -Mnzanllo. A case of yellow fever was reported at Manzanillo, Mexico, during the week ended October 15, 1921. 'S Public Health Reports, Nov. 4, 1921, p. 2753. (2810) -2811 Novrember 11, 1921. PERU. Plague-September, 1921. During the month of September,, 1921, 45 cases of plague with 22 deaths were reported in Peru. The cases were distributed accord- ing to Departments as follows: Cajamarca, present in country dis- trict of Cajamarca, and at.:tambamarca and vicinity; Callao, one case with one death at Callao; Lambayeque, 2 cases at Chiclayo; Libertad, 3 cases at San Pedro; Lima, 16 cases with 4 deaths occur- ring at Huacho (9 cags, one Aeath), Lima city, (2 cases with one death); Lima countty distrikt (5 cases with 2 deaths); Piura, 23 cases with 17 deaths at SechriTa. tHODES. Plague. A fatal case of plague w.s reported in the Island of Rhodes, A£gean Sea, late in August, 1921. Under date of October 3, 1921, three additional cases were reported as occurring during. the period September 20-24, 1921.

CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER. Reports Received During Week Ended Nov. 11, 1921.1 CHOLERA.

Place. Date. Cases. Deaths. Remarks.

China: Phangha1 ...... ept. 26-Oct. 2.... 6 ...... One case, foreign. India ------...... Aug. 31-Sept. 13, 1921: Deaths, Bombay ..... Sept. 11-17.. 3 3 46,051. Karachi ...... Sept...... 125Oct.9 8 Indo-China: S"aigon ...... Aug. 28-Sept. 3 1 1 Philippine Islands: Manila ...... Sept.10-17...... 2..... Siam: Bangkok.... Aug.28. .1$p.3.3.. 1

PLAGUE.

Algeria: Alelers...... Oct. 1-10...... 1 Australia: New South Wales- Sydney. Sept. 11-24 ...... - Plaguo rats found on wharves and one rat from vessel from Brisbane. Queensland ...... Sept. 17-24...... Plague rats found 28. Brisbane...... Aug.3...... Employee in prod'uce store. Kelvin Grove...... Sept. 20...... Office cleaner at Brisbane. One plague rat. Townsville...... Sept. 21...... 1 Two plague rats found. China: Amoy. Sept. 11-24...... Present. Ecuador: Guayaquil...... Sept. 16-30...... 5 2 Plague rats found, 79. Egypt...... Jan. 1-Oct. 6, 1921; Cases, 306, deaths, 129. IFrom medial officrs of the Public Health Bervice, American consuls, and other sources. November 11,1921. - 281 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued. Reports Received During Wpe*-Ended Nov. 11, 1921-Continued. PLAGUE-r-Contlnued.

Place. Date.. Cases. Deaths. R rks

India: Bombay...... Sept. 11-17...... 7 p arachi...... Sept.25-Ot.1.... 1 1 Madras Presidency ...... do ...... 149 9w Rango.... . Sept.11-24 ...... 58 59 Italy: Naples . . Oct. 7 . 'I ...... Workman inmill,incommune of a Java: an Giovanni Teduoclo. East Java- Surabays .Aug. 28-Sept. 17... 10 10 Peru ...... -...... ;Sept. I-0,1921: Cases,45;deaths, Department- 22. Cajamarca...... Sept. 1-30 ....Present. At Bambamar, Caja. maca, and other localities. Callao ...... do 11 At Callao. Lambayeque...... do ...... 2 At Chiclayo. Libertad ...... do ...... 3 At San Pedro. Lima.. * ...... do...... 4 Att Huacho, cases 9 deaths, 1; Lima city, cases, , deaths, 1; country, cases, 5, deaths, 2. Piura ...... do...... 23 17 AtSochura. Rhodes (Island) ...... Sept. 20-24 ...... One fatal case reported late In August, 1921. Bangkok.... Aug. 28-Sept. 3 2 1 On vessels ...... P...... flague rats reported, Sept. 21, 1921, on vessels from Brisbane, ports.Australia, at Sydney and other

SMALLPOX.

Asia Minor. Smyrna...... Oct. 2-8...... In district. Brazil: Rio de Janeiro...... Sept. 1-Oct.1..... 17 8 British East Africa: T,4 Zanzibar...... Aug. 1-31...... 14 6 Districts and towns. Canada: New Brunswick- St. Stephen...... Oct. 23-29...... 1 Chile: Concepcion...... Sept. 5-19. 3 .... Reported present in Chillan and Valparaiso...... Sept. 11-Oct. . ; Mulchen. China: Amoy .; Sept 11-24...... Present. Chungkisg...... Sept. 11-17...... Do. Dominin Republici San Pedro de Maois. Oct. 9-15...... 2, Ecuador: Guayaquil...... Sept. 16-30...... 3 gaiti: 1...... Cape Haitien..' Oct. 2-22...... 28 2 PrtauPrince. Oct. 9-22...... *...... Present. India...... July 31-Aug. 6,1921: Deaths, 295. Madr...... Sept. 25-Oct. 1.... 17 TMespomia: Bagdad...... Aug. 1-31...... 4' Mexico: . 2 Mexico City...... Sept. 4-17...... 22 Including localities in Federal district. Portugal: Lisbdn...... Sept. 18-24..... 9 2 Oporto...... Oct. 9-15. 1 Straits Sttlements: Singapore...... Sept. 9415. 2 1 Tunis: Tunis...... Oct. . 1 On vessel: . 814.4 S. Mont .. . Aug. 31...... 1 I...... At Batavia, Java, from Sing pore, Aug. 27. Vessel ro ceeded from Batavia to Pat Darwin and Tow .sville. ^2813 November 11, 1921. CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued. Reports Received During Week Ended Not. 11, 1921-Continued. TYPHUS DEVER.

Place. Date. Cases. Deaths. Remarks.

