274 WiSCOmiM STATE AGRICULTURAL SOCIETY, 
1. Has there been in your locality a notable increase or decrease 
either of sickness or of death, from all causes, for the year ending 
September 1, 1876, as compared with previous years? 
2. Have any diseases been especially prevalent in your locality 
during the j^ast year? 
3. If so, please name such diseases, in the order of their preva¬ 
lence, stating the type of each, whether mild or severe? 
4. Can you discover any causes for the prevalence of these dis¬ 
eases? 
5. If you can, do you believe that such causes are in any degree 
preventable or removable? And if so, how? 
G. Have any diseases been attended with unusual fatalitv? If 
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so, name them, and give your opinion of the cause of this fatality. 
7. Please give, as near as possible, the number of cases of any 
endemic, epidemic or contagious diseases, and especially state 
whether there have been any cases of small pox. How many? Had 
these cases been previously vaccinated? What was the result, 
death or recovery? 
8. Give your opinion as to the proportion of the inhabitants of 
the locality included in your report, who are thoroughly protected 
against an attack of small pox by vaccination and revaccination 
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9. Can you suggest any method of improving the general sani¬ 
tary condition of your locality? 
10. Please state what diseases, if any, have been prevalent among 
animals, and to what extent? 
11. Have you a local health officer and an organized health board 
which takes cognizance of local causes of disease? If so, please 
give name and address of health officer. 
12. Please state, as accurately as possible, what diseases are pre¬ 
vailing at the date of making your report, and what their type. 
Please define the locality for which your report is made, its most 
prominent features, and the number, proportion of foreign popula¬ 
tion, and general occupation of its inhabitants, with such other in¬ 
formation concerning it as you may be able to give. 
You are particularly and earnestly requested, whenever any con¬ 
tagious disease, or disease of severe and fatal type, shall appear in 
your locality, to report such fact at once to this office, with all pos¬ 
sible items of interest therewith connected. 
