developed in the youngest child, ten years old, and after intervals of a few days the other members of the family were one after the other stricken.

Three of the members of the family were desperately ill, being confined to the bed from two to nearly four months. Some of the family are still very anemic and complain of muscular pain and weakness.

Trichinae were demonstrated in the muscle of the mother and in the pork, of which the family had partaken. (See cut.)

TRICHINA SPIRALIS

Magnified 100 times

In a letter recently issued by the United States Department of Agriculture, between the years 1898 and 1906, when the carcasses of hogs were microscopically inspected by Federal inspectors, of 8,000,000 carcasses so inspected trichinae were present in one out of every seventyone hogs.

Since the year 1906, because of the great expense and because of its rather unsatisfactory working the Government has given up the microscopic inspection of pork. If we now remember that in swine the

capsules that enclose the parasites rarely calcify, it will be seen that the ordinary inspection is absolutely worthless as a means of detecting this condition.

With these facts before us and realizing the very serious nature of trichiniasis it seems that greater protection should be afforded than is given at present. It should become mandatory to post a notice telling of the dangers of eating raw or improperly cooked pork, with directions for proper cooking.

Report of the treatment of a case of colon infection of the bladder by bacterial vaccines

In a case of over eight years' duration characterized by frequent and painful micturition, which prevented the enjoyment of life and for a time caused a pronounced neurasthenia, autogenous vaccines used every six days for a period of six months has brought about an absolute cure. The urine is now clear and sterile and there are no bladder symptoms.

Report of the treatment of a case of pernicious endocarditis by bacterial vaccines

The streptococcus viridans was isolated from the blood and the autogenous vaccine used every fifth day. The case ended in complete

recovery.

Similarly two other cases of generalized streptococcic infection, one secondary to mastoid disease and the other secondary to acute infection of the antrum, recovered by the use of autogenous vaccine. These cases and others seem convincing of the great value of this form of treatment in curing old infections that no other methods of treatment can approach in efficiency.

Warren County Laboratory

MORRIS MASLON, M.D., Director

Early in the year the laboratory was entirely reequipped with new apparatus. The established routine work has increased enormously, and new work undertaken during the year includes the Wassermann test, which was introduced for the first time last summer, and will be more fully developed. Research and special investigations have been undertaken with the greatest difficulty, owing to the fact that no assistants have been appointed to the laboratory staff to do the cleaning of glassware, laboratory apparatus, and the preparation of media, so necessary in carrying on work of this character.

An investigation of the results of treatment of cases of SplenoMyelogenous Leukemia, carried on in cooperation with the attending physician, demonstrated temporary decreases in the leucocyte count and temporary general improvement. The beneficial effect of bensol and the X-ray could not be demonstrated. Two of the cases have died.

Studies of the diphtheria carriers in Glens Falls and of the methods of making morphological diagnosis of diphtheria have brought out many points of interest. If cultures are taken carefully after two negative reports have been made in the routine examination, it will often be found that the diphtheria bacilli are still present. In the treatment of these carriers each case was found to be a law unto itself. Kaolin was found to be of absolutely no use in the cases on which it was tried. Three of the cases had their tonsils removed after which negative cultures were obtained. Local applications such as iodine, silver nitrate and gargles, were of service in helping to clear up the throats. Since nearly all of the "carriers" had enlarged tonsils, removal was recommended whenever possible. In order to safeguard against further distribution of the infectious agents from these "carriers," three negative cultures were required instead of two.

The diphtheritic infection of the stump of an old amputation of a leg above the knee was diagnosed in the laboratory. The wound healed temporarily and then again began discharging. After about seven months, according to the patient's story, scrapings from the wound were cultured and diphtheria bacilli found. The use of antitoxin with no local applications except a dusting powder, healed the wound, completely and permanently. This case was in the hospital for quite a while before the attending physician asked for a laboratory diagnosis. In the next room was a case of typhoid fever that had been in the hospital for about eight weeks. The same floor nurse attended both cases. The case of typhoid fever developed diphtheria, which yielded to prompt treatment with antitoxin.

Disinfection of premises after communicable diseases

At the conference of sanitary supervisors at Saratoga, some misunderstanding seems to have been occasioned by the remarks of one of the speakers on the subject of disinfection of premises after communicable diseases.