Algeria: Algiers ...... OOct. 1-10 ...... Asia Minor: Smyrna ...... Oct. 2-8 .... In district. Chile: Valparaiso ...... SSept. 11-17...... 1...... China: Antung ...... Sept. 26-Oct. 2.... 1.. From report of Japanese Settle- ment and Daniish Mission among Chiniese. ESetxandria.... Oct. 1-7. 2 Cairo ...... Aug. 119. 10 7 Great Britain: Duiblin . .. Oct. 9-15...... 1 Mesopotamia: . Ag Bagdad . Aug. 1-31-11...... l .... Mexico: I3dd...... Mexico City ...... Sept. 4-17 ...... 25. Including municipalities in Fed- eral district. Russia: Latvia- Libau ...... Sept. 8-15.2...... Siberia- Vladivostok ...... Aug. 1-31 ...... 18 Turkey: Constantinople...... Sept. 26-Oct. 8.... 7 .

YELLOW FEVER.

Mexico: Manzanilo ...... Oct. 9-15.1 ...... 1

Reports Received from July 2 to Nov. 4, 1921. CHOLERA.

Place. Date. Cases. Deaths. Remarks.

China: Amoy...... July 3-Sept. 10...... 15 Hongkong...... Aug.22-28.... 37 8 Cases: Chinese, 34; foreign, 3. Deaths, Chinese, 5; foreign, 3. Shanghai..... Aug. 1-Sept. 24.... 61 10 Cases: Chinese, 18; foreign, 43. Swatow...... Aug. 14-20. 1 1 Germany: East Prussia- Kdnigsberg ...... Oct. 10. 3 1 India ...... H...... Mar. 6June 25, 1921: Deaths, Bombay ...... May 1-June 18.... 10 75,281. July 3-30, 1921; Deaths, Do ...... June26-Sept.3.... 74 45 46,999. Calcutta ...... May 8-June 25.... 597 521 Do ...... June 26-Sept. 10 . 163 143 Karachi ...... July 10-Sept. 17... 141 126 Madras ...... May 15-June25... 3 2 Do ...... June26-Aug. 27... 13 6 Rangoon ...... Apr. 24-June 25... 18 17 Do ....June 26-Sept. 10... 21 14 Indo-China...... Jan. 1-31 1921:Case3, 80; deaths, City- 15. ihay 29-June 12, 1921: Cholon ...... June 6-12. 5 4 Cases, 251; deaths, 202. Saigon ...... May 9-June 12. 65 44 Do...... July 4-Aug. 27.... 103 94 Disseminated l neighboging Province- Provinces. Anam...... Jan. 1-31. 42 ...... InJanuary, 1920: No cases. Cambodia...... do. 8 2 January, 1920: Cases, 27; deaths, 14. Cochin-China...... do. 18 9 January, 1920: Cases, 13; deaths, 10. Tonk...... do.. 12 4 January, 1920: No cases November 11, .1921. 2814 CHOLERA,- PLAGtJE, SMAL1PO0X, TTYPHVS FEVER, AND YELLOW FEVER-ICeitihnued. Reports Recteid from July I to Nov. 4, 1921-Continued. CHOLERA-4Continued.

Plc. Date. Cases. Deaths. Rearks.

. PhiliiDlDle Islands: miia...... May 22-June 25... r,. *...... Do...... July 3-Sopt. 3..... 34 Province- -.1 I i Batangas...... June 1218. 2 Do.. July 3-23.' .. 7 3 DCavte...... July 10-Aug. 6.... 2 1 Cebu ...... June 26-July 2. . .. Laguna.-DCrio.'.:::...... June 19-25...... 1 Do...... July 3-6...... 1 Mindoro...... June 12-18 ...... , Pampanga...... '.- June -...... Tarlac...... June 19-25...... 5,315 I I1 Union...... June 26-Aug. 13... 1 Poland: ie...... Aug. 18...... Present. July 25...... Do...... do. Do. Russia...... 129 Jan. 1-Aug. 10 1921: Case&, Districts- 78,011. City oMSCeswo, cam, ...... Jan. 1-Aug. 10..... 5 i323721 Black Sea...... do.. ... 3,152 From Jan. 1 to July 13 1921; Kazan...... Jan. 1-July 13.... '48 1 718 cases reported in kuban Kharkov...... do. 257 Territory. Kursk...... Jan. 1-Aug. 10..... Moscow...... Jan. 1-July 13.... City, 192 ca3es. Orel...... Jan. 1-Aug. 10. 1 976 RJasan...... Jan. 1-July 13..... '129 Samara....: Jan. 1-Aug. 10..... 5,315 ...... ,-.... -aratov ...... do. 7,201 Simbirsk ...... do. 1,160 Tambov...... do...... 2,561 Tzaritzyn ...... do ...... 3,128 Ufa..Ufa...... do. 5,196 Vorxonesh..... 3 621 Petrograd... July 6...... Republics- Basjkir...... Jan. 1-Aug. 10...... do ...... Tartar ... 1, 178 Tchuvash . . '233 Rostov-on-Don...... Present on Orenburg-Tashkent Territories- line, and at Cheljabinsk, Perm, Azerbeidjan...... Jan. 1-Aug. 10... 614 Petropavlosk, Jfa, and in Don ... -2,096 Smole.ask and Vitebsk dis- Turkestan ...... -.-.. .55 83 tricts during period under re- port. Ukraine...... |.do. Very prevalent; reports incom- plete. Siberja. Far Ea3tern Republic. Siam: I Bangkok:. Apr. 24-June 11... 10 Doo. June 26-Aug. 27... 5 Straits Settlements: Singapore...... -...... : June 12-18...... 1

t _ PLAGUE. Algeries. Algiers...... Aug. 1-31...... Aumale district...... May 31-July3..... 714 22 Native district about 140 kIlo. Douar Megne. May 31-Aug. 24.... 185 meters from Algiers. Oran...... Sept.20-30...... Asia Minor: I Smyrna...... June 19-25...... '1 In suburbs. Do...... July 3-Sept. 3...... 4 Austria: Sydney...... Oct.8. .... Dead plague-infected rats found on Azores: wharf. Fayallsland- Horta...... Sept. 4-10 ..... I 1' St. Mlhellsland- Aug. 6-12.... 1 Capern...... Rlbeim Omands...... Aug. 6-Sept. 2i.... 33 10 mil from port of Ponts Delgada. 2815 November 11, 1921. CHOLERA, PLAGUE, SMALPOX, TYPHUS FEVER, AND YELLOW FEVER--Continued. Reports Received from July 2 t Nov. 4, 1921-Continued. PLAGUE-oIstinued.

