MORBIDITY AND MORTALITY-Continued.

Morbidity and mortality table, cities of the United States, for week ended Dec. 16, 1911-Continued:

STATISTICAL REPORTS OF MORBIDITY AND MORTALITY, STATES OF THE UNITED STATES (Untabulated).

FLORIDA.-Reports from the State board of health show as follows: Week ended December 9, 1911. Diphtheria present in 4 localities with 10 cases, malaria in 4 localities with 11 cases, smallpox in 3 counties with 47 cases, tuberculosis in 6 localities with 8 cases, typhoid fever in 5 localities with 9 cases.

Week ended December 16, 1911. Diphtheria present in 3 localities with 6 cases, malaria in 5 localities with 13 cases, tuberculosis in 7 localities with 12 cases, typhoid fever in 10 localities with 13

cases.

INDIANA.-Month of October, 1911. Population, 2,700,876. Total number of deaths from all causes 2,674, including diphtheria 68, measles 1, scarlet fever 7, tuberculosis 285, typhoid fever 91. Cases reported: Diphtheria 2,437 in 69 counties, smallpox 13 in 5 counties, tuberculosis 285, typhoid fever 642 in 72 counties.

MICHIGAN.-Month of November, 1911. Population, 2,810,873. Cases of communicable diseases reported: Diphtheria 439, measles 87, scarlet fever 380, smallpox 13, tuberculosis 113, typhoid fever 182.

FOREIGN AND INSULAR.

ALGERIA.

Plague at Philippeville.

Vice Consul Mason at Algiers reports, December 8: Eight cases of plague with two deaths have been reported at Philippeville, a small port in Algeria. The cases occurred October 19 and November 11, respectively.

Plague was reported at Philippeville about five years ago and it is believed that the recent outbreak is due to a source of infection left from the previous epidemic as no vessel from oriental ports has touched at Philippeville. The only vessels arriving at that port are from European ports. Active measures of rat destruction have been taken at Philippeville.

CUBA.

Transmissible Diseases.

The following statement of transmissible diseases in the island of Cuba was issued by the National Department of Sanitation:

No quarantinable diseases were reported during the week ended December 16.

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.

A case of human plague was reported at Kapulena, Hawaii, October 28, 1911.

At Hilo the last case of human plague occurred March 23, 1910. At Honokaa, 60 miles from Hilo, a fatal case occurred April 20, 1911. The last plague-infected rat was found at Honokaa December 18; 1911. A plague-infected rat was found at Hilo during the week ended June 10, 1911.

Honolulu-Plague-Prevention Work.

Chief Quarantine Officer Ramus reports, December 11:

Plague-Infected Rat Found at Honokaa.

Dr. Ramus reported December 27 that a plague-infected rat was found at Honokaa, December 18.

INDIA.

Calcutta-Cholera and Plague.

Acting Asst. Surg. Allan reports, November 30: During the week ended November 11, 39 deaths from cholera and 6 from plague were reported in Calcutta; in all Bengal, 146 cases of plague with 122 deaths; in all India, 10,213 cases of plague with 7,659 deaths.

ITALY.

Status of Cholera.

According to the official bulletin issued by the Italian Government, 77 cases of cholera with 39 deaths were reported throughout the entire Kingdom during the period from November 19 to 25, 1911. These figures show a decrease of 17 cases with 12 deaths from the number reported during the previous week. The Provinces of Catania, Cagliari, and Trapani have been declared free from cholera. The Provinces previously declared immune are Bari, Palermo, and Sassari.

Naples-Examination of Emigrants.

Surg. Geddings reports, December 12:

Vessels inspected during the week ended December 9, 1911.

According to information received from the American consul, December 23, Malta has been declared free from cholera.

MEXICO.

Yellow Fever at Merida.

During the two weeks ended December 23, 1911, yellow fever was reported at Merida as follows: Week ended December 16, 1 case with 1 death; during the week ended December 23, 1 case. The total number of cases reported from August 1 to December 23, 1911, was 49 with 25 deaths.

PHILIPPINE ISLANDS.

Cholera.

Acting Chief Quarantine Officer Fox at Manila reports, November 14: During the week ended November 4, 1911, 5 cases of cholera, with 5 deaths, were reported in the Province of Union.

