MORBIDITY AND MORTALITY--Continued.

Morbidity and mortality table, cities of the United States, for week ended July 1, 1911–

Continued.

MORBIDITY AND MORTALITY-Continued.

Morbidity and mortality table, cities of the United States, for week ended July 1, 1911—

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

FLORIDA.-Week ended July 8, 1911. Reports from the State board of health show diphtheria present in one locality (Tampa) with 1 case, malaria in 7 localities with 30 cases, smallpox in 7 counties with 51 cases, tub erculosis in 9 localities with 19 cases, typhoid fever in 10 localities with 33 cases.

ILLINOIS—Alton.-Two months ended June 30, 1911. Population,

20,446. Total number of deaths from all causes 37; tuberculosis 1. Cases reported: Diphtheria 3.

MARYLAND.-Month of April, 1911. Population, 1,295,346. Total number of deaths from all causes 832, including diphtheria 8, measles 21, scarlet fever 1, tuberculosis 106, typhoid fever 11. Cases reported: Diphtheria 38, measles 275, scarlet fever 59, smallpox 5, typhoid fever 39. The typhoid fever cases were distributed as follows: Potomac River watershed 14, Patapsco River watershed 3, Patuxent River watershed 1, Susquehanna River watershed 1, Baltimore city water system 5 cases.

MASSACHUSETTS.-Week ended February 4, 1911. Population of reporting towns, 2,581,344. Total number of deaths from all causes 831, including diphtheria 8, measles 5, scarlet fever 10, tuberculosis 74. Week ended February 11, 1911. Total number of deaths from all causes 900, including diphtheria 12, measles 3, scarlet fever 4, tuberculosis 85, typhoid fever 2.

Week ended February 18, 1911. Population of reporting towns 2,565,623. Total number of deaths from all causes 902, including diphtheria 12, measles 3, scarlet fever 1, tuberculosis 99, typhoid fever 2.

Week ended February 25, 1911. Population of reporting towns, 2,554,219. Total number of deaths from all causes 885, including diphtheria 12, measles 6, scarlet fever 4, tuberculosis 80, typhoid fever 6.

Morbidity. During the four weeks ended February 25, 1911, cases of communicable diseases were reported as follows: Diphtheria 863, measles 1,328, scarlet fever 697, typhoid fever 88, tuberculosis, pulmonary, 554, tuberculosis other than pulmonary 7, cerebrospinal meningitis 17, meningitis other than cerebrospinal 2, whooping cough 403, varicella 261, ophthalmia neonnatorum 118, poliomyelitis 3, mumps (not notifiable) 45, erysipelas (not notifiable) 7, trachoma 1, tetanus 1, glanders 1. (Population, 3,336,416.)

MINNESOTA.-Month of April, 1911. Population, 2,075,708. Total number of deaths from all causes 1,894, including diphtheria 37, measles 21, scarlet fever 15, tuberculosis 183, typhoid fever 22.

SOUTH CAROLINA-Charleston.-Month of June, 1911. Population, 58,833. Total number of deaths from all causes 153, including diphtheria 1, tuberculosis 23, typhoid fever 2. Cases reported: Diphtheria 4, scarlet fever 2, typhoid fever 14.

UTAH.-Month of May, 1911. Population, 373,531. Total number of deaths from all causes 280, including diphtheria 8, measles 2, scarlet fever 3, smallpox 2, tuberculosis 17, typhoid fever 4. Cases reported: Diphtheria 51, measles 974, scarlet fever 127, smallpox 154, tuberculosis 16 (incomplete), typhoid fever 16.

FOREIGN AND INSULAR.

AUSTRIA.

TRIESTE Cholera.

Information of the occurrence of a case of cholera at Trieste was received July 19 from the American vice consul.

BRAZIL.

PERNAMBUCO-Plague and Yellow Fever.

The American consul reports July 19 that plague and yellow fever are present at Pernambuco.

CHINA.

Typhus Fever.

Consul Gilbert at Nanking reports, June 3, the prevalence of typhus fever in Nanking and vicinity and the presence of the disease in epidemic form at Siakwan and Pukow.

Consul McNally at Tsingtau reported, June 10, the presence of numerous cases of typhus fever at Litsun, a Chinese market town in the vicinity of Tsingtau.

AMOY-Cholera and Plague-Antiplague Inoculation.

Acting Asst. Surg. Bonthius reports, June 5 and 12:

During the week ended June 2 there were reported at the international settlement of Kulangsu 3 deaths from plague, of which 1 was of the pneumonic form. In Amoy city 2 deaths from cholera and 6 from plague were reported during the week ended June 2, and 29 cases with 1 death during the week ended June 10.

During the period from January 1 to June 5 I personally inoculated 685 persons with antiplague serum. Of this number, 11 were foreigners. The remainder were Chinese. No ill results from inoculation were observed. Six of the persons inoculated contracted bubonic plague within a month after inoculation and made a complete recovery.

HONGKONG-Plague-Plague Rats Found.

Surg. Brown reports May 31 and June 7:

During the week ended May 20, 21 cases of plague with 20 deaths were reported, and during the week ended June 3, 16 cases with 14. deaths. During the two weeks ended June 3, 26 plague-infected rats were found.

Medical examination and quarantine were declared June 2 against arrivals from Hoihow on account of cholera.

CUBA.

Transmissible Diseases.

The following statement of transmissible diseases in the island was issued by the national department of sanitation.

No quarantinable diseases were reported in the Republic during the week ended July 8.

FRANCE.

Marseille-Cholera.

The American consul reports July 19 the occurrence of 4 cases of cholera with 2 deaths. One case originated in Italy.

GERMAN EMPIRE.

Measures at German Ports Against Cholera.

By order of the imperial chancellor dated June 24, vessels arriving at German ports from Naples are declared to be subject, with their passengers and crews, to sanitary inspection on account of cholera before being admitted to free pratique.

GREAT BRITAIN.

Rat Plague in London.

The following statement relative to rat plague in London was received from Consul General Griffiths:

Plague has again made its appearance among the rats of the port of London. The infection was discovered at a wharf on the Thames at Wapping, one of the districts in the east of London.

In the London Times of June 17, 1911, an article is published in reference to the rat plague in London, extracts from which article appear below:

There can be no indiscretion in making the discovery public, for the recurring presence of plague among rats in the lower reaches of the Thames is already common knowledge. In the report recently issued by Dr. Williams, medical officer of health for the port of London, the fact is proclaimed, as a warning, in all the emphasis of capital letters. Dr. Williams says in large type that plague has occurred amongst the rats in the district for three years in succession." The danger, if there is a danger, lies not in publicity, but in unwise attempts to suppress the facts. There has never yet been an outbreak of plague in any country when the authorities have not tried at first to preserve secrecy. There has never been an occasion when they have not afterwards had cause to rue their ill-advised reticence.

It is scarcely necessary to say that the present existence of infection, which is believed to be extremely limited, presents no cause for public alarm, though it indicates the necessity for caution. In October and November of last year, three rats which had died of plague were found near the Seamen's Hospital in the Royal Albert dock. So far as is known, the outbreak did not spread. In 1909 rats died of plague in the Southwest India Dock, and in 1908 at the West India Dock. In each case the