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DISCHARGED TUBERCULOUS SOLDIERS

Notifications Received
Cases Referred to Public Health Nurses.
Reports Received From Public Health Nurses..
Cases Written Directly..
Replies Received
Cases Visited by Division Nurses.
Cases Admitted to Hospitals.
Cases Not Found...
Cases Not Heard From..

March. Summary. 29

308 21 216 23 115 17

84

86 42

44

7 14

47 17

90

The two field nurses assigned to investigation of tuberculosis cases covered, during the month, a total of 125 individuals, of which number sixty-one were admissions or discharges from tuberculosis hospitals, forty-eight were of discharged tuberculous soldiers, and sixteen were other cases of tuberculosis of which the division had some knowledge.

DIVISION OF SANITARY ENGINEERING

Summary of Activities in March, 1918 Investigations by representatives of the division dealt with seventeen existing water supplies and purification plants, five proposed water supplies, six existing sewerage systems and disposal plants and five proposed sewerage improvements and sewage treatment plants. A sanitary survey of the district surrounding the Wilbur Wright aviation field in Greene County was made.

Plans of proposed sewer improvements were received from Robinson Clay Products Co.. New Philadelphia; Butler County Infirmary; Washington County Infirmary; Sandy Lake, Portage County; Ridge Township School, Van Wert County; Rotary Tire and Rubber Co., Muskingum County ; Urichsville-Dennison; Union County Infirmary; Liberty Union School, Basil, Fairfield County; Liberty Subdivision, West Park; Newcomerstown; hotel, Bloomville.

Water supply plans were received from Canal Winchester, Struthers, Hamilton, Chardon, Dennison, Chagrin Falls and Wadsworth.

Reports were submitted to the Commissioner of Health regarding extension of time for installation of a new water supply for Wooster, proposed auxiliary water supplies for Hamilton and Lebanon, proposed sewage disposal for Ridge Township School, Van Wert County, and · proposed outfall sewer and temporary sewage disposal for Newcomerstown.

Conferences were held with city officials, engineers and other interested parties regarding superintendence of the Youngstown water purification plant, West Fifty-eighth Street sewage disposal plant in Cleveland, Euclid-Shore Haven sewage disposal, proposed sewerage at South Newburg, pollution of Mad River at Springfield, existing water supply at Newark, water supply for Struthers, proposed use of storm sewer for sanitary purposes at West Park, operation of the Cleveland water purification plant, proposed outfall sewer and temporary sewage disposal for Newcomerstown, proposed water purification plant for Ra

venna, proposed improved water supply for Newark and proposed water supply for Chardon.

Approval was given for Ordinance 159 of the Batavia council, which complies with the third condition of the approval of sanitary sewer plans for Batavia, granted September 21, 1916.

Certificates of approval of railroad water supplies were granted in fifteen cases and refused in one.

DIVISION OF PLUMBING INSPECTION

Summary of Activities in March, 1918 Forty-eight inspections were made during March, in sixteen industrial plants, nine schools, six public and semi-public institutions, three university buildings, three churches, two county and municipal buildings, two stores, two apartment buildings, one railroad station, one railroad freight house, one office building, one nurses' home and one case of nuisance.

Certificates of approval were issued for a rubber factory at East Palestine, a laboratory at Ohio State University and a school at Taylors.

Plans were examined for four schools, one store and apartment building, one university building, one armory and one warehouse. Eight conferences were held.

DIVISION OF INDUSTRIAL HYGIENE

Summary of Activities in March, 1918 There were reported to the division during the month forty-nine cases of occupational diseases, including machinists' boils, lead poisoning and carbon monoxide poisoning, the diagnoses being investigated in forty-five instances. In addition, 599 cases of tuberculosis among industrial workers were included in physicians' reports during this time.

Complaints were received in regard to the existence of poisonous dusts and gases in various establishments, incluíling automobile factories, glass works, dental supply factories, and rubber works. A part of these have been disposed of, while others are still pending. A number of requests for advice in regard to the elimination of health hazards have also been taken care of.

A 350-page directory of Ohio industries, to which we have added an index, has been completed from material furnished by the Industrial Commission. Material for the pamphlet describing the effects of wood dust on health has been prepared ; also, a guide in military hygiene and sanitation for distribution to each cadet in the local aviation school.

Extensive experimental investigations have been continued in regard to the avoidance of oil infections among machinists and also the air conditioning of small premises. Twenty lectures and eight written examinations have been given in the local aviation school.

A number of abstracts of current industrial hygiene literature have been prepared and published in the American Journal of Public Health, and the reference library of the division kept up-to-date. A number of miscellaneous conferences have been held during the month.

