those exposed, three had been properly vaccinated; of these, none contracted the disease. Of the two exposed who had not been vaccinated both took the disease and none died.

The population of this county is 8,000. At the time of our last report a great majority had been vaccinated. Since that time it is estimated that 250 have procured vaccination, leaving about 16 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have one eruptive hospital, located three miles from the county seat, with a capacity for four patients. Our method of managing the disease was isolation and vaccination.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been about $500.

There has been no difficulty experienced in combating the disease. The county authorities and health officers acted in perfect harmony.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Typhoid fever, twenty-five cases and three deaths; scarlet fever, eighteen cases and no deaths; cholera infantum, twenty-two cases and four deaths; dysentery, ten cases and two 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 $25, making a total loss to the county for the two years from diseases which might be prevented of $1,875, as against $30,000 paid for State taxes. The county health officer does not get a cent. Very respectfully,

R. B. CASSADY, M. D., Secretary.

Owen County Board of Health.

Owenton, Ky., August 31, 1905.

To the State Board of Health:

Since our last published report two years ago, there have been two outbreaks of smallpox in this county, in the Owenton district, with a total of eight cases and one death.

The first cases came from St. Louis and Cincinnati.

The population of this county is 17,000. At the time of our last report 5,000 had been vaccinated. Since that time it is estimated that 100 have procured vaccination, leaving 69 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have no eruptive hospital. Our method of managing the disease was local quarantine and strict isolation of first cases, resulting in a thorough eradication of the disease.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $15. The estimated cost in loss of trade and interference with business has been nil.

We have experienced no difficulty in stamping out the disease since last report.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, forty cases and ten deaths; typhoid fever, 100 cases and twenty deaths; diphtheria, twenty cases and four deaths; scarlet fever, seventy-five cases and eight deaths; cholera infantum, twenty-five cases and ten deaths; dysentery, thirty cases and ten 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 $50 to $100, making a total loss to the county for the two years from diseases which might be prevented of $17,100, as against $32,000 paid for State taxes. The county health officer is paid an annual salary of $450, and all of the other members serve gratuitously.

The following additional facts will be of interest in connection with this report: That the ignorance of health laws on the part of the laity, aggravated by a few "knockers" of the legal type, have somewhat interfered with the general work of the local board, and we believe that either by lectures or literature an enlightenment of the people along general lines should be obtained.

Very respectfully,

J. W. BOTTS, M. D., Secretary.

Owsley County Board of Health.

To the State Board of Health:

Boonville, Ky., August 31, 1905.

Since our last published report two years ago, there have been two outbreaks of smallpox in this county, in the Island Creek and Cow Creek districts, with a total of seventeen cases and one death.

The first case came from Ford, Ky., and thirty persons had been exposed to the disease before its character was recognized and reported so that we could take steps to bring it under control. Of those exposed, one had been properly vaccinated and did not contract the

H

those exposed, three had been properly vaccinated; of these, none contracted the disease. Of the two exposed who had not been vaccinated both took the disease and none died.

The population of this county is 8,000. At the time of our last report a great majority had been vaccinated. Since that time it is estimated that 250 have procured vaccination, leaving about 16 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have one eruptive hospital, located three miles from the county seat, with a capacity for four patients. Our method of managing the disease was isolation and vaccination.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been about $500.

There has been no difficulty experienced in combating the disease. The county authorities and health officers acted in perfect harmony.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Typhoid fever, twenty-five cases and three deaths; scarlet fever, eighteen cases and no deaths; cholera infantum, twenty-two cases and four deaths; dysentery, ten cases and two 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 $25, making a total loss to the county for the two years from diseases which might be prevented of $1,875, as against $30,000 paid for State taxes. The county health officer does not get a cent. Very respectfully,

R. B. CASSADY, M. D., Secretary.

Owen County Board of Health.

Owenton, Ky., August 31, 1905.

To the State Board of Health:

Since our last published report two years ago, there have been two outbreaks of smallpox in this county, in the Owenton district, with a total of eight cases and one death.

The first cases came from St. Louis and Cincinnati.

The population of this county is 17,000. At the time of our last report 5,000 had been vaccinated. Since that time it is estimated that 100 have procured vaccination, leaving 69 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have no eruptive hospital. Our method of managing the disease was local quarantine and strict isolation of first cases, resulting in a thorough eradication of the disease.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $15. The estimated cost in loss of trade and interference with business has been nil.

We have experienced no difficulty in stamping out the disease since last report.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, forty cases and ten deaths; typhoid fever, 100 cases and twenty deaths; diphtheria, twenty cases and four deaths; scarlet fever, seventy-five cases and eight deaths; cholera infantum, twenty-five cases and ten deaths; dysentery, thirty cases and ten 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 $50 to $100, making a total loss to the county for the two years from diseases which might be prevented of $17,100, as against $32,000 paid for State taxes. The county health officer is paid an annual salary of $450, and all of the other members serve gratuitously.

The following additional facts will be of interest in connection with this report: That the ignorance of health laws on the part of the laity, aggravated by a few "knockers" of the legal type, have somewhat interfered with the general work of the local board, and we believe that either by lectures or literature an enlightenment of the people along general lines should be obtained.

Very respectfully,

J. W. BOTTS, M. D., Secretary.

Owsley County Board of Health.

Boonville, Ky., August 31, 1905.

To the State Board of Health:

Since our last published report two years ago, there have been two outbreaks of smallpox in this county, in the Island Creek and Cow Creek districts, with a total of seventeen cases and one death.

The first case came from Ford, Ky., and thirty persons had been exposed to the disease before its character was recognized and reported so that we could take steps to bring it under control. Of those exposed, one had been properly vaccinated and did not contract the

disease. Of the twenty-nine exposed who had not been vaccinated fifteen took the disease and one died.

The population of this county is 7,000. At the time of our last report 400 had been vaccinated. Since that time it is estimated that 100 have procured vaccination, leaving 92 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have no eruptive hospital. Our method of managing the disease was: The sick were isolated and all exposed were vaccinated and not allowed to mingle with the public.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $60. The estimated cost in loss of trade and interference with business has been $200.

The chief difficulty in stamping out the disease has been the disinclination of a great many people to believe that the disease was really smallpox.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, 100 cases and ninety deaths; typhoid fever, eighty cases and two deaths; cholera infantum 150 cases and ten deaths; dysentery, twenty cases and three 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 $100, making a total loss to the county for the two years from diseases which might be prevented of $33,000, as against $5,000 paid for county, and $3,500 for State taxes. The county health officer is paid no salary.

Very respectfully,

A. M. GLASS, M. D., Secretary.

Pendleton County Board of Health.

Falmouth, Ky., August 31, 1905.

To the State Board of Health:

Since our last published report two years ago there have been two outbreaks of smallpox in this county, in the Buth and Collinsville districts, with a total of five cases and no deaths.

At the time of our last report 50 per cent. of our people had been vaccinated. Since that time it is estimated that practically none have procured vaccination, leaving 50 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.