ANNUAL REPORT 
OFTBE 
GEORGIA STATE BOARD OF HEALTH 
FOR 1918 
ATLANTA, GA 
ATLANTA, GA. B YRD PRINTING CO., State Printer~ . 
1910. 
 
 ANNUAL REPORT 
OF THE 
GEORGIA STATE BOARD OF HEALTH 
FOR 1918 
ATLANTA, GA 
ATLAXT,\, GA. I: rft[) PRINTIXG CO., Htate Printers, 
1919. 
 
 REPORT 
STA1'E BOARD OF HEALTH Atlanta, Ga. 
To the Governo1 and Members of the State Board of Health: 
Gentlemen: 
The year 1918 was an unusual year in health work. The heavy demands made on the medical profession by the War Department and the unusual epidemics occurring during the year have made it very hard indeed to carry on an'y particular line of work with any uegree of regularity. The first part of the year we had an epidemic of small-pox and cerebro spinal meningitis throughout the state, and had it not been for the generous financial aid of Governor Dorsey, we would not have been able to have given relief to communities where epidemics existed. As reported to you in my semi-annual report: The Governor acting on a resolution passed at a call meeting of the Board, -on February 28th., appropriated the money from his contingent funds to pay the expenses of this work. Dr. J. P. Bowdoin, of Adairsville, was secured as Epidemiologist, and visited thirty-four communities. The names of each community and the dates on which he visited them appear in the minutes of the semiannual meeting. 
VENEREAL DISEASE CONTROL. 
Early in the year there was a movement begun for a nation wide campaign against venereal diseases. The Surgeons General of the army, navy and Public Health Service requested the State Board of Health to institute a campaign in this state. The Surgeon General of the army made the discovery that venereal diseases were more prevalent in civilian 
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 communities than in the army. So the campaigi1 was planned that we might be able to send uninfected men to the camps and also protect them from becoming contamitated in the cities surrounding the various cantonments. This campaign was formally launched the first week in June with Dr. Bowdoin 
actively in charge and Dr. C. vV. Stiles, of the Public 
Health Service cooperating. "\Ve also had with us in this work J\Ir. J. P. Faulkner, of the Raoul Foundation and the Division of Tuberculosis of the State Board of Health. 
Dr. Bowdoin's report is submitted with my report ::mel gives an interesting account of the work done by that particular departmeut. 
The educational feature of this campaign has been one of the biggest pieces of work undertaken by this Board in many years. "\Ve have carried the message of clean living to between 85,000 and 90,000 people. The federal government has turned over to the State Board of Health $28,368.56 to be expended in this campaign by .July 1st, 1919. 
COMMUNICABLE DISEASES. 
At the beginning of the year we made an attempt at collecting morbidity reports. We realized that we would not get complete and accurate reports of all diseases, but I have been very much gratified at the results obtained. In the face of all the difficulties under which the medical profession was laboring during 1918 we had reported to this office a total of 45,056 diseases, the largest number of any one disease being Influenza; the next gonorrhoea and the next syphilis. Pneumonia, small-pox, mumps, measles, typhoid fever and tuberculosis were reported to this office fairly well. A tabulated report is attached, showing each disease in detail. 
The epidemic of Influenza which has swept the entire nation has been the worst knmvn to the present generation. It has taken a greater toll 
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 of human lives than any past epiuemic as far back as we have a history. We will never know how many succumbed to the discase in Georgia, but the death rate has been high. At the outset we felt that to get the disease reported ancl ho able to gi'I'C relief to the stricken communities would be our biggest work, for at that time no known methods of prenntion were effective. rrhe United States Public Health Service furnished funds for medical aid. The American Red Cross furnished musus, no Lloctors or llUl'Se being furnished to any community without a request first coming to tho State Boarc1 of Health. In this way we wore able to furnish some relief to every stricken community that called on us. we could not in every instance furnish as many doctors or nurses as requested, but no community was denied. Jn all there wore twentyfive doctors employed and sent to the following places: Thomaston, l\foleua, Brunswick, I~ton, Porterdale, LaGrange, Dalton, Coleman, Rome, Rising Fawn, Vienna, ]\[auk, Camilla, Omaha, Byromville, Covington, Fargo, Holen, Young Harris, Rockmart, Pinehurst, Statesboro, Hamilton, Eatonton, Newton, Augusta, Hoschton, Clermont, Monroe, Dunwoody, Griffin, ~letter, 'Winder, Gay, Athens, Crawfordville, Alpharetta, and white. 
Tl1e American Hod Cross sent nurses to the following places during the Influenza epidemic: Monroe, Hapeville, Covington, Snc.llville, Nacoochee, Cornelia, Porterdale, Helen, Aubrey, Brunswick, Lawrenceville, Eatonton, Columbus, Shady Dale, Trion, LaGrange, \Vest Point, Newton, Camilla, Social Circle, Byromville, Jackson, Calhoun, Moultrie, If'airmount, \Vaycross, Zebulon, McRae, and Washington. 
At the very begi11ning o'f the epidemic, in fact be fore the disease became epidemic in this State, we Rent our BacteriologiRt to tho GeorgiaNornal & Industrial College, at Milledgeville, where they were having an epidemic in the school, with a view to, if 
5 
 
 possible, isolating the Influenza bacillus, it being our intention if the Influenza bacillus was found to be causng the disease to prepare a vaccine for the people of the State. Bacteriologists were working on the definite theory that it was the Pfeiffer bacillus that was causing the disease in the present epidemic, but the experience of l\Ir. Sellers, our Bateriologist, was that of all othcJs-that the Pfeiffer bacillus was found in only a small percentage of the cases. Even today the Bacteriologists have not determined the exact organism causing Influenza, but they have dct0rmincd definitely the type of organisms that arc causing deaths following Influenza. Late in December, after considerable hesitation on our part, we began preparing for distribution to the people of the State a vaccine containing the strain of bacillus found in practically all cases where death occurred. This varcinc was not prepared as an Influenza prcvcntin or curative, hut with the hope that by using the vaccine we would prevent pneumonia following Influenza. \Ve have tried to be ,-cry guarded in any opinion or statement that we have given out from this office regarding the possibilities of this vaccine. "\Ve were just a little doubtful as to the reception it would meet with from the physicians of the State, hut we were very agreeably surprised in this feature, for our laboratory forces cannot he- 
gin to supply the demand for this vaccine. 
 
THE ELLIS HEALTH LAW. 
 
The heavy demands made by the War Department 
 
for medical men made it almost impossible to carry 
 
on the work of the Ellis Health Law in the various 
 
counties, only three counties having a Commis- 
 
sioner of Health under this law remained unaffected 
 
during the entire year, these three counties being 
 
Floyd, Troup and Thomas. In a great many in- 
 
.... 
 
. stances we made an attempt to keep the work going 
 
in many counties, but we had to use untrained men 
 
for the work and in many counties we made a mis- 
 
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 take by sending men who had little or no training to the counties to carry on this work. If it had not been for the United States Public Health Service lending us men the work would have disintegrated iu almost every county. In fact, in two or three counties the work has fallen through completely. I have come to the conclusion that the time is ripe for the State Board of Health to get aetively hehincl a movement to teach and train men for Health work in Georgia. 
I wish to call especial attention to tho work being dono in Troup and Floyd counties, (sec report attnchecl). This report shows the possibilities of this work where it is properly carried on. 
 
THE LABORATORIES. 
 
At the beginning of the year we abandoneu the manufacture of diptheria antitoxin in the Board of 
 
Health laboratories and began to purchase from a commercial house. The plan is working very satisfactorily-certainly it is more economical. 1'o manufacture this antitoxin in 1917 cost the State Board of Health something over $9,000.00, whereas in 1918 we have spent $2,729.50. 
At the beginning of the year we discontinued administering the antirabic treatment at the laboratories, allowing the family physicians to administer the treatment in all cases. We believe this is a wise move. 
The laboratories have done the usual routine work besides doing a groat deal of special work during 
 
epidemics. During the year a special Wassermann 
 
department was installed, which has proven very 
 
popular. The United States Government has paid 
 
the expenses of this department up to the present 
 
time. (See reports attached). 
 
 
 
APPROPRIATION AND LEGISLATION. 
At the last session of the legislature our appropriation was increased from $30,500.00 to $GO,OOO.OO. 
 
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 'l'his increase in appropriation will enable us to establish the Bureau of Vital Statistics awl enforce -the law passed in 1914 by the General Assembly. \Ve will also establish a Bureau of }1Jpidemiology with a full-time man in charg~e. Besides the increased appropriation, the legislature passccl the following legislation pertaining to this departmc11t: An Act to penalize those who solicit for the 1mrpose of prostitution, etc.; an Act relating to Venennl Diseases, to require the separating of cases thereof, to authorize the examination, treatment and isolation of persons infected therewith, etc.; an Act for the prevention of blimlness, to require certai11 duties of those in attendance at chil(lbirth, ntc.; an Act to amend Section 1677 of the Code of 1010; au Act to amend the Act ap}1l'OYCc1 August 17th., 1018, establishing and organizing a Sanitarium for the treatment of tuberculosis, etc. 
The logislasturc at its last session passed a hill taking the Tuberculosis Sanitarium :1t Alto from the  hands of the Board of Trustees a1H1 placing it in the hands of the State Board of Health. On an order from the Governor, I, as Secrdnry of tho State Board of Health, took formal charge of that institution on Soptcmller 3rd. After making a careful sur,ey of tho institution we fouw1 things in a rather dilapidated condition, tho details of which are sot forth in tho minutes of the call m0c:ting of the }Jxerutin Committee on Oeiohrr 3nl. AftPr presenting tho facts as contained in these minuteR to tlw Governor he called together his Budget and Financial Committee and m~u1e a visit to Alto and after making a thorough invostigntion for themselves recomme1Hled that wo spend a little over $8,000.00 for necded repairs. The main building, or infirmary, of the illstitution is being rcmocleled now. A new heating and refrigerating plant is being installed. The dining room and kif<:lwn arc lwing remon~d to tho basement of the Infirmary, thereby releasing 0110 half of 
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 tho building for tho care of patients. The shacks are being remodeled so as to make them comfortable during the 1vinte1. All of this work has not been completed, but is under course of construction now. Sec Reports. 
RAOUL FOUNDATION. 
At our annual meeting in January, 1918, we adopted the Raoul Foundation as a division of tuberculosis of the State Board of Health. Mr. J. P. Faulkner, as Executive head of this foundation, has been doing some splendid work throughout the state (sec attached report). 
At this point, I wish to express my appreciation to dl the assistants. working under me during the year. \Vo have had loyal and faithful service from every one. To Governor Dorsey I wish to express my appreciation for his interest in all work undertaken by this department throughout the year. I believe it was his keen interest and recommendations made to the legislature that helped to secure our increased appropriation. I wish to also express my appreciation to tho members of the State Board of Health for their support during the year. 
Respectfully submitted, T. F. ABERCROMBIE, Secretary. 
9 
 
 REPORT OF DIRECTOR OF DIVISION OF VENEREAL DISEASE CONTROL 
I beg to submit herewith a report on the work clone in V cncrcal Disease control by my department to elate. 
The V enercal Disease control work in Georgia was undertaken the first week in June. After a conference with Col. C. \V. Stiles, Mr. J.P . .B'aullmer, Dr. T. F. Abercrombie, Secretary of the State Board of Health and myself, we clcciclecl to district the state and work it out by sections. The most logical division \Vas that of Congressional Districts. We then selected one city in each of the divisions that we considered would be the most feasible to establish a clinic in for free treatment. rrhe writer then undertook to clo the advance publicity work in the cities agreed upon, and to systematize the work in each place to be visited. 
To do this, education, we decided was the foremost thing, and we went about it by enlisting the support of the people ancl especially the officials of the cities and counties. Wc decided that in each city we would go on Sunday and spend two days. Col. Stiles, Mr. Faulkner, and myself were to deliver lectures on Sundays. Two and three lectures being arranged at the leading churches for whites and. one on Sunday night for colored, endeavoring where possible to get all other congregations to attend these meetings, and call off the various meetings in the other 
churches. vVe met in every case hearty co-opera- 
tion from the ministers, and were given unlimited space in the newspapers. It was magnificent, and we owe a great debt to these two mecltums, the pulpit and the press. 
The following Monday morning we arranged for a visit to the hospitals of the cities to sec where, in 
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 ou"r opnuon was the best place to hold the clinic. 
Following this inspection we had a conference with the nurses at each place, asking their aid and cooperation also. Col. Stiles did splendid work along this line. In a great many instances we were met by the entire professional staff of the hosr)ital, or at least in each case by the leading physicians of the l1ospital. 
After this inspection an agreement among the local representatives was reached as to the best and most fesible plan for holding clinic. A meeting of the ministers of the city was next held. This was usually attended by all ministers regardless of denomination, ,Jew or Gentile, protestant and catholic, all joined with us. Here the Venereal Diseases were frankly discussed, and J\Ir. Faulkner put before them in a most forceful manner the tuberculosis problem. The meetings with the ministers were always great. 'l'his usually brought us up to about 11:00 A. M. 
The County :Medical Society had been arranged for next. The call had hccn issued and in every case we had remarkable attendance. At this meeting 15 or 20 minute talks were made by our men, and the meeting was brought to a climax by asking how many of the physicians and surgeons present would volunteer to attend the clinic and take their turn in treatment. when the vote was taken it was always unanimous. In a number of instances the local medical society had prepared a luncheon, and \Yo wore the guests. At the banquet board the conversation brought out many interesting and varied view points. This was interesting and very instructi\'e to us. 
About three o'clock in the afternoon \Vo arranged for a meeting of the County Commissioners who in our state is the only body of officials who can spend the county's money. The l\fayor, and City Council, the Chamber of Commerce, the Rotary Club, the lawyers, especially the County and City Attorney, 
11 
 
 ministers and, in fact, a roprosentatiYe body of all the Yariocl interests of the community, ami in some cases the women's organizations were present. 
The Mayor in most instances presided. The question at heart was splendidly put by Col. Stiles and Mr. Faulkner. :;\[any times speeches were made by other men present 1vho were interested. \Ve told them tho physicians had in their society meeting approyed the plan, and had yoluuteered to take charge of our clinic so far as professional service was concerned; that the State Board of Health \You1d do her part, and that the National GoYornnwnt would furnish free vVassermann and Arsphenamine, and asked for a committee of throe from each of the following bodies, to wit: ministers, physicians, City Couneil, County Commissioners and business men. This to constitute a committee of conference. \Ve usually made the statement that it would require a visiting nurse and in money about $2,500.00. 
After the committees, as abo,-c named, were appointed by the presiding offieer, we ca1lcd this committee of 15 to meet at 8:00 o'clock that night. At this meeting details wore 'Korkocl out, and we asked for an Executive Committee of three to have entire control of the work, the large committee not to be called upon unless the ExecutiYe Committee requested. This gave ns a small committee~ and one that was interested in the cause. \Ve found it workeel out very well. 
Six clinics arc running, two arc in comlition to open, one we have our doubts about and two of the c11stricts have not been visited. 
I estimate that in this work we have reached by one means and another between 25 aml 30 thousand people. Some of the andiances addressed, men and women, were as large as bvo thousand and over. One audience that I want to particularly call your attention to was one of one thonsan(l, two hundred school teachers that Col. Stiles talked to for an hour 
12 
 
 at Athens, Ga. This gospel of Venereal Disease control through this medium has filtered into many a county school this fall, and will continue to do so. This work is beyond estimating in its good. 
Immediately after the passage of the ChamberlinKahn Act, our State Legislature which was in session was waiteu upon, anu we succeedeu in having introduced the laws asked for by the U. S. Public Health Service. Dr. T. :B'. Abercrombie, Secretary of the Georgia State Board of Health, Mr. J. P. Faulkner of the Raoul :B'oundation for Tuberculosis, and myself, were in constant attendance until we got the bills out of the committees and passed. The only bill that we were not successful with was the reformatory bill. Vle hope to see this bill passed next summer. \Ve got the Vcnereal Bill, the '' Jitney Bus Bill," the Ophthalmia Neonatorum bill, the Age of Consent bill, the Tuberculosis Sanatorium bill, the .Medical Practice bill, the Insane Bill (changing method of commitment), and an increase of one hundred per cent for the State Board of Health appropriation. vVe found the Senate and House very responsive to our requests, and to each of the members who interested themselves for us we arc under lasting obligation. 
J<'ollowing this work we have taken up the question of reaching our young men. First, we have mailed out to each physician on the Draft J?oards of our State a syllabus and requested him to lecture each class that he examined for the army. r:l'his met a hearty response and every physician on the boards wrote me that it hacl been done. 
Then came the question of reaching all of Class 1 men in our draft, ancl we began by taking up this work with uajor Joel B. 1\I:allet and Major \V. C. Lyle, Adjutant of our State ancl Military Medical Aide to the Governor, respectively. They joined us heartily, as did Governor Hugh M. Dorsey. They a~reed to order the men to the County Seats for instruction. 
13 
 
 I took up personally with Col. Frank T. vVoodhury and Major Allen of Camp Gonion, asking them to supply me with men to deliver the lectures. r:l'hey said it could he done, and we had assigned to us from Camp Gordon seventeen physicians, as follows: Lieutenants Harry H. Patrie, Frederick H. Yates, Albert V. Crosby, Orion A. Grantham, l~rnest Gennell, Charles J. Barone, l\Iax Resincoff, John C. Kitchen, Seth B. Perry, Haskett L. Connor, \Vm. H. Hauck, Capt. C. L. Armstrong and Capt. F. B. Coats. 
Two from Camp wheeler, as follows: Capt. I. vV. Haughey and Chas. J. \Yatterson. 
Two from Camp Benning, as follows: Lieut. Richard Herrick and Lieut. James R. 1IcVey. 
Capt. J. J\L Anderson of Columbus. We had volunteers to aid us: l\Iajor \V. C. Lyle, :Medical Aide to Gonmor Dorsey, Doctors \V. F. McRae, E. P. )\[erritt, J\I. :D'. Haygood and J\Ir. J. P. ],aulkner, all of Atlanta. Major Allen of Camp Gordon organized his men into a class and each afternoon at four o'clock they were drilled in their work and each delivered the lecture in the presence of the class. They were fine, and the fact that they were men in uniform and sent out from the Camp had a wonderful amount of weight and impressed the people. This tour of the state opened on the 25th of 1'\ovemher and was practically closed on the 30th. \Ve talked face to face with 27,572 men of Class A. 1 and G. 5. \Vhere room in the auditorium could be had citizens were admitted; we do not know the number as we had no way to check. 
A detail of this itinerary is enclosed. rrhis itinerary was carried out without much variation. It was to he expected that with so many schedules and so many Local Boards, some errors would occur, but 
this was nil. I beg to mention that many times the lecturers had to make cross country trips and 
through rain, and in many counties over awful roads. 
14 
 
 In every case the lecture was received with enthusiasm and was highly appreciated. 
We did not find the ''Come Clean'' leaflets had been received in many instances, and where this was true we have been sending them out. 
At the same time this lecture program was on we had secured the moving picture film ''Fit to Wight'' and with special arrangements made with Local Boards, \Ve put this picture on in the larger places. The largest audience was in Atlanta, where it was seen by 6,750 draft men, with the ministers and physicians as our special guests. Governor Dorsey also attended this showing and gave it his endorsement. '!'his film has been shown in the following cities: Atlanta, Marietta, Cartersville, Rome, Carrollton, Augusta, Athens, Statesboro, Macon, Columbus, Americus, Dublin, \Vaynesboro, Monroe, Gainesville, Dahlonega and the State Technological School. 
It has been requested that it he shown again in Atlanta and Rome for men, and Atlanta for \Vomen. 
The total people seeing this picture in our state, the vast majority being draft n1en is 24,825. Mr. J. P. Faulkner has had charge of the lecture at most of the showings. He is a splendid type of man for this purpose; he delivers his message forcefully and in such a manner that it goes straight to the heart of his audience. 
Vl e arc having re11ucsts that this picture with a lecture be given to the people of our state. \Ve had request for this film to be shown to an audience of women only in the city of Atlanta, and this was done at the City Auditorium Saturday afternoon, December 21st. The day was very inclement, rain came down in sheets. The lecture was given by Miss 1\fary l\IcDermon, and it is estimated that 517 women s:1.w this picture. 
W c have prepared over 13,000 pieces of mail to go out from this office, two letters to physicians of 
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 the state, tho editors, tho druggist J ustico of Peace, judges, solicitors ancl others. This docs not include the letter mail in correspondence, but only special work, neither docs it include the printed pnmphlets received from \Vashington and distributed by this office. 
\Yo have visited the County J\[cdical Societies to some extent and three District Conventions, but not as thoroughly as should be dono \vhen time permits. This work should be carried on until each County Society in the state is visited. 
After a study of the clinic idea as we have been working on it, I am convinced that we will never make it a complete success. So far as the individual tmvn and immediate community is conccrne<l, it is all right. However, tho area that most of the disbicts cover is so large it is almost out of tho question to expect to roach the individual cases. The congressional, and consequently the venereal districts in our state arc as follows: 
J;-,irst has 12 counties, with 5,824 square miles. Second has 12 counties, with 5,126 square miles. rrhircl has 12 counties, with 5,015 square miles. Fourth has 10 eountics, with ::l,791 square miles. Fifth has f) counties, with 1,98:3 S<lnare miles. Sixth has 12 counties, with :-i,555 square miles. Seventh has 1:3 counties, with :3,990 square miles. FJighth has 1.") counties, with 4.fi:i8 square miles. Ninth has 18 counties, with 6,:149 square miles. Tenth has 12 counties, with 4,:307 square miles. F~l0vcnth has 17 counties, with 9,257 scp1are miles. Twelfth has 11 counties, with 6,201 square miles. 
The seventh, ninth and eleventh have geographical difficulties that almost entirely separate the district into entirely different parts. The seventh is cut across by the Lookout J\f ouutain range. It is almost impossible to reach Dade County, for instance, from Dalton, whitfield County, without go- 
16 
 
 ing to Chattmwoga, Tenn., and down on the west side of the range. rl'his is more true of the ninth district where the Blue Ridge euts it into halves from 
Soutlrwcst to l'\ ortheas t. Fmmiu county is as far 
remon~d from Hall as if it was in another state. The eleventh district has cutting into it the great Okcefcnokec Swamp, cutting in to three counties. This is an impcnctrnlllc swamp awl not ha1Jitable at all. 'I'his cuts off abont five counties. It is out of the question for people affected to reach a free clinic in these districts. 
In some of our districts we have located our clinic on the edge of the district heeausc we deemed it best for our army, as for instance, Augusta (Camp Hancock), Savannah (the shipbuihling port, Wt. Screven, besides many men located there), Brunswick, (shipbuilding and Picric Acid Plnnt), Columbus (Camp Benning and large factor;- population). \Ve think our reasons sound for the location of these clinics on the extreme edge of these districts, yet the very fact that they are there makes it very inconvenient for the vast majority of the district. 
\Vc haYe considered the question from these and all its angles ancl have come to the conclusion that we must give to each county easy and free access to treatment if \Ve accomplish the most good. \Vhy not let us work out the distribution of Arsphenamine jnst the same as we do the diphtheria antitoxin or the pasteur treatment for rabies? Send it on request to each T)h;rsicinn who makes npplieation for it and who will fill out the proper blanks. Or lun-e in each count;- one physician who \vill administer the remedies for syphilis for his county. Either of these plans will work out mHl rrach the infocted people better than the way we are trying to do it. 
I offer this idea for Your omncst consideration nll<l ~1m fnllv convinced that the eountY unit plan is 
more feasible ancl that the i1Hli \Tidual o~w is host. 
r_t'he vVassermann Laboratory nmler the direction 
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 of Prof. E. L. Webb has been doing splendid work. About one thousand examinations have been made since it was opened June 1st., this year. The physicians of the state arc just beginning to take advantage of the work done in this department. Prof. Webb by his painstaking care is fast gaining the confidence of the profession and we predict for this department rapid and study growtth. 
vVe have ordered 3,000 doses of Arsphenamine and 100 closes of Nco Arsphenamine for distribution. Of this amount we haYe sent out for the clinics to date 736 doses. A number of the clinics have a supply on hand and have not requested any from us. 
The above. Respectfully submitted, JoE P.BownmR, Surgeon (Reserve) 
 
LETTER SENT TO PRINCIPALS OF BOYS' SCHOOLS 
 
Dear Sir: 
 
Atlanta, Ga. Nov. 30, .1918. 
 
The State Board of Health has been able to secure 
 
from the National Government the moving picture 
 
"FIT TO FIGHT." This film has been shown to 
 
the cantonments of our Country and Allies. It deals 
 
with the social evil and drives home the awful truth. 
 
It is, of course, for boys over sixteen years of age. 
 
vVe have shown it for the past week in our State 
 
to Class 1 and 5 G. draft men in our largest cities. 
 
\:Ve have the use of it for a few days longer and 
 
take pleasure in offering it to your school. It is 
 
furnished without cost. You will be expected to 
 
furnish the auditorium, picture machine, operator, 
 
audience, and make all local arrangements. 
 
And immediate answer is necessary to secure it. 
 
-WHAT DO YOU SAY? 
 
- 
 
Yours very truly, 
 
SuRGEON. 
 
18 
 
 LETTER SENT TO ALL DRAFT BOARDS 
 
Atlanta, Ga., 20, Nov. 1918. 
 
Dear Doctor : 
 
Your Board will, or possibly has received orders 
 
from the Adjutant General's office to call all draft 
 
men in Class 1 to the County Seat. 
 
, 
 
The Surgeon General, through this office,, has 
 
ordered a man to your county to address the men on 
 
that particular day, at the hour mentioned by the 
 
Adjutant General in his call. Your Local Board will 
 
be expected to keep a record of the men who re- 
 
spond to this call, also the percent of Class 1 in 
 
county failing to attend. 
 
You have been sent a supply of l~aflets ''Come 
 
Clean,'' please sec that a copy IS given each man 
 
who answers this call. 
 
Yours, truly, 
 
JoE P. BowDOIN, 
 
Surgeon (Reserve) 
 
REPORT TO 
UNITED STATES PUBLIC HEALTH SERVICE 
The following report of venereal disease educational activities, by Dr. Joe P. Bowdoin, 1918, is submitted to the Bureau, covering statistics for all 
activities from July 1, through December :n, 1918: 
(1) Number of audiences to which the moving picture "Fit to Fight" has been shown, 23. Estimated average attendance, 1,292. 
(2) Number of lectures in addition to above delivered by you, 56. F}stimated everagc attendance, 315. 
(3) Number of lectures arranged by you and given by others, 96. JDstimated average attendance, 255. 
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 (4) Numl1er of pamphlets distributed: (Give number of each kind.) "Come Clean" ____________ 10,000 '' \Yhen They Come Home''_ 7,000 "Venereal Disease" _______ :1,000 "Keep in Fighting Trim"_ 500 ''The S\vorcl of Dmnocles '' _ GOO '' \Var on V cuereal Disease'' _2,000 "\Yar :Measure" __________ i300 "Georgia Law" ___________ 2,000 "Georgia Rules & Hcgulations 011 Prostitution" ____ 2,000 
(:5) Numhor of plac(:S in which venereal disease exhibits han: boon sho\\rn, 2:1. Estimate(l a \'Ol'agc attowlance, l 2!12. 
(G) Other educational actiYitios (Give figures where ever possible). 
Physicians of draft hoards han: ginm instructions to allnwn sent to camp. 
STATE OF GEORGIA. 
l\r1LLTTATtY Dr:rATtT:\Il~NT, ATLANTA. 
Bulletin, No. 102 
N owmlwr 20, 1!118. 
From :-Seloctin: Senice I-Iea(lquarters. To :-All Lo('al Boards. Subject :-Meeting of Class One Registrants. 
1. In view of the fact that the Boards of Instruction \vere not completely organized, and in view of of the fact that no more men \Vill be inducted into 
the armv,, ' the ProYost Marshal General has direeted 
that this plan be changed and the work be carried out as outlined belmv. 
(a) Boards of Tnstruction will not 1w required to perform any further duties. 
20 
 
 (b) This important work will be carried out in co-operation with the Bureau of Public Health Service. 
2. As important contribution to the public health and morale during the periocl of demobilization, the Provost ?\Iarshal General and the Surgeon General of the Army have directed that all Class One registrants be ordered to report at some convenient hall to be selected by your Local Board for the purpose of attending a lecture to be hold unclor the auspices of the Public Health Service at the time aml place specified in Paragraph G of this Bulletin. 
3. The speakers have heen selected; their schedules )wve been ananged, and the meeting nmst be called by you at the hour named below, and under direction of the Provost 1-.Iarshal General you will scud notices to every registrant who has been classified in Class One directing him to attend this meeting. These notices should be mailed to every registrant who ~was classified by your board in Class One and held for either general military service or limitell military sm-yice, or classified in remediable Group B and C and to all registrants who wore originally classified by your lward in Class One but who on physicial examination were classified in Class 5 G. 
4. Your Local Board will select the hall for this meeting and will order Class One Hegistrants and Class l,~ive G Registrants to attend this meeting; however, you should state in the notice that if tho registrant is not in the county on the day of the meeting, he ~will be excused from attending same but must report this fact to your board. It is suggested that these notices bema iled on the '' ~AJert Postcard'' or by any other conyenient means. 
5. \Ve wish to invite your attention to tho fact that the schedules of the speakers cannot lW\V be ehangcd; therefore, you will proceed to immec1intely 
21 
 
 send out these notices, and not request this office to change the date of your meeting since the Public Health Service cannot alter the schedules at this time. 
6.. THE SPEAKER SELECTED BY THE PUBLIC HEALTH SERVICE RESIRES THAT THE MEETING FOR YOUR LOCAL BOARD BEHELD AT .......................... IN THE CITY OF ............................. . 
7. The Provost Marshal General hereby directs: that you mail the remaining leaflets entitled "Come Clean'' and every questionaire yet to he mailed ami to turn over any such leaflets not so used to the speaker selected by the Public Health Service or disposed of same in accordance with his directions when he visits your board. 
8. It is requested that you show every courtesy possible to the speaker who will visit your board, and that you take the necessary steps to have a full attendance, and be prepared to report the number of men who attended this meeting. 
9. This meeting will be for men only. 10. Acknowledge receipt of this bulletin by wire. 
JoEL B. MALLRT, Major, Infantry, U. S. A. 
22 
 
 LECTURE PROGRAMES IN CONNECTION WITH VENEREAL DISEASE CAMPAIGN. 
 
LECTURER 
 
I 
 
COlTNTY 
 
I 
NO. PRESENT\ TOTAL 
 
COST 
 
No. MEETING 
 
-- 
 
I 
 
I 
 
-----~-- 
 
Lieut. George E. Sanders 
 
Houston Crawford Taylor Tolbert Macon Jones 
 
5..0.0 
 
I 
 
350 
 
300 
 
400 
 
6 
 
180 
 
1,730 
I 
 
-- 
 
----~ 
 
38.28 
 
no meeting 
-------- 
 
Lieut. Arthur H. Estabrook 
t-:l 
C.;> 
 
Whitfield 
 
145 
 
Catoosa 
 
15:\ 
 
Dade 
 
115 
 
Walker 
 
700 
 
Chattooga 
 
400 
 
Polk 
 
375 
 
Haralson 
 
7 __40_0 _& _7/G__ , 
 
----------- 
 
3,063 
 
L.L' I ' 
36.18 
----- 
 
Lieut. Haskett L. Conner 
 
Paulding Douglas Campbell 
 
2.2..5 
 
3 
 
350 
 
l t~ _!,( -- l 
 
j 
 
no meeting 
 
575 
 
31.95 
 
----- 
 
------ 
 
Dr. E. P. Merritt 
 
Tift Thomas Colquitt 
 
350 
3 1,5..0.0 
 
1,850 
 
20.00 
 
no meeting 
 
----.- ------ 
 
Capt. J. M. Anderson (Picture) 
 
Americus Macon Dublin 
 
700 
 
2,700 
 
3 
 
800 
 
4,200 
 
see other shee' 
 
 LECTURER Lieut. H. II. Patrie 
(Picture) 
Lieut. Ric hard Herrick 
,t..v... Licnt. Charles .J. Barone 
Licnt . .John C. Kitchen 
 
COUXTY 
 
:'\o. PRESEN"Ti 
 
I /~~ TOTAL 
 
_COST__ }!EE'riXG 
 
Spalding 
 
60lJ 
 
Fulton-Teck 
 
35lJ 
 
Lumpkin 
 
200 
 
Hall 
 
0 ,) 
 
200 
 
-------- ---- 
 
Stenart 
 
Randolph 
 
12-l 
 
Liberty 
 
68 
 
Quitman 
 
li7 
 
Tencll 
 
Lee 
 
223 
 
Bryan 
 
Liberty 
 
341 
 
Glnm 
 
52.) 
 
Mcintosh 
 
4.) 
 
Camden 
 
100 
 
\Yan1e 
 
200 
 
.Jeff Davis 
 
150 
 
! 
 
1,400 
-------1 
 
19.67 
 
,__________ 
 
no 111ect ings 
 
4SZ 
 
31.12 
 
no meeting 
 
1,361 
 
48.5:'i 
 
Doolev Crisp 
'Turner Ben Hill Irwin \Yilrox 
 
135 
 
200 
 
118 
 
(i 
 
1/5 
 
I 
 
1,171 
 
4G.GG 
 
 LECTURER 
 
Lirut. Seth B. Perry 
 
Lieut. \Ym. H. Hauck 
 
['.:; 
~-, 
 
Capt. C. L. Armstrong 
 
Lieut. A. V. Crosby 
 
Lieut. ::\Iax Rosincoff 
 
---------------~-- 
 
COCi'\TY 
 
::~ '\0 
 
l 
 
' 
 
R 
 
F 
 
: 8~h..: 
 
F_'. 
 
:~ \ 
 
m_l_ 
 
! II 
 
TOTAL 
 
- ---------- 
 
Lincoln Oglctlu.Jrpe ( 'Jarl;c 
l~llwrt 
::\Iac1ison Wilkes 
 
237 
 
i)()(J 
 
400 
... 
s;;o 
 
('' 
 
:2~3 
 
!.J,S:):? 1,787 
 
Cia don :F,a:~ctto 
Effing11a1n ~('rev en Jenkins 
 
25t:; 
 
21 
 
231J 
 
-------- 
 
11 4 
"'"___,._S_OC_J 
 
Charlton Clinch Eehols Coffee Baeon Piereo 
 
63 
 
GO 
 
48 
 
GOO 
 
69 
 
I 
 
(j 
 
154 
 
--------~ 
 
;:JOO 
f)];) 
90! 
 
1\'nrren 
 
I 
 
-oI-, ) 
 
Greeno 
 
2 
 
500 
 
) 
 
COST :27:?..1 
 
No. MEETIXG 
 
iHL3t) 
 
no meeting 
 
(j ,-;L., 
43.05 
 
no meeting 
 
::JJ.O l -LJ.OC 
 
 LECTURER Lieut. H. H. Patrie 
 
I COUNTY 
 
Xo. PRESENT~ 
 
I TOTAL 
 
COST 
 
-- 
 
I 
 
I 
 
White Butts 
 
170 
 
21 
 
160 
 
i 
 
I 
 
33(, 
 
I 
 
I 
 
I 
 
Lieut. F. H. Yates 
 
Rockdale Newton Jasper Oconee 
 
l'i8 
 
250 240 
 
:I 
 
4 
 
200 
 
I 
 
------ -- 
 
868 
 
25.05 
 
one not held 
 
Lieut. James R. McVey 
 
I 
 
Schley Webster 
 
Harris 
 
66 
 
i 
 
40 
 
I 
 
400 
 
! 
 
i 
 
~ 
0':> 
 
I 
 
------1 Merriwether 4 
 
456 
 
I 
 
I 964 
 
2!l.l7 
 
------------ 
 
Cherokee 
 
248 
 
. 
 
Pickens 
 
261 
 
Capt. F. B. Coats 
 
'I 
 
Gilmer Fannin 
 
160 
160 .f 
 
Murray 
 
5 
 
213 
 
! 
 
1,042 
 
3Ui0 
 
I 
 
---- 
 
23,579 
 
I 23,609 
 
550.65 
 
Lieut. Ernest Connell 
 
I 
 
Jacl<8on 
 
Banks 
 
I 
 
Franklin 
 
Hart 
 
I 
 
Stephens 
 
Haralson 
 
I 
 
Rabun 
 
~00 
 
110 
 
500 
 
:150 
 
17;) 
 
i 
 
175 
 
100 
 
I 
I I 
I I 
1,310 
 
33.78 
 
I 
 
 LECTURER 
 
--- - - - -~--- 
 
----- 
 
Lieut. Orin A. Grantham 
 
Capt. J. H. Anderson 
t-:l -l 
Capt. J. H. Anderson University of Georgia 
Mr. J. P. Faulkner 
 
COUNTY 
 
NO. PRESE:\''1 
 
I 
'_l_'V_l_..._""\..LI 
 
~------- 
 
-------- - --- 
 
- - - - - - - - - - 
 
.. 
 
Bleck ley 
 
315 
 
Pulaski 
 
400 
 
Dodgo 
 
600 
 
Telfair 
 
300 
 
Wheeler 
 
400 
 
::\umtgomery 
 
495 
 
Twiggs 
 
7 
 
300 
 
2,373 
 
I----- 
I 
 
Bullock Burke Fulton 
 
- - 
3 
 
----~~ 
650 400 1,000 
 
2,050 
 
----~-- 
 
Chatham 
 
\Vashington 
 
21 
 
--------- 
... 
... 
 
Athens 
 
I 
 
Cobb Bartow 
 
Floyd 
 
Fuiton 
 
Muscogee 
 
Tech 
 
Atlanta 
 
500 
 
-  -- 
 
300 
 
1,000 
 
650 
 
5,75V 
 
1,500 
 
600 
 
7 
 
300 
 
500 11,300 
 
I I 
 
COST 43.74 90.77 
96.37 
 
No. MEETING 
-~~----- 
 
----- 
 
no meetings 
 
-- 
 
- - - - 
 
---- 
 
 LECTUHER 
 
COC\TY 
 
XO PRE~~ ~'\1 TOTAL 
 
::\Iajor W. C. Lyle 
---"--"" 
Dr. F. W. McRae 
 
Augusta. 
 
Carrollton 
I 
~---~~-" - 
 
I 
""---~- 
 
Gwinnctt 
 
2 
-1 
 
Licnt. H. H. Patrie 
 
rtotne 
 
Hon1e 
 
I 
 
Y. :\f. C. A. Camp; 
 
Liberty Theatre 41 
 
----- 
~ CfJ 
Miss Mary ::\icDcarmon 
 
I 
1--~-----' 
 
Atlantll 
 
\Vomen 
 
1 
 
----------------- ---------- 
 
Lieut. C. J. \Va tterson 
 
Upson Monroe Pike Putnam 
 
3,COU 67.) 
564 
30\J 1,200 
'-10\) 
4,100 
517 
...~.Jll 
:;ou :oOIJ 
 
4, j ' " 3G-1 
 
I G,OOO 
 
I 
 
517 
 
850 
 
Dr. 11. F. Haygood 
 
Henry 
 
Milton 
 
Forsvth 
 
I 
 
Daw~on 
 
Lumpkin 
 
rnion 
 
Tmvns 
 
CiY!lians 
 
3/::> :!85 
 
80 
 
10() 
 
:2~0 
 
80 
 
~ 
 
5:00 
 
1- ('(~~ _r.,To. ::\iEETI';GS 
'-------- 
 
I 
 
13.G5 
 
I 831.2G 
 
I 
 
2G.15 
 
21,29 
 
 LECTl:HEH 
 
Lieut. \Y. Houghley 
 
- ---- 
 
---- 
 
To!itL-- ---------- ------------I 
 
COL:XTY 
Johm,on G la~to(ri: Baldwin 8tt!llcn t bod:: Citize:1s 
 
:'\0. PRESEXT TOTAL 
~05 
.)1. ;j:k: 
/.) 1..1/.J 
f\),.)17 
 
:-\0. PRESE~\T 
 
:l0.08 908.78 
 
2 not hel<l 
 
t-:; 
c 
 
 ITINERARY OF LECTURER A-1, STATIONED AT ATLANTA 
Lv. Atlanta, Ga. R. H. ................... :\ov 25th 7:23 A.M. Arr. Conyers (Rockdale County) .......... Nov. 25th 6:15 A.M. 
 
LECTURE AT CONYERS Lv. Conyers, Ga. R. R. .................... Nov 2Gth 4:::lO P.M. Arr. Covington (Xewton County) .......... XO\', 25th 4:5! P.M. 
LECTURE AT COVINGTON, NOV. 26. Lv. Covington, Ga. H. R. ................ Xov. 26th 1:26 P.M. Arr. Madison, (Morgan County) ........... Nov. 26th 2:16 P.M. 
 
LECTURE AT MADISON Lv. Madison, C. of G..................... Nov. 26th 5:2!) P.M. Arr. Monticello, (Jasper County) .......... Nov. 26th 6:46 P.M. 
 
LECTURE AT MONTICELLO, NOV. 27. 
Lv. Monticello, C. of G................... Nov. 27th 6:!G P.M. Arr. Watkinsville, (Oconee County) ........ K ov 27th 8:59 P.M. 
 
LECTURE AT WATKINSVILLE, NOV. 28. 
Lv. Watkins\ille, C. of G................. Nov. 28th 4:35 1:'. M. Arr. Madison, C. of G.................... ='iov. 28th 5:29 P.M. Lv. Madison, Ga. R. R. .................. Nov. 28th 5:42 P.M. Arr. Atlanta ............................. Kov. 28th 8:25 l'. M. 
 
ITINERARY OF LECTURER A-2, STATIONED AT ATLANTA 
Lv. Atlanta, Sou. R. R .................. Nov. 25th 6::l0 A. l\L Arr. Gainesville (Hall County) ........... Nov. 25th 9:20 A.M. 
 
LECTURE AT GAINESVILLE. 
Lv. Gainesville, G. M. RR. .............. Nov. 23th 3:30 P.l\L Arr. Jefferson (Jacl son County) .......... l\ov. 23th 5:50 P.l\1. 
 
LECTURE AT JEFFERSON, NOV. 26. 
Lv. Jefferson, G. M. R. R. .............. Nov. 2Gth 11:25 A. M. Arr. Gainesville, G. M. R. R ............. Nov. 2Gth 12:40 P.l\L Lv. Gainesville, Sou. R R .............. Nov. 26th 3:46 P.M. 
Arr. Lula (Banks County) ............... Nov. 26th 4:10P.M. 
 
LECTURE AT LULA, NOV. 27. 
Lv. Lula, Sou. R. R .................... Nov. 27th 5:47 P.M. Arr. Lavonia, Sou. R R ................ Nov. 27th 7:25 P.M. 
 
LECTURE AT CA:H.NESVILLE (FRANKLIN CO.) NOV. 28. 
Lv. Lavonia, Sou. R R. ................ Nov. 28th 12:10 P.M. Arr. Hartwell (Hart County) ............ Xov. 28th 12:58 P.M. 
 
LECTURE AT HARTWELL 
Lv. Hartwell, Sou. R. R. ................ Nov. 28th 2:15 P.M. Arr. Toccoa (Stephens County) .......... Xov. 28th 5:00P.M. 
 
LECTURE AT TOCCOA, NOV. 29. 
Lv. Toccoa, Sou. R. R. .................. Nov. 29th Arr. Cornelia, Sou. R. R. ................ Nov. 29th Lv. Cornelia, T. J<'. R. R. .............. Nov. 29th rrA. Clarksville (.tlabersham County) .... Nov. 29th 
 
2:15 P.M. 3:00 P.M. 
4:45 P.M. 5:18 P.M. 
 
30 
 
 LECTURE AT CLARKSVILLE, NOV. 30. Lv. Clarksville, T. F. R. R ............... Nov. 30th 10:56 A.M. 
Arr. Clayton (Rabun County) ............ Nov. 30th 12:40 P.M. 
 
LECTURE AT CLAYTON 
Lv. Clayton, T. F. R. R. ................ Nov. 30th 
Arr. Cornelia, T. F. R R. ................ ~ov. 30th 
Lv. Cornelia, Sou. R. R. ................ Nov. 30th 
Arr. Atlanta, Sou. R. R. ................ J'\ov. 30th 
 
3:19 P.M. 
5:18 P.M. 6:35 P.M. 9:00 P.M. 
 
ITINERARY OF LECTURER A-3, STATIONED 9T ATLANTA Lv. Atlanta, L. & N. . ................. Nov. 25th 7:20 A.M. Arr. Canton \'-'lterokec County) .......... Nov. 25th 9:19A.M. 
 
LECTURE AT CANTON Lv. Canton, L. & N ..................... Kov. 2;5th 5:39 P.M. Arr. Jasper (Pickens County) ............ Nov. 25th 6:43 P.M. 
 
LECTURE AT JASPER, NOV. 26. Lv. Jasper L. & N . .................... Nov. 2(ith G:43 P.M. Arr. Ellijay (Gilmer County) ............ Xov. 26th 7:31 P.M. 
LECTURE AT ELLIJAY, NOV. 27. Lv. Ellijay, L. & N. . ................... Nov. 27th 11:15 A. M. Arr. Blue Ridge (l<'am1in County) ........ Nov. 27th 11:59 A.M. 
LECTURE AT BLUE RIDGE Lv. Blue Ridge, L. & N .................;\;ov. 28th 6:00A.M. Arr. Atlanta, L. & N..................... Nov. 28th 10:35 A.M. Lv. Atlanta, N. C. & St. L . . . . . . . . . . . . . Xov. 29th 7:30 A.M. Arr. Chatsworth (Murray County) L;, & 1'\. Nov. 29th 11:32 A.M. 
 
LECTURE AT CHATSWORTH Lv. Chatsworth, L. & N . ................ Nov. 29th 3:20P.M. Arr. Atlanta, N. C. & St. L .............. Nov. 29th 7:15 P.M. 
 
ITINERARY OF LECTURER A-4, STATIONED AT ATLANTA 
Lv. Atlanta, N. C. & St. L . . . . . . . . . . . . . . Nov. 25th 7:30 A.M. Arr. Calhoun (Gordon County) ........... Xov, 25th 10:35 A.M. 
 
LECTURE AT CALHOUN 
Lv. Calhoun, X. C. & St. L . . . . . . . . . . . . . . . Nov. 25th 8:20 P.M. Arr. Dalton (Whitfield County) .......... Nov. 2:'ith 9:05 P.M. 
 
LECTURE AT DALTON, NOV. 26. 
Lv. Dalton, N.C. & St. L ............... Kov. 2Gth 11:17 A.M. Arr. Ringgold (Catoosa County) .......... Nov. 26th 11:48 A.M. 
 
LECTURE AT RINGGOLD 
Lv. Ringgold, K. C. & St. L. . ........... Nov. 26th 9:32 P.M. Arr. Chattanooga, N. C. & St. L ........... Nov. 26th 10:30 P.M. 
Lv. Chattanooga, N. C. & St. L . ........ Nov. 27th 7:10 A.M. Arr. Trenton (Dade toounty) ............ Nov. 27th 7:55 A.M. 
 
LECTURE AT TRENTON 
Lv. Trenton, A. G. S................... Nov. 27th Arr. Chattanooga, A. G. S............... Nov. 27th Lv. Chattannooga, C. of G............. Nov. 28th Arr. LaFayette (Walker County) ...... Nov. 28th 
 
8:45 P.M. 9:30 P.M. li:35 A.M. 7:47 A.M. 
 
31 
 
 LECTURE AT LAFAYETTE Lv. LaFayette, C. of G................. No\. ~Sth :i:OO P.M. Arr. Summen-illc (Chatto0ga C'o.) ....... )./ov. 21\th G::l8 P. ).1. 
LECTURE AT SUM-MERVILLE, NOV. 29. Lv. Summerville, C. of G................ Xov. 29th :):38 P.M. Arr. Cedartown (Polk County) .......... Xov. 2Hth 7:5 P.M. 
LECTURE AT CEDA.R'IOWN, NOV. 30. Lv. Cedartown, C. of G................. Xov. ilOth 10:;)0 lL ~f. An. Buchanan (Haralson County) ........ Nov. 30th 11:20 A.l\f. 
 
LECTURE AT BUCHANAN 
Lv. Buch:man, C. of G................... Dec. 1st 4:~() A.M. Arr. Bremen, C. of G. . .................. Dec. 1st ;_): 0~~ /L l\1. Lv. Bremen, Sou. R. H. . ................ Dec. 1st ;):35 A.M. Art. Atlanta, Sou. R. H. ................. Dee. 1st 7::> A.M. 
 
ITINERARY OF LECTURER A-5, STATIONED AT ATLANTA Lv. Atlanta, S. A. L ................... :\ov. ~iith H:1ll A.~L Arr. Dallas (Pauhling County) ........... Nov. 2;ith 9:15A.M. 
 
LECTURE AT DALLAS Lv. Dallas. Sou. R R .................. Nov. 2Gth 12:17 P.M. Arr. Austell, Sou. R. R. .................. Nov. 2Gth 12: ;)0 P.M. Lv. Austell, Sou. R. R .................. Nov. 25th 2:00 P.M. 
Lv. Douglasville, Sou. R. H. . . . . . . . . . . . . Nov. 25th H: :J:l P. M. 
 
LECTURE AT DOUGLASVILLE Lv. Douglasville, Sou. R. R ........... Xov. 25th H::l3 PP. M. Arr. Atlanta, Sou. H. R. . . . . . . . . . . . . . . . . . Xov. 25th 10:2fi P.M. Lv. Atlanta, A. & W. P . . . . . . . . . . . . . . . . . J'\ov. 2Gth 8:03 "A. J\1. 
Arr. Fai1burn (Campbell County) ........ Nov. 2Gth 8:56A.M. 
 
LECTURE AT I'AIRBURN Lv Fairburn, A. & W. P ................ Nov. 2Gth 1:3G P.M. Arr. Atlanta, A. & W. I'........... , ..... Xov. 2lith 2:0 P.l\L 
 
ITINERARY OF LECTURER A-6, STATIONED AT ATLANTA Lv. Atlanta, S. A. L. ................... Xov. 25th li:10 A.M. Arr. Winder (Barrow County) ............ Nov. 25th 9:20 A.M. 
 
LBCTURE AT WINDER Lv. winder, G. M ..H. H. .............. Nov. 2i)th Arr. Gainesville, G. M. R. R. .............. Nov 26th Arr. Gainesville, G. & N. \V............... Nov. 2Gth 
Arr. Cleveland (White County) .......... Nov. 25th 
 
2:22 P.M. 4:-10 P.M. 6:00 P.M. 
G:52 P.M. 
 
LECTURE AT CLEVELAND, NOV. 26. Lv. Cleveland, G. & N. W ............... Nov. 2Gth Arr. Gainesville, G. & X. W ............. Nov 2Gth Lv. Gainesville, Sou. R. H. .............. Nov. 2Gth Arr. Atlanta, Sou. ~t. R. .................. Nov. 26th Lv. Atlanta, Sou. H. R. ................ Nov. 27th 
Arr. Jackson (Butts County ............. Nov. 27 
 
3:34 P.M. 5:00 P.M. 
5:15 r. M. 
G:50 P.M. 7:60A.M. H:25 A.M. 
 
LECTURE AT JACKSON ITINERARY FOR LECTURE B-1, STATIONED AT M-ACON 
Lv. Maeon, C. of G..................... Nov. 2Gtht 1:00 P.M. Arr. Perry (IIouRtou County) ............ Nov. 2iith G:5G P. J\<L 
 
:52 
 
 LECTURE AT PERRY, NOV. 26th 
J,,.. !'en~, C. of G. . ................... ::\ O\'. :?tit 11 An. Ft. \'alle.v, C'. of G................. :\'o\'. :?lith Lv. Ft. \'alley, Sou. l{. H. .............. :\o,. :?/th An. Hoberta (Crawford County) ........ :\o,. 27th 
 
7:13 P. :M. 
K:O.) I'. 2\I. 
G::30 A. Jl.f. 
7: ].) A. 2\I. 
 
LECTURE AT ROBER'I'A 
Lv. Hol>0rta, Sou. R. H. ................ XoY. ~lth AlT. Ft. Yalle;, Sou. R G................. :\'ov. ::!7th L' Ft. \'aile;, C. of G................ -~'"" 28th l\1'1'. Dutlcr (Taylor County) ............ Xov. 28th 
 
8:11 l'. 2\I. ~): ~.) P. 2\I. 1: .)0 P. 11. 
~ ::ri P. l\I. 
 
LECTURE AT BUTLER ],v. Dutler, C. of G..................... Xov. 2!lth AlT. Pns<hal, C. of G................... Nov. 2!lth Lv. l'asehal, Talbotton H. lL ............ :\'o\'. 2!lth Arr. Talllotton (l'albot C'l'llllt:) .......... Xo,. 29th 
 
cl:28 A. l\1. -:3.3 A. 1\1. 
 
LECTURE A'l' TALBOTTON J,v, TalLotton, A. B. & A ............... 1\o,. 2\lth 10:-18 A. l\1. Arr. Ogletorpc (l\1acou County) .......... Xov. 20th 12::?0 P.J\1. 
 
LECTURE AT OGLETHORPE Lv. Oglcthorpe, C. of G................. Xov. 29th 
An. Macon, C. of G..................... Xo,. 2\lth Lv. l\laeon, C. of G..................... Xo,. 30th Arr. Gray (Jonl'S Count;) ............... :'\ov. ~Otlt 
 
2:~8 P. 2\I. 
+:.'i:i P.l\I. /::1.> A.l\1. 8:17 A.l\I. 
 
LEC'I'URE AT GF"AY Lv. Gra:v, C. of G....................... Xov. :lOth 7:[):1 P. 1\f. Arr. l\Iaeon, C. of G..................... i\o,..'lOth 8:-0 P. 11. 
 
ITINERARY OF I ..ECTURER B-2, STATIONED AT MACON L\', l\laeon, G. 8. & 1................... No,. 2.)(h 11:20 A.M. Arr. Vienna (nook~ Count.v) ............ :'\o\', 2:'itlt 1 :19 P. l\1. 
 