DIVISION OF LABORATORIES

March, 1918
Examinations
BACTERIOLOGICAL EXAMINATIONS,

Tuberculosis, pos. 115, neg. 318...
Diphtheria, pos. 29, neg. 211, susp. 21, no growth 2.
Typhoid, pos. 14, neg. 21, susp. 13.
Malaria, neg. 2..
Rabies, pos. 6, neg. 4, susp. 2.
Water
Miscellaneous

463 263 48

2 12 77

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SAMPLES SUBMITTED BY STATE BOARD OF AGRICULTURE.
Focds

00
Drugs
Fertilizers
Limestones
Stock Foods
Insecticides

Total

119

SAMPLES FROM STATE LIQUOR LICENSING BOARD.

Grand total

1,072

Distribution of Outfits

Tuberculosis
Diphtheria
Typhoid
Malaria
Ophthalmia
Typhoid vaccine
Water, chemical
Water, quarts
Water, (miscellaneous)
Water, bacteriological

0:12
259
66

60
1,556

7 4

4 183 69

Total outfits distributed.

2.860

Food and Drug Samples Tested With Summary of Conclusions Reported

Satisfac- Mis- Adulter- Insufficient Material.

Total, tory. branded. ated. Informaiion. Milk

27 11

0
16

0 Cream

3
1

0

2 Oleontargarine

1
1

0

0 Lard

1

0 Sausage

1

1 Hamburg

7
4

3 Maple Syrup

1

2 Vanilla Extracts

9

4 Pepper

1 Egg Substitutes

8
1
5

2 Miscellaneous Foods

4
1

1

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SOCIAL WORKERS DEAL NO IDEAL CLIMATE FOR

WITH HEALTH MATTERS TUBERCULOSIS VICTIMS

The medical and public health Conclusions of interest to stuside of social work will be em

dents of the tuberculosis problem phasized at the forty-fifth annual

are set forth in Public Health Resession of the National Conference

ports by John W. Trask, assistant of Social Work, to be held in Kan

surgeon general of the United sas City, Mo., May 15 to 22. Among the topics on the program,

States Public Health Service. which indicate this, are:

He declares that no section of Care of Convalescents, Medical

the country has a climate that is Inspection of Schools, Public

favorable all of the year and few Health Nursing, Hospital Social have one that is favorable most of Service, Nutrition, Health Centers, the year. All of the essentials of A National Program of Infant

fresh air, outdoor life, Welfare, National Salvage of the suitable food, rest, medical care Handicapped, Preparing the Sol- and nursing attentio n - can dier Incapacitated by Nervous or usually be found at the sufferer's Mental Diseases for Return to door. Climate can be controlled Civil Life, Results and Significance by avoiding crowded and overof Mental Hygiene Work in the heated rooms and by ventilation of Army.

sleeping rooms.

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cure

HEALTH OFFICERS' ROUNDTABLE

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Columbus Lowers Typhoid Rate on a basis of population, into four In his annual report for the year

districts with a city physician as1917, Health Officer Louis Kahn

signed to each. of Columbus notes that the capital city's typhoid mortality rate for

Springfield Issues Bulletin the year was the lowest on record, The Springfield health departbeing 7.7 per 100,000. There were ment has just issued the first num68 deaths from measles during the

ber of a “Health Bulletin" adyear, according to the report. ,

dressed particularly to the physiOf these, 33 are said to have been cians of the city. The issue is in among recruits at Columbus Bar- the form of a four-page leaflet. racks during the first three months Past co-operation of the physicians of the year, when many young men

with the health authorities in regisfrom the South were sent into the tering births and reporting comcolder climate of the North.

muncable diseases is noted, and

there are brief discussions of Investigating Arsphenamine diphtheria, typhoid fever, menin

gitis, smallpox, lobar pneumonia, Tlie Он 10 PUBLIC HEALTH

tuberculosis, influenza and venereal JOU'RNAL has received from G. W.

diseases. McCoy, director of the hygienic laboratory of the United States Public Health Service the follow

Favor Full-Time Commissioner ing request :

The Toledo commission of pubIn view of the reports in current

licity and efficiency has filed a remedical literature of untoward results

port, following an investigation, from the use of arsphenamine and neo- which makes sweeping charges of arsphenamine, I have to request that inefficiency in the administration of you give publicity to the statement that

the Toledo health department. it is requested that samples of any lots of these arsenicals which have shown

The report declared that the undue toxicity be forwarded to the Hy- single remedy necessary for congienic Laboratory for examination. ditions which it discussed in detail In sending these samples it should

was the appointment of a full-time be ascertained that the lot number is the same as that of the ampoules used on

health commissioner. patients. The samples sent should, if possible, be accompanied by a brief note Typhoid Poorly Reported stating the approximate body weight and age of the patient, the dose and Three deaths from typhoid fever dilution of the drug given, the symp- since the first of the year, with only toms and result; that is, whether fatal

six cases reported, have led Health or not.

Officer Landis, of Cincinnati to

suspect that cases are not being Akron Is Districted

properly reported. In a recent isFor purposes of health adminis- sue of his department's weekly tration, Akron has been divided, bulletin he points out that the

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