Show t sanitation report of the he county physician for the quarter ending november 30 36 J 1886 provo city utah co dec to the id unit mon couty court of utah minty county GINTLE MEIr in presenting my sanitary report tor for quadir ending nov 30 1886 1 I will briefly state that the cases of contagion so BO far ar as reported are as follows tol lowa i typhoid salem 2 cases cabes cedar fort 1 case recovered pleasant grovo grove I 1 case provo I 1 case both in progress total 5 DIVIL Spring springville ville I 1 case fatal lehi 2 cases one fatal vue one in ia progress al pixie cioe 2 cases recovered Recover ail total 5 SWIM SCARLET EVER alpine I 1 case recovered covered He making a grand total of cases as report ed since my last report I 1 have su supplied P tied each precinct pra wita the circulars NOB 3 mud and 5 diphtheria and scarlet favor respectively also alao case report blanks and quarterly report blanks the following have adopted the circulars circular a as suggested and ordered na as fol follows lovi provo city ak 75 pleasant grove 30 american fork 40 alpine 10 Spring springville ville 40 total thero there is ia great danger of typhoid fever and diphtheria becoming en an amnia with us ns to prevent tanch baich a dire calamity we have ahe poff er I 1 recommend prompt action in in regard to the tha regulations dortho for the the ibe county previously submitted and also that the tha mayor and council of bf the several municipalities that have not joined 0 ad us in the general movement to be ap appealed baled to at once by the county board board there is ia another matter demanding prompt attention namely the introduction tro Iro ot of coutaa contagion gion among our block t ock two instances instance s have occurred during daring the autumnal quarter just closed la in each case I 1 have been appealed to for aid it would have hava been a great relief at the time it if we could have called callad attention to the I 1 re regulations ions ol of the health boards atif and all moved intelligently and of et electively in the tha matter As it was individual effort and general anor interest had to bittle battle tb the dreadful foe to a great disadvantage and we may thank fortune rather than effort that we have escaped so BO easily I 1 by 1 way of would suggest L 1 that circular no i ay ty iy fever be published at once occo so as i it lias has been ranch much needed this fall and is is being frequently called tor for and that the case report blanks corres correa I 1 bonding be also a sim bira pie register lor for contagious conta gions diseases ile be supplied ava u that the regula lions eions submitted already or I 1 tiong be adopted at once submitted M IL 11 HARDY HADT i health officer OF TUB THE CITY physician PHYSIC rAN FOR qUARTE II ENDING NOV aotis im provo city doc dec ff 6 1886 to the hon mayor and uty MY councie oily cuy I 1 am to 10 tote alato that hut fur tile the quarter ending nov 30 1886 SC 1 I flavo only one case of it contagion to report namely a retort typical cine case of cyp typhoid old fever naw la a progress but this bid comparative freedom irom from contagion find fanda ex 1 la in part la in my ial labit i I 1 in thy the general principle that filet the of fevers from mortal malarial poi had and the contagious dla dai vot ficca flout ft iain the fiction of a specific abid dial distinctive inactive virus or it alii not dot ai a rule flourish flour lali at the some same title ill id the daue game locality and while A h lie I 1 report this apparent app freedom from contagious I 1 must assure yuu there la Is great danger of tohild tp hild fever fiso aswell as well lvell as diphtheria rip comini endemic andem ic with us mi re as set myrtli lit in previous re portia al condl tion alon gent lemento ha be greatly dreaded all ind oue otto which aich if proper measures mua inua are taken taki ii Is within our power at present to prevent I 1 must repeat with the statement made to your honorable holy body in my last r report while I 1 have no thrilling report of the deathrage death rate from some dreadful epidemic to present this hits quarter I 1 havo have that w which liel ii Is of abill graver jm im I 1 increased ner eased sick alck ness nega ra rat to from efrom I 1 removable causes I 1 refer to the tha malarial infection in order to make tho the matter plain let me ine enumerate as briefly as ossi ble tile varieties of malarial favors favors I 1 lat at way may occur occar in our locality of of fevers tho the first variety Is intermittent of 0 this variety we may have the quotidian type paroxysm daily wh which 0 may be sim bim pla pin or double ado ad the tertian bertlan type paroxysm le very every third day which may also be simple dimple or double sd tile iho guarton type paroxysm every fourth day this may bo be simple or double ath the peats type paroxysm on the seventh na fourteenth twenty first day etc jtb masked intermittent 11 II of this variety we msty may have remittent ad bf 0 us remittent ill continued malarial or the so called typhoid malarial 1 e an intermittent by neglect or from new w accessions of the malarial lariat infection asae bof ar tho jl attaint I 1 I 1 0 n p passing n g to 0 a re remittent form and his passing ns to the continued form with the typhoid state IV septimo malarial or the cypho malarial of some V malarial infection VI A variety resembling tho the pernicious malarial or congestive fever of the pernicious variety there therea are romany many forms forma according to the locality season reason etc ate the leading anz it however owenor are 0 lat comatose ad delirious 31 algid nield ath L gaiero enteric eth le lc t tit c oth hemorrhagic ath coill qua quat tivie lve now the foregoing may briefly represent the varieties types and forms forma of the malarial class of levees fevers I 1 that hat way may possibly occur la in our locality I 1 wish now to show you how man many y of these varieties types and forms have actually occurred in on our r city durica tho autumnal quarter just closed i that we may together the gravity of our ast 1st intermittent variety ety quo both and double tertian type simple und find type hebdomadal ad remittent variety bimble ad continued variety malarial variety oth ath chronic malarial infection ath aih A form resembling the pernicious variety hemorrhagic type it will be seen gentlemen ft frana 10 tills till exhibit that thai the destructive destruct fl work of the malarial poisoning Is very progressive marching steadily tea dily on oa with wit h its bile bilant tit unchecked tread pre mInIn parloR ff ls lie victims for a filial fatal ter termination tion whenever they bo be exposed to the condit conditions lopi giving rise to joany any form of the ilia acute general d disease I 1 make this statement not from a spirit of fill ad versa cri tit ism but bul from a an conscientious ious anxiety for the tha public health of the elti citizens zens of our beautiful city and jt i 4 is it 11 r singia fir dana and striking circumstance that all these six varieties have occurred in the eastern portion of be city while on the west where we have been accustom ed to look mainly for malaria we havo have bad only no 1 intermittent no 8 continued malarial which is an outgrowth of no 1 and no 5 chronic mill arial infection so go for far 03 s observed the of this fact must be patent to all lt it la Is plain there thera must musk ha be a board of health empowered and la in working order to grapple with this and kindred vital subjects without delay there is another feature of my report fur for this quarter not heretofore appearing nana namely ely a contagion cont neon in the form or of tile black leg lee among our st dufin cle this was allowed to be introduced right into the very heart olour of our city amply because there are no effective regulations by a board of health to prevent it and but for the prompt action of tile the mars marshal ilia I 1 and quarantine physician must have pro ved run ii u general disaster trusting gentlemen you will pardon the abe length of this report and 3 1 I that you will give favorable ma and n d early consideration to tho the great Z rest problem 0 of the hour tho board of health with duties and powers cor respond ioe as provided for in the ordinance that ordinance which has so love WK been pleading gand and which abill hopefully and patiently yet confidently fi awaits your harolo harola action I 1 lam sm wl hi great respect your humble bumble servant tf 11 II HARD ilando T real health th officer |