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ESTHONIA.

Communicable Diseases-October, 1923.

Communicable diseases were notified in the Republic of Esthonia during the month of October, 1923, as follows:

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Births and Deaths-Third Quarter, 1923-Scotland.

The accompanying tables were compiled from data given in the "Quarterly return of the births, deaths, and marriages registered in Scotland" during the quarter ended September 30, 1923, published by authority of the registrar general of Scotland.

The following are extracts from the return:

"The more outstanding features of the vital statistics in Scotland during the third quarter of the year are a birth rate of 21.9 per thousand, a marriage rate of 8.0 and a death rate of 10.6. The birth rate continues to show a fall. It is 1.9 less than that of the previous quarter, and 0.7 less than that of the third quarter of last year. The marriage rate shows an increase when compared both with what it was in the previous quarter and what it was in the corresponding quarter of last year, being 0.8 more than in the previous quarter and. 0.4 more than in the third quarter of last year. The quarterly death rate is the lowest recorded since the introduction of national registration. It is 2.7 less than that of the previous quarter and 0.1 less than the corresponding quarter of last year, in which quarter the previous lowest recorded death rate occurred.

"The illegitimate children registered during the quarter numbered 1,880, which number, although 13 more than in the previous quarter, is 82 less than in the third quarter of last year. It is less than in all previous third quarters, with the exception of the third quarters of the years 1915 and 1917.

"The infantile mortality rate of the quarter was 62 per thousand births, and is the lowest Scottish quarterly infantile mortality rate. yet recorded.

"The death rates from all forms of tuberculosis and from phthisis were 98 and 67 per 100,000, respectively, and both are exceptionally low.

"The death rate from malignant disease was 129 per 100,000. It remains at the same high level as was found in the previous quarter."

Birth and death rates in Scotland, July to September, inclusive, 1923.

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Deaths and annual death rates, by cause of death, per 100,000 population in Scotland during the third quarter of 1923.

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Communicable Diseases-September, 1923.

Communicable diseases were notified in the Republic of Latvia, during the month of September, 1923, as follows:

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Dysentery-Leprosy.

During the period under report, 14 cases of dysentery and three cases of leprosy were notified in the Republic of Latvia.

MEXICO.

Malaria-Typhoid Fever-Los Mochis.

Malaria and typhoid fever have been reported at Los Mochis, State of Sinaloa, Mexico, as follows:

Malaria.-Present from June 18 to August 19 and from September 24 to November 25, 1923.

Typhoid fever.-Present from August 26 to September 16, with six reported cases; from October 8 to November 25, present, with three cases notified during the week ended October 21, 1923. Population, 8,000.

POLAND.

Communicable Diseases-September 2-15, 1923.

Communicable diseases have been notified in Poland as follows:

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During the two weeks under report 642 cases of dysentery, with 110 deaths, were reported in Poland, the greatest number of deaths being reported in the district of Lwow.

TRINIDAD (WEST INDIES).

Increased Activity of the Sanitary Department.

Information dated October 2, 1923, shows increased activity in certain work carried out by the sanitary department of the island of Trinidad, West Indies, such as inspection of dwellings and factories and places in which food is exposed for sale; also with respect to notices for repair or construction work, with the object of removing insanitary conditions or to prevent spread of disease. A system of outdoor treatment of expectant mothers was stated to be in operation.

TUNIS.

Plague Tunis.

A case of plague occurring in the Moslem population was reported at Tunis November 19, 1923.

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 December 28, 1923.1

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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 During Week Ended December 28, 1923—Continued.

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Reports Received from June 30 to December 28, 1923.1

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

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