Iowa Perry and Des Moines to January 23.

The secretary of the State Board of Health of Iowa reported, January 23, that to the date of report 20 families in Perry, Dallas County, had been quarantined for smallpox. He stated in the same report that 31 cases of smallpox had been notified from Des Moines, Polk County, during the first 23 days of January.

Maryland.

The secretary of the Maryland State Board of Health reported by telegraph January 28 that 6 new cases of smallpox had been notified at Gorman, Garrett County, this being a new focus of infection. Gorman is just over the river from Gormania, W. Va. The report also stated that 1 new case had been notified near Midland, Allegany County.

In Baltimore there were reported, between December 22 and January 25, 34 cases of smallpox. There were 4 cases for the week ended December 28. The numbers for succeeding weeks were 6, 9, 12, and 3. The largest number of cases notified in one week was 12, during the week ended January 18. The outbreak in Baltimore is apparently of the mild type of smallpox so generally prevalent, as no death has so far been reported.

Missouri.

In the Quarterly Bulletin of the Missouri State Board of Health 10 deaths from smallpox are recorded for the six months, April to September, 1912, as follows: One in April, 1 in May, 7 in July, and 1 in August. This is of interest as it is a larger number of deaths from smallpox than that occurring in most of the other States. Records of the number of cases of smallpox that occurred during this time are not available. No information is obtainable, therefore, of the prev alence of the disease, and it is not known whether the 10 deaths represent 20 cases or 10,000 cases-the history of smallpox in this country and the known marked variation in the case fatality rate of different outbreaks would bring either estimate within the bounds of possibility.