27 
via Missoula. From Fort Missoula to a point between Woodside and 
Hamilton the train runs close to the river on the west side of the 
stream. 
While the predominance of cases on the west side of the Bitter Root 
River, as reported by Wilson and Chowning and b}- Anderson, was 
noticed (6:5) in the season of 1904, the cases were not so confined to 
that locality as might be expected in view of former statistics. In 
regard to case No. 6 (Harve}" Creek) it is important to note that Wilson 
and Chowning (1903a, map) report cases Nos. 13, 11, 15 (28 and 30 
marked as doubtful), 29, Td, and 107 from the vicinity in which case 
190d:6 is supposed to have become infected. 
Gates (1905, p. lid) reports 13 cases in or near Bridger from 1900 to 
190d, inclusive, d of these occurring in 190d. 
Alton (1905, p. 110) reports 2 cases in Livingston for 190d; one of 
these came from Lewiston, the other from Gardiner, Park County. 
According to a newspaper clipping dated May 23, 1901, there was a 
case of spotted fever in Billings, Mont., attended by Doctor Clark. 
1 have also heard of one case at Dillon, but do not recall the details. 
Wyoming . — Gates (1903, p. 48) reports 1 case from Thermopolis; see also Anderson 
(1903c, p. 4). 
According to Wilson and Chowning (1904a, p. 34), Dr. J. J. Bradbury, of Cody, 
wrote to them that cases occurred in 1903 near Cody and Meeteetse. Anderson 
(1903c, p. 8) also refers to these cases. 
Gates (1905, p. Ill) reports, in all, d cases for W}"oming, namely, 
Meyersville, 1 case, 1891; Thermopolis, 2 cases, 1898, and Shoshone 
River, 1 case, 1901. 
Bradbury has written to me (October 31, 1901) that he had had 2 
cases at Cod}", but none in 1901. 
Nevada. — Maj. W. P. Kendall, surgeon, U. S. Army, reported in a letter to Wilson 
and Chowning (1904a, p. 34) that he saw cases in 1887 in the Quinn River Valley. 
Kendall’s cases are also referred to by Anderson (1903c, pp. 7-8). 
Major Kendall has written to me under date of October 23, 1901, 
that during his tour of duty at Fort McDermitt, Nev., 1885-1889, he 
saw 10 or 12 cases of the locally so-called ‘‘spotted fever;” his med- 
ical friends at Winnemucca, Nev., told him that there was a great deal 
of this disease at a small hamlet some 25 miles distant up the valley, 
but by them it was not considered to be a dangerous malady, as “they 
never died.” One of the Winnemucca physicians stated that he had 
seen some 50 cases. 
Dr. P. I. Mangan, of Winnemucca, has written to me under date of 
November 5, 1901, that he has repeatedly heard of a disease termed 
“spotted fever” that has appeared at Paradise Valley, some 15 miles 
distant from Winnemucca, and also at Fort McDermitt, but no case 
was reported in 1901; he is informed that the disease has appeared at 
isolated places subsequent to sheep shearing, and many persons sup- 