Place. Date. Cases. Deaths. Remarks.

Brazil: Balia...... May 15-June 18.. 3 Do...... July 31-Aug. 27..::: 2 I2 Maranhao...... June 23...... 1 . Pindobassu...... Locality 200 miles west of Bahia; plaguc reported epidemic dur- . in' August, 1921, with 60 dah British East Africa: Kenva Colony- isumu...... Apr. 24-May 21 1...... , ...... Present. Do...... June 26-Aug. 6. . i .. . Do. Uganda...... Mar. -JuI Reports of native chiefs show 2,709 deaths during same pe- I riod. Cape Verde Islands: St. Vincent...... Aug. 1218. 6 3 Ceylon: Colombo...... May 8-June l-.. 2 Do...... Junie 26-Aug. ?7... 5 7 cases rodent plague. Chile: 2 Iquique...... Sept. 1 ...... China: 42 Amoy...... May 15-June 7 July 3-Sept30. ..42 Foochow...... May 1521...... Present. Hongkong...... Apr. 24-Juns 25... May 1-7, 1921: Plague rats found. Do...... June 26-Aug. 20... 38 27 Mlanchurla- Harbin ...... 'May 3-22...... 46 Ecuador: Gua aquil...... May 1-June 15. 10 1 1)0...... July 16-Sept. 15... 4 2 Plague rats found: Aug. 1-31, 1921, 54. EgyptEgypt.~~~~~~~~~~~~~...... Jan. I-Sept. 1, 1921: Cases, 266; City-7 deaths, 107. Alexandria...... May 21-June 24.... 10 3 Do.... July I-Sept. 30.... 47 11 Port Said. June 16-27 4 2 Do...... July -Sept. 30.... 18 7 Suez..._ ...... May 20-June 30.... 9 5 Do...... July 1-18...... 3 Province-

Assiout.. May 24-June 16.... 7 Do... 30 1 Beni-Souef ...... July 10.. 1 ...... Gharbieh ...... June 225. 7 ...... Do...... July 9-Sept. 1. 9 ...... Girgeh...... July 6-13..... 5 Minieh...... May 28-June 10.... 2 1 Do...... July 13-Aug. 18.... 3 Greece: 71 Pirseus...... Sept. 23...... 3 Hawaii: Honk ...... 1 ...... Plague rat found, Sept. 8, 1921. Kalopa...... July 15-19...... I Psaaub su...... May 21. 1_ ...... Indi ...... May 1-June 25, 1921: Cases, 2,093; Bombay .... . May 1-June 25. 287 deaths, 1,624. June 26-Sept. 3, Do...... June 26-Spt. 3.... 62 44 1921: Cases 3,570; deaths, 2,572. Calcutts...... May E-June 18. 11 11 Do...... July 24-Aug. 6. 23 21 Central Provinces...... Aug. 14-20. 27 16 Karachi ...... May 8-June 2.5. '18 14 Do...... June 26-Sept. 17... 4 4 Madras...... Aug. 20-27. 1 1. Madras Presidency. May 22-June 25.... 112 72 Do...... June 26-Sept. 17... 1,143 706 Rangoon...... Apr. 24-June 25... 162 142 Do...... June 26-Sept. 10... 446 385 Indo.Chlna...... Jan. 1-31, 1921: Cases, 57; deaths, ...... i 51. Saigon...... May2-Junel2... 4 Do...... July 10-Aug. 27... 1O 11 Isolated cass in vicinity of Sa!- I l gon. November 11, 1921. 2816 - ` CHOLERA, PLAGUE, SMALLPOXFSFEVER4Ontinued.TYPHUS FEVER, AND YELLOW Reports Received from Jly* to Nov. 4, 1921-Continued. PLAGUB-u-Continued.

Place. Date. Cases. Deaths. Remarks.

Ital stna...... Oct. 24...... 1 Naples...... Sept. 4...... Worker in milU. Plague-infected rat found on premiss. Java: East Java- Surabaya...... July 10-16...... 4 2 Tananarive...... June2D-Jqly24.... 49 46 Pneumonic. Mauritius: - w loub...... Aug. 24...... Present. Mesopmi . B da...... Apr. 1-May 31..... 32s 35 Do...... July 1-31. 1; 1 MeIo: Ciudad Victoria ...... June 7...... 1' ...... In State of Tamaulipas: Case confirmed June 20, 1921. Progreso ...... 21.. . to ...... Plague rat reported found Sept. 10, 1921. Tamipo:...... June 11-30...... Mot...... July 1-Aug. 21.... ,21. Infected rodents found July 1- Oct.22, 1921, 171. Total jan. 1 to Oct. 22, 1921, 283. ' Moroceoo. Spanish Zone...... Reported present in epidemic form Sept. 29, 1921. Pe...... Mar. 1-Apr. 30, 1921: Cases, 119; deaths, 64. June 1-S 1921: Cases 14; deaths, 10. JUly 1-15, 1921: eases, 9; deaths, 3. Sept. 16-30, 1921: Cases, 24; deaths, 9. Department- Anc hs...... Apr. 1-S ...... 4 1 At Huarmey. Arepa...... M7ar. 1-Apr. 30... 5 3 At Mollendo. svo...... July 1-15.. 2 Do. Callao...... Mar. 1-June SO... 16 At Cailao. Do...... July 1-Sept. 30... 6 3 Do. Lambayeque...... Mar. 1-Apr. 30.... 3 2 At Chiclayo. Libertad...... Mar. 1-June 15.... 31 15 In 5 localities. - Lima...... Mar. 1-Junie30.... 43 23 At Lima City; Cases, 28; deaths, 18. Do...... July 1-ept. 15.... 4 3 At Lima City. Piura...... Mar. I-Jude 15.... 31 29 In 4 localitie3. Do...... Sept. 1-15...... 19 15 Deaths occurred at Sechura. Poland...... In border province, Aug. 9,1921: Cases 8. Porto Rico...... Total pagueinfected rats found from beginning of outbreak to July 9, 1921: 90. 4 Caguas .. Aug. 7-20. 2 Se.pt. 424, 1921: Two plague. znfected'rats found. Fajardo...... Aug. 28-Sept. 3, 1921: One . . .. plague rat found. Manati. July 17-23...... - Martin Pena. July 3-9...... 1 ...... Suburb coextensive with San- turce. San Juan...... y...... ?lague rat on steamship San Luis, in San Juan harbor: Sept. 9, 1921. Porttf Lbbn...... Jiuly 29-Sept. 3.... Portuguee West Africa:

