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The Public Health Service rural sanitary surveys during the first two decades of the 20th century led to the establishment of many local county health boards and departments who continued the work of rural sanitation on a daily basis. Health education was one of their primary tools. The poster for privies printed for one of Dr. Lumsden's county health campaigns is an example of the methods used. The results were quite dramatic as the incidence of typhoid fever and hookworm markedly diminished in areas where active sanitary measures were taken.
c. 1920
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