PUBLIC HEALTH REPORTS

VOL. 33 OCTOBER 18, 1918 No. 42

EPIDEMIC INFLUENZA.Prevalence in the United States.

Roports received by the United States Public Health Service sincothe last issue of the Public Health Reports indicate that influenza isspreading rapidly. Its pre3ence lhas bean reportel in every State,and the number of cases reportel is increasing in nearly all commu-nities, except a few in the eastern part of the country, where thedisease appears to be decroasing.The following is a summary of the more important reports of the

prevalence of influenza received siince the last issue of the PublicHealth Reports:Alabama.-On October 15 it was said that 25,811 casO3 of influenza

had been reported in the State. The poak of the epidemic in thevicinity of Florence was reported on October 13 to have been passed.Numerous case3 have been roported from Anniston, Huntsville,Mobile, and Tuscaloosa.Arizona.-Record of reported cases and deaths to October 16 is as

folows: Northern Arizona, 1,519 influenza case3, 66 pneumoniacases3 31 deaths from both; central Arizona, 707 influenza cases, 16pneumonia case3, 7 deaths from both; southern Arizona, 1,721influenza cases, 10 pneumonia case3, 10 deaths from both.Arkansas.-Reports of new cas03 have been received from many

places throughout the State. It is stated that many caso3 throughoutrural districts are unattended and consequently unreportod.

California.-On October 16 there ha(l been more than 14,500 case.;of influenza reportod in the Stato, of which 2,600 were in Los Angelesand 1,500 in San Francisco. From October 1 to 15, 136 deaths frominfluenza and pnoumonia were reported, but these statistics are sai(dto be incomplete. The disease seems to be slightly more provalenit insouthern California than in the northern part of the State.

Colorado.-Reports of cases of and deaths from influenza and pniou-monia have been reported from Canon City-Colorado Springas, Denveo,Lajunta, and Salida.

Connrectiut. -It was e3timated that tlhoro had been 110,000 casosreported in the Stato up to October 15.

83836-1814 (1763)

October 18, 1918.

Delaware.-From October 4 to 14, iniclusivo, 389 deaths frominflueniza were registere(I in Wilmington. New cases of influenza inWilmington tind Delawaro generally were said to bo decreasing slowly.

District of Columbia.-During tle. week ending October 16, 440deaths were registered as having been due to influenza or pneumonia.'T'he tot.al inumber of deaths from these causes since the beginning ofthe epidemic up to and including October 16 was 731.

Florida.-From October 5 to 15, 158 deaths from influenza andpnieumonia were reported from principal cities in Florida. OnOctober 15 it was estimated that ,800 cases were under treatmentin the civil population at Key West.

Georgia.-Cases are reported from many parts of the State. OnOctober 15 it was estimated that there were 1,800 cases at Savannah.

Idaho.-The disease is present. Twenty-five cases were reportedfrom Bannock County on October 16.Hawaii.-Very few cases have appeared in Hawaii. The disease is

said to be mild in character.Illiiois.-During the week ended October 12, 27,767 cases of

influenza were reported in the State. Conditions are said to begrowing gradually but steadily worse.

Inlwdiana.-On October 15, 5,217 new cases were reported in Indianaoutside of Indianapolis and military camps. At Evansville 327 cassof influenza were reported by 37 physicians for the week endingOctober 14,Iowa.-Up to and including October 15, 8,169 cases with 72 deaths

had been reported for the State. The number of cases appears tobe inereaimg.

Kitn8as.-Reports indicate that cases in Kansas are increasing.On October 16, 1,903 new cases were officially reported. The totalreported for the week ended October 5 was 1,327.

Kentucky.-Reports were received on October 17 of cases in Asi-land, Frankfort, and Paducah. From October 2 to October 15, 405cases were reported in Lexington, with 7 deaths.Louiuiana.-During the week ended October 12, 15,494 cases were

reported officially in Louisiana. The disease was said to be generrallydistributed over the State.

Maine.-During the week enided October 12, 14 places reported3,846 cases. Additional cases have been reported from a number oflocalities throughout the State.

Maryland.{-Cases continue to be reported from all parts of theState. Recent reports of deaths from influenza and pneumonia inBaltimore are as follows: 1oth, 68; 11th, 94; 14th, 176; and 15tfi,193.

MIassaclh 'isd1s. The Statte health officer reported on October 12thvat; the situation was somewhat better. Several places in eastern

1764

October 18, 1918.

Massachusetts report .xarked reduction in new cases. The westernpart of the State has been reporting more heavily. Deaths frominfluenza and pneumonia in Boston were registered as follows: 10th,124; 11th, 121; 12th, 123; 13th, 85; 14th, 119; 15th, 98.

Mfichigan.-On October 15 it was stated that 50 deatlhs had oc-curred in the State.

Minnesott.-Forty-five localities reported 421 new cases on Octo-ber 15. The State health officer stated that tlhc situation in theState at large was not alarming. Epidemics are reported at Duluth-which is partly burned and contain.s many fire refugees--Winona,Oslo, and a number of scattered districts. Old epidemics are reportedas subsiding.

Mississippi.-Twenty-six localities reported 1,934 casos on Octo-bier 15. Reports from many counties slhow that the disease is presentin nearly all parts of the State and is increasing.

Missouri.-Reports indicate the presence of influenza in a numberof places, notably St. Louis. To October 16, 3,765 cases and 9)0deaths lhave been reported from St. Louis, 558 cases and 13 deathsbeing reported on October 16.

Nebraskaa.-The disease is said to be epidemic over the enitire State.Reports have been received from nearly every county, some coun-ties reporting from 250 to 500 cases a day.Nevada.-A total of 38 cases had been reported up to October 15.New 11ampshire.--Conditions are said to be improving. From

October 5 to 14, inclusive, 82 deaths were reported at Nashua and355 at Dover; from October 6 to 15, inclusive, 202 deaths were re-ported at Mancheste.r. Among other infected cities are Berlii, Frank-lin, Portsmouth, and -Rochester.New Jersey.-In the southern part of the State-ini Gloucester,

Camden, Collingswood, Salem, Vineland, Bridgeton, and Millvillethere is a substantial decrease in the number of cases, while in thenorthern part of the State-in Essex, Bergen, Morris, and SussexCounties-it does not appear that the epidemic is subsiding. Up toand including October 15, 88,256 cases had been reported.New Mexico.-Epidemics are reported as occurring at numerous

places, including Carlsbad, East Las Vegas, Roswell, Albuquerque,alnd Gallup.New YorL.-The disease is said to be generally prevalent over tho

State, moving from east to west. On October 15, 322 deaths frompneumonia and 336 deaths from influenza were registered in NewYork City; on October 16, 316 deaths from pneuimonia and 317 frominfluenza were registered.

North Caro7ina.-Epidemics hlave been reporte(l from many placesin the State. On October 13 the epidemic was said to be at its height

1765

October 18, 1918.

in Fayetteville. Between 1,00) and 1,500 cases have been reportedin Kannaf)olis.

Norta Dakota.-New cases aro being reported from a number ofcounties in the State. OX October 15, 5,833 cases had been reportedfor the Stato as a wlhole.

Ohio.--On October 15 it was estimated that there had been atleast 60,000 cases in the State. Reports indicating the presence ofthe disease have beeni reoived from Canton, Chillicothe, Cininnati,Cleveland, Dayton, Lima, Newark, Toledo, Youngstown, andlZ.anesville.Okl4eonia.-Many cases are reported from all parts of the State.Oregon.-Conditions throughout the State were said to be satis-

factory. Cases have been reported at Eugene, Portland, Corvallis;,Baker, Pendleton, and other places.Pennsylvania.-Up to and ineluding October 14, 6,081 deaths from

influenza and 2,651 (leathis from pneumonia had been registered inPennsylvanin. T'he greater number of these deaths occurred inPhiladelphia.Rhode Island.-On October 16, 21 deaths from influenza anid 13

from pneumonia were registered in Providenice. Deaths have been)reported from Pawtucket, Newport, Woonsocket, Bristol, Warren,Warwick, West Warwick, Central Falls, anid other places.

South Carolina.-A total of 31,000 cases had been reported to theState health officer up to October 16. At Charleston 775 cases werereported on October 15.

South Dakota .-Cases have beein reportedl from maniv localities.Tennessee.-During the 10-day period ended October 14, 53

(leaths were notified at Chattanooga. On October 15, 27 deathsfrom influenza anid pneumonia had occurrod at Knoxville. Tho sit-uation at Memphis is said to be improving slightly.

Utah.-Influenza is rapidly spreading in the State. About 40localities were said to be affected on October 13. More than 1,000cases had been reported up to that time.

Vermont.-It is estimated that there have beeI more thain 15,000cases in Vermont. Reports show decreasing incidence throughoutthe State.

Vlirginia.-Itt wtas estimated on October 15 that there were atleast 200,000 cases in the State. Incomplete reports showel thatat least 61,580 cases had been reported up to this date.

Washington.-Tho disease is epidemic at Seattle and Spokane. Areport from Tacoma says that the situation there is not critical.Cases of the (lisease are roported as occurring throughout the State.

We.st Virginia.--Outbroaks have been reported at a number ofplaces. The situation was said to be satisfactory at Wheeling.Thirty-five cases wer-e reported during 48 hours ended October 15'.

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October 18, 191S.

Wicomin.-New cases are reported from many localities in tlheState.

Wyoming.-On October 16 it was reporte(d tlhat there were 2,50(cases in the State, with 65 deaths, during last week. The threecounties which suffered the most from the epidemic were wi(lelyseparated.

EQUIPPING EMERGENCY HOSPITALS.

AN IMPORTANT RECOMMENDATION FROM THE WAIR NDUSTRIES BOARD.

In order to care for those victims of the present influenza epidemicwho would otherwise be without medical or nursing attendance,many of the stricken communities, acting with commendtable prompt-ness, have established emergency hospitals. In providing for thtequipment of these hospitals it was perhaps natural that in manyinst.4nces standard hospital equipment, even including surgical instrII-ments and other operating-room paraphernalia, should have beeninstalled. In this connection we call attention to the following warn-ing, addressed to the Public Health Service by Lieut. Col. F. F. Simp-son, M. C., of the War Industries Board.

"It seems probable that as the epidemic of influenza spreadsvarious communities throughout the country will find it necessaryto improvise rather extensive hospital facilities. In view of the strin-gency in hospital equipment, particularly for surgical purposes,brought about by the military emergency, I would urge that you useyour influence to secure the cooperation of the various communitiesin the conservation of hospital equipment. The following sugges-tions are submitted in the hope of accomplishing that end:"Beds.-That in so far as possible ordinary single beds be purchlased

from existing stocks, an(d that they he brought up to the proper heighltby placing the legs on wooden blocks.

"Surgical equipmen.-In most communities the surgical equip-ment in existing hospitals is ample to care for those requiring surgicaloperations. It is, therefore, urgently requested that no patientsrequiring surgical operations be sent to these temporary hospitals,and that these hiospitals be not provided with surgical equipment.The reason for this reqluest is that the productive capacity of manu-facturers of sterilizers, operating tables, and other surgical equip.ment is reqjuired for military purposes."Your cooperation in placing this matter before the healtlh dle-

partments of. t.he various cities and communiities concerned will bevery much appreciated."These are admirable suggestions and slhould be followed by everv

community establishing emergency hiospitals for dealing witlh tlhe,present epidemic of influenza.

1767

oCtober, 191$8.

AMERICAN PUBLIC HEALTH ASSOCIATION MEETINGPOSTPONED.

In the isssue of Public Health Reports for September 22 the all-nouncement was miiade that the Surgeon General would present awar prograiii of the Public HeXalth Service at the meetings of thleAmericain Public Healtlh Associationi at Chicago October 14-17.At the request of the SuIgeon General this mieeting was postponedand will be lheld instead December 9-12. Headquarters will be, ats.previously announced, at Hotel Morrison, Chicago.

Further announcements will be issued by the American PublicHealth Association, 126 Massachusetts Avenue, Boston, Mass;.,and will be publishecd in the Americaii Joturnal of Public Healtlh.

HOME NURSING SHOULD BE ENCOURAGED.In an effort to reduce unmecessary call;s oI the overworked

physicians because of the present epidenmic of influenza, the PublicHealth Service has issued a bulletin calling upon the people of thelcountry to learn something about the home care of patients ill withiinfluenza. Physicians evervwhere have complained of the largenumber of uinecessary calls they have been compelled to makebecause of the inability of many people to distinguish between thecases requiring expert medical care and those which could readilybe cared for without a physicianl. With influenza continuinig to spreadin many parts of the country, anid with an acute shortage of doctorsand nurses in most communities, every unnecessary call on physi-cians or nurses miiakes it so miiuch harder to meet the urgenit needs ofpatients who are seriously ill.

Following is the text of the bulletini issued to the public:"Every person who feels sick anid appears to be (leveloping an

attack of influenza should at olnce be put to bed in a well-ventilatedroom. If his bowels have moved reguilarly, it is not necessary togive a physic; where a physic is nieeded, a dose of castor oil or Rochellesalts should be given.

"Theroom should be cleared of al unwnecessary furniiture, bric-a-brac,and rugs. A wash basin, pitcher and slop bowl, soap and towelsshould be at hand, preferably in the room or just outside the door.

"If the patient is feverish, a doctor slhould be called, anid thisshould be done in any case if the patient appears very sick, or coughsup pinkish (blood stained) sputum, or breathes rapidly and painfully."Most of the patients cough up considerable mucus; in some there

is muich mucus discharged from the lose and throat. This miaterialshoukl not be collected in handkerchiefs, but rather on bits of oldrags, or toilet paper, or on paper napkins. As soon as used, theseiags or1 ptpers should be plticed in a paper bag kept beside the bed.

1768

1Gdto5er 18, 1I1S.

Pocket handkerchiefs arc out of place in the sick room and shouldlnot be used by patients. The rags or papers in the paper bag shouldbe burned.."The patients will not be hungry, and tlle (liet should therefore

be light. Milk, a soft-boiled egg, some toast or crackers, a bit ofjelly or jam, stewed fruit, some cooked cereal like oatmineal, hominy,or. rice; these will suffico in most cases."The comfort of the patient depends on a number of little things,

and these should not be overlooked. Among these may be men-tioned a well ventilated room;ta tlhoroughly clean bed with fresh,smooth sheets and pillow cases; quiet, so that refreshing sleep maybe had; cool drinking water conveniently placed; a cool compressto the forehead if there is headache; keeping the patient's handsand face clean, and the hair combed; keeping his mouth clean, pref-erably with some pleasant mouth wash; letting the patient know,tjhat some one is within call, but not annoying him with too muchfussing; giving the patient plenty of opportuniity to rest and sleep.

"It is advisable to give thie sick room a good airing several times aday. The pationt should be well protected against cold and draughtsand then the windows should be opened wi(lely to let in the fresh air."So much for the patient. It is equally inmportant to consider

the person who is caring for him. It is important to remember thatthe disease is spread by breathing germn-laden matter sprayed intothe air by the patient in coughing or even in ordinary breathing.The attendant should therefore wear a gauze mask over her mouthand niose wlhile she is in the sick room. Such a mask is easily madeby folding a piece of gauze fourfold, sewing a piece of tape at thefour corners, and tying tho upper set of tapes over the ears, the lowerset around the neck. If the folded piece of gauze is about 6 inchessquare, it will nicely cover both mouth and nose. Such a mask canbe worn without discomfort for several hours, after which it can beboiled in water, dried, and be used over."The attendant should always wash her hands with 'soap and

water immediately after waiting on or touchIinig the patient. Thisis important, for carelessness in this direction may easily cause theattendant to become infected with the disease germs."Attendants should, if possible, wear a washable gown or an apron

which covers the dress. This will make it much simpler to avoidinfection.

"It is desirable that all atteiidanits learn how to use a fever ther-mometer. This is not at all a difficult matter, and the use of sucha thermometer is a great help in caring for the patients. The drug-gist who sells these thermometers will be glad to show how theyare used.,",'9In closing, one word of caution: If in doubt, call the doctor."

1769

October 18, 1918. 1770

SSTATE AND INSULAR HEALTH AUTHORITIES, 1918.

DIRECTORY, WITH DATA AS TO APPROPRIATIONS AND PUBLICATIONs.

Directories of the State and insular health authorities of theUnited States for each year from 1912 to 1917 have been publishedin the Public Health Reports 1 for the information of health officersand others interested in public-health activities. These directorieshave been compiled from data furnished by the respective State andinsular health officers and have included data as to appropriationsand publications.

Thle following is a similar directory for 1918:

AIAAMA.

lard of censors of tlhe State medical associationacting as a committee of public health:

S, W. Welch, M. D., chairman, Montgomery.C. A. Thgpesb M. D., Motgomey.Glenn Andrews, M. D., Montgomery.V. P. Gaines, M. D., Mobile.S. G. Gay, M. D., SosnmL. W. Johnston, M. D-., Tuskegee.C. A. Mohr, M. D., Mobile.B F. Tailey, M. D, Biringham.R. S. Hill, M. D., Montgomery.B. L. Wyman, M. D., Birmingham.

Enesatve ealth ofAicer:IL W. Welch, M. D., State health officer, Mont-gomery.

Reistrar of vi.al sta&stiemH. G. Perry, M. D., Montgomery.

Ste latory:P. P. Salter, M. D., Montgomery.

Sanitary engineer:a. H. Haszlehuvt, C. E., Montgomery.

tml sanition:B. N. Walker, M. D., Livingston.B. F. 'homs, M. D., Opelik.

staftepsminspect"r:Glenn Andrews, M. D., Montgomery.

AppropeWton (exetsive of state prio ispector)for Iscal year ending Sept. 30, 1918,920,200.

ALASKA.

Governr and ex officio commissioner of h.oalth:Thomas Riggs Jr., lumeau.

Assistant commissioners of health:L. P. Iwes, M. D., Juneau.W. W. Council, M. D., Cordova.J. A. Sutherland, Mf. D., Fairbanks.W. VAscy Chace, M. D., Nome.

Appropriation for fiscal year ending Mar. 31, 1919,S2,5W.

ARIZONA.Board of bealth:

Geo. W. P. Hunt,governor, president, Phoenix.Wiey E. Joes, attorney geral, vice presi-dent, Phoenix.

Orvillei arry Brown, M. D., secretary, Phoe-six.

ARIZONA-Contkned.Executive health officer:

Orvile an Brown, M. D., State superin-tendent ofpublic heaftb, Phoenix.

Approprlatls for fiscal year endig June.30, 1909:Salary superintendent of health........ $1,00Saary regitra ofvitalstatltis........ ,X,DOffice expenses ......................... 3, E

5,000Publications issued by health department:

Quaterly bulleti.Biennial report.

ARKANSAS.Board of health:

H. B. Webster, M. D., president, Texarkuas.C. M. Lutterloh, M. D., Jonesboro.C. F. Crosby, M. D., Ileber Springs.3. T. Clegg,M. D., E11mm Springs.H. L. Montgomery, M. D., Gravelly.S. A. Southall, M. D., Lonoke.

. O. Mahony, N. D., El Dorado.Executive health officer:

C. W. Garrion, K. D., Statc health officer,Little Bock.

Bureu of vital statistics:Miss Nell P. Smart, chief clerk, Little Rock.

Bygienie laboratory:M. King, M. D., acting director, Little Reek.

Chief hotel inspector:E. R. Wils, Little Rock.

Appropriations for biennial period endingMar. 31, 1910:Executive department-salaries andmiscellneous ........................ $11,3uO

Vital statitics bureau-salaries andmisellaneous .......................-0l, C80

Bnreau of sanitation-maintenance.... 10,0W31,90

Other sources of revenue:Fees for marriage licenses, 50 cents eab, aredeposited in the State treasury to maintathe central buean of vital statisties.

Lice fees for hotels, sestasrts, adreaw&ghouses are deposited in the State treasmy tomaintain the buru of ranifttion.

IReprints Nos. &3, 123, 190, 26-, 314, and 40;5 from the Public Health Reports.

October Tl, Ii9)8.

CAGWORNA.

Board of health:George E. Ebright, M. D., president, SanFrancisco.

Fred F. Cundrum, M. D., vice president, Sac-ramento.

WVilfred H. Kellogg, M. D., secretary, Sacra-mento.

Wm. Le Moyne Wills, M. D., Los Angeles.E£dward F. Glaser, M. D., San Francisco.Adelaide Brown, M. D., San Francisco.Robert A. Peers, M. D., Cclfa-x.

gxecutive health officer:Wilfred H. Kellogg, M. D., secretary Stateboard of health, Sacramento.

Attorney for board of lhealth:Kemper B. Campbell, Los Angeles.

llureau of administration:Guy P. Jones, director, Sacramento.

13ureau of vital statistics:George D. Leslie, director, Sacramento.

tlureau of registration of ntrses:Anna C. Jamme, R. N., director, Sacramento.

13urcau of tuberculosis:Edith L. M. Tate Thompson, dlirectcr, Sacra-mento.

Bureu of foods and drugs:Erwin J. Lea, directer, Berkeley.

Uureau of communicable diseases:Frank L. Kelly, M. D., acting director,Berkelcy.

Buireau of sanitary engineering:Chester G. Gillespie, director, Berkeley.

Appropriatious for biennial period endingJune 30, 1919:Traveling and contingent expenses.. . , s) ITu;crculcsis ...........................125,o0Parc food and drugs ................... 65,CoHlygienic laboratory...................Antirabic virus ........................ J'Stenographic scrvice2-............- ,400!Printing ............................... 10,000Contagious diseases .................... .5,QooSanitary engirneering .................. 45,000

Statutory salaries (fronm general appro-priation) ............................ 47, S,o

Support of 6 district health officers, at53,000, expenses, etc. ....... 55, ooo

5,19,030Other sources of revenue:

Fees for registration of nurses ($10 each).Licensing of cold-stoage warehouses (rate(d ac- Ccording to capacity).

Fees for certified copies of records.Licensing plumbers, $2.50 each original exami- 1nation.

Fiscal year ends Jume 30.Pnblcaions issued by health department:

Biennial report.Monthly bulletin. B

COLORADO.B3oard of health:

A. 3. Monahan, M. D., Pueblo.C. G. Hickey, M. D., vice president, Denver.Erlo E. Kennedy, M. D., swertary, Denver.A. W. 8cott, Fort Collins.Frank R. Coffman, M. D., Denvcr.

COWoRABO-CoUt,rned.Board of health-Continued.

Wm. H. Sharpley, M. D., DCnTer.A. C. McCain, M. D., Ault.Chas. A. Bundsen, M. D., Denver.

F. P. Hanson, M. D., Gunnison.Executive health oficer:

Edlo E. Kennedy, M. D., weretary State boardof health, Denver.

Pure food and drug commissioner:S. R. MIcKelvey, M. D., Denver.

Bacteriologist:W. C. Mitchell, M. D., DJenver.

Medical inspector:J. W. MIorgan, M1. D., Denver.

Appropriations for fiseal year ending Nov. 30, 191S:Salaries ...$.1.... $I6, 100

Laboratorv equipment, supplies, and

expenses............................... 4B3ulletin ............................... 4)Traveling expensts .................... 2,00)

Incidental and contingent expentes....

CONNECTICUT.

Puiblic health council:Edward K. Root, M. 1).Lewis Sperry.C.-E. A. Winslow, M. S.

Walter H. Brown, M. D.Robert A. Cairns, C. E.James A. Newlkands B. S.

ExecutiTe health officer:John T. Black, K. D., commnrz'ioner of heAlth,Hartford.

Jaboratory director:C. J. Bartlett, M. ).

Sanitary engineering director:J. Frederick Jackson, ('. E.

?reventable diseascs director:T. E. Recks, M. D.

"ital statistics director.Jaumes P. Balfe.

Lppropriatious for fiscal year cuding Sept. w),-Ns:(Gleneralexpenses ........................sIS, tw

Laboratory....... ............. 1i>, 000Antitoxin ............................... 2Spring-water investigatio: .............

Salar-, commissioner .................. 4, (t0)Special, factory waste .. 12',5(

ther sources of revenne:IMedical practice, registration fewl.Spring water, license fees.

uibl)licationi issued by heal! h depirt ment:Monthly bulletin.Annual vital statistic-s report.lBiennial report of State (l(l)F.iri int! of he dti,.

DELAWARE.oar(l of heialtlh:Wm. P. Orr, M. 1)., presid&aln, Lew.s.

A. P. Frantz, M1. D., secretlary, Wilnington.J. W. Clifton, M. D., Smyrna.W. F. Haines, D., Seaford.J. A. Draper, If. D., Wilmingtoni.C. A. Ritchie, M. D., Wilmington.L. S. (Conwell, M. 1)., (Carnden.