I,EC'rURE AT VIENNA Lv. Viemta, G. 8. & F .................. So,. 2.)tlt ;):07 P.::VL Arr. Con1de (CriRp County) ............ ~ov. 2.ith G:30 P.::\L 
 
LECTURE AT CORDEI.E, NOV. 26. Lv. Cordele, G. S. & F .................. :'\ov. 2fith 2:00 P.l\L Al'l'. Ashlmrn, ('rurnn County) .......... Nuv. 2fith 2:42 P.JVL 
 
LECTURE AT ASHBURN Lv. AP.hhnrn, G. 8. & V . ............... ="ov. 2fith Arr. Tifton, G. S. & F ................... J\ov. 2Gth 
J,v, Tifton, A. C. L ..................... :'\ov. :?l'th Arr. S~hester CWorth Count:>) .......... Xov. 2Gth 
 
7:21 P.M. 8:00 P.M. 8: f.) P. l\L D::::G P. l\1. 
 
LECTURE AT SYLVESTER, NOV. 27. Lv. 8ylvcste1, A. C. L................... Nov. 27th Arr. Tifton, A. C. L ..................... Xov. 27th Lv. Tifton, G. 8. & 1"................... Kov. 27th An. J<'itzgemlc1 (Ben Hill County) ........ Xov. 27th 
 
2 :i:i P.M. il ::30 P. ~L 
R:4:) P.l\L 
9:GO P.M. 
 
LECTURE AT FITZGERALD, NOV. 28. Lv. 1'itzgeralc1, 8. A. L................. Nov. 20th 10:0!i A.M. Arr. Ocilla (Irwin County) .............. Nov. 29th 10:.13 A.l\1. 
 
 LECTURE AT OCILLA 
Lv. Ocilla, .~. A. L. .................... N oY. :2!lth ;):00 P.M. Arr. Aulwl'illc (Wileox Count:) .......... Xo\. 2flth G:L3 P.M. 
 
LECTURE AT ABBEVILLE, NOV. 30. 
Lv. Abbc,illc, S. A. h .................. Nov. 30th l~::? P.M. Arr. Cordele, f'l. A. L ..................... Xo\. :lOth i ::iO P. J\L Lv. Cordele, G. S. L. F . . . . . . . . . . . . . . . . . . . :\ov. clOth ~:10 P. ~L Arr. :'l.facon, G. S. & 1<'.................. XcJ\. :JOth ~::?:J l'.~f. 
 
ITINERARY OF LECTUE,ER B-3, STATIONED AT MACON 
LY. :\!neon, Son. n. H. .................. :\oY. 2.1th 10:.)0 A. J\1. 
Arr. Cochran (Bleddc,, County) .......... XoY. 2:Jth 1~:1!J P.i\I. 
 
LECTURE A'l' COCh~.AN 
Lv. Cochran, Sou. H. H. ................ 1\o\. 2-ith ;):~0 P.J\L Arr. Hnwkins\illc (Pulaski Cr>nnty) ...... :-,o,. 20th fi:10 1'. J\1. 
 
LECTURE AT HAWEINSVILIJE, NOV. 26. 
Lv. Hawkius\illc, Son. H. R. ............ XoY ::'(ith 11 ::10 A.M. Arr. Eashnau (Doclgc County) ............ XoY. ~Gth 1:2 ..>7 1'. M. 
 
LECTURE AT EASTMAN 
Lv. Ens1mnn, Sou. H. H ................. Xo,. 2Gtlt G:1.> P.l\L Arr. McRae (Telfnir Count:>) ............ ::\o\. 2Gth fi:;):J P.M. 
 
LECTURE AT McRAE, NOV. 27. 
Lv. MrHnc, Ron. R. H. ................ ::\o,. :~7th 11:;)fl P.l\f. An. Ilelenn, Sou. H. R .................. ?\en. 2Sth 12:0;) A.M. 
Lv. Helena, R. A. L. .................... ?\ov. 2Sth -t:::o A.M. 
Arr. Alamo (Whcelrr Count;) ............ Ncl\'. 2Rth :C,t A.M. 
 
LECTURE AT ALAMO 
Lv. Alamo, S. A. L ..................... Xcn. 2Hth -t:-19 P.M. An. Mt. Yernon pTontgomcr." Count,v) .. ="o,. 28th 0:2:1 P.M. 
 
LECTURE AT MT. VERNON, NOV. 29. 
Lv. :vrt. Yernon, S. A. L . . . . . . . . . . . . . . . . . Xov. :lOth Arr. Vidalia, S. A. r~ ................... Nov. :lOth 
Lv. Vic1alia, l\f. D. & S................. Xo\'. :lOth 
Arr. .Tcffrrsonvillc (Twiggs County) ...... Xov. :lOth 
 
;):20 A.M. A. l\f. 
():0;) A. ::VL S:.)2 A.M. 
 
LECTURE AT JEFFERSONVILLE Lv. .Tcffcl'sonville, M. D. & 8 ........... Xo,. ilOtll fl:1.) P.M. 
Al'l'. Maron, l\L n. & S................... Kov. :lOth 10:2;) P. :vr. 
 
ITINERARY 01' JJECTURER B-4, STATIONED AT MACON Lv. Maeon, C. of G ..................... Xo,. 2->th 11 :GO A.M. Arr. l\frint:rc, C. of G................... Nov. 2;:lth 12:ii.) P.l\L 
 
LECTURE AT IRWINGTON (WILKINSON COUNTY) Lv. Mc.Intyre, C. of G ................. Xov. 2:)th ():21 P. l\L Arr. Tcnnillr, C. of G..................... Nov. 2;}th 7:22 P.l\L Lv. Tennille, C. of G................... Nov. 2Gth 7:2~ P. l\f. Arr. Wrightsville (.Johnson Count;) ...... NO\'. 2Gtll 8::15 A.M. 
 
 LECTURE AT WRIGHTSVILLE 
Lv. WrightsYillc, W. & T ............... Nov. 26th 
Arr. Tennille, IV. & 'l'. . . . . . . . . . . . . . . . . . . X ov. 26th L,, Tennille, C. of G................... Nov. 2Gth Arr. Wadley, C. of G................... Xov. 2fith L'' Wailky, h & IV................... Xov. 27th Arr. Louisville (.feffcrson County) ........ Xo\. 27th 
 
G:55 P.M. 
6:45 I'.1I. 8:22 P.M. 8: 17 P. l\1. 7:00 A.M. 7:-10A.M. 
 
LECTURE AT LOUISVILLE 
Lv. J,ouis,illc, L. & IV.................. Nov. 27th 4:30 P.M. Arr. 1\'ncllcy, h &. IV................... 1'\ov. 27th ii:OO P.M. Lv. \Vac1lc~, C. of G. . . . . . . . . . . . . . . . . . . No,. 27th 11 :30 P. J\1. Arr. Tennille, C. of G................... Xov. 28th 12:28 A.M. LY. 'l'cnnille, Aug. f-lon ................. NoY. 28th G::W A. J\1. Arr. Gib~on (Glaseock County) .......... Nov. 28th 7:05 A.M. 
 
LECTURE AT GIBSON 
Lv. Gillson, Aug. Sou.................... Xov. 28th 7:2G P.M. Arr. Tennille, Aug. Hem. . ............... ::'\ov. 28th D: 1'0 1'. M. Lv. Tennille, C. of G................... Xov. 20th 12:2R A.::\1. Arr. Macon, C. of G..................... No,. 20th 2:30 A.M. Lv. l\laeon, C. of G..................... Nov. 30th G:23 A.M. Arr. 111illcc1gevillc (Baldwin Count:) ...... Nov. :lOth 7 :ii7 A.l\I. 
 
I.,ECTURE AT MILLEDGEVILLE Lv. J\Iilhdge,illP, C. of G.............. :Nov. :iOth 8:03 P.M. Arr. Macon, C. of G ..................... Xov. :lOth D:GO P.M. 
 
ITINERARY OF LECTURER B5, STATIONED AT MACON Lv. Macon, C. of G..................... Nov. 23th 7:30 A.M. Arr. Fors:th (Monroe County) ........... Xov. 2:ith 8:19 A.l\L 
 
LECTURE AT FORSYTH Lv. J'ors:dh, C. of of G................. Nov. 2tith 5::i+ P. l\f. Arr. 'l'hom:1ston (Upson County) .......... Nov. 2i5th 7:20P.M. 
 
LECTURE AT THOMASTON, NOV. 26. Lv. Thomaston, C. of G. . ............... X ov. 26th Arr. Topel<a ,Tnnetinon, C. of G........... ::'\ov. 2Gth Lv. Topeka .Junction, Sou. R. R ......... Nov. 26th 
Arr. Zebulon (Pike County) ............. Nov.' 2Gth 
 
7:4:3 A.l\L 8:12 A.M. 8:12 A.M. 
8:H A.M. 
 
I,ECTURE AT ZEBULON Lv. Zrlmlon, Son. R R ................. Xov. 27th 7:22 P.M. Arr. Ft. \'alley, Sou. R R .............. Nov. 27th 9:2:) P.M. Lv. Ft. \'alley, C. of G................. Xov. 28th 12:15 A.l\I. Arr. J\fnlon, C. of G..................... Xov. 2Rth 1:19 A.M. Lv. J'vl:1eon, C. of G..................... Nov. 28th 6:25 A.M. Arr. E~touton (Putnam Count;) .......... 1{ov. 2Rth 9:00 A.M. 
 
LECTURE AT EATONTON Lv. Eatonton, C. of G................... ~,ov. 2Rth 7:07 P.M. Arr. -:\fa eon, C. of G..................... Xov. 28th 9:50 P.M. 
 
ITINEF,ARY OF LECTURER 6-1, STATIONED AT COLUMBUS Lv. Columbus (J\ln~eogce Count;) S. A. L. Nov. 2iith !):GO A.M. 
Arr. Cn"'cta (Chattahoochee Co.) S. A. L. Nov. 2::Jth 10:34 A.M. 
 
35 
 
 LECTURE AT CUSSETA L\~. Cusseta, S~ A. L~ ~ .................. I\o,. 2.)th 2::l0 P.M. An~ Lumpkin (Htewart Count:v) S. A~ L~ .. :\ 01~. 2.)th 4:~9 P. ilL 
 
LECTURE AT LUMPKIN, NOV. 26 LY. Lnmpkin, R. "\. L . . . . ~ ~. ~ ~ .. ~ ~. ~ ... ~Xo\~ 2\ith lG:ilS A~ ~f. LY. Richland, G. F. & A~ . ~ ....... ~ ~ ... NoY. 26th 4:20 P.M.. L'~ Tiichmonc1, S. A~ L . . . . ~ ~ ~ .. ~ ~. ~ ~ ... :\o\'. 2fith 4:20 P. ~1. 
Arr. Cuth1wrt (Hal1(1olph C'onnt.v .. ~. ~. ~ .. Xov. 2lith :>::oo P. _:~.r. 
 
LECTURE AT CUTHBERT, NOV. 27 
L\~. Cuthi1Nt, C. of G. ~~~~~~~Xo\. 2~th Arr~ Pt~ Gaines (Clay County) ~="ov. 28th 
 
7:-l:l A~:i\1. 8:4;'! A.11. 
 
1-ECTURE AT FT. GAINES Lv. Ft. Gaines, C. of G.................. Nrn. 28th Arr~ Cntll1Jcrt, C. of G. . ............... Xo1. 28th L' CllthhNt, C. of G................... '\o1. 29th Arr. Georgetown (C~nitman Count:) ...... Xov. 29th 
 
(i:C:) P.M. 
7:0;) I'."\f. 7::\:-~ P.:i\L 
8:2:! A.M. 
 
LECTURE AT GEORGETOWN L\. Georgetown, C. of G. . . . . . . . . . . . . . . . :\o1. 2flt h 11: 17 "\. M. Arr. Dawson (Terrell Count;v) .......... Nov. 29th 1:2:G7 I' . .:\L 
 
LECTURE AT DAWSON Lv. Dawson, C'. of G. . . . . . . . . . . . . . . . . . . Xo,~. 20th 9:~0 P. 1\f. Arr. Smitlnille, C. of G................. Xo\. 20th 10:00 P.M. Lv. f=hnitllYillc, C. of G ................. ::\oY. ;;Oth (i:l.) A. :\L Arr. Leesburg (Lee County) ............ 1\o1. 30th G:l3 A. H. 
LECTURE AT LEESBURG Lv. LecHhnrg, C. of Ga. . ............... ;.:01. :lOth 12: ;)0 P. 1\f. Arr. Columbus, C.of Ga................. Xov. :lOth 7: l:J 1'.::\L 
ITINERARY OF LECTURER C-2, STATIONED AT COLUMBUS Lv. Colmnlms, C. of G................... Xov. 2Gtlt 7:1:) A.M. Arr. Buena Vista (Marion County) ...... 1\ov. 25th !J:;)Q A.M. 
 
LECTUR.E AT BUENA VISTA Lv. Buena Vista, C. of Ga ............... :"Jov. 2;)t!t ;):-Jl P.M. Arr. Ellaville (Seith',\' County) .......... No,. 2:>th G:2:3 P. J\1. 
LECTURE AT ELLAVILLE, NOV. 26 Lv. Ellaville, C. of G ................... 1\ov. 2fith 10:G.-; A.M. Arr. AmC'ricus, C. of G................... X ov. 2fith 11:~;) A.M. Lv. Amnicns, S. A. L ................... 1\ov. 2oth i\:0~ P.M. Arr. Preston ('Webster Connt.v) .......... 1\ov. 20th 3:48 P.M. 
LECTURE AT PRESTON, NOV. 27 
Lv. Preston, R. A. L .................... Xov. 27th :l:+R P.M. Arr. Colmnlllls, S. A. L ................... Xov. 27th :J:~O P. J\f.. LY. Colnmlms, C. of G................. Nov. 28th 6:-10 A.M. Arr. HDmilton (Jln-ris County) .......... Xov. 21\th 7:32 A.M. 
LECTURE AT HAMILTON L\", Hamilton, C. of G................... :"Jov. 2Sth ::l:OS P.M. Arr. Greenville (Meriwether Count;) .... Xov. 28th 4:0G P.M. 
 
36 
 
 LECTURE AT GREENVIlLE, NOV. 29. T,,-. Gn'c'n\i11e, C. of G. . . . . . . . . . . . . . . . . ~o,. 2\lth G:20 1'. 1\f. ,\rr. C'o1mn!Jlls, C. of (~ . . . . . . . . . . . . . . . . . . Xnv. 2~th H:JO 1'. M. 
I'I'INERARY OF LECTURER D-1, STATIONED AT AUGUSTA 
r_.,~. _.\ugust:~, 0!1. T~. n................. :'\ov. ~;}th n:;;.) A.l\1. 
AlT. Thom~~on (:\I<lluffil' Count~-) ........ Xov. 2.)tlt ll:~O A.J\1. 
 
LEG'IURE AT THOMSON 
L\'. T110lWWll, G~. 1:. n................. :\o\'. 2:ith 11: 1~ A.l\I. 
,\rr. llarlem, C<a. H. H................... Xov. :!;)th 11 :-+:l .\. l\1. 
I.ECTURE AT 1~PPI.INS (COLUMBIA COUNTY) 
L\'. 1Iar!Pnl, Cn. H. n................... -:'\oY. :2.)th n::\7 P. -:\1. 
Arr. \V~ilTt>n~on (\Y~nrt'n C'ou11t.') . . . . . . . . ~o'.. ~.ltlt H:l~ P.?\1. 
L-ECTURE AT' WAI'-RENTON, NOV. 27. r,,-. 1\'nlTP:tPn, (:n. 1{. ii. .............. ~o\. :?lith 8:1:? 1'. M. ,\n. Rparta (ll>u"o"k ('<lltll!y) .......... :\o,. :!(ith S:.):l P.M. 
lEC"'lF;E AT SPARTA, NOV. 27. L,-. Rp1rtn, c;a. H. H . . . . . . . . . . . . . . . . . . . :\ov. :?Sth 1:1!1 A. C\L ,\n. Cin'l'll:J>C>ro (Cnc'IH' ('>nnty) ........ :\cl\'. 2Hth 10:1 A.M. 
I-TICTURE AT GREENSBORO 
LY. (hC'Cllf-:1)01'0_. Ca. H. n. . ............. :\r ()\r. :?Sth G:.+O P.l\1. 
~\rr. Crnidorchil1e (Tnlinfcno Count;~) .. Kov. ::21-\th 7:H P. 1\I. 
 
LECTURE A'r CR,AWFORDVILLE, NOV. 29 L\'. Cri!Wforc1iill<', Gn. TI. ~:, ............ Xo\. :?!Jth 7:1+ P.M. An. ~\n~~usta, Gn. H. R . . . . . . . . . . . . . . . . . . XoY. ~nth H:iiO P. J\1. 
 
ITINERARY OF LECTURER. D-2, STATIONED AT AUGUSTA 1,,-. 1\n~u~hl. G:t. H. H. . . . . . . . . . . . . . . . . ~o,. 2.ith fi:.i.) A.l\f. An. \V~shington C'\Yi1kes Count;) ........ XO\. ~Gth 11::\.) A. :\1. 
 
LECTURE AT WASBINGTON ALSO AT LINCOLNTON (J.INCOI,N COUNTY) 
IN. 11\nshingtol', Gn. H. ll. .............. 0:o\'. ~fith 8:0:J A.M. 
An. LcxiHton (Og-letlllll'Pl' Cmmt.i) ...... 1\o\', 2f'th 11 ::L) A.M. 
 
I~ECTURE AT lEXINGTON L\r. Lcxh1p;ton, Ga. TI. H................. XoY. :2(lth ~:.);) P.1tf. An. ,\then~, (Clarke Conn1y) ............ "\ov. :!f'th 8:.+0 P.M. 
 
LECTURE AT ATHENS, NOV. 27. Lv. AtlHns, S. A. L . . . . . . . . . . . . . . . . . . . . . :\cl\ 27th :1 ::l:l P. 1\1. An. l:lherton (l~ilwrt Count;) .......... SO\-. 21th <cl::iG P.l\f. 
 
LECTURE AT EI BEETON, NOV. 23. L,-. E1hel'ton. R. A. L ................... Xo,-. 2flth ;, >iO A.M. 1\rr. Cnmt'r, 8. A. L. . . . . . . . . . . . . . . . . . . . . Xo,. :?!lt h 8 :2-i ,\. :\I. 
 
J.-:SC'I'URI: AT DANIEJ"SVIH.E (MADI20N CO.) 
Lv. \'om,'r, R. .\. h .................... -:;n,-. 2Dth (i:.)1 P.M. 
 
An. ,\tltl'ilc. 8 . .\. f, ..................... T\o,-. 2!lth 7::?1 P. l\1. 
 
r,,.. ,\till ll', On. H. Tt . . . . . . . . . . . . . . . . . . . ~o,-. :\lith 7:~0 A. C\L 
 
An. ~\11gmdn, Ga. R. 1(. 
 
............ :\ov. 30th l2::JO P.M. 
 
37 
 
 ITINERARY OF LECTURER E-1; STATIONED AT SAVANNAH 
Lv. Sav:lllnah, A. C. L. ................ Nov. 2Gth !):30 A.M. Arr. Ways (Bryan County) .............. Nov. 25th 10:20 A.M. 
 
LECTUKE AT CLYDE 
Lv. \Vays, A. C. L . . . . . . . . . . . . . . . . . . . . . . Kcl\. 2:ith 2 :fiH P. M. Arr. Mcintosh (Liberty County) .......... Xov. 23th 3:~0 I'. M. 
 
LECTURE AT HINESVILLE 
 
Lv. Me Intosh, A. C. L .................. ~ov. 2iith Arr. Jesup .............................. Xov. 2Gth 
Lv. .Jesup, Southern llw.' . . . . . . . . . . . . . . -:\' o\. 2fith Arr. Brunswick, G. C. & P ............... Nov. 26th 
 
7:G+ P.M. S:GO I'. M. 
fi::iO A.M. 6:00 P.M. 
 
LECTURE AT BRUNSWICK 
Lv. Brunswirk, G. C. & P ............... Xov. 2Cth 12:-Li l'. M. Arr. Darien (::\fdutosh County) .......... Nov. 20th l::lO I'. M. 
LECTURE AT DARIEN 
Lv. Darien, G. C. & l'................. Nov. 20th 4:10P.M. Arr. Brunswick, G. C. & 1' . .................... Nov. 2flth fi:OO Lv. Brunswiek, A. 13. & A ............... Xnv. 27th 4:30 A.M. 
Arr. Thalmann, A. n. & A ............... N nv. 27th G:lO A.M. 
Lv. Thalmann, R. A. L ................... Xov. 27th S:Oli A.M. Arr. King-sland, S. A. L. . ................ Nov. 27th 0:24A.M. Lv. Kingsland, A. W. & X .............. Xov. 27th Arr. St. Mary's (Camden County) ........ N"ov. 27th 
LECTURE AT ST. MARYS 
l.iV. St. Marys, A. W. & X ............... Nov. 28th 7:00 A.M. Arr. King-slanc1, A. W. & N ............... Nov. 28th 7:4:) A.M. Lv. Kingslanrl, S. A. L. ................. Nov. 28th S:27 A.M. Lv. Bverctt, Sou. Rwy................. Nov. 28th 9:57A.M. Lv. Bverctt, Son. Rwy................. Nov. 2ilth :9:G7 A.M. Arr. Jesup (Wayne County) Sou. R. R. .... Nov. 28th 10:50 A.M. 
 
LECTURE AT JESUP 
Lv. Jesup, Sou. H. 1t. . ................ Xo\', 29th 11:05 A. M. Arr. Baxley, (Appling- County) .......... Nov. 29th 12:07 P.M. 
 
LECTURE AT BAXLEY 
Lv. Baxley Southern R. H ................ Nev. 29th 10:27 P.M. Arr. Hazlehurst (Jeff Davis County) ...... Nov. 29th 11:08 P.M. 
 
LECTURE AT HAZLEHURST, NOV. 30 
 
Lv. Hazlehurst, Sou. R. R. .............. Nov. :lOth Arr.Jesup, Sou. R. R ..................... No\'. :lOth Lv. .Jesup, A. C. L....................... Nov. 30th Arr. Savannah, A. C. L. ................. Nov. 30th 
 
2::l0 P.M. 4:06 P.M. 4::10 P.M. 6:05 P.M. 
 
38 
 
 ITINERARY OF LECTURER E-2, STATIONED AT SAVANNAH 
Lv. Savannah, S. A. L . . . . . . . . . . . . . . . . . Nov. 25th 7:00 A. l\f. Arr. Claxton (Evans County) ............ Nov. 25th 8:51 A. :M. 
 
LECTURE AT CLAXTON 
Lv. Claxton, 8. A. L .................... Kov. 23th 5:31 P.M. Arr. I~yons ('roombs County) ............ Nov. 25th G:il5 P.M. 
 
LECTURE AT LYONS, NOV. 26 
 
r,v. Lyons, 8. A. L. .................... :\oy, 2 It It (i:09 A.1L 
 
Arr. Collins, u. A. ),, . .. 1'\ov. 27th   0  G:40 A.M. 
 
c. Lv. ( 'ollins, G. 
 
P. & 
 
.................. C\0\'. 27th 
 
~) ::lO A.J\1. 
 
Arr. Heidsville ('rattnall Conn ty) ........ Xov. 27th 10:15 A.M. 
 
LECTURE AT REIDSVILLE 
 
Lv. Rei<lsville, G. C. & P ............... Ko\. 2/lh Arr. Collins, G. C. & P................... No\. 27th Lv. Collins, W. S. H. R ................. Xov. 27th Arr. Swainsboro (Emanuel Count:~) ...... :\ov. 27th 
 
2:00 P. l\L 8::iO P.1L G::JO P.M. 8:05 P.liL 
 
LECTURE AT SWAINSBORO, NOV. 28. 
Lv. Swainsboro, \V. S. R R. ............ Xo\'. 28th :1:50 P.M. 
Arr. Stilmorc, W. S. R. 1I................. Nov. 28th +:;;;; P.M. 
Lv. Stillmore', C. of G . . . . . . . . . . . . . . . . . . . Nov. 29th (i:;):! A.M. Arr. Metter (Cmullcr County) ............ X(>v. 29th 7: Iii A.11. 
 
LECTURE AT METTER 
Lv. Mdtcr, C. of G..................... Xov. 29th 2:55 P.M. Arr. S:lY::umah, C. of G ................... Xov. 29th G::lO P.M. 
 
ITINERARY OF LECTURER E-3, STATIONED AT SAVANNAH 
Lv Savannah, S. & A ................... Nov. 2:ith G:OO A.1L Arr. Springfield (l:ffinghmn Connt,v) .... l'i"ov. 25th 7:18 A.M. 
 
LECTURE AT SPRINGFIELD 
Lv. Springfield, S. & A .................. Nov. 25th 4:19 P.M. Arr. Sylvania (Senvcn County) .......... Xov. 2:ith G:lO P.M. 
 
LECTURE AT SYLVANIA, NOV. 26 
Lv. Syhania, Syl. Cent................. Nov. 2(ith Arr. Hocky For<l, Syl. CC'nt. .............. Xov. 2Gth Lv. Rocky Ford, C. of G ............... Xov. :.Wth Arr. Millen (Jenkins ,;ounty) ............ Nov. 26th 
 
2:30 P.M. 3 ;.};) P.M. 4:49 P.M. 5:1ii P.M. 
 
LECTURE AT MILLEN, NOV. 27. 
Lv. Millen, C. of G..................... Xov. 27th 3::18 P.M. An. Savannah, C. of G.................... Xov. 27th G:30 P.M. 
 
ITINERARY OF LECTURER F-1, STATIONED AT WAYCROSS 
J,v. vVayrross (Ware County) A. C. L. . Xov. 2:ith :i:20 A.M. Arr. Folkston (Charlton County ) ........ Nov. 2ilth G:2:i A.M. 
 
39 
 
 LECTURE AT I'OL::KSTON 
T,,,_ FolkHton, A. C. L . . . . . . . . . . . . . . . . . . . Xo1'. :!~th 
,\ lT. Alknt~", ~\. ('. h . . . . . . . . . . . . . . . . . . . . :\"o1". ~.!th 
LL Albany, A. C. L ................... :';o:. :Ciith 
Arr. Homerville (Clinelt County) .......... XoY. :?lith 
 
1: I 0 f' . .\I. .):.10 P. l\J. -~: 10 ,\ . .\I. D:O:i A. :\I. 
 
I.ECTURE AT HOMBRViTI E 
 
LL IIonlPrvil1e, A. C. L. .. ,\JT. Un:'low, .\. c. L. L\. 11nylow, Htntl'1t\j!Jp n. H. . . .. 
,\ l"t". ~tatenYi1!e (I:Clioli' County) 
 
"""" ~It 1t 
. . ~ \ () \ :2/t ll 
.Xo\-. :27th . Xo\. :2/th 
 
D:(Hi ~~ :-1 ;) I (I: (I.) 
](I:.).) 
 
.\ . .\!. .\. :.r. 
.\ . .\1. A. :\1. 
 