Loanda...... Apr. 24-June 18... 16 ...... Do..... July 17-23 ...... I Russia Siberia- Vladivostok...... Apr. 1-June 30...... 252 First case 0ocurred Apr. 10, 1921. Do...... July 1-31...... 4 Ienne Jgka ...... M&y 1-rJuf304... 54 47 .Do...... July 1-Aug. 31.... 117 91 Siam: Bandc:.:... Ar. 24-June 18... 6 JUy-24-Aug. V7... ' 11 11 2817- November 11, 1921. CHIOLERA, PLAGUE, SMALLPOX, TYPRUS- FEVER, AND YELLOW FEVER-Continukd. Pepor( -Received from July 2 to Nov. 4, 1921-Continued. PLAGUE-Contia4eil.,

Place. Date. ':Cases. -Deaths. Remirks.

Straits Settlements: Singapore ...... ,May 8 June18 5 5 'Do ...... June26-Aug. 20 4 4 Syria:Sy exandretta ...... July l-Aug. 6 18 4 Beirilt ...... May3l-June30.... 2 .. Do ...... July I-Sept. 4..... 17...... Turkesy: Constantinople ...... July 10-Sept. 24... 6 2 UJnion of SouthAfrica...... IJan.-Apr., 192i! as (white) 6; deaths, 4. Cases (nativc), 13; deaths, 6. Occurring in State. On veses:... the Orange Free Steamship Kihenev ...... May 2 ... ..1.. At Chefoo, China. Plague death en route. Vessel sent to quar- antine, Kentucky Isfand, where to May 6 a total of 16 deaths was reported. (PubUc Health Reports, July 1, 1921, P. 1534.) Steamship Oreland ...... At Genoa Italy, Jlne 12, 1921; ...... L...... from La Plata Argentina. Two fatal cases piague in crew en route. Steamship Ralph MoUer... June 8 ...... 4 1 At Chefoo, China from Vladivos- tok, Siberia. Three fatal cases en route. One case with fatal termination removed at Vladi- vostok. Steamship San Luis.....;... Sept. 9 ...... In harbor, San Juan, Porto Rico, Sept. 9, 1921; 1 plague rat. Steamship Tenyo Maru ...... En route between Nagasaki and Kobe, Japan, June 28, 1921, 1 fatal case.

SMAIOLOX

Algeria: Algiers...... May 1-June 30.... 3 Oran...... Sept. 1-10...... 1 Asia Minor: Smyrna...... May 22-28...... 1 On the steamship Nicholas. Do...... July 24-30...... 2 Australia: Victoria- Geelong ...... May 5-16...... 2 ...... Mild. Do...... July 12-29...... 2 Melbourne...... Apr. 9-23...... 4 Mild epidemic. Do. July 17-23...... 1 1 epidemic Bolivia: Slight reported. La Paz...... Apr. 1-30...... 5 4 Brazil: Pemambuco...... Mar. 28-May 22.... 28 4 Rio de Janeiro...... MWay 8June 18.... 11 2 Do...... June 26-Sept. 17... 19 Sao Paulo...... May 23-Juno 26.... . 7 2 Do...... Juune 27-Sept. 4.... 13 2 British East Africa:. Kenya Cony- Zanzibar...... May 8-14...... 12 4 Origin, Ildia. Bulgaria: OXAS...... MaylS-31...... 6 ...... Canada Alberta- Calgry...... May 26-June 18... 3 ...... BritishCodumbia- Vancouver...... May 28-June 25... 8 ...... Mnitoba,- Winnipg...... do. 6 ...... 1)o . iu:.O, A-Oct. 15.... 13

710280-21 - Noveber 11, 1921. 2818

CHOLERA, -PLAGUE, _SAL1APOX, TYPHUS FEVE1R, AND YELLOW FEVER-Continued. Reports Received from July 2 to Nov. 4, 1921-Continued. SMALlPOX-Continued.

Place. Dat - Cases. Desths. Remarks.

