[Before filling any blanks, please read carefully through the entire form, including foot-notes and instructions.] 
ANNUAL REPORT TO THE STATE BOARD OF HEALTH, by the Clerk of the Board of Health for the 
* of County of State of 
Michigan, for the year ending September 30th, 187 
To the Secretary of the State Board of Health : 
Sir :—The nature of the soil in this* is as follows 
I estimate the number of acres of low or wet land in this* as follows : 
Swamps acres; marshes acres ; other wet land acres. 
The streams, ponds, and other bodies of water in this* are as follows 
The water is stagnant at season of the year in the following named streams, ponds, 
etc.; 
The beds of the following named streams, ponds, etc., are dry at ...season .of the 
year; 
The natural drainage of the land in this* is by means of 
the soil is favorable for natural drainage.' The artificial drainage is as follows : 
On the whole the drainage is t 
During the past three years, ditches for the drainage of swamps, marshes, or other low or wet lands have been 
dug in this*. to the extent of rods, and the effect on the health of the 
people has been, for each year since, as follows : 
The drinking water is X Its quality is+ Its source 
is from§ The depth of the deepest well is about feet.of those having 
the least depth feet, of the greatest number of wells feet. 
The proportion of the dwellings having cellars under them is 
The cellars are wet at season of the year. 
In this* the proportion of the land covered with growing timber is 
The kinds of timber which originally grew here, stated in the order of greatest quantity, were 
The kinds of timber which now predominate are - 
The principal crops raised in this* — are The principal kinds of fruit raised in this* are 
The principal kinds of wild fruit picked in this* are 
I estimate that the proportion of the dwellings in this* constructed of wood is 
of brick, stone, &c., 
In the greatest number of the dwellings in this* the average number of rooms is 
the average size of sleeping rooms is feet by _ 
feet; the heighth is feet. 
The method of warming the greatest number of the dwellings in winter is by means of. 
and the fuel used is. 
The greatest number of dwellings are ventilated by means of 
Special means of ventilation—other than by open doors and windows—have been adopted as follows 
In the greatest number of cases, the average distance of the privy from the dwelling is ..feet. 
In the greatest number of cases, the average distance of the privy from the well is feet. 
The least distance in any case is. .feet deaths and cases of sickness have occurred, in 
which there was a probability that the cause was the contamination of drinking water by means of privy drainage. 
The number of cases in this*.. where dry earth is used (as a deoderizer and purifier) in 
ordinary privies is ; in special contrivances is. 
In case the privy or earth closet within, or attached to the dwelling. 
The principal employments of citizens of this* .(named in order of greatest number employed) 
is as follows : 
deaths and cases of sickness have occurred within the year, directly or indirectly, 
traceable to occupation as a cause. The cases were as follows : 
In the greatest number of cases light is obtained by means of.. 
The proportion of cases where kerosene oil is used to produce light is about 
Deaths and injuries have resulted from its use in the cases, and under the circumstances as follows : 
_ _ _ — — — - - - — - - - - - — - - - - _ x _ _ _ _ _ 
Paris Green is__ employed for destroying potato bugs. deaths, and_„„„ 
cases of sickness have occurred which could be attributed to that poison. The evidence of death or sickness from 
this cause was 
Compared with previous years, the proportion of deaths to inhabitants in this* during 
the year ending September 30th, was Compared with previous years, the proportion of sickness among the people of this* during 
the year was .... — 
The greatest number of the deaths were from the diseases or causes (named in the order of greatest number), 
.as follows: .. — 
The greatest number of cases of sickness was from diseases as follows 
During the the year ending September 30th, 187 cases have occurred of epidemic, infectious or contagious 
•diseases as follows : Of small-pox ..cases; of cholera cases; of scarlet fever 
cases; of typhoid fever cases; of measles .cases; of whooping cough cases; of 
cases. 
The date of the first case of each disease was as follows : Of small pox ., of 
■cholera _.,of scarlet fever , of typhoid fever , 
•of measles ,of whooping cough 
The date of the last case was as follows : Of small-pox.. , of cholera , 
of scarlet fever ,of typhoid fever , of measles , 
of whooping cough 
Cases of epidemic, infectious, or contagious diseases now prevail, as follows : Of small-pox 
cases; of cholera cases; of scarlet fever casts; of typhoid fever.. cases; 
•of measles cases; of whooping cough cases. 
The number of deaths during the year ending September 30th, from epidemic, infectious, or contagious diseases, 
is as follows : From small-pox ...., from cholera , from scarlet fever. , from typhoid 
•fever , from measles , from whooping cough* 
So far as known, the sources from which the diseases were derived were as follows : 
Of small-pox 
of cholera 
of scarlet fever 
of typhoid fever 
of measles 
of whooping cough 
I attribute the ft.. in this * 
•during the past year to the following causes or circumstances : 
In my opinion the principal sources of danger to life or health in this * at the present 
time are as follows : 
During the year ending September 30th, the climatic conditions observed by me were as follows : During the year ending September 30th, the Board of Health for this* has met as a 
• o 
board time 
The following is a condensed abstract of the proceedings of this board during the year ending September 
30th, 187 
I hereby certify that, to the best of my knowledge and belief, the statements in the foregoing report are correct. 
Dated 187.. 
Signed, 
Clerk of the Board of Health for the* of 
Foot-notes and. other Instructions. 
* Insert the word township, city, or village. 
+ Insert the words, “ not good,” “ bad,” ‘'very bad,” “ good,” “ very good,” etc. Clerks of City Boards of Health will please send a statement for 
their city of the details of sewerage, disposal of sewage, etc. 
K$ Insert the word, “hard ” or “ soft.” 
§ Insert the word “ wells,” “ cisterns,” or state the facts if otherwise. 
After each disease insert the words, “ the disease was contracted in the city of. ” “ or at the school in ” in a 
room occupied by persons sick with the same disease time since,” “by means of clothing worn by patient with same disease,” etc., 
etc., as the facts may be. In the case of typhoid fever, if the privy was near the well, or within the dwelling, state the facts. 
+t Insert the words “ excessive mortality,” “ excas-uvisickness,” “general healthfulness,” or otherwise.express the facts. 
In filling blanks followed by such words as “deaths,” “cases,” “feet,” “rods” “acres,” etc., numbers should be stated if possible, either in words 
Please answer the questions as they are printed, and in the blanks left for the purpose. Do not change or mark out any of the printed matter. If 
you wish to communicate any item which will not go in the blank as printed, please write on a seperate sheet of paper. 
Please fill all blanks in some wav, to show that none have been overlooked. 
9 
t f * lift? 
[Leave all blauk3 in this filing to be filled at this office.] 
1 J 
County of 
°f ; 
CLEM OF BOARD OF HEALTH. 
AIUiyUAL REPORT. 
For the year ending September 30th, 187 
1 i ! 1 1 
- - —- - 187.—. 
Filed-- - -— - -187— 
~ -