PUBLIChEALTH REPORTS VOL. 33 AUGUST 30, 1918 No. 35 INDUSTRIAL MORBIDITY STATISTICS. The following report of a committee on industrial morbidity statistics of the American Public 'Health Association, Section on Vital Statistics, will be presented before that body at its annual meeting to be held in Chicago October 14-17, 1918: This report is the result of a resolution adopted at the meeting of the American Public Health Association, Section on Vital Statis- tics, Washington, D. C., October'18, 1917. The resolution followed the presentation of a paper entitled, "Morbidity Statistics of War Industries Needed" by Dr. B. S. Warren and Mr. Edgar Syden- stricker, of the United States Public Health Service. In this paper the writers, having emphasized the importance of industrial mor-. bidity statistics and the great need for such statistics at the present time, suggested the following mnimum requirements for such statistics: 1. A record of the exposure, m years or in months, of the workers, who should be classified according to sex, age, and occupation. 2. A record of the cases of sickness (at least those causing disa-! bility), including (a) sex, age, and occupation of persons afflicted, and (b) cause-of sickness with time of onset, length of disability,, and mature of termination. The resolution adopted by the section directed the chairman to appoint a representative committee (a) to develop the above mini- mum requirements into a system of standard morbidity records; (b) to prepare standard tables which would present the essential facts of sickness as they arise from the tabulation of the records referred to; and (c) if possible, to outline plans by which employers of labor might be interested to adopt the uniform methods recom- mended. The committee was organized to include the following groups: The United States Public Health Service, statisticians interested in industrial morbidity, employment and welfare managers in industry, and orgized labor. A number of meetings were held throughout the spring in New York at the office of the chairman. 73636°-i- 1(1429) August 30, 1918. 1430 For the purposes of this report, illness was defined to include cases of disability due to sickness or nonindustrial accident causiing, absence from work for a period not less than one day. The con,- mattee kpt in miad, howe, that in ylpkts it weM be for tle present impmcticable to klp rtds of cases of aidaMs of such shit duraition. W SUas suggested under which th imn Aration of disability nimcoe(I might be three, five, or se'ven days, but in these astet miim period shoulj 1e ceafty stMted. Nounimdi Ia aeits were inter- preted to include only those cases of disability which occurred outside of tite tstabliAim t a-rd wha the erployee was not at wtrk. 1. Tim kewd af s. The card shown Wow is recommncded for adoptkcn byy the AmTerican Public leXalth Assoction byandbyidustri;al eltisiments !or recording industrial noriidity. TMe varTd can 44lby 6 irihes mnsie.

* wmrx1meNNIM¶ ,.: .A. . *.t4A1'&ER .I TtIAUZ7)EPf4N.YEiE S. VODtMRTM¶NT WDW1) LCFCK 4RM Na.

11' R I2.OCrLtPATIONS IN PLANT VITH DAit-S RECORD orABSENCES FIomSIKNESSANDNON-JNDUST1RALACCmDENT paulU.

BEWimi= E£ Y5 LOST CAUSINC L WIAQUOsED CLoSEFCREMARS

.1 ___-__C_E_ _E_.R__ERE _;_I______UT . _

is ,V _DE~ SIE _~_b$RC.LI

EXPLALN'TIONS OF TERMS USED. Mh* 4mmd t .ioS,&te. 7t0bher msrrd a le, wid@ofvo, w WI 2d. 9de m,z.X#

TABLE 1.-Numbr of cases of ickss having duraio. ds or ore, excluding indusfial accidents, and rates per 1,000 exposed, by age m4 by sex during 191-.

Males. Females.

Age. 'Number Csesof Coes per Numb-r cases of Ce per exposed. sickss. lOex exposed. sickness. ;

Total, all ages ......

Under 25 years ......

25to 44 years......

45yeari and over......

Distinction may further be made for white and colored persons where there is a suf- ficint number of coloed employees; where no such clification is desired in the sfonnel of the establisheut it May be useful todistinguisa between those speaking lish and those not speaking English. 1433 August 30, 1918.

TABUL 2.-At!eraqe number ofd ofs in Table I per employee aeposed, and days per case of ineb age aids7during 191-. (Color or language distinctionb'may miacas uggeted in Tabke I wher theoanditioms wrant such classification.)

Total, all ges......

Under 25 years......

25 to 4 years......

45 yes and over...... :

TABLE 3.-Number of case of sickness in Table 1 claiied by disease or condition, and rates per 1,000 exposed by sex during 191-.

White males. White females. Disease or condition. j :Number= [ | oNumber | P of cases. ,perexposed.1,000 of cases. Perexposed.1,000

All diseases and conditi ......

Typhoid fever, etc ...... | ...... | ...... | ...... |

TABLE 4.-Number ofcases ofscknes in Table I anddys ofsickness in Table 2 daified by principal occupations, and rates per 1,000 exposed in each occupation.

Number of Cases per mday loft Days per Dy e Industry and specific ocupation, cases of I | dayht s Daysvsper sickness. expose'd. sickness. epsd se

Automobile factories:

Grinders......

Painter, vanishers, enamelers, etc ......

TABLE 5.-Number of cases ofsickness in Table I classQied by disease or condition and by medical attendance.

With Without DJsewe orondiiTotal cases. physicia. physician.

All diseases and conditions...... 0......

Typhoid fever, etc ...... X1gust 30, t191& 1434 Ageny for tie Collection an of Jstfl Morbidt Statistics It is recommended that the United States Public Health Service be made the central agency or clearing house for4he collection, analysis, and publication of industrial morbidity statistics. This should insure uniformity in the statistical procedures used, as well as accuracy of analysis. No bias can attach to publications issued under the auspices of the United States Public Health Service. Such central agencies as the Industrial Conference Board and other groups now engaged in the study of industrial morbidity in their cooperating establishments should be encouraged to proceed with their plans. The assitance of the United States Public Health Service is recom- mended for the wider extension of this work to those industrial groups not now benefiting from the study of the records of sickness in the establishments under their control. To this end, it may be necessary for the Public Health Service to put at the disposal of employers of labor qualified recording clerks who will keep the records of personnel and sickness up to date. It is understood that the Public Healtlh Service wiU undertake to carry out this plan in a small number of establishments where such cooperation with the Federal Government is desired. The plan, if it proves satisfactory, will be extended to other establishments as fast as appropriations by Congress will permit. When the reports are collected they will be tabulated, analyed, and published for the benefit of other establishments and those interested in the public health. Louis I. DUBEIN. Chairman. CARL B. AUzi,. WILLIAM A. HATHAWAY. Dr. GEORGE E. TUCKER. Dr. B. S. WARREN, Secretary. NOTE.-The preparation of the tables listed abo-ve will entail the use of a series of list covering both the occupations and the diseas and conditions. It is not thought necessary in this report to publish lists of either occupations or diseases, since such are now available to the United States Public Health Service. Should otlher groups be willing to undertake the study of their records of morbidity as indicated above, it is recommended that the clasification of-diseases follow closely the titles of "The Bellevrue HoApital Nomenclature of Diseases and Condition, " ptublished by the Board of Trustees of Bellevue and Allied Hospitals, New York, 1911. It will not be neces- sary to suggest lists of occupations for any single establishment.

SANITARY CONTROL OF WADING POOLS. Experiences in the sanitary control of wading pools at- Newark, N. J., are related by Dr. C. V. Craster, health officer of that city, in a paper read before the American Society for Promoting Hygiene and Public Baths.1 Studies iimade of three public wading pools showed I At a meeting he'd in Newark on May 15, 191i 1435 August 30, 1916. all to be heavily polluted. The chief reason for this condition is stated to have been the overcrowding of the pools during the summer. Dr. Craster states that the bottom and sides of wading pools should be of cement or tile and that there should be a coping seat provided. In other words, natural effects in landscape gardening should not be expected in adapting a pool of water for wading purposes. It is stated that cleasing and scrubbing of all surfaces should be done daily and, unless the pools are provided with rapidly flowing water, that chlorination should be a routino procedure. The necessity of supervising the use of -the pool is emphasized. Where possible, showers for the feet and toilet accommodations, Dr. Craster states, should be provided in a near-by building. PREVALENCE OF DI .

No helth el'rtment, $we or lowl, cm eJecd edy prevent or c trol Pease tcitho,ut howi4*e of whe, where, and under awn occurcar

UNffITD STATES.

EXTRA-CANTONMENT ZONES-CASES REPORTED WEEK ENDED AUG. 24. CA.SIP BEAUREGARD ZONE, LA. CAMP DODGE ZONE, IOWA. Des Moines: Gonorrhea: Cases. Cases. Diphtheria...... 4 Alexandria...... 1 Gonorrhea Malaria: ...... 14 Scarlet fever...... 4 Alexandria...... 1 Mumps: Smallpox...... :, Syphilis...... 4 Alexandria...... 1 Typhoid fever: Typhoid fever ...... 2 CAMP DONIPHAN ZONE, OKLA. Alexandria...... 1 Lawton: ...... 1 Boyce Gonorrhea ...... Echo...... 1 Mumps ...... Pineville ...... 3 CAMP EBERTS ZONE, ARK. Rural district ...... 1 Erysipelas: Whooping cough: Lonoke...... Alexandria. 9 ...... Lonoke, route 2...... Pineville 5 ...... Lonoke, route 4 ...... CAMP BOWIE ZONE, TEX. Gonorrhea: England...... 2 Lonoke, route 2...... Fort Worth: Scotts Chancroid...... 3 Malaria: Diphtheria...... 3 Austin ...... Gonorrhiea ...... 241 Austin, route 2 ...... 1 Malaria...... 3 Cabot ...... 4 Mumps...... 1 Carlisle ...... 16 Smallpox ...... 2 Carlisle,. route Sypllilis ...... 1...... Carlisle, route 2...... , .1 Typhoid fever...... 6 Keo ...... 7 Kerr, route I BREMERTON ZONE, WASH...... Lonoke, route 2 ...... Scotts, route I ...... ,,.,,. ..1 Chicken po-x ...... 1 Ward ...... Gonorrhea...... 2 Septic sore throat: Measles. 2 ...... Kerr, route 1 ...... ,,,,.1 . 2 Syphilis ...... WVard ...... Syphilis: CAMP DEVENS ZOJNE, MASS. Lonoke, route 2...... ,.,,,,.1 Trichinosis: South Lancaster: 1 Scotts. route ...... , , .1 Diphtheria ...... I Tuberculosis: Whooping couigh ...... 5 England ...... 1 Typhoid fever: CAMP' M1X ZONE, N. J. Cbarlisle ... , ,,., ..... 2 I.onoke, route 4...... I Typhoid fever: Whooping cough: Pemberton lBorouiglh . .1...... I.onloke, route 1...... 2 36) 1437 August 30,191&

CAM rfSfN MM, KANS. FORT LEAVENWORTH ZOE, KANS. Diphtheria: Cases. Gonorrhea: bunctlon City ...... 1 Leavenworth ...... 10 Whooping cogh: Typhoid fever: Ogden ...... 2 Leavenworth County ...... 2 CAMP GORDON ZONE, GA. Atlanta: CAMP LEE ZONE, VA. Diphtheria...... 1 Chesterfleld County: Gonorrhea.... 19 Typhoid fever ...... 2 Mumps...... 2 Ilopewell: Pneumonia.. 1 Scarlet fever...... 1 Scarlet fever. 4 Typhoid fever ...... 1

Smallpox...... 1 Whooping cough ...... , . 3 Syphilis...... 36 Petersburg: Gonorrhea ITuberculosis ...... 5 ...... 19 Typhoid fever...... 5 Measles ...... Whooping cough...... 2 Smallpox ......

East Point: Syphilis ...... 21

Smallpox ...... 1 Typhoid fever ...... 10 CAMP GREENE ZONE, N. C. Whooping coungh ...... 1

Charlotte Townslip: CAMP LEWIS ZONE, WASH.

Chancroid ...... 4 Mumps

Steilacoom...... Chicken pox...... 1 ...... Gonorrhea...... 16 CAMIP LOGAN ZONE, TEX. Syphilis...... 18 Houston: Typhoid fevexr...... 7 Diphtheria...... :...... 2 Whooping cough...... 4 Gonorrhea...... 6 GULIPO0RT WEALTH D TRICT, MISS. Syphilis...... 2 Cancer ...... 2 Tuberculoss ...... 7 Diphtheria...... 1 Tylphoid fever. 3 Gonoffhea ...... U. S. Government Clinic:

Mali...... 22 ChlanercidI ...... 2

Miumps ...... 1 Gonorrhea ...... 81 Pneuoa ...... 1 SyphilUis ...... 17 Syphilis...... 1 CAMP M'VARTNUUR ZONE, TEX. Tuberulosis...... 1 W\aco: Typhoid fever ...... 2 Conorrhea ...... 21 CAMP HANCOCK ZONE, GA. Augusta: Syphilis ...... 13 Tubrerclcsis ...... 1 Gonorrhea ...... 5 Whooping ecligh ...... 1 Mlalaria...... 3 Syphilis ...... 19 CAMP M'CLEI.LAN ZON-E. ALA. Tuberculosis...... 6 Anniston: Whooping cough ...... 5 Gonorrhea...... 10 CAMP JOSEPH E. JOHNSTON ZONE, FLA. Scarlet fever...... 1 Chicken pox: Syphiiis...... 3 Jaksonville ...... Precinct 15: Diphtheria: Typhoid fev-er...... 1 Jacksonville ...... Gonorrhea: FORT OGLETIIORPE Z( NF. GA. AND) TENN. Jacksonville ...... 40 Cerebrcspinal meniTngitis: Hookworm disesse: North Chattano(gg.. 1 Ortea...... 2 Shepher... Malaria: Chicken pox: Lackawanna...... 3 Clhihkamn'uiga... 2 Jacksonville...... 3 Diphtheria: Ortega ...... 5 Mumps: ('hattane.. .. 2 Eastport...... Conorrhea: 2 Jacksonville ...... 2 Altonpark.. Syphilis: Chattang..... 20 Jacksonville ...... 46 REast'ake Typhoid rever: Malaria: 1 Fishers Corner...... 4 Chattanga... acknvle...... 4 Scarlet fever:

Moef ...... 2 Chattan-xga ...... 3 Whooping cough: Kensingiln-...... 1 Jacksonville ...... 1 Ilessxie... 1 August 80, 1918 1438

FORT OGLETHORPE ZONK, GA. AND TEN.- PORTSMOUTH AND NORFOLK COUNT HEALTR DS continued. TaCT, vA.-continued. Bypbilis: Case. Syphilis: Cases.

Norfolk. 2 Chattanooga ...... * 8 ...... Quartermate Terminal Eastlake ...... Tuberculosis: Tetanus: Port Norfolk Chattanooga...... 1 .1...... I Tuberculosis: East Ch ...... Typhoid (ever: Norfolk ...... Portsmouth ...... 2 C h a ...... Typhoid fever East Chatt ...... anoog I Deep Creek ...... Eastake ...... I

Norfolk ...... 3 St. Elmo ...... 2

South Norfolk ...... 2 Shepherd...... ,Whoopbng cough: West Norfolk ...... eough: Chattanooga...... t. 1 Wheoping rortsmouth .1......

CAM PIKE ZON, ARK. Chancrold: PORTSMOUTH-KITTERY SAMTARY DISTRICT, N. H. AND ME. Little Rock ...... 4 Gonorrhea: Cerebrospinal meningitis: Brentwood Little Rock ...... 29 ......

North Little Rock ...... 2 Dysentery: Brentwood ...... Gonnorrhea: Scotts .1....I Malari: KterY ..3 Portsmouth Gallaway 1 11

Littl Rock...... 14 Measles: ...... NortLittle Rock ...... 3 Kittery I Portsmouth PICrn ...... 2 ...... I Measles: Salem

Little Rock ...... Scarlet fever:

Pellagra: Kittery .1.....

LittleRock-...... 1...... Syphilis: Portsmouth 2

Little Rock ...... :...1 Tuberculosis: Greenland Septic sore throat: ....1......

Scott ...... 1 Typhoid fever: Portsmouth Syphilis: .1......

Little Rock ...... 11 CAM SEVIE ZONK, S. C. Tuberclosis: Typhoid fever Little Rook ...... 6 Bates Township 3 North Little Rock ...... 1 ...... Greenville Township 2 Sweat Home ...... 1 ......

CAMP SHELBY ZONE, MISS. PORTSMOUT AND NORFOLK COUNTY HEALTH DIS- TRICT, VA. Gonorrhea: Chancroid: Hattiesburg ...... 5

Norfolk ...... 3 Malri:

Chicken poX: Hattiesburg ...... 3'

Fentress ...... 2 Tuberulosis: Diphtheria: Hattiesburg ...... 2 Norfolk ...... 2 Typboid fever:

Portsmouth ...... Covington County...... Dystery: Hattlesburg ...... Quartermaster Terminal ...... I Near Hattiesburg ...... I Gonorrhea: CAMP SHRDAN ZONE, ALA. Norfolk ...... 32 Portsmouth ...... 5 Montgomery

Malaria: Diphtheria ...... , 2 Churchland ..... Diphtheria, carriers ...... 3 Deep Creek ...... Mlaria. I

Norfolk County ...... 1 Sarlet fcver ...... I

Port Norfolk ...... Smallpox .1...... I Portsmouth ...... 2 Syphilis...... Scarlet fever: Tuberculosis, pulmonary. 2

Coa View ...... Typhoid fever ...... 4 1439 August 30, 1918.

CAMW SHMAWZON, ALA.-Continued. TIDEWATER IIEALTH DISTRICT, VA.-continued. Mlontgomry County: Cases Newport News-Continued. Cases. Tuberubosls, ...... IL pulmonary Malaria ......

Typhoid fever...... I Pellagra ......

