PUBLIC HEALTH REPORTS VOL 88 SEPTEMBER 28, 1923 No

PUBLIC HEALTH REPORTS VOL 88 SEPTEMBER 28, 1923 No. 39 EFFECT OF ACIDIFICATION ON TOXICITrY OF B. BOTULINUS TOXIN.1

By J. C. GzEiGE, Epidemiologist, United States Public Health Service, Associate Professor of Epidemi ology, University of Chicago; and W. E. GouwENs, Instruetor in Bacteriology, University of Chicago. Bronfenbrenner and Schlesinger2 have stated that the toxicity of crude filtrates of cultures of B. botulinmu may be greatly increased by acidification (approximintely pH 4.0). Outbreaks of botulism have occurred following the consumption of vegetables, such as string beans and beets, served in the form of salads and thus con- taining vinegar.3 The definite knowledge of any increase in toxicity due to the addition of an acid might therefore become of practical importance. It seemed desirable, therefore, to repeat these experiments. Two toxic materials were employed: (a) Home-canned vegetables known to have caused outbreaks of botulism; (b) canned vegetables inoculated with strains of B. botulinus isolated from foods in fatal outbreaks. (a) Tests were made on home-canned corn obtained from the Ismay, Mont., outbreak of September, 1922, and on home-canned string beans from the Okanogan, Wash., outbreak of October, 1922. In both instances the vegetables showed the presence of B. botutinus toxin, type A, and from both foods the organism was later isolated. The hydrogen ion concentration of the liquid portion of the home- canned corn was pH 6.4, while that of the beans was pH 4.6. The beans were known to have been served cold, in a salad to which vinegar had been added. The same procedure was used with both vegetables. Material was removed from the container, ground in sterile distilled water with sterile sand, filtered, and centrifuged. The M. L. D. of the supernatant liquid was determined against white mice by injecting, intraperitoneally, 1 c. c. amounts of distilled water dilutions. In both instances the M. L. D. was found to be 0.00,001 c. c., on the basis of the original material. A series of dilutions (1-100 to 1-100,- 000,000) was made with the toxic supernatant liquid and acidified to pH 3.0 with hydrochloric acid. A second series was acidified to the same degree with lactic acid. One c. c. of each of these dilutions was injected intraperitoneally into white mice immediately after 1 From the Department of Hygiene and Bacteriology, University of Chicago. ' Bronfenbrenner and Schlesinger: Proc. Soc. Exp. Biol. and Med., 1921, 19, p. 1; Jour. Am. Med. Assoc., 1922, 78, p. 1519: Science, 1922, 56, 280. a U. S. Public Health Service: Public Health Bulletin No. 127, pp., 8, 11, 18, 43, and 47 59163 -23-1 (2249) September 28, 1923. 2250 acidification and after standing in an ice box for 1 hour, 1, 2, 3, 4, 6, 8, 13, 18, 25, and 34 days. Control tests showed that there was no change in the M. L. D. of the original nonacidified centrifugate during the time in which the experiments were in progress. In no case did acidification have any effect upon the toxicity of the centrifugates from the home-canned vegetables, the M. L. D. of each remaining at 0.00,001 c. c. (b) These experiments have been supplemented by using toxic material prepared by inoculating commercially canned string beans and corn-with strains of B. botulinus, type A, which had been isolated from vegetables known to have caused fatal outbreaks of botulism. Four strains were used. After 10 days incubation at 370 C. the cans were opened and toxic centrifugates obtained in the same manner as in the previous experiments. The M. L. D. for each was determined against white mice. Acidification with acetic acid was first tried, since this is the acid commonly present in salad dressings. The toxic centrifugates were acidified in the following manner: A series of acetic acid-sodium acetate mixtures was prepared to obtain varying hydrogen ion concentrations. A stock dilution of the toxic centrifugate in distilled water was so prepared that when it was added to a biuffered acid mixture in the proportion of one part of the former to six parts of, the latter, 0.6 c. c. of the resulting mixture repre- sented 1 M. L. D. of the original toxin. The hydrogen ion concentrations- of the buffer mixtures were not altered by this small proportion of the highly diluted toxic centrifugate. To avoid errors that would creep into the work if a standard volume of 1 c. c. of constantly increasing dilutions were injected, we chose to determine a possible variation in toxicity by using different amounts of one standard mixture. Acidified toxic centrifugates of plI 4.85, 4.0, and 3.0 were chosen for the experiments. Toxicity tests were made one-half, 1, 2, 6, and 24 hours after acidification of the original centrifugates. After each time interval white mice were injected, intraperitoneally, with 2, 1, two-thirds, and one-third M. L. D., respectively (1.2, 0.6, 0.4, and 0.2 c. c.), of the acidified mixtures. At each time the specified amounts were injected into three mice, two of which served as duplicate tests, while the third, previously injected with a protective dose of homologous antitoxin, served as a control. When the mixtures of p1-I 4.85 were uised, the mice receiving more than I M. L. D. died within 48 hours. The mixtures of pH 4.0 killed the mice receiving 2, 1, and two-thilrds M. L. D. The mixtures of pH 3.0 killed the mice receivincg 2, 1, and two-tlirds M. L. D. and 50 per cent of the mice receivingr one-tlhird M. L. D. HIowever, at all three pH values, whenever deatlh of normal mice occurred, the control immunized mice also died. Evidently death was due to 2251 September 28, 1928 some factor other than the botulism toxin. Experiments were therefore made with the acetic acid-sodium acetate mixtures con- taining no toxin, with the results given in the following table: Experiments with acetic acid-sodium acetate mixtures.

Average length of time pH. injected.Amouint ceapsing before death.

C. C. 3.0 ....1.2 Less than 5 minutes. 30..... 0.6 4-Ohours. 4.0 .... 1.2 l0 minates. 40.... 0.6 2-24 hos. 4.'5 .... 1.2 AlR alive. 4.85 .... 0.6 Do.

The acetic acid-sodium acetate mixtures were therefore responsi- ble for the death of the mice; and the higher the hydrogen ion concentration (i. e., the lower the pH value) the more rapidly death occurred. That the effects were not due to tlhe acetate ions was shown by injecting white mice intraperitoneally with 1 c. c. of N/1 sodium acetate. This solution was not sufficiently toxic to produce death, although it contained more acetate ions than the acetic acid- sodium acetate mixtures previously used. Experiments on the effect of acidification on the toxicity of botulism toxin were also made with hydroclhloric acid buffered with sodium citrate, mixtures of pIH 4.6, 4.2, 3.8, 3.2, and 2.3 being used. These buffered mixtures, in the absence of the toxin, failed to kill mice even when injected in amounts of 1.2 c. c. No increase in the potency of the botulism toxin was noted. There is evidentlv a selective action of the different acids employed. Since acetic a.cid is the acid present in many salads, and hydrochloric acid is present in the free and combined states in the stomach contents, these are tlle two acids which, from a clinical standpoint, are of greatest importance with reference to a possible increase in the potency of the botulism toxin. However, the following l,wo kinds of solutions were also employed: Lactic acid-calcium lactate solutions of pH 4.0, 3.6, 3.2, and 2.8, and potassium acid phthalate- hydrochloric acid solutions of pH 4.8, 4.0, 3.6, and 3.0. None of these mixtures caused death of white mice in amounts of 1 c. c.

SUMMARY AND CONCLUSIONS. (1) Toxins of four strains of B. botulintus were not increased in potency at any hydrogen ion concentration, regardless of the length of time of exposure. The acid mixtures employed in this study were hydroclhloric acid-sodium citrate and acetic acid-sodium acetate mixtures. (2) The injection of I c. c. of a buffered acetic acid of pH 4.0 causes the death of mice. This occurs whether B. botulimnu8 toxin Setember 28, 1923 2252 is present or absent. With greater concentration of the hydrogen ions, death is more rapid, and less than 1 c. c. is sufficient to cause death in 24 hours. (3) Hydrochloric acid-sodium citrate, hydrochloric acid-potassium acid phthalate, and lactic acid-calcium lactate mixtures be- tween the limits pH 4.0 and 2.3 do not kill white mice when injected intraperitoneally in 1 c. c. amounts. The acetic acid therefore appears to have a selective action upon white mice. This is not due to the acetate ions or undissociated sodium acetate molecules alone. MALARIA ENTERING THE PORT OF LONDON, 1922. Malaria in malignant form took a prominent place among the infectious diseases entering the port of London on vessels during the year 1922. On 37 of the vessels entering the port during that year, most of these 37 ships coming from Indian ports) there were 170 cases of malaria with 6 deaths. The following information is taken from the Annual Report of the Medical Officer of Health for the port of London, 1922: Malaria on vessels, port of London, 1922.

Date of arrival Where frm. Number How ases wore dealt with. Of of cae. vewsel.

Jan. 10 Dakar...... 8 Treated on board. 16 Baratu...... 1 Died on board. Feb. 7 Bombay...... 1 Admitted to dock hospital. Mar. 1 Mlauritius ...... -.-.- 3 Two to hospital; I on board. 8 Port Harcourt...... 8 Treated on board. 9 Outward bound...... 1 Admitted to port hospital. 17 Bombay...... 1 Do. 1 Apr. 21 ...... Admitted to Greenwich Hospital. 29 Mauntius ...... 2 Died on board. May 8 Calcutta...... 1 Treated on board. 10 Buenos Aires...... 2 Do. June 9 Bombay...... 2 Do. July 7 Opobo...... 2 Landed at Las Palmas. 21 Beira...... 23 Twenty-two treated on board; 1 to Greenwich Hos- pital. Aug. 3 ...... 2 Landed at Port Said. 8, Calcutta...... 2 Treated on board. 9 ....:...... 1 Admitted to Greenwich Hospital. 22 Beira...... 1 Died on board. 26 Sydney...... Do. 27 Cuddalore...... 1 Do. Sept. 26 Beira...... 7 Six treated on board; 1 to London Fever Hospital. Oct. 8 Bombay...... 6 Treated on board. 24 Java...... 1 Do. 26 Dairen ...... Admitted to dock hospital. Nov. 1 Brisbane...... 2 Treated on board. 13 Bombay...... 3 Do. 16 West Africa...... 14 Six port hospital; 7 Greenwich Hospital; 1 on board. 16 .do. 1 Treated on board. 18 Java...... 1 Greenwich Hospital. 25 Rangoon...... 2 Treated on board. Doe. 6 Genoa...... 1 Do. 11 Bombay...... 43 Do. 14 Durban...... 6 Do. 18 ...... 2 Greenwich Hospital. 22 Bombay...... 8 Treated on board. 23 Calcutta...... 1 Do. . 30 Sydney...... 8 Do. 2253 Beptember 28, 1923 The port medical officer states: "The well-known malarial centers of the East and West African coasts and of India will afford instances of malaria which have occurred during the voyage on every incoming ship from ports situated therein. "The questions have only to be pushed to arrive at the case, which is generally reported as 'now well.' "On the other hand, many febricula are reported as 'malaria' by way of definite diagnosis where definition is clearly impossible. 'Malaria' and 'influenza' share the misdiagnoses of febrile cases with 'cold' and 'chill.' "The definitely malarial invasions of a ship are mostly detected, and temporary cure of symptoms is effected by means of quinine. The masters and stewards of ships which trade in infected regions are usually quick in detecting malaria, from long experience. This does not always apply where the Protean forms of subtertian malaria are concerned, though in this disease quinine is usually given a successful trial on instinct. "My impression is that the seafaring community which goes into the Tropics is far more itifected than appears from any record. * * *" ILLUSTRATIVE SHIPS. The following illustrative ships are cited by the -port-medical officer as examples of the amount of infection on some of the vessels, the nature of the masters' reports, and the manner in 'which the disease is frequently viewed on shipboard. The S. S. Hunstanivorth, from Rufisque, West Africa, arrived at the mouth of 'the Medway on November 16, 1922. The master declared 8 cases of malaria, 3 of pneumonia, and 1 case of peritonitis. The ship left Rufisque on November 5. The malaria came on after the vessel lhad left Las Palmas, Canary Islands. Every man of the crew of 24 had been ill; and only about four men were fit to man the ship at the time of arrival. The vessel had taken on cargo up the river and among swamps. Four of the crew had been taken on at Las Palmas, where they had been in hospital, from another ship, which had also been at Rufisque. One of these four men subsequently came into Denton Hospital. He had the subtertian parasite in his blood and was severely ill upon his admittance to hospital. The, vessel had proceeded to Rochester before details could be fully learned, but four men who were sent into Denton Hospital from Rochester, one with delirium, showed the subtertian parasite-ring forms only. The case of "peritonitis" (severe vomiting.) died, as did also another patient. September 28, 1923 2-4- The S. S. Hesione, from Bombay, arrived at Gravesend December 4, and reported 42 cases of malaria as occurig when the ship was at Bombay, and subsequently up the Malabar coast. The type of the disease was apparently not severe. The cases were treated as they occurred, at the various ports. The last case had occurred 15 days before arrival The crew was free from fever; but upon ex- amination, several members were found to be anemic and "below par." The master reported a good deal of malaria on Bombay ships. The S. S. Chamw, arriving December 14, had visited every port of importanoe in the Bight of Benin, coast of West Africa, and had been "coasting" since September. There were two cases of malaria on board on arrival, and a total of six cases in all had occurred. Five grains of quinine was given daily to all hands from September 3 to November 20 as a preventive measure. It was stated that the health of the crew -appeared to show the value of this treatment. The S. S. Hortensius arrived from Beira at Rochester July 21 with a report of "about 22 cases of malaria, all well now," indicative of the unimportance attached to the disease. The medical officer states: "A subsequent single notification of malaria from the Seamen's Hos- pital, in a case which came from this ship on July 22, is at once a commentary on the report and a clear indication in one case of the condition of infection which possibly exists in nearly all the cases." The S. S. Caledonia reported 77 cases of "influenza" during the voyage from Bombay, October 7-27, the latter date being the date of arrival.at the port of London. Subsequent notifications were made from the ship and from the Seamen's Hospital. The subtertian parasite was found in the blood of the patients at the Seamen's Hospital, and the port medical officer had notice of two similar find- ings in two patients landed from the vessel at Marseille and a further notification of a benign tertian case on December 12. The report of the medical officer goes on to state that "the outbreak was almost en,tirely confined to those of the crew occupying quarters on the starboard side of the ship. The passengers were not affected. Most had 'recovered' at the time of arrival. Those who were still ill were the cases notified as malaria, and suggest, together with the fact that the starboard side of the ship was alongside the quay in Bom- bay, that the majority of the cases, if not all, were malaria."

MEETING OF THE AMERICAN PUBLIC HEALTH ASSOCIATION. Fifty-Second Annual Meeting to be Held In Boston, October 8-11, 1923. The American Public Health Association extends to the public health profession and other interested persons a cordial invitation to attend its fifty-second annual xneeting, in Boston, Mass., October 8 to 11, 1923. 225 &September 28, 1923. The annual meetings of this association are always important events in the public-health world, but the meeting this -year is of more than usual interest, since it ends the first 12 months of the new program adopted as a result of the reorganization of the association in 1922. Two general sessions and 26 meetings of the scientific sessions will be held this year. In addition, many trips of technical and general interest have been planned around the historic city of Boston as part of the entertainment and educational program. On Monday evening, October 8, the formal opening session will be held, followed by a- reception. On Wednesday evening, October 10, Sir Thomas Oliver, distinguished English industrial hygienist, and Dr. George E. Vincent, president of the Rockefeller Foundation, will address the second general session. The scientific program, embracing all branches of public health, will be held according to sections as follows: Public health administration, laboratory, sanitary engineering, vital statistics, child hygiene, food and drugs, industrial hygiene, public health nursing, health education and publicity. Among the important subjects scheduled for discussion are food inspection, growth of children, full-time health officers, mental hygiene in the school program, nutrition work, the effect of so-called "moo1tshine" liquors, standards for schoolhouse construction and sanitation, epidemiology, better birth registration, organic heart disease, the etiology of common colds, water supply and purifica- tion, and mosquito control. An important report of the committee on municipal health department practice will be presented in the public health administration section. At this time the announced plan for the awards to cities for distinctive community service will be discussed. The problems of health officers in small comnmunities will be specially considered at a round-table discussion scheduled for Wednesday morning. The clinic on printed matter, which has proved valuable in past years, will be held again this year by the section on health education and publicity. At this clinic, samples of public health publicity will be examined and criticized by experts. Of special interest also is the report of the committee on health problems in education, of the child hygiene section. In the September issue of the American Journal of Public Health will be found the preliminary annual meeting program arranged by sections, and the October number of the Journal will contain addi- tional information. Members of the association traveling by rail to Boston may secure a reduction of one-fourth the regular round-trip rate. Headquarters will be at the Copley-Plaza Hotel. 2t8mber 28,19,23. .2s26

STATE AND INSUL EALTH AUTHORTIES 192& DIRECTORY, WIfTH DATA AS TO APPROPRIATIONS AND PUBLICATIONS. Dirctories of the State and insular health authorities of the United States for each year from 1912 to 1922 have been published in the Public Health ReportsI for the information of health officers and others interested in public-health activities. These directories have been campiled 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 "whole-time" health officer, that fact, is indiated by an asterisk (*). For this purpose a "whole-time" officer is defined as "one who does not engage in the prwtice of medicine or any other business, but devotes all his time to official duties."

ALABAMA. Public heatth nursing: Cyessie L. 31mriner, R. N., director, Mon- Board of censors of the State medical association, gomery. acting as a conmittee of public health: *Elizabeth J. Mackenzie, R. N., assistant W. W. governor, ex officio chbirman, Brandon, director, Montgomery. Montgomery. *Faneis Montgomery, assistant director, S. W. Welch, M.. D., Montgomery. Mfontgomery. W. D. Partlow, M. D., Tuscaloosa. Venereal disease control: 3. N. Raker, M. D., Montgomery. *W. C. Blasingame, director, Montomery. V. .P. Gaines, M. D.,. Selma. Field lecturer: S. G. Gay, M. D., Solnia. A. J. Dickinson, Birmingham. E. S. Sledge, M. D., Mobitc. Communicable diseases. A. N. Steele, M. D), Anniston. 1. S. Ward, M. D., Birmingham. Inspection: B. L. Wyman, M. D., Birmingham. *C. A. Abele, Ch. E., director, Montgomery. S.S. Hil, M. ]D., Montgomery. *T. B. S. Matthews, assistant director, Mont- Executive health officer: gomiery. *5. W. Welch, M. D., State health officer, CT. A. Belser, assistant director, Montgomery. Mntgofery. Chiefclerk: Registrar of vital statistics. *Bessye Tucker, Montgomery. *11. G. Perry, M. D., Montgomery.

Stae labortory: ALASKA. *L. C. Havens, M. D., director, Montgomery. Board of health: State sanitary engineer: Scott C. Boao, governor, Juneau. *G. H. Eazleliurst, C. E., M. C. E., Mont, IHarry C. De Vighne, M. D., commissioner of gomery. health, Juneau Assistant sanitary engincers: Executive health ofricer: *EI. G. Menke,. B. C. E., Montgomery. Harry C. De Vighne, M. D., commissioner of C. C. Kiker, B. C. E., Montgomery. health, Juneau. *J. C. Carter, E. M., Mongtomery. Assistant commissioners of health: CE. B. Johnson, C. P. 1I., Montgomery. Wim. Ramsey, M. D., Council. *E. M. Craig, Montgomery. J. A. Sutherland, M. D., Fairbanks. *N. H. Rector, Montgomery. W. Chase, M. D., Cordova. *W. D. Wrightson, Montgomery. Appropriation for 1923-24 ...... l.t12.000 Epidemiologists: *K. F. Maxey, assistant surgeon. United States ARIZONA. Public H-calth Service, Montgowery. Board of health: *T. 1I. D. Griffitts, assistant surgeon, United Geo. W. P. Hlunt, governor, president, Phoenix. State; Puiblic Health Service, Montgomery. John W. Mtirphy, attorney general, vice presi. County organization: dent, Phoenix. *D. L. Cannon, M. D., director, Montgomery. F. T. Fahlen, M. D., secretary, Phoenix. I Reprints Nos. 83, 123, 190, 268, 344, 405, 488, 54t 605, 708, and 775 from the Public Health Reports. 2257 Septeber 28, 1f8.

Executive health elic: Apprp forbtm_ peiod endtng F. T. Faler IL D., StS"4muPerinkdent of June 30, 1925-Continued.

public health, Phbenix. Bureau of venereal disease ewAtr...... 2, 000

Executive ucetay: Malaria control ...... 10,000

*Texana Lea Winiams, Phoenix. Bureau of sanitation ...... 11,400 Bureau of child State rogistrar a vital statisaies hyglene.....; ...... lb,)10

F. T. Faislen, M. D., Phoenix. Hygienic labortory ...... 17,000 Bureau for control of venereal diseass: Total ...... 164.000 F. T. Fahlen, M. D., director, Phoenix. CALIFORNIA. Child hygiene division: Board of health: *Mrs. Chas. R. Howe, director, Phoenix. George E. Ebright, M. D., president, San *Carolina Valenzuela, R. N., field nurse, Phoe- Francisco. nix. Fred F. Gundrum, Mf. D., vice president, *Margaret O'Neil, R. N., field-nurse, Phoenix. Sacramento. *Elizabeth Arnold, R. N. Walter M. D., secretary, Saca- R. field Phoenix. Dickie, M. *Cathlyn Kessler, N., nurse, mento. Bureau of vital statistics: A. J. Scott, Jr., D., Los Angeles. *Mrs. Ruby L. Jacquemin, statistician, Phoe- M. Edward F. Glaser, M. D., San Francisco. nix. Adelaide Brown, M. D., San Francisco. Director State laboratory: Robert A. Peers, If. D., Colfax. Jane H. Rider, Tucsn $1*X Attorney for board of health: for fiseal yea June Ajopriatim ending John C. McFarland, Los Angeles. 30, 1924: Executive health officer: Salaries- *Walter M. Dickie, K. D., secretary and ex- State board of health ...... 5 9,500 ecutive officer, State board of health, Sacra- State labortory ...... 4,500 mento. Oprating-empense- *Mnasn E. Franklin, assistant to the secretary, State board of health ...... 6,755 Sacramento. State laboratory ...... 76G Epidemiologist: Travelingexpense- *Frank L. Kelly, Mf. D., San Francisco. State bowd of health ...... 2, 0W District health officers: State laboratory ...... 334 *Allen F. Gilliban, M. D., northern division. Total ; 2,6 55 *Galvin Teller,- M. D., southern dilion. Sanitary irspector:

ARKANSAS. *Edwwd T. Ross, Sacramento. Bureau of vital statistics: Boad of health. *L. E. Ross, director, Sacramento. Leonidas Dirby, M. D., president, Harrison. Bureau of registration of nuses: 0. L. WilFlason, M. ]Y., Marianna. *Anne C. Jamme, R. N., director, San Fran- R. 0. Norris, M-. D., Tuckerman. cisco. E. H. Stwenson, M. D., Fort Smith. Bureau of tuberculosis: .H. L. Montgomery, M. D., Gravelly. *Edith L. Mf. Tate-Thompsn, director, Snerae S. A. Southall, MI. D., Lonoke. mento. F. 0. Msny, M. D., El Dorado. Bureau of food and drugs: Bxacutive hath ofEcer: *Erwin J. Lea, director, Berkeley. *C. W. Si on, M, D., State health officer, Bureau of communicable diseases: Little Roek. *W. H. Kellogg, M. D., direetor, Berkeley. Bweau of vitalsttistiesr Bureau of social hygiene: *Ms. Mly Elis Brown, statistician, Little *Elizabeth McManus, director, Los Angeles. Roek. Bureau of sanitary engineering: Hygienic laboratory: *C. G. Giflespie, C. E., director, Berkeley. *Wi,. L. Eolt, Ml. D., ating diret, Little Buireau of child hygiene: Rock. *Ellen S. Stadtanuller, M. D., director, San Bureau of sanitation and malaria control: Francisco. *M. Z. Bair, chief sanitary engineer, Little Appropriations for biennial period end- Rock. ing, Ju-e 31, 1925: Bureau of venereal disease control: For salaries of employees State *C. W. Garrison, M. D., director, Little Rock. board of health ...... 1306.298.00 Bureau of child hygiene: For support-of State board of health 248, 3.8. 00 *Frances Sap Bradley, M. D., director, Little Total Rock. .55, 636. 00 Appropriations for biennial period ending Other souirces of rcvenlue: June ?0, 1925: Fees for registration of nurses, 515 each. Executive department, salaries and Rtenewal of registration eertificate, S1 per year. miscellaneous ...... 127,800 Licensing of cold-storage warehouses, rated Bureau of vital statistics, salaries and according to capacity.

miscellaneous ...... 2, Fines for violation of pure food and drugs act.

