by districts other than cities occurred by counties as follows: Ashtabula County one, Belmont County one, Hamilton County one, Henry County one, Jackson County one, Medina County one, Muskingum County one, Pike County three, Scioto County two and Summit County one case.

Poliomyelitis. The eight cases of poliomyelitis were recorded for the following districts: Cleveland two, Columbus two, Norwood one, Toledo one, Mercer County, Greenville Township, one, and Wyandot County, Crane Township, one case.

TABLE I-REPORTED CASES OF NOTIFIABLE DISEASES, OHIO, MARCH, 1916-1918, WITH DISTRIBUTION FOR CITIES AND FOR VILLAGES AND TOWNSHIPS, MARCH, 1918, AND CASE RATES PER 1,000 POPULATION, MARCH, 1916-1918.

Field.

*Total figures include cases reported by Camp Sherman and Wright Aviation

1916.

TABLE II-REPORTED CASES OF TEN NOTIFIABLE DISEASES, WITH TOTAL CASE RATES PER 1,000 POPULATION, OHIO CITIES, MARCH, 1918.

TABLE II-REPORTED CASES OF TEN NOTIFIABLE DISEASES, WITH TOTAL CASE RATES PER 1,000 POPULATION, OHIO CITIES, MARCH, 1918 - Concluded.

*Ashland and Painesville reported no notifiable diseases present during March. Reports from Barberton were incomplete and from Gallipolis, Marion, Ravenna and Wooster delinquent for March to date of April 12.

DIVISION OF PUBLIC HEALTH EDUCATION AND

TUBERCULOSIS

Summary of Activities in March, 1918

Educational Work

A total of 4,510 pieces of literature, on twenty-six subjects, was distributed. A plan for the systematic ordering, distributing and recording of literature distributed was worked out during the month.

Eight lectures were given by representatives of the division. In addition the Director gave three lectures on health to the Home Service Institute of the American Red Cross and three lectures to classes in sanitation in the department of home economics of Ohio State University.

Twenty-nine newspaper publicity stories were released-twentyone through the weekly news letter, three to medical publications and five to particular localities. The news letter stories reached 600 papers and were used in 176 papers in 132 villages and cities in seventy-eight counties, attaining a total circulation estimated at 4,037,739. Since its first mailing late in January the news letter has had a story circulation slightly under 9,000,000.

Copy for three of a series of venereal disease pamphlets was revised, a smallpox pamphlet was issued and typhoid fever and poliomyelitis pamphlets were in the hands of the printer.

Volume IX, Number 3 (March, 1918) of the OHIO PUBLIC HEALTH JOURNAL, a child hygiene number, was issued.

Public Health Nursing Service

Resignations during the month were those of Miss Wilma Kilmer, public health nurse at Rossford; Miss Eva Johnson, Marietta, and Mrs. Daisy Kingston, Fremont. Miss Kilmer is succeeded by Miss Elveral Weidland and Miss Johnson by Miss H. F. Dye. Lakewood has appropriated money for a public health nurse and Mrs. M. F. Morgan has been employed.

Instructions by telephone..

To health officers

To physicians

To nurses

1ID

Cases cared for in hospital through arrangements made by State Department of Health

Cases provided with nursing care by this Department.

Cases investigated by Department..

Cases reported as having impaired vision.

Outfits of prophylactic distributed..

Tuberculosis Hospitals

11

4

6

1

1,556

Steps were taken to further organization of the joint board of county commissioners in Proposed District 3. Preliminary work was begun in Proposed District 6.

Inspections were made at Lucas County hospital, Franklin County hospital, Chillicothe district hospital and the Ohio State Sanatorium. Meetings of the trustees of Springfield Lake district hospital and Springfield district hospital were attended.

Conferences of hospital superintendents were resumed with a meeting at Columbus, March 14, at which eighteen were present. Meetings are to be held at intervals of two months.

ADMISSIONS AND DISCHARGES

From March 1 to 31 inclusive, 302 notifications were received, 159 of which were admitted patients. Of these, 206 were referred for investigation and report to local public health nurses: one referred to local health officer; two were reported to other state departments; twentynine were investigated by division nurses; thirty-two were found whose histories were not obtainable, and thirty-two were pending investigation.

Of the fifty-eight cases pending investigation March 1st, thirty-two were investigated by division nurses, and two were referred to local public health nurses. Thirty-two pending cases were added, making a total of fifty-six cases pending investigation April 1.