Canada-Continued. New Brunswick- Charlotte County...... July 10-Oct. 15.... 11 Madawaska County.... Aug. 7-Oct. 15.... 3 Restigouche County.... June 19-25...... 1 Westmoreland County. June 26-July 2.... 2 Nova Scotia- Sydney.;8 .ne...... Juno 5-18...... 2 ..... Do...... Jupe 26-July 2 ... 4 ..... Ontario- Fort William and Port Aug. 7-27...... 2 1...... Arthur. Hamilton .....; June 12-18...... 3 Do...... July 3-9...... 1 Kingston...... June 5-11.. 1 At 2 localitios In viciniity, 2 case. London...... June 5-25... 2 Montreal...... June 12-18...... 1 Do...... July 17-Oct. 22.... 3 North Bay...... June 11-25... 3 Do...... JTa Oa-uy 9.... 2 Ottawa...... June 12-25...... 21 Do...... June 26-Aug. 13... 35 Toronto...... Aug. 28-Sept. 24... 3 Saskatchwan- moose Jaw...... Sept. 4-Oct. 15.... 3 Saskatoon...... Sept. 26-Oct. 17.... 12 Chile: Antoragasta...... May 16-June 19.. . 228 Arica...... May31...... 2 Melegones...... May 30-Juno 5...... Present. Also at Interior nitrnte Valprio...... June 26-Sept. 10...... plants. China: Am r...... May 8-uno 4..... 4 June 5-25: Pre.;ent. DO0...... June 26-Sept. 3 ... 2 ...... i Antung...... May 16-June 26 ...... 2 Canton ...... Apr. 1-30...... Prosent. Chungking . May 1-June 25...... Do. Do...... June 26Aug. 20...... Do. Foochow.. May 8-Jue 25...... ,...... Do. Do...... ;ane 26-Aug.27...... ,...... Do. Hankow...... May 15-21...... 4 Do...... July 10-16...... I Honkong...... Apr. 24-June 25... 99 Do...... July 21-Aug. 20.... 3 Manchuria,- ...... Dairen....' May 9-June 26.... 44 5 Do.... June 27-Auig. 14 ... 8 3 Harbin...... May 16-June13... s Do ...... June 27-July 10. . . 2

Mukden...... May 22-June 11...... Do. Do...... 3-Aug.20...... I...... Da. Nanking...... M-ay8June 25...., Do. Do...... Jue 26-Aug.27...... I: Do. Shanghai...... June 20-26...... Do..'Do...... July 3-Sept. 17.... Tientsin...... May 8-June 25.... . 31 ...... Missioi hWspital. Do...... June 26-Aug.20... 9 Tsingtau .... May 9-June 12.... 4 ...... Do...... July 25-31...... 1 Chosen (Korea): ...... Chemulpo...... May 1-June 30.... 11 3 .do. Fusan...... 12 Gensan...... do. 5 2 Seoul...... do. 3 Colombia: Santa Marta...... June 5-25 ...... 1 Pre§ent. Do...... June 26-Aug. 27...... Do. Cuba: Antilla...... June 5-25...... 7 Do...... Juneo26-Oct.1- 71 Cienfuegos...... June 26-Sept. 3.... 3 Matanzas...... June 12-18 1 Do...... July 3-31.. 4 Nuevitas...... July 4-8ept. 25 -15 6 of thee reported taund In Presto ...... Oct. 2-15.; 4 vicinity. Santiago...... June 1-3. 28 Do...... July 1-Sept. 30. 47 2819 November 11, 1921.

CHOLERA, PLAGUEX- SMALLPOX, TYPHUS - FEVER' AND YELLOW FEVER-ont1ni. ReporReceived from July 2 to -love4, 1921-Continued. SMALLPOX-Contlibe&.

PlacS Date. Cases. Deaths. Renmrks.

Dominican Republic In eastern Prbvinces Ahw.25, ...... 1921, 2,000 cases estiad. Ramona ...... Cases numeroud. San Pedro de Macoris..' 19-Oct. 8...j 43.....i On sugar edtts`in` sme Prov- .....Aug. ince, a t 4 cases Aug. 19- 25. Estimited.OOcases in the District of Macoris, 50 ot which were within city limits. Santo Domingo...... Sept. 1-Oct. 13. '22 ...... In surrounding country. Ecuador: Eloy Alfaro ...... Aug. 1-15. ! ...... 1 ...... Guayaquil...... May I-June 30.... 31 ...... Do...... July 1-Sept. 15.... 24 I!' Egvnt: ...... Mar. 19-Apr. 29... 2 '1' Port Said... A r. 2-May 20.... 10 .!...... Finland...... ay11...... 1 ... ,.. France: ...... Brest...... May 22-June 4. 18 Cherbourg...... Aug. 1-31...... 1' ...... Vrariolold. Paris...... July 22-31...... 2 ..~... 1, Rotien...... May 1-29...... j...... Germany...... Apr. 24-May 2, 1921: Cases, 12. Additional, kpr 17-May 7, 1921: Cases, ?.; deaths, 7. Great Britain: Nottingham...... May 29-Jume 4.... 1 Do...... July 3-Sept. 24.... '56 Stated Aug. 17 to be epidemic Queeostown ...... July 3-9.... 1 and to have ben about two Southampton...... July26-July 2..... 1 months previous to'date; 57 cascs reported. (reece: Saloniki:: ...... June6-12...... Haiti: Cape Haitien...... June 19-25...... ' 24 2 Do...... June 26-Oct. 1.... 198 au Prince...... Septe11-17...... ? ...... Present. Port Deaths, India...... Mar. 20-May 21, 19l Bombay...... May 1-June 25.... 84, 50 3,232. June525, 1921: Deaths, Do ...... June 26-Sept. 3.... 42 958. July 3-9, 1921: Deaths, 393. Calcutta.... May 8-June 25.... 8 8 July24-30, 1921, 118 4eaths. Do...... June 26-Sept. 10... 9 7 Karachi...... May 29-Jue 25... 25 17 Do...... June 26-July 30... 8 2 Madras...... May 8June 25. . .. 33 11 Do. ... June 26-Sept. 17... 57 34 RanAoon...... Apr. 24-June4.... 20 3 D...... July 10-Aug. 13... 4 1 IndoChna...... I...... Jan. 1-31,1921: Cases,102;deaths, City- 15. ' Saigon...... May 9-15...... 2 1 Do ...... Aug. 21-27...... 1 -1 Province- Anam...... Jan. 1-31...... 35 ...... January, 1920:Cases, 16;deaths 3. Cambodia...... do. 21. 3 January, 1920: Cases, 139; deatAs, 54. . deaths 1. Cochin China...... - - ..--do 19 12 January, 1920: Cases, S; Tonkin ..... do. 27 ...... January, 1920: Cases,224; deaths, 43. Ital3I Province: June -20, 1921: &atania...... Cases, 5. 7. Do. July 18-Aug. 14...... H.. In Provinice: Cases, Genoa ... Apr. 1-May 31.... .eo...... Do.Do July 4-10...... 2 Mesna...... May 23-June 26... 2 Do. July 11-17...... '1 In Province, July 4-17, 1921: Palermo. ay 18-June 21... 7 Cases, 9. ln . Apr. 1-30...... Do. June 29-July 19 ... Japan: I Kobe. May 24-June 26 ... 3 ;.r. ;...... I .Nagak.. May 23-June 2. .. 4 i a--ZT IaId July 1-10...... &...... wvvvember 11, 1921. 2820k CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEV1R, AND YELLOW FEVER-Continued. Rura Rcele.vedwnIfr July 2 to Nov. 4, 1921--Continued. BMALLPOX-Continued.