U. S. Government Clinic: Smallpox 2 Chancrold...... 1 Syphilis ...... 8 Goorrhea.a 1 I Tuberculosis ...... 7 Syphilis. 10 Typhoid fever ...... 5 Whooping cough ...... CAM? SHERMAN ZONE, OTO. 4. Phoebus: Diphtheria: Tubercuiois ...... 1 Chilliothe .. 1 Typhoid Gonorrhea: U. S. Government clinic .11 CAMIP TRAVIS ZONE, TEX. Syphilis: San Antonio: U. Governmnt clinic ...... 2 Gonofrhea ...... 35 CAMP ZACHARY TAYOR ZONE, KY. Syphilis ...... 3s Tuberculosis...... Chancroid: 4 Typhoid fever .... 12 US. Governaentelinie...... I Chicken pox: CAMP UPTON ZONE, N. Y. Louisville ...... ('ontinuedfever: Brook Haven: is iUe ...... 1 Tuberculosis ...... I

Diphtria: Typhoid fever...... 1 Louisville Gconrrhea: ...... 3 VANCO-UVER ZONE, Lio sville ...... ;, WASh!. U. S. Governmentclinic .O Malria: Measles...... I Loulsvile ...... 1 Mumps ...... I Mesles: Typhoid fever. Jeffersonville, Ind ...... 1 Whooping cougl. Lousvie ...... Pnumonia, lobar: CAMP WADSWORTII ZONE, S. C. Louisve...... 1 Smallpox: Glenn Springs: Louisville ...... Gonorhea. Syphilis: Malaria ... . 5 U. S. Government clinic ...... 19 Typhoid fever ...... 1 Traehoma: Spartanburg: Louisville ...... 2 Diphtheria ...... Tubereulosis,pulnonary: 1 G4 orf ea ...... Flo.d Comty, Ind ...... JeffersonCounty 1 1 ...... Mmps...... Seffersonville, Ind ...... 1...... 1 Tuberculosis ...... I

.isvil.. . .. Typhoid fever...... 6 Kew Albany, Ind ...... ; . Whooping aough ...... 2 Irypboid fever:

Jefferson County ...... 3 CAMP WHELER ZONE, GA.

JeffersonllHe, ind ...... I Bibb County: Louiisville ...... 11 hwpingc6°o: Conjwictivitis ...... Typhoid fever...... L,ou1isville ...... 6

New Albany, Ind ...... 4...... 4 Mac: Gonorrliea...... 2 TIDEWATER HEALTH DISTRICT, VA. Malaria ...... 6 HamptW: Pellagra ...... 1

Typ lever ...... d . I Tubelrclosis ...... 2 Newport Nms: Typhoid ever...... 3

.. ..h ...... 2 U. S. Government elinic. Diphta ...... 2 Gonohrhea ...... 4 xoare ...... 19 4 AUgust 30, 1918. 1440 DISEASE CONDITIONS AMONG TROOPS IN THE UNIT1@D STATES.' The following data are taken from telegraphic reports received in the office of the Surgeon General, United States Army, for the week ended August 16, 1918: Annuel admiision rate per 1,000 (diiease NoneUsctlve rate per 1,000 on day of re only): port-Continued. All treops. 1,007.7 Cantonments...... 37.88 Divisional camps ...... 1,281.3 Departmental and other troops...... 30.68 Cantonments...... 1,08.7 Annual death rate per 1,000 (disease .Departmental and other troops. 791.4 only): Noneffective rate per 1,000 on day of re- Altroops...... 2.71 port: Divisional camps...... 1.61 All troops. 36 08 Cantonments...... 3.35 Divisional camps ...... ; 43.76 Departmental and other troops...... 2.48 Cases of8pecial dies reported during the week ended Aug. 16, 1918.

Venereal . ~ j~ diseases.

Camp.4 U.0.. g

E- g 0*4* ~ '- 0'. Beau d...... 7 ...... 6 1 1 10 ...... <...... 809.4 84.72 Bowrie...... i.7,...... 1 13 9 ...... 1,483.5 49.20 Cody...... 40 2 ...... q...... 401.3 16.55 fremont...... 2 30 6 1 ...... 39)3.4 24.90 Gre...... 2 ..... 133 70 2 ...... 1,796.8 63.94 3 33 ...... 9 ...... 3 2 923.3 43.25 Grenlaf...... ,--... k...... S ..... 4 246 ...... 1,436.8 40.34 ..... 7 ...... 764.6 96.62 Keay...... 3 77 ...... 1,704.9 49.86 MacArthur...... 5 1 ,...... 961 ...... 3,307.6 68.76 MClbllan...... I ..... 42 160 5 1 ...... 1,473.3 48.66 Sevier...... 1 ..... 32 2 ...... 1,002.6 68.61 Shelb1 3 1 26 43 ....i.. 35 ...... 2 1,380. 1 49.6 Shera..... 3 ...... 3 260 5 42 ...... 1,711.2 46.69 wadsworh.. ...Z 5 ...... 2 271 2 ...... 1,248.3 32.11 wheeler... 5 ...... s0 ...... , 88B.0 28.28 Custer...... 5 ...... 750 3 ..... , 3 1, 780.2 16.,76 Devens...... 5 ...... 2M 25 14 ...... 1 5 728.0 32.91 Dix.... 3 1 ...o.. 144 4 5 ...... , 1,075.2 30.49 Dodge... 19 ...... 69 ...... 11 1 ...... 947.8 63.9) Fun...... 15 ...... 22 ...... 15 ;.... 2 2 453.2 12.31 Gordon...... 77 ...... 28 167 73 ...... U.38 2,179.1 66.99 Grant...... 6 ...... 4 66 .12 '''i' 3 274.6 13.33 Jac'so...... 1 ...... 167 32 ''''i' ..... 2 923.7 50.7-4 J. E. Johnston...... 2 ...... 1 39 36 21 1 ..... 1,105.3 33.5i Las Caa...... 19 ...... 2 2 53 ...... 1,42. 1 45. 5f Lee...... 7 2 ....3. 88 3 37 ...... 3 743.2 47.73 lAws...... 8 124 8 12 ...... 2 1,131.3 42.60 Meade...... 5 ''''i' 8 429 6 3 ...... 761.9 23.41 Pike...... 26 ...... 23 *79 28 120 ...... 1,278.8 56. 20 Sherman...... 6 1 188 15 ...... 1 4 1,243.2 43.01 Taylor...... 10 ...... 44 52 ...... 2 1 143.4 33.99 Travis-...... 35 3 83 4 3 ...... ''''i' 5 2,018.2 45.36 Upton...... 2 1 577 7 14 1 1 2 1,282.8 40.59 Northeastern De- 10 partment...... 9 4' 573.1 22.04 Eastern Department 1 3 267 30 20 667.3 20.65 Southeastern De- partment...... 2. 16 36 17 1. 1,484.5 59.88 Central Department. 4' ...... 44 12 37 3 644.0 16.52 Bouthern Depart- m t...... 3 2 131 44 2. .7 759.5 30.08 WesternDepartment 1...... 50 2. 611.8 19.32 Aviation camps..... 4 1 156 I...... 13' i9~ 829.3 29.56 Ports of emarika- tion: Hoboken. 6 3 285 33 37 a ob ...... 1,019.5 52.95 Newport News. 9 7 3 101 4 16 ...... I "I .1 1,544.8 84 14 I Including Porto Ricoe 1441 Au st30, 191& Cv f specl dimaes rortep td duing de week endd Awg. 16, I919-Continued.

Venereal _

Cemp. I d E ;t lSi iseases. 1t4

A ars lc...... 567.3 15.27 Leavenworth ...... 1...... 1 ...... ,1371.6 S6t Coh_ BrrT...... 15 2 ...... I 914.1 28.09 Jefferson Barracks 1 5 232 2 9 . 2 2,953.0 91.01 L,opn, Fort. . . 26...... 1,631.1 58 87 McDowell, Fort 1 1 14 1 2,202.02 99.21 sbom, Fort ...... 74...... 1,41&7 47.16 Thomas,Fort :...... 1 5 ...... 1 970.1 30.79

...... 2 ...... I Arsen5L^.; ...... :...... 20 2-... 79 L 6 1115 WVest Point ...... 2 ...... 1...... 1,208.6 II.3 Misossous sman stations...... 2 3 10 . .503.9 9.46 tenemlhcwpitas ...... 9 .------.-- Total ...... 33 24 7 23 421 744 14 19......

Annual rate per 1,000for special disease:.

- Anlltrooepds mental Divisional Canton- Expedition. States.s....t cs., andtroops.'other camps.' ments.' ary fores.'

p ...... 10.8 3.46g 8.09 17.90 83 Lysentery ...... 77 .06a1 .71 .57 2.99 M i& ------. 6.0. 4.431 9.71 & 93 .89 'enereal ...... 232.2 130.4 j 427.7 241.9 19.8 Paratyphoid...... ; ...... 38 .174 .25 TyphoidMeasles.------24.0 11.8- 207 35. 4&98 Meningitis ...... 22 .26 .... .28 . 6 Scatlet fever ...... i .45 .35 .54 .50 1.32

' Week ended Aug. 16, 1918. 2Week ended Aug. 8, 1918. CURRENT STATE SUMMARIES. Telegraphic Reports for Week Ended August 24, 1918.

& Alabama. By counties. Typhoid fever: Choctaw 1, Cleburne 1, ('olbert 12, Henry 4, Mobile 17, Montgomery 2, Sumter 1, Tusca- loosa 5, Walker 2. Malaria: Autauga 5, Choctaw 2, Colbert 17, Henry 9, Jackson 7, ILauderdale 1, Mobile 4, Sumter 3, Tuscaloosa 8, Walker 8. Smallpox: Chambers 8, Colbery 1, Jackson 2, Lauderdale 1, Mobile 2, Sumter 2, Tallapoosa 4. Diphtheria: Lauderdale 2, Mobile 4, Montgomery 2, Sumter 1, Tuscaloosa 2, Wilcox 1. California.-One case cerebrospinal meningitis reported from Los Angeles City. Three cases poliomyelitis; one Los Angeles City and two Oxniard. Sixteen cases smallpox, 12 of which were reported from Oxnard where an outbreak occurred. Balance of smallpox scattered throughout the State. Twenty-seven cases typhoid fever, 16 of which in San Francisco Bay region; balance scattered through- out the State. August 80, 191& 1442 Connedicut.-Cerebrospinal meningitis: New Haven 1, Bridge. port 2. Poliomyelitis: Hartford 3, New Britain 2, Berlin 1. Ty phoid fever: State total 38. Minyis.-Diphtheria: Eighty-two, of which'h Peoria 9, Chicago 52. Scarlet fever: Sixteen, of which in Chicago .9. Smallpox: Eighteen, of which in Orion Township- (Fulton County) 6. Meningitis: One each in Jerseyville and Chicago. Poliomyelitis: Eighteen, 1 each in De Kalb, Gillespie, Perryton Township (Mercer County), Waterloo, O'Fallon, and Fairfield; Chicago 6, 3 each in Evanston and Kankakee. Iow.-Chancroid: Cedar Rapids 2. Diphtheria: Davenport 2, Des Moines 4, Dubuque 1, Fort Dodge 1. Gonorrhea: Albia 1, Cedar Rapids 5, Clarion 2, Council Bluffs 3, Des Moines 14, Fort Dodge 2, Keokuk 2, Marion 2, Oskaloosa 3, Red Oak 2, Soldier 5. Measles: Audubon 1. Poliomyelitis: Dana 1, Dorchester 2, Dubuque 3, Oel- wein 1. Scarlet fever: Davenport 1, Des Moines 4, Fort Dodge 1. Smallpox: Cedar Rapids 1, Council Bluffs 4, Des Moines 3, Postville 1, Tripoli 3. Syphilis: Cedar Rapids 1, Des Moines 4, Fort Dodge 1, Marion 1, Oakdale 2. Typhoid fever: Des Moines 2. Whooping cough: Dubuque 1. In rural districts of foUowing counties-Diph- theria: Benton 1, Marshall 4, Webster 3. Gonorrhea: Benton 1. Poliomyelitis: Clayton 1. Kansas.-Meningitis: By cities-Kansas City 1. Poliomyelitis: By cities-Kansas City 1, Pittsburg 1, Wamego 1. State totals: Scarlet fever 13, smallpox 8, typhoid fever 74. Reported by mail for preceding week (ended August 17): Cancer ...... Pneumonia3: ..2..... Cerebrospinal meningitis .. 4 Poliomyelitis... 2 Chicken pox . .1 Scarlet fever...... 5 Cholera infantum . . Septic sore throat. Diphtheria ...... 11 Smallpox ;.. 6 Duke's disease . .1...... Syphilis . .10 Erysipelas ...... 2 Tetanus. 1 German measles ...... 2 Trachoma. 2 Gonococcus infection ...... 47 Tuberculois..73

Malaria .... . 2 Typhoid fever ...; ...... 97 Measles . ... 13 Whooping cough ...... 32 Mumps.... 7 Loui8ians.-Meningitis 1, typhoid fever 70, diphtheria 33, small- pox 11. Mas8achuletts.-Unusual prevalence. Whooping cough: Middle- boro 10, Cambridge 42. Diphtheria: Wakefield 7, Braintree 3. Typhoid fever: Plymouth 3. Minnesota.-Smallpox (new foci): Beltrami County, Bemidji city; Blue Earth County, Leroy Township; Crow Wing County, Brainerd city; Hennepin County, Hassan Township; Pine County, Belgrove 1443 Augut 30, 1918. Township; Polk County, Farley Township; St. Louis County, Hib- bing village; Stesrns County, Paynesville village-each 1 case; Rice. County, Faribault city 2 cases. Twenty-two cases poliomyelitis reported since August L19. New Jersey.-Unusual prevalence. Typhoicl fever: Elizabeth and North Hampton Township. New Yor.--State outside of New York City: Eighty-eight diph- {theris, including Buffalo 45. Typhoid fever: Sixty-nine, 11 of which in Watertown. Poliomyelitis and epidemic meningitis each 3 cases, scattered. Virginta.-One case smallpox Newport News, I Hanover. Wa8hington.-Infantile paralysis: Island County 6. RE ROCAL NOTIFICATION. Minnesota. Cases o communticable diieaw-cfefrrad dwing July, 1918, to other State health depart- =ex b t of heac ofttState ofC Minnesota.

Disease and locaity of noti-c_tion. ItReeed to health atuthority of- Why retnred,

Smallpox.: HeWbling Township, Stearns Casselton, Cass County, N. Dak...... Patient broke quarantine in Minnesota and went to County. North Dakota.' Tubercuois: Mayo Clinic, Rochester, Olm- Chieo Co County, Ill...... 1 apparentlyarrested. stW CAOUty. 8~rIUgle, rLawrence County, Ind. .. 1 apparently cured. SuuixCity, WeodburyCouanty Iowa.. lincipienlt. W _bleB, Harrison County, ';.... 0 moderately advanced. City, Cerro Goodo County, 4 advanced. Iowa. 1 far adved. I;abuque, Dubuque County, Iowa.... S (st.e ofdise not given) Stout, Grundy County, Iowaa...... cases left Mayo cic for homes. lK,ridp Wabaunsec Count Kans.. a9ib*1e, Shlb County, No...... b,dj Giggs Conty, N. Dak ...... Aku, PlymOnt County, Ohio...... Wallac, Coodiagton County, 8. Dak.. Bt Spnng, Hward County, Tex..... ingm, latmCounty, Wash. 8iaizw, 4Grant County, Wis. Jambvilie, RockCAty, Wis...... Colmbia County, Wis..... Green Bay, Brwn County Wis. E_ton, AAlberta, Canada..... Lethbridg ~MAl taCanacata,Ca ...... L_IsCnada...... Driwter, 8 tchawan,Cad..

I'- San atorium, Pine Nm _m Grand FiorkcsCoty N. Dca. 1 improved and 1 unim- AAa, Ashl"nd Cotnty, Wis ...... vresie ea *ft PAkema Sanatorium for hes. MiniDu Stmiey, Chippewa County, Wis .. 2 open eames lieft Minnesota qtQlis,tlimaepintyaC for Wisconsin. A4laad, Ashland County, Wis. Camp K a"y Puma County, Ar...... 2 cases rejeced far military servi* oan ecountoftuber- cnas. L{ci Draft Board No. 10, Madison, R. No. 6, Dane County, Wis. August 30,1918, 1444 rCIREBRSPINAL MENIGImT Caes Reported In Extra-Cantonment Zones, Week Ended Aug. 24, 1918. Cases. Cases. Fort Oglethorpe zone, Ga. aDd Tenn ...... 2 Portsmouth.Kittery sanitary ditrict, N. H. andMe ..... State Reports for July, 1918.

Place. Newedereorted. Plac. 'Newcas4-reportel.

Indiana: New York-Continued. Jacksn County...... 1 Oneida County- LAwrenc.County...... 1 Uti...... 1 Marion County...... a SchuylerCovrty- Wabash County ...... ; - 1 Orage (town)...... 1 BSuffk County- 6 Babylon...... 1 Total...... TiogaCoumty- Iowa: Tioga (town)...... ,) a MarshallCounty...... 1 New York City...... Pottawattamie County...... 1 Scott County...... 1 TOWToal ...... 40 Total...... 3 North Carcina: Cabarusomnty...... I Kana: Dupl County...... Butler County- Durn County...... 1 Towanda...... 1 .1 Crawfrd Ccunty- MooreCounty...... 1 Pittsburg...... Rok m County...... 1 PhipCounty- Wake Cxmty...... 1 Glade...... I-1 Total...... 8 Total...... 3 Louisiana: Rhode Island: Avoyelles Parish...... 1 Providene...... 4 Orleans Parish...... 2 SouthCaoin: Rapides Parish...... 2 C n County...... 2 5 Flrene o nty...... Total...... Nwberr Co m ...... 1 Minnesota: RillColmty...... 1 Stearns County- Wakefield Township...... 1 TOW...... 5 Hennepin County- s 2 Washlngtcn roncpok DucRomeu ...... Townhip...... 0 PiereCounty. = S,t. Louis Conty- Piem ..... 2 Duluth...... 1 Twa...... CU;n;y...... 1 Pope County- - Ben Wade Township...... 1 Total...... 4 6 West Vrgnia: Total...... 1 New Jersey: KanawhaCounty...... Atlanti County...... 1 Ohio County...... 1 Burlington County...... Cape My County...... 1 Total...... 2 Esuex County...... 121 Wisocnsin: Hudson County...... 1 Brown County...... Mercer County...... Burnett County...... 1 Passa icCounty .... 4 ColumblaCounty...... 2 Dane County...... 1 Total...... 28 G t t y...... 1 New Yorlc Milwaukee County...... Cattau gaus County- Racine County...... Soutfi Dayton...... SaukCounty...... Dutchs County- Sawyer County...... 1 Pawling (town) . 1 Sheboygan County...... 1 Erie County- 10 Buffalo...... 4 Total ...... 1445 August 30, 1918. CEREBROSPINAL MENINGITIS-Continued. Cty Report for Week Ended Aug. 10, 1918.

