ceived, "alastrim" was introduced into French Guiana by way of the Oyapoc, a frontier river between Brazil and French Guiana, during the second half of the year 1922. The first cases dated back approximately to November and December of that year at Cayenne. IRAQ (MESOPOTAMIA). Cholera-Bagdad-Basrah. During the period September 3 to 17, 1923, 46 cases of cholera with 37 deaths were reported at Bagdad, and 133 cases with 115 deaths at Basrah, Iraq (Mesopotamia). JAMAICA. Smallpox (Reported as Alastrini). During the week ended October 13, 1923, 22 cases of smallpox (reported as alastrim) were reported in the Island of Jamaica. Of these, 2 cases occurred in the Parish of Kingston. Typhoid Fever-Kingston and Vicinity. During the same period 8 cases of typhoid fever were reported at Kingston and 39 cases in the surrounding country. MALTA. Disease Prevalence-October 1-15, 1923. During the period from October 1 to 15, 1923, disease prevalence in the Island of Malta was reported as follows: Influenza, 2 cases; malaria, 2 cases; pneumonia, 4 cases, including 1 case of bronchopneumonia; trachoma, 41 cases; undulant fever, 34 cases. PERU. Plague September, 1923. During the month of September, 1923, 12 cases of plague with 8 deaths were reported in Peru, occurring at localities on the coast. For distribution of occurrence according to locality, see page 2750. RUMANIA. Malaria-Kishineff. During the month of August, 1923, 90 cases of malaria were reported in the district of Kishineff, Rumania. TRINIDAD. Typhoid Fever-Port of Spain. Information dated October 20, 1923, shows the incidence of cases of typhoid fever at Port of Spain, Island of Trinidad, as follows: October 1-17, 1923, 39 cases as compared with 21 cases for the whole. month in 1922. The cause of the increased prevalance was not determined. UNION OF SOUTH AFRICA. Further Relative to Epidemic Cerebrospinal Meningitis.' Epidemic cerebrospinal meningitis in the Union of South Africa has been further reported as follows: Week ended September 22, 1923, 30 cases, of which 27 were in natives, 2 in the colored or mixed population, and 1 in the white population. 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 lists of countries included or the figures for the particular countries for which reports are given. Reports Received During Week Ended November 16, 1923.a a From me lical officers of the Public Health Service, American consuls, and other sources. 1 Public Health Reports, Nov 2, 1923, p. 2654. CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued. Reports Received During Week Ended November 16, 1923-Continued. 1 From medical officers of the Public Health Service, American consuls, and other sources. CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued. Reports Received from June 30 to November 9, 1923—Continued. CHOLERA, PLAGUE, SMALLPOX, TYPHUS FEVER, AND YELLOW FEVER-Continued. Reports Received from June 30 to November 9, 1923-Continued. Ecuador: Guamote. Guayaquil. Station on Eastern Chinese Railway. Occurring in tarabagan (marmot) hunter. Rodent plague present. Do. 2 Country district. 132571 Bubonic. May 16-June 30, 1923: Rats exainiued, 13,500; found infected, 39. July 1-Aug. 15, 1923: Rats examined, 13,450; found infected, 23. Aug. 16-30, 1923: Rats taken, 54,304: found infected, 66. (Number examined not reported.) Jan. 1-June 21, 1923: Cases, 1,051; deaths, 548. May 1-29: Cases, 345. Jan. 1-June 21, 1923: Cases, 1,069. Jan. 1-Oct. 4, 1923: Cases, 1,360; deaths, 652. May 1-29, 1923: Cases, 14. May 1-29, 1923: Cases, 13. May 1-29, 1923: Cases, 3. Deaths not reported. Do. Do. Do. Do. Sept. 26: One case. Deaths not reported. Sept. 15: Cases, 1: deaths, 1. Published in Public Health Reports, Sept. 14, 1923, pp. 2189 and 2190. Present. Plague-infected rats: Pohakea, May 23, 1923, 1 rat; vicinity of Pacific Sugar Co. mill, June 2, 1 rat; Aug. 2, 1 rat at Hamakua Mill Co. planation. Aug. 16, plague rat found at Kapulena. July 20, 1923: One plague rat; July 30, 2 plague rats; Honokaa Sugar Co. mill and Honokaa village. Apr 23-June 23, 1923: Cases, 5,783; deaths, 4,481. July 1-14, 1923: Cases, 2,400; deaths, 1,650. July 29-Aug. 25, 1923: Cases, 5,369, deaths, 3,282. Plague rats, 5. |