LECTURE AT STATENV~LLE 
L1. f':tatrtnillP, Rtah'mille n. 1~ . . . . . . . :\o1'. ~/til I :::o P. :\L 
Arr. ll:wlow, N:ail'lllille H. H . . . . . . . . . . . :\"1n. :.'itll .>::.?11 1'. .\i. 
Lv.1I:ly1o\\", n. H. 8.: F. . . . . . . . . . . . . . . . . . . . :'\T()\', :~71 II 11 <~{) J>. J.I. 
An. Ynl<lo,t:l, G. N. ,\:F . . . . . . . . . . . . . . . . . :\"o1. :2,--ith 1:!:111 ,\.ill. Lv. Yal<lo:-:t:l, <~. & F~. . . . . . . . . . . . . . . . . . . :',o\, ~Htll 7:-!.) .\ ..\I. .\n. llouglaH, (Coffee Conllt_I'J (;. & F. ,.:--;,,,.. :.>~tit 11 :L! .\.:\1. 
 
LECTURE AT DOUGLAS 
LY. DouglnR, A. B. & A ................. :\"01". 2!Jtlt 7 ::?cl .\. r.J. An. Alma (Baeon Count.'') .............. :\in'. 2!Jth S::!;j _A, ::\I. 
 
LECTURE AT AI,MA 
Ll'. ,\Jma, A. B. & .\................... Xo\". ~9th ;;:~0 1'. M. An. Offerman, .\. ll. & A ................. :\"n1. :29th li::21 P. J\l. L1. Offennnn, ,\.C. L . . . . . . . . . . . . . . . . . :\en. :.?!lth !1::1:11'. .\I. An. vVn:'eross, A. C. L . . . . . . . . . . . . . . . . . :\"o,. :29th 111:1.) l'.l\f. T,,,_ \Vn_n'HlSS, ,\. C. L . . . . . . . . . . . . . . . . . . XoY. ~0111 0>!.) A.M. Arr. Dla<"hshcar (Pierce County) ........ :\"o\. :lOth 10:0~ ,\.l\1. 
 
LECTURE AT BLACKSHEAR 
J.Y. Blnd<slwar, A. C. L . . . . . . . . . . . . . . . . . :\o,. :Wth 1~:.}/l P.M. Arr. \''a.''eross, A. C. L . . . . . . . . . . . . . . . . . . . Xo\. 30tl, I :0.) I'. 1!. 
 
ITINERARY OF LETUR:t::R G-1, STATIONED A'r ALBANY, 
Lv. Alhn ny, A. C. L. (Dnngl;er1 \' Co.) .... :\"o1'. :?.>th 7:~0 A.M. An. Camilla, A. C. L. (Mitchell County) .. :i'\01'. :2iith S::12 A.).!. 
 
LECTURE AT CAMILLA 
r,,.. Cmnilla, A. C. L ................... XoY. 2."itl1 l1 :00 ,\.:\f. 
Arr. Alhan~'. A.<~ _L . . . . . . . . . . . . . . . . . . . . . KoY. :2;lth J:2:1."":i P.1vl. 
LECTURE AT AI.BANY 
T,v. A lilrn11, C. of Ga . . . . . . . . . . . . . . . . . . . K o\. :?Gth 7::';; A. 'f. Arr. Willia;nshurg (Calhoun Connty) .... ~0\". 20th R:JO A. 1\I. 
 
LECTURE AT WILLIAMSBURG Automobile to l3Iakel.v ( F:arly Count.") 20 lllile:J 
 
40 
 
 LECTURE AT BLAKELY 
 
L\', Hl:d<el,v, C, of Grt. . . , ...... , ........ :\'ov. 2fith .Arr. ..:\.rliugton, C. of Gn ................. XoY. 2()th 
L\', Arling-ton, n. 1<1 & _.:\............... :\oY. ~7th 
,\1'1'. l'olqnitt ('\!iller County) ........... .'\0\', :27th 
 
H::20 P. C\1. G:;')2 P.M. 
9:13 A.M. 9:09A.M. 
 
I ECTURE AT COI"QUITT 
 
L\'. Colquitt, G. !'. & A . . . . . . . . . . . . . . . . . Nov. 21th 7::1:1 P.M. ,\rr. Brtilll>ridgt' (De~ntl!l' County) ...... ::'\o\'. 21th 8:2;) 1'. i\1. 
 
LECTURE AT BAINBRIDGE, NOV. 28. 
 
L,~. Bajnl>rhlgt~, ..:\._, C. L . . . . . . . . . . . . . . . Xov. 2Hth 1 :07 1'. ),f. An. <'airo (C;r:l<ly C'onni.'') .............. ::\o\', ::stlt 1 ::)1 P.M. 
 
LECTURE AT CAIRO 
 
Lv. 'Cairo, ,\. (~. L .......... , ........... :\o\'. 2\ltll :3:2fi A.M. AtT. Quitman (Brooke Count,\') .......... :\'o\'. 20th li::J9 A.M. 
 
LECTURE AT QUITMAN 
 
L\'. Qnitlllnn, A. C. L .................. ::\ov. 2\Hha :l:2:i P.M. An. Y:Jitlosta (Lo\n((ks C'otlllt,\') .......... :\o\'. 2!ltlt :l::)\J P. C\1. 
 
LECTURE AT VALDOSTA 
 
I,v Yal<lnstn, C. & F . . . . . . . . . . , ........ Xo\'. ~Oth 7:4:) ,\, M. An. Na,]t;-illt ( Benieu Conut:') .......... 1\0\'. ::Oth S:.!O A. J\L 
 
LECTURE AT NASHVILLE 
 
y,,.. Nnsh\'illt', G. & F. . . 
 
.. 
 
.:\ ()\', :'\ Ot lt ;):17 P. M. 
 
An. 1\'illneo"t'het', C+. & P. . . . . . . 
 
. . . Xo\. :lOt It n: o:~ I'. J\1. 
 
L\'. \\'illaeoo'"hee, A. C. L. 
 
. . . . . . . . .Xo\', :\lith 7:40 P.M. 
 
An. .\liln "'' A. C. L . 
 
...' .. 
 
. :\0\', ::lith 10:10 P. M. 
 
41 
 
 REPORT OF DIRECTOR OF LABORATORIES 
 
I beg to submit the following report for the year 
 
1918, beginning January 1st., 1918 anJ enJing Dec. 
 
31st., 1918: 
 
BACTERIOLOGICAL DEPARTMENT. 
 
Pos. Neg. Total 
 
Number of Exam. for Tuberculosis _______________________ 389 1,719 2,108 
 
Number of Exam. for Rabies ____ 260 212 472 
 
Number of JiJxam. for Typhoid (widal) ____________________ 79 234 313 
 
Number of Exam. for Diptheria _176 311 487 
 
Number of FJxmn. for Malaria ___ 22 188 210 
 
Number of \Vassermann tests for Syphilis ___________________ 187 602 789 
 
Number of Exam. for Hookworm_271 419 690 
 
Number of Exam. for other intestinal parasites ______________ ~~4 267 301 
 
Number of }i~xam. for Gonococcus_ 42 187 229 
 
Miscellaneous examinations _______ _ 
 
240 
 
5,839 Total T'ests for the year 1917 _________ 6,771 
Total Tests for the year 1918 __________ 5,839 Decrease ____________________ 932 
 
Of the 187 positive \Vassermann tests, 115 were strongly positive; 41 positive and 31 weakly positive. The \Vork of the vVassermann Department was begun July 1st., with J\:[r. E. L. \Vehh as serologist. }i'or a beginning his report is very creditable. 
Among the 34 positive examinations for intestinal parasites \Vere included taenia nana, taenia saginatta, taeia deminunata, ascaris, oxyuris, lumbricoiclas, vermicularis, trichuris trichiura and trichomonas intestinalis. 
Among the 240 miscellaneous examinations were included quite a number of sputum examinations in 
42 
 
 research work on Influenza; 25 specimens of feces for the dysentery bacill'us and; dthcr membt~rs of the colon typhoid group; 20 blood specimen in research on a peculiar epidemic at -:\Iontrose, Georgia, in July; several soil specimens in perfecting a method of soil examination for se~wage diffusion, etc. 
The decrease in the number of examinations made may have been due to one or more of three causes: (1) No attempt was made to report the presence of Vincent's bacillus in sputa, since this organism seems to play the role of a passive secondary organism present in the normal throat. In 1m7 every sputum ~was examined for Vincent's bacillus, with the result that out of 2,146 sputum examinations only six were reporte<l negative. Apparently its very abseuce is in itself an indicatiou of some pathological condition; (2) Physicians have been called into military service from every section of the state, thus reducing our patronage considerably; (3) rrhe suddeu and demoralizing onset of the Influenza epidemic left the average physician ~with little time and thought for considering the collection and preparation of laboratory specimens for the last quarter of 1918. 
In the face of these three factors it is surprising that the decrease has not been greater still. How ever, the addition of the \Vassermann work counterbalances somewhat. 
 
PASTEUR DEPARTMENT. 
 
1918 1917 
 
Number of human cases treatecL _______ l,425 1,583 
 
Number of clogs treated ________________ 266 246 
 
Number of mules treated _____________ 29 40 
 
Number of horses treated_____________ 10 
 
4 
 
Number of cows treated ______________ 71 GO 
 
Number of hogs treated ______________ 101 39 
 
Total _______________________ 1,902 1,972 Decrease in 1918 ______________ 70 
 
43 
 
 Riner no attcmpt is being made to control h~dro pltobia in Georgia, there is no CX1l1anation for the appan11t de<Tcase in the numlwr of cases. 
'rhcn \Yl'l'e three deaths n'lHJrt(d as due to nliJies ammtg the lnumm eases b<ated. r:I'wo of ilHse <1eaths wc>re clear cut instances ol' inmmnit~' failun~ while the thin1 <leath 1\'H" later l'<']lort:d as poc-;sih1_v <1nc to acute polio m~clitis, nnd llot associate<1 \Yith the 1Jite or Pasteur treatment. 
1~)18 ] ~ll7 Total XumlJt~r of Brain 1<~xmn. __________ -f/~ [););) 
PostiYc _______________________________ :_:r;u ,,,,, ')')- 
~ega tin~ _____________________________ H!l' ~18 J!l1H 1!117 
1\umber of Douhtfnl !<>.:::mtinntiom; ______ D Brains lmdl~ <1cemupose(1 for cxm!J.______ 3+ 
Then seems to han hcl'n nn aetwtl t1rr~na:~e in !he 
inci<1enc< of rallies in Gcmgia <hll'illg tlw )car l!l1~-\. Xo cause for this is assip;ned. 
BIOLOGICAL PRODUC'IS. 
Dipthrria Antitoxin Distrihntc<1 i11 1!)18 _______________________ 11 ,!l~lG,non m1its, 
Dipthnia Antitoxin Distributed in 1917 _______________________ H,070,00Cl 1m its, 
Decrease _________________________ ~~,(17-t,OOO unit~, 
'l'his decrease is partl~ cxplnined h~ the 1'~1ct that we han~ mtjo~ed ill the state at 1al'!-','<' a nnwrkahlc~ fnedom from Diptheria all(1partl~' 11~ the fact that no hnge consignmrnts lmn~ lH'<'ll 1mt i11to the hands of the Count~, On1imniu; io ];c stmc(1 <nYar in \'aults long :1ftPr ilH cbtc of Pxpiration. Tt is snfe to say that llParl.\' m1e million u11its of tl1P 1!l17 issrw han~ bee11 ntunwd to us unopened <luring tlle past 
~'ear. 
Tyhoi<1 Yaceine Dishi1mtc<1 Dmi11g the Year 1018 ______________________ 1:20,:100 c. c. 
44 
 
 Typhoid Vaccine Distributed Duriug the Year 1m7 _______________________ 1L3,500 c. c. 
Increase ----------------------------- 4,HOO c.c. 
The compulsory free vaccina tiou against typhoiu in the army cantonments of Georgia, aml the free vaccination by the United States Puhlic Health Service, offered to the public iu the large cities, mldoubtedly reliencl the laboratory of part of tho tremendous task of supplying a greatly increased demand for vaccine. Even \vith these two aich; there was au increase of about 5,000 c. c. over the 1917 distri1mtion. It is estimated that through the three agencies of free vaccinatim1 and that of purchasc~_l .,-accine at least 150,000 rwople in Georgia received tho tn)lwid Yacciuation sometime during the year 1918, as eompared to possibly 50,000 in EH7. 
It is further gratifying to report that samples of our typhoid ..-aceine sulnnittod to the United States Hygienic Laboratory at \Vashingtou have hceu declared by them to be well abono tho standard in r)()toncy and sterility. Impro..-ement has also been instituted in regard to the containers, a neat scaled ampule replacing the unsightl:- aml lmsatisfactory homoopathie ..-ial aud cork stopper formerly used. 
The method used iu preparing the typhoid .,-accine is that authorized in U. S. Public Health Bulletin ::\o. 110, with slight modifications to suit local facilities. 
!NFLUENZA-PNEUMONIA VACCINE. 
\Yith sufficient favorable evidence to warrant the experiment, we have perfcctrd a vaccine prrparcd from virulent strains of haemalytic streptococcus and type 4 pneumococcus, which will be distributed to all physieians who desire to gi\'e it a trial. This \'accine is to be administered in a manncr similar to the typhoid vaccine, but its usc is not ach-iscd after Jnflucnza has clcwloped. Tts object 
45 
 
 is to immunize the subject against the complications following Influenza. lim','ever, a vaccine prepared along similar lines has lwen used with apparent success at se\'eral army cantonments. Reference to it appears in a recent issue of the J ounwl of the American l\Ieclical Association. The reaction following its injection is \'cry mild and 110 harm can fo1low its use. Careful follow up \York within the next few months will probably establish its success of failure. 
It is my purpose to puh1ish a detailed report on the Research \York of the Lahoratory during the past year. The captions of this Report will l1e outlined as follows: 
FEATURES OF YEAR'S WORK. 
1. Rearrangement of Report Blanks :1]](1 Mdhofl of H aw1ling Specimens. 
2. Institution of Cultural :Mothotls for the IdenTification of the Colon-typhoi(1 GToup or Organisms from Feces. 
3. Installation of the \Yassermmm Laboratory. 4. Improyement of Technique in ::\Ianufactnrc ,of 
Tn)hoid Vaccine, (a) Cultural ::\Iethod, (b) Containers and ::\[eihod of I<'illing. 
6. Standardization of Mdhods for Submitting Specimens to the Laboratory. Bulletin Circulated. 
6. Development of ::\[ethods for Samp1iug Soils in Soil Pollution Research \York. 
7. Isolation of ::\forgau's Dyseutery Bacillus and Development of Techn iquc for Same. 
8. Research \York Relatin~ to the Recent Influenza I~pidemic. 
9. Development of Vaccine to Prevent InfluenzaPneumonia Complications. 
10. Changes and Additions in Personnel of Laboratory. 
46 
 
 11. Effect of Influenza Epidemic on Routine Laboratory \Vork. 
12. Recommendations and Concluding Remarks. Respectfully submitted, T. F. SELLERS, Bacteriologist. January 3, 1U19. 
REPORT OF DIRECTOR DIVISION WATER ANALYSIS 
DR. T." 1'1  AnEncnol\rmE, Srcretary, 
State Boanl of Health, Atlanta, Ga. 
Dear Sir:- 
During 1918 the Division of \Vater Analysis has continued its activities along tl1,~ ~;nne g(~Hcral lines as in the r)ast several yen rs. Tlt-: Laboratory has analyzed a total of 346 water samples. The chemical, bacterial cxan~inations arc not separated in this total, but most of the analyses ~were bacterial. Nearl:' all of the samples examined were from strictly municipal supplies, though a fe\v were from the supplies of schools and public institutions. 
Requests for the analysis of samples from private sources arc frequent. \Vc han~ had to omit the analysis of these samples on account of limited funds and personnel. However, the anal:'sis of such samples constitutes a legitimate field of public health work under certain limitations, and some state hoards carry out the examination of samples of this class if they arc collected by local health officers or inspectors of the hoards, who consider the case worthy of the time a1H1 expense involved in making the analysis. Still, many of the state boards of health onl,v examine water from public sources. 
Twenty-two inspection trips were made during the year hy the dircetor. The cities and towns visited 
47 
 
 were as follows: l\Ioultrie, Americus, Cartos\ille, .:\Iariotta, Covington, Greensboro, ::\[onroe, 1\Iadison, Griffin, 'rifton, Hartwell, Elberton, ClarksyiJle, GainosYille, Rome, Dalton nnd Camp Gordon. In most rases a water works inspection was made, but at Moultrie, 'rifton, Clarksville, Rome Dalton awl Camp Gordon methods of disposnl of industrial waste waters or selvage wore inYestigated. Two different trips were ma<1e to ::\[oultrio for this purpose. 
This suggests tho matter of control and investigation of selvage disposnl nnd stream 11o1lution l1y the hoard, such control being obligatory in order to Ill'Otect 1mhlic water surJplies and to prevent nuisances, the destruction of fish life by gross pollution, the pollution of shell-fish, etc. 
l\fost of the l:l.rgc cities in the state arc so situated as to be aecessihlc to ri1e1s of considerable size and disr1osal l1y dilution is usocl. This method is satisfactorY within rensonahlc limitntions, an<l but few of thr cities now sower into rin~rs used b~:- cities further (lown ns sonrcos of 1vator suppl~. Particularly in tho southern part of thr state conditions arc not so favorn l1lr for disposal of raw sewage into streams, and at vnrions nlnccs gToss nollntion of small streams is donl1tlC'ss takiw!,' n1ae:o. Tt is f'SSf'ntial that spwa,9;c disnosal he i'l\"C'stig_ntC'd. hut this is not rwssiblo until tlw nersomwl of this (liviRion is incrC'HSC'd to make a large 1olumo of.rontinc lahorator~ work feasil1le. 
As has heon the case for s(yeral years past, the <li,ision is call0(l npon to oxami11e a1H1 c0rtif~ waters use(l h~ common cnrrio1:s in interstate' commerce in conjunction with the TT. R. Puhlic H0alth Rnvic0. It is high]~ dosiralll( that this work b0 handled in a more sYstematic wn~. Tho field inspections required bY the Public H0alth Soniec before certification ought to he mad0 by a trained em11lo~ee of this l)()ard. Instead, in many casc>s we hn\'C' accepted the written certificate of inspection from local health 
48 
 
 officers, ~which is mon m less nnsntidactory as it docs not gin~ tlw hew nl (:wet information about the 
 
plants or mcthorl s o i' O]Wl'a1i nu. 'I'llere arc S:2 supplies in Georgia 1\unit'h~11g trains so that inspcctiug 
 
ancl ccrtifyi11g them im olns a large amount of rou- 
 
tine work. Iu the past Hw Pul>lic Health ScrYice 
 
bas worked illrongh the rail ron(1:'4, makiug it malH1a- 
 
tory upon ilwm to sccmc mwlyscs i:nd certificates. The method is not strictl:: pufolcc<l aud only 3:2 }H~r 
 
cent of tlw snp]llies IH'l'l' ccrti1'ie<1 iu Georgia. This was largcl~- l:ecrmsc the iuitidiYP wns not comiug 
 
from this c1i\ision nlld no eomplcL list of the sup- 
 
plies was furnished slHmi11g tlw sbtistics on cnch 
 
one. The aYcnwe TWJ' cmt ccrtific(1 for all states ~was 57, while cml)- three statcs exnminer1100 per cent 
 
of the slqJ]Jlie>s. lt is p1:mned to ohtain a full list from \Vashi11giml awl to proy;er]~- cc1tif,1- e\-C'l',\" SUT)- 
 
ply during Hll !J. r:J'he complete statistics of this suh- 
 
ject only np1wnn<1l'C'Cf'll1l;; in the Annual Report of 
 
the Rnrgeou Ge>m'l'al. 'l'he lmrcnn at \Vnshington 
 
rcceutl:-" pro;wsta to nyi sc the mdlwrl of ccrti fyi ng 
 
dri11ki11g waters nscc1 in intenltate commerce, but 
 
such a reYi sim1 hn s lwen postpomr1. 
 
l\Iorc systematic cm1hol of all 11nhlir supplies is 
 
nredccl. Thnt m0 nhod 1GO Sllpp1ies in the stnto. 
 
Of these :34: are filtered supplies. l'Jigltt water works lwYr tki r ow11 Jn honltorie; aml do more or le:os regular control 1\-nrk. TToweY<'r, ncnrl~" n1l (lcJwml 
 
upon our lahorator:: for nnn1::se>s. Tn onlcr to exn- 
 
cise prorwr eo,Jtrol we slwn1r1 lwYn hiwling regula- 
 
tiom; in n5';anl to snhmitting R<1111!Jles, aml slwnl(l 
 
}e in n position to t1o :1 mueh lnrger yo]nnw of annlYiicnl \1.-ork nll'l to mnhri'1l1~- inennse the field in- 
 
spections l11l(1 to rnn1re sneeia1 inYl'Rligations where- 
 
pyer l1e(ossnry. 
 
Ycry l'OS]WCtfull~', 
 
TI,\Y 0. \Yrm:nm. Director. ni,"i~'ion nf' l,rnter j\ nnh""is. 
 
'. 
 
49 
 
 REPORT 0~ HURAL SA~lTATlOK 
l\I. :B'. I-L~YGOOD, ::'\L D., UlltEC:TOil. 
Atlanta, Georgia, Jnnuary 10, 1~)]!). 
Georgia State Board of Health, Dn. T. l1'. AnEncnol\IBHi, ,S1ccrctary, 
Atlanta, Georgia. 
Sirs : I haYe the houor of transmitting to you hcre>vith 
a review of the results accomplished during 1~J18, by the Division of Rural Sauitation, which n.pernted under the joint auspices of the State Board of Health, the International Health Board aucl through the county Boards of Health. 
You will recall that acconli1Jg to arnmgemQuts the State Board of Health was nhle to make with the International Hcalth Board, the last mlllll'll organization agreed to finance, to the extent of 50 percent, an intensive health campaign in three counties. This was for the purpose of demonstrating to the miucls of the members of your Board, and the citizens of the State generally, what rcaJly could be nceomplislwd in the way of pnyenting soil pollution disease. 
It is only necessary to mention to you the fact that such an arrangement would have been possible only for the purpose of this demonstration, for the International Health Board appropriates only 25 perccut of the total budget the State Board is then relruired to make a similar appropriation and the cmmty supplying the remaini11g 25 percent; and it so happened that your Board was not able, because of its meagre appropriatin to supply nny part of the fum1s duriug the first vear. 
Probably no year within the last quarter century has brought forth so many ohstacles in the way of public health officers thau H)18, aml that lms been the experience of this department. It was next to 
50 
 
 impossible to get men at all to take charge of our 
 
county organizations awl good men were in such de- 
 
mand in the army until it "\Vas even a more tedious 
 
task to keep these men than it was to secure their 
 
services. Therefore, without adequate directorship 
 
of this work it required more than the usual degree 
 
of patience, and a tremendous amount of work to 
 
even keep the campaign going at all during the year, 
 
which we were not able to do in one of our counties. 
 
Notwithstanding the above facts, and also the fact that the first count~T io put this work on lost to the 
 
army its director in mid-summer, and notwithstand- 
 
ing another fact,-that your Senetary was not able 
 
to employ the serTices of a man to direct this work 
 
for the Board until September 15th., and then only 
 
a part time man, in spite of all this, and much more, 
 
we wen~ able to ohtain results which were Yery sat- 
 
isfactory in many respects, although it is fully realizNl that "\H~ lmve not been able to accom11lish as 
 
much in eYery county as we would like to haYe been 
 
able to, on the whole it is believed that our earnest 
 
efforts hnTe been rewarded with a moderate degree 
 
of success. 
 
TIFT COUNTY. 
 
The work began in Tift Connt~T December ] st, Hll7, under the (lirection of Dr. R. W. Todd and with 
 
an appropriation from the county of $175.00 a 
 
month. This lacked $125.00 a month of being suf- 
 
ficient to obtain adequate help. But, during the 
 
first Sf'Yen months of 1918, after which time Dr. 
 
Todd was called to the colors, the following showing 
 
was made: 
 
EDUCATIONAL. 
 
LECTURES: There were 50 lectures delivered to "\vhite audineces, 10 to colored audiences, with a total attendance: of 3GOO. 
Newspaper articles written 15, Kumher of homes visited by Director 500, Number of homes visited })y Inspertors :i,OOO, Number of pieces of literature distrilmted 1.000. 
 
51 
 
 
 
 PREVENTICN CF' SOIL POLLUTION. 
XmulHr of pit type s<mitm~ elosds inst<ll1cl1 73, 1\umlll~r of s<ptie tmJks in-;;tallcd lG. Xnmhcr o:' oier types insblle<110, making a total of 100. The 1mmlwr of howes mt<1 pnhlie lmi1l1ings eoun<de<1 to fJnHi1al'~ snn1s \Yns not ohtaine<l. 
 
HOOK WOEM CON'l'ROL. 
 
?\mn1wr e:\amiue<1 for J:Iooky;orm ;100. ::\umhn infeett>d hy l iooJ.:wonn 17:5. l\nml1er of treatments p;il-l'll 1GO. OthPr netiYitics of grcat Yalru were canic><1 011 in Tift County, snell as D.Y~;entcr~- :md Typlwi'1 control, whcrc alHmt 2,000 J>copk \\-l'i'e inoculated against ']'~phoid F<'n'l', nml whcn c, '1' ta i11 measu ns uga inst Fl~--hreec1iHg were iustituteJ. 1\lso n child welfare e:1l1111nign wns eanicl1 011 \\hich was nJ~- JWoi'itable to mm1y of the citizens. ~\s a part of this report W<' hall<l ~-on herewith, a <1dailc<1 report of the work oi' Troup nml Tfnri 
cmmties, snl!mittecll)_\' tlw Directors th<msPlns. 
 
SeMl\lATIY: A hricr l'CSUllW ol' resnHto aceomplislt- 
 
c<l ;:lollg tlw }Jl'illciv;d lims o endt:<t\or wonld show: 
 
1\umher of uc~~~-spapas ar[ielcs 1nittcu ______ 1:;;) 
 
~umlle1 oJ' lectures ddiYc'nd _______________ 130 
or Kumlwr pieecs of Jiie>l'atun dieitrilJuied ___ ;l-Ul-1-- 
 
~nmher of homes \'isited __________________ ll.G-1-G 
 
Population of smTcy<d area ________________t3.:ll G 
 
Knmhcr of pit type cl<nds im;tallcd _________ J .~1 
 
=-'~n111bcr of other types installefl ____________ 5;1 
 
;{umber of Hookworm exnmi11aiions _________ 1.:1-1-3 
 
Xumlwr of IIooln\-orm in!'eetions ______ 
 
:wo 
 
Kumher of Iloo1nYorm trenimcnis ____________ 2-1-5 
 
Xumlwr of Typhoid treatments gin11 _______ 5,400 
 
It is too earl.' to make a c1dinite stntcmellt, but it now nr>pears that there is a <1cerease ill the prcYa]ence of T~-plwid aml D~s<'nter~, of from SO to 88 rwrceut J'olloy,-iug these acti,,ities. 
 
52 
 
 l\Inuy otlHr aeti\ities too nm1wrons to mention han~ h'''ll ll<Htici]micd 111. 
13,\ Dcccmlwr :11 st, LJ19, we hope to nmke n sho\Yiug cYCll mon creditable than this, smcP \Ye han: a lllOl'e substantial aplH'OlJriai icm, though it 1s ll.\' no means sul'l'icicnt, <t]l(l we are HOW <ll>lc> to olJtain aud 
keep men. Hespcctfu11~- snlnnitte<1, ).f. b'. HAYUIHlll, 
State Direetnr DiYision of Hnral Snllibtion. 
 
MOI:BID.ITY RE:i:'Olt'l' OJ:' GEGRGIA FOR Hl19. 
 
~\~ t .l\Ulll}t"'JS!~ A<Utl' 
( \mjU1Ht '::-) 
 
j Tl)Lti 
 
1 
 
\ 
 
pr . ~lay .) 
 
1 
 
1 
 
\lll.: .July, ~\i!f-;. J~c pi;~~ 
 
(~-~ l. 
 
 'i~\--.~ i h:'~. 
 
l 11 U 
 
lJi _ ~;i li 
 
(i 
 
()I 
 
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11 
 
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11 
 
IIi 
(lj u li' :211) 
 
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II[ 
 
(I 
 
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('],ic kc'il l'"" . __ ('J,olera .. - ... __ 
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Favtu ... _..... j 
 
01 
 
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Gonorrhoea ... . :HL3B 81! 
 
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o o oj () 
 
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t<~rjlll J! If-\ , , . . . . . I :~ ;-;-! 71 
 
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n! 
 
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1' ': 
 
(II Oj Oj 0 0SI 111 21 
 
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(0. F.) ... __ I 
 
o, 
 
111 
 
n: 'J1yphoi(1 . }\\er 1 WI~ 1 ~1 7-11 
 
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53 
 
 REtORT OF HART COUNTY BOARD OF HEALTH 
E. B. PooLE, 1\I. D., Conil\USSIOXER OF HEALTH 
Hartwell, Georgia, .January, 10, lUlD. 
GEoRGIA STATE BoARD OF HEALTH, 
Division of Rural Sanitation, Atlanta, Georgia. 
Sirs: 
I acknowledge Uw honor of making the foll<nYing r:oport, tho work all(l aeti \'itios of tho Ila rt County 
Board of Health, during tho year 1ms. 
Au intonsiyo soil pollution campaign, under joint auspices of Hart Count)~ Boanl of Health, tho Georgia State Board of Health and tho Rockefellow International Health Commission \Vas begun September 15th, 1918. 
On Commencement of this work we found tho people, tho most of them willing aml ready for it, but 
totally unaware of tho extent and groat things to bo 
accomplished by it: Many prejudiced, and disposed to complain at increase taxation, but this is gradually being gotten rid of by a bette understanding of tho work. 
In submitting this report, wo cannot bogin to ox- 
plain tho many and ,~arious methods adopted to edu- 
cate tho pooplo, aml wo think that wo aro gaining ground oyory day a1Hl that tho prejudice that at first existed, is fast giving way by tho many assurances wo aro getting from tho pooplo all over the county. 
EDUCATIONAL. 
Lectures-During tho year thoro woro thirty lectures all of which wore n1ndo to white people, except one, and this to colored pooplo-GG8 whites nnd 50 colored attem1ing-with a total nttenclance of 718. 
54 
 
 These lectures were along the lines of sanitary toilets, their importance and advantag'e, the lwnse fly anu how to control it, Hookworm disease, symptoms, and how to get cured, and prevent it, and the value of mouth and 1)ersonal hygiene; the econom:' of keeping physically fit. 
NEWSPAPER ARTICLES. 
Inasmueh as '''c have only one paper published in 
the County, the Hartwell Sun, we emle<wored to have one article each week, printed in this paper, and often two and even four, along educational lines, gdting the people ready, and to impress them that we are enthusiastic and that \VC are going to succeed in the work. rrotal number \Vritten-25. 
According to impressions coming from all })01'tions of the County, concemiug these articles we are convinced that they nrc lwaring fruit aucl co-operation is being the result. 
CONTROL OF SOIL POLLUTION 
Prior to this beginning of the campaign, there did not exist in the Connt.v an:' Sanitary privies of any type, and as the tendenC)' of obstruction to the work 
was so great, due to more reasons than one, there are 
not a great many instnlle<1, but this work is now progressing very satisfactorally, while but 21 pit types were installed and three septic tanks. 
HOOKWOR:\r CONTROL Owing to the lateness of the beginning of our campaign, and the necessity of educating the people. the importance of having their children examined to ascertain \vlwther they had Hookworm, we have not been able to get specimens, consequently have clone but little of this work. However have examined twenty and it may be due to those who seemed to be suffering from Hookworm, that our examinations proved to be l 00 per- 
55 
 
 ccut positi\'C. This ~wol'l~ is now prog-nssing rapidly, si uee m t cd nc:l t io; wl comva ig11 Ita s heel! uw~'t Yigorously pushcd. 
LITERATURE DISTRIBUTED. 
Tlwrc 1IaYC ]wen distrilmte<l .J-7\1 pieeC's of Jitenthuc, mnking f!:n () reeei\'illg iust cud ion nlo11g mo:Jqnito :Jll(l fl~', eonirol of '1'q>hoit11,\yer, DyseutPry, 'l'uhcreulosis, l'C'llagra :m<1 i\fali1ria. 
NUMBER OF HOMES VISITED 
Kumbcr of homes Yisitecl by Direetor 5+, by Tuspector DTI making a total of lO:ll homes. 'l'he Count~, schools han aln~a<ly mTaug(_<l io han~ l>it toilets install<(1 a]](1 mntl.\', ~:ince i1H l'irst of .Jmnwry, are being put in. 
In sulnuilting this m.\' nmnwlreport, I hcg to sa~', that whcnns we haYe lwen ham1icnpped, IH' are alJle to nssurc ,nm that we ft'd assmcd that gTe:tt JnogrP'ifl ~will he> made from 1101\' on, am1 that, in Uw 
fninn~, wo will lw ah1<' to gil'(' lwttn l'PT>orts. 
Yonrs for ProgTC'RR, 
Hnrt Gmmh' Boim1 of Henlth, E. B. PooLr;, Director. 
REPORT OF TROUP COuNTY BOARD OF HEALTH 
B. D. BLH'I'i\'EUn:n, M. D. LnGrange, Ga, .Ltnunr.v 10, I!m). 
CIPorgiH State Bo:ud of U calt h, Dil'isiou of' Hnntl Nnuitatiou. A tLmtn, Georgia. 
Sirs: 
\Ye lmn the ho11o1 of maki11g the foilm1ing report of thP nei i\il j('c.; of tlw rrro'1ll Co1mt.\ Bonnl of HenHh during tlu:- ycnr 1 ~l18. 
56 
 
 Au intem:in~ soil pn]btion eampaign, nmhr the joint unspiec"S or ilH' rrl'\lll!l Count:\' Bo<Hd of IlC'nltll, tlH Georgia SLlte i\o;ml of Ile:ilth nm1 tlw Hoekefclkr Jntenwtiomd Health Crm~missicm, wns lwg'tm .Jmmnr.\' 1st, 1:!18, IYith Dl'. ~~r. F. lf:1~good ill charge~ as ))ircdor of ~~,,milH1imJ. Hi:; (H-g<lllizutioll consiste(l ol' rluc~ Hnlliln I~- 'l Tnspedms, O!r. \V. (1 Clenla"u1, :\ll's. H. 0':\e::1 am1 :\[;. H. \Y. fLl;:g-ood) Dr. IT;:~,goocl nsignell as Dinetor of this y;ork 
~<'"'~I Q()(.l) 1~~'1'  -1~~f,'n.l;n:'-'o1".0'l,1_".\. ,:",'.).!~1'L ''"-'1 '(l1>"., 4 n.~_;;-,l'"'C'~t\';1"._'o'.f._' 4L].lj,~.) \"~ 01''.._\ 
on 8eptC'lll]o0l' 1Gth n il1 Dr. B. D. Blllehnlder IY<~:' nppnin(nl io fill ill~ -,,eauc:l. 
ln snh11itti11f:',' fer yn11r eom:i lc-ndion t!tis :;omc-\\'k\1 r1c(;,_i;z,i1 report \P \\'<mt iu n;Jeci:dl.\ emplw:.;( tll(' fad that 'X(' cmmnt i:ep:in to cmJn~, to .nnu llli]](1 the Hnrniwr of mctlJOt1::.; w;e:1 to cnconl'<lg'<' thr~ :l-t,:l()!) peo~Jlc liYing in oni' co:ntr to tnkc :1d\;mt/Jgc oi' ilw 
:1 hic: nwl ]Jelp nut thi~ e:llilpni,~!l ol'i'crct1 tllCJll, 
lmt il1 :H<1Yifie~ ln're nwin'~': F11nentional, Prennii(m ol' Soil Po~ldio11, Hnck\\'onn CcP}bo], Dysellt~'l'~l Control md TnJhoic1 F'cYcr ControL 
E!:JUCA'!'ION.A.L. 
LFcrFnl:s: Duriilp; ilu ycmth!'re wen~ ~0 lecture& <lclinrell to white peonlro, \Yith a total ntiell!lnnec of :2.()()8, and :1G hd nres Wf1l'0 fle] inr"d io colo re,1 JWO ple, -~yith n tni~\1 r:ih11 b11ec of '.!..Ti'.!., maki11p,' a toi;ll of 73 lcdurec;, with a totnl rttcw1nnc:c of 3,:1t:O. TlHsu lectures wen~ :dong thr fnilowing line-s: 
TlH fl;mit:li:, Clovd, l1:1W to contrnct it H1Hl its :H1\'illlfnge; the hons0 f],- what clis0nse~.; nrc traus!llitfe<1 ];~ tlw +'Jy <md how to 1H'C'\'C'Jl~ fly lwcedi11g, Hook Yi.Torm Di"f'<i:;(\ iis '~:~,m~mm; <1])(1 how to gd em'C'(l illl:l hnw io J!r<Yent it~ the Y:lluc- of mouth nwl porsonnl hn~iC'1J0 md \Yh:lt it is; Hw e(:ounm~ of kf'cpim~ pl1.n;iei:m fit; T~TlWi<l Fcnr, how it is tram;lllittl'(t <11Hl lw\\ io il\'Oi<1 it; D.\'Sent\r.\, its fatnlit~, cmd rnl, and other snLjcd~. 
f,.;T::W.!'Tlf'Xc~ fir IDF:l: 'l'lJCf'C' Wf'1'(' lloW\1 to i1Jus- 
57 
 
 trate manv of the lectures and in the various picture slwws of the county, ~where they wne seen by thousands of people. These slicles 1vere illustrative of Trtberculosis; the sanitary closet versus the old open hack, surface closet; the value of screening; hook 
worm diseases; how to prevent fly breeding, and so 
011. ::\I mw of the slides used in the picture shows were of ~~ comic nature and were worked up a1~(1 painted by a member of our organization. 
NEwSPAPE11 AnncLES: There '.Vere artides written by the Director. These articles were well circulated, being canied by four weekly papers, vis., The LaGrange Hq1ortcr, The LaGrange Gn111hic, 'l1 he \Vest Point-Lnnett 1\ uws ,and The C~wtta hoochee Valley Times, h::wiug a- combined circulation of ahout 6,000. These articles were upon the same general subjects as were the lectures and stereoptican slides. 
PEnso""AI" VISITs: During the year there were G8- homes visited hy the Director and 6,421 homes visited by the Tnspectors. Personal interviei\'S IYith advice along certain lines of sanitation 1vas the result of these visits; also a sanitary record was 'made of each home visited by the Inspectors. These records are filed in the office of the Board of Health. 
LITERATl:"RF. DisTniBUTED: 32,562 pieces-Literature on a dozen snhjectts pertaining to the welfare of the imlivi<lual and communities were distrilmt('d. This literature was, for the most part, attractive booklets, aml the incli1'iduals were urged to read them. 
PREVENTION OF SOIL POLLUTION. 
SANITATtY CLOSETS: Prior to .Tannary 1st, 1918, there had nen'r been n sanitarY clos0t in the county lmt during the year thcrr were instn1le(1 1,:12:-i, COlJsisting of the following types: 1,:100 pit types, 40 septic tanks and one F1o.n1 comJt,\" t,\"pe. 
fl8 
 
 SEwER CoNNECTIONS: 1n the ::>ewer districts of LaGrange, HogmJs\ille and \Y c::>t Point there WPre scores of resideuces uot having S[mitm~ toilets counected ,,ith the se~wer. During Uw .Year there were 177 or more, cmmeetions made. In the town of Hogansville Ga., there were at the heginuing of the year 54 homes in the district serTed by the sanitary ~ewer, that were not cmmected during the year; through the ai<l of the Mn:-or aml City Council we were able to have 47 of these conncdc1l. Tiilbi<le Cotton J\Ijlls, ncar LaGrange had 450 surface closets throughout thrir \'illag-e and (luring the year 435 of these were made sanitary. 
The Dixie Mill Vilbge ncar Tjap;nmge had ahout 110 surface closets at the 1wgim1ing of the year, these made sanitary during the year. 
PERCENT ov SANITA!lY CoNVENIENCI~s: Ahout G~ percent of our people now arc enjoying the cou\'enioncc of and arc protectc<11Jy these sanitary appliances. 
HOOK WORM CONTROL. 
Troup County bciug situated among the red hills of middle Georgia, it was rather surprising to find that out of a total of 8~5 individuals examined for Hook \Vorm 20 percent, or 165 of these were fouucl to be infected. Of this number 1:25 took treatment. 
0THEU PARASITEs: There was a rather high perrentage of infections of other intestinal parasitic disease-, such as rt'ape \Vorm and Pen \Vmm. Of the 1~6 fouwl to he infected with one of these parasites 81 recci \'Gd treatment. 
DYSENTERY CONTROL. 
A Two YEAR SuRVEY: After a painstaking survey of the eutirc county (house to house visits), it was found that there were nnnually 4~JG cases of Dysentery occuring. 
5!:1 
 
 DECHE.\SE Dumxu 'l'uE PnESE:\T Y;.:xrt: Accon1ing to reports of }Jh~'siciam;, 1mrscs, lwspita1s and other sourccs, then~ oecmcrl this ~,ear ilH cm;r~s, or on]~r J :2 perccut of the HYI..'l'Hg\~ annual lll'l'YalcncL~ or this malady. 
TYPHOID FEVER CONTROL. 
8FnYEY: The mnmnl Hmnlwr ot' 'l'~'phoi(1 !1\:n1' Cm~~es wns nscert:\inc<l in thl' same manner as was that of J)~senter~r' 1Yhie11 WaS J'onw1 to ]n: 1/7. 
ni\C!tE/t,c;J<:: Dul'ing the ~'('()l' there 1\'C'l'l' (ji) cmw:o, 1\'llieh shows a (1ccre<1se in t1t; inei(1encc of Lhi; <lisease of G3 Jlcrcent. 
YxccrxxTrox: Durii'f\' 11H ~Tm' we a\hiilli:-;tpn.J l,\']llwi<l Yaeci llC', 1st f1m:p to :?,-1:2+ }H'Ol Jh', :?11'.1 (1osc to :2,:2GO, ~mc1 :1n1 <1osu to :?, 100. 
OTHER DISEASES HANDLED. 
During the ~'Pill' om Boanl lww1le(1 197 eases of Smallpox :nH1 \'.'HS fo;cP\1 to rigi(11y qunnmtine only one ease. \\'e :Hlministere\1 small-pox nlccine to 1,!78 in<1iYic1nn1s, This, togdlur with isobtion HJH1 p1nenn1iw~ of' the hrnFc wh(n the patient waf:, 1nn ihJ nwn :mrrs mw(1 l o control the (ES<'a S('. 
Durillg- tlw Yem om m;~m1i1::1tio1l ga,~e a nmn1K'l' of Pm,tcm tn;1.tmer1h <111(1 h:m 1lP\l :1 ]ar;~e 1mmlH'l' of enses of mens1cs :mJ ChiehH-po:-:, a l't>w Cll'WS of Dinthcl'in, Seal'ld Fenr, nul one en8P of Tuf:m- 
ti1r~ Parnl~'sis. 
\Yc lwg to s:1v tJwt, Hllhm1gh onr showing m:1)~ 11ot he tlJe lwst that l111S 1wen rmH1c in the C(mntr:,~. co<1si(1ni1w; the f:1rt that fnr nl10ut fln, Y.TI'ks wr' WP1'" (lcyntilll',' our P1Jtin tilll(' to fio:hti11.!~ thr sc cnllcrl "T11nncJn:1" cpirl,,n,ie, ;>n(l ilwt with tlH C'lo:;:' of !h; Yf';l~ Y'l' nrP not r11tire1\r f'rcc qf 1his clisPlJSr> i'lHl ih:; (ffcf'ts, Wf' (iJ''' inst1:' jl1'011(1 of W1Wt 01'1' ()>'l>"'lli'~,nfinn h:1': hell all]" to nccompli~:h t'nl' 
Olll' riti7:1'11S. 
THrm1dnsion wn \Y()'11(1 1il~c to inform ~'OU tlwt 
60 
 
 the ahon reenn1 could not han ]lC'l'll lllailc exCl'lJt thl'ongh the ltcart.Y l'O-OlWratiou of oar intelligt'lll citizenship, ~;w1 IH' fp]] ilwt IH' would not make H mist1~Le slwnld IYP 11ame some eonnue1'cial anl1 ei\ie hollies IYhieh han lwlpu1 11:-1 so nmcll in making such a neol':l ns this ]losilJle. lre point with Jlritlc to the fact thnt tht following \\'l'1'l' q11iek to neognizc the worth of' om efforts md li!:cnd in thrir cooperation, tlJC Ma:.or 111](1 emmeil of the Ci1y of LnGrauge also of Sont1nnst LnGr:mge, \Yest Point alH1 
HogansYi1le, the Bo:n\1 of Count~- Commissimw1s, the DmJSOI 1 CoftoJt ~~fill, 1l illsi(1P Cotio11 -:\[ills, 'l'lH 1ntenwiinnr:l Cotton -:\fillf', I~lm Cit~- Cotton -:\fills, Unity Cotton ::\fill, Pnrk Cotton ::\fill, Dixi< Cottou }fill, rnit~- Spinnin~~ :dill; TIH LnGnmge GnqJllic, The LnGn~ngc Hl'1lol'ter, rl'hu \Y est Point-L;mdt XcY:s, The CllattnlwoclHr Yalle.Y Times; tlw me>dicnl nrol'es~>ion; the tenchinp; ]no~'cs~'ion; tht \\Tonwn's ClnlJ of LHGntn~;u uw1 "Y<st. Point. :~n:l llWHY other lmsine;os Jwn:w'3 anll imli,i:lnals to'l 
)llllllC'l'OES to mention. 
Yoms for lJdter henlth, B. D. BLACI.::\\'FLJ):m. 
TtW1 1J (\nnt~,- Board of' 1li;~ 1,t1t. D ire>ctor. 
61 
 
 REPORT OF FLOYD COUNTY BOARD OF HEALTH 1918. 
 
VITAL STATISTICS 
 
BIRTHS 
 
Month 
Janunrv 
PelJrua'ry .. Mnreh .... 
April 
Mav ...... 
.rm;c ...... 
July  0. 0 
August .... 
September 
Octol>er ... 
Novemlwr December Grand Total 
 
White 
 
Male Fem;1le 
 
11 
 
1 
 
7 
 
(j 
 
20 
 
Hl 
 
2,-) 
 
2D 
 
]8 
 
~0 
 
8 
 
20 
 
D 
 
1D 
 
:3/ 
 
22 
 
1i 
 
21 
 
27 
 
18 
 
20 
 
8 
 
() 
 
4 
 
212 
 
1()0 
 
Black 
 
Male -~'em::1b 
 
2 
 
3 
 
4 
 
1 
 
(j 
 
;) 
 
+ 
 
q 
 
2 
 
3 
 
() 
 
2 
 
J 
 
cl 
 
7 
 
4 
 
9 d 
 
G 
 
2 
 
] 
 
0 
 
1 
 
2 
 
1 
 
3(i 
 
:13 
 
Total 
 
Male lG 
11 2G :2!) 
20 
8 17 44 17 
:29 
20 8 28 
 
Pcntale Total 
 
17 
 
3,',' 
 
7 
 
1H 
 
22 
 
41l 
 
ell 
 
GO 
 
22 
 
42 
 
2~ 
 
30 
 
23 
 
40 
 
2G 
 
70 
 
~~ 
 
4+ 
 
JD 
 
+S 
 
n 
 
29 
 
H 
 
1!) 
 
.o. , .~_] .') 
 
18 l 
 
DEATHS 
 
Month 
 
.Janurrrv 
1<\brua,ry .. 
 
March .... 
 
A.pril 
 
May 
 
0  
 
June 
 
 0  
 
July ...... 
 
August .... 
 
September 
 
Oetobcr 0. 0. 
 
Xovcmhcr 
 
Dcccmlwr 
 
Grand Total 
 
W11ite 
 
Male 8 5 G 10 
10 
(j 
7 
2 2 3 
[) 
18 8fi 
 
}\.'n~alc 
7 
8" 
4 
11 8 (i 
5 
4" 
(j 
12 77 
 
Black 
 
Male J:i-,cn1nle 
 
7 
 
1 
 
1 
 
1 
 
() 
 
2 
 
]3 
 
17 
 
7 
 
1 
 
1I1'"' 
 
7 + 
 
5 
 
:; 
 
3 
 
8 
 
1 
 
7 
 
2 
 
1 
 
2 
 
2 
 
(j:J 
 
Gi 
 
Total 
 
Male 15 G 
(i 
23 17 1D 18 
7 ;, 
+ 11 30 llil 
 
.Female 'l'otal 
 
18 4 
 
'l') 
1""0' 
 
10 
 
Hi 
 
21 
 
44 
 
12 
 
~f) 
 
};) 
 
:;.1 
 
10 
 
:?8 
 
H 
 
1;) 
 
11 
 
](j 
 
11 
 
15 
 
7 
 
]8 
 
4 
 
~~ -1- 
 
1:n 
 
2[)~ 
 
White Male ........... 11 l'cmale ......... 11 
 
INFANT MORTALITY (Under One Year) 
 
Black Male ............ 2 Female .......... 2 
 
Total l\lalc ............ 1:; Flmale .......... 13 
 
Total ......... 22 
Male ........... 17 }\~uutlc . . . . . . . . . 1 G 
 
Tot a1 .......... 1 (Under Five Years) l\lalc ............ 7 1'\:'JnulC' .......... G 
 
TotaL ......... 2G 
Malo ............ 24 }_,cn1ale .......... 21 
 
Total ......... 3:l 
 
Total 
 
.12 
 
'l'otal. ........ .45 
 
62 
 
 MORBIDITY AND MORTALITY 
 
Disease 
 
White 
 
Meningitis . . . ...... . 
 
Chiekcnpox . . . . . .. . 
 
Dipthcria ........... . 
 
lhscntery . . . . . . . . . (t~~rtnan 11Ie::tS1cs . . . . . . . . 
 
Malaria . . . . . . . . . . . 
 
(j 
 
:\I casles 
 
. . . . . . . . . .. . ]3:.' 
 
Mumps ... . . . . . . 
 
Bright's Diseuse . . . . . . 
 
Pnenn1on ia . . . . . . . . 
 
Searlct frYer 
 
.. 
 
Smallpox 
 
........ . 
 
TLLllerenlo,is . . . .... . 
 
T.yphoi<l fc,er ......... . 
 
\Vhooping eon~h . . . . . 
 
Acute Conjnndi,iti' 
 
Pellagra . . . . . . . . . . 
 
t'o!i011ryelitis 
 
.. 
 
Acidosis ........ . 
 
Bronehial ar-t1nn:I 
 
.. 
 
Diarrhoea 
 
.. .. .. 
 
Mcmbrancous Croup .. 
 
Apoplexy 
 
.. 
 
Gastritis . . . . . . . . . . 
 
.., 
 
Organic h l':at . . . . 
 
:l 
 
Burne<! . . 
 
. ... 
 
1 
 
Operations . . 
 
.. .. 
 
2 
 
Artcdo 8clt>Tohh~ 
 
.. 
 
Internal Injur:; .. 
 
Scnilitv ... . 
 
2 
 
Pcritm;itis ............. . 3 
 
Jamllliee ........... . 
 
1 
 
I~ara1ysis 
 
. . . . . . . . . . . :l 
 
Cancer . . 
 
. ... 
 
1 
 
Foun<1 tlcnrl 
 
.... . 
 
1 
 
Drownc,[ ......... . 
 
1 
 
Brain nhsecRs 
 
.. 
 
1 
 
Toxemia . . . . . . . . 
 
't 
 
Angina peetnris 
 
1 
 
Choh'ra-rnorbu.s .. 
 
() 
 
Tntp;;tinal ol.>shndion .. 
 
Chorea . . . . . . 
 
. .. . 
 
Deformity 
 
.. 
 
. .. . 
 
Softeniug of l.>ra in 
 
Septicaemia . . . . ... 
 
Inanition . . . .. . 
 
Dropsy ............. . 0 
 
Tropical fever . . . ... . 
 
0 
 
Gastroint~ritis 
 
. . . . () 
 
Colitis . . . .... . 
 
1 
 
Acci<lent . . . . . . . ..... . G 
 
Tmnor . . . . . . . . . . . . . . () 
 
II0patitis ........... . 
 
0 
 
Sxphil"s . . . . . . . ...... . () 
 
Burnctl 
 
...... . 
 
] 
 
Black 0 0 0 1 0 0 0 0 
G 11 
0 
"'' 
19 
(i 
0 0 9 0 1 
(I 
0 1 0 
() 
:? 
() 
0 0 
3 
() () 
0 1 0 0 :? 0 1 0 0 0 0 0 
n 
1 2 1 
() 
() 
1 
 
Total 2 
.) 
,) 
1() 2 
1 1 
') 
;, 
2 
" 
3 1 4 6 
.1, 
" 
2 1 1 
() ] 
1 1 1 1 
2., " 
2 
 
.Deaths 
0 1 
f) 
0 0 0 
() ](i 
() 
0 
:.1 
4 
() 
10 2 
2 
2 
2 
a 
1 4 
(j 
.1, 
' 
2 
(i 
1 1 
;) 
1 1 1 2 
:l 
1 
1 1 5 1 1 1 2 
 
 MORBIDITY AND MORTALITY- -Continnerl 
 
Disease 
 
White 
 
Black 
 
_.:\en t e- i n<1igestio u ....... () 
 
) 
 
GQllg'I'Cll(' .... '' . ... . . . . Prcnwtun 1> i rt 11 ....... StnHk ll\' 1ightnillg' ..... 
 
0., " 
 
] () (; 
 
A Jll'<'!Hli;i t i, ....... . . . . . ~ 
 
(I 
 
1IL'll\()l'l'll:tgl' of stomal'h .. 
 