1771

October 18, 1916 17 72DELAWARE-Continued.

Executive health oflic:A. E. Frants, N. D., secretary State board ofhcalth, Wilmington.

Pathologist and bawteriologist:Herbert J. Watson, Newark.

Appropriations for fiscal year ending Jan. 11, 1919:State board of health ...................6 2,500

Laboratory ........................... 4, O0Vital statistics .......................... 2,000

Diphtheria antitoxin ...................

9,000DISTRICT OF COLUMB

Executive health officer:Wm. C. Fowler, M. D., health officer, Wash-ington.

Assistant health officer:

Chief clerk and deputy health officer:Arthur . Cole, Wasbhington.

Chief, bureau of preventable diseases, and director,bacteriological laboratory:

Harry S. Bernton, M. D.Bacteriologist:

L. V. Dieter, Phar. D., Washington.Serologist:

W. F. Landon, B. S., Washington.Chemist:

M. A. Pozen, B. S., Phar. D., Washington.Chief sanitary inispector:

C. R. Holman, Washington.Chief food Inspector:

Reid R. Ashworth, D. V. S., Washington.Chief medical and sanitary inspector of schools:

Joseph A. Murphy, M. D., Washington.Appropriations for fiscal year ending June 30, 1919:

Salaries ........................... $86,470Prevention ofcommunicable diseases.. 40,000Disinfecting service .................... 0, OOOIsolation wards at hospitals............ 16,500Milk and food inspection and regula-tion ............................. 8,500

MiScellaneOUS. .... ......... 41,610

199,080Publications Issued by hea1th department:

Weekly report of health officer.Annual report of health officer.Monthly statement of average grade of milk

sold.FLORIDA.

Board of health:Char'es T. FrecIker, president, Tampa.Ed. M. Earnest, Palatka.J. E. Graves, De Funisk Springs.

Executive hca'th officer:W. HI. Cox, N. D., State health officer, Jack.

sonviulle.Assistant State health officer:

V. H. Gwinn, M D.

'Bureaui of ital statistics:Stuart G. Thonmpson, M. D., statistieian, Jack-

sonville.Buireau of sanitary engineering:

Georee W. Simons, jr., chief, Jacksonv ile.':;rean of laboratories:

B. L. Arms, If. D)., chiet, Jacksonville.

FLORIDA-Continued.Bureau of venereal diseases:

H. 0. Snow, M. D.Appropriation for health department:

One-half mlU tax levied uponi tleo wasiesalleproperty of the State.

Fiscal year ends Dec. 31.Publication issued by health department:

Monthly bulletin.

GEORGIA.Board of health:

W. 1X. Doughty, Jr., M. 1)., president, Atug,lsta.Jamos H. MeDuflie, M. D., vice president,Columbuis.

T. F. Aborcromble, M. D., secretary, AtlantaChas. }X. Richardson, M. D., Maon.A. D. Litt'e, M. D., Thomasville.John W. Daniel, M. D., Savannah.B. C. Teas'ey, M. D., TartweliA. L. Crittenden, M. D., Shelbnan.Robert F. Maddox, Atlanta.A. C. Shamblin, M. D., Rome.Gi'es Hatheock, M. D., Lula.J. L. Walker, M. D., Waycross.M. S. Brown, M. D., Fort Valley.M. L. Brittain, State superintendent of schools.At'anta.

Peter F. Bahnsen, State veterinarian, Atlanta.Exeeutive health officer:

T. F. Abercrombie, N. D., secretary Stateboard of health, Atlanta.

Division of bacterio!ogy:T. F. Sellers, M. Sc., director, Atlanta.

Division of water analysis:Ray C. Werner, B. S., director, At'anta.

Division of tuberculosis (Raoul Foiundation):3. P. Faulkner, director, Atlanta.

Appropriation for fiscal year ending Dec. 31, 191%$30,50.

Publication issued by health department:Monthly bulletin.

HAWAI.Board of health:

S. S. Paxson, president, Honolulu.Harry Irwin, attorney general,-Honolulu.W. C. Hlobdy, M. D., Honolulu.F. E. Trotter, Ml. D., hIonolulu.John Markham, Honolulu.G. J. Waller, Jr., Honolulu.George Denison, Honolulu.

Executive health officer:J. T. Wayson, M. D., Honolulu.

Bacteriologist:I. J. Shepherd, M. D., lIonolulu.

ruberculosis bureau:Ruth Alexander McKefLr, M. D., director,Honolulu.

Food commissioner and analyst:M. B. Bairos, Honolulu.

)ahu Insane Asylum:W. A. Schwallie, M. D., superintendent. Hono-lulu.

[eper settlement:J. D McVeigh; superintendent, Kalaupapa,Molokai.

1773HAWA1--C.ontinueJ.

Appropriatiolls for fiscal year ending Jtunc 30, 1918:General expens.. e. . $21, 100S a nitation............................. 44, 50Purefoo d ................ . 7,1500Bacteriological bureau... 2, 820Quarantinc and medical service.. . 57,200Ratcomp aig ......................... 10,000Mosquito (almlpaign.... .. 13,750Tuberculosis..... 82,500Care of lepers and their childlren ... 229,840Care of insane ... 81,040

Publication issueil by health department:Annual report oi prcsident.

IDAHO.ftard of health:

W. R. Hamilton, Mr. D., president, Weiser.Edward T. fliwer, M. D., secretary, Boise.T. A. Walters, attorney general, Boise.Fred A. Wilkie, Boise.B. 0. Clark, M. D., Emmett.

Executive health officer:Edward T. Etwer, 1. D., secretary Stateboard of health, Bois.

Dairy, food, and sanitary commissioner:J. K. White, Boise.

Bacteriologist:Emily L. Moshage, M. D., TBoise.

Chemist:Edward F. Rhodenibaugh, Boise.

Appropriations for biennial period ending Jan. 1,1919State board of health ... $9, 195Bacteriological laboratory ... 7,460Chemical laboratory ... 5,800Vital statistics....1, 200Dairy, food, an(l s3nitary inspection .... 19,340

49, 995,Fiscal year ends January 1.

ILLINOIS.

Director of public health:C St. Clair Drake, Y. D., Springfield.

Assistanit director of public lcalth:George Thomas Palmer, M. D.

Chief sanitary en -fineer:Paul Hansen, C, E.'M. C. Sjoblom B. A., actin, elief.

Division of cominunieablo diseases:J. J. McShane, M. D., chief.

Division of tuberculosis:C. W. East, M. D., chiief.

Bacteriologist and pathologist:George F. Sorgatz, M. D.'Martin Dupray, B. S., M. S. (acting).

Division of vital statistics,Sheldon L. Howard, registrar.

Supervisor of rural hygicne.:Paul F. Skoog

Superintendent of lodging-lhose inspection:W. W. McCulloch.

ILLINOIS-Coiitiiiue,.Appropriation; for fiF(al ye:r enming Jun 1;0, 1918:

(leneral oice ................ , 513Communicable diseases ... , C)eO'Diagnostic luboratory.. ..

12, 7d,Tuberculosis .......................... 4, 0,j84anitation. ..................... s...o, 5X"ital statistics

................... 14.7t)I.oJtgin'. houses. ....................... 10, 257

Publication issued by lhealthi departmitent:3Monthly bulletin.

INDIANA.

Boar(d flhealth:Chas. B. Kern, M. D.. president, Lafayette.

.Ifugli A. Con ing, M. 1)., vice president, Moin-!cie,

J. N. Ilurty, If. I)., sceretary, Injianapolis.J. A. Hc-witt, M. D., Terre Haute.James S. 130yers, I1. 1)., Decatur.

Executive lhealt officer:J. N. Hurty, K. D., State liealth commissioner,

uda apolisAssistant State lealth commissioner:

Wm. F. King, M. D., Indianapolis.Division of statistics:

II. M. Wright, superinten(dent, IndianapolisDivision of bacteriology awl pathology,

Wm. Shimer, M. D., superintendent, in(lianl-ap)olis.

Pasteur laboratory:J. C. Nicodemus, M. I).. stuperintendent, In-

dianapolis.Division of food and drugs:

H. E. Barnar(d. I'Ph. D., Ftate foot an(d fmrugcommissicn?r, Inlianapolis.

Water and se age laboratory:L. R. Taylor, A. B.. s:ipeirntenlent, Indian.apoKs.

Division of child and school t,.vgiene:

Division of epidemiology:Wm. Shimer. M.. D., s'uperintrn'lent. In hIan-

apolis.Bureau of venereal dieea..sn:

Wm. F. King, M. D.. (director, Indlnapolis.Division of Inspection:

E. C. Ilelwig, M. D., chief, Indianapolis.Appropriations for fiscal year endin- Sept. 30, 191s:

Salaries (specific) ....................$4,500.00State board of health oZlee ........... 30,000.00Laboratory of hygiene................ 10,000. 00Laboratory puire food an 1 drugs..... 20,000.00Water laboratory ................3.... ,000.00IVeights and measures ............... 10,000.00Cold-storage fun-I ................ 430. 00Hydrophobia fun;l ................ 8, 084. 76;Special for baby book ............... 5,000.00

93,014. *7Publication issue'd by Jheailth department

Monthly Ibulletin.On leave of absence in nilitary service.

.)ct(pl)er Vsi, 1 'D I %-.

October 18, 1915,

IOWA.Board of health:

Walter L. Bierring, M. D., president, DesMoines.

Lafayette Higgins, sanitary engineer, vice presi-dent, Des Moines.

G. F. Severs, M. D., Centerville.Guilford H. Sumner, M. D., seoretary, DesMoines.

Frank T. L,aunder, M. D., Garwin.Clinton E. Harris, M. D., Grinnell.W. L. Harding, governor, Des Moines.WV. S. Allen, secretary of state, Des Moines.F. S. Shaw, State auditor, Des Moines.E. H. Hoyt, State treasurer, Des Moines.R. E. Bales, socretary appointing board andexecutive council, Des Moines.

Executive health officer:Guliford H. Sumner, M. D., State health com-

missioner, Des MionesLaboratories:

Henry Albert, M. D., director, Iowa City.John H. Hamilton, M. D., epidemiologist, Iowa

City.Appropriations for fiscal year ending June 30, 1919:

State board of health work............. 65,000

Bacteriological laborator.8,000Antitoxin department .................. 2,000Vital statistics ................... 3, 000

Salaries ofemployees ................... 4,800

22, 800The above does not include specal appropriationfor clerical assistanoe.

Publications issued by health department:Biennial report.Quarterly bulletin.

KANSAS.Board of health:

J. T. Axtell, M. D., president, Newton.0. D. Walker, M. D., vice president, Salina.W. M. Earnest, M. D., Washington.M. 0. Locke, attorney, Topeka.S. J. Crumbine, M. D., secretary, Topeka.C. H. Ewing, M. D., Lamed.H. L. Aldrich, M. D., Caney.0. C. Baird, K. D., Chanute.Clay E. Coburn, M. D., Kansas City.C. H. Lerrigo, M. D., Topeka.Jesse T. Orr, M. D., Olathe.

Executive health officer:S. J. Crumbine, M. D., secretary State board

of health, Topeka.Division of vital statistics:

S. J. Crunbine, M. D., acting State registrar,Topeka.

Division of communicable diseses and sanitation:J. J. Sippy, M. D., epidemiologist, Topeka.

Division of foods and drugs:Frank Rowland, assistant chief food and drugInspector, Topeka.

Division of child hygiene:Lydia A. DeVilbiss, It. D., chief, Topeka.

iivision of rater and sewage:Prof. C. A. Haskins, chief, Lawrence.

KANSAS-Continued.Division of public health education:

S. J. Crumbine, M. D. director, Topeka.Water and sewage labDratories at Kansas Univer.

sity:Prof. C. C. Young, director, Lawrence.

Food laboratory at Kansas University:Prof. E. H. S. Bailey, director of food analy.s,Lawrence.

Drug laboratory at Kansas University:Prof. L. E. Sayre, director of drug analysi'.-,Lawrence.

Food laboratory at Kansas Agricultural College:Prof. Wm. King, director of food analyses,Manhattan.

Bacteriologist:S. E. Greenfield, M. D., Topeka.

Appropriations for fiscal year ending June 30, 191":Salaries .............................. 15,,70)Misoellaneous .......................... 9, 701Water and sewage division ............ 5, 01);Free distribution of antitoxins, etc.... 2,5'))

Suppression of communicable diseases. 5, oo))Public health exhibit car .............. 2, 000Laboratory of hygiene ................. 1,500

Division of child hygiene .............. 7,5101)4S, 910JOther sources of revenue:

Marriage fees.Water and ice analyses fees.Food and drug laboratories at Kansas Univer-sity maintained by university maintenarnuefund, and food laboratory at Kansas Agrictil.tural College maintained by agricultural col.lege maintenance fumd.

Publications issued by health department:Monthly bulletin.Biennial report.

KENTUCKY.Board of health:

J. C. Souith, M. D., president, Frankfort.J. N. MKcormack, M. D., secretary, I BowuimngGreen.

W. W. Richmond, M. D., Clinton.I. A. Shirley. M. D., Winchester.C. A. Fish, M. D., Frankfort.George T. Fuller, M. D., Mayfield.H. H. Carter, M. D., Shelbyville.J. G. Furnish, M. D., Covington.

Executive health officer:J. N. McCormack, IL D., secretary State boalr I

of health I Bowling Green.Chiefsanitary inspector:

J. N McCormack, M. D., Bowling Green.Bacteriologist:

L. H. South, M. D., Bowling Green.Sanitary engineer:

D. P. Curry, M. D., Bowling Grcecn.Registrar of vital statistics:

P. E. Blackerby, M. D., Bowling Green.Appropriation for flscal year ending June 30, 1919,

$130,000.Publication issued by health department:

Monthly bulletin.I For the period of the war.

1774

I

Octolber 18, 1V)iB.

LOtISANA.

Board of health:O wa DowHng, M. D., preiddnt, New OrIens.J. lt. Mosely, M1. D., Arcadia.T. T. Tariton, M. D., Grand Coteau.L. C. Chambertain, 1M. D., New Orleans.J. T. Abshire, M. D., Leroy.T. A. Roy, M. D., Mansura.B. A. Ledhetter, M. D., New Orleans.M.W. Swords, M. P., secretary, New Orleans.

Executive health officer:Oscar Dowlig, M. D., president Sttatc boardofbealth, New Orleans.

Bacteriologist:W. H. Sceman, M. D.,' New Orleans.George Hauser, M. D. (actfng), New

Orleans.Registrar:

John H. Ellis, M. D., New Orleans.Sanitary engineer:

John H. O'Neill,' New Orleans.Child hygine:

Agnes Morris, New Orkans.Amlt:

C. L. Clay, New Orleans.hehffsts:

J. Roy Keeny,' New Orleans.Leonard C. Scott. M. D., New Orleans.

Visiting nurse:Eva Parker, New Orlcans.

School inspector:C. M. Abbott, If. D., New Orleans.

Rural sanitation:C. M. Shipp, M. D., director, Viiiu.

Buru of venereal diseases:H. F. Ader, M. D.. director, New Orleans.

Appropriation for fiscal year enMding June 30, 1919,$50,000.

Other source of revenue:Fees from oil inspectiOs.

Publications issed by health department:Monthly bulletin.Quarterly bulletin.Annual almanacBiennial report.

MAINE.

Piublic health cowucil:Leverett D. Bristol. M. 1)., Dr. P'. IT.. chair-man, Atigusta.

S. J. Beach, M. D., Augusti.R. S. .x!cy, Ph. D., Orono.Hiram W. Rilcker, South Poland.J. B. Drummond, M. D., PortLand.

Executtive health offcer:Leverett D. Bristol, M. D., Dr. P'. 1I., Statecommissioner of health, Augusta.

Division of admiristration:Loverett D. Biristol, M. D., Dr. P. 11., director,Augusta.

Division of commiunieW! diseases:A. (. Yotuig, I. D., director, Augusta.

Division of diagnostic laboratories:H1. E. Thompson, 11. D., director, Augusta.

Division of aitary enginecring:H. D. Evans, M. A., director. '\ngusta

MAIN-.Coantinucd.

Divisioiu of public heatlt education and publicity:Wv. IT. Creen!eaf, director. Augiista.

Divisio:A ioital statistics:e'-erelt I). liri4to?, i!f. I)_. !r. P. II.. .ttore' ilrnr, Auguita.

Division of \ ez!ercal diseii'C!t:11. E. llitehlotk. M. D., dlirv or. Augusta.

Appropriationi for fisc;l \ear endisg Dlee. 31, 1918:Contingent cxper'e .................. 7,000

Vital Statistics .-.. ................ 3,000

Laboratory of fl,500

Pi inting and binding.2,000

Epidemic fund. . 2,000General find9,500

Venereal diases ............ . 4, 000

31,000Other somtmn cof rervne:

Census Iirrean ahin.tno, D. C., about 900.Pnb?ietlfmns inived by- h"'th department:

Annuial report of department of him th.Aninual report on vital statistir's..Monthly scientiflc bfletMin.MAonthlyxlne'ss b luletir.

MARYLAND.Boaird of hiealth:

Wl 1in. 11. We!ch, M. P.. preAident, Baltimore.Albert C. Ritchie, attornev general, Baltimore.John S. Ftilton, Mf. J)., se retary, Baltimore.l\Vni. IVr. Ford, M[. D., B3altimore.John D. ]Blake, Mt. n.. Ba'tinorc.'V'olley A. Biays, laltimi1ore.

E;ccutix e health officer:

John S. Fulton, M. D., State liealth officerBaltimore.

Buireau of communicabe disease.;:

C. Tlampson Jone:, 7. 1)., chiefI. Baltimore.Bureau of vital statistics:

Frederic V. Reit'er. A. D., chief. Baltimore.Food and drug commissioner:

Fred. C. Blanek., Ph. D., Baltimore.Bureatu of bacteriology:

Wiy. Royal Stokes, If. D., chief, Baltimore.Bureaui of sanitary engineering:

Robert B. Morse, C. E., chief. Baltimiore.Bureat of chemistry:

wyatt w. lRandall, Phi. D., chief, Baltinore.Appropriation.s for fiscal year ending Sept. 30, 1915:

Ba teriology-------------------.. -------...7, SOOClhemistry ............................. 7,700Communnicable di;eaese. 13,300

Executive olice 22,900

Food and drag 13,300

Sanitary engineerig .. 21,700Vital statistiecs. 7,500

Sanitary (list riet ................... :10,000

124,540Publieation issued by health department:

Annual report.lIealth olicen' bulletin.

MASSACHUSETTS.Public health council:

Eugene R. Kelley, M. D., chairman, Boston.David L. Edsall, M. D., Boston.WV. 1. Callivan, M. n.. Font'i B1octon.

I On leave of absonce in military service.

1775

'October 18, 1918.

MASSACHUSEIS-Continued.Public health council-Continued.

J. E. Lamoureutx, M. D., Lowell.Prof. W. T. Sedgwick, Cambridgo.Prof. ¢. C. Whipple, Cambridge.John T. Wheelwi right, I3osto.L

Execttive health olricer:Eugene B. KeUey, M. D., commissioner ofhealth, Boston.

Division of sanitary engineering:X. H. Goodnough, director and chief engineer,Boston.

Division of water and sewage laboratorias:H. W. Clark, director and chemist, Boston.

Division of coamnmuicablo diseases:John S. hitchcock, M. D., director, Boston.

Division of hygiene:Merrill E. Champion, M. D., director, Boston.

Division of food and drugs:Hernann C. Lythgoo, director and analyst,Boston.

Tii ision of bioogic laboratories:Milton J. Rosonau, M. D., director ant patho'o-

gist, Bostoni.Antitoxin and vaccine laboratory:

Arnold N. Allen, M. D., assistant direAor,Boston.

Wassermann Laboratory:W. A. Ihlnton, U1. D., assitatt direetor,Boston.

Epidemiologist:Bernard S. Carey, M1. D., Boston.

Bacterio!ogist:Edith A. Beckler, Boston.

Appropriations for fiscal year ended Nov. 30, 1917:Salaries (specific) ............... 15,000General expemses ............... 1.,0)0Annual report ............... 4,000Division of hygiene .................... 20,000Epidemio!ogist, salary and expenses... 3,M00Inspectors of health ................ 38, 800Diagnostic laboratory................. 6, 550Antitoxin and vaccine ................ 33.590Ophthalmia neonatorum .............. 1,000Food and drtug inspe'tion ....... ...... 17,500Slaughtering inspection and cold stor-age.............................. 12,000

Water supply and sewage disposal..... 55,, 8 0St3te examiners of plumbers........... 5,200Syphi'is (ba'ance from 1916) ........... 8, 80Protection of health at mi itsrycanip.. 20,0(0Examinmtionofdomestiewatersupp1ies. 2,500Investigation of fcasibi'ity and cost ofdraining- marshes of the NeponsotRiver and tbe.shores of Quiney Bay. 2,000

Chi!d conservation .................... 5,000Suppression of nuisance cauised by de-caying bMacklsh ..................... 7,50

Causation of infanti'eparalysis(balancefrom 1916) ........................... 4,577

A fltercare of infanti'o paralysis (balancefrom 1916) ........................... 4. 776

r7,Si,rul)lications issued by Lca!th department:Monthly bulletin.Annial report.Miceellanouis I-atnpheti dealing with hea'thinatters.

MCMGAN.Board of health:

Victor C. Vaughan, M. D., president, Ann Nr.bor.

R. Mf. Olin, M. D., secretary, Lansing.Andrew P. Biddle, M. D., Detroit.

Gtiy L. Kiefer, M. D., Detroit.William F. English, M. D., Sagitaw.

Execuitii e healtb officer:B.. . Olin. M. D., socretary State board ofhealth, Lansing.

Bacterio ogists:A. A. Spoor, M. D., Lansing.E. R. Chambers, t B. S., Houighiton.George T. Buckel, (acting).

Sanitary engineer:E. D. Rich, I C. E., Lansing.C.ardiner Legg, (acting).

Appropriations for fiscal year ended June 30, 1917:General appropriation ............... S1.-5,000. IClerical hire....... ........ 12, 000.00Laboratories ............... 11, 500. 00From general fund of State for sala-

ries and expenses .................. 20,173.7;..8.673. 75

Pubileations issuied by health department:Monthly bulletin.Annual report.

MINNESOTA.Bcard of health:

Egil Boeckmann, MI. D., president, St. Niil.Christopher Graham, If. I)., vice presidenit,

Rochester.D. N. Jones, M. D., Minneapolis.Werner Hemstend, M. D., St. Clotid.L. P. Wolff, St. Paul.C. L. Scofield, M. D., Benson.Neill M. Watson, M. D.. Red Lake FaHls.F. N. Htunt, M. D., Fairmont.F. W. Cappelen, Minneapolis.

Executive hea'th officer:H. X. Bracken, K. D., secretary State boardlof health, St. Paul.

4ssistant se retary State bhard of health:Charles E. Smith. jr., M. D., St. Pattl.

Division of reeords:0. C. Pierson, direetcr, St. Paul.

Division of preventable diseases:A. J. Chesley, M. D., director, Minneapolis.

Pasteur institute:0. McDaniel, chief: assistant director of divi-sion of preventable diseases, Minneapolis.

Division of sanntatinn:HI. A. Whittaker, director, Minneapolis.

Division of vital statistics:Mrs. (lerda C. Pierson, director, St. Panl.

Division of tubercilosis:Charles E. Smith, Jr., M. D., director, St. Pautl.

Division of venereal diseases:H. G. Irvine, M. D., director, St. Paul.L. W. Feeer, assistant director, St. Paul.Mabel S. Ulrich, M. D., suipervisor of socialhygiene edtcation, St. Paul.

IOn leare of absence In military servic

:1776

QCtebeL 18, 1ii

MWNESOTA-4Cztinu.u.

,Appropriations for fiscal year ending July 31, 1919:Goneralund. 417,772Vital statistics. 10,090

Communicable diseases. 20,000Laboratories.. 30, 000Pasteur institutte. 7,000

Sanitary engine7,ing 7,000Free antitoxin.. 7, 000Preventicn cf b'indness ............. .. 1,000Infecticus disease carriers .O......

Infantile paralysis... 25,000Soldiers' venereal disease fuind 35, COO

100, 272

0)ther sources, of revenue:2

Aid from county and city for brancb laboratoryat Duluth, $1,200.

Aid from physicians fcr b)raneh laboratory atMankato, $1,500.

