FOR THE YEAR ENDING JUNE, 1883.

The malarial fever was about as prevalent as usual. A large number of cases of typhoid fever are reported. Scarlet fever and diphtheria was quite prevalent-the disease, however, of mild type.

Malarial fevers always present during summer and autumn; but during the last few years it has been observed that they have been gradually decreasing, while fevers of a typhoid and typho-malarial character are taking their place. Scarlet fever and diphtheria have been occasionally met with. An epidemic of measles, with a peculiar eczematous eruption behind, the ears, prevailed. Influenza and follicular sore throat were epidemic. The latter was conspicuous by its contagious character. Typho-malarial fever continued to an alarming extent at Englewood. This epidemic is stated to have originated from the use of impure water, with defective plumbing, during the season in which malaria is most prominent.

FOR THE YEAR ENDING JUNE, 1884.

There has been a marked decrease of malarial diseases during the year. Typhoid fevers were infrequent, and mild in character. Influenza prevailed less extensively ' during the winter months than usual. Diphtheria and scarlet fever were met with in several localities.

BURLINGTON COUNTY.

FOR THE YEAR ENDING JUNE, 1878.

In Bordentown obstinate intermittent fever prevailed. In Burlington city malarial fever, which was so common ten years since, is now a rare disease. Ita disappearance is attributed to the drainage of the surrounding low ground, and the filling up of the small ponds. In Moorestown diphtheria was epidemic, while a few cases appeared in surrounding neighborhoods. In Mount Holly scarlet fever, diphtheria and roseola have all prevailed in a marked form, but to a limited extent. The first case of diphtheria was clearly traceable to infection, having been conveyed by a child who had come from the house of a diptheritic patient to a Sunday school, one mile distant.

FOR THE YEAR ENDING JUNE, 1879.

In Medford there was a severe epidemic of influenza, diphtheria and scarlet fever, not general in any place, but it has prevailed in most parts of the county. In one locality it assumed an aggravated form, and the reporter was disposed to charge the attacks to the use of filthy well water in one case, and in others to the proximity of the dwelling to privy-vaults, pig styes and cow-pens.

FOR THE YEAR ENDING JUNE, 1880.

Malarial fever, which has not appeared for two years, again returned in August and September, caused, in the opinion of the reporter, by luxuriant vegetable growth. The only epidemics reported are those of mumps and pseudo diphtheritis-in Mount Holly.

FOR THE YEAR ENDING JUNE, 1881.

The report notices malarial fever as ubiquitous. Roseola has prevailed extensively. Scarlet fever has appeared occasionally of mild form. There have been a few cases of typhoid fever in some localities. The reporter from the county says: "The people are awakening to the importance of having their premises cleanly, and of arranging apparatus by which they can more effectually carry off refuse; thereby promoting the welfare of the public health—the community having learned to prize that boon more than riches."

FOR THE YEAR ENDING JUNE, 1882.

Periodic fevers were the principal fevers. Typhoid fever was less prevalent than usual.

FOR THE YEAR ENDING JUNE, 1883.

An epidemic of influenza began in May and ended in June. An epidemic of rotheln also occurred. The reporter says: "Diphtheria we have always with us, but never as an epidemic."

FOR THE YEAR ENDING JUNE, 1884.

The fevers were of the intermittent and continued forms. Typical typhoid was rarely observed. Mumps appeared epidemically throughout the county. Measles and whooping-cough occurred in many towns. Scarlet fever was rare and mild; only a few cases reported.

Diphtheria was met with at Mount Holly and Moorestown. At the former place it displayed a malignant character. Its origin was attributed to defective drainage. One case of confluent small-p -pox is reported.

FOR THE YEAR ENDING JUNE, 1885.

Much less of malarial fevers than is common, with only an occasional occurrence of typhoid fever. Scarlet fever appeared in Burlington in August, and again in the spring. Twenty-five per cent. of the cases proved fatal. Dr. Hall mentions as many as twenty-five cases of diphtheria in his practice. Measles, whooping-cough and influenza were observed in various localities during the winter. The only epidemic mentioned is that of ulcerated tonsilitis in the city of Burlington, which was very severe and lasted for three months.

