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higher at the point where it emerged from under the house than at the first water-closet. I was not present when the drain was uncovered, but simply quote the tenant. No cases occurred among the other families in the house. From my past experience consider that unsanitary conditions bear the closest relations to typhoid fever.
Diphtheria. — Two cases, neither fatal. Do not know how it was contracted. Believe diphtheria is caused by a specific poison (of which I do not know the nature), and unsanitary conditions, of course, lower the person's powers of resistance to the disease, and when he is exposed render his infection more certain.
Concord — C. P. BANCROFT, M. D. (Asylum.) Typhoid Fever. – No cases during the year. Diphtheria. — None during the year.
Concord — G. P. CONN, M. D. Typhoid fever. — Five cases, one fatal. Unsanitary conditions afford a nidus for the germs of the disease to develop where favorable conditions combine to allow development.
Diphtheria. — Four cases, none fatal. Bad sanitary conditions in all cases. Unsanitary conditions prolong the existence of the disease in a family or neighborhood.
Concord — CEORGE Cook, M. D. Typhoid Fever. — Four cases, none fatal. Diphtheria. — None observed.
Conway — S. A. EVANS, M. D. Typhoid Fever. – No cases during the year. It is my opinion, based upon past experience, that the majority of cases arise from contaminated drinking-water.
Diphtheria. — None during the year. I believe the disease to be highly contagious and infectious, and that unsanitary conditions favor its spread.
Cornish Flat - G. W. HUNT, M. D. Typhoid Fever. — None during the year. Judging from my past experience, I believe that unsanitary conditions increase the fatality from the disease, as a pabulum is thus afforded for the reproduction of the specific germ. I do not think it a settled fact that unsanitary conditions produce typhoid fever de novo. Diphtheria. — None observed during the year.
Deerfield — GEORGE H. TOWLE, M. D. Typhoid Fever. — Not one case of well-marked typhoid during the year. Diphtheria. — No cases have appeared during the year.
· Derry Depot - IRA H. ADAMS, M. D. Typhoid fever. — Five cases, none fatal ; two in town, three in Londonderry. Of the three cases in Londonderry, the first case came from Haverhill, Mass., and everything about the premises was .conducive to the spread of the disease. Drinking-water was probably polluted in three cases. It is my opinion that nearly all cases are due to unsanitary conditions.
Diphtheria. — None during the year. Judging from my past experience, am of the opinion that go per cent of all cases are due to unsanitary conditions.
Dover — JAS. H. WHEELER, M. D. Typhoid Fever. — Can recall but one unmistakable case; recovered. Could not trace this case to unsanitary conditions, but think they often have a very close relation to the disease.
Diphtheria. — Have seen many cases of diphtheritic disease, but have not had a very bad case during the past year. Cannot say that unsanitary conditions have had any direct causative influence in the above cases, but think they often have a very positive relation to the disease. My own idea is that the germs of diphtheria are in the atmosphere, more numerous when it is impure from the emanations of cesspools, etc., etc., and more dangerous when the diffusion of these emanations in a free atmosphere is prevented on account of their being precipitated by night air, and cool, damp days. Any change in the temperature of the blood, either from taking cold, over-fatigue, or from any inflamed or broken surface, renders the subject liable to the action of these germs; consequently we have every degree of intensity in the disease. As a rule, I do not believe the disease is contagious, except from the breath or direct transmission.
Dover — SMITH & CHAMBERLAIN, M. DS. Typhoid Fever. — Seven cases, one fatal; six in Dover, one in Rollinsford. It is not probable that the drinking-water was contaminated. It is our opinion that unsanitary conditions furnish a proper soil for the propagation of the disease germs.
A, House where three cases were. 1 and 2, Location of chambers occupied by those contracting fever. B, House where one case of fever occurred. C, Privy which had not been cleaned out for two or three years, and which had a short ventilator coming up even with windows in rooms 1 and 2, the stench from which was so disagreeable as to force the closing of windows.
