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To His Excellency, Shelby M. Cullom, Governor of the State of Illinois: GOVERNOR:

-In compliance with section twelve of the State Board of Health Act, we have the honor to present to you the accompanying Report for the period extending from the organization of the State Board of Health, on July 12, 1877, to the 31st of December, 1878.

Very Respectfully,

JOHN H. RAUCH, M. D., President.
ANSON M. CLARK, M. D.,

Secretary of the State Board of Health.

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