Abstract
ACCORDING to the May issue of the Statistical Bulletin, the organ of the Metropolitan Life Insurance Company of New York, in 1942 for the first time in the history of the United States the number of smallpox cases fell below 1,000. Eleven States were entirely free from the disease, and three other States reported only one case each. Texas alone had more than 100 cases. During the whole year there were less than ten smallpox deaths. In Canada there were only six cases and no deaths. The 897 cases of smallpox reported in the United States in 1942 showed a marked decline from the previous low record of 1,446 cases in 1941 and were only a fraction of the number for 1940, 1939 and 1938, when the cases numbered 2,797, 9,877 and 14,977 respectively. In an outbreak of 65 cases in Pennsylvania, the patients had either not been vaccinated or had long outlived their immunity. Apart from 13 unvaccinated school-children, the victims were past middle age.
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