PAPERS ON MEDICINE AND PUBLIC HEALTH 411 



should be. For example, in one on the south side of 

 Simmonds Street between Prairie and Kellogg Streets. 

 the kitchen was very dirty and the employees were not 

 clean. The greatest trouble with the food stores is found 

 in the small grocery and ice cream parlors which abound 

 outside the district. There are at least a dozen of these 

 located near the open sewers of the town, close enough 

 to receive their share of flyborn disease from these 

 sources. It sometimes appears as if the dirtiest and 

 most insanitary districts were picked for the location of 

 these small stores. ( )ne is placed on the bank of Cedar 

 Fork at West Street, one on the bank of Silver Creek 

 at North Street, one on the bank of another tributary 

 at Academy Street and a fourth on the bank of Silver 

 Creek at West and Locey. 



Streets. There seems to be little regard for cleanli- 

 ness and sanitary rules at any of these places. There are 

 also some very small and crowded stores and eating 

 places at the southwest corner of the public square which 

 are operated by colored people, and the rear parts of the 

 store and the upstairs parts are used as living rooms. 

 Recent raids have proven the existence of dope dives 

 here. This locality should be cleaned up, both physically 

 and morally. 



Recommendations. It is evident from the special evi- 

 dence just cited in the above paragraphs that in addition 

 to the establishment of an adequate health department 

 the sewer and water supply should be extended into such 

 parts of the city as do not have service at the present 

 time, and that above all a Sanitary District should be 

 established to take care of Cedar Creek and Silver Creek 

 sewage. 



The writers of this preliminary survey wish to thank 

 the members of the public health classes of Knox College 

 for the privilege of using first hand materials gathered 

 by them, and wish to express their thanks to Prof. G. W. 

 Hunter of Knox College for his suggestions and direc- 

 tion. 



