TABLE III.—Brief history of 42 cases of poliomyelitis occurring in Yellowstone County and city of Billings, Mont., 1922.

1 Cases 3 and 4 were brother and sister. In addition, another sister, aged 4, and a cousin, aged 2, on same premises, had abortive attacks.

2 Sister of case 7.

Two other children suffered from abortive attacks in previous two weeks.

4 Played with cases 7 and 8.

Cases 17 and 18 brother and sister. Physician comments that all children in neighborhood have been ill.

6 Four sisters, aged 1, 5, 9, and 10, had fever, headache, vomiting, and diarrhea, but no paralysis. Associated with case 10 on Aug. 6.

Do.

12 See case 39.

INFLUENZA IN THE UNITED STATES.

The following table shows the number of cases of influenza reported by State health officers for the weeks ended January 13 and January 20, 1923, compared with similar reports for the corresponding weeks of the years 1922, 1921, and 1920.

Similar tables covering the period from October 1, 1922, to January 6, 1923, were published in the Public Health Reports December 29, 1922, page 3204, and January 12, 1923, page 64.

Cases of influenza reported weekly by telegraph by State health officers, January 7 to January 20, 1923 (inclusive), and corresponding weeks of 1922, 1921, and 1920.

Cases of influenza reported weekly by telegraph by State health officers, January 7 to January 20, 1923 (inclusive), and corresponding wecks of 1922, 1921, and 1920-Contd.

FREE DENTAL DISPENSARY FOR DESTITUTE SCHOOL CHILDREN AT CIENFUEGOS, CUBA.

American Consul Frank Bohr, at Cienfuegos, Cuba, reports under date of December 30, 1922, as follows:

Through the initiative of the Rotary Club of Cienfuegos, provision has been made for the establishment of a free dental dispensary for the destitute school children of this city, and it is understood that prices have been requested from dental supply houses in the United States on the necessary equipment and supplies for clinics of one and two operating dentists. A number of the local dentists have also generously offered their services gratis in order that the children of the poorer classes may have the opportunity of properly caring for their teeth, and also that all classes may likewise be duly impressed with the importance of such care.

MORTALITY FROM TYPHOID, TUBERCULOSIS, AND PNEUMONIA IN 43 LARGE CITIES, 1922.

The provisional death rate for 62 large cities (27,500,000 population) for 1922 was given by the Bureau of the Census' as 12.5 per 1,000, second only to the record low rate, 12.1, for the same cities in 1921.

The following summary for 43 cities, by certain causes, shows a typhoid fever death rate of 3.1 per 100,000 population in 1922 against a rate of 3.6 in 1921. The highest rate shown for 1922 is 16.7, for Nashville, Tenn., and the lowest rate is zero, for New Bedford, Mass., and Providence, R. I., in which places no deaths from typhoid fever occurred during the year.

For tuberculosis (all forms) the rate for 1922 was 99.7 per 100,000 population as against 104.5 in 1921.

For pneumonia (all forms) the rate for 1922 was 137.8 as against 106.7 in 1921.

Public Health Reports, vel. 38, No. 3, Jan. 19, 1923, p. 101

143

Mortality summary for the 43 cities which reported each week during the year 1922, the deaths from typhoid fever, tuberculosis (all forms), pneumonia (all forms), and violence, and comparison with 1921.

[From the Weekly Health Index, Bureau of the Census, Jan. 13, 1923.]

Pittsburgh, Pa..

1922.

29

1921.

27

4.8 4.5

553

91.2

1,706

281.4

656

108.2

617

102.4

254.3 1,532

681

113.0

1 Pneumonia (all forms) for 1921 includes capillary bronchitis and excludes lobar pneumonia with influenza.

2 Deaths for 1921 are those that occurred in the calendar year. Deaths for 1922 are those reported in the 52 weeks.

S Annual rate per 100,000 population. Allowance has been made in 1922 for the extra day which must be added to the 52 weeks to give a period of 365 days.