were 9,709 in a population of over 5,000,000, while in 1921, with a population of 8,000,000, the deaths from this disease numbered only about 10,000. During the last two decades the death rate in Canada was stated to have dropped from 130 per 100,000 of popula tion to 83 per 100,000. The death rate at the sanitorium near London, Ontario, was stated for 1922 as 65 per 100,000. This decrease in tuberculosis death rate was attributed, first, to earlier recognition of the disease and to earlier and better treatment in sanitoriums, and, secondly, to the removal of tuberculous patients from their homes to sanitoriums and the consequent improvement in living conditions on their return home. ESTHONIA. Communicable Diseases-April, 1923. Communicable diseases have been reported in the Republic Esthonia as follows: Under date of June 11, 1923, the occurrence of four cases of plague with two deaths, during the period May 20 to 22, 1923, was reported at St. Ouen, a suburb of Paris, France. The dates of occurrence were stated as follows: May 20, one case; May 21, one case with one death; May 22, two cases with one death. HUNGARY. Typhus Fever-Budapest-Country Districts. Information dated April 5, 1923, shows an outbreak of typhus fever at Budapest, Hungary, in February, 1923, with a total of 14 cases, of which nearly all were stated to have been imported from the country. Some spread of the disease was reported for the country districts, 76 cases being reported in the county of Heves, occurring in wandering gypsies, and six cases in the county of Fejer. PERU. Mortality-Callao-Lima-1918-1922. The following tables have been compiled from statistics prepared by the Bureau of Public Health of Peru. The population of the city of Lima was estimated at 168,000 in 1918 and 176,000 in 1921. The population of Callao was estimated at 52,000 in 1920. Mortality in Callao, Peru, 1919 to 1922, inclusive. Deaths of infants under 1 year of age in Callao, Peru, 1918 to 1922, inclusive. Deaths of infants under one year of age in Lima, Peru, 1918 to 1921, inclusive. Communicable Diseases-February 25-March 3, 1923. Communicable diseases have been reported in Poland as follows: Dysentery. During the period under report, 17 cases of dysentery with 3 deaths were reported in Upper Silesia, Poland. SYRIA. Lethargic Encephalitis -Beirut. During the 10-day period ended April 10, 1923, a case of lethargic encephalitis was reported at Beirut, Syria. TRINIDAD. Epidemic Influenza. Under date of June 5, 1923, epidemic influenza was reported prevalent in the island of Trinidad, West Indies. In Port of Spain, the capital, where the number of reported cases was stated to be large, there were few deaths from the disease reported. In some of the poorer districts the mortality was considerable. CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER. The reports contained in the following tables must not be considered as complete or final as regards either the list of countries included or the figures for the particular countries for which reports are given. Reports Received During Week Ended June 29, 1923.1 1 From medical officers of the Public Health Service, American consuls, and other sources. 222 2 58 2 Vicinity of Paris. Apr. 22-28, 1923: Cases, 6,241; deaths, 4,784. 24 23 19 2 |