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May 25, 1906 556 

Smallpox. — Week ended May 3, 1906, 7 cases at Caltanissetta, 4 at 
Niscemi, 1 at Pietraperzia, 1 at Terranova, 1 at San Cataldo, 1 at Ser- 
radifalco and 6 at Kiesi in the province of Caltanissetta; 11 cases at 
Genoa, 1 at Spezia (Genoa); 1 at Santo Stefano (Avellino), 1 at Budrio 


Report from Yokohama — Inspection of vessels — Plague in Kobe and, 

Osaka — Smallpox. 

Passed Assistant Surgeon Cumming reports, April 28, as follows : 

Week ended April 28, 1906. Bills of health granted after inspection 
to 5 steamships and 2 sailing vessels, having an aggregate personnel of 
633 crew and 768 passengers. These vessels were bound for Guam, 
Manila, Cebu, New York, Honolulu, and San Francisco: Eighty- 
six steerage passengei's were bathed and their effects, consisting of 
283 pieces, were disinfected: Eight hundred and seventeen aliens, 
would-be steerage passengers to the United States or Honolulu, were 
examined with reference to their freedom from any loathsome or 
dangerous contagious disease contemplated by the United States immi- 
gration laws. 

No further cases of cholera have been reported from Tokio and only 
two cases of smallpox here, one, however, being in Hironuma. 

The report of further cases of plague in Kobe and Osaka and of a 
case in Wakayama originating in Osaka leads me to apprehend the 
possible spread of that disease, especially in view of the cotton and 
rice being imported from India. 

Emigrants recommended for rejection. 

Number of emigrants per steamship Shinano Maru recommended 
April 19, 1906, for rejection: For Seattle, 87. 

Per steamship Doric, April 21, 1906: For Honolulu, 48; for San 
Francisco, 2. 

Per steamship Manchuria, April 28, 1906: For Honolulu, 67; for 
San Francisco, 2. 

Per steamship Tango Maru, May 1 : For Seattle, 16. 

Report from Nagasaki — Beriberi on bark Erasmo. 

Sanitary Inspector Bowie reports, April 20, as follows: 
On April 6, 1906, the Italian bark Erasmo, from Philadelphia, laden 
with case oil, arrived in tow of the Hamburg-American steamship 
Segovia. The bark had been sighted by the steamer about 100 miles 
off this port flying signals of distress, and with only her mainsail set. 
Upon boarding her it was found that the captain and all on board, 
with the exception of one man, were suffering from beriberi, and that 
the vessel was virtually a derelict. It was stated that the disease had 
begun to show itself about two weeks before, and one man, said to 
have had the worst case, had died that same day. The captain of the 
Segovia placed 7 of his men on board, and then proceeded to tow the 
bark to her destination, Nagasaki. On the afternoon of her arrival I 
went on board and found the crew in their bunks and unable to get