MORBIDITY AND MORTALITY-Continued.

Morbidity and mortality table, cities of the United States, for week ended Sepember 30, 1911-Continued.

FOREIGN AND INSULAR.

BRAZIL.

Para-Plague.

Consul Pickerell reports, September 18:

Two cases of plague were reported September 7. Both cases ended fatally.

BULGARIA.

Cholera at Bourgas.

Information received from the foreign office at Sophia September 18 shows the occurrence from August 30 to September 6 of 3 cases of cholera with 2 deaths at Bourgas, a port of the Black Sea, in Bulgaria. The second case occurred in a member of the crew of a sailing vessel from Asia Minor. The body of the third case was found floating in the harbor of Bourgas. The three cases were bacteriologically verified.

CHINA.
Hongkong-Plague.

Surg. Brown reports, September 4:

During the week ended September 2 two cases of plague with one death were reported. The number of rats collected during the same period was 1,587. No plague-infected rats were found.

EAST AFRICA.

Plague.

Consul Weddell at Zanzibar reports, August 28:

To August 19, 38 cases of plague with 19 deaths were reported at Nairobi and 55 cases with 42 deaths at Kisumu.

FRANCE.

Restriction of Importation of Shellfish.

Surg. Eager at Marseille reports, October 2:

By decree of the President of the French Republic dated September 14, 1911, the importation of shellfish from localities where cholera exists is prohibited.

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 Aica, 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, April 20, 1911. 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, September 25:

Calcutta-Cholera and Plague.

Acting Asst. Surg. Allan reports, September 14 and 21:

During the week ended August 26, 10 deaths from cholera and 3 from plague were reported at Calcutta; in all Bengal, 20 cases of plague with 17 deaths; in all India, 5,493 cases of plague with 3,813 deaths.

During the week ended September 2 there were reported at Calcutta 16 deaths from cholera and 9 from plague; in all Bengal, 28 cases of plague with 20 deaths; in all India, 6,397 cases of plague with 4.590 deaths.

JAPAN.

Cholera at Osaka.

Acting Asst. Surg. Moore at Kobe reports, September 13, the occurrence of 4 cases of cholera with 1 death at Osaka.

MALTA.

Quarantine Measures Against Cholera and Plague.

The following regulations for the treatment of vessels arriving from localities infected with cholera or plague have been issued by the governor of Malta:

A.-Infected ships.

I. The sick shall be at once disembarked at the quarantine station at Comino and isolated.

II. The other persons on board shall be disembarked, if possible, and kept under observation at the quarantine station for a period not exceeding five days from the date of the death or isolation of the last case that occurred on board the ship, or during the period of observation. The quarantine medical officer may admit to pratique any passengers whose movements he may consider it possible to trace, upon their

undertaking, in writing, to report themselves to the district medical officer of their place of destination and to submit to medical examination within such period, not exceeding 10 days, as he may deem necessary.

III. Clothing and articles belonging to the crew and passengers, which, in the opinion of the quarantine medical officer, are infected, shall be destroyed or disinfected at the discretion of that officer.

IV. In the case of cholera the bilge water shall be disinfected and pumped out and fresh drinking water substituted for that which is stored on board.

V. Those parts of the ship that have been occupied by the sick shall be disinfected and also such other parts of the ship as the quarantine medical officer may regard as infected.

B.-Suspected ships.

I. Clothing and articles belonging to the crew and passengers, which, in the opinion of the quarantine medical officer, are infected, shall be destroyed or disinfected at the discretion of that officer.

II. In the case of cholera the bilge water shall be disinfected and pumped out and fresh drinking water substituted for that which is stored on board.

III. Those parts of the ship that have been occupied by the sick shall be disinfected, and also such other parts of the ship as the quarantine medical officer may regard as infected.

IV. The crew and passengers shall be medically inspected, and the passengers passed on medical inspection as healthy will be allowed to disembark, but may be required to submit to surveillance for a period of 5 days from the date of arrival.

V. Passengers who are suspected by the quarantine medical officer to be possibly infected will be detained under observation at the quarantine station for a period of 5 days from the date of arrival or, if disease occurs amongst them whilst under observation, from the date of the last case.

VI. The crew will not be allowed to land, except on duty, for 5 days from the arrival of the ship.

C.-Healthy ships.

I. Healthy ships shall be admitted to pratique immediately on arrival, irrespective of the nature of their bill of health.

II. Clothing and articles belonging to the crew and passengers may, at the discretion of the quarantine medical officer, be disinfected or destroyed.

III. In the case of cholera, the bilge water may be required to be disinfected and pumped out.

IV. The passengers may be subjected to surveillance during a period not exceeding 5 days, reckoned from the date on which the ship left the infected place. The crew will not be allowed to leave the ship during the same period except on duty.

V. In the case of plague, the quarantine medical officer may order that rats on board any ship arriving from an infected place be destroyed.

VI. When rats on a ship arriving from any place have been shown by bacteriological examination to have plague, or when unusual mortality among those rodents has been observed, the rats shall be destroyed, the ship disinfected, and the crew and passengers may be kept under surveillance for a period not exceeding 10 days from the date of arrival.

PORTUGAL.

Measures to Prevent Introduction of Cholera.

Passed Asst. Surg. Sweet, at Oporto, reports September 30: Measures to prevent the introduction of cholera into Portugal are still enforced. Detention hospitals have been erected at frontier points and all incoming trains are boarded by a sanitary officer. All passengers are required to report daily for a period of seven days to the sanitary officer of the district to which they are destined. The customary quarantine measures, including a bacteriological examination of those coming from infected ports, are carried out.

ROUMANIA.

Status of Cholera.

Information received from the American Legation at Bucharest shows that from September 11 to 21. 18 cases of cholera with 13 deaths were reported in Roumania. Of these, 10 cases occurred in the city of Braila. Additional measures of precaution have been taken at Braila and Galatz with regard to factory employees and members of crews of steamers.

RUSSIA.

Status of Cholera.

Information received from the American Embassy at St. Petersburg October 7 shows the occurrence of 316 cases of cholera with 123 deaths in Russia from September 23 to date of report.

TRINIDAD.

Examination of Rats.

Acting Asst. Surg. Layton reports, September 30:

During the two weeks ended September 22, 1,865 rats were examined for plague infection. Of these, 451 were Mus norvegicus, 221 Mus rattus, and 1,193 Mus musculus. No plague-infected rat was found.

TRIPOLI.

Cholera.

The American consul reports, October 13, the occurrence of 4 cases of cholera at Tripoli.

TUNIS.

Status of Cholera.

Information received through Consul General Gaulin at Marseille dated September 27 shows cholera officially reported present in epidemic form in the city and district of Tunis. From September 17 to 19, 156 cases with 85 deaths were reported. (Population, estimated, 180,000.) On September 20, 36 cases with 29 deaths were reported for Tunis and 25 cases with 9 deaths at Bizerta. From September 18 to 22, 332 cases of cholera were reported for the regency of Tunis. (Population, estimated, 2,000,000.)

TURKEY.
Smyrna-Cholera.

The American vice consul reports, September 18, the occurrence of 50 cases of cholera with 30 deaths from September 11 to 17, inclusive.