1'0wic-ati ns Issued by healtb departnant:Monthly bulletin on dratlw.Biennial report.

MisBIssiPPi.Board of liealt.h:

C. D. Mitchell, M. D., president, Voudren.T. F. Elkin, M. P., Tuplo.L. L. MeDougal, M. D., BocnevAie.J. 11.McNeill, M. D., Olire Braneb.S. E. Eason, K. D., New Albany.T. W. Reagan, M1. D, Union.WV. H1. Watson, Mt. D., Brandon.S. W\. GlTacs, M1. P., Lyon.

T. 1t. Sey, t. V., I,apr&v.II. F. Garrison, . 1)., S1eminry.B. L. Craw&ord, M. U., Tylertowti.R. H. ('ranford, M. D., Mosoele.A. J. WIare, M. D., rneenilUe.

Executive health officer:W. IL Leatbr, N. D., secrtary C4ate hoard

of healtb, Jackson.

Biureant of vital statitictd:R. AV. IHale, M. D., dlirctor, Jacksen.

hlygienit labrattory:C. 11. Stingily, M. D., dirotor, JICkSiJL

Chief sanitary ispator:WiUis Walley, M. D., Jseelson.

Ajppropriaticns for fiscal year ending l-)ec. ;i1, 1918:

General fund .................... 114,000

Vita staistic ... 8, 000MuniUipal sanitation .................3,600Rural sanitation .............. 12,000Hygienii laboratory 11,000Prevention of blindness in the newborn

48, 900I'Fblications issutied by bea!tli department:Biennial rep5rt.Monthly bulletin.

MfISOURu.Board ofb lti.

W. J. Ferguson, M. D., president, iFdlis.W. A. Clark, M. D., vice. preedant, JefersonCity.

(co. H. -'ones, M. P., soermtary, Jeolerson City.

US8OURFSCImtw2ed.Board of health-Continuoej.

E. I'. North, M. D., St. Louis.T. A. Son, M. D., Bonne Terre.T. W. Cottoo, M. 1., Buren.T. IU. Wilcoxen, M. D)., Bowling Green.

Executive health officei:Geo. H. Jones, M. D., .eeretary Statc bo.ard of

L:ealth, Jtflerson City, Mu.

Bacteriologist:c'Co. II. Jontes, M1. Jelfer sul City.

Statiftician:C. J. Kaiscr, Jeffeisaa City.

Appropriations for bieunial period ouding1Dcc. 31, 191s:

lhord of lwuGlth ft101J, burcau of licensure..... 1.,000

Salaries ................................ 021,G1'rin,iag .... , 7,000

l'ostage............... 3,500Contagious diseascs. ........ . , 9O0o0rcc expnts. 1,953Lab)oratory exj)enss ................ 1,500

52,550

11ublicatlioin issted 1e)v L-altle departmltntn:A, 1)r;1!.1 rep ort.

MONTANA.Ploard of heallth:

1). J. Donohue. M. n.. preside:tt, Butte.AV. F. Cogswell, M. D., seeretary, Ifelena.S. V. Stewart, governor, HIelena.S. C. Ford, attorney general, Helena.Al'. J. Btutler, State veterinaruin, ieleea.E. F. Magm, M. V.. Bauttp.11. i. Ileau, M. V., 110JIe.

l xecutivc health officer:W. F. Cogswel!, M. D., .wcreteir.v StateLt oarJ

f liealthl, hIelena.Child-welfare divjiion:

largaret, ughes, tliceler. Hiolenw.*Valnrtud wmage laboratoy a3(1 foodl 4t,l de:ug

laboratory:IN". -M. Cobleigii, director., i'aau.

Food uiuddrug divimo:11. M. Shea, ana. vst, 13oszmlun.

Jnsl)pc(ur water planui,:-I. 13. Foote, Porzeana.

Div1siou of venereal disease,:F. J. O'Donnell, (directer, hlcidna.

Division of pub;licity anid education:. . Sisson, director, MissoulAi.

Hygienic laloratory:A. 1I. MeCray, M. 1)., dir.cto:.

Appropriation for health department:Salaries (specific) .......................Board qf health ox4)eas..s. 4, GO0h1ncteriokasy., ......... ......... ...5, 00°lnfan.ile-paraIy <is wor................. 4, COOWVater analysis and inscetion of wvaterplants .. 4,000

Food and water laboratory ............. 5,000Enforcing food and (irugIaw ...........El000Board of entomology (spotted-feverwork) ................................. ,O

29,60I This special appropriation grauted by emergency appropriatica lcard February, 1111, available until

meeting of next logislature, Jausry, 1919.

1777

October 18, 191A

MONTANA-Contlnued

Other source of revenue:Fees for embalmers' lioonses.

Fiscal year ends Feb. 28.Publications issued by health department:

Monthly bulletin.Biennial report.

NEBRASKA.Board of health:

Keith Neville, governor, North Platte.Willis E. Reel, attorney general, Madison.V. H. Clemmons, superintendent of publicinstruction, Fremont.

Medical examining board:W. T. Johnson, M D., president, Pawnee City.C. L. Mullins, -M. D., vice prosident, BrokenBow.

J. E. Spatz, M. D., treasurer, Fairfield.H. J. LeIohoff, M. D., secretary, Lincoln.

Executive health offimcrWnL 3r. Wild, D., commissioner of healtlh,

Lincoln.Epidemiologist:

Wm. H. Witson, M. D., Lincoln13acteriologist:

Edmund G. Zimmerer, M. D., Lincoln.Sanitary engineer:

Wm. Grant, S. B., C. E., LincolnStatistician:

May F. Hyland, Lincoln.Appropriations for biennial period ending Mar.

31, 1919.tSalaries....... ..............(..........O 0,R00Maintenance .......... 10.000

40, 60~)NEVADA.

B3oard of health:W. H. Hood, M. D., president, Reno.S. L. Lee, M. D., secretary, Cnrsn City.G. F. Ruediger, M. D., Reno.

Executive health officer:S. L. Lee, X. D., secretary State board ofhealth, Carson City.

Sitate hygicnic laboratory at Stato iniversity:G. F. Ruediger, M. D., director, Reno.

Appropriation for fiscal year ending Deo. 31, 1918,$3,250.

I'ublication issued by health department:Biennial report.

NEW HAMPSRE.

Board of health:Robert Fletcher, C. E., president, HanoverSibteyG. Morrilli, M. D., Concord.Henry W. Keyes, governor, Haverhill.Oscar L. 'koung, attorey general, Laconia.George C. Wilkins, M. D., Manchester.D. E. Suillivan, M. D., Conoord.

E.xecutive health offiger:Charles Dun, K. D., secretary State boardof health, Concord.

Laboratory o. hygiene:Charles D Howard, chemist.Charles Duncan, M. D., bacteriologist,Jonph X. Duval, kwpectr, Cocord.

NEW HAMPSHRE-IContinued.

Venereal diseas:Charles A. Weaver, M. D., Manchestor.

Appropriations for fiscal year ending Aug. 31, 1919:

State board of S16, ),)Laboratory of hygiene. 9,30Vital statistics ., 00;1Lunacy commission.. . 1,1

Publications Issued by health department:Quarterly bulletin.BienDial report.

NEW JERSEY.

Board of health:Wm. H. Chew, president, Salem.J. Oliver McDonald, M. D., vice president,Trenton.

Frederick T. Crane, C. E., Orange.Oliver Kelly, Oak Tree.Clyde Potts, C. E., Morristown.Henry Spence, M. D., Jersey City.H. E. Winter, M. D., Plainfield.Thomas B. Lee, M. D., Camden.

Executive health officer:Jacob C. Price, M. D., director of hialtlh,Trenton.

Laboratory of hygiene:R. B. Fitz-Randolph, chief, Trenton.

Divislon of general administration:Charles J. Merrell, chief, Trenton.

Butreau offood and drugs:Walter W. Scofield, Jr., chief, Trenton.

Bureau ofmedical supervision:A. C. Hunt, M. D., chief, Trenton.

Bureau ofeducation and publicity:A. C. Hunt, M. D., chief pro tempore, TrentQu.

Division ofchild hygiene:Bertha F. Johnson, M. D., chief, Trenton.

Bureau of local health administration:David C. Bowen, chief, Trenton.

Bureau of engineering:H. P. croft, acting Sple, TrentL

Bureau of vital statistics:David S. South, chief, Trenton.

Appropriations for fiscal year ending Oct. 31, 191S-Salaries..5.-O 9000Expens ... 45,0W0Enforcement of sanitation in munici-

palities ... 5,00)

145,00XPublications issued by health department;

Monthly bulletin.Annual report.

NEW MEXICO.

Board of health:J A. Massie, M. D., president, Santa Fe.Joseph S. Cipes, M. D., vice president, Albu-

querque.W. E. Kaser, M. D., soeretary and treasurerEat Las Vegas.

B. A. Ingals, M. D., RosweLlM. D. Taylor, Aztec.H. Austin Stroup, M. D., Artesla

C. H. Ferguson, MI D., Tucumeari,

1778

October 18, 1'918.

NEW M ICO-Cntlnuod.

EExecutivehoath offcor:W. Z. Kam, Z. D., seretary and treasurerState board of health and media examiners,East Las Vegas.

Fiscal year ends Deoember 31.

NEW YORK.Public health council:

Hermann M. Biggs, chairman, Albany.Joseph A. Warren, seeretary, Now York City.Homer Folks, New York City.Simon Flexner, M. D., New York City.Prof. Henry N. Ogden, Ithaca.T. Mitchell Prudden, M. D., New York City.Wilhelm Gaertner, M. D., Buffalo.Mrs. Ella L. Blair, Port Chester.

Executive health officer:Heruan K. Bins. K. D., oommisioner ofhealth, Albany.

Deputy commissioner of health:Matthias Nicoll, Jr., K. D., Albany.

Secretary:John A. Smith, M. D., Albanvy,

Assistant to deputy commissioner:B. R. Rickards, S. B., Albany.

Executive clerk:Fenimore D. Beagle, Albany.

Division of sanitary engineering:Theodore Horton, C. E., director, Albany.

Dilvision of vital statistics:Otto R. Elchel, M. D., director, Albany.

Division of child hygiene:H. F. Senftner, M. D., acting director, Albany.

Division ofcommunicable disass:Paul B. Brooks. M. D.,acting diretor, Albany.

Divisio of tuberculosis:M. Edgar Rose, M. D., supvisor, Albany.

Bureau of venereal diseas:J. 5. Lawrene, M. D., chief, Albany.

Division of laboratories and reserch:Augustus B. Wadsworth, KA D., director,Albany.

Appropriations for fiscal yearending June 30.1918:Personal services .................. 8347f60. 00

Fuel, light, power, and water .... 3,300.00

Printing ........................ 43,100.00

Printing, departmentalreports.... 110,000.

Advertising ...................... 200. 0oEquipment ....................... 29,500. ooSupplies. .......................... 38,225.00

Traveling expenses ................ 50,600.00Communication ................ 15s,600.00General plant servie .............. 2,300.00Care of typhoid carriers 1,000.

Suppressing smallpox epidemic onIndian reservations ............. 7,032.94

Rent, branch offlces and labora-tories ............................ MBi R7

fM 1 R1AOther source of revenue:

Fees from certified transcripts of birth, death,and marriage certifiates and regtration oflaboratories, approximately $1,000 a yar.

NORTH CAROLINA.Board of health:

J. Howell Way, M. D., president, Waynesville.Richard H. Lewis, M. D., Raleigh.J. L. Ludlow, C. E., Winston-Salem.Thomas E. Anderson, M. D., Statesville.Charles O'H. Laughinghouse, M. D., Green.

ville.FEdward 3. Wood, M. D., Wilmington.F. R. Harris, M. D., Henderson.Cyrus Thompson, M. D., Jacksonville.F. C. Register, M. D., Charlotte.

Executive health officer:W. S8Rankin, K D., secretary and treaurerState board of health, Raleigh.

Laboratory of hygiene:C. A. Shore, M. D., dlrector, Raleigh.

Bureau of engineering and education:WVarren H. Booker, C. B., chief, Raleigh.

Deputy State registrar:J. R. Gordon, M. D., Raleigh.

State tuberculosissanatoriam:L. B. MeBrayer, M. D., superintendent, Sanivtorium.

Burean of medical inspection of schools:G. M. Cooper, M. 1A, director, Raleigh.

Bureau of county health work:B. E. Washburn, M. D., director, Raleigh.

Bureau of epidemiology:A. McR. Crounh, M. D., chief, Raleigh.

Appropriations for fiscal year ending Nov. 30, i9l8:State board of health ..................- 37,5(3Vital statistics................... 10,000Laboratory of hygiene ................. 12,500Tubereulosissanatorium............... 40,000School Inspection ................... 10,000Ruralsanitation ................... 15,000

Control of disease................... 6,000

Prevention of blindness ................ 3, 000

Other sources of revenue: 131,000Counties, for cooperative county healthwork .................$ 31,00O

International Health Board, for cooper-ative county health work............- 15, s0

Publications issued by heaith department:Monthly bulletin.Biennial report.

NORTH DAKOTA.

Board of health:Wm. Langer, attorney general, president,Bismarck.

A. M. Call, M. D., vice president, Rugby.C. J. McGurren, M. D., secretary, Devils Lake,

Executive health officer:C.3. KcGurren, M. D., secretary State boardl

of health, Devils Lake.Appropriations for biennial period ending June 30,

1919:Salaries (specific) .......... S4,Miscelanous... ......... 3,900

_ ~~~~~~~~~~8,101Publications issued by health department: Publications issued by health department:

Monthly health news. Quarterly bulletin.Fortnlgbtly offical buti. Biennial report.I This includes a delnenen appropriatlon from IesS3lativc printing covering 1916 inl 1917 reports.

838360-18- 2

1779 t

October 18, 1918.

01O.Pulblic health council:

0. D. Lummis, M. D., chairman, Middletowin.C. 0. Probst, M. D., Columbus.W. 1. Jones, D. 1). S., Columbubs.JR. M. ('alecv, Cleveland.Allen W. Freeman, Mf. D.,' couunissiouer of

health, Columbus.James E. Bauman, secretary, Columbus.

Execuitive health officer:Allen W Freeman, M. D.,' commissioner ofhealth, Columbus.

Div-ision of administration:James E. Bauman, deputy commissioner of

health, Cohlumbus.Division of sanitary engineering:

W. H1. Dittoe, chief engineer, Coltumbus.Division of communicable diseases:

E. J. Schwartz, M. D., director, Columbus.Division of public health education and tubercu-

losis:R. G. Paterson, P. H. D., director, Columbus.

Division of child hygiene:F. M. Hoillinghead, M. D., director, Columbus.

Division of plumbing insjection:W. F. Duffy, State impector, Colhmbus.

Division of laboratoies:L. H. Van Buskirlk, B. S., director, Columbus.

Division of industrial hygiene:R. P. Albaugh, M. D., director, Columbus.

Appropriation for fisal year ending June 30, 1919:Per l senlee ................... 91,230Maintenance ....... 36,775.

Publication issued by health department:Monthly public health journal.

OKLAHOMA.

Executive health officer:John W. Duke, M. D., commissioner of health,Guthrie.

Assistant missioner of health:H. V. L. Sapper, M. D., Oklahoma City.

Chemist:W. A. Walker, Oklahoma City.

Bacteriologist:S. It. Campbell, Oklahoma City.

Appropriations for fiscal year ending June 30, 1919:Salaries .................... 17,940Biological prodtucts .................... 7,00Printing.................... 2,000Purefoodanddrug division ........... 20,000Sanitary inspection .................... 2,500I.aboratory.................... . 5,000

54,940Publication issued by the l.2lh department:

Annual report.

OREGON.Board of health:

A. C. Seely, M. D., president, floseburg.F. M. Brooks, M. D., vice president, Portland.Robert E. L. Holt, M. D., secretary, Portland.Andrew C. Smith, M. D., Portland.R. J. Marsh, M. P.. Portland.C. T. Bacon, M. D., La Grande.W. H. Dale, M. D., Harrisburg.

OREGON-Ceutinued.Execuitive health officer:

Robet E. L. Hat, K. D., Stte healtlh officer,Portland.

Relgistrar of vital statistics:Robert E. L. Holt, M. D., Portland.

Acting State bacteriologist:Miss Emna Howe, Portland.

Appropriation for fiscal year ending Dee. 31, 191$,$12,500.

Spial appropriation:315,000 for work done in conjunction with theUnited States Public Health Service in thecontrol of venereal d<isases.

Publicationsissued by heath department:Annual report.Biennial report.

PENNSYLVANIA.Advisory board:

Adolph M. Koenig, M. D., Pittsburgh.Lee Masterton, C. E., Johnstown.Charles B. Penrom, M. D., Philadelphia.Joseph S. Neff, M. D., Narbwrth.T. E. Munse, V. M. D., Hrrisbg (awting).

Executive health officer:B. Frankln Reyr, K. D., acting eominis-

sioner of health, Harrisburg.Assistant to commissioner:

Thomas W. Jackson, M. D., IHrrisburg.Se?retary:

Edna B. Hosler (acting), Harrisburg.General inspecto:

(C. w. Webbert, Harrisburg.Division ofmedical inspectin:

Howard L. Hull, M. D., acting chief medicalinspector, Harrisburg.

Laboratoresand experimental statio:J. B. Ruckr, Jr.. I. D., chiefofthelaborateries,Philbdelphia.

Division of sanatoria:F. C. Johnson, M. D., medical director, sama-torium for tubercuosis, No. 1, Mont Alto.

W. G. Turnbull, M. D.,' medical director, sana-torium fsr tuberculoss, No. 2, Cresson.

T. H. A. Stites, M. D., medical director, sana-torium for tuberculis, No. 3, Hamburg.

Division of tuberculosi dispensaries:Karl Schafle, M. D., medical Inspector, Bar-rlsburg.

Division of distribution of biological products:J. Moore Campbell, M. D., chief, Harrisburg.

Divison of sanitary gineerig:C. A. Emerse, Jr., chief engineer, Hafrisburg.

Bnreau of vital statiStcs:Wilmer R. Batt, H. D., state registrar, Harris-burg.

Division of housing:John Molitor, acting chief, Philadelphia.

Division ofpubllcservice:Daniel E. Ns, chief, Harisburg.

Division Ig and purhasing:E. 1.mmpon chief, Philadelphia.

Division of child bygiene:Dr. Samuel McC. Ill,chiel, Phildelphia.

Division of genito-urna di :John 1,. Laiid, M. D., chief, Philadelphia.

I On leavo of absnce ia military service.

1700OREGON--CouUnued.

Exectitive health officer:Robut E. 1. EWt, U. D., SUte bealtli ofricer,Portlaud.

Re,gistrar of vital statistics:Robert E. L. Holt, M. D., Portland.

Acting State bacteriologist:Miss Ernm Howe, rortland.

Appropriation for fiscal year ending Dec. 31, 1918,$12,5w.

SWial appropriation:f15,000 for work done in conjunction with the

Urdted StRtes Public Health Service in tliocontrol of venereal dLsems.

Publications issued by hoWth department:

Annual report.Biennial report.

PENNSYLVAMA.Advisory board:

Adolph M. Koenig, M.' D., Pittsburgh.Lee 3fasterton, C. E., Johnstown.Cliarles B. Pearon, M. D., Philadelphia.Joseph S. Neff, M. D., Nwbwth.T. E. Munse, V. M. D., H=isbmy (wting).

Executive health oMeer:33. FrankUn Re"r, U. 3D., acting eominis-

sioner of health, Harrfsburg.Assistant to commissiomr:

Thomas W. Jackson, M. D., I Ilmisburg.Se?retary:

Edna D. Hos.ler (acting), HaffLsburg.Gone-ral inspoctw:

(,. w. wobbert, Hmisburg.Division ofmedical inspectim:

Howard L. Hull, M. D., actiDg cliel medical

.nspector, Harri3burg.Laboratoriaand experimental statim:

J. B. Ruckw, Jr.. IC D., chiefofthe laborateries,Fbflsdclpbia.

Division of sanatoria:F. C. Johnson, M. D., medical director, sma-torium for tabomimis, No. 1, Mont Alto.

W. G. Turnbull, M. D.,' medic-A director.. sana-torium for tuberculods, No. 2, Cresgoii.

T. H. A. Stites, M. D., medical dk-ector, saiia-

torium for tubercuMs, No. 3, Ha burg.Division of tubermilosb digpensaries:

Kwi Schaffic, M. D.- medieW Inspector, Har-

risburg.Division of distribution of biological products:J. ifoore Campbell, M. D., chief, Rwrisburg.

Divigan ofsaWtary onghwxft:C. A. Emerem, Jr., chief engineer, Haffisburg.

Bnreau of vital StatiSUCS:

Wilmer R. Batt, M. D., state registrar, Harris-

burg.Divisim of hou-sing:

John Molitor, 4eting chief, Philadelphia.Division ofpubBe service:

Daniel E. Wm, ebief, Hwrisburg.Divisim of- I and pumhasing:E. 1. simpsm"f, Philadelphia.Division of child bygiene.,Dr. Samuel McC. III, ebiet, Fhikdelphia.Division of genito-urlnaujohn 1,. 1,aiid, M. D., ebief, Philaftlphia.

October 1S, 1918.

PENNSTV.ANIA-Coutinued.

Division of control of narcotics:W. W. Wyant, acting chlef, Philadelphia.

Division of supplies:Charles Hartzell, superintendent, Harrisburg.

Appropriations for biennial period ending May 31,1919:Tuberulosis work .................. 3,384, 180

Generalfisd ....................... 1,075,000

School iispection ................... 225,000Salaries ........................... 567,424

5,251,604PHILIPPINE ISLANDS.

Council of hygiene, advisory board to the directorof health:Fernado Calderon, M. D, president, Manila.Manuel Gomez, M. D., secretary, Manila.Manuel Guerrero, M. D., Manila.Jose Albert, M. D., Manila.Benito Valdez, M. D., Manila.Anacleto Diaz, Manila.Tomas Earnshaw, Manila.

Executive health officer:John D. Long, K. D., dfrector of health andchief quarantine offlier, Manila.

Assistant director of health:Vicente de Jesus, M. D., Manila.

Division of provincial sanitation:

Division of city of Manila sanitation:Salvador V. del Rosario, M. D., chief, Manila.

Office of statistics:Manuel Gomez, M. D., chief, Mlanila.

Office of sanitary engineering:Edward L. Barber, chief, Manil.

Office of hygienic and indistrial development:Mamerto Tianco, acting chief, Manila.

Office of district nursing:Mis Pearletta Clark, chief, Mania.

Cleric office:Michael 3. Walsh, chief, Manias.

Office of property:B. D. Bumham, chief, Manila.

Appropriations for fiscal year ending Dec. 31, 1918:Salaries and wages ................ 23,019.00

Miscellaneous expenses.............59 ,196.40

Furniture and equipment......... 14,250.00

836,465.40Publications issued by healthl serviee:

Quarterly report.Annual report.Semiwcekly bulletin.

PORTO RICO.

kIsular board of health:Francisoo dcl ValSo Atiles, M. D., president,San Juan.

Jos6 Lugo Vills, M. D., secrtay San Juan.Jos6 A. L6pez Antngiorgi. M. D.,San JuauJosl J. Monclovs, Pharacist, Rio Pi .

Gustavo Muflos Diaz, M. D., Ban Juan,Jos4 S. Belaval, K. D, San Juan

Juan HernLndes LOe lawyer, Ban Yuan.ancig W. D* bmpe, eagewri San JLuan

PORTO RICO-Continued.

Executive health officers:

Alejandro Rutz Solar, M. D., commissioner of

heilth, San Juan.E-liseo Font Guillot, M. D., assistant commis-sioner of health, San Juan.

Division of property and accounts:

F. D. McCown, chief, San Juan.Division of sanitary enigineering:

Antonio Romero Moreno, sanitary engineer,San Juan.

Bacteriological laboratory:F. J. IlernAndez, M. D., director, San Juan.

Chemical laboratory:R. del Valle SArraga, chemist, director, SanJuan.

Division of transmissible diseases and statistics:J. A. Diaz, M. D., chief, San Juan.

