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disease has spread to every district of Manila,to the adjacent 
towns,and to many points in the provinces,- extending from Laoag, 
Ilocos Norte in the North to Nueva Caceres,Camarines in the South. 
In its extension the disease has invariably followed the lines of 
• - ' 1 ■ i •’ - . . • '•’YiVv * -f-jt •* ,T h. J**'* :. r v' "l- • .y e iv. ,; . • • . . . . . ' __ 
water travel. Thus far it has not advanced beyond the Island of, 
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The Board of Health has been most energetic in its treat- 
ent of the epidemic. The initial district of San Nicolas,wb.ioh 
consisted of nipa houses of a poor class was burned and its 
inhabitants moved to a detention camp,which had been promptly 
established. 
The sane course has been pursued -with other nipa houses 
■ 
whore the disease has developed. Houses of the better class 
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have been disinfected. The inhabitants' in all cases, have been 
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moved to the detention camp. These measures have lead to the 
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concealment of many cases among the raore ignorant class of natives, 
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which has been combated by a careful house-to-house inspection 
by employees of the Board of Health. Old wells and cisterns have 
been filled and distilled water furnished by the Board of Health. 
By these means the disease has been Kept from assuming alarming 
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proportions in the city of Manila. At the present writing,- 
six weeks:after the first appearance of the disease,about one new 
. ";b ('.A :' 4 *?'-'• ■/'.*' 7i'; i. , • . *.' -j ■ ’ 1 - *•' > • 1 \ ' • -*! ‘ . v '' - - • ' 5 ■ * n' ; ,* *'• , V • * , . ’ ‘ / »' 7 ’ r . ' . *.* ’ - 
case occurs each day in each 10,000 inhabitants of the city. 
Those attacked have been in the vast majority of oases natives, 
With a few Chinese,and a very small sprinkling of whites. The 
only Europeans or Americans who have thus far become infected 
