Remarks: The general health of Nemaha county has been unusually good the past year; no general epidemic; a few cases of typhoid fever prevailed the last quarter. The sanitary instructions have been well observed in all towns in the county. Two nuisances have been abated. All physicians are reporting, with two or three exceptions. The water supply is excellent. The reports of deaths and births are incomplete; a great number of physicians make only partial reports. The public building is in good condition.

NORTON COUNTY.

Number of deaths during year, 31; births, 94; contagious diseases, 3; marriages, 76; nuisances abated, 7; dead animals buried, 18. Water supply: Good. General health of county: Good. Prevailing diseases in county: La grippe, catarrhal pneumonia. What caused them: Sudden changes in temperature. Population of county, 9,891; regular physicians practicing medicine in county, 8; eclectic, 5; registered, 13. Remarks: Three cases of scarlatina in three different families in Norton, all are quarantined. One case reported to-day (January 10. 1894) in Almena.

OSBORNE COUNTY.

Number of deaths during year, data too imperfect, would be misleading. Water supply: Good. General health of county: Good. Prevailing diseases in county: La grippe, malarial fevers, and those incidental to our climate. What caused them: Natural causes. Population of county, 10,000; regular physicians practicing medicine in county, 12; eclectic, 2; homeopathic, 1; registered, 15.

Remarks: The, health of our county during the year 1893 has been an average. Considerable scarlet fever during the first quarter of the year, but it was simple and very few deaths resulted. There has been an occasional sporadic case throughout the year. The quarantine has been very imperfect. It is hard to stamp out disease when many live in one- to three-roomed houses, and the people and county poor. Downs had a slight epidemic of diphtheria three deaths-but the city government took active measures, in conjunction with Doctors Shearer and Poole, and stamped it out in a few days. Typhoid fever prevailed to a considerable extent in Osborne during the past autumn, largely due to local filth-that is, within the homes of the sick. The greatest trouble in working up the boards of health to a proper and efficient condition is largely due to physicians themselves-carelessness, jealousy and quackery being at the bottom. A practical law that could be applied without making the health officer the informer is the law wanted. I find the people and the city governments always willing to cooperate, and, consequently, we have, to the shame of the profession, to take the inefficiency of our boards of health upon ourselves.

OTTAWA COUNTY.

Number of deaths during year, 65; births, 159; contagious diseases, 8; marriages, 84; nuisances abated, 8; dead animals buried, 2. Water supply: First class. General health of county: Good. Prevailing disease in county: Catarrhal fever. Population of county, 11,605; regular physicians practicing medicine in county, 11; eclectic, 1; homeopathic, 4; registered, 16.

Remarks: The county lies high, except Solomon and Saline valleys, and is generally healthy. The regulations of health office are fairly well enforced. Many phy-icians have reported contagious diseases orally, and steps taken to restrict, that do not appear in this report.

PAWNEE COUNTY.

Number of deaths during year, 29; births, 53; contagious diseases, 30; marriages, fumigations after contagious diseases, 8; nuisances abated, 3. Water supply: Good. General health of county: Good. Prevailing diseases in county: Influenza.

Except this, we have no prevailing epidemics. Some scarlet fever, but light. What caused them: Microbes. Population of county, 5,000; regular physicians practicing medicine in county, 5; eclectic, 1; homeopathic, 1; registered, 7.

Remarks: The health of the county has been exceptionally good during the year. We have had an epidemic of scarlet fever of a very mild character prevailing largely through the county, and generally without the knowledge of physicians. It was not quarantined. Wherever it was possible, I notified them and had them fumigate. It is difficult to say positively whether this was done. There were a few cases of diphtheria, but none severe. We have had recently an epidemic of influenza, cominonly

known as la grippe, but mild.

PHILLIPS COUNTY.

Number of deaths during year, 122; births, 136; contagious diseases, 3; marriages, 96; nuisances abated, 12. Water supply: Good. General health of county: Unusually good for this season of the year. Population of county, about 12,593; regular physicians practicing medicine in county, 13; eclectic, 4; registered, 17.

PRATT COUNTY.

Number of deaths during the year. as per undertakers' reports, 100; births, 108: contagious diseases, 6 cases of scarlatina; marriages, none reported, but from probate judge's book, 64; fumigations after contagious diseases, 6; dead animals buried, 57. Water supply: Very good. General health of county: Good at this date. Prevailing disease in county: Typho-malarial fever. What caused it: Exceptional heat during May, June, July, and August. Population of county, 8,698; regular phy. sicians practicing medicine in county, 12; eclectic, 2; homeopathic, 1; registered, 14.

Remarks: The supply of water in Pratt county is good. The authorities have been active in the past year acting with health officer pertaining to hygiene, and no fault is to be found in that line. No marriage certificates have been returned to this office, all going to the probate judge, where I get full report from his books. Four nongraduates; two not registered - those not registered making no reports of births and deaths. I reported the same to E. M. Hoover, M. D., in September.

RAWLINS COUNTY.

