Front:
COTEERINO
(401-5000)
SPRINGFIELD, ILLINOIS
ILLINOIS STATE BOARD OF HEALTH
Dr. C. ST. CLAIR DRAKE, Secretary
ATL CAR
OFFICE OF THE SECRETARY
ILLINOIS STATE BOARD OF HEALTH
SPRINGFIELD, ILLINOIS
DEAR SIR:
Please fill out and return the attached postal card.
If no cases of
communicable disease have been reported to you during the month, the
same should be indicated on the card, which should be promptly returned
to this office. This report takes the place of the weekly reports of cases of
diseases of Class II required by the General Rules. The immediate report
of every case of Class I is still required.
Please report promptly or the information will be of little value.
Very truly yours,
C. ST. CLAIR DRAKE, M. D.,
Secretary
Back:
COMMUNICABLE DISEASES
lettick
CAR
INGTON
ILLINOIS
County
Maconson
nor.
MARTHA WASHIN
In month of
1915
DISEASES
NUMBER OF
NEW CASES DURING
MONTH
NUMBER OF
CASES AT
PRESENT
Hette
Smallpox
Diphtheria
RESS ONLY
Scarlet Fever
ELA
Typhoid Fever
vidds
DEC
Measles
Whooping-cough
WV 1
5161
AUTIO
Chicken-pox
Acute Poliomyelitis
(Infantile paralysis)
C. O
Cerebrospinal
Meningitis
(Signature)
Official Title
