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do so. The law also gives such boards full authority to provide hospitals, physicians, nurses, guards, and all other things needful in managing and stamping out the disease at the expense of the county or municipality, where the persons afflicted are indigent, and this authority has been sustained and even extended in frequent decisions of the court of appeals. It is greatly to be desired in the interest of economy and harmony, as well as because it is a matter of common concern, that the health and fiscal authorities shall work together hand-in-hand, but it is important that the former should be advised as to their rights in the matter when a disagreement is unavoidable, and, in the presence of a grave public danger, not to hesitate in exercising them. When its true nature is recognized, early smallpox is the easiest of all contagious diseases to stamp out. When it spreads beyond the first case, or, at most, beyond the first family, somebody has violated the law and is seriously to be blamet. All cases should be immediately and rigidly isolated, in the county or municipal hospital, if possible, and the house in which the disease exists, or from which it was taken, should be fiagged or placarded, and guarded, unless in trustworthy hands, until it has been systematically disinfected and officially released from quarantine. Every member of the household and every other person who has been exposed to the disease, should be traced out, vaccinated in three places, and kept under observation for sixteen days, or until the vaccinations have taken well. If any exposed perso. has gone away, or afterwards makes his escape, immediate notice of the facts should be sent to the health officer of the jurisdiction into which he has gone. The rules laid down appear easy and simple upon paper, but their effective enforcement when smallpox breaks out in a settlement of negroes, or the class of white people who neglect vaccination, and consequently have a monopoly of smallpox, and especially when the situation is complicated by ignorant or contentious doctors, and selfish business men, who vehemently assert that it is not smallpox, and a fiscal court which hesitates and hinders where immediate and decisive action is so important, will fully test the patience, firmness and tact of the most experienced and judicious health officials. Fortunately more and more of the fiscal officials and intelligent people are recognizing the necessity of enforcing the law at the outset as a means of minimizing the expense and trouble of management. Most of our county and municipal boards are having distinctly less trouble in securing moral and financial support than in former years. If this could be further developed so that the precautions herein suggested could be effectively enforced throughout Kentucky for six weeks, we would have no smallpox. If successive generations were systematically vaccinated, we would never have any more smallpox.

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