creek and be carried, as it has so often been, down through the village. It will take a large quantity of lime to in any way absorb or destroy it. After consulting Captain Weaver, health officer of Norristown, who was with me, I thought it best to allow it to remain until he is ready to plow and then permit him to put it on the ground and plow it in. It will be offensive at the time, but for a very brief interval. I desire to make as little expense as possible or as little commotion. 23-INSPECTION AT OKEOLA, DELAWARE COUNTY. By ROBERT S. MAISON, Medical Inspector, on account of offensive piggery. To the Secretary of the State Board of Health: June 28, 1895. Sir: I have the honor to report that in compliance with instructions received from you June 27, 1895, I visited Okeola, on June 28, 1895, and found the following conditions to exist: I saw the complainant and then visited piggery complained of. This is owned by Mr. E, who has about 15 pigs. The immediate cause of the complaint was due to hauling pig manure and spreading it over a field. It is now plowed in. Mr. E—— has six pens, which were not properly attended to. I find, however, that he is moving his pens some miles away and has already taken 400 pigs away. As soon as the sows all litter, he will move the rest. I saw complainant again and arranged for him to notify me if pigs were not taken away soon, or if smell became again offensive. H- G who owns the property promised me that pens should be kept clean in future. I recommend that no action be taken at present. Okeola is merely a little settlement consisting of a few houses scattered along both sides of Oak Lane. Not incorporated. No epidemic diseases. Surface drainage. Well water used. 24-INSPECTION AT COLEVILLE, CENTRE COUNTY. By G. F. HARRIS, Medical Inspector, on account of Typhoid Fever. To the Secretary of the State Board of Health: July 1, 1895. Sir: I have the honor to report that in compliance with instructions received from you June 29, 1895, I visited Coleville on July 1, and found the following conditions to exist: Coleville is a small village of 200 inhabitants situated one mile west of Bellefonte at the foot of Muncy mountain, lying between the base of the mountain and Buffalo run, a small stream which flows along the south side of Muncy mountain for ten or twelve miles, emptying into Spring creek just below the southern line of the borough of Bellefonte. There is nothing unsanitary in the location of the village. The water supply is derived from two or three small springs situated close to the north bank of Buffalo Run, and at the same level, the water from the creek flowing into the springs at every rise of water. Along the western border of the village, extending from the foot of Muncy mountain to the creek (Buffalo run), is a dry brook which receives the water from the mountain and discharges it into the creek a short distance above the springs. Along the bank of this brook are situated numerous privies, pig pens and stables, the contents of which are washed out and emptied into the creek (Buffalo run) at every freshet. I learned also that two cases of ty phoid fever had occurred on a farm house along the bank of the Buffalo run, about a mile and a half above the village, in the autumn of 1894. As to the disease, the cases have been mostly mild, but one death having occurred, as directly due to typhoid fever. The cases at present existing are not more than eight (8) adults and children— none severe. I am entirely satisfied that the use of water from these springs which is practically creek water, is the cause of the disease and the residents have been warned repeatedly against it. What else can we do? 25-INSPECTION AT YORK, YORK COUNTY. By I. C. GABLE, Medical Inspector, on account of Diphtheria. July 2, 1895. Dear Dr. Lee: On last Thursday, 28th ultimo, Dr. J. Frank Small, health officer of the city of York, reported to me that diphtheria probably existed in the family of Mr. A-S-, residing in Spring Garden township, about one mile east of York, and one-fourth mile. from the borough of Freystown. On the evening of the same day, I officially called upon the family and found a little girl about five years old suffering from diphtheria. The father of the child has been employed in a leading hardware and grocery store in this city. I have the house quarantined and gave specific instruction that no one except those having permission should visit or leave the place of infection. It was reported to me yesterday evening, by Dr. S. J. Rouse, the physician in attendance, that the father of the child has been in York a number of times since his house was quarantined. What would you recommend to be done in this case? The little patient had a mild attack and is said to be doing nicely. 