In the town of Griggsville only two cases occurred, the first being the result of direct contact with the clergyman's son from Cuba; the other being the attending physician in the New Maysville cases.

The first case resulted fatally, March 8, on the eighth day of the attack, the disease being of the hemorrhagic type; had been vaccinated "imperfectly, twelve years previous," and again after exposure unsuccessfully. The case was thoroughly isolated, vaccination was made general throughout the community, and no other cases followed from this. So much alarm and excitement were caused by the reports from Fulton county, and the first cases in the township, that the Secretary was requested to visit the locality, which he did on the 8th and 9th of March, and advised as to the necessary measures. By the middle of April the outbreak had been entirely suppressed, the last death from the disease being on April 2.

From the New Maysville group of cases the disease was carried to New Salem township (which see). Total cost of the outbreak to Griggsville township, $1,804.50; individual, constructive and estimated losses not reported.

Reporters: W. O. SKINNER, M. D., attending physician; DANIEL DEAN, mayor; J. B. MORRISON, EDWARD A. F. ALLEN, JAMES M. CREE, township board of health; I. D. FAGIN.

NEW SALEM TOWNSHIP:

While the epidemic was at its height in Griggsville township, adjoining on the east, cases of small-pox appeared at New Salem, first among some relatives of the family originally infected at New Maysville from the Cuba, Fulton county, cases. Seven members of four families were attacked between March 7, 1881, and the close of the month.

Vaccination was quite generally resorted to. even before the appearance of the first of this group of cases; and only one person thus protected became infected. This was a light attack of varioloid, so mild as not to need the attendance of a physician; but from it resulted the only fatal case in the township-a young woman, vaccinated unsuccessfully in childhood, and upon whom the operation was not repeated. The total cost of the outbreak to the township is stated at $1,055.

Reporters: W. O. SKINNER, M. D., Griggsville, T. DoYLE, M. D., New Salem, attending physicians; J. M. LAIRD, supervisor.

KINDERHOOK TOWNSHIP:

A railroad-bridge builder, employed on the bridge over the Mississippi at Louisiana, Mo., came into contact with a party of immigrants crossing the river into Missouri in the early part of May, 1881. About the 20th May he returned to his home near Hull's station, in Kinderhook township, where he died soon after, his funeral being attended by a large number of people. June 7th the STATE BOARD was telegraphed that there were seven cases of small-pox in the vicinity of Hull's, and "probably one hundred exposed."

On his arrival, the following day, the Secretary found thirteen cases in the township and investigation showed that all of those afflicted had been in direct contact with the bridge-builder, leaving no doubt as to the character of his illness, which had not been recognized at the time of his funeral.

Immediate vaccination and revaccination of all susceptible persons in the township was advised, and largely enforced; liberal supplies of vaccine virus were furnished; the rules and regulations of the BOARD were carried out; a tent was furnished for hospital purposes, and every effort made to limit the disease to those first exposed, either by nursing and visiting or at the funeral.

This was so far successful that, up to June 23, out of 25 cases which had then occurred. 22 were among those who had been personally exposed to the bridge-builder during his illness. A second group of nine cases followed among the families of those thus infectedall of these being among persons vaccinated with the first supply of virus received, and which was, unfortunately, of poor quality, and failed "to take" in many instances.

Nine deaths occurred among the 15 unprotected; the remaining 20 cases of modified small-pox all recovered.

The thirteen cases first found on the Secretary's arrival were in three small overcrowded houses; and it was directed that, immediately upon the arrival of the hospital tent (which was at once telegraphed for), these should be relieved by removing some of the sick from each house to the tent. This was done on the 12th and 13th June, and all those transferred to the tent recovered, while five died among those remaining and treated in the houses.

In addition to the 35 cases in Kinderhook township, there were also two cases of mild varioloid, due to the same source of contagion, near Stone's Prairie, just across the line in Adams county. (See Richland, Adams county).

The total cost to Kinderhook township is returned at $1,172; personal, constructive and estimated losses, not given.

Reporters: SMITH HULL, supervisor, Kinderhook; B. MILLER, E. T. BRIDGE, Hull's

station.

HULL:

See Kinderhook Township.

GRIGGSVILLE:

See Griggsville Township.

