in Ohio, where it is maintained in connection with the Ohio State University at Columbus.

The New Medical Practice Act.-On May I the new medical practice law went into effect and the board approved rules to govern the examination of physicians and surgeons and other practitioners who come within its scope. Besides presenting diplomas from reputable schools of medicine which are defined in the rules, applicants will be examined in anatomy, physiology, chemistry, patholegy, histology, obstetrics, gynecology, materia medica and therapeutics, practice of medicine and medical jurisprudence. Persons who act in certain cases, but do not administer medicine or perform surgical operations, will be examined in anatomy, psychological clinics, physiology, histology, pathology and hygiene.

IOWA.-Des Moines, 72,000, March, '99: Total deaths, 59; annual death rate per 1,000, 8.2; from phthisis, 5; acute respiratory diseases, II.

Davenport, 36,000, March, '99: Total deaths, 45; annual death rate per 1,000, 12.3; from phthisis, 4; acute respiratory diseases, 6.

LOUISIANA. New Orleans, April 16: The request made by the Mississippi State Board of Health in its resolutions of February 4 has been granted by the Louisiana Board of Health without any difficulty. In fact the board had already framed resolutions to the effect that the inspectors of adjacent States should be informed by the president of all cases of yellow fever reported to him for investigation, and also resolutions allowing the inspection of the charity hospitals by the same inspectors, and the same courtesies are expected by the Louisiana State Board of Health from the Mississippi Board should it desire to send inspectors into Mississippi, which are granted.

New Orleans, 300,000 (90,000 colored), March, '99: Total deaths, 689-292 colored; under 5 years, 152; annual death rate per 1,000, white, 18.9; colored, 32.4; 22.9. Deaths from typhoid, 5; consumption, 99; acute respiratory diseases, 107. April 18: The sewerage and drainage petition has received the requisite number of signatures, and the Council can now pass the ordinance ordering the tax election.

MARYLAND.-Baltimore, white, 463,000; colored, 78,000: 541.000. February: Total deaths, 895-669 whites, 226 colored: death

rates, 20.57, 34.61: 22.60; 63 died from infectious diseases, 89 from consumption, 140 from pneumonia, 27 from bronchitis, 40 from influenza, 56 from Bright's disease, 23 from apoplexy, and 8 from typhoid fever; 289 were under 5 years of age; cases of infectious diseases reported during the month, 249.

925;

MASSACHUSETTS.-Boston, 541,827, March, '99: Total deaths, under 5 years of age, 282; annual death rate per 1,000, 20.4; from typhoid fever, 5; diphtheria, 21; consumption, 128; acute respiratory diseases, 171.

MICHIGAN, 2,168,548, March, '99: Total deaths, 3,278; under 5 years, 867; annual death rate per 1,000, 16.5; from typhoid fever, 34; diphtheria, 26; phthisis, 202; pneumonia, 495. Detroit, 237,798, March, '99: Total deaths, 409; under 5 years, 128; annual death rate per 1,000, 17.4; from diphtheria, 8; phthisis, 29; pneumonia, 62.

MINNESOTA.-Minneapolis, 225,602, March, '99: Total deaths, 200; under 5 years, 64; annual death rate per 1,000, 9.25; from typhoid fever, 2; diphtheria, 3; consumption, 22; acute respiratory diseases, 46.

St. Paul, 215,582, March, '99: Total deaths, 136; under 5 years, 57; annual death rate per 1,000, 8.2; from diphtheria, 3; phthisis, 16; acute respiratory diseases, 19.

April 24: St. Paul will virtually have a new health department to-morrow. But three of the whole force are retained by Dr. Justus Ohage, the new Commissioner of Health. The changes were announced this afternoon publicly, although some of them have been surmised for some days. The three persons reappointed are William Sharood, inspector; C. A. Janssen, meat inspector, and Miss Martha De Bruyn, stenographer.

MISSOURI.-St. Louis, 623,000, March, '99: Total deaths, 986; under 5 years, 324; annual death rate per 1,000, 18.9; from typhoid fever, 4; diphtheria, 16; phthisis, 118; acute respiratory diseases, 203. Report for the year 1898 was 8,908, of which 2,608 were under 5 years of age. The death rate was 14.2 per From typhoid fever there were 95 deaths; diphtheria, 152; diarrhoeal diseases, 466; consumption, 1,101; bronchitis, 350 pneumonia, 867.

1,000.

Kansas City, 200,000, March, 99: Total deaths, 314; under 5 years, 71; annual death rate per 1,000, 18.8; from typhoid fever, 2; phthisis, 9; acute respiratory diseases, 93.

NEW JERSEY.-Newark, 235,000, 4 weeks, April 22, '99: Total deaths, 382; under 5 years, 100; annual death rate per 1,000, 20.6; from diphtheria, 7; typhoid fever, 24; phthisis, 53; acute respiratory diseases, 67.

Paterson, 114,732, March, '99: Total deaths, 220; under 5 years, 69; annual death rate per 1,000, 19.1; from typhoid fever, 20; diphtheria, 6; phthisis, 26; acute respiratory diseases, 42.

NORTH CAROLINA.-Twenty-two towns, population 150,638 (63.590 colored), report for March, '99, 171 deaths, 107 colored; under 5 years of age, 35; annual death rate per 1,000, 13.6; from consumption, 25; pneumonia, 31.

OHIO.-Cleveland, 395,000, March, 99: Total deaths, 501; under

5 years, 170; annual death rate per 1,000, 15.2; from typhoid fever, 15; diphtheria, 4; phthisis, 18; acute respiratory diseases, 108.

