DETAILS OF LOCAL OUTBREAKS OF SMALL-POX, 1882-1883. Compiled from Reports of Correspondents. DURING the progress of the epidemic the following circular letters (Nos. 81-82), with supplies of the blank forms (Nos. 80 and 86) were sent to each locality whence small-pox was reported-in addition, to the circular, Concerning the Prevention of Small-pox, in sufficient number for distribution among the infected and exposed; and, whenever necessary, a supply of fresh vaccine points, for use in cases of pressing emergency: [S. B. H. No. 81.] ILLINOIS STATE BOARD OF HEALTH, OFFICE OF THE SECRETARY. SPRINGFIELD, 188-. DEAR SIR: Accompanying this is a package of blanks for small-pox reports. Will you kindly undertake to see that these are furnished, in sufficient number, to every physician in your neighborhood who has recently attended small-pox patients. It is very desirable that all possible information concerning this disease should be acquired, to the end that such knowledge may be utilized for the prevention of future epidemics. In this connection, also, your attention is asked to the blank for statement of the cost of the diseaue to your community, and which it is hoped you will find time to fill out and return to this office. Very respectfully, JOHN H. RAUCH, M. D. Secretary. *Addressed to secretaries or presidents of local boards of health, mayors of cities, presidents of village trustees, town clerks or supervisors, county commissioners, prominent medical men; or, where none of these were known, to the postmaster or leading citizen of the infected locality. P. O. address: Co., Ill. SIR:-The following tables exhibit the actual cost and estimated cost of small-pox in this community since.... 188.., together with other data concerning the economic features of such sickness. Very respectfully, (Signed): (Official title): To the Secretary STATE BOARD OF HEALTH, Springfield, Illinois. TABLE No. I. Cost of small-nox hospital:-buildings, grounds, etc. physicians, nurses and other employés in same medicines, subsistence, fuel, lights, transportation, coffins, repairs and extra expense of burials..... gratis vaccination:-virus, salary of physicians, etc.... disinfection:-labor, disinfectants, etc.. quarantining infected premises:-special police, barricading, etc. property destroyed:-infected clothing, bedding, etc. printing placards, notices, ordinances, certificates, etc. All other items of expense defrayed out of the public funds.. Total TABLE No. II. Estimated losses to common carriers by interruption to travel and traffic: to railroads to hotel keepers to merchants of all kinds. to manufacturers of all kinds to corporations of all kinds.. to laborers, artizans and mechanics All other losses to business:-including suspension of building or other construction; interruption of labor, etc.. Total estimated losses TABLE No. III. Actual cost to private individuals: etc. Expenses incurred in care of sick:-medical attendance, nurses, medicines, Value of property destroyed on account of infection:-clothing, furniture. bedding, etc. Cost of cleansing and disinfecting premises, clothing, furniture, bedding. etc.: whitewashing, painting, kalsomining, etc.. Cost of funerals.. Total Other public assemblages, places of amusement, etc., interrupted during County, Illinois. REMARKS. 188... days. [S. B. H. No. 82.1 ILLINOIS STATE BOARD OF HEALTH. OFFICE OF THE SECRETARY. SPRINGFIELD, 18-. DOCTOR: Aside from every other consideration, it is assuredly to the physician's interest to put an end to a disease which injures his practice, by driving other patients away from him while he is so unfortunate as to have a small-pox case on hand. It is hoped, by securing trustworthy data concerning the present outbreak, to be able to make some progress toward eliminating this disease from our midst, at least in its epidemic form. Accompanying this are sundry blanks so arranged, it is believed. as to require but little labor to fill out, and return to this office for publication with due credit. I trust you may find time to do so at an early date after the last cases have been disposed of in your vicinity. Very respectfully, JOHN H. RAUCH, M. D.. IS. B. H. No. 80.1 ILLINOIS STATE BOARD OF HEALTH-SMALL-POX EPIDEMIC, 1881-82. 5. Termination of case-date of death or of discharge convalescent, and, briefly, any notable sequelæ: 6. If others were infected by this case give names and residences, and address of attending physician; 7. Measures enforced to prevent spread of disease-including vaccination of others exposed, and result: 8. If the patient had previously had smallpox, state details, briefly: 9. Brief data of vaccinal history: If previously vaccinated-1. Where, as nearly as could be learned, with what virus, and in what country. 2. Number of vaccinal cicatrices visible, and character, typical, modified, or bad. 3. Probable effect of such vaccination on character and progress of this attack. If revaccinated, when, as nearly as could be learned, in what country, with what result: 10. If vaccination was attempted after exposure, when, with what virus, with what result: 11. If any other physician was in attendance upon this case, please furnish name and P. O. address: (CHECK THE PROPER WORD.] Incubative Febrile Exudative Suppurative [CHECK THE PROPER WORD.] Discrete Confluent Hemorrhagic grenous Gan *This letter, with the blank form, No 80, was sent direct to the physician in attendance, where his address was known; in other cases its distribution was effected by means of the preceding letter, S. B. H., No. 81. |