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their illness, which does not seem to have been reported, this nurse "ran all over the town and it was some weeks before the authorities were notified." In all, up to January 5, 1882, twenty cases were reported, but this is understood not to include the entire number. No report of the deaths or of cost has been furnished.

Reporters: G. E. WILLARD, M. D., attending physician; DANIEL MCLAUGHLIN, mayor.

MOKENA:

During October and November, 1881, there were three cases of small-pox-one unmodifled and two modified-in Mokena. There was much excitement and business was practically suspended for about eighteen days. No clinical history of the cases has been furnished The cost to private individuals-those afflicted and their families-is reported at $550; of gratis vaccination, etc., $40.25, and constructive losses to business, etc., $9,500; making a total of $10,090.25 for 3 cases during 18 days.

Reporters: WM. BECKER, M. D., president board of health; O. McGovNEY, president board of trustees.

MONEE:

A farmer from Monee, visiting Chicago in December, 1881, spent some time in a saloon in that city where, in an upper room of the same building. there was a case of small-pox. He returned to his home, and on January 1, 1882, a physician, called to amputate a finger, found him in the desquamative stage of modified small-pox. No precautions having been taken during his illness there resulted eight other cases in Monee and one in the town of Crete, up to the 19th of March; none fatal. The cost of 3 cases, of which returns have been received, is put at $135.

Reporters: Dr. E. WERNIGK, attending physician; EDWARD R. FREEZE, town clerk.

CRETE:

A woman, living in the town of Crete, visited one of the Monee cases in the early part of January, 1882, and came down with an attack of varioloid in the usual time. Had been vaccinated 61 or 62 years previous, but not since. Recovered after a brief illness.

About the beginning of April, 1882, another case occurred in this town, the contagion being brought into a farmer's family by a hired man, who had been visiting his brother's family in Chicago, and in which family there was a child sick with small-pox. Two unprotected children in the farmer's family were vaccinated successfully during the eruptive stage of the father's attack; the mother and all others in the family had been successfully vaccinated before the father was taken ill, and no other cases resulted.

Reporter: Dr. E. WERNIGK, M. Monee, attending physician.

PEOTONE:

A mild case of varioloid left Chicago about the middle of February, 1882, to escape being sent to the small-pox hospital, and came to Peotone. March 2 his room-mate at the latter place was found in the febrile stage of confluent small-pox, dying on the fourteenth day. A child, three years of age, was exposed to this latter case and had a mild attack of modified small-pox, having been successfully vaccinated with bovine virus about two months before exposure. Both cases were carefully isolated and other precautions adopted, and there was no spread of the disease. Cost. $360.

Reporters: E. H. SAMMONS, M. D., president local board of health, attending physician; MARTIN COLLINS, president board of trustees.

HOMER TOWNSHIP:

A domestic, at service in Chicago, returned to her home in Homer township, just as the eruptive stage of small-pox was beginning. She died, March 11, 1882, on the twelfth day of the disease; confluent type; never vaccinated. Her mother-in-law, who nursed her, had a mild attack, modified by vaccination in childhood. Five other cases, making a total of 7, with 4 deaths, are reported by the town clerk as occurring between March 1 and the middle of May, but no other details have been furnished. Total cost, $442.

Reporters: J. B. ROOD, M. D., Lemont, and F. W. SCHOOP, Lockport, attending physicians; SAMUEL W. JONES, town clerk.

JOLIET:

Prior to the outbreak in the spring of 1882, tramps, in different stages of the disease' were picked up in the streets of Joliet on three different occasions: these were promptly removed to the small-pox hospital, and no other cases resulted from any of them. This immunity, probably, had something to do with the comparative indifference which followed the appearance of the initial cases of the serious and wide-spread outbreak which subsequently occurred.

