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vaccination and employed advanced medical students from the colleges to vaccinate from house to house,

RECORD OF DISEASE PREVALENCE, BY MONTHS, FOR 1903.

January.--Smallpox for the twenty-fourth consecutive month led the list as most prevalent. Tonsilitis was the second most prevalent disease, which position was occupied by rheumatism in the preceding month. The order of disease prevalence was as follows: Smallpox, tonsilitis, bronchitis, pneumonia, rheumatism, influenza, typhoid fever, scarlet fever, pleuritis, diarrhæa, intermittent fever, diphtheria and croup, measles, inflammation of the bowels, puerperal fever, dysentery, cerebro-spinal meningitis, cholera infantum, cholera morbus. Excepting smallpox, diseases of the air passages head the list, and this, of course, was to be expected on account of the season.

February.—Smallpox for the twenty-fourth consecutive month led the list as the most prevalent disease. Influenza was reported as the second most prevalent disease. The order of disease prevalence was as follows: Smallpox, influenza, tonsilitis, bronchitis, pneumonia, rheumatism, scarlet fever, intermittent fever, diarrhæa, typhoid fever, pleuritis, diphtheria and croup, whooping cough, inflammation of bowels, erysipelas, measles, puerperal fever, dysentery, cholera morbus, cerebro-spinal meningitis, cholera infantum. During the month influenza existed to an extraordinary degree and has caused not a little very serious sickness. The death rate was a little higher than that from smallpox. was to be expected, diseases of the respiratory tract continued more prevalent than other disease classes, and we will again call attention to the fact that this is largely due to our shutting ou"selves up so closely in houses and using much foul air.

March.--Influenza was the most prevalent disease during the month, and smallpox was the second most prevalent. The order of disease prevalence was as follows: Influenza, smallpox, rheumatism, bronchitis, pneumonia, tonsilitis, scarlet fever, plenritis, measles, typhoid fever, whooping cough, intermittent fever, erysipelas, cliphtheria and croup, diarrhea, inflammation of bowels, puerperal fever, dusentery, cerebro-spinal meningitis, cholera infantum, cholera morbus. Influenza was quite prevalent in the

preceding month and had grown more prevalent this month. As is well known, diseases of the respiratory tract prevail more extensively in March than in any other month.

April.—Rheumatism was the most prevalent disease during the month. Influenza, which headed the list in March, fell to third place in April. Smallpox comes in for second place. The order of prevalence was as follows: Rheumatism, smallpox, tonsilitis, influenza, bronchitis, pneumonia, measles, intermittent fever, typhoid fever, scarlet fever, pleuritis, diarrhea, erysipelas, whooping cough, inflammation of bowels, diphtheria, croup, cholera morbus, dysentery, cerebro-spinal meningitis, puerperal fever, cholera infantum. Diseases of the digestive tract increased in April over the preceding month, and of course we will have further increase as the months grow warmer.

May.--Rheumatism was the most prevalent disease during the month. This was also the case in April. Influenza dropped from third place last month to fourth this month, and pneumonia moved up from sixth place in April to fifth in May. This is rather extraordinary, and the increase can only be accounted for on the supposition that unusual cold weather caused people to shut themselves up in their houses again after enjoying mild weather. Smallpox, which stood in second place in April, dropped a notch, falling into third. The order of prevalence was as follows: Rheumatism, measles, smallpox, bronchitis, pneumonia, influenza, intermittent fever, tonsilitis, whooping cough, erysipelas, typhoid fever, diarrhæa, pleuritis, scarlet fever, inflammation of bowels, diphtheria, dysentery, puerperal fever, cholera morbus, cerebrospinal meningitis, cholera infantum.

June.-Rheumatism, for the third consecutive month, was the most prevalent disease. As June was not mild, it is therefore not strange to have to record that tonzilitis and bronchitis stood second and third in prevalence. Typhoid fever passed up from seventh place in May to fourth in June. The order of prevalence was: Rheumatisin, tonsilitis, bronchitis, typhoid, diarrhæa, snallpox, measles, scarlet fever, erysipelas, cholera infantum, cholera morbus, influenza, pneumonia, whooping cough.

