Aliens inspected and certified at all ports and places in the United States and its dependencies and in Canada-Continued.

EXCERPTS FROM REPORTS MADE BY SERVICE OFFICERS DETAILED FOR THE MEDICAL INSPECTION OF IMMIGRANTS.

BALTIMORE, MD.

During this year 1,024 ships arrived at this port which were subject to the immigration examination, with a total of 35,013 passengers (steerage 32,294, cabin 2,719).

There were 33,912 aliens examined upon arrival, 31,847 of whom were steerage and 2,065 were cabin passengers. In addition to this number of aliens 1,101 passengers were passed as United States citizens by the immigrant inspectors. This is a marked increase in immigration to this port over the previous year, and has much increased the work at this station. Practically 100 more ships arrived, and the number of arriving aliens exceeded the previous year's record nearly 50 per cent.

While the total number of certificates is 109 more than the previous year, it will be noted that the number certified under the head of 'dangerous or loathesome contagious" is less than the previous year. This must be attributed to the activities abroad of the steamship company in endeavoring to avoid the embarkation of those aliens liable to subject the company to fines and deportations-especially the fines.

During the preceding fiscal year there were 61 cases of trachoma and 34 cases of favus certified, while during the past year only 41 cases of trachoma and 12 cases of favus were detected. Many of these 95 cases in the former year might have been detected by means of a competent medical examination prior to embarkation, and they were so certified with the result that the steamship company was fined $100 each for bringing them. A number of similar certificates have been rendered during the past year. By this means it is hoped that the number of aliens embarked, suffering with these diseases, will consequently continue to decrease.

The relatively large number of cases of tinea tonsurans found (29) would indicate that this disease is not being prevented from embarking as diligently as some of the other communicable diseases.

There has been a large increase in the number of aliens detained in local institutions for observation, care, and treatment. This increase amounts to nearly 50 per cent, as the number detained was 454, and they were sent to six different institutions in various parts of the city.

There were 231 cases of acute communicable diseases held for treatment as follows:

With the exception of the scarlet fever and diphtheria, which were sent to the small Sydenham (city) Hospital, all of these communicable diseases were treated in the detention house for immigrants.

From December to May, inclusive, 172 cases of measles, practically all children, were treated in the detention house, and 36 of them died. One ship furnished 33 cases,

BOSTON, MASS.

During the last fiscal year 78,706 passengers arrived at the port of Boston. Of these passengers, 66,812 were aliens, of whom 3,236 received medical certificates. There were 379 admissions to outside hospitals in addition to those held for treatment or observation at the immigration detention station itself.

With respect to classification on shipboard and citizenship, the passengers were divided as shown in Table I.

The less efficient precautions taken abroad to prevent diseased or defective persons from embarking as cabin passengers, the comparatively small difference in price between a steerage and second-class passage, certain privileges which it is customary to extend on arrival here to passengers who may be designated cabin passengers, and conference agreements penalizing a company for exceeding its prescribed quota of steerage passengers, are all tending constantly to increase the proportion of so-called second-cabin passengers aboard ships in the Atlantic trade. The importance of an efficient medical examination of such cabin passengers is indicated below in Table II, which shows that practically about 7 per cent of the alien second-cabin passengers are found to be seriously defective or diseased, while only about 5 per cent of the steerage are so certified. In this connection it may be stated that according to the practice of certifying at Boston there are included under Class C only such defects as are deemed to be at least an actual handicap to self-maintenance. Notations of defects regarded as of no practical importance, and so declared to be, were issued to the number of about 1,500 during the year, but no account is taken of such notations in this report.

Passengers arriving at Boston on ships from British American ports are examined at the foreign ports of departure and are consequently not included in any way within the scope of this report.