According to the report of the Influenza Committee, the disease was first seen in epidemic form in April and May in the British Armies in France, but that was not the first time that Pfeiffer’s bacillus had appeared within the armies. It had frequently been found in cases of bronchopneumonia, especially during the winter of 1916–17. Carnwath remarks that it is doubtful whether much importance from an epidemiologic point of view attaches to these sporadic findings of the influenza bacillus. In an outbreak of measles and rubella—complicated by purulent bronchitis—which attacked men belonging to the draft of troops from New Zealand between January 1st and March 8th, 1918, the bacillus influenzae was present in twenty-four of the forty sputa examined, and was grown in culture in twenty-one cases. Sellards made somewhat similar observations on measles patients at Camp Devens. Concerning the French population, Chauffard, Messary and Netter, all remark that the first cases in France developed in April with possibly some cases before that time, and that there were undoubtedly cases in the German Army in April. We see then that by April the disease has been transferred to France and is prevalent in the various armies. It is natural to assume that the battle front would present no great obstacle to the spread of the disease into the German Army. Gins remarks that the disease was present on the German West front among the troops as early as April, 1918, and that it spread from there more rapidly to the South than to the North. During the month of May we observe the spread of the disease to Great Britain, where Carnwath, who has made an exhaustive study of the spread in Great Britain, believes that it was imported by the troops from France. Its first recorded appearance in Glasgow was in May. Dunlop, in reporting the successive epidemics in Scotland, observed that in addition to the three well marked epidemics there was a mild one recognizable in Glasgow in May, and that in that city the death rate rose from 14.1 to 20.1, and the weekly number of deaths from pneumonia and bronchitis from 36 to 107. In England the disease first attracted attention in June, appearing first in the coast towns, chiefly at the beginning among the military and naval forces. The civilian population was severely affected only later. The ports which were earlier attacked were Portsmouth, Southampton and Liverpool. Inland towns suffered more severely later.