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been accepted by the County Commissioners, but will be. The arrangements there are such that there will be no probability of contagion from occupants. At present there is no smallpox in the city. I left Terre Haute October 5th, arriving at Jasonville about 7 a. m. October 6th. Dr. Padgett, Health Officer, not being at home, I called on Mr. J. L. Bonham, Deputy Health Officer and Postmaster of the town. Instead of a small hamlet of fifty to 150 inhabitants, I found Jasonville a town of about 2,000 inhabitants and growing very rapidly, the building operations only being limited by the ability to obtain workmen and lumber. It has no sewers or other sanitary system; the town is torn up, being in a transition stage. It lies on high, rolling land, with a good natural
drainage in all directions. Contracts have been let for brick streets · and cement sidewalks to the amount of about $70,000. A new brick school building, six rooms, basement and attic, was built last year on sanitary plans furnished by the State Board of Health, but it is not large enough to accommodate the number of pupils in attendance, and the old school building is being used for the overflow. It will be necessary to build another one next year of equal capacity if the present growth continues, as it seems likely to do. This building is heated by three hot-air furnaces in the cellar. The water-closets are frame buildings above ground. The ones used by the girls is in very good condition, but the other is in a very poor and unsanitary condition. There is no partition fence between them and no walks about the building. The closets of the school building are drained by a tile running a little south of east into a small branch about two hundred yards east of the building. The well is driven seventy-six feet deep to limestone rock and piped solidly. It is on the outside of the house.
The superintendent, Mr. L. L. Gooding, seemed an intelligent gentleman and alive to the situation. He stated that he would be glad to have circulars on sanitation and other literature that would be of benefit to the pupils or their families, and will see that they are sent to each family. I called on Dr. Burkhart with Mr. Bonham, and talked with him on the situation. He was unable to locate the cause of the epidemic. It is stated that some of his patients used water from dug wells fifteen to twenty feet deep and some from driven wells. There was one case in which three families used water from the same dug well and only one family was affected. He was inclined to believe the infection was due to flies carrying it, etc. Mr. Saul, ex-councilman, was about of the same opinion. The city or town was built on high ground, with new houses, clean wells, and while the closets were on top of the ground, they had not been built long enough to contaminate the ground. Mr. Bonham thought it might possibly be due to the bakery, as it was in a very unsanitary place; and he did not consider it safe to use the bread and had quit buying it for his family.
Dr. II. V. Norvell, County Health Officer, arrived at 10:40, and with him and Mr. Bonham we made a survey of the town, visiting two families who had sickness at the present time. The first family lived in a one and one-half story, six or seven-room new frame house, built about one year. It was built on a northern slope of ground, facing north, and set on posts or pillars about eight inches off of the ground. The doors and windows were well screened. The well is dug, walled with brick, and about eighteen feet deep, situated by the side of the back porch. A wooden platform is over the well, and an open gutter leading to the street gutter. A wooden box about seven feet high in the center sits on the platform with a hole through the center, and rope and bucket attached, which is used for drawing water. The well has only been dug about six months. The water looked and tasted good. The water closet is about 100 feet south of the well, on top of ground, and had a box for a receptacle. The box was about onefourth full and there was no odor noticeable. Everything seemed clean and in good condition about the premises. We did not enter the house, but talked with the housewife. The patient was a young man about twenty-one years old, and was convalescent, and was the first case of sickness since coming to the town. Their usual health was good and other families had used the water from their well, but had not been sick. She did not think it was the water caused the sickness.
The second house was on high ground, and the same conditions as to screens and cleanliness as at the first house. The well was eighty-seven feet deep, driven; closet about 150 feet distant, at the back of the lot, was a dug pit, in fair condition. The house was a one-story, five rooms, on brick foundation. Three persons were in the family. The patient there was a girl about fifteen years of age. She had been healthy up to the present attack. The cause was un
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known and the parents could give no reason for her sickness; was gradually improving. From this point we went east and viewed the school building and the bakery. (See drawing.)
The bakery, "E,” is situated back of three saloons, A, B, C, and in front of a tumbledown barn, “F.” The well, "D," is between the bakery and the saloons, and is enclosed by a board fence with gates opening to the saloons and to bakery. “X” for opening. The enclosed space in each of the saloons (A, B, C) are used for their customers as water-closets and privies. The well is said to be a bored well about seventy-five or eighty feet deep, and piped
to rock, but the ground is so thoroughly saturated with filth around it that there is a strong probability that the well is badly contaminated. There were no screens on the windows and the one on the door to the bakery was so badly torn that it was worthless and allowed the flies free entrance to the building.
From the bakery we went to the postoffice and met Dr. Padgett, Town Health Officer, and talked over the situation with him. As near as there could be ascertained, there had been about fifty cases in the town in the last three months. There did not seem to be any specific cause for it, and the physicians were unable to trace its source. Dr. Norvell told Dr. Padgett that he had not been informed of this matter by him, and asked him why he had not done so. To this no definite answer was given. It being about train time, the discussion was ended by my asking Dr. Norvell to order the local health officer to at once give the owners and occupants of the buildings marked on drawing orders to clean up and put their premises in sanitary condition within the next twenty-four hours, and if the order was not complied with, to at once bring suit and prosecute them for maintaining a nuisance, and especially to see that the bakery was put in good sanitary condition or to close it up. Dr. Norvell gave the order and also told Dr. Padgett to keep him fully informed in regard to health matters in the future, which he promised to do.
It is my opinion, based on observation of the surroundings, that this bakery, owing to its unsanitary and filthy condition, was the original source of infection of the epidemic of typhoid fever.
At 12:15 p. m., accompanied by Dr. Norvell, we left for Linton, and in the afternoon with Dr. McKissick, Local Health Officer, went over the town to get information as to the general condition. The town lies on gently rolling ground, with fine natural drainage; has grown from 3,071 in 1900 to nearly 8,000 population at present. They are putting in sanitary and surface sewers, building brick streets, cement sidewalks and fine brick business rooms. They have a good water-works system over the town, the water being brought about three miles by direct pressure. Building operations were only limited by an ability to obtain workmen and material. There are two good brick school buildings, one of eight rooms, two stories and basement, built about four years ago. The water-closets are in the basement, with the Smead system of burning. It is not connected with the water-works, but the water is drawn from a driven well eighty-seven feet deep, on the south side of the building. The rooms are heated by hot air; seats arranged so light comes over the left side. The walls are tinted a . pale green and the window shades are of a dark olive. The building is used for both the high school and grades.
The other building is a new two-story-and-basement brick, completed last summer. It is connected with the water-works. The water-closet is on the outside of the building. I did not enter the building, but viewed it from the outside as we drove past. The streets on which these buildings are situated are not yet improved and there are no walks around them, but around the high school they are in process of construction and will be completed this fall.
I found the superintendent a very intelligent gentleman, and he reports his teachers as competent and anxious to do effective work in sanitary as well as other lines. He has instructed them to be careful in regard to any sickness that may appear in their rooms. Fever, coughs or sore throats should be reported to him, and if the case seems to require it, the child is at once sent to his home with a note to the parents to keep it there until it has recovered. He expressed the wish to have any sanitary literature that the board would care to send him, and he seemed anxious to receive any help the board could extend him in that way.
The town is in a transition stage, Main street being badly torn up and many of the cross streets, putting in new brick streets, sidewalks, etc., and presenting a very bad appearance, but I should judge that when the work now under way and contemplated is completed that the town of Linton will be one of the most sanitary cities in the State.
I left Linton at 6:30 p. m., arriving at Indianapolis about midnight. Respectfully submitted,
J. L. ANDERSON, Deputy. The above report, as read, was ordered spread of record.
ELWOOD TINPLATE WORKS. A communication from Mr. C. M. Greenlee, attorney for the American Tinplate Company at Elwood, was read, which requested a permit for the Elwood concern, worded the same as the