City. Notifiable Diseases. TABLE I-REPORTED CASES OF NOTIFIABLE DISEASES, OHIO, APRIL, 1916-1918, WITH DISTRIBUTION FOR CITIES AND FOR ILLAGES AND TOWNSHIPS, APRIL, 1918, AND CASE RATES PER 1,000 POPULATION, APRIL, 1916-1918. 264 111 All notifiable diseases. 5,394 5,132 10,526 11,992 19,397 2.000 2.302 3.763 Chickenpox Diphtheria Gonorrhea Measles Measles, German. Meningitis, cerebro spinal Mumps Ophthalmia TABLE II-REPORTED CASES OF TEN NOTIFIABLE DISEASES, WITH TOTAL CASE RATE PER 1,000 POPULATION, BY Total 1.493 4,147 270 1,184 27 395 6 430 647 505 58 625 Cough. 1918. TABLE II-REPORTED CASES OF TEN NOTIFIABLE DISEASES, WITH TABLE II-REPORTED CASES OF TEN NOTIFIABLE DISEASES, WITH * Marion and Wooster reports had not been received to date of going to press and Toledo's complete report for month had not been submitted. Ashland, Gallipolis, Jackson, Kenton, Norwalk, Painesville and Troy reported no cases of the diseases listed. DIVISION OF PUBLIC HEALTH EDUCATION AND TUBERCULOSIS Summary of Activities in April, 1918 Changes in Organization — Miss Bertha A. Sells, appointed public health nurse in the Division April 1 for special trachoma work, was stationed at Waverly all month. The services of Miss Catherine McNamara, public health nurse in the Division, were loaned to the Portage County Health and Welfare League for one month. ་ Educational Work Literature distributed totaled 6,297 pieces, covering forty subjects. Three lectures were delivered by representatives of the Division. Twenty-seven newspaper publicity stories were issued, eighteen of which were released through the weekly News Letter, attaining a circulation of 3,343,110, or an average circulation of 185.728 per story, as compared with 239,639 per story in March. Pamphlets on typhoid fever and poliomyelitis, circulars entitled "The State of Ohio Is Interested in Your Baby" and "Machinists, Avoid Boils and Infections" and several reprints of articles from the OHIO PUBLIC HEALTH JOURNAL were issued. Public Health Nursing Service — Nurses who resigned during the month were: Miss Anza Johnson, Springfield; Miss Demerris A. Moon, Cambridge; Miss Gertrude Allen, Lorain; Miss Mabel Firestone, Canton; Miss Mary Holz, Niles. The last three have entered the Red Cross service. New nurses appointed were: Miss Helen E. Johnson (temporary), Cambridge; Miss Nora J. Viets, Huron County: Miss Thelma Peacher, Lorain; Mrs. Robert L. Murphy, Fostoria; Miss Mary E. Hill and Miss Lucile B. Lindsay, Mansfield. Reported cases of inflammation of the eyes of the newborn numbered 162 for the month. Of these, 153 were white, six colored and three of unknown race; 89 were males, 70 females and three of unknown sex. Instructions were given to health officers by telephone in three cases, one case was cared for in a hospital under arrangements made by the Department, three cases were provided with nursing care by the Department, ten cases were investigated by the Department and two cases were reported as having impaired vision. Tuberculosis Hospitals Proposed hospital District No. 3, comprising Erie, Lorain, Ottawa and Sandusky counties, was organized April 10. Preliminary work was. begun in District No. 8 April 17. The Division was represented at a meeting of the trustees of Springfield Lake Sanatorium April 9 and offered recommendations for increasing the usefulness of the institution. Inspections were made by representatives of the Division during the month at Dayton District. Hospital, tuberculosis wards at the National Military Home and the Dayton State Hospital for the Insane, Butler County Hospital, Cincinnati Municipal Sanatorium, Dr. Rockhill's Sanatorium at Cincinnati, Cleveland Municipal Sanatorium and the pavilion for advanced cases. at the Cleveland State Hospital for the Insane. NOTIFICATIONS OF TUBERCULOSIS HOSPITAL ADMISSIONS AND DISCHARGES RECEIVED DURING APRIL, 1918. Of the cases noted in this table, 230 were referred to local public health nurses, one was referred to the health department of another state, thirty were investigated by Division nurses, sixