which have occurred in the time named has been $3,500. The estimated cost to the city in loss of trade and interference of business has been considerable, but impossible to approximate. We had little or no difficulty after the disease was recognized as smallpox. Our city authorities were in hearty accord with the health officials and willingly furnished everything for the proper and humane care of the sick and to prevent the spread of the disease. We had some kickers but paid no attention to them. Very respectfully, HENRY JAMES, President. Warren County Board of Health: Dr. E. N. Hall, Dr. J. O. Carson, Dr. A. T. McCormack. To the State Board of Health: Bowling Green, Ky., July 1, 1901. Gentlemen: Within the last four years we have had 7 outbreaks of smallpox in this county, in the following districts or precincts: Bowling Green Nos. 1 and 2, Plano, Smith's Grove, Woodburn, Oakland, with a total of 12 cases and 1 death. A hospital was provided near Bowling Green, and the following was our method of management: All immediate exposures were vaccinated in three places, on the left arm with three different points, and were quarantined for 25 days. All suspects were vaccinated similarly and seen from time to time by a physician for the same period. Each case was moved to the eruptive hospital as soon as it developed, except in scattered country districts. All clothing and bedding were boiled or burned and the contents of every infected house disinfected or burned. The disease was brought to this county in five outbreaks from Indiana, two from Tennessee; it was recognized after 325 had been exposed altogether. I estimate that 2,378 vaccinations have been done in the county since the first cases occurred; that 5,000 had been previously vaccinated, out of a total population of 22,000, leaving 14,622, or 66 per cent. now unprotected. The total cost of management to the county, including hospital, physicians, vaccinations, guards, nurses, food, etc., for all the cases which have occurred in the time named, has been $2,000. The estimated cost to the county in loss of trade and interference of business has been $10,000. Our chief difficulties in stamping out the disease were: Refusal or neglect of vaccination by the people generally, and failure of some physicians to urge this protective measure upon their patrons. Our county judge and county attorney and the entire fiscal court willingly backed up the board of health in its work, and much of the success in management is due to them. Very respectfully, ARTHUR T. McCORMACK, M. D., Secretary. Washington County Board of Health: S. J. Smock, M. D., Albert Kimble, J. B. Mudd, M. D. To the State Board of Health: Springfield, Ky., July 18, 1901. Gentlemen: Within the last four years we have had 1 outbreak of smallpox in this county, in the following districts or precincts: Springfield and Macksville, with a total of 5 cases and 1 death. Two hospitals or pest houses were provided near Springfield and Macksville, and the following was our method of management: The families were quarantined and guarded, some in tents, others in houses. The disease was brought to this county from Louisville and Harrodsburgh; it was recognized after six families had been exposed. I estimate that 1,000 vaccinations have been done in the county since the first cases occurred; that 500 had been previously vaccinated, out of a total population of 13,000, leaving 11,500 now unprotected. The total cost of management to the county, including hospital, physicians, vaccinations, guards, nurses, food, etc., for all the cases which have occurred in the time named, has been $750. The estimated cost to the county in loss of trade and interference of business has been $1,000. Our chief difficulty in stamping out the disease was: The people refusing to believe it was smallpox, and remaining unvaccinated. Our fiscal authorities gave us their cordial support. Very respectfully, S. J. SMOCK, M. D., Secretary. Wayne County Board of Health: Dr. A. S. Cook, Dr. W. H. Cook, Dr. T. H. Gamblin. To the State Board of Health: Monticello, Ky., July 27, 1901. Gentlemen: Within the last four years we have had 1 outbreak of smallpox in this county, in the Millsprings precinct, with a total of 20 cases and 2 deaths. No hospital or pest house was provided, ; and the following was our method of management: Isolation of cases and guarding these and attempting, as far as possible, to vac.cinate those who had been exposed, and others who would submit to it. The disease was brought to this county from Russell county, Ky.; it was promptly recognized after few had been exposed. I estimate that 1,000 vaccinations have been done in the county since the first cases occurred, that but few had been previously vaccinated, out of a total population of 14,892, leaving nearly 13,000 now unprotected. The total cost of management to the county, including hospital, physicians, vaccinations, guards, nurses, food, etc., for all the cases which have occurred in the time named has been $1,000. The estimated cost to the county in loss of trade and interference of business has been nominal. Our chief difficulties in stamping out the disease were: Getting people to believe it was smallpox and submitting to vaccination and the necessary restrictions. Very respectfully, A. S. COOK, M. D., Chairman. Webster County Board of Health: Dr. J. T. Dixon, Dr. G. L. Edwards, Dr. J. P. Campbell. To the State Board of Health: Dixon, Ky., August 30, 1901. Gentlemen: Within the last four years we have had 3 outbreaks of smallpox in this county, in the following districts or precincts: Dixon, Sebree, Slaughtersville, Tilden, Clay, Lisman and Providence, with a total of about 400 cases and about 4 deaths. No hospital or pest house was