───────────┼────────────┼─────────────┼───────────────┼──────────────── November │ │_British │ │Rose. │ │ Guiana_ │ │ │ │_Dutch │Paramaribo │Frost and │ │ Guiana_ │ │ Sydenstricker. │ 22│_Samoa_ │Apia │Frost and │ │ │ │ Sydenstricker. │ │_Arabia_ │Aden │Frost and │ │ │ │ Sydenstricker. │ │_Iceland_ │ │Erlendsson. ───────────┼────────────┼─────────────┼───────────────┼──────────────── December │ │_Paraguay_ │Paraguay, │Frost and │ │ │ Asuncion │ Sydenstricker. │ │_Dominican │La Plata, │Frost and │ 19│ Republic_ │ Puerto Plata,│ Sydenstricker. │ │ │ Santo Domingo│ │ │_Lapland_ │ │Macklin. │ 8│_Society │ │Frost and │ │ Islands_ │ │ Sydenstricker. │ 3│_Tonga │ │Frost and │ │ Islands_ │ │ Sydenstricker. │ │_Fiji │ │Frost and │ │ Islands_ │ │ Sydenstricker. ───────────┴────────────┴─────────────┴───────────────┴──────────────── During its course through Europe influenza had developed a greatly heightened virulence and toward the end of August it again appeared in the United States apparently traveling in a reverse direction from that of its first spread and, entering the country at Boston, it spread to the West and South until the entire country was covered. The West Indies were invaded early in August and in the same month the disease had spread through India as far as the Punjab. In September the epidemic continued through the West Indies, attacked Mexico and Canada, and had attained such remote localities as the South Africa Union, Senegal and Korea. In October the spread was particularly distributed through South America, and in this month again remote localities such as Alaska, New Zealand, the Hawaiian Islands, Australia, and Madagascar were reached. Islands, which although not very remote, were isolated except for the arrival of occasional ships, such as Cuba, the Azores and the Canary Islands, were first reported attacked in October. In November the spread continued throughout the world, and among the more remote localities should be mentioned Samoa, Arabia, Iceland. In December, Lapland, the Society Islands and the Fiji Islands were invaded (see Chart XI). CHART XI. [Illustration: