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On motion of Dr. S. L. Jepson, it was resolved that the examining committee is hereby authorized to institute practical tests at future examinations wherever practical.
Twenty questions have been submitted on each branch for examination, the board made a selection of ten from each, the purpose being to avoid catch questions or such as are impractical, these questions to be used at the July examination.
Dr. Pyle offered the following resolution which was adopted:-RESOLVED, That the secretary be instructed to consult the attorney general as to the rights and duties of the board in relation to diseases of animals in the state; and as to whose duty it is to supervise the killing of animals affected with tuberculosis and other diseases and from what fund shall such animals so dispensed of be paid for.
Dr. Barbee, chairman of the Committee on Vaccines, presented the committee's report which was received and the committee discharged. On motion of the secretary, Dr. Jepson, the report was amended so as to provide that vaccine virus only be supplied free by the State Board of Health for the use of indigent persons. As amended the report is as follows:
Mr. President and Members of the State Board of Health,
Your committee appointed at the last Board Meeting to inquire into the provision of Sec. 5, Chap. 24, of the Acts of 1913, relating to the keeping in the office of the Secretary of the
State Board of Health, vaccine lymph, etc., for the benefit of the poor, submit the following report.
On March 19th, 1914, we asked the opinion of the Attorney General if this section was mandatory upon the State Board of Health. His opinion is as follows:
'I have your letter of the 19th inst., in which you state that the State Board of Health desires the opinion of this department upon that part of Sec. 5, Chap. 24, of the Acts of 1913, concerning the requirement that the Board shall keep in the office of the Secretary for free distribution, vaccine lymph, etc. I think this requirement is within the discretion of the State Board of Health, from the fact that it has no specific appropriation with which to purchase this medical material. I note that there is $15,000 appropriated by the Acts from moneys in the State Treasury not otherwise appropriated, to enable the Board to carry out provisions of that chapter. I find so many things set out in the Act which will require money, and which would have to be paid before the paragraph in Sec. 5, under consideration could be complied with, that we are forced to the conclusion that the keeping of this lymph, etc., for free distribution, would largely depend upon the amount of money which the Board would have available and, therefore, depending largely upon its discretion in making its expenditures.'
(Signed) A. A. LILLY, Atty. Gen.
By FRANK LIVELY Asst. In this connection your committee wishes to call the Board's attention to Sec. 1816 of Chapter 46 of the Code of 1896, “FREE VACCINATION—The overseer of any district may furnish antitoxin to, or cause to be vaccinated with proper vaccine matter, any person in such district who is unable to pay for same."
Since the appropriation allowed the State Board of Health of Free Laboratory and for the sanitary work demanded of the Board and in view of the existance of Sec. 1816 whereby the poor are able to receive free vaccination and antitoxin at the expense of the counties, your committee recommends that no lymph other than vaccine virus be kept in the office of your Secretary or be provided for by the Board for free distribution to the poor, and that the provisions in Sec. 1816 of Chap. 46 of the Code of 1896 be taken advantage of.”
(Signed) H. A. BARBEE Chairman.
H. A. BRANDEBURY,
J. A. RUSMISELL.
The committee presented offers of prices “for the purchase of serums and vaccines from the H. K. Mulford Company.” The secretary was authorized to make arrangements for the speedy supply of vaccine virus through the county health officers.
The secretary reported that he had received from Governor Hatfield a letter in which it was stated that the hook-worm disease was reported to exist in the Pocahontas coal field and that an investigation was desirable. Thereupon the secretary had requested Prof. W. H. Schultz of the laboratory, force at Morgantown, who had formerly made investigation of the hook-worm disease, to visit those fields and report the result of a brief investigation. A preliminary report of Dr. Schultz was presented to the board showing the existence of the disease in the region named. It was thereupon resolved to direct Dr. Schultz to visit that region again at his earliest convenience, spending as much time there as may be necessary to make a thorough investigation, and to put in operation the remedies necessary to eradicate the disease. He is to be paid, during the vacation at the University, the same salary he is now receiving, with whatever additional expenses may be necessary in the conduct of the investigation, and he is also to have additional necessary help while in the field. (See final report on another page.)
Applications were presented to the board from the Osteopathic Boards of Examiners of Ohio, Pennsylvania and Missouri, asking that we establish reciprocal relations with them. These were referred to the secretary with power to act, if agreeable to the secretary of the West Virginia Osteopathic Association, and if, on investigation, the requirements of the States named be found to be the equal of our own.
The rules presented by the North Dakota State Board of Examiners were approved with the exception of No. 5, which provides that the person seeking reciprocity “must have been a reputable member of a state or county Society, and must have been endorsed by it as worthy of reciprocity.”
The secretary reported that applications were not unfrequently received from points within the state from persons seeking certificates by reciprocity, and the question arises whether such applicants are already engaged in practice, either alone or as assistants with licensed physicians. It was, therefore, on motion of Dr. Brandebury, the question—"Have you practiced medicine in this state prior to the date of application for a certificate?”
On motion of Dr. Davidson, the secretary was authorized to attend, at the expense of the board, the conference of state boards with the U. S. Public Health Service at Washington, June 18th, the conference of the State Boards of Health on June 19th and 20th, and the sanitary section of the American Medical Association the following week.
On motion of the secretary, Drs. Golden, Robins, Brandebury and Rusmisell, were appointed a committee to frame a new medical law and have their report ready for our next meeting.
On motion of Dr. Rusmisell, the secretary was instructed to prepare a collection of the rules and regulations of the board and all matters of interest, and present it at some future meeting.
