to prevent the spread of the disease. On account of these conditions, and the frequent and expensive outbreaks directly traceable to them, I submit for your consideration the advisability of requiring a certificate of recent vaccination from all persons coming into Kentucky from these States by any method of travel.

In some of our counties the management of smallpox has been model, a correct diagnosis being made in the first case, the case isolated, all other members of the family and other exposed persons vaccinated and placed under observation until the period of incubation had passed, and the timely and thorough disinfection of all premises where the disease has existed. In spite of these exceptional instances the practical difficulties and the expnese of management have not greatly diminished. In the order of their importance these difficulties are, the neglect of vaccination, due to ignorance and indifference rather than to any organized opposition, the failure of physicians to recognize and report first cases, and the profound ignorance, shortsightedness and parsimony of many fiscal courts in refusing prompt and cordial support to the county boards of health in stamping out the disease.

Over and over again I have seen counties forced to expend thousands of dollars in managing epidemics which the timely appropriation of $100 would have entirely prevented. In these matters each fiscal court appears to be a law unto itself, the sad and costly experience of a neighboring county in regard to similar business counting for nothing. An unaccountable impression is widely prevalent, seemingly especially manifest and controlling in county officials, that physicians should not only expose themselves and families to contagion from this loathsome disease without charge, but that it is their duty to furnish vaccination, food and guards upon the same terms. Officials who would not go near one case for a year's salary, grumblingly vote to pay for necessary supplies for which health officials have made themselves personally responsible and, after the epidemic is over, litigate or refuse the small per diem which it is a duty and should be a pleasure to allow the health officer for his responsible and protective labor. As we have already had the disease in one hundred and three or the one hundred and nineteen counties of the State, and both the courts and health officials have had more or less actual experience with the disease, it is reasonable to hope for better and more economical management in the future.

Another matter pressing for your attention relates to pollution of streams and water supply in Kentucky. Primitive ideas and practices prevail upon this subject among people who are well informed about other matters, and towns, cities and manufacturers discharge their sewage and offal into streams known to be the only source of water supply for other communities without the slightest hesita

tion. Unless the expensive and disastrous experience of European countries and the older States of this Union is to be repeated here, public attention should be persistently and urgently. directed to this evil until efficient legislation can be secured to prevent its continuance. I suggest that a bill be framed under your direction having this purpose in view, and that the Governor be requested to bring it to the especial attention of the next General Assembly. This question is so nearly related to the prevention of typhoid fever and the other distinctive filth diseases, which cause such a large sick and death rate in the young men and women of the State, that the two are inseparable.

In this connection it may not be improper to congratulate the water company and people of Louisville over the prospect of the early completion of the great filter plant here, from which so much improvement in the health of the city may reasonably be expected, and also to call attention to the part which this Board took years ago in forcing the necessity for this work upon the authorities and people. Our suggestions and demonstrations aroused much antagonism and adverse criticism at the time and for years afterwards, but there is every reason to believe that it was after all, "bread cast upon the waters." This, however, is of small importance if the people of our great metropolis get pure water, and have less sickness and a lower death rate from preventable disease.

Your attention is also called to the fact that our statute that was intended to provide for vital statistics is wholly obsolete and inoperative, and that the few returns made under it are not only incomplete, but often false and misleading. Until we can have constant and reliable information from every section of the character and causes of prevailing diseases, as well as exact statistics of births and deaths, the usefulness of our work must be greatly restricted. This matter has been repeatedly brought to the attention of the General Assembly without result, but it is of such importance that I again bring it before you.

The administration of the medical law, a duty which was reluctantly accepted by this Board in 1893, because there appeared no other way for having it put in operation, has involved much labor and responsibility, and in recent years expensive litigation not contemplated or provided for by the General Assembly. While it is generally conceded that no other State has been so greatly benefited by its laws upon this subject as ours, largely because we have exercised the powers conferred with an eye single to the protection of the people from the impositions and ignorance of quackery, our other duties have so grown upon us, and the conditions influencing and controlling medical education have so changed as to raise the question as to whether or not this law might not be more satisfactorily administered,

under these changed conditions, by an examining board impartially selected to represent all the schools or systems of the healing art. Such a plan would cause each applicant to rely upon knowledge and merit alone, regardless of the college from which he graduated, and would avoid even the appearance of discrimination for or against any college or system. At the outset this law was by no means popuular, and was widely and recklessly misrepresented by the quack interests which had long considered our afflicted people as their legitimate prey, but as these charlatans were soon exposed and run out, and the true purpose of the law demonstrated by its fair and equitable administration, it has steadily grown in favor both with the laity and the profession.

