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PRINTED BY WARWICK & SONS, 68 & 70 FRONT STREET WEST.

1893.

V.2585

Set 2570110-

CA

TENTH ANNUAL REPORT

OF THE

PROVINCIAL BOARD OF HEALTH

To the Honorable GEORGE AIREY KIRKPATRICK, Lieutenant-Governor of the Province of

Ontario.

MAY IT PLEASE YOUR HONOR:

It has been a source of great pleasure to everyone that Asiatic cholera, which was introduced by European immigrants into New York City in the month of August, 1892, was so efficiently controlled by the local sanitary authorities that no fresh centres of infection occurred, and that the disease was prevented from spreading on this continent. Since last summer, however, the people generally of this Province, and boards of health particularly, have been much occupied with the consideration of its possible advent among us during the hot weather of 1893.

In order to ascertain the best methods of preventing the entrance of this terrible plague into our country, and among other things, to establish the relations between Dominion and Provincial sanitation, a Conference consisting of representatives from the provincial governments, was officially called by the Minister of Agriculture, and met on January 31st, 1893, at Ottawa. A full report of the proceedings of the Conference will be found in Part II of this Report.

The Provincial Board of Health of Ontario has also, as Your Honor is aware, adopted special Regulations designed to prevent the entrance of cholera into Ontario, and more especially to stamp it out should it appear in any of our municipalities. The full text of these Regulations, dated the 11th day of April, 1893, has already been published and distributed to Local Boards of Health.

A circular has also been issued by this Board, giving advice to the public, for the restriction and prevention of cholera.

A still more important work has been the preparation of Pamphlet No. 1, 1893, or "Rules for checking the spread of contagious or infectious diseases, and hints on methods for dealing with municipal and house wastes." This pamphlet is probably the most important which has so far been issued by this Board. It deals with the salient features of private and municipal hygiene, and is intended to be a vade mecum to sanitary inspectors, and a work of ready reference for municipal boards of health. While some of the rules and regulations, which it contains, refer specially to the prevention of cholera, many also apply to such diseases as diphtheria, typhoid fever, scarlet-fever and measles, some of which unfortunately prevail in different parts of the Province every year.

A perusal of the reports of medical health officers of cities in Ontario shows, that in all the cities the sanitary condition of the inhabitants is good, and that in some distinct

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