CAMDEN COUNTY.

FOR THE YEAR ENDING JUNE, 1878.

Periodical fevers were common in Camden city during the first half of the year, and in some parts almost epidemic. In many localities the origin could be traced to excavations in unfavorable places.

In Haddonfield the only disease to employ the chief attention of medical men was the "never failing though often-varying malarial fever."

Diphtheria was very prevalent throughout the city of Camden, with a large per

centage of deaths. In Haddonfield an epidemic of diphtheria broke out, but was confined to an academy in the place. Twenty of forty-five scholars took the disease; two only died. In August diphtheria suddenly made its appearance in Atsion, a small village in the interior of the county. The contagion spread throughout the town. One fourth of the cases were of a malignant form.

Scarlatina of a mild type reported from various parts of the county.

FOR THE YEAR ENDING JUNE, 1879.

A tendency to periodic forms of disease. There has been a large increase of typhoid fever, with less of those of the intermittent and remittent form. Influenza visited the county in epidemic form. In Blackwoodtown intermittent and remittent fevers were endemic and some typhoid.

FOR THE YEAR ENDING JUNE, 1880.

Malarial fevers have prevailed to an unusual extent in the upper part of the county, and in the city of Camden.

In the almshouse at Blackwoodtown the invasion was attributed to the excavations in moist ground, preparatory to new buildings for the institution. An endemic of typho-malarial fever is noticed as occurring in a circumscribed limit, with a mortality of eighteen per cent., supposed to have its origin in the use of putrescent manures from the slaughter-houses of Philadelphia. An epidemic of influenza is reported in Camden city, which lasted nearly all winter.

Measles and mumps have been endemic in Haddonfield, the latter occurring mostly among men, with frequent metastasis. Four cases of small-pox are reported-one in Delaware township, which occurred in a laborers' boarding-house, and three in Stockton township. They were all promptly attended to, houses fumigated, and vaccination performed. There was no further spread of the disease.

FOR THE YEAR ENDING JUNE, 1881.

Intermittent and remittent fevers have prevailed at all seasons of the year, with unusual severity. Every month of the year witnessed cases of diphtheria, except July and August. There has been more scarlet fever than usual, and some cases malignant and fatal. There was an extensive epidemic of rotheln. Measles, mumps and whooping cough have been prevalent, and a continual annual increase is apparent of typhoid fever. Small pox prevailed to an alarming extent, there being in all 688 cases, and 134 deaths. An epidemic of typhus fever occurred in the county almshouse and hospital at Blackwoodtown, attributed to overcrowding, poor ventilation, &c.

FOR THE YEAR ENDING JUNE, 1882.

Periodical fevers have prevailed to a larger extent than ever before in all parts of the county. Typhoid fever has continued to harass the city of Camden. A peculiar epidemic of catarrh was also prevalent in the city of Camden, and in Winslow. Dr. Smith, of Gloucester City, reports numerous cases of diphtheria.

The report from Camden says, no epidemic but mumps. In Camden city typhoid fever prevailed to an unusual extent, but diphtheria and small-pox were almost absent. Scarlet fever prevailed as usual. Influenza was more prevalent than last year. Malarial fever not as frequent. In Gloucester City malarial fever prevailed through

out the year, while only a few cases of diphtheria were seen. There were more cases than usual of scarlet fever and measles. In Blackwoodtown scarlet fever, whoopingcough and mumps prevailed. Two cases of small-pox occurred.

FOR THE YEAR ENDING JUNE, 1883.

Malaria has been ever present. Typhoid fever, so general in former years, has been less frequent. Scarlet fever and diphtheria has been frequently met with, but of a mild form. Measles prevailed in some localities. There was a single case of smallpox in Stockton township.

FOR THE YEAR ENDING JUNE, 1884.

