had been exposed to the disease before its character was recognized and reported so that we could take steps to bring it under control. Of those exposed, none who had been properly vaccinated contracted the disease. Of the fifteen exposed who had not been vaccinated, ten took the disease.

The population of this county is 17,000. At the time of our last report, 13,000 had been vaccinated. Since that time it is estimated that 100 have procured vaccination, leaving 25 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have no eruptive hospital. Our method of managing the disease was isolation and vaccination of those exposed.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $200.

We had no difficulty in stamping out the disease after its recognition.

The county health officer is paid a salary of $100. and all of the other members receive $25.

During the past two years we have had fewer cases and consequently fewer deaths from consumption, typhoid fever, diphtheria, scarlet fever, cholera infantum and dysentery, but having no records to refer to, can not furnish this information.

Very respectfully,

J. C. S. BRICE, M. D., Secretary.

Floyd County Board of Health.

Prestonsburg, Ky., August 31, 1905.

To the State Board of Health:

Since our last published report two years ago there has been one outbreak of smallpox in this county, in the Mouth of Mud precinct, with a total of six cases and no deaths.

The first case came from West Virginia, and twelve persons had. been exposed to the disease before its character was recognized and reported so that we could take steps to bring it under control. Of those exposed, most had been properly vaccinated. Of these, none contracted the disease.

The population of this county is about 13,000. At the time of our last report none had been vaccinated. Since that time it is estimated that half have procured vaccination, leaving 50 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have no eruptive hospital. Our method of managing the disease was isolation, vaccinating all exposures, and treating cases in the usual manner.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $100. The estimated cost in loss of trade and interference with business has been nothing.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Typhoid fever, about thirty cases and four deaths; cholera infantum, about fifty cases and seven or eight deaths; dysentery, twelve cases and no deaths. The average cost to our people for managing and treating a case of any of these diseases, including medical attention, nursing, loss of time and incidental expenses, is estimated to be $50, making a total loss to the county for the two years from diseases which might be prevented of $4,600, as against $14,800 paid for State taxes. The county health officer is paid nothing.

I am not in a position to make an exact report, as our physicians are widely scattered and fail to report their cases or keep any records.

Very respectfully,

W. W. RICHMOND, M. D., Secretary.

Franklin County Board of Health.

Frankfort, Ky., August 31, 1905.

To the State Board of Health:

Since our last published report two years ago there has been one outbreak of smallpox in this county, in the State prison, with a total of six cases and no deaths.

The first case came from Eastern Kentucky.

The population of this county is 25,000. At the time of our last report, 10,000 had been vaccinated. Since that time it is estimated `that 3,000 have procured vaccination, leaving 50 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have no eruptive hospital. Our method of managing the disease was: The State Board of Health promptly took charge of the outbreak of smallpox in the State prison, and placed Dr. J. G. South there as its inspector. Although the institution was in splendid sanitary condition, there was a general cleaning up and disinfecting with sulphur and formaldehyde gas. All guards and civilians, in or about the prison, as well as all convicts, were vaccinated and re-vaccinated

until all had good scars. Of course all cases and suspects were at once removed to the outside (and I say outside advisedly, for they had to be taken to an old barn), and kept in strict quarantine until complete recovery and disinfection. Be it said to our shame that the capital city has not yet provided an eruptive hospital of any kind, nor has the county of Franklin or the State of Kentucky. We would be very much embarassed to handle any kind of a serious outbreak of contagious diseases.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $1,000. The estimated cost in loss of trade and interference with business has been $5,000.

The chief difficulties in stamping out the disease have been the fact that we are not provided with a pest house, and the small percentage of successful vaccinations.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Typhoid fever, seventy-five cases and six deaths; diphtheria, 100 cases and ten deaths; scarlet fever, fifty cases and three deaths.

Very respectfully,

J. GLOVER SOUTH, M. D., Secretary.

Frankfort, Ky., September 12, 1905.

Dr. J. N. McCormack, Secretary, Bowling Green, Ky.

