had been exposed to smallpox; I called on the day when I expected to see the result, and found them both complaining of pain in the head, stomach, and back, with fever and a slight eruption. The one had no sign of vaccine, and had varioloid badly; the other had a good vaccine crust and no other trouble, the rash having left in a day or two after the vaccine vesicle made its appearance. A child was exposed to a bad case of smallpox in the house; I vaccinated it and watched anxiously for the result; on the fifth day the child had high fever and a fine rash all over it; but the vaccine vesicle was there and run its usual course, the general eruption leaving in a day or two. After the general vaccination the disease disappeared, and no case has occurred in the town since.

Cholera Morbus.-My cases of cholera morbus were unusual in time, number, and severity. A number occurred in the winter, and no special exciting cause could be assigned. Two cases, that died, were taken with a painless, watery diarrhoea; vomiting and cramps coming on next day, and collapse soon after.

Obstetrics. The practice of obstetrics presents some interesting cases, but none sufficiently so to give in detail. I had one case, during the year, of placenta prævia, in which I turned, and delivered, the woman making a good recovery, although almost exhausted from loss of blood before I got there. I had one case of complete prolapsus of the bladder: I found the woman nearly exhausted, the head impacted and the bladder hanging out of the vagina; the midwife had been with her twelve hours, and said it had been in that condition all the time she had been there; I used the forceps, and the mother and child are both doing well.

Spotted Fever.-Spotted fever made its appearance in the vicinity of Danville, four years ago. It was then confined to the course of a small stream of water; a few cases, I believe, occurring at some distance from it. All plans of treatment recommended, I believe, were tried, and generally with the same result-death-some cases died in a few hours, and others lingered on for weeks and months and then died. A few cases have occurred since. Two came under my notice; two sisters, aged eight and eleven years, were taken with it, within a week of each other, the 1st of January, 1867; one died the last of March, the other the middle of July: in one the muscles of the spine never relaxed, in the other case they were at times completely so. They both became extremely emaciated notwithstanding they had a voracious appetite, constantly calling for something to eat, and sometimes demanding persistently some particular article, sometimes saying, "I don't care what, only so it is something to eat."

Treatment. The laborious character of the employment, and the consequent exposure and diet of the men in this section, cause the diseases usually to assume the sthenic form, requiring prompt and active treatment, giving homœopathy but small chance to obtain a foothold. There appears to be a desire on the part of many to introduce new remedies, especially the alkaloids and concentrated extracts. Yet calomel, opium, quinine, etc., still hold no insignificant position in the practitioner's wallet.

SURGERY. Our iron works, mines, and quarries give rise to many serious and important surgical cases, requiring major or minor operations almost constantly. A boiler at the Pennsylvania Iron Works exploded on the 15th of last April, by which a boiler three feet in diameter, and thirty feet long, was thrown about two hundred yards, scattering brick, hot water, and steam in all directions. One man was killed, and three others died during the week. It was one of those accidents the cause of which is unaccountable, though investigated by scientific men. The boiler was comparatively new, the check and valves in good condition, and the iron, from its appearance, had not at any time been overheated by there being an insufficient supply of water in the boiler.

This section has been, I think, unusually fatal to the members of our profession. In the town of Danville alone, in the last fourteen years, six practising physicians have died, viz., Drs. Wm. McMahan, C. Frick, B. Gearheart, A. Snitzler, I. Hughes, and E. Snyder. Our Society, since its organization, has lost by death six members, viz., Drs. John Ramsay, of Bloomsburg, D. W. Montgomery, of Orangeville, Simonton Cotner, of Jerseytown, H. H. Fox, of Roaring Creek, James A. Wilson, of Berwick, and Isaac Hughes, of Danville. They were all hard-working, self-denying members of their profession. All were comparatively young, or in the prime of life. Where is the bard to sing their praises or recount in song or story the conflicts of the heroes who, braving the dangers of infection and pestilence, through summer's heat and winter's cold, through long, dreary nights by the bedside of the suffering, with unblanched cheek and fearless eye, battled with the king of terrors, unmindful of their own aches and pains, ministering to others, until they themselves, worn and weary, at last bow to the mighty conqueror? I cannot close this report, without asking why we are not protected by legislation, as men in other branches of business are? Why some plan cannot be devised to prevent quacks and ignorant pretenders from robbing the people and disgracing the profession, by calling themselves doctors, and promising impossible cures by some wonderful medicine, discovered in China (that land of science,

light, and liberty), or some individual, still more blessed by the gods, a seventh son, who has only to pocket his fee, lay on his hands, and the lame walk, the blind see, and the dead are raised to life!

Respectfully submitted,

R. S. SIMINGTON,

Chairman of Committee.

OFFICERS AND MEMBERS.

President.-ISAAC PURSEL.

Vice-Presidents.-J. K. ROBBINS, J. D. STRAWBRIDGE.

Secretary.-GEO. GRAUEL.

Treasurer.-F. C. HARRISON.

Sanitary Committee.-R. S. SIMINGTON, H. W. MCREYNOLDS, W.

REPORT OF THE MEDICAL SOCIETY OF CRAWFORD COUNTY.

THE Medical Society of Crawford County is in the second year of its existence, and is now in a prosperous condition. We hope, by another year, to make a further and more lengthy report, in accordance with the form adopted by the Medical Society of the State.

OFFICERS AND MEMBERS.

President.-S. S. BATES.

Vice-Presidents.-JAS P. HASSLER, D. M. CALVIN.
Secretary.-WM. CHURCH.

Corresponding Secretary.-DAVID BEST.

Treasurer.-D. R. GREENLEE.

Censors.-J. W. GRIER, T. F. OAKS, G. O. MOODY.

Delegates to American Medical Association.-J. T. RAY, S. S. BATES.

Delegates to Medical Society of Pennsylvania.-D. M. CALVIN, D R. GREENLEE, DAVID BEST.