PENNSYLVANIA.-Philadelphia, 1,266,832, 5 weeks, April 29, 99: Total deaths, 2,614; under 5 years, 548; annual death rate per 1,000, 21.4; from typhoid fever, 195; diphtheria, 71; phthisis, 305; acute respiratory diseases, 339.

May 2: Though the epidemic of typhoid fever seems to be gradually decreasing, the death rate from the disease seems to be growing higher each day. It is now about 15 per cent. and the health authorities are considerably concerned over the virulence of the epidemic. So far this week 77 new cases have been reported, with ten deaths.

Nine new cases of cerebro-spinal fever have been recorded since Saturday, with three deaths.

Pittsburg, 305,000, 5 weeks, April 29, '99: Total deaths, 550;

under 5 years, 207; annual death rate per 1,000, 18.7; from typhoid fever, 29; diphtheria, 7; phthisis, 34; acute respiratory diseases, 99.

SOUTH CAROLINA.-Charleston, 65,165, 5 weeks, April 29, 99: Total deaths, 175; under 5 years, 43; annual death rate per 1,000, 27.8; from phthisis, 21; acute respiratory diseases, 15.

TENNESSEE.-Nashville, April 28: The State Board of Health to-day engaged in mapping work during the next two years and arranging those matters which are needing immediate attention.

At yesterday afternoon's session the following resolution by Dr. Krauss was adopted:

"Resolved, by the Tennessee State Board of Health, that the United States marine hospital service be requested to extend the order recommended by the Louisiana State health authorities in reference to precautions necessary to guard against the introduction of yellow fever and small-pox by soldiers and other persons passing to and fro from Cuba, Puerto Rico and other islands of the West Indies to the United States, providing that all baggage and other effects of such soldiers or persons be fumigated and disinfected, regardless of destination."

VERMONT.-Rutland, April 28: At the meeting of the State Board of Health here to-day it was decided to hold a school of instruction at the State laboratory at Burlington this year for the boards of health of Vermont. It was not determined when the school of instruction would be held, but it will probably be for a week at some most convenient season. A series of lectures and demonstrations of experiments will be arranged, touching upon all questions of vital importance to public health. Demonstrations of the use of disinfectants and examinations of infectious diseases will be made. The importance of the public laboratory, schoolhouse sanitation, water supplies, drainage of farms and other kindred topics will be treated. The school of instruction will be free to all members of health boards.

WASHINGTON.-Seattle, 75,000, March, '99: Total deaths, 60; under 5 years, 8; annual death rate per 1,000, 96; from typhoid fever, 2; phthisis, 4; acute respiratory diseases, II.

WISCONSIN.-Milwaukee, 280,000, March, '99: Total deaths, 319; under 5 years, 113; annual death rate per 1,000, 13.4; from typhoid fever, 2; diphtheria, 12; phthisis, 43: acute respiratory diseases, 49.

SMALLPOX continues more or less prevalent throughout the country, and in some communities where vaccination has been al

most wholly neglected it is epidemic. Summed up from Public Health Reports of the Marine Hospital Service to May 5, since December 31, the number of cases and deaths in the States severally have been as follows: Alabama, 134, 2; Arkansas, 8, 1; California, 93, 15; Colorado, 136, 9; Connecticut, 2, 0;; District of Columbia, 82, o; Florida, 200, o; Georgia, 314, 0; Illinois, 44. 0; Indiana, 68, 1; Indian Territory, 45 deaths; Iowa, 13, 2; Kansas, 56, 7; Louisiana, 192, 2; Maine, 165, 0; Maryland, 19, 0; Massachusetts, 8, o; Michigan, 22, 1; Minnesota, 21, o; Mississippi. 23, 3; Missouri, 90, 17; Montana, 2, 0; Nebraska, 372, 3; New Jersey, 6, o; New York, 25, 4; North Carolina, 85, 1; Ohio, 758, 13; Oklahoma, 37, 13; Pennsylvania, 219, o; Rhode Island. 3, 0; South Carolina, 126, 10; Tennessee, 123, 0; Texas, 866, 143; Virginia, 1978, 16; Washington, 5, 0; Wisconsin, 22, 2; Wyoming, 6, o; Porto Rico, 454, 0.

THE HEALTH OF MANILA.

A refutation of the statements in general circulation regarding the health of Manila is furnished by O. F. Williams, former United State Consul at that place, in a report to the Consular Bureau. One statement made by Mr. Williams removes an erroneous belief regarding the rainy season. There is no protracted rainy season. The rainfall is about ten feet per annum and is quite evenly distributed, so that the streets are cleansed and the sewers flushed almost every day. The hot weather hastens decay of all refuse, and it is all the more easily washed from the streets into the sewers and removed by the frequent rains from January to January. The sewers of Manila are not as good as they might be, because of the low level of the city. The water supply is exceptionally abundant, pure and agreeable to the taste. Being within the tropics, the invigorating and beneficial effects of frost are, of course, lacking. The best refutation is Mr. Williams' statement: "I have not been sick a minute since I left the United States in 1897." Manila may not be as salubrious as Old Point Comfort, but Mr. Williams' report will relieve the friends of the soldier boys in the Philippines of no little anxiety as to their health during the summer. Much of the sickness among the soldiers in Cuba and State camps was due to the impure water given them to drink. There is no such source of sickness in Manila.

MORTALITY STATISTICS ABROAD FOR THE FIRST QUARTER 1899. Population; total mortality; annual death rate per 1,000;