Malarial fevers prevalent all the year round, but much more easily brought under control than formerly. Typhoid fever has been less frequent. The average amount of scarlet fever, diphtheria and measles came under observation. In the autumn malignant diphtheria broke out in a school in Camden. The cause was attributed to drinking water for the use of the children, which was obtained from a well located within fifteen feet of two large cesspools. A mortality of fifty per cent. closes the story of criminal neglect.

CAPE MAY COUNTY.

FOR THE YEAR ENDING JUNE, 1878.

Diphtheria is reported as one of the constant diseases since 1860: never passing a month without giving evidence of its presence, but generally confined to localities so circumscribed as to forfeit its epidemic character.

FOR THE YEAR ENDING JUNE, 1879.

Diphtheria still continues endemic.

FOR THE YEAR ENDING JUNE, 1880.

In the autumnal season the annual visitation of malarial fevers was not delayed. Whooping cough amounted to an epidemic. Typhoid and typho malarial fevers were quite prevalent during the winter; and some influenza.

FOR THE YEAR ENDING JUNE, 1881.

Malarial fevers have been too common during part of the year. Measles, whooping-cough and rotheln were prevalent, but not fatal.

FOR THE YEAR ENDING JUNE, 1882.

There has been a general immunity from epidemics of every kind. A few scattered cases of scarlet fever, diphtheria, chicken-pox, whooping-cough and mumps have occasionally appeared.

FOR THE YEAR ENDING JUNE, 1885.

The district is almost exempt from malarial diseases. Only a single case of diphtheria is reported to have occurred. Typhoid fever rarely seen. An epidemic of measles prevailed at Tuckahoe.

CUMBERLAND COUNTY.

FOR THE YEAR ENDING JUNE, 1878.

Measles, diphtheria, scarlet fever and typhoid fever. Measles prevailed epidemically in Bridgeton through the early part of winter; also through Deerfield and Hopewell townships. Vineland reports measles and diphtheria as prevailing epidemically, and suggests that local moisture in a stagnant form bears a close relation to the propagation of diphtheria.

The most striking feature in the medical history of the county, was the appearance of an epidemic of typhoid fever in a neighborhood lying between Fairton and Cedarville, a mile and a half in extent. A swamp had existed there which had been imperfectly drained, and during rainy seasons had encroached upon the surrounding farm lands. The land-owners decided to repair the existing partial drains, and thus gain to themselves much fertile lands. The rank vegetation left behind the completed drainage, was allowed to decay at leisure and became the recognized cause of the disease.

FOR THE YEAR ENDING JUNE, 1879.

Influenza was the predominant affection during the winter months. It was epidemic throughout the whole section. Fevers have appeared, but in a limited degree. Intermittents, though occasionally observed, are rare in this district, as there is little malaria. In Vineland and Millville there are none in the technical sense of the term. There is a little scarlatina in a mild form. In some localities diphtheria has prevailed to a considerable degree.

FOR THE YEAR ENDING JUNE, 1880.

In Bridgeton diphtheria and scarlet fever nearly approached an epidemic form. The latter disease has appeared in nearly every town in the county.

An epidemic of ulcerative sore throat is noticed as occurring in Fairton among the children of the primary department of the public school. The windows of the apart ment opened toward the uncleanly and neglected water closets, which were recog nized as the cause of the disease. About thirty cases, all severe, with one death.

FOR THE YEAR ENDING JUNE, 1881.

A greater amount of sickness of an epidemic and contagious character than for several years past. Diphtheria, scarlet fever, measles, mumps and whooping cough prevailed extensively throughout the entire year. Malarial fevers have appeared occasionally. During the autumn and winter there was typhoid fever. Rotheln affected about one-third of the population.

FOR THE YEAR ENDING JUNE, 1882.

Malarial fevers prevailed to a considerable extent, and most other diseases showed a marked tendency to periodicity. In the opinion of the reporter the lowness of the streams and mill-ponds from the deficient rain-fall, with their surfaces stagnant and their borders exposed to the hot rays of the summer's sun, developed the requisite conditions for the production of the malarial poison. In Bridgeton city, diphtheria prevailed to an alarming extent. About thirty-two deaths occurred.