- Place. Date.. Cas. letts. Remaks.

Java: East Java- Surabaya...... June 19-25...... 2 Do...... July 10-Aug. 20. .. 10 WSst Java- Bandoeng...... May 27-June 3.... 17 Do...... July 8-21...... :..... Batavia...... May -June 23... 15 Do ...... ; July I-Sept. 1.... 106 40 Buitenzorg..' Apr. 29-June 23... 16 ...... Do...... July 22-Aug. 4.... 2 1 Carcet...... May6-12...... 1 ...... Do...... July 8-Aug. 4..... 4 ...... Krawang...... Apr. 29-June 30. 33 Do...... July 22-Aug. 4. .. 14 I Lebak...... Apr. 29-May 25.... 12 2 Pandeglang...... June 3-30...... 2 1 Do...... July 8-14...... 1 ...... Jugoelna..i...... Mar. 14-May 13, 1921: Cases, 334; deaths 83. June 27-July 10, 1921: dases, 111; deaths, 27. lKeso otamia: ...... Apr. 1-May 31.... .3 1 Mexico:WZ Chuahua...... May 23-June27... 3 Do...... Oct. 3-16...... 4 Guadalajam ...... June 1-30...... Do...... July 1-Sept. 30.... 13 City...... May 15-June 25... 246 ...... Including municipalities In Fee- eral District. Do...... June 26-Sept. 3.... Do. San Luis Potosi...... July 17-Oct. 15...... 3 Tampico...... July 11-20...... Torreon...... Sept. 1-...... 2 Vera Cruz ...... June 13-19...... Do...... July 11-Sept. 11... 3 Newfoundland: 'Tton...... Aug. 20-26...... 3 ...... Panama...... Jan. 1-Sept. 19, 1921: Cases, 205, Canal Zone. Apr. 1-May 31..... 2 of which 33 were nonresidents. Colon.; ... .; Jan. 1-May 31..... 1 Do ...... Aug. 30...... From the interior. Panama...... Feb. 1-June 30.... 54 Sept. 4-19; 1 from interior. 4 Do...... July 1-Sept. 19...... Pol3nd ...... -...... Mfar. 1-Apr. 30,1921: Cases, 1,117; District- ...... deaths, 142. Bialystok. Mar. 1-Apr. 30.... 3 56 Cracovia;...... do. 16 Kielce ...... do...... 180 Leopol .. - ;...... do. 52 72 19 Lodz...... do. 11 397 30 Luhlin...... do. 1 Posen...------....do. 26 2 Silesi...... do. In Tesehen. Stani,lawow ...... do. *3014 Tarnopol...... do. .158 Warsaw ...... do. .-36' Warsaw City...... do. ...90 13 Portugal: Lisbon...... May 15-June 25. . . 34 Do...... June 26-Sept. 17... 13 3 Oporto...... June 19-25...... Do...... Sept. 11-17...... Portuguese East Africa: Lourenco Marques...... May 8-28...... Do...... July 10Oept. 10... Rumania: District- Hotin...... Apr. 1-3. ,Orthe. -...... Mar. 141....- 2 9. 2821 November 11, 1921. CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FhEVER-4ntinued. RePorts Recreved from July I to Nov, 4, 1921-Continued. SMALLPOK-Coftinued.

Plane. Date. Cam. Deaths. Remarks.

Russia: Province- Estbonia...... Apr. 1-June 30.... ,9 ...... Do...... July 1-Aug. 30.... 55 ...... La via...... t Apr. 1-May 31 .. 41 ...... Do.-... July 1-31...... ,12 ... I...... Siberia- Vladivostok...... June 1-30...... 1 ...... Serbia...... - ...... Mar. 24-May 21: Cases, 205; Belgrade...... Aug. 7-20...... deaths, 41. Senegal: Dakar...... May 141...... -..I.. 1 Spain: .; Bacelona...... May 12-June 22... ' 2 13 Do...... JUly 7-Sept. 28...... 9... I0 Huelva...... July 1-31...... 2 Madrid...... June 130. 21 Do...... Aug. 1-31. Malaga...... May 1-June30.... 67 Do...... July 1-Aug. 31...... I.. 57 TarraKnona...... May 9-15. 1 Valencia ...... May 22-28...... Do...... July 2-Aug. 20..... 9 £traits Settlements: Singapore...... June 12-18...... 1 .'..... Do...... July 10-Aug. 27. ._ 7 3 Switzerland: Bael...... Sept. 11-Oct. 1.... 14r1...... Zurich...... May 28-June 11...... Do ...... July 3SQopt. 2...... Syria: Aleppo...... Apr. 9-16 ...... Preet.- Beirut...... May 10-30 ..... 1 Do...... Aug. 8-14 .... 1 1 Tunis: Tunis...... May 30-June17. .. l2 ''''''''i'3 Do...... July 2-ept. 30.... 14 Turkey: 11 - Constantinople...... June 12-25...... 5 - Do...... June 26-Sept. 24... 9 Union of South Africa...... January-April, 1921: Cases (white), 18; deaths, 1. Cases (native), 192, deaths,5. May 1-31, 1921: Cass 65; deaths, 3, all natives. June 1-0, 1921: ...... Cases, 61, of-which 1 white...... July 1-31, 1921: Natives- Cases, 129; deaths, 2. White- ...... 1 ease. Aug. 2-Sept. 3, out- breaks in Cape Province, Orange Free State, and Trans- vaal. Cape Province...... Apr. 24-June 25... Fresh outbreaks. Do...... July 1-Aug. 27. .. 118 Natal...... Apr. 21-June25... Do. Do. July 1-Aug. 27...... Do Durban ...... Aug. 7-27...... 3 Stated to have been imported. Grango Free State...... May 29-Jme 25...... Outbreaks...... Do...... Aug. 21-27...... Present. Loutbern Rhodesia...... July 14-Aug. 31... 52 19 Tnmsvaal...... May 22-June 18...... Do. Do...... July 1-31...... -2 Johannesburg...... Do...... Sept. 1-10..... 32 District. On vessels: Steamship Craster Hall.... Arrived Mobile, Ala. Oct 8, 1921, from Buenos Xlres, Rio de Janeiro, and Barbados. One ease in crew removed at Barbados, Cept. 28,1921. Steamship Niagara...... At Sydney, Australia from Van- eouver via Fiji and Now Zea- land. November 11, 1921. 2822 CHOLERA, PLAGUE; SMALLPOX, TYPHUS-FEVR,- AND YELLOW, FEVER-Continued.

