Diphtheria. — Two cases, recovered. Basing my opinion upon past experience, should say that some cases of the disease seem to be rendered more severe by the presence of unsanitary conditions, others not; but in this, as in any other disease tending to death by asthenia, all unsanitary surroundings are prejudicial.

Epping-A. C. BUSWELL, M. D.

Typhoid Fever. Have seen none during the year. Think unsanitary conditions have everything to do with the causation of typhoid fever. I have noticed a large and growing number of cases that I cannot strictly call typhoid, but which have certain distinct typhoid symptoms. These I consider as a malarial type, and they readily yield to the usual quinine treatment. There is no marked malarial chill, but high temperature (100-2-0r 3 F.), a brown furred tongue, but no tympanitis or abdominal tenderness. These cases seem clearly related to unsanitary conditions such as I should expect to find in typhoid cases, but they generally recover in a few days.

Diphtheria. One case. The surroundings of the house where this case occurred were not of the best. The buildings were old, and the well from which the family water supply was obtained was not over forty feet from the barnyard, and on about the same level, while it was about the same distance, down grade, say one foot in ten, from the door where slops in abundance were thrown out daily, and just around the corner of the house from this door was an open sink-drain.

Epping-F. W. SPAULDING, M. D.

Typhoid Fever. Two cases; one in town, one in Nottingham; neither fatal. Believe unsanitary conditions to be power

ful factors in the promotion of typhoid fever.

Diphtheria. Three cases, none fatal. In two cases the cellar of the house was damp; is almost always in that condition. Think unsanitary conditions are often direct promoters of the disease.

Franklin Falls-JOHN W. Staples, M. D.

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Typhoid Fever. Three very mild cases. Probably the drinking-water was polluted in every case, as the location was favorable for such a state of things. I believe typhoid fever is preventable under perfect sanitary conditions.

Diphtheria. None during the year. Believe unsanitary conditions often bear to diphtheria the relation of cause, and always modify type of disease unfavorably.

Freedom-GEORGE W. LOUGEE, M. D.

Typhoid Fever. - Three cases, all recovered; two in town and one in Eaton. In my opinion the source of this disease is filth and impure water.

Gilsum―I. A. LOVELAND, M. D.

Typhoid Fever. - None during the year.

Diphtheria.

- One case, under good sanitary conditions. Basing my opinion upon past experience, believe that sporadic cases are somewhat fostered by unsanitary conditions.

Goffstown-HENRY DODGE, M. D.

Typhoid Fever. One case of true typhoid, several of typhoid type. Think typhoid fever is caused by a specific germ. Unsanitary conditions, in my opinion, favor the development of the germ.

Diphtheria.

One case. Unable to state cause in this case. My opinion is that diphtheria is always caused by bad sanitary conditions or by contagion.

Goffstown-FRANK BLAISDELL, M. D.

Typhoid Fever. Saw no genuine case during the year. From my past experience, believe unsanitary conditions bear a causative relation to this disease. The longer I practice the more I am convinced that typhoid fever cannot occur without some sanitary defect as a cause.

Diphtheria. Two cases; one imported from Concord; in the other the cause could not be traced. I can imagine only two ways in which this disease can originate: one by direct contact,

the other in some unhealthy condition in which the specific germ can originate.

Goshen F. P. JONES, M. D.

Typhoid Fever. None observed. My past experience has been that the first cases of typhoid fever in a neighborhood (unless imported) are in families whose surroundings are unsanitary. Diphtheria. None observed during the year. It has been my experience that the more unsanitary the surroundings the more severe the disease.

Greenfield - NATHANIEL F. CHEEVER, M. D.

Typhoid Fever. One case, fatal; imported. From past experience, believe unsanitary conditions bear to typhoid fever the relation of cause to effect.

Diphtheria.

One case, not fatal. In this case there was a wet cellar, but am undecided as to the general relations of unsanitary conditions to the disease. Doubtless some cases are caused by such conditions.

Greenland-J. W. ODELL, M. D.

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Typhoid Fever. One case in North Hampton. From past experience should say that unsanitary conditions are present in a large proportion of cases from this disease.