The department desires to call attention to the provisions of Chapter 2 of the Sanitary Code regarding this matter and to emphasize the fact that the rules therein set forth are to be rigidly adhered to by health officers and others having communicable diseases in their charge.

Attention is again called to the fact that the Laboratories of the State Department of Health as well as other laboratories in the state make the Wassermann test for Syphilis, without charge on all suitable specimens of blood submitted.

REPORTS OF DIVISIONS

Division of Sanitary Engineering - May, 1916

Examination and approval of plans for sewerage and sewage disposal: Salamanca (school); Southold (T), Fishers Island (school); Huletts Landing, Lake George (hotel); Binghamton; Wappingers Falls; Glen Cove (estate); Chautauqua Lake (estate); Van Etten (school); Mt. McGregor (sanatorium); Ballston (T), (school); Mt. Kisco (approval of certificate of sewer construction); Darien (T), (creamery); Bennington (T), cheese factory; Cassadaga (butter company); Parma (T), (cannery).

Investigation and reports of complaints regarding sewage disposal, stream pollution and public nuisances: Brocton; Wampsville; Waterloo.

Investigation and reports of public water supplies: Riverhead; Albion, Orleans County; Napanoch; Naples; Akron; Centerville Station; Lowville; Lockport; Sonyea (State institution); Buffalo (State Hospital).

More important letters of advice were prepared and sent out to the following places: Cleveland, Ohio, water supplies of New York State; Clayton, chlorination of water supply; Suffern, waste disposal; Fillmore, water analyses.

Division of Laboratories and Research

May, 1916

In the work of testing pasteurizers which have been installed in different parts of the state, the neighborhood of Albany and New York City has been thoroughly inspected. The next point from which the work will be carried on is Syracuse. Through the kindness of Dr. Mitchell of the Syracuse City Department of Health the laboratory facilities have been extended to Mr. Nagelberg of the laboratory staff. At the present time the following pasteurizers have been inspected and tested as to their efficiency: March - Willow Brook, Hintzen Bros, Mt. Vernon; Davis Bros., Harrison; Patchogue Dairy, Patchogue; Van Cortland Dairy, Peekskill; Johnson Dairy, Spring Valley; J. W. Husted, Oregon. April — Normanskill Dairy, Rensselaer Dairy, W. H. Miner Co., Albany: Borden's Plant, Schenevus; Sheffield Plant A, Sheffield Plant B, Rose Farms, Cobleskill; Farmers Cooperative Milk Co., Poughkeepsie; Roffs Dairy Farms, Cohoes; Nadler Bros, Amsterdam; Fort Plain Milk Co., Fort Plain; Oneonta Dairy, Oneonta; Borden's B Milk, Cherry Valley; International Milk Products, Cooperstown. MayKingston Dairy Co., Kingston; Bordens, Granville; Bordens, Salem; Bordens, Gansevoort; J. H. Eddy, Saratoga Springs; Sheffield's, Pawling; Bordens, Fort Ann; Bordens, Whitehall; Glens Falls Dairy, Glens Falls; Dygert Bros., Fort Plain, and Conolly Bros., Schenectady.

Distribution of diagnostic outfits, diptheria, tuberculosis, typhoid fever, syphilis, and other diseases, and culture tubes..

packages of antimeningococcus serum

1915 1916 May Apr. May

packages of typhoid vaccine

packages of pertussis vaccine

packages for the prophylaxis of ophthalmia neonatorum..

Examinations for diagnosis, diphtheria...

tuberculosis

typhoid fever

syphilis

gonorrhea

pneumonia

miscellaneous

Examinations of samples of water, chemical.

bacterial

Examination of pasteurizing plants, number of inspections...

351

287 267

3236 1819 1892 1610 2003 2418

348 440 621 122 159 831 527 1908 1936 15 457

416

Public Health Is Purchasable. Twenty-five Thousand Lives Can Be Saved In New York State Within The Next Five Years

HERMANN M. BIGGS, M.D.
Commissioner

ACUTE ANTERIOR POLIOMYELITIS NUMBER

THE NATURE, MANNER OF CONVEYANCE AND MEANS OF PREVENTION OF INFANTILE PARALYSIS

THE TREATMENT OF INFANTILE PARALYSIS

LIST OF CASES OF INFANTILE PARALYSIS IN NEW YORK STATE (EXCLUSIVE OF NEW YORK CITY)