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behind the average for several years. Yet February sax increasing numbers of ouses and March, with relatively mall amount of rain- fall, showed the greatest number. Recently rainfalls were heavy but the coresponding number of onsea was not influenced.
Pre-epidemie infectious disease. It is a matter of gomion knowledge amongst the practitioners, although no official records are available, of the great number of cases of influensa and sore throat prevalent in Colony during the period preceding the spidemic (November and Decmber 1917). The Principal Cavil Medionl Officer states that an unusual mumber have come to his attention. This is attested by Dr. Jordan, the Medical Officer of the Fort, Dr. Macfarlane, the Government Bacteriologist and Dr. Gale, the Medical officer of Health. The epidemio was not
severe in its effect but the distribution of those ailments was
quite general. On the other hand there is no evidence of any
great increase in measles at this time nor muapa. Besides the
prevalence of sore throat and influenze the health conditions of
Hongkong was relatively good.
f. Higration of the population. Higration may be an import-
ant element in the dissemination of the disease as well as in
the recurrence or continuance of an epidemic. As for the first,
namely, the dissemination of epidemíu meningitis, there occurred
And Tokyo
in the ports of Jwatow, Shanghai, kobe, and Caaku an extraordinary
were recorded number of asses (and in most instances for the first time ),
These cities are along the main lines of travel out from hongkong The asses recuned a for week after the outbreak at thoughing, For example at Swatɗr about 60′ouses developed during karch. The
Hongkong Blus Book for 1916 and 1917 places the emigration from
Hongkong at 117,653 and 96,298 respectively.
on thebther hand the question of recurrence or continua-
tion of an epidemic is related in a degree to the immigration.
The immigration into the Colony for 1916 was 72,405 and for 1917
98,232. The figures for 1918 are of course, not available. It has
These figures are official returns. The actual number of Chiness
(16)