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FOREIGN AND INSULAR.

ALGERIA.

Leprosy-Algiers.

Three cases of leprosy, occurring among the military, were reported at Algiers during the month of August, 1923.

BRAZIL.

Yellow Fever - Bahia.

During the week ended August 11, 1923, one case of yellow fever was reported at Bahia, Brazil.

CHILE.

Epidemic Influenza -Valparaiso.

On August 28, 1923, epidemic influenza was reported still prevalent in the district of Valparaiso.1

Influenza Mortality-Concepcion.

Influenza has been reported present at Concepcion, Chile, from July 3 to August 27, 1923, with a total of 148 deaths. Population officially estimated, 64,512. The greatest total mortality (all causes) reported at Concepcion during any one week of this period was 121 (influenza mortality, 42), and the lowest total mortality was 66 for two weeks, each, with 4 and 8 deaths from influenza, respectively.

CUBA.

Disease Reporting and Sanitary Measures.

Acting Asst. Surg. Richard Wilson states, under date of September 17, that considerable improvement has been made in the reporting of preventable diseases, and also in the application of measures for their control. This is particularly true with regard to typhoid fever. In the active campaign which has been carried on by Dr. Lopez del Valle, director of sanitation, not only has there been great improvement in case reporting, but in every instance in which a case has been brought to the attention of the sanitary authorities, antityphoid vaccine has been given to the other members of the patient's family and to a large number of people in the neighborhood, sometimes including almost the entire population in the vicinity.

'Public Health Reports, Sept. 7, 1923, p. 2105; Sept. 14, 1923, p. 2188, and Sept. 21, 1923, p. 2233.

Fatal Case of Malaria-From S. S. "Saramacca"-Habana. Information dated September 19, 1923, shows the occurrence of a fatal case diagnosed as malaria taken from the steamship Saramacca which arrived at Habana September 18 from Puerto Barrios, Guatemala. The patient was stated to have been several weeks at Puerto Barrios and to have been sick when he embarked. The Saramacca left New Orleans September 8, arriving at Puerto Barrios September 11, and sailing from that port for Habana September 16, 1923.

EGYPT.
Plague.

The occurrence of plague in Egypt has been reported as follows: Week ended August 5, 1923-28 cases, of which 2 occurred at Port Said and 1 at Suez, the remainder being distributed in eight districts; week ended August 12-7 cases, 2 occurring at Port Said and 1 at Suez, remainder in three districts; week ended August 19-21 cases, with 4 cases at Alexandria, 1 case at Port Said, and 2 cases at Suez. the remainder distributed in two districts. Total from January 1 to August 23, 1923, 1,319 cases, with 643 deaths.

Statement of Occurrence, 1922 and 1923-Comparative.

The comparative statement of plague occurrence for the years 1922 and 1923 has been given as follows: January 1 to August 5, 1923, cases, 1,258; corresponding period, 1922, 397 cases. January 1 to August 12, 1923, cases, 1,293; corresponding period, 1922, 414 cases. January 1 to August 19, 1923, cases, 1,314; corresponding period, 1922, 426 cases.

ECUADOR.

Plague-Infected Rats-Guayaquil.

During the period August 16 to 31, 1923, out of 19,510 rats examined at Guayaquil, 7 rats were found plague-infected.

FRANCE.

Precautions Against Importation of "Alastrim."

According to information received under date of September 3, 1923, notice has been published at Basse Terre, Guadeloupe, that vessels plying from France to the Panama Canal and stopping at Basse Terre and Pointe à Pitre will, from date of publication, require all persons sailing from ports in the islands of Guadeloupe, where "alastrim" prevails, to be revaccinated on board en route and to show a sanitary passport to that effect at St. Nazaire, on landing. The passports permit the observation of all such persons for such time as added to the time elapsed since vaccination will total 20 days in all. Persons not so vaccinated will be subject to 20 days' observation in full at St. Nazaire.

GUADELOUPE (WEST INDIES).

Further Relative to Smallpox (Alastrim).1

Information dated September 14, 1923, shows epidemic smallpox (alastrim) to be generally diffused in the two islands comprising Guadeloupe, and in the outlying island of Marie Galante. Proclamations have been issued by mayors calling upon populations to be vaccinated. At Pointe à Pitre there were reported for the week ended September 8, 1923, 1,500 cases of smallpox (reported as alastrim) present, with 8 deaths. (Population, 27,679.) At that locality a system of sanitary passports had been instituted, requiring the passports to be shown to the police under penalty. In rural and mountain areas no vaccination is being carried out, nor is vaccination generally compulsory in places other than Pointe à Pitre which are known to be infected.

IRAQ (MESOPOTAMIA).

Further Relative to Cholera-Bassorah.

Information dated August 21, 1923, showed cholera present at Bassorah, Iraq, and the port declared infected August 6, 1923.' Later information received under date of August 23 shows the total number of cases of cholera reported at Bassorah to August 18. as 166, with 74 deaths.

JAMAICA.

Smallpox (Alastrim).

During the three weeks ended September 8, 1923, 93 new cases of smallpox (reported as alastrim) were reported in the Island of Jamaica. Of these, 6 cases occurred in the Parish of Kingston.

Typhoid Fever - Kingston and Vicinity.

During the same period, 12 cases of typhoid fever were reported at Kingston and 33 cases in the vicinity of Kingston.

JAPAN.

Dysentery-Typhoid Fever-Tokio-Yokohama.

Under date of September 25, 1923, about 200 cases of dysentery and 300 cases of typhoid fever were reported present at Tokio, Japan. Dysentery and typhoid fever were reported present at Yokohama under the same date, but the number of cases was not stated.

LATVIA.

Communicable Diseases.

Communicable diseases have been reported in the Republic of Latvia as follows:

1 Public Health Reports, Sept. 7, 1923, p. 2107, and Sept. 14, 1923, p. 2189.

Public Health Reports, Aug. 31, 1923, p. 2042.

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During the month of June, 1923, 8 cases of dysentery, 8 of leprosy, 7 of malaria, and 1 case of rabies were reported in Latvia. the month of July, 1923, 23 cases of dysentery and 6 of malaria were reported in Latvia. (Population, June 15, 1920, 1,503,193.)

PERU.

Plague August, 1923.

During the month of August,. 1923, eight cases of plague with four deaths were reported in the coast region of Peru. For distribution of occurrence according to locality, see p. 2350.

TURKEY.

Plague Constantinople--August, 1923.

Two cases of plague were reported at Constantinople, Turkey, occurring August 16, 1923, in employees of a bakery.

VIRGIN ISLANDS.

Disease Prevalence -August, 1923.

Disease prevalence was reported in the Virgin Islands of the United States for the month of August, 1923, as follows:

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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 October 5, 1923.1

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

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