February 10th, Covington.—In response to an invitation issued by the Women's Improvement Society, and the county and city health officers, I visited Covington, in order to deliver the usual lecture, entitled "Tuberculosis, Its Prevention and Cure." The audience room was filled to overflowing, and it was said that one hundred and more were turned away. The lecture was well received and the usual resolutions were passed. It certainly is true that this visit was attended with good results.

February 25th, Vincennes.-Upon request of the Local Women's Aid Society, and the city Board of Health, I visited Vincennes, in order to make sanitary inspection and advise the societies interested as to what could be done to better the sanitary conditions of the city. Another object of the visit was to deliver the usual illustrated lecture upon "Tuberculosis, Its Prevention and Cure." Upon arrival, together with the city and county health officers, an extended sanitary survey of the city was made. The greatest need to Vincennes is a comprehensive and efficient sewer system. The ground pertaining to this subject was thoroughly gone over with the parties interested, and they, in turn, would present the matter to the city council. The lecture in the evening was well attended and seemed to be thoroughly appreciated. The usual resolutions of thanks and confidence in the State Board of Health were passed.

March 5th, Peru.-On this date I visited Peru on account of smallpox, and also to confer with the county secretary and city health officer in regard to a prosecution for failure to report smallpox. Six cases of disputed smallpox were visited and all were discovered to be true smallpox. The prosecuting attorney was consulted in regard to the prosecution of the offending physician, who failed to report cases of smallpox, and as a result, he promised to push prosecution. Within ten days after this visit, the non-reporting physician was fined ten dollars and costs, the total sum amounting to $92. This has had an excellent effect upon the non-reporting physicians of Peru and Miami County, for we are now informed that reports come in promptly and all physicians seem eager to obey the law.

March 12th, Peru.-On this date I visited Peru again in order to deliver a lecture upon "Personal Hygiene" at the Peru Young Men's Christian Association. Although the night was very rainy, and heavy thunder showers prevailed, still a large audience gathered in the assembly room of the Association. My address was well received and the usual resolutions of thanks and confidence in the State Board of Health were passed.

March 18th, Coatesville:-In accordance with an invitation of the local health officer and the city health officer, I visited Coatesville, in order to make sanitary survey of the schoolhouse. Said sanitary survey is presented herewith for action by the Board.

March 19th, Goshen.-On invitation of the Civic League and the city Health Board, I visited Goshen to advise in regard to the management of smallpox, and also to deliver the usual illustrated lecture upon "Tuberculosis, Its Prevention and Cure." The smallpox situation was very simple, only one physician declaring that the disease did not exist. He was quickly convinced, and promised to report the cases thereafter. The city council was urged to provide free vaccination, and this was done. The lecture was well attended and seemed to have made an impression, for several citizens arose in the audience, expressing gratification and offering thanks. The assemblage also passed resolutions of thanks.

March 26th, Greensfork.-Upon petition of citizens of Greensfork, I visited this town, in order to make a sanitary inspection of the schoolhouse. Report of said inspection is presented at this meeting for the Board's action.

March 30th, Edwards.-Upon petition from patrons, I visited Edwards, Johnson County, to inspect the schoolhouse at that point. A number of patrons were gathered at the schoolhouse upon arrival, which gave me an opportunity to explain and make plain the unsanitary conditions that existed. Full report of this visit is prepared for presentation for action of this Board.

April 2d, Greentown. In accordance with a petition of the patrons of the school and urged by the Superintendent of Public Instruction, I visited Greentown to inspect the public school building. The county health officer accompanied me from Kokomo, and we, together with the city health officer, made the inspection. The schoolhouse was found old, dilapidated and unsanitary. A full report is presented to this meeting for Board action.

April 7th, Bath Township, Franklin County-In accordance with petition from patrons, I visited Bath Township, Franklin County, in order to inspect four one-room schoolhouses, all of which were believed to be unsanitary. A full written report of these inspections is prepared for presentation to this Board for action.

