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Alabama, Dr. Jerome Cochrane. Mississippi, Dr. Wirt Johnston. Arkansas, Dr. W. H. Hawkins. Missouri, Dr. A. J. Steele. California, Dr. W. F. Cheeney. Nebraska, Dr. John Black. Colorado, Dr. Charles Denison. New Hampshire, Dr. G. P. Conn. Connecticut, Dr. C. A. Lindsley. New Jersey, Dr. D. C. English. Delaware, Dr. William Marshall. New York, Dr. A. N. Bell. District Columbia, Dr. Thos. Antisell, North Carolina, Dr. J. C. Walker. Florida, Dr. J. P. Wall.

Ohio, Dr. J. C. Reeve. Georgia, Dr. J. P. Logan.

Oregon, Dr. H. Carpenter. Illinois, Dr. H. A. Johnson.

Pennsylvania, Dr. Benjamin Lee. Indiana, Dr. James F. Hibberd. Rhode Island, Dr. E. M. Snow. Iowa, Dr. J. A. Blanchard.

South Carolina, Dr. R. A. Kinlock. Kansas, Dr. 1). W. Stormont.

Tennessee, Dr. T. A. Atcheson. Kentucky, Dr. S. Brandeis.

Texas, Dr. H. W. Brown. Louisiana, Dr. Stanford E. Chaillé. Vermont, Dr. L. C. Butler. Maine, Dr. A. P. Snow.

Virginia, Dr. F. D. Cunningham. Maryland, Dr. T. B. Evans.

West Virginia, Dr. E. A. Hildreth. Massachusetts, Dr. Henry I. Bowilitch. Wisconsin, Dr. J. T. Reeve. Michigan, Dr. Henry B. Baker. U. S. Army, Dr. Joseph R. Smith. Minnesota, Dr. Charles N. Hewitt.

Dr. ALBERT L. GIHON, U. S. Navy, Chairman.
Dr. J. H. SEARS, Texas, Secretary.

(States from which replies have been received to the appended circular are indicated in italics.]



SIR :-You having been elected at the annual meeting of the Association at Richmond, Virginia, May 6, 1881, a member of this Section for

the Chairman and Secretary will be obliged if you will prepare and forward, by the 1st of May, a brief statement of the progress of State Medicine, and a summary of the laws in reference to it in the place you represent, indicating :

1. Whether a State Board of Health has been established, the date of its organization, and an abstract of its powers.

2. The number of County and Municipal Boards of Health and Auxiliary Sanitary Associations in the State.

3. What provisions are in force for arresting the spread of communicable diseases, whether these include venereal disease, and what special means, if any, have been instituted for preventing the latter.

4. What provision has been made for the collection and compilation of vital statistics.

You are informed that, in response to a former circular, the subject of Medical Evidence has been suggested for discussion by this Section at the annual meeting of the Association at St. Paul, Minnesota, on the 6th of June. Very respectfully,


Medical Director, U. S. Navy, Chairman,

1736 I Street, N. W., Washington, D. C.,

J. H. SEARS, M. D., Secretary,

Waco, Texas.

Esq., M. D.

I.-ALABAMA. By JEROME COCHRANE, M. D., of Mobile, Alabama, Health Officer of Alabama,

Chairman of Committee of Public Health, Senior Censor M. A. S. A., Chairman of State Board of Medical Examiners.

“ In your circular as Chairman of the Section on State Medicine of the American Medical Association, you ask certain questions in reference to the health laws of this State. I forward with this a copy of the Book of the Rules of our State Association, in which you will find all the information you desire given at much more length than I could afford to write. The bill commencing on page 87 is now a law of the State.

“I may add one item of information, namely, that there are now forty-two county Boards of Health in this State, most of which are doing good work.”



SECTION 1. Be it enacted by the General Assembly of the State of Alabama, That the Medical Association of the State of Alabama, organized in accordance with the provisions of the Constitution, which was adopted by said Association at its annual meeting in the city of Tuskaloosa, in March, 1873, be and is hereby constituted the Board of Health of the State of Alabama.

SEC. 2. Be it further enacted, That the Board of Health of the State of Alabama, thus established, shall take cognizance of the interests of health and life among the people of the State; shall investigate the causes and means of prevention of endemic and of epidemic diseases; shall investigate the influences of localities and employments upon the public health; shall from time to time make to the General Assembly such suggestions as to legislative action as, in their judgment, may seem advisable; and shall be, in all ways, the medical advisers of the State.

Sec. 3. Be it further enacted, That such Board of Health of Alabama shall make to the Governor, for transmission to the General Assembly, an annual report of their investigations and transactions; of which annual reports there shall be annually published, as other reports transmitted through the Governor to the General Assembly, a sufficient number of copies for distribution among the members of the General Assembly, and the members of the Board of Health of the State of Alabama, and such additional numbers as may be deemed advisable for the purpose of exchanging for the reports of similar associations in other States.

SEC. 4. Be it further enacted, That the County Medical Societies in affiliation with the Medical Association of the State of Alabama, and organized in accordance with the provisions of the Constitution of the said Association, as described in the first section of this act, be and are hereby constituted Boards of Health for their respective counties; and, as such, shall be under the general direction of the Board of Health of the State of Alabama, created by the first section of this act.

Sec. 5. Be it further enacted, That the County Boards of Ilealth thus established shall have only advisory powers, and shall be conducted without expense to the State or to their respective counties, except under the conditions provided for under the sixth section of this act, which here follows:

Sec. 6. Be it further enacted, That the competent legal authorities of any county in this State, or of any incorporated town or city of any such county, shall, whenever in their judgment it becomes expedient to do so, proceed to invest the Board of Ilealth of the county with such executive powers and duties for the promotion of the public health, and under such rules and stipulations as shall be agreed upon between the two parties.

Sec. 7. Be it further enacted, That in any such agreement as is contemplated in section six of this act, the right to elect or appoint the officers and servants employed in the administration of the sanitary regulations so agreed upon, shall, in all cases, be reserved to the Board of Health ; and, further, that all questions relating to salaries, appropriations and expenditures, shall be reserved to the legal authorities of the county, town, or city, as the case may be.

Sec. 8. Be it further enacted, That no Board of Health, or advisory, or executive medical body of any name or kind for the exercise of public health functions, shall be established by authority of law in any county, town, or city of this State, except such as are contemplated by the provisions of this act, the object of this prohibition being to secure a uniform system of sanitary supervision throughout the State. But nothing in this article shall be so construed as to prevent any of the Boards of Health created by section four of this act from accepting and executing any special powers that may be granted them by the General Assembly of the State; Provided, That this act may be changed, modified, or repealed at any time, at the pleasure of the General Assembly of this State.


SECTION 1. Be it enacted by the General Assembly of Alabama, That the sum of three thousand ($3,000) dollars a year, or so much thereof as may be necessary for that purpose, be and the same is hereby appropriated to carry into effect the health laws of the State of Alabama.

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