Biennial report of the Kansas State Board of Health. 1893

11. In general, what is the sanitary condition of town as regards sewage disposal and drainage? City is located on a ridge, about 70 feet above river, on east and west. We have six miles of sewers, so that the disposal of sewage is most excellent, and the sanitary condition good.

12. What sanitary improvements have been made during the year? Systematic inspection of streets and alleys, and prompt removal of refuse of all kinds; street gutters are flushed two or three times a week, etc.

13. Has your board of health issued a code of sanitary regulations? Yes.

14. Is there, in your opinion, any advance in public sentiment on questions of public hygiene? Yes, they are much more particular in disposing of refuse and keeping cellars and premises clean.

15. Are you in favor of the legislature enacting a law requiring every person to be a graduate of some reputable medical college before he or she shall engage in the practice of medicine in Kansas? I most assuredly am in favor of such a law.

TOWN OF ARRINGTON.-J. F. PRESTON, M. D.

1. Including all sickness, has there been more or less during the year 1893 than the average in previous years? More than previous years.

2. What is the water supply of your town? Wells and springs. (a) Is the water supply good? Yes. (b) In all months in the year? Yes.

3. Has typhoid fever been unusually prevalent? Not a case in the year 1893. (a) In what months most prevalent? Usually the autumn months. (b) Has it been traced in any instance to a special source? No.

4. Is disinfection of excreta of typhoid patients insisted upon by the physicians in your vicinity? Yes.

5. Does your board of health make sanitary inspections systematically, or does it act only upon complaints received? Systematically.

6. Extent and prevailing type of scarlet fever: None in 1893. (a) Are isolation and disinfection usually practiced with scarlet-fever patients? Yes.

7. After death from contagious diseases, what precautions are observed concerning funerals, disinfection, etc.? Thorough disinfection.

8. To what extent has diphtheria prevailed, and type? Not a case in 1893. (a) Proportion of deaths? None. (b) Are isolation and disinfection practiced? Yes. (c) Can you give any facts relating to its beginning and mode of spreading? I believe there must exist favorable conditions in the throat, or other parts, of a benign character (or unhealthy condition) to afford a soil suitable for inoculation by the diphtheria germ when present in the air.

9. Have malarial diseases prevailed more or less than in 1892? Yes. (a) If at all, what is the general character? Continual and remitting.

10. Extent and prevailing type of measles: None in 1893. (a) Restrictive precautions: Exclusion of patient, etc.

11. In general, what is the sanitary condition of town as regards sewage disposal and drainage? Good, drainage being natural.

12. What sanitary improvements have been made during the year? General cleaning up.

13. Has your board of health issued a code of sanitary regulations? Yes. 14. Is there, in your opinion, any advance in public sentiment on questions of public hygiene? Yes.

treatment, in behalf or interest of any medical institute, to pay a license of $250 into the county treasury of each county in this state, to go into the general school fund.

TOWN OF ASHLAND-W. F. TAYLOR, M. D.

1. Including all sickness, has there been more or less during the year 1893 than the average in previous years? Less.

2. What is the water supply of your town? Wells. (a) Is the water supply good? Good. (b) In all months of the year? Yes.

3. Has typhoid fever been unusually prevalent? No. (b) Has it been traced in any instance to a special source? One case; surface water from barnyard drained into the well.

4. Is disinfection of excreta of typhoid patients insisted upon by the physicians in your vicinity? No.

5. Does your board of health make sanitary inspections systematically, or does it act only upon complaints received? Only on complaint.

6. Extent and prevailing type of scarlet fever: None.

7. After death from contagious diseases, what precautions are observed concerning funerals, disinfection, etc.? Have had no deaths from such causes since board was organized.

8. To what extent has diphtheria prevailed, and type? Not at all.

9. Have malarial diseases prevailed more or less than in 1892? Not at all.

10. Extent and prevailing type of measles: None.

11. In general, what is the sanitary condition of town as regards sewage disposal and drainage? We have no sewerage system.

12. What sanitary improvements have been made during the year? None. 13. Has your board of health issued a code of sanitary regulations? No.

14. Is there, in your opinion, any advance in public sentiment on questions of public hygiene? No.

TOWN OF ATCHISON-P. S. MITCHELL, M. D.

1. Including all sickness, has there been more or less during the year 1893 than the average in previous years? I think there has been more than usual.

What is the water supply of your town? Missouri-river hydrant, cistern and well water. (a) Is the water supply good? Yes; especially hydrant and cistern. (b) In all months of the year? Yes.

3. Has typhoid fever been unusually prevalent? More than in 1891 and 1892. (a) In what months most prevalent? October, November, and December. (b) Has it ben ny instance to a special source? No.

f excreta of typhoid patients insisted upon by the physicians nerally.

health make sanitary inspection systematically, or does it s received? Only upon complaints made, except last spring

Tad sanitary officer to inspect and clean up generally. Availing type of scarlet fever: 50 cases reported, but no deaths; olation and disinfection usually practiced with scarlet-fever parecommended by most physicians, but not practiced as much as

agious diseases, what precautions are observed concern

ing funerals, disinfection, etc.? The undertakers observe the State Board rules admirably well.