SMALLPOX AT LAFAYETTE.

By A. W. Brayton, M. D.

According to request, I went to Lafayette to investigate smallpox, March 22d, arriving at 2 o'clock. Was met by Dr. Bitting and went at once to President Stone's office and conferred with him. Dr. Bitting stated that there were some four or five cases of variola among the students and that a considerable number had been exposed, but the eruption was observed in one or two of the cases. However, it is believed that less than 5 per cent. of the student body is not vaccinated, and inasmuch as President Stone issued a special order the day before, to be published in the Purdue Exponent, and made known to all the students, stating that those who had not been vaccinated within the last five years should be vaccinated at once, upon penalty of expulsion from the University, it is quite likely that by Monday all of the unvaccinated students will be vaccinated.

There is an epidemic of mumps in the University that is causing considerable sickness and interfering with the classes. The students are perfectly willing to be vaccinated and so are the people in whose houses they reside.

Dr. Bitting and I then called upon Dr. Moffett, health officer of West Lafayette, and examined the contagious disease returns of smallpox. One case is now well of smallpox. He escaped observation, was but moderately broken out and was not in the Detention Hospital.

Case 2, M. G. Hollowell, has been in the Detention IIospital two weeks, sent there by Dr. Moffett.

Case 3, W. R. Proctor, in the family of John Cromer, West Lafayette, diagnosed by Dr. Bitting and put in hospital.

Case 4, W. W. Kellmas, 108 Waldron street, West Lafayette, diagnosed by Dr. Bitting, and taken by him to the Detention Hospital March 18th. Case 5, L. J. Smith, student, eruption March 18th, diagnosed by Dr. Moffett and taken to the Detention Hospital.

I visited these patients in the Detention Hospital at 4 o'clock and examined each one. The cases are undoubted smallpox of moderate type. There is also in the Detention Hospital a youth of 16 years, John Rogers, resident of Lafayette. He has been in the hospital two weeks. The physician in charge of the hospital is Dr. Youkey. The student said that the food was good, that the attention was sufficient and that they were com fortable. The sanitary condition of the hospital as regards heat, light, ventilation, bath-room, etc., is good. There is no trained nurse, however, the hospital superintendent and his wife doing whatever ward work is required and preparing the food for the five male patients.

In company with Dr. Bitting I visited Dr. J. D. Hillis, city health officer of Lafayette, and from him got a detailed history of the eighteen or twenty cases of smallpox that have been in Lafayette this winter. It was imported January 1st by two gypsy fortune tellers, who went from theater to theater and other public places telling fortunes. Therefore, the eighteen cases occurred in several differnt localities. Dr. Hillis had the entire history of each case in mind and evidently had paid much attention to tracing the sources, to fumigating the houses and public buildings where patients had been and in sending them promptly to the Detention Hospital.

The support of this hospital comes from three sources: A, the County;
B, the city of Lafayette; and C, the city of West Lafayette. The health
officers of each of these civic divisions are empowered to send cases to the
Detention Hospital at their discretion.

Dr. Moffet has empowered Dr. Bitting as deputy health officer, permitting him to identify any cases that occur in the University, and if satisfied that they are smallpox, to take them personally to the Detention Hospital. Dr. Hillis stated that the medical care given by Dr. Youkey was sufficient, and that it was not necessary for Dr. Bitting to attend as physician any of the patients from the University in the Detention Hospital, but that he had no objection, under proper precautions, to Dr. Bitting's visiting the Detention Hospital for scientific purposes.

I found Dr. Hillis very courteous, very efficient and evidently the master of the situation. He is thoroughly conversant with the individual cases and numerous details.

