36 towns, measles 529 in 62 towns, scarlet fever 213 in 47 towns, tuberculosis, pulmonary, 151 in 45 towns, typhoid fever 57 in 17 towns.

INDIANA.-Month of May, 1911. Population, 2,700,876. Total number of deaths from all causes 2,686, including diphtheria 9, measles 38, scarlet fever 16, tuberculosis 350, typhoid fever 29. Cases reported: Diphtheria 145 in 28 counties, scarlet fever 519 in 47 counties, smallpox 207 in 22 counties, typhoid fever 134 in 39 counties.

LOUISIANA-Shreveport.-Month of June, 1911. Population, 28,015. Total number of deaths from all causes 84, including tuberculosis 8, typhoid fever 7.

MASSACHUSETTS.-Week ended March 4, 1911. Population of reporting towns, 2,578,518. Total number of deaths from all causes 820, including diphtheria 15, measles 2, scarlet fever 6, tuberculosis 77, typhoid fever 5.

Week ended March 11, 1911. Total number of deaths from all causes 863, including diphtheria 14, measles 1, scarlet fever 10, tuberculosis 92, typhoid fever 2.

Week ended March 18, 1911. Population of reporting towns, 2,554,025. Total number of deaths from all causes 887, including diphtheria 9, measles 6, scarlet fever 9, tuberculosis 89, typhoid fever 2.

Week ended March 25, 1911. Population of reporting towns, 2,530,703. Total number of deaths from all causes 873, including diphtheria 10, measles 9, scarlet fever 6, tuberculosis 80, typhoid fever 3.

Morbidity. During the four weeks ended March 25, 1911, cases of infectious diseases were reported as follows: Diphtheria 514, measles 1,739, scarlet fever 653, typhoid fever 99, tuberculosis, pulmonary, 623, tuberculosis other than pulmonary 15, cerebrospinal meningitis 18, meningitis other than cerebrospinal 5, whooping cough 430, varicella 244, ophthalmia neonatorum 128, poliomyelitis 6, mumps (not notifiable) 63, erysipelas (not notifiable) 1, trachoma 4, tetanus 4, actinomycosis 2.

NEW YORK.-Month of May, 1911. Population, 9,113,614. Total number of deaths from all causes 12,383, including diphtheria 208, measles 167, scarlet fever 177, tuberculosis 1,538, typhoid fever 78. Cases reported: Diphtheria 2,139, measles 10,011, scarlet fever 3,953, smallpox 34, tuberculosis 3,407 (laryngeal and pulmonary), typhoid fever 358.

TEXAS-Fort Worth.-Month of June, 1911. Population, 73,312. Total number of deaths from all causes 111, including diphtheria 1, measles 1, tuberculosis 9, typhoid fever 10. Cases reported: Diphtheria 7, measles 4, scarlet fever 7, smallpox 4, tuberculosis 16, typhoid fever 14.

FOREIGN AND INSULAR.

AUSTRIA.

Trieste Cholera.

The American consul reported July 23 the occurrence of a second case of cholera and the death of the case reported July 19.1

Further Relative to Cholera on Vessels at Trieste.*

The following information was taken from the Oesterreichische Sanitatswesen, June 15 and 29:

On June 24 a fatal case of cholera occurred among passengers on the steamship Oceania from New York via Naples. The patient embarked at New York June 7, fell ill during the voyage and died on board the vessel soon after arrival at Trieste. The Oceania touched at the port of Delgada, Madeira, June 14, at Gibraltar June 17, at Naples June 20, and at Corfu June 22. Examination of the passengers and crew at Trieste showed no other case suspicious of cholera.

Cholera Carriers.

At Gratz bacteriological examination of dejecta of the hospital personnel and contacts who had been exposed to infection from a fatal case of cholera showed one nurse to be a healthy cholera carrier. At Trieste a passenger by the steamship Saxonia, on which a fatal case of cholera occurred June 5, was bacteriologically proved to be a healthy cholera carrier. He was discharged after repeated examination showed no further presence of cholera infection.3

BRITISH EAST AFRICA.

Further Relative to Plague.

The following information was taken from the official publication of the German imperial health bureau dated July 5:

According to advices of May 27, 5 cases of plague with 2 deaths occurred among the Hindoo population at the capital city of Nairobi. Special precautionary measures against spread were taken. At Kismayu, the terminus of the railroad, situated on Lake Victoria, 2 cases of plague were reported from April 24 to 29.

1 Public Health Reports, July 21, 1911, p. 1121.

* Public Health Reports, June 30, 1911, p. 1038, and July 7, 1911, p. 1068.
Public Health Reports, June 9, 1911, p. 871.

See Public Health Reports, May 26, 1911, p. 782.

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CANADA.

Smallpox.

