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 3,1899
February 174

wards withdrewhis indorsement. If this courseis to be pursued there

is no doubt of these transportscarryinginfectiousor contagious
diseases. I believe had it not been for the absence of General
Humphrey, who is temporarilyabsent fromthe city, the sanitary
regulations would have been enforcedwith the passengers on this
transport.
The harborwork continuesto increase as new passenger lines are
inaugurated. There are now 6 lines of passenger steamers plying
between this port and the United States, which include 10 steamers
per week. The officeworkhas proportionatelyincreased.
Yery respectfully, W. F. Brunner,
SanitaryInspector , U. 8. M. H. S.
The Supervising Surgeon-General,
V. 8. Marine-HospitalService.
ofthecity
Mortality fortheweek
ofHabana ended
Thursday 19, 1899.
, January

Causeofdeath. Total.

fever
Yellow 1
fever
Enteric i 16
fever
Pernicious 4
Malarial
fever 34
Dysentery 2
Enteritis 51
LaGrippe 1
Diphtheria 1
Leprosy i 1
Pneumonia 11
Tuberculosis 40
from
Deaths allcauses 281
Annual
ratioper1,000 73.25

SanitaryreportsfromSantiago.
Santiago de Cuba, December81, 1898.
Sir : I have the honor to inform you that 39 deaths have been
reportedforthe week ended this Saturday, December 31. Of these,2
werefromtuberculosis,17 frommalarial fevers,3 fromdysentery, 10 from
diarrhea,the rest fromcommon diseases of noncontagiouscharacter.
The sanitaryconditionof the city becomes bettereveryday. It is the
constantcareand ambitionofGeneralWood to make Santiago a perfectly
healthycityas faras possible,and, the cleaning of the streetsand pub-
lic buildings,done by his order, has shown,in the decreasing mor-
tality,what good governmentand hygienicmeasurescan accomplishin
a shorttime. EverySpanish governmentbuildinghas beendisinfected
and thoroughlyrepaired,givingthecityan air ofcleanlinessand bright-
ness nevershown before. The markethas beenthoroughlyoverhauled,
cleaned,and repaired,and strongrulesand regulationsdictatedto insure
its sanitation.
Respectfully,yours, H. S. Caminero,
SanitaryInspector , JJ.8. M. H. 8.
The Supervising Surgeon-General,
U. 8 . Marine-HospitalService.
Santiago de Cuba, January7, 1899.
Sir : I have thehonorto informyouthatthesanitaryconditionof San-
tiago de Cuba is slowlyimproving,and, althoughno cases of contagious
or infectiousdiseases prevail, the death rate is still high. I have had
 175 3,1899
February

mortalitytable blanks printedand will send one weekly,filledup from

the daily reportsI receive fromthe cemetery. This way you will be
able to acquire an exact and trustworthystatementof our sanitary
conditionand mortality. It was always verydifficult underthe Spanish
administrationto get true statisticalreturns,and I have made up my
mind to obtain true statisticson subjects relatingto the public health.
I inclose the firstmortalitytable carefullyand properlyprepared for
your inspection.
Respectfully,yours, H. S. Caminero,
SanitaryInspector, TJ.S. M. H. 8.
The Supervising Surgeon-General,
TJ.8. Marine-HospitalService.
Santiago de Cuba, JanuaryЦ, 1899.
Sir : I have the honorto informyou that the sanitaryconditionof
Santiago is not as good as last week. The malarial feversare increas-
ing daily, and the death rate is higherthan it has been forthe last two
weeks. I believe the cause to be the tearingup of the old pavements
and the building up of new streets. Atmosphericinfluencesare also
at work, as the temperatureis high as it has not been for years, and
rainfallsare of frequentoccurrence. You will perceive by the inclosed
mortalitytable that we have no contagious or infectiousdiseases at
present.
Respectfully,yours, H. S. Caminero,
SanitaryInspector, TJ.8. M. H. 8.
The Supervising Surgeon-General,
U. 8. Marine-HospitalService.
TURKEY.

Smallpoxin Bagdad.
Consulate of the United States,
Bagdad, December8, 1898.
Sir : I have the honor to remit herewithinclosed copy of a letter,
No. 116, of December 2, 1898, fromthe service sanitaire,in regard to
the smallpox existing in Bagdad. I may here say that, according to
public opinion,therewere over 10,000 attacks duringthe last month.
I have the honorto be, sir, your mostobedientservant,
Rud. Hurner,
Vice-Consulof theUnitedStates.
Hon. Assistant Secretary of State.
- Inclosure.]
[Translation
Bagdad, December 20,1898.
Sie : In replytoyourlettersdated18thand20thofthecurrent month,Nos.245and
248,I havethehonor toinform youthataccordingtoofficial received
reports herefrom
hisexcellency thegovernor-general,
smallpoxexistsinourcity,and fromOctober 22
lastto November 27,of 96cases,66werecompletelycured,20 died,and10are now
undertreatment.
Withthehighest esteem, Db. Cavallakie,
Sanitary
Inspector.
Hon.R. HubneR,Consul States
oftheUnited atBagdad.