Of the population of this county, at the time of our last report 50 per cent. had been vaccinated. Since that time it is estimated 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 one eruptive hospital, located one and one-half miles from Shepherdsville, with a capacity of 30 patients. Our method of managing the disease was: Where practicable and when patient shows willingness to aid us, we isolate them and treat in their homes, but where we are antagonized we remove them to pesthouse and confine under guards.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $300. The estimated cost in loss of trade and interference with business has been nil.

The chief difficulties in stamping out the disease have been the usual apathy of the laity and failure to report the mild cases.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Typhoid fever, 10 cases and 3 deaths; scarlet fever, 10 cases and 1 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 $30, making a total loss to the county for the two years from diseases which might be prevented, of $600, as against $23,000 for State taxes. The county health officer is paid no salary, and all of the other members serve gratuitously.

The following additional facts will be of interest in connection with this report: Since our last report there seems to be a growing respect for the work of the board of health and a disposition among the laity to lend that aid that is so essential to the health officers' success in controlling preventable diseases.

Very respectfully,

S. W. BATES, M. D., Secretary.

Butler County Board of Health.

Morgantown, 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 Morgantown and Rochester precincts, with a total of 23 cases and 1 death.

The first case came from Evansville, Ind., and 50 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, 10 had been properly vaccinated; of these, none contracted the disease, and none died. Of the 40 exposed who had not been vaccinated, 23 took the disease and 1 died.

The population of this county is 6,500. At the time of our last report 1,500 had been vaccinated. Since that time it is estimated that 250 have procured vaccination, leaving 74 per cent. still unprotected, after nearly eight years of smallpox almost constantly in some section of the State.

We have 1 eruptive hospital, located one and one-half miles from Morgantown, Ky., with a capacity for 8 patients. Our method of managing the disease was vaccination, quarantine and removal of persons infected with the disease to the eruptive hospital. When the disease broke out in a family the house and occupants were quarantined until properly cleansed and fumigated.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $750. The estimated cost in loss of trade and interference with business has been $4,000.

The chief difficulties in stamping out the disease have been a tendency on the part of some of our citizens to smuggle the disease and prevent the local health authorities getting information of its existence.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, 25 cases and 18 deaths; typhoid fever, 80 cases and 6 deaths; diphscarlet fever, 17 cases and theria, no cases; 2 deaths; cholera infantum, 3 cases and 2 deaths; dysentery, 39 cases and cases. The average cost to our 7 deaths, and yellow fever, no

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 $65, making a total loss to the county for the two years from diseases which might be prevented, of $10,660, as

4 st $3,000 paid for county, and $20,000 for State, taxes. The county ach other is paid annual salary of $300, and all of the other memNow whyp gratuitously.

tho rolowing additional facts will be of interest in connection Durg report The fiscal court only allowed $100 for the annual

health officer, whereupon an appeal was taken to the cirwhy he allowed him $300. The fiscal court may yet take an court of appeals before the matter is finally adjusted.

Very respectfully,

A. E. GARDNER, M. D., Secretary.

Caldwell County Board of Health.

To the State Board of Health:

Princeton, Ky., August 31, 1905.

Since our last published report two years ago there have been outbreaks of smallpox in this county in the Fredonia, Cobb, Hopson and Fanniesville precincts, with a total of 20 cases and no deaths.

The first case came from Christian county, 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 several had been properly vaccinated; of these, none contracted the disease, and none died. Of the number exposed who had not been vaccinated, several took the disease and none died.

The population of this county is 16,000. At the time of our last report 10,000 had been vaccinated. Since that time it is estimated that 1,500 have procured vaccination, leaving 39 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 to isolate all cases developed and suspected, and detain them until all danger was passed, of course vaccinating all who had not been vaccinated within the past five years.

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 unaccountable.

The chief difficulties in stamping out the disease have been absence of eruptive hospital; hence having to care for the sick and suspected cases in remote districts; and the persistency of people to decline vaccination.

The county health officer is paid a salary of $100, and all of the other members serve gratuitously.

