SMALLPOX The state has been fortunate in having but one case of this disease in the past two years and this case was imported in 1926 from the middle West. The patient had never been vaccinated. PULMONARY TUBERCULOSIS The control work for this disease is done by the New Hampshire Tuberculosis Association. The number of deaths for the year 1926, was 250 and for 1927, there were 230 deaths. TYPHOID FEVER For the year, 1926, there were 19 cases reported with 11 deaths. In 1927, there were 17 cases reported with 3 deaths. All cases were followed up, but no carriers were located. WHOOPING COUGH In 1926, there were 182 cases reported with 36 deaths. In 1927, there were 326 cases reported with 27 deaths. Respectfully submitted, CHARLES A. WEAVER, M. D., Epidemiologist. VENEREAL DISEASE CONTROL Dr. Charles Duncan, Secretary State Board of Health, Concord, New Hampshire. DEAR SIR: As is required, I, herewith, submit the biennial report of the Bureau of Venereal Disease Control for the two fiscal years ending June 30, 1928. The Bureau of Venereal Disease Control has not changed its policy and still feels the work for the control of this class of diseases can be best accomplished along the following lines: 1. Education of the public as to one of the most im portant health measures concerning the one disease handed down from the parent to the offspring in which the innocent suffers. The state board of health through the Bureau of Venereal Disease control will send the following literature in pamphlet form to anyone upon application: Address New Hampshire State Board of Health, Bureau of Venereal Disease Control, Concord, N. H. The state board of health will supply lecturers, who will present the subject of venereal disease control to clubs, and other organizations when request is made. 2. The repression of prostitution for the reason that 80 per cent of cases of this disease can be traced back to the prostitute. 3. Law Enforcement. It sometimes becomes necessary to use law enforcement in dealing with the obstinate and ignorant in order to protect the public. 4. Treatment. While it is the last named of the methods used in control work, it is of vast importance both to the public and the individual. In the clinical work all treatments are administered at the clinics. For indigents living in a section remote from a clinic, Neo-salvarson will be furnished free to the local board of health which pays for its administration if patient is unable. The material may be obtained by the health officer upon application to the State Board of Health. Total number of treatments received at clinics Total number of doses of arsphenamine administered 8635 3357 399 Total number of cases reported to the State Board of 5. Co-operation. The courts have always co-operated with the state board of health in this work and the various organizations and agencies throughout the state are ever ready to do everything possible to aid in the work. public at large has been educated to feel that it is a most important health work and its co-operation is given to this work. What we lack is the full co-operation of the medical profession. There are only a few physicians who report their cases. It is required by the state board of health that cases of venereal diseases shall be reported the same as is required of smallpox, diphtheria, scarlet fever, or any other contagious or infectious disease. The state board of health makes an appeal to the medical profession to report cases of venereal diseases coming under their care as is required by law. These reports are not open to the inspection of the public and the unfortunate victims of these diseases get no publicity by the reporting of the cases by the physician. The necessary blanks are furnished by the state board of health and it is not putting a hardship on the physician to comply with the law in reporting his cases of venereal diseases. 6. Clinics. The state board of health maintains and controls three venereal disease clinics in the state where free treatment can be obtained as follows: One at the |