246 TYPHOID FEVEB IX DISTRICT OF COLL^MBIA. 
No definite records indicating the prevalence of typhoid fever are 
available. The only index is a hospital, where there have been 
treated some 18 cases in the fourteen months of its existence, but all 
of these were said to have acquired their infection out of tovm. 
Basic City and Waynesboro are twdn cities situated on the South 
Kiver. Basic City has a public water supply from a spring; there is 
no public sewerage, though a large summer hotel and the Chesapeake 
and Ohio station have a private sewer which discharges into the 
river. Waynesboro has a public water supply from a spring; there 
is no public sewerage, but a mill race and a town run are probably 
directly polluted ^vith sewage. 
A few cases of t^^hoid occur in both tovms. Last year there were 
some 25 cases in Basic City, said to have been traced to an infected 
well. 
Harrisonburg, Ya., is the county seat of Rockingham County, and 
in 1900 had a population of 3,521. It has a public water supply 
derived from a mountain stream which is locallv regarded as above 
suspicion. It has a combined sewerage system wliich discharges into 
Blacks Creek, a branch of Cooks Creek, through which it reaches 
North River at Mount CravTord. 
A few cases of t;\q)hoid fever occur in and about Harrisonburg every 
year, but the disease has become relativeH rare since the present 
water supply was installed. 
Luray, Page County, Va., is situated on Hawkbill Cre'ek, a tribu- 
tary of the South Fork. In 1900 it had a population of 1,147, but 
this population is much augmented by summer visitors and by excur- 
sionists, who come from all parts of the countin^ to visit the wonderful 
Lura}^ caverns. It has a public water supply, but some vnlls are still 
in use. There is no sewerage system, so that privies and cesspools are 
in general use. One of the hotels and some dozen private houses, 
however, sewer directly into the creek. The creek is also polluted 
by a large taimery and by surface drainage, which is rapid on account 
of the steepness of the slope on which the to^vn is built. 
Prior to the introduction of the present water supply a good many 
cases of typhoid used to occiu* aimually, but now the few cases that 
occur are generallv traced to out-of-tovm infection or to the use of 
well water. 
About 30 miles below Luray is Front Royal, the county seat of 
Warren County, Ya. Front Royal is on Happy Creek, a small trib- 
utary of the South Fork, 97 miles from Great Falls. In 1900 it was 
credited with a population of 1,005. There is a public water supply 
from some mountain springs, though some wells and a few cisterns 
are also in use. There is no sewerage system. The creek is polluted 
not only by surface drainage but by the sewage from a hotel and two 
colleges, one of which is converted into a hotel during the summer. 
