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Nashua-F. A. DEARBORN, M. D.

Typhoid Fever. One case, recovered. - One case, recovered.

Cause unknown; no

possibility of the water's being contaminated. Diphtheria. None during the year 1888.

Nashua

CHARLES S. ROUNSEVEL, M. D.

Typhoid Fever. Two cases, neither fatal. So far as I could learn, I think both cases were caused by contaminated drinkingwater. As both cases were contracted out of town, had no opportunity of ascertaining from personal observation the real conditions, and could only judge from the statement of the patients, which, of course, is not to be wholly relied upon, that the bad sanitary conditions caused the outbreak. From past experience with the disease, consider bad sanitary conditions the chief cause in every instance.

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Diphtheria. Five cases, one fatal. In two cases I found defective sanitary conditions; in three cases the surroundings were apparently in good condition, and the subjects free from any constitutional taint. From past experience believe that unsanitary conditions favor the spread of the disease, as well as increase its severity, but think that other factors are necessary to its development.

Nashua - GEORGE A. UNDERHILL, M. D.

Typhoid Fever.

Six cases. Drinking-water polluted in all but one case. Basing my opinion upon my experience with the disease, believe that unsanitary conditions doubtless furnish a very fertile soil for the development of the typhoid fever germ, but do not believe that unsanitary conditions will cause the fever without the germ.

Diphtheria. None observed during the year. Believe that the germ of diphtheria must be present, even with unsanitary conditions, in order to produce the disease.

New Boston - C. A. WEAVER, M. d.

Typhoid Fever. Two cases, neither fatal. In one case the sanitary conditions were bad, and the drinking-water polluted; the other case came home from a visit, and the disease

immediately developed. In my opinion unsanitary conditions. give development to the disease.

Diphtheria. None observed during the year 1888.

Have not been able to decide as to the cause of this disease, but my most severe cases have been where the sanitary conditions were very bad, and am inclined to think that they do favor the development of the disease, and yet I do get cases where the sanitary conditions appear to be of the best.

New Ipswich-FREDERICK W. Jones, M. d. Typhoid Fever. Have had no cases during the past season. Considering typhoid fever a filth disease, all unsanitary conditions will tend to develop the disease and cause an epidemic.

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Diphtheria. None observed. I consider that bad sanitary conditions aid in developing the germs that cause the disease.

New Ipswich-FREDERICK JONES, M. D.

Typhoid Fever. None observed during the year. In the past I have thought that I could trace the cause to emanations from barn cellars, privies, contaminated water, etc.

Diphtheria. Not a case. The disease seems to be caused by unsanitary conditions of a special character.

New London-JOHN F. MORRILL, M. D.

Typhoid Fever. - Five cases; three in town, one in Sutton; one in Wilmot (patient seventy-five years of age) proved fatal. Cases in town due to defective drainage, which, in my opinion, together with impure drinking-water, is the cause of the disease. Diphtheria. Seven cases, two fatal; all in Wilmot. I am positive that all my cases have been caused by defective drainage. Newmarket · CHARLES A. Morse, m. d.

Typhoid Fever. - None observed during 1888.

Diphtheria. Have not seen a well-defined case during the

year.

Newport-T. B. SANBORN, M. D.

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Typhoid Fever. - Five cases, one fatal. In three cases the drinking-water was polluted. As a result of past experience,

attribute the cause of the disease to impure water, defective drainage, and vegetable decomposition.

Seven cases, none fatal.

Believe bad hygienic

Diphtheria. conditions and polluted water are common causes of the disease. Have always observed filth to be a prime factor.

Newport--WILLIAM W. DARling, m. d.

Typhoid Fever. None observed in town during the year; one case out of town. The drinking-water was polluted by drainage from the barnyard, which was very near the well. Have observed that unsanitary conditions tend to increase the disease.

Diphtheria. One case. Believe unsanitary conditions increase the severity of the disease. Quarantine every case I am called to treat.

Newport-A. H. KEMPTON, M. D.