() 
 
Iu fl u:..'uza -.. \PI ll'OX . . . ... , S,lll.,(l .\ ]lPI'OX~~,OOll 
 
Total 
>) 
,, 
,, 
I 0,000 
 
Deaths 
2 1 
:~ 
1 
~ 
I 110 
 
\~/hite 
2\l:!IP ........... " }'l'm:lc ......... I 
rl,otal ......... D 
 
STILL BORN 
Blaf~k 
.\L1le ............ 1 JC,,lll:llc> . . . . . . . . . . 0 
rrotnl .......... 1 
 
Total C\[:11(' . . . . . . . . . . . . li V:.._'Jnnlc .......... -1- 
1'1>t~ I .......... 10 
 
EDUCATIONAL REPOE'I.'. 
l\u'mbcr of lcclml~ r1dinnt1 ________________ 1:2 Numl)Cl' of lecimls t1cli\cn.~ lo :-;dl<Wls _______ K:~ Num])Cl' of led.nres ddin:l'l'r1 :~llPci~ll ______ ___ 11-\ 
or Totalmun]JC'l' lcdmrs delinrec1 ----------- 11:1 
Nmnbur of nuwspallC'J' ;utic1cs _______________ DO 
1\mubcr of hmnrs yj,:;ihr1 ------------------- 1 1(11 Numbn of pilccs of 1itc'LllUl'l' ,[j~,trilmtcd ____ :JJ;)() 
Srwcial visits ------------------------------- :1:n 
T~-l1hoi<1 inoeu1atiom; ----------------------- 2:l0 
S111all-r)ox yaceinations ______________________ :ri":2 
Numher of homes comJlC:tc:l sn'lit:r_,- SC'I\Tl' __ 125 ~umlwr of schools m!J lmil:iings s<mitnr~- clo- 
sets installed __________________________ 6 
Num1wr of hmllC's with snnilnl'y dosds im,tallPt1 :i:~G Numlwr of ::;chools and hnil<1ings s,mitnr:- scwur- 
agc cmmcction _________________________ G 
Dain:~s inspcct<~c1 ___________________________ 28 Averagc sco1e of daitirs __________ __________ 85 Nmnher of cu1hncs taJ;eH for <1i1Jht1wria ______ 1-:11 
Number of schools inspeetutl nn:1 rc-inspcctu<l _ El2 Nnmhrr of pupils exnmincc1 _________________ 58G8 Nnmhur of <1cfccts found ___________________ 17+0 Numl1ur of <1efects reporte<1 cmTC>ctc(1 ________ 420 Numlwr of ehildren uxe1w1cd from schools ____ 5:12 Number of school visits nmc1c ________________ 520 
 
64 
 
 .It is only necessary to glance at the above the 
great amount of educational work done during the vear. -While we are not now depending as much on ~ducational work as we did during tho first year in public health administration in this county, yet our best authorities tell us that it is absolutely necessary to make publicity a foro-runner of all measures attempted for tho health of a community. Our government, our state authorities, and all insurance companies arc spending more money today in educating the public on the best means of disease prevention than ever before. 
The most important health educational work that we arc doing is in tho public schools, in bringing facts to the pupils during the formative period, to enlist their support and arouse their interest for a sanitary community and a healthy citizenship. 
\Vo arc not expecting anything like perfection in sanitation until the boys and girls ~who arc nmv in the public schools become the men and women of this country, for the reason that many of the parents arc very slow to cooperate in any progressive step; therefore, in instilling these principles into our youths today is laying a foundation for a healthy citizenship tomorrow. 
MEDICAL INSPECTION OF SCHOOLS. 
Tho reports show us that up to July of this year 5868 children have been examined, 1740 physical defects found and 420 children of the county have followed the suggestions of tho medical inspector and had their defects corrected. Since that time vacation has come to all of the schools and many children have taken advantage of tho opportunity and had damaging defects corrected, furthermore quite a largo number of defects have been corrected in the children's free clinic. vVe shall not be able to check up on the defects corrected since July the first until all of the schools have been re-inspected and each 
65 
 
 child examined during the present term, hut we conservatiYcly estimate that the total corrections for 1918 up to .January the first ~will easily reach 600. 
Six hunclrecl children ~who might have gone through life with such physical defects as would be a constant strain on their vitaity ancl cripple them for senice are gi\e11 a dwwe in life. \Ye expect no less than 1000 corrections from chilclreu in HJ19. 
The Floyd County Board of Health did more preventive \\"ork iu their fight aglaiust prmeutable disease clurillg 1918 than was done in the two years together preceding. :F'rom year to year as the work progresses new an'nm's srw11tanconsly open up h~ which concerted efforts, directed towards controlling the ravages of disease, gin~ us a larger field of usefulness in the senice of humanity. Public health administration is a progressive science dealing with the fundamental principles of the conservation of health amllife of the citi"'ens of a community. 
The great world war, which has brought sorrow to thousands of homes, has had a most glorious and victorious end, yet there is a war still raging which is attacking the homes of our land and carrying awa) the n~ry flower of manhood and womanhood, and in many connnunities, no efforts whatsocwer are being made to combat the ravages of disease. 
The war has taught us the ,-nlue of health as an asset in efficiency, and at the same time we have learned the sad lesson in the fruits of neglect, which has resulted in thousaHds of )"oung men being crippled for the duties and responsibilities of life. 
Governor Dorsey sai<l on a rece11t visit to Rome that the health work in Floyd Count) \vas one of the biggest and best works in the county and it should appeal to e\ery citi7.en to the extent that the health commissioner and the board of health will have the united co-operation of all the people to make it prove the g-reat asset that it really is, in protecting the lives of the people. 
66 
 
 SANITARY IMPROVEMENTS. 
By a glance at the tabulated report, it cau be clearly seen that we lmve had a most \vowlerful improvement in many sections of the county. 
In the outlying districts of East, North, \Vest and South Rome, where we had over 40 percent of the typhoid fever and other infectious diseases for the county in 1917, \Ve had 15 percent of the total cases this year as compared with 0 per cent last year. 
There were il:-l;) sanitary closets installed in the outlying districts 11amed aboYe. This was done by the property owners upon demaml made by the board of health. These e1osets are visited as often as possible by the health officer awl tlw occupnnts of the dewllings on the premises are required to keep same in a sanitary mmmer. 
The residents in the districts where these closets have been installed are delighted with the improvements in conditions a1Hl most of tlu:m mnuifest a willingness to do their part to keep closets and premises in a sanitary condition. 
In Boozville and in Armuchee, where in former years there have been many infections diseases, is shown a marked improvement since all of the homes in these villages are equipped with sanitary closets. 
In the Anchor Duck :Mills district, sewerage has been installed at every home, and this is largely responsible for the decrease in Typhoid ft~ver and other infectious diseases this year. 
The }11 airbanks Company and the Hanks l<'oundry in \Vest Rome have installed improved septic tanks to take care of the excreta of nlJOut 300 employees. 
AT THE Rm>HJ TANNERY neatly constructNl sanitary closets have been made part of the e>quippment of every tenant house, as well as a number of them for use by employees at the Tannery. 
AT THE INTERSTATE CnEJ\IICAT, CoMrANY, a septic. tank approved by the U. S. Government has heen installed for use by the employees. 
67 
 
 CAvE SPRING now has her sewerage in operation and many of the residents of the town have alrcadv rnade connection with the sewers and are enjoying the sanitary improvement. 
IN THE RuRAL SECTIONS some sanitary closets have been constructed, but we arc sorry to admit that our rural population all over our country is slow to see the wisdom of progressive steps along this line to stamp out disease. As a result of their neglect about 85 per cent of out typhoid fever, and other infectious diseases, during this year occurred outside of Rome, Lindale and Ca,-e Spring, except influenza which attacked people everywhere. \Vhen our boys 
return to these homes from the Army camps, 
we expect to play a vital part in starting a new era for better sanitation in our rural communities. 
WATER SUPPLY. 
Rome has a filtered water supply not excelled by any city in the South. After the water is properly filtered it is then treated by chlorine-gas to destroy any possible bacteria which might get into the water. The Rome plant was inspected recently by the director of the water laboratory in Atlanta and pronouucecl mordern and safe. 
Cave Spring, Anchor Duck and Lindale each have a safe water supply which meets the test for purity. 
In the rural communities many of the residents are installing safe wells, but this is not being done as rapidly as should be for the safety of the home. The rural population is beginning to take notice concerning the cause of disease; therefore, with what is being done hy the hoard of health and with the information that our soldiers \Yill bring hack from the camps, we naturally expect a general awakening along this line within the ncar future. 
OUR DAIRIES. 
It is gratifying to observe the great improvement in the general management of our dairies as com- 
68 
 
 pared to three years ago. Our goverument. state inspectors all report that the dairies in Floyd County are not only better than ever before, hut \Vill compare favorably with any dairies in the state. As a further proof of a better milk supply, we have had less infant morbidity and mortality from infectious diseases during 1918 than in either 1916 or 1917. 
MARKETS, CAFES, ETC. 
The markets, cafes, etc., in the county have been inspected and oarh required to keep premises cleau, rooms well screened and all fresh meats and milk iced. 
THE COUNTY HOME. 
The County Home upon inspection was found to be rlean in all of its apnrtmonts and the managements doing all possible to keep the promises clean. 
THE COUNTY JAIL. 
This in fact should he called the "Bug House". for it is infected with vermin and is so antiquated 
that it is impossible to make it sanitary. Such a 
structure is nothing short of a disgrace to our county, and a new modern prison built to protect tho Health of tho inmates, as well as protect the people from their presence, should be constructed. 
THE CHILDREN'S FREE CLINIC 
After tho Health commissioner had visited every school in tho county several times and made an examination of every pupil, he was confronted with the very sad fact that thoro were several hundred children within the bounds of tho county with damaging physical defects, who were unable to pay a physician or dentist for tho necessary treatment. Realizing that these children were among the assets of the county, and that the community needed them, steps were taken at once looking towards the organization of a childZren 's clinic. A place where any child, 
69 
 
 regardless of sex or creed, could without money HllCl without price come for treatment. The matter was taken up with the Rotary Club and they gave $500.00 to help the movement the first year; it was then taken up with the \Voman's Club and they helped about $300.00. The County alHl City authorities contrilmted to the moyement. The First Presbyterian Church of Rome contributed $510.00 and other churches, fraternal orders and many incliYiduals made voluntary contributions, so that the finaurial success of the work >vas assured. The matter was brought to the attention of the Flo~'d County J\[eclical Society aml members IJledged 1their serYices without charge to the Clinic. The local dentists made a similar assurance of their co-operation. 
The Children's Clinic wns fitted up in a beautiful suite of rooms in the J\Iunicipal Building, and a modern equippment instnlled. 
The Children's Clinic began work in .July and every Clinic clay wns a lmsy dny with the physicinns, dentists and clinic nurse, up to the influenza crJidemic, when it hecmne necessnr~' to temporarily close the clinic rooms for a few weeks and do emergency relief work. The clinic is <1oing a work that no other agency is doing. It is giving the poor defecti>'e chil(1ren a chance to make for this community healthY men and women. \Ve expect great work from the Children's Clinic, lluring the coming year. 
Ever~r officer of the Children's Clinic has been faithful to dnt~, nnd made it a real pleasure to have the priYi1ege to render such service to the future eitizens of ouP city and county. 
SPANISH INFULENZA. 
Our county and in fact the entire nation, or we might sa~' the whole world has never known such a death dealing .pest to the lmmnn family as we have had from this disease, commonly known as Spanish Influenzn, during the lastt three months of this year. 
70 
 
 It has been estimated that G,OOO,OOO lives have been lost during the year in Europe, while our nation has lost 400,000 lives from ".B'lu ", within the past ninety davs. while Floyd County has had approximately tm~ thousand cases and lost approximately one hundred and ten lives, yet it is much below what many communities have suffered. 
This is a disease which is considered by our leading research men to be of unknmYn origin, yet it is thought that rrowding poorly ventilated rooms, hand to mouth infectimt, etc., are potent factors in the spread. 
while there arc a number of preyentives used and endorsed, yet none ha vc had quite the results to follow as the use of mixed vaccine, especially recommended as a prevention of the complications of influenza. There is absolutely no harm in taking the vaccine; therefore, c\-cry person should do that much to prevent the complications of influenza. The mix- 
ed vaccine has been gin~n to approximately one 
thousand people at the board of health office. Only thirty of this number have developed influenza and not. one of the entire number receiving the third inoculation, has had any kind of a complicatiou. 
TYPHOID INOCULATIONS. 
In the earl~- Spring \Ve ex11ect to begin a campaign in Rome and Floyd County to get ten thousand people to take the inoculations as a prevention of typhoid feyer. The eight thousand people of this count;r who took the inoculations in ] 916 are due to take them again in 1919. Observing the results in the Army and seeing the results in Floyd County, should not cause any person to hesitate for one minute in seeing the wisdom of this procedure. There may 1>0 some grounds for saying that influenza inoculations do not prevent influeuza, hut it is a reflection on the intelligence of any prrson today to say that t~rphoicl inoculations are not a pre- 
71 
 
 vention to typhoid fever. \Ve want ten thousand people to get on the safe side from typhoid fever before the \Varm clays of Summer come to us again. 
Thanking every person, who in any manner had anything to do with the health work of Rome and :B~loyd County during J918, and soliciting a continued co-operation during J919. 
Respectfully submitted, l\L J\L McCoRD, 
Commissioner of Health 
72 
 
 ANNUAL REPORT OF THE DIVISION OF TUBERCULOSIS 
FOR THE YEAR EKDING JAN. 13, 1918. 
DR. T. F. AmmcnoMmE, Secretary, State Board of Health. 
A year has transpired since the ratification of the t~rms of affiliation of the Raoul Foundation and State Board of Health by the respective Boards, and it is my privilege to submit to you the first annual report of the activities of the Division under my direction. 
ANTICIPATIONS REALIZED. 
In the terms of agreement between the two organizations you will recall that I stated at length the benefits to he derived from the union, and outlined the program for the Division. It is a pleasure now to be able to say, at the conslusion of a year's work, that the henefits anticipated from the affiliation are being realized, and the program proving to be practical in every respect. 
SOME MINOR DETAILS. 
l\fuch of the work of the office during the year iR of such a nature tl1at it cannot and shoulCl not l1e dwelt upon at length in a report, and yet it is a significant part of the Campaign against Tuberculosis. That it ma~r not be entirely overlooked, I present the follmving summary: 
1. Tntervie\Ys-l\Iiscellaneous _____________ 167 2. Interviews-Patients __________________ 56 3. Luncheon conferences ________________ 15 4. Board and Committee Meetings _______ 30 
73 
 
 5. Addresses (estimated 17,115 hearers __ ) 77 6. Conferences, Plans and Programs _____ 246 7. Letters mailed ---------------------- ~,288 8. Literature distributed ________________ 1:1,382 9. Records and reports complied _________ 1,551 
LARGER UNDERTAKINGS. 
The Program outlined for the work of the year, aside from the routine office work, educational Campaigns, lectures, etc., embraced: 
The beginning of a movement to establish local hospitals for the care of advanced cases of tuberculosis in certain centers of population. 
2. A Legislative Program. LocAL HosPITALS: 
The first step in the movement for local hospitals came as a result of a three days' eampaign in Macon at the end of April, when, after every proposition proposed was defeated twice in succession by .the indifference of those locally sponsoring the movement and by a Committee of the City Council, I succeeded in re-enforcing our claims and procured a unanimous vote of the Council adding a $25.00 item for a local Sanatorium to the General Bond Issue. 
The bonds were voted later by a large majority, and the money will be available for the Institution when the Hospital Board is ready for action. 
LEGISLATION. 
Perhaps the most significant work of the DiviRion for the year is that embraced in the Legisla- 
tive program, rn addittion to co-operating with the 
State Board of Health in every way possible in urging the passage of three or four general Health Bills I was particularly interested in two tuberculosis measures-one providing for turning over the  
74 
 
 State Sanatorium to the State Boarc~ of Health ~nd the other enabling cities aJHl Counties to estabhsh local hospitals, thus making possible our hospital campaign. It is needless to say that in advocating these measures the Division had the support of the forces of the Statte Board, and both were enacted 
into law. Undoubtedly the more important of these two 
measures is tho one giving the State Board control of the State Sanatorium. Almost ever since the establishment of the Institution it has been subjected to severe criticism, and year after year conditions had apparently grown worse till they could be rightly described as intolerable. It is welllmown that the Raoul Foundation had no responsibilit!- whatever for the Institution, but previously the Foundation, and during the last year, the Division, \vas being criticised for not attempting to re]ien tho situation. The opportunity to get definite information upon which action might be based came with the invitation to detail Miss .Jackson, Executiw~ Nurse of the Division, to the Institution for a month, to fill a varancy there. Her reports were used h!- me as a basis for direct appeal to the Governor, which resulted in the recommendation in the Governor's message that tho Institution be placed under the control of the State Board. It is needless to go into details as to the strenuous fight put up h~- the Division and State Board for this and the other hills, hut sufficient to recount tlwt on September 2nd, the Sanatorium was offirially tunwd m-er to the State Board and has since lwen operated under the general direction of the Director of the Division and the Secretary of the Board. 
IMPROVEMENTS AT THE SANATORIUM 
Thron~rh a littl0 C'arelc'ssness of some of our friends in the Senate the appropriation bill which 
75 
 
 would have given us funds sufficient to make certain necessary improvements at tho Sanatorium failed of passage, and we were immediately confronted with the necessity of closing the Institution or procuring funds in some other way for the proposed improYements. A detailed statement of tho conditions as we fouml them, and the changes ab- 
soluttcly necessary, was made in an address to the 
GoYernor which was signed by both tho Director of tho DiYision and tho Secrotar:v of the Board. As a reshlt of this statement the Governor and the EfficicnC_\' Committee Yisitod tho Institution, and endorsed tho proposed improvements. They haYc also authorized the expenditure necessary, and promised to secure a deficiency appropriation at tho next session of tho Legislature, to take care of tho indebtedness. 
As soon as possible after receiving their sanction and direction, the work was under way, and soon a new kitchen and dining room will be completed, a new heating system iw;;talled that will supply an abundance of hot water at all times, and a dry room for tho laundry. 
The removal of tho kitchen and dining room to the cast end of the administration building relieves the spare previous].\' occupied for another ward and porch for patients, ::mel thus puts an end to tho intolerable arrangement heretofore, whereby it was necessary for \Yomen on the East porch of the Infirmary to pass through the ]\fen's ward in going to the lavatories. 
The Architect has also hecn instructed to rearrange the lockers, rest room, and heating of one of tho shacks, nroviding for a coml1ination heating system in the hasem0nt of the shack that will also furnish hot wat0r for the lavatories and haths, and scnarntc loc1wrs, hath, ct0., from the rest room, a1H1 cstnh1ish n more comfortable rest ;oom on the order of a sitting room. If the plan works out sue- 
76 
 
 cessfully and sufficient funds can be secured other shacks will be remodeleu on the same plan. 
It is also proposed to overhaul the building down the hollow, heretofore useu for negro servants, and begin in it to care for a few negro tuberculosis patients. 
The new arrangement in the Infirmary, anu shacks will increase the capacity of the Institution, and it is hopeu that in a very short time 150 patients can be accommodated. 
Sanction was also gi,en by the Governor anu IMficiency Committee to the proposition to lease, with a view to purchase, a traet of lanu lying between the Institution and the Railroad, and also extending beyond the Railroad, comprising about 57 acres. After prolonged negotiations this lanu is now in the possession of the Institution, and the residence, which it is hoped will be utilized later as a residence for the Superintendent, is now occupied by an expert farm manager, who will, it is believed, soon put tho farm, uairy, and garden on a better and more profitable basis. 
Owing to the necessary disturbance due to making the changes in the building and the want of certain conveniences the number of patients has been kept down to the lowest limit possible. These restrictions will soon removed, and it is expected that the Institution will he so well-equipped in every way that commendation rather than criticism will be the rule. 
OUT-PATIENT CLINICS. 
In l\Iay and .June the Division joined with tho United States Public Health Service and tho State Board of Health in the movement for the establishment of out-patient clinics in certain centers of population, and it was immediately apparent that these centers wou]d be the same as those selected 
77 
 
 for the establishment of local hospitals, and wt-re representative of the Congressional Districts. 
I was led to commit the Division to this movement not only because I was interested in the geueral health and venereal program, but because it was apparent that the Campaign against tuberculosis could best he carried on through co-operation with the other forces mentioned, and it was at my suggestion that the clinc~s were given the mmw "Out-Patient" instead of Venereal m tuberculosis clinics. 
It is worthy of mention also that in all of our meetings, which covered two Ol' 'three days' work, and many addresses and conferences at each place, stress was put upon the uecd of a local hospital as a part of the tuberculosis program, following the work of nurses and clinics. These meetings were well-attended, and without a single exception the sentiment was favorable to the entirt- progrmn, aml I have reason to belieYe that, if we could have stayed longer or returned nwre frequently, we might have seen the program actually completed in a number of places. I consider, however, that the Campaign was an exceedingly valuable one, and the results more than sufficient to justify the out lay in time and labor.. 
Summing up the results not only of this Campaign hut of the previous work of the Foundation, it ma~' be said that the tuberculosis work is being conclucted very successfull~T in Atlanta under the Atlanta Tuberculosis Association, clinics and nurses heing employed, and the Battle Hill Sanatorium, for Atlanta and Fulton Count~', suppl~'ing the need for hospital care; in J\Iacon hy the Pul>lic Health Service, through a clinic and nurses, paid for it in part from the proceeds of the Reel Cross seal sale; in Columbus through the Puhlic Health Nursing Association, a Connnitt0e of the Reel Cross directing the work and meeting the financial ohligntimts; in An- 
78 
 
 gusta by a clinic and nurses recently organized by Miss Jackson, Executive nurse of the Division, and financed by the proceeds of the sale of the Reel Cross seals and the Public Health Service; in Brunswick by the Health Department through the Health Commissioner, and a nurse assigned to that work; and in Savannah, where for two or three years past the Margaret Bottom Circle of King's Daughters has employed a nurse and where now a new Committee backed by an award from the Raoul Foundation, in lieu of the sale of the Christmas seals, is planning to establish a clinic and institute a nursing service. 
For four months of the year a Committee of the Foundation at Rome employed a nurse who did very successful work, and other Committees at Dalton, Cartersville, Marietta, Toccoa, Fitzgerald, Thomasville, Marshallville, and Ocilla have retained a part of the proceeds of the sale and have done some anti-tuberculosis work, chiefly the administering of relief to patients. 
DISCHARGED SOLDIERS. 
One of the serious problems confronting the Division through the entire year has been the arrangement for adequate care for a large number of men discharged from the Army and Kavy on account of tuberculosis. Early in the year the benefit to be derived from securing the co-operation on the part of the Reel Cross in this particular problem was realized, and after several interviews with the Director of Civilian Relief of the Southern Division a meeting was arranged between him and the tuberculosis \Vorkers in the States of the Division at which the problem was thoroughly discussed and a working program entered into. rrhis agreement provided that all contacts with men rejected by draft Boards and men discharged from the Army in line of duty should be made by the local Home 
79 
 
 Service Committees of tho Rod Cross, and that in the case of men accepted hy tho \Var Risk Insurance Bureau as Government cases, after being reported by tho Rod Cross, no responsibility should be taken by tho tuberculosis forces except to share in their care, and in procuring examinations for them before they are accepted by the Government. The care of all rejects, however, after investigation by tho Home Service Committee \vas to devolve upon the tuberculosis forces. 
This agreement was entered into in April. No action was taken by tho Southern Division Office, 
although their attention was called to it frequently 
until the latter part of August when I vohmteorocl to organize the after-care Department of the Reel Cross for tho five states comprising tho Division. The greater part of my time for two months was devoted to this work. J\Ioanwhile a now interpretation had been put upon the status of tho discharged soldier, and it became necessary to hold another meeting of tho Tuberculosis Secretaries and Red Cross Officials. As a result of this conference, which took place the latter part of September, it was agreed that all men discharged after having been sent to Camp hecause of disability owing to tuberculosos should ho referred to the \Var Risk Insurance Bureau. 
This program is being carried out, and the Red Cross reports under date of .January 11, 19lH, that 620 Googia men have been referred to the \Var Risk Tllsurance Bureau for Compensation and Institutional treatment. Owing to the interminable rod tape in the Department at \Vashington, however, hut few of those men so far have boon assigned to tho Institution. 
\Ve had the promise of the National Association that tho names of all rnon rejected by tho Draft Boards owing to tuberculosis would be fumished us early in May, hut these lists did not begin to como 
80 
 
 in uutil DeccJttlwr 1~t. 0 eour~e, there will )Jp a 
 
great many mon~ ot' tlw njecis 1hnn of tlw dis- 
 
dunged UH'11, aw.l the 1nohkm oi' c;lru for thelll will 
 
he a uwrc <1ii'l'ieult one, iuasmueh as tlw Statt~ will 
 
han~ to lwnr the lmn1eu IYithont ;m~ lwlp from the 
 
or Gon~nllll('llt. To date \\'l) h:lYC Dl 
 
thc~e llll'll 
 
listed. 'l'lwse ll<tlllC'~ \Yill lJe tlll"JH'(l o\cr to Uw He<l 
 
Cros:1 for first contact nJl(l inn~stigntion to hu 
 
nwd(, after whieh an efi:'ort w[Jl he nwt1e to instrnet 
tlH'lll as to home care or to gi\e tlHm Tnstitutiowd 
 
treatment. 
 
BATTLE HILL SANATORIUM. 
 