Appropriations for fiscal year ended June 30, 1918;Department of health (proper), sal-

aries and contingent expenses. .. $177,550.00Leper colony ...................... 13,669.50Quarantine hospital 2,452.00

Mosquito extermination .......... 25,000.00

Suppression of anemia ............ 8,000. 0UEmergency fund for control andsuppression of epidemics (newappropriation of $20,000, plus un-expended balance previous year). 30,545.50

Suppression of measles (unexpend-ed balance from previous year)... 32,872.22

Trust funds for control and sup-pression of epidemics (fines forviolations of sanitary regulations) 1,5192.26

Care of tuberculosis patients 5,000.00

Education and support of poor deaf-mutechildren .................. 1,200.00

Girls' charity school, by transfer ofthis institution to this depart,ment, Feb. 1, 1918 ......... 21,052.66

Boys' charity school, by transfer ofthis institutimn to this depart-ment, Feb. 1, 1918 X3,771.65

372,706.87Publication issued by health department:

Annual report.

RHODE ISLAND.Board of health:

R. Morton Smith, M. D., president, Itiverpoint.Alexander B., Briggs, M. D., Asliaway.Thomas J. McLaughlin, M. D., Woonsocket.Norman M. MacLeod, M. D., Newport.William F. Williams, M. D., Bristol.Joseph M. Bennett, M. D., Providente.M. S. Budlong, M. D., Providence.

Executive health officer:B. U. Richards, K. D., secretary State board,

of health and State registrar, State House,Providence.

Pathologist:Lester A. Rounds, Providenee.

Chemist:Stephen DeM. Gage, Providence.

Appropriations for fiscal year ended Dec. 31, 1918:State board of health ................ $13, 001'

Pathological laboratory ................ 13,00

Chemical laboratory ................ 9,000

3'001

1781PORTO RICO-Continued.

Executive health officers:AleJandro Rutz Soler, M. D., commissioner ofhealth, San Juan.

F-ligeo Font Guillot, M. D., w,31stant commis-sioner of health, San Juan.

Division of property and accounts:F. D. McCown, ebief, San Juan.

Division of sanitary eiigineering:Antonio Romero Moreno, sanitary engineer,San Juan.

Bacteriological laboratory:F. J. Ile'rnAndez, M. D., director, San Juan.

Chemical laboratory:R. del Valle SArraga, cheinist, dirN!tor, SanJuan.

Division of transmissible diseases and statistim:J. A. Diaz, M. D., chief, San Juan.

Appropriations for fiscal year ended June 30, 1918;DoWtment of health (proper), sal-

aries and contingent expenses. . . $177,550.00Leper colony ...................... 13,669.50Quamntine hospital ............... 2052.00Mosquito extermination ........... 25,000.00Suppression of anemia............. 8, 000. OUEmergency fund for control andsuppression of epidemics (newappropriation of $20,000, plus un-expended balance previous year). 30,545.50

Suppression of measles (unexpend-ed balance from previous year)... 32,872.22

Trust funds for control and sup-pression of epidemics (fines forviolations of sanitary regulations) 1,5192.26

Care of tuberculosis patients....... Z5, 000. 00Education and support of poor deaf-raute children ................... 1,200.00

Girls' charity school, by transfer ofthis institution to this depart,meat, Feb. 1, 1918............... 21,052.66

Boys'charity school, by trmsfer ofthis tnstitutim to this depart-mmt, Feb. 1, 1918............... X3, 771.0

372,706.87Publication issued by he-alth department:

Annual report.RHODE ISLAND.

Board of health:R. Morton Smith, M. D., president, Itiverpoint.Alexander B., Briggs, M. D., Ashaway.Thom J. McLaughiin, M. D., Woonsocket.Norman M. MacLeod, M. D., Newport.William F. WBIWm, M. D., Bristol.j(seph M. Bennett, M. D., Providenct.M. S. Budlong, M. D., Providence.

Executive health offimr:13. U. Richards, M. D., secretary State boardof health aud State registrar, State House,Providence.

Pathologist:Lester A. Rounds, Providenee.

Chemist:Stepbm DeM. Gage, Providence.

Appropriatkm for fiscal year ended Dec. 31, 1918:State board of hmlth .................. $13,000Pathological labomtory................ 13,000Chomift,i] lahnmt(wv a_fm

Oiober 18, 1918.

RHODE SLAND-Contiuued.

Publications ssued by health department:Quarterly sulletin.Annual leport of birth;s, deaths, and nmarriage'.Annual report of Statc board of healtb.

SOUTH CAROLINA.

Executive commitoe, board of health:lIcober t Wilson, jr., M. D.,chairman,Charleston.B. D. Frontis, IL D., Ridge Spring.C. C. C(ambrell, M. D., Abbefille.E. A. Hines, M. D., Seneca.W. J. Burdell, M. D., Lugoff.Wm. Egleston, M. D., Hartsville.W. M. Lester, M. D., Columbia.WV. W. Dodson, Ph. G., Greenville.Thos. H. Peeples, attorney general, Columbia.C. W. Sawyer, comptroller general, Columbia.

Executive health officer:James A. Hayne, X. D., State health officer,Columbia.

Laboratories:F. A. Coward, MI. D., director, Columbia.

Vital statistics bureau:James A. Hayne, M. D., State registrar,Colunm-

bia.Appropriations for fiscal year ending Dec. 31, 1918:

Salaries (specific) ................... $8,656.25('C tagious diseases ........... 20,000.00Vital statistics ..................... 6,000. 0OIntensive county heath work ...... 14,50.00Tuberuloesis ...................... 47,000.00Educational pamphlets ............. 1,000.00Miscellanos....................... 5,085.58

102,241.83Publication issued by health deartmet:

Annual report.

SOUTH DAKOTA.

Board of heth and medical examiners:IH. R. Kelnaston, M. D., president, Bonesteel.C. E. McCauley, M. D., vice president, Aber-deen.

C. A. Dower, M. D., Mitchell.A. S. Jackson, M. D., Lead.P. B. Jenkins,M. D.,superintendent, Waubay.

Executive health officer:Park B. Jenkins, M. 1).. superintendent, Wau-bay.

Laboratory:Mortlmer Herzberg, M. D., director, Vermilion.

Appropriation for fiscal year ending July 1, 1918:8;uper ntendent's sary................ $2,000Assistant superintendent's salary .....900Printing and necessary publications.... 1,000offie maintenance, stationery, equip-ment, clerical work, special assistance,traveling expenses, incidentals ....... 4,000

Per diem, mileage, and expense. 4 mem-bers....... ------........---------1,500

Antitoxin and biological products...... 1,50010,90m

Publications issued by health deparment:Quarterly bullethi:Mothe' book.Biennial report.

TENNESLBoard of health:

E. M. Sanders, M. D., president, Nahville.W 3.JMillr, M. D., vie president, Johnsoni

City.V. A. Biggs, M. D., Martin.H. K. Bryss, Nihvile.

Executive health officer:OaU W"t, M. D., sctary State board c.fbealth, Nashville.

Registrar o vital statistics:Olin West, M. D. (acting), Nashvile.

Director of rural sanitation:E. L. Bishop, Yd. D. (acting), Nashvi!le.

Bacteriologist:W'm. Litterer, M. D., Nashville.

Pure food and drug inspector:Harry L. Eskew, Nashville.

Appropriations for biennial period ending Mar. is,1919:Laboratory ............. .S, o(0)Epidemic fund .7.00............... ,,5Vital statistics ........... 16,00)Rural sanitation ........... 20,00)Office expenses.... ....... 2,000Saarie ......... 9,00)

60, 5{JOther sources of revenue:

International health eommission, rural saniia-tion, $20,000.

Individual counties, rural sanitation, varn ii;sums.

TEXAS.Board of health:

W. B. Collins, M. D., president, Auistin.L. W. Hollis, M. D., Abilene.L. M. Weifld, M. D., Son Antonio.B. E. Knolle, M. D., Indl try.T. B. Fisher, M. D., Dallas.II. J. ChWidress, M. D., GIlmer.E. M. Wood, M. D., Ilutto.

Executi e health offier:W. B. Collins, M. D., Stste health officer,

Austin.Registrar of vital statistics uud seeretaty !Ftateboard of hbelth:W. A. Davis, Md. D., Austin.

Chemist and bacteriologist:G. M. Graham, M. D., Auistin.

Quarantine department:

Sanitary engineer:V. M. Ehlers, Austin.

Department of rural sanitation:P. W. Covington, M. D., Atustin.

Bureau of venereal disease:H. C. Hall, M. D., Austin.

Appropriation for biennial period endingAug. 31, 1919 ........(................... 0,84)

.Special appropriation for rural sanitation. 77.0, OttSpecial appropriation fo bureau of vital

statistics ................................ 1, 0coiEstablishment of leper coleny. .... 25,000

303,840Publication issued by health department:

Biennial report.

11Md

October 18, 1'91S.

UTAHBoard of health:

Fred Stauffer, M. D., president, Salt Lake City.T. B. Beatty, M. D., sectary, Salt Lake C-ity.II. K. Merrill, M. D., Logan.Ezra Rich, M. D., Ogden.C. E. MeDermid, M. P., Winter Quarters.A. F. Doremus, C. E., Salt Lake City.F. S. Bascom, M. D., Salt Lake City.

Executive health officer:T. B. Beatty, N. D., State health commis-sioner, Salt Lake City.

Appropriations for biennial period ending Mar.31, 1919:Salaries ...............................$ 12,

Contingent expenses ................... 10,000

Vital statistics ......................... 2,5 00

25, 300Publications issued by health department:

Quarterly bulletin.Biennial report.

Fiscal year ends Dec. 31.

VERMONT.

Board of health:Charles S. Caverly, M. D., president, RutlandF. Thomas Kidd&r, M. D., treasur r, Wood-stock.

Charles F. Dalton, M. D., secretary, Burlington.Executive health officer: -

Charles F. Dalton, M. D., secretary Stateboard of health, Burlington.

Laboratory of hygiene:B. H. Stone, M. D., director, Burlington.

Sanitqry engineer:Prof. J. W. Votey, Btulington.

Sanitary inspector:Henri L. Pache, M. D., Burlington.

Appropriations for flsca year ending June 30, 1919:Salaries and personal expenses.......... 9, 750

Office expenses ........................ 2,700

Diphtheria antitoxin ................... y7,750Tuberclosis ....................... 2,000

Health officers' school .................. 5,200

Other expenses ........................ 100

Laboratory of hygiene .................. 17,50

42,000Other source of revenue:

Private donation for study and treatment ofinfantile paralysis.

Pulblications issued by health department:Quarterly bulletin.Biennial report.

VWRG.. IA.Board of health:

WV. M. Smith, M1. D., president, Alexcandlria.S. W. Hobson, .L D., vice president, NewportNews.

3. B. Fisher, M. D., secretary, Midlotlhian.W. W. Baker, Hallsboro.A. G. Crockett, M. D., Max Meadows.W. F. Drewry, M. D., Petersburg.T. C. Firebaugh, M. D., Harrisonburg.(;ny R. Harrison, D. D. 8., Richmond.Lewis E. Harvie, M. D., Danville.George B. LBwsu, ML D., Itonoe.

VIRGINIA-Continued.Board of health-Continued.

Edward Mcluira, M. D., Richmond.L. T. Ioyster, M. D., Norfolk.Beverly R. Tucker, M. D., Richmond.Reid White, M. D., Lexington.

Executive health otlicer:Ennion G. Wliams, M. D., Staite le-althi com-

missioner, Riolmond.Assistant health commissioner:

W'. A. Brumfield, M. D., I'ichmond.Registrar of vital statistics:

W. A. Plecker, M. D., Richmond.Bacteriol(gist:

3. 0. Fitzgerald, ir., M. Ir., Richmond.Sanitary engineer:

Richard Messtr, C. E., Richmond.Director of publicity:

Douglas S. Freeman, Ph. D., Richmond.Appropriations for fiscal year ended Feb. 28, 1918:

State board of health ..............$....35, 000Vital statistics ......................... 6, 200Publicity .............................. 1,0(0Investigationofcommunicahlediseases. 5,000Trachoma hospital at Coeburn.. 1,200Communitysanitation forruiralsections. 7,200Tuberculosis educational work........ 5,000

60,600Otlher souirce of revenue:

Fees for hotel inspections............ 1,688.70PulAications issued by healtl depurtment:

Monthly btulletixi.Annual report.

WASHINGTON.Board of health:

J. Rt. Brown, M. D., president, Tacoma.F. R. lHedges, M. D., Everett.l1. H. McCarthy, M. D., Spokane.Mrs. R. C. MeCredie, Sunnyside.E. F. Benson, commissioner of agriculture,Olympia.

Executive health officer:T. D. Tuttle, M. D., State commissioner of

lealtlh, Seattle.Epidemiologist:

J. E. Henry, M. D., Seattle.Bacteriologist:

Miss Mae E. Larkin, Seattle.Sanitary inspector:

T. R. Wilber, Seattle.Appropriations for biennial period ending Mar. 31,

1919:Salaries ........................ $31,200Supplies, material, and service......... 20,410

al, 510Fiscal year ends Mar. 31.I'ublication issued by lealth department;

Biennial report.WEST VIRGINIA.

Public health council:

S. L. Jepson, M. D., comnimisioner of health,Charleston.

J. L. Pyle, M. D., Cheater.Hubert E. Gayuor, M. D., I'arkersburg.

1783

October 18, 1918.

WEST VIRGINIA-Conitinuied.

Public health council-Cointinued.W. T. 11enshaw, M. D., Marttnsburg.Edw;ard I1. Thompson, Bluefleld.Vincent T. Churchnan, M. D., Cbarleston.

Executive health ofricer:S. L. Jepson, M. D., conmmissioner of health,

Clharleston.Division of preveutable diseases:

It. W. E. Cole, If. D., C. 1P. If., director,Charleston.

Division of sanitary engineering:Mayo Tolman, 11. S., director, Chaileston.

Ilygienic laboratory:

Appropriations or fis.;al year ending June 30,1919:For general use ...................... .,0Salary of comissioner .3,000Office rent 1, 32

34, 2200

Other sources of reveniue:Fees from granting certific-ates to practice medli-

cine.Fees from laboratory work- for pxivate indi-viduals.

Pubtications issued by health departmeut:QIuarterly bulletin.Annual report.

WISCONSIN.

B3oard of hcalth:W. F. Whyte, M. D., president, Madisou.C. A. Harper. I. D., State health officer, Madi-

son.E. S. Hayes, If. 1)., Eau Claire.C. IL Satherlaud, M. D., Janesvikle.C. A. Richards, M. D., Rhinlauder.Otho Fiedier, N. D., SheboyganJ. M. Furstma, M. V., L Crosse.

WISCONSIN-99ntinued.E,xecuti-v health eflicer:

C. A. Harper, M. D., State health otleer, Maneil

Divisie do general adminlatration:C. A. Harper, M. D., dietor, Madi.on.

Ilnreau of vital statistiesL. W. Hutcheroft, chief statistician, Madisonl.

Bureau of ehucation:Louis W. Bridgman, chief clerk, Madison.

Laboratory of hygiene:W. Dt Stavall, M. D., bacteriologist ai

director, Madison.Appropriations for fis year ented Jane 34, 191S:

General adllninistration................ ,

Emorgency appropriation for epi-idemis .............................. 7I N

Branch labontory and State eo-

operative laboratories.... 7 3Preveutiou of infantile bWiuluess... . o

Water survey .------------- 3,00Licensing of emnbalmers, hotels and

restatirajitg, plumbers, and barbers -. 4O, 0il94,991

Publications issued by health department:Quarterly builletin.BkInnial report.

WYOM NG.Board of health:

C. Y. Beard, M. D., seretsy, Cheyenne.HIerbert T. Harris, M. D., Basin.AnIn G. Hurd, If. D.. Sheridan.

Executive health officer:

C. Y. Beard, M. D., secetary State board ef

hlealt, Cheyenn.AppIropri'ations for fiscal year ending Mar. 31, J9i9:

State board of heath ...................-P. -0Vital statistics ........................... am

13,750Publication issue(l by health d1epartment:

Biennial report.

1784

PREVALENCE OF DISEASE.

No Iealth department, State or local, can effectively prevent or control di.ease withou4knozw le(dge of w"hen, where, and under what conditions ou8es are occurring.

UNITED STATES.

EXTRA-CANTONMENT ZONES-CASES REPORTED WEEK ENDED OCT. 12.CAMP BEAUREGARD ZONE, LA.

Influenza: Caseq.Alexandlria . . ...... 631Pineville ... 8Ball.. 4Tioga ..

Rural district . .44Malaria!

Alexandria. 5Pineville. . 2Rural district . . 4

Pneumonia:Alexandria. . 3

Typhoid fever:Pineville . .

CAMP BOWIE ZONE, TEX.

Fort Worth:Chancroid ...............................Chicken pox..........Diphtheria ..............................Gonorrhea...............................Infuenza...............................Mumps... ..................

Pneumonia..............................Scarlet fever............................Smallpox................................Syphilis .................................Trachoma ...............................Typhoid fever...........................

BREMERTON ZONE, WASH.

kfuenza....................................Whooping cough............................

CAMP DEVENS9 ZONE, MASS.

Cerebrospinal meningitis:Ayer .......................

Influenza:Ayer....................................Lancaster .............................Lunenburg..............................Pepperell................................

153

2431635021

15

122

2422

4

3

(178

CAMP DIX ZONE, N. J.

Diphtheria: CPemberton Township.

Influenza:Pemberton Townshlii ...................Springfield Township ...................

Typhoid fever:Pemberton Township...................

CAMP DODGE ZONE, IOWA.

Des fh,ines:iplit heria .............................

litlliaenza ................................Snullpox.. .............................S,u:rlet fever.............................

CAMP DOMIPHAN ZONE, OKLA.

Lawton:Chancroid ............................Diphtheria ..............................Gonorrhea..............................Influenza...............................Pneumonia..............................

CAMP EBERTS ZONE, ARK.

Erysipelas:Lonoke ...............................

German measles:Lonoke, R. F. D.

Gonorrhea:Keo ....

Scott .....

Influenza:Allport ......

Austin ...............................

Austin, Route 1 ...........

Cabot ....................

Cabot, route 1 ....................

Cabot, R. F. D..........................Car'isle.................................Carlisle, R. F. D.........................Coy.....................................England.................................

>5)

441

1854

I11

1

31313

1

1

12

8. 925772

3236

126

I

October 18, 1918.

CAMP EDERTS ZONE, ARK-continued.

Influenza-Centinued C'ases.England, route ............

England, rotute 2 ........................ IJacksonville, rouite .................... 4

Koo ............. : 29Kerr .............................. 11

Kerr, route I ................ 2Lonoke.............................. 331Lonoke, 1t. F. ) ........... 6Lonoke,route. ......................... 20

Lonokac, route 3. ......................... 5

I.onoke, route 4 .......................... 1Scott ..................................

Tomber'lin .............................. 9

WN'ard ................................... 271Ma!aria:

Cabot ................................. 3

Cabot, R. F. D ......................... 2

Ko ................................. 3

Ward ................................. 3

Mumps:Cabot ..................................

Kerr..................................

Pneumonia:England ................................. 1Lonake..................................2Lonoke, route1........... 1

Smallpox:England ................................. 2

byphilis:"nIand..

CAM1P FUNSTON ZONE, KANS.

Diplsheia:Manhattan.....................

Diphtheriaearriers:Juftflion City......................

Gonorrhea:Manhattan.............................Junction City............................

Inflluenza:Manhattan.............................Junction City.........................Fhs....................................Riley....................................Stockdale..............................Leonardville...........................Army City..............................Cleburne...............................Ogden..................................

Measles:Manatan..............................Junction City............................

Mumps:Mahattan..............................

Pneumonia:haahtaU ..............................

Junction City............................Smallpoz:

Alta Vista...............................Syphilis:

Junction City.................Whooping cough:

Manhattan.............................

1

1

GAS AND FLAME SCHOOL ZONE, GA.

Gonorrhea: Caqes.Columbus ................ ............... I =,Muscogee County........................ 2

Influenza:Colrmbus ............................... 450MtmeoMeeCotinty.................................149Bibb City ............................... 69City View . .1................airard ........-..................... 3'

La grippe:Columbus. .............................. 20Muscogee County.Bibb City . ................. 1

Malaria:Columbus. .............................. 7Muscogee County........................ 2Bibb City . .1................

Pellagra:Columbu. .............................. 2City View . .1................

Pneumonia:Columbus ...............................Bibb City . .1................

Syphilis:Colub ............................ 4Musoogee County........................ 3

Tubertulosis:Columbus .....

Typhoid fever:Columbus.museogee County. 3

CAMP GORDON ZCNE, GA.

Diphtheria:Atlanta tt

1'onorrhea:Atlanta...................................

4 Influenza:2 Atlanta.

Chmblee..SI Tueker.97 Measles:1 Tuker.

16 Mumps:7 Atlanta.I Pneumonia:3 Atlanta . .

4 Scarlet fever:10 Atlanta..

Lakewood Heights......................5 Septic sore throat:2 Atlanta . ............

Syphilis:2 Atlanta.. -.........................-.-.

Typhoid fever:4 Atlanta.1

CAMP GREENE ZONE, N. C.3

Charlotte Township:2 ('hancroid.

Diphthri....1 (onorrhea..

11

46

53626

3

5

1I

Is

1

22

16

1786

*stober I8, It'Th.

CAM? GRIENE SON, W. c.-continued.

Charlotte Township-Continued. Caces.Inaiuenza ............................... 79ggMeasles ..................................

Scarlet fever ............................. 4

SypAilis ................................. 11

Whooping cough ........................

('rab Orchard Township:Infltienza ................................

GUL FPORT HEALTII DISTRICT, MISS.

Chancroid ...................................

iphthcia ..................................

Dysentery ...................................Conorrhe...................................Influen7a ..................................

Malaria....................................Mumps....................................Pneum nia................................Syphilis .....................................Tubhrcul&is ................................

Typhoid fever...............................wN'hooping cough ............................

CAlUr HANOK ZONYE, GA.

Augusta:Diphthria ..............................

Influenza ....... t

Malaria.................................Mumps..................................Pneumonia..............................Tubercaloi4 .............................

CAMP HIUMPIHREYS ZONF, VA.

Alexandria:Influena..------------------------------Pneumo -nia------------------------------

CAMP JACKSON- ZONE, S. C.

Columsbia:Infleenza........................

U. S. Government CAinic:Goorrhea.........................Syphilis .................................

CAMP JO'JPF11 E. JOIIN-STON ZONE, FLA.

D)iphtheria:Panarna .................................

G'sonorrhea:Jackson ille .........................

Influenza:Jacksonvile .. ................

Grand CiossFing ........................

Orange Park........................Fishers Corner ..........................

North Spngfield.......................Lackawanna ............................

Murray Hill.............................Panama................................Lem Tlurnier lIae ......................

Pneumonia:Grand Crossing.........................Ormnge Park............................Fishers Corner ..........................

4

1

7

1 161

10

21)

1

CAMP 3SEP,PI E. J0Ofnl0N ZONE, rLA.-conid.

Pneunwoni,- (Cortinied. Coies.

Lac"-a i-,wl,nl,,,,,,,,,nq............................... ILemn Tmir:er .1...........1,rnflIl,r.br1; ................................ 1

.._, .. ....................................Trpbchoi:

I..-a-sla ... ..................... 3Si phi'.

FORT LEAVE.NWORTH ZQQN-F, FAN-.

I. ca enworth:Diphtheria ..............................

Diphtheria carriers .....................

G3otiorrhea ...............Influenz .................Measles..................................

L.eavenworth Cotunty:Cerebrospinal meningi is.............Gonorrhea ...............................

Influienz......Typhoid ferver ..................

CAMP LEE ZONE, V'A.Petersxburg:

onorrhean.2 Influn..

371 Pneumonia..*,3§ Searlict fever.

1 iShphils.12

Chicken )ox:I'arkland ..... ..............

Infltienza:(2 Laskeview.. ..

32 Parkiland .........-........

Aierican Lake........................Dupont ......................

Steilacoom.Pncumoni

4, 427 Parkland .........-.-.---....... ......

2,

CAMP LOGAN ZONE. TEX.

13Houston:13 awor"..............................Infuenza..............................

Sypili..............................1 United States (o4vernmnt clinic:

aCh&xsaid..-----------------------------Gonoorrhea..............................Syph-- --.----

71 | CAMIP M1ACARTUIIR ZONE, TEX.31 '5 WZV-:12 (;onorhea..35 lInflenza...

,I,Lagrippe ........................

neurnoni.......7 .

11

(AX M M'LL LiA X- ZONsE, ALA.

i l'ilieke-n T',ox:.33 nr.,u... ..

ip h6thil,ra:2z hisheIeMoninIin..

26

745

1

1

.2

573

22,492

22513

11

231

2

1

14

1254

25

20

18

3

11

11

1787

),,

October 18, 1918

CAMP MICLELkLN ZONE, At.-continued.