Diphtheria. — None observed during the year. From past experience, are of the opinion that unsanitary conditions and diphtheria are often in the relation of cause and effect.
Dover — John R. HAM, M. D. Typhoid Fever. - None observed during the year. From past experience, believe unsanitary conditions tend to multiply the germs of the disease, thereby increasing the number and severity of cases.
Diphtheria. — None during the year. It is my opinion that, as in typhoid fever, unsanitary conditions increase the development of the germs of the disease, thus multiplying the cases, and also tending to make the disease more severe. .
Dover - LEVI G. Hill, M. D. Typhoid Fever. — Few cases during the year 1888. Five in town, none fatal. Drinking-water polluted from sink-drain in one case ; in other cases cause not so clear. Consider unsanitary conditions the most common cause of the disease.
Diphtheria. — Thirteen cases, two fatal. Most of them traceable to bad sanitary conditions. The two fatal cases had very bad surroundings; one died in an hour and the other in two hours after I was called. Think in one case, a young lady, diphtheria was caused by a filthy sink-pipe. Three cases occurred in a house with a filthy yard, a quantity of tainted meat, buried or slightly covered, close to the house, and a very offensive pig-pen adjoining. I do not believe the disease is as contagious as some suppose. Have seen many single cases in families, and if a second or third case occurs why may not all have the same origin?
Dover — M. C. LATHROP, M. D. Typhoid Fever. — One mild case. Although convinced by other evidence that the specific cause of typhoid fever is intensified in its activity and virulence, and perhaps multiplied by ordinary unsanitary conditions, my observation alone would not warrant definite conclusions regarding their etiological influence in this disease.
Diphtheria. — Seven cases, one fatal. In several cases, especially the fatal case, the sanitary conditions were apparently good. In two cases there was very defective drainage of cellar, which received a part of the sink waste. Six, including the last named, made prompt recoveries. My experience tends to confirm the belief otherwise based, that unsanitary conditions frequently promote and aggravate the disease.
Dover – M. B. SULLIVAN, M. D. Typhoid Fever. — Thirteen cases, none fatal; all in Dover. In all cases the drinking-water was polluted. Unsanitary conditions bear a most important relation to the disease.
Diphtheria. — Four cases, none fatal. Surely, unsanitary conditions were a factor in two cases; others in good surroundings. It is my opinion that unsanitary conditions increase the severity of the disease.
Dover - H. R. PARKER, M. D. . Typhoid Fever. - One case, fatal. This case was contracted in Nova Scotia; do not know its cause.
Diphtheria. — Five cases, two fatal. Am unable to state the cause in the cases. Unquestionably, unsanitary conditions have an influence in the causation of the disease.
Dover - Carl H. HORSCH, M. D. Typhoid Fever. — None observed. As a result of my past’experience, believe that deficient protection against changes of temperature, irregularity in diet and rest, drinking polluted water, living in over-crowded rooms and in houses poorly heated and ventilated, bad drainage, and, in fact, all unsanitary conditions, bear relations to typhoid fever.
Diphtheria. — None observed. Believe all unsanitary conditions are factors in causing diphtheria, but especially so are filthy sink-drains, polluted drinking-water, and neglected cesspools.
Effingham — J. M. LEAVITT, M. D. Typhoid fever. — None observed. From my past experience, am of the opinion that nearly every case can be traced to filth in food, water, or air, or the three combined. Diphtheria. — None observed during the year.
Enfield — VALENTINE MANAHAN, M. D. Typhoid Fever. — Only two cases, neither fatal; one in town, one in East Lebanon. Think fully one balf the cases of typhoid fever can be traced to unsanitary conditions.
Enfield Centre — F. P. FISHER, M. D. Typhoid Fever. — None during the year.
Diphtheria. – No cases of true diphtheria during the year; have had a number of cases of diphtheritic sore throat.
Epping — A. W. MITCHELL, M. D. Typhoid fever. — None during the year. From my past experience, consider the relation of unsanitary conditions to typhoid fever as a fertile spot to a grain of corn.