• Columbia: Spanish influenza is on the increase—it appears to be stabilizing in urban areas, but is prevalent in rural places• The disease began and spread along the main railroad line of the State• Work by various health agencies is beginning to show results; success has come from collaboration and strict quarantining• The epidemic has “absolutely demoralized” business state-wide, but the people are not congregating• The greatest challenge is the disease’s spread into rural areas, where very few physicians are• The State Board of Health now has fifteen physicians and three nurses working in various parts of the state• Various towns and cities have formed civilian relief committees; many volunteer nurses are donating time• [reports from di...