As a branch of this question of medical education you have before you the applications of twenty-nine graduates of what are known as three-year schools for 1900 and 1901. These schools did not meet our requirements for those years, and had official notice from me to this effect, and some of these graduates had similar notice before taking the last course. Others claim that they did not receive the notice, and that they were misled by the misrepresentations and promises of the schools, and all give more or less plausible reasons for failure to attend schools which met our requirements. There is no doubt in my mind but that a rigid enforcement of the rules will work hardship on these young men not contemplated by the Board. All of them are native Kentuckians and they promise to do post graduate work as soon as they are able to do so. In addition, most of these schools agree and are pledged to meet our requirements in the future. In view of these facts I respectfully recommend that certificates be issued to such of these applicants as come from schools which will do this.

The administration of the laws for the prevention of diseases in domestic animals is becoming of greater importance from year to year. The protection furnished to our live stock industries is very great, and it requires constant vigilance and activity upon the part of the State veterinarian. His report will be presented to you during the session.

In conclusion, I submit my financial report for the year, with a voucher for each item of expense.

FINANCIAL STATEMENT FROM APRIL 1, 1900, TO APRIL 1, 1901.

The executive committee was instructed to investigate smallpox conditions, and the methods of handling the same, in Tennessee and West Virginia, and was empowered to take such steps against the introduction of the disease into Kentucky from these States as may be deemed expedient. This committee was also instructed to present to the next General Assembly a bill looking to the prevention of pollution of streams and sources of water supply in this State.

The secretary presented a special report of his investigations of a long complained-of nuisance maintained by the Old McBrayer Distilling Company, near Mount Sterling, in Montgomery county, and urged that immediate steps be taken to have the nuisance abated. Upon motion the nuisance was condemned and the secretary was instructed to notify said company to abate such nuisance under proper instructions from his office, to be carried out under the direction of the county board of health, and to prosecute the work until the present evils were remedied, and until such conditions obtained as would prevent their recurrence in future years.

The executive committee was instructed to confer with the State societies of the three systems of medicine represented in this State in regard to the advisability of seeking

the establishment of a State board of medical examiners, and to take such steps in the matter as may be deemed expedient. The secretary was authorized to issue certificates to such reputable three-year graduates as hold diplomas from schools which have in good faith adopted the four-year course and met the other requirements of this Board.

The secretary was instructed to issue certificates upon the examination papers of Drs. H. L. Center, of Breathitt county, and J. H. Harper, of Elliott county, and to notify Dr. M. A. Robbins, of Carter county that he had failed to make the necessary grade in any branch, and must at once desist from practice. He was also instructed to notify R. S. Short, of Knott county, and M. D. Settle, of Madison county, to appear for examination, and to notify Drs. Lanehart and Sleet of Jackson county that their applications had been rejected.

The State Veterinarian presented his annual report which was accepted and ordered printed.

Drs. Bailey, Mathews and McCormack were re-elected as the executive committee for the next two years, with authority and instructions to exercise the powers and perform the duties of the Board during the intervals of meeting. Adjourned.

ANNUAL REPORT OF THE STATE VETERINARIAN.

Louisville, Ky., October 26, 1901.

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

Dear Sir: I desire to report the following work which has fallen to me as State Veterinarian since my last report.

Glanders.-July 1st I had for diagnosis a glandered horse belonging to Mr. J. W. Biles, of this city. The horse reacted slightly to the mallein test and was kept under supervision, and finally died of glanderous pneumonia August 12th. I visited his place at Colesburg to inspect the remaining horses on his farm. From August 24th to 25th three head were tested; August 31st, to September 1st, two head were injected, none of which reacted.

The animal examined originally in Louisville came from Larue to Jefferson county and finally to Mr. Biles' place at Colesburg.

In May, 1901, glanders was detected in a horse belonging to Mr.