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I have fumigated 47 houses and apartments where diphtheria cases had been reported and 28 houses and apartments where scarlet fever cases had been reported. I also fumigated 12 houses which were vacated by tubercular patients and 18 houses after the death of tubercular patients.

Under the tuberculosis law, I issued 5 original and 26 renewal prophylactic packages.

There were eleven nuisances reported and abated during these three months.

There were no midwife registrations and no prosecutions. An endemic of scarlet fever occurred in the small town of Ringgold the latter part of October and the first part of November. Eight cases were reported. I closed the schools and fumigated the building. When school was reopened. all cases were under strict quarantine and this ended all trouble. The County Commissioners meet once every month as a Board of Health, at which time are discussed ways and means for the handling of sanitary problems in the county.

Very respectfully,

W. D. CAMPBELL, M. D.,

Health Officer Washington County.

WICOMICO COUNTY.

Dr. Chas. R. Truitt, Salisbury, Health Officer. No report.

WORCESTER COUNTY.

Dr. Paul Jones, Snow Hill, Health Officer. No report.

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Dear Doctor: I herewith enclose my report for year 1912. as local registrar of Aberdeen.

Births: White male, 5; white female, 4; total, 9. Deaths: White male, 2; white female, 5; total, 7. Infectious Disease: -Diphtheria, 1 case, colored (female), recovered. No other infectious diseases for the year.

Very truly yours,

CHAS. H. KRIETE,

Health Officer, Aberdeen.

ANNAPOLIS.

Dr. Wm. S. Welch, Health Officer. No report.

BRUNSWICK.

BRUNSWICK, MD., March 1, 1913.

Dr. John S. Fulton,

Secretary, State Board of Health,

Baltimore, Md.

Dear Doctor: In submitting my report as health officer f Brunswick for the year 1912, as I respectfully do, there is nothing that calls for special mention, unless it is our

typho

fever cases. Sixteen in number, with only one death, and that in a child. Most of the cases were mild and distributed through the year, as follows: January 1 case; March, 3; April. 2; May, 1; June, 1; August, 3; September 5; and no cases reported for the last three months of the year. This is cer tainly a good showing for a town of five thousand inhabitants, and as I have mentioned in former reports, largely due to a pure water supply.

Brunswick is also comparatively free from tuberculosis. There were three deaths during the year from that disease. There are now three cases at the State Sanitarium with it, all improving rapidly, and no other cases in town known to this office.

Following is statistical report:

Births reported, 136; living males. 76; females, 53. Stillbirths, male, 4; female, 3.

Deaths reported, 53. Adults, 17 with cause; killed by cars. 4; cerebral hemorrhage, 4; tuberculosis, 2; heart disease, 2; pneumonia, 1; Broncho pneumonia, 1; uterine corcevis, 1: anasarca, 1, and nephritis, 1; infantile deaths, 36, with causes; premature births, 8; still-births, 7; marasmus, 4; pneumonia, 4; broncho pneumonia, 3; membraneous croup, 3; meningitis, 2; typhoid fever, 1; tuberculosis, 1; acute nephritis, 1; heart disease, 1, and found dead, 1.

Contagious diseases: Typhoid fever, 16; scarlet fever, 6; diphtheria, 4; measles, 13; chickenpox, 1.

Drinking cups are no longer used in public schools, Y. M. C. A. and railroad stations. Vaccinations at schools is thorough. There has been an unusual number of cases of pneumonia this winter, but low mortality rate.

Respectfully,

LEVIN WEST.

Health Officer. Brunswick.

CAMBRIDGE.

Dr. E. E. Wolff, Health Officer. No report.

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Dear Doctor: I have the honor to submit the following annual health report of Crisfield, closing with the fiscal year, June 30th, 1912.

Births: 96; white, 69; males, 38; females, 31. Colored. 27; males, 16; females, 18.

Deaths: 84; white, 44; males, 26; females, 18. Colored, 40; males, 22; females, 18.

Infectious diseases reported: Diphtheria, 6; scarlet fever, 20; typhoid fever, 65; whooping cough, 17; chickenpox, 2: tuberculosis, 19.

Fumigations, 36, 27 of which were done by the health

officer.

All the schools were visited, and every child not previously vaccinated was vaccinated, unless some very good reason was offered. There were 91 vaccinations; 57 of which were paid by the individuals.

All school rooms in the city were fumigated last September before opened to the public. Several public school books were condemned and burned.

Prophylactic supplies have been issued promptly to all persons suffering with pulmonary tuberculosis.

All houses vacated by tubercular persons were fumigated as soon as reported, and in no instance has the health officer knowingly allowed another family to move in the house until the premises were disinfected.

Every house in which a tubercular patient has died, and same reported to health officer, has been disinfected within 24 hours after the burial of the deceased consumptive.

We have not allowed any tubercular persons to open oysters or pick crab meat in packing houses.

An effort is made to secure other employment for such persons when it is not convenient for them to take treatment in the State Sanatorium.

The facilities for the isolation and treatment of advanced cases of consumption are extremely poor, and this alone has done more to spread this awful plague in our midst than any other cause.

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