After visiting the Detention Hospital I returned to the University and reported to Prof. Stone, assuring him that the disease was being efficiently handled, that the condition of the patients in the Detention Hospital was satisfactory, and that with the enforcement of vaccination, according to his order, I thought that but few other cases, if any, would develop among the students,

At 6 o'clock in the evening, I visited the Indiana State Soldiers' Home, spending an hour with Prof. Birges at the University, who is lecturing to the Nurses' School of thirteen students upon "Ventilation." I also visited Dr. Cunningham, physician in charge, and his assistant, Dr. Mayfield, both former students of yours in the Indiana Medical College, and who desired to be remembered to you.

From all that I could see in the visit of two hours in the evening and after dark, going through the wards of the hospital, I am satisfied that the sanitary conditions are good and that the medical officers are efficient and will use every means to prevent the spread of smallpox to that institution. With all three of the health officers, the local physicians and the doctors of the University working in unison, with a suitable Detention Hospital, to which patients are promptly sent, and with the coming of spring, I think that there will be no extension or long-contending duration of smallpox in the hospital in Lafayette or in the surrounding region.

I left Lafayette on a late train, reaching the city before midnight of the same day.

CONSIDERATION OF SANITARY SURVEYS OF SCHOOLHOUSES.

The following reports of inspections of schoolhouses were duly considered and action taken :

SANITARY SURVEY OF SCHOOLHOUSE AT COATESVILLE, IND. On account of petition of patrons, the secretary, on March 18, 1907, made a sanitary inspection of the schoolhouse at Coatesville, Clay Township, Hendricks County.

Site. The only method of approach to the school building is through

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two muddy alleys, both of which contain one or more manure piles. There are no sidewalks of any kind. The children are compelled to walk to the schoolhouse through these dirty alleys.

The ground upon which the schoolhouse is situated is low and damp, affording no place where children can play and exercise, except when the ground is frozen or except in very dry weather. The surroundings of the schoolhouse are not at all pleasant, the site not being good in any respect. The Building.-The building is a two-story brick. No basement. Walls cracked in various places. Down-spouts broken and leaking at corners. Brick foundation. Built in 1881. Four rooms, two below and two above. There is a vestibule two stories high, and in said vestibule is placed the stairway for reaching the upper story. This stairway has, in all, twentyfive steps and two turns. The banisters are broken. If the building were to catch on fire when school was in session, there would certainly be a great loss of life in this narrow stairway, which has two turns. The floors throughout the building are worn. Plaster off in halls and in primary room. The rooms are heated by stoves; no ventilating ducts. The rooms are lighted from three sides. The lower rooms are always damp in wet weather.

Health of Pupils.-The teachers in every room reported not a little sickness. They all testified to the continued existence of colds, and in every room this winter there has appeared scarlet fever, measles and sore throat. In the first primary many children had sore eyes, and, as reported by the teacher, there had been considerable sickness.

Recommendations. This schoolhouse is unsanitary, is built on an objectionable site, has an abominable approach, and is in every way a disgrace. As the testimony shows, sickness prevails the year round, and the better class of people are in favor of erecting a new building. However, an examination of the financial condition of the community shows that this year only $7,000 is available for putting up a new structure. It is, therefore, proposed by the citizens who desire a new building that another year be allowed to pass by so this sum will double itself and be available two years hence.

I therefore recommend that this schoolhouse be condemned, and that the condemnation be made to take effect May 1, 1908.

After consideration, the following proclamation was unanimously adopted:

PROCLAMATION.

Whereas, It has been shown to the satisfaction of the Indiana State Board of Health, in regular session at Indianapolis, April 10, 1907, that the schoolhouse at Coatesville, Hendricks County, Indiana, is old, dilapidated, insufficiently ventilated, improperly lighted, unevenly warmed and otherwise unsanitary, so as to threaten the health and lives of the pupils, therefore it is

Ordered, That the said schoolhouse is formally condemned for school purposes and shall not be used for said purposes after June 1st, 1907.

Any school trustees, township trustee or school teacher or other person who may use said schoolhouse for school purposes after June 1st, 1907, shall be promptly prosecuted as by the statutes provided.