The epidemics in Detroit and Boston both showed a symmetrical evolution and a single wave. This appears to have been the more frequent type of recurrence in this country. There are examples of the secondary curve. At the Great Lakes Naval Training Station the epidemic began during the week ending January 17th. On January 12th there were fifty-one cases. The peak was reached on the third day with the admission of 182 new cases during twenty-four hours. Although the peak came early the decline was less rapid and there were four secondary peaks, but the outbreak terminated on the twenty-fourth day. On the whole the epidemic was less severe than in 1918. Pneumonia was a complication in about ten per cent. of the reported cases of influenza at the training station. On the European continent there were similar recurrences in the first three months of 1920. In the large towns of England the recorded deaths from influenza made an increase in a steady curve from sixty-six in the last week of January until the week ending March 27th. After that date there was a gradual falling off. That the situation was in no way as serious as it was at the same time in the American cities and in certain other parts of Europe is indicated by an annotation in the Lancet of March 6th. According to this annotation, the weekly totals of deaths attributed to influenza in London and the 96 great towns had on the whole tended to increase in the early part of 1920, but the absolute increment was so small and the necessary uncertainty of classification so great that no unfavorable inferences could be drawn from these fluctuations alone. On the other hand, the notifications of cases of pneumonia increased appreciably, too much to be set down as a mere chance fluctuation. But notification for this disease had not been in force long enough to enable accurate comparison. There were no indications of epidemic influenza in any of the large factories situated throughout the country. But on the other hand there was proof of the existence of epidemic influenza of an infectious, but relatively non-fatal type in certain large schools situated in the South and Southwest of England. The annotation concludes that influenza was epidemic in a few localized English and Welsh communities, and that the type was similar to, but less severe than that of 1918–19. In the city of Paris between the 11th and 31st of January there was a very definite increase in the death rate from inflammation of the respiratory tract above the average for other years.