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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.
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 can 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, Franklin 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 shouid be prohibited by the proper authorities.
Very respectfully submitted by the following members of this board.
J. G. SOUTH, M. D.,
Frankfort, Ky., September 18, 1905. 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.
J. LAMPTON PRICE, M. D.,
SAM'L E. JAMES, M. D.,
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
in Frankfort, beginning on the 25th of this month, which said officials report would be highly dangerous to the public health; now therefore
Be It Known, That, by the authority vested in it by law, the State Board of Health of Kentucky hereby establishes the following regulations to prevent the spread of the epidemic of diphtheria in Franklin county, in addition to the rules and regulations heretofore established and published:
1. All public meetings or assemblages of people, as circuses, shows, street fair or other fairs, are hereby prohibited, until the city and county Boards of Health of Frankfort and Franklin county, respectively, shall certify to this board that their jurisdictions are free from further danger of spread of the disease.
2. All persons, whether residents of this State or coming into this State, are hereby prohibited from taking part in, attending or organizing any assemblage of the people of Frankfort, or of Franklin county, in any circus, show, street or other fair, or elsewhere, until this epidemic is over.
3. The sheriff of Franklin county and the chief of police of Frankfort are directed to carry into effect and to enforce these regulations, and to prevent any such assemblages as may be referred to herein, and to arrest and carry before the courts having jurisdiction any person or persons violating these regulations.
These regulations are made and must be enforced under the pains and penalties of law.
By order of the State Board of Health of Kentucky, at Bowling Green, Kentucky, this day and date above named.
J. M. MATHEWS, M. D., President.
City of Frankfort, Executive Department.
Frankfort, Ky., September 16, 1905. Dr. J. N. McCormack.
Dear Sir: Your telegram received, and must say was surprised. There is no diphtheria epidemic here, and I have instructed our health officer and secretary to get a certificate from every doctor in the city and county and all doctors about the county line as to what diphtheria they have. He has gotten all but two of them, and only four cases reported so far, and they are at Old Crow distillery, in Woodford county. Will try and have all the certificates forwarded to you by Monday.
We have only three cases here and have them well quarantined. They are of seven and eight days' standing. I am holding the street fair off until Wednesday night, when the committee will meet for your final answer or decision. I hope to be rid of it by Wednesday.
J. S. DARNELL, Mayor.
State Board of Health of Kentucky, Executive Office.
Bowling Green, Ky., September 18, 1905. Hon. J. S. Darnell, Mayor of Frankfort, Frankfort, Ky.
Dear Sir: The action of the Executive Committee was taken upon the official report made by Dr. John G. South, your county health officer. You will note that it reads as follows: “On account of prevalence of diphtheria, you are instructed to have street fair postponed until county health officer reports county free from disease.”
It has been reported to us for some time that there are a number of cases in the county. As there is diphtheria, the danger of its spread from a street fair would be very great, and such a fair must not be held until Dr. South certifies that your county is free from diphtheria.
I have sent Dr. Smock, one of our inspectors, down to look over the situation this morning. If I can be of further service to you in any way, will be glad to
J. N. McCORMACK, Secretary.
Frankfort, Ky., October 21-22, 1905.
J. N. McCormack, Secretary State Board of Health:
At a meeting of the Board of Health of Frankfort, the following resolution was adopted:
"Be it Resolved by the Board of Health of the City of Frankfort, That the epidemic of diphtheria in Frankfort is abated to the extent that there is no danger of spread of the disease, and the secretary of said City Board of Health be directed to telegraph Dr. McCormack to raise the quarantine.”
J. LAMPTON PRICE,
Secretary Frankfort Board of Health. (The quarantine was raised October 21, 1905.)