SPRING CREEK TOWNSHIP:

January 15, 1882, a farmer living near Strout station was found in the exudative stage of unmodified confluent small-pox. Disease contracted by sleeping in a room near Jerseyville (which see), in which a small-pox patient had recently died. Five other members of the family became infected, and two out of the six cases terminated fatally. Total cost to individuals, $660; to township, $365.

Reporters: W. T. WILLIAMS. M. D., Pearl, attending physician; R. R. POLLOCK, M. D., Nebo, board of health.

During the summer of 1882 there were 6 cases of small-pox at Mound City; contagion introduced from Cairo. These cases were not reported at the time, because "the city officials wanted it kept quiet, for fear of injury to the place." No details have been received, and it is not known whether any of the cases proved fatal.

MOUND'S JUNCTION:

The body of a negro woman, who had died of small-pox in Cairo early in May, 183, (case not reported by the Cairo authorities,) was removed to Mound's junction. a few miles north of Cairo, for burial. May 17, the deceased woman's daughter and her hus band, three children (one married) and one grandchild of this couple, and the husband's brother, were found in the eruptive stage of the disease, the husband, his brother and one of the children dying twelve days later, May 29. Owing to the destitute condition of these people and their isolation (living in the woods two miles west of the junction.) no precautions were taken to prevent spread of the disease, and on June 2 another group of 6 cases, in three families, appeared.

Meantime the county commissioners had been directed to take charge of the locality; the existing cases were isolated and provided for by the overseer of the poor; vaccination was enforced, and the further spread of the disease was limited to three more cases in the families already infected.

All the adults among these people were formerly slaves (from Alabama), and had been vaccinated in childhood, but none of the minors had ever been vaccinated. After preventive measures were adopted, only the attending physician and one person who carried supplies were admitted to the infected locality; all premises were thoroughly cleansed, whitewashed and otherwise disinfected, clothing and bedding were burned, and the contagion was believed to have been eradicated by the last of June. No statement of cost has been furnished.

Reporter: B. C. TABER, M. D., Mound City. attending physician.

PRAIRIE DU ROCHER:

RANDOLPH COUNTY.

In August, 1882, a laborer who had been at work on Staton's island, near Harrisonville, Monroe county, came to a family living about three miles from Prairie du Rocher, was taken ill about the 21st, and died September 7th of confluent small-pox. From this case, up to October 9, there had resulted 15 others. Of these 16 cases, 10 had never been vaccinated, and 6 of these died; of the 6 vaccinated, 5 recovered and 1 died during the febrile stage.

Reporter: J. SLOEY, M. D., Prairie dù Rocher, attending physician.

CHESTER:

A small-pox convalescent, from St. Louis, arrived in Chester about the middle of July, 1883 His illness in St. Louis was incorrectly diagnosed, and no precautions were ob served by him on his return. August 3, his son, aged 4 years, was found in the febrile stage, and although the disease was promptly recognized and vaccination at once resorted to, one other case followed on the 17th. This latter patient was vaccinated as soon as virus could be obtained from St. Louis and repeatedly thereafter until variola devel oped, but unsuccessfully in every instance; failure attributed to "high temperature, rendering vaccine virus inert." The patient died on the tenth day.

Reporter: W. R. MCKENZIE, M. D., attending physician.

OLNEY:

RICHLAND COUNTY.

In April, 1882. a resident of Olney contracted varioloid in St. Louis, and returning to his home communicated the disease to his daughter, unvaccinated; both recovered. From this latter case a neighboring family became infected, concerning which the attending physician reports as follows:

"On visiting the place designated. I found a family, consisting of father, mother and six children, four girls and two boys. One of the girls, a young woman about 20 years of age, had distinct small-pox, and was already in the third day of the eruption. None of

the family had ever been vaccinated. The father would not submit to vaccination, but I at once vaccinated the mother and the five children. The mother and four of the children took well-marked vaccinia, and of these the mother and the two youngest children, girl and boy, were perfectly protected; two others, a young man and a girl aged about sixteen, had varioloid. The other girl, aged about eighteen, and in whom vaccination failed to act, suffered a very severe attack of confluent small-pox. The father, also, suftered an attack of confluent type of the disease, and died on the day that the eruption appeared, of melæna."