Plague on Steamship at Cebu.

Dr. Fox further reported November 4 that a case of pneumonic plague was found on the steamship Montrose at Cebu from Shanghai.

Information Regarding Quarantine Procedures.

The chief quarantine officer for the Philippine Islands on October 20, 1911, issued the following circular regarding quarantine procedures for vessels entering and leaving ports of the Philippine Islands:

INFORMATION FOR OWNERS, AGENTS, SHIPPERS, MASTERS OF VESSELS, AND OTHERS CONCERNED RELATIVE TO QUARANTINE PROCEDURES FOR VESSELS ENTERING AND LEAVING PORTS IN THE PHILIPPINE ISLANDS.

In order that the provisions of the United States quarantine laws and regulations in force in the Philippine Islands may be better understood the following information is hereby published. Nothing in these rules, however, whether by omission or otherwise, is to be construed as exempting a vessel from complying with the United States quarantine laws and regulations.

PROCEDURE IN FOREIGN PORTS PRIOR TO SAILING FOR THE PHILIPPINES.

1. Before cargo for the Philippine Islands can be placed aboard a vessel a descriptive boat note of each article must be presented at the American consulate for approval. Bundles of rags, old newspapers, and similar articles can not be shipped. Particular care must be taken that cargo is properly packed and can not serve as hiding or nesting places for rats or fleas. Hides must be disinfected with a solution of bichloride of mercury before shipment and a certificate of such disinfection must be obtained and sent to the Philippines.

2. American bills of health and manifests of cargo must be countersigned by the consular surgeons or consuls at the foreign ports in which such officers are stationed. 3. Under the provisions of Customs Administrative Circular No. 628, of the Philippine Government, all shipments of meat and meat products must be accompanied by certificates of competent ante and post mortem veterinary inspection. Furthermore, these certificates must be viséed at the port of shipment by officers of the Public Health and Marine-Hospital Service, whenever there is one available, and if not, by the American consuls.

4. Cabbage, celery, radishes, lettuce, and other low-growing vegetables eaten raw and coming from China and Japan can not be shipped to the Philippine Islands.

5. Dogs from Japan and China need not be accompanied by certificates of noninfection, but will be subjected to cresol baths before permits for their landing will be issued by the quarantine service in the Philippines.

6. An American bill of health in duplicate must be obtained from the American consulate at each and every port touched. Masters of vessels are cautioned against departing from a foreign port with an inaccurate bill of health. Discrepancies between the number of persons actually counted upon arrival in the Philippines and the number entered upon the bill of health may subject the vessel to detention while the master's statements are verified by cable communication with the various ports at which he has called.

7. Vessels coming direct from foreign ports to ports in the Philippine Islands must fly the "Q" flag, anchor in a position designated by the harbor master or the chief pilot, and await quarantine inspection before permitting any vessel to come close enough to hold communication.

8. Vessels will be boarded only between the hours of sunrise and sunset.

9. Passengers will not be inspected in their staterooms, bath rooms, or toilets. Failure to comply with this requirement will subject the vessel to unnecessary delay. 10. Vessels not ordinarily subject to quarantine inspection will be required to fly the "Q" flag, anchor, and await quarantine inspection when deaths have occurred on board or suspicious illness exists.

11. When vessels not ordinarily subject to quarantine inspection have sickness of a suspicious nature on board, it is recommended that they call at the nearest quarantine station-Mariveles, Cebu, or Iloilo for quarantine inspection. If the disease is of a nonquarantinable nature, the vessel will be granted pratique and permitted to proceed.

12. Vessels from foreign ports, which have undergone quarantine inspection at a Philippine port of entry, will not be required to await quarantine inspection upon arrival at the next Philippine port, provided:

(a) That a period of seven days has elapsed since leaving the last foreign port. (b) That in case any illness has occurred aboard the vessel, the master will hoist the quarantine flag and await inspection prior to landing passengers, crew, or cargo. (c) That within one hour after the vessel's arrival in port the master will file a certificate at the quarantine office to the effect that no illness has occurred on board during the preceding five days.

(d) That before departing from a Philippine port a bill of health be obtained from the quarantine office."