Place CaseS D . Phl. Cases. Deaths.

Atlanta,G...... 1 Granite City III 1 1 BaltimOre, Md ...... 1...... 1 Hrisburg,.a 1 ... Berkeley, Cl ...... Hartford Conn...... 1...... Birn Ala1...... Kansas (ity Mo ...... Boston, ...... 2 LaCrosse is ...... 1i BroCktom .1.1 Loratn,(Ai.o ...... Buffalo, S.Y.1...... Los Angeles, Cal ...... 1 Cambridge, mass ...... New OrleasLa...... 1. I Charlest 8. C ...... NewYork,P. Y ...... 2 9 Chicago, Il...... 2 1 Peoria III..... _ .....1 . Chilliothe, Ohio ...... Philadelphia, Pa. 2 1 Cincinnati, Ohio...1 1Lous,.. Mo 2 1 Cleveland, Ohio ...... 1 ...... 1..SanDiegoCal 2 . .ow . . 1 Mass 1.. lies Mones,oa Sprmngfiel 1 . Detroit, Mih ...... 1 Trenton,N. ..J ...... Elmira, N.Y ...1...... 1 I ._

CHANCROID. Cases Repoe in Extrhd,autonment Zones, Week Ended Aug. 24, 1918. Cases. Cases. Camp Bowie zone, Tex ...... 3 Camp Sheridan zone, Ala...... 10 Camp Greene zane, N. C ...... 4 Camp Zachary Taylor zone, Ky...... Camp Logan zone, Tax ...... 2 Tidewater health district,Va...... a 2 Camp Pike zone, Ark...... 4 Portsmouth and Norfolk County health dis- trict, Va ...... 3 DIARRHEA. New HamiPshire-Portsmouth and Vicinity. The presence of diarrhea was reported in Portsmouth and vicinity, N. H., where a number of, cases had occurred up to the date of the report, August 23, 1918. DIPHTHERIA. Cases Reported in Extra-Cantonment Zones, Week Ended Aug. 24, 1918. es. Cases. Camp Bowie zone, Tex...... 3 Fort Oglethorpe zone, Ga. and Tenn .. 2 Camp Devens zone, Mas...... 1 Portsmouth and Norfolk County health dis- Camp Dodge zone, Iowa...... 4 trict,Va...... 3 2 Camp Funston zone, Ka ...... I Camp Sheridan zone, Ala...... ,...... Camp Gordon zone, Ga...... 1 Camp Sherman zone, O ..2I Gul.port health district, . 1 Camp Zachary Taylor zone, Ky .. 3 Camp Joseph E. Johnston zone, Fla...... 1 Tidewater health district, Va .. 2 Camp Logan zone, Tex...... 2 Camp Wadsworth zone, S. C. 1 See also Diphtheria, measles scarlet fever and tuberculosis, page 1464. 73535°18 -2 August 80, 1918 144 DYSEINTBRY. Cases Reported in Extra-Cautonmet Zones, Week Ended Aug. 24, 1918. Cases. Cases. Portmoth and Norfolk County health dam Partsmouth-Kfttery santary district, N. H. .ctr t, Va.... 1 admo ...... 1

ERlYSIPELAS. City Reports for Week Ended Aug. 10, 1918.

Place. Cases. Deaths. Place. Cases. Deaths.

Akron, Ohio ...... Om a a ...... , Nebr.*1 Buftao . Y ...... 1 ...... Philad aPa ...... Chloago,Ill...... 7 ...... Portlan ...... rI...... I Cleveland Ohio R...... Y ...... 1 Rome Y...... Clovela, O .2i...... St. LUIS, Mo ...... 1 ...... It1 .. St. Paul Mlnn ...... 1...... LoAngles Cal ...... 1. I an FraAcis Ca. . 2 Massl11,ohO~io2 ...... SantaCruz Cal...... 1...... 1 Newark, .J5 ...... Troy,N.Y' ...... 1

GONORRHEA.

Cues Reported Extra-Cantonment Zones, Wedk Ended Aug. 24, 1918. Cases. Cases. Camp Beauregard zone, La ...... 1 Camp MoClilianzszo, Ala ...... 10 Camp Bowie zone, Tex.241 Fort Oolthorpe zon, Ga. and Te. 2:, Bremerton zone, Wash ...... 2 Camp Pike zone, Ark...... :}:* Camp Dodge zone, Iowa. 14 Portsmouthand Norfolk Countyhealth district, Camp Doniphan zone, Okla ...... 2 Va...... :;, Cam Eberts -one, Ark ...... 4 Portsmouth'Klttery sanitary district, N. H. - Camp Gordon zone, Ga...... 19 nd .- -.... . 14 Camp Grene zone, N. C...... 16 Camp Shelby zone, Miss ...... Gulfporthalth distriet, Ws...... ;.. 8 C Sheidan zone, Ala. Camp Hacock zone, Ga ...... 5 Camp Sheima zone, Ohio ...... 11 Camp Joseph B. Johnston zone, Pla.... 40 Camp Zaby Tylo szo, Iy.. 15 Fort Leavenworth zone, Xans..... 10 Tidewaterhealth ditrict, Va ...... 1i Camp Lee zone, Va...... 19 Camp Travis zone, Tex...... 3 Camp Logan zone, Tex. 87 Camp Wadsworth zone, S. C ...... 2>. Camp MacArthur zone, Tex ...... 21 Camp Wheeler zone, Ga ...... 6

MALAIA. b Cases Reported In Extra-Cantonment Zones, Week Ended Aug. 24, 1918. S. Cases. Camp Beuregard zone, La...... 1 Portmouth and Norfok County health dis- Camp Bowie zone, Tax...... 3 tret,Va ...... 6...... & 6 Camp Ebet z,o, Ark...... 41 Camp Shelby sow, Mis ...... 3 Gulfport halth dsrict, M...... 22 Camp Shridan zne, Al. 1 Camp Haneock oe, a. 3 CAmp Zeday Taylor zone, Ky...... I Camp Joseph E. Johnston zone, Fla...... 11 Tidewater health district, Va ...... 1 Fort Oglethorpe zoe, a. and Ten...... I Cmp Wadswetntstee, . C 5 . Camp Pike zone, Ark ...... 20 Camp Wheeler zone, Ga ...... , 6 1447 lugut 3o, 1918. MALA -ontinued. State Reports for July, 1918.

I of Ne eae Neweases Place. reported. Plae reported. II Kansas: Minnesota: Butle County- Fort Sne11ngg...... 1 El Dorado...... 1 Leavenworth County- New Jersey: Leavenworth...... 2 Bergen County...... 3 Sedgwlck County- Burlington County...... 31 -Wichit ...... 1 Mides Counaty...... 8 Hudson County ...... 4 TotaL...... 4 middlesexCounty...... 1 Somerset County...... 10 LouisIa: Sussex County...... 4 Acadi Parisb...... 16 Union County...... 2 AUen Parish...... 5 Avoyelles Parish...... 1 Total...... 63 Calcasieu Parish...... 1 Concordia Parish...... 4 South Carolina: East Felianm Parish...... 2 Cotmty...... 8 Iberia Parish...... 1 Chester County...... 10 Jeffersn Davis Parish. 2 Greenville County...... I 1 Lafayette Parish...... 2 Marion County...... 11 Lafouirche Parish ...... 1 Orangeburg County...... 5 Ouachita Parish...... 15 Richland County...... 1 Rapides Parish...... 87 Spartanburg County...... 1 St. Charles Parish...... 5 Union County...... 2 St. Martin Parish...... 11 York County...... 7 St. Mary Parish...... 3 St. Tammany Parish...... 15 TotaL...... 48 Tangipshoa Parish...... 5 Tenas Parish ...... 7 Vermilion Parish.. Webster Parish...... 1 Total...... 191

City Reports for Week Ended Aug. 10, 1918.

Place. C Deaths. Place. Caes. Deaths.

; Alexandria, La ...... emphIs, Tenn...... 2..... Atlanta, Ga ...... 1 M ...... Ala ...... Augrusta, Ga ...... 6...... Palestin.e, Tex...... 6...... Baltimore, Md ...... I Peterburg, Va . 2 ...... Birmingham, Ala ...... 2 PhiladelphIa Pa 1..-. 1 . Boston, Mas.1 ...... Richmond,ia 1 ...... napeCrasrdesu...... S. mento, Cal...... (harleston, S. C...... 2 San Francisco Cal ...... 2 Greenville, Tex...... 2;.. .:. . artanb...... 4 Hattiesburg, Miss ...... -.-.- 2.u=oosaA l a ...... 5 Little Rock, Ark.17......

MEASLES. Cases Reported in Extra-Cantonment Zones, Week Ended Aug. 24, 1918. Cases. Cases. Bremerton zone, Wash ...... 2 Camp Zachary Taylor zone, Ky...... 2 Camp Lee zone, Va ...... 1 Vancouver zone, Wash...... 1 Camp Pike zone, Ark ...... 1 Camp Wadsworth zone, S. C ...... 1 Portsmouth-Kittery santary district, N. H. andMe...... 4 See also Diphtheria, measles, scarlet fever, and tuberculosis, page 1464. PELLAGRA. CAses Reported in Extra-Cantonment Zones, Week Ended Aug. 24, 1918. Cas. Cas. Camp Pike zone, Ark .1 Camp Wheeler zone, G1 . Tidewatr health district, Vs ...... 1...... 1 *Atgust 30, 191P6 .144 PELLAGRA-Cotuued. Stab BOWL f(ar i*, IUS r JNew cases Place. New cases Place. [~~~~~~~~~~~~~~eotd Newpcseseotd

Kansas: Louisima-Continued. Labette County- Richland Parish...... fi rars...... 1 St. Mary Parish...... I Montgomery Couinty- Ten Pa ...... 1 Independencee...... I Reno County- Total ...... h...... 2 SedWlok Couaty- . South Carolina: lcis...... 1 Chester County...... Laure Count...... Tota ...... 5 Maion Cotmty...... 1 Newberry County...... I Louisiaa:- Orangburg County...... Avoyulles Parish ...... 1 Pickens Cunty...... I Beauregad Parish...... 1 Richland C ty...... Clibesne Parish...... 1 Spartnburg County.... I De soto Parish...... 3 Union County...... East Baton Rouge Parish...... 1 York County ...... 5 Jacksqn Pai...... 1 1)- La Sals Parish . 5 Total...... - Orleam Pah. 6 Ouachita 1'ans.... 1 West Virglina: Rapides Parish ...... 1 Monogalia County ...... I

City Reports for Week Ended Aug. 10,1918.

j Place. Cases. Deaths. Place. cams. DeaUts.

_ _ Atlanta, na ...... 3 LOs Angeles Cal 1 ...... i AaGa...... 4 hcbbur 'Va...... :: ...... B_lAl...... 2 3 Omb...... 1 Cbreso ..C...... 4 Mob,le,%ta...... 2 Charlotte, . C...... 2 gerny, Ala...^...... 1 Colorado Swrings, Colo...... 1 Ten... . 2 ...... C -.11ax...... 1 Newr Ode;s L

Pla_e. Ca. |eath& Pl1e. Cas. Daths.

Atantc City N.I.J. 1..cka.anna,. N..5 Y Baltimore, Md . - 4 3 Los Apnaes.Ca...... 3 Binghmton, N. Y. .1.,.Louisville, Ky . 1 306ii,...... 2 L Mm 1 ...... 1 1 BrOO*tODW ; ~~~~1 Vihgn2 ...... C . Br Vt...... higan11 .N.wark. 7 12 1 C ho~ 13 19 If Oa.Pa...... Newark,lP ...... Cleveland, Ohio ...... 3 8 PPhIfadeIpliIa, Pa.14 . .. Cnmberland, Md 1 I..1 .. narw,-lch 1 Elmira, N.Y.1 1 an Diego, Cal. 2 1 Evansille, Ind... 1 1.a.rnic.a.. 9 2 Fail Rie Mass 1 _ , IY 2 FortWortKTe... 1 1 Gwmmvf.llc .1.1S ..1bmac..l.... s...... Jackson, 2...... 2 ...... cacoma, ...... 2 . 1449 Augut 30, 1918, aPOLOMYELTIS (INFANTILE PARALYSIS).

State Reports for July, 1918

Place. Newcases __~~~~~~~~~motd reotd Indiana: New Jersey: Gibsm County...... I Essex County...... 3 Howard County...... LaGrange County...... I New York: Lake County...... 2 Delaware County- Lawrenc County...... a Masonville (town)...... 1 Mariz County...... 11 Erie County- Spncer County...... 1 Buffalo...... 1 County...... 1 Hamilton County- Vgo Lake Pleasant (town)...... 1 TotaL...... 11 Nassau County- Oyster Bay (town)...... 1 Iowa: Orange County- Dtubuque Coumty...... 72 Crawford (town) ...... 1 Fayette County...... 1 St. Lawrence County- Jackson County...... 1 Depeyster (town)...... 4 Taylor County...... 1 Ulster County- Esopus (town)...... 1 TotaL...... 75 Westchester County- Hastings-on-Hudson...... 1 Kansa: Maniaroneck...... 1 Osborne County- 28. Downs...... 1 New York City...... Balie County- Salina ...... 1 Total...... Wyandotte County- North Carolina: Kansaa City...... 1 Northampton County...... Roberson County...... TotaL...... 3 Surry County...... Louisiaa: Warren County...... Lafayette Parish...... Orleans Parish...... 21 Total...... St. Mary Parish...... 12 North Dakota: Vermillon Parish...... 1 Oliver County...... TotaL...... 5 Mercer County...... Michigan: TotaL...... Ingham C~my Lansing ...... I South Carolina: Kalamazo County- Greenvflle County...... Kalamazoo...... Kent Oregon: GrrandCounty-Rapis. i...... 2 Portland...... Mason County- Ludington. 1 West Virginia: cttville... 1 Cabell County ...... Ogemaw County-. 1 Fayette County...... West Branch TowhAhI...... 1 Hancock County...... Shiawassee County- Kanawha County...... Owosso...... 2 Mon County...... Tuscola County- Fairgrove...... ,11 Total...... Wae Cu lty- ZIetroit...... 2 Wisconsin: Barron County...... 5 Total...... 12 Chippewa County...... 2 Columbia County...... 1 Minne3ota: Dane County...... 1 Filmore County- Dodge County ...... * 2 Canton Township...... Forest County ...... 1 Harmony Township...... 1, Grant County...... 9 Preble Township...... Jefferson County. 1 HIennepin County- La Fayette County. 4 MinnespoLs...... 1 Lincoln County. 1 Houston County- Manitowoc County. 1 Sprng Grove...... 3 Price County. 2 Reanvle County- Rock County. 2 Camp Township...... 1 Sauk Couty.. 1 Todd County- Sheboygan County ...... Bruce Township ...... 1 Vernon County...... , 1 Waukesha County. 5 Total...... 9 Wood County. 11 Nebraska., 41 Sioux County...... ; 1 Total. August 80, 1i*& .1450 POLIOMYBLITIS (INPANTILE PARALYSIS)--Continued. City Repots hr Wee End Aug. 10, 1918.

Place. Cases. Deaths. Place Case. Deaths.

Baltimore, Md ... 1 Jamatown N. Y.1 Benton Errbor,Alich I . Kenoba, *is. 1i Blnicng, iii . l TfniP-1. . 2 eBlrug}11Ai...... 2. 5e, .. ClnclnntU, Ohio ...... 7 1 Marinette....W. i Cleveland, Ohio ...... 4 1 McKPeesprt.1. a Columbuo, Ohio . 1 MI.waue...... I 1 Corsicana Tex . I.. New Bedbd,.1 Dedham W;a...... I I New OrlLa...... Detrolt, lich...... 2 1 NewYork,N...... Y 4 Dubuque Iowa. 5 .. Pittsburgh Pa 3. Evansyiled.1 I 1 . St. Louis, kto 1. . 2 Hartford, ...... San F ac...... n sco Cal1...... Holyoe mass 2 .r.....el.E1M....1. IndlanpoMs,Ind 1...... f a...... 11

ABIES5 IN ANIMALS. Ciy e for Week Ended Aug. 10, 1918.

RABIES IN MAN. City Repois for Week Ended Aug. 10, 1918. 'Duriing the week ended August 10, i918, there were reported three cases of rabies and three deaths from the same disease at Los Angeles, Cal., and one case at Oakland, Cal. 8CA3LT FEVER. Cases Repored in Extra-Cantmment Zones, Week Ended Au 4, 1918. Cases. Cases.

