none. 78 Deaths I beg to call your attention to the fact that there was not a single case of true small-pox in a person who had been well vaccinated. You will readily see from the above statistics of the camp that about one-half only of the number of persons who had been exposed to small-pox either contracted small-pox or varioloid (small-pox in a modified form). There were a few of the suspects who refused to be vaccinated, all of whom afterward contracted true small-pox. Therefore I would urge the necessity of vaccinating all persons who had been exposed to the disease before removing them to a small-pox camp, as physicians in charge of such camps seldom have the authority to compel inmates to be vaccinated. I now believe that this endemic of the disease is practically wiped out, as there are now just four people left at the camp, all of one family and all convalescent. There has not been a case of smallpox or varioloid outside of the camp in this city or county since the 7th of August. In conclusion I would like to express my sincere thanks through you to that able physician and man, Dr. J. N. McCormack, of Bowling Green, who has for so many years rendered such valuable assistance in small-pox and other epidemics throughout the state. His advice and suggestions were certainly most valuable to me. I desire also to express to you, gentlemen, my unbounded appreciation of the great aid rendered me by the men who worked with me so well and faithfully, and of the absolute confidence you placed in us throughout those trying times. Respectfully, JNO. G. SOUTH, Physician in charge of Eruptive Hospital. The total cost of the epidemic to the city and county was $9,077.06. Sirs: Please find above an inventory of all articles left at the hospital camp, and which have been thoroughly disinfected and stored as you have directed. All worthless articles have been burned. The tents have been properly disinfected and aired. The cots are woven wire. All cloth-top cots destroyed. Most respectfully submitted, etc., MORGAN BRAWNER, Sanitary Inspector and Disinfector. REPORT OF COUNTY HEALTH BOARD. To the Honorable, the Fiscal Court of Franklin County: Honored Sirs: On the 13th of June last you were informed of the existence of small-pox within the county, in the person of one Tom Price, colored. Complaint was made to your body by the citizens in the community of his home. You requested the County Board of Health to. take charge of same, which they did, removing him to an out-of-the-way old dwelling,and also all his family, of father, sister and three children, all of whom subsequently had the disease, none having been vaccinated. On the establishment of a general hospital by the city and county these patients were, at the end of thirty days, removed to the hospital. The cost of establishing and maintaining the temporary hospital has been reported to you and paid by your orders. The tent and cots used there were burned. For further details see report of physician in charge, Dr. J. L. Price, whose report is made part of this report. His efficient and superior management of the situation is highly commended by the Health Board. Since the removal of the county patients to the general hospital twenty-one patients from the county have been treated there, and the cost of same has not yet been adjusted. The Health Board would most respectfully suggest a committee from your body to meet with a like committee from the council of the city of Frankfort, who, in consultation with the Health Board, may be able to adjust the cost of the hospital and pro rata the same so as to be just to both city and county. For all of which, and the most considerate and courteous treatment the Health Board has received from your honorable body, we most respectfully submit this our final report, etc. U. V. WILLIAMS, Chairman, GEO. W. CHINN, Secretary, Franklin County Health Board. REPORT OF COUNTY PHYSICIAN. To the Board of Health of Franklin County, Ky.-Dr. U. V. Williams, Chairman Health Board; E. E. Hume, G. W. Chinn, Secretary Health Board: Gentlemen: I herewith submit report of cases of variola (small-pox) in my care during the recent epidemic in this city and county: June 15, 1899, called at Mr. Hughes', five miles southeast of Frankfort, on the Lawrenceburg pike, to see Tom Price, said to have smallpox. Learned he had gone to see County Judge Moore. Found him next day in Clark's woods, about two miles from town, delirious and covered with an eruption, which, on examination, proved to be a wellmarked case of variola. Provided him with a tent as shelter, food, etc., leaving him in charge of nurse whom I had taken out with me. Returning to Hughes' place on same day, I vaccinated four members of the Price family, who had been exposed to disease by contact with Tom, he having slept in the house for several nights after eruption had appeared. A day or two after, by order of the Board of Health of Franklin county, removed Tom Price to Hughes' camp, and also moved the other four members of the family to cabin about 100 yards from tent of first patient. With them was placed a guard