the Little Lehigh river or the Cedar creek. An analysis which I enclose will speak for itself. For some years the subject of securing a larger supply of water has been agitated, and early this spring councils decided to enlarge the catch basin of the spring. The excavations are almost completed, and the wall likewise. In digging out the spring and surroundings, the water becomes muddy, and as the people have been accustomed to water absolutely colorless, they are very much put out about it. I consulted with the president of the water board, the surveyor, city engineer, and some councilmen, and they tell me that it is impossible to catch the amount of water consumed before becoming muddy. They tried it at first, but failed. That should have been done if possible. The work could and should have been pushed more rapidly.

It will require another month to complete the work. When at its worst the water is like Philadelphia water after a heavy rain. An examination of Health Officer Dickenshied's records show the number of cases of typhoid reported since April 1, 1895 to be 118; deaths, 14; of diphtheria cases, 56; deaths 18. Some cases are mild, others are malignant. The cases are scattered all over the city. The last month shows more cases of typhoid than previous months. The local health board and health officer have been investigating the matter, and have urged the people to boil the water used for drinking and cooking. Streets and alleys and back yards are constantly being watched. I cannot see what further precautions could be taken, unless to condemn the water supply altogether. The board does not quarantine diphtheria. I think most of the physicians order the stools of patients of typhoid to be disinfected. I have reason to believe that some are careless in this matter. It would take too much space to report everything done by me as medical inspector, since my appointment. Several fatal cases of diphtheria in Cedarville (several miles from Allentown), were investigated, and private funerals urged: eight to ten visits to Old Aineyville for the same purpose, several trips down the river where the city's garbage is deposited, upon the complaints of residents of East Allentown. I have heard no complaint from that source lately. A visit to Catasauqua to examine the cattle-pen, which was then empty. I received a petition from the South Whitehall school board protesting against the deposit of garbage near one of their school houses. I examined into the matter and shall request the owner of the ground upon which the garbage was dumped to remove or cover it, unless I have different orders from yon. Yesterday I visited South Allentown, upon receiving complaint from the ex-county superintendent of schools that his neighbor's privy is full and flowing over upon his ground, and that there are two cases of diphtheria in the family. The cases are convalescing and they promised me to remedy the sink mat

ter next week. I know that with such private cases I would not need to bother, yet the people expect it of me, and where I can attend to it without offending the people. Usually I find very little trouble. The greatest trouble is to have private funerals in deaths from diphtheria.

An ordinance of the city exists which does not allow sinks to be dug west of Twelfth street. The capacity of the spring is said to be greater than my estimate above.

34-INSPECTION AT CORNWELL'S STATION, BUCKS COUNTY.

By A. M. COOPER, Medical Inspector, on account of a nuisance and probable pollution of Delaware waters.

Point Pleasant, August 1, 1895.

To the Secretary of the State Board of Health:

Sir: I have the honor to report that in compliance with instructions received from you July 27, 1895, I visited the aboved named place on Pennsylvania Railroad, and found the following conditions to exist:

The "Pure Rye Distillery Company" has built a shed in the woods, which is called a "bull pen," in which is kept from 275 to 300 bulls in process of being fattened by the slop from the distillery, some distance away. The slop smells badly before it passes through the auimals, and the excreta smells much worse. The thickest of the filth or manure which is held at dam No. 2, is hauled out on the farm, and the liquid part, and some other is carried by a small stream into the Delaware river, within a few feet of the property of the "Schuylkill Fishing Company," near their dining room and cook house. Much of it lodges on the banks of the stream, and, according to the evidence, produces a very disagreeable and sickening odor. It was not as bad when I was there, because it was a cool day and the tide was high, covering much of the filth at the edges of the stream. The lady living in the club house said they could not sit on the porch or in the house, much of the time, without closing the windows and doors. The little stream is dammed above and below the bull pen. Dam No. 1 holds the water for a time, and then the stream is flooded, which clears the bottom of the stream, but much remains on the edges to decay and emit the disagreeable odor. It certainly is a nuisance, and should be abated. The firm agreed to construct a sewer from the pen to the river some distance above the club house which would

abate the nuisance with regard to the club house, but would then, as it does now, pollute the waters of the river. This is some miles above the Kensington water works. I would suggest that they dig a pit near the pen and run all the refuse into that, and then haul it on the farm, so as to be a nuisance to no one. I enclose a rough draft.

35-INSPECTION AT MORTON, DELAWARE COUNTY.

By ROBERT S. MAISON, Medical Inspector, on account of Diphtheria.

August 3, 1895.