Diphtheria. One case; cause not known.

Greenland-WILLIAM O. JUNKINS, M. D.

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Typhoid Fever. - Nine cases, two fatal; two in town, seven in adjacent towns. Drinking-water polluted in two cases. Believe unsanitary conditions are the chief factor in producing typhoid fever, judging from my experience as a practitioner.

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Diphtheria. Nine cases, two deaths. Am of the opinion that in six cases bad sanitary conditions were the chief factor. From my past experience, am of the opinion that unsanitary conditions are the chief factor in all cases, although I consider "catching cold" a frequent source of the disease.

Greenville-GEO. F. MUNSEY, M. D.

Typhoid Fever. Twelve cases, three fatal; seven in town, three in New Ipswich, two in Wilton. It is probable that the

drinking-water was polluted in all but one case. I consider typhoid fever due to a germ, the bacillus typhosus, and in my opinion unsanitary conditions are very favorable to its develop

ment.

Diphtheria. None observed during the year.

From past

experience, consider unsanitary conditions favorable to the development of the germ of this disease.

Hampton-Wм. T. MERRILL, M. D.

Typhoid Fever. - Three cases, one fatal. Am confident that in two cases polluted drinking-water was the cause of the disease. In the third case am not so sure of the cause. Consider bad sanitary surroundings the important factor of the disease.

Diphtheria.

One case, recovered.

Think bad drainage caused the disease in this case. In my opinion cold and impure air are the chief causes of the disease.

Hancock EUGENE WASON, M. D.

Typhoid Fever. - None in this town or in the region covered by my ride, so far as I know. There were four cases at the Stoddard Lumber Company, which I will mention. January 10 I was called to the family of Mr. B., living near a saw-mill, and found three children sick with what appeared like incipient typhoid. I ordered their removal to another house, and they recovered at once. I found, upon examination, that the well was in the cellar, that the drain was obstructed, and there were several inches of water in the cellar, over well and all, and in addition the sink-drain had a leak and also discharged into the cellar.

I heard nothing more from this till March 31, when I was called to Mrs. C. in the other part of the same house. Cellar in about the same condition. Her sickness lasted a few days. As I have heard nothing from it since, presume when the spring opened the cellar became dry and was cleaned, as I wished to have it at the time.

I think unsanitary conditions are the entire cause of the spread of typhoid. I state this as the result of ten years' experience in the worst typhoid section of the State at the time, Londonderry and vicinity, where I had, before any improvements were made, from fifty to one hundred and fifty cases each year.

Diphtheria.

None during the past year. From past experience, am of the opinion that the disease spreads more from contagion; but am inclined to think the germ is more liable to flourish and make its first appearance when filth is present.

Hanover-C. P. FROST, M. D.

Typhoid Fever. Three cases; students. Drinking-water was first-class in all cases. From my past experience, believe unsanitary conditions produce a condition of the system favorable for the development of the germ of typhoid fever when it has been received into the system.

Diphtheria.

None observed during the year. Believe unsanitary conditions favor the development of diphtheria.

Hanover-WILLIAM T. SMITH, M. D.

Typhoid Fever. One case, recovered. The drinking-water in this case was contaminated by something, but could not discover what; it looked bad. Believe unsanitary conditions nourish the germ of the disease.

Haverhill - MOSES D. CArbee, m. d.

Typhoid Fever. - None. Consider typhoid fever the direct outgrowth of unsanitary conditions.

Diphtheria. — Three cases, none fatal. Think they were directly traceable to bad drainage.

Haverhill-S. P. CARBEE, M. D.

Typhoid Fever. Two cases, neither fatal. One case in town contracted the disease at The Weirs, and came home; the other case in Newbury, Vt. Am unable to state the cause in either case. It has been my experience that unsanitary conditions increase the severity of the disease, and render the patient less able to withstand it.

Diphtheria. Six cases, two fatal. In my opinion the first five cases were caused by polluted water and unsanitary conditions about the house. One case caused by contagion. Unsanitary conditions are the most fruitful cause of the disease, so far as my observation extends.