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Map 9. original focus. The free herbal viagra samples epidemic had also .'■.pread to the northern section of the city, forty-four cases being reported from two wards. The other eighteen wards had a total of forty-two new cases. At the end of viagra moterims another four weeks only one case was re- ported from the original ward, although eighty-nine cases were reported from five contiguous wards above it. The second focus included nearly the whole southern section of the city, ninety-five cases being reported from nine wards. One hundred and si.xteen cases were reported from six contiguous wards on the eastern boundary of the original area, eighty-five cases from the five West Philadelphia wards, and viagra moterims seventy from the two wards bounding the original area on the north. Sixty-tv.'o cases were reported from the other nineteen wards. Four weeks later the epidemic was diminishing in the original area, e.xcept at the northern end, where three wards had a total of ninety-three new cases. The second focus had spread in its southern sec- tion, five wards having a total of one hundred and three new cases. One hundred and forty-seven cases were reported this week from West Philadelphia, one hundred and fifty-two cases from seven north- eastern viagra moterims wards, and one hundred and forty-four cases from four northern wards. One hundred and two cases were reported from the other twenty-three wards. At the end of another month the epidemic had partially left the section where it had begun. Four contiguous wards to the north and northeast of it had a total of one hundred and eighteen new cases. There was a decline in the wards on the eastern boundary of the primary district, but nine contiguous wards to the east and north of these had one hundred and fifty cases. The second focus now included nine contiguous wards in South Philadel- phia, which had a total of one hundred and sixty cases. One hundred and sixty-nine cases were re- ported from West Philadelphia this week. The other twenty wards had a combined total of seventy cases. The epidemic then began to diminish, there being a drop of about a hundred and viagra moterims fifty cases dur- ing each of the next two weeks, of about a hundred cases the following week, and of about ninety the week after. During this week ending Alay 27, 1911, four contiguous wards in South Philadelphia had a total of thirty cases, four of the West Philadelphia wards had sixty-nine cases, four contiguous wards in the northeast had a total of fifty-nine cases, one ward in the northwest had thirty-one cases, and the ward where the epidemic viagra moterims began had ten cases. The remaining thirty-three wards had in all but eighty- nine cases. Two weeks later only two wards had more than eight cases, one in the northwest with twenty-one and one in West Philadelphia with free herbal viagra samples eleven. After another fourteen days but sixty-nine cases were reported from the entire city, and a week later, that ending July 1, this had dropped to twenty-eight. The Role of the School in an Epidemic. — The course of an epidemic in being confined at its incep- tion to a small district and then spreading by con- tiguity is explained by the infection of a school and the transmission of the disease by infected scholars of this school to other members of their families or to playmates, who attend neighboring schools. But just as not all wards become infected in a city epidemic, all schools in a ward do not necessarily be- come infected. I have prepared a chart of a small epidemic of measles occurring last year in a West Philadelphia ward showing the incidence in the different schools attended by the children of this nettu ff KMIH WARD MAP. Map 10. ward. I have also made a map showing the location of those schools. The epidemic viagra moterims began the week of January 14 and ended the week of April 29. Of Oct. 2, 1915] MEDICAL RECORD. 565 the sixteen schools there were no cases in four, one ease each in two, three cases in one, seventeen cases in each of two, twenty free herbal viagra samples cases in one, forty-five cases in one, and fifty-nine cases in one. This refers only to the reported cases, which represent possibly one- fourth or less of free herbal viagra samples all the cases that occur. The fig- ures which I have arranged by weeks, consequently do not show so well the way I have found disease to spread in a school, especially as they refer to the weeks in which the disease was reported and not Chart Showing Number of Cases of Measles anb Germ-vn Measi,!.- i\ the Schools Atte.vded bt Children from a West Philadelpeia War'. Week Ending