8. To what extent has diphtheria prevailed, and type? About 30 cases and 15 deaths. (a) Proportion of deaths: 50 per cent. (b) Are isolation and disinfection practiced? Yes, generally. The great trouble seems to be diagnosing. (c) Can you give any facts relating to its beginning and mode of spreading? In one family, two physicians had diagnosed diphtheria; the third one called said it was membranous croup, and had the family take down placard, or red flag, etc. (d) General sanitary condition of houses infected with diphtheria: Sanitary condition of some houses was poor, while others were good.

9. Have malarial diseases prevailed more or less than in 1892? More. (a) If at all, what is the general character? Remittent fever.

10. Extent and prevailing type of measles: Very few cases of measles; mild. (a) Restrictive precautions: Isolation and disinfection.

11. In general, what is the sanitary condition of town as regards sewage disposal and drainage? Good; the city of Atchison is exceptionally well drained; quite a large stream (White Clay) runs through center of city to Missouri river east, while on either side the elevation is sufficiently great to make sewerage and drainage easy. 12. What sanitary improvements have been made during the year? Public dump for refuse and garbage, general cleaning up, etc.

13. Has your board of health issued a code of sanitary regulations? No; but have suggested code recommended by State Board.

14. Is there, in your opinion, any advance in public sentiment on questions of public hygiene? Yes; but there is room for great deal more advancement.

TOWN OF AUGUSTA-H. D. HILL, M. D.

2. What is the water supply of your town? Wells and cisterns. (a) Is the water supply good? Has not been since the month of August. (b) In all months of the year? No.

3. Has typhoid fever been unusually prevalent? Not in the town, but has been in the country. (a) In what months most prevalent? September, October, and November. (b) Has it been traced in any instance to a special source? No.

4. Is disinfection of excreta of typhoid patients insisted upon by the physicians in your vicinity? I think so, generally.

5. Does your board of health make sanitary inspections systematically, or does it act only upon complaints received? Acts only upon complaints received.

6. Extent and prevailing type of scarlet fever: Epidemic during the year; mild. (a) Are isolation and disinfection usually practiced with scarlet-fever patients? Where physicians have been called, good sanitary conditions have been maintained, but many cases have had no care.

7. After death from contagious diseases, what precautions are observed concerning funerals, disinfection, etc.? The funerals in such cases have been mostly private. Disinfection carried out.

8. To what extent has diphtheria prevailed, and type? I have seen no case during the year.

9. Have malarial diseases prevailed more or less than in 1892? Less. (a) If at all, what is the general character? Intermittent.

10. Extent and prevailing type of measles: But few cases; type, Merbilli mitiones. (a) Restrictive precautions: Isolation in every case.

11. In general, what is the sanitary condition of town as regards sewage disposal and drainage? There is no general system of sewerage, but natural drainage is good, and garbage has been disposed of by burying and burning.

12. What sanitary improvements have been made during the year? The natural drainage has been improved by adding artificial where needed.

13. Has your board of health issued a code of sanitary regulations? No.

14. Is there, in your opinion, any advance in public sentiment on questions of public hygiene? Yes.

TOWN OF AXTELL-Wм. STRAYER, M. D.

1. Including all sickness, has there been more or less during the year 1893 than the average in previous years? Less.

2. (a) Is the water supply good? Yes. (b) In all months of the year? Yes. 3. Has typhoid fever been unusually prevalent? No. (a) In what months most prevalent? There has not been a case during the year.

4. Is disinfection of excreta of typhoid patients insisted upon by the physicians in your vicinity? Yes.

5. Does your board of health make sanitary inspections systematically, or does it act only upon complaints received? Upon complaints.

6. Extent and prevailing type of scarlet fever: None.

7. After death from contagious diseases, what precautions are observed concerning funerals, disinfection, etc.? All legal precautions.

8. To what exten: has diphtheria prevailed, and type? None.

9. Have malarial diseases prevailed more or less than in 1892? Less. (a) If at all, what is the general character? Remittent and typho.

10. Extent and prevailing type of measles: None.

12. What sanitary improvements have been made during the year? Old build ings displaced by elegant new brick business buildings.

13. Has your board of health issued a code of sanitary regulations? I have never seen it.

14. Is there, in your opinion, any advance in public sentiment on questions of public hygiene? Yes.

TOWN OF BAKER-E, T. MEYERS, M. D.

1. Including all sickness, has there been more or less during the year 1893 than the average in previous years? More.

2. What is the water supply of your town? Wells 30 to 90 feet deep. fer supply good? It is. (b) In all months of the year? It is.

(a) Is the

Has typhoid fever been unusually prevalent? It has not. (a) In what months valent! From September to December. (b) Has it been traced in any in> a special source? No.

disinfection of excreta of typhoid patients insisted upon by the physicians ur vicinity? As far as I know, it is.

3. Does your board of health make sanitary inspections systematically, or does it act only upon complaints received? This town has no board of health.

6. Extent and prevailing type of scarlet fever: Few cases, of a mild form. (a)

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