provided. The following was our method of management: As soon as disease was discovered, patients were isolated and kept well guarded until all danger was past. It had gained a strong foothold in several sections of the county before its existence was known to the board. The disease was brought to this county from Indiana and Indian Territory; it was not promptly recognized, and many had been exposed. I estimate that 2,000 vaccinations have been done in the county since the first cases occurred, that 4,500 had been previously vaccinated, out of a total population of 20,000, leaving 13,500, or 16 2-3 per cent., now unprotected. The total cost of management to the county, including hospital, physicians, vaccinations, guards, nurses, food, etc., for all the cases which have occurred in the time named has been about $4,000. The estimated cost to the county in loss of trade and interference of business has been about $5,000. Our chief difficulties in stamping out the disease were: Refusal of people to be vaccinated; lack of co-operation of the people with the authorities and the contention of a few local physicians that the disease was not smallpox. For a long time we had an up-hill fight. Very respectfully, J. P. CAMPBELL, M. D., Secretary. Whitley County Board of Health: Dr. E. S. Moss, Dr. C. G. Ellison, Dr. W. H. Parket. To the State Board of Health: Williamsburg, Ky., July 16, 1901. Gentlemen: Within the last four years we have had 4 outbreaks of smallpox in this county, in the following districts or precincts: Jellico, Williamsburg and Meadow Creek, with a total of 200 cases and 4 deaths. Two pest houses were provided near Jellico, Tenn., and the following was our method of management: One house for suspects and one for developed cases. Many cases were treated in private houses and kept in watch by threat of fines. The disease was brought to this county from Tennessee; it was not promptly recognized, and only after many had been exposed. I estimate that 500 vaccinations have been done in the county since the first cases occurred, that few had been previously vaccinated, out of a total population of 25,000, leaving 24,000, or 95 per cent., now unprotected. The total cost of management to the county, including hospital, physicians, vaccinations, guards, nurses, food, etc., for all the cases which have occurred in the time named has been $5,000. The estimated cost to the county in loss of trade and interference of business has been $20,000. Our chief difficulty in stamping out the disease was: They would come from Tennessee side and keep us continually infected with new cases, sometimes for months. Very respectfully, E. S. MOSS, M. D., Chairman. Wolfe County Board of Health: Dr. J. H. Stamper, Dr. B. D. Cox, Sr., Dr. H. H. Stamper. To the State Board of Health: Campton, Ky., Oct. 2, 1901. Gentlemen: Within the last four years we have had 2 outbreaks of smallpox in this county, in the following districts or precincts: Campton and Lee City, with a total of 10 case and no deaths. Two pest houses were provided near Lee City and Campton, and the following was our method of management: Cases removed to pest house and all exposed persons vaccinated, so far as this could be done, and kept under observation. The disease was brought to this county from Tennessee; it was recognized after a few had been exposed. I estimate that about 400 vaccinations have been done in the county since the first cases occur red; that 400 had been previously vaccinated, out of a total population of 6,000, leaving 5,600, or 85 per cent. now unprotected. The total cost of management to the county, including hospital, physicians, vaccinations, guards, nurses, food, etc., for all the cases which have occurred in the time named has been $500. The estimated cost to the county in loss of trade and interference of business has been $3,000. Our chief difficulties in stamping out the disease were: The getting the co-operation of the magistrates and other county officials, and the reluctance of the people to submit to vaccination. Very respectfully, J. H. STAMPER, M. D., Secretary. Woodford County Board of Health: To the State Board of Health: Dr. John Neet, Dr. J. W. Crenshaw, Versailles, Ky., Sept. 26, 1901. Gentlemen: Within the last four years we have had 6 outbreaks of smallpox in this county, in the following districts or precincts: Clifton, Midway (2), Stivers, Perkins, Deering's, with a total of 29 cases and 1 death. A hospital or pest house was provided on county farm, near Versailles, but has never been used on account of an injunction obtained by adjoining land holders. Method of management: Isolation, vaccination, quarantine and the use of guards at each point of outbreak, with medical attention. The disease was brought to this county from Lawrenceburg and Frankfort; it was recognized, after 25 or 30 had been exposed. I estimate that 1,400 or 1,500 vaccinations have been done in the county since the first cases occurred; that 6,000 had been previously vaccinated, out of a total population of 15,000, leaving 50 per cent. now unprotected. The total cost of management to the county, including hospital, physicians, vaccinations, guards, nurses, food, etc., for all the cases which have occurred in the time named has been $5,000. The estimated cost to the county in loss of trade and interference of business has not been material. Our chief difficulties in stamping out the disease were: Lack of proper appreciation of the danger by the public, hence neglect of vaccination. Inability to use the county pest house has interfered with proper isolation. The fiscal court and county authorities have rendered generous and prompt assistance to the county board of health. Very respectfully, W. C. MCCAULEY, M. D., Secretary. |