As alwn stHtl(1, B<lttle Hill Hnn:1tmium, was e~ tahlishe<l for tll< c:ll'<' ol' those suf!'l'l'ing IYith tnlwrenlosi~ in Atlmdn and Ynlton Count.\, a1H1 the nutlwrities lw\-e nl1lH'1('(1 rigi(ll:: to tlw rule not to 
admit patients \Yho cmmot esinhlish :1 reside11ce in this tenitor~.-. 
While the c:qJ;;cit~- of the ~:Ctnt<~ f-\;mdnrinm has hecu eutinl.\~ too limited for the d<~JlWJlds. ]wing mad< npo11 it, B:dtll; Hill tlw pnst ~~<'Hl' has n great man; more lJC'(1s than patie11ts, nnd it hm; been lll.'' hope to prc\Tail upon llw nutlwrities to grant the nRc of m1;T 1H<1s not oecupiel1 to 1)atients from an~" where in the State who ml~ nhle to pn_\ for their care. It was reeognizedtlwt this 1vould ehange the Rtntus of' the Tm;titniiou all([ 1Jeccssitaic) a re-organizing or its fin:nwial s~stC'lll. Amwn1s Wl)]'(' lwing nm<le from tlw \\'ar Risk 1nsunmcc Bnrean for heel space for disclwrgc<l soldiPrs and alhantagc was taken of this to illflnenee the Battle Hill Board to open the door;;; of t1H Institution to out-side p:1tieuts, 1vith the resnH that llot only sol(1iers frl)m Georgia me to he a<lmittc(l, hnt ihc \\'nr Ris1z Tl.sunmce Burenn \Yas notifie(l thHt the; might :1,1Hl patients white or Hac]~, from nny Stale, it being agreed tlmt the GoYermne11t shonl<l pny $2.00 }JC>r da; for the care of these mcn. 
011ly two or three soldiers han lwen sent to th2 
 
 Institution so far, owing to the fact that adequat<3 provision has not been made for their care. 1 han: been in conference with Dr. Bradfield, and haY~~ twice visited Dr. Banks at the vVar Risk Insnnmc:: Bureau at Washington, and hope to arrange for the employment of a competent tuberculosis specialist, following which it is expected that every aV<lilalJlc bed will be taken by discharged soldiers. 
This arrangement seems but an easy step towarJ opening the doors of the Institution to any patiunts in the State who are able to pay for their treatment. This will be in keeping with the plan we haYe in view for the chain of loral hospitals for the care , f advanced patients we hope to establish throughout the State. 
The State Sanatorium at Alto has also ag~ced to take as many discharged soldiers as the limitcll space will permit. For these $2.00 per day will be received. There arc nmv only four of these mun at the Institution. 
THE EXECUTIVE NURSE. 
0-wing to the appeal of the Red Cross for help, and the need on the part of the Raoul B'ouudation to economize, J\liss Jackson, the Executive Nurs(', was assigned to the Camp Gordon Sanitary Unit for the first three months of the year. She r0signed from that position on the first of April, and resumed her former ~work. The first assignment being Albany, where she co-operated with tlw Health Official, investigating many cases, and assisting in the l\Iedical ]1~xmnination of school children. Part of her salary was paid by the local Tuberculosis Committee. 
At the conclusion, of her stay in Albany she was assigned to Augusta where she worked under the general auspices of the Public Health Servire aml a Committee of the Rotary Club, in charge of the tuberculosis work. This assignment lasted four 
82 
 
 months, and her efforts there resulted in the organization of a clinic and securing three nurses for handling the city and County tuberculosis problem. 
Both her work during the time of her assignment and the work of the clinic since has been interfered with seriously by the influenza epidemic, but there is every reason to believe that a permanent and efficient organization has been formed. 
Since the Augusta Assignment :Miss Jackson has been detailed by the office on a number of less important problems which have necessitated trips to various parts of the State. She did very efficient service in the Roll Call, ad<lressing good audiences at four different places in Clayton County, and in Fitzgerald, Ocilla, Nashville, and Donalsonville. 
She also made several visits to Athens in the in- 
terest of the clinic there, and one trip to Brunswick 
and reported on conditions in that city. 
BUDGET AND EXPENSES FOR THE YEAR. 
The work of the Division through the year has been carried on nuder a budget allowing the expenditure of $7,980.52. At the same time it was understood that this might entail a deficit of $1,700.00 Owing to the fact that Miss Jackson was assigned to the Sanitary Unit three months of the year, as well as at Albany and Augusta, a large part of her salary being paid by them, the actual expenditures 
of the office amount to only $6,:393.25 or $1,587.27 
less than the proposed budget. In addition to this $166.21 accounted for above as expended have been returned to the Treasurer, being monies appropriated to local organizations to help them in their work, which they afterward refunded. In ad- 
dition to this sum I am today turning over to the 
Treasurer of the Foundation a check for $91.72, a part of my expenses in connection with my duties at the State Sanatorium, paid by me out of funds 
83 
 
 EDUCATIONAL PROGRAM  
.Much of the work covered in the preceding paragraphs was wholly educational, but there are enough activities not so included to justify a separate discussion. 
We have made no special effort during the year to get publicity, such as for the first two years of my administration, and yet.,there has been but little less attention given to our work by the press, as articles and notices received from the Clipping Bureau show. 
Through the courtesy of Dr. Bowdoin, of the Department of Venereal Disease Control, I have inserted several articles in a page of plate matter which has been used extensively by the weekly press of the State. 
A new folder has been added to our list of educational publications. The National Association commented upon it, giving it the title "D" folder. We have had requests for it from many states in the Union. It is being used by the laboratories to send to doctors and patients to accomuany a positive sputum report. Comments by secretaries in the several states lead me to believe that the idea is new. We are receiving requests for further direction and help from persons to whom this circular has gone from the laboratory, which shows that it is fulfilling the purpose for which it was designed. I have now in preparation a similar folder to be supplied to those who get a negative report from the laboratories. 
Our Folder No. 2 has just been reissued and brought up to date. It was one of the two issued shortly after my taking charge of the work, and this is the third edition. I submitted it to Dr. Glidden, of the State Sanatorium, and he returned it without additions or adverse criticism. The State Board of Health assumed the entire cost of the new edition. 
84 
 
 The records kept by the Office Secretary show that we have sent out 33,477 pieces of literature during the year. 
Many of the letters we write are educational in their nature inasmuch as most of them are in response to definite requests for direction and help. 1\Te have endeavored to keep count of these letters, and those for which I have been personally responsible number 2,936. Letters written by other members of my staff run into the hundreds. 
A significant feature of the educational program 
is the health addresses given. I have to my credit 
for the year 71. Miss Jackson and Miss Busha together as many more. The number of people reached by these addresses is at least 30,000. In addition to those listed, we have each given many short talks before committees and meetings, when subjects were open to discussion, which certainly had educational value. With even this record, not half of the requests for health lectures and addresses could be complied with. 
IN OTHER STATES. 
In January and February, I made two trips to Kentucky and one to ]'lorida to reorganize the work in the former State, and give direction to the program in the latter. It is sufficient to say that a wholly new organization was formed in Kentucky, staff elected, and program outlined. In Florida, the Executive Secretary, recommended by me, was secured. He is doing a splendid piece of work. 
LocAL ORGANIZATIONS. 
\Ve have all told in the State 102 affiliated organizations and co-operating committees. Twenty of these have had a definite program, parts of which have been 
85 
 
 regularly carried out. Of the twenty, nine shared in the funds awarded by the National Association for tuberculosis work during the year. Nine others had funds left over from previous years, which have not yet, in every instance, been exhausted. In the other instances, \Vhere the nature of the work required, definite expenditures, other organizations were appealed to for the outlay. 
The remaining committees are in the smaller cities and towns, and have no definite all-time program. \Ve utilize them to co-operate in the care of individual cases, and as a solution to particular problems to which our attention has been called. Frequently they make the dis-, cover'Y of need themselves and seek our help. 
It is now generally conceded that private tuberculosis organizations can hardly be maintained in cities with a population of less than 10,000. This is the standard set for the North. For the South, however, it is. even 
difficult to finance a working organization in pla~cs of 
20,000 and 30,000. This is due in part to the still prev- 
alent apathy to health work in general and ignorance as 
to the amount of tuberculosis. Atlanta has the distinction of maintaining and sup- 
porting the best organization in the entire South and the superior of the vast majority in the North. The work of the Atlanta Association was praised recently by the National Conference of Charities, and all their activities highly commended. It was suggested that they should change their name to The Atlanta Public Health Association. 
The tuberculosis work in :Macon stands next to Atlanta in importance in the State. Augusta, Savannah, Columbus, Brunswick and Rome follow in order. In each of these places, nurses are employed and give all or part of their time to the care of the tuberculous. Clinics and dispensaries are also maintained in these places. 
86 
 
 .. 
LocAL HosPITALS. 
No particular advancement has been made during the year in the establishment of local hospitals. Everything is hinging on the outcome of the Macon proposition. A number of attempts have been made to secure a site, all of which have been thwarted. Just now, we are negotiating with the Macon authorities looking to the establishment of a unit at the State Sanatorium for _l\facon patients. If this plan is agreed upon, it will be open to every city and county in the State, and '.Vill change our program entirely. In our last conference with the Macon Board, it was agreed to further study the proposition and seek definite legislation safeguarding both the State institution and the local authorities, in the event of the plans being accepted, or provide an optional plan through which the State will subsidize the local hospitals 
DiscHARGED SoLDIERS. 
Through arrangements with the Red Cross, the care of discharged soldiers was taken out of our hands. I volunteered last year to organize the tuberculosis section of the After Care Department of the Southern Division and definitely installed the plans for the care not only of the Georgia men, discharged for tuberculosis, but those in the other four states in the division. We have listed 633 Georgia men for whom the Red Cross is responsible. For a number of months they reported regularly each week, the number with whom contacts were made, the number provided -..vith treatment, etc. But we have not been able to secure reports since early in the year, and, of course, can make no definite statement as to the extent to which these men have received the care due them. I do know, however, that the Red Cross is still working on the problem, and I presume that they have done all that can be done. 
87 
 
 As to rejected men, the \Var Department, for some reason never explained, ceased to giYe out the lists, and so our plans for them came to an end. 
TuBERCULOSIS CoNFERENcEs. 
Two sessions of the Southern Tuberculosis Conference were held during the year, owing to the fact that the one scheduled for October, 1918, ,vas called off because of the ''Flu'' epidemic. The sessions were held in Birmingham in February and Asheville in October. Our organization was represented in the first by two and in the second by the three members of the field staff. 
I have attended three meetings of the National Association and, in addition, represented both .the Division of Tuberculosis and the State Board at the Southern Medical Association in Asheville in November. 
OFFICES WITH THE BoARD. 
\Ve are just closing our second year of affiliation with the State Board of Health as the Division of Tuberculosis, but not until the first of April, of the year just closed, were our offices moved to the State Board. Our work has become so inter-related that quarters elsewhere would be out of the question. \Ve miss many of the comforts and conveniences that we had in the Candler Building and the Empire Building, but our lot is no worse than those with whom we associate. Our relations have been so cordial as to minimize the discomforts. No charge is made for office space. 
REPORT TO GovERNOR DoRsEY. 
Governor Dorsey took part in the Tuberculosis session of the Governors' Conference, held in Savannah, in November, and, that he might be advised of the work being done in the State, I was requested to submit a report 
88 
 
 of the work of the division 'and the State Sanatorium. This I did at some length, taking occasion to give a resume of our activities during the last five years. TlH Governor used my report as a basis for his remarks on the tuberculosis problem in Georgia, and, after his return, thanked me personally for the paper. 
 
OFFICE SECRETARY. 
The selection of Miss Busha for the position of Crusader Executive in September made it necessary to employ a new Office Secretary. Miss Julia Bone, who for a number of years was associated with Major Guinn, one of the trustees of the Foundation, was selected and began her duties the first of October. She is proving a nry efficient helper, and I think is developing quite a liking for this kind of work. 
 
REVISI~G Oun STATISTICS. 
 
mvestigations made at Framingham, Mass., by the 
 
1\ational Tuberculosis Association have shown that in- 
 
stead of estimating six cases of tuberculosis to each an- 
 
nual death, it is more nearly accurate to reckon nine 
 
active cases, or 21 cases when the arrested cases are in- 
 
cluded. 
 
. 
 
A study made of the first 12,246 deaths reported to the Vital Statistics Bureau, made by the Statistician,. Dr. Davis, shows that 7.2% were caused by tuberculosis. rrhis is a little lower than in a great many of the states. Estimating that only 40% of the annual deaths were reported, Dr. Davis concludes that the total deaths from cuberculosis from January to August was 2,195. This would give a death toll for the State for the entire year o.3,763. The Raoul Foundation's estimate, based upon a survey in 1914, was 5,316 deaths per year. Allowing for some improvement in conditions since this survey 
 
89 
 
 was made, and for the fact that the statement that only 40% of the total deaths were recorded is a guess, the Foundation's estimate does not seem to have been much too large. 
 
O:FI'ICE .EJxPEKDITURES. 
The statement of receipts and expenses for the calendar year, as shown by remittances to the Treasurer and requisitions upon him, is as follows: 
 
Received from the Xational Assoeiation ________ _ Awards to loeal organizations ___________________ :J;ll,l1.0:2 Refund on expenses for literature solrl _________ _ 
Total requisition for expenses-------------------- 10,880.03 
 
$20,524.3(} 477.78 
 
$22,291.05 Deficit ________________________________________ :J; 1,288.91 
Remainder due from N a tiona! Association _______ JJue loeal organizations ------------------------- ],308.11 
 
$21,002.11 $ 2,931.20 
 
$ 2,397.02 $ 2,931.20 
 
BALAXCE (Credit) 
 
$ 334.18 
 
It thus appears that, when the final amount is received from the National Association and final awards made, the office will have financed itself for the year and have a balance to its credit of $334.18. 
 
STATISTICAL SuMMARY. 
 
Interviews, miscellaneous ------------------------------------- 458 
 
Intervie\vs, patients -----------------------------------------Conferences, Plans and Programs ------------------------------- 
 
15~2~5 
 
Board and Committee Meetings -------------------------------Luneheon Conferences --------------------------------------- 
 
.64 ~ 
 
Addresses (Faulkner) _________________________________________ - 71 
 
~!~l~;{su;::~~~~~~i)~;.~;~~~~~~~~~~~~~~~~~~~~~~~~~~~~~=~~=~====~~~~3ti!r 
 
BuDGET PLAXS. 
Inasmuch as the above is a report of our activities for the year just closed, I refrain from discussing either 
 
90 
.I 
 
 budget or plans for the coming year. The proper place for these is in a separate statement. 
Respectfully submitted, JAMES P. FAULKNER, Director 
!)] 
 
 GEORGIA STATE BOARD OF HEALTH EXAMINATION OF ACCOUNTS DECEMBER 31, 1919 
 
  Atlanta, Ga., January 10, 1920. 
Georgia State Board of Health, Dr. T. F. Abercrombie, Secretary, Atlanta, Georgia. 
 
Gentlemen: 
 
In accordance with your instructions we have audit- 
 
ed the books and accounts of the Georgia State Board of 
 
Health for the year ended December 31, 1919, and trans- 
 
mit herewith the following exhibits and schedules: 
 
Exhibit A-Receipts and Disbursements. 
 
Schedule 1-Reconcilement of account with Atlanta 
 
National Bank. 
 
Schedule 2-Analysis of Salary Account. 
 
Schedule 3--Detail of Travel. 
 
Schedule 4-Count of Petty Cash. 
 
These exhibits and schedules together with the com- 
 
ments which follow give you the result of our audit. 
 
Respectfully submitted, 
 
- 
 
AUDIT AND SYSTEM COMPANY, 
 
1V. T. FRASER, 
 
President. 
 
9- 
 
 CoMMENT. 
Bank account was reconciled as is shown by Schedule i-Jo. 1. Attention was called in our semi-annual report to an error of one dollar in your bank account and bookkeeper was instructed to have bank make correction. This was not done and account is out of balance $1.00. 
Petty cash was counted, detail of count is shown by Schedule No. 4. 
After paying all bills for the year 1919, the surplus fund amounts to $843.29. 
\Ve are preparing a statement of the transactions of the Division of Rural Sanitation and expect to complete same upon our return from Alto. 
\Ve consider the financial condition of the Board to be upon a very sound basis, and the management should be congratulated upon the able manner in which the business of this very important State Department has been conducted during the past year. 
95 
 
 GEORGIA STATE BOARD OF HEALTH 
 
RECEIPTS AND DISBURSEMENTS 
 
jANUARY 1,1919 to DECEJ\1BER 31, 1919 
 
RECEIPTS 
 
Jantwr.' 1, 1919, CASH: 
 
In Bank, Schet1nlc Xo. l ----------$ 
 
Pt<tt.\ eash, Schedule Xo.  ~~--.~~--~ _...... 
 
Contingent funds 
 
______ .. _________ __ 
 
/.:J.O 1 lUi 1 lGO.llS 
 
l'rom State Treasurpr ------------------- Gil,OOO.OO 
 
$60,346.73 
 
DISBURSEMENTS. 
 
Balarr, 8<her1ule No. :? __________ ~--------- __ ~-- .$:?11,fi.31.2.~ 
 
Light, power anfl water ---~-------------------- H/.011 
 
Telephone and telep:;oph ------.---------- .. --~ _ ,)11.:i.ii0 
 
F'rcight, express and (lrayage ------------------- __ 
 
7~.():1 
 
Postage ____ - _------------- _____ _____ _____ _____ 814.71 
 
Expense of board meetings --------------------Biologieal products ---------------------------~ 
Laboratory general merchandise ----------------Lin' stoP.k -~- ~--------------------------------Chemicals and laboratory apparatus ___________ 
Laundr: and towel snpply ---------------~------Rent ___________ ------- _____________________ - _ 
 
:lO/.O!l li,97/.G.) 2,~HiO ..:iS 
J,~:)(i.9:l 
94LfHl 
1114.47 1 ,3:)3.:\3 
 
Books antl periodieals -------------------------- 
Offiee supplies ____ ---------------------- __ -- -- 
Plumbing, repairs and carpentry ---------------Gpneral snpplies ______ ------------- _- __________ Auditing ___________ ________ _____ ______ ______ ___ 
 
162.07 
2,5511.28 
1,2:'7.24 G2G.39 J 20.00 
 
TravPI, Schedule Xo. 3 ------------------------- 2,-193.23 
 
Insurance ------------------------------------Printing _____ _____ _____ _________ ______ _________ 
 
7.:'i0 24.31 
 
Furniture and fixturPs -----------------------Accounts payal1le liquidated ----------------Mio'Pllmuous supplies and expense ----------~---- 
 
447.75 120.38 21 G.56 
 
RURAL SANITATION. 
Troup County ___ .... _______________ $ 1,8\l!J.9() Hart Countv ----- ............ _______ _ (il 3.00 Worth Cou{ltv -------~-- _. ----------- 99.911 Administratio-n expense ...... _.. ___ _ 2117.07 ~Malaria treatment _____ .. _____ .. ___ .. 1,082.77 
 
4,834.78 
 
Pontings forward __ .. ____ ---------- ____ .. ____ $;37,640.82 
 
$60,346.73 
 
EXHIBIT ''A,'' SHEET NO. 1. 
9G 
 
 RECEIPTS AND DISBURSEMENTS-Continued. 
 
Footings forward _-------- ______ -------- ____ $57,640.82 $60,346.73 
 
VITAL STATISTICS: 
 
OPoffsitcaegeSu-p-p-l-ie-s---_-_-__----------------------------_-----~$ 
Travel -----------------------------Carpentry -------------------------VVrapping paper --------------------Furniture and fixtures ______ ------- _ 
Disinfectant _----------------------Signs ------------------------------ 
 
874.00 198.97 237,35 61.75 
15.58 447'.30 
5.17 22.50 
 
$ 1,862.62 
 
Total disbursements -------------- __ --------- 
 
$59,503.44 
 
Balance to be accounted for --------------------------------$ 843.29 Accounted for as follows: 
 
Cash in bank ------------------------------$ 
Petty cash --------------------------------Contingent fund, Dr. Abercrombie ---------Contingent fund, Dr. Park _---------------Contingent fund, Ray C. VVerner -----------Contingent fund, Dr. Haygood ------------Contingent fund, Mr. VVebb ---------------Check Miss Barrier ------------------------ 
 
12.88 300.00 200.00 100.00 
12.01 100.00 100.00 
18.40 $ 
 
843.29 
 
EXHIBIT "A," SHEET NO.2. 
 
97 
 
 GEORGIA STATE BOARD OF HEALTH RECONCILEMENT OF ACCOUNT WITH ATLANTA NAT'L BANK 
DECEMBER 31, 1919. 
 
1919 
 
December 31-Balance as per bank statement ----$ 5,760.49 Add: Error in charge by bank 
 
May 12 ----------------------- 
 
1.00 $ 5,761.49 
 
Less Checks Outstanding: 
 
No. 4528 $ 3.60 
 
Fwd. 
 
4885 
 
25.00 No. 4918 
 
4893 
 
25.00 
 
4919 
 
4899 
 
1.25 
 
4920 
 
4900 
 
211.19 
 
4921 
 
4901 
 
11.52 
 
4922 
 
4902 
 
29.90 
 
4923 
 
4903 
 
5.50 
 
4924 
 
4904 
 
44.30 
 
4925 
 
4905 
 
5.00 
 
4926 
 
4906 
 
1.55 
 
4927 
 
4907 
 
48.52 
 
4928 
 
4908 
 
21.40 
 
4929 
 
4909 
 
8.00 
 
4930 
 
4910 
 
1,957.44 
 
4931 
 
4911 
 
54.28 
 
4932 
 
4912 
 
7.09 
 
4933 
 
4913 
 
18.54 
 
4934 
 
4914 
 
29.08 
 
4935 
 
4915 
 
9.35 
 
4936 
 
4916 
 
344.12 
 
4937 
 
4917 
 
74.05 
 
4938 
 
$ 2,935.68 4,50 5.05 
13.75 21.60 13.00 
2.35 15.57 21.43 
3.00 8.00 2.00 2.22 4.70 28.00 158.33 84.61 100.00 14.30 154.05 
38.90 5.00 
 
Fwd. No. 4939 
4940 4941 4942 4943 4944 4945 4946 4947 4948 4949 4950 4951 4952 4953 4954 4955 4956 4957 4958 
 
$ 3,636.04 195.85 18.00 15.60 7.30 5.52 295.00 1.50 24.50 20.45 4.80 5.60 6.00 1.40 1.10 31.18 2.42 5.00 802.95 632.40 
36.00 
 
Total Checks 
 
Fwd. 
 
$ 2,935.68 Fwd. 
 
$3,636.04 Outstanding $ 5,748.61 
 
December 31, 1919. Balance as per cash book ______________ $ 12.88 
 
SCHEDULE NO. 1. 
 
98 
 
 GEORGIA STATE BOARD OF HEALTH 
ANALYSIS OF SALARY ACCOUNT 
January 1, 1919, to December 31, 1919. 
Secretary Board of Health --------------------------------$ 2,000.00 State Registrar of Vital Statistics--------------------------- 1,800.00 Bacteriologist ------ _____ -------- __ --------------------- _-- 3,000.00 Assistant Bacteriologist ----------------------------- ___ ___ 1,560.00 Laboratory Assistant Bact. Dept., Miss Morris ------------ 1,090.00 Laboratory Assistant Bact. Dept., C. R. Smith --------------- 243.33 Director Division Rural Sanitation ------------------------ 1,500.00 Director Water Analysis Department ---------------------- 2,400.00 Assistant Water Analysis Department _--------------------- 620.66 Clerk Laboratory ----------------------------------------- 400.00 Assistant Pasteur Department ----------------------------- 1,155.0G Director Bureau of Vital Statistics ------------------------ 2,669.28 Other Employees Bureau of Vital Statistics _---------- _____ 4,120.20 Laboratory Assistant Wassermann Laboratory -------------- 147.22 Laboratory Assistant Wassermann Laboratory -------------- 75.00 Bookkeeper ____ ------------ _____ -------- __ --- _____ ----- ___ 1,830.00 Stenographer and Office Assistant _________ ------- _____ ---- 1,027.50 Electrician ______ ----- ________ --------------- ________ ----- 300.00 Janitor ------ ----- ___ ------- _____ ------------------- __ ---- 1,023.50 Janitress _----------- __________ --------- ____ -------------- 353.50 Animal Keeper _--------- __________ --------------------- __ 740.00 
Night Watchman ----------------------------------------- 195.00 Miscellaneous Help -------------- __________ ------- ___ ______ 381.0! 
 
SCHEDULE NO.2. 
 
$28,631.28 
 
99 
 
 GEORGIA STATE BOARD OF HEALTH DETAIL OF TRAVEL 
January 1, 1919, to December 31, 1919. 
 
Dr. Abercrombie ------------------------------------------$ 1,260.6: Dr. Haygood _____ ----------------------------. ___________ _ 637.00 
 
Dr. Todd ------------- ---------------------------------- 
 
5.08 
 
Dr. Sellers __________________ -- ___________ ---------------- _ 142.10 
 
Dr. Bird ------------------------------------------------Dr. Shamblin --------------------------------------------- 
 
39.17 29.49 
 
Miss Barrier ---------------------------------------------Ray C. Werner -------------------------------------------- 
 
83.10 187.99 
 
Miss Chloe Allen ---------------------------------------W. J. LanglPy --------------------------------------------- 
 
65.00 43.63 
 
$ 2,493.23 
 
SCHEDULE NO.3. 
 
100 
 
 GEORGIA STATE BOARD OF HEALTH COUNT OF PETTY CASH January 10, 1920. 
 
Currency _------- _----- ________ ---- _____________________ -$ 
Gold ----------------------------------------------------Silver and Pennies --------------------------------------Balnn(e in Atlanta N:;ttiounl Bank -----------------------Cash Tickets ------------------------------------------ 
 
67.00 
5.00 4.34 17l.M 52.12 
 
$ 300.00 
 
SCHEDULE NO. 4. 
 
101 
 
 Atlanta, Georgia, January 13, 1920. 
We, the undersigned, the Executive Committee of the GEORGIA STA'rE BOARD OF HEALTH, approve the report on audit conducted by Wallace J. Fraser, President of the Audit and System Company, on theReceipts and Disbursements made by the GEORGIA STA'rE BOARD OF HEALTH during the year ended December 31, 1919. 
W. H. DOUGHTY, JR., Chairman. 
ROBERT F. MADDOX, 
M.S. BROWN. 
Approved: W. H. DOUGHTY, JR., President. 
T. Ji'. ABERCROMBIE, Secretary. 
C. L. TI~SLEY, Chief Clerk. 
102 
 
 GEORGIA STATE BOARD OF HEALTH DIVISION OF RURAL SANITATION AUDIT OF ACCOUNTS Year Ended December 31, 1919 
 
 Georgia State Board of Health, Dr. T. "F'. Abercrombie, Secretary, Atlanta, Georgia. 
Dear Sir: 
We haye completed the audit of the affairs of the Division of Rural Sanitation to December 31, 1919, and transmit herewith detail statements of each unit, identified as follows: 
Exhibit "A "-Central Administration. Exhibit "B "-Troup County. Exhibit "C "-Hart County. Exhibit "D "-Worth County. Schedule No. 1-Recapitulation of Exhibits. Schedule No. 2-Reconcilement of Account with Citizens and Southern Bank. These Exhibits and Schedules, together with the comments which follow each Exhibit, give you the result of our audit. 
Respectfully submitted, 
AUDIT AND SYSTEM COMPANY, "\V. J. Ji-,RASER, President. 
104 
 
 BUDGET NO. 6458. DIVISION OF RURAL SANITATION-GEORGIA 
CENTRAL ADMINISTRATION January 1st, 1919, to December 31st, 1919. 
 
RECEIPTS. Prom Intcmational Health Board ---------------$ 2,700.00 From State Board of Health ------------------- 1,350.00 
Total Receipts ------------------------------------------$ 4,050.0G 
DISBURSEMENTS. 
Salary State Director ---------------------------$ 1,500.00 Traveling Expenses Director --------------------- 576.26 Contingent Expenses, State Director ____________ 195.25 Salary Btenographer --------------------------- 369.74 Hemitblll<"<' .July J,) for rt"fund __________________ 675.00 
 
DiYided as follows: 
To International Health Board ____ -------------A 
To State Boar<! of Health ----------------------- 
 
$ 
704.37 29.38 ----,$ 
 
733.75 733.75 
 
EXHIBIT ''A'' 
 
105 
 
 CoMMENTS. 
The International Health Board paid for full year, whereas the State Board of Health paid for only six months. After deducting $1,350.00 from balance to be divided, there remains $58.75, of which 50% goes to each board. 
Unit No.4 did not take advantage of this fund, there~ fore the $1,875.00 paid into this fund by the I. H. Board will be refunded. 
106 
 
 Budget No. 6459-Unit No. 1 
 
DIVISION OF RURAL SANITATION-TROUP COUNTY RECEIPTS AND DISBURSEMENTS 
December 16, 1918, to December 31, 1919. 
 