Very respectfully,

JOS. A. H. MILLER, M. D., Secretary.

ORDER.

By virtue of an authority vested in us, as the Board of Health of the city of Princeton, Caldwell county., Ky., it is ordered,

First. That all persons in the city of Princeton shall be forthwith vaccinated.

Second. That all persons who have been exposed to the smallpox shall, in addition to being vaccinated, isolate themselves for a period of twenty-one (21) days, unless sooner discharged by the health officer of this board.

Third. That all persons who have been exposed to the smallpox, now prevalent in this city, who shall fail or refuse to comply with above order, shall be confined in the city eruptive hospital for a period of twenty-one (21) days, or until discharged by the health officer of this board, and in addition thereto shall pay the pains and penalties now prescribed by the law made and provided in such cases.

Fourth. That those who are now afflicted with the smallpox, or any other contagious diseases, and who shall refuse to isolate themselves, or persist in disobeying the rules of this board, or those who have no place to properly seclude themselves, or those who require the financial aid of the city shall be removed to the city eruptive hospital.

Fifth. It is further ordered that the health officer shall establish a quarantine in every case of contagious or infectious disease by placing proper signals, etc., to protect the public.

Sixth. That all persons who are poor and not able to procure vaccination shall immediately appear before Dr. R. W. Ogilvie or Dr. J. A. H. Miller and be vaccinated.

Seventh. That it shall be unlawful for any child or person to attend any school within the corporate limits of the city of Princeton, unless they produce a certificate of vaccination to the principal or teacher of the school from a practicing physician.

Eighth. It shall be the duty of all practicing physicians and heads of families to report all cases of smallpox or contagious and infectious diseases at once to the health officer of this board.

Ninth. The pains and penalties of the law are severe, and provide adequate punishment for those who violate the above orders, and the law is going to be enforced without fear or favor.

All good citizens are requested to co-operate with this board in the prevention and suppression of the smallpox now existing in this city, as well as all other contagious and infectious diseases, and report all cases to this board.

November 22, 1904. Attest: S. D. HODGE, Chairman.

FRANK U. HARRISS, Secretary.
A. C. BELL,

Board of Health.

Calloway County Board of Health.

To the State Board of Health:

Murray, Ky., August 31, 1905.

Since our last published report two years ago there has been one outbreak of smallpox in this county, in the Murray and Almo districts, with a total of thirteen cases and no deaths.

The first case came from Paducah, Ky., and about twenty-five 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, thirteen had been properly vaccinated; of these, none contracted the disease. Of the twelve exposed who had not been vaccinated, twelve took the disease and none died.

The population of this county is 18,500. At the time of our last report 13.000 had been vaccinated. Since that time, it is estimated that 1,000 have procured vaccination, leaving 23 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 Murray, with a capacity for fifty patients. Our method of managing the disease was complete isolation of all who had been exposed and immediately vaccinating same.

The total cost of managing the disease for the two years, including hospital, physicians, vaccination, guards, nurses, food and medicine, has been $600. The estimated cost in loss of trade and interference with business has been $500.

As nearly as can be ascertained, other cases of preventable diseases have occurred during the two years as follows: Consumption, 300 cases and 300 deaths; typhoid fever, 250 cases and twenty deaths; diphtheria, twenty cases and five deaths; cholera infantum, 200 cases and fifty deaths; dysentery, 300 cases and seventy-five 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 $80,250, as against $40,000 paid for county and $32,000 for State taxes. The county health officer is paid a salary of $300, and all of the other members serve gratuitously.

Very respectfully,

WILL MASON, JR., M. D., Secretary.

[Circular. Board of Health of Calloway County, Ky.] INFORMATION FOR PERSONS HAVING PULMONARY TUBERCULOSIS, AND THOSE LIVING WITH THEM.

Consumption is caused chiefly by the filthy habit of spitting. Tuberculosis of the lungs, commonly called consumption, is a disease which is caused by breathing into the respiratory passages the germs of tuberculosis, which are small microscopic organisms, called bacilli of tuberculosis, coming principally from the material that is raised