RIeports Received-fOm July 2 to Nov. 4, 1921"-Continued. TYPHU8 FVERL

Pla-e Date. Cases. Deaths. Remarks.

Algeria: Al..ers;...... May 1-June 30.D... 100 25 Do;.-.---JuIly I-Ang. 31.... 22 7 1May 22-June 30.. 35 28 Do...... July 1-Sept. 10.... 15 13 Assalilnor: . 1B Smyrna...... June 1 In district. Do...... Aug. 28-Sept. 3...... Bolivia: La Paz...... Apr. 1-June 30-.. 50 51 Do...... July 1-31 ...... 19 3 Brazil: ]Bahia ...... June 1. Do...... Autg. 7-13..... ,1- 1 Porto Alegre...... 3 Do...... Aug. 7-13..... 1 Canary Islands: Teneriffe...... Aug. 14-Spt. 10... 2 Chile: Concepcion...... Apr. 12-June 20. . 8 July 25-Aug. 29,1921: Inhospital Do...... July 12-Sept. 14 30 cases; in city,estimated, lI .5. cases. Los Angeles...... July 26-Aug. 8.... Prevalent. Valparalso...... Mar. 27-May 28 .... Do...... June 26-Sept. 10 ... China: ...... Antung...... May 30-June 5.... Do...... June 27-Sept. 11... 10 Hankow...... May 22-June 11. . . 3 ...... Manchtuia- Harbin ...... May 23-29...... Do...... July 4-10...... Chosen (Korea): Chemulpo...... June 1-0. 2 Fusan ...... May 1-31...... 4 Gensa ..... May 1-June 30.... SeouL...... May 1-31...... Cuba: ...... Matanzas...... Oct. 4-10...... - ...... Czechoslovakia: 21 ...... Prague...... June 5-28...... 2 a.nd May 21-June 23.. leg ...... 18 Do...... June 24-Sept. 30. .. 47 Cairo...... Mar. 19-June 24 .... 2351 102 Do...... June 24-Aug. 5.... 58 ...... 32 Port Said ..._ Apr. 2-May 13..... 2 Finland ...... lFay 1-15...... Germany ...... Apr. 24-June 4, 1921: Cases, 7. Hamburg...... May 27-June 4...... Great Britain;...... Dubln...... May 29-June 4.... 2 Greece: 1421 Saloniki...... 6 May 23-June 26. 21 Do. ...,June 27-Aug. 14... 2 Guatemala: GuatemalaCity.. July 1-ept. 30.... 322 Hungary...... Jan. 1-July 13, 1921: Case, 71; occurring in 4 counties. Italy: Messina (Province). Aug. 2-ept. 4.... 2 In 2 localities. Japan: Nagasai...... May 23-June 5.... .7 Jugosa...... Jan. 30-May 14 1921: Cases 288; Belgrade...... May 1-14...... deaths 40; June 27-July 10, Zagreb...... June 19-25...... 3 1921: Fases, 23; deaths, 7. Do...... July 10-ept. 3.... Mespotamia: -37 Bagdad ...... May 1-31...... 1 Mexico: Mexico City...... May 15-June 2... 102 Including muicpaliti n Fed- Do...... June 2B-4ept.3.... eral District. Saltillo...... Oct. 2-8...... San Luis Poti. July 31-Aug.6...... Present. 2823 November 11, 1921 V CHOLERA, PLAGUK SMALLPOX; TYPHUS FEVER, AND YELLOW FEVER_Continued. Reports Received from July 2 to Nov. 4, 1921-Continued.- TYPHUS FWRIE.-Coutinued.

Place. I Date. j. Case. Deaths. Remarks.

