Show sanitation some soma important items from froin our quarantine physician I 1 in it his hia report to our our C cita ty chint 0 fr for iho h endia end ii abig 11 II 31 1 tin thi 1 I vit 1 I 1 of officer licer ll ir 1 M I 11 II ilanay ver in amuses ad luces argument i ti tin most serious noua character ter beiring directly airn th upon ilia aliu ilal question of ile hf 1 I I 1 ii 1 t wealth that wo i in not r 1 it ruin able quoting ito IH malile 1 little no th thrilling lilling report of tile death rate from sonto some dreadful to toan pre sent thia quarter I 1 have that which is n u if still binl api tiann rate r a le leoin 0 11 ablo causes I 1 refer nt r to tile the malarial ink ebion lion lillis furnishes caller itse ia icik g almost the ditore lil ot of r at I 1 evero ng den a wh ic 1 oci adcur tiri almost ielmo l in ili ga alie a if if tile carolinas Caroli and one csc loie Bri lie ft B havo liand liml had during taw year air ill the county tile following exhibit 1 mill ill illustrate illus trute pit bially tile alarming malarial poison poisoning poi Boning I 1 going on oil in our city intermittent quotidian type kinle arid double also tertian I 1 nil I 1 0 anil double lo ulle J typical cases cabes continued inal arial or bertico madaii ill at and chronic malarial inal arial infection this ring as you ou vi ill KO fee buettin trally tto the entire series benea that boull mir ever occur 1 in this region we mrs may observe that I 1 1 its class of 0 diseases dim aceb is tile mont completely of adiv that we have the series acnes beginning with ath tile simple I 1 intermittent n t armitte tit und and end ending ng v it it the chronic malarial infection tins this may explain in part our apparent nl freedom from contagious diseases diHe asas on ilia general principle that thai the vatious venom fevers from malarial infection anti and tile acute zenei n ei al diseases from tho action of nn an re individual d v bidual and destructive virus or conn or dagion jo do not usually flouri Blit ht at ilia same time in the saive banie locality but admitting tins this tor for a moment liow low dearly purchased vur purchased chased A in our seeming exemption I 1 on A the questions of water vater supply disposition of i matter special and general surface drainage dr milage und and the removal of garbage arid beconi osing vegetable matter are subjects de em mandin anding immediate diato attention A A A wo we haye already urged that effee til a sanitary operations operation scan can be carried on before alie to polemie sweeps over the land or the endemic have become established v while hile in tile presence of 0 the relentless fot foe active operations are every oliero macre to secure the th u benefit of sanitary measures the they insist bo be adopted pro promptly pit I 1 ill they ey must bi be thorough t they I 1 us t b be B continuum 8 e efforts ty arts aro are not sufficient but once secured must be angly COUNTY F arom rain the quarterly report of the county I 1 quarantine ine phy physician phocian Bician mr M 11 II hardy grant y for the at bummer I 1 comer just tibt past we ft 9 extract ilia ali follows following ng the llie summer just ended presents enta some Inte and important facts not only to the sanit sanitarian irian nor yet alone to the public bublie health officers but to the precincts r and heads of families milies la generally not iol that I 1 admit by way of any now new alarming epidemic bat in lurking sporadic Po radic cases of one of the most du do truc tive diseases of the age r well its ae remnant cac of the dreadful a d f of scarlet fever favor and what makes the situation situation so BO grave is the fact that they decur occur i in ia cities without health or 9 at i m s and yet are beyond our reach as it a county board A man may intelligently regulate his own premises for his own downia qs well as lna his welfare but if ili liis s 1 I to windward is both heedles he edlean 6 la anil d reckless in ilia matter his own efforts are oby obviously bously ol of little or no avail A I 1 am perfectly sanguino sanguine of the efficiency and economy of tile the plan tile tho present enumeration of 0 which is a part only heretofore orfed urged and which is a already a reality to io air r as the county at large larga is 13 concerned it only requires that wo we shall all U sea bee that it t la is to our especial advantage as aa well as the public welfare to via vie with each other in in devising harmonious protective and r g r e sive 81 ve meas measures urea for r all and not in BI arching it c out differences and equi I 1 poising W ag 1 on I 1 n c I 1 have appi supplied X the pro cl letl 1 c t a except war cedr fort and fairfield field with alie the circular cir Lular no na well as the case ire report blanks ca calling till on t them a aind n or conall explaining their use ubo etc in biting at the as bame a time the coo co o era ti on of the be several er at municipalities u lei excepting leblan lelii and alpine 1 a places laces I 1 have AVO not dot had tune time to visit ibi 11 I 1 I 1 have received letters of thanks from the secretary of tho the michigan state board of 0 li health eulth from boiu the state bbate board and from other sources for our I 1 reven table disease circular received I 1 have already had applications froni from different parta of our territory from california and elsewhere for copies of our circulate circulars it havink g pro grassed so BO for in in the imp important public work it is is hut but just to observe ill that at sit should id nothing fur thet eventuate evon it has already alrea ly bald tho the county an enormous enor moui per cent in the preparation and individual as well nell as public effort induced in in the diorec direction 1 I n of public health or wealth lue beside sides t the ho recognition ignition accorded in in common which advanced sanitary principles principle anil and reau u lations command A alit lie exhibit so BO far as learned allows s scarlet ever two cases diphtheria eight case cebea i r four our fatal two tao in progress A after r reporting e p orting lit in detail the health officer officer e onel lades pardon gentlemen the hie length of this but ut tha pleasure we mutually share in the systematic work alre already adys a matter of 0 history and permanency pi r ma nency I 1 sin mn sure justifies whatever of enten or ona marks this report as transcending its usual limits |