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We have two eruptive hospitals, located one mile from the city, with a capacity for 100 patients. Our method of managing the disease was: Every case is removed to hospital; all those exposed are vaccinated at three places on each arm; all the neighborhood vaccinated at three places on one arm, and houses are thoroughly disinfected after bedding has been burned.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $50. The estimated cost in loss of trade and interference with business has been $1,000.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, fifty cases and twenty-six deaths; typhoid fever, 225 cases and twentythree deaths; diphtheria, five cases and no death; scarlet fever, twenty cases and eight deaths; cholera infantum, 200 cases and thirty-five deaths; dysentery, thirty cases and six 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 $26,500, as against $87,000 paid for State taxes. The county health officer is paid a salary of $250, and all of the other members serve gratuitously, but it is understood that it is to be increased.

Very respectfully,

A. T. McCORMACK, M. D., Secretary.

Washington County Board of Health.

Springfield, 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 the county, in the town of Springfield, with a total of twenty cases and no deaths.

The first case came from Lebanon, Ky., and many 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, 50 per cent. had been properly vaccinated; of these, none contracted the disease. Of the twenty exposed who had not been vaccinated, all took the disease and none died.

At the time of our last report 50 per cent. had been vaccinated. Since that time it is estimated that 15 per cent. have procured vaccination, leaving 35 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have one eruptive hospital, located one and one-half miles from Springfield, with a capacity for twenty patients. Our method of managing the disease was to shut everything up until we got things under control.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $1,800. The estimated cost in loss of trade and interference with business has been $10,000.

The chief difficulties in stamping out the disease have been ignorance and failure to recognize the disease, doctors calling it “Cuban itch."

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, twenty-five cases and twenty-five deaths; typhoid fever, seventy-five cases and fifteen deaths; cholera infantum, twenty cases and five deaths; dysentery, twenty-five 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 $125, making a total loss to the county for the two years from diseases which might be prevented of $18,125, as against $32,000 paid for State taxes. The county health officer is paid a salary of $400, and all of the other members serve gratuitously.

Very respectfully,

J. B. ROBARDS, M. D., Secretary.

Wayne County Board of Health.

Monticello, 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.

Very respectfully,

C. B. RANKIN, M. D., Secretary.

Webster County Board of Health.

Dixon, Ky., August 31, 1905. To the State Board of Health:

Since our last published report two years ago there have been four outbreaks of smallpox in this county, in the Sebree, Clay and Slaughtersville districts or precincts, with a total of 100 cases and six deaths.

The first case came from Illinois, and twenty 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 nineteen exposed who had not been vaccinated, all took the disease and none died.

The population of this county is 25,000. At the time of our last report 20 per cent. had been vaccinated. Since that time it is estimated that 20 per cent 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 quarantine, isolation and guarding.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $5,000. The estimated cost in loss of trade and interference with business has been $5,000.

The chief difficulty in stamping out the disease has been lack of vaccination.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, fifty cases and forty deaths; typhoid fever, 150 cases and twenty-five deaths; scarlet fever, twenty-five cases and five deaths; cholera infantum, 100 cases and twenty-five deaths; dysentery, forty cases and six 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 $18,250, as against $40,000 paid for county, and $30,000 for State taxes. The county health officer is paid a salary of $350, and all of the other members serve gratuitously. The health officer is a member of board ex-officio.

Very respectfully,

0. T. CROUSE, Secretary.
J. P. CAMPBELL, "Member."

Whitley County Board of Health.

Williamsburg, Ky., August 31, 1305. To the State Board of Health:

Since our last published report two years ago there have been four outbreaks of smallpox in this county, in mining ricts, with a total of fifty cases and two deaths.

The first case came from Tennessee, and many 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, twenty had been properly vaccinated; of these, none contracted the disease. Of the sixty exposed who had not been vaccinated, fifty took the disease and two died.

The population of this county is 30,000. At the time of our last report 2,000 had been vaccinated. Since that time it is estimated that 1,000 have procured vaccination, leaving 90 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have two eruptive hospitals, located twelve miles from Williamsburg, with a capacity for twenty patients. Our method of managing the disease was isolation and vaccination, and in some places, when not taken to eruptive hospital, to guard houses.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $3,000. The estimated cost în loss of trade and interference with business has been $5,000.

The chief difficulty in stamping out the disease has been new cases coming from the State of Tennessee and starting new foci of infection.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, fifty cases and forty-five deaths; typhoid fever, 100 cases and ten deaths; diphtheria, twenty-five cases and five deaths; scarlet fever, twenty cases and three deaths; cholera infantum, 100 cases and ten deaths; dysentery, forty 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 $75, making a total loss to the county for the two years from diseases which might be prevented of $20,000. as against $30,000 paid for State taxes. The county health officer is paid no regular salary, and all of the other members serve gratuitously.

The following additional facts will be of interest in connection with this report: Most all cases of smallpox were mild, and many were well before found out. The various mining interests here keeps continual shifting population, which is the source of most all the above, except typhoid fever, consumption and dysentery.

Very respectfully,

E. S. MOSS, M. D., Secretary.

Wolfe County Board of Health,

Campton, Ky., August 31, 1905. To the State Board of Health:

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

Very respectfully,

J. H. STAMPER, M. D., Secretary.

Woodford County Board of Health.

Versailles, Ky., August 31, 1905. To the State Board of Health:

Since our last published report two years ago there have been three outbreaks of smallpox in this county, in the city of Versailles, county, and from Jessamine county, with a total of eleven cases and ao deaths.

The population of this county is 15,000. At the time of our last report, 50 per cent. had been vaccinated. Since that time it is esti. mated that 10 per cent. have procured vaccination, leaving 40 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have an eruptive hospital, located two and one-half miles from Versailles, with a capacity for fourteen patients. Our method of managing the disease was isolation, vaccination and disinfection.

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

The chief difficulties in stamping out the disease have been lack of general vaccination and inefficiency of the so-called compulsory vaccination law.

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

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