hospital, physicians, vaccination, guards, nurses, food and medicine, has been $500. The estimated cost in loss of trade and interference with business has been $1,200.

The chief difficulty in stamping out the disease have been failure to discover and isolate the cases before so many persons were exposed. As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, twenty-eight cases and twenty deaths; typhoid fever, twenty-three cases and five deaths; diphtheria, eight cases and three deaths; cholera infantum, many cases and eight deaths; dysentery, twelve cases and no 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, making a total loss to the county for the two years from diseases which might be prevented of $3,350, as against $10,200 paid for county, and $8,400 for State taxes. The county health officer is paid an annual salary of $100, and all of the other members serve gratuitously.

The following additional facts will be of interest in connection with this report: In the months of March and April, 1905, there were several cases of whooping cough in the northern and eastern section of the county, in which pneumonia developed the second week of the disease, with almost invariable fatal termination.

Very respectfully,

A. G. LOVELL, M. D., Secretary.

Rowan County Board of Health.

Morehead, Ky., August 31, 1905.

To the State Board of Health:

Since our last published report two years ago there has been no outbreak of smallpox in this county.

The population of this county is 8,277. At the time of our last report, 50 per cent. had been vaccinated. Since that time it is estimated that none have procured vaccination, leaving 50 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have no eruptive hospital.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, forty cases and twenty deaths; typhoid fever, fifteen cases and four deaths; diphtheria, six cases and two deaths; cholera infantum, forty cases and three deaths; dysentery, twenty cases and no deaths. The

county health officer is paid a salary of $200, and all of the other members serve gratuitously.

Very respectfully,

J. WILSON, M. D., Secretary.

Russell County Board of Health.

Jamestown, Ky., August 31, 1905.

To the State Board of Health:

Since our last published report two years ago there has been one outbreak of smallpox in this county, in the Irvin's Store neighborhood, with a total of forty-eight cases and one death.

The first case came from Texas, 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, none had been properly vaccinated.

The population of this county is 9,695. At the time of our last report none had been vaccinated. Since that time it is estimated that one-half of 1 per cent. have procured vaccination, leaving 992 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have an eruptive hospital, located eight miles from Jamestown, Ky., with a capacity for fifty patients. Our method of managing the disease was by vaccination and isolation, with the help of guards.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $1,000. The estimated cost in loss of trade and interference with business has been $1,500.

The chief difficulty in stamping out the disease has been that the people will not be vaccinated, as they are prejudiced against vaccination.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, thirty cases and twelve deaths; typhoid fever, 100 cases and five deaths; diphtheria, twenty cases and ten deaths; dysentery, sixty cases. The county health officer is paid nothing.

Very respectfully,

J. S. ROWE, M. D., Secretary.

Jamestown, Ky., July 26, 1905.

State Board of Health, Bowling Green, Ky.

Gentlemen: Within the present year (1905), we have had an outbreak of smallpox, in the neighborhood of Irvin's Store, Russell coun

ty, Ky. The total number of cases was sixty-nine, with one death. There was no pest house provided, and the following was our management: We quarantined the infected families at their homes, vaccinated and re-vaccinated. The disease was brought to this county from Texas. The first few cases were very mild, and seven families were infected with the disease before the physician at that place recognized and reported smallpox, therefore over 100 persons had been exposed before the local board was notified. We had no serious trouble in stamping out the disease, as the infected district seemed quite anxious to get rid of the plague. The total cost to the county was about $350. W. G. D. FLANAGAN, Health Officer Russell County.

J. S. ROWE, Member Board of Health.

Scott County Board of Health.

To the State Board of Health:

Georgetown, Ky., August 31, 1905.

Since our last published report two years ago there has been one outbreak of smallpox in this county, in the Georgetown and Payne's Depot districts or precincts, with a total of five cases and no deaths.

The first case came from Woodford county, and ten 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 the ten exposed who had not been vaccinated, five took the disease and none died.

The population of this county is 21,000. At the time of our last report 7,500 had been vaccinated. Since that time it is estimated that 200 have procured vaccination, leaving 60 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 isolation and keeping exposed persons under guard.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $350. The estimated cost in loss of trade and interference with business has been $400.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, twenty cases and ten deaths; typhoid fever, forty-five cases and eight deaths; diphtheria, sixty cases and eight deaths; scarlet fever, fifteen cases and one death; cholera infantum, fifty cases and four deaths; dysentery, 100 cases and no 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 $6,250, as against $43,527.13 paid for county, and $43,527.13 for State taxes. The county health officer is paid no salary.

Very respectfully,

JOHN E. PACK, M. D., Secretary.

Shelby County Board of Health.

Shelbyville, Ky., August 31, 1905.

To the State Board of Health:

Since our last published report two years ago there has been no outbreak of smallpox in this county.

At the time of our last report 70 per cent. of our people had been vaccinated. Since that time it is estimated that 10 per cent. have procured vaccination, leaving 20 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have an eruptive hospital, located three miles from Shelbyville, with a capacity for twenty patients.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, ten cases and five deaths; typhoid fever, twelve cases and three deaths; diphtheria, twelve cases and two deaths; cholera infantum, two cases and two deaths. The average cost to our people for managing and treating a case of any of these diseases, including medical attention, $20, making a total loss to the county for the two years from diseases which might be prevented of $3,000, as against $18,000 paid for State taxes. The county health officer is paid a salary of $75 per year, and all of the other members serve gratuitously.

Very respectfully,

R. D. PRATT, M. D., Secretary.

Simpson County Board of Health.

To the State Board of Health:

Franklin, Ky., August 31, 1905.

Since our last published report two years ago there has been one outbreak of smallpox in this county, in the town and Price's Mill preeinct, with a total of sixty-one cases and twelve deaths and about 155

pects.

The first case came from St. Louis, Mo., and several 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, over 100 had been vaccinated; of these, none contracted the disease. Of the many exposed who had not been vaccinated, sixty took the disease and twelve died.

The population of this county is about 15,000. Since our last report it is estimated that 1,200 have procured vaccination, leaving 60 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have two eruptive hospitals, located two and one-half miles from Franklin, with a capacity for thirty patients. Our method of managing the disease was, when found, sent to pest house, and vaccinated others exposed, finally compulsory vaccination, which put an end to the spread.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $1,000.

The chief difficulties in stamping out the disease have been refusal of vaccination and concealment.

Very respectfully,

J. C. DOUGLASS, M. D., Chairman and Secretary.

Spencer County Board of Health.

To the State Board of Health:

Taylorsville, Ky., August 31, 1905.

Since our last published report two years ago there has been no outbreak of smallpox in this county.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, three cases and two deaths; typhoid fever, 100 cases and ten deaths; diphtheria, ten cases and no deaths; scarlet fever, twenty-four cases and one death; dysentery, thirty-seven cases and two deaths.

Very respectfully,

W. D. SEELEY, M. D., Secretary.

Taylor County Board of Health.

To the State Board of Health:

Since our last published report two years ago there has been no outbreak of smallpox in this county.

The population of this county is about 12,000. At the time of our