"These vaccinations were made with humanized lymph, one remove from B. V., which I regard as the best form for virus. 1st. I regard it as more prompt, and rapid in its action, and when carefully selected less apt to be attended with complications of any kind; less severe in its action. and healing much more kindly."

Total cost, $1.253.68.

Reporters: E. ROWLAND, M. D., attending physician; O. C. PALMATEER, city clerk.

MOLINE:

ROCK ISLAND COUNTY.

A manufacturing establishment at Moline received a bale of rags from Chicago in November, 1881, and began using them (to wipe machinery, etc..) about the 10th of December following. On the 29th of December four cases of small-pox were reported to the local board of health, and within the next forty-eight hours four more were discovered-seven living in different parts of Moline and one in Rock Island, but all working in the shop where these rags were used. The shop was immediately closed by the local board. "the rags gathered up and buried with quick-lime, and the factory thoroughly fumigated for twenty-four hours with sulphurous-acid gas.'

Of these seven cases in Moline, the health officer reports that "only one was vaccinated, and he 20 years previous to this attack, which was a mild varioloid." Of the remaining six, five died. Notwithstanding that the most energetic measures were instituted as soon as the cases were discovered, a second group of seven cases followed in the families or houses of those first infected. Among this latter group were two who had never been vaccinated, and one of these succumbed, making a total of six deaths out of eight unvaccinated.

A compulsory vaccination ordinance had been passed just prior to this outbreak (December 20, 1881,) and to its rigid enforcement, in which the authorities were aided by employers and owners of factories, etc., and to the effectual isolation of the cases, disinfection of premises and other precautionary measures, is probably due the prompt suppression of the contagion from this source.

Subsequently there were three more cases during the last of January and first of February, the origin of which was not ascertained. From the last of these there resulted four other, making in all a total of 21 cases and six deaths. Some interesting data will be found in the "Notes" appended to the tabulation of these cases (Nos. 854-874, inclusive, Tabular Statement.) The only item of cost reported is $6,000, which the city expended for a hospital, care of cases, gratis vaccination, etc.

After an interval of nearly a year, a group of five cases (one small-pox and four varioloid,) was reported January 10, 1883. "No deaths, and no spread of disease beyond those in the boarding-house where the first case occurred. Vaccination in community very general during past two years. Source of contagion, as yet unascertained."

Reporters: C. PIPER, M. D., president board of health: L. G. DUNN, M. D., secretary board of health; G. T. EYSTER, M. D., and W. K. SLOAN, M. D., attending physicians; G. W. GAMBLE, town clerk, South Moline township.

ROCK ISLAND:

The first case of small-pox in Rock Island, during this epidemic, was discovered March 8, 1882, in a family living near the Moline line, and which obtained its milk supply from one of the infected families in Moline. Although many persons had been exposed before the existence of the case was detected, vaccination had been so general in this community that no excitement was caused, and no other case resulted from this source.

In April, however, two new cases were found in a family which three weeks before had received two German immigrants, relatives, who had just arrived in this country via Baltimore. "A few days after their arrival an eruption appeared upon both of them, so slight as to simply cause some uneasiness, and no physician was called." Subsequently two more members of this family were attacked.

In May another family became infected from the same source, and on May 27 the last of this group of cases was reported, making in all 17 cases due to immigrant introduction, only 10 of which were officially reported or came under the notice of a physician.

During June and July there were three more introductions of the disease, two from Davenport and one from Iowa City, but without any spread from either; the last two cases being so mild that doubt is expressed as to their character.

In all there were about 20 cases (including those not officially reported), with two deaths, one of these being an infant, two months old, never vaccinated; the other an old man, 79 years of age, just arrived from Germany, where he was vaccinated in childhood, but not since repeated.

The cost of the cases for quarantining, vaccination of exposed, etc., is reported at $261.70 for the city, and $366.77 for the county; total, $628.47.

Reporters: G. G. CRAIG, M. D., health commissioner; G. L. EYSTER, M. D., attending physician.

EAST ST. LOUIS:

ST. CLAIR COUNTY.

