budget for maintaining an active crusade in exterminating mosquitoes, and the local health authorities a more rigid enforcement of the sanitary ordinances.

Typhoid Fever.-There has been an increase of two in the number of deaths reported from typhoid fever as compared with last year's report, there having been 31 in 1910 and 33 in 1911. So far as is known, some of the physicians instruct the family, and attendants upon typhoid fever patients, how to institute and conduct prophylactic measures during the course of the disease; but there are others who take no precautions whatsoever. Only a very few citizens have availed themselves of the protection afforded by anti-typhoid vaccination, though this matter has been freely discussed in the local medical society, and occasionally referred to in the press. There remains much to be done in the way of educating the public along the lines of strictly preventable diseases such as those just enumerated.

Sewage Disposal.-The sewage system of Pensacola has been greatly extended during the past year, so that now the greater portion of the thickly inhabited sections enjoy modern sewage facilities. The city council has during the year attempted to pass a rigid milk inspection ordinance, but has not as yet completed this much needed legislation. The water supply of the city is, as heretofore, pumped from wells averaging about one hundred feet in depth. The water is very pleasing to the taste, limpid and "soft", and unusually free from organic contamination. The milk supply for the city is furnished by a number of individual dairies located out side of and contiguous to the city proper.

During 1911 there were 13 cases of diphtheria, with 1 death; 18 cases of scarlet fever, no deaths; 16 cases of pellagra, 8 deaths; 10 cases anterior poliomyelitis, no deaths; number of cases of measles unascertainable, with 4 deaths; number of cases of whooping cough unascertainable, with 8 deaths. There have been no cases either of hydrophobia or dengue.

It is not possible to state whether or not pellagra is on the increase, for until recently its diagnosis was overlooked often by the medical attendant.

My personal experience with anterior poliomyelitis, though quite limited, leads me to believe that it is not nearly so contagious as is generally believed. There has appeared only one case in the families having a number of children, none of the brothers or sisters

having contracted the disease, though no prophylactic precautions were observed in any of the cases.

There is no record of official inspections of localities in this county to be found in the office, hence no report can be made. I do not know of any medical lectures of a public nature given by local physicians or laymen, though the need of such methods of elucidating sanitary problems should appeal most strongly to every

one.

The Health Notes, and it can well be paraphrased, Help Notes, is doing a wonderfully effective work wherever it is read, and if it could be read in every home in the state, sanitary problems would be solved without difficulty. Let the mailing list be lengthened almost to the breaking point!

Such vital statistics as are furnished will be found under the report of the City of Pensacola.

There is no system of medical inspection in the public schools, either in the city or county (though such a system is greatly to be desired), due doubtless to the absence of any health organization. Without such an organization it cannot be expected that the public health literature, even if received, will find a way of reaching the average citizen. The newspaper seems to be the best medium for diffusing health knowledge among the people, and it is well that the editors are willing to publish such numerous articles upon these subjects. The moving pictures are also a valuable and a highly practicable means of presenting short, crisp and pungent paragraphs upon sanitary duties, and city ordinances, as thousands of citizens frequent these performances daily and read everything thrown upon the screen.

No. of smallpox patients admitted at Escambia County Isolation Hospital 27 No. of days 27 patients were in hospital

Grocery bills for above

307 -$54.31 17 cases 1 case

18

1 case 1 death

13 cases 1 death

Permits issued for the Transportation of Dead bodies

FRANKLIN COUNTY

B. B. Blount, M. D., Agent

In rendering my report on the health conditions of that portion of Franklin County under my supervision, I have the honor to state that the conditions prevailing during the year have been very good.

I have treated only one patient for hookworm disease during the year, but have not been able to get a subsequent report from the patient.

One death occurred from tuberculosis, and so far as I have been able to ascertain there is not another case of the disease in this vicinity.

No cases of smallpox have developed here during the year. We had one case late in 1910 which extended into 1911. This case was in a family, none of the members of which had ever been

vaccinated, but immediately upon the case developing, all other members of the family were vaccinated, and there was no further infection.

Malaria has been quite prevalent, and was of the bilious remittent type, but the prevalence was small compared with 1910. Absolutely nothing has been done to prevent the breeding of mosquitoes.

One case of typhoid fever occurred—in a patient recently removed here from a town in Georgia.

There have been no cases of diphtheria, scarlet fever, whooping cough, anterior poliomyelitis, dengue, hydrophobia or pellagra that have come to my knowledge.

There have been no official inspections of localities or schools in this vicinity (Carrabelle), nor have any health lectures been delivered.

So far as I have been able to ascertain, there is one family in Carrabelle that reads the Florida Health Notes and profits by its teachings. There are comparatively few here who read the papers (the dailies), and most of them are satisfied with the Blade and Ledger variety.

There are no health organizations here. The male population doesn't seem to take much interest in anything of a public nature, and the ladies have their time fully taken up in trying to raise the minister's salary.

GADSDEN COUNTY

G. W. Lamar, M. D., Agent

(No Report)

HAMILTON COUNTY

R. D. Tompkins, M. D., Agent

There has been no public health work done in Hamilton County this year, with the exception of that done by the Florida Health Notes. This publication has been of appreciable value. As for those who do not receive or do not read it, they have had to depend upon what their physicians teach them.

The diseases in the county for 1911 have not varied in general from previous years. There have been no epidemics of any severity except the usual malaria, hookworm disease, and a trifle more typhoid fever, I think.

HERNANDO COUNTY

W. H. Cox, M. D., Agent

During 1911 we have found eighty-three cases of hookworm disease and all have been treated. About ninety per cent. have yielded to treatment, which makes the average school child in Hernando County compare favorably with those of any county in which one travels.

Have had two cases of tuberculosis, both of which died soon after their arrival, having come here in the last stages of the disease. Smallpox prevailed last summer among the colored race, and while I am not able to give the exact number of cases, will risk the assertion that we had two hundred cases within the county without a single death.

In my opinion vaccination has so much modified smallpox that unless complications arise we need not fear danger. One negro woman rumored that her husband was killed.by vaccination, which aroused so much suspicion in her neighborhood that vaccination became too much of a bug-bear to be practical among those whom the rumor reached.

Malaria was prevalent in the fall. The exact number of cases cannot even be estimated as most of them were of so mild a type that the doctors were not called in, patients treating themselves with simple remedies. The conditions for the ultimate eradication of malaria in this county are being pushed with considerable zeal by the screening of homes and otherwise preventing the breeding of mosquitoes, and with the lessons taught by the State Board of Health, I am fully of the opinion that this disease will be unknown to the people of Florida ten years hence.

Four cases of typhoid fever have occurred, all sporadic. The conditions have not been sufficiently alarming to cause the necessity of vaccinating to prevent typhoid.

Have had only one case of diphtheria, and was not able to trace from whence came the bacillus.

Have had four cases of whooping cough, with good recoveries. Two cases of pellagra, one of which went back to the North lastsummer, and the other one is improving.

Being a small county and having been, until recently, very sparsely settled, Hernando County has been free from contagious diseases, but on account of the rapid increase of population, people