Report of the Department of Health of the City of Chicago. 1895/96

Instructions to medical inspectors-Duty of public vaccinators
and medical inspectors of the HEALTH DEPARTMENT in
relation to public schools-Report of inspections.

OUR FIRST ATTEMPT AT SYSTEMATIC INSPECTION OF THE PUBLIC

SCHOOLS. BY ARVID H. WIMERMARK, M. D., SCHOOL

MEDICAL INSPECTOR..

75-79

80-84

Modus operandi-Notification card to principal of school-Return
card from principal-Division of city into districts-Sanitary
condition of schools and homes of pupils.

WORK OF THE DISINFECTING CORPS. BY J. A. EGAN, M. D.,

MEDICAL OFFICER IN CHARGE....
85-91

Note by the ASSISTANT COMMISSIONER on tests of efficacy of

processes and methods of disinfection and results of culture

tests of fumigations-Summary of work performed by the

disinfectors-Disinfectors' daily reports-Assignment and

method of disinfection-Unsatisfactory experiments with

formaldehyde.

PAGES

STATISTICS, TABLES, CIRCULARS, ETC., OF THE CONTAGIOUS-

.92-124

DISEASES DIVISION

Statistics of the Smallpox Epidemic of 1893-5: Cases of smallpox

removed from each ward to Isolation Hospital, 1895-Deaths

of smallpox cases removed from each ward to Isolation Hos-

pital, 1895-Summary of smallpox cases and deaths by wards

for the years 1893, 1894, 1895-Summary of smallpox cases

and deaths by months for the years 1893, 1894, 1895.

Statistics of Public Vaccination: Commissioned public vaccina-
tors-Rules and regulations concerning vaccination by pub-
lic vaccinators-Prejudice against vaccination and steps
taken to remedy - Details of vaccination work during
1895-1896.

.108-124

SOME CIRCULARS OF THE DEPARTMENT OF HEALTH......

Restriction and Prevention of Consumption: Prevalence-Com-

parative statistics-Decline in Chicago and its causes-Pre-

vention-Distribution of circulars of information-Advice to

the consumptive direct-To the family of a consumptive-To

the public.

Hot-weather Care of Infants and Young Children: Infant mor-
tality-Influence of hot weather-Proper food and feeding—
Cleanliness and dress-Sleep-Advice as to medical care.

Antitoxin Treatment of Diphtheria: Circular of information

concerning diphtheria antitoxin and its use in the treat-

ment and prevention of diphtheria-Its restricted use-
Arrangement by HEALTH DEPARTMENT to supply physi-
cians with a reliable serum-Curative and protective results
of the antitoxin treatment-Conditions under which anti-
toxin is supplied to physicians.

Advice to the Family in a Case of Contagious Disease: Distribu-

tion of circulars through physicians-The sick room, isolation,

ventilation, etc.-Attendants-Disinfection.

HOSPITALS: REPORT OF INSPECTOR IN CHARGE, GEORGE C. HUNT,

M. D., MEDICAL INSPECTOR......
.125-133

History of Isolation Hospital-The new City Isolation Hospital;
description, capacity, etc.

Inspection and supervision of hospitals-Reports for 1896-List
of principal hospitals, their locations, character and capacity.

THE HOSPITAL AND AMBULANCE SYSTEM OF CHICAGO BY LOUIS

J. MITCHELL, M. D................
.134-138

Hospital accommodations-Cook County hospital-Care of conta-
gious diseases-Need for public lying-in hospital-Provisions
for venereal cases-Need of hospital for acute insanity and
alcoholism-Need of hospital centrally located-The ambu-
lance system-Wherein defective.

PAGES

REPORT OF THE MUNICIPAL LABORATORY, 1895-1896. BY ADOLPH

GEHRMANN, M. D., DIRECTOR AND BACTERIOLOGIST, AND

CASS L. KENNICOTT, F. C. S., CITY CHEMIST... .......139-257

Origin of the Laboratory; Growth and Scope: Historical-Milk

inspection-The "milk crusade "-Diagrams showing re-

sult of "milk crusade "-System of collecting and testing

samples-Effect of vigorous prosecution and publication of

names of offenders-Sanitary inspection of milk depots-

Diphtheritic infection through milk-Typhoid infection

through milk-Examination of milk from public institutions;

results-State regulation of dairies; rules and regulations of

Illinois State Board of Health concerning the production

and sale of milk for human food-Laws and ordinances regu-

lating the sale of milk and cream and the keeping of milch

cows in the city of Chicago.

The City Water Supply: Chemic examination-Bacterial ex-

amination-Average supply of 1896-Note on the sanitary

characterizations of water supplied by the different tunnels

-Area of continually contaminated water-Influence of rain-

fall and wind movement and direction-Warnings to the

public as to quality of the supply-Methods of determin-

ing sanitary quality of water-Causes of water pollution-

Extracts from "Notes and Comments," by the ASSISTANT

COMMISSIONER-Notes on water diagrams-Diagram show-

ing relation of precipitation and wind direction and move-

ment to sanitary quality of water supply-Diagram showing

relation of sanitary quality of water supply and temperature

to mortality from acute intestinal diseases and from typhoid

fever.