C Dodge zone, Iowa ...... 4 Portsmouth and Norfolk Comty lth dis- Camp Gordonzone, Ga ...... 4 trict,Va. . Camp Lea zone, Va...... I Portsmouth-Kittery sanitary distrit, N. H. Camp C an ....,.A... . 1 adMe...... 1..... Fort Ogletbrpe zone, Ga. and Tur. .5 Camp Sher zne, Ala...... 1 See also Diphtheria, meales, scarlet fever, and tuberculosis, page 1464. SMALLPOX. Cases Reprted in ExtraCantonment Zones, Week Ended Aug. 24, 198. cases. cae. Camp Bowl sone, Tex ...... 2 Camp Sheridan zone, Ala . Camp Dodge zoe, Io ...... 3 Camp Zachary Tailor zone, KY.1 Camp Gordon zone, Ga. . 2 T didewaTe health district, Va. 2 Camp Lee zone, Va ...... 1 Mrynd-S. Ann's Asyu. On August 23, 1918, 5 cases of smallpox were reported at St. Ann's Asylum, Prince Georges County, Md. r451 August 30,1918.

SMALLPOX-Continued.

State Report fr July, 1918-Vac Ination HBtories

Vaccination history of cases.

PboeK e Number Number Vamcination reported. Deaths. vaccinated~~~Numberwithin 7 natedlat vacei-more never sue- history not years pre- than 7 years cessfully obtained or ceding preedng vaccinated. uncertain. F attack. attack.

Kansas Alle County- Iola ...... 4 4 ...... Anderson County- Garnett ...... 3...... Bourbon County- Fort8cott ...... 1...... 1...... I. Butler County-

...... 1 ...... A g sta ...... 1 El Dorado...... 3 ...... 3 ...... Towanda ...... I...... 1 ...... 1...... 1 Cherokee County- Baxter Springs ...... I...... Scammon...... 2 2 ...... 2. Comanche County- Wilmore ...... -...... 2 ...... 2 Cowley Countr- Arkansas tity I...... 1...... 1. Crawford County- ...... Pittsburg ...... 1...... 1 ...... 1... Decatur County-...... Noctur ...... 1...... 1. Doniphaan County- ...... 2 ...... Elwrood ...... 2 ...... Edwards County- Belpre ...... *2 ...... 2 ...... Lewis...... 1...... 1...... Gamy County- Copeland ...... I...... 1. Greenwood County- Eureka . . 2...... Harvey County- . . 11 Goessel. 1 ...... 1 Johnson County- Gardner ...... 1...... 1...... 1. LakinCouMty-...... 7...... 4 ...... 4 lbette Cwmty- Parsons. . .1 ...... Leavenworth County- ...... 1 . La m ...... 1 ...... Leavenworth ...... 1....1...... Linn County- Parker ...... 2 ...... Pleasanton...... 2 ...... Marion County- Marion ...... 1...... I Marsball County- Oketo ...... 4 ...... McPherson County- Moundridge ...... 3 ...... 1...... Mitchell County-

...... I ...... Beloit ...... 1 ...... Hunter ...... 2...... 2...... 2. Montgomerv County- ...... 2 ...... ofierryvale ...... 2 ...... 2...... 9 Coff lle y .ie .9.9...... Neosho County- Chanute.. . 3 ...... 3 Osborne Coiunty- ...... Natoma ...... 1 ...... 1...... 1 Reno County- Hutchinsn.2...1 2' 3 ...... 1 . 2 County- Republic . BelleviUe ...... 1 ...... 1 looks County- Palco ...... 1 . edwlck County- Anness ...... Wihita ...... 22...... 22 Augut so,191& 1452 SMALLPOX-Oonued.

State Repos for J*, 1918-Vha*I1s. e-Continued. ,

Vaination history of cases.

Nunhe Number Plce._ Death. kd t vacci- Numbw Vaccinatio wIthin 7 rtedmore never suo- history yers pre- than 7 cessfuly obtainedornot oedft vaccinated. uncertain.

------Kansas-Continued. Seward County- libw r...... i Shawnee County- ......

I . . . 4 ......

Athol. I 2 ...... Silth Center...... I 1 Stafford Oounty- ...... Radium......

St. John...... Stevens County- I I......

. Hug¶ton...... 1 . . . . WiLsraounty- I Fredonia...... -. 1 Wyandotte County-

Kansas . . . . . City...... ------1, . . .

Total ...... 116l ...... I.. 1 .... -l - _I.._ -Ia County- Green Townsliip...... 12 12 Bay County-- Bay Cityr...... 1 ,...... Calhoun Couinty- Aion ...... 3 ...... 3 Cass County- Marehis 2 ...... 2 Charlevoix County--...... Boyne Falls. 3 3 ...... Chheboygaxm County- Cheboygan..------1 ...... ,...... I Clinton County- ......

St. Jobns...... 5 ...... 5 ...... Dicidnson County- ......

Norway.------6 ...... 6 ...... Eaton County-

Charlotte. 2 ...... *.... 1 ...... Genesee County- Flint. 4 ...... 4 Mlilsdal County- ......

Pittsford Township. 1 ...... I Huron County- ...... Colfac Township. 2 ...... Saud Beach Township.... 1 ...... '''''''''i'~ Ingham County-

Aurelitis Township. 1 ......

East Lansing...... '''''''...... ''''.''i

.... . Lansing ...... 12

Leslie Township...... 1 ...... J 1 Mason......

VYvea Township. 1 ...... Jackson County- 142

Parma Township. 1 ...... KaIamazoo County-

Conmtock Township. 1 ...... Kalamzoo.. 11 ...... Richiand Township......

Schoolcraft...... 1 Kent Couty- 1

Grand Rapids...... 1 )Ma County- 1

Ludigtn.t ......

meo""nee Coun.ty- 2 3 iersdanTownship...... 21

11 Musegn County- ...... 11 1 Plrs TowvsWp...... MtuskegonCounty- uskegoneigs...... 1 2 ...... 1453 August 30, 1918. MALLoX-Continued. Sim Beprt for J*, 1918-Vaccht.dn Histories-Continued.

Vaccination history of cascs.

Number Number Place. rewca.I Deaths vaccinated last vacci- Number Vaccination reportedI within 7 nated more never suc- history not years pre- than 7 years cessfully obtained or ceding preceding Vaccinated., uncertain. attack. P.ttack. _ Mlcbgan-Continued. Oakland County- Mlford...... i ...... Pontiac...... 5 ...... 5

Ogemaw County- ...... Rickland Township...... L ...... 1 Ottawa County- Spring Lake Township.... 10 ...... 2 ...... Sanilac County- 1I Appleate...... 1 ...... 1 Bhlawmme County- IIe ...... Owosso ...... 1 Shi8wassee Township...... I . Woedhull Township...... 5 ...... Wayne County- D.etroit ......

... -.-.--...... Total ...... I.1 .I' 83 28 = 1-- Anoka County-. I Cobmbia Heights...... 1 ...... Beltrami County- % BlOack Township.._ 1 Cass County- 8...... May Township...... 8 ,. _ __...... I...... taX 0unty- tamp Lake Towvnship... 1 'I . . '' '' Clay Co}lty- ...... 1 Moorad ...... 1 ...... Goodbue County- Goodhue...... 2 2...... Kenyon ...... 4 4 b...... Cberry Grove Township.. 19 19 ...... CouneFty- VnValley...... 1 ...... --..---...... I..... Minn is ...... 19 9 5 Kooobkig County- .,......

International Fa.ls. 1 ...... Marshall County- 1 ......

Warren ...... 4 ...... , i ...... Boxvile Townsip...... 1 ......

M)Cres 2 ...... Township...... 1 ...... Warrton Township. 1 ...... Mower County- 1 ......

Autin ...... 4 ...... Pine County- 24...... Del Grove Township.. 3 ...... Polk Count - --.. Angs Township...... 1 ...... 1...... Ramey Ounty- I...... St. ,ul,...... 6 ...... Rioe County- 5...... Faribault...... 3 ------

Nortbfleld...... 1 ...... Rock County- Luverne...... 4 ...... St. Louis County-* ...... !. j., !--...... Duluth...... 4 ...... Ibbing...... Sherin County- 1 I--.-.--- - - . .. .. Big Lake Township...... 1 ...... Stears Countv- 1...... o Paynevile...... 8 ...... Sare ...... I acity To*nshi..... 1 ...... HoongToi...... Stvea5 County- I ...... Hanock ...... I ...... o WMdknGoty- 4 Wbell. 3 ......

Frakfort Township. 1 ...... _, .,. _ Total...... I 107 I TtI 17 121 851 g August 80, 19 1454 SMALLPOX-Continued. State Reports for July, 1918-Vaccinad Histories-Continued.

Vaceinatlon history of case.

Place. reoareds Deaths. vacNte rvwd- Number not reported. withWin 7 natedls more never sud his yes PMetban7years cessfully VaCnationed or

i _c accinat_d. .______attck v_ I6atrtaina.

New York: Broome County- Bingham pt.on...... 1 1 Chauitauqua County- Jamestown. .3 1 2 ...... Erie Coonty- Buffalof. 4 ...... 4 ...... Cheektowaga (town). 6 ...... ;... .;...... 6 Lanmaste ...... 2 ...... 2 ...... -Sardinia (town)...... 1 ...... I.. Oneida Countv- ...... - Verona (towrn)...... 71...... 7 Westchester Ccunty- Mount Vernon...... 7 ...... 7 Wyoming County- Arc ...... 1 1...... 1 ...... New York City...... I ...... ii~~~_......

To ...... 33 ...... 18 12

Wisconsin: ... _...... _.. Ashland County...... 2 Barron County...... Bayfield County...... 2.2.8'...... 3..... Brown County...... 2 ...... 2...... Columbia County...... I 2...... 1 ...... 1 ...... 7...... 2 . . Dane County...... 8 ...... * 5 ...... 3 Dodge County...... 2 ...... 2 Door Coumty...... I ...... 1 ...... 1...... Douglas County...... 14 ...... 2 12 . Ean Claire County...... I ...... I ...... -.... Fcnd du Lac County...... 6 ...... 3 ...... Grant County...... i...... Kewaunlee Cousllnty...... 4 ...... 4 ...... 4 La Cros County...... 4 ...... 4 ...... 3 Manit;owroc County...... 3 ...... 3...... Morinette-County...... 1 ...... '''''''I ...... Milwaukee County...... 18 ...... 18 Mcnroe County...... 1 ...... I ...... Oconto County...... 10 ...... 9 Pierce County...... 4.4.9 ...... 9 ...... Price County...... 2 ...... 2...... Racine County...... Richland County...... I ...... Rdek County...... 10 ...... I.. I ...... Vilas County ...... 1...... I ...... Waupaa ount ...... h ...... -.. --...... 2 3 W'innebago County...... 2 ...... 2 ...... * Wood Couinty...... 4 . .1 ...... Total...... I 1591 ...... 22 9 91 37

State Reports for July, 1918.

Place. Cases. Deaths. Place. Case. Deaths.

Indlana: Indiana-Continued. Allen County...... 2 Hancock County...... 1 Benton County...... 7 Henry County...... 6 Blackford County. 1 Howard County...... 6 Boone County...... 1 Jackson County...... 2 Cass County ...... 3 Lagrange County. 18 Clayunty ...... 10 Lawrence.County. 12 Et County...... 6 Madison County...... 9 Gibson Coty...... 7 Marion County...... 33 Grant Coty...... 3 Miam County...... 1 1455 August 30, 1918. SMALLPOX-Continued. State Repwts for July, 1918-Continued.

Place. Cases. Deaths. Place. Cas. Deatb&

------L --II ftaow_ ntinued. New Jersey: 1 ...... Gloucester County...... 7 ...... &...... ; 2 ...... 4 ...... North Cardina: 3 ...... Cabrrs County...... 2 ...... Posey County...... 3 ...... Chowan County...... 6 ...... ptna County...... 2 ...... Davidson County..,..'... 3 ...... a ...... Durham County...... 1 ...... RIhCUty...... 1 Bs. Joseph County...... I Guilford County...... Tip_oesnoe County...... 1 ...... 6 ...... 2 6 ...... Vuburg county...... I we County...... 3 ...... HartfordHLldeonCountyg...... County...... Wayn County...... 3 Leoir County...... Madboo County...... 11 ...... ToWl...... Montgomery Couty..... 1 ...._...... Moore County...... '4 -- ...... Randolph County...... I ...... AdaltCounty. 2 ...... Richmond County...... S ...... Robeo Couty...... i.. Is ...... County...... couny BOOM County...... 8 Rockbm 8 ...... BDo Vista County...... I ...... RowasnCounty...... Rutherford County.... S ...... *1 ...... I County...... 2 ...... 1 ...... Rany ..... 3 Di.r Mobes Couty...... Cu ...... Swke CCbyw...... 40 ...... Dbtque Cot...... Wae C 1 Wrs ce ...... 2 ...... FatteCe~~~...... County...... 1 ...... Grundy County...... Total...... 88 ...... I 1.... . l ...... Ntb Dakota.- C-u t ...... BarnCUty...... I ...... Len;_County...... 1 ...... 1 Burleigh County...... 1 ...... Coty...... Cy.~...... County. 1 ,...... Case ...... I EddyCounty...... 6 County...... 1 ...... Polk C t...... outril Ram y 4 ...... CA nty ...... County...... a I RanmCounty...... O_.kSelbyeCounty..Couty...... 14 ...... Scott C ounty...... I 8blbYoWPelekCout....tY...... I ...... eTOW...... 2 We rCot...... Cotmtynty...... I1 Woouny County..... III ...... Jonba County...... Heod River Coun ty...... 1 ...... 8 . . Jeetuen County ...... To...... 3 ...... Mo County...... 5} ...... is ...... Ymtbli County...... Wase County...... 1 Audla Parish...... 1 ...... 1 AleParish...... 72 Yambl County...... la ...... do Parish ...... i.... . Ta...... vante. Parish ...... 1 51 . . . . . nbv Parhis ...... 4 ...... TOW...... Pari ...... 2 ...... I ...... Rhode laud: Parish ...... I Westely (town)...... Parish...... S J ...... UziUnion Parish...... I Vermailn Parish. SovthCooina: *7 Baton Parish 1 Greenville County...... West Rouge Orangeburg County ...... 1 Spartanburg County... 2 ...... Total | za...... Nebra Tol...... County ...... 2 ...... Box Butte County. 2 ...... Soth Dakota: 9 Chyene County..... 1...... Charles Mix County...... Codington County...... 4 ...... Couty...... 1...... 2 4 ...... eCounty.. 1 ...... Grant County...... 1 50 1 c-.-...-....-. 50...... HmlsnCounty...... @@-- DAe C ounty .. 1...... HughesxlCounty...... 4 ...... tl0OI ...... buryiCounty. 4..... 2 ...... 1...... 4 oun 1...... KhgbWCuy...... 17 PokOoUnty.... ,. 43 1...... IM bslCounty ...... Otll}ty.-- ...... _...... Total 41 cr4nt ...... 2) ...... Wash gtonr, Dougl our~at- ''Z ...... I ...... Grays Hfarbor County- Total. Aberdeen...... I ...... August 30, 1918 1456 SMALLPOX-Continued. State Reports for July, 1918-Continued. Place._ Cass. Deaths. Pm. . Deaths. Washington-Continued. Waahington-Contd. Jefferson County- Whftman Countym . PortTownsend...... 8 ...... F8rnXton ...... Kh County- GarfeI.. . . tle ...... 40 ...... I Yakim Coua ...... nt 1. Kiteap County...... 2...... Port Orchard ...... 1...... Total...... 135 . Lincoln County. ..ty ...2...... 2 West Virginia: Sprague ... 2 ...... Eampshire County ...... 4...... Ok0no_a County...... 2 Hancock County ...... 3...... Pacl. County- Harrion County...... South Bend. .KanawaI County 8 . 7 ...... riereCouonty-Raemond... 1...... IMingMcDowlloCountyCounty.1 4 Tacoma ...... 14 .... Nicholas County...... 1 Spokane County2...... 2 Wood County...... 11 . Spokane ...... 24 . Stevens County ...... Total.....33...... Marcus .1. ,.,...... ThqrstonCounty * ^...... Wyoming:1 WaSltla Walla County ...... Albany.4..County...... Prc.tt...... 2 ...... Johnson County...... 1 WallaWalla . 3...... Natrona County...... 3 ...... Whatoom County- Campbell County...... 2 . Be l ba...... I...... 1.... . Goshen County ...... 3 ..... Whitmn ounty- 1 Colton ...... 1 ...... Total...... 11 . City Reports for Week Ended Aug. 10, 1918. Place. Case. Deaths. -pla. Cass. Deaths.

Atlanta, Ga2 ...... Lora.in, ...... Billings, Iont ... Louis,ille, Ky .... 2 . Birmlnam, Ala ...... 3 ...... Manitowoc, Wis ...... 1.....1 Brazl, Ind...... MhganCty,Ind...... 1....1 -Canton,Il ...... M 11...... p ...... 9 Chanute,Kans. 1...... soula Mt...1 Cincinati, Ohio ...... l...... Clintn, Iowaa 1. og ...tah..2 ...... 2 Denver, Csob...... 4 ...... Oklahoma, City, Okla...... Des Moines,olo ...... 3 Omaha Nebr .2 Detrqst, Wich ...... 7...... Parkersburg W.Va...... 1 Dubuque, Iowa 1...... Pittsburgh,Pa 4 4 Elgin,m...... l..... 1 .. Pontiac, Mich... .. Fargo N Da1: ..Portland, Oreg...... 1 . Forticott KRans ...... I...... 2 ...... Fort Wort,Tex. .. Ptia, O...... 2 ...... IndFaanapols, Ind3 ...... St.Paul, Mon...... 1....1. Kalamszo Mins I Jamestown,City,N...... tich...... 1g 21...... StSt.... LakePhbyaul, City,Utah...... 12 ...... Kalamazoo,l Mich...... 21...... Sheboygan,Sal kae Ct,Wis...... Utash ...... 121......

