4. The installation and maintenance of sanitary devices for the proper disposal of human excreta is, as a rule, the most important single measure needed for safeguarding the health of flood-stricken communities. 5. The treatment of water supplies with hypochlorite of lime is a thoroughly feasible measure, which has a wide range of applicability in flood-stricken towns and cities. 6. Antityphoid inoculation, though capable of affording a very considerable degree of protection against typhoid infection, does not appear in its present stage of exploitation to be a measure practicable for extensive application in flood-stricken communities. 7. The work of sanitation precipitated by flood conditions may be, and should be, directed to effect permanent sanitary improvements. Fig. 1.-BIRD'S EYE VIEW OF CENTRAL SECTION OF CATLETTSBURG, KY., WHEN FLOOD WAS AT ITS HEIGHT. Fig. 2.-VIEW OF EAST SECOND STREET, MAYSVILLE, KY., WHEN THE FLOOD WAS AT ITS CREST. Fig. 3.-CONDITIONS IN FLOOD-SWEPT SECTION OF MAYSVILLE, KY. Fig. 4. DEBRIS LEFT IN STREETS BY THE FLOOD. SCENE ON FRONT STREET IN CATLETTSBURG, KY. PREVALENCE OF DISEASE. No health department, Stat; or local, can effectively prevent or control disease without knowledge of when, where, and under what conditions cases are occurring. IN CERTAIN STATES AND CITIES. SMALLPOX. Alaska-Uyak. A telegraphic report received through the Revenue-Cutter Service, Washington, D. C., June 5, 1913, stated that smallpox had been reported present at Uyak, Kodiak Island, Alaska. California-Alameda and San Francisco. Surg. Long, of the Public Health Service, reported by telegraph that during the week ended June 7, 1913, 1 case of smallpox had been notified in Alameda and 1 case in San Francisco, Cal. California-Imperial County. Acting Asst. Surg. Richter, of the Public Health Service, reported by telegraph that during the week ended June 7, 1913, 3 cases of smallpox had been notified in Imperial County, Cal. California-Los Angeles. Senior Surg. Brooks, of the Public Health Service, reported by telegraph that during the week ended June 7, 1913, 3 cases of smallpox had been notified in Los Angeles, Cal., making a total of 46 cases reported since January 1, 1913. Indiana-Evansville. Surg. Clark, of the Public Health Service, reported by telegraph that during the week ended June 7, 1913, 9 cases of smallpox had been notified in Evansville, Ind., making a total of 809 cases reported since October 1, 1912. (1221) Maryland-Anne Arundel County. The State Board of Health of Maryland reported by telegraph June 11, 1913, that 8 cases of smallpox had been notified in the Crownsville State Hospital, Anne Arundel County, Md. Oregon-Portland. Surg. Magruder, of the Public Health Service, reported that during the month of May, 1913, 26 cases of smallpox had been notified in Portland, Oreg. |