Analysis of samples of Lake Michigan water, taken at mile in-
tervals off shore-Mineral analysis of Lake Michigan water.

Tabular statements of results of daily examinations, chemic and

bacteriologic, of public water supply of Chicago during the

year 1896.

Sanitary Inspection and Analysis of Ice: Sources of contamina-
tion of ice-Collection of samples-Method of examination-
Determination of quality-Analyses of samples of water
from sources of ice supply.

Diagnosis of Typhoid Fever by the Blood Test: Introduction of
method-Technique employed-Outfit-The specimen of
blood-Preparation of slide- The diagnoses -- Notifying
physicians of results-Clinical reports and results of blood
examinations in 109 cases.

Miscellaneous Examinations: Glycerinated vaccine lymph-Ex-
amination of filters-Meat inspection and examination-
Disinfections and disinfectants-Examination of embalming
fluids-Examinations of suspected cases of hydrophobia.

PAGES

259-272

RELATION OF THE MEDICAL PROFESSION TO THE WATER SUPPLY

OF CHICAGO, WITH ESPECIAL REFERENCE TO THE SANI-

TARY WATERWAY AND MAIN DRAINAGE CHANNEL. BY

F. W. REILLY, M. D., ASSISTANT COMMISSIONER....

History of efforts to secure a pure water supply for Chicago-

Basis of the sanitary waterway and main drainage channel-

Unfounded fears of St. Louis and the Valley-Alternate
plans for disposal of Chicago sewage-Chicago's under-
ground water supply.

REGULATION OF THE PRACTICE OF MIDWIVES. BY F. W. REILLY,

M. D., ASSISTANT COMMISSIONER.
...273-294

Communication to State Board of Health setting forth condi-
tions and asking for adoption of rules and regulations
governing midwives in their practice-Copy of resolutions
submitted-Action taken by the Board-Rules and regula-
tions governing midwives in their practice in the city of
Chicago-Co-operation of physicians desired.

Failures of Midwives in Asepsis. By C. S. BACON, M. D., President
of Obstetric Staff.

REPORTS AND RECOMMENDATIONS OF THE CHIEF OF BUREAU OF

SANITARY INSPECTION FOR THE YEARS 1895-1896. AN-

DREW YOUNG, CHIEF SANITARY INSPECTOR

295-313

Attention to complaints-Inadequate force-Value of city's

supervision and inspection of new buildings-Summary of

the work of the Bureau, 1895-1896-Summary of complaints

received during 1896 and final disposition.

REPORT OF SMOKE DIVISION. D. J. MAY, CHIEF SMOKE IN-

SPECTOR.....
305-308

Difficulties in abating the smoke nuisance-Summary of work
performed during 1896.

REPORT OF THE CITY STATISTICIAN FOR THE YEARS 1895-1896.

EUGENE SEEGER, CITY STATISTICIAN.

309-313

Decrease of child labor-Rapid transit facilities decreasing
overcrowded areas-Official census city of Chicago, June,
1896-Statistics of employment in trades, 1896.

REPORT OF ATTORNEY FOR THE DEPARTMENT OF HEALTH.

VERE V. HUNT, ATTORNEY..

.314-315

FINANCIAL STATEMENT, 1895-1896. HENRY T. CARR, SECRETARY

OF DEPARTMENT...

...316-317

ROSTER OF THE DEPARTMENT OF HEALTH AT CLOSE OF 1896...319-321

PART II. VITAL STATISTICS OF THE CITY OF

CHICAGO FOR 1895-1896.

PAGES

...3-26

REPORT OF THE BUREAU OF VITAL STATISTICS, M. O. HECKARD,

M. D., REGISTRAR.

Important and valuable advances in the Bureau-Classified list
of causes of death-Regulation of undertakers-Results of
regulation-Examination of undertakers-Note on records
of death and statistics of mortality-Notes on consumption,
cholera infantum, pneumonia, diphtheria, typhoid fever.

TABLES OF POPULATION AND DEATHS, BY WARDS DURING 1896

AT ALL AGES; UNDER 1 YEAR OF AGE; BETWEEN 1 AND

5 YEARS AND OVER 5 YEARS

DEATHS IN EACH WARD DURING 1896, BY SEASONS OR QUARTERS :

FIRST-JANUARY, FEBRUARY, MARCH; SECOND-APRIL,

MAY, JUNE, ETC...

MORTALITY BY WEEKS DURING 1896...

29-32

PART III. STATISTICS OF MORTALITY.

TABLES FOR 1895:

I. Deaths and Reported Causes of Deaths.

II. Ages of Decedents and Death Rates per 1000 Living at