The only reports received from this place indicate a total of 12 cases of small-pox.with one death, between November 30, 1881, and January 5, 1882. The first case was a railroad brakeman, but there seems to have been no spread from this. On December 4, a man from St. Louis was received as a boarder in a family in East St. Louis, and on the 18th there were 6 cases reported in this family. No further details have been received. Reporter: J. J. MCLEAN, mayor.

BELLEVILLE:

The attending physician reported (February 24, 1882,) one case in the country 9 miles south of Belleville. Patient, two weeks before being taken sick, made a trip on train to Duquoin; saw a man on train said to have variola." Vaccinated every member of the family at first visit; all successful. Isolated case from family; no spread of contagion.

One year later, February 16, 1883, a tramp was found wandering through the streets of Belleville, suffering from a mild attack of varioloid. He was immediately removed to the county hospital, completely isolated, his ward put in strict quarantine, and all the inmates of the institution were thoroughly vaccinated.

Two more cases (tramps from St. Louis) occurred in March (non-fatal), after which the building was overhauled, whitewashed, painted and scrubbed, and every precaution taken to clean it well. It was disinfected and allowed to remain vacant for at least three weeks." Notwithstanding these precautions, four more cases followed upon its occupancy in April, three of them proving fatal.

Reporters: WASHINGTON WEST, M. D., FERDINAND RUBACH, M. D.. attending physi

cians.

REUTCHLER STATION:

A family who had “buried a five-year old daughter (died of small-pox,) in St. Louis May 21, 1883," came to Reutchler Station, 6 miles east of Belleville, on a visit, and May the attending physician reported two of the children down with the disease. One of these died and the other recovered, without any more cases following.

Neither of these children had been vaccinated before their attack, although under exposure eleven days in St. Louis; "the parents stoutly affirm that he (the St. Louis physician,) did not vaccinate any member of the family during the entire eleven days that he attended the little daughter who first died, but that he gave them some 'drops' which were to take the place of vaccination."

Reporter: WASHINGTON WEST, M. D., Belleville, attending physician.

STONE FORT:

SALINE COUNTY.

October 20, 1883, a dressmaker, recently returned from St. Louis, was found in the exudative stage of unmodified small-pox; died November 3. Of 7 persons, among those exposed to this case, 6 died, two of them of the hemorrhagic variety. Four of these had never been vaccinated until after exposure, and then with inert virus at late stages of the disease-the operation proving a failure in all cases. Of the remaining fatal cases, one adult exhibited a modified cicatrix, humanized virus, operation performed in childhood, twenty years before; the other, a child of ten years, a modified cicatrix, bovine virus. operation performed two years previous.

Relatives of the first cases became infected and carried the disease southward inte Pope county, where they resided, and where 6 cases with 4 deaths resulted.

Of the total 15 cases, 7 of the 9 deaths were of 7 unvaccinated persons, the other two being explained above; the remaining 6 cases, and which recovered, were among persons previously successfully vaccinated.

The cost of seven cases at Stone Fort is reported at $700,

The fatal nature of the cases first attacked caused great excitement, and the Secretary was finally obliged to visit the locality in person, which he did, November 20-24. The last case terminated fatally, December 23.

Reporters: Drs. WILLIAM G. OSBURN and DAVID BOZARTH, attending physicians, W. E. BURNETT, county clerk.

SPRINGFIELD:

SANGAMON COUNTY.

On the 7th of January, 1882, a "holiness preacher" arrived in Springfield, from Louisville, Ky., via St. Louis, He was sick on his arrival, and the family with which he staid noticed an eruption on his face and neck. The following day, Sunday, he held a religious meeting in the house of this family, at which about 20 persons were present; and the next day left for his home near Athens, Menard county, (which see.) Between January 20 and February 12 there had resulted 12 cases and 5 deaths among the 20 persons present at the meeting; but by careful surveillance of those exposed and general vaccination in the infected neighborhhod (which was limited in extent,) the outbreak was confined to those directly exposed to the preacher.