KaIL City. Mo ...... I ...... 1. Toledo, Ohin ...... 6 . .... LaCrosse Wis ...... 1...... ITuscaloosa,Ala1...... Lansing, kich ...... 10 .. Washington, D. C...... I. Lincoln, Nebr ...... 2 ...... Wichita, an...... SYPHILIS. Cases Reported in Extra-Cantonment Zones, Week Ended Aug. 24, 1918. casm Cases. Camp Bowie zone, Tex ...... 94 Fort Oglethorpe zone, Ga. and Tean...... 9

Bremerton zone, Wash ...... 2 Camp Pike zone, Ark...... 11 Camp Dodge zone, Iowa...... 4 Portsmouth and Norfolk County health dis- Camp Eberts zone, Ark ...... 1....I trict, Va ...... 4 Camp Gordon zone, Ga...... 36 Portsmouth-Kilttery sanitary district, N. H. Camp Greene zone, N. C ...... 18 and Me...... 2 Gulfport health district, Miss ...... 1 Camp Sheridansoe, Ala...... 13 Camp Hancock zone, Ga ...... 19 Camp Sherman zone, Ohio...... 2...... 2 Camp Joseph E. Johnston zone, Fla...... 46 Camp Zachryl'aylor zone, Ky ...... 19 Camp Lee zone, Va...... 21 Tidewater health district, Va, ...... 8 Camp Logaa wne, Tex...... 19 Camp Travis zone, Tex ...... 38 Camp MacArthur zone, Tex ...... 15 Camp Wheeler zone, Ga ...... 4 Camp MoCellan zone, Ala ...... 3 1467 AuSgs30, I91& TKrNW.

Cly ts Week Aug 19, 1918.

Cc , ...... San Franico, Cal......

-. 11TUBERCULOSIS. Cases Reported in Extr-Cantnment Zones, Week Ended Aug. 24, 1918. Cases. Cases.

Camp Eberts zone,A rk...... 1 Portsmouth-Kittery sanitary district, N. H. Camp Gordon sone, Ga ...... 5 and Me...... 1 Gulfport heth district, tiss...... 1 Camp Shelby zone, Miss. . . 2 Camp Ilanock zone, Ga6...... Camp Sheridan zone, Ala .. 3 Camp Logan zone, TeO ...... 7 Camp Zachary Taylor zone, Xy,. . 14 Camp Macr zone, Tex...... 1 Tidewater health district, Va .....- ...... 8 Fort Ogletlhorpe zone, Go. and Ten....2 Camp Travis zone, Tex...... 4 Camp Pike zone, Ark ...... 8 Camp Upton zone, N. Y. . . 1 Portsmouth and Norfolk County health dis- Camp Wadsworth zone, S. C .1...... tnct, Va ...... 3 Camp Wheeler zone, Ga ...... 2

See also Diphtheria, meaavs,,Vscarlet fever, and tuberculosis, page 1464. TYPH01D FEVER. Case ReporWted in Extra-Cantonment Zones, Week Ezded Aug. 24, 1918.

Casses. Cases. Camp Beauregard zone, La...... 7 Portsmouth and Norfolk County health dis- Camp Bowie zone, T ...... 6 trict, Va...... 7 Camp Dix zone, N. I ...... 1 Portsmouth-Kittery sanitary district, N. H. . 1 Camp Dodge zone, Iowa ...... I , 2 and Me ...... Camp Eberts zone, Ark...... 3 Camp SevWrzone, S.C ... 5 Camp Gordonae, ...... 5 Camp Shelby zone, Miss ... 3 Camp Greene zone, N.C...... Camp Sheridan zone, Ala...... _ 8 Gulfport heath district, Miss...... 2 Camp Zachary Taylor zne, Ky ... 15 Camp Joeph B. Jobmston m, Fla....;, 10 Tidewater helfth district, Va...... 7 Fort Leavenworth zone, Kans. 2 Camp Travis zone, Tex. . 12 Camp Lee zone, Va ...... _ 13 Camp Upton zone, N. Y. 1 Camp Logan zone, Tex...... 3 Vancouver zone, Wash ...... 1 Camp McCeIlan zone, Ala...... 1 Camp Wadsworth zone, S. C ...... 7 Fort Oglethorpe zone, Ga. and Tmn...... 6 Camp Wheele zone, Ga ...... ; 4

State Reports for July, 1918.

Plaw.~ ~ Newease tW.Newcases P______reported. _ reported.

Indiana: Indiana-Continue& Allen County...... 4 Jennings County...... 1 Clinton Counity...... 1 IKosciusko County...... 2 Daviess County...... 1 Lagmnp County ...... 1 Decatur County...... 2 Lake Conmty...... 6 Dubois Count...... 4 Lawrence County...... 3 Elkhart County...... 1 Madiso County...... 2 2 Marion County...... 12 Fountan County...... 3 Gibson County...... 3 Monroe Comty...... Grant County 1 Mont&omery County...... 1 GreenCo unty...... 3 Ohio uwnty. 1 Pike. 1 ...... 1 1 Pose County...... 1 County. 1 Ran.doph 1 Howard ...... 2 scott Couty...... 1 Spence I omnty...... ; . County...... 3 Jefferson Couty...... 2 Steub County...... 1ugust 0, 1918w 1458 TYPHOID FEVER-Continued. State reports fw July, 1981-.Contitied.

rNeeases.place.rpte. NowPS.NwPlae.cases reported.e

IndianContinued. Kansas-Continued. St.JosePh County ...... 2 Greenwood County- " Swtze d County...... 1 Eureka...... 1 Tippecanose County...... 2 Fall River..... ! . 1 Vermilion County ...... 6 Hamilton..... 1 Warrick County...... 1 Harper Cointy- Wayne County...... urer...... H 1 Whitley County...... 1 Jackson County- Mayetta...... 1 Total...... 84 Jefferson County- Meriden...... 1 Je .sell County- Allen County- Burr Oak...... 1 1 Esbon...... 1 La Huarpe ...... 2 Kinrgan County- Anderson County- smn ...... 5 Colony...... 1 Garnett ...... 2 Wellsford ...... ; 1 Haskell ...... 1 Labette County- Westphalia...... 1 Chetopa... 1 Atchison County- Parsons ...... 1 Atchison ...... 1 Leavenw-;- orth-County- Horton ...... 2 1.eavenworth...... Barton County- Potter...... 2 Hoisington...... 1 Lyon County- Bourbon County- Emporia...... 5 Olpe Fort Scott...... 2 ....-...... 1 Bron-n County- Mtarion County-- Everest...... 2 Antelope...... 1 Horton...... 11 Peabody...... Butler County- Marshall County- Andover ...... 1 Marysville ...... 3 Augusta ...... 2 McPherson County- Douglass...... 1 Canton...... 1 Eldorado...... 18 Miami County- Oil Hill...... Fontana...... 1 Toaxanda...... 1 Osawatomle...... 81 Chatauqua County- Paola ...... 3 Sedan.. . . . Montgomery County- ' Cherokee County- Coffeyville ...... 9 Columbus...... 2 Deari.ng..Dean g...... 1 Clark County- Independence...... 5 Endle-.w-ood...... 1 Liberty...... 1 Cloud County- Tyro...... 1 Conord ia...... 2 Morton County- Miltondale...... 2 Elkhart...... 3 Coffey County- Nemaha County- - 1 Le Roy...... 1 Bern...... 1 Comanche County- CentraliL...... 1 Protection...... 9 Neosho County- Wilmore...... 1 St. Paul .... . 8 CowleyCountv. Norton County- Arkansas City...... 1 Edmond...... 1 Winfield...... 9 Ottawa County- Crawford County- Tesott...... 1 Arma...... 1 Pawnee County- Franklin...... 19 Laed...... 2 Grard...... 15 Mackville...... 2 Pittsburg...... 6 Pratt County- Ringo...... 1I Pratt...... 2 Doniphan County- Preston...... 6 Elwood...... Reno County- Severance...... I Hutchinson...... 5 Troy...... 2 Republic County- Douglas County- I Republic...... 1 Bald--in...... 1 Rice County- Lawence...... Little River...... 2 Elk County- 3 Sterling...... 1 Howard...... 12 Riley County- Ellis County- Mahta...... 1 Elli...... 2 Rook County- Hayes...... 2 Webser...... 1 Finney County- Rush County- G}arden City...... 37 La Crose ...... 1 Holcomb...... 1 Russell County- Ford . Lucas...... 2 DodgeCountJ'YCity...... 2 Sedgwick County- 2 Andale ...... 2 Minneola...... 7 Fanklin County- Mount Hope ...... Ottawa...... 7 W iUhta...... 19 1459 Augut 30,1911 TYPHOID FEV--Continued. State RqWrta for J., 1918-Continued.

Place. Newcas Place. | reported. Place. Newcaereported.

II Kansas-Continued. Michigan-Continued. Seward County- Calhouin County- Iliberal...... 2 Albion. 1 Shawnee County- Chippewa County- Topeka ...... Sault Ste. Marie. 1 Sherman County- Clare County- Goodled...... 1 Clare...... Sumner County- Delt.a County- 1 Argoub ...... Mlaple Ridgc Townsbhip.... I 1 Eaton &unty- Uvane...... 3 Delta Township...... 1 Rirerdals...... 1 Genesee County- Flint...... 1 WCounty- Grand Blanc Township. 1 Grand Traverse County- R...... [ver...... 1 LiM...... 1 Gratiet County- Washington ...... Alma...... 1 Wilson County- Ingham County- LA Fontaine. IAsing...... 3 Neodesba...... 9 Mason ...... 1 Wyandotte County- Ionia County: Kansas City. .7 Muir...... 1 Orane Township...... 1 Total. . .322 Jackson Louty- Jackson...... 3 Louisiana: Sumitt Township...... 1 Acadia Pariah. 3 Kent Allen Parish ...... 2 3 Ascension Paris...... 8 Keweenaw County- Assumption P. 6 Allones Tonship...... 1 Avoyeiles Parish. 7 Lapeer County- Beanu Parish 13 Alba Township...... 1 Bienville Parish...... 4 Leclanau County- Caddo Parish...... 3 Elmwood Township ...... 1 Calcasieu Parish._.. _...... 3 Lenawee County- Clalbarne Parish ...... 1 Blissfield...... 1 Concwdia Parish...... 3 Moren ...... 1 De Soto Parish...... 2 Livington County- East Baton Rouge P 9 Howell...... Evauelie Parish. Macomb County- FeW 3 1 East Paish...... 3 Mount Clemens...... 1 Franklin Parish...... - 4 Sterling T Grant Parish . . . Manistee County- 1 Iberia Parish...... 10 Brown Township...... Iberville Parish ...... 3 Marquette County- 1 Jefferson Parish ...... Marquette...... Jefferson Davis Parish...._,.....W., 6 Montealm County- 1 Lafayewt Parish. 9 Greenvie...... Lincdln Parish...... 1 Oakland County- i Morelom Parih...... Independence Township. I Natchitoches Parish ...... 7 Ponw-ac...-..- .----*--- Orleans Parish... 51 Ogemaw County- Ouwchita Parish. 2 West Branch Township...... 1 Plaqiumines Parish...... 3 Ottawa County- Polnte Coupee Parish...... 32 Wright Township ...... 1 Rapides Parh...... 5 St. Clair County- Red River Parish...... 2 St. Clair Township...... I Richiland Parsh...... St. Joseph County- St. Cimrwes Parish...... 3 Mindn ...... 2 St. James Parish...... 8 Park Township 1 St. LazIry Par. 13 Three Rir.ers...... 1 St. t Parish...... 14 Tuscola County- St. Mry Parsh...... 8 Cohlunbia Township...... Tumnan 1 St. Parish...... 7 Unionvie .... 2 Tanboa K=...... 10 Van Buren County- Terre6Ste Prs...... 2 Genera Township...... 1 Vermnhon Par}sh...... 5 Washtenaw County- V'emmzPars ...... 1 Ann Arbor...... 4 Washington Paris . 1 Wsye County- 1 Total. . .,,, 289 Highland Park...... 1 Detroit. 5

Tota ...... c. WexiDrd County- Antioch Township. 1 Selma Township. 1 BayGi...... 1 Bay 9Du4t_Y- Total. 64 2 Minnesota: Berrim County-. Big Stsne Couny- Beaton Harbor...... 1 Ortonville...... I Ausust 30, l91iR 1460 TYPHOI FEVER-Continued. Stat Reports for July, 1918-Continued.

Flsaw[.Neweses ae. Newcases reported. P .rePOrted. Minnesota-Continued. Now York-Continued. Brown County- Broome County- New Ulm...... *Deposit...... 1 Springaeld...... 1 Cayuga County- Stately Townsip...... 1 Auburn...... 1 ChippeoB County- Cato...... 1 Montevideo...... 1 Chautauqua County- Cottonwood County- Jametown...... 2 Amo Township...... Sheridan (town)...... 1 Crow Wing County- 1 Chemung C ty- Manganese...... 1 Elmirs ...... 1 Faribalt County- Southport (town)...... 1 Wells...... Chenango County- I Goodhue County- Otselic (town) ...... 1 Red Wing ...... I1 Pitcher (town) ...... 1 Belle Crek Township...... 1 Sherhurne ...... 1 Hennepin County.- Clinton Countys- Minneapolis...... I Platsburg ...... 5 Itasca County- Per (tow)...... 1 Nashwauk ...... Cortland Couty- Lyon County-. Cartland ...... 1 Tracy ...... Delawe County-- Marshall County- Colchester (town).. 3 New Soulm Township...... 1 Hancock...... 1 Morrison County- Dutchess County- Pouhepsse ..... Buckman Township...... e...... 1 Olmsted County- PMq D....ps 1 Rochestcr...... I Erie County- Ottertail County- Bufalo ...... 4 Fergus Falls...... 1 Gowanda State Hospital. 1 Pine County- Essex County- Dell Grove Townshiip...... Ticonderoga...... 2 Partridge Township...... 2 Genesee County- Polk County- Batavia ...... 2 Fisher...... 1 Elba...... 3 Ramsey County- Oakfield...... 1 Paul...... Greene County- St. 1 White Bear...... 1 Catskill...... 1 Redwood County- Her}lrGiunmty- Westline Township...... 1 Her r...... 1 Rice County- Dolgofe ..... Faribault...... Jeffersot County- 1 St. Louis County- Wat wn...... 3 Duluth...... 12 Alexandria Bay...... 3 Ely...... 2 Wlina (town)...... 1 Steele County- Madison Cotty- Owatonna...... 1 Ham'ton(town).-...... 1 Wadena County- Lieoln (town)...... 2 Meadow Township...... 1 Smithfield (town)...... 1 MonroeCounty- Total...... 41 Rochester...... 4 Pittsford...... 1 New Jerset: NiagaaCouty- Bergn Co nty...... 8 Niagara Falls...... 2 Burigo C u t...... 4 North Tonawanda...... 2 Camden County...... 12 Middleport...... 1 Cumberland County...... 2 Wils...... 1 emx County...... 7 Oneida County- Gloucester County...... 2 UJtica...... 1 Hudson County...... 8 Camden (town)...... 1 Mercer County...... 21 Wbitestown (town)...... 1 Middlesex County...... 4 Whitesboro...... 1 Monmouth County...... 4 Onondaga County- Morris County...... 2 ar us...... 2 Passaic County...... 4i Ch town) ...... 1 3 Salem County...... 2l UO ...... Somerset County...... 1 Ontario County- , Union County...... 6 Cand a...... Orleans County- Total...... 68 Clarendon (town) ...... New York: Lyndon Albany County- ranZtewn...... 1 Albany...... 5 Otege (town)...... 1 Watervliet...... 4 Otego...... 1 Ravena...... 1 Woreester (town)...... 1 Alleg y County- Rensse rCounty- 1 Troy...... 2 Wniin oa...... 1 Wilig (m)...... 1 Eat Greenbush (town)....:::.. 1461 August 30, 1918. TYPHOID FEVER-Continued. State Reports for July, 1918-Continued.

Newcases Newcases P.arePUse. | Neweal place| reported. II New York-Continued. North CaroUna-Continued. St. Lawrence County- Durham County. 56 Canton (town)...... Duplin County. 13 Saratoga County- V Edgeeombe County. 16 Ballston (town)...... Franklin County. 19 Balston Spa...... Forsyth County. 24 Corifth...... 1 Gaston County...... 37 Waterford...... 1 Gates County...... 3 Schenectady County- Graham County...... 3 Schenectady (town)...... 1 Granville County...... 6 Rotterdam (ton)...... 3 Greene County...... 20 Schoharie County- Guiford County...... 17 Coblkill...... 1 Halifax County...... 11 Schuvler County- Haywood County...... 7 Hector (town) 1 Harnett County...... 15 Seneca County- Henderson County...... 3 Waterloo...... 1 lTertford County...... 3 Seeca Falls (town)...... 1 Hoke County...... 2 Senmca FalLs...... 2 Iredell County...... 18 Steuben County- Jackson County...... 5 Corn (town)...... 1 Johnstcn County...... 17 Howard (town)...... Lenoir County...... 13 Lindley (town)...... 1 Lee County...... 2 Suffolk County- Lineoln County...... 3 Babylon (town)...... 1 Madison County...... 1 Brookhaven (town)...... Martin Colunty...... 18 Huntington (town)...... Mecklenburg County...... 77 (town)...... Smithtown 1 Montgomery County...... 4 Sullivan County- Moore Count-.------6 Fallsburgh (town)...... 4 McDowell County...... 3 Thompson (town) Nash County...... 15 T'ioga County- Northampton County 1 Candor...... New Hanover County...... 6 UlsterCounty- 1 Orange County...... 1 Saugerties (town)...... 1 Onslow County...... 5 Shandaken (town)...... Pasqtuotank- Coumnty...... 13 Wawarsing (town)...... Pender County...... 5 Warren County- 1 Perquimans County...... 13 Johnsburg (town)...... Person County...... 3 Warrenshurg (town)...... 1 Polk Countv...... 22 Washinlgton County- 1 Randolph County...... 5 Argyle...... 1 Richmond County...... 12 Hudson Fialls...... Robescn Contv 19 W hitehall...... 1 Rocking-ham County...... 15 WestchesterCounty- Rowan County...... 31 White Plains...... 1 Rutherford County...... 11 Ossining...... Sampsen County...... 6 Port Chester...... 2 Scotland County...... L3 Lewisboro (town) ...... Stanlv County...... 10 Scarsdale...' 2 Stokes County...... 13 New York City. 170 Surrv County...... 12 Swain County...... 4 Total...... 311 Transylvania County...... 2 Union County...... 3 Vance County...... 10 North Carolina: Warren County...... 4 Alamance County...... 6 Wayne County...... 45 Alexander County...... 2 Wake County...... 36 Anson County...... 2 Washineton County...... 7 Beaufort County...... 17 Wilkes County...... 7 Bertie County...... 4 Wilson County...... 12 Bladen County...... 7 20 Brunswick County...... 2 Yadkin County...... Buncombe County...... 7 944 Burke County 13 Total...... Carteret County...... 7 North Dakota: Caswell County...... 4 Adams County...... 1 Caldwell County...... 11 Bames County...... 1 Cabarrus County...... 13 Burleigh.County...... 2 Catawba-County ...... 2 Morton County...... 2 Cherokee County...... 4 Mountrail County...... 1 Clay County...... 4 Ramsey County...... 1 Clevreland Coumty...... 3 Richland County...... 1 Columbus County...... 4 Stark County 1 Cravon Countv...... 8 Williams County...... 1 Cumberland County...... 11 _-- DavJd.%o County...... 5 Total...... Davie County. 73535°-18 3 August 30. 1918 1462 TYPHOID FEYER-Conthued. State Reots for July. 1318-Continued.

