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MEDICO-LEGAL Cases
Specimens EXAMINED BY ORDER OF SUPERIOR JUDGE OR THE ATTORNEY GENERAL, Oct. 1, 1909, To Dec. 31, 1909.

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CALEDONIA COUNTY 72593 10 19 09'10 21-09 Hardwick.

Examination of body 79956 10 28 000-30-09

Autopsy
72137 10 2-09 10- 5-09 St. Johnsbury

Liquor
72138
73635 11-9-09

Organs of Infant
CHITTENDEN COUNTY
75209 12-17-09 12-18-09 Burlington....... Autopsy

FRANKLIN COUNTY
73986 11-16 09 11 22-09 St. Albans

Human organs.
LAMOILLE COUNTY
75209 12- 6-09 12-17-09 Jeffersonville

Organs of dog

ORLEANS COUNTY 73964 11-16-09 11-19-09 No. Craftsbury. Bottle liquid.

RUTLAND COUNTY 72417 10-14-09 10-16-09 Wallingford

Autopsy 72118

Uterus and adnexa. 72119

Swabs from vagina. 72 150

Undervest and drawers. 72520 10-16-09 10-18-09

Larynx and trachea.. 72521

Board...
72559 10-19-09 10 19-09

Liquid in bottle
71523 11-24-09 11-27-09 Rutland.

Autopsy
71524

Kidney 74525

Liver 74526

Lung. 74527

Brain.. 74528

Heart.... 74329

Stomach 74530

Urine WINDHAM COUNTY 73628 11-9 09 11-11-09 Bellows Falls..

Autopsy 73629

Spleen

Case pending in court..

J. G. Sargent.. J. C. Jones..

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Cause of death.
Injury.
Spermatozoa.
Evidence of violence
Injury.
Spermatozoa..
Alcohol
Cause of death
Abnormal structure.

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Chronic alcoholism.
Congested

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Alcohol.

Cause of death..
Poison

Case pending..

J. G. Sargent.. C.H. Williams..

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MEDICO-LEGAL Cases-(Continued)

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WINDSOR COUNTY 73930 11-15-09 11-17–09 Springfield.. 73931 78932 78933 78934 78935 78986 73987 78938 78939 78940 74916 11-30-0912- 2-09 74917 74918 74919 74920

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Entered October 21, 1901, as second-class matter, Post Office at Brattleboro, Vt.,

under act of Congress of July 16, 1894.

CONTENTS.

3

11

Review of Some Recent Literature with Special Reference to Anti

typhoid Vaccination, the Hygiene of Medical Cases, Trans-
mission of Disease by Insects, Antismallpox Vaccination, by
George M. Kober, M. D., LL. D., Professor of Hygiene, George-

town University, Washington, D. C....
Sewage Disposal, by Prof. J. W. Votey, Engineer of State Board of

Health
Infectious Diseases, by David D. Brough, M. D., Inspector, Boston

Health Department
The Ventilation of Public Buildings, by Prof. J. W. Votey, Sanitary

Engineer of the Board..
Tuberculosis, by J. H. Huber, M. D..
Specimens Examined at Laboratory of Hygiene, First Quarter, Jan-

uary, February and March, 1910..
News Items

23

40
54

62 82

BRATTLEBORO, VT.

BULLETIN OF THE

VERMONT STATE BOARD OF HEALTH.

Vol. X. No. 4.
Issued Quarterly at Brattleboro, Vermont.

The Bulletin is published quarterly by the State Board of Health under the authority of Section 5 of Act No. 90, Legislature of 1900. It will be sent to all Boards of Health. A copy will be sent to any person in the state upon request addressed to the Secretary, Henry D. Holton, Brattleboro.

REFERENCE TO ANTITYPHOID VACCINATION, THE HYGIENE OF MEDICAL CASES, TRANSMISSION OF DISEASE BY INSECTS, ANTISMALLPOX

VACCINATION.

By George M. KOBER, M. D., LL. D., PROFESSOR OF HYGIENE, GEORGETOWN

UNIVERSITY, WASHINGTON, D. C.

During the last year or two much has been written on the subject of . vaccination against typhoid rer, cholera and pest. Dr. Sterling Ruffin in an admirable review of Internal Medicine (Washington Medical Annals, '09, VIII. p. 77) described, in a most thorough manner, the character of infection of typhoid fever, its contagiousness, the chronic bacillus excretors and the prevention of typhoid fever by vaccination.

Major F. F. Russell of the Medical Corps U. .S. A. in “The Military Surgeon" for June, 1909, discussed the prevention of typhoid fever by vaccination and by early diagnosis and isolation. His article, although written with special reference to the prevention of typhoid in the military service, is nevertheless of the utmost importance to public health. He points out, very properly, that in cities the diseases tend to diminish from year to year as sanitary conditions improve, but in the rural districts it remains just about the same, and that whenever troops take the field for active operation there is the greatest probability that the disease will become epidemic. He attributes this difference largely to the lack of suitable facilities for the collection and disposal of excreta and refuse. The army, he says, has tried many substitutes for water carriage of sewage and is now using an incinerator, which, while cumbersome and expensive, has proved very satisfactory. In Dr. Russell's opinion the question of the cost of incineration is perhaps unimportant when we consider the terrible pecuniary losses entailed by the prevalence of typhoid fever, dysentery, diarrhæal and other camp diseases. He quotes figures to show that the 31,000 cases of typhoid fever with 5877 deaths during the Boer War involved an expenditure of 4,000,000 pounds sterling. In the Spanish American War we had 20,730 cases with 1580 deaths among 120,000 men. In the Franco-Prussian War there were 73,396 cases with 8789 deaths among the German troops alone, and in the Civil War the Northern army had over 80,000 cases.

In view of the great economic importance of the subject no effort should be spared to prevent the ravages of this disease and Dr. Russell believes one of the simplest and most promising of these is antityphoid vaccination, which has already been subjected to extensive practical tests

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