In the early part of March, 1882, the son of a German gunsmith in Joliet returned to his father's house from Chicago. On the 18th of the month his mother and sister were taken down with small-pox of a very virulent type, confluent and hemorrhagic, and died on the tenth and twelfth days, respectively. During their illness they were visited by a neighbor, who came down with the disease about April 6th, and died after a short illness.

"There was very little precaution taken with this case. A few hours after his death from confluent small-pox the blankets and sheets upon which he had lain during his illness were hung out on lines in a yard in close proximity to a public street. There is evidence to prove that the disease was spread directly from this source, in one case being carried by a public scholar a distance of fully a mile.

In a short time excitement ran very high; neighboring towns quarantined against the city; the city council ordered schools, churches and public gatherings suspended; special policemen were detailed to guard the infected houses; the STATE BOARD OF HEALTH WAS appealed to, and the Secretary made a personal visit to the locality. The rules and regulations of the BOARD were adopted and vigorously enforced, and by the close of June the last case was discharged from hospital.

During this period. March 18 to June 30, there was a total of 57 cases reported, with 18 deaths, and the cost is put at $26.402.07, of which sum $15,525 is constructive and estimated. There are some anomalies in the tabulated reports, of which no sufficient explanation has been received. See Nos. 1051-1101, inclusive, Tabular Statement.

Reporters: G. H. HOSMER, M. D., and J. R. CASEY, M. D., attending physicians; ROBEET T. KELLEY, city clerk.

BEECHER:

A small-pox convalescent from Chicago, discharged from hospital one month previously, returned to her home in Beecher about the last of March. 1881; in the usual time her brother was taken down with an attack of modified small-pox. No spread.

May 1, 1881, an immigrant from Stettin landed in New York, and thence traveled to Beecher. On the 18th May the wife was found in the febrile stage of confluent small-pox and died on the 26th. Her husband was taken down June 8. and died on 14th-profuse hemorrhage. No connection between these cases and the one first recorded. The immigrants had been vaccinated in childhood and exhibited "bad" vaccinal cicatrices. Reporter: THEODORE W. SCHAEFER, M. D., attending physician.

ROCKFORD:

WINNEBAGO COUNTY.

A child from from Milwaukee, Wis., was taken sick, and died soon after its arrival (early part of May, 1881,) with what was supposed to be chicken-pox. The woman who prepared the body for burial, and four others directly exposed, contracted small-pox, two of them dying. Six other cases resulted from this first group before the outbreak was suppressed.

About the middle of the following October a German watch-case maker, recently from Chicago, came down with the disease. He infected his attending physician, who had been vaccinated in childhood, as had also the German, and both recovered. No other cases from this introduction.

In March, 1882, there was a third access of the contagion, introduced by a resident of Rockford who contracted the disease in Chicago and returned to his home, during the early stage. Three others were infected from this case, one of whom died in Rockford, and one went to Beloit, Wis., and there died.

Between May 1, 1881, and August 30, 1882, there were, in all, 23 cases and 3 deaths, the deaths being among seven unvaccinated individuals. Total cost to city for hospital expenses, etc., $3.438.90.

Reporters: L. A. CLARK, M. D., D. S. CLARK. M. D., and H. M. SABIN, M. D., attending physicians; S. P. CRAWFORD, mayor; E. K. CONKLING, town clerk.

LAONA TOWNSHIP:

December 23d, 1881, a sailor recently returned from Chicago to spend the winter in Laona, was taken ill and died on the 31st of unmodified confluent small-pox. Of those exposed, during the two or three days before the character of his sickness was determined, seven contracted the disease-three unmodified and four modified. Of the former two died. Proper preventive measures were employed as soon as the diagnosis of the first case was made, and there was no spread from any of the subsequent cases. Total reported cost, $511.

Reporters: S. B. VAN VALZAH, M. D., Durand, attending physician; PEter Johnson, supervisor; ALONZO SMITH, clerk town board of health.

WINNEBAGO:

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A tramp, from Harvard junction, came to Winnebago sick, in February, 1882. ease proved to be small-pox, and from him three others contracted the disease. None of the four had ever been vaccinated. Cost of the four cases to the county, $350.

GREENE TOWNSHIP:

WOODFORD COUNTY.

In March, 1882, a German immigrant arrived in Benson, in Greene township, and a few days later was taken ill. His attending physician, resident at Benson, diagnosed the disease scarlet fever; but in about three weeks was himself attacked with modified smallpox, and communicated the disease to his own family and to a woman who called on him. This patient miscarried, during febrile stage, at about fourth month of gestation. From this latter case resulted two others, one fatal. Total reported cost to individuals, $250. Reporter: T. J. ROSENBERG, M. D., Roanoke, attending physician.

BENSON:

See Greene Township.

TABULAR STATEMENT-Showing the Sex, Age, Nativity, Occupation, Vaccinal History, Character of Attack, Duration

of Illness, and Result in 1,100 Cases of Small-Pox.

NOTES.-Italicized letters in the column "Sex" indicate colored persons.-In the columns "Virus." the initials "B" and "H" mean Bovine and
Humanized, respectively. -In the column "Result" (Vaccinal History), the initials have the following meaning: "T"-Typical cicatrice; "M"-Modified
cicatrice; "F"-Failure.-The figures following these initials indicate the number of visible cicatrices.-In the column "Result" (Vaccinated after
Exposure), the initials "F" and "S" mean Failure and Successful, respectively.-"Ch." and "Inf." mean In Childhood and In Infancy, respectively.

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NOTES.-No. 32 "vaccinated in Germany when a child [some seventy years previous]; no cicatrix visible. Revaccinated April 4, 1882--during febrile stage of attack-and seemed to run its course with the disease."-No. 41 was brought to hospital comatose, and no other information was obtained.-No. 42 was in hospital, under treatment for tertiary syphilis and pulmonary phthisis, when disease was contracted. Vaccinated on day of exposure; vaccinal fever began on twelfth day after, "and pustule developed along with small-pox."-No. 43 vaccinated by marine-hospital surgeon in St. Louis "a short time previous, and had a partially healed sore on arm." Was admitted to hospital suffering from phlegmonous erysipelas, and developed small-pox on seventh day after admission.-No. 44, a convalescent from typhoid fever, was exposed to a city case of variola who remained in his ward some hours. Was vaccinated next day-"took after small-pox set in."-No. 45 in hospital for ostitis, when disease was contracted.No. 46 in hospital for abscess of the liver, when disease was contracted.-No. 47 "had been" vaccinated by marine-hospital surgeon in St. Louis about three or four weeks before; an excavated ulcer on his arm as big as a silver dollar."-No. 53 was in hospital with compound fracture of the leg. Was vaccinated two days after only known exposure: vaccinia and variola appeared simultaneously after twenty-one days' incubation.-No. 57, when convalescing from pneumonia, was allowed to visit small-pox ward. Had previously had small-pox. Passed from incubative stage into febrile stage in a comatose condition, and died during the second stage.-No. 58. Marine-hospital patient-secondary syphilis. Vaccinated soon after exposure; successful. Attack "very mild."-No. 59 had been vaccinated by marine-hospital surgeon in St. Louis, five or six weeks previous to attack. Arm still sore on admission-"a very bad arm, two sores."-No. 60 "stated that he was vaccinated in St.Louis, about six weeks previous, by a surgeon in the U. S. Marine-Hospital Service. Had a large ulcer, one and one-half inches in diameter, on his arm, and a smaller one lower down." No. 61 "vaccinated in Cincinnati in March, 1882, [disease detected in incubative stage May 23, 1882,1 and had a large, but not good, scar. Was vaccinated May 16, with bovine virus; devoloped just before the small-pox."-No. 62 "entered hospital with phlegmonous erysipelas, and was vaccinated on admission; on the 9th day developed small-pox."-All these cases, Nos. 41-62, inclusive, were patients of the U. S. Marine-Hospital Service.

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