Number of deaths during year, 42; births, 46; contagious diseases, 2; marriages, 36; nuisances abated, 1; dead animals buried, all in public places. Water supply: Fair. General health of county: Not good. Prevailing diseases in county: Diphtheria, la grippe, and scarlatina. What caused them: We believe the extreme drought. Population of county, about 7,000; regular physicians practicing medicine in county, 6; eclectic, 3; homeopathic, 1; registered, all.

Remarks: We have had a very sickly year throughout. We have had a very hot and dry season, and wells have run very low, and, of course, could not be pure.

RENO COUNTY.

Number of deaths during year, 229; births, 300; marriages, 239. Water supply: Good. General health of county: Fair. Prevailing diseases in county: Typhoid fever, malarial fever, scarlet fever, and la grippe. Population of county, from 27,000 to 28,000; regular physicians practicing medicine in county, 30; eclectic, 2; homeopathic, 3; registered, 35.

Remarks: I consider our water supply above the average for good. Considering our population, we have had a small amount of sickness during the past year. Our death loss from consumption shows 25. This is owing to so great a number of consumptives coming to this county from the East already in the last stages of the disWe have had epidemics of scarlet fever in three communities of our county during the year, and now have a few cases in the city of Hutchinson.

ease.

RILEY COUNTY.

Number of deaths during year, 36; births, 59; marriages, 57. Water supply: Good. General health of county: Good. Prevailing diseases in county: Malaria, bronchitis, pneumonia, etc. What caused them: Give it up. Population of county, about 8,000; regular physicians practicing medicine in county, 10; eclectic, 1; homeopathic, 2.

RICE COUNTY,

Number of deaths during year, 140; births, 259; contagious diseases, 28, not including typhoid fever; marriages, 124; fumigations after contagious diseases, 15; nuisances abated, 21; dead animals buried, 10. Water supply: Good. General health of county: Very good. Prevailing disease in county: None; had a little typhoid fever in the fall. Population of county, 14,000; regular physicians practicing medicine in county, 21; eclectic, 4; homeopathic, 1; registered, 26.

REPUBLIC COUNTY.

Number of deaths during year, 173; births, 337; contagious diseases, mostly measles, 62; marriages, 173; nuisances abated, 19; dead animals buried, 2. Water supply: Good, generally speaking. General health of county: Never better. Prevailing diseases in county: Pneumonia heads the list, and phthisis comes in second; have had the usual quota of influenza, etc., in their seasons. What caused them: Atmospheric conditions. Population of county: About 18,000; regular physicians practicing medicine in county, 25; eclectic, 3; homeopathic, 2; registered, 17.

Remarks: Public-health interests are advancing in our county. The cases of contagious diseases have been less than ever before. With the exception of measles, which prevailed quite generally in April and May, we have been almost entirely free from epidemics of any kind. Not a single case of diphtheria reported during the year. This is a decided and practical improvement over last year, when 10 deaths occurred from this cause alone. Physicians and midwives are reporting cases in a very satisfactory manner.

RUSSELL COUNTY.

Number of deaths during year, 53; births, 57; marriages, 55; dead animals buried, 25. Water supply: Good, but scarce on account of dry weather. General health of county: Comparatively good. Prevailing diseases in county: Remittent fever and grippe. What caused them: Perhaps the lack of fruit and changeable weather. Population of county, about 8,000; regular physicians practicing medicine in county, 7; eclectic, 1; homeopathic, 1; registered, 9.

Remarks: This is a large county, and many births and some deaths occur without the attendance of a physician or midwife. There are only 2 regular practitioners in Russell, and none to be relied on east nearer than Dorrance, 17 miles, or west none at all nearer than Hays City, 25 miles, or any south for 20 miles or more. Those north engaged in the practice regularly are 20 to 25 miles away. The sanitary condition of the county I consider remarkably good, under the circumstances. It is so dry and windy that no nuisances exist.

RUSH COUNTY.

Number of deaths during year, 19; births, 44; marriages, 29. Water supply: Good. General health of county: Good. Prevailing diseases in county: Influenza and diseases incident to childhood. Population of county, 5,000; regular physicians practicing medicine in county, 6; registered, 6.

Remarks: There were a number of deaths among the Russians from scarlet fever, but they employed no physicians, and I have been unable to find out how many deaths there were, as they tried to cover up the matter.

SALINE COUNTY.

Number of deaths during year, 74; births, 208; contagious diseases, those in city reported to city clerk, in country little attention paid to reporting; marriages, 184; fumigations after contagious diseases, in Salina all dwellings are fumigated after patients; dead animals buried, these are buried without reporting. Water supply: Very good. General health of county: Exceptionally good. Prevailing diseases in county: Scarlatina prevailed to some extent, in a light form, during all the year; measles in May and June; la grippe in November and December. What caused them: First two by contagion, last by conditions yet unsatisfactorily explained. Population of county, 18,000; regular physicians practicing medicine in county, 22, and 2 quacks; homeopathic, 4; registered, 19.

SEDGWICK COUNTY.

Number of deaths during year, 547; births, 473; contagious diseases, 140; marriages, 476; fumigations after contagious diseases, 100; nuisances abated, 40; dead animals buried, 20. Water supply: Good. General health of county: Good. Prevailing diseases in county: Typhoid fever, tuberculosis, cholera infantum, pneumonia. What caused them: Climatic. Population of county, 40,000; regular physicians practicing medicine in county, 51; eclectic, 11; homeopathic, 8; registered, 63.

