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STATISTICS — Continued.




New Madrid.


Nodaway Oregon..


Ozark Pemiscot.

Perry. Pettis Phelps Pike. Platte Polk. Pulaski,



St. Charles.

St. Clair
St. Francois
Ste. Genevieve
St. Louis.


Texas. Vernon Warren

Washington Wayne. Webster. Worth

co: 066: 5: : -ooor REMARKS.

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“The paupers are taken care of by the county by quar.

terly contributions." “The county furnishes par

tial support." Paupers are let out to the

lowest bidder.”

“Also 10 at the St. Louis City Poorhouse, 6 at the St. Louis City Insane Asylum, and 21 at the State Lunatic Asylum.”

?“ All cared for by their fami

lies or guardians, or ap. propriations made by the

court." " Have no poorhouse; pau

pers are cared for by individuals paid by the court."

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I deem it proper and right that I should state to you in substance the proceedings and conclusions of the Quarantine Conference held at Montgomery, Ala., on the 5th, 6th and 7th of the present month, as it was largely by your suggestion and at your instance that I attended the said meeting as a representative of the sanitary interests of Missouri.

The Conference was called by the Governor of Alabama, the object sought being to secure, if possible, concert of action among the states in quarantine measures should yellow fever be introduced or developed in this country the coming summer.

The call for conference included only the states of Texas, Louisianit, Mississippi, Tennessee, Kentucky, Georgia, Florida, South Carolina, North Carolina and Illinois, the delegates being appointed by the Governors of the several states invited.

Under these circumstances Missouri was barred, and although the usual courtesies of the floor were extended by the Alabama authorities no right could be claimed by me as a delegated representative.

Probably one hundred delegates were present representing state and local boards of health, and a permanent organization was effected by the election of Dr. C. B. Wilkinson, of the Louisiana State Board, President, and Dr. J. N. McCormack, of the Kentucky State Board, Secretary.

But little of value was accomplished the first day beyond the appointment of committees and a partial discussion of a series of printed propositions, a copy of which I inclose herewith.

In addition to these propositions, Mr. J. C. Clarke, General Manager of the Mobile & Ohio R. R., read a paper embracing a number of propositions relating to railway operations in times of epidemics, and the measures deemed necessary to secure the general public against the spread of dangerous diseases, and the derangement of business relations from such cause or causes.

This paper, together with one by Dr. Wilkinson, was referred to the Quarantine Committee with all resolutions and other papers offered germane to the subject, to be digested and perfected in a report to be made subsequently to the Conference.

The report was presented the followiny day, and after full discussion, as amended and finally adopted, is as follows:

1. During the prevalence of yellow fever epidemics passengers and freights should be brought from infected localities only under such regulations and restrictions as may be established by the State health authorities along the lines of the roads concerned.

The regulations and restrictions governing railroad transportation during yellow fever epidemics should be of such character as to afford all reasonable guarantees of protection to the communities in danger of invasion by the disease, but should not be more onerous than the circumstances warrant, and should be framed with due consideration of the extent of the danger in each particular case, and as affected by latitude and season of the year, and other qualifying conditions.

At all seasons of the year, and under all circumstances, the simple passage of railroad trains should be allowed, without obstruction, even when carrying sick refugees from infected places to healthy localities willing to receive them.

2. A well digested quarantine formula, making and promulgating the necessary rules and regulations for enforcing the same should be prepared ready to be put in force when necessary to do so, at all points where it is necessary to put quarantine in force. These rules should be published for general information, to enable all persons to comply with the same, and displayed by placard in every depot.

3. At all quarantine stations, accommodations should be provided for caring for such persons, if any, as may be detained, or are not permitted to pass through such stations while in transit, until they can be disposed of.

4. Only competent physicians who have had experience with contagious and infectious diseases, should be made inspectors of quarantine stations, whose duty it shall be to inspect and examine the condition of passengers, baggage and express matter. All inspectors should have the power to administer oaths and to remove from the trains at quarantine stations and detain such passengers, baggage, or express matter as may be found necessary to prevent the introduction or spread of infectious or contagious diseases of any kind.

5. State boards of health should be the powers authorized to put quarantine in force. They should determine when, where, and for what length of time quarantines should be maintained; provide the means necessary for enforcing the same, and promulgate rules and regulations for conducting quarantines. Presidents and secretaries of State Boards should be required to visit and inspect all quarantine stations as often as practicable during the existence of such quarantines, and to make public over their signatures and official positions the general condition of the public health at the points where quarantines are established and the localities affected by such quarantines. Local health officers, municipal or county authorities may establish quarantine regulations, conferring with the State Board, if deemed necessary for co-operation. The regulations for governing local quarantines should not conflict with the rules and regulations adopted by the State Boards of health for enforcing quarantine regulations.

6. The refugee stations as at present operated on the sea-coasts of the United States are, in the opinion of this body, of infinite service, and we would recommend their continuance in a full equipment for all requirements.

10. Railroad agents at way stations should be required to refuse to sell tickets to any persons who cannot show that they have not in twelve days been exposed to any

source of infection, and conductors should be required by law to refuse to transport passengers from way stations who are not supplied with tickets.

11. Health certificates should be required from persons whenever yellow fever prevails in this country. They should be issued only by the health official, under official seal, or, in the absence of such seal, under the seal of the municipal or county court shere the certificate originated. In each certificate the person to whom it is issued should be so described as to admit of his identification, and should state the facts of the case fully and circumstantially. And io such certificates full credence should be given by all health authorities. We must have honesty and mutual confience amongst those charged with the protection of the public health.

Upon examination of Dr. Wilkinson's paper the committee offered the following resolution :

Resolved, that this Conference indorse the Holt quarantine and disinfection system, as at present operated in New Orleans, as the best one known for the prevention of the introduction of yellow fever into the ports of the United States, and recommend its uniform adoption.


In the course of the debate all the amendments adopted were in the direction of placing quarantine measures more exclusively in the hands of the State health authorities and of strengthening them financially for the effective performance of this duty.

During the afternoon session on Wednesday questions relating to depopulation of infected places, camps of refuge and probation, municipal and personal disinfection where yellow fever exists, and kindred topics, were fully discussed.

A meeting of the Sanitary Council of the Mississippi Valley was held in the afternoon. This is a voluntary association of State boards of health originally formed as a defensive measure nearly ten years ago on the occurrence of yellow fever and sm:ill-pox epidemics. At the meeting the States of Louisiana, Mississippi, Tennessee, Kentucky, Illinois and Missouri were represented.

The Tennessee representative spoke of the disquieting rumors abroad concerning the possibility of a renewal of yellow fever, and offered the following:

Resolved, That Decatur, Ala., be thoroughly disinfected at once and that the proper authorities be requested to do so at once.

This was unanimously adopted, and it was voted to present the same to the Conference for concurrent action as soon as possible. This was done in the afternoon and elicited a sharp discussion in which some personal feeling was shown between the Decatur people and the Alabama State Health Officer—the former, together with the Governor of the State, being desirous that all household stuff, such as bedding, clothing, upholstered furniture and the like which was used

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