grippe, 2 by so-called pernicious fever, 1 by paludal fever, 1 by diphtheria, and 1 by hydrophobia.

Santiago de Cuba.-Two weeks ended December 15, 1891. Total deaths, 37, including 7 from phthisis pulmonalis.

GREAT BRITAIN-England and Wales.-The deaths registered in 28 great towns of England and Wales during the week ended January 16 corresponded to an annual rate of 33.0 a thousand of the aggregate population, which is estimated at 9,405,108. The lowest rate was recorded in Huddersfield, viz, 14.6, and the highest in Portsmouth, viz, 57.0 a thousand.

London.―Three thousand two hundred and seventy-one deaths were registered during the week, including smallpox, 1; measles, 83; scarlet fever, 9; diphtheria, 29; whooping cough, 166; enteric fever, 16; and diarrhoea and dysentery, 30. The deaths from all causes corresponded to an annual rate of 40.0 a thousand. Diseases of the respiratory organs caused 1,248 deaths. In greater London 4,192 deaths were registered, corresponding to an annual rate of 38.0 a thousand of the population. In the "outer ring" the deaths included whooping cough 29 and measles 13.

Newcastle-upon-Tyne.-Two weeks ended January 9, 1892. Population, 187,500. Total deaths, 292, including scarlet fever 1 and diphtheria 2.

Sunderland.-Two weeks ended January 9, 1892. Population, 132,839. Total number of deaths, 127, including 1 from enteric fever and 1 from scarlet fever.

Ireland. The average annual death rate represented by the deaths registered during the week ended January 9, in the 16 principal town districts of Ireland, was 28.7 a thousand of the population. The lowest rate was recorded in Sligo, viz, 0.0, and the highest in Dundalk, viz, 37.7 a thousand. In Dublin and suburbs 235 deaths were registered, including enteric fever, 4; whooping cough, 10; influenza, 13; and diphtheria, 1.

The average annual death rate represented by the deaths registered during the week ended January 16, in the 16 principal town districts. of Ireland, was 33.0 a thousand of the population. The lowest rate was recorded in Londonderry, viz, 22.0, and the highest in Sligo, viz, 51.6 a thousand. In Dublin and suburbs 294 deaths were registered, including enteric fever, 2; influenza, 29; and whooping cough, 5.

Scotland. The deaths registered in 8 principal towns during the week ended January 16 corresponded to an annual rate of 23.9 a thousand of the population, which is estimated at 1,338,314. The lowest mor

tality was recorded in Paisley, viz, 16.1, and the highest in Perth, viz, 35.1 a thousand. The aggregate number of deaths registered from all causes was 664, including measles, 4; scarlet fever, 7; diphtheria, 5; whooping cough, 16; fever, 6; and diarrhoea, 12.

Dundee.-Month of December, 1891.

During the month there were 384 deaths registered, representing an annual death rate of 29.10 a thousand of the population, and including phthisis pulmonalis, 31; enteric fever, 6; scarlet fever, 36; diphtheria, 6; measles, 5; and whooping cough, 6.

MALTA AND Gozo.-Two weeks ended November 30, 1891. Total deaths, 160, including enteric fever 4 and diphtheria 3.

MEXICO-Paso del Norte.-Four weeks ended January 16, 1892. Total deaths, 30. No deaths reported from contagious diseases.

SWITZERLAND.-Week ended December 26, 1891. Reports from 15 cities, having an aggregate population of 503,503, show a total of 171 deaths, including phthisis pulmonalis, 25; enteric fever, 1; scarlet fever, 1; diphtheria and croup, 4; and whooping cough, 5.

TURKEY IN ASIA-Cholera.-During the week ended December 30, 1892, there were 22 cases of cholera and 22 deaths therefrom reported in the vilayets of Beirut and Syria.

The pilgrimage to Mecca, 1891.

[Translated for this Bureau from Le Journal d'Hygiène, January 7, 1892.]

Some interesting particulars with regard to the last pilgrimage to Mecca have been communicated by Dr. Saleh Soubhy, Egyptian delegate to the Hedjaz.

During the last few years much has been accomplished in the direction of general sanitary measures through the intervention of the several powers interested, but much still remains to be done as regards the medical supervision of the caravans.

Statistics of morbidity and mortality among the pilgrims by caravan for the year 1891 can not be obtained. Dr. Soubhy's report relates only to the pilgrimage by way of the sea. It shows that of 46,953 pilgrims disembarked at Djeddah only 25,253 returned to their homes, making the total of victims to disease, chiefly to cholera, 21,700.

The following is the table of mortality, arranged according to nationalities:

ABSTRACT OF SANITARY REPORTS.

VOL. VII.

WASHINGTON, D. C., FEBRUARY 12, 1892.

No. 7.

[Published at the Marine-Hospital Bureau in accordance with act of Congress of April 29, 1878.]