New cases New Place.Pla~c. reported. Place. rePOrted.cases

Oregon: WashingtoContinued. Clackama County...... - 1 Stevens County...... 3 GrantCoutty,...... 5 Chew.e.Iah ...... 1 Jackson Couty...... 1 CalvfMe...... 1 Klamath County,...... 1 Kettle Falls...,...... Lane County ....-- ...... 2 Walla Wael County...... 17 Umatlla Couty.. 1 W lls Walla ...... ;.' 12 Wasca County..------Whatcom CQnty- PortLnd.------...... 1 B .llin..m ...... 1 Whitman County- Total...... 1 E*Ee t...... St John...... Rhode Island: Yakinma Comnty...... Is,8 Bristol (town)...... 13 Ykima...... 3 cranston ...... - 3 Gloceer 1 rotal ...... -.. 81 Providenxe(town)------.------..-...... 148 Tiverton (towu) ...... ,. 1 Wvest Viria: Berkeey County...... Total..- 14 Fayette County...... I South Carolina: Jefferson Conty...... 9 AbbevUle County ...... Kanawha Couy...... 4 Charlestos County ...... 46 Chwtont ...... 4S Darlintn County...... Nitro...... 29 McDowrell County...... - 1 Dorcbester County.----- 18 Greenville County...... 1 MarionCounty...... 0 Kershaw County..------Fairmont ...... 44 Lancaster County...... Mercer Comnty...... , Laurens County...... Mingo County ...... Lexington County...... Ohio County- Marion County...... 3 WV e-n...... 3.. Newbo Fendleton County ...... 2 Ocon County...... Couty...... Raleigp County...... - Orangburg County...... 2321 Wirt County...... 1 Pickeus County...... 7 Richland County..------71 Total ...... 203 SpartanburgCounty...... 7 Sumter Caunty--.- Wisconsiro YorkC ounty------5 Barron County ...... Bayfidld County...... 6 Total ...... ,-158 Crawford County...... Eau C(ire County ...... 1 South Dakota: Fond du Lac County. Minnehaba County...... 1 Jefferon County...... i La Crosse County ...... I Washingtn:' Langlde County...... 1 Benton Cony- I Prosser...... 1 Milwaukee Cunty.. Chelas Conty- Oconto ty...... 1 W. natch...... 7 Richland County...... 1 Clarke County...... 2 Rock County ...... Franlin un- Winnebago County ...... Wood County ...... 3 Pasco,. *------2 Grant Countym- Total...... Harb ...... 2 Kin County- 1 :1~~~~~~~~~~~~~~~ ...... 3 Wyoming: .t C 5 Sweetwater County...... 19 Pierce Couny- Johnsn Cunty ...... 1 Tac.ma...... 2 Uinta County...... 1 Spokae County...... 1

Spoe., 5 Total ...... 21

- 1463 &ugust 30, 1918. TYPHOID FEVER-Continued. City Reports for Week Ended Aug. 10, 1918.

Place. Casm . Deaths Place. Cases. Deaths.

Akron, Ohio...... 6 ...... Maiden, Mass...... Alameda, Cal...... Marquette, Mich...... Alexandria, La...... Wis...... 1...... a 1. Milwaukee, ...... Allentown, Pa...... Minneapol, Minn...... 2...... 1 Mobile, Alton, III...... 1.: Ala...... 1...... Altoona, Pa...... Moline, Ill...... 11...... Anniston Ala...... Montgomery, Ala...... 4 2 Astoria, 6g...... Nashille, Tenn...... 17 4 Atlanta, Ga...... 3...... Newark, Ohio...... 3...... Augusta, Ga...... 2.1 New Bedford, Mass...... 2...... Baltimore, Md...... 2...... 2 New hIaven, Conn...... Beloit, Wis...... 6.1.]. New Orlean, La...... 4242...... Biingham, Ala...... 2 Newport, R. T...... 1...... Boston, Mass...... 32...... L New York N Y...... 76 8 Brockton, Mass...... 12...... Norfolk, V'a...... 2...... Buffalo, N. Y...... Northampton, Mass...... 1...... Camden, N...... - 8Z 2...... North Braddock, Pa...... Canton, Ohio...... North Tonawanda, N. Y. ... 2...... Carnegie, Pa...... I North Yakima, Wash...... 1I...... Charleston, S. C...... 4 Norwalk, Conn...... 2...... W. 1...... Charleston Va...... 4.. Oakland, Cal...... 3...... Charlotte. N C. 1...... Oklahoma City, Okla...... 2 1 Chelse, M . Orange, N. J...... 1 ...... Chester, Pa...... 5...... 2 Petersburg, Va... 4...... Chicago Il.. 16 13...... Philadelphia. Pa...... 3 Chillicoihe, Ohio. 1 ...... Pa 3...... Cincinnati, Ohio...... Pittsbfierh 1...... Cleveland Ohio..... Pontiac, Mich...... 1 Colorado prings, Col. 2...... Portland, Me...... 3I...... Chnis Tax...... 2...... Corpus 1.12...... Portland, Oreg...... CDrtland, N. i...... Pottsville, Pa...... 3...... R. 11...... Cranston, I...... 1...... Poughkeesic, N. Y...... Danville, Il...... Quinv, ...... Denver Colo...... 8...... Raleigh, N C...... Detroit, Mich...... Reading, Pa ...... Duluth, Minn...... 1...... Redlands, Cal...... 12...... Dtrham NC...... Richmond, Va...... 2 1 Elmira ...... 1 3.3 Riverside, Cal...... 1.1...... Erie, P...... 21...... Rock Island, Ill...... 2 ...... Evansville Ind...... 3...... Rockv Mount, N. C...... 31 Fairmont, W. Va...... 5...... 1 St. Joseph, Mo...... 2 ...... Fall River, Mass...... 4L...... St. Louis, Mo...... 10 Flint . Mfich...... 1...... iSt. Paul, Minn...... Fort Kett Kans...... 1 Salt Lake City, Utah...... Fort Worth, Tex...... 2..1...... San Diego, Cal...... Fresno, Cal...... San Francisco, Cal...... 1 ...... Galesburg Ill...... 1...... Somerville, Mass...... 2...... Geneva Y...... 2...... I1 South Bend, Ind...... 2...... Green ay, Wisg...... Southbridge, Mass...... 1...... Greensboro, N. C...... 8 C..... Greenville, Soartanburg Teax...... ,...... 1 Sprinfeld, fil...... 2...... Hackens ck N J...... Sprinfield Mass...... Hammond, lnd...... Stockton, (Ial ...... 2...... Hartford, Conn...... I Svracuse, N. Y...... 1 1 Hattiesburg, Miss...... L1 Terre H4ute, Ind...... Haverhill, Mass...... Toledo, Ohio...... Houston, Tex ...... 1...... Topeka, Kans...... 2.22 . Independence Kani. 27...... I...... 1 Trenton, N. J...... 1.1...... Indiaapoli, hi...... Troy, N Y...... 11...... 1 Iola, Kans...... 1 I...... Vancouver, Wash...... Jacksonville, III...... Waco, Tex...... 1 ...... Kansas City, Kans...... Walla Walla, Wash...... Kanas City, Mo...... 3 Washington, D. C...... 2.2 LaFayette Ind...... 1 West Chester, Pa...... 1...... Iansing, Mich...... 51 .i- Wheeling W. Va...... Laece, Miass...... 3 Wichita, kans...... Lebanon, Pa...... Wilmington, Del...... Little Rock Ark ...... 3 Winston-Salem, N. C...... 2 ...... Long Branch, N. J...... 1 Yonkers, N. Y...... Los Angel<, Cal...... I 5 Youngstown, Ohio...... Lou sie, ky..... 3 Zanesrille, Obio...... August 30,1918. 14

DIPHTHERIA, MEASLES, SCARLET FEER, AND TUBERCULOSIS. State Rports for July, 1918.

Cases reported. Cases reported. State.8State. Piph- Mese.SaltDiph- A(_l~ Scarlet thoria. Measles. fever. therala. fever.

Indiana . . 176 63 89 North Dakota 30 27 14 Iowa .61 ..45 Orego 11 68 34 Kansas.. 45 74 57 RhodeIs .nd 54 2S 29 Louisiana...... 82 105 4 South Carolina 50 25 I lchig .. . 442 277 262 South Dakota 10 33 13 Xinn ...... 242 36 135 Washington 33 270 20Q Nebrask ...... 51 20 292 West Virginia 31 49 23 New Jersey .. 365 7.0 13 Wisconsi . .156 760 20 NewYork ...... 1,226 4,80 448 Wyoming.9 15 s North Carolina ..... 71 145 89

City Reports for Week Ended Aug. 10, 1918.

- Scarlet Tuber- tiadropuiaas of Total DibhraDiphtheria. MaX.Measles. fever. Tulbe>s. Jully1 1916 deaths City. |sbUmS. esom Bureau).

Over 500 000 inhabitants: Baltimore, Md...... 589,621 4 9 ...... 1 52 27 Boston, Mass...... 756 476 201 29 23 ...... I 4 69 27 Chicao, Ill..1...... 2,49, 722 642 64 11 27 ...... 19 292 02 ClevJan;d Ohio...... 674,073 228 13 3 8 ...... 3 25 22 Detroit, lich...... 571,784 204 31 2 12 8 45 14 Los Angles Cal...... 503,812 125 15 1 2 ...... 2 29 13, New York, N. Y...... 5,602,841 1,407 115 12 48 8 30 173 139 Philadelphia Pa...... 1 709,518 529 30 5 45 ...... 4 86 65 Pittsburgh f'a ...... 579 090 .... ii. 19 23 ...... 2 11 ..... St. lAlis, ko...... 757 ,u 23 5 ...... a 37 2.; From 300,000 to 50D,000 inhabit- ants: ...... Bullalo, N. Y...... 488,568 171 11 33 6 27 Cincinnati, Ohio...... 410,476 132 10 12 2 21 17 Jery City, N. I...... 308,345 ...... , 6 2 ...... 2 7 Milwaukee, Wis...... 5 4 15 ...... 7 31 ...... -' eapols, Minn...... U3436,33454 75 23 12 ...... 9 12 7 ...... lid Newark N. 3...... 408,8 118 9 16 2 35 1)7 New OrlIns, La ...... 371,747 11 ...... 2 ...... 2 21 17 San Franico, Cal...... 463,516 118 19 ...... i24 ...... 1 20 12 ...... Seatt, Wash...... 348,68 ...... , 5 12 Washington, D. C...... 363,980 1i73 3 I 6 ...... 2 ...... ; From 200,000 to 300,000 inhabit- ...... 2 ants: Columbus, Ohio...... 214,878 60 ...... ' 1 4 Denver, Colo...... 260,800 64 7 ...... 13 .... 1.. 5 Indianapolis Ind...... 271,708 ...... 3* 6 2 13 ansas City Mo...... 0 297,'847 2 ...... 1 Iouisville, 'iy...... 238,910 90 I 1 ...... 12 11 Portland, Oreg...... 295'h6 53 2 8 34 3 1 Providence R. I. 254,960 65 .1 13 .... 7 Rochester . Y. 256,417 62 4 is 5 3 St. Paul, ilinn. 247,232 50 11 3 2 17 4 From 100,000 to 200,000 inhabit. ants: ...... 1 2 1 5 Atlanta, Ga...... 190, 58 58 ...... ,. Birmingham Ala...... 181,762 52 7 ...... 7 Bdgep ort, ...... 121,579 36 6.. 1 ...... 3 Mass...... 112,981 21 6 3 .... .1 6 3 Cambrrige 3 ....1 Camden, . J...... 106,233 11 ...... Des Moines, Iowa...... 01,598 1 2 ...... Fall River Mass...... 128,366 52 4 1 ...... 4 1 1 Fort Worth, Tex...... 104,562 15 ..... Grand Rapids, Mich...... 128,291 25 5 3 1 1 ...... 32 Hartford, Conn...... 110, OO 31 1 ... 3 ...... 2 Houston, Tex...... 112,307 25 1 ... 1 1 Lawrence Mass. ------100,560 30 1 ... 4 3 -2 .... 6 Lowell, iass...... 113,245 44 2 ... 8 -1465 August 30, 1918.

DIPHTHERIA, MEASLES, SCARLET FEVER, AND TUBERCULOSIS- Continued. City Reports for Week Ended Aug. 10, 1918-Continued.

PonaS Diphtheria. Measles. Scarlet Tuber. tion as of Total fever. culosis. July 1. 1916 deaths. City. (estimated from bv..S. all

Bureau). C

Fromants-tinued.100 000 to 200,000 inhabit- L, ls...... s 102,425 20 L, 1 .... 5 2 M Tphnn...... 148,995 54 .. 8 NashviLle Tenun...... 117 057 59 ..... 2 3 i. 118 7 Ne Bedord ass...... 158 52 I. 2 . . t New Haven on...... 149,685 40 4I. i 1 Oakland Cai...... 198,6i04 37 I. 3 I Ir. Omaha, lebr...... 165,470 45 I. I Pa. 109,381 . Reading, ...... Richmond Va. 156, C87 95 2 I 8 Salt Lake bty Utah. 117,399 24 I 1 1 I1 1 Spokane, W As...... 150,323 ...... Ii. 17.I..I...... 3r Spingfleld Mass.. 105 942 II. ... I, . . I 4 Syracue R. Y....:,::::. 155,624 59 4 3 jI9 L4 2 112,770 7 t ....4 Toledo, Ohio...... 191,-554 1 I

Trenton, N. J...... 111,593 7 ... 5 Youngstown, Ohio...... 108,.385 52 j 2 From 50,000 to 100,000 inhabit. ants: I I Ak , Ohio...... 85,6,25 45 10 ...... I.~ . . 4 I 12. Alentown, ...... ~. 1 Pa...... 63,5;05 1 ...... 8 ...... 58,6f59 2 . 3 ...... 1 ...... AtlanticAtoona, City, N...... J...... 57, 660 14 ...... 1 . 1 . Augusta, Ga. 50,245 20 ...... 12 1 Bayonne, N. J...... 69,893 ..... Berkeley, Cal...... 57,653 14 ...... 1. i.. 2 -.... 2 2 Binghamton, N. Y...... 53,973 ...... 1 ...... 2 .3 ... 1 1 Brockton ...... Mass...... 67,449 2 ...... Canton, d'hio...... 60,852 14 ...... 2 1 Charleston, S. C...... 60,734 35 ...... Covington, Ky...... 57,144 21 ...... Duluth, Mlinn...... 13 .... I ...... 9 El 94,495 ...... 3j TaX ...... Paso, ...... 63,705 29 ......

Erie, 7...,...... Pa ...... 75,195 ...... 4 Evansville, Ind...... 76,078 ......

Flint, ...... Mich...... 54,7-2 15 ...... -... Fort Wayne, Ind...... 76,183 26 ...... 1 ...... Harrisburg, Pa...... 72,015 1 ...... Hoboken, N. J...... 77,214 1 o .. Holyokce, Mass...... 65,286 14 ...... ovvve 22 Johnstown, Pa...... 68,529 2 **so* 7 3i~~~~~~~ 2 Kansas City, Ka ...... 99,437 s.wo@* ...... 1 ...... 2 Lancaster, Fa...... 50,853 ..... o@@@s

Little Rock, Ark...... 57,343 20 ...... 3 ev*ve ...... 3 3 Maiden, Mass...... 51,155 9 v ...... 1 ...... 3 Manchester, N. HI...... 78,283 20 ***o ...... 2 ...... 33 Mobile, Ala...... 58,221 15 2 ****e .... Norfolk, Va ...... 89,612 3 w@@@ ...... 2 Oklahoma City, Okla...... 92,93 1-7 ...... Passaic, N. J...... 71,744 25 3 @*si 6...... 4 3 Pawtuckret, R...... I...... 59,411 27 ... 4...... Peora l...... 71,458 17 oov-- 6 ...... 42. 41 Portlad, ...... Me...... 63,867 15 ..... *w 1 Rockfrd, Ill...... 55,185 13 ve@ew 1I ...... Sacramento, Cal...... 66,895 16 @@6@es I...... 2 ...... 2 1 aw, Mieh...... 55,642 13 3 e@@ow ...... 2 ...... 3...... 3 St. Joseph, Mo...... 85,236 37 we@@@ San Diego, Cal...... 53,330 38 2 1 3S Schenectady, N. Y...... 99,519 19 @@@ee ...... 7...... 4 Somervllle, Mass...... 87,089 18 3 1 2 South Bend, Ind...... 68,946 12 3 @@w=@ Springfield, i...... 61,120 32 ...... 1 ...... 1 ...... Springleld, Ohio...... 51,550 15 ...... @@@e I ...... Terre Haute, Ind.... 66,083 23...... Troy, N. Y...... 77,916 26...... 4...... 8 5 WilkesBarre Pa...... 76, r6 ...... 1I.....i...... Wilmington, tW)l...... 94,265 ...... Yonkers, N. Y...... 99,838 32 2 10 I. .1. August W 1)1 1466 DIPHTHERIA, MEASLES, SCAo LT FEVER AND TUBERCULOSIS. Conti ued

City Repots for week Eade Aug. A0 1918.-Continued.