The contagion was, however, repeatedly introduced from abroad during the first six months of the year, namely: January 13, by a tramp from Chicago, who died on the 19th, no other cases; January 14, by a woman who had been visiting in Chicago, died on the

18th, no other cases; February 21, by a colored tramp from Chicago, recovered, no other cases: March 5. by a colored man returning from a visit to Chicago, died March 17th, no other cases; March 20, by a colored tramp from Chicago, died April 15, and infected a family of 5 persons (colored) and 2 colored prostitutes; (from the colored family ten other -colored, and two white, families. numbering in all 22 cases became infected:) April 26, by a laborer returning from St. Louis, died May 6, no other cases, (wife and child vaccinated and removed to hospital, and all persons in the neighborhood vaccinated;) April 30, by a child, source unknown, infected 7 others; May 1, by a woman, source unknown, infected 2 others, her husband and mother; same date, by a railroad conductor, source unknown, infected 3 others; May 2, by a coal miner, source unknown, (supposed to be from a tramp in a bar-room) infected 7 others; May 8, by a young woman, source unknown, infected 11 others in two families; May 10, by a married woman, source unknown, infected two others, her mother and husband; May 12, by a child, source unknown, diagnosed as varicella, infected 4 others in two families; June 9, by a laborer, source unknown, infected his wife.

In all there were 92 cases of which some record has been made, and out of which number 15 died. All other data furnished are included in the appended Tabular Statement, Nos. 906-969, inclusive.

Reporters: W. S. MCBURNIE, M. D., J. L. MILLION, M. D., E. C. GAFFNEY, M. D., attending physicians.

WHEATFIELD:

January 14, 1882, the wife of a farmer living near Wheatfield returned from a visit to Chicago, and on the 24th was found ill with small-pox in the exudative stage. Had been successfully vaccinated December 18, and was discharged convalescent, January 27. Her husband and infant were vaccinated after exposure and escaped. Expense of the case, $82.00.

Reporters: J. C. O'CONNOR, Buffalo, attending physician; W. R. WARE, town clerk.

BLUFF CITY:

SCHUYLER COUNTY.

None of the attending physicians during the outbreak at this place, in the spring of 1881, have responded to requests for reports. The first information of the existence of the disease reached the STATE BOARD in the early part of April, and the excitement shortly reached such a height that the Secretary's personal presence was deemed necessary.

The contagion was introduced from Beardstown, Cass county, and seven families became infected in a short time, causing an aggregate of 18 cases, and 4 deaths, all the latter being among the 9 unprotected individuals.

It is believed that one family became infected through one of the attending physicians; and in another case a man inoculated himself with the disease by means of an ivory vaccine point, which was probably infected by the physician who handed it to him.

Reporters: J. S. DUNCAN, 'Bluff City; WALT HUDNALL, Astoria, Fulton county; J. R. SENCENICK, president, and S. W. McCUNE, clerk, Astoria board of health.

CAMDEN TOWNSHIP:

In April, 1881, a farmer, who had been away from his place twice within the month previous, was found to be suffering with confluent small-pox and died on the tenth day. An infant and a woman in the same family contracted the disease, but both recovered. The man and infant had never been vaccinated, and the woman only once, in childhood. The locality was isolated, and no spread occurred. In February, 1881, Dr. W. L. King contracted the disease while attending a case in Birmingham township, which see.

Reporters: A. J. MEAD, M. D., attending physician; PHILANDER AVERY, supervisor. BIRMINGHAM TOWNSHIP:

January 8, 1882, another of the medical students exposed at the College of Physicians and Surgeons, Keokuk, was reported "down with small-pox" at his home in the southeastern part of Birmingham township. He had never been vaccinated until after exposure, and then unsuccessfully so far as affecting the progress or character of this attack, the patient dying on the twelfth day of confluent variola.

The attending physician, Dr. King, of Camden, and a child of the nurse of this patient became infected, Dr. King having a mild attack of varioloid, and the child an attack of unmodified small-pox; both recovered. Total reported cost, $760

Reporters: W. L. KING, M. D., Camden, and A. J. MEAD, M. D., Huntsville, attending physicians; MARCUS WHETSTONE, supervisor.

BROOKLYN TOWNSHIP:

January 16, 1882, a case of unmodified small-pox was reported from Brooklyn township; source of contagion believed to be the cases in Birmingham township, originating from the medical student from Keokuk. No other data furnished.

HUNTSVILLE:

January 25, 1882, the death of another of the Keokuk medical students, near Huntsville, was reported to the STATE BOARD. The victim was unsuccessfully vaccinated after exposure, before leaving Keokuk, but died of unmodified small-pox. No other data furnished.