On motion of Dr. Brandebury, a committee composed of Drs. Davidson, Rusmisell and the secretary was appointed to draw up a formal report for the hotel inspector to be presented to all landlords after inspection. I
The case of J. E. Wren vs. A. A. Wingrove, was then presented. Attorney Charles W. Dillon appeared for the plaintiff and Attorney Charles Osenton for the defendant. Mr. Osenton asked to read and file a reply to the charges against Dr. Wingrove. The request was granted. The board then proceeded to hear witnesses, a number of whom on being sworn testified that they had received from Dr. Wingrove prescriptions for cocaine in from one to three drachm amounts in powder form, and whiskey in pints and quarts. The pharmacist who filed these prescriptions examined those presented at the trial and testified that they were in the handwriting of the defendant and that he had filled them. The defendant testified that he had written many of these prescriptions, but that in his opinion the amount of drugs had been raised since he wrote them. He also testified that the only reason he wrote such prescriptions was, that the people who received them were in the habit of using cocain and liquor, and that he thought they needed such stimulants. The prescriptions presented numbered no less than one hundred.
At the conclusion of the trial the board went into executive session, and the defendant was adjudged guilty of the charges preferred, and a resolution was passed revoking his license to practice medicine and directing that the secretary send him an official notice of this fact in the following form:
May 12th, 1914. “At a meeting of the State Board of Health held in Charleston May 7th, 1914, the following order was issued: J. A. Wren, Complainant, vs.
Charge of Dishonorable Conduct. Dr. A. A. Wingrove, Defendant.
“This cause came on for hearing on the 7th day of May, 1914, at Charleston, W. Va., the complainant being present in person son and by counsel, Charles Osenton. The defendant filed his written answer to the charges and specifications against him and both sides announced themselves ready for trial. Upon hearing all the evidence adduced, both written and oral, by both complainant and defendant, and upon consideration thereof, the State Board of Health doth find that the defendant, Dr. A. A. Wingrove, has been guilty of dishonorable conduct in the practice of his profession as set out in the charges and speci. fications, in that he did on divers dates and to divers persons, give prescriptions or cocaine in one and two drachms amounts, in powder form, and spiritous liquors in pints and quarts, au. thorizing such persons to purchase said drugs and spirits in violation of the law.
It is, therefore, ordered by the Board that the certificate to practice medicine and surgery heretofore granted by the State Board of Health to Dr. A. A. Wingrove, be and the same is hereby revoked and annulled, with leave for him to apply to this Board after one year from this date for permission to resume the practice of medicine and surgery.
A copy of this order certified by the secretary of this Board and mailed by registered letter to Dr. A. A. Wingrove to his address at Scarbro, W. Va., shall be sufficient notice to him hereof, and of the revocation of his certificate to practice medicine and surgery in this state.”
This is to certify that the above action was taken at the meeting of the State Board of Health held at Charleston on May 7th, 19.14."
This finished the business of the Board which then adjourned sine die.
S. L. JEPSON, Secretary.
Small-pox. Small-pox entered the state in the fall of 1912 and has prevailed quite extensively in many counties of the state since that time. In reply to a letter of the secretary, Dr. W. T. Henshaw, health officer of Berkeley County, under date of December 30th, 1913, makes the following report:
Martinsburg, W. Va., Dec. 30, 1913.
In reply to yours of the 15th inst., concerning the number of cases of small-pox that have occurred in this county during the last year, I beg to say that the date of the first case was November 25th, 1912. The total number of cases, adults and children, 94. Total number of suspects, 143. Of those who had the disease not one gave a history of vaccination. Two of the suspects con. tracted the disease simply because they refused vaccination. Of the suspects, 139 were successfully vaccinated and two gave a history of a former successful vaccination. There were two deaths, both infants, one aged 17 days and one 21 days.
W. T. HENSHAW, M. D.
ville. So far as we have learned these constitute the complete report of the cases occurring in Berkeley County. Dr. Henshaw has been most active in his efforts to have every child in Berkeley County vaccinated, and although he has met with some opposition from sources from which it should not have been expected, he has been successful to a marked degree. As a result Berkeley county will probably not be greatly annoyed by small-pox for years to come. It is worth while to emphasize the fact that of 94 cases of small-pox in a single epidemic, not one patient claimed to have ever been vaccinated. This experience is a very common one, but is worthy of a special mention because of the large number of patients treated.
The exact origin of the disease in the state is not known. There was probably a number of different sources of infection, as the wide spread outbreak in Berkeley county prevailed at about the same time that it made its appearance in the western part of the state. At the same time also, we had information that there were cases in a number of the counties in Ohio, so that it is probable that it entered West Virginia from both the east and the west. Almost immediately after I assumed charge of the secretary's office I was called to Hundred, Wetzel county, where a number of cases of eruptive disease had appeared, concerning the exact character of which the physicians of the town differed. Unfortunately the health officer regarded the cases as chicken-pox, and hence for a time did not exercise the precautions or enforce the quarantine which he would have done had a diagnosis of smallpox been promptly made. The result was that a number of cases occurred before the physicians of the community were united in the opinion that the disease was really small-pox, although in an extremely mild form. I made an official visit to this community on July 5th and visited all of the patients in the town with the health officer. The majority of these were well advanced in convalescence, several having been discharged from treatment. While most of these cases, if in children, could readily be mistaken for chicken-pox, several were so well marked and the eruption so characteristic that no mistake should have been made in the diagnosis. This is especially true with the cases in adults, since chicken-pox in the adult is so extremely rare.
On my visit to Hundred I found that Mannington had issued quarantine orders against Hundred, and, believing that the health authorities at the latter place would now, with the instructions given them, exercise proper care in the control of the disease, the following order was issued and sent to the health authorities at Mannington:
Wheeling, W. Va., July 13, 1913.
"I am informed that your city has quarantined against the town of Hundred. I visited that place yesterday, and found but two cases of small-pox in the town. One is a case in a man who is almost ready to be discharged, the other is a babe who is