This report from the House Committee on Appropriations discusses the impact of influenza outbreaks in Alaska and Puerto Rico in the early 20th century. It contextualizes the outbreaks in the broader history of influenza epidemics and provides demographic statistics on the affected populations. The report also covers medical interventions and policies pursued to contain the outbreaks. A highly valuable source for medical historians and public health professionals. This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.