Gonorrhea:Anniston................................

Influenza:Anniston...............................Precinct 12..............................Precinct 19..............................Precinct 2...............................Precinct 22..............................Precinct 3...............................Precinct 14..............................Jacksonville ............................Blue Mount-in..........................

Measles:Anniston...............................

Pneumonia:Anniston...............................

Scarlet fever:Anniston...............................

Syphilis:Annist-on ..............................

Typhoid fever:Anniston...............................Precinct 2...............................NEW LONDON SAMTARY D0RCT, CONN.

J)iplitheria:New London...........................Jewett City ........... .

Gonorrhea:Groton Boronglh........................

Influenza:New London...........................Groton Borough........................Voluntown ............................Grotonto n.............................Stonington ............................Old Lyme....... ..

Griswold................................Preston.................................Waterford .............................Lyme...................................Colchester ..... .

Jewett City Borough ............... .

Norwich...............................Pneumonia:

New London...........................Groton Borough........................Norwich ...............................Voluntown...... ,.

Jewett City..............................Griswold...............................

Tuberculosis:Preston..................

Typhoid fever:New London............................FORT OGLETHORPE ZONE, AND TENN.

Ca0

5

S.5

15171256271116

2

2

3

1

11

T

14f

*119671

2227

3

6

24

232

28

15

1i8

2

1

1

Gonorrlhea:Chattanooga ............................ 13

St. Elmo ...... . .. . .... IEast Cha tanooga ........... IFignal Mountain .........................

Chikamauga, Ga........................

Influenza:Chattanooga.............................EastLake. ....... 274St. Elmo , ..O.. 31

FORT OGLETHORPE ZONE, GA. AND TENN.-.ontd.Influenza-Continued. Cases.

North Chattanooga ..................... 5

Alton Park............................ 23Rossville ................................ itRockspring.............................. 6

Malaria:

Chattanooga ............................. IPneumonia:

Chattanooga ............................. 3

Scarlet fever:Chattanooga............................. 2

North Chattanooga ...........

Syphilis:Chattanooga............................. 17St. Elmo 7

Alton Park ............................. 11

Typhoid fever:Chattanooga ............................. I

Whooping cough:Chattanooga............................. 4

PICRIC ACM.PLANT ZONE, GA.

Brunswick:Influenza...............................Pneumonia ............................

CAMP PIKE ZONE, ARK.Chancroid:

Little Rock..............................North Little Rock.

Chick-en pox:Little Rock..............................

German measles:Little Rock..............................

Gonorrhea:Little Rock..............................Scotts...................................

Influenza:Little Rockl...............................North Little Rockl.......................Scotts.................................Cabot...................................Jacksonville............................Sweet Home.............................Rural district............................

Ophthalmia neonatorum:Little Rock..............................

Pneumonia:Little Rock..............................North Little Rock.......................

Scarlet fever:Little Rock..............................

Syphilis:Scotts...................................

Tuberculosis:Little Rock..............................

Typhoid fever:Little Rock..............................

PORTSMOUTH AND NORFOLK COUNTYIIEALTH DISTRICT, VA.

Gonorrhea:Norfolk..................................

I:A

1

2

1

4

1

3,,i57i13

142029

2.5

1

RN

5

1

1

1

4

6

Influenza:Portsmouth ........... 1,800

Norfolk ......... 1?509Norfolk County ............... 835

1788

2

I

Octler 18, 1918.

PORTSMOUTII AND NORFOLK COUNTY

IIEALTTl DISTRICT, TA.-contd.

a.laria: Case.WVcst Norfolk ............................ 1

Syphilis:Norfolk ................................ 3

Typhoid fever:Souith Norfolk. . ................... 1

CAVl SEVIER T0Rt, S. C.

Influenza:Greenvie..............................Butler Township ......................

Chicksprings Townrship ................

Bates Township........................Malaria: -

Greenville .............................

Pneumonia:Greenville ...............................

Butler Township.......................Typhoid fever:

Greenville.............................

CAMP SHELBY ZONE, MI.

Influenza:Hattiesburg .............................

Near Hattiesburg.......................Petal....................................McCalum...............................Harvey.................................

Lagrippe.:Hattiesburg............................

Maklaia:Hatiesburg .............................

Measles:Hattiesburg.............................

CAMiP SIIERIDAN ZONE, ALA.

Montgomery:Jhancrold ...............................

G norr a...............................

Influenza................................Measles................................S&alet fever.............................

Montgomery County:nfluenza............................

U. 8. Government clinic:h eid...............................

Gonorrea...............................Syphilis.................................

CAMP SHERMAN ZONE, OHIO.

1,615

203

1

491

1

188

39

121

1

2...

1

1

32

21733

3

287

Dipbtheria:chl the................................ ILiberty Township....................... 2

CAMP ZACILAKY TAYLWR UONK, KY.

Chancroicl: Cases.LT. S. Gcvernmeint. liucc. ................ 1

Chicken pox:Louisville.. .........1

Diphtheria:Louisville . .............................. IsJefferson Couinty. ........................ 3New Albany, Ind .................1.......

Gonorrhca:U. S. Government clinic................. SVenereal clinic, county jai .............n.. 11

Infltenza:Louisville ............... . 2,125Jefferson Couinty........... 239Jeffersonville, Ind-................ 156Floyd County, Ind .......... 30New Albany, Inmd ............. 1,020

Measles:Louisville ... 2Jefferson County.. 3New Albany, Ind ... I

Murps:Louisville ...

Pneumonia:Louisville .. . 99Jefferson County ... 4New Albany, Id ... 2Clark County,Ind...

Scarlet fever:Lousville ... 2Jeltersonville. nd ... 1

Syphilis:U. S. Governmentelinc.... 30Venereal cliic county jail ... 15

Tuberculosis, pulmonary:Louisville .. . 12Jefferson County ... 2

Typhid fever:Louisve...... 2

Whooping cough:louisville ... 1

CAMP TRA1VIS ZONE, TEN.

San Antonio:Cmnrid... 3Gonrrea. .52Influenza. 861Pneumonia .18Scarlet fever. 2Smalpox. 3Syphis. . 7Tuberculosi .20Typhoid Lever ............ 0

Scioto Township............. 2

GonoThes: CAMP E'lTON ZONE, N. Y.U. S. Government clinic Diphtheria:

Infueza: Riverbead..

Ciillicothi 499 pnemonia:Hlsv..... 9 Brookhaven.Banbridge .7 TuberculosIs:Liberty Tow,nship....71 rookhaven.

Harrison Township 4Sarlet fever: VANCOtTVRE ZONE, WASH.

Cillicothe.. 4Typhoid fever: PIetlmnopia -........... .............

Chillicothe ........................ ...beY...I.................................

2

2

3

1789

October 18, 1911

CAMP WADSWORTH ZONE, S. C.

Spartanburg: Cases.Dinhtheria . ............................. 4Influenza................................ 188Pellagra ................................. 2Pneimmnin ............................... 4

F:8pairtant.urg Couinty:Inflnenza................................ 43

CAMP WHEELER ZONE, GL.Chancroid:

U. S. Govenment clinic................. 4Chicken pox:

Macon . .1.................Gonorrhea:

Macon. .................................. IU.S. Government clinic .. 24

CAMP WHEELER ZONE, GA.-contiuued.

Infltuenza: Cases.Macon.............................. 120East Macon ............, 7Bibb County ............,., .,.. 2r

Pellagra:Macon..................................1

Pneumonia:Macon...................................

Scarlet fever:Macon................................. 2

Syphilis:Macon...................................U. S. Govornment clinic................. 2;:

Tuberculosis:Macon.................................. 2Bibb Coumty . ............... I

DISEASE CONDITIONS AMONG TROOPS IN THE UNITED STATES.'

The following data are taken from telegraphic reports received inthe office of the Surgeon General, United States Army, for the weekended October 4, 1918:Annual admission rate per 1,000 (disease Noneffective rate per 1,MOOon day of report-

only): Continued.All.troops ...................... 4,211.3 Cantonments....................... 123.

Divisional camps ..................... 3,370.1 Departmental and other troops......... 66. 913Cantonments.. ...... 6,526.8 Annual death rate per 1,000 (disease only):Departmental and other troops....... 2,866.1 All troops ....................... 81.R2

Noneffective rateper 1,OOOonday of report: Divisional camps .. 39.09

All troops ........... 97.79 Cantonments ....................... 122.39.

Divisional camps ........... 88.22 Departmental and other troops......... 50.2

Cases of specid diseases reported during the wveck ended Oct. 4, 1918.

dsease.

1~~~~~~~~~~~~~~7

Beauregard................Ilowie. ....

cOr....... .............}Forrest ..Premont..........Greene.....................Greenleaf...................Hancock..................

MerxY ...................Iogan......................MacArthur.................McClellan..................Sevier......................kh,,lby......................h3ridan...................

Syracuse...................Vfa'dsworth.................Wheeler....................Custer..................Devens...................Dix........................Dodge.......................Eust ......................Funst' ...................Gordon....................Grant......................

14510I

I.......2176

1188

20769

189

133729

27413908311

231185

1,004

.... 3

.... 1.... ....... ....

...* 1

.... ........ ....

... ....

... 1

... ''i'...

... 3

... 14

... 3

... ....... ....... I... I... ....... ....... ...... .......... ....... 2........

4143.510143415

102321212504911268729it7546

603270

12643848

030103506701508

0

44240220

1,3471,596

30.................

*5041,1821,857

8599961

1511,878

134240953

........

...]? ..

2,329900

1,536563

5,3302 4788,013

5915

..i.1461219

37....

15

62345231'2

....

....I

1..i.........

.i..

2....

1......

....

....0

....

........

....

''i'....

....

...

....

....

31 8,685.52 8,400.61 1,193.1

....... ..434.51 758.08 3,075.83 3,254.114 2,251. 51 841.0

39 5,590. 12 2,482.07 1,892.042 4,778 60 1,525.22 2,063.6

81 5,482.85 4,223.32 1,732.636 6,563.8

252 3,417.1371 2,401.912 5,305.611 3,304642 6,012.654 7,064.6181 10,404.3

262.54153.0179.973.1743.8183.013$3.9897.6135.85132.6395.1948.44100.58102.5263.4t;73.68

127.0953.37117.63103.8372. 27132.4759.78120.98198.78137.49

Including Porto Rico.

1790

1791 *etober 18, 1918.

.ases of special diseases reported during the week ended Od. 4, 1918-Continted.

.__ Venerealdiseascs.

Camp.

_ __._ _ _

Humphreys. 312 1 6 0

Jackson ................. 394 1 21 1

J. 1E.Jodton 16 4-.4 8

LosCasas ...... ....... ... .....1 11 0

LW . ...... 1 105 11

Mea. .. 39 ..... 188 5Pike 115 .... 437 2Sherman. 629 .... 3Taylr.. 470 ....42 42 5Trvis .17.1. 1 5 5Uptn............. 448 .... .... 17 5

NorthessternDpartment- 22 .... 1 11 4Eastern Dcpartmept 225 1 51 19

Southeastern Derartmkt..t 22 l.. 46 20Central Department......... 139 .... 26 0

Sothern Department. 48 14 113 27

Weserne Department 1.1.....{ I 31 6Aviatim ps .............: IN 19.....9 7Ports of embarkation:

Hoboken.... ! 379 2 1 81 26

Newport News........... 45 5 10 67 5

Alcatra Discplinary Bar-|racks ......................

Leavenworth DisciplinaryBarra&s ..1. 1 0

Jederso Barracks ..........i 3 7 4

Columbus Barracks... 9 12 0

.......... ............Fort McDowell.............. .... 9 1 (Fort8beum ........:......:.. 1 :f::10 3

Fort Thomas................ 3 .... 5 0

West Pdnt 1 .... .....

Arsenals '---310 ICsoellanoussm,ll stations.l.....1.. I 0(eneralhospitals ............ ...... .-. .

Total .................. 8,5 Si 89 300 235

I.-

IaCa|v

2,514 11

3,695 3

18

6,070 186,730 414,307 11

5,1 :; 6-8

25di.....2,937 7

4,188 27

1,485 112,7925 3

31

3,656 8

2,412 841,2641 4

36

528........

.........

13996

88145

........

1 8,478

,....j

221-....I211

- 2

I.....

2-..-

!.....1....I- - - ....

I-.----..... .

I-----,..... ....

22....I.....I...

6991 27

I 4X r- .-I 4-

IS; ' lto ,IRA

L.I v'- t -g

49 5,686.7

196 5,0".011 1,439.9

8,220.871 8,922.4100 8,043.9581 52,7.932 2,677.193 5,238.4

3,744.14,777.8

1 5,531.836 5,282.15 21 fa 31 525e. 1

30 2,625.43 1 2,862.09 3"775.9

0 1,112.2

112 IN.42t 1,l424.00 6, W&3.^O 1, 8202O 1,s113.04P 6 ,01&o 7,470.1I1 3,418.884 4,287.00 1,s066.7

2S7 4,211.3

C..I.

100.91147.8981.8944.79155.6956.84166.1618.72156.73132.84i0.5797.8994.2985.19I1}02682.0452.0929.7264.18

96.67120.17

24.06

45.1949.46153.6743.0261.601212715&86063.6288.2320.51

97.79

.1 1

*12_

i''''i....

1-....

I-i1..' '''

1-.-

1....I

17-

AnnLual rate per 1,000 for speciai diseases.

Deprt-Dlsease.~ ~ ~ lltr mental Divisioaul Canton- EXP)edi-Disease. | In Uni tionary

mtates., and other camips.' ments.1 ~ *

Pneumnia .................. 281.58 130.26 15L 58 443.10 3.46Dysentery................................. .26 .78 ...... .... . . 5.79Malaria .................................. 2.80 4.57 4.78 .90 .64Venerel .................................. 23.63 5.48 106.57 180.18 23.82Parmt hoid ........ , , .. .03 .00 ... . .......... .03Typboid ............................... .16 .20 .16 ............ .54

Jl2.................................. .7 12.64 36.95 23.96 23Mes ii ................ 88 .19 .40 1.53 1.73Scarletiever ............................... 5.5 .58 ..82 .41 1.151 a.................................. 2,878.53 1,778 70 1,817.52 4,110.08 .

'Week ended Oct. 4, 1918. 2 Week ended Sept. 26, 1918.

Annual death ratc'(disease only), all troops in United States and American Eixpeditionary Forces,France, kr the week eding £ept. 27, M8, 23.36 per 1,000.

CURRENT STATE SUMMARIS.

Tetegrphic Reports for Week Ended Oct. 12, 191&

Alabamn.-Whole State. Typhoid fever, 9, malaria 9, smallpox 6,scarlet fever 13, diphtheria 20, cerebrospinal fever 2, influenza 23,284.

California.-Total of more than 10,000 cases of influenza nowreported; of this number 2,500 in Los Angeles, 1,000 San Francisco,500 Riverside County, 500 San Jose, 600 Long Beach, remainder welldistributed over entire State; disease seems to be more virulent insmallest towns of northern Sacramento Valley than in any other partof State (Los Angeles: Reported October 14, 1,128 cases, with 11deaths; total of 23 deaths since October 11. San Francisco: Twelvodeaths since October 11. Dunsmuir: Six deaths since October 11).Nineteen cases typhoid fever, 14 smallpox, 1 poliomyelitis, 1 cerebro-spinal menigitis.

Connecticut.-Oerbrospinal meningitis: Meriden City 1, Bran.ford 1, Beacon Falls 2. Poliomyelitis: Hartford 1, Manchester 1.

Idaho.-Inflnenza oases reported by counties: Franklin 60, Cassial28, Benewah 11, Ada 2, Canyon 18, Blaine 3, Latah 1, Bingham 12,Owyhee 1.

Ilinos.-Diphtheria: Two hundred, of which in Carbon Cliff 20,Springfield 8, Ohicago 125. Scarlet fever: Forty-nine, of which inChicago 25. Smallpox: Seven. Poliomyelitis: One each Batavia,Macon, and Springfield. Influenza: Total 27,767, of which inQuincy 234, Charleston 600, Highland Park 972, Streator 800,Pontiac 250, Bloomington 258, Chillicothe 313, Peoria 695, Pekin 200,Rockford 963, Eureka 200, Chicago 7,722.

Iowa.-Chancroid: Burlington 1, Council Bluffs 1, Sioux City 2.Chicken pox: Dubuque 1, Red Oak 2, West Branch 4. Diphtheria:Boone 1, Consul 2, Council Bluffs 3, Des Moines 15, Dubuque 3,Hiteman 3, Iowa City 1, South Fort Des Mloines 1. Gonorrhea: Anita1, Audubon 1, Battle Creek 2, Bogard 1, Burlington 9, Cedar Rapids5, Clarion 1, Council Bluffs 7, Davenport 7, Dubuque 31, Keokuk 1,Marshailtown 1, Onawa 1, Oskaloosa 1, Ottumwa 1, Sioux City 10,Spencer 3. Poliomyelitis: Dubuque 2. Scarlet fever: Cedar Rapids1, Council Bluffs 5, Dallas Center 1, Des Moines 11, Dubuque 1, FortDodge 1, Lansing 3, Mason City 1, Ottumwa 1. 'Smallpox: Boone 1,Cedar Rapids 1, Ohariton 1, Council Bluffs 6, Des Moines 1, Dubuquo5, Logan 1, Mason City 3, Milford 1, Strawberry Point 1. Syphilis:Cedar Rapids 1, Council Bluffs 1, Dubuque 18, Eagle Grove 1, Kings-ley 1, Sioux City 3, Webb 1. In rural districts of following counties.Chicken pox: Montgomery 1. Diphtheria: Appanoose 1, Jones 1,Monroe 1. Gonorrhea: Clay 1. Poliomyelitis: Monona 1, Muscaqtine 1. Scarlet fever: Decatur 1, Harrison 1, Jasper 1, Kossuth 2,Wapello 2, Washington 1. Smallpox: Clinton I5

1l792ODctober 18, t1018

1793 . t*er is, 1918.

Kaases.-Meningitis: Leavenworth 1. State totals: Typhoid fever28, s oallpOx 17, searlet fever 37, influenza 10,569.Reported by mail for preceding week (ended Oct. 5, 1918):

cancer..------------- 1 Measles-.fclancroid --.-1---- ------------ MMumps_ 31Chicken pox...._......... | Pneumonia. 29Diphtheria........................ 34 Poliomyelitis ............ 1Dysentexy . ............. I Scarlvt fever 31Erysipelas . .1............ Snmllpox.. .1Gonorrhea..6--------------------- 68 Syphilis . .14Impetigo contagiosa.............. . 3 Tuberculosis.. 29Influenza ........................ 1, 327 Typhoid fever . .. 106Malaria ......................... 2 Wh11ooping (ogh .. ..30

Louisiana.-Influenza 15,494, typhoi(d fex-er 27, (liphtheria 14,smallpox 9.

Massachusetts.-Unusual prevalence. Diphtheria: Rockland 6.Lobar pueumonia: Amesbury 25, Attleboro 18, Boston 119, Danvers22, FallRiver 70, Fitchburg 46, Haverhill 103, Iee 23, Marion 7,North Attleboro 19, New Bedford 42, Springfield 61, Westfield 29,Worcester 117. Typhoid fever: Beverly 6.

Mfinnesota.-Smalpox (new foci): Nicolet County, Nicolet village,2; Rock County, Luverne city, 1; Wabaslia County, M-finneask,Township, 1; Wright County, Cokato village, 1, Cokato Township, 1,Frencll Lake Township, 1, St. Michael village, L Poliomnyelitis 1case, cerebrospinal meningitis 2 cases, reporte(d sineo October 7.

Ne&ras,!;a.-Whooping cough: Ilay Springs 15, Humnphrey 4, alsoScotts Bluff. SmaUpox: Aliance -, Oakdale 2, Waco 2, Omah 9.Typhoid fever: Scotts Bluff, Lincoln, Haigler, Oakdale, 1 each.Poliomyelitis: Haigler 1. Spanislhinfluenza: Mfade reportable diseaseover entire State on October 8; epidemic entire State.New .Jersey.-Influenza-only outbreak or unusual prevalence.New Yot*.---{Outside of New York City.. Diphtheria: Ninety, of

which in Buffalo 28. Scarlet fever: One hundred and twenty three,of which in Dannemora 20. Typhoid fever: One hundred and three.Pneumonia: Four hundred and sixty-three. Influenza: General prev-alence moving over State east to west.

N.orTh Carolina.-Whooping cough 124, measles, 64, diphtheria 60,scarlet fever 31, septic sore throat 15, smallpox 4, chicken pox 9,typhoid fever 69, meningitis 1.

Ohio.-Influenza: At least 60,000 cases in Ohio. Maximum in-tensity apparently not reached. Smallpox: Coshocton 16 cases.Diphtheria: Cincinnati 35 cases.

WaAingtoi.-No unusual outbreak of disease other than influenzaas follows: By counties. Adams 15, Asotin 3, Benton 10, Chelan 70,Cowlitz 2, Clarke 500, Clallam 115, Franklin 5, Douglas 3, Grant 3,Grays Harbor 226, Jefferson 23, King-exclusive of Seattle-247,

October 18, 191. 1794

(Seattle 3,500($ Kitsap 1,038, Kittitas 21, Lewis 105, Lincoln 11,Pacific-opidemio, Pendoriel 35, Pierce epidemic (Tacoma 115),Skamania-epidemic, Skagit 50, Snohomish-epidemic, Spokane-general outbreak (Spokane city 650), Thurston 180, Wahkiakum 9,Walla Walla 16, Bellingham (city) 77, Whitman 30, Yakima 20. Thisrepresents only a comparatively small proportion of actual cases.The disease is practically epidemic throughout the State.

CEREBROSPINAL MENINGITIS.

Cases Reported in Extra-Cantonment Zones, Week Ended Oct. 12, 1918.Cases. Casei.

Camp Devens zone, Mass .................. 1 I Fort Leavenworth zone, Kas.................I

City Reports for Week Ended Sept. 28, 1918.

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

Akon Ohio.............. 1. Passic.N. J . ... .........

Anniston, Ala 1.. . 1.......... Philadelplua Pa ................1Jirmingham, Ala .. .......... Pittsburgh, Na......1.Bradford, Pa.1. ......... Providence, R. I ..... ..........

Boston ............... 3 2 Racine, Wis......................... IBrooklfne Nass.....................4 1 St. Louis,Mo................. 12Butfalo, N.Y. .. 1..n........ Si Franctisco, Cal ...... IChicago,Tll.............. 5 2 Schenectady N Y . .........Dallas,Tex ...... .. . 1.. Seattle, Was.. ..........1Greensboro, N. C ........... .......... 1 Shenandoah Pa .............. 1..........IAttleRock,Ark .. ..1 2 Springfolld,iass........................ ILos Angeles, Cal............. 1......... Springfield Ohio..........Lynn, Mass . . . ..................11 Tacoma, Wash .............MfcKee Rocks, Pa ... 1.......... Terre Ilapte, l :d.:: .........

lNashville,e1, Kas........... 1 1New York, N.Y.. ..4Wilk Barre, Pa.......... 1......1.

CHANCROID.

Cases Reported In Extra-Cantonment Zones, Week Ended Oct. 12,1918.

Camp Bowie zone, Ter......................Camp Doniphan zone, Oklla...................Camp Grene zone, N. (1....................Gulfport health distict, Mis...............Camp Logan zone, Tex........................

Is8. Ca.1 Camp Pike zone, Ark .........................1 Camw Sheridan zone, Ala......................2 Camp Zachary Taylor zone, Ky...............4 Camp Travis zone, Tex.......................1

;eS.2.513

DIPTHERIA.

Cases Reported in Extra-Cantonment Zoes, Week Ended Oct. 12, 1918.

Camp Bowie zone, Tex .................. .

Ctunp Dix zone, N. I .................. .

Camp Dodge zone, ToW,a .................Camp Doniphan zone, Okla...................Camp Funston zone, Kans....................Camp Gordon zone, Ga.......................Camp Greene zone, N. C'.Guilfport health districtiMiss.................Camp Hancock zone,,a...-.. .

5es. Cases.3 Camp Joseph F. Johnston zone, Fla...........12 Fort Leavenworth zone, Kan. 218 Camp McClellan zone, Ala.;11 New London saitary district, Co .. 91 Camp Sherman zone, Ohio ..5

11 Camp Zachary Taylor zone, Ky.............. 2'J.22 CampUptonzon,N.Y .................... 21 Camp Wadsworth zone, S.C .........42

See also Diphtheria, measles, scarlet fever, and tuberculosis, page 1801.