SEWARD COUNTY.

Number of deaths during year, 13; births, 18; contagious diseases, 45; marriages, 10; fumigations after contagious diseases, 15. Water supply: Excellent. General health of county: Excellent. Prevailing diseases in county: Scarlet fever and la grippe. Population of county, 965; regular physicians practicing medicine in county, 1; registered, 1.

SCOTT COUNTY.

Number of deaths during year, 8; births, 31; contagious diseases, 14; marriages, 7; fumigations after contagious diseases, 2. Water supply: Good. General health of county: Good. Prevailing diseases in county: Scarlet fever and la grippe. Population of county, 1,600; regular physicians practicing medicine in county, 2; eclectic, 1.

SHERIDAN COUNTY.

Number of deaths during year, 22; births, 48; marriages, 33; dead animals buried, 1. Water supply: Good. General health of county: Good. Prevailing diseases in county: Complication of diseases. What caused them: Natural results of nature. Population of county, 4,500; regular physicians practicing medicine in county, 3; registered, 6.

SHERMAN COUNTY.

Number of deaths during year, 43; births, 75; contagious diseases, 15; marriages, 60; fumigations after contagious diseases, 5; nuisances abated, 24; dead animals buried, 68 reported. Water supply: Good. General health of county: Good. Prevailing diseases in county: La grippe, typhoid fever, bronchitis, and entero-colitis. What caused them: Natural causes. Population of county, about 7,000; regular physicians practicing medicine in county, 6; eclectic, 3; registered, 6.

Remarks: The health of our county for the past year has been remarkably good. Not a single case of typhoid fever occurred in the city of Goodland, with a population of over 2,000. This I believe to be due to our abundant supply of pure water and the almost perfect sanitary condition of our city. I am pleased to state that I have received the hearty cooperation of the county commissioners in perfecting the health organization of our county. In April, 1893, there were reported seven cases of diphtheria in the extreme south part of the county. I visited the scene of the threatened epidemic and found that the disease originated in the family of John

Pack, living within a few yards of the Wallace county line. The family consisted of seven persons, (two adults and five children,) living in a sod house consisting two small rooms. There was no history of infection, and I therefore concluded that the disease originated from the unsanitary surroundings. Two other families were infected before I was notified of the existence of the disease. With the assistance of the sheriff, I established a strict quarantine of the infected families, and succeeded in stamping out what at one time looked like an epidemic of this dread disease. The virulence of the contagion was shown in the fact that out of the seven cases occurring there were four deaths.

STAFFORD COUNTY.

Number of deaths during year, 44; births, 98; marriages, 81; nuisances abated, 3; dead animals buried, 8. Water supply: Good. General health of county: Good. Prevailing diseases in county: Fevers and diphtheria. What caused them: I think cause is local. Population of county, 10,000; regular physicians practicing medicine in county, 5; eclectic, 3; homeopathic, 1; registered, 7.

STEVENS COUNTY.

Number of deaths during year, 11; births, 26; contagious diseases, 12 cases scarlet fever; marriages, 11; fumigations after contagious diseases, 5. Water supply: Good. General health of county: Good. Prevailing diseases in county: Influenza, scarlet fever, typhoid fever. What caused them: Do not know. Population of county, 1,200; regular physicians practicing medicine in county, 1; homeopathic, 1; registered, 2.

SMITH COUNTY.

Number of deaths during year, 78; births, 169: marriages, 131. Water supply: Good. General health of county: Good. Prevailing disease in county: La grippe. Population of county, 16,000; regular physicians practicing medicine in county, 17; homeopathic, 1; registered, 17.

STANTON COUNTY.

Number of deaths during year, 13; 22 confinements, 24 children (2 pairs twins); marriages, 11. Water supply: Good. General health of county: Good. Prevailing diseases in county: Influenza, pneumonia. What caused them: Old age, drought, and want of proper care. Population of county, 750; regular physicians practicing medicine in county, 1; registered, 1.

THOMAS COUNTY.

Number of deaths during year, 37; births, 75; marriages, 33; dead animals buried, 15. Water supply: Good. General health of county: First class. Prevailing diseases in county: Rheumatism, erysipelas, and pneumonia. Population of county, 5,000; regular physicians practicing medicine in county, 5; eclectic, 3; homeopathic, 2; registered, 8.

WABAUNSEE COUNTY.

Number of deaths during year, 102; births, 148; contagious diseases, 19; marriages, 58. Water supply: Good. General health of county: Good at present. Prevailing disease in county: La grippe, this fall. Population of county, 11,093; egular physicians practicing medicine in county, 12; eclectic, 3; homeopathic, 1; egistered, 16.

WASHINGTON COUNTY.

Number of deaths during year, 211; births, 351; contagious diseases, 184; marriages, 171. Water supply: Good. General health of county: Good. Prevailing diseases in county: Endemic and contagious. What caused them: Contagious diseases of such mild type that it was found impossible to enforce rules. Population