My Dear Doctor: I want to say a few words to you about the diphtheria now existing in this county. I feel it my duty to report to you that I now consider the disease to be in epidemic form in this county; we certainly have as many as 300 cases at this time in the county alone; I can not say how many are in the city; I understand, though, from Dr. Price, city health officer, that there is not very much in the city. Diphtheria is now widely scattered throughout the county. I believe the reason for the spread has been that the country physicians, as a rule, have failed to report their cases. There has been quite a good many deaths from the disease, but, notwithstanding that fact alone, we still have some of our profession that insist the disease is not diphtheria.

I, as county health officer, am in a rather awkward position; I feel that I should be doing something towards stamping out the trouble, yet there seems little that I can do; as I said before, the disease is widely scattered throughout the county, a great many houses are infected, they nearly all have insisted on visiting, etc. It would be an enormous expense to the county now to guard each house. We have no such thing as an eruptive hospital; I must confess that I am somewhat at a loss as to what to do in the matter.

I have ordered schools and churches stopped in infected districts; have had all houses that have been reported to me disinfected with formaldehyde gas; I also had a lot of notices printed on cards and tacked up along public roads, warning people of the laws against spreading diphtheria.

I want to add that I am further embarrassed by the fact that I have not been allowed enough salary as health officer to warrant my giving as much time as I should to the matter; I have only been allowed $100 for the entire year. Of course I shall not accept that, as I have already done far too much for such a pitiful sum. We have a new trouble about to spring up. About the last of this month we are to have one of those disease breeders and spreaders known as a street fair.

I went before the grand jury yesterday and talked with them about the matter; also about an eruptive hospital, unsanitary conditions existing in the city, etc. I do not know just what they will do in the matter; I believe, though, we will be materially aided by them.

I am so alarmed about the street fair proposition, though, that I am going to ask you to try and get off at once and come up and stop it. I regard the situation as most critical, and do not believe we ean afford to take chances in the matter; the city and county officials might act, and they might not.

I think the city Board of Health agrees with us in the matter. The chairman, Dr. James, went before the city council and asked them to stop it; they, as usual, appointed a committee to inquire, consult and confer, etc.

I have talked with Judge Polsgrove, a member of the county board; also Dr. Minish and 'Squire Parker; they all agree with me that we had best do something at once.

If you can possibly take next train and come, we would appreciate it. If the fair is to be stopped, the sooner we let it be known the better, as it will probably save the promoters a great loss, also the merchants that are about to prepare for it. All the sentiment of the best citizens is toward stopping it; I think it would really be a shame not to. I assure you that your presence would do a great deal for the people of this and adjoining counties.

Hoping that you are quite well, and that you will once more come to our rescue, I am

Very truly your friend,

J. G. SOUTH.

Frankfort, Ky., September 18, 1905.

To the Members of the State Board of Health of Kentucky.

Gentlemen: At a meeting just held in the city of Frankfort, Frank

lin county, Ky., by the members of the Health Board of Franklin county, a quorum being present, the board voted that. after hearing evidence and duly considering the matter, that diphtheria now exists in the country districts of the county in epidemic form, and that it was the opinion of this board that the street fair billed to take place here on the 25th of this month and the four succeeding days should be prohibited by the proper authorities.

Very respectfully submitted by the following members of this board.

To the State Board of Health of Kentucky:

In accordance with a resolution adopted at a joint meeting of the county and city Boards of Health, I herewith report that the total number of cases of diphtheria now present in the city of Frankfort, as shown by the weekly report of every physician within the city, is three; and at a meeting held shortly after the joint meeting of the county and city Boards of Health, the city Board of Health voted the expression of opinion that the street fair should not be held at the time contemplated.

Respectfully,

J. LAMPTON PRICE, M. D.,

Health Officer, Secretary Board of Health City of Frankfort.

SAM'L E. JAMES, M. D.,

President Board of Health City of Frankfort.

DIPHTHERIA.

State Board of Health of Kentucky,

Bowling Green, Ky., September 19, 1905. Whereas, Reports have come to this board from the Board of Health of the city of Frankfort, signed by its president and secretary and health officer, and from the county Board of Health of Franklin county, signed by a quorum of said board and its health officer, and from Dr. B. W. Smock, a sanitary inspector from this board, who has made a special and careful investigation, that diphtheria exists in epidemic form in Franklin county; and,

Whereas, Arrangements have been made for holding a street fair