Scarlet Tuber- PopUa Diphta}ia I Measles. fever. culosis. tion as of Total July 1, 1916 deaths City. (estimated from U; 0r B raU.S. all .0 causes.! 9 Burea). Ia i - + - From 25,000 to 50,000 inhabit- ants: Alameda, Cal...... 27, 732 2 ...... Boise, Idaho...... 33,846 ...... * 1 ...... Brkine, M ...... 32 730 ...... Belingto owra...... 8...... , ...... Btutte, Mot...... 43,425 39 2 ...... I5 ...... Charleston, W. Va...... 29,941 14 1 ...... 3 N. C...... 39,823 21 4 1-'i 1 Charlotte, n Chsea, Mas...... 46,192 5 4 ..... *i 4 ......

3 1 ------Chester, Pa ...... 41,36 c 1 Chicopee Mass...... 29,319 ...... Cinton, Iows...... 27 386 8...... -'i' Choe N. Y...... --- 25,211 6...... ?...... Fooaado Springs, Cob...... 32,971 15 1 ...... I...... Cranston, R. I ...... 26,987 4...... 1 Cumberlfnd, Md...... 26,074 1 . -I I ...... Dauville, HIl...... 32,261 ...... 3. Davenport, Iowa...... 48,811 ...... Dubuque, 39,873 ...... Iowa...... 1 1 Durhar&, N. C...... 25,061 6 2...... Easton, Pa...... 30,530 ...... -.-.--.-. Flgin, Inl.. 28,203 6 ...... Esmira,N.Y. 38,120 lo 3...... 4 1 Evanston, Ill...... 28,591 10...... -.... l... ------..... Ev ett, Mass...... 39,235 ...... Eveett, Wash...... 35,486 10. .... Frsno, Cal...... 34,958 3 4 ----- ...... Galveston, Tex...... 41,863 1... . 4. Green Bay, Wis. 29,353 10 ..... 61------Hmmond Ind...... 26,171 13 ...... Haverhill, s...... 48,477 ..I...... 1- .....--.----...... Hazelton, Pa ...... 28,491 ...... 4! 2 19 2 ...... Jackson, Mich...... 35,363 ...... Li...... Jamestown, N. Y...... 36,5M ...... 30 - maoo, Mch...... 48,886 ---- 1 1 ..... 10 2 ...... KInoska, Wis...... 31,576 ..... K}oxnigle, Te--...... 38,676 1 3 ...... La,Crosse. Wis...... 31 f677 10 2 ..-..... 40,498 '''a'12.-- I 7.. ...,...''i ... 1...... 41,09? ...... Beac, Cal...... 35,384 11 2 ....1 ...... Lincoln, Nebr...... 46,515 14 .-- -'-- ...... LongL,OBseschi...... 27,587 ...... 3...-.- ---- 1 LWenn,VsoonOhio...... N b...... 36,964 a...... 32,9 14. -...... 1 2 30 699 109...... 1 .- -- ..... 4 - MoKeesport, Pa...... 47,81 ...... '' ,Wna. M W... 2 ...... las...... 26,234 1 ..... gdford 27,451 .---- ...... 10 ...2 Montclair,Inc...... N. J...... 28,318 12...... ---- .....-...... otgomerk, Ala...... 34,285 2 ...1 I.... 25 424 ...... 1 Naseua, N. H...... 27,327 Nebu N...... Y .... Newark.rgheOhio...... 29,35 9--71...... --- 2...... ---. 13...... 1----- ...... Newburi N. Y...... 29,608 3 ...... 30.1f 43,n15 6 13 2 Niaaa Falls, N. Y..... 37,353 Is ...... --- ...... Norristown, Pa...... 31,401 ...... I.... Conn...... Norwalk, .. 26,89 ...... 2...1 Oak Park, Il...... 26,654 16 1._ 31,404 1 2. 1 . .1 Ogden, Utah...... 2...... Orange, N...... J 33,080 18 ...... ,, Oshks Ws...... 36,065 7...... 1 Pasadena, Cal...... 46,450 148 1 ...1....''1 Perth Amboy, N. I...... 41,185 Petorsburg Va...... 25,582 22 38,629 P " e, N. Y...... 30,390 36,798 18 ...... Q cy M s...... Q ...... 38,136 8...... 1467 'ugust 30, 191& DIPHTHERIA, MEASLES, SCARLET FEVER, AND TUBERCULOSIS- Continued.

City Reports for Week Ended Aug. 10, 1918-Continued.

Popula- Diphtheria. Measles. tion as of Totalfer. Sarlet clisTither. [uly 1, 1916 deaths City. lestimated from b, U. S. an Census causes. Frm2,0 n6io5.0 onO From 25,000 to 50.000 inhabit- ::-: ants-Continued. Bureau) ii "':: - - 14 Roanoke, Va...... 43,284 ...... 3...... Rock Island, III...... San Jose, Cal...... Sheboygan Wis...... I~ ~~~...... S3henandoah Pa...... Springfeld 40,34128,926-..--...i ...... ---''3'''a..8...... Steubenvil, Ohio...... Stoton, Cal...... 36,3582855 131 1 1 2 ...... 3 , ...... Superior, Wis...... 48,22629301 .....2 8....3 ...... 4 1...... Taunton, ..... , ..,!...... 2 ..... Mass...... 36,283 14 . 1 I'-' - - 1.... Topeka K s...... 48,726 11 . K::4 ...... 1 WaoW, 33,385 ...... WallsWallaaex...... Wash. 3 . Waltham, Mass. 30,570 ..... 7 -- Waterloo, Iowa...... 35,559 3 8 ' ...... Watertown N. Y...... 27°44 5 ...1''i. .... 1...... I ... W 5 est Hoboken N.3...... 253,136 . ...I... Wheeling, W.Va...... Winston-Salem, N.C. 31,155 2 1.. . 1I..... I...... Zanes ville, Ohio...... 30,863 15 ...... 1...... 1...... From 10,000 to 25,000 inhabit- ants: Adams, Mass...... 14,214 4 ...... 1 Alexandria, La...... 15,333 8 1-2...... - ...... 2 1 - - Alton, III...... 22,8174 14 .. 1 ..... 2 Ansonia, Conn...... 16,704 3...... 1. -- , 5 1 Appleton, Wis...... 17,834 2.1 1 Ar 25, 61736il...... ''-.@i2 2 ..,,. I ...... '.'... ington , Mass...... 127, 10 3 ...... i .. . Asb u Park N.JI...... 14,007 5 . 1 ...... Bakersfe ...... 16,874 12 ...1.2 Beatrice Nebr...... 10,287 4 ...... J ...... Beloit, is ...... 18,072 8.2'4>~~~~~. . ...'''i.''''' Bento n Harbor, Mich...... 10,83.3 2 ...... :'...... I...... ' Bethlehem Pa...... 14,142 .....3 1...... Beverly,Miaass... 21,645 4...... 2...... BiUings, Mont...... 2 14,422 ...... 3... Bloom field, N. 3...... 18,468 ...... 1.3 .... Braddock, Pa...... 21,685 ...... 1...1...... Bradford, Pa...... Brazilnlad

Bristo on...... 15;927 11 ...... Bristol,R . I...... Burlington, Vt ...... Cairoll...... Canton, I...... 13,262 4...... Cape Girardeau, Mo...... 10,775 1 ...... Carlisle, Pa..:...... 10,726 . .1...... Chanute Kans...... 12,445...... 2 -...... Cb illiooth, ohio...... 4 ii . 5 Clinton, Mass...... 113,075 3... Coatville, Pa...... 14,455 ....; ...2.... Concord N If. 22,669 4j i .. Corpus(hr isti,Tex...... 10432 2 ..... Corsi cana,Tex...... 10,022 S ...... I . . Cortland,NY...... 13,069 2 ...... I...... Dedham, Mass...... 10,433 4...2 ...... 2.... Dunmore, Pa......

Ely ia,Obio...... 18,618 3' 1 ...... Enogoewood,I...... JN. . 12,231 3 ...... 2...... E ugene OregO...... Fargoaok DakD...... 17,389 2.1...... 1.... Farrell,PP.a...... Findlay, Ohio...... 114,858 3...... 4. Fond du Lac Wis...... 21,113 8...... [...... R' Fort Scott ans...... 10,550 3 ...... O Fostoria,ioh.o...... 10,770 1 ...... 2 ...... GalesburgIl.. 24,267 7 . ardner., 17,140 ...... :....r.... IPopulation Apr. 15, 1910; no estimate made. August 30, 1ii. 1468 DIPETHERIA, MEASLES, SCARLET FEVER, AND TUBBRCULOSIS- Continued.

City Reports for Week Ended Aug. 1It M91-Continued.

Popula- Diphther L fewles. Scarlet Tuber. tion as of Total h fever. culosis. July 1,1918 deaths ______City. (estimated frm Bureau). II

From to 25000 inhabi- tants-Continued.10,000 Geneva, N...... 13,711 1 ...... Granite City, Ul...-.-.-. 15,142 8 ...... Greenfield, Ms...... 1,998 3 ...... 2 ...... Greensboro, N. C...... 19,57 4 l ...... '''i Greenwich Conn...... 19,159 ...... 1 kensaclc N. J ...... 16,945 ...... 1. 1 ...... HIancockr, Mich...... 12,079 2 ...... 1... 1...... Harnson N 3. 16,950 2 ...... 1...... 14 685 ...... Hornel, . Y...... Hudson, N. Y 12,705 4 ...... Independlence, Kans...... 14,506 2 I ...... 3 ...... ndependence lMo...... 6 ...... 1. ...i...... Jacksonville il...... 15,481 14 ..... 8...... 1 Johnstown J . 10,646 6 ...... 21 ...... Kankakeelr I ...... 14,230 l ...... Kearney,on...... J...... 23,539 7 ...... '''''i Kokomo, Ind...... 20,930 5 ...... 1 Lackawann N. Y..... 15,987 a ...... 21 ...... 3 La Fayelte, iud...... : 288 6 ...... Leavenworth, Kans...... 119,363 7 ..... a...... 7... Lbanon, Pa..... 20,79 Z ...... Long Branch, N.J. 15,395 4 ...... 1 Mhanoy City, Pa. 17463 ...... MeanIister, Conn...... 15,551 ...... Manitowoc Wis...... 13,805 3 ...... Marinette, Wb...... 114,610 3 ...... Marion, lad...... 19,834 6 ...... MAarquette, lMich...... 12,409 3 ...... Mas 'Ohio...... 15,310 4 ...... Mattoon, I...... 12,58R2 4 ...... 1 ...... Meoe, Ms...... 17,445 3 ''''i . *...... t d...... 21,512 1 1 ...... 1 kJa, Id...... 1,385 4 ...... Misua Mont. v...... 18, 214 1 ...... Morgantown W. Va...... 13, 709 I ..... lbfoaM;, i.J...... 13,284 9 ...... Nantici P...... 23,126 1 ...... Natick, ...... 10,102 ...... Newburyport, Mass...... 15,243 2 ...... *...... New London, Cenn...... 2D,085 I ...... North Adams, Mass...... 1 22,019 2 ...... Northampton, Mass...... 19.926 9 ''''i' ...... North Attleboro, Mas. 11,014 2 1 ...... North Tonawanda, N. Y.... 13,768 S 1 1... Norwood Ohio...... 22,286 2 1 oi cilty 'Pa...... 19,297 7 ...... 16,624 11...... i.. 2 Parkersbpean-. Y...... 20,612 6...... 3...... 18,360 6...... peejraklif N. Y...... 18,53) 6 ...... Piqua,PeiabOhio...s...... 14,153 7,...... I...... Pad PJ...... 23,806 12...... 2 .....i 13,743 4...... 100 .I ...... Potiac,PtrmuthP.olh1leh...... a...... a...... 17,524 ''''i' Por Chester N. Y...... 16,183 ...... 4::l- Pottavile Pa...... 22,372 ...... 1 Rahway, . J. 10,219 4......

Raleigh N C... 20,127 4 ...... 1 Redlanis, Ca.. 14,000 ...... 1 Riere, Cal...... 19,763 ...... I 1 Rocky MoNt, N. C...... 12,067 ...... Rome, N. ... Y...... 23 737 4 ...... 2.. and, Vt...... 14831 ...... Ohio...... 20'193 5 ...... 2...... 8 Ne..M Y...... 10,916 ...... 1M9 1...... brt~Sprus N. Y.... 13, .I,. I PopuluAion Apr. 1J, 1910; no estimat mad. 1469 August 30, 1918. DIPHTHERIA, MEASLES, SCARLET FEVER, AND TUBERCULOSIS- Continued. City Reports for Week Eded Aug 10, 1918-Continued.

Popula- Diphtheria. [easles. Scarlet Tuber- tion as of Total I fever. culosis. July 1, 1916 deaths City. (estimated from by U. S. all co_,o A 4 94ea c; Ca Bureau). C) 0 Fro 000 inhabit- Saut Ste. Marie, Mfich . 13,919 . 1 Southbridge, Mass ...... 14,205 2 ......

Spartanburg . C .21,363 2 I ...... Tuscaloosa, Ala .10,488 3......

Uniontown P 2 ...... 20780...... Vallejo, Cad ...... 461 ..2i. . Warren, Ohio .13'069.1 ...... Watertownm..a.. 1487 2 ...... 1...

WeuIMd, Mass...... ,.,...... , ...... Wtlnia,nP .... I..I1t 6...... 1 Wet Ne2w:Y. . 1 77 ...... 3

lVil, MiN ...... _ ZI I8536...... Su Mi 6 ...... Winropm.repa . on ...... 2...... z 9._I 2 s Populatto Apr. 15, Irn; no estfmate made. FOREIGN.

CANADA. Typhoid Fever-Kingston. Typhoid fever was reported present at Kingston, Ontario, Canatla, August 12, 1918, with about 40 cases. (Population, about 23,000.) CHINA. Qurntine Against Hongkong- Cerebrospinal Meningitis. According to information dated July -12, 1918, quarantine measures have been adopted against arrivals from Hongkong on account of cerebrospinal meningitis as follows: At ports in China-Amoy, Canton, Chefoo, Newchwang, Ningpo, Shanghai, Swatow, a Tientsin; in Indo-China, at Saigon; in the Philippine Islands; in Siam, at Bangkok; and in the Straits Settlements, at Singapore. Plague-Plague Rats-Hongkong. During the four weeks ended June 29, 1918, 82 cases of plague were notified at Hongkong, and during the week ended July 6, 1918, 40 cases. The finding of plague-infected rats was reported as follows: Four weeks eanded June 29, 1918, out of 7,965 rats taken 66 were found plague infected; week ended July 6, 1918, out of 2,071 rats taken 19 found infected. GUATEMALA. Yellow Fever-Measures To Prevent Spread. Yellow fever in epidemic form has been reported present on tlim west coast of Guatemala, and with a view to preventing the spread of the infection from the west to the east coast certain quarantine procedures have been established at Guatemala City. On account of the high altitude of the city of Guatemala and its environment, and the freedom of this area from mosquitoes, it is considered as noninfectible by yellow fever. On August 19, 1918, preventive measures were reported to be in force at Guatemala City. These measures consist in the detention at that place, for a period of seven days, of all travelers passing from the west to the east coast in order that no one infected with yellow fever should proceed to the eastern coast. In addition to this, all through cars from the west to the east coast will be detained and fumigated for the destruction of mosquitocs. It is stated that the epidemic is under control and (147-0) 1471 August 30, 1918. there is no danger of the infection extending to ports on the Atlantic coast of Guatenmala. Senior Surg. Joseph H. White of the United States Public Health Service, and Dr. Alvin H. Struse, of the Rocke- feller Foundation, have been present in the yellow-fever district since about August 1, 1918, and are exercising general supervision of preventive and eradicative measures. - JAPAN. Cerebrospinal Meningitis-Kobe. During the period from April 14 to June 29, 1918, 68 cases of cere- brospinal meningitis were notified at Kobe, Japan. WEST INDIES. Influenza-Basse Terre, Guadeloupe. 4pidemic influenza was reported present., August 3, 1918, at BAsse Terre, Guadeloupe.

CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER. Reports Received Duing Week Ended Aug. 30,1918.1 CHOLERA.

Place. Date. Cases. Deaths. Remarks.

Phi?jlpne Islands: rovi nces ...... July 7-13, 1918: Cases, 131; deaths, Bohol ...... July 7-13 ...... 95 48 67.

Cebu ...... do .17 9 Oriental Negros...... do .19 10

PLAGUE.

China: Hongkong ...... June 2-29...... 82 66 Do ...... June30-July6.... 40 28 Straits Settlements: Penang ...... June 2-28 ...... I 1 S9appore...... aylJn22...... M yi-ue2. 20 21 SMALIPOX.

