At the same time, C. Williams Bailey reported a mild form of influenza existing in Georgetown, S. C., which was first considered to be hay fever in consideration of the presence of the rice harvest season, but which was finally decided, after careful investigation, to be true influenza. On July 21, 1902, the U. S. Consul at Canton, China, telegraphed that influenza “was almost epidemic, plague sporadic in Canton.” In 1903 the disease was reported as apparently prevalent at New Laredo, Texas. Surgeon Gassaway, of the Marine Hospital Service, reported from Missouri, December 14, 1903, as follows: “There is a very decided increase in the number of cases of influenza in this vicinity. Two have been admitted within the last few days to this hospital, and several cases have appeared among the patients under treatment. In these cases the onset is sudden and the disease appears principally, at least at first, to be confined to the nose and throat.” Measles and influenza were reported prevalent in Barbados, West Indies, during the month of December, 1904. Sturrock describes a quite typical local epidemic in a British institution in 1905. Influenza was epidemic in Guayaquil and various other places in Ecuador during the months of June and July, 1906. Selter speaks of a true local epidemic of a disease clinically resembling influenza which occurred in 1908 and extended over the territory from France to the Rhine. Hudeshagen mentions having examined bacteriologically cases of influenza in the year 1914. Ustvedt relates his experience at the Ullevaal Hospital up to September, 1918. Since 1890 there had been cases reported every year from the high marks of 10,461 cases in Christiania in 1890 and 5,728 in 1901 to the lowest figure, 138 in 1906. “The cases listed as influenza in the last few years may have been merely a catarrhal fever. This is the more probable as the cases were restricted to the winter months, while influenza usually occurs at other seasons.” Jundell believes that influenza is endemic at Stockholm, Sweden, hundreds of cases being reported there each year. During the years 1912–1919 Pfeiffer’s bacillus has been found in ten per cent. of those cases in which the diagnosis seemed certain.