26-INSPECTION AT LILLY, CAMBRIA COUNTY. By W. E. MATTHEWS, Medical Inspector, on account of insanitary con ditions. Dr. Benjamin Lee, Secretary: Johnstown, Pa., July 2, 1895. Dear Doctor: I have the honor to submit to you this report of an inspection made this second day of July, 1895, at Lilly, Cambria. county. Lilly is a small borough of about twelve hundred inhabitants, situated near the summit of the Allegheny mountains, about two and three-tenths miles west of Cresson on the line of Pennsylvania Railroad. Cresson is 2,027 feet above sea level, and Lilly is only a few feet less in elevation. I found the inhabitants of the borough, almost to an individual in good health, as far as I could learn from representative citizens and from the burgess, Dr. Bryant Krebs. Dr. Krebs and I made a tour of inspection through the entire borough; we also visited the water works, located about one-fourth mile from the borough. The borough is supplied with water from springs, wells and from a reservoir at the waterworks mentioned above. About twenty per cent. of the people are supplied from this reservoir. These water works are owned by a private individual named C————— L—, who is also president of the local board of health of the borough. The only source of contamination to the water supply to this reservoir is this: The owner of the waterworks, Mr. Ldoes not own a large spring from which this reservoir is supplied, but owns the ground to within thirty feet of the spring. Two men, JN and P MCC, own the spring and live just above it; the natural drainage from at least one of the houses is into this spring or its run above the reservoir. At the time of my visit, these families were washing and churning right at the spring, and the drainage from this could scarcely help but reach the reservoir, thirty feet below. You can readily see the great danger to the water supply of the reservoir if a case of typhoid fever should develop in one of these houses above the spring. I might say, however, that Mr. L—— and Mr. McC- and Mr. N are now in litigation in the courts concerning the ownership of this spring, and it may be that Mr. L may secure the ownership of the spring, and then the water supply for the reservoir can, by very little expense, be made the very best. Sewers are laid in part of the borough, and there should be a line of sewer pipe laid the entire length of railroad street, also along part of Main street. No doubt, it was on account of the laying of the sewer on railroad street that led Mr. L- to write you about the matter. I do not consider the sanitary condition of Lilly such as to constitute a nuisance, but on the contrary it is as healthy and cleanly a borough as one usually finds. The board of health need to be awakened to their duty, for they are mere figure heads. Of course, the sewers are really a necessity for the good health and cleanliness of the borough. While the condition of the borough is fairly good without sewers, it would be much better with sewers. The burgess, A. B. Krebs, M. D., is interested in sanitary measures and will act on any suggestion you may offer. 27-INSPECTION AT CHESTER TOWNSHIP, DELAWARE COUNTY. By ROBERT S. MAISON, Medical Inspector, on account of fat rendering establishment. To the Secretary of the State Board of Health: July 24, 1895. Sir: I have the honor to report that in compliance with instructions received from you July 23, 1895, I visited O- Westablishment on July 24, 1895, and found the following conditions. to exist: 0 W fat rendering establishment is a small place. He boils fat, etc., and cures hides, but does not deal in bone products. The hides are salted down immediately as brought. The fat, etc., is put in the one large cauldron that he owns, boiled, the lard taken off and the residue pressed into cakes. No water is used. Whatever grease gets on the floor is allowed to remain and a little lime is sprinkled over it. When the floor gets very dirty, the grease is scraped off. There was no boiling going on at the time of my visit, and I noticed no odor until I got within 30 feet of the place. As far as I can ascertain, no smell is noticed in the neighborhood unless boiling is going on. The cauldron is covered with a heavy plank cover and a pipe which pierces the cover carries the steam and odors to the chimney, the idea being that the smoke and heat in the chimney destroy the odor. This, in my opinion, does not answer the purpose, for if the odor was destroyed, there would be no complaint. I have had no experience in this class of nuisance, but it seems to me that Mr. W should have steam tight covers to his cauldron and that pressure of steam within the cauldron should force foul odor through deodorizing and condensing apparatus and thence to ash pit. 28-INSPECTION AT GRADYVILLE, DELAWARE COUNTY. By ROBERT S. MAISON, Medical Inspector, on account of Diphtheria. To the Secretary of the State Board of Health: July 17, 1895. Sir: I have the honor to report that in compliance with instruc |