Canada: Nova Scatia- Halifax ...... Aug.3-9 ...... 8....8

Chungking ...... June 16-29 ...... Present. to ong...... June 2-8.. 1 1 ..... June30-July6. .. 1 1 Nanking ...... June 30-July13 . . . Do. France: Paris ...... June 22-29 ...... 12

...... 29 Germy..y...... Mar. 24-June 1, 191& Cases, ...... July 2-15 ..... 19 5 Kezieo: Mxico City ...... JMy 14-27...... 9...... Ithuania ...... Apr. 14-May 4.... R7 2 'From mleal ofir of the Public Bealth Service, American consuls, and other sourcs August 30, 118. 1472 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER AND YELLOW FEVER-Contiuued. Reports Received During Week Ended Aug. 30, 1918-Continued. TYPHUS FEVER.

Place. Date. Cases. Deaths. Remarks.

Austria-Hungary: Hungary...... Feb. 25-Apr. 28, 1918- Cases, 229; Budapest ...... do ...... 51 1 deaths, 9.

Ale2andra ...... June 25-July 1.... 139 37 Germany ...... Apr. 14May 11 1918: Cases, 54; deaths, 4. In addition, i cases among prisoners of Wir, of which 99 in KEnigsberg antl 1 in Oppeln, and 3 cases among the repatriated from Volhynia, Russia. Greece: Saloniki ...... June 23-29 ...... 1 Mexico: Mexico City ...... July 14-27.82. Russia: Lithuania ...... Apt'. 14-May 4, 191& Cases, 929; deaths, 33. Poland...... Apr. 28-May 18, 1918: Cases, Lodz ...... Apr. 28-May 18 129 17 2,323; deaths, 213. Warsaw...... do..deaths.. 103 Tunisia: Tunis ...... July6-12 .2 2

YELLOW FEVER.

Brazil: Bahia ...... June 30-July 6. 4 2

Reports Received from Tune 29 to Aug. 23, 1918. CHOLERA.

Place] Date. Cases. Deaths. Remarks.

Austria-Hungary: Hungary...... July 26, 1918: Present India: Bombay...... Mar. 17-Apr. 13... 2 1 Calecitta...... Apr. 14-May 18...... 279 Madras...... Mar. 24-May 11.... 2 Rangoon...... Mar. 30- iay .... 25 19

Indo-China...... Jan. 1-Feb. 28, 1918: Cases, 190; Cambodia...... Jan. 1-Feb. 28. deaths 126 Cochin-China...... 54 43 May 20-June 16, 1918: Cases, 66; Cholon...... May 20-June 16... 4 ...... deaths, 55 Saigon...... Apr. 20-May 26.... 64 Tonkin...... Jan. 1-31...... 1 43 Java: East Java- Surabaya...... July 24...... I ...... Present, Mfid-Java...... 93 Apr. 18-June 5, 1918: Cases, 7,34; deaths, 55.

Samarang...... July 24...... Present.

West Java...... Feb. 22-June 18, 1918- Cases, Batavia...... Feb...... 22n 1..... 200 1,319; deaths, 791. Cheribon...... June 7-13...... 137 104 Persia: Provinces- Kars Province- Kazaroun...... December, 1917: 3 or 4 deaths reported daily. Mahour-Milati...... Present In December, 1917, with about 300 fatal cases reported. Khorasan...... Oct. 2-Nov. 16, 1917: Cases, 78; deaths, 56. In 7 localities. Seistan...... Nov. 4, 1917: Cases, 6. A part of this Province or region ex- tends into Afghanistan. 1473 August 30, 1018. CHOlkA, PLAGUE, SMALLPOX, TYPHUS FEVER AND YELLOW FEVER-Continued. Reports Received from June 29 to Aug. 23, 1918-Continued. CHOLERA-Continued.

Place. Date. Cases. De4sths. Remarks.

rblippinIalsands: Provinces...... ,,,, ,,,,,,,,...... 1....I 28 Junc 29, 1918: Cases, 677; Bohol...... Apr.28-Jne29. .. 65 53 'deaths, 429. Cap ...... A r. 28-May4..... 1 1 VuC...... x ayy ~~~5-uee22.. 35 19 Leytc ...... Apr. 28June29... 108 59 Misamis ...... Apr. 28-June 22... 294 163 Oriental Negros...... June 3-29...... 42 231 Sorsogon ...... JUne 112 100 Surgao ...... Apr. 28-June 22... 92 89 .June 30-July 6, 1918: Cases, 63; PCebuo-e ------...... 30J...... 6.....252.... 10 deaths,26. Leyte ...... 2. 'Mlsamis ...... do .2 ..!do38 Orlental Negros ...... -.! do .1 Surigao.. .do...... 2 2 Russia: Petrograd ...... July 7...... Present. Sveden: *Stoekholm ...... July 15 .....,. 5 1 From s. s. Angermanland from Petrograd, Russia. Switzerland ...... I ...... July 26, 1918: Present. On vessel: S. S. Angermanland...... July 14 ... 8 1 At Stockholm; from Petrograd.

PLAGUE.

Arabia: 1 Aden...... May 22-28...... Argentina: Buenos Aires...... Apr. 20-May 22....1 16 2 Tucuman...... In March, 1918; 3 cases in an in- stitution. Brazil: Bahia...... June 16-22...... 1 Ceylon: Colombo...... Ma. 23-May11... 13 13 Chia: Hongkong...... Apr. 14-June 1.... 42 28 Ecuador: -urn...... 2 ...... Guayaquil...... k'a-y 1-Jua}e 15... 28 10 Egypt ...... 2 Jan. 1-June, 1918: Cases, 203; deaths, 110. Port Said...... May 19-21...... 2 1 pneumonic. Provinces- Beni-Souef...... Apr. 26-30...... 2 1 Fayoum...... Apr. 21-June 17... 8 4 Keneh...... May 16...... 1 ...... Minieb...... Apr. 23-June 10 ... 33 14 ~5 septicemic. Great Britain: Erwarton ...... June 19...... 1 Rural district, Samford, East Suffolk.

London, Port ...... Aug. 17. 1 On vessel from Calcutta.

Rochester ...... June 2. From s. s. Somali at Gravesend ...... tfm Bombay.

India...... Mar. 31-May 11, 1918: Cases, Bassein...... Mar. 25-Apr. 27... 113,795; deaths, 61,178. Bombay...... Mar. 2-Apr. 20... 402 Calcutta...... Apr.14-Mayr 18...... 60 Henzada...... Mar. 24-Apr. 13... 20 Madras Presidency. Mar. 24-Ma11... 332 ndalay ...... Mar. 17-Apr. 20...... 52 Mar. 4Apr...... 127 Moulmen...... 27...... M an...... Mar. 17-pr. 14... 10 Pegu...... Ar. 1 0...... 2 Prome...... 7ar.24-Apr. 27...... 893 23 Rangoon...... 30]ay18... 371 Toungoo...... Mar. 2Apr. 27...... i 59 Indo-China...... 128 ...... 1. Jan. 1-Feb. 28, 1918: Oaes, 275; Aam...... 38 deaths, 200. Cambodia...... do...... 58 120 Cochin-China...... do. 128 40 May 20-June 8, 191S: Cases, 6); Cholon ....;. May 20-June 8.... 6 deaths, 30. Sigon...... Apr. 29-June 8. 83 36 La ...... Feb. 1-28...... 4 2I August 30, 1918. 1474 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER- AND YELLOW FEVER-continued. Reports Received from June 29 to Aug. 23, 1918-Continued. PLAGUE-Continued.

Pla-ce. Date. Cases. Deaths. Remarks.

lava: East Java ...... Jan. 15-Apr. 22, 1918: Cases, 328; Residences- deaths, 226. lxJoakarta ...... Jan. 15-Apr. 8..... 3 3 Kediri ...... d...... d 13 10 Madi3en ...... do .30 30 Samarang...... do 82 81 Surabaya ...... do .60 60 Surakarta ...... do .12 12 .Peru...... Jan. 1-June 30, 1917: Cases, 245; Departments- deaths 122. July 1-Dec. 31, . An1achs ...... Apr. l-15 ...... 1 ...... 1917: ases, 169; deaths, 89. Cajamarca ...... Apr. 16-May 31... 7 ...... For dstribution according t Lambayeque ...... do ...... 8.departments,see Publiclealti Libertad .... Apr. 1-May31.... 40 ...... Reprts July 26, 1918, p. 1261. Lima ...... do ...... Apr. -ay 31, 1918: Cases, 71. Piura ...... do. 9 . Siam: Bangkok...... May 10-25 ...... 42 24 Straits Settlements: Singapore ...... Apr. 2-May 18 40 33 On vessel: S. S. Somali ...... May 19 ...... 3 1 At Gravesend, England, fr im Bombay. Further case de. velopeiJune 2 in member of crew at Rochester, England. SMALLPOXL Algra Alie...... ay 1-June 30.... 121 34 Brazil: Bahia ...... May5-June22.... 2 Rio de Janeiro...... May 5-June 1 27 6 Santos ...... Apr. 22-28 ...... 1 British East Africa: Mombasa ...... Jan. 1-Mar.31 ...... 3 Canada: British C6'umbia- Victoria ...... June 23-29 ...... 4 Do...... July7-Aug. 3..... 2 Manitoba- Winnipeg ...... June 9-22 ...... 5 Do...... July 7-20 ...... 4 New Brunswick- Moncton ...... June 16-22...... 2 Do...... July 7-13 ...... 4 Newfoundland- St. Jobns ...... June 22-28...... 1 Nova Scotia- Halifax ...... do...... 10 Do .June 30-July 27... 53 Sydney...... do. 3 Ontario ...... July 1-31, 1918: CasOs, 38. Windsor ...... July 21-27 ...... 1 ...... Prince Edward Island- Summerside ...... July 9-15 ...... 1 ...... Quebec- Montreal ...... July 7-13 ...... Ceylon:l Coiombo ...... Mar. 23-May 18.... '8 2 China: Amoy...... Apr. 1-June 9 ...... Prerent. Antung ...... 20-June 9.... 6 ...... 1 Chungking...... May June 15 ...... Present. Dairen...... May7-June24.... so ...... Hai'ar Station...... 12-18...... 2 Chinese Eastern Ry. Harbin...... Mar.M 20-26 ...... 2 ...... Do. Manchuria Station...... Feb. 19-Apr. 8.... 5 Do. Hongkong...... Apr. 6-May 18..... 4 Nanking ...... June 16-22 ...... Present. Shanghai...... ,,,.,,.Apr. 21-June 2... 3 ...... Tentsin...... May 19-June 15 10 Tsintau ...... May 6-Jime30 28 2 Do...... July 1-7. 2 Colombia: 1 Barranquila...... July 14-20 ...... Cartagena ...... May21-July1 ...... 2 Do.l ...... Jy -15 ...... 1 1475 August 80, 191,S cHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER AND YELLOW FEV1FGR-ontinued. Reports Received from June 29 to Aug. 23, 1918-Continued. SMALLPOX-Continued.

Place. Date. Case. Death,- Remarks. ------, _I: -I Deenmark: .June 16-22...... ii 13 h"=.ge...... Guayaquil ...... Apr. 1-30...... E,gypt: slexandria...... May 7-13...... I France: La Rochelle...... June24..... I Paris ...... Apr. 21-June 15... 12 Rouen ...... may 12-June 15> ... 6 Including varioloid. Great Britain: Liverpool ...... June 9-15...... From vessel. Greece: 36 Kal ta...... June 26...... Present. India: Bombay ...... Mar. 24-Apr. 6.. 731 Calcutta...... Apr. 14Miy 18.... KaEachi...... A r.6-20...... Madras...... Mar. 24-May 18.... . 2 13 Rangoon...... ar. 31-May 18.... 78 35 Indo-China...... Jan. 1-Feb. 28, 1918: Came, 1,375; Anam...... Janl. 1-Feb. 28... deaths, 291. Cambodia ...... :. .o.do. 43 Cochin-China...... do...... 650 ...... 216. Cholon...... May 20-June 16... 1 Maydeaths,20-Juna24. 16, 1918: Cases, 67; Kwang Chow-Wan..... Feb. 1-28...... 2 Laos...... Jan. 1-Feb. 28.... 8 ...... Tonkin...... do. 106 Italy: Genoa...... June 14-30...... 19 .Mezzojuso...... May 29...... Many cases. Province of Paler- mo, Sicily. M an...... In April, 1918: Cases, 2. May 1- Palcrmo...... May 30June 5... 31, 1918: Cases, 54. Turin...... Apr. 15-June 9-.. Japan: 18 Nag ...... y20-Jun 30.... 14 2 Do...... July3-21...... 1 ...... 1 Talhoku...... May 21-July 1.... 18 9 Island of Formosa. Tokyo...... May 5-June 23..... 17 Feb. 14-Mar. 13, 1918: 15. Java: CasW, East Java...... 35 Feb. 12-Apr. 22, 1918: Case, 26; Surabaya...... Feb. 26-Apr. 8.... 2 death 4 i" ve...... 93 Feb. 1 u 5, 198: es, 103; ...... deaths, 2. West Java...... Feb. 22-June 13, 1918: Cases, 31 Batavia...... Feb. -June13.... 89 106. Mesopotamia: ...... 296 deatls, Bagdad ...... Mr. 6-May l0...., 21 7 Mexico: Aguascalientes...... June 10-16...... 1 Guadalajara...... June 1-...... Mazatlan...... Jum -25. 2 Do...... July 3-23...... Mexico City...... Way 19-June 22... 2 Do...... June 30-July 13... Philippine Islands: 6 MEanila...... Apr. 28-June 29... 88431 16 Varioloid: Cases, 178; 1 deat Do...... June 30-July 6.... 29 2 Varioloid: Cases, 3; deats L Portugal: Lisbon...... Feb. 24-June 29... 97 Do...... June30-July 13. .. 25 Rumisa ...... Lth...... Mar. 3-Apr. 13.... 31 Siam: B..- ...... May ll-June 8.... 6 ...... Siberi: ...... V ...... t Spal May i-June 1,.... 31 Apr. 28-Jue 30... .a...... Dec. 1-31...... Jan. 1-31...... Seville...... Straits Settlements: Apr. 1-May31 Penang...... Myv 5-11 ...... Union of 8outh Africa: 2. Jon burg... . Feb. 26.... 1-Apr...... On vessel ...... I es. At LIsrpoo, D I II I -ft- August 30, 1918 1476 CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER AND YELLOW FEVER-Continued. Reorts Received from June 29 to Aug. 23, 1918-Continued. TYPHUS FEVER. Plare. Date. Cas.IDeaths. Remarks. Argentina: I Rosario...... Apr. 1-May 31...... I 2 Austna-Hungary: Hun ...... i Feb. 25-Apr. 14, 1918: Cases, 156; Budapest ...... Fah. 25-Apr. 14 .. . .30 1I deaths, 4. Brazil: Rio de Janeiro...... May 26-June 1.... 1 ...... China: Antung...... May 20-June 9.... 4 ...... Changaa...... May 11-17...... 2 lHarbin. 17 ...... On Chnese Eastern Ry. Manchuria Station...... 14 ...... Do. Shanghai...... May 5-11...... Egypt: Alexcandria...... May 7-June 24.... 1, 2m 284 Germany...... Mar. 24-May 11 1918: Cases, 60; deaths, 9. Of these, 10 cases, 2 deaths, Mar. 24-Apr. 6, Great Britain: among prisoners of war. Belfast...... May 26-June 1.... 1 ...... ' Edinburgh...... June 9-15...... ,...... Glasgow ...... May 19-June 1.... 4 Greece: Athens...... Apr. 14-May 13... 5 Saloniki...... Apr. 28-June 22... 35 Italy:

Corato ...... May 6-June 2..... 4 ...... Province of BarL

Monetta ...... May 6-June 9.. - 25 ...... Do.

Naples ...... Apr. 20-May 5.... 1 ...... Japan: ...... 0 Nagasaki...... May 27-June 23...... I Do...... Julv 3-21 1 1 Tokyo ...... Juxie 2fiiiy 7.... 1 Java: East Java ...... Feb. 8, .22~ 12-Apr. 1918: Cases, 29; Surabaya ...... 6 deaths 8 Mid-Java ...... Feb. 14-4Iay 22, 1918: Cases, 32; Samarang...... Feb. 21-May 22. .. deaths 4 West Java...... Feb. 2i8une 6, 1918: Cases, S$ Batavia...... Feb. 28-June 6.... deaths, 18. Mesopotamia: iRagdad...... Mar. 29-fay 10 ... 84 Mexico: ...... Aguascallentes ...... Ju 8-14...... I......

C hiuahua, State- i.. July10 ...... Epidemic; reported presnt from June 1-30...... about JunO 15, 1918. May 19-June 22... 186 Do...... June 30-July 13... 83 PortugaF- Lisbon...... Feb. 24-May 25... 5 Siberia: Vladivostok...... May 1-June 15.... 16 Russia: Lithuania..... Mar. 3-Apr. 13.... 1,585 ...... roland...... Mar. 10-Apr. 27... 6 270 55B73 Mar. 10-Apr. 27, 1918: Cases, Lodz...... do. '341 62 6,270; deaths, 553. Warsaw...... do . . . . . 2,562 Spain: AlImeria...... Apr. 1-30. Tunisia: Tunis...... M{ay 18-June 28... 11 .3 Do...... June 29-July 5.... 2...... Union of South Africa: Cape of Good Hope, State.. . Sept. 10, 1917-Apr. 21, 1918: es 4,587 (European, 34); deaths, 989 (European, 25). June 2-15, 1918: Present in in- terior towvns among natives. Natal...... Dec. 1 1917-Apr. 2,1918: Cases, : 50, deats, 11. YELLOW FEVER. Bazl: Ba...... Apr. 27-June 29... 256 Ecuador: uaysaqUl...... Apr. 1-June 30.... 74 39 Naral...... do...... 12 x