Payment local registrars ...... 29,000 Fees for certi'ied copies of records. kptembr 28,1923. 2258

Publicationslaued by halth department Divilen of mental hyglae Biennial report. n( t). Weekly buletin. Paul Waterman, M. D. Appropriations fr fisa year ending COLORADO. June 30, 19: Board of health: Gen srtive e ...... -17,500.00 G. K. Olmsted, M. D., president, Denver. Waary, c oz...... 5,9000.00 C. W. Thompson, M. D., vicepresident, Pueblo. Purchase and free distribution of 000. 00 Traey R. Love, M. D., secretary, Denver. antitoxin ...... 2, disese 17,'500. 00 M. Ethel V. Fraser, -M. D., Denver. Preventable ...... 15,000.00 G. W. Bumpus, D. O., Denver. Vital statistis ...... Sherman Williams, M. D., Denver. Sanitary engineering ...... 30,000.00 S. R. McKelvey, M. D., Denver. Laboratory ...... Child 27, 500.00 J. M. Barney, M. D., Denver. hygiene ...... 10,000.00 A. W. Scott, Fort Colln. Public health nursing ...... control work 10,0900 Executive health officer: Venereal disease ...... 5,000.00 Tracy R. Love, M. D., secretary State board Mental hygie&...... of health, Denver. Total : ; 17-7,500. CO Bacteriologist: Fidecal appropriation, veneral disease *Wm. C. Mitchell, M. D., Denver. control ..13.0...... 180B.05 Medical inspector: Publications issued by health depart- *J. W. Morgn, M. D., Denver. ment: State food and drug commissioner: Weekly bulletin. *S. H. Loeb, Denver. Monthly bulletin. Divisien of venereal diseases: vital statistics report. Denver. Annual *S. R. McKelvey, M. D., director, Biennial report of State department of hcalth. Appropriations for fiscal year ending Nov. 30, 1924: DELAWARE. Balarics ...... 23,800 welfare commission: 125, 000 State health and Detention-home fund...... YWm. P. Orr, M. D., president, Lewes. equipment ...... 1 2,000 Laboratory ...... Mrs. Chas. Warner, vicepresident,Wllmington. Printing and publications ...... 1,250 Robert E. Ellhgood, M. D., Wlmington. 4,800 Traveling expenses ...... Margaret I. Handy, U1. D., Wilmington. and supplies ...... 600 Sampi%s Mrs. Julia S. Ashbrook, Wilmington. Venereal diseases ...... 20,000 Mrs. Harland I. Huston, secretary, Seaford. Incidental expenses ...... 1 2,000 W. P. Peirce, K. D., Kilford. offic: Total ...... 79,450 Excutive health Years 1923 and 1924. *Arbthr T. Davis, X. D., Dover. Patho!ogist and bwteriologist: CONNECSIICUT. CHerbert J. Watson, Newark. Supervisor of nurses: Public health council: *Crie T. Loekwood, R. N. Edward K. Root, M. D. Appropriations for the fisal year June30, S. B. Overlock, M. D. 1924: D. P. H. $3,000 C,-E. A. Winslow, Rural sanitation ...... James W. Knox. Vital statises ...... 0...... 000 Robert A.)aiWrns, C. E. Pathological and bacteriological labora- James A. Newlands. tory 9,000 Executive health offic: Diphtheria antitoxin and immunizing CStnaley H. Osbon, M. D., C. P. H., com- agents 1,500 missioner of health, Hartford. Venereal disease, control work... 2,000 Bureau of laboratories: Child welfare ...... 25,000 M. director. C. J. Bartlett, D., Tuberculosis ...... 45,000 Bureau of sanitary engineering: 87,500 J. Frederick Jackson, director. Total ...... Bureau of preventable diseases: DISTRIrC OF COLUMBIL. Millard Knowlton, M. D., C. P. H., director. Bureau of vital statistics: Executive health officer: *William C. Welling, director. *Wl11am C. Povler, M. D., health officer, Bureau of public health nursing: Washington. *Margaret K. Stack, R. N., director. Assistant health officer: Bureau of child hygiene: *George M. Boteler, 1K. D., Washington. *A. Elizabeth Ingraham, M. D. Chief clerk and deputy health officer: Division of venereal diseases: *Arthur G. Cole, Washington. Daniel E. Shea, M. D., director. Chief bureau of preventable dise s and director Bureau of public health instruction: bacteriological laboratory: Elizabeth Nickerson. CJohn T. Sprague, M. D., Washington. 2259 Septemb 28, M&

Bacterologit: Board of health: *Jobn A. Noble, Washi . W. H. Jr., M. D., president, Augusta. Ser olo it: Doughty, *W. F. Landon, Washingto James H. McDuffie, M. D., vioe president, Chemist: Columbus. Thomas Malcolm Prioe, Ph. D., Washington. T. F. Abererombie, M. D., secretary, Atianta. Richardso, M. D., Maeon. Chiefsanitary inspetor: Charles H. C. R. Holman, Washington. A. D. Little, M. D-, Thomasville. Chief food inspector: John W. Daniel, M. D., Savannah. W. I. Hailey, M. D., Hartwell. *Reid R. Ashworth, D. V. S., Washington. f medical and sanitary inspector of schools: Fred D. Patterson, ML. D., Cuthbert. F. Maddox, Atlanta. *Jo3eph A. Muirphy, M. D., Washington. Robert A. C. Shamblin, ML. D., Rome. for the fiscal ending Appaspriations year J. C. Verner, ML. D., Commerce. June 30, 192: J. L. Walker, M. D., Waycros.

salaries ...... $100,890 M. S. Brown, M. D., Fort Valley. Prevention of communicable diseases 40,000 M. L. Brittain, Stat superntendent of schools,

Disinfecting service ...... 6,000 ex officio, Atlanta.

Isolation wards at hospitals ...... 16,r00 Peter F. Bahlsen, State veterinarian, ex officio, Milk and food inspection and regula- Atlanta.

tion ...... 7,200 Executive halth officer: Dispensary service, including treat- *T. F. Abercrombie, M. D., commissioner,At- ment of tuberculosis and venereal lanta.

diseasses .------12, 500 *Joe P. Bowdoin, M. D., depty commisesir, Establishing and maintaiing a child Atlanta.

hygienic service ...... 18,000 Division of venereal disease control:

Miscellaneous ...... 12,235 *Joe P. Bowdoin, M, D., director, Atianta. Division of county health work: ...... 213,325 Total ...... *C. E. WaIler, M. D., director, Atlanta. Publications issued by health department: Division ofmalaria contol: Weekly report by health department. *M. A. Fort, M. D., director, Atlanta. Annual report of health officer. Division of laboratories: Monthly statement of average grade of milk *T. F. Sellers, director, Atlanta. sold. Division of sanitary engineering *H. C. Woodfall, director, Atlanta. FLORIDA. Division of serology: *E. L. Webb, director, Atlanta. Board of health: Calvin T. Young, M. D., president, Plant City. State tuberculosis sanatriunm *Edson W. Glidden, 24, M. D., superintendent, Charles H. Mann, Jacksonville. F. Clifton More, D., Tallahassee. Alto. Executive heaLth officer: Bureau of vital statistics: *Baymond C. Turok, M. D., State health offi- *W. A. Davis, M. D., director, Atlnta. Division of chIld hygiene: cer, Jacksonville. of vital statistics: *Alice Moses, M. D., director, Atlanta. Bureau asistat *Stuart G. Thompson, D. P. H., director, Jack. *Ida 3L. Alexander, M. D., director, ; sonville. Atlanta. for defe Bureau of sanitary engineering: Georgia tramingschooi mental es: *George W. Simons, jr., Jacksonville. *George H. Preston, M. D., Gracewood. Division of accounting and purchasing: Bureau of diagnostic laboratories: *B. L. Arms, M. D., director, Jacksonville. *1. L. Tinsley, director, Atlanta. the fiscal Bureau of communicable disease and health units: Appropriations for yearend- -ing Dec. 31. 1923: General appropriation $1,431.00 Bureau of child welfare: ...... $ State tuberculosis sanatorium ...... 50,000.00 *Mrs. Laurie Jean Reid, R. N., director, Jack- Venereal disease control ...... 000. 00 sonville. 0, Appropriation for health department: Total appropriation by legislature. 141, 431. 00 Venereal disease control (Federal tax One-half mill levied upon the assessable Government funds) ...... 2,739.40 property of the State: increased from one- Central administration, county quarter mill by 1923 legislature. Money be- health ork (Interinational Health comes available Jan. 1, 1924. Board funds) ...... 1, C03. 00 Centr al administration, malaria con- ends December 31. Fiscal year trol (International Health Board Publications issued by health department: all of health. funds) ...... 4,400.00 Pamphlets covering phases public Maternity and infancy (Federal Publichealth information disseminated through Government funds) ...... 113,000.00 the weekly and daily papers of the State.

Florida Health Notes. Grand total ...... ll..I. 170.40 I For fiscal Tear ending June 30, 1921. Septembr 28, 1923. 2260 HAWAIL Appropriations, 1923-15-Continued. Board of health: SanItation-Continued. F. E. Trotter, M. D., president and executive Salary, chief sanitary inspector, officer, Honolulu. Hawaii...... $9,000 J. A. Matthewman, attornsy general, Honolulu. Salaries, sanitary inspectors and P. Withington, M. D., Hono:ulu. clerks, Hawaii...... 34,800 D. S. Bowman, Honolulu. Salary, chief sanitary inspector, E. A. Mott-Smith, Honolulu. Maui...... 5,400 J. Ordenstein, Honolulu. Salary, chicf sanitary inspector, George Denison. Honolulu. KEl...... 5,400 Executive health officer: Sanitary expenses, Territory.... 21,600 *F. E. Trotter M. D., president of the board of Salaries and expenses, plague health, Honolulu. campaign...... 60,000 S?eretary: Expenses, mosquito campaign... 5,400 *M. R. Weir, Honolulu. Pure food and drug bureau- Bacteriologist: Salaries...... 18,300 A. N. Sinclair, M. D., Honolulu. Expenses and assistants...... 4,200 Tuberculosis bureau: Bacteriological bureatu- A. L. Davis, M. D., director, Honolulu. Salary, bacteriologist and pa- Health officer: thologist ...... 6,000 James T. Wayson, M. D., Honolulu. Expenses and assistants...... 3,000 Sanitary engine: Government physicians- *S. W. Tay, Honolulu. Salaries ...... Food commissioner and analyst: 58,800 Hawaii...... CM. B. Bairos, Honolulu. $27,240 Maui ...... 800 Oahu insane asylum: 13, *W. A. Schwallie, H. D., superintendent, Kauai ...... 8, 160 Honolulu. Oahu ...... 9,600 Leper settlement: (Provided, however, that no *J. D. McVeigh, superintendent, Kalaupapa, salary shall be allowed or paid Molokai. unless physicians employcd or ap- *W. J. Goodhue, H. D., resident physician, pointed in the several jistricts Kalaupapa, Molokai. shall treat the indigent sick free Chiefsanitary inspector, Hawaii: of charge in such district or dis- *C. Charlock, Hilo. tricts, as the cswe may be.) Chiefsanitary insp3ctor, Maui: Medical supplies for schools...... 5,000 *G. Weight, Wailuku. Quarantine and medical service- Salaries ...... Chief sanitary inspector, Kauai: 22,200 C*F. B. Cook, Waimea. Expenses...... 31,200 Appropriations, 1923-1925: Quarantine stations- Board of health- Repairs, maintenance, equip.: ment, and salaries, Honolulu.. Salary, preident ...... $12,000 17,500 Salary, public health officer. 8,400 Repairs, maintenance, equip- Salary, secetary.------6,600 mont, and salaries, Hilo.... Salaries, office employees...... 22,200 Expenses, oce...... 10,200 Care of lepers and their children- Expenses, board of medical ex- ainers ...... 200 KALAUPAPA. Revision public health laws and Salary, superintendent...... 11,400 sanitary code ...... 1,200 Bureau of vital statistics- Salary, physician...... 10,800 Salary, dentist (not prorated)...-. 8,100 Salary, registrar general ...... 5,400 Eye treatment (not prorated)... 2,500 Salaries, deputies and clerks..... 9,000 Silaries, assistants and attend- Salary, registrar, Honolultu ...... 3,600 Expenses, office registrar general. 7,000 ants, Bishop Home and Bald- Expenses, office registrar, Hono- win Home...... - 9,000 lulu . .600 Salaries, sheriff and police...... 4,800 Printing vital statistics, 1921- Allowance, patients...... 37,050 1923 .1,600 Allowance, needy blind patients, Purchase of equipment.700 extra $5 per month...... 4,800 Bureau of sanitary engincering- Transfer buildings, Kalawao to Salary, sanitary engineer.9,600 Kalaupapa...... 12,000 Salary, draftsman .3,600 Construction, roads...... 3,60 Expenses .2,400 KALIHI HOSPITAL. Sanitation- Salary, chief sanitary inspector, Salary, matron...... 4,200 Oah a ,, 000 Salary, officer for lepers...... 4,200 Salaries, clerks, sanitary and New buildings and equipment... 19,800 mosquito inspectors, Oahu.... 66,720 Automobile truck...... 1,000 2261 September 28, 1923L

Appropriatios, 1923-15-Cntimnud. Department of puiblic welfsr-Continued. Care of lepers and their children- *A. H. Wilson, dairy, food, drug, hotel, and Continued. sanitary inspector. *C. K. Maey, dairy, food, drug, hotel and KALAUPAPA AND KALIHI. sanitary inspector. Wages, nurses, laborers, attend- Executive health offilcer: ants, and mechanic...... $112,850 *David Burrell, commissioner of publi wol- Expenses, segregation hospitals fare, Boise. and maintenance...... 298,000 Appropriations for biennial period ending Medieal supplies and equipment. 26,344 Jan. 3, 1925: Amusements...... 3,000 Administrative- Incden s...... 2,000 Personal services (salaries and 600 KAPIOLANI GIRLS' HOME. wages) ...... 33,$ Services other than personal ...... 9,650

Salaries ...... 12,840 Supplies ...... 2,750 27,500 320 Maintenae.n. Fixed charges ...... 1,500 KAL!! BOTS HOME. EquipmenL...... Venereal-disease control- Salaries ...... 15,600 Maintenance...... 21,000 Personal servicos (salaries and 200 Repairs, segregation hospital, wages) ...... Services other than personal ...... 2,745 Hilo ...... 2,000 Supplies ...... 55 Prevention and cure of tuberculosis- Salaries...... 81,360 Capital outlay ...... 2,000 Expenses, including purchase of Quarantining venereal-diseaso patients in venereal-disease control. 1,200 automobiles ...... 48,648

Purchase and installation ofX-ray Total ...... 60,00 machine...... 3,500 ILLINOIB. Cure and treatment of tubercular patients in sanitariums...... 288,768 Director of public health: *Isaac D. Rawlings, M. D., Springfield. Oahu, LahiHome. $126,000 Maui, Kula Sani- Assistant director of public health: *Thomas H. Leonard, M. D. tarium ...... 60, 000 Kauai, Samuel Ma- Division of sanitation and engineering: helona Memorial *Harry F. Ferguson, C. E., chief sanitary engineor. Hospital ...... 48,000 Hawaii, Puumaile Division of communicable diseases: *J. J. McShane, M. D.. D. P. H., chief. Home ...... 54,768 Improvements Division of hild hygiene and public-health nursin Puumaile Home...... 7,200 *C. W. East, M. D., chief. Insane asylum- Division of tuberculosis Salary, superintendent...... 8,400 *Thomas H. Leonard, M. D., acting chie. of laboratories: Pay roll ...... 166,116 Division Mainitenance...... 99,300 *Thomas G. Hull, Ph. D., chief. New buildings for female patients 20,000 Division of vital statistics: *Sheldon L. Howard, registrar. Amusements ...... 6000 Upkeep and repairs to buildings. 5,500 Division of publi-hlealth instruction: Compensation to patients for *Baxter K. Richardson, chief. labor ...... 600 Division of social hygiene: Dental supplies...... 600 *C. C. Copelan, M. D., chief. Sanitaritim- Division of hotel and lodging-honse inspection: *W. W. Salaries, employees ...... 19,680 McCufloch, suiperintendent. Mainiteinance...... 15,800 Appropriations for fisal year ending June Venereal-disease clinic- 30, 1924: Salaries ...... $. 261,360 Salaries ...... 10,800 Salaries State officers ...... -.... 2,60t) Expenses ...... 4,200 Office expenses Inisurinig anid protecting radium. 1,000 ...... 1 0,25.0 Traveiing expenses . .... 51, 800 Purehae radium ...... 2,500 Operating, suipp!ies and expenses... 101 ,210 Total.-...... 1,923,776 Equipment and repairs .. -.-.-.. . 9,200 issuied by health Publications department: Contingent ...... -...... 13,S;0 Aninual report of president. Printing ...... 20,0X0 Registrar-general's report. Postage ...... 6,650 446 IDAHO. Operating emergency ...... G,

Total Department of public welfare: ...... 497,366 *David Burrell, commissioner. Publications issued by health department: *F. W. Almond, M. D., medical adviser. Illinois IHealth Ncws (monthly). *Paul A. MIader, bacteriologist. Social Hygiene (monthly). *Wiilliam Vernon Leonard, chemist. Weekly press blulletin. September 28, 1923. 2262

INDINA. Bureau of venereal disae: Board of health: W. S. Conklixg, M. D., director. Hugh A. Cowing, M. D., preident, Muncie. Lecturer in charge of women's work: Adah Meiaban, M. D., vice president, La *Jeannette F. Throekmarton, M. D. Fayette. State housing commissioner:

Charles B. Kern, K. D., La Fayette. *Edwin H. Sands. for John H. Green, K. D., North Vernon. Appropriations isal year ending June Dr. Willam F. King, secretary, Indianapolis 30, 1924:

Executive health omcer: State board of health work ...... $10,000

*Willlam F. Kin, M. D., State health com- Housing department ...... 5,000

missioner, Indianapotis. BacteriologicaLlaboratory ...... 22,000

Assistant State health commissioner: Antitoxin department ...... 2,000

*J. G. Royse, M. D., Indianapolis. Vital statistics ...... 10,000

Division of statistics: Salaries of employes ...... 19, 900

*H. M. Wright, director, Indianapolis. Social hygiene ...... 25,000 Laloratory of hygiene: Total ...... 93,900 *A. G. Long, M. D., C. P. H., director, (The above doos not include special appro. Indianapolis. priation for clerical sssistance.) Division of food and drugs: Publications issued by health department: and *Ivy Killer, State food drug commissioner, Biennial report. Indianapolis. Quarterly bulletin. Traveling milk laboratory: *Frank C. Wilson, director, Indianapolis. KANSAS. Water and sewage laboratory: Board of Health: *L. A. Geupel, sanitary engineer, Indianapolis. Jos. E. Hawley, M. D., president, Burr Oak. Division of child hygiene: J. J. Entz, M. D., vice president, Marion. *Ada E. Schweitzer, K. D., diroctor, Indiani- H. L. Aldrich, M. D., Caney. apolis. Henry Smith, K. D., Washington. Division of tuberculosis: D. E. Smith, M. D., Kansas City. *H. W. McKane, K. D., director, Indianapolis. 0. D. Walker, M. D., SalJna. Division of epidemiology: J. T. Axtell, M. D., Newton. *A. G. Long, K. D., C. P. H., director, C. A. Fi,her, M. D., Paola. Indianapolis. C. H. Lerrigo, K. D., Topeka. Division of venereal diseases: Harry K. Allen, atte:ncy. *J. G. Royse, K. D., director, Indianapolis. Executive health officer: Division of school hygiene: MIlton 0. Nyberg, X. D., srtary State *H.-R. Condroy, director, Indianapolis. board of health, Topeka. Division of housing: Division of vital statistics: *A. E. Wert, director, Indianapolis. J. W. Davies, State registrar, Topeka. Department of public health nursing: Division of communicable diseass ;and sanitation: *Ina M. Gaskill, R. N., director, Indianapolis. C. H. Kinrnan, M. D., chief, Topeka. Appropriations for fiscal year ending September 30, Division of foods and drugs: 1924, S170,G00. Frank Rowland, assistant chief food and drug IOWA. inspector, Topeka. Board of health: Division ofchildhygiene, and publichealth nursing:

C. S. Grant, K. D., president, Iowa City. Helen Moore, K. D., chief, Topeka. Frank T. Launder, K. D., Garwin. Division of water and sewage: N. E. Kendall, govemor, Des Koines. Prof. Albert Jewell, chief, Lawrence. W. C. Ramsay, secretary of state, Des Moines. Division of public health education: G. C. Haynes, auditor of state, Des Moines. Milton 0. Nyberg, M. D., director, Topeka. W. J. Burbank, treasurer of state, Des Moines. Division of vencreal diseases: Hans V. Pedersen, sanitary engineer, Des Milton 0. Nyberg, acting assistant surgeon, Moines. U. S. P. H. S., director, Topeka. G. F. Severs. M. D., Centerville. Water and sewage laboratories at Kansas Uni-

flenry C. Eschbach, K. D., Albia. versitv: C. S. Grant, M. D., Iowa City. Prof. Albert Jewell, director, Lawrence. Executive health officer: Food laboratory at Kansas University: *Rodney P. Fagen, M. D., State health com- Prof. E. H. S. Bailey, director of food analyses, missioner, Des Moines. Lawrence. Assistant secretary: Drug laboratory at Kansas University: *H. W. Grefe, Des Moines. Prof. L. E. Sayre, director of drug analyses, Chief clerk: Lawrence. *L. V. Clemens, Des Moines. Food laboratory at Kansas Agricultural College: Laboratories: Prof. H. H. King, director of food analyses, *Don M. Griswold, M. D., director, Iowa City. Manhattan. Sanitary engineer: Public healtlh laboratory, Topeka: *Hans V. Pedersen, Des Moines. William Levin, D. P. H., director, Topeka. 2263 September 28, 1923.

AppropTiations for fsal ywe ending lJm State tubereuloshssnlterlma 230, 1924: W. Biat, superintendent, Louisville. for 30, 1923, Salaries ...... , 20,700 Total income fls-al year ending June Miscellaneous 4,500 $217,312.51.

Water and sewage division .. 3,000 Pubiications issued by health department: Free distribution of antitoxins, 2,500 Montbly bulletin. Snppression of commuinicable diseases. 10,0(QO Public health laboratory...... 7,000 LOUISIANA...... 7,500 Division of child hygiene Board of health: Division of food and drugs ...... 6,090 Oscar Dowling, M. D., Shreveport. Division of venereal diseases ...... 3,000 J. M. Mosely, M. D., Arcadia. Total ...... 64,200 T. T. Tarlton, M. D., Grand Coteau. Other soures of revenue: L. C. Chamberlain, M. D., New Orleans. Marriage fes, approximately $10,000. B. A. Ledhetter. M. D., New Orleans. Water and ice analysis fees, approximately M. W. Swords, M. D., secretary, New Orleans $14,000. Executive health officer: Food and drug laboratories at Kansas Uni- *Oscar Dowling, K. D., president State board versity maintained by university mainte. of health, New Orleans. nance fund, and food laboratory at Kansas Bacteriologist: Agricultural College maintained by agricul- W. H. Seemann, M. D., New Orleans. tural eollege maintenance fund. Registrar: Publications issued by health department; J. Geo. Dempsey, M. D., New Orleans. Monthly bulletin. Sanitary engineers: Biennial report. CJohn 11. O'Neill, New Orleans. H. S. Henning, Assistant. KENTUCKY. Child hygiene: Board of health: *Agnes Morris, New Orleans. L. S. McMurtry, M. D., president, Louisville. Maud Loeber, M. D., medical director, New W. W. Richmond, M. D., Clinton. Orbans. George T. Fuller, M. D., Mayfleld. Analyst: H. H. Carter, D. O., Shelbyville. *J. Roy Keeny, Phar. D., New Orleans. Joseph E. Wells, M. D., Cynthiana. Bureau of venereal diseases: George S. Coon, M. D., Louisville. *Leonard C. Scott, acting assistant surgeon, F. A. Stine, M. D., Newport. U. S. P. H. S., New Orleans. 0. C. Dilly, M. D., Louisville. Bureau of Public Health Administration: A. T. McCormack, M. D., secretary, Louisville. *K. E. M1iller, surgeon, U. S. P. H. S., New Executive health officer: Orleans. *A. T. McCormack, M. D., State health Medical ontomology: ofilcer, Louisville. *Gco. E. Beyer, New Orleans. Bureau of vital statistics: Appropriations for fiscal year ending Juno *J. F. Blackerby, director, Louisville. 30, 1924: at 500 Bureau of bacteriology: Isolation hospital Alexandria ...... $ 12, control work *Lillian H. South, MI. D., director, Louisville. Venereal disease ...... 12,i00

Bureau of sanitary engineering: General ...... 75,000 *F. C. Dugan, State sanitary engineer, Louis- Total 100,000 ville...... Other source of revenue: Bureau of food, drugs, and hotels: Fees from inspection of oil. *Sarah H. Vance, director, Louisville. Publications issued by health department: Bureau of venereal diseases: Monthly bulletin. *Jethra Hancock, M. D., Louisville. Quarterly bulletin. Bureau of tuberculosis: Annual almanac. *J. S. Lock, M. D., director, Louisville. Biennial report. Bureau of public health nursing: Miscellaneous leaflets. CMarian Williamson, R. N., director, Louis- ville. MAINE. Bureau of child hygiene: *Annie S. Veech, M. D., Louisville. Public health council: Bureau of prevention of trachoma and blindness: C. F. Kendall, M. D., chairman, Augusta. *C. B. Kobert, M. D., director, Louisville. F. N. Whittier, M. D., Brunswick. Bureau of public health education: J. Q. Gulnac, Bangor. *Mrs. Maud Strittmatter, R. N., acting director, Hiram Ricker, Soutli Poland. Louisville. W. N. Miner, M. D., Calais. Bureau of county health work: Executive health officer: *P. E. Blackerby, M. D., director and assistant *C. F. Kendall, M. D., State commissioner of State health officer, Louisville. health, Augusta. Bureau of mental hygiene: Division of administration: Frank O'Brien, M. D., director, Louisville. *C. F. Kendall, U. D., Auguista. September 28, 1923. 2264

Division of communible diseases: Bureau of child hygien:

*A. 0. Young, M. D., director, Angusta. J. H. Mason Knox, Jr., M. D., chief, Baltimore. Division of laboratories: Appropriations for fiscal year ending *John Hewat, M. D., director, Augusta Sept. 30, 1923:

Division of sanitary engineering: Salaries ...... $192,068.00

*Elmer W. Campbell, D. P. H., Augusta. Expenses ...... 88,429.05 Division of vital statistics: Total ...... 280,497.05 *C. F. Kendall, M. D., State registrar, Augusta. Publications Issued by health department: Division of venereal diseases: Annual report. *George H. Coombs, M. D., director, Augusta. Division ofpublic health nursing and child hygiene: MASSACHUSETTIS. *Edith L. Soule, R. N., Augusta. Public health coumcil: Division of dental hygiene: Eugene R. Kel!ey, M. 1)., chairman, Boston. --7, director. Roger I. Lee, M. D., Cambridge. District health offloers: J. E. Lamoureaux, M. D., Lowell. *J. L. Pepper, M. D., South Portland. Richard C. Strong, M. D., Boston. *E. P. Goodrich, Mf. D., Lewiston. Warren C. Jewett, Worcester. *J. W. Loughlin, M. D., Damariscotta. Sylvester E. Ryan, M. D., Springfield. *H. L. Lombard, Mf. D., Presque Isle. James L. Tighe, Holyoke. *H1. D. Worth, Mf. D., Bangor. Executive health bificer: *0. H. Hutchins, Mf. D., Waterville. *Eugeae 3R. Kolley, X. D., State commissioner *William N. Tukey, M. D., Machias. pf public health, Boston. Appropriations for fiscal year ending June Division of administration: 30, 1924: * , director. Salaries and clerk hire ...... 33,000 Division of communicable diseases: Office expense and epidemic fund...... 20,000 *Bernard W. Carey, M. D., director, Boston. Distriet and local health officers...... 38,000 Division of sanitary engineering: Venereal-disease control work...... 14,000 *X. H. Goodnough, director and chiefengineer, Boston. Total ...... 105,000 Other source of revenue: Division of water and sewage laboratories: Census Bureau, Washington, D. C., about $800. *H. W. Clark, director and chemist, Boston. Publications issued by the department of health: Division of biologic laboratories: Annual report of department of health. *Benjamin White, Ph. D., director and path- Annual report on vital statistics. ologist, Boston. Bimonthly bulletin. Division of food and drugs: *Herman C. Lythgoe, director and analyst, MARYLAND. Boston. Board of health: Division of hygiene: John S. Fulton, M. D., chairman, Baltimore. *MIerrill E. Champion, M. D., director, Boston. William H. Welch, M. D., Baltimore. Division of tubercuilosis sanatoria: Alexander Armstrong, attorney general, Balti- *Sumner H. Remiek, M. D., director, Boston. more. kppropriations for department of William W. Ford, M. D., Baltimore. public health, 1923: C. Hampson Jones, M. D., Baltimore. Division of adminitration- Tolley A. Biays, Baltimore. Salary of commissioner ...... $7, 500.00 Benjamin C. Perry, Mf. D., Bethesda. Personal servio...... 12,400.00 E. F. Kelly, Phar. D., Baltimore. Other than personal ...... 7,300.00 Executive health officer: Division of hygiene- *joha S. Fulton, M. D., director of health, Personal services of director Baltimore. and assistants ...... 22,200.00 Division of public health nursing: Services other than personal.. 17,100.00 *Lydia R. Martin, R. N., chief, Baltimore. Personal services in connec- Division of public health education: tion with maternal and in- *Gertrude B. Knipp, chief, Baltimore. fant hygiene ...... 29,030.00 Bureau of eommunicable diseases: Expenses in connection with *Robert H. Riley, M. D., chief, Baltimore. maternal and intfnt hy- Bureau of vital statistics: giene ...... 16,020.00 Frederic V. Boitler, M. D., Baltimore. Division of communicable dis- Food and drug commissioner: eases- *A. L. Sullivan, chief, Baltimore. Personal services of director Bureau of bacteriology: district health officers, etc.. 58,700.00 *R. C. Salter, chief, Baltimore. Services other than personal. 20,000.00 Bureau of sanitary engineering: (The appropriations made m the *Abel Wolman, chief, Baltimore. followimg items are in addition to Bureau of chemistry: any Federal funds now in the *Wyatt W. Randall, Ph. D., chief, Baltimore. treasury or hereafter received Bureau of personnel and accounts: which may be used for these pur- *Walter N. Kirkman, chief, Baltimore. pos.) 2265 September'28, 1923.