1795

/

October IS, 1918.

ERYSIPELA8.

City Reports for Week Ended Sept. 28, 1918.

Place. | Cases. Deaths. Place. Cass. Deatb.

Baltimore Md I Newark, N.J . 3 ....Bufflao, N. I .......... NewYork,N.Y . ...... .......... 2Chicago, IlI .......,.,,. 11 3 Philadelphia 1'a . ....... 3Cleveland Ohio .............. 2.......... Pontiac,-Mic.I 1i)uluth, iinn ................ 1 .......... Providence R. I ....................... ILos Angele-9 Cal I .......... St....Loi1 i ......... 8.LO;0...... 32Mlanitowoc, I11....................1 .........Tacoma,Wash ............. 1

Minnespolis,Minn ............ 1..........

GONORRHEA.

Cases Reported in Extra-Cantonment Zones, Week Ended Oct. 12, 1918.

Cases.Camp Bowie zone, Tex........................ 24camp roniphan zome, Okla. .................. 3Camp Eberts zone, Ark ............ 3Camp Funston zone, Kans.................... 6Gas and Flame School zone, Ga............... 17Camp Gordon zone, Ga. ................... 46Camp Greene zone, N. C. ..................... 16(rIulfport health district, MLss .. 7CampJackson zone, S.C. ...................... 3Camp Joseph.E. Jolmston zone, Fla .. 10Fort Leavenworth zone, Kaans................. 9Camp Lee zone, Va. .......................... 2C(amp Logan zone, Tex. ....................... 16

Cases.Camp MacArthur zone, Tex ................. .. 20Camp McClellan zone, Ala ..................... 15New London sanitary district, Conn........... 2Fort Oglethorpe zone, Ga. and Tenn .......... 17Camp Pike zone, Ark .......................... a.Portsmouth and Norfolk County health dis-

trict, Va .................................... 6Camp Sheridan zone, Ala ..................... 10Camp Sherman zone, Ohio .................... ICamp Zachary Taylor zone, Ky............... 29Camp Travis zone, Tex ......... .............. 52Camp Wheeler zone, Ga ....................... 23

INFLUENZA.

Cases Reported in Extra-Cantonment Zones, Week Ended Oct. 12, 1918.

Cases.Camp Beauregard zone, La.................. 866Camp Bowie zone, Tex...................... 316Bremerton zone, Wash...................... 12Camp Devens zone, Mass .................... 53camprix zone, N. J ........................ 45Camp Dodge zone, Iowa..................... 515Camp roniphan zone, Okma ................. 13Camp Eberts zone, Ark ......... ............ 695Camp Funston zone, Kans .................. 223Gas and Flame School zone, Ga ............. 7*30Camp Gordon zone, Ga ..................... 844Camp Greene zone, N. C .................... 803Gulfport health distnct, Miss................ 1,161Camp Hancock zone, Ga .................... 371Camp Humphreys zone, Va................. 602Camp Jackson zone,S.C.................... 4,427Camp Joseph E. Johnston zne, Fla......... 2,944Fort Leavenworth zone, Kans............... 102Camp Lee zone, Va.......................... 2, 492

Camp Lewis; zone, Wash .. 9Camp Logan zone, Tex .. 125Camp MacArthur zone, Tex ............ 281Camp McClellan zone, Ala. .................. 609New London sanitary district, Coina........ 68Fort Oglethorpe zone, Ga. and Tenn ..0.....Pieric Acid Plant zone, Ga ............ 150Camp Pikc zone, Ark ............. . 4,299Portsmouth and Norfolk County health dis-

trict,Va. . ................................ 4.144Camp Sevier zone, S. C. .....................71.71Camp Shelby zone, Miss.................... . 25 'Camp Sheridan zone, Ala................... . 220Camp Sherman zone, Ohio ................. . 589Camp Zachary Taylor zone, Ky............. 3, 620Camp Travis zone, Tex ..................... 861Camp Wadsworth zone, S. C ................ 231Camp Wheeler zonc, Ga..................... 152

LEPROSY.

City Report for Week Ended Sept. 28, 1918.

During the week ended September 28, 1918, two cases of 1epr-oswere notified at New Orleans, La.

838370-183

Octber 16X 191$ 1T96

MAlARIA.

Cases Repwrted i ErakCam mament Zomes, Week lnded Oct. 12,1918.Cams. Cases.

camp Dcturead z&e, La .................... 11 Fort Oglesorpe zonO, Ga. and Tenn.......... I

cm" Bbuts tw, Ark ... It PtWts?t0uth1 1M N*rfolk CountY MtM(h dis-

("B nd flae foI e,a 0(..........1to trlct, Vs ...................IUnl(port halth dist*it, Miss .................. 19 Camp Sevier zone, S. C --.---. .- I

(Amp Unbeock aone, .a ................ . Campsq. eby zone, .- ............ ..

Cty Reorts tot Week Ended Set. 28, 1918.

* l'ace. Cses.

Albanv, . .. 3Atln \, Gwa....................H1attiesbturg, tIsr.............Independeuce,Mo. 1Little Itwk,Ark... ......~Mempht~, ¶nR irk............ ..

..........

..........

..........

..........i

Place.

Mobile, Ala..................Montgomery, Ala.............N wark, N. .................Palestine, Tex................asvanak . ..............Tuscaloosa .Tis ..........-

Css. Deaths.

2 1I ..........I ..........11..........a ..........'2 I

MBASLYES.CAses In Ext sat6maet Zones, Week Ended Oct, 13, IM&

Cases. Cases.('mf) IN\11to1t01s6he, Kam ....................7 Camp McClenan zone, Ala................... 2Camp (ot!M k(one,O.. 3 Camp Shelby zone,Mtss.1M'amfmne tkm, N. C .................1 Camp Sherl8an zone, Ala..................... 3Thrt t.kYtt ort12Ye, Kans .................1 Camp ZacharyTaylor zone, ty............... 6

'See also Diphthrri*, meales, acarlet ieNvr, and tubercmlo, page 1801.

PEXiAGRA.Cases Reported In Extra-Cantonment !fnes, WekEandid Od. 12, 1918.

Cluf. Cases.(iss and Flame School zone, Ga ............... 3 Camp Wheeler zone, Ga..('anmp We; ortlh zoe, 83. C ..................81

City Reports for Week Fnded Sept. 28, 1918.

Place.

Ob?rlesIon, S. C...........

als138'tex.................."IA ..................

M*i tn ...............bur V ..............

Ne Ot",II s...............

Now -* 1, ...i...........

cases.

........f..8

..........I

..........

..........

I

Deaths.

4..........2

1121

Plac. cIes.

Oklahoma City, Okla ........

Palestine Tex IRateigh, &. (c.............. ......:.......lchmond, Va............... ..........

artanburg S. c.... . . 3iootu cIs.a,..a........ I

flEUMONIA.

Cases Reported In1 t&a-Cantonmebt Zones, Week Ende6 Oct. 12, Th.rA-.

Camp Beawepr4 sone, L s.Camp Bowie was, TexCamp hone, Okla I

Camp Eborts zone, Ark 4Camp Funston zone, Kan 5Gas and Flame School zono, Ga...... 4

Camp Gordon zone, Ga ....................... 5

Gulfport health dlstrict, Mn....0Camp Hancock zone, G 12Camp BaXpbreys "cap Vs...Camp Yoeph E. lobnston zone, As

Camp Lee zone, V .225Camp Lewis zone, WsCamp Logan zone, Tex ....................... 4

C*M.CQM MaArthur zoni, Tac .................. 3

Ca0f M%.lellanzane, At...................... 2Londoneaaitary d4ntict,VOOm ............ 8s

FNt Ogldgethope 4one, -Ga. 4d Teim ..........

Picric Acid Plant zone, Ga .........S..........Gamp Pike zone, Ark ........................ 9

Camp Sovier zono, S. C ....................... 50

(abmpLoey aqar an, Ky .......... 106

Camp Travis zone,Tex ........................ 18

tI.ft 2

'Vacort zm, Wash.....................

o p z, S.. c ................. 4

Camp Whoeler zon, 9

Deaths.

I

1..........

..........

.-

-I- -11 .

..I

I 11

1797

PNEUMONIA-Continued.

City Reports for Week Ended Sept 28,1918.

October 18, 1t1S4

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

Anniston Ala ........e ............. 1Atlanta,6a 2 4 elrose,Mss........... 6 3Attleboro, Mass.............. 6 3 Md .N ............YI..........Baltimore, Md............... 3 11 Nashville T..enD.Beverly, Mas ........ 6 3 Natick s 1........Binghamton,N.Y .. I I Newark,N.J. . 28 7Boston, Mass................. 278 111 New Bedford Mass .......... 156Bristol Conn.......Mass I .................... I .....

Brookline 1(ass.I. . .............6311NewburYtlyoin d.............. 1..........Brok6M&s63 11.2 . te.rkBuffalo, .Y. . 2 9 New Haven, Conn .. . 3..........Cambridge, Mass .. 34 15 Newport, Ky................. I......ICharleston, W. Va ...... I I Newton Mas. 9 8C clisa,Mass ......... 14 12 Oaklan,Cal.1 1Chm.ato, Ill . .......... 163 74 Peabodv, Mass............... 74Cleveland Ohio ........ 14 10 Philadelphia, Pa............. 8144Clinton, . ............... 2 2 Pittsfield Mas............... 54Colorado Springs, Colo........ 2 ......... Pontiac, iich ....... 1 .

Corsicana, Tex . .......... Roebester, N. Y....... 3 5CortlandNY I Rome N.Y.................. 1.....1Council filufs, I I Ri,tland, Vt....... 2 .

Cranston, R. I ................ 2 2 Sacramento, Cal....... 1 1Fall River, Mass............. 3 5 Salem, Mass....... 12 3Grand Rapids Mich 1......... San Diego, CAl........1 1Green Bay, Ws .............. I I Sandky,Ohio.............. ........

Greenwich Conn . . 2 1 San Francisco, Cal.10 6Hartford ( 6nn sS7 Sault Ste. Marie, Mich 1 IHaverhili, MassI .... 33 1 Schenectady N. Y.6 2Independence, Mo............ 2 .......... Sheboyg.1 is 1IJackson Mich ..3 2 Siouxo Falls, S. D. 2Kansas City, Ka'ans............ 3 ... ... Somerville,Mass.............. 15 10Kansas City Mo 4 8 Southbridge Mass.. ILincoln, Ne er.............. 2 .......... Springfield ia&s 24 15Little Falls, N. Y .. .. Troy, N. ..... 3 2Little Rock, Ark .. 2......... Westfield, Mass. 7 1Los Angeles, CaL .. 5 1 Winthrop Mass .............. 169Lowell Mass 8 8 Woburn, un ss 2 3Lvnn,iass 26 19 Worcester, Mass . 45 52Mhanitowoc, Wis. ................... .1...........I.......... Youngstown, Ohio. 3

POLIOMYELITIS (INFANTILE PARALYSIS).

City Reports for Week Ended Sept. 28, 1918.

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

Baltimore Mdd ............| 1 ....... Mount Vernon Ohio1......... 1Buffalo, N.Y...... 2 1 New Orleans ,a 2Chambersburg, Pa .. 1 .......... New York, 3. Y............. 9.

icago Ill . ..4....... Niagara Falls, N.Y . . ....Dallas, ex .......... Oakland, C'al . .

Dubuque Iowa 1.............. I ......... Rwine, Wis ..... ..........

Elmira R. Y . ................ 3 ......... Richniond,Va ..... . .........1Flint lWich . . I .......... Rochester N. Y. 2 .

lartlord, Conn .. 1.......... .Uso.................. 3..........Holyoke, Mass . . 1 .......... Springfield, 111 ...1 2La Crosse Wis ............... I .......... Toledo, Ohio. 2 .

Los An'eies Cl . . 1 ...........Tuscaloosa,A la..... 1.Madison Wis-....r..e.............I ........... 1..........MSarion, mnd . ......... Worce>ster, Mass. .............

RABIES IN ANIMALS.

City Reports for Week Ended Sept. 28, 1918.

During the week ended September 28, 1918, cases of raoies illanimals were reported in cities as follows: Covington, Ky., 1; LoUis-ville, Ky., 1; Omaha, Nebr., 7; Rochester, N. Y., 4.

Octobr 15, 1918. 11t5

RA 5 I MAN.CMy Rqr fAw Wwk bdIs SWt, 8198.0

During the week ended September 28, 1918, one death from rabiesin man was reported at Toledo, Ohio.

SCARLIT FEER.

Cases Reported in Extua-Caenu'ment Zones, Week Ende Oet. 12, 1918.

Cases CZSea.C-aup Qowle gone, Tex ........................ 2 Camp Pike zone, Ark.......................ICamp Dodge gone: Iowa ....................... 11 Camp Sheridkn zone,.Ah. .....................sCamp Gordon zone, Gfl ........................ 9 Capnp Sherman zone, Ohio . .............Cmp Greene zone, N. C ........................ 4 Camp 7achory Taylor ;one, Ky. 3

C*mp Lee zoae, Va ............................1I Capip Travis aQne, Tex. ....................... 2

C pp McClelln zone, Ala ..................... 3 Canp Wheeler zone, Oa. . 2

Frt Oglethorpe zone, (I i ewl Tea -.......... 3

See ah;o Piphtheria, raceslies, scarlet faver, aud tubercutlosis, page 1801.

SMALLPOX.

Casee Repotted In Extr.Caantonment Zones, Week Ended Oct. 12, 1918Cases Cae.

Caimp Bouie zone. Tcx ......... ....... I Camp Futnsto zone, ans. 3

Camp Dodge zone, Iowa ................. Camp Travis; zone, Tex.Camp Eberls zone, Ark ................ 2

South CarolI--Chester1eld.On October 11, 1918, 11 cases of smallpox were reported present in

Chesterfield, S. C.

City Reports for Week Ended Sept. 28, 1918.

Place.

AiBrd Wash.............Bel)aire, bliio................B Wash............B llings, M nut.............BlizefielCd,W. \'.............B FF...................ag Il...................

Ciw.Eti, O( io..............loe4'D ..............Crpuls Chrl,sti, Tex...........nver Cobo................DsM es wa.............Gyosley, Cok ..............

HTex................s (~ityJ ans...........

LLa , M r...............I4tJeo Ark.............Lerain, Oh.................1os A ,geles, Cal..............

Cases.

12

122341

252I

111

1eths.

..........

..........

..........

..........

..........

...........

..........

..........

..........

...........

..........

..........

..........

..........

..........

..........

..........

Plooe.

Mohile, Ala...................Muncie, nid..................New Castle, Pa..............Oakland, C51.................O0dou, Utah.................Oshkosli Wis................Peoria, III....................St. Jospbh Mo................St. Paul, ;Minn...............Ban FraAiso, Cal............Seattle, Wash...............Sheboygan Wis..............Spokane, Wash...............t,ookton, Cal................

Streator, 1U....................Tolado, Ohio.................Vall4h Cal...................Wichita, Kans...............Youngstown, Ohlio...........

!Deaths.

..........

..........

..........

..........

..........

..........

..........

..........

..........

..........

..........

..........

.....................

..........

..........

..........

Cases.

1116

4135

1

51

2

1799 October 18, l '.)I8.

SYPHLIS.

Cases Reported in Extra-Cantonment Zones, Week Ended Oct. 12, 1918.

Calcamp Bowle zone, Tex ........................('amp Eberts zone, Ark.......................Camp Funston zone, Kans....................G(as and Flame School zone, Ga...............camp Gordon zone, Ga........................Camp Greene zone, N. C......................Gulfport health district, Miss..................Camp Jackson zone, S. C......................Camp Joseph E. Johnston zone, Fla...........Camp Lee zone, Va...........................Camp Logan zone, Tex........................

es.9127

1811I

13437

Ca-%s.Camp MacArthur zone, Tex ...................It1Camp McClellan zone, Ala ..................... IFort Oglethorpe zone, Ga. and Tenn...... 35Camp Pike zone, Ark ......................... IPortsmouth and Norfolk County health dis-

trict, Va ................................ 3Camp Sheridan zone, Ala ..................... 7Camp Zachary Taylor zone, Ky ............... 45Camp Travis zone, Tex ....................... 7Camp Wheeler zone, Ga ............. .......... 21

TETANUS.

City Reports for Week Ended Sept. 28, 1918.

Place. Cases. Deaths. Plae. CRs., Deaths.

Chicago, Ill I........L......... 1,osAngeles, Cal .............. .......1KansasCity o........ 1 I,Aa ........... ..........

limcoln, Nr ........... 1 Philadelphia, a........... 1 3

TUBERCULOSIS.

Cases Reported in Extra-Cantonment Zones, Week Ended Oct. 12, 1918.Case Cases.

(las and Flame School zone, Ga ............... 1 Camp Zachary Taylor zone, Ky ............... 14Gulfport health district, Miss .................. I Camp Travis zone, Tex ....................... 20Camp Hancock zone, Ga ...................... 1 Camp Upton zone, N. Y ...................... 3New London sanitary district, Conn .......... I Vancouver zone, Wash ........................ I

Camp Pike zone, Ark ......................... 1 Camp Wheeler zone, Ga ....................... 3

See also Diphtheria, measles, scarlet fever, and tuberculosis, page 1801.

TYPHOID FEVER.

Cases Reported in Extra-Cantonment Zones, Week Ended Oct. 12, 1918.

Case.Camp Beauregard zone, La ....................

Camp Bowie zone, Tex ........................ 5Camp Dix zone, N. I .......................... IGas and Flame School zone, Ga........ . 5Camp Gordon zone, Ga........................ 1Gulfport health district, Miss ..................

FoiFt Leavenworth zone, Kans................. 3Camp McClellan zone, Ala ..................... 2Now London sanitary district, Conn.........-

Fort Oglethorpe zone, Ga. and Teun..........Camp Pike zone, Ark ......................... 4Portsmouth and Norfolk County health dis-

trict, Va ...................................ICamp Sevier zone, S. C ........................

Camp Sherman zone, Ohio ....................

Camp Zacbary Taylor zone, Ky ............... 2C'amp Travis zone, Tex ....................... 6

0etaber IS, 1SI. 1800TYPHOID FNVER-.Continued.

CM hprt for W"k Mm"4 860 25, 1518

Place.

At)erdeen Wash..............Akron O hio.................Allentwr, Pa...............Ann Arbor MicbAnniton, Ala...:::::::Ashtibusl, ohio.............Atlanta, Ga..................Attleboro, Mass..............Baltt eRMd................

eav Fas, Pa.............Bellaire, Ohio...............Beverly Mass ...............Birmingham, Ala.............Boston, M1as .................Bridgeport, Conn.............Buiffalo, N. Y*................Butler, Pa...................Cambridge Mas.. ..........

Carnegle, a.

(. 01, IIL.................(Chambersburg Ia............

arteton, s. I ..............Charleston W Va ...........Charlotte, I. C...............Chattanoga*, Tenn...........ester, 1a...................

,aill ...................Chicopee Mass...............Cincinnati, Ohio..............Cleveland, Ohio..............Coffeyville, gans.............

Concord H...'O(rtMd, i. ...........Covington Ky...............Denver, Cole...............Duirlasn, N. C.........Brie, Pa.....................Pairmont, W.Va.Pall R1vet, Mass..............

e, P ...................Findlay Ohio-..............Flint MichFort bcott, Kans.............Fort Wayne nd.............Fostoria, O io...............Galesburg, ................Grand Kfch...Greles, 6..................Greensboro, N. C............."i~vlle S.C ..............

XiartLerd,globoken N. J..........

JaDI Y............kankakebe, W...............

Soun P ...............

flzO'm.................Cam Kams ..........C MOy..............

Kokomo Ind.La Pay¢tt n .......Leavenworth. Kans..........Lebanon PaLima, Olio...Little Falls, N. Y............Little Rock Ark .............Long Branch, N. J ...........Los Angeles, Cal..............Louisville, Ky................Lowell, Mass.Marinette, Wis.... ....

MeKeesport, Pa..............Medford, Mass ......Memphis, Tenn.......

Milwaukeee, Wis .......

Minneapolis, Minn.....Missoula MontMobile, Ila..-.

ICams. I Deths.

20t

3

5

3

29

1

9

4

13

14

14

3

1

13

219

29

9

3

...41316

9

4

2

2

4

1311

1

3

2

1

S

11

1

7

1

5

2

1

2

2 1

1

10

1111

7

1

5

1

5

7

5

5

4

7

..........

..........

..........

.iX

..........

..........

.2

..........

..........

..........

..........

.a

1

..........

..........

..........

..........

..........

..........

1

..........

..........

..........

..........

..........

..........

..........

..........

..........

..........

....................

.........

1..........

..........

..........

..........

..........

'''''''''i

..........'''''''''i1

..........

..........

..........

..........

II

olihe, Ill....................hfontgosaery, Ala.............Morgantown, W. VW..Morristownr N. J .............Mount Carmel, Pa............Nashville TnnnnNewarkc, k.J........Now Bedford, Ma........gewcastle,jhd..............Noewatle, Ps................Now Haven, CO ............Now Orleans La.............Now York Y.............Notfolk V^a.........North 1raddock 1'a.

North Tonawanida, N. Y.....Oil City, PaOmaha, Nebr.................'awtudket, R. I..............

II ..........

PittsburPa l'a...............IPliqnfll, W.ioJ.................Plymouth Pa................Pontiac, ich ...............Portlaod, la................Pontsvlac Pa..................Providence R I.............Rahwayill,W. J.................RI drak.PR.I...............fahway, N'. J..:........Reading, Pa..........IRedlands, Cal................Richmond, Va...............RivRlide, Cal ................Roanoke, Va. ..........ohestr,N. Y. ..........

1: ocktford III.........St JSt. Loui"E No................St. Paul,'inim.::..::......ISandnskyl Ohio..............Saratoga Springs, N. Y.......Svanah, Ias................Scranton l'a.Seattle Wash.Shamioiln, la'................Sharon, Pa...................dim ais, S. Dk.......Southbridge, Mass............Spartanburg, S. C............Spokane, Wash...............priagfii, Ill...............

Springfild, .............Springfield Mo..............SprRIM Ohio..............Eteub^^le Ohio..... .......Sunbur, Pa..Syracuse, N.Y.taeoms, Wash ...............TalintoD MSa"........Toledo, 6bio..Topeka, Kans..............Trrenton, N. J.................Uniontown, Pa...............Waco, Tex...................Walla Walla, Wash...........West Chester, Pa.............Westfield, Mass...............West New York, N. J........Wheeling W. Va............Wichita kans................Wilkes arre, Pa.............Williamsport, Pa.............Wilmington, Del.............WinstonSalem, N. C.........Yonkers, N. Y. ...........Youngston Ohio...........Zanesville, Ohio.............

.m.

4

12

4. 48

.1132241

48

1

22

1:13

2

1

.I

12

,11

14

4

1

22

14

3

41

12

6

1

1

41

1

1

11

1

12

6

3

1,

Deaths.

.4.

.' i

*..-.-.....

...----.--

.I*e

..........

..........

..........

..........

..........

..........

..........

..........

..........

..........

..........

...........

..........

..........

..........

..........

..........

1......... .

..........

. .........

.. .. . .. .

. . .. ..... .. . .. . .

11

-I

October 18, 1'sIs8. '

DIPHTHERIA, MEASLES, SCARLET FEVER, AND TUBERCULOSIS.

City Reports for Week Ended Sept 28, 1918.

City.

Adams, Ma....................Akron OhIo....................Al , ...................Alexdra, La..................Allentown, Pa..................Alton, Ill........................Altoona, Pa.....................Ann Arbor, MIich...............Anniston, Ala...................Ansonia, C nn..................Appleton, Wis..................Asburv Park, N. J ..............Ashtabula, Ohio................Atlanta, (Gs.....................Atlantle Citv, N. J..............Attleboro, Mas.................Auburm, N. Y...................Bakersfeld, Cal.................Baltimore, Md..................Bavonne, N.J....Bearver Falls, 1'a.. .Bellaire, Ohio...................Belleville, N.J ..................Beloit, Wis......................Benton llarbor, Mich...........Berkelev Cal....................Bethlehem, Pa..................Beverly. Mass...................Billines, Mont..................Binghamton, N. Y..............Birmineham, Ala...............Bluefleld, W. Va................Boise. Idaho....................oston, Mas....................radford, Pa...................