RECEIPTS 
From International Health Board ---------------$ 2,500.00 From State Board of Health _------------------ _ 1,899.96 From Troup County ---------------------------- 3,799.92 
 
Total Receipts _-------------------- ___ ------- ____ -------$ 8,199.88 
 
DISBURSEMENTS. 
Salary }'ield Director --------------------------$ 2,700.00 
Salary Field Inspector ------------------------ 2,275.00 Salary Stenographer -------------------------- 720.00 Expense Field Director ------------------------ 720.78 Expense, Field Inspector ____ ------------------ 180.24 Contingent, Field Director __ -------~------ ------ 846.91 
 
Total Disbursements ------------------------------------$ 7,442.93 Balance to be refunded ----------------------------------$ 756.95 
 
Refunded as follows: 
To International Health Board ------------------$ 
To State Board of Health ----------------------To Troup County ------------------------------ 
 
639.24 39.24 78.47 $ 
 
756.95 
 
EXHIBIT ''B'' 
 
107 
 
 CoMl\IEX'r;:.;. The Budget for 'l'roup County for 1H19 is as follows: 
Troup County ------------------$3,800.00 State Board of Health ___________ 1,900.00 Iuteruational Health Board ______ 1,900.00 As the International Health Board exceeded their budget allotment by $600.00, ~we credit their account with this amount, lea\'ing a balance of $1'56.95 to be diYided as follows: One-fourth to International Health Board. One-fourth to State Board of Health. One-half to Troup County. Checks haYe been drawn for amounts shown on Exhibit''B.'' 
108 
 
 Budget No. 6460-Unit No. 2. 
 
DIVISION OF RURAL SANITATION-HART COUNTY. RECEIPTS AND DISBURSEMENTS 
January 1st, 1919, to December 31st, 1919. 
 
RECEIPTS. 
From International Health Board _------- __ ------$ 2,500.00 From State Board of Health ------------------- 615.00 From Hart County --------- __ ------------------ 1,230.00 
 
Total Receipts ------------------------------------------$ 4,345.00 
 
DISBURSEMENTS. 
 
Salar,v Field Director --------------------------$ 1,050.00 
Salary Field Inspector _-------- __________ _____ 275.00 
 
Salary Stenographer -------------------------Travel Field Director ------------------------rontingent, Field Director --------------------Miscellaneous Expense, Field Inspector ________ _ 
 
350.00 257.H 226.14 
10.00 
 
Total Disbursements _------------ _______________________ -$ 2,168.5S 
Balance to be refunded ------------------------------------$ 2,176.42 Refunded as follows: To International Health Board _________________ -$ 387.93 
To State Board of Health --------------------- 387.93 To Hart County ___________ ---------- _________ _ 775.86 $ 1,5;)1. 72 
 
Balanre ------------- __ - ______ -- __________________ ------$ Amount should have refunded Inter- 
national Health Board ______ ------$ 1,957.8> Amount refunded ------------------- 387.93 
 
624.70 
 
Balance due ______ ----------------State Board of Health --------------$ 72.86 Amount refunded ------------------- 387.9(1 
 
$ 1,5Grl.!l2 
 
Overpaid -----------------------------------Hart County ___________________ ----$ 145.71 Amount refunded -------------------- 775.86 
 
ill5.0i 
 
Overpaid ___________ -------------------------- 630.10 
 
EXHIBIT ''C'' 
109 
 
 CoMMENTS. 
The Budget for Hart County for 1919 is as follows: Hart County ................... $2,460.00 State Board of Health . . . . . . . . . . 1,230.00 International Health Board . . . . . . 1,230.00 
Hart County paid only 6 payments, therefore the I. H. B. have exceeded their Budget allotment $1,885.00, leaving a balance of $291.42 to be divided as follows: 
One-fourth to I. H. Board. One-fourth to State Board of Health. One-half to Hart County. In July, 1919, the bookkeeper of the State Board of Health attempted to close the account with Hart County, with the result that he overpaid Hart County $630.15, and the State Board of Health $315.07. Exhibit "C" shows the transaction in detail. Your auditor suggests that a statement of this unit be turned over to Dr. Haygood so that he can collect the amount from Hart County. The State Board of Healtb have refunded the amount overpaid them. 
110 
 
 Budget No. 6461-Unit No. 3. 
 
DIVISION OF RURAL SANITATION-WORTH COUNTY RECEIPTS AND DISBURSEMENTS. May 1st, 1919, to December 31st, 1919. 
 
RECEIPTS. 
From _International Health Board ----------------$ 2,500.00 
From State Board of Health ------------------- 949.98 From Worth County ------------------------- _ 1,899.96 
 
Total Receipts -----------------------------------------$ 5,349.9-! 
 
DISBURSEMENTS. 
Salary Field Director -------------------------$ 1,350.00 
Salary Field Inspector _____ - ------------------- 966.65 Salary Stenographer _--------- _---------------- 340.00 Travel Field Director -------------------------- 360.00 Contingent, Field Director --------------------- 427.98 Miscellaneous Expense Field Inspector _--- ____ _ 78.00 
 
Total Disbursements ------------------------------------$ 3,522.63 
 
Balance to be refunded ------------------------------------$ 1,827.31 
 
Refunded as follows: 
 
To International Health Board ----------------$ 1,619.33 
 
To State Board of Health ---------------------- 69.33 
 
To Worth County 
 
138.65 
 
EXHIBIT ''D' 
 
$ 1,827.31 
 
111 
 
 Cmvr:MEXTS. 
The Buuget for "'\Vorth County for 1919 is as follows: "'\Vorth County .................. $3,800.00 State Board of Health . . . . . . . . . . 1,900.00 International Health Board . . . . . . 1,900.00 \Vorth County paid only 6 payments, therefore 
the I. H. B. have exceeded their Budget allotment $1,350.00, leavjug $277.31 to be distributed as follows: 
One-fourth to International Health Board. One-fourth to State Board of Hea1th. One-half to \Vorth County. Checks have been drawn to close this Unit. 
112 
 
 INTERNATIONAL HEALTH BOARD RECAPITULATION 
Slw\\ing by units balances to be refunded at close of year 1919. 'l'roup County, Budget No. ()459-Unit No. 1 ----------------$ 75G.9ii Hart County, Budget No. G4GO-Unit No. 2 ----------------- 1,569.9:.l Worth County, Budget No. 6461-Unit No. 3 ---------------- 1,827.31 Unused, Budget No. ()462-Unit No. 4 ________________ ----- 1,875.00 Central Administration, Budget No. 6458 ------------------ 733.75 Balance to be accounted for -------------------------------$ 6,7G2.lJ3 Accounted for as follows: Balance in bank Dec. 31, 1919 -----------------$ 5,142.71 llPposit Jan. 14, J 920 _________ ----------------- _ 675.00 Deposit .Tan. 15, Jfl20 to cover error Hart 
Count,v __ -------- _________________ -$630.1.3 'ro coYer enor State Boanl of Health ___ 315.07 
945.22 $ 6,762.93 
SCHEDULE NO 1. 
113 
 
 DIVISION OF RURAL SANITATION RECONCILEMENT OF ACCOUNT WITH CITIZENS AND SOUTHERN 
BANX, ATLANTA. 
December 31st, 1919. 
Dec. 31, 1919. Balance as per bank statement ------------- _$ 5,045.52 Add: Deposit Jan. 5, not shown on statement --$ 474.99 Deposit Jan. 14, not shown on statement -------- 675.00 Deposit Jan. 15, not shown on statement ______ _ 945.22 $ 2,095.21 
 
Less Checks Outstanding: 
 
~0. 268 ------------------------------------$ 
~0. 270 ----------------------------------~0. 271 ------------------------------------ 
~0. 272 ----------------------------------~0. 273 ----------------------------------~0. 274 ---------------------------------- 
 
108.25 60.00 19.55 
9.85 101.25 
78.90 
 
~0. 275 ------------------------------------ 
 
39.24 
 
~0. 276 ------------------------------------ 1,569.92 
 
~0. 277 ------------------------------------ 1,619.33 
 
~0. 278 -----------------------------------~0. 279 -----------------------------------~0. 280 ----------------------------------- 
 
69.33 138.65 639.24 
 
~0. 281 ----------------------------------- 
 
78.47 
 
~o. 282 ----------------------------------- 704.37 
 
~0. 283 ---------------------------~------- 
 
29.38 
 
~0. 284 ------------------------------------ 1,875.00 
 
$ 7,140.n 
 
$ 7,140.73 
 
SCHEDULE NO. 2. 
 
114 
J 
 
 STATE TUBERCULOSISSANATORIUM Alto, Georgia 
EXAMINATION OF ACCOUNTS Year Ended December 31st, 1919 
 
 Atlanta, Ga., .Tanuar~~ 12, 1920. 
Dr. T. :E'. Abercrombie, Secretary, Georgia State Board of Health, Atlanta, Georgia. 
Dear Sir: We have made a complete audit of the books and ac- 
counts of the STATJ~J TUBERCULOSIS SANATORIUM, Alto, Ga., for the year ended December 31, 1919, and transmit herewith the following Exhibits and Schedules: 
Exhibit ''A' '-Assets and Liabilities. Exhibit "B "-Comparative Statement of Assets and Liabilities. Exhibit "C"-Rcccipts and Disbursements. Schedule No. 1-Count of Cash. Schedule No. 2-Reconcilement of account with Cornelia Bank, Cornelia, Ga. Schedule ::Jo. 3-Patients' Accounts. 
These Exhibits and Schedules, which are full and complete, together with the comments which follow, give you the result of our examination. 
Respectfully submitted, 
AUDIT AND SYSTFJM COl\IPANY. 
w. J. FRASER, 
President. 
116 
 
 CoMME~Ts. 
 
Cash: 
Cash in office was counted at 4 P. M. January 12th mHl found to bo correct. \Ve show detail of count in Schedule ~ o. 1. Proper youchers were found for all disbursements Tho:~ were properly filed and arranged numerically. 
Bank account "\Vas reconciled as is shown by Schedule ~0. 2. 
 
lwccntories: 
No inYontories were taken at the close of the year, hut Dr. Glidden and the bookkeeper estimate supplies on hand as follows: 
 
Provisions -----------------------------$ 1,800.00 
 
8tock feec1 ---------------------------- 100.00 
 
Silo ----------------------------------- liiO.OO 
 
Fncl ---------------------------------- 400.00 
 
Fertilizer ----------------------------- 
 
12.00 
 
--- 
 
$ 2,4()2.00 
 
Equipment: 
Innntories of all equipment will be taken at once iu order that balances shown on ledger will represent their true Yaluo. 
 
Lhe Stock: 'rhis account will bo adjusted by physical inyentory. 
 
Accou11ts Payable: 
 
All indebtedness shown on last report has been liquidated and we are pleased to report tho institution free of debt. 
 
117 
 
 Exhibit "B" shows a surplus at the beginning of the year of $69,422.37 and at end of year $89,214.02, a net increase of $19,791.65. This result is very gratifying to your auditors, as the accomplishment is greater than any previous year by several thousand dollars. 
On December 31, 1919, there were 82 patients at the Sanatorium. December 31, 1918, there were only 32 patients. The increase being 50. 
The number of hospital days as computed by Dr. Glidden for the year was 19,829. The net operating expenses were $37,560.51. The average per capita cost figures $1.894. vVe consider this a very low per capita as compared with other State institutions. 
The books and records have been well kept and are in balance and if the instructions given verbally to the accountant in charge are carried out, we will be able to compile a statement of operations of :F'arm and Dairy at the time of the next audit. 
The affairs of the institution are in a more satisfactory condition from our viewpoint than we have found them in the past four years and the State Board of Health is to be congratulated upon the results obtained through the able managers of the Sanatorium. 
liS 
 
 STATE TUBERCULOSIS SANATORIUM, ALTO, GEORGIA. 
 
STATEMENT OF ASSETS AND LIABILITIES 
 
Yerr Ended December 31, 1919. 
 
ASSETS. 
 
C4-SH. 
In Office, Schedule No. 1 -------------------$ .In Cornelia Bank, Schedule No. 2 ---------- 
 
199.15 57.26 $ 
 
ACCOUNTS RECEIVABLE. Patients' Accoun,ts, Schedule No. 3 ----------$ Manning & Co. --------------------------- 
 
533.00 
53.04 $ 
 
256.41 586.04 
 
LIVE STOCK. 
Dairy ---------- _- ------------------ _____ --$ 2,570.74 Farm ---- ____ - __ ---------------------- ___ -- 1,786.95 
 
$ 4,357.69 
 
INVESTMENTS. 
Lands --- __ - -------------------------------$ 6,931.61 Farm Improvements ----------------------- 1,435.68 Buildings __ ---------------------- _________ 39,473.92 
Roads and Drainage ----------------------- 3,341.06 New Construction -------------------------- 9,419.47 Superintendent's Cottage -------------- __ -- 2,725.31 Water Plant and Sewerage _--- _____ ------- _ 12,130.70 
Electric Plant -------------- __ ------------- 2,463.27 --- 
 
$77,921.02 
 
EQUIPMENT. 
 
Furniture and Pixturcs ----------------------$3,422.28 F'nrniture and Fixtures-Office _----- ____ __ 619.00 
 
Furniture and Fixtures-Superintendent's 
 
Cottage ------------------------------- 
Linen -------------------------------------Mattresses --------------------------------Blankets and Comforts --------------------Crockery and Glassware ______ -------------- 
 
691.60 1,636.85 
183.80 229.00 314.65 
 
Tableware and Cutlery -------------------- 167.71 
 
Kitchen Utensils -------------------------- 270.97 
 
11edical and Sanitary Supplies ------------ 198.40 
 
Dairy Equipment _________ ---------------- 464.88 
 
Vehicles, Tools and Implements ------------ 1,081.98 
 
Automobile ___________ --------------------- 625.00 
 
$ 9,906.12 
 
Total Assets --------------------------------------------$93,027.28 
LIABILITIES. Notes Payable _______ --------------------- _______________ -$ 3,813.26 Surplus (excess of assets over liabilities) ------------------ 89,214.02 
Total Liabilities _______ --------- __________________________ $93,027.28 
 
EXHIBIT ''A.'' 
 
119 
 
 STATE TUBERCULOSIS SANATORIUM, ALTO, GEORGIA. 
 
COMPARATIVE STATEMENT OF ASSETS AND LIABILITIES 
 
ASSETS 
 
 Years 1918 and 1919. 
 
1918 
 
19] 9 
 
Increase 
 
CASH: 
 
In office ----------------$ 1,318.03 $ 199.15 $ 
 
In Bank ---------------- J57.32 
 
57.26 
 
ACCOUNTS RECEIVABLE: Patients' Accounts _----- 328.00 Other Accounts _____ ---- 625.00 
 
533.00 53.04 
 
205.00 
 
LIVE STOCK: Dairy _----------- _--- ____ 1,940.53 }'arm _______ -------- ___ 1,319.52 
 
I~VESTMEKTS: 
 
Lands ------------------- 3,003.35 Farm Improvements ____ _ 1,108.38 
Buildings ---------------- 39,324.83 Roads and Drainage ------ 2,972.56 New Construction ------- 783.20 Superintendent's 
 
Cottage --------------Water Plant and 
Sewerage ------------- 12,130.70 Electric Plant __________ _ 2,463.27 
 
EQUIPMENT: }'urniture and Fixtures-_ 
Furniture and Fixtures- 
Office ---------------Furniture and Fix.-Super- 
intendent 's Cottage ___ _ 
 
1,688.68 ti19.00 
 
Linen ------------------Mattresses ------------- _ Blankets & Comforts ___ _ Crockerv & Glassware ___ _ Tableware & Cutlery ____ _ Kitchen Utensils _______ _ 
Medical and Sanitary 
Supplies --------------Dair Equipment -------Vehicles, Tools and 
Implements ___________ _ 
Automobile _---------- __ _ 
 
550.:14 146.30 177.30 
8(i.60 148.09 269.50 
192.'01 453.93 
640.12 625.00 
 
2,570.74 ] ,786.95 
(i,931.61 1,435.68 :19,473.92 3,341.06 9,419.47 
2,725.31 
12,130.70 2,463.27 
:lj~2~.28 
619.00 
ti91.GO 1,036.1<5 
183.80 229.00 3J4.(i5 Hi7.71 270.97 
198.40 464.88 
1,081.98 625.00 
 
630.21 467.43 
3,928.26 327.30 149.09 368.50 
8,636.27 
2,725.31 
1,733.60 
()91.60 ] ,086.51 
37.50 51.70 228.05 19.62 
i.47 
6.39 10.95 
441.26 
 
Detrcase $ 1,118.88 
100.06 
571.96 
 
~73,072.16 $93,027.28 
 
LIABILITIES: 
 
Accounts Payable -------$ 3,649.79 $ 
 
Notes Payable ______ - ____ _ 
 
3,813.26 
 
Surplus ------------------ 09,422.37 89,214.02 
 
Decrease Increase 
$ 3,()49.79 3,813.26 
19,791.05 
 
$73,072.16 $93,027.28 $25,395.81 $25,395.81 
 
EXIDBIT "B" 
 
120 
 
 STATE TUBERCULOSIS SANATORIUM, ALTO, GEORGIA. 
RECEIPTS AND DISBURSEMENTS For the Year Ended December 31st, 1919. 
RECEIPTS. 1919 Jan. 1 Cash on hancl and in bank ---------------$ 1,473.35 From State Treasurer -------------------------- 47,000.00 From borrowed money ------------------------- 3,813.26 From patients ---------------------------------- 12,294.lfi From various sources --------------------------- 1,794.35 
 
Total receipts __ ------ __ --- _-- --- ____________________ ---- _-$66,377.1:! 
 
DISBURSEMENTS. 
Salary-Staff and Officers ----------------------$ 4,253.79 Salary-Nurses - ---- ________________________ - __ 2,677.37 
Labor and Service ----------------------------- 6,716.11 Provisions _____________________________________ 18,456.5() 
 
Postage, Telephone and Telegraph -------------- 
Housekeeping Supplies ------------------------ 
.Medical and Sanitary Supplies -----------------Lit<:'ra ture __________________________ ----- ___ --- 
 
361.08 
742.38 
1,246.02 47.94 
 
Fuel and Lights ------------------L------------ 
Travel ---------------------------------------- 
litSUI'Ullre ------------------------------------- 
Repairs --------------------------------------Rq>laecnH'nts - _______ --- ----- ------------- ----::ltationny and Office Supplies -----------------Auto Expense --------------------------------Miscellaneous Expense --------------------------Farm ~---------------------------------------X PW Construction Dair_,- Lin~ Stock 
~'arm Li ,-c Stock 
Lands ----------------------------------------Farm lmprmements __________ ------- ---------Buildings ___________________ ------------------- 
Roads and ])rainagc ---------------------------Superintendent's Cottage ---------------------Fnmiturc and Pixtnres _______________ - ---------- 
 
1,045. 7() 312.67 454..,62 335.90 
1,687.80 123.:l4 536.23 62.49 
1,867.82 8,636.27 
630.21 467.43 3,928.2() 327.30 149.09 :-368.50 2,725.31 ] ,733.60 
 
Footings }'orward _________________________ -$59,895.87 $()6,377.12 
 
EXHIBIT "C"-SHEET NO. 1. 
 
121 
 
 STATE TUBERCULOSIS SANATORIUM, ALTO, GEORGIA. RECEIPTS AND DISBURSEMENTS 
For the Year Ended December 31st, 1919. 
 
Footings Forward _---------- ___________ -------$59,895.87 
 
DISBURSEMENTs-Con tinned. 
 
Furniture and Fixtures~Supt. Cottage ---------$ 691.60 
 
Linen ----------------------------------------- 1,086.51 
 
Mattresses ------------------------------------- 
 
37.50 
 
Blankets and Comforts ___ - ----------------- __ -- 51.70 
 
Crockery and Glassware __ ---------- __________ _ 228.05 
 
Kitchen Utensils --------- ____________________ _ 
 
1.47 
 
Tableware and Cutlery _----- __ ----------------- 19.62 
 
Medical aml Sanitary Supplies --------------------- 6.39 
 
Dairy Equipment ------------------- _________ _ 1<1.,95 Vehicles, Tools and Implements _______________ _ 441.26 
 
Accounts Payable Liquidated ------------------- 3,649.79 
 
${i6,377.1li 
 
Total Disbursements _____________________________________$66,120.71 
 
Balance to be accounted for -------------------------------$ 256.41 
 
Accounted for as follows: Cash in drawer ----------------------------$ Cash in bank ------------------------------ 
 
199.15 57.26 $ 
 
256.41 
 
EXHIBIT "C"-SHEET NO. 2. 
 
122 
 
 STATE TUBERCULOSIS SANATORIUM, ALTO, GEORGIA. 
 
COUNT OF CASH AT 4:00 P. M. 
 
January 12th, 1920. 
 
Currency -------------------------------------$ ~ilver and Nickels ----------------------------Pennies --- _- _- ---------------- __ ---------- ___ _ 
 
255.00 50.05 .72 $ 
 
305.77 
 
CHECKS: 
P. 0. Money Order -----------------------------$ Hillside Cotton Mills -------------------------Mrs. Theresia Wynne -------------------------C. A. MeCellum -------------------------------J~ 0. Bees ------------------------------------- 
Due Bills Against January, J 920, Salary: Juliette Brown (cook) ______ --------------- _- __ $ Dr. Edson W. Glidden (supt.) ------------------- 
 
5.00 31.00 33.00 
5.00 35.00 
$ 
7.00 77.92 ---$ 
 
109.00 84.92 
 
CASH VOUCHERS: 
 
No. 1 2 3 
A-2 A-3 A-4 
4 5 6 7 8 9 10 11 12 13 14 15 
 
$ 8.35 1.90 6.00 
23.10 1.80 1.20 14.00 12.82 4.65 2.60 1.80 59.71 2.00 13.05 1.25 3.15 2.50 1.00 
 
No. 16 17 18 19 20 21 22 .<:3 24 25 26 27 28 29 30 31 Brt. Fwd. 
 
$ 2.94 2.80 5.00 
28.39 3.80 21::!.71 2.05 20.00 3.98 70.86 7.70 3.90 6.24 4.45 5.20 2.06 160.88 
$ 
 
542.96 
 
Fwd. 
 
$160.88 
 
Total 
 
gash on hand January 1, 1920 ------------------$ ash received January 1-12, 1920 -------------- 
 
199.15 843.50 
 
$1,042.65 $ 1,042.65 
 
SCHEDULE NO. 1. 
 
123 
 
 STATE TUBERCULOSIS SANATORIUM, ALTO, GEORGIA. RECONCILEMENT OF ACCOUNT WITH CORNELIA BANK, 
CORNELIA, GA. December 31st, 1919. 
 
Dee. 31, 19HJ, Balan~e as p~r bank statement --------------$ 3,407.05 
 
LERS CHECKS OL'TR'rAXDI~G: 
 
Xo. 
 
:'\a. 
 
339() 3412 :l417 :\423 :\424 3425 3426 :\427 3428 3429 :3430 34:\1 3432 3433 :\434 34:\.i 3436 3437 :1438 3439 
 
* 1~0.3() ;)tiG.34 74.00 ti.H 10.60 1,347.03 473.93 63.50 18.19 ()8.40 132.80 134.07 19.()2 12.27 (i.46 28.63 ~8.80 110.50 78.93 16.00 
---- 
 
:Forward :\440 ;)441 3442 3443 3444 :3443 344() 3447 3448 3-149 i:$430 34.)1 :l452 :3543 3454 3453 3456 3457 3458 
 
$3,il1G.ll 9.45 ti.39 
113.00 22.00 82.50 :n.o7 
132.60 23.60 11.55 42.90 7.42 
168.03 G4.4G 49.04 100.00 48.00 
172.95 276.32 672.41 
 
Forward 
 
$3,316.11 
 
Total Chetks 
 
$ 5,349.79 
 
Dee. 31, 1919, balance as per cash Look --------------------~6 
 
SCHEDULE NO.2. 
 
124 
 
 STATE TUBERCULOSIS SANITARIUM, ALTO, GEORGIA UNCOLLECTED ACCOUNTS. 
Year Ended December 31st, 1919. 
 
);AME 
 
Dr. 
 
}frs. L. A. Covington-Reno, Ga. ______________________ -$ 23.00 
 
}fi" Ida Copeland-Gainesville ------------------------ 2.50 
 
]], D. Crawford-Cedar Springs ----------------------- 1.00 
 
}irs. ('. A. Dobbs-Gainesville ------------------------- 38.50 
 
}Irs. Lalla Foster-Columbus ------------------------- 72.50 Hemmie Henderson-Dalton __________________________ _ 8.00 
 
}frs. Lillie Harrell-(2'\o address) -------------------- 20.00 
 
Ra:moncl E. McLcmlon-Dawson ____ ------- _____ ------ 97.50 
 
~Irs. Avis L. Nations-'Dalton ------------------------ 4.50 
 
}frs. Ruth Poole-Atlanta ------------------------------ 15.00 
 
W. D. Reese-Macon --------------------------------- 18.00 1. H. Skinner-Columbus ____________________________ _ 1.00 
 
Xoah M. White-Bowden ----------------------------- 31.00 
 
Siller Brannen-(No address) ------------------------- 24.50 Harry W. Anderson-Atlanta _______________________ _ 
 
A. S. Clay-Douglasville-----------------------------Mrs. Kate Hilton-\Vaycross ------------------------Thomas C. Holliday-Jefferson -----------------------}frs. Minnie Johnson-(No address) -------------------~Iiss Vccma Kidd-ThomasYille ---------------------<"e~il T. Miller-Americus ______ ---------------------Caroline E. Miller-Savannah -----------------------Robert E. Porter--!Savannah ________ -- _______ -------- 
Ruth Presley-Atlanta ______________ -- --------------- 
George W. Hichardson-Macon ----------------------Ettie Hogers-Rainville _________ - ___ -- ------ --------Enlyn Shira-Moultrie ___________ ------------------Joseph Shira-Moultrie _____________ -- __ ------------- 
Peeler Sandanger-Atlanta ________ -------- ------------ 
Lilla M. Stevens-(;'~-o address) ---------------------- 
\\'. T. Smith-Amel"icus ------------------------------ 
 
61.00 1.00 
15.50 4.50 .50 
34.00 4.00 
5.00 5.00 31.00 .50 
 
Cr. $ 
3.00 13.00 
31.00 6.00 5.00 
15.50 
 
Forwarded ________________________________________ $521.00 $73.!i0 
 
SCHEDULE NO. 3-SHEET NO. 1. 
 
125 
 
 STATE TUBERCULOSIS SANATORIUM, ALTO, GEORGIA. UNCOLLECTED ACCOUNTS. 
Year Ended December 31st, 1919. 
 
Dr. Cr. Forwarded _________ ---------------- ___ - ___ -------$521.00 $ 73.50 
 
NAME 
 
Mrs. J. B. Thomas-JWaycross -----------------------$ 
 
$ 31.00 
 
Mrs. H. A. Thomas-Cairo --------------------------- 30.00 Pearl Williams-Athens ________________ --- _________ _ 15.50 
 
Jno. H. Wood-Macon _________ --------------------- 4.00 
 
Irene Watkins-Nilla Rica ----.------------------ 
 
3,00. 
 
G1adys Wymi.e-Brewton __________________________ _ 11.0CJ 
 
Carl Wynne~rewton -------------------------------- 11.00 Oleta Wynne-Brewton ------------- _________ ----- __ _ 11.00 
 
F. B. Quarterman-Savannah ------------------------ 31.00 
 
Total --------------------------------------------$637.50 $104.50 Debits ----------------------------------------------~--$637.50 Credits ------------------------------------------------------ 104.50 
Net Balance ______________ ------ __________________________ $533.00 
 
SCHEDULE NO. 3, SHEET NO. 2. 
 
126