to enforce strict isolation. All, however, were attacked with an exceedingly mild form of varioloid, two of the cases not having over twenty or thirty spots of eruption, and none of them being confined to bed over two or three days. The treatment consisted of generous diet, with sparing use of stimulants, with inunction of olive oil and application of sub-nitrate of bismuth, covering entire body with same. On July 14, 1899, by order of the Board, removed the patients to the general camp, about two miles from town, in charge of Dr. South, all the patients being at this time convalescent. All the cases were extremely mild, that of the first patient being the worst under my care, with also a more general eruption-a typical case of the so-called discrete form of eruption. The treatment con sisted merely of diet, slight amount of stimulation, with inunction of olive oil dusted over freely with bismuth sub. nit. The names of this family, etc., are: Tom Price, aged about 30 years. Charles Price, aged about 60 years. Price, aged 3 years. Price, aged 8 months. No deaths. Very respectfully, J. LAMPTON PRICE, M. D. Frankfort, Ky., October 10, 1899. FULTON COUNTY. Fulton, Ky., Mch. 17, 1899. State Board of Health, Bowling Green, Ky. I Gentlemen: We have two well-defined cases of small-pox here. passed on them last Monday, but as some of the citizens were not satisfied about it, Dr. Rivers, of Paducah, was called in, who agrees with us that they are well-defined cases (both negroes). I expect there are forty or fifty exposures. The two cases and the suspects are isolated and guarded. City will proceed at once to get a place and put up pesthouse. It is the duty of county board I believe to condemn land, if necessary, to put it on. Will you kindly send me a copy of quarantine law. I have lost mine. Write me any advice or instructions you think best. Will report from time to time. Yours truly, A. B. WHAYNE, GARRARD COUNTY. Lancaster, Ky., Feb. 20, '98. State Board of Health, Bowling Green, Ky. Gentlemen: Yesterday our local Board of Health went before the city council and urged them to issue orders to the citizens to become vaccinated immediately. Before the day was gone the mayor had issued a proclamation calling the attention to the wishes of the State Board and requesting all to get vaccinated before compulsory measures were adopted. I immediately telegraphed to Henry Drug Co. for 200 virus points. The city will pay for vaccination of paupers. We have asked for a meeting of the county court, so that we may present the matter to them for action. We want every man, woman and child in the county vaccinated within the next two weeks. There are many negroes from this section working in the mountains of Eastern Kentucky, who are likely to drop in upon us with small po x. Our county court is liberal, our city council will act promptly, and we are "ready to meet the enemy." We had a case of mild scarlet fever reported to us yesterday, whereupon we sent notice and directions for preventing spread to the family. Another case was reported to-day, but we are not at all afraid of an epidemic. For several years we have had an occasional mild case in the county, but no bad cases and no deaths. Should the county pay for virus for paupers? I remember you once furnished me with some points, but I do not remember to have paid you for them. We will do all that can be done to prevent small-pox getting a start in Central Kentucky by timely vaccination. Advise me if there is any need to do more than warn and vaccinate. With best wishes, Your friend, J. B. KINNAIRD, M. D., County Health Officer. GRAVES COUNTY. Mayfield, Ky., April 7th, 1899. To the State Board of Health, Bowling Green, Ky. Gentlemen: Under instructions by telegraph from you bearing date April 6th, Dr. J. D. Landrum was commissioned to visit Clay Switch, this county, and investigate the sick there supposed to have been exposed to the case of small-pox sent to pesthouse at Paducah. Enclosed you will find original report to Graves County Board Health from Dr. Landrum. Again, to-day, he is in receipt of telephone from Clay Switch requesting that he again visit the sick there. I have requested that he go there at once, take charge of the situation, isolate, vaccinate, et id omne genus, till such time as it will be prudent to discontinue his visits and oversight. In meanwhile, should any change, or evidence you should know, supervene, will give you due notice. I have just gotten up from a long illness, or I should write you more at length. I am behind in every direction, and am rushed to catch up. Will write you if any material change takes place. May the gods defend you till life shall end. Respectfully, JOHN L. DISMUKES, SR., M. D., Mayfield, Ky., April 5th, 1899. J. L. Dismukes, M. D., Chairman of County Board of Health, and Others: Dear Sirs: In obedience to your orders, I visited Clay Switch and Pryorsburg this day, and find that the negro, John Smith, undoubtedly had small-pox in a contagious stage from 24 to 36 hours before he left Clay Switch; he then went to Pryorsburg, and from there to Paducah, |