3. Placard the house, and keep all children, all having the care of children, and all going where children are, away from it. It should be borne in mind that the poison of scarlet fever surpasses that of any other eruptive disease, in its tenacious attachment to clothing and other objects, even for years, and in its portability to other houses, or even distant localities.

4. Burn all discharges from the mouth and nose, and disinfect all other discharges from patient. Burn all refuse from the sick room. All spoons, cups, glasses, etc., used in the sick room should be washed separately from other dishes and should remain some time in boiling

water.

5. Disinfect all bed and body clothing, and everything else used in the sick room, before removing it therefrom, by immersion for six hours in a solution of chloride of lime, four ounces to the gallon of water. They may then be wrung out and put in the wash. Remember, however, that no disinfectant in the occupied sick room can do away with the necessity for abundant fresh air and sunlight.

6. After complete recovery, or death, carefully and thoroughly disinfect the room and its contents. To do this, stop all apertures well, dampen the floor and bedding, and use nascent formaldehyde, or burn three pounds of sulphur, dampened with alcohol, for each 1,000 cubic feet of space, leaving the room closed for at least twelve hours. Afterwards the room should be thoroughly ventilated and all ledges, woodwork and walls washed with strong soap, and rinsed with the disinfecting solution. This work should be done thoroughly, otherwise it will give only a false sense of security.

7. In case of death the body should be wrapped in a sheet saturated in disinfecting solution and buried as soon as practicable, without public funeral services. Newpapers in giving notice of death, should state that it was from scarlet fever, and that children, and persons having the care of children, should not attend.

8. A physician attending scarlet fever should use a robe, overalls or other protection for his clothing and person; should wash his hands and face before leaving the house, and take every other precaution to prevent him from carrying the disease to others.

9. The law requires that all cases of contagious disease shall be reported to the city or county board of health, by the head of the family or physician, within twenty-four hours. This law should be observed in every case.

Copies of this circular, and similar ones in regard to the preven

tion of diphtheria, typhoid fever and consumption, will be furnished, for free distribution, upon application to the Board at Bowling Green. By order of the Board.

WILLIAM BAILEY, M. D., President.
J. N. MCCORMACK, M. D., Secretary.

HOW TO COMBAT SMALLPOX.

Issued for Free Distribution by the State Board of Health of Kentucky.

Although smallpox has been stamped out over and over again in nearly every county in Kentucky within the last five years, this board has official information that the disease has again appeared in several widely-separated sections. It is also prevalent in adjoining states, and everywhere manifests a tendency to break over official control and assume an epidemic form.

Since January, 1898, smallpox has prevailed, more or less extensively, in every county in this State with a total of 21,616 cases and 300 deaths, and costing in cash from our county and municipal treasuries, as gathered from official reports. the immense total sum of $515,775, and an estimated loss from interference with business and travel of $1,227,435. Judiciously expended, this would be more than enough to keep every person in Kentucky thoroughly vaccinated for a generation, so that the existence of anything but an imported case of smallpox would be an impossibility.

In spite of this, it is estimated that over fifty per cent of our people, and in many counties and country districts over ninety-five per cent have never been vaccinated. An imported case, and especially a mild and easily overlooked one, who could go around freely all the time, or after the eruption appears and the fever subsides, and visit his friends and kin, is like a spark in tinder, and such a case usually means an epidemic, which spreads by a repitition of these conditions, often skipping to distant communities and counties. Usually the disease has been mild in form, but in Mason, Fulton and some other counties and sections it has been very severe, as it has in Indiana, Ohio and Massachusetts, where the death rate has been high. It is a loathsome disease at best, and at any time the mildest cases may communicate it in the severe form.

As we are likely to have disastrous and expensive epidemics until vaccination is systematically and thoroughly done, this board feels it