To the Secretary of the State Board of Health: Sir: I have the honor to report that in compliance with instructions received from you August 3, 1895, I visited Morton on August 3, 1895, and found the following conditions to exist:

John McC's little son was taken sick Sunday, July 26th, with diphtheria. Profound blood poisoning set in and he died about the 31st. I am informed that the undertaker delayed the burial of the child over twenty-four hours, on the ground of his being very busy. It would also appear that members of the family, and relations from the surrounding country came into the sick room and embraced the dying child and the funeral was the occasion of a large family gathering. The stories told by the family, on one side, and by Dr. Goddard and other reputable citizens, on the other, do not agree. The family claim to have been very careful and the neighbors say that the family have been guilty of gross carelessness not only in leaving the house and walking around the street, but also in that they have allowed relations to visit them. While the boy was sick the mother slept in the same bed, being with him night and day, and holding him in her arms, naturally took the disease. I examined the patient, and found diphtheritic membrane over the pharynx, tonsils and palate. She is dangerously ill. After the boy died sulphur was burned in the room, but no other disinfection was done to the room, and the woman is now in that room. I posted notice on front porch and ordered quarantine and that no one but the father leave the grounds until allowed to do so. Mrs. M, the married daughter, has visited the house, as has also a sister, who is staying with her. She claims that neither went inside the house, but neighbors say that she has done so. At any rate, her little daughter has been sick twentyfour hours with tonsilitis and sore mouth, and she claims that Dr. Bartleson, of Clifton Heights, her attending physician, said that no

diphtheria was present. I examined the child's mouth and, although there was no membrane yet, it may develop later and the case is suspicious. I did not quarantine this house, because no positive diagnosis could be made, but have made arrangements with Dr. Goddard that I be notified immediately if diphtheria does develop. I have also made arrangements to be notified if quarantine notice is disobeyed at the other house.

Owing to the terrible insanitary condition of Morton I will not report finally for a few days, as I deem it necessary to hold myself in readiness to proceed to Morton in case other cases develop.

The sanitary condition of Morton has been reported to you by Dr. Atkinson in 1893, and by myself, this year, and I would call your attention to those reports and merely add that, according to the admissions of the inhabitants, the village is far more filthy than it has ever been before. I saw contents of overfull privies flowing over the ground, garbage strewed over alleys and reeking gutters everywhere.

The inhabitants are so alarmed that a mass meeting was called for this evening and at the earnest solicitation of some of the residents I returned to Morton in the evening, attending the meeting, and urged them to correct the evils just referred to. A committee was appointed to collect a list of all persons maintaining nuisances, said list to be then forwarded to the State Board with the request that the State Board order the medical inspector to investigate thoroughly all places complained of with the view of having the Board order abatement of said nuisances.

It appeared to be the sense of the meeting that money be collected to prosecute those who neglected to abate nuisances. The supervisor scraped some of the streets this year, but many streets are private property, and not under his jurisdiction, hence many streets have not been attended to. The soil is mostly clay, and the heavy rains cut the dirt gutters up and cause deep holes which retain sewage so that these dirt gutters are of no value.

There is no doubt that the place could be drained by piping, without great expense, if there was some way of compelling the inhabitants to unite in a common system. The Springfield Water Company runs its pipes through the town, but very few people use it. Many wells are dangerous to use, and some means should be employed to compel landlords to fill up such wells and introduce the company's water supply. I am convinced that should an epidemic break out the most stringent methods will have to be employed by the State Board.

36-INSPECTION AT GROVE, CHESTER COUNTY.

By ISAAC MASSEY, Medical Inspector, on account of Diphtheria

West Chester, Pa., August 2, 1895.

To the Secretary of the State Board of Health:

Sir: I have the honor to report that in compliance with instructions received from you July 31, 1895, I visited the Grove on July 31, 1895, and found the following conditions to exist:

One case of a child, about three years of age had died two days before, was buried, without having a funeral. The father of the child was sick at that time with a mild attack of the disease. Have heard since from the attending physician, Dr. Woodward, that he is entirely well. Could find no cause, drainage good, etc. House and store had been quarantined, will not be opened until August 7th or 8th, after thorough fumigation and cleaning.

This place is located on a hill, with about six or seven houses.

37-INSPECTION AT COLWYN, DELAWARE COUNTY.

By ROBERT S. MAISON, Medical Inspector, on account of nuisance caused by drainage.

To the Secretary of the State Board of Health:

August 5, 1895.

Sir: I have the honor to report that in compliance with instructions received from you August 3, 1895, I visited Colwyn on August 5, 1895, and found the following conditions to exist:

The nuisance comes from houses built by T T. The drains from all these houses unite and the common drain then empties into the gutter of Darby Pike. The five houses facing the pike are in Colwyn, the front fence being the boundary line. Two other houses are on Francis street, which runs parallel to the pike, one square away, and two other houses are on Third street, which connects the two other streets. The houses have water closets in the bathrooms, and all discharges from the closets empty into the com