Brazil, Ind......................Bridgeport, Conn...............Bristol, Conn...................Brookline, Mass.................Buffalo, N. Y...................Burlington, Iowa...............Burligtn, Vt..................Butler, Pa.....................Butte, MSont....................Cairo, Ill......................Cambridge, Mas...............Camden, N.J...................Canton, Ohio...................Cape Girardeau, Mo.............CareSie,Pa.................Ceatralia, l l..Va..............Charleston,N C.................Charleston, W.eVs..............Charlotte, N. ..................Chatana, Tenn..............Chelsea, Mas...................Chester, Pa.....................Chicago', Ill..Oi................Cincopee, Mass................Chillicothe, Ohio................Cincinnati, Ohio................Cleveland Ohio................Clinton ias..................CoffeyvCille, Kans ..........Cohoes N.Y .................

Concorda *pnsH .o.....Coum O i.................Corpus Chiristi,iex.............Cosna, Tex..................C tland N Y..................Council Alffs, Iowa............

Popula-tion as of

July 1, 1917(estlinated

byur IJ.Bureau).

14,40693,60428 4.336lf',.326.5,10923, 75359,71215,04114.3q616,95418,00414, 6"22,008

196.14459,51519,77,637,8"317,543

594,63772,9041.3,74914,57512 79718,54711,09960,4'"714,35.322, 1981.5,1"354,884189,71616, 1'335,951767,813114,.54410,472

124, 74

33$ i6475, 78125,14421,80228,67744,05715,995

114, 293108,11762,5%611,14611,96311,83861,04131,06040,75961,57548,40441,857

2,547 20129,95015, 625

414.248692,2591 13,07519,35125,29238,965220,13522,85810, 78910,06613,32131,838

Totaldeathsfromall

causes.

2322

154

816

92

3

36

1.515

41

199

18

15

3

360145

28

.5

19

104

3.1.

1455.

3.140

lhtnip

.6

I'

.....

.....

.....

a

.....

.....

.....

2

.....

37

13.5......

...i..

35

.... ..

10

3

......

1

18

141

I......

14

4'~41

1937

1.............15

24

6

.. .

129.3..7. l.

lheri

9A

....

I,

,a

i.

1..

1..

1.

......

2..................

......

I......1......1--

1......e......

21......

1----.1--..

-..1- -"1--..

-..1---.1 --.1-- -.1----.

Me'asles.

I.-

......

......

......

......

12

,...i..

...

...

10

I- -I4 ij

! Healeitfever.

C,

el!

.:.. . .. .....

.... ...................I. . .... I...........

I... .. . . ...I-

,......

9

,......

1......

1^}.... ..

2

......

2

I

4'21

612Z..... W

I

21

9904!l2i-1

......

3......

......

.... ..

.... ..

27

13l............

......

II......

' - -' --- I,

......

......

......

......

............

....................,......,..................i......1-|............

t......1 -lt-t.....t.....

1----1......

f.....;.....

2..........

t.....

;......---

--1------§......[......I''''''1......1-----1......[......!.....1------1------11;;; . we!----- |1* * . e l...... ..... I

1 1.... - -w

;......

......

......

7.. ... ... ... .... .

. JL

.i......

. I.. . . ......

25

......

... .......

2 .....

... ......

...I. ......

5.

4

3T 4

I

1.

1+

10

, ... ......., .... .......4 2

1 1l

a Population Apr. 15, 1910.

1801

Tiuber-CUJOSiS.culosis.

4.1W

,.a

.....i. .. .....

4......I................to1,......

Is

I

1.

I

I1. .

iI15

r. .. .i.. . . . ...

2. .::. ..

. .. . .. . .. ...

I. ...I.. ...

......

......1 2. ----- :.......I

O.toter is, 2*15

DIPWITIRUJA, M 6ASLUM, SCARLUT FVYUR. AN1D TUR0j-.Continuetd.

City Reports for Week Ended Sept. 28, 1918-Continued.

('ity .

Ovmbcu1..................OwatR...................e3nu1 d...............p.

n port ...............er ..ve.V .o.o..B.ssMo4n.es,Iw-wa.tF

I e, ver.... U...Ilzbuqe, ow...............1Kinn

p1atig:1ar,wN.L..................E;ira NYo, Ia ............

Ehst. Pa.....I..............E;-Ot ....N................! MD,NbaJ... ...........

Ugi, Xl.,y..................._.

... ................v-- - -

ad J................m1! .'..................

g...................- 1....................4w-s,ggs....................

Fek dt, k.6ss,-,.........

Ert YWS. Vst..............Flvfrz Mass ................

N, Te'................1 , dOuhia...................OAJ7, IOD.~..............

(3.rdne,Mass.h

'3aaZvaW. Y...............FZ~~ ~~~yPo,Ts.............orig~~~Eho..............G 41.'..................G T...............

enf ~Mass..................

'kesvileN.Y..........

(belaZ....................Sii..................

C*wva N.YC.................CQ}-ailleid,MS. tC..............

eenwi, Con...............ckeniack $1. J ..............oo,Ms...............eekw, . M...............X,. ~~.................

CA .i ................

kao-,Mieh...............

Jgmestwn.N. Y.

Jpieda ,'is.................oltobt . ....................]utopN.cx ..................

ut .....lan.............massen^ ..................

TexiK --..................MOaqw.Y................vl NL ..................

asrsN. I................J.,.Y...............XnP4 ...... . .

nrka=, ill, ..........ciasty, Kan..............

AO...............Te,................

Pop9la- Tot Diphfthr,lulp 1,1917 deaths(esaimate4 from

onsus eauses.Bureau). Q U

59, 623 it 2 126,773 12 ......2i,6i'- 6 1.129,73 ' I21 1.32,969 i1 2 149,ils .... 4....2, 4,39 78 3..101 L'.... 11 ...

13'276 9 ...... ......0,1)96........ ......

97'07 I8 .26,160 $ 2 ......

321E: 14 ...... 1$44 ........ ...... . ......

,761 3. ......

18,887 ..... 1.28,562 7. ......

38,272 1 3 ......76,592 . 2..4.... ......71 t,'.. .. 4 .....

14,257 ...... .. ......29,3044016040160 28 ..... ......

16,111........ 3.129.828 60 3.17,873 2.1145 6.. ......

21,486 7.......10 564 8....78 014 - 19 ......

1)99,597 15 1.10,W9 3......24,629 7. ......

42,60Q 17 ......17,634 1 1.13,915 5. ......

132,861 40 7 i11,942.3,017 7...12,251 4..... ......20,171 5..... ......18,574 7 1.19,594 .. ...... ......17,412 4... ......27,016 4 1 .....17 ...... ......

11.2,831 ......... 4.17,357 . 1......I...1.49,180 1 2.28,981 . 1....78,324 15 6 312,459 1. .....

86,5(3 21 1.110,878 39 1 115,111 ........ ............

11,964 4... ......35,996 16- .. ......37,431 12. .. ......14,411 5... ......

312,557 ...... 12.10,678 1....... ......Ms 473 is......z,I......:1no ... ~.... ....11 2473.1

10 8 78 11 .....

1 t Apr. -it 9Popuion Apr. 15, {9".

Scarletfever.

Tuiber-cutlosis.

IQ

11T-I 2

e r 7

......

.......,I

......14......

......I

......

......

......

......

......

......

......

......

......

P * . - --

......

......

......

' *'i1

I ifeoles.

2

''''i'

''''i'............

6....................................

9...............................................

14

......

......1

............

......

......

......

......

......

......7

......

......

......1

...........

......

......

......

......21

1- i

3

I

......

a,

2,

1'''

1a

***I24

1.

......

......

......

......

......

43

'''i1

....i..

......

......

......o......

4. .. ...

... .. .

......

......

I

5..............................

......

......

14

I 1

.... ..

111a

21

......

IIii

.''i

.2..

1...

.wei

.2v *

3*s

9**

3.te

e 18m

TP

T f w! f

1803 Oetaber 18. 19M1,

nirIlTERjIA, MIRASLEN, SCARlEBT PRVVIR, AND TUgERCULQ$lSI-Continued.

City Rpwt. for Week Eadeil Sept. 28, 1918 -(ontinuted.

(ity.

1KCokomo, Ind ............(#ckawWna, N.Y.Lp Crowe, Wi ..L(Aayette, nId .

14ncaste!, Ohio1L4ncaster, Pa ..

Iavenworth, Kans.Lbanop, P ..14xingtop, Ky..................

4 oa ..... .....llcl,Nbr...........,.|

LIneo1als"1.y..............1 .AritBk .A k

I+rk, Ar

o...................l.qag Beach,1.................Tp, Oio .n. e.C1.

Jmfsvile"I.sWellM ss..........

s,prt, 4'.K tokoep,Ir ...............

on, Wis . .-.l

ter, coup ..

rSalOW6 EWIQs ..... .....