Morocco: I Spanish Zone.... Reported present in epidemic form Sept. 29,1921. Poland...... Mar. I-Apr. 30 1921:,Cases Distrikt- 11,489; deaths, 1,131. Bialystok. Mar. 1-Apr 30. 853 45 Cracovia ...... do. 603 90 Kielce...... do. 848 62 e1opol...... do. 2,508 277 .IMGZ ...... do. 521 53 Lublin...... do. 1,446 83 Posen...... do. 77 5 Silesia...... - ...... do. 26 ...... I..... In Teschen. Stanislawow...... do;.....'.- 1,557 Tarniopol...... do . 1 855 194 Warsa v...... do. 972 61 Warsaw city. .d...... do. 223 29 Portugal: Oporto. July 12-Aug. 290.... 2 Rumania: District- Hotin...... Apr. 1-30...... 107 10 Kishinov...... Apr. 1-June 30..... 89 ...... Do .... July 1-31. 11 ...... Diskict. Orhei...... Mar. 1-May30. 146 ...... Russia: Province- Esthonia...... Apr. 1-June30..... 113 ...... Do...... July 1-Aug. 31-.... 56 ...... Latvia ...... Apr. 1-June 30.... 599 ...... Do...... July 1-31...... 52 ...... Siberia- Vladivostok...... Mar. l-June 30..... 5 3 Do...... - July 1-31...... 4 3 serbia ...... Mar. 24-May 21, IS21: Cases, 70; Spain: deaths,7. Madrid...... May 1-June 30.... 3 Do...... July 1-31 ...... I...... 2 Syria: Beimt ...... May 20-June 10. . . 1 Tunis: Tunis ...... June 11-17 .... 3 Do...... July 30W-ept. 9...... 2 Turkey:

Constantinople...... May 22-June 18.. 11 ...... Do...... June 264-ept. 24 .. 43 Union of South Africa...... ,, ...... January-April, 1921: Cases (white), 34; deaths, 2. Cases (native), 3,376; deaths, 437. June 1-30, 1921: Cases, 738; deaths, 66. July 1-31 1921: Native-cases, 868; deatis, 121. White-cases, 15; deaths, 2. Orange Free State and Natal: Cases, 25; deaths, 10. Cape Province Apr. 24-June 25, 1921: Outbreaks; ...... j...... Mav 1-31, 1921: Cases, 542; deaths, 51. July 1-31, 1921: Cases, 883; deaths, 123. Capetown...... May 13-19 ...... 10 3 At native cantonment in vicinity. East London...... May 22-June 18... 1 1 Do ...... Aug. 21-27...... , 1 Port Elizabeth,. Aug. 7-20 ...... 7

Natal...... July 10-Aug. 27 ...... Outbreaks.

Orange Free State...... Apr. 24-May 28, 1921: Outbreaks. Do.; July Sept...... Outbreaks. Transvaal- Johannesburg...... Sept. 4-10 ...... Outbreaks in surrounding coun- Venezuela: try. Maracaibo...... June 21-27 ...... 1 On vessel: Steamship Norden...... Aug. 18 ..... At Marcus Hook Quarntine, l Pa., from Tampico, Mexico, via Nuevitas, Cuba. November 11, 1921. 2824, CHOLERA, PLAGUE3 SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued. Reports Received from July 2 to Nov. 4, 1921-Continued. Y-ELWW FEVER.

Place. 811 Date. . Cases1. Deaths.Rem _ -!- - 1~~~~~~~~~~~~~~~~~~ British Honduras: Belize...... Aug. 22-Oct. 1.... 17 6 Mexico: Almo...... June 1 30...... 10. State of Vera Cruz. Do...... July 19...... 4 '' 1 Barra de Penn...... July 17-23...... i1 Do. Casamaloapam...... do. 3 1 Do. El Dorado...... Oct. 7...... *Present. Sept. 25-Oct. 2, 1921, de4ths, 40. Oct. 2, deaths, 5. Manzanillo ...... June 1-Sept. 30,,1921: Cases, 19; deaths, 10. Do...... Oct. 7...... Present. Mazatlan...... -d ...... Do. Plays Obispo...... Aug. 23...... ?...: Territory of Quintana Roo. Tampico...... July 11-17...... 3 2 State ofTamaulipas. Tierra Blanca. Sept. 19...... 1 Case arrived at Vera Cruz on steamship Monterey from Pro- ...... I.. greso, Mexico. Tacotalpan...... Present. Tuxpam...... ,1 State of Vera Cruz. Oct. 15: ...... : Severalcasespresentinvicinity. Vera C zu...... June 13-27... 7 Do. Do...... July 25-Sept. 25... 41 Do, Zapotal .-..-.... July 14...... Do. Peru...... 1oo?*w Mar. 1-Apr. 30, 1921: Cases, 172; deaths, .57. June 1-30 1921: Deprtment- 1 Cases, .25; deaths, 13. July 1-. Callao- 15, 1921: Cases, 2. Callao...... Apr. 1-30...... 12 At quarautine station. From Chiclayo. Lambayeque- Chiclayo...... Mar. 1-June 15.... 47 18 Chongollape...... Mar. 1-Apr. 30.... 12 3 Fee...... Mar. 1-31...... 1 Jaca...... Apr. 1-30...... 2 I.ambayeque...... Sar. 1-Apr. 30.... 20 7 Monsefu...... Mar. 1-June 15.... 20} 9 Motupe...... Mar. 1-Apr. 30.... 465 12 OlG duos...... Apr. 1-0...... 2 4 Pacora...... June 1-15...... 1' Ponalca...... Mar. 1-31...... -ViiaEten. Mar. 1-Apr. 30.... 7 1 Zana...... Apr. 1-30...... 1 ...... I. casa rande.*.. June 1-15...... 1 ...... On farm. Guadalupe..... Apr. 1-30...... 2 ...... * onteseco ...... July 16-31...... 1 Pacanga...... 1>0- .. June 1-30..... 2 ...... Pacaslnay,o..... July 1-15...... 1 Paian...... June 1230...... 13 7 1O...;.-....D July 1-15...... Pueblo Nuevo... Apr. 1-0. 1 ...... 1.. Apr. 1-June 15.... 2 2 Country. On vesels: Trujillo...... Barge J. S. McGaughy... Oct. 6...... 1'. At quarantine station2 Pensa- cola, Fin., from Tampco6, Mex- ico Sept. 30. Steamship Lurline .. Aug. 13-2 2, At iazatlai, Mexico, from Man- zanillo, Mexico (Public Health Rleports, Sept, iI, 1921,p. 2292). Steamship lMonterey...... Sept. 18...... 1 At Vera Cruz from Progreso, Mexico, Sept 15 1921 Patient went to Tierra Blanca Steamship Washington.... Aug. 29...... At Mazatlan, M o.

x