Appropriations for department of pubUe health, Bureau of laboratores 1923--Continued. *C. C. Young, Ph. D., director. Subdivision of venereal diseases- *Minna Crooks, R. N., bacteriologist. Fdr personal 14.P,089.00 *R. L. Kahn, D. Sc., immunologlst. Services othr than per 22,400.00 *A. B. Haw, clinical pathologist. Manufacture and distibution of *5. R. Jbhnson, D. V. 8., veteinary pathologist. *Chas. L. Blis, chemist. nursing For personal is ...... se 8,970.00 Bureau of and child hygiene: Servioes other than personal.. 8, 89 00 *Blanche Haines, M. D., director. W ann laboratory- Bureau of communicablede and vital sta- For persnal services ...... 11,000.00 tisties: For expenses of laborator. 5,600.00 *W. 3. V. Dewan, M. D., D. P. H., diretor. Antitoxin and vaccine lymph- Bureau of institutional health adminlstratiorn Forpersonal services...... 3.5,620.00

Othe services ...... 30,000.00 Bureau of education: Inspection of foods and drug- *IarJorie Delavan, direetor.

For personal services...... 36,250.00 Bureau of embalming: Other srvis ...... 12,500.00 *F. J. Pienta, director. Water supply and dbposal of sew- Appropriations for iscal year ending June age, engneering divisi- 30, 1924:

For peonal svices ...... 41,900.00 Personal service ...... $ 175,000 Suplies For other services ...... 10, 700.00 ...... 34,000 Contractual service Water supply and disposal of sew- ...... 33,500 age, division of water and sew.- Fixed charges ...... 2,000

laboratories- Outlay for equipment ...... 12,800

For personal services...... 29,500.00 Total ...... 280,300 For other ses.7,700.00 Institutional health- State examners of plumbes- 'Personal service ...... 25,400 For personal services ...... 5,000.00 Penikese Islands- Supplies ...... 500 Traveling expense ...... 3,000 For services of caretaker ...... 1, Co Division of tuberculaois- Outlay for equipment ...... 1,750 Total For personal services...... 15,600.00 ...... 30,650 Services other than personal.. 3,800.00 Antitoxin operaion ...... 67,500

Payment of subsidies ...... 180,028 64 Child hygiene and public-health nurs-

For maintenance of and for certsin ing ...... 30,000 improvements at the Lakeville, Grand total ...... 408,450 North Rending, Rutland, and Publications issued by helth department. Westfield State sanatoria...... 903,710.00 Monthly bulletin. Annual repoft. Total ...... 1,574,99S.64 Communicable dise pamphlets. Publications issued by department of public health: Sex hygiene pamphlets. Monthly bulletin. Child hygiene pamphlets. Annual report. bulletins. MisceUaneous pamphlets dealing with health Engineeing matters. MINNESOTA. Board of health: MICHIGAN. C. L. Soofield, M. D., President, Benson. Advisory council of health: S. Marx White, ht. D., vioe president, Minne- Guy L. Kiefer, M. D., president, Detroit. apolis. C. C. Slemons, M. D., Grand Rapids. N. M. Watson, M. D., Red Lake Falls. Frank Mf. Gowdy, M. D., St. Joseph. L. P. Wolff, C. E., St. Paul. Leland W. Carr, Lansing. R. C. Hunt, If. D., Fairmont. Robert B. Harkness, Houghton. H. R. Weirick, M. D., Hibbing. Executive health officer: J. A. Thabes, M. D.. Brainerd. *Echard M. Olin, X. D., State health com- Executive health officer, Capitol, St. Paul: missioner, Lansing. *AL J. Chesley, M. D., secretary and oxecutive Deputy health commissioner: officer. *Gco.ge H. Ramsey, Mf. D., Lansing. Division of records, Capitol, St. Paul: Bureatu of enginearing: *0. C. Pierson, director. *E. D. Rich, C. E., director. Division of preventable diseases, University Cam- *Willi3m Him, C. E., assistant engineer. pus, Minneapolis: *Ernest F. Badger, chemical engineer. *0. McDaniel, M. D., director. *Jobn M. Hopler, C. E., S. E., assistant engineer. *E. M. Wade, chief of laboratories. *Willard F. Shepherd, B. S. E., assistant Division of sanitation, University Campus, Minne- engineer. apolis. *Chas. L. Off, water inspector. *H. A. Whittaker, director. 591630-23 2 Sept mberfi, 1928. 2266

Dividon of vital statistics, Capitol, 1L Paul: Bure ofvenei diseeses: *Mrs. Gerda C. Person, direotor. *Hardie Hays, M. D., director, Jla@, Diviso of veneeal dimm, University Campus, Bureau of public ea nuiing Mlnepolis: *Mary D. Osborne HIL N., dhb_ks, Jsason. H. 0. Irvine, M. D., diretor. Apprepriatons fX him& yew endig De.. - -, educational supervitr (vacant). 31, 1923: worker. *Audrey Walton, chistsolat AdTinistative office ...... 000 Division of child hygien, Univesity Campts, Bureau of vitalstatistics. 12,000

Minneapolis: Municipal sanitation ...... 12,000

3. C. Hartley, V. D., direetor. Rural sanitation ...... 7 2,000 R. N., superintendent of *Ruth Houlton, Hygienic laboaory ...... 2 0,000

publBi-hith nursin. Child welfame ...... 30,000 Approprations fir fisal year aiding P= Venal diseas ...... 6,00 30, 1924: General fund...... W0, TotaL _......

Vitalstatistics ...... 12,000 Publications issued by health xe

Communicable diseases ...... 25,00 BienndIa report.

Laboratories ...... 42,500 Monthly bulin.

Sanitary engineering ...... 7,090

Free antitoin...... 10,000 Preventonof kund P...... 1,000 Boad of health: Vtenerldlsee ...... 2F,900 Emmett P. North, M. D,president, St. -Lui. Prmtet*nbr matwnty and infLncy.. 15,000 R. S. Vitt, M.- D., vice president, St. Louis.

Total ...... 167,500 E. E. Brunner, M. D., Carrollton. Othersours of revenuie: Cortex F. Enloe, IL I., secretary Jefferson Aid from county and' cit-y for brneh City. D., laboratory at Duluth ...... 900 T. A. Son, M. Bonne Terre. U.S. P. Mf. v sonl'dlmSi&a(?9r T. Wilcoxen, M. D., Bowling Green. only)...... 2,258 J. R. McVay, M.; D., Kansas City. Sheppwd-Towner aid, $16,(E)+ Executive health officer:

55,000 (ft)...... 20,000 *Cortez F. Eilos, M. D., secretary of State rnbi=tions issued by health dopartment: board of health, and State commissioner of Fauational pamphlets. health, Jeeson City. Bienniailrzeprt Bureau of vital statistics: *James Wah statistician, Jeffeon City. BardfTiealth: Division of child hygiene: *Irl Brown. Kruse, . D.,. diretw, Jefferson W. W. Erall, t. D., presient, Shelby.

3. H. McNeill, M. D., Olive Branch B. Lampton Crawford, M. D)., Xylertbwn. Division of rural sanitation: *Thomex Par, Jr., M. D., directors, JCerson T. F. Elkin, I. D., Tupelo. H. F. Garison, M. D;, Clinton. City. of venereal disease: L. L. McDougal, M. D., Boonville. Division C. D. Mitchell, M. D., Jackson. *R. L. Russell, M. D., director.Jeffern City. I. L. Parsons, M. D., Brookhaven. Dision of preventio of blindness: T. W. Reagan, M.. D., Union. Wm. H. Pickett, M. D.,director, Jefferson City. E. M. Gavin, M. D., Ovett. Division of sanitary engineering: *George W. Putnam, director, Jefferson City. W. H. Watsm, IL D., Brandon.. for biennial period ending L.lH Winiham, L D., Eeru. Appropriations Executive health officer: Dec. 31,. 122: *W. aafena, IL D., exam.tiv ecers,Stte -Board of health fund, bureau of lien. board of healt, Jackso. sure...... 2...,.00 Salaries Bureau of vital statistic: ...... 35,100 *R. W. Hall,M. D., diawtar, Jackon. Salaries of sanitary engineeing dport. Bureau of child welfr: ment, suppressing of venereal *F. J. Underwood, D., destor, Jadim. disses and tubereuos, and the continuation and support of child *C. R. Stingily, M. D., diretor, Jackson. hygiene and rural sanitation work_.. 5A, 700 Bureau of sanitary inhpction. Cooperative rural santation end chid work 100,0 *Robt. Longino, M. D.,chiefsanitary inspector, hygiene ... Laboratory and cotiugent expense 36,000 Bureau of sanitary engineering: Provenio of blindness, epidemic and *H. A. Kroez, C. E., State sanitary engineer, laboratory servis and bidgies...... 50,000 Jackson. Total 291,800 BureuiofNsat tlof: ...... *C. C. Applewhite, M. D., director, Jackson. $100,000 of the above appropriation is being *C. M. Shipp, L I., epidemiologist in charge withheld by the governor unil State revees of malaria control work, Jackson. are sufficient for a release. 2267 September 28, 192.

MONTANL Department of health and welfare-Continued. Board of Health: Bureau of heath-Continued. D. J. Donohue, M. D., presdt, Butte. Statistician: E. M. Porter, M. D., vice peddent, Great Falls. *May F. Hyland, Lincoln. B. L. Pampel, M. D., Livingston Division of child hygiene: E. G. Balsam, M. D., Bills. *Mrs. C. H. England, director. L. H. Fligman, M. D., Helena Sanitary engineer: Executive health officer: (vant). *W. F. Cogmll, M. D., secretary, Helena. Medical examining board: Division of communicable diseae: S J. E. Spatz, M. D., Fairfield. H. J. Division of child welfae Lehnhoff, M. D., Lincoln. E. T. M. *Hael Del Bonness, M. Belena. McGuire, D., Kead. D., director, Appropriations for biennial Divisin of Food and Drugs: period ending June 30, 1925: *H. M. Shea, director, Helena. Division of vital statistics: Salaries .5,000 *W. F. C dwll, M. D., Statenregitar, Helena. Maintenance ...... 23,000 *L. L. Bene, deputy State registrar, Helena. Total ...... 68,000 Division of water and sewage: W. M. Coebeh, director, Bseman. *H. B. Foote, bateriologist, Bozeman. NEVADA. Watr and swag laboratory and food and drug State board of health: labortory: Jas. G. Sugham, governor, preident, Carson W. K. Cobleigh, d,lreetor, Boeman. Oity. B. J. Quinn, analyst, Bozeman. S. L. ILe, M. D., secretary, Carson City. laboratory: Hygienic W. G. Greathouse, swetary of state. *Richard M. Johnson, bateridogist, Helena. W. H. Hood, M. D., Reno. fior the year 194: Appropriations ending June 30, Henry Albert, K. D., Reno. (Appropriato for salaries and ex- Executive health officer: penses of State board of health ae *8. L. Le, N. D., seetary, State board of made in lump sum. The budget health, Caon City. given is tentative and not arbi. State h7glenlo laboratory at State Univrsity: trarily fixed. Unexpendedsumsof Henry Albert, K. D., director, Reno. one division may be dUvered to Appropriation for fscal year ending Dec. other divisions whn demed neces- 31, 1924: sary.) Saary of secetary...... 8 5,000 Gneal nistratin- State board of ...... Saaies ...... ,80g000 health 3,Soo Total Expenss .1,910.00 ...... 8,800 Division of child welre .... 8, 701.92 Pubcations issued by health department: Hygie labatory...... 6, .00 Biennial report. Inspection of watr plants.... 4,000.00 Special buletins

Food and water laboratory .... 3,325.00 food and Enforcing drugs law .... 4,660.00 NEW Division of communicable disese... 4,425. oo

Division of vital statisties .... 2,975.00 Board of health: Board of entomology (Rocky Moun- Robert Fletcher, -Ph. D., C. E., preident, Han-

tain spotted fever work) ..... 14, 22Z.00 over. D. E. Suilivan, M. D., Conoord. Total ..... 57,914.92 George C. Wilkins, M. D., Manohester. Other source of revenue: Sibloy G. Korrill, M. D., Coneord. Fees for embalmers'icens. Fred H. Brown, governor, Somersworth. Publications issued by health department: Irving A. Hinkley, attorney general, Laconia. Monthly bulxletin. Executive health offloer: Special bulletin on communicable diseases. *Charls Duncan, N. D., secretary Stateboard Biennial report. of health, Concord. NEBRASKA. Laboratory of hygiene: Department of health and welfare: *Charles D. Howard, chemist, Concord. J. D. Case, M. D., superintendent, Lincoln. *Clara Israeli, K. D., bacteriologist, Concord. Bureau of health- William R. McLeod, assistant bacteriologist, Executive health officer and epidemiologist: Concord. J. 9D. Case, N. D., superintendent, *Joseph X. Duival, inspector, Concord. department of health and welfare, *Charles L. Pool, sanitary engineer. Lincoln. Robert Fletcher, C. B., engineer, Hanover. Bacteriologist: Bacteriological laboratory: *L. 0. Vose, Lincoln. II. N. Kingsford, M. D., bacteriologist, Han. Division of venereal diseases: over. *P. H. Bartholomew, M. D., director, Venere,1 dises division: Lincoln. *Charles A. Weaver, M. D., Manchester. e1 2S,192S. S968

A_*vwrhV s lr Awa yer X ume Division of vital sta1iw 30, 1925: *P. M. Buleau, chief, Santa Fe. State board of health ...... $28,650 Division of sanitar egneeg and saitaton: Laboratwy.fiyse ...... gie ...... e.. 18,300 *PauiS. Fox, B S. in C. E:., chief, SantaYe.

Vital statisties ...... 5,300 Divisions of pubic health nursing and ad hy- gieruc: Total .. .6_.52,250 Publicatians issed by health department: *Helen B. Fenton, R. N., chief, Banta se. Buletin. Division of county health work: Biennal.wqot. ,*D. B. Williams, M. D., chief, Santa Fe. Public health laboratory: Board of lYlth: *Myrtle Greenfield, chief, Albqerue. for the yeas1924ad 192, 28,00.oo ThunsB.lem,.M.D., prosidenCamden. Appropriation per annum. Clyde Potts, C. Z., vce pridet, Morristown. Oliver Kelly, Oak Tree. B. i. Wrinto, V. M. D., Plalnfueld. J. OiverN.cDongld,-. E>., Trenton. Publi keglhtonuell: J.. E., Harold Harder, C. Pateon. Sim= Eome=er, x. D., LL. D.,.aairmun,;New David D. Chandler, Newark. York. Henry Spence, M.-D.,Jassey City. Homer FAks, -LL. D., Now York. Mrs. James E. Van Home, Trenton. Hem-yW. OgdnC."Z.,Ithaca. Miss Margaret McNaughten, Jeruey Uity. T.-N li Pru dien,' . D.r*iiL.aD., Yw kF . J5. Ef. thrie, D).)B.8., Niewak. Jacob Goldberg, M. D., Buffalo. Executive health officer: Stanton P. --Hull,. 2), Petersbarg. *Jamb tQ PrI3e, NL X,, diriwer of bealth, Executive health offier: Trento. *Xatthias Nicoll, Jr., X. D., comnhisaer4f Bureau of bacteriology: :heah, Albany. *John V. Mulkyjehief, Trnon. D -pity- cof-hef: Bureau of chemistry: *Paul B. Brooks, X. D., Albany. Secretary: Bureau of administrati: Edward1N. MaJ h, A. -:.

AVhaules J. Ime , ehief, Trenton. Executive-lerk: Bureau of4bad ai dregs: *FenwreD. B gle, Albay. *Wtb.0W.-Sofiak4, chie, TrentnL Division of puic-heath education: Bureau of child hygiene: *B. R. dsIokaue,-din,etor,.A1bany. Julius Levy, M. D., coltant, cMutona Division of sanitation: XBseau of loeal.heIth admij 'aU'= *Charles A. Holinqu tCG.,;divdt,-tbany. -Wavid C. Bowen, chief, Trenton. TIsilon afastata ttoR=:bel. D, iretr, nbay. *H.f.. ft.yE if, - 8 1n Division oaf hild.hygiue: Bureau of vital statistics: Florence L. McKay, M. I)., director, Albany. *David S. South, chief, Toma* -X)iXion of c m- m dixsm Bureau of venereal-disease control: BEdwarSd-S Godfrey, IM. D., director, Albany.

A. 3. Cassmnan, E. D.-cosutant, Trenton. Division oLtuberefleds: Appropriations for fiscal year ending June onat.hn ion, i. D., director, Albany. 30, 19924: Divisa of venereal disew: aiac ...... $140,000 *J. S. 1.awrene,.-. D., director, Alban. of Miscellaneous ...... 73,800 Divssien laboratories and-reseam: *Augustus B. Wadsworth, M. D., Child hygiene- 000 director, ...... X0, .Albany. Venereal-disease control ...... 25,000 Division of public health nuring-.

Tal ...... _ ...... 298,800 *Mathilde S. Kuhiman, R. N., ciretor, Pratbdsissued by helthdepartment: Albany. Monthly bulletin. Appropriations for fiscal year4nding lun siEpot. 30,-i: NEW MEAZIO. Personal service ...... $618, 570

Board of public welfarc: Maintenance and operation ...... 328, 652 Mrs. Frncis S. WILson, chairman, Santa Fe. Division of msternity, infancy, and 'Dr.R. 0. Brown, secretary, Santa Fe. chld hygiene...... 130, 000 Mr. A. 3. ConneD, Otci. Division of maternity, infuncy, and Mrs. B. Archibald, East Las Vegas. child hygiene, special .76,000 Mrs. aX= Nordhaus, Albuquerque. For State aid to county laboratories. 25,000 Executive heglthdficer- Total ...... 1,178,222 *G:S..Lckett,i2..,direetorofpublichealth, Santa Fe. Construction of addition to labora-

tories ...... Divismicfpretablediseases .. . 75,000

*G. S. Luckett, M. D., chief, Santa Fe. Grand total __.. 1,253,222 *2269 September 28, 1923.

Other sources of revenve: NORTH DAKOTAI Fees ffom certified transcripts of birth, death, Advisory health council: mariag certiates, approximately and Minnie J. Nielson, superintendent public i- $1,000 per annum. struetion, ex officio, Bismark. P11. Licensing laboratoIes, J. Grassick, M. D., president North Dakota Sale of rms, $4,000. Tuberculosis Association, ex officio, Grand Publications issued by health depastacut: Forks. Monthly Health News. Amne Oftedal, M. D., Fargo. Bulletin. Health Officers' Fannie Dunn Quain, M. D., Bismark. Bulletin. Vital Statistics F. E. Householder, D. D. B., Minot. Public Health Nurse' Bulletin. State health offiler: *A. A. Whittemore, M. D. NORTH CAROLINA. Child hygiene and public health nursingh Louisa E. Boutelle, M. D., diretor. Board of health: J. Howell Way, M. D., president, WaynesviUe. Editfi Olson, R. N., assistant. Richard H. Lewis, M. D., LL.D., Raleigh. Bureau of venereal diseases: F. R. Smyth, M. D., surgeon U. S. P. H. Thomas E. Anderson, M. D., Statesville. S. A. J. Crowell, M. D., Charlotte. (Reserve), director, Bismark. Chas. O'H. LAughinghouse, M. D., Greenville. Appropriations for biennial period end- B. J. Tucker, D. D. S., Roxbro. ing June 30, 1925: Cyrus Thompsn, M. D., Jacksonville. Salaries- D. A. Stanton, M. D., High Point. State health officer-... per year.. 13,600.00 James P. Stowe, Ph. G., Charlotte. Cliniea assistant ...... do.... 2,400.00 Executive health offleer: *W. S. Rankl M. D., secretary State board of July 1,1923, to June 30, 3,000.00 health and State health officer, Raleigh. 1924... July 1, 1924, to June 30, 1925..... 2,750. 00 Assistant secetary: Maternity and child hygiene *G. M. Cooper, M. D., Raleigh. per year .... 1,000.00 Assistant to the secretary: Independent of State board of *Ronald B. Wilson, Raleigh. health- Laboratory of hygiene: Donation to North Dakota Tuber- *C. A. Shore, M. D., director, Raleigh. oulosis Associatlon.. .peryear.. 5,000.00 Deputy State registrar. Appropriation for venereal dis- *F. M. Register, M. D., Raleigh. eae work ..... per year.. 6,274.24 Bureau of medical inspection of schools: Appropriation for public health *Roy C. Mitchlbl, M. D., Raleigh. laboratories in university of and Bureau engineering inspection: budget ..... per year.. 15,000.00 *H. E. Miller, C. B., director, Raleigh. Burau of maternity and infancy: OHIO. *K. P. B. Bonner, M. D., director, Raleigh. Bureau of county health work: Pubilo health couneil: *E. F. Long, M. D., Raleigh. John E. Monger, M. D., chairma, Columbus. Appropriations for fiscal year ending G. D. Lummis, M. D. June 30, 1924: C. 0. Probst, M. D. F. C. Croxton. of health State board (executive R. M. Calfee...... 5 46,140.34 ofBce) James E. Bauman, secretary. Vital statistics ...... -0, OO 00 Executive health officer: Laboratory of hygiene ...... 75,000.00 Johr E. Monger, M. D., director of health, School inspection ...... 60,000.00 Columbus. County health work ...... 121,600.00 Assistant director of health: Epidemiology ...... 00 *James E. Bauman. Venereal disease control work...... 3 Division of administration: Maternity and infancy ...... 22,259.66 *James E. Baulman, chief. Engineering aiid inspection ...... 50,000.00 *C. A. Orrison, chief clerk.

Total ...... 425,000.00 Bureau of publcity- *Paul Mason, director. of revenue: Other sources Division of communicable dise3ses: International Icalth Board ...... 10,000.00 *Frank G. Boudreau, M. D., chief. Federal Government ...... 32,706.63 *E. J. Schwartz, M. D., ohief epidemiologist. for health work... 00 Counties, county 150,000. Bureau of venereal diseases: the Fees paid laboratory ...... 23,000.00 *C. P. Robbins, M. D., chief. Publications issued by health department: Bureau of trachoma clinics- Monthly Bulletin. *R. B. Tate, M. D., chie!. Special bulletins. Bureau of local health organization- Biennial Report. *E. R. Shafer, M. D., chief. ohez 28, 1923. 2270

Division of saniyw 'eV Appropriations for fiscal yew ed*Uf inm *W. H. Dittoe, chief. Bureau of plumbing inspeeton- Coniagent fuzd-mnitary m -neer-

*A. A. Manchester, obhie. ing ...... 1800.00 Division of laboratories: Salary, 4 supervusrs, $2,410 - *Fred Berry, cef. annum ...... *S0. 00 Diviso ot vital statistics: Hola and trveling expems, 4 s*s-

*Irvin C. Plummer, chief. visors ...... _._. 4o0. Division of hygiene: Salaries, 8 inspectors, $1,800 each pwr *R. G. Leland, Mf. D., cW. annum ...... 14K40. 00 Bureau of tuberuloss- Contingent i _

*J. A. Frank, M. D., ohie. tion ...... 14,400.00 Bureau of ehild hyglens- Salary of registr.. 2,40.00 Salary of assistant registrar ...... 1,800.00 Bureau of hspltaLs- Salaries, 3 statistical clerks, $1,500 *James A. Wds, ebi. ach. 4_,M00 ,0 Division of public heath nursing- Contingent-vital statistics...... - 8000 *V. Leta Lortmer, R. N., ohief. Contingent-bureau of cotrol epi- Division of inidustrial bygienw 15,00 *Nelson C. Dysa, M. D., ehief. . eau- sdirit ti bio- 00 Appropriations for fiscal year enfig Juem logics .... _ 3, 30, 1924: Contiget-bureau of vedaldw is-

, S178,420 eases .2_0,090.00

...... _ .... 128,051 Bureau of visld wefare ..... 21,370.52 State aid for health districts 225,000 OREGON. otal ...... 531,471 Publeationssed by health department: Board of health: Monthly public be}th journal. J. H. Rosenberg, M. D., preident, Prineville. George E. Houck, M. D., vice president, OKLAROMA. Roseburg. Executive health officer: Frederick D. Stricker, IL D., secretary and *A. E3 Dav.upet, Statebealth ecmissioner, State health offic, Portland.