SMALLPOX-San Francisco Quarantine Station, Angel Island, Cal.Passed Assistant Surgeon W. P. McIntosh reports, under date of February 11, that three more cases of varioloid have occurred among the detained passengers of the steamer Rio de Janeiro. This makes a total of eleven cases.

Russian goatskins, possibly infected, shipped to New York.-The following letter has been received from the United States consul at Hull, England, dated January 30, 1892:

SIR: I have this day received definite information that on the 10th instant the firm of Gerhard & Hey, forwarding agents at Liban, Russia, shipped 42 bales dried goatskins per steamship Thorwaldsen for this port, transhipped to New York per steamship Colorado, which sailed hence January 23 will be due in New York very soon after this letter reaches you.

With reference to these skins the United States consular agent at Liban writes me, under date of January 25, as follows:

"To-day I received information from the police master here that since the goatskins were forwarded from their place of origin, one of the men, who was working on the skins in their raw state, has been taken ill presumably with the Siberian plague."

I may also add that there was no certificate of health with the skins when they arrived at this port, and there is no proof that the hides were disinfected prior to their leaving Russia.

To the SUPERVISING SURGEON-GENERAL.

Vaccination of Mexican immigrants-Influenza in Mexico.-Under date of January 31, 1892, the United States sanitary inspector at El Paso, Tex., reports as follows:

During the past month I have vaccinated eleven children of Mexican families immigrating into the United States. I notice from Mexican journals that the grip is epidemic in the City of Mexico, and that some 300 deaths have resulted within the past month. In the States of Oaxaca, Vera Cruz, and Puebla the epidemic is very severe, and in the city of Orizaba the schools have been closed.

The fatality among 1,200 Chinese laborers employed on railroad construction and the plantations in the State of Oaxaca has been large.

Report of States, and yearly and monthly reports of cities.

CALIFORNIA-Los Angeles.-Month of January, 1892.

Population,

50,395. Total deaths. 116, including phthisis pulmonalis, 26; enteric fever, 1; scarlet fever, 1; and measles, 1.

San Diego-Influenza. —Under date of January 27, 1892, Acting Assistant Surgeon McKay reports that the epidemic of la grippe has assumed a more serious type, there being many deaths reported from pneumonia as a sequela.

IOWA.--Month of December, 1891. The following mortuary report was extracted from the Monthly Bulletin for January:

Burlington.-December: Consumption. 6; pneumonia, 5; membranous croup, 1; tuberculosis, 1; typhoid fever, 3; meningitis, 2. Total deaths, Population (estimated), 30, 166. Death rate per 1,000, 0.96. For November. 0.33.

Council Bluffs.-December: Membranous croup. 1: pneumonia, 4; malarial fever, 1. Total deaths, 17. Population, 21,388. Death rate per 1,000, 0.7. For November, 0.7.

Davenport.-December: Consumption, 2; pneumonia, 14; bronchitis, 2; la grippe, 6; diphtheria, 1; meningitis, 1; dysentery, 1. Total deaths, 56. Population, 28,500. Death rate per 1,000, 1.9. For November, 0.90.

Des Moines. -December: Consumption, 5; pneumonia, 8; diphtheria. 8; scarlet fever, 2: whooping cough, 1; typhoid fever, 2; la grippe, 6; meningitis, 2; capillary bronchitis, 4. Total deaths, 77. Population, 62,000. Death rate per 1,000, 1.2. For November, 0.901.

Dubuque.-December: Diphtheria, 2: membranous croup. 5: consumption, 5; pneumonia, S; tuberculosis, 2: cholera infantum, 1: diarrhoea, 2. Total deaths, 51. Population, 35,000. Death rate per 1,000, 1.48. For November, 0.857.

Keokuk.--December: Consumption, 1; pneumonia, 5; typhoid pneumonia, 1: diphtheria, 6. Total deaths, 25. Population (estimated). 18,000. Death rate per 1,000, 1.03. For November, 1.03.

Muscatine.-December: Consumption. 1; pneumonia, 3; bronchitis. acute, 4; meningitis, 3. Total deaths, 26, of whom 11 were over 70 years and 15 over 60 years. Population, 11,432. Death rate per 1,000, 2.3. For November, 1.4.

Oskaloosa.-December: Membranous croup, 1; pneumonia, 1; whooping cough, 1; la grippe, 1. Total deaths, 10. Population (estimated), 8,000. Death rate per 1,000, 1.25. For November, 0.767.

Ottumwa.-December: Consumption, 1; pneumonia, 3; diphtheria, 1; la grippe, 1; typhoid fever, 2; malarial fever, 2. Total deaths, 28. Population, 16,000. Death rate per 1,000, 1.50. For November, 1.3. Sioux City.-December: No report.

Keokuk.-Month of January, 1892. Population, 14, 101. Total deaths, 22, including phthisis pulmonalis, 2; influenza, 5; and diphtheria, 4. MASSACHUSETTS-Brockton.-Month of January, 1892. Population, 27,294. Total deaths, 66, including phthisis pulmonalis, 9; diphtheria and croup, 4; and enteric fever. 1.