onln'ds1.....................r4i,Xallto, Iwa..eloe4 .................

~~~x .~~......Smp1,TenpI.

*}Xsn Nyt Ind.............

nea, 1g.Xn.- -.- ---- -....MQe g. ........-.-..-.-..-.-..-.-.enPA ................tJir', j.g--yry, Aa..

tj wn , Va .

unt IeQ,Ob................ticolce Pa ..............

Ohio............

hgle Terni.................e....... .............

fpr .................urg,N.-y..bYo t law .............

. s rateIi................

Sw C*sUc, N, ............V vel, CoL.............

Qleans, ............5Swport,Ky.- .............

N^ Lass ..............lN> ;t y................,.I

SlgrnaU.Y................Mprfolli, Va.............B s.t ~~.............-1;.Y

I'opulation Ws ofJuly 1, 1917(estmltedbh U. S.&nsusBureau.

21,92916,21931,83521, 48116,08851, 437'19,362q1 94741,09737,14S40,95710'47313 85358:71622,16338t 263f

535,5 4A5240,808114',3633,4971o' 51420' %9531,31552,243R95'13s93i1

1'123114,51912,76426,6847, 724'1587714,3W121,913

445 008373,44819,07559,20127,97623,070jt,08744,03914,44413,41020,70910,'87725, 653 123,$1127,541

118, 36418, Ng9121,02223,8.9315,23114,14441,915

152,275377,6t032 13344,345

5,737,49238,466(91,96893i

1Omf1060x

Totaldeathsfrom611

cauises.

I 1'31216

7

1112

6I8

l726010.3

. 10374748672

259

Io48

107888176

l1324

2

421146410171

46~1208

38

11

7123

Diphtheria.Mzeales. |,4carlet TiulDiphtheria._Aeasles fever._--' !(

...... .... ..'....~~~~~.

. 4 ~~~~...... ..... ...... ....

...... ...... ...71. 3.

1..K......1 ......i

...... ...... .. ..

.........? 3 10 Ij

10.... .f 2. 12....... 2...

1... .1.... I~~~~.......

1..... I .20i..... 1

10 2 jj 2'i.... 12

30 1 7 .'..' '. 16

.2 ... 2....... j

.. ...... ...... - ----- ..... .....

1i----; ''' ''''''1''''

''.. ...... ...... ... ...... t f...... .. .. ..

..... '''--i'-''.....

410 2 .il i1i 2 2

.. 4...... 1..3) ':::.:.:. 4

1 ....... ... .1

.:.. .......30 4 ..... ...... 161,,,,,,l

-.127 ........11

2 1. ----I .1... .- ------301 31 3, ~~~~~~~~~~~~~~......'.. i....

f.

4 26t ...fi t 3 ------ ..1l5 -'---I}

2.1- ..t.... ...!..- - ---- --- -- --3 1 . B--..........-.--1-

..j- . ........ ..1I-- i l

.... ................ ...... .......

.i_

.i.3

1

21

!7~....

....3

1...

......

.....

apopllation Apr. 15, 1910.

October 18, 1918. 1804DIPHTHERIA, MEASLES, SCARLET FEVER,k AND TUBERCULOSIS,

Continued.

City Reports for Week Ended Sept. 28, 1918-Continued.

City.

Norwood,Ohio..........Oakland C al...... ......Oak Parn Il ..........

Okaom it,OiaV .. ....Olean, N. Y ...........Omaha, Nebr ..........OageN J

Oshkosii, Wi;:::Palestine, TxParkersburg, W. Vsa.......Pasadena Cal..........

Pa.t...k....R....Peabody ..........

Philadelphila, Pa.........Pitburgh Pa..........

Pittsfield ifasPlainfield, N. J:X.:'Pymouth, Mass.........Pymouth, Pa..........

otChse,N. Y........Prld,Me ..........

Quincy, Il

Rce,Wis ...........Rha,N. J ..........Raeg,N. C ..........

River-side, Cal ..........Roanoke, Va...........Rochester, N. Y.........

Ilck Mont,N.C.........

Stomeu,N.YSacrAmgento, Cal.........SagnBeaw,din,Chl.......

St.eJosep, Mol..........St.nPaul, Men...........San Fangelo, Cxl........San Boeradn,Cal...........SantDiegor,Cal........

Santa Cruz, Cal .........8aratNSYp.rins,.N..Yalte. marie, Mich......

Savannah, GIa........Schenectady, N. Y........

Sharon, Pa............Sheboygan, Wis .........

Popfjla.tionasof Total

ateds deaths

bnsu8 casm.

Bureau).

23,29 a.206,405 43

82,343 6

20,162.97,58816,927 6

177,777 27

33,636 13

36, 549....12,075 3.21,059 3.49,620 2

74,478 17

60,666 28.18,785 14

19,034 4

72,184 17

1,735,514 58R714,275

39,678 124,330 7

14,001 16

19439.....

13624 4

18,006 8

16,727 2

64,720 28.22,717 ...

259,89536,832 7

39,021 96.47,405 2110,361 2

20,274 10

111,607.....14,573 31Ii8702 43

20,496 6

46,282 10

264,714 68

56,739 12

29,452.....12,673 4..

24,259 .....

15,038 4

68,984 21..56,46986,498 28

768,630 192

252,465 47

121,623 19'10,321 4..

17,616 1

56,412 20

20,226 4

11,217 3

471,023 116

39,810 .......

15,360 3

15,1150 4

13,839 5..

14,130 6

69,250 17

103,774 21

149,541 ...366,44521,274.....19,156....28,907 5.....sPopulation Apr.

Diphtheria. Meales. Scarlet Tuiber.fever. culosiS..

.12 ....6 5

. 2..1....2.

1....... 2.... 3 2

1.. ...... ...... ...... ...1. .49 ..11 16 ....133 5t1

2 1.......... .31.2i121.21.2.1.1

.... 43... 112 ...2 . . 2 . . 5

1. .~~~~4... 2...

1.. 11......... ...... . 2

3...........6....23 .2...

2 2.......1.... ......

1 .... 3 22' ...... ...... ... . 212 2. 3........ 229 4 8 5....42 1613 1...I ... 6 .... 13 1.25 1 4 .... 21....... . 3

2 j.~~~. ........1....1...9....4.....

8.i 34 .... 9.... 26 9

2..... ........12............. 2.... 2 14 1 1 ... ... 1.. 1

6 1

15, 1910.

October 18, 1918.

DIPHTHERIA, MEASLES, SCARLET FEVER, AND TUBERCULOSIS_Continued.

City Reports for Week Ended Sept. 28, 1918- ('ontinlled.

('ity.

Shenandoah I'a...............SiouxCit ,owa.................

Not

. ..............SouthBe nd................

lothbri , lss.............SpnbuE 8. (...............tSkdse, wh...............Spe

d IIll..................'. i.....o..........ringflld, Mo..................

Old,o...............

Steciton,Pa.....................Meubenve Oho..............Stockton Cal...................asto r, i...................Sunbury, Pa....................Superior, Wis...................Syracuse, N.Y..................Tacoma, WUash .................Tainton, Mass..................Terre,Hatlte,Ind................Toldo, Ohio....................Topeka, Kam .................

Trenton, N. J..................Troy, N. Y.TuscaloosaAla.Vallejo, CaiWaco,T ex......................

Waltham, Mass................Warren, Pa....................Wausau, Wis..................West Chester, Pa.............Westfield, Mass.................

WYest Hoboken, N. J............WestNewe York,NNJ...........

Williamsport.Pa.............Wilmington, Del................Wilmington, N. C..............Winheester, Mass..............Winona, Mian..................Winston-Salem, N. C............

tiBthrop M ass.................on,i ..................

Worcester, Mass.................Yonkers, N.Y.................

Youngstovn, Ohio..............Zanesville, Ohio.................

tionJuly I(estinby Ia~r

2

51

111I

'l.415,11a

es

1416

4715111736ff7

2024011378101334311.51913is

4419_497834~95'.3010

18,33,13,

166,103,112,31,

Scarlettli1a- t)|Diphltheria. I eis'ts. Tubeer. (11105s:as of ITotal e. clss

,1917 deathsnated' Trom _ . _J. S .Jgm icansfes.

),753.....3.........I~~~,1S7 I~~.... .. .. ... ..

9 7 ~~~~~~....... :...... .. .... .. ....W...... ...... .. .....X,568 2 .... . ...... .. -... -5,97 12 -w i-s1...... I ..... ..... ..... ....., ~~~~~...... ....... ......I

4 ......... ...............t ....

........

,985 7 7 .- ......................

to f I ...... ... a ............ ...

,23 19 f ....... ...... ...... 216 .......-! ... ...... ...........

1,169 14 .16. .......

279 -2 ....... - 31 -............. 16

750 24 ...... I .- '

),~~~~~~~....... ...... ...... ...................209 11 1 ...... ...... ...... ......

5a 97 6 ...

.. . . . . . ............661O 2....... I ...... ...... .. .. .. .......... r1,167 9 1 3.... 1

1,559 76 5..... ...... 6 14446 3 ...... ... ... 6 ................

,610 i2 ff...... ...... ..... 5

,361 2a5 1........ 3

:,0i6 70 2 2 5

if38 0 4 1 ..................2......;,974 39 6..1,

,(094 29 1 ...... 2 . . . 3 4

,803 4 1 ...... ...... . '

,015 7 2 .. . . .

poll 2 ..j . I0116 11i i 1 1- - -I,666 2 1.... ...... ...... ......

,403 1.... ............

,,69 ... 1,386 1

6133 -

....

--''

....... . -.

34I:

l i -l ''123.....Ia400 21 ,....... .... ........8412 3 4 I...... 1 . .... 2......'8123 622.-- .---... ..... ......136 9 1... J..'' -IIt -

'.. . 3 3

,136 11 7. . 3 2405 9......

21 1... .1.'106 139 4 1 2 1 1 ...... 5066 4.... ......

282 8 i ... 81320

....

. - - I ......

'Poptlation Apr. 15, 1910.

1,805-

1'ol)

FOREIGN.

INFLUENZ& ON VESSELS.

Steamships " Brazos "and " Benevente "-San Juan, Porto Rico.

Influenza has been reported as occurring on board the BteamshipsBrazos and Benevente from New York for San Juan, Porto Rico. TheBrazos arrived at San Juan September 19, 1918, with a history of theoccurrence of the disease during the voyage. Eigh cases werereported from September 19 to 26, the date of the vesel's returnsailing to New York. The Benevente arrived at San Juan with 48cases on board, having sailed from New York about September19, 1918.

Steamship Adonis-CienfuegosA case of influenza has been reported on the steamship Adonis

(American) which arrived at Cienfuegos, Cuba, October 7, 1918.

AZORES.

Sickness on Steamship Shimsei Maru-Ponta Delgada.

On September 16, 1918, the steamship Shinsei Mfaru arrived atronta Delgada, Azores, with aU the crew sick. The nature of thedisease was not stated. Six fatalities were reported among the crew.

BERMUDA.

Influenza.

A epidemic outbreak of influenza in Bermuda was reportedSeptember 25, 1918.

BRAZIL.

Influenza-Pemnambuco.

On October 8, 1918, epidemic influenza was reported at Pernam-buco, Brazil.

CANADA.

Influenza.

Influenza lhas been reported in Canada, according to Provinces, asfollows:

Manitob'a.-Present at Winnipeg during the week ended October5, 1918.

(1806)

tober%1. LU91

CANADA-Contiued.Ink_k%"atiaued.

New Bruntwic*.-Present at Moncton October 7, 1918.ANova Scotia.-Proent at Halifax, with 26 eases notified during

thle week eiided October 5, 1918; present at Sydney. Oetober 8, 1918.Ontario.-Present at Hamiltoni with a tottal of 472 cases from

September 30 to October 12, 1918. Present tit Kingston and thesuburban towns of Catararqui and Portsmouth October 5, 1918;20 cases among soldiers. Present at Precott October 12, 1918.Quebec.-Epidemic influeniza reported September 28, 1918, to bo

spreading at Quebec. An outbreak of influenza wvas reportedI Sep-tember 21, 1918, at Victoriaville, about 70 mniles from Quebec. The}isease first appeared in an educational institution.

CHINA.

Pgue-tncte4 Ia--Homgkong.Durinig the two weeks eadek August 10, 1918, out of 3,793 rats

examined at Hongkong, 16 were found plague infectedi.GUATEMALA.

Influenza-Guatemala City.

Influenza was reported present at Guatemala City October 11,

INDIA.

Influewa-Bombay.Tlhe lhealth officer at Bombay, Inidia, made a report in July, 1918,

on ani influenzalike disease then spreading throughout Inidi. It wasstated that the disease was introduced at Bombay from overseas by atran-sport which arrived May 31, 1918; that by June 22, 1918, the dis-ease had become epidemic at Bombay; and that it was present inJuly, 1918, at Calcutta and Madras.

MEXICO.

Influenza-Piedras Negraa-Viciuity of Sabiuas'Under date of October 11, 1918, an estimate umiiber of about 1I0(

cases of influenza was reported at Piedras Negras and 1,500 cases inthe miiining section near Sabinas, Mexico.

Quarantine Against Arrivals from Spain.

According to information dated October 11, 1918, quarantinemeasures have been ordered by the Federal Board of Hlealth i(Mexico to be enforced at Mexican ports against vesels anivitig fromports in Spain.

I rw4*agme B, 0e - It, W'. ,F 11

1810T

October 18, 1918,, 1808

PORTIGALInflueza-Lisbon.

Under date of September 30, 1918, epidemic pneumonic influenzawas reported to be increasing at Lisbon, with many fatalities.

SPAIN.Epidemic Influenza.

Epidemic influenza with typhoid complications was reported,September 28, 1918, to be general throughout Spain.

UNION OF SOUTH AFRICA.Influenza-Cape Town.

A severe epidemic of influenza with many fatalities was reportedOctober 8, 1918, at Cape Town, South Africa.

CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER.Reports Received During Week Ended Oct 18, 1918.1

CHOLERA.

Place. Date. Cases. Deaths. Remarks.

Indo-China:Cochin-Cbina-

ai ¶on ... Aug. 12-25........ 11 6.rhilippine Isl;i1;i;:

Provinces .......... Aug. 11-17, 1918: Ce..... 169;Bolhol .. Aug. 11-17........ 33 21Ceb ..... ..... . do.24 13Misamis ....d..... ..o. 82 40Oriental Negros........do ....... 9 7Sorsogon ..... ..... . do .......... 6 1Surigao ....d..... . do ........... 6

Provinces ....... ............................... ........ .......... Aug. 18-24, 1918: Cases, 142;deaths, 84.

Bohol .. Aug. 18-4. 25 27Cebu ........... .... . do .......... 48 24 Not previously reported.Misamis ................ . do .......... 6 5Oriental Negros ........ ..... do .15 10Sorsogon .......... ..... do .......... 0 1i8

Provinces. . .................................... ........ .......... Aug. 25-31, 1918: Cases, 136:deaths, 67, including 21 deathsnot previouisly reported; Bohol,1 case; Cebu, 44 cases, 21 deaths.

Bsohol ..Aug.25-31. ......2213Cebu .... ..... d4.............4 21Misamis ....d..... ..o. 23 8Orietntal Negros ........ ..... do .......... 5 3Sorsogon .... ..... . do .42 22

PLAGUE.

China:Amoy......................

cxuador:Guayaquil .................

Indo4China:C'ochin-China-

aigon.................Siam:

Bangkok..................Straits Settlements:

Penang....Singapore.................

Aug. 12-18 ...---..--

Auig. .....

Aug. 12-25........

July 28-Aug. 10...

.....do.Aug. 11-17.

6

9

4

1

I From medical offlcers of the Public Health Service, Americau consuls, and other sources.

Present.I.........

8

41

6

180.9

CUPIA, nWTE SMAIAPOK, 1MBTS FEE AND'M[OW FEM-Nwfivud.

Res Received Wit lg WeekEndrd Oct. 18, 1948--ontimtd.

SIALLPOX.

Plamc. Date. Caases. Deaths. Itenarks.

Canada:Nova Scotia-

Halifax .......... ...... .ept. 22-2X.......1 31........Cum* Zone:

4ft aama............ Atig. 12-,S.pt. 2!S 57 j.............,Cla: A 1';~ rset

Amoy ........ Aug. 12-18........ .... ..ug....(Aspqsn (Korea): I-bmulpo ....... Jy 1-31.......... 2Th4Cba: 1

06chin-Ciia-ISaigon ......... Aug. 12-25........ 11l 1

Japan:P"obe .......... ...... Aiug. 1&-24 ........ . ..1 11

'Mexico City .......... Sept. 1-7 ..I........ 4 ....1efonadand sep.. .1 J.. ...a .Johns ...... Sept. 2-Oct. 4

I§hillpine Islands:.anhi'lIsla: A.Aug. 11-31. . 18 S Varioloid. 2 cases.

eille .......... JuVly11.....-.1.. 4

IEYPHUS FEVER.

ntung .... Aug. 19-25... . .........Chosen: 2'

Seoul ..........Jul.July 1-31.......... 4 2Mexico:

Mexico City .......... Aug. 1-25 ........ ...........1

YERLLOW 'FEVER.

Ecuador:Guiayaquil ............ Aug. 1-31 28 14,Naranjal ................... .do. 1 1.i.Punta de Piedra ........... do. ..\'ns.... ........

lepoits ?tteeWd -from Fuhe 29 to dct. 11, T9T8.CHOLIEA.

APiece. Date. Cses.

Albania ...................aHungary:'Hungary ...... ... .-

India:Bombay ................... Mar. 17-June4a...Calcutta .... Apr. 14-June 29 .-

Do .......... ........ 3-July6......... .............M.a. 7,i .1 .7

Do . .. JIly (-413. 1Mandelay .May 5-June 15 .............Mergui..MS 125..............Pegul ................M...... v 25-Junb I......1.Rangoon............ .3)May8.... Sii1D 0....J.....ta...2.-JUlylL3......... ... 2

Indo-China ... .................... .......

Anam.......Ma.r. 1-A4. o0._.-_Cambodia....................J.i-Apr. .

(hiCh in . Maya2.....0- ... -4.ColnChn........... May 20-Juit 16. 4Saigon...... r..M. -Au.4.... MI

Tonkin......J......m........... p7

........... Auig. 7, 1918: Present.

........... July 26, 1918: Present.

May31Y1%-June 1, 1918: Deths, 74.17

<4

19

1........... Jan. 1--Apr. 30, 191: Cases. 4Wf;

3. Idoatlg,S2.

4 My1 iD-June .ii, .W ;I '(`ses, 66:.......... eths .:s1

4&0"% t It,

October 18, 1918. 1810

CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER_Continued.

Reports Received from June 29 to Oct 11, 1918-ContinuedCHOLERA-Continued.

Place. Date. - ases. Deaths. Remarks.

lava:East Java-

Surabaya...............Do................

Mid-Java.......................

Samarang..................West Java.....................

Batavia....................Do.................

Cheribon...................Persia:

Provinces-Kars Province

Kazaroun..........

Mahour-Milati......

Kerman Province-Kerman............

Xhorasan..............

June 6-12.......... 13 3June 25-July 8.... 97 77.................... ................... .........

Julv 24. I, _............ .............

.................... ........ ..........

Feb. 22-June 27... 231 1 03June 28-July 18. .. 43 34June 7-27.......... 146

Scistan.................................................

Philippine Tslands:Provinces..................

Bohol..................Do.................

Cai..

Do.................Leyte..................

Do................Misamis................

Do.................Oriental Negros.

Do.................Sorsogon...............

Do.................Sur.igao................

I)o.................Russia:

Astara.....................

Petrograd..................sweden:

Stockholm.................

....................

Apr. 28-June 29...July 7-Aug. 10....Anr. 28-May 4.....May 5-June 22....June 33-Aug. 10...Apr. 23-June. 29...June 3)-July 6....Apr. 28-June 22...June 33July 20. ..

June 3-29.........June 3{-Aug. 10 ...

June 2-29.........July 14-Aug. 10...Apr. 28-June 22...June 33July 20. ..

Jan. 9-Feb. 27.....

........

65240

1

352031082

2947442

67

11285927

58

..........

53141

191222

163

23

35

100

6

89

7,

48

July 7.. . -........July 15............

Switzerland ....................................On vessel:

S. S. Angermanland........ July 14

a

8

I

1

Present July 24.

Apr. 18-June 26, 1918: Cases,1,4:deaths 653. June 27-July 10,1918; (5ases, 133; deaths, 108.

Present..Feb. 22-June 27, 1918: Cases, 1,432-.deaths, 869. June 28-July u1,

1918: Cases, 679; deaths, 418.

Deeember 1917: 3 or 4 deaths re-poted dbaily.

Present in December, 1917, withabout 300 fatal cases reported.

Outbreak, Feb. 5,1918.Oct. 2-Nov 16 1917: Cases, 78;deaths, 56 in 7 localities.

Nov. 4 1917: Cases, 6. A partofthis i'rovince or region extendsinto Afghanistan.

Apr. 28-June 29, 1918: Cases, 677;deats. 428. June 30-Aug. 10,1918: Cases, 628; deaths, 348.

In vicinity, Feb. 11-23, 1918:Cases, 17; deaths, 14. Prov-Ince of Transcaucasia.

Preset.

From B. B. Angermanland fromPetrogad, Russia.

July 26, 1918: Present.

At Stockholm; from Petrograd.

PLAGUEL

Arabia:Aden......................

Argentina:Buenos Aires.............Tucuman..................

Brazil:Bahia......................

Ceylon:Colombo...................

Do.....................China:

Amoy......................RIon kong.................to0.....................

Ecuador:Duran .....................Guavaquil.................

Do.....................

May 22-28.....I... I

Apr. 20-May 22... 16 2.................... ........ .......... IDnMarch, 1918; 3casesinaninsti-

tution.

June 16-22........

Mar. 23-June 29...June 30-July 6....

July 22-Aug. 11...Apr. 14-June 29...June 30-Aug. 10...

Apr. 1-30.........Say -June 15....July 1-31......

1

22

........

12113

121

I

..........

91

21.........28 10-I-I

Prcsent.

....... Feb.1-28, 1918; Cases,22; dcaths,8.

1811 *ctober 18, 1918.

CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AN)YELLOW FEVER-Oontinued.

Reports Received from June 29 to Oct. 11, 1918-ContiDued.

PLAGUE-Continued.

Pbco.

-1Egypt.........................

Port Baid..................Do.....................

Provnees-Assiout................Benlod.............Favoum...............

-Gizeh.................Keneh.................

IlW h..................,Do.................

Ireat Britain:Erwarton..................London, Port..............Rochester..................

India..........................Bassein....................Bombay...................Calcutta...................

Do.....................Henvada...................KarachL..................

Do.....................Madras Presidency........Mandalay.................Moulmein ................

Myingyan.................Pegm......................Prome...............Ranpon..............

Do...................Toungoo..................

JndoCbia ....................Anam......................Cambodia................Cochin-China..............

Cholon................Saigm................

gwang.Chow-Wan........ilw.......................

Tonkin...................Java:

East Java.................Residences--

DJo 3akarta..es .............

Madioen...........5amarang..........

Suraba ..........Surakarta..........

Mesopotamia:Amara.....................Bassora....................

Peru........................

Departments-Anahs...Cajamarca.............Libertad.

Lima.................Plum...................

Rhodesia ......................

Siam:

Bafk.....Straits Settlments:

Penang...........Do.

sin383ore..-

833P1

Date.

May 19-21.........July 4.............

July 27-29........Apr. 2........Apr. 21-June 27...June 30...........May 16............Apr. 23-June 10...

June 27-July 4....

June 19...........

Aug. 17...........June 2............

............. .....-

Mar. 25-June 15...Mar. 24-June 16...Apr. 14-June 29...June 30oJu1y 6....Mar. 24-Mav 11...

Apr. 21-Jime 29...June 30-July 13. ..

Mar. 24June 15...Mar. 17-Apr. 20...Mar. 24-Apr. 27...Mar. 17-Apr. 14...Apr. 14-June 15 ...

Mar. 24-June 15...Mar. 30-June 22...June 30-July 13...Mdar. 24-Apr. 27 ...

....................Jan. 1-Apr. 30.......... .do.

.....do.May 20-June 8....Apr. 2-Aug. 4....Mar. 1-Apr. 30....Feb. 1-28.........Mar. 1-Apr. 30....

.................. ......

Jan. 15-Apr. 8.......... .do.

.....do.

..... .do.

.....do

..... do.

May 21-27.............. do.

.................... ....

Apr. 1-1...........Apr. 16-May 31........ do.

Apr. 1-May 31.........do .. .... .

....do.

.....................May 10-June 20. ..

July 2-27..........

June 2-29.........June 30-July 27...Apr. 2-June 22....June 30-July 27...

Cawsei.

212210

3317

895

127

2902271286634

21

a133082-6012

4069

822463

G1S

Deaths.

.........

114

4

14

7501109

2180717

30262

127

101334418s0

........

2781216

3888219

.........U410308160

12

..................................^................

.....................

..........

t..........

6219

6

2535

Remarks.

. Jan. I-JulV 4, 1918: Cases, 438;deaths, 228.

1 pne3umoniic.

5 septicemic.I pneuimonic.Rural district, Samford, East

Siffolk.On vessel from Calcutta.From s. 3. Somali-at Gravesendfrom Bombay.MMar. 31-June 22, 1918: Cases,

162,564; deaths, 131,929.May 19June 1, 1918: Deaths, 30.

Jan. 1-Apr. 30, 1918: Cases, 722;deaths, 534.

May 29-June 8, 1918: Cases, 66;deaths, 30.

Jan. 15-Apr. 22, 1918: Cass, 328;deaths, 226.

June 11-24, 1918: Cases, 21;deaths 21. June 25-July 8,1918: e!ases, 16; deaths, 16.

Present.Do.

Jan. 1-June 30, 1917: Cases, 245;deaths, 122. Juily 1-DW. 31,1917: Cases. 169; deaths, 89.For distribution according toDepartments, see PublicHealth Reports, July 26, 1918,p. 1261. Apr. 1-May 31, 1918:Cases, 71.

Aug. .30, 1918: Present in north-ern Rhodesia

III

.

October 18, 1i1i. 1812

CHOLEA, pLGUE, SMALX, TYPHUS AND IULW fEYRt.

Olimtiuued.

Reports Received from Juue 29 to Oct. 11, 1918-Continued.

PLAGUE-Continved.

Place. Dato. Cases. Deaths. Remaks.

On vassal:1S. S. Hector................ Aug. 10 ........... ........ .......... At Gravesend, Port of London,4 mombara of crow.S. S. Moora ....... Aug. 31 ........... 3 2 At Dudee, &wt8ad, from Cal.

cutta. One of cass pneu.manmic.S. S. Somali ....... May 19 ............ 3 1 At Gavosend, Znga , from

Bonbs . Further case de.velopd Juno 2 in member ofcrow at R Enland.

S. S. Sunning .... 1 Loca t at Sghai; rcAported Aug. 14,198

SM%AILPOX.

Algeria:Do.:Algws.....................Do.....................

Brazil:B. ...............

Rio de Janeiro...........Do..................

Santos....................British East Africa:

Mombasa ...............Canada:

British Columbia-Victoria...............

Do .....Manitoba-

Winnipeg..........Do .................

New Brunswick-Moncton...............

Do...............Nova Scotia-

Halifax................Do............

Sydney ................Ontario....................

Windsor ..............Prince Edward Island-

Summerside.........QX*bee--

Montreal..Canal Zone:Panama.

Ceylon:Colombo ...............

Do . .......Cbns:Am .....................

Do .....................Antll ...................

Chn 9.................Do..................

D..m........ ............Do.....................

Halwa Statim..............Harbin...... ...... ...Mnchuris Stsion ......Honkong................

Dio ..... . .

Nanking .........Do... ..............

Shanghai..........Tientsin. ...... . ..Tsingtau...... .....

Po. ...................Colombia:

Barranquilla...........C agena..................

Do... .....Denmark:

Copenhagen................Do.....................

May 1-June 30....July 1-31.........

May 5-June 22....May 5-June 29....June 30-Aug. 3....Apr. 22-28........

1211

230

. 80........

Jan. 1-June30..- 1

June 23-29..... --

July 7-Aug. 3.....

JUm 9-22......July 7-20......

June 1-22.........July 7-13..: ...

June 22-28 ......June 30-Sept. 21...June 30-Aug. 31. ..

42

54

.24

10

.3

34..........

i..........4

171

S

........... ............ J . o 1 , 1s : Ises 15. JulyJuy2-7..... ..1 1-m 18 ase,38.July 21-27...... . ......... 1-31, IIRS: ca, 3 '

July 9-15......

July 7-13.......

Aug. 12-Sept. 5

Mar. 22-June 29.June 30-July 6....

Apr. 1-June29....June 30-Aug. 11...

May 20-Aug. 4....May 12-Juns 29....

July 21-27.........may 7-July 1......July 2-15..........Fob. -s18.......Mr. 20-June 3Feb. 1-Junet ...Apr. 6-June ..July 28-Aug. 3....June 16-22.........June 30-Aug. 17...Apr. 21-June 2May 19-June 1....May 6Jun. 3....uly 1-14..........

July 14-Aug. 31Kay 21-July 1.July 8-Aug. 19....

June 16-22...July 239-Aug. 17

1

1

23

304

........

........7

........

........

51624519I

........i

......i.Ile1284

3................

..........

2..........

.........-.

..........1

..........

..........' 10

..........I

21

..........

............

2I2

18

U..........

19cam fromone are; 4 scttered.

Present.Do.

Do.Do.

chinem FNem Wq.De.De.

Preet.Do.

181S Oftober 18, 1918.-

CiOLEA, PAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVERContinued.

Reports Received fronm June 29 to Oet. 11, 1918-Continued.

SMALLPOX-Continued.

Place. Date. Cases. Deaths. Remarks.

Ecuador.I liuayaqil................

Teandri................France:laRochelle ...........

Paris.......................Do.....................

Rouen.....................Germany.......................Grest Britain:

Liverpod..................Greece:

lalamata..................Inda:

Bombay...................Calcutta....................

Do.....................Karahi. .................

Do.....................Madras....................

Do.....................

doChna...................Anam.....................Cambodia..................Cohn4lhi..................

Cholon -..................Saigon.............

Kwang-Chow-Wan.I,aos .....................tonkin ....................

aeos......................Do................

Me juso..................

Milan......................Palermo....................Turin...................

Japan:

N asak..................Do...................

Taihoku..................Do.....................

Tokyo.....................Java:

East Java.................Surabay a..............

Do.................Mid-Java.................

West Java.................Batavia ...........

Do................Mespotamia:

Bagdad....................Do.....................

Meico:Agu lientes............Guadaljara...............

Do.....................atlan...................Do

o {................

Bay Roberts ........

Ca anv e.................Veai ....................

East WoberS...............ColLiers...........East Wabana........St. Johns...................

Do.....................Wabea....................Wdham"...

Apr.1-30.........

May 7-13..........

June

Apr. 21-June 29...JunelO-Aug. 17...May 12-June 1. ...--..... . .. - .. . .

'June 9-15..........

June26...........

Mar.24-June 15. ..

Apr.14-June 29...June 0-July 6....Apr. 6-June 29....JunelO-July 13. ..

Mar. 21-June 15...June3-July 13. ..Mar. 31-June 22..June 30-July 13............. ................

Jan. 1-Apr o30.........do...... .. .

May 20-June16. ..July 30-Aug. 4....Feb. 1-Apr. 30....Jan. I-Feb. 28.....Jan. 1-Apr.30.....

June 14-30........July 2-Aug. 15....May 23..............................

May 30 June 5....

Apr.1Juns 9....

May 2-June 30....July -21..........May 21-July 1.July 2-21..........5May-June 23 ....

Feb. 26-June24. ..

June 25-July......

....................

Feb.22June27....

June 28-July 18...

Mar. 6-June 28....June 30-July 12...

June 1016.June 1-30..........July 1-31..June 5-25...July 3-Ang. 6.May 19-June 22...June 30-Aug. 31...Sept. 16-22........

Aug. 234-ept 13. ..

Aug. 31-Sept. 6....Aug. 314-ept.13..Aug. 23 30........June 22-28.........Sett. 1-27........Aug. 31-Sept. 6....et. 7-13;........

2I.I.

I'

1,132

2

7718

81

1731,967

120

128

514

1930

16

14

18

417

2o,

1

........

47

3

782s

1.18

...........

553248

8192

2712

352

...... i..149

4867

....7..68I

55

57

..........

21-

2..........

..........

34

7

..........

.........

..........

..........

..........

..........

Including varJoloid.Mar. 24-June 1, 1918: Cases, 2g,

From vesel.

Present.

Jan. I-Apr. 30,1918: Cases, 4,04deathr, '&.May 20-June 16, 1918: Cases, 67jdeaths, 24.

Many cases. Province of Palexmo, Sicily.

In April 1918 Ca, 2. May 1-,31,191A: Cases, 54.

Island of Formosa.Feb. 14-Mar. 13, 1918: Cases, I.;Feb. 12-Apr. 22, 1918: Cases, 29ideaths, 4.

Feb. 14-June 26, 1918: Cases, 11 4;deaths 3. Jume 27-July 10,1918: ("ases, 19.

Feb. 22June 27,1918: Cases, 403;deaths 148. June 28-July 1S,1918: C'ases, 175; deaths, 70.

BMIlad4

1.

I

I

I1.E

I.......

I

IIA

. . . . . . . .

I. . . . . . .

. . . . . . . .

.........

I........-.0.... .....

Odober 18, 11P 1814

COLERA# PLAGUE, MA TIPSW nviWn Af)D rO m -' ~~~~Comtiau.

Repot Receive from June29 to OcL 11, 1918&-Otiuued.SEALL?OI-Co1thUS.

Pk=o. Date.

Pbilippine Islands:m&anila................... Apr. 28-Jun W..

Do.................. June 30-Aug. 3Portugal:

Lisbon ................... Feb. 24-June 29...Do ................... Jrtme 30-Aug. 3....

Russia:Archangel (governmcnt)... June 1-30.Lithua ...............n... Mar. 3-May 4VIO&TWbok ................ June 15-Ju .......

Slam:Bnakok....................lay I -Juane 20.

Siei:Do.................... July 14-27.....Vladivostok..................Mlay I-June IS..

Spain:C'oruna..................... Apr. 38June 30.

Do .................... Juy 15-Aug. 11...Malaga.................... De. 1-31.

Do.................... Jan.114Seville .................... Apr. I-May 31......Valencia ................... Aug. 11-17.

Straits Settlements:Penang .................... May S-i.

Stockholm ................. June 9-15.Tunisia:Tuni ................ Juy -Aug.23.Unioin of South Africa.

Johannesburg .............. Feb. 1-Apr. 30Onvessel .................... ....................

Icas. Ds.

884100

9753

0l2891

311

,*.... - -

........

,*.......

2

10

.......

37.......

61686

..........

..........

..........

82

31

16

..........

..........

..........

2

29....16....

Rol" m.

Variolold: Cam, 17S Ida.Varlolold: Cases, 5; 1 death.

I ese. At U ,rpedeEgld.

TYPIHUS FEVER.

Argentina:Rosario....................

Austria-funpry:HungaryJ ... ...........

Budps ..............Brzil:

Rio de Janeiro.............Do...............

Cainada:`Ontario-.

Toronto..............China:

Antung .... .........Do.....................-b...olI ................E Ha*K ......... ...........

Manchuria Station.........Pa>~~~............

Do...........Chosen (Korea):

Seoull......................Colombia:

Barranqula................Egypt:

Alexandria.................Do. .............

Germany......................

Great Britaini:Bels.....................Edinburgh.................Glasgow....................

1o. .....................

Apr. 1-May 31....

Feb. 25-Apr. 28...

May 26-June 8.Jly 7-13..........

Sept. 1-7..........

May 20-June 9....Juy 8-21..........May 11-17........Jan. 1-June 16.....Jan. 15-June 30....May 20-June 16. ..MayS-11.....July 14-20........June 1-30.Aug. 25-Sept. 7 ...Aug. 5-July 1.July 2-Aug. 19........................

Mlay 20-lun 1.June 9-15....May I-in2...u* 21-Atg. S....

........

51

2

I1

41

237414

17

1,362381

........

........

13

2

..........

1........ ......................

..........

4

2

321161..........

..........Ii

.........

Feb. 25-Agr. 29, 1918: Cas, 29;

On Chinese Eastern RByDo.

Apr. 14-May 11, 191& 0(_s S64;deaths, 4. Ia additOW 1Oiaase angwprluua.wrof which 9- Elhg and1iOOppeln d 3Ssamutgthe repa ^ dtr V6 ,"sat..

1815 October 18, 1918

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

Reports Received from June 29 to Oct. 11, 1918- (ontinued.TYPHUS FEVER-(Continued.

Place. | Mte. Cases. Deaths. Remarks.

(Greee: JaiaAg2 . 5Athens ...... Apr. 14--May 13. 5 |

Janina ............ Aug. 29 ........... . .1 IA.ndlinvXic inil X .

Saloniki ...... Apr. 28-Juno 29 ... ........ 36Do .Juno 30-Aug. 17... 9 36

Ica]oyrato ..... May f-June 2.. .. 4 .'rov incl of Rari.Do. ..... Aug.1S-24. 2.

Moneta ...... May6-Juno9 25 . ......... I Do.Naples ..... Apr. 20-May 5.... 1 .

Japan:Kobe ................... July 7-Aug. 3 10 5Nagasaki .................. May 27-Juno 23 1 1'

Do ..J..................u3-Aug. 117 1Tokyo .................. June24-July7.... .........1

Java:EastJava .................. ..................... ........ ........... 11e). 12Apr. R, 198: Cases, 29;

Surabaya.......... Feb. 12-Apr. o........ 22 f i deaths, 9.Mid-Java ......................... . ............ ...2.... IFeb. 14-lfay 22, 1918: Cases, 32;

Samarang ..... Feb. 21-May 22.... 10 2 deaths, 4.West Java. ................ .................... ........ e......... F6b. 2 ,June19,191: Cases, 80;

Batavia .......... Feb.2-June 6.... 61 15 death,lIR.Mesopotamia:

Bngdad ..... ..... Mar. 29-June 7. 1ot...0..01 .1.D)o .......... June.0-July 12... 5 .....

le,xico:Aguascalientes ............ July 8-14 ...... .... .... 1Chihuahua, State-Parral July 10............ .. ....... Epidemic: Rleported presentGuadalajara ....... June 1-30 . S , rom abotut June 15, 1918.

Do ....... July 313...5 21Mexico City ....... May 19-June 22. 186 ...........

Do .......... June 30-Aug. 31... 372 ...

Portugal:Lisbon ... Feb. 24-May 25...- 5.- - .

Siberia: 2:Vladivostok ......... May 1-June 15.. 16 2

Russia:Lithuaniau... .............. .............. Mar. 3-May 4, 191s: Cases, 2,514;

Poland.deaths, 100.'loland.....................*--- ..... iMar. 10-May 1%, 1918: Cases, ,93;

Lodz....MMar. 10-May 18.... 4-470 79 dealihs,h W''Warsaw .... Mar. 10-Apr.27.... 2,428 3767

Spaiii:CadiL .. Aug. 1-31 .......... ....... 1Almeria .... Apr. 1-30 . .... ..........

Sweden:Stockholm ................. Aug. 11-17 .............

Tunisia:Tunis ................ May 18-June 28--- 10 3

Do ................ June 29-Jtuly 26 ... 5 2!Union of South Africa:

Cape ofGood Hope, State ............................ .! Sept. 10, 1914.Apr. Zl,19lS: Cass",Cae of ;oodHope,tate4,587 (European, 31); deaths,939 (European, 25). June 2-15,1918: Present in interior townamong natives.

Do .................... .................... ... July 8-Aug. 3, 1918: Present in,iterior towms, Port Elizabethdistrict.

Natal .... ................ . .................... .. .......... Dec. 1, 1917-Apr. 21. 191^:: Cases,

________________________ 50; deaths, 11.

YELLOW FEVER.

Brazil:Bahia ...................... Apr. 27-June 29.. 27 9

Do..................... June3O-July6 ....4 2Pernambuco............... June 1-15. ........1 1

Ecuador:GuaqI ....- .2.9And.tr..F-June30.... 74 39

. Ao......I 1-31..........0 26 9And icinity. Feb. 1-2, 191&Nranjal .... pr.1-June 30.... 2 1 Cases, 2.

x