July.—Rheumatism, which led the list of most prevalent discases for the three preceding months, falls this month to third place, and diarrhæa, which was fifth in the preceding month, leads

as the most prevalent, with cholera morbus second, when in the preceding month it was twelfth. Cholera infantum also moved up by this comparison from eleventh to fourth place. There was an increase in deaths from typhoid fever to be recorded, and also an increase in cases. The order of prevalence was as follows: Diarrhæa, cholera morbus, rheumatism, cholera infantum, typhoid fever, dysentery, tonsilitis, bronchitis, scarlet fever, inflammation of bowels, measles, whooping cough, pneumonia, diphtheria, erysipelas, influenza, puerperal fever. In regard to diarrhæal diseases and affections of the digestive tract, we have to record a slight increase over the corresponding month last year.

August.—In July typhoid fever stood fifth in area of prevalence and diarrhæa stood first. This month typhoid fever advances to first place, being the most prevalent, and diarrhæa drops to second. Cholera infantum moves up from fourth place in July to third in August. Cholera morbus, which was second in July, drops to fourth place in August. These disease reports correspond with the mortality reports. In the instance of typhoid, the number of deaths increased from 63 in July to 108 in August. The order of disease prevalence was as follows: Typhoid fever, diarrhea, cholera infantum, cholera morbus, rheumatism, dysentery, intermittent fever, tonsilitis, bronchitis, inflammation of bowels, scarlet fever, diphtheria and croup, influenza, pneumonia, erysipelas, measles, whooping cough, pleuritis, cerebro-spinal meningitis, puerperal fever.

September.-Typhoid fever stood first in area of prevalence, as was the case also in the preceding month. All but two counties out of the ninety-two report the disease present. These two were Franklin and Lagrange. Probably the truth is that cases occurred also in these counties. Deaths occurred in sixty-six counties. Diarrhæa was second in area of prevalence, as was the case last month also. Tonsilitis was more prevalent, also bronchitis, than they were in the preceding month. The order of prevalence was: Typhoid, diarrhoea, tonsilitis, rheumatism, bronchitis, intermittent fever, dysentery, cholera morbus, scarlet fever, cholera infantum, pneumonia, inflammation of bowels, diphtheria, measles, pleuritis, influenza, erysipelas, whooping cough, puerperal fever, meningitis.

October.—As in September, typhoid fever was first in area of prevalence. Rheumatism, which was fifth in the preceding month,

rises to second in October. The order of prevalence was: Typhoid fever, rheumatism, intermittent fever, bronchitis, tonsilitis, scarlet fever, diarrhea, diphtheria, pneumonia, influenza, pleuritis, erysipelas, measles, dysentery, cholera morbus, inflammation of bowels, whooping cough, cholera infantum, cerebrospinal meningitis.

November.—Bronchitis was reported as the most prevalent disease. Typhoid was the most prevalent in both of the preceding months. Rheumatism, which was second in prevalence in the preceding month, has dropped to third place this month. The order of prevalence was: Bronchitis, tonsilitis, rheumatism, typhoid fever, pneumonia, scarlet fever, diphtheria and croup, influenza, intermittent fever, measles, pleuritis, diarrhæa, whooping cough, dysentery, erysipelas, inflammation of bowels, cerebro-spinal meningitis, cholera infantum, cholera morbus, puerperal fever.

December.—Tonsilitis was reported as the most prevalent disease, and the next in order was pneumonia. Bronchitis was the first and rheumatism the second in November. Rheumatism is always with us and rarely drops lower than fifth place in area of prevalence. The regular order of prevalence for this month was: Tonsilitis, pneumonia, rheumatism, bronchitis, influenza, scarlet fever, measles, typhoid fever, diphtheria and croup, pleuritis, erysipelas, diarrhoea, intermittent fever, inflammation of bowels, whooping cough, puerperal fever, cholera morbus, cerebro-spinal meningitis, cholera infantum, dysentery.

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