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FOREIGN AND INSULAR.

BRAZIL.

Yellow Fever - Bahia.

During the week ended June 9, 1923, a case of yellow fever was reported at Bahia, Brazil.

CANADA.

Communicable Diseases-Ontario-June, 1923.

Communicable diseases were notified in the Province of Ontario, Canada, during the month of June, 1923, as follows:

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Communicable diseases have been notified at Habana as follows:

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FRANCE.

Typhus Fever-Marseille.

During the three months ended June 30, 1923, three fatal cases of typhus fever were reported at Marseille, France.

GREAT BRITAIN.

Health Conditions - London - Comparative.

Information has been received under date of June 18, 1923, showing that from December 23, 1922, to May 26, 1923, the death rate (annual basis) of London was 12.5 as compared with 13 for 105 great towns in England during the same period.

Smallpox-Gloucestershire.

Information received under date of June 28, 1923, shows the presence of smallpox in mild form, with no fatalities, in Gloucestershire, England. A few cases were reported in the city of Bristol. These cases were stated to be similar in every respect to the cases observed at Bristol during 1903 and 1904. In the city of Gloucester (population, about 50,000) 123 cases were reported present in one hospital; cases were also reported in the rural districts.

JAMAICA.

Smallpox (Reported as Alastrim).

During the two weeks ended June 23, 1923, 83 cases of smallpox (reported as alastrim) were notified in the Island of Jamaica. Of these, 17 cases occurred in the Parish of Kingston.

Typhoid Fever-Vicinity of Kingston.

During the same period, 31 cases of typhoid fever were reported in the vicinity of Kingston.

LATVIA.

Communicable Diseases-April, 1923.

Communicable diseases were reported in the Republic of Latvia, during the month of April, 1923, as follows:

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Other Diseases-April, 1923.

During the month of April, 1923, other diseases were reported in the Republic of Latvia as follows: Anthrax, 1 case; dysentery, 5 cases; leprosy, 3; malaria, 3.

MADAGASCAR.

Plague.

During the period May 1 to 15, 1923, 15 cases of plague with 15 deaths were reported in the island of Madagascar, occurring in the Province of Tananarive. For distribution according to locality of occurrence and type of disease see p. 1741.

Rats Killed-Tananarive.

During the month of March, 1923, 1,829 rats were killed in the suburban district of Tananarive.

MALTA.

Public Health Conditions-Year 1921–22.

The report of the minister for public health of the island of Malta for the year 1921-22, received under date of May 17, 1923, shows that mortality for all ages was practically within the levels reached in previous years. Infant mortality remained high in some districts but showed improvement in others. The absence of dangerous contagious diseases, notably cholera, plague, and smallpox, which were present in countries surrounding Malta, was noted. Typhoid fever and undulant fever were stated not to have abated, but the proportion of fatalities to cases of these diseases was stated to be the lowest on record. The improvement in health conditions, expressed in terms of diminution of sickness, better health conditions, and increased length of life were attributed to the spread of education, confidence in the measures of disease prevention, and improved economic conditions.

The government health service maintains, in addition to general hospitals, a hospital for incurables, leper hospital, hospital for the insane, orphan asylums, and 30 government dispensaries, and also provides gratuitous care in maternity cases.

MAURITIUS.

Plague.

Information received under date of May 25, 1923, shows the occurrence of a case of plague at Port Louis, Mauritius, May 4, 1923, and of the further occurrence in the island of one case reported May 21,

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 July 27, 1923.1

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1 From medical officers of the Public Health Service, American consuls, and other sources.

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CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW

FEVER-Continued.

Reports Received During Week Ended July 27, 1923—Continued.

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