Typhoid Fever. -Two cases, one fatal. Both cases were in the same family. A very foul privy-vault immediately connected with the living rooms, and that, too, on the west side of the house, from which direction the prevailing winds conveyed the foul gases into the atmosphere of the tenement. The only other member of this family suffered severely from diarrhoea. In every

case of this disease coming under my observation, unsanitary conditions have probably been the sole cause.

Newton-J. F. Axtell, M. D.

Typhoid Fever. — None in town during the year 1888.
Diphtheria. None observed.

Northumberland (Groveton) -- C. C. O'BRION, M. D.

Typhoid Fever.—Seven cases, one fatal; five in town, two in Stark. Am certain that the drinking-water was polluted in five of these cases. Have observed that unsanitary conditions are in a direct ratio to the number and severity of cases of typhoid fever.

Diphtheria. None observed during the year.

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Northwood-C. W. HANSON, M. D.

Diphtheria. None observed.

Ossipee-M. A. HARMON, M. D.

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Typhoid Fever. None observed. My experience has been too limited as yet to judge of the cause of the disease.

Diphtheria None observed. Believe unsanitary conditions greatly favor its development.

Ossipee Center-W. H. GRANT, M. D.

Typhoid Fever. None observed during the year. From past experience believe unsanitary conditions are to typhoid fever as cause to effect.

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house and barn was very bad. In my opinion, typhoid fever as well as diphtheria has its direct source in decaying vegetable matter and the causes which produce such decay.

Diphtheria. One case, recovered. In the past have found the disease more prevalent and of severer form among bad sanitary surroundings.

Peterborough-F. A. HODGDON, M. D.

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Typhoid Fever. — Three cases, all recovered. In one case the sink-drain was very evidently the cause. It is my belief that unsanitary conditions cause the larger number of cases of this disease.

Peterborough - W. D. Chase, m. d.

Typhoid Fever. One case observed in town, recovered. Although in this single case could not attribute the cause to unsanitary conditions, am of the opinion that a large proportion of the cases are communicated through contaminated drinking

water.

Diphtheria- Two cases in one family, neither fatal. I believe that unsanitary conditions are only of secondary importance in this disease. The facts that it occurs quite as frequently during the cold months as in the hot ones, upon high ground as well as low, where the sanitary conditions are perfect as well as imper

fect, all seem to indicate that it is not caused by filth alone. With an experience and observation extending over a period of nearly twenty-five years, I have come to the conclusion that filth has little, if anything, to do in the causation of diphtheria.

Peterborough — J. W. CUTLER, M. d.

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pure spring, but the family was filthy. Unsanitary conditions have not much connection with the disease so far as I have observed thus far.

Diphtheria. - None genuine during the year 1888.

Pittsfield-F. J. AIKEN, M. D.

Typhoid Fever. - Three cases, none fatal. Two of the cases were in the village, and supplied with aqueduct water; the other was on a farm, but think the water was not contaminated. Given the germ, I believe that this disease is much more likely to develop where there are unsanitary surroundings.

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Diphtheria. theritic sore throat.

was polluted.

One case, recovered, and several cases of diph-
In the one case believe the drinking-water

Plaistow PITTS E. HOWES, M. D.

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Typhoid Fever. — Three cases, one fatal, all in one family in South Kingston. In these cases the privy was within twenty-five feet of the well, with the land sloping toward the well, and, without doubt, pollution of the drinking-water was the primary cause of the disease. From my past experience believe filth to be the general cause of typhoid fever.

Diphtheria. - None observed during 1888. It is my opinion that as sanitary conditions are improved, diphtheria decreases.

Plymouth-TRISTRAM ROGERS, M. D.

Typhoid Fever. - Five cases, two fatal. One case was taken sick with the disease while in Tacoma, Wash., and was ill fifteen days before reaching Plymouth; died the third week.

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Plymouth-CYRUS K. KELLEY, M. D.

Typhoid Fever. - Have had none during the year 1888.

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