test to cows actually and individually suspected to be diseased, instead of extending it to the entire herd, and that no farm be quarantined for tuberculosis in cattle except by express action of the Board, or its executive committee, and that it be adopted as the policy of the Board, that individual cows shall be condemned and killed instead of entire herds. The members then reported the grades made by applicants at the examination held August 1st, 2nd and 3rd, 1907, and, after there had been determined and approved as to each by the Committee on Examination, the Secretary was instructed to issue certificates to the 29 successful applicants, and to give official notice to the 19 unsuccessful applicants of their failure to make the grade required by law. Adjourned. J. N. McCormack, Secretary. Reports from County and City Anderson County Board of Health. Lawrenceburg, Ky., Dec. 28, 1907. To the State Board of Health: Gentlemen:-Since the last report from this county there have occurred two outbreaks of smallpox. The first outbreak began May 23, 1906 and was limited to one case, which was contracted at Richmond, Ky., the person being a negro who had never been vaccinated. Ten negroes were exposed but were immediately found and vaccinated, all the vaccination taking, so no one cɔntracted the disease. The second outbreak occurred Nov. 22, 1907, this case being contracted at Millville, Woodford county, Ky. This case was far advanced when the young man reached his home at this place, thus exposing his father and four children, not one of them having been vaccinated before this time. After remaining at home three days he was removed to the county pest house. This case was a very severe one and he has not yet recovered from the effects. The father and four children were vaccinated, two taking and one of them had varioloid. The father and two children had smallpox and were quarantined at home, the town having no pest house, and the county pest house not being in a condition fit for habitation during severe weather, nor for more than two persons. There have occurred two other cases about four hundred yards from this house. The infection cannot be directly traced to this source, but as yet no other ascertainable origin has been discovered. The authorities of Woodford county were immediately notified after the discovery of the case. from Millville, the nature of the disease not having been discovered there. I understand there has been quite an epidemic of this disease in that locality. There has been quite an epidemic of diphtheria and scarlet fever in this county during the past two years and one half of these cases go undiagnosed. The physicians in the majority of cases have failed to report, and continue their general practice, while attending these cases without even disinfecting themselves. There has been about one hundred cases of typhoid fever in this county during the past two years, the death rate being very low. My investigations lead me to believe that three-fourths of these cases occur through infection from house-flies. There has also been epidemics of chicken-pox, mumps and measles. No attempt is made by the authorities to limit the spread of these diseases. I should have stated that there were about six deaths from diphtheria, four from scarlet fever, and three from measles. I have the pleasure to report that the people of this county are alive to the communicableness of tuberculosis. Where deaths occur all houses are thoroughly disinfected. The health officer receives fifty dollars a year salary, the city health officer receives sixty dollars a year. The physician receives ten dollars a visit to smallpox or five dollars a day for attention. The pupils in the public schools of the city and county are not vaccinated in accordance with the law. Very respectfully, C. W KAVANAUGH, M. D., Secretary. Allen County Board of Health. Scottsville, Ky., Dec. 31, 1907. To the State Board of Health: Gentlemen:-Allen county has not been visited with an epidemic of smallpox, diphtheria, or scarlet fever during the past two years. We have had a few sporadic cases of diphtheria and scarlet fever, but by the timely use of the rules laid down by your Honorable body, we have had very little difficulty in stamping it out. We have no eruptive hospital, are forced to isolate and quarantine in the home, which method we have used very successfully. We have a very congenial fiscal court, one that the Local Board of Health can rely upon it giving its hearty support to any measure that should be necessary to suppress any violation of the Rules of Health that are given by the State Board of Health. Very respectfully, A. L. WAGONER, M. D., Secretary Board of Health. Ballard County Board of Health. Wickliffe, Ky., Dec. 30, 1907. State Board of Health, Bowling Green, Ky: Gentlemen:-I submit herewith a report for Ballard County Board of Health for years 1906 and 1907: Smallpox.-1 outbreak 1 mile from city Wickliffe in railroad camp of W. J. Oliver, in which we had 10 cases, one death. Camp infected by contract labor coming into it. Vaccinated all and isolated cases. Disinfected with formalin. Promptly stamped out. No other outbreaks in county for past two years. Diphtheria.-3 cases reported to board in 1906, with one death; Antitoxin used in all of these, used late in the case that died. One case of laryngeal diphtheria, one death, case moribund, when first seen, died before anything could be done. Scarlet Fever.-One case reported in 1907, no deaths, 3 cases in 1906, no deaths, reported by Dr. Sam Seay, of Blandville, Ky. Typhoid Fever.-Over 100 cases in 1906 and 1907. Five deaths. Average cost of case per family about $100.00. Greatest source of infection, when source could be traced, was impure cistern water. Measles. About 500 in 1907. 100 in 1906. 2% died. Epidemic mild. Mumps.-Mild epidemic over county. No fatalities. Tuberculosis.-About one hundred cases have come to our knowledge, with a death rate of 10% in past 2 years. No effort at isolations made and but scant precaution taken against its spread. This is in a large measure due to some physicians refusing to warn the families that a case is tuberculosis, or, in some instances deliberately stating it to be some other disease. Also some physicians refuse to instruct families that tuberculosis is contagious. This Board would suggest as a means of educating the people of this county concerning the nature of tuberculosis and means of prevention that your literature be sent to officers of the various Ladies' Aid Societies of the different churches, with request to distribute same. Very respectfully, N. L. ROGERS, M. D., Secretary. Bath County Board of Health. Owingsville, Ky., Dec. 31, 1907. To the State Board of Health: Gentlemen :-Since our last published report two years ago, there has been no smallpox in this county. As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption.-230 cases and 115 deaths. Typhoid Fever.-300 cases and 6 deaths. The average cost to our people for managing and treating a case of any of these diseases including medical attention, nursing, loss of time and incidental expenses, is estimated to be $45.00, making a total loss to the county for the two years from diseases which might be prevented, of $49,050, as against $48,000 paid for county taxes and $48,000 paid for state taxes. The county health officer receives an annual salary of $200.00. Very respectfully, A. W. WALDEN, M. D., Secretary. Bell County Board of Health. Middlesboro, Ky., Dec. 30, 1907: To State Board of Health: Gentlemen:-Since our last published report 2 years ago, there has been three outbreaks of smallpox in this county-all in the Middlesboro district-with a total of about a dozen cases and no deaths. The first case came from Virginia. All cases were promptly isolated and all suspects vaccinated at once. There were no new cases developed. The 2d. cases came from Tennessee and when found were promptly isolated, only six new cases developed, all in the same family and a next door neighbor. The population of the county is about 20,000-at the time of our last report about 70% had been vaccinated. Since that time it is estimated that about 10 per cent have procured vaccination, leaving about 15 per cent still unprotected. Our population is changeable on account of new developments, coal mines constantly being developed, bring in new people all the time, consequently it is hard to get them all vaccinated. The total cost of managing the disease for 2 years, including hospitals, physicians, vaccination, guards, nurses, food and medicine has been approximately about $2,500 to $3,000. The city and county officials are doing all in their power to stamp out any contagious disease as soon as reported by the physicians. As nearly as can be ascertained, other cases of preventable diseases have occurred during the 2 years as follows: Consumption.-18 cases, 7 deaths. 'Typhoid Fever.-28 cases, 4 deaths. Diphtheria.-5 cases, no deaths. Scarlet Fever.-3 cases, no deaths. Cholera Infantum.-20 cases, 3 deaths. Dysentery.-40 cases, 3 deaths. Yellow Fever.-No cases. The county health officer is paid no salary, and all the other members serve gratuitously. |