Consul Cole at Dawson reports:

Smallpox has become epidemic at Dawson. During the week ended June 24, 9 new cases were reported. At the close of the week there were 16 cases present.1

Consul General Jones at Winnipeg, Manitoba, reports, July 8:

The smallpox epidemic which originated at Point du Bois is assuming alarming proportions, and the disease is spreading to other localities. At Fort Alexander 19 cases among Indians were reported to the provincial health authorities, and the entire community has been quarantined. The type of the disease is mild. One case is reported at Mapleton in the person of a man who had worked at Point du Bois. It is stated that there were many contacts of this case. The patient was removed to Selkirk. The Canadian Pacific Railroad has been directed not to take passengers from Lac du Bonnet, at which locality a case of smallpox was reported. Strict quarantine regulations have been instituted at Point du Bois.

CHINA.

Amoy-Cholera and Plague.

Acting Asst. Surg. Bonthius reports, June 19:

During the week ended June 17, 1 death from cholera and 2 deaths from bubonic plague were reported at the international settlement of Kulangsu.

Hongkong-Plague-Plague-Infected Rats.

Surg. Brown reports, June 15:

During the week ended June 10, 37 cases of plague with 26 deaths were reported. The report of rat examination shows the finding of 25 plague-infected rats during the week.

CUBA.

[Transmissible Diseases.

The following statement was issued by the national department of sanitation:

No quarantinable diseases were reported in the island during the

week ended July 15.

Fublic Health Reports, June 23, 1911, p. 983.

EGYPT.

Port Said-Cholera on Steamship from Naples.

The following information was taken from the Bulletin Quarantenaire, Alexandria, June 29, 1911:

A fatal case of cholera occurred June 23 on board the steamship Goeben from Bremen via Naples. The patient was a passenger embarked at Southampton. He spent 12 hours at Naples. The Goeben left Naples June 22 and the cholera case occurred on the following day, terminating fatally a few hours after the onset. Medical inspection on arrival at Port Said showed condition of passengers and crew to be satisfactory. One healthy contact was isolated. The usual precautionary measures were taken.

GERMAN EAST AFRICA.

Rat Plague at Muanza.

The following information was taken from the official publication of the imperial bureau of health of Germany dated June 21:

From April 6 to 22, 1911, rat plague was present in all parts of the town of Muanza. The number of rats destroyed from March 1 to April 8 was 75,000.

HAWAII.

Record of Plague Infection.

The last case of human plague at Honolulu occurred July 12, 1910. The last plague-infected rat was found at Aiea, 9 miles from Honolulu, April 12, 1910.

At Hilo the last case of human plague occurred March 23, 1910. A fatal case occurred at Honokaa, 60 miles from Hilo, December 17, 1910; 2 fatal cases were reported January 31, 1911, and 1 fatal case was reported April 19.

The last plague-infected rat was found at Honokaa February 2, 1911. A plague-infected rat was found at Hilo during the week ended June 10, 1911.

Chief Quarantine Officer Ramus reports, July 3:

INDIA.

CALCUTTA-Cholera, Plague, and Smallpox.

Acting Asst. Surg. Allan reports June 15 and 22:

During the week ended May 27 there were reported at Calcutta 55 deaths from cholera, 59 from plague, and 2 from smallpox; in all Bengal, 262 cases of plague with 239 deaths; in all India, 12,963 cases of plague with 11,917 deaths.

During the week ended June 3, 53 deaths from cholera and 44 from plague were reported at Calcutta; in all Bengal, 140 cases of plague with 119 deaths; in all India, 10,961 cases of plague with 9,312 deaths.

MADURA-Epidemic Cholera.

Consul Olivares at Madras reports June 20:

Cholera continues present in epidemic form in the city and district of Madura, Madras Presidency. From June 11 to 19, 603 cases with 382 deaths were reported in the district of Madura and 399 cases with 142 deaths in the city. (Population of city, 105,984.)

ITALY.

Cholera.

Cholera was reported present at Genoa July 21. The disease was principally among sailors who have come from infected ports. Surg. Geddings at Naples reports, July 27:

From July 12 to 16, inclusive, cholera was reported in Italy as follows: Naples city, 64 cases with 21 deaths; Naples Province, 48 cases with 19 deaths; rest of continental Italy, 56 cases with 22 deaths; Palermo city, 62 cases with 19 deaths; Palermo Province, 15 cases with 7 deaths. Cholera is announced at Leghorn.

Surg. Eager at Palermo reports, July 10:

The following-named localities in Sicily are considered to be infected with cholera: Castelbuono, Campobello di Licata, Borghetto, Monreale, Misilmeri, Toretta, S. Giuseppe Jato, Termini, Balestrate, Giuliana, Caltanisetta, Terranova, Mazzara, Alcamo, Canicatti, Trapani, and Favara.

The official bulletin issued by the municipal authorities of Palermo for the week ended July 8 gives 308 deaths from "gastroenteritis acuta." The number of deaths at Palermo is, under ordinary conditions, from 25 to 30 daily. During the week ended July 8 the daily number of deaths in the city was as follows: 54, 74, 59, 61, 67, 54, and 64.

Vessels Salling from Naples.

Dr. Geddings further reports, July 27:

The steamship Luisiana sailed on July 22 for New York; the Canopic, July 26 for Boston; the Calabria, July 27 for New York.

MEXICO.

Typhus Fever.

Consul General Shanklin at Mexico City reports July 8:

During the week ended July 17, 74 cases of typhus fever with 21 deaths occurred in the City of Mexico.