Peterborough-JOHN H. CUTLER, M. D.

Typhoid Fever.-Two cases, not fatal. Miss W. came down with the disease Sept. 10. She had suffered from thirst for some time, and being about home drank freely of water from the pump in house No. 2, diagram No. 1. It may be seen by reference that the water came from the well at house No. 1, where a sinkspout and slop-pool from back door had existed for years and were within about four feet of the well, besides the stable and privy were within contaminating distance. There was no call for an analysis of the water as the soakage was readily detected by any one not used to drinking it. Case marked, but recovery complete.

K-Sink in house No. 2. M

B—Privy. D—Well. E—Sink. F-Pump. I-Pipe from well to pump in house No. 2. J-Pump in house No. 2. Privy in house No. 2.

The second case occurred Sept. 2. By referring to diagram No. 2, it will be seen that the sink drainage passed from the sink on the east side of the kitchen, through an open spout passing directly under the floor and coming to the surface at the foot of the terrace on the west side some twenty feet from the house,

and there forming quite a large surface pool. The patient, Mr. F., being of a sensitive organization and having suffered several days with his stomach, fell an easy victim to the malaria from the drainage. The case was very marked, but made a perfect recovery.

A-Terrace in front of house.

B-Covered sink-drain in front yard. C-Open sink-drain under kitchen and dining-room. D-Pump from cistern to cellar. E-Sink. F-Cellarway. G-Drainage from sink.

Diphtheria. Several cases of diphtheritic sore throat in town, but none of genuine diphtheria. Had four cases of genuine diphtheria in Hancock under the following circumstances: Was called into the family of Mr. D., July 29, 1885, and found him and two daughters suffering from the sequel of diphtheria― the disease had been mistaken for tonsilitis. They were all suffering from extreme sore throat and general prostration, and in addition to the above the youngest daughter, thirteen years of age, was suffering from paralysis. She was unable to read at all and could scarcely see across the room. Mrs. D. was sick in bed, with throat extremely sore and covered with diphtheritic exuda

tion, and lungs much oppressed in upper part from which mucus was constantly thrown off. This state of affairs at once led me to an investigation of the sanitary condition of the premises. I found an unventilated cellar containing old boards, bins, and growing vegetables, and an unusually strong odor which was traced to the piggery and privy only ten feet distant, on rising ground, with the soil so porous that the stoning and earth to quite a depth in the bottom and side of the cellar were black with this saturation. (See diagram No. 3.) The well was only thirty-two feet from the piggery and privy, ground quite descending, and about eight feet from the house. The drainage from two sinks was conducted through a very loose and leaky spout between the well and the house. Two specimens of water taken from the well above mentioned at different times, and analyzed by myself and at the office of the state board of health, were proven to be unfit I ordered complete ventilation, fumigation with sulphur, and discontinuance of use of water. The disease proved fatal in the case of Mrs. D., but the others recovered and no new cases

A-Old well. B-Cistern. C-Sink in workroom. D-Privy. E-Piggery. F-Pig yard. G-Loose drain from two sinks. H-Well. I-Pump from which drinking-water was pumped from well. J-Sink in dining-room.

Peterborough-M. M. COLBY, M. D.

Typhoid Fever.-None observed.

Diphtheria.-One case, not fatal. Believe badly constructed vaults, drains, and cesspools, polluted water, and decomposing animal and vegetable matter are the most common sources of the disease.

Pittsfield-F. J. Aiken, m. d.

Typhoid Fever.-Two cases, neither fatal. polluted in both instances.

Drinking-water

Diphtheria. Three cases, one fatal. I think two cases were caused by allowing the waste water from the kitchen to accumulate near the dwelling.

Pittsfield-S. W. Young, m. d.

Typhoid Fever.-None observed.

Diphtheria. Two cases, not fatal. Polluted water may have been the cause in one case, bad drainage perhaps in the other.

Plaistow-EDMUND B. FRYE, M. D.

Typhoid Fever.-Two cases, one fatal. Polluted water in each

case.

Diphtheria.-None observed.

Plymouth-TRISTRAM ROGERS, M. D.

Typhoid Fever.-None observed.

Diphtheria.—None observed.

Plymouth-HAVEN PALMER, M. D.

Typhoid Fever.-One case, not fatal.

Attribute the cause of

the disease to sewage and decomposing vegetable matter.

Diphtheria.—None observed.

Plymouth-ENOS HUCKINS, M. D.

Typhoid Fever.-None observed.

Diphtheria.-Three cases, none fatal; two in Bridgewater, one in Campton. The case in Campton was contracted while teach

ing school in the district in Bridgewater, where the other two cases occurred. Could not assign any cause. The drainage was

apparently good.

Plymouth-CYRUS K. KELLEY, m. d.

Typhoid Fever.-Only one, and that not a typical case. Have no definite idea as to the cause.

Diphtheria.-Two light cases, recovered. Malaria is no doubt the most common source of the disease.

Portsmouth-JOHN JAMES BErry, m. d.

Typhoid Fever.-One case, recovered. Cause in this case unknown. Think the disease is usually due to a specific poison, under certain atmospheric conditions.

Diphtheria.-One case, not fatal. In my opinion the most common source of the disease is tonsilitis, when occurring in polluted air and surroundings unsanitary.

Portsmouth-J. W. PARSONS, M. D.

Typhoid Fever.-None observed.

Diphtheria.-Eight cases, one fatal from diphtheritic croup. In my opinion cold is the most common source of the disease.

Portsmouth-N. L. FOLSOM, M. D.

Typhoid Fever.-None observed.

Diphtheria. None observed. Think that taking cold alone is. often the cause of the disease.

Raymond-TRUE M. Gould, m. D.

Typhoid Fever.-Have seen none this season.

Diphtheria. Two cases, not fatal. Sanitary condition good. in the above cases. Think the disease is sometimes due to contagion, but more commonly to bad drainage, stagnant water, cesspools, etc.

Rindge-W. H. ALDRICH, M. D.

Typhoid Fever.-One case, recovered. I think there is no doubt that it was caused by well water contaminated by sink