C. J. Smith, If. D., Portland. Assistant 8tate c W. B. Morse, If. D., Salem. .' P. FaIn., Oahoma C. M. Bawbee, 1 D., Portland. Chemist: W. T. Phy, AL D., Hot Lake. *L. K. Cecil, Oekhou. Executive heal officer: Baetisrlogisk * F!re e D. Strlcke, I D, sectary and *Jennie Cecil, Oklahoma. Stato health officer, Portland. Sanitary engineer: Assistant State health officer: *H. J. Darcey, Oklahoma. *H. S. Capps, I. D., Portland. Director of publicity: Register of vital statistics: Oaheam. *G. Eseris, *Frederick D. Stricker, I. D., Portland. Bureau of vital statistics: Division child hygiene and publlc health nurslng *Antoinette Sebastian, Ok . *Estella Ford Warner, M. D., chiee, Portland. Appropriations for fiscal year ending T2em Director laboratory: 30, 1925: *Wm. Levin, D. P. H., Portland. Salary of commissonr of heath. $3,00. 00 Appropriati for fiscal year ending Deember 31, Salary of assistant com3isrioner of 40,000. heth. .2,400.00 Publications issued by bealth d ata chief clerk Salary of .1,800.00 Annal report Salary of bookkeeper.. 2,00.0 Biennial report. Salaries, 3 stenographers (1 at S1,809, Quarterly bulltin. 1 at S1,500, 1 at i,)0 .4, 00. 00 Pamphlets and posters. Contingent fund-administrutive.... 10,000.00 Weekly letter. Salary of director of pubEcity 2,400.00 Salary of stenographer 1, . 00 rPENNSYLVANIA Contingent fund- public health edu-

cation .1,0. 1 Department of health: Salary of State chemist .3,000.00 Advisory board- Salary of assistant State chemist. 2,400.00 Edgar Kf Green, M. D., Eastmn.

Salary of bacteriologist...... 3,000.00 A. A. Cairns, M. D.,City Hall, Philadelphia.

Salary of assistant bacterodgist ...... 2,400.00 Samuel R. Haythorn, M. D., Pittsburgh. Salary of record elerk .. ... 1,800,00 RHowrd C. Frontz, Mf. D., Humttngdee.

Contingent fund-Laboratory ..... 10,000.00 Lewis Taylor, M. D., Wilkes-Bure.

Salary of engineer ..... 3,000.00 Charles F. Mebus, C. E., Phildelphia. 2271 Septenber 28, 192&

Department of halth-Contlnued. PHILPPINE ISAND. Executive health offtcer- Council of hygiene, advisory board to the director , srtary of helth. of health: *Wlliam 0. Turmbul, M. D., deputy Ferando Calderon, M. D., president, Manila. s tary of health. Leoncio Lopez Rizal, M. D., soetary, Manila. Bureau of communicable diseases- Gervaslo Ocampo, M. D., Manila. q. Moore Campbell, M. D., Harrisburg- 1oad Albert, M. D., Manila. Division of epidemiology- Benito Valdez, M. D., Manila. *J. moor Campbel, M. D., Harris- Eulogio P. Revilla, LL. B., Mnila. burg. Tomas Earnshaw, Manila. Division of tubrculosis- EXecutive health officer: Harris- *John D. Donndly, M. D., *Vlceata de Jesus, M. D., dietor of bealth, burg. Division of genito-urinary cics- Asistant director of health: *Zdgar S. Everhart, M. D., Le- *Salvador V. del Rosario, M. D., Mila. moyne. Division of provincial sanitation: Division of restaurant hyglene- *Jacobo Fajardo, M. D., phef, Manla. *Jeln M. Delaney, chief, Harris- Division of Manilasanitation: burg. *Andres Catanjal, M. D., chief, Manila. Bureau of vital statistics- Office of statistics and epidemioogy: *Wilmer R. Batt, M. D., Harrisburg. *Manuel Gomes, M. D., chief, Manila. Bureau of engineering- Office of health education: W. L. Stevenson, chief engineer, -Harris- *Jos6 P. Bantug, M. D., chief, Manila. burg- Office of public heat nursing: Division of sanitary engineering- *Carmen R. Leogardo, B. N., chief, Mania. H. E. Maim, Harrisburg. Clerical office: Division of housing- *Mamerto Tianco, chief, Manla. H. F. Bronson, Harrisburg. OMffee of property: Division of milk oontrol. *Generoso S. Quintero, chief, Manila. E. Camp Hill. Ralph Irwin, Office of sanitay engineering: Buteau of tuberculosissanatoria- *Manuel Mafosa, C. B., chief, M la. Mont Alto Sanatorium- Appropriations for fscal year ending Dec. 31, 1923: *Royal H. MccCutcheon, M. D., Mont Salaries and wages...... 3,".00 Alto. Miwollaneous expe s...... 827,372.50 Cresson.Sanatorium- Aid to specially erganed Pro. EThos. H. A. Stites, M. D., Cresson. vies ...... 23,40.00 Hamburg Sanatorium- Apppriation for the treatment M. *Henry A. Gorman, D., Hamburg. 00 of segrgated lepers ...... 125,000. Bureau of child health- School of Nursing in Baguio ...... 3,600.00 *J. Bruce McCreary, M. D., Shippensburg- 1,583,111.50 Pre-schooldivision- Total ...... *Mary Riggs Noble, M. D., Harris- Publications issued by the health service: burg. Daily news bulletin. School division- Monthly bulletin. *J. Bruce McCreary, M. D., Ship- Annual report pensburg. Occasional pamphlets. Dental division- PORTO RICO. *C. J. Hoilister, D. D. S., Harris- burg. Insular board of health: Bureau of finance- Pedro Gutierrez Igaravidez, M. D., president, *Clinton T. Williams, Harrisburg- San Juan. Division of accounts- *Josd Lugo Vifia, M. D., secretary, San Juan. *Clinton T. Williams, Harrisburg. W. A. Glines, M. D., San Juan. Division of purchases- Angel M. Pesquera, pharmacist, San Juan. *Charles H. Clappier, Jr., Harris- Charles Hartzell, attorney, San Juan. burg. Josd S. Diaz, M. D., San Juan. Division of supplies- Josd S. Belaval, M. D., San Juan. *Roy Miller, Harrisburg. G. A. Ramirez de Arellane, engineer, San Juan. Division of laboratories- Executive health offlcers: *John L. Laird, M. D., Philadelphia. *Pedro N. Ortis, M. D., commissioner of Division of nursing- health, San Juan. *Alice M. O'Halloran, R. N., Harrisburg. *A. Fernds Isern, M. D., assistant commissioner Division of public health education- of health, San Juan. *William C. Miller, M. D., Harrisburg. Division of property and accounts: Division of drug control- *Abelardo Santiago. chief, San Juan. *James N. Lightner, LAncaster. Division of sanitary engineering: Division of newspapers- *G. A. Ramirez de Arelsano, sanitary engineer, *Lida R. Beckwith, Harrisburg. San Juan. Bevto nbe 28, ItN 2272

Bacterololsh bwaey S80 CAROMi *Pablo MNa& 040., M. D,, dire8c, Sen Executive comitte, board of health: Juan. Robet Wgson,jr., M. D.,alrman,Cideston. R. A. Mlarsh, M. D., Eddd. *!. del Valle Srraa, chmist, director, San C. C. Gambrell, M. V., Juan. Abbevflle. E. A. Hines, M.D., Senec Division of lsl dies and statcs: W. R. Wallace, M. D., Chestu *M. 0. de la Rosa, N. D., chief, San Juan William.Egleto, W. D., Etsvlle. Appropriatios for each of the scal S. C. Calder, Ph. G., Greenville. years eDg June 3Q, 1924, and June W. M. Lester, M. D., Codumbia. 30, 1925: . Samuel M. Wolfe, atorey gneral, Columbia Offlce of the com oner of WaIter E. Duncan, comptoler general, Co. heal ...... 25483. 50 Leper colony .33,150.23 Iumbh.n Quarantine hospital. 14,185.00 Executive health officer: Antituberculosls sanatorium of James A. Rayne, N. D., State health officer, Columbia. Port Rico. 194,171.90 Department otcounty health unit: BUlndasylum.. 51,71.OO *L. A. Riser, M. D., Co[ubia. Insular isae asy --m... -.1- 5, Education and maintenance of Bureau of child hygiene and supervisor of publio health mzrsing poor deaf-and dumb chdren... 1,200.00 *Ifss Ada Taylor Graham, R. N., Columbia. Care of tuberculosis patients in the sanatorium at Ponce under the Bureau of venereal disoases: *James A. Hayne, M1 D., Columbia. control of the departent of Laboratory dopartmeat: health.. . 2,0. M *H. M. Smith, M. D., in charg, Columbia. Control and prevention of tuberculosis.... M0.0o *E. R. Cain, chiefbacteriologst, Coumbia. Bureau of vital For the contro and prevention of statistics: *C: W. Miller, Columbia. venereal diseases ...... 12, 00 and Bures of seekl wefare ..,000. 00 Bacteriologist chemist:. Extermination of and F. L. Parker, jr., M. D., Ph. D., Columbia. South Carolina Sanatorium: *Ernest Cooper, M. D., superintendent, Colum. bia. Epidemiologist:

Control nd Ofinar- *A. H. Hayden, N. D., sba. Sanitary engineer. *E. L. Filby, C. E., Columbia. Ste hotel hispector: 'Ad of etel-4 4 ,00. 00 *J. H. Woodward, Columbia.

Grls'charity school .. S, 941.75 Appropriations for fsca year ending

)ya' cihaty .h..l. . 120,392a60 Dee. 31,1923:

Administrative office ...... $49,489.30 Tota ...... , 9.o00 I3%,f Bureau of child hygienel.. 000.

RHODE LSLAND. Bureau of vital staistics .... 7,390.00

Board of health: Maternity-Infancy work .... 6,.00 R. Morton Smith, M. D., president, Riverpoint Laboratory.. 11,500.oo

Thomas J. e t,M D., vice president, Bureau ao rural saiton...... 19,247.90 Woonsocket. Malaria coopative work ...... 14,700.00 anr Tuberculosis B. Br*g, M. ., Ashaway. sanatoria...... ,--_ 54,85.00 Norman M. MacLeod, M. D., Newpoirt Hotel .....i...... 5,190.00 William F. M. Britoil. Willas, D., Total .177,572.20 Joseph M Bennett, M. Providen. D., Publications issued by health department: V. S. Budlog, M. D., Prvkidelce. Annual report. Executive heal offcer: Bulletins of various earents. *B. U. Richazds, U. D., socretay State board of halth and State riista, statehouse, SOUTH DAKOTA. Pathologist: Board of health: 3. W. Freeman, M. D., president, Lead. Les A. Round, Ph. D., Providece. R. D. Alway, M. D., vice prsident, Aberdeen. Chemist: J. Howard M. IHur. Stephen De M. Gage, Providene Smith, D., H. R. Kenaston, M. D., Bonesteel. Appropriations for 11 moaths ending Park B. M. Nov. 1923: Jenkins, D., superintendent, Wau- 30, bay. Executive department ...... 2,882. 75 Executive health ofer: Chemical laboratory ...... 15,397.28 *Park B. Zenklus, N. D., superintendent and Pathological laboratory .... 16,02. 49 executive officer, Waubay. Child-welfare division .. .. 00 16,500. Division of vital statdcsls:

Total .... 71,562.52 Swepteber26, S.

Division of preventable dseaso Other sources of reveane *ftrk B. *ekim, K. D., deeter. ama Halth Board, rua sattion, Division of child hygleae $3Z200. *Clara Edna Hayes, M. V., dIreto. United States Department of Labor, matenity *OM PI"e"e Walker, B. I., mnr ver Of and ch welfare, 0,0O0Q public health nursng. United States Public ealth Service, vene Division of sea:ry dise control, $,2211.50. *A. H. Wieters, director. International HealthBoard, coopetion in ma- Division of education end pubiety: lmaneentei;AmieanRedCros,eoopertben M. C. Haecker, director. in nursing service; United State Public Division of medIcal be Heaslt Srvice, n matwrs con- H. R. Kenaston, M. D., dketr. t; indiviual cuties nd ciies in State, Divisioa ofrecords and aouats: c-eperate in malaria control, mral sani- *Edna JenkLins, director. taion, and matriy and chfid welam State laboratories at Vermilio TEXAS& *J. C. Ohlmacher, M. D., director. Bard of heaith. Approprition for the foa yoars 1923-24 and 194-25.: M. F. Bledao, M. D., Port Arthur. 1923-24 1994-25 Thomas B. Fisher, Mf. D., Ddfae ,~~ . ~~~~...... ,a ... 3, 200 A. C. Scott, M. D., Temple. Admnsrto, vtlsab W. H. Holland, M. D., Santa Aim. -ties, iatar A. F. Beverly, M. D., Austin. Frank Paschal, M. D., San Antonio. chi _lYg ..... 176..0.. 17,600 Eduatl and puicity.... 5, SW 5,500 Exeutlvehealth offioer:

MedUaicensa ...... 10. 1,000 State health ofer. Reoords and ascouats3...... 3, 3,000 Burea of labortory: Ms Bottle Lee Biolog produts ...... 250 2,500 Hampi dwtor, Aun. Geneal 4, 0K 4,000 Bureau of rural sanitation: P. D., director, Prewaitablo-diaease...a .. 4.0.. 4,000 Abek HaIson, M. Au%in. Septe appropsiatiAl f Bureau of vital statistffs:. *Robert A. Tate, M. D., Austin (in chl hygien.10,0a-0 10,000 ehug.). Bueu of _ bmiidtle dfiossm-B Total ...... 8... 0. 0,800 Robert A. Tate, M. D., direotor, Austn. TENNESSEE. Bureau of venereal diseas: Austin. Departit of rbl's heh: *J. B. Ba", M. D., dir4etor, 0C. B. Crittenden, IL B., oner, Bureau of food and drugs: Nashvfe. W. W. Battt% P. B. D., dretr, . Division of vital statistics Bureau of child hygioc *J. B. Bond, M. D., superintendent, Nashville. *H. (lst, N. D., director, Austin. Division of rural sanitatiow. *Miss Celia M. Crosse, RLN., advisy nurs, *E. L. Bishop, K. D., C. P. H., superintend- Austin. ent, Nashnlle. Lucy Hendeon, R. N., advi s, Division of laboratories: Anstin. William LAtterer, M. D., bacterioogist, Nash- *M!= Ell Yeagr, A. N., matrnity home ville. ispetor, Austin. Division of sanitary engineering; Bweauofsatstarye0geednrg *Howard R. Fullerton, director, Nashville. V. M. Ehlers, C. E., dirwbr, Austi. Divisiowof venoreal-disease controL E. G. Eggert, assistant sanitary enginer, *C. B. Crittenden, M. D., acting director. Austin. Nashville. Carl Martin, sanitarian, Austi. State supervising nurse: E. W. Steel, saitary egineer, Austin. *Miss M. G. Nisbet, R. N., Nashvio.. Appropriations for fiseal year ending Division of mateity and cld welfare Aug. 31. 1924: *Evelyn G. Chase, R. N., dictor, Nshville. General ...... $141,317.62 Appropriations for biemni-peod ending Bureau of vital statisties ...... 12,900.00 June 30, 1925: Total ...... - 154,217.62 Administration ...... $17,400 Publications issued by heniq Epidemic fund ...... 5, ooo Biennial report. Trachoma fund ...... 4,000 Quarterly health Vital statistics fund ...... 2 0...... X,8o magazie. Pamphlets, leaflets, and placrds. Sanitary engiueering fund ...... 21,800 Radio health talks. Laboratory fund ...... 29,440 Weekly newspar articles. Ruralsanation fund ...... 32,200

Maternity and child welfare fund ...... ao, o0o control fund UTAEL Venereel-dinase (exclusive Board of health., of Federal allotment amounting to Fred Stauffer, M. D., president, Salt Lake City. $2,211.50) ...... 15,571.30 T. B. Beatty, 3&. D., secretary, Salt Lake City. Total ...... 170,211.30 Joseph R. Morrell, M. D., Ogden. September 28, 19028. 2274 Board of health-Continued. ExeeutiveExecutive health offloewofficer. Mr. Valeria B. Young, Salt LAke City. *Z231102iZnWoa G. WMisms,WMims, K.U. D., State healthhalth mm-com- Carl Hopkins, Ogden. m ioner, Richmond. S. S. Burnmam, D. D. S., Salt Lake City. Assisnt health commissoner:commisdoner. Charles 3. Ullrich, C. E., Salt LAke City. *Rey K. Flannagn,sizan, M. D., Richmood.Richmond. Exeoutive health oflcer: Registrar of vittdvital statistics: *T. B. Beatty, U. D., Stat6 helth cmmnis- *W. A. Piecker, M. D., Richmond. sioner, alt Lake City. Bacteriologist: Appropriatios for biennial perod endig *A. H. Straus, Richmond. Ma. 31, 1925: SanitirySanitary englownenginr: C. E., Salaries ...... 25,70 *Richard Memr,Messer, C. B., Richmond.

Offloe expenxs ...... 5,890 Bureau of chfldchild welfm:welfre: E. M. Travd ...... 4,4W0 *Mary B. BrydQu,Brydon, M. D., director. nursing: Equipment ...... 700 PtiblicPublic health nursft:

Chld hygiee ...... 13,240 *Nann*Nannle B. Minor, R. N., dizedw.directr. TubetculadsTuberculois odumtion:education: Total ...... 49, 990 *Agnes D. Randph, R. N., diredw.director. Publications issued by health *Agnes Ran"ph, N., department: Appropriations for fteWfseal year ending Feb. Quarterly bulletin. Appropriations year 3, 1924IOU Biennial report. 28, AAdmn .ratoi...... Fiscal year ends Dec. 31. Sanitary engineering ...... 15,450 V MONT. Publicity ...... 6,400 Board of health: Publicity 6,400 Rural sanitafionsanitation ...... 25,000 F. Thomas Kidder, M. D., chairman, Wood- Malaria...... 5,000 stock. bispectionInpection of wnvietconvict camp ...... 750 William G. Ricker, M. D., St. Jbury. Laboratory ...... 15,000 Edward J. Rogers, M. D., Pittsford. Child welftrewelfare andpublic hwithhalthnurangnursng smw38,020 Executive health officer: VowrealVenereal diseamdiseases ...... 10,000lo, 000 *Chazie F. Dalton, M. D., secretary State Control of CGntrol of epidemics ...... 5,000 board of health, Buringo. 5,000 VitslVital stticsstatistics...... 19,935 Laboratory of hygiene: For collection and pubUcationpublication of war. F. M. riage *Charles Whitney, D., director, Burling- riap and divorce statistics ...... 2,8552, Prevention ton. Prevention of blindnessbUndnew ...... 2,300 Sanitay engineer: Total ...... 160,174160,14-4 J. W. Votey, C. E., Bulington. Publications kmiedkIsed by beWthhealth departmwdepartment: Sanitary inspector: Monthly baUstiiLbulletin. *Chas. A. Ravey, M. D., Budington. Biennialreport.BienniaIreport. Division of venereal disae: *Chas. A. Ravey, M. D., Burlington. WAS.GTON.WASHINGTON. Division of tuberdouls: Board of bealth:health: *H. W. Slocu, Burlington. PadPaul A. Ttaner,Turner, M. D., dirwtordirector of hoWth,health, )iviion of poliosayelitis: dWrukan.charinan. *W. L. Aycock, M. D., research, Burlington. W. W. Brand,,Brand, M. D. *Bertha E. Welsbrod, R. N., afterare, Bur- Jam H. Egan, M. D. lington. R. E. Elvim.,Elvins, M. D. Appropriations for fisoal year ending June 30, 1924: Herbert C. Lieser, M. D. Total budget, $40,000. C. B.E. Dorisy, C. E., secretary, SeattleSeattlc Executive hmlthhealth offww.offer: Other sources of revenue: *Panl*Paul A. Tamer, N. D., director of health, Private donations for study and treatment of Tamer, D., headth, Seattle. infantile paralysis. Epidemiologist: Publications itsued by health department: Epidemiologist: *A. U. Simpson, M. D., Seattle.Smttle. Quarterly bulletin. Chief of labomtory:laboratory: Biennial report. *A. U. Simpson, M. D., Seattle. VIRGINIA. Sanitary engineer: Board of health: *C. E. Dorisy, C. E., Seattle. W. M. Smith, M. D., president, Alexandria. Registrar: J. B. Fisher, M. D., secretary, Midlothian. *C. E. Dorisy, C. E., Seattle. J. T. Wilson, Richmond. Division of cbildchild hygiene: W. T. Graham, M. D., Richmond. *H. E. Coe, ebief.chief. Mrs. Chas. Hall Davis, Petersburg. *Jane Teare Doblman,Dohlman, wsistantassistant chief. John T. Daniel, Cape Charles. *Florence Struthers, supervising nurse. period ending March Isaac Peirco, M. D., Tazewell. Appropriation for biennial period ending March 31, W. F. Drewry, M. D., Petersburg. 1925: T. J. George, M. D., Stuart. OpemtionsOperations ...... $79,000, H. T. Marshall, M. D.,University of Virginia. Capital outlays ...... 1,832 Guy R. Harrison, D. D. S., Richmond. $80,832$80, 832 Hugh J. Hagan, M. D., Roanokc. DivissionDivision of child hygiene ...... 10,00010,000 M. hospitals L. T. Royster, D., Norfolk. Tubercu!osisTuberculosis hospitals ...... - 190,000 A. L. Tynes, M. D., Staunton. (State aid to local sanatoria.) er2 4I =

Executive health oSw Public health coufiell: *C. A. Harper, K. D., State health officer, W. X. Babb, M. D., president, Koyeer. Madison. L. Bureau of vital sWtists: J. Pyle, M. D., Chester. *C. A. W. T. Henshaw, M. D.,coinmiener of health, Harper, M. D., State regtrar, Madson. Charleston. Bureu of eommunleale dbeass: R. G. Camper, M. D., Weh. *H. M. Guilford, M. ID., dreo, Madin. Bureau of sanitary engineering: tY. B. Jennings, Williamson. *C. M. State V. T.-Churchman, M. D.- Charleston. Baiker, saitary engier, Madison. Tqhos. L. Harris, Parkersburg. *E. 3. Tully, chemical enginr, Madli. Executive health officer: Bureau ofedcatin: *W. T. Henshaw, X. D., commissioner of *L. W. Brldgmarr, acting directer, Madison. health, Chaclestau Bureau of child welfare and public health nursing: Divisi etsanitwy -f-g-neerhi- . *Krs. Mary P. Moran, dircto, Madhe. *EIlis S. Tisdale, director, Charleston. Bureau of nursing education: eR.C. Beekett, Cherlstoii. *Adda Eldredge, R. N., director, Madison. *00w K. Yetag, Chareton. Bureau of plumbing and domestic sanitary eio Division of vital statistics: gineerfng: *Carl F. Rayer, M. D., M. P. H., Charleston. *Frank R. King, Stat domesttc saity em Division ofchild welfre and public health nursing: gineer, Madison. - 0an T- Dillonn, . N., dictor, Charleston. Bureau of social hygiene: *Edlis K Hardsaw, R. N., field supervisor. *H. M. Guilford, M. D., director, Madison. *(?tmde H. WuestboO, R. N., p . Laboratory service: Hygienic laboratory: *W. D. Stovall, M. D, director State laborn- *Chas. E. Gabel, Ph. D., Charleston. tories, Madison. *Lucy F. Gabel, chemist, Charleston. eM. S. Nichls, cheis Stai labortr, Bureau of veneral diseases: Madison. *W. S. Robertson, M. D., director, Charleston. *}atherki Wattawa, dhietw brau&o isbra Burau ofrral sanitation: tr, Bhnladr. *M. V. Ziegler, passed asestant surgeon, U. S. *D)rothy Packard, direetorcooer e lbra, P. H. S., director, Charleston. tary, Shpero. Dbanda puble heath,ednueti: *A. H. Broche, M. D., director cooperative Ad L. Coddingtan. director. laboratory, Oshkosh. Apprpriations for- fiscal year ending Jun *Henry Miller, director cooperative laboratory, Kenosha. 0Josaphine Foote, detor fr genel use...... $0,000 cooperative labora- 8iZw of ...... 4,8W tory, Wausau. Buweau otn dbea s ...... 21,M *Ruth Kuhns, director, cooperative laboratory, Green Bay. Total .85,800 *MarioA Adson, dietor, cooptive Other sources of revenue: laboratory, Beloit. Fees for granting certificates to practice medi. Appropriations for fiscal June cine. year ending Fees from laboratory work for private individ- General admtnistation...... rOOD Expense of cooperative wort with the Fedea Emergency appropriation for e*p Government-Sheppard-Towner Act relating to demnes...... 7,50 materal and infant hygiene, $5,000. Branch laboratory and State coopera- Publications issued by health department: tive laboratories ...... 9,000 Quarterly bulletin. Prevention of infantile blindness...... 1,000 Annual report. Venereal disease controt work...... 36,370 Bureau of sanitary engineering...... 17,00 WLSCONSIN. Bureau of communieable disases...... 3, 00 Board ofhealth: Bureau of child wefre and publc Wm. F. Whyte, M.. D., president, Madison.. health nusing - ...... 23,0G L. A. Steffen, M. D., Antigo. Comfort stAtion supervision. .... _. 5,000 E. S. Hayes, M. D., Eau Cire. Licensing of embalmers, hotels and G. Windesheim, M. D., Kenosha. restaurants, plumbers, beauty par- C. A. Richards, M. D., Rhinelander. lors, nurses, and barbers ...... 57,650 Otho Fiedler, M. D., Sheboygan. Total .220,830 C. A. Harper, M. D., health officer, Madison. Publications issued by health department: *L. W. Hutchoroft, assistant State health of- Quarterly bulletn flmer, Madison. Biennia report. Sel 28,1923. 2276 Infant and maternal hygien: Louise Buford. R. N., supervisor. Board o heath: Appropriatios for biennila period ending C. Y. Beard, M. D., Cheyenne. Mar. 31, 1924: R. W. Bale, M.-D., Thermopolis. State board of health ...... $10,000 G. M. Anden, M. D., secretary and execu- Salary of eret ...... 8,000 tive offier, Cheyenne. Salary board members ...... 500 Earl E. Whedon, Sberidan. Bureauofmaterntyandlnfanthygiene. 6,000 Edw. S. lauser, ML. D., Rock Sprn. Total ...... 24,500 Exmcutve helth officer: Publications issued by health department: *G. M. Adon, K. D., State health ofacer, Biennial report. Cbeyenne. Binonthly buletin. DEATHS DURING WEK ENDED SIPTEMBER 15, 1923. Summary of information received by telegraph from industrial insurance companies for week end September 15, 1923, and corresponding week of 1922. (From tAe Weely Health Index, September 18, 1923, isud by tae Bureau of the Censu, Department of Commerce.) Week ended Corrending Sept 15, 19o. wek, 19. Policies in force ...... 54,927,298 50,560,741 Number-of death clims ...... 9,316 7,850 Death clams per 1,000 policies in force, annual rate ...... & 8 &81 Death from all causes in certain large cities of the. United States during. the week ended September 15, 1928, infant mortality, annual death rate, and comparison uith corresponding week of 1922. (From the Weekly Health Index, September 18, 1923, issued by the Bureau of the Cenlsus, Department of Commerce.)

Week ended Annual Detsudr nat Sept. 15,19. deth 1 year. mar- rate per tWecty corre- Wek we Total Death sonding ended spndneCOne- deaths. rate.1 SePt. 15, week, Set15, 1922. ii. - .~~~IW 13. * Tota...... 5,635 10.3 10.2 818 ------A.. _1 i Akr Ohio...... 18 4.5 4.5 4 3 47 Alban, N. Y.;...... 32 14.2 11.2 4 2 88 Atlanta, Ga...... 69 16.1 15.2 5 4 ...... Baltimore, Md.$...... 166 11.2 12.0 27 34 Birmingham, Ala...... 45 12.0 11.5 8 8 ...... Boston, Mass...... 141 9.5 11.5 24 37 Bridgeport, Conn...... 29 10.5 8.7 5 0 69 B lo,-N. Y...... 92 8.9 11.4 25 29 105 Cambridge Mass. 21 9.8 8.0 5 1 89 Camden,Camdn, iN'....J.'...... 21 8.8 13.3 1 7 17 Chicago, 111.8...... 496 9.0 10.2 9o 8g Cleveland, Ohio3 ...... 141 8.3 8.9 19 30 52 Columbus, Ohio...... 77 15.4 11.7 15 11 156 Dallas, Tex...... 40 11.8 11.8 7 2 Dayton, Ohio...... 29 82 10.6 6 3 ...... Denver, Colo...... 60 11.5 15.2 9 13 Des Moines, Iowa...... 16 5.9 ...... 0 Detroit, Mich...... 222 11.6 .8.460 ...... Duluth, inn...... 11 5.4 ...... i.. 0 0 Erie, Pa ...... 22 10.2 7.6 2 41 Fall River Mass.3...... 24 10.3 9.9 5 ...... 5.. 71 Flint MicA 30 13.3 ...... 7 139 Fort Worth, Tex... 18 6.5 1 Grand Rapids, Mich...... 23 8.2 84 3 2 ...... i Houston, Tex ...... 46 15.5 9.4 3 4 Indianapolis, Jnd...... 82 12.5 11.4 9 S Jacksonville, Fla...... 30 15.6 11.2 2 2 ...... Jersey City, . J...... 63 10.6 128 11 14 Kansas City, Kans...... 29 13.1 11.9 4 5 ...... 92 Kansas City, Mo...... 65 9.6 11.2 10 Los Angeles Calif...... 197 15.4 13.3 21 21 Lonlsville, ky...... 64 13.0 13.6 5 3 54 Lwell, Ma...... 16 7.2 9.6 2 8 35 2277 September 28, 1923. Deaths fro'm all cauue in certain large cities of the United States duing the week ended September 15, 19-03, infant mortality, annual death rate, and comparison with corresponding week of 1922. (From the Weeckly Hcalth Index, September 18,4.923, issued by the Bureau of the Ceneus, Depas'lmentIQf Uommerce.)-Continued.

WAkended Annual Deaths under infant Sept. 15, 1923. death 1 year. *mor- rate per talit.y City.~~ ~ ~ ~ ~ ~~cff- Week Corre- Total DM*d digended,sodn ended deaths. rate.' wek Sept. 15, week, 8 5 19. 1923. 19222.

ynn, Mass ...... 7.6...... 0 ...... 0 Memphis, Teinn...... 46 14.1 14.9 4 4 .... Mmeplis, Minn ...... 78 9.9 9.4 8 8 43 Nahil,Tenn.3...... 43 18.5 0.5 5 4 .... Nwefd, Mass ...... 22 8.8 15.9 5 16 78 New Haven, Conn ...... 48 11.6 .3 5 1 65 New Orleans La ... 12D 13.5 13.6 10 19 .... NewYork,14Y::.1,064 9.4 8.3 140 146 5 Jknc3rougk ...1------9 :6.8 -A. -12 .16 42 Brooklyn Borough...... 331 8.0 7.9 4A2 AS 46 Manhattan Borough...... 485 11.2 9.3 69' 67 do Queens Borough...... 1 -10.8 8.2 11 59 12 Richmond Borough...... - 28 11.4 -11.3 6 3 109 Newark, N.J ...... 65 7.7 8.6 13 14 61 NoflVa...... 20 6.6 1L.7 3 3 53 kInAQ Calif ...... 40 8.7 11.2 8 6 103 maa 1ebr...... 58 14.8 14.3 6 4 65 ?Fatersen, N.J...... 26 V.7. 10.6 2 6 32 ------.Pa- 368 _1(1.0. 10.3. 44. 17 10 iPittsburgh ...... a...... 443 12.2 12.6 -28 23. ?Orlns , ie...... 42 8.1) 7.5 4 2 dO4 Providence, ...... 57 -12.83 0.6 12. 3g iS

------7 iahmnd, A - 34 I.8 12.1) 8 281 Rochester, N. Y...... 63 10.3 9.7 5 12 Jo9 SLusMO ...... 190 M12.' . '21' 15 ...... 62 11.2. 10.4 47.7 SaltLakeCityUtah3...... 24 .9.9 8. .1 .2 Lean Antoni ...... 37 10.4 711.42 ... 'SauY 'ncls....C...... 12 12.5 14.o v '55)D ...... 57- 4-.4 -.4 . -44 .6 £pokane,Wash ...... ~~~~~~~~~~~21,10.5, &6 A. 2~ 12 ~~Spzingfield Mass ..~~~~~~~~... ~ 29 10.5 7.8 A .874 'Srcs,I ...... ~... 3 127 8,* V7a.oma, Weak...... 16 ...... 2 ...... 4) AT.oledQ,Obo . 44 8.5 10.2 4 11 )D Wreton N. J 2...... 7 ILl1 10.8 I8 As . UtmR ...... 18' 9.1...... '...... 654 Washington, D. C...... 86 10.2 -a2.4 14, 14 ND Wilmington, Del...... 19 8 .4 9.0 .2. 5i 41 Worccster Manss...... 34 9.2 10.8 6 a 57 Yonkers, .Y ...... 17 8.2 8. i 4 3 D Cfo...... 31 12.2 9.1 8 A5 .10 I I I I Annual rate per 1,000 population. 2'Deaths under -1 year per 1,000 births-an annual rate based on deaths under 1 year for time wee.ekAa ,esimaed bifthsfer j992. (Oitiessleft-blank are not in the registration'are-for-births. & eathslo weekondad .Friday, sept. 14,1928. PREVALENCE OF DISEASE.

No heAdlth department, State or local, can efectitely prevent or control dieaem without knowledge of when, where, and under what conditions caes are ocurring.

UNI STATES.

CURRENT STATE SUMMARIES.

These reports are preliminay and the fiure are subject to ohange when later returns are received by the State health officers

Reports for Week Ended Sept .22, 1923. ALABAMA. CALJORA. cam Cam. Cerebrospinal m ngitisni...... 1 Cerebrospinal meningitis-Los Anpgles *... 1 D engue...... 4 Diphtheria...... 18 ...... 9 "Devil's grip" ...... 42 Influenza Diphtheria ...... 68 Letharglc encephalitis: D y ste ...... 27 San Franso ...... 1 n lu e zana ...... 9 Uptand...... 1 M ...... 312 Measles ...... 285

Measles...... 68 Poliomyelitis: M umnps ...... 1 Los Angeles...... 3 P ...... e 9 Los Angeles County...... 4 Pne eni ...... 14 Ontario...... 3 Sarlet eve ...... f. 22 San Bernardino County ..1...... a llp smo x ...... 5 Scarlet fever ...... 49 Tetanus ...... 1 malpox...... 8 Tu b er uler ds ...... 29 Typhoid fever...... 16 Typhoid fever ...... 72 COLORADO. Whooping cough ...... 12 (Exclusive of Denver.) Chicken pox...... 3 Diphtheria ...... 4 Diphtheria...... 40 Pneumn ...... 1 Mea ...... 8 Scarlet fever ...... 9 Mumps ...... 10 Tuberculoids ...... 1 Pneumonia...... 1 Typhoid fever ...... 3 Scarlet fever . . 8 Tuberculosis ...... 77 ARKANSAS. Typhoid fever ...... 8 Chicken pax...... 5 Diphtheria. ; ...... 8 CONNNECTICUT. Bookworm disease ...... - 1 Cerebrospinal menineitis ...... 2 Influenza ...... 21 Chicken pox...... 1 Malaria 149 Diphthcria ...... 17 ...... Dysentery Measles ...... 22 (bacillary)...... 1 MUmps...... 110 Influenza...... 1 4 Malaria...... 4 Pellagra ...... Measles...... 5 Poliomyelitis ...... 1 Mumps...... 5 2 Scarlet fever ...... Pneumonia (lobar)...... 4 6 Smallpox ...... Poliomyelitis...... 10 Trachoma...... 1 Scarlet fever...... 24 Tuberculosis ...... 6 Tuberculosis...... 36 Typhoid fever ...... 36 Typhoid fcver...... 14 Whooping cough ...... 21 Whooping cough...... 13 78) 2279 Sepsmbw 28, 1BZ

~C ases. .v~~~~Cws Dphtheria 4 Pdllomyelitls-Whlte County ...... I 4, Masls ...... Sl rltfvar...... 9 wmonln ...... SpoI ...... 16 Sclt fever...... 7 Tuberculosi . Tobereuoas ...... Typhid ferr...... 21 5 Typhoid fer. iQWA.

FLOIIA. _60 Csbroslnal meingitis 2 Poliomyelitis...... 49 Scarlet fever ...... Diphtheria ...... _ 10 smalpox ...... 2 Inluensa ...... 7 Mharia 70 Typhoid fever.4 Peumonia 37 Priomyehis 1.. Cerebrospinal meningitis ...... Typhoid leer...17 Chicken pox ...... 2

GNORGIA. Diphtheria .4...... 1 ChAcken pox ...... Dysentery (bacillary) ...... 1

c emjunctlv ..------I (eman measles ...... 2 2 2_ Dyita ...._ ...... Ifuenz^ ...... 1

Measles ...... 2)

...... 4 ...... pS ... Pneumonia 3 .~~..... 4....3 I ...... 6 Mumpsiaia ...... Poliomyelitis

Srlet fever ...... _.. 53 Mumps.... Smallpox .1... I

Tuberculosis ...... 44 Smiet eve ...... 8 Typhoid fever .51 tic sore throat ...... I St ...... Whooping cough .46 SmapoSmallpox...2 2 LOUISINA. Tuberculosis (all forms) S 9 Typhoid fever .. 24 Dengue Typhus ever 3 Diphtheia 17 46 Whoopg cough 5 Malaria ...... Masles 7

Plneumonia ...... 3 Cuebrospinal meningitis-Iroquois County.... 1 Scarlet fever ...... 4 Diphtheria: Smallpox ...... ,...... ,

Cook County ...... l6 Tuberculosis ...... 20

Kane County ...... 9 Typhoid fcsee ...... 7...... 7 54 Scattering ...... MAI". Influenza ...... 6 Chicken pox ...... 3 Lethargic encephalitis-Cook County ...... I

...... 11 Peumo ...... 125 Diphtheria Pvamyelitis: leals ...... roni3 ..... a Cook Couny...... 11

Scarlct fever ...... 5 Du Page County ...... I I Tuberculosis .... 12 Kane County ...... Typhoid fever ...... S S W io n ty ..------I srlet lever: Whooping cough ...... 51 Cook County ...... 49 MARYIAND.1 McLean Couty ...... 6 I Scatedng 59 Cerebrospinal meningitis ...... Typhoid lever: Chicken pox ...... 7 7 Cook County. 9 Diphthria ...... 11 Peoria County .12 Dysentery ...... iniluenza Scattering.. 5... Whooping cough ...... 140 Malaria ...... I Measles .21 I AAMumps ......

...... 1 (Orebrospinal meningitis-Delaware County1... Paratyphoid fover 1 Djphtheria ...... Pellagra. Pneumonia 25 Measles ...... 25 (all forms).

Weeumokia ...... ! Wew saded rFiidlay. Septeaber 28, 1923. 2280

mARYLAND-continued. xsso-contlnued. Cases. Cam. 1 Septic sere thrrat...... 3

T ...... e . 1 Tetanus ......

Tu b ercu lo s s ...... 75 Trachoma ...... 14

Typhoid fever...... 61 Tuberculosis 44 51 Whooping cough...... Typhoid fever ...... 41 MASSACEUSLYPS. Whooping cough ...... 67 Cerebrospinal meningitis ...... 2 MONTLNA. Chicken pa...... : Diphtheria ...... 6 Conjunctivitis (suppurative)...... 4 Pollomyalitis: Diphthi ...... 137 Grat Fas...... German meales...... 3 Troy...... Iniuensa . . 2 Scarlet fever...... 5 . 2 tbargic encephalitis ...... Typhoid fever...... 9 Malia...... 1 Meles...... 35 NW JERSY.

Munps ...... 21 CerebrospinalCere.brospinal, meningitismeningiti...... -22 Ophthalmia neontorum...... 21 Chicken pox ...... 7 Pneumonia (lobar) ...... 27 Diphtheria ...... 8585. Poiombyeitis ...... 7 Diphtheria Rabs...... 1 ienzaien ...... ;.... 4 WMaria..aria...... 1 Scarlet fever ...... 75 MeswXesdw...... 25 sore throat ...... 1 Septic Pneumonia Trachoa.... 2 Pneumonia...... 22 Poliomyelitis ...... 17 Tuberculosis (al faems) ...... 115 PoliomyeliUs SartSiarW fever ...... 21 Typhoid fever...... 25 Smapox 1 Whooping coh...... 64 smapox...... fever ...... Typhoid fever ...... 21 YMCGAN. Whooping cough ...... 226

...... Diphtheria 144 MMNEW XZIUCO.MXICO. Measles...... 59 18 Pneumonia ...... 33 Diphtheria ...... Measles 6 Scarlet fever...... 136 Measles ...... 4 ...... 6 S pox...... 19 iduml)Mump?...... -1'1' 1 Tuberculosis ...... 67 roliomyclitis-AlbuquerquePoliomyclitis-Albuquerque...... 1 2 Typhoid fever .. 49 Scarlet fever...... 2 2D Whooping cough...... 67 TubereulosLsTubereulosis ...... 2 Typhoid fever...... 22 MINzSOTA. 2 Whooping cough ...... 2 Chicken pox .. 2 Diphtheria...... 88 NEW YORK. M s ...... 90 (Exclusive of New York City.) Pellagra . .1...... 4 Pneumnonia...... 3 Cerebrospinal meningitis ...... 4 107 Poliomyelitis...... 6 Diphtheria ...... 107 3 Scarlet fever ...... 223 InfitienzaInfluxenza ...... 3 6 smallpox ...... 9 IxtbargicLxthargic encephaliUsencephalitis ...... Measles 109 Tuberculosis...... 57 Measles ...... 109 51 Typhoid fever ...... 13 Pneumonia...... 51 Whooping cough...... 11 PoliomyeRti:Poliomyeliti3 ...... 12 110 SmrletScarlet fever ...... 110 MISSISSPP. I Smallpox ...... 1...... 45 fevcr 44 Diphtheria Typhcid fever ...... 44 ...... 11 Scarlet fever Whoopitig cough ...... 160. Typhoid fever ...... 15 NORTH CAROLINA. MISOURI. 13 Chicken pox...... 2 ChielcenChicken pox ...... 13 231 Diphtheria ...... 110 DiohtherisDiphtheria ...... 231 151 Epidemic sore throat ..11 Measles...... 151 81 fever Influenza . . 4 Scarlet fever...... 81 4 Measles ..22 Septic sore throat...... 4 10 Mumps.. 2 SmanpoxSmalpox ...... 10 I Trachoma ...... Ophthalmia neonatorum . . Trachoina...... 35 fever Pollomyelitis....1..1 Typhoid fever ...... 35 257 Scarlet fever . .57 Whooping cough ...... 257 .2281 September 28, 1923.

O0EGON. wASmoO-oOftluod. ca. Ca C-ioken pox....:...... M e5 a s les...... 6 Diphtheria: Mumps...... Portland ...... 9 Pne emonia ...... 2 Scattering ...... 2 PoliomyelLtis: Meases ...... 13 Pierce County...... 1 Pneumonia...... 13 Seattle...... 8earlet fever: Tacoma...... 1 Portlnd ...... - 10 Scarlet fever...... 22

Sattering ...... 5 Smallpox ...... 1

Septic sore throat ...... 2 Typhoid fever ...... 24 Smalpox...... 2 Tubercuosis...... 12 Tuberculosis ...... ,,.,,-,,,-.,,,.,,.,.1 4 Whooping cough...... 16 fever ...... 11 Typhoid WEST VIRINA. SOUTH DAKOTA. Diphtheria ...... 19 Scarlet fever...... 27 Diphtheria...... 5 Typhoid fever...... 14 Measles ...... 5 Scarlet fever ...... 19 WISCONSIN. Smalox.....- 8 Milwaukee: Tuberculosis...... 2 Chicken pox...... 2 Whooping 4 Diphtheria...... 9 cough...... German measles...... 1

I TEXAS. Measles...... 2 Mumps...... 1 Dengue...... 14 Pneumonia...... 3 Diphtheria...... 10 Scarlet fever...... 21 Dysentery...... 4 Whooping cough...... 28 measles...... 7 Scattering: Mumps...... 4 Chicken pox ...... 20 Peagra...... 2 Diphth ria...... 44 Pneumonia...... 2 German measles...... 1 Scarlet fever...... 10 Influenza...... 3 Smallpox...... 2 Measles ... : 20 Tuberculosis...... 11 Ophthalmia neonatorum ...... 1 Typhoid fever...... 8 Poliomyelitis...... 2 Whooping ...... 18 Scarlet fever...... 48 S po WASHINGTON. x...... 5 Tuberculosis...... 44 Chicken pox...... 3 Typhoid fever...... 8 Diphtheria...... 22 Whooping cough...... 58 Reports for Week Ended Sept. 15, 1923. DISTRICT OF COLUMBIA. NORTH DAKOTA. Ca"ses. Diphtheria...... 7 Chicken pox ...... I Scarlet fever...... Diphtheria...... 1 Smallpox...... 14 Measles ... 5 T,pberculosis...... 19 Pneumonia...... 2 Typhoid fever...... 3 Poliomyeitiss...... 1 Whooping cough...... 4 Scarlet fever...... 15 NEBRASKA. Tuberculosis ...... 1 Diphtheria ...... 44 Typhoid fever...... 5 Measles...... 1 Mump s ...... - - -.-.. 4 WYOMING. Pneumonia ...... 2 Poliomyelitis: Cerebrospinal meningitis-Fremont County... 1 Omaha...... 3 Chicken pox...... 2 Otoe County...... 3 Dysentery...... 1 York County...... 3. Measles...... 9 Scarlet fever...... 18 Mumps...... 1 Smsllpox...... 1 Paratyphoid fever...... 1 Tuberculosis...... - 1 Pneumonia (lobar) ...... 1 Typhoid fever ...... 2 Scarlet fever...... 5 Whooping cough...... 14 Typhoid fever...... 6 I Deaths. 591630 233 .5 28te126, 1i2S 22B SUMMARY OF CASES REPORTED MONTHLY BY STATES. 'in seowiagsumaryf aothy tte eporta pubk&shed weeky -awdo yly t saes whrh reports are eoivWd dring the eiuretwek:

Aria ...... -.-. 9 ...... 10, 1 12 3 6 AugU8t,19.

Ariwa...... 32 ... 8...... 9 6 Colorado .... 3 145 ...... 124 ...... 1 44 67

Idaho ...... 10.. 12 8 28 Inda ...... 111 18 ... 145 ....1...... 76 42 60 Louisiana ...... 9....5...... 9 4 76 30 10 2 15 7 127 Maryland.1..... 112 s18 3 198 2 128 1 75

M:a.ssachu . .setts...... 10 564 11 3 271 2 21 282 ...... 64 Milmesot...... 15 3 1 81 ...... 13 MO 43 65 NewYork.1 660 37 45 1,164 ...... 281 425 25 83 Wisconsin ...... 5211 16 ...-..- 283 9 234 31 36

ClTY REPORTS FOR WEEK ENDED SEPT. 8,1923. ANTHRAX.

city.

New Yersey a"ImleC...... M......

CE-REBROSPINAL MENINGMS. Theiniumn headed "Median for previous years" gives 4* mediaumber of cas reported dfrin te reospondin weak of the years 1915 to 1922, Inclusive. In instances in-which data for the full eight years are i tplethe median is that for the nuasber of years for which information is available.

Week ended M Weekt89ded Median Sept. 8,1923. for lran -ept. 8,1923. cit.frpeClty. ~~vious ity. for pre--_ t ViO:lS yW5. Cases. Deaths years. Cam. Deaths.

Californi0: New Jersey: B3kersrield...... 1 JerseyCtty. 0 . Los Angeles ...... 0 I 1. . New York: Pass ..... 0 I Cohoes. 0 2 1 San Diego...... 0 1 1 NewYork...... 4 1 1 lllinoiL: Yonkers ...... Y 1 ...... Chicago...... 1 1.... Pensylvanis: Maaase&nsetts: Chester .0 1 Cinmbridze . . 0 1 ...... Philadelphia ...... 0 ...... 2 New Bedford.. . 0 1...... I lrittsbnrgh...... 0 1 . Somerville.....0_. O 1 ... Wisconsin: Michigan: Kenosha-...... 0 ...... 1 Ditroit ...... 0 .1 Missouri: St. Lais ...... 1 4 2

DIPHfTERIA. See p. 2288; also Current State summaries, p. 2278, and Monthly summaries by States, above. 2283 Septimber 28, 1928

CMTY REPORTS FOR WE ENDED SEPT. 8, 1923-Continued. INFLUENZ7A.-

Cases. 0 Casm. Deats, Deaths, week wook CitrY. Week Week ended City. Week Week ended ended ended Se t 8, ended ended BeSt 8, Sep9, Sept.8, 1S. ' . 1 Sept.8, ,.

Aisbama: Massaiusetts: Birmingham...... 1 ...... Boston...... 3 California: Missouri: Long Beach...... 1...... Kansas City...... 1...... Los An'eles ...... 1 S...... t. Joseph ...... Oailand...... 1 New Jersey: Pasadena...... Long Branch...... 1 S F....n...s2rancisco1...... 1 Newark .1 4. Stockton ...... New York: Connecticut: Cohoes ...... Hartford .....1 ...... Middletown ...... 1 ...... District of Columbia: New York.4 8 Washington ...... 3 ...... Ohio:

Florida: Columbus ...... Tampa ...... 1 ...... Pcnnsylvania: Illinois: Philadelphisa.phi. 3 1 2 Chicago ...... 2 4 ...... Pittsburgh . . 2...... Louisiana: West Virginia: Baton ...... Rouge ..... Charleston ...... 1...... New Orleans...... 1 ...... Maryland: Baltimore ...... 3 I..

LEPROSY.

City. Cases. Deatbs.

Louisiana: NeNew_Orleansren ...... 2...... 1 2 .

LETHARGIC ENCEPHALITIS. Nebraskaa:

...... OTnaha ...... I

MALARIA.

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

Alabama: Kan_as: Birmingham1.15.. TopelcaTo .peka...... 1...... 1 Montgomery. 6 ...... Louisiana: Tuscaloosa .2 ...... New Orleans 1 1 Arkansas: Marvland: ...... Little Rock. 2 ...... haltimore Connecticut: Michigan: ...... 1....1 New Britain .1 ...... Benton . Harbor ...... Flcrida: New Jersey: Tampa ...... 1 Nowari ...... 1 Georgia: New York: Brunswick .1 ...... Nevw York...... 2 Macon.. 6 ...... Ohio: Savannah .1 ...... Cleveland ...... 1 . Illhnofiz: Tenne3see: Cbicago ...... 1 Memphis...... ; 14 Depembe 28, 12& 284

CIAY REPORTS FOR WEEK ENDED S3P. at 1m-0ontinued.

See p. 2288; also Current State stummaies, p. 2278, and Monthly summaries by State4 p. 2282. PELLAGEL&

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

Georgia: Pennsylvania: Atlanta ...... Philadelphia ...... 1 New Mexico: South Carolna: Albuquerque .. I1 Charleston ...... 3 North Carolna: Columbia ...... 3 Greensboro...... 2 Texas: Houston ...... 1

PNEUMONIA (ALL FORMS).

_ 7 I~~~~~~~~~~~~~~~ ~ ~ ~~~ Alabama: Massachusetts-Continued. Birmigham ...... i. 7 Somervillo ...... 2 ...... Mobile ..... 1...... Sprigield...... 1 California: Winchester...... Eureka...... Worcester...... 3 Long Beach...... 1 Michigan: .._~~~~~~ ...... Los Angeles...... 6 Alpensa ...... 1 Oalland...... Dretroit ...... 21 .i3 Richmond...... 1 Flint...... 1 Riverside...... Grand Rapida ...... Sacramento ...... a Highland Park...... 1 San Bernardino...... 1 Kalamazoo...... I San Diego.:-,,..... I Pontiac...... San Francisco...... 3 Minnrsota: 1 1 Santa Ana...... Faribault...... Stockton...... 1 Mflelasolis...... Colorado: St. Paul . 2 Denver...... 3 Missouri: Connecticut: Kansas City...... 7 6 New Britain...... St. Joseph...... 1 New Haven..: ...... Montana- Dirict of Columbia: Great Falls.. Washington...... 8 Nebraska: Florida: Omasha...... Tampa 0 New Hampshire: Georgia: Keeine ......

Atlanta .... . 11 MaRnchester......

Savannah ...... 3 New Jersey: Illinois: Camden ...... 2 Bloomington ...... Elizabeth...... 2 58 23 Hackensack...... Chicago...... 2 Decatur ...... i. 1 Kearnv...... 2 Evanston ...... i Morristown...... Jacksonville ...... ''''''''' Newark ...... 17

...... i. 3 P asaic . Peoria ...... i.. 1 Quiny ...... Paterson......

Springfield...... Perth Amboy ...... Indiana: Trenton ...... 7 East Chicago...... 1 New Mexico: Indianapolis...... 4 Albuquerque . South Bend...... 1 New York: Terre Haute .. 1 Albany...... 2 Kansas: Buffalo..------9 'Vichita...... 1 Jamestown . Kentucky: Middletown ...... 1 Louislle ...... 7] New York...... 96 Louisiana: Rochester. New Orleans...... 6 Rome ...... 16 Marylnd: Syracuse.------3 1 Baltimore...... 21 Trovy...... Massaehusetts: Yonikers. 1'''''''i' 1 Boston ...... I 4 North Carolina: 74 Brookline...... I ...... Greensbmoro...... Chelsea...... Winston-Salem...... Evcrett...... 2 ...... Ohio: 1 Framingham...... 2 Ashtabula ...... Haverhill...... 1 Barberton ......

Loxwell ...... I Canton ......

New Bedford...... 2...... Cijicinnati ...... Newton...... 1 Cleveland . 19 Pittsfield...... 1...... Columbus ...... i . Salem...... I...... Dayon.. 2285 September 28, 192. CITY REPORTS IFOR WEEK ENDED SEPT. -8, 1928--Continued. PNEUMONIA (ALL FO13 8)-Continued.

City. Cas. Deaths. City. Cas. Deatbs.

Ohio-Continued. Texs: East Youngstown1...... ElPaso...... 3 1 Kenmore...... 1 Galveston...... 2 Niles ...... 2 Houston ...... I Toledo...... 2 San Antonio...... 3 Youngstown...... 1 Utah: Zanesilo...... 2 Salt Lake City...... Oklahoma: Virginia: Oklahoma ...... 2 Lynchburg...... 2 Oreon: Norfolk.. I Portland ...... 3 Richmond...... 2 Pennsylvania: West Vlr¢inia: Philadelphia. 27 19 Huntgton ...... 2 ...... 20 ...... I Rhode g1Wscoosii:

Providence ...... 3 Kenosha...... South Carolina: Madison ...... 1

Columbia ...... I...... I Milwakee...... 3...... 3 South Dakota: Sioux Falls ...... 1 Tennessee: Memphis ...... Nash ille ...... 2

- .- POIUOMYELITIS (INFANTILE PARALYSIS). The column headed "Median for previous yers" gives the median number of cases reported diriig the corresponding week of the years 1915 to 1922, inc,lusive. In instances in which data for the full eight years are incomplete, the median is that for the number of years for which information is avalable.

Week cnded Week endod Cfedian Sept. 8, 1923. Median Sept. 8, 1923. for for * City. ~~~~~~~~vlouspre. ______city viouspre.______ye.rs. Cases. Deaths. ye. Cases. Deaths.

California: Minnesot3: Los Angele ...... 0 1 1 Dnluth ...... 0 3 . Connectinut: Nebraska: Meriden.0.... , 1 Omaha ...... 0 5 3 New Halven ...... 0 1...... Ne.v JerseY: District of Columbia: East Orange ...... 1 . Washington ...... 0 1 ...... Newark...... 0 2 .: Illinois: Ne'w York: Bloomington ...... 0 1 1 New York ...... 4 32 . Chicago ...... 3 8 Schenectady...... 0 1 . Elgin ...... 0 2 ... §.r.cse...... 0 2 .

Iowra: Yonkers ...... O 1 .... Council Bluffs ...... 0 6 . Ohio: Marshalltown ...... O 2 . Akron ...... 0 2 . Kansas: Cleveland ...... 1 1 . Topeka.0------O 4 .-.-. Col*umbus ...... 0 1. Maine: Pennsylvania: Portland ...... 0 1. Philadelphia ...... 0 2 . MassachusAtls: rPittsburgh. 1 1...... Boston...... 2 2 2 Wilkes-Barre ...... 0 4 . Braintree ...... 0 1 ...... Was'alin-ton: Leominster ...... 0 1 Seattle ...... 0 2...... Lowell.0 1 ...... OWisconsin: Milwaukee ...... 1 .

RABIES IN ANIMALS.

City. Cases. City. Cases.

California: Missouri: Los Angeles .13 Kansas City ...... 2 Kansas: New Jersey: Lawrence .1 East Orange ...... 2 Kentucky: Tennessee: Owensboro .1 Memphis ...... 1 Massachusetts: Malden .1 &pemAk- S.2- cm wR rs iPo Wuu EMwED SEPT. uX2m-o-ti.W.e SCARLET F ER. See p. 22; also Current 8ate summariees, p 2278, and Monthly mares by States, p. 2282. SMALLPOX. The column headed "Median for presles years" gives the median number of tcas reported durin the corresponding wek of the years 191 to 1922, aclusive. In insta in wbih data for the fwull eityears are incomplete, the median is that for the number of years for whieh informatia is available.

Week ended Week ended Sept. 8, pMader I 8, 1921 City.Ciyat.|fore | 1923. Sept. years. Cases. Deaths. years. Cases. Deaths.

California: Missouri: LosAngeles ...... 0 1 ...... St. Louis...... 02. San Diego.0 1...... New York: Connecticut: Niagara Fallss. 1. New Haven ...... 0 1. Ohio: District of Columnbia Clevend.0 1. WasXhsngton ...... 0 1 ..... ZanesviUle...... 01. Illinois: Oklahoma: Chico ...... 0 1 ...... Tulsa...... 0 1. Decatur ...... 0 Vermont: Springfield ...... 01 3...... B...... urlington ...... 01. Indiana: Virginia: lokesno .0...... RoanokeO.1...... 1 .. Muncie...... O 0 6...... Washington: Iowa: Everett ..0 1...... Davenprt ...... (..... 4...... Seattle ...... 0 2 O.. Sioux City . . Q 1 ...... Spokane ...... O 0 1 .-_. Michigan: Tacoma ..0 1...... Grand Rapids ...... 2. Yakema ...... 0 1 . Holland...... 0 1.... Wisconsinu Jackson . . 0 1.. . Janeiville ...... 1...... Minnesota: Kenosha.0 4 ...... ibb . .. . 0 1...... Superior ...... 0...... 7 Minneapolis .. 2 1......

St...... I ......

TERTANUS.

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

Calitornia: Maryland: San Diego ...... 1 1 Baltimore ...... 1 Conmecticut: Minncseta: Bristol ...... 1 St. Paul...... 2

Hartford ....1 ...... Missouri: New Haven...... I ..... St. Louis.2 2 Ilinois: North Carolina: Chicago...... 6 3 .Rliah...... 1 Indiana: Texas: East Chicago ...... 1 El Paso ...... 1 Iowa:- Dubuque ......

TUBERCULOSIS. See p. 2288; also Current State summanries, p. 2a78. GlB87 .eptember 28, 1923. CITYIREPORTS FOR W KENDED SEPT. ,1928-Continued. TYPHOID FKVDL The eolumn haded "Meian for previous years" gives the median number of ce reported during the corresponding week of the yeas 1915 to 1922, inclusive. In instanes in which data for the full eight years are compte, the median is that for the number of years for which information Is available.

Week ended Week ended City [orpro-viGls Sept. 8,1923. for Sept. 8,1923.'ets y Cases. Deaths. yeas. Cases. Death .1~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Alabam&' Michign-.Continued. Bi ngham...... 4 7 Fit...... 4 3 Moble...... 2 1 s*o***@ Highland Park...... 0 1 Montgomery...... 0 4 1 Tuscaloosa...... 0 1 @****X6 Duluth...... 0 1 Arkansase Min apolis...... 1 6 Little Rock...... 2 2 o*ov@@@e St. Pal...... 1 2 1.... Catfornia: Missouri: 4 Los Ange ...... 4 Kansas City...... 2 3 Oak d ...... 1 1 o@@X**v St. Louis...... 10 . 9 ..... Sacramento...... 1 1 ovvo6e@* Springfield...... 0 ...... San BerndIno...... 0 1 v****Xo Montana: Ban Frain o...... 1 1 o99@**v Missula...... 0 Colorado: New Jersey: 5 3 Denver...... *vv@@ Bayonne...... 0 1 Connecticut: Bloomfield...... 0 1 Bridgeport...... 1 1 @***@vv Camden...... 3 2 Manchester...... 0 1 *vvv*v East Orange...... 0 1 ford...... 0 1 *v*v*v@@ Elizabeth...... 0 1 New Btitain...... 0 1 ***v***e Newarkl...... 3 2 New Haven...... 3 1 Trenton...... 0 1 New London...... 0 1 v@@@@@@ New Mexico: District of Columbia: Albuquerque...... 3 1 Washington...... 5 2 New York: Georgia: Albany...... 1 2 0 1 AIbany...... Amsterdam...... 1 Atlanta...... 3 2 ...... Buffalo...... 4 3 0 3 August...... 0 1 Macon...... 1 1 Ithaca.... . 1 ...... Lockport...... 0 1 Savannah...... 1 1 ...... New York...... 54 .51 Ilinois: Rochester...... 1 5 0 1 ...... Alton...... 2 1 Chicaeo...... 14 12 1 Syrracuse...... Watertawn...... 0 1 1 2 Decatur...... Yonkers...... 1 1 Elgin...... 0 1 ...... North Carolina: 0 1 Peoria...... Greensboro...... 0 2 0 2 Springfield...... Raleigh ...... 0 Indiana: WinstonSalem...... 4 1 East Chicago...... 0 1 ...... North Dakota: Hanmond...... 1 1 ...... 0 1 Huntington...... 0 1 ...... Fargo...... Indianapois...... 3 1 ...... Ohio: Iowa: Akron...... 2 3 0 1 Marshalltown...... 0 1 ...... Barberton...... Buvcrus...... 0 1 Sioux City...... 0 2 ...... 2 Kansas: Cincinnati...... 2 1 5 27 CdRlezvill...... 1 1 ...... Cleveland...... Columbus...... 3 3 Hutchinson...... 1 2 ...... 1 Kansas City...... 0 3 ...... Dayton ...... 14 Kenmore...... 0 Wichita...... 3 2 - ---r Kentucky: Lorain ...... 0 1 ...... 0 1 Louiville...... 6 3 ...... Mansfield Owensboro ...... 1 1 ...... Middletown...... 1 6 Louisiana: Toledo...... Zanesville...... 2 New Orleans...... 6 2 ...... Maine: Oklahoma: Lewisto .n...... 0 1 ...... Oklahoma...... 1 Maryland: Tulsa...... 4 2 Baltimore...... 16 12 2 Pennsylvania: Massachusetts: Altoona...... 2 1 0 2 ...... Bethlehem...... 2 2 Beverly...... 0 1 Boston...... 6 7 ...... Bristol...... 1 Cambridge...... 0 1 1 Coatesville...... 0 1 Chelsea...... 1 1 ...... Eneri...... 0 2 Haverhlll...... 1 ...... Harrisburg...... 2 New Bedford...... 2 1 ...... Johnstown ...... 2 5 North Adams...... 0 2 ...... Lancaster...... 1 Quincy...... 0 1 ...... Philadelphia...... 12 Walthasm...... 0 1 ...... Fittsburgh...... 8 8 Michign Wilkes-Barre ...... 1 Ann Arbor...... 0 ...... Woodlawn. .2 5 1 Detroit ...... 13 1 York...... 1 W.tembe 28,1025. 2

REPORM FM WEEK ENDED 8EfT. 8, U0-Contm".

TYPrOID Evin enued.

Week ended Median Week mded Median Sept. 8, 1923. f0 pro- Sept. 8, 1923 City. foe pro- |______| City. vionPs years. Cases. Deaths . years. Cases. Deaths.

South Ca2ro-na: Virgisia-Continued. Charlkern...... 2 3 Portsmouth...... 1 0 ...... 4 ...... Columbia ...... 0 1 ..... Ridmond 4 5 Tennessee:I R oe ke 2 1 2 KnoxvWille ...... 0 3 3 'Washington: Mephis ...... 4 7 1 Everett...... 2 0. Nashville ...... 6 5 1I Seattle...... 1 .3 Texas: Spokane ...... 1...... Austin ...0.. O 30 1 Tacomaa1 ...... 1 2...... Dallas .. . 3 2 1 WestVirginia: Port Worth ...... 1 3 i Bluefield .0 3 1 GalvestoI ...... 0. 1 Chaleston...... 2 2. Houston ...... 0 1 . Clarksburg...... 1 .2 ... .. Waco ...... 1 I ...... Fairanont ..2 2 'Utah: Martisburg ...... O. 0 1 ...... 1 1 Prove ...... 0 ...... 1 . Morgantown Salt LakeCity 1...... 15 Wheeling . 0 3 2 Virginia: Wiseornsin: Lyncbburg. 2 |.S.|.|. Wausau...... 0 0 2.... Narfolk ...... 2 3.

TYPHUS FEVER.

City. Cases. Deaths.

Georgia BSa%ah...... , , ,, ..... 1 Saveesnab.~~~~~ 1 DIPHTHEIRIA, MEASLES, SCARLET FEVER, AND TUBERCULOSIS. TotalTtI|Diphtheria. MYsles. |Scailelrtfever. |Tubetr.culosis. Popula- deaths--_ C1ty. tion Jan. from a 1,'1920. all _____ caulses. ___kKL~~~~~~~~~~~~ k_S~~~1 3 Alabama: BlD iigham...... - 178, 80 62 12. 2. 3 17 8 Dothan...... 10,034 1 2 ..... 3 . 1 1...... Mobile ...... 6o, 777 15 4 ...... ----l------...... Montgomery...... 43,464 14 2 ...... 1 1 Tusealoosa...... 11,996 ... Arkansas: Fort Smith ...... 28,870 14~~~~~~~~~~~~~~~~~~~~~~~~~I 1'.''1'''''' ...... Little Rock...... 65,142 ...... _-.! 1_1-----: North Little Rock...... 14,048 21 ...... I...... Qalifornia: Alamreda...... -.- 28, 06 I...... 2 Bakersfield ...... 18,638 ...... 1...... Eureka ....-.-...-.-.-.- 12, 9023 2 4 Glendale ...... -.- 13,536 ...... 2 2 *19 433 ...... - 2 Long Beach...... 55,593 ...... 2 Los Angeles...... 576,673 --139'2 21-- 11 . x ------I 50 18 Oakland ...... 216,261 2 !----- Pasadena...... 45,3;M ...... 2 f...... Richmond...... 16, 843 ...... 1 ...... 1 Riverside ...... 19,341 ...... 4 Sacramento ...... 65,9ffi ...... 2 1.4 ...... San Bernardino ...... 18 721 ...... 2 San Diego...... 74'683 4 ...... San Francisco...... 506,676 3 ...... 9 ...... Santa Ana...... -- 15,485 123. 1 ...... Stockton ...... 19,441 ...... 1,...... Santa Barbara ...... 40, 296 ...... I ...... Vallejo...... 21,107 3 2-. ..1,...... $228 eptember 28, 12#.

XCY lWORT FOR WEE ENDED SEPT. 8, 192-contnued.

D,IPIUA. SCARLET wV3V6 AND TURRCULOASS-4Cstlnued. - ~ ~~~~~~~~ Total Diphtheria. Measles. fever. culosis.Tuber- Popula- deathsTotal __ Scarlet_ tion Ja. from aity. . . C,99 all . ..' u p u p 0 0

Coloradoc I D,,v ...... 256,491 65 6 ...... 7 12 PUb&...... 43,050 13 11 ...... I.....2 1 Trin L...... 10,906 ...... i, ...... Connectint: I.....1 ...... 143,555 28 ...... I...... 2 ...... BLxtcu: 3 Brist...... 20,620 I:: ...... I...... I.-.-.-.-: ...... Danbury (twn)...... 22,325 8 ...... F'airfiebd (town)...... 11,475 2 ...... <..... Greenwich (town)...... 22,123 ...... I ...... I...... artrd ...... 138,036 44 2...... 21i 2 Eancheter (town)..------18,370 2 ...... I...... : : Meriden (city)...... 29, 867 ...... I.. X d (t n)...... 10,193 ...... 19 New Brtai ...... 59,316 13 4 ..... 1New Have ... -.-- 162,537 35 1 . . . New London...... 25,688 10 Nerwich (City)...... 22, 304 5 ...... 21I Distrit oftCohmbia: 1 6 .1 Wa ...... 437,571 105 2 I ...... 7 11 Fnorida...... TampL...... 51,608 19 ...... Geori 21 Any...... 11, 55 ...... Atlanta...... 200,616 74 4 I 5 4 Augusta...... 52,545 22 3 ...... I.. L 3 Bnswick...... 14,413 4 #...... I ,.... MSacon,...... 52,995 ....S 6 Rome... . 13,252 ...... 1. savanh...... 83,252 30 ...... I Idaho: BoIse...... 21,393 2 Illinols: 3. Aln...... 24,682 7 ...... ,...... -.. Aurora ...... 36,397 4 ...... *------I3 ...... Bloomington...... 28,725 11 ..... 2 ...... Cetli...... 12,491 6 ...... 1...... Chicago...... 2,701,705 510 57 3 ..10..1 ..28...... 28 icero...... 44,995 4 ...... Decatur ...... 43,818 8 1...... El%n ...... 27,454 6 ...... Evanston ...... 37,234 11 ...... I .. 2 ......

Farest Park ...... 10,768 ...... Feeprt...... 6t9 ...... 1 19, 4 2... '.....-...... '...... Gsl g...... 23, 834 5 1...... J s 1...... 15 7i13 5 ...... -i Kewanee...... 16,026 3 ...... I 1 14 Balk1...... 13,050 2 ...... 1... oak Park...... 39,858 15 ...... 1--- ...... P..in...... 12,06 ...... -..-. -11...... -1.--..- --.... -- ...... Pom3a...... 76, 21 ...... Quin...... 35,978 12 Rak .;...... 35,177 4 ...... Rockord...... 65,651 5 1..2...... 1--..... Springfield...... 59,183 ...... -----.-...... ----..----I--.. ..-...... 4 Indiana: ...... Anderson...... 29,767 2 1...... 1...... 11 Crawfordsville...... 10, 139 2 ...... East Chicago...... 35,967 11 1...... 1-- --- Elwood...... 10,790 2 I ...... !...... Frankrt...... 8 11,585 ...... |I...... Gary...... 55, 3 9 ...... Hammnd ..... ; - --- 36 ON) 6 21...... 00 ...... --1 Hluntington:...... 14, 3 ...... i Indianapolis ...... 314,1A4 74 ...... 7

Kokomo...... 30,067 11 ...... 1...... I La IFayette...... 22,46 4 1...... I ogan...... 21,62 8 .....2 ...... 1 Michigan City...... 19,457 2 1-- lMishawakal...... 15,195 4 ...... 1 Muncie...... 36,324 8 ...... 1 Newcastle 14,438 3 ...... South Bend...... 70,983 13 2 1 9 3 Terre Hute...... 66,o3 23 ...... [:: September 28, 1923. 2290 CITY REPORTS FOR WEEK ENDED SEPT. 8, 192-Continued.

DIPRTHERA. MASLES, SCARIT FEVER, AND TUBEkRCULOSIS-Contlnued. DiphhraJMWs Scarlet Tuber- Total Diphtheia. . r. culods. Popula- deaths City. tion Jan. from I cau ses. +I2 I

Iowia: Burlington...... 24,067 I 6 3 ...... Coucil Bluffs...... 36,162 4 2 Davenport...... 66,727 6 1 Dubuque...... 39,141 ...... 1 Marshalltown...... 15,731 ...... 2 Muscatine...... 16,068 ...... Soiux City...... 71,227 ...... Ksnsas: 1 Coaejrvlle...... 13,452 6 ...... Foit Scott...... 10,693 3 ...... Hutchinsom...... 23,208 ...... W...... Kenais City...... 101,177 ...... 1 4 ....I.. Lawrence...... 12,46 ...... :...... i Toperka...... 50,022 7 ...... Wichita...... 72,217 23 3 ...... 2 Kentucky: Covington...... 57,121 15 21 2 Henderson...... 12,169. 1 ...... i. Louisvlle...... 234,891 85 ...... 11 Owensboro...... 17,424 ...... 1 2 ...... Paducah...... 24,735 ...... 1 ...... Louiians: New Orleans...... 387,219 124 5 22 12 Maine: Auburn...... 16,985 ...... 1 ..... I ...... Bangtor...... 25,978 ...... I ...... 1 Biddeford ...... 18, 008 ...... Lewiston...... 31,791 10 ...... I ...... 1 ...... Portl?nd...... 69,22 10 Maryland: Baltimore...... 733,826 211 8 1 4 10 33 1i 9 ...... Cumberland...... 29,837 ...... 1...... Frederick ...... 11,066 3 ...... ::... Massachusetts: Amesbury (town...... 10,06 2 ...... Arlington (town)...... 18,665 1 ...... :...... Attleboro...... 19,731 4 ...... Belmont (town)...... 10,749 2 ...... Beverly...... 22,561 4 ...... 2 ...b... Boston ...... 748,063 138 69 8 '''.i,' 17 48 10,580 ...... 1 Braintree (town)...... I Brookline...... 37,748 3 1 ...... Cambridge...... 109,694 24 6 1..i ...... 4 43, 184 3 2 ...... Chelsea...... 1* .... Chicopee...... 36,214 12 ...... l 12,979 2 1 ...... Clinton...... I Danvers...... 11,108 ...... I ...... Dedham...... 10'.92 4 ...... I ...... Easthampton ...... 11,261 ...... ''''i.' Everett...... 40,120 ...... 1 Fall 1204,5 3 ...... 2 River...... 4 ...... Framingham...... 17,033 ...... 1 .... 16,971 ...... Gardner...... 60 ...... Greenfleld...... 15,462 12 ...... I ...... i. Haverhill...... 53,884 ...... I ...... 1 Holyoke...... 60, 203 ...... 1 .i''' Lawrence...... 94.270 ...... Leominster...... 19,744 2 2 ...... -i.. well ...... 112,759 2910 ...... 2 .... Lynn ...... 99,148 16 5 1 3 lW en...... 49,108 7 4 ''''i' 2 Medford...... 39,038 4 2 ...... - Melrose...... 18,204 ...... Methuen...... 15,189 2 ...... New Bedford...... 121,217 28 ......

Newburyport...... 15,618 3 ...... Newton...... 46,054 ......

North Adams...... 22,282 ...... 1

Northbridge...... 10.174 2 ......

Peabody...... 19 552 4 1 ......

Pittsfield...... 41,763 9 1 ......

Plymouth...... 13,045 6 ...... Qumoy...... 47, 876 10 5 I ...... 2291 Septemoh, 2SK.12

.cm RoOS PO WINK ENED 8UP. & lm-Ontinued.

ASLUS C:LET VRWVUR AND IUBUCULOS SI--ContInlae

Total Diphtheria. Measles. Searlet Tuober- Popula. deaths Clty. tiomlJan. from - _ 1,.1922. all, . . ~ *

M mhusetts-Cantinued. I

e.T ...... 2. 8 2 ....1. a1 ...... 1...... MM ...... 4 ...... 1 --. . . . .I ''''.i ;wi ...... 1& I ...... 1- -. i 1 5bu'brid29...... 14,25 a ...... i gfield...... 30 ...... i I ...... 1---1 aunton ...... 37,1N 7 tII WakefieIW...... 13,025 2 It Waltham...... 30,915 3 II ...... Waertosn ...... 21,457 1 qpl ...... Webster...... 13,'258 I i,...... aa;~~...... 18,604 I1. -..- ----.1 ...... 10 486 ...... i

16. 574 4 --.. ..i-...... I Woburn...... I Wotester...... I...... 179,754 45 101 ..5 ...... 11I A -rber...... 19,shl 10 I- ..... Battle creek ...... 1 36,164 ...... I ... 2.'i' ..... L. ButmiRwberb.. 12,233 2 I...I ...... Detrcit...... SP3,678 224 21 I. '1'' ''22 '''''; PEbft ...... 91,509 28 13 I- 3 Grand Rapds...... 137,634 29 6 2 Hamtram k ...... l 14,615 a 7 I ...... Higland Park...... 11 ...... 9 Jkoc ...... 48,374 a ; ..... alam oo ...... 48,487 14 9 1----. que....e...... -. 12,718 2 I ..... Muegon ...... 1 36,574) 8 ' ' -'- ' ..... POntWa ...... 34,273 11 - --1. 10 s.ilt Ste. Marie ...... 12,10 ...... - - -.- i I'. , ......

Dulnth...... 98,917 6 1...... - ...... 5 S ...... Fribult ...... 5 ..... I11, " .. -2,i ...... Hibbing...... 15.089 ...... 1...... - - .....------...... 12,469 ...... Mineapolis ...... l 380,582 11 1----- .... 23

D cOChO -C ...... 13,722 15: .....I...... St. Cloud...... -.1 15,813 . -i...... 2...... St. PauL . 234,09 25 2 ...... 7 Winona. 19, IQ ...... I ...... I.. .. depdence ...... 4 11,186 .....4. 4-...... KantsasCity.--. V4, 410 73- 1 2.1.2...... 9 8 3 St Jose...... 77, £39 7 2 ...... 6 St. Lori...... 17-72, S97 153: 10 1 5 . 1 2 36

Springfeld ...... 30,634 it ......

nAewcnda...... 11, CA& ...... 13...... ------3llings ...... 1., ...... 100 a...... 1 .5.....------Groat Falls...... - 7...... i

Belena ...... 1 12, (- ...... - I -SSoula...-...... 12,668

NebraskaI ...... 1 .....11 ...... Lincoln ...... 10 ...... Omaha ...... 191,601 45 1

Nevada: ...... 1...... Rko ...... 12,016 New Hampshire: ......

Berlin ...... 16,104 4 3 ------11 Concord.... 22467 Dover...... 1 13,029 1 1 ------Keene...... 11 2J4O 1. 28 ------Manhea-ter ..1 78, 3D4 Nashua ----.-----... 1 2S8 379 New Jer.ney: it...... 2.....;...... 3.. Asbury Park...... 12,400 17.. -----.1o69----...... I...... Bayonne...... 76,754 I**w 3* 17 ...... ------' ------3 Bloomfield...... I 22,019 -1------'------..... Camden...... -... 116,309 3 ...... -...1...... Clifton ...... l 20,470 2.. EBast Orange...... l 50,710 10-17-i° i~~~~~~~~~~~~~~!------1---... --..-

Elizabeth ...... 957S3 ...... 1 ...... _._._... .,_...... Garfield ...... l 19,381 Hackeusack ...... U,667 Hoboken...... l 68,166 10 ...... 11...... I September 28, 1923. 2292

CITY REPORTS FOR WEEK ENDED SEPT. 8, 1928-Continued. DIPHTHERIA, MEASLES, SCARLET FEVER, AND TUBEECULW8IS-Coutlnued.

Measle. scarlet Tuber- Total Diphtheria. fever. culods. Popula- deaths I City. tioniJan. from 1, 1920. all 2 i A ______a causesi. - 1

New Jersey-Continued. I I Jersey City...... 298,198 2 .... I 3 ...... K an ...... 26 724 ...... ::...... I .,.,: .... 1 ...... 4 Long Branch...... 13,521 4 ...... 3 ...... Morristown ...... 12,548 4 ...... NewNark...... 414,524 81 ...... 19 9 Ora...... 33,268 3 1 2 ...... Pas ac...... s 63,841 12 10 .-i. 1 ...... Paterson ...... 135,875 ... 5 I.....I ...... 2 ...... Pertfl Amboy...... 41 707 2 ...... 1 ...... 1... Phli)b r...... 16'923 4 ...... I...... 1 Panll...... 27,700 4 ...... I...... 1... Summmit...... 10,174 1 ...... I......

Trenton...... 119, 24 6 ...... West Hoboken...... 40,074 1 ...... West New York...... 29,926 3 .. I.....I ...... West Orange...... 15 573 1 1 New Mexico: Albuquerque...... 15,157 14 ...... 4 New York: Albany...... 113,344 2 1 1 2 Amsterdam...... 33,524 1 3 Buffalo...... 506,775 112 15 11 10 Cohoes...... 22,987 7 ...... 1..i ...... Elmira...... 45,393 10 ...... 0 Geneva...... 14,648 ......

Glens Falls...... 16,638 4 ......

Hornell...... 15,025 0 .... Ithaca... 17 004 8 ...... Jamestown...... 38 917 12 ...... Little 4 Falls...... 13 029 20 ...... Lockport...... 21,'308 2 ...... I ...... Mount Vemnon...... 42,726 6 ...... New Yorkl...... 5,620,048 1,049 60

Nesiburgh...... 30,366 6 ...... 2 Niagara Falls...... 50' 760 7 ...... 3 ...... 6 ...... Norm Tonawanda...... 15,482 3 ...... Olean.... 20,506 2 ...... 2 .i. PeekskL...... 15.868 7 2 .! . . Rochester...... 295,750 56 4 1 2** Rome...... 26,341 11 2 2 4 ,...... Saratoga Springs...... 13,181 6 ...... 3 I8 Schenectay...... 88,723 14 1 Syracus...... 171,717 38 3 3 9 6 Try...... 72,013 19 2 1 4 2 Watertown...... 31,285 11 1 1 .i

White Plains...... 21 031 3 ...... Yonkers...... 100,176 19 North Carolina: Durham...... 21,719 6 3 2 Greensboro...... 43, 525 11 1 1 Raleigh...... 24,418 10 1 ...... 1 Rocky Mount...... 12,742 2 ...... Salisbury...... 13,884 4 ...... i.. Winston-Salem...... 48,395 14 2..i North Dakota: Fargo...... 21,961 I ...... Grand Forks...... 14,010 ...... ;...... Obio: ...... Il I....I-- i. I.....

Akron ...... 208,435 20 6 ...... 1 ...... Ashtabula...... 22,082 6...... I..... Barberton...... 18,811 ..... 1I ...... i...... Bucyrus...... 10,425 2...... 1 ...... Cambridge...... 13,104 6 ...... Canlton...... 87,091 16912 ...... Chillicothe...... 15'831 2 ...... I .i... .3 Cincinnati...... 401,247 1l1 ...... 2...... i Cleveland...... ;96,841 169 21 2..i .... 12 25 10

Cleveland ..... Heights...... 15,236 4 ...... I 2 ...... i Columbus...... 237,031 74 ...... 4 8

Dayton...... 152,559 37 ...... 2 ...... East Cleveland...... 27,292 6...... 1 ...... East Youungstown...... 11,237 2...... Findlay...... 17,021 2. I...... I...... I Ptilmonary only. 2293 Septeiubm 28. 1923.

CTY REPORTS PM WEEK EDED SEPT. 8, 1923-Contiud. DIPRTHTHERIA, ASLE SCARLET FEVER. AND .TUBERCULOSIS-Contlnued. Scarlet Tuber- fever. culosis.

Q0O _ ,_ Ohio-Continued.

Fremont...... 12,468 I ...... Lorai ...... 37,295 ...... I Mansfeld ...... I 27,824 . . I, . Martins Ferry...... 11,634 1...... Mlddletown 23,594 ....i ...... New 10 I Philadelphia...... 718 ...... i . . Newark 26, 718 ...... F ..I . . Niles...... 4 ..... 13,080 1... . . I' ......

Norwood...... 4,966 i" ...... Piqua ...... 15,044 7 ...... Salem ...... 2 .... 10,305 F, .

22,897 5 .... Sandusk...... I. . .

14 .... Springfield...... 60,840 I'I I. . . 6 Steubenville...... 28,508 ...... I...... Toledo...... 243,164 44 ff *1. I....; i 1 Youngstowii...... 132 358 40 ai, III . . 2

ZanesTill...... i2,569 11 I. L...... L ...... Oklahorra: I Oklahoma...... 91,295 18 f'isI01. 2. . . 2 .... Tulsa ...... 72,075 1...... 4i . . Oregon: I 258, 288 51 II...... Portland...... ,. I ...... Pennsylvania: 1I 1. 3.. II Altentown...... 73,502 ...... a ...... Altoona...... 60,331 ...... Amnbridge...... 12,730 ...... Beaver ...... Falls...... 12,802 ...... Berwick...... 12,181 ...... j ...... Bethlehem...... 50,358 ......

Braddock ...... 20,879 1 ...... Butler ..... 23,778 ...... , ...... Carrick ...... 10,501 1 ,...... ,...... i. Charlero ...... 11,516 ...... 1 .... 1 .....,. ..I... Chester ...... 58,030 ...... I ...... Coatesvyle...... 14,515 ...... Donora ...... 14, 131 . ..

Easton...... 33,813 1 ...... Erie ''I' ...... --.--.-.--.- 93,372 3 ,...... Farrell 1 ...... 15,583; ...... Hrisburg...... 75,917 2 ...... Hazleton ,...... 32,277 ...... 3 ...... Jeanette . 10,627 ...... Johnstown ...... 67,32Z7 3 ...... Lancaster...... -... 53,150 ...... Lebanon ...... 24,613 .... 2 Mclees Rocks ...... 16,713 8 2 I cK1eesvort...... 46,781 1 ...... 1 MeadviUc...... 14,558 1 ...... 18...... Monessen ...... 18,179 ...... Moimt Carmel...... 17,469 1 .1.. Nanticoke...... 22,611 1 ...... New Castle ...... 44,938. 1 .

Noristown ...... 32,319 ......

North Braddock... 14,928 ...... I..... Philadelphia ...... 1,823,779 385 20 1 3 8l34 Pittsbuirgh...... 588,313 160 29 2 2 ...... 14 Pittston...... 18,497 ...... 1 ...... Plymouth ...... 16,500 ...... 1 ..... !...... Punxsutas ney ... .. 10 10,311 ...... !------...... Reading ...... 107, 781 3...... 3 ...... Scranton ...... 137, 781 3 ...... Sharon ...... 21,7i7 ...... Steelton ...... 13,428 I...... 1 ...... 2 I'''''' Sunbuiry...... 15,721 .... Swissvale ...... 10,908 3..... 2 .1 ...... Tamnaqua 12,363 ...... 1----...... Washington ...... 21,480 ...... I. 1 Wilkes-Barre...... 73,833 ...... 1 ...... Wilkinsburg...... 24,403 2 1 Wil}iamsport ...... 36,198 4...... 5

Woodlawn...... 12,49.5 ...... York ...... 47,512 ,...... I. Rhode Island: 1.....----...... Cranston ...... 29,407 4 ...... Cwnberlaad (town). 10,077 ...... September 28, 1928 2294 CITY REORT FOR WEE ENDED SEPT. 8, 123-Continued.

DIP , MEASLE, SCARLT FBVER, AND TUBERCULOSIS-Continued. .~~~~~~~~ Diphtheria. Meae. scarlet Tuber- Populb deathsl. I City. ti|:Y2. dosl ecu|| * | . ______I___1,1920. jCauss.al .. _

Rhode Island-Continued. I Newpport...... 30,265 5 a ...... 1 Pawtuckett...... 64,2(8 13 .... L ...... 1 Providence ...... 237,5965 53 4 3 South Carolina: I.. Chales n...... 67 957 22 L 2 . . . . 2 .... Columbia...... 37524 24 3 . . . . a. a 4

Greeeville. 23,127 0 ...... South Dakota:

Sioux Falls...... 25,202 5 . I. Tennessee: V., Chattanoo ga...... 57,85 0 I II I..... Knoxv?ille ...... 77,818 ...... II1. C' Memphis...... 162,351 i I . 4.i 1 Nash ...... 118,342 41 I1. & 5 Texas:. 1 Austin...... 34,876 7 .....L I...... I Beaumont ...... 40,422 8 ...... I

Corpus Christi...... 10,522 2 ...... j Dallas...... 1Z8, 976 24 .....iII .... i. 1 El Paso ...... 77,560 23 ... I 5 Fort Worth ...... 19 3 ...... Galve6ton...... 44,255 8 ....9 ...... I I Houston ...... 138 276 38 San Antonio...... 161,379 50 ...... 6 Waco...... 3,500 5 ..... 1 Utah: ..... Provo...... 10,303 2 1 Salt Lake City ...... 118,110 2S ..... 1 ....*. :.....-.-...... Vermont: ..... I.....i lBurlington...... 779 4 22, ..... Virginia: 1 Alexandria...... 18,060 7 ...... Charlottesville ...... 10,688 0 ..... L.:::I .... : ...... ,....- Lynchburg...... 30,070 5 2 ...f ...... 115,777 .' Norfolk...... ' ,..... Petersburg...... 31,012 ...... Portsmouth...... 54 387 14 1 .1 Rihmo ...... ''''i ...... I d...... 171,667 40 4 1.. I ......

Roanoke...... 50,842 19 ,3 ...... 1'''i .1 ..... Seattle...... 315,312 6 2 2 33 Spokane...... 10,437 1 3 Tacoma...... 96,965 2 ..... Walla 4 .....i Walla...... Yakima ...... 18,539 .. . West Virlinia: ...... II I" Bluefeld...... 15,282 4 .... 1 ..... Charleston...... 39,608 8. 2 I Clarksburg...... 27 869 5 2 6 I...... 1- Fairmont...... 17'851 ...... Huntington...... 50,177 3 ...... Morgantown ...... 12,127 ... 1 Wheeng...... 56,208 1G1 ...... Wiscousin: 19,601 4 ...... A=d 11,334 3 ...... 1 ... .. Bloit...... 21,284 2 ...... i 2 ...... 5 ...... i...... 2 BeloiEau Claire...... 20,906 ,2.. ...2 .1...... I... Fond}Ea ClienduBa...... Lac...... 23,427 Green Bay...... I...... i ...... i...... 31,017 9...... Jauesvle...... 18,293 ...... I...... K(enosha...... 40,472 ...... Madison...... 38,378 ... 9...... 1 ...... Manitowoc...... 17 563 ''i' ...... Marinette...... 13,610 ...... 6.. 1 ...... Milwaukee...... 457,147 ...... 122 ...... 3 11 2 33, 162 Osihkoshi...... ,., ...... Racinu...... 58,59 13 2 ...... Sheboygan...... 30955 8 1 39671 1...... 3 ...... Superior...... 5 .. Wsukc-ha. 12 55S ...... 1 1...... Wausau...... 1,661 ...... West ...... S...... 13,745 ...... FOREIGN AND INSULAR.

Influenza -Iquique. During the three weeks ended August 18, 1923, 30 deaths from were at Chile. influenza reported Iquique, (Population, 40,000.)1 COLOMBIA. Yellow Fever-Bucaramanga. During the period July 30 to August 26, 1923, yellow fever was reported still present at Bucaramanga, Colombia.2 CUBA. Communicable Diseases -Iabana. Communicable diseases have been notified at Habana as follows:

Sept. l-10, 193. Rem*In- ingtmder Diseasew. treatment New SCet 10, cases. Death..

D i p h t h e r i a ...... 3 2 ; eP ...... 1 1 14 241 2 28 ...... 1 Paratyphoid fever ...... - - ...... -.-. 1 Typholdfever ...... 3 9'36 From abroad, 1. I From the interior, 14. From the interior, 11. GREAT BRITAIN. Births and Deaths-Second Quarter, 1923-Scotland.3 The tables given below were compiled from figures published in the "Quarterly Return of Births, Deaths, and Marriages Registered in Scotland During the Quarter Ending June 30, 1923," issued by the registrar general of Scotland. The followina are extracts from the Return: "Deaths registered in Scotland during the quarter numbered 16,319. * * * The quarterly death rate was 13.3 per thousand. This rate is 1.3 less than that of the previous quarter, 1.2 less than that of the second quarter of last year, 0.8 less than the mean of those of the second quarters of the preceding five years, and 1.6 less than 1 Public Health Reports, Sept. 7, 1923, p. 2105, and Sept. 14, 1923, p. 2188. 2 Public Health Reports, Mar. 23, 1923, p. 650, and subsequent issues. a Birth, death, and marriage rates in Scotland, by quarters, for 10 years, 1913 to 1922, Inclusive, and for the first quarter of 1923, were published in the Public Health Reports, vol. 38, No. 27, July 6, 1923, p. 1539. (2295) September 28, 1923. 2296 the mean of those of the second quarten of the preceding 10 years. In 1921 the death rate of the second quarter was 13.2, but with the exception of that one year, the death rate now recorded is lower than those of all previous second quarters since the institution of national registration, and that is since 1855. There are only three previous second quarters in which the death rate was less than 14 per thousand, these three being those of 1918, 1919, and 1921. * * * " Deaths of children less than 1 year old numbered 2,292, and as the births registered during the quarter numbered 29,139, these deaths equal an infant mortality rate of 79 per thousand births. * * * The infantile mortality rate is 19 less than that of the previous quarter and 22 less than that of the second quarter of last year. * * * The infantile mortality rate of the quarter is lower than in all recent second quarters -with the exception of that of 1921, when it was 76." Birth and death rates in Scotland, April to June, inclusive, 1923.

~~ I4rg~ Cut sootiand. b'u4rrg'ff-burghs.smaller ditrctts.

Births per 1,000 population ...... 23.8 25.2 21.622.9 Deaths per 1,000 population ...... 1 3 13.9 12.4 13.3 of children under 1 year per 1,000 births ...... 79.0 86 0 8.073.0

Deaths and annual death rates by cause ofdeath per 100,000 populatin in Scotland during the 8econd quarter of 1923.

Death Death Number rate per Number rate per Misease. of 100,000 Disee. of 1000ooo deaths. popu- deaths. poula- tio. -ton.

Cerbrospinal meningitis 17 1.4 Puerpal diseases-Contd. Diarrhea and enteritis (under Other diseases of the 2 yrears) ... ' 14.5...... 178. puerperalstate...... 121 9.9 Diphtheria 102 8.3 Scarle fever . 83 6.8 Dysentery. 2 .2 Smallpox ...... Erysipels. 52 4.2 Syphilis 51 4.2 Influenza: -Tetanus2#.... .2 .2 Sole cause of death 33 2.7 Tuberculosis: With pneumonia.56 4.6 Pulmonaryn. 1,16 90.0 With other dieases ...... 60 4.9 Other forms ...... '560 45.7 Lethargic encephalitis ...... 48 3.9 Typhoid fever ...... 15 1.2 Mlalaria...... 1 .1 Tvphus fever ...... 0.....O Measles .291 23.7 whooping cough 336 27.4 Pneumonia: Bright's disease.424 34.6 Lobarandunspecified 775 63.2 Cancer.1,579 128.8 Broncho. 561 45.8 Diabetes ...... 143 11.7 Poliomyelitis ...... 5 .4 Diseases of the heart. 1,757 143.4 Puerperaldiseases: All causes ...... 16,319 1,331.6 Puerperal sepsis .53 4.3

MADAGASCAR. Plague-Tananarive. A case of pneumonic plague was reported at Tananarive, island of Madagascar, during the period July 1-15, 1923. 2297 Septembr 28, 1923. MALTA. Disee Prevalence- July, 1923. Diseaise prevalence was reported in the island of Malta, during the month of July, 1923, as follows:

DiSeas Cases. Remarks.

Chicken pox ...... 1 Influenza ...... a i ...... 1 ni .m o ija 4 Including 3 cases of P broancho-pneh- monia. Poiomyelits (infantile paralys) ...... 1 Trachoa...... 22 Undulant fever ...... 183 WhoopinLeough...... 64 Populatio, offally estimated, 218,510. PANAMA CANAL. Communicable DIseAes-August, 1923. Communicable diseases were notified for the Panama Canal during the month of August, 1923, as follows:

Disease. Canal Colon. Panama. Nonresi- Total. Zone. dent.

Chickenpox ...... 3 9 7 1 20 Diphtheria .1 2 8 ...... 11 Dysentery (ambic)...... 2 2 . 5 Hookworm infection.18...... is 17 37 75 Le44My ...... 1 M ...... i ...... 117 9 7 29 162

Measl .. . 32 4 8 1 45 Pneumonia...... 3 Meningitis, tuberculous...... 1.. . .1...... 1 Trachoma ...... 1 ...... 1 Tuberculosis ...... 10 18 6 3. Whooping cough...... 4...... 4

POLAND. Communicable Diseases-June 17-July 14,1923. During the period June 17 to July 14, 1923, communicable diseases were reported in Poland as follows: June 17-l, 19X3.

Districts and cities show- Disease. Cases. Deaths. ing greatest number of deaths.

Cerebrospinal meningitis ...... 12 4 Congress of Poland. Diphtheria ...... 64 4 Former German Poland. Measlks...... 347 6 Warsaw; Lwow (cities). Scarlet fever ...... 234 22 Stanislawow. Smallpox ...... 13 1 Do. Tuberculosis ...... 139 188 Warsaw (city). Typhoid fever ...... 230 13 Krakow. Typhus fever...... 184 13 Polesia. Typhus fve, ecxs nt...... 25 1 Nowogrodlk. Whooping cugh.88 6 Lodz; Stanislawow.

591630 23 4 September 28, 1923 2298 POLAND-Coniinued. June 24-30, 1923. Districts and cities show- Discase. Cases. Deaths. Ing greatest number of v.. deathis.

Cerebrospinal meningitis ...... 1 3 Congress of Poland. Diphtheria 38 5 Silesia. Mesles..269 6 Posen. Scarlet fever .181 20 Warsaw and Lods (ciUes). Smalpox .13 1 Krakow (city). Tuberculosis ...... 148 148 Warsaw (cdty. Typhoid fever .141 12 Warsaw andlarnopoL Typhus feve. 103 7 Lwow. Typhus fever, recurrent ...... 10 Whooping ch. 96. 3 Congress of Poland.

July 1-7, 1923. Cerebrospinal meningitis .9 4 Warsaw (city). Diphtheria .47 6 Posen. Masles .314 6 Lodz (city). Scarlet fever .177 15 Congress of Poland. Smallpox ...... 6 1 Tuberculosis ... 135 218 Stanislawpw..Lwow.- Typhoid fever .164 14 Do. T.yphus fverr 162 7 Lublin. Typhu.s fever, reuren.c u r nt ...... 9 , .. Whooping coug. 112 8Kkraow.

July 8-14, 1923. Cerebrospinal meningitis. 10 8 Lodz; Kielce. Diphtheria . .52 5 Lodz. Measles ...... 321 10 Do. Scarlet fever . .208 31 Tarnopol. Smallpox...... 3 Tuberculosis...'105IMeclss...... ;...... 1021Lw. 201 Lwow. Typhoid fever ...... 186 25 Warsaw. Typhus fever ...... 124 9 WIlno. Typhus fever, reurrenti..15 2 Lwow: Nowogrodek. Whoopg cough...... 77, 3 Stanlslawow.

Other Diseases -Anthrax-Dysentery- Malaria. During the period June 17 to 30, 1923, there were reported in Poland 70 cases of dysentery with 10 deaths, the districts showing greatest mortality being Krakow, Lodz, and Silesia, and 449 cases of malaria with 2 deaths occurring in the city of Warsaw. During the period July 1 to 14,1923, 2 cases of anthrax with 1 death, the fatality occurring in Kielce district, and 75 cases of dysentery with 13 deaths, with greatest mortality from the disease reported in former Austrian Poland and Lodz, were reported in Poland. PORTUGUESE WEST AFRICA. International Congress of Tropical Medicine-Loanda. Information has been received under date of July 26, 1923, in regard to the meeting of the First International Congress of Tropical Medicine at Loanda, Province of Angola, Portuguese West Africa, which was held during the period July 15 to 23, 1923. The congress was stated to have been largely attended. Among the important results anticipated is- the formulation of intercolonial quarantine regulations for the West African coast. 2299 September 28, 1923.

IWASIERA LEONE. Quarantine Dedared Against Ruilsque-Plague. UDder date of August 8, 1923, quarantine was declared b. Sierra Leone, West Africa, against Rufisque, French West Africa, on account of plague, more than one nonimported case of plague having been notified at that place.' SYRIA. Lethargic Encephalitis-Beirut-Damascus. Lethargic encephalitis has been reported in Syria, as follows: Beiru-August 1 to 10, 1923, one case; Damascus-week ended July 12, 1923, one case; week ended August 12, 1923, two cases.

CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER. Tho reports contained in the following tables must not be considered as complete or finl as regards either the list of countries included or the figures for the particular countries for which reports are given. Reports Received During Week Ended September 28,1923.3 CHOLERA.

Plaos Date. Cases. Deaths. Remarks.

J 1dia ...... 2...... ;. Jull 1-14, 1923: 2,357; Bombay ...... July 22-28...... ra 3 deaths, 1,294. Calcutta ...... July 29-Aug. 4.. 48 35 Madras ...... Aug. 5-18 ...... 4 3 July29-Aug. 4.... 2 1 Indo-Ch=.n..... Rangoon...... Nov. 1-30 19U: 12;Cases Provinc- deaths, 47 (native); European, Annam ...... Nov. 1-30...... 76 16 one case. Cambodgo ...... do .....41 26 Cochin-China ...... 6 5 Native. European, one case.

PLAGUE.

Ceylon: Colombo ...... July 29-Aug. 11... 5 4 Plague rats, 4. Egypt...... Jan. -Aug 23, 1923: Cases, 1,319; C:ity- deaths, 643. Alexandria ...... Aug. 17-20.3 2 One case bubonic; foreign. . Port Said...... Aug..2. 1 1 Sues ...... Aug. 17-23.2 1 India ...... India.July..... July -I,1~~~~~~~~~~~~~~-14,93 a192:5;dahCases, 952; deaths, Bombay ...... July 228...... 4 3 677. Karachi ...... Aug. 5-11 ...... 3 1 Madras Presidency...... Aug. 12-18...... 495 254 Rangoon ...... July 29-Aug. 4.... 20 17 Indo.China...... Nov. i-30, 1923: Cases,68; deaths, Province- 65. Annam ...... Nov. 1-30 ...... 12 9 CochinCbhina ...... o...... do...... 1 Madagascar: City- Tananarive...... July 1-15 ...... 1 ...... Pneumonic. Straits Settlements: Singapore ...... July 22-28 ...... 1 1 Syria: Beirut ...... July 14-31 ...... 2......

1 Public Health Reports, Sept. 14, 1923, pp. 2190 and 2191. 'Public Health Reports, June 29, 1923, p. 1505, anw July 6, 1923, p. 1563. a'rom medical officers ofthe Public Health Service, American consuls, and other sources. Deptember 28, 1923. 2300 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND -YELLOW FEVER-Continued. Reports Received During Week Ended. September 28, 1923-Continued. *SMALLPOXL Place. Date. Cases. Deaths.

Algeria: Algiers ...... July 1-31, 1923: Cases, 2. Brazil: Rio de Janeiro...... Aug. 4-18...... 10 ...... Chile: Talcahuano...... Aug. 12-18. 1 ...... Landed from vessel. Chosen: Fusan...... July 1-31. 22 6 Seoul ...... do. 6 7 Egypt: Cairo...... May 14-June 10... 5 2 Finland...... Aug. 1-15, 1923: One case. India...... July 1-14, 1923: Cases, 1,963; Bombay...... July 22-28...... 6 deaths, 505. Caklutta...... July 29-Aug. 11... 1 1 R arachi .... Aug. 5-11...... 1 Madras...... do. 2 Rangoon...... July 29-Aug. 4.... 3 1 Indo-China...... Nov. 1-30 1923J tses 115; Provinmes- deaths, 3& ; '; Annam ...... Nov. 1-30...... 3 1 Cambodia...... do ...... 43 16 Cochin-China...... do. 69 22 Mexico: Guadalasara...... Sept. 2-...... 1 Mexcico Miy...... Aug. 5-18...... Persia: Teheran...... Mar. 22-Apr. l.... . 7 District. Poland...... 1:...... I...... June 11-0,192.3: Cased,26; deaths, 2. July 1-14, 1923: Cases, 9, deaths, 1. Portugal: Lisbon ...... July 30-Aug. 25... 1 4 Oporto...... Aug. 19-25...... 7 3 Sierra Leone: Freetown...... July 16-31...... 1 ...... Landed from S. S. Tsad. From Southampton via Las Palmas. Spain: Valencia...... Aug. 1925. 4 Switzerland: Basel...... July 1.5-Aug. 25... 8 Zurich...... Aug. 19-25...... I 1...... Union of South Africa: Cape Province...... July 30-Aug. 4...... Outbreaks. Orange Free State...... July 23-9...... Do. Transvaal...... July 30-Aug. 4...... Do. On vessel: S. S. Tsad...... July 16-31...... 1 At Freetown, Sierra Leone Africa, from European aud West African ports. S.S...... Aug.12-18 1 Landed at Talcahuano, ChHs. TYPHUS FEVER. Algeria: Algiers...... July 1-31, 1923: Cases, 1; deaths, 2. Egypt: Alexandria...... Aug. 6-12. 1 1 Cairo...... May 6-June 10.... 16 15 Port Said...... Aug. 1319. 1 ...... Finland...... Aug. 1-15, 1923: Paratyphus fever, 16 cases. Mexico: Mexico City ...... Aug. 518 27 ...... Including municipalities in Fed- eral District. Persia: -Teheran...... July 1-14 ...... I Poland...... June 17-30, 1923: Cases, 287; deaths, 20. July 1-14, 1923: Cases 286; deaths, 16. Recur- rent iyphus: June 17-23, 1923: Cases 35; deaths 1 July 1-14, 1923: Cases, 24; deaths, 2. Spain: Barcelona ...... Aug. 23-29...... - 1 Madrid...... July 1-31 ...... 2 Union of South Africa: Cape Province...... July 23-29 ...... Outbreaks. Orange Free State...... do ...... Do. 2301 September 28, 1923. CHBOLERA, PLAGUEt, SMALLPOX, TYPHUS FEVE1, AND YELLOW FEVER-Continued. Reports Received During Week Ended September 28, 1923-Continued. YELLOW FBVEDL

Report Received from June 30 to September 21,1923.1 CHOLERA.

Place. Date. Cases. Deaths. Remarks.

chinFa Shanghai...... Aug. 28...... ,...... Reported moderately prevalent. India ...... I, ...... Apr. 15-June 30, 1923: Cases, Bombay...... June 3-30...... 34 23 19,470; deaths, 14,608 Do...... July 1-21...... 9 8 Calcutta...... ay 6-Jund 30.... 371 300 Do...... July 8-28...... 68 49 Madras...... June 3-30..... 2 ...... Do...... July 1-7.... 1 ...... Rangoon...... Masy 13-June 30.... 18 IS Do...... July 1-21...... -5 4 IndeoChina...... Oct. 1-31, 1922: Cas3s, 92: deaths,r City- 53. Preceding month: Cas;3s, 24; deaths, 14. October, 1921: Caszs, 100: deaths, 61. SaigonS... May 20-June 30.... 12 11 Including 100 squarm kilometers. of surrounding country-

Do ...... July 1-28 13 12 Do. Province- Annam ...... Oct. 1-31 68 39 Preceding month: Cases, 2; deathis, 1.

Cambodge ...... d..... do. 2 1 Preceding month: Cas2s, 3. Co chbnCina ...... do. 21 Preceding month: Cas's, 19; 13 deaths. 13.

Tonkdn...... do.I 1 Precedin month: No casas. Iraq (Mesopotamia): ...... Bassorah ...... Aug. 21...... Present. Port.declared infected since Aug. 6, 1923. Phlippine Islands: City- Mlanila...... June 10-16.. 2 -1 Death in foreign caw from Ching- Province- kang, China. Bulacan...... May 17-23... 1 ...... Capiz ...... May 27-June 2.... 1 1. CebU ...... Apr. 821. 1 Cotobato...... Apr. 8-14...... 1 1 Laguna ...... My 6-June 9..... 2 1 Mountain ...... Mar. 25-31...... 1 Pan--Inan ...... June 24-30...... 2 2 Russia (Sovet)...... Jan. 1-May 15, 1923: Cases, 10. Slam: Ban,kok:...... May 13-Juse 30.... 10 11 l)o...... July 1-21...... 4 2

PLAGUE.

Algera Algiers. - ''''''''' '''''''''Aug. 11-20 . 21 Actual dates of occurrence, Aug. 16 and 17, 1923. St. Eugbne...... Aug. 1-20 ...... 2 2 Locality miles north- of Algiers. Australia: Sydney ...... June 30 ...... 1 1 Azores: St. Michael Island...... May 6-26.12 5 In one locality.

Porto Alegre ...... 1...... Jan. 1-Mar. 31, 1923. Deaths, 19. IFrom medical offloers of the Public Health Service, American consuls, and other sources. 8*Istmnber 28, 1923. 2302 CROLERA PLAGUE, SMALLPOX, TYPHUS -FEVER, AND YBLLOW FEVER-Continued. Reports Received from June 30 to Septemher 21, 1923-Continued. PLAGUU-Coatinued.

Plaee. Date Cases. Deaths. Remars.

British East Africa: Kenya- Kisumu. June 10-16...... 2 1 Tanganyi.a...... m...... May 6-June 2..... a 3 Territory. Uganda...... Apr. 1-30...... 7 5 Canary Islands: Las l'nlmas...... June 7...... 1 ...... Ceylon: Colombo...... May 6-June 30f.... 18 19 Plague rats, 38. Do...... July 1-28...... 19 Plague rats, 14. China: 21 Amoy ...... May 13-June 25...... 10 July 1-28...... 6

Foochow...... May 27-June 23. .-...... Present.

Do ...... July 8-28...... Reported as epideiic. ' Hongkong...... 1 Apr. 29-June 30...... i.. Do ...... July 1-28...... 23 28 Manchuria- Yakoshih ...... May 31...... 1 1 Station on Eastern ipse Rail. way. Occurrin&iia.rabgai (marmot) hunter.f uboic. Naning... June 17-30. ... Rodent plague present.. Do. July 1-Aug. 4...... -.- .. Do. Ecuador: Guamote. Aug. 1-15. 9 2 Country district. quil...... 3.. May 16June 30, 192: Rats ex- Guayau July 1-15...... 2 amined, 13,800; found infected, Daa A a...... Santa Ana ( b).... July 16-Aug. 15... 7 3 39. July I-Aug, 15, 1928: Rats examined, 13,450; found infected, 23.

;. Jan. 1-June 21, 1923: Cases, 1,051; Egypt ...... I...... deaths, 548. May 1-29: Cases, 345. Jan. 1-uno 24 1923: Cases, 1,069. Jan. I-Aug. 2, 1923: Cases, 1,279: deaths, 630. City- July 23-29, 1923: Cases, 47. Alexandria...... Jan 7-June 24...... 35 15 may 1-29, 1923: Cases, 14. Do...... July 1-22...... 5 ...... Port Said...... JanL 7-June 24..... 24 12 May 1-29, 1923: Cases, 13* Do...... July 1-29...... 17 ...... Sue ...... Mar. 2-June 15.... 12 May 1-29, 1923: Cas, 3. Do...... July 16-22...... 1 ...... Province- Assiout...... May 1-29...... 64 Deaths not reported. Benisoref...... do. 7 Do. Fayoum...... do. 14 Do. Garbie b...... do. 2 Do. Geizeh...... do. 3 Do. Girgeh...... do ...... 123 Do. Keneh...... do. 22 Do. Menoufleh...... :.do...... 34 Do. Minich ...... do. 46 Do. Hawaii: Hamaku ...... Plague-infected rats: Pohakea, ...... May 23, 1923, 1 rat; vicinity of Pacific Sugar Co mill June 2, 1 rat; Aug. 2, 1 rat at Iiamakua Mill Co. plantation. Aug. 16, plague rat found at Kapulena. Honokaa...... I...... July 20, 1923: One plague rat; July 30,2 plague rats: Honokaa Sugar Co. mill and Honokaa Nillage. 23, 1923: Cases, India...... I...... iii. Apr. 29-June Bombay ...... Apr. 29-Jine 30.. 503 5,783; deaths, 4 481. Do *...... July 1-21. 11 10 Calcutta...... May 6-June 9. 13 13 Knrachi...... May 1.3-June 30... 110 85 Plague rats, 5. Do ...... Jutly 1-Aug. 4. 41 37 Madras Presidency. bMay 13-June 30. .. 254 141 Do...... -.-.-.- July 1-Aug. 4. 5u '294 Ran oon...... May 6-JuIe 30.. 260 229 B-o...... July 1-28. 142 120 2303 September 28, 1928

CHOLERA, PLAGUE, 0SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued.

Reports Reetived from June 30 to September 21, 1923-Continued. PLAGUE-Continued.

Place. Date. C . Deaths. Remarks.

Indo.Chln...... Oct. 1-31, 1922: Cases, 9B; deaths, 30. Preceding month:70 68 deaths. City- a...... June 24-0...... 5 Including 100 square kilomete of surrounding country. Do...... July 1-7...... 1 I Do. Province- Annam ...... Oct. 1-31...... I5S 14I Preceding month, 15 deaths. Ca bod ...... do 7IS 7j 5 Preceding n4onth, 51 deaths. 'Cochin China...... -do ...... B ...... -.. Preceding month, 4 cas, 2 deaths. Irag (l4esopotami): Maagdad...... May 1-June 30.... S 229I lava...... I ...... May 1-June 30, 1923: Deaths, 912. Province- ...... Djokjak ta...... June 1-30...... Kedoe...... 13S Ptaalonr ne...... do...de. II _:8m...ig...... -do. 1143I 8oambys...... do. Somkrla ...... _. o...... May 16, 1923: Epidemic in 5 districts. gKsadr...... Apr. 1-June 15, 1923: Cases, 74; Province- deaths, 71. JBubonic, pneu- Tianangrve...... Apr. 1-June 30.... 51 54 . monic, septicemic. Tanasarive.. Apr. 16-June 30... 21 21 Mauritius Island...... '''''i ...... May 4-21, 1923: 2 cases. Port Louis...... My 4...... Mexico: Tampico ...... Apr. 15-21, 1923: 1 plague rat. Aug. 8, 1923: At Dona Clecela, a suburb of Tampico, 1 plague- infected rat found. From Jan. 1 to Aug. 8, 1M3, plague-infected rats found, 5. Palestine: Jaffa...... June 19-July 16... 10 1 Bubonic and septicemic. Peru...... May 1-Jun 30, 1923: Cases, 111 Locality- deaths, 68. July 1-31, 1923: Ayabaca...... 6ay1-June 30... 15 13 Cases, 23; deaths, 12. Do...... uly 1-31...... 4 2 Callao...... May 1-June 30.... 5 3 Do...... July 1-31...... 1 1 Canete...... May 16-June 30... 3 2 Do...... July 1-31.... 6 3 Cerro Azul...... May 1-31. 3 1 Chiclayo...... May 1-June 30.... 9 2 Do...... July 1-31...... 5 3 Cutervo...... May 1-15...... 2 1 Huaacabamba...... May 1-June 30.... 34 25 Huacho...... July 1-31...... 1 Huaral...... June 1-30...... 2 Do...... July 1-31...... 3 1 Urms (city). May 1-31...... 17 8 Do...... July 1-31;...... 2 Lima (country)...... My131...... 7 Do ...... July 1-31...... 1 Mollendo...... June 1-30...... 1 1 Salaverry.. May 1-June 30.... 11 3 Trujillo ...... do. 2 3 Russia...... I Jan. 1-May 15,1923: Few cases in Far East regions.

Dakar...... July 1-.31.4 4 Reported to have comefrom port of Rufisque, Senegal. Rufisque...... Aug. 6...... Present. Siam: I:: Bangloklc...... Apr. 29Juns 30.... 31 30 Mo...... July 1-21...... I ptembes 28, 1923. 2304

.CHOLERA, PLAGUE, SMALLPOX, TYPHUS. FEVER A)ND YELLOW FEVER-Continued.

Repor1t Received fom lune 30 to September 21, 1923-Continued. PLAGUE-Continued.

Plac. Date. Cases. Deaths.

Seb e r i a ...... Sporadic cases ofplague reported yearly in locais vicnilt of stations Matsievskaya and sor- zia, Transbaikal Rallway. Haramhor ...... May 6 ...... 1 1 Village in zone of e tara- bbapl(maont) Plague, Trans-

Station No.83...... onao T n a iral Raliway. Marmot plague dwing recent years. Soktu...... Do. Strits Settlements: Singapore ..... May 6-June30.... 6 8 Syria: Beirut ... May 12-June20... 3 . Do ... July 1-10 ...... 2.....2 SMALILOX. Place. Date. Cases. Deaths. Remarks.

Algiera: Algiers...... May 1-31...... 2 ...... Do ...... -.. Aug. 1-10. I ...... Arabia: Adeb...... May 27-June.2....I ...... 2 Do...... July 8-Aug. 11.... 1 Azores: St. Michael Island...... July 15-21..... 7 Boivia: La Paz...... Apr. 1-June 30.... 2 3 Brzil: Pemambuco...... May 6-June 16.... 5 Do...... July 1-28...... 16 Rio de Janeiro...... May 13-June 23... 25 3'''''''i'3 Do.- July 15-Aug. 4.... 8 ...... I Rio mrande do 8ul...... -...... Jan. 1-Mar. 31,1923: P sent with some mortality. British Sast Africa: Kenza- Mombasa...... May 20-26...... 1 From vesse from Bombay. Tanganyika...... Apr. 29-June 9.... 3 Teritory. Uganda- Entebe...... Apr. 1-30...... 4 Canada: Alberta- Calgary...... May 27-June 2.... 1 ...... Ilnfection from Deer Lodge, Mont. British Columbia- Vancouver...... M-ay 27-June 30... 33 1 Do...... July 1-14. 5 1 Victoria...... Aug. 5-25...... 2 ...... Manitoba- Winnipeg...... June 3-30... 1 ...... Do .... July 1-31...... 1 ...... Ncw Brunswick- Kent County...... July 1-7...... 1 ...... Ontario...... June 1-30 1923: Cas, 13. July London ...... uly 15-21...... 3 ...... 1-Aug. 1,93: Cases, 23. Toronto...... June 2-30 ...... Do..' July 15-2L.... 1 ...... Quebec- Quebec...... June 10-16..... 31 ...... Varioloid. Saskatchewan- Moose Jaw._ July 8-14...... Regina...... - June 24-30 ..... 3 ...... 1 Ceylon: Colombo...... May 6-June 2..... 23 Chile: Concepcion ...... May 22-Jine 11... 3 June 1-30, 1923: Cases, 2. July 1-31,1923: 1 death. Valparaiso...... May 7-June 23..... 6 121 June 10-16, 1923: 29 cases reported from 2 districts. Do...... July 1-28...... 12 10 July 30, 1923: 25 cases in Lazar- etto. Aug. 6: 20 cases. Aug. 14: 60 cases present. 2305 September 28,1823.

. OLERA, .PLAGE, SMALLPOX, TYPHUS EF AND YELW FEVE-ontinued. Reu.wtu arld frox 30 to Sepembr 21, 1923-Continued. smALPOX-Continued.

Place. Date. Casesj Deaths. Remarks.

China: Amo. May 13-June 23...... 3 June 19-25,1923. Preent. Do. July 1-Aug. 4...... I ...... Present...... UK ...... y14-20...... i ...... Chn May 13-June30.... l...... Present and endemic...... July 1. 8 l...... Do. Foochow...... Present. Hon kong...... Apr. 29-June 30... 96 82 Deo...... July 1-28...... 37 34 Manchuria- Dairen ...... May 21-27...... 1 Harbin...... 3ly7-Juns 24. ... 5 Do...... 2y22...... 3 Mukden...... May 13-20..... 1 Nanking...... May 13-June 23...... Do. Do...... June 24-Aug. 4...... Do. angbai ...... May 21-June 3.... Foreign. Do...... July 2-Aug. 5..... Case, foreign; deaths, Chinese Chosen (Korea):

Chemulpo...... May 1-31...... 1 ...... Fusan...... May 1-June 30.... 4 ...... I Gensan ...... May 1-31...... 1 ...... Seol ...... May 1-June 30.... 42 13 Cuba: Antilla...... July 8-14...... 2 From Preston. Czechoslovakia...... Jan.-Mar., 1923: Cases, 18; Apr.- Province- June, 1I23: Cases, 16: deats, 4. Bohemia...... Jan. 1-Mar. 31..... 15 4 Ecuador: Aal ...... July 16-...... 3 ...... 4.

Guayaquil...... May 16-...... 1 ...... Eg3rt Cairo...... Mar. 12-May 6.... . 17 4

Esthonia...... Juno 1-30...... 4 ......

Finland...... ,...... May 1-15, 1923: 1 (cse. Great Britain: 1 Birmingham...... June 18-30...... 3 Bristol. June28...... i Present. Cardiff...... June 3-30.... Gloucester...... Junie 123 cases reported in hospital; Do...... July 12...... 28...... i tresen in rural districts. July .i7,lA: Present. Aug.9, 1923: 33 cases in isloation hospital; two weeks previously about 250 cases present in hospital.

Nottingham... June 3-9. 1 ...... May 1-31, 1923: Cases, 21L

Do...... July 8-21...... 2 ,...... Greece:

Athens...... May 1-31...... 53 ,...... Patras .... Apr. 24-June 15...... 2. 19 Saloniki...... Apr. 30-May 20.... 2 Do..... June 25-July8 .... 2 3

Guadeloupe (NVest Indies). July 22-Aug. 4...... I ,...... Present in epidemic form. (Re. ported as alastrim.) Aug. 17, 1923: Stated to be officially de- I clared present. Basse Terre ...... Aug. 17. Present. Pointe C Pitre...... do .I Estimated from 2,000 to 3,000 cases. Hungary...... July 15-Aug. 4.... 28 ...... India: ...... i...... Apr. 15-June 30, 1923: Cases, Bombay ...... Apr. 22-June 30... 298 141 8,112; deaths, 2,933. Do...... July 1-21 ..- ... 40 22 Calcutta ...... May 13-June 9.... 12 9 Do...... July 1-14..... 10 10 Karachi...... May 13-June 30..- 24 8 Do...... July 1-Aug. 4..... 11 2 Madras...... May 13-June 23... 91 16 Do...... July 8-Aug. 4..... 19 7 Rangoon ...... May 6-June 30.... '125 67 Do...... July 1-28...... 28 11 Indo-China: Saigon...... May 20-June 30. .. 34 23 Including 100 surrounding square Do...... July 1-28...... 31 18 kilometers. Iraq Mesopotamia): Bag=ad...... Apr. 1-June 30.... 32 11 September 28, 1M2 2306 CHOLERA, PLAGUE. SMALLPOX,. TYPHUS FEVER, AND YELLOW FEVER-Continued. teports Received from June 30 to Septbe 21, 1923-Continued. SMAL1OX-Continued

Place. Date. Deaths.JRema.

Ita: Trn...... May 28.June3..... 1 Po...... July 2-15...... 2 Japet ...... Maye 27-Junxe30 1028 Cases, 228. May 27-June 30 ... .39* July 1-Aug. 14, 10: Cases, 198L -D...n...... July 1-Aug. 18.... 33 -(-Reported as alatia) Kobe...... May 28-June 10. .. 2 Do...... July 2-8...... 1 Java: Ent Java- Soea baya...... Apr. 22-June 30... 187 22 Do July 15-21...... 19 2 West Java-. Batavia. May 5-June 8. 17 3 Provinc Do. June 30-July 20...... I 1 Latvia...... Apr. 1-May 31, 1923. Cases, 8. Mexico: Aguascalientes ...... July 8-14...... Chihuahua...... June 11-24...... Guadalajara...... July 22-Aug. 25...... June 1-30,1923: Case, 15; deaths, 2. Mexico City...... May 19-June 30.... 164 Including municipalities in Fed- Do...... July 1-Aug. 4..... 111 eral district. Palestine: 1I Jaffa ...... June 5-11...... PoladT'abriz...... Apr. 1-June30...... 2 District. Tehean...... Feb. 22-June 14 ...... 30 Pd.uid...... Apr.- 29-June 16, 1923: Cass, 1,835; deaths, 41. Portugal: Lisbon...... May 20-June 30.... 36 3 Do ...... July 1-Aug. 18.... 30 2 Oporto...... June 10-...... 6 3 Do. --..- July 9-Aug. 18.... 27 15 Portuguese, West Africa: Loanda...... Apr. 1-21...... 2 Rhodesia (Britbh Africa):. Northern Rhodesia...... May 8-14...... 21 8 Bouthern Rhodesia...... may 3-16...... 4 2 Slam: -Banrklok...... Apr. 29-June 30... 90 53 July 1-21...... 51 27 Sept. 8,193: Reportedprevalent. Sierra Leon: . Kaballa...... May 1-15...... 1 ...... Pujehun .....; May 16-31...... In Sembehun district. Spain: Barcelona...... May 31-June 6...... 1 Do...... June 28-Aug. 1...... 3 Sev;ie .--..------. July 19-25...... 1 Valencia...... May 15-June 30... i4* 2 Do. July 1-Aug. 18... 36 4 Switzerland: Basel...... May 27-June 30.. 4 ...... Do...... July 8-Aug. 18.... 4 ...... Berne...... May 20-June .30. .. 11 ...... Do...... July 1-28...... 10 ...... Lucerne...... May 1-June 7..... 36 ...... Do...... July 1-1...... 14 ...... Zurich ...... May 20-Jime 23... 10 ...... Do...... July 15-21...... 6 ...... Syria: Aleppo...... do. 6 ...... Damascus...... 15ay1-June 11... 7 ...... TUDiS: Bizerta...... June 10-20..... 1 ...... Tunis...... June 11-17..... 1 ...... Do. -. June 26-July 1.'... 1 ...... Turkey: Constantinople...... May 13-June 26... 45 Do...... June 27-Aug. 7.... 10 2307 September 28, 1923. CHOjLERA, PLAGUIE, SMALLPOX, TYPHUS FEVER, AND. YELLOW FEVER-Continued. Reports Received from June 30 to September 21, 1923-Continued. SMALLPOX-Continued.

Place. Date. Cases. Deaths. Remarks.

Union of South Afca ...... May I-Jme 30, 1923: Cases,, deaths, 1 (colored). Cape Province ...... May 1-31, 1923: Case, 32 (colored). DO . May 6-June 30 ...... Outbreaks. Do ...... July 1-21 ...... Do. East London...... July 8-14 .1

Natal ...... Julv 8-14 ...... Do.

Orange Free State...... ADr. 29-June 30 ...... Do.

Do ...... July 1-21 ...... Do. Transvaal ...... May 1-31, 1923: 1 case. Do ...... July 15-21...... u...... Outbreaks. Yugoslavia ...... July 1-7, 1923: Cases, 8; deaths, 1. Province- Boalta-Hersegovina... July 1-7 ...... Croatia-Slavonia ...... do ..4 1 Serbia ...... do ...... 1 2 Belgrade .... June 10-16-..... 1 1 Do .July 8-14...... 1...... Zageb . June 24-30 ...... 1...... 1 Woiwodina ...... July 1-7 .1 On vessels: S. S. Kargola ...... May 20-26 .1...... At Mombasa, British EastAbica. Vessel arrived from Bombay Mar. 25, 1923. S. S. Makua ...... May 26. 2 ...... Two cases in quarantine (reported as alastrim). Vessel left Victoria, B. C., Apr. 28, 1923. Touched at Heo1bu.

TYPHUS FEVER.

Algeria: Algiers ...... May- 1-June 30.... 66 19 Do.... . Aug. 11-20... 1 ...... Argentina: Rosario ...... May 25-31...... 3 Bolivia: L Paz...... June 1-0 ...... 4 Bulrnia: Sofa...... Apr. 22-June 23... 11 Do .... July 15-Aug. 11... 15 aratyphus, 2 cases, 2 deaths. Chile: P1 Concepcion...... May 22-June 18...... 3 . Do -..... Aug. 7-13...... 1

Talcahuano...... Mtay 13-19...... i. Valparaiso...... May 7-June 23...... 26 June 11, 1923:34 cases in lvador Do...... July 1-Aug. 18...... 43 Hospital. July 30: 45 cases in hospital. Aug. 6: 58 cas Aug. 12-18, 1923: 82 cases stated to be present. China: Antung...... May 28-June 24... 12 ...... Do...... -.- July 16-22...... 1 ...... Hankow...... May 19-25...... 1 ...... Manchuria- Harbin ...... May 6-13..... 1 ...... Mukden ...... May 14-20.2 ......

Czechoslovak-ia ...... C...... -...... Jan.-Mar., 1923: Cases, 191; Province- deaths, 6. Apr. 1-June 30, Bohemia...... Apr. 1-J me 30.... 8 ...... 1923: Cases. 132; deaths, 4. Moravia...... do."' 2 Paratyphoid A, 1; paratyphold Ruissinia ...... do-. 98 ''''''''i' B, 20. Silesia ...... _.do. 1 1

Slovakia...... do .... 23' 2

Esthonia...... June 1-30, 1923: Recurrent typhus, I case; paratyphus, 2 cases. Egypt: Alexandria ...... AMay 14-June 24. .. 7 5 Do...... Junc 25-July 29... 5 3 Cairo...... Apr. 12-May 6..... 20 10 France: MIarseille...... Mar. 1-May 31...... 3 September 28, 1923. 2308 CHOLERA; PLAGUE; SMALLPOX, TYPHUS FEVERX AND YELLOW FEVER-Continued. Reports Received from Jue 30 to September 21, 1923-Continued. TYPHUS FEVR-Continued.

Place. J Date. Cases. Deaths. Rmarks

Germany: I Coblenz...... May 27-June 2. . .. 1 Hamburg...... May 20-26...... 3 DDo...... o...... July 29-Aug. 4...... Case developed July 28, 1923, at Emigrtion Hall, Hamburg. K8niiberg ...... May 13-June 2... 2 ...... Stettin ...... May 27-June 9.... 1 Gr eece...... *...... May 1-31, 1923; Cases, 876. At ...... May 1-31...... Do.. July 22-31...... Patras. Apr. 24-June 16... 30 Pirmus...... 1ayI-June 30.... 3563 11 Do...... July 1-10...... 3 Apr. 30-June 24... 56 16 Apr. 30-May 27, 1923; Recurrent Salnid...... typhus: cas, 3; deaths, 3. Do...... July -15...... 1 ...... Guatemala: Gu atemala City...... Apr. 1-June 30.... 5 _pry...... Jan. 1-May 19 1923: Casm, 318; BNua pest...... Jan. 1-June..2. .48 deaths, 36. in 11 counties. Ir,q(Mqsopot&m1a): ...... Bagdad...... Apr. 1-June 30.... 3 Japan: ...... Napsai...... July 2-8...... Apr. 1-June 30, 1923: Cases, 231. Latvia...... Paratyphus, 5 cas. I(exico: ...... Mexico City...... May 20-June 30. .. 75 Including m cipaliti in Fed- ...... eral District. Do.Do...... July 1-Aug. 4.... 46 Do. Guad ...... June 1-July 31.... 2 ...... San L Potosi...... July 29-Aug. 4-... Do...... July 1-31...... Palestine: Jaffa...... May 22-28...... 2 ...... Do...... June 26-Aug. 6.... 5 ...... Relapsing fever, 1 case. Jerusalem...... May 22-28 ...... - 1 ...... - Persia: ...... Tabriz .... Apr. 1-14...... 2 Teheran...... Feb. 22-June 14...... Polnd...... Mar. 4-Apr. 7. 1923: Cass253; deaths, 172. Recurrent ti US. Cases, 338, deaths, 6. Apr. 29- June 16, 1923: Cases 1 919; deaths, 57. Recurrent pwus: Cases, 302; deaths, 2. Portugal: Oporto...... June 10-16...... Do...... 'July 1-21...... 3 Rujmania. Kishinff...... May 1-June 30.... 41. Russia...... Jan. I-Apr. 30, 1923: Cases European Russia and au- Jani. 1-Apr.30... 93,99 106.854. Corresponding nod tonomous republics. 1922. Cases, 847,516.) 1- Siberia Caucasus, andCen- ,....do...... 9,921 28, 1923: Cases, 17,577. Recur- tral Lia. rent, Jan. 1-Feb. 28, 1923: Waterways and railways... 2,934 Cases, 43,540. Spain: Barcelona...... June 21-27...... 1 Madrid...... May 1-31...... 1 Syria: Syie)o ...... May 20-June 16 ... 4 2 Do...... July 15-21...... 3 1 July 8-14, 1923: Present. Beirut...... May 1-10...... 1 Tunis: ...... 2 Tunis...... May 28-June 24... 3 Do...... July 9-15...... 1 1 Turkey: Constantinople...... May 13-4une 26... 19 Do...... June 27-Aug. 4.... 1 2309 september 28, 1923. CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued. Reports Received from June 30 to September 21, 1923-Continued. TYPHUS FEVER-Continued.

Place. Date. Cases. Deaths. Remarks.

Union of South Africa...... May 1-June 30, 1923: Cases, 230; deaths, 47 (colored). White- Cases, 15; deaths, 1. Total, 245 cases, 48 deaths. Cape Province . . . May 1-31,1923: Cases, 49 (colored) white, 5. Do...... Apr. 29-June 30 ...... Outbreaks. Do...... July 1-21 ...... Do. Natal ...... May 1-31, 1923: One case (col-

Orange Free State ...... 1923: Cases, 45 (col- Do .May 6-June 16 ...... Outbreaks.May 1-31, Do .July 15-21 ...... Do. TransvaaL ...... May 1-31, 1923: Cases, 7. Johannesburg ...... May 1-June 30...... 4 4 Yugoslavia...... July 1-7, 1923: Cases, 4. Province- Bosnia-Herzegovina.... July 1-7 ...... 4. .. Croatia- Zagreb ...... May 27-June2.... 1 .

YELLOW FEVER.

Brazil: Bahia ...... May 13-June30. 25 6 Do...... Julyl-Aug. 4 9 3 Colombia: Bucaramanga...... June 25-July 29 ...... Present.