FOREIGN AND INSULAR. BULGARIA. Lethargic Encephalitis-Paratyphus-Sofia. During the week ended May 19, 1923, two cases of lethargic encephalitis were reported at Sofia, Bulgaria. Paratyphus fever has been reported as follows: Week ended May 19, 1923, four cases; week ended June 23, 1923, one case with one death. COLOMBIA, Yellow Fever-Bucaramanga. During the three weeks ended July 15, 1923, yellow fever was reported still present at Bucaramanga, Colombia. ECUADOR. Plague-Plague-Infected Rats-Guayaquil. During the period July 1 to 15, 1923, two cases of plague with two deaths were reported at Guayaquil. During the same period 4,500 rats were examined, of which number 4 were found plague infected. EGYPT. Status of Plague. Plague has been reported in Egypt as follows: Week ended July 8, 1923-33 cases, of which 3 cases occurred at Port Said, the remaining cases being distributed in five districts, with the greatest occurrence, viz, 25 cases, reported for the district of Menoufich. Week ended July 15, 1923-47 cases, of which 2 cases occurred at Alexandria and 5 cases at Port Said, the remaining cases being distributed in seven districts, with the greatest occurrence, viz, 29, in the district of Menoufieh. The total number of cases reported from January 1 to July 15, 1923, was 1,190, as compared with 362 cases reported for the corre sponding period of the preceding year. Typhoid Fever Outbreak-Suez. Under date of July 12, 1923, an outbreak of typhoid fever was reported at Suez, Egypt. On that date three cases (European) were stated to be present in hospital and two fatal cases (also European) were stated to have occurred during the week ended July 5, 1923. The disease was stated to be present, with an unreported number of cases and deaths, among natives and Levantines. The source of the infection had not been determined. Masters of eastbound ships were warned by American consulate at Port Said not to take fresh water or allow shore leave at Suez.. GREAT BRITAIN. Smallpox Gloucester. Under date of July 13 smallpox was reported still present at Gloucester, but with a diminishing number of new cases.1 Typhus Fever-Bootle (Vicinity of Liverpool). A case of typhus fever was reported August 4, 1923, at Bootle, vicinity of Liverpool, England. INDO-CHINA. Cholera-Plague - Smallpox- October, 1922. During the month of October, 1922, cholera, plague, and smallpox were reported in Indo-China as follows: Cholera-cases 92, deaths 53, as compared with 24 cases with 14 deaths reported in the preceding month and 100 cases with 61 deaths during October, 1921. Plague cases 93, deaths 89, as compared with 70 cases with 68 deaths during the preceding month and 42 cases with 37 deaths in October, 1921. Smallpox-cases 250, deaths 47, as compared with 136 cases with 81 deaths during the preceding month and 115 cases with 26 deaths in October, 1921. (Population, 16,990,229.) During the month of October, 1922, 29 cases of influenza with 9 deaths were reported in Indo-China, as against 30 cases among Europeans and 27 cases with 9 deaths among natives during the preceding month, and 505 cases with 15 deaths during the month of October, 1921. Preventive Measures-October, 1922. Preventive measures were reported as follows: Against plague1,762 vaccinations; 6,187 rats destroyed; carried out in two Provinces, viz, Annam and Cambodge. Against smallpox-105,712 vaccinations in the Provinces of Cambodge, Cochin-China, and Laos. Public Health Reports, July 27, 1923, p. 1739; and Aug. 17, 1923, p. 1934. ITALY. Kala-Azar-Messina. During the week ended June 24, 1923, one case of kala-azar with one death was reported at Messina, Italy. JAMAICA. Smallpox (Reported as Alastrim). During the two weeks ended July 21, 1923, 80 new cases of smallpox (alastrim) were reported in the island of Jamaica. Of these, eight cases occurred in the parish of Kingston. Typhoid Fever-Kingston and Vicinity. During the same period four cases of typhoid fever with one case of paratyphoid fever were reported at Kingston, Jamaica, and 29 cases of typhoid fever in the surrounding country. PERU. Plague-June, 1923. During the month of June, 1923, 54 cases of plague with 41 deaths were reported in Peru. Of these, 12 cases with 7 deaths were reported at Lima. For distribution of occurrence according to locality see page 1986. 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 the Week Ended August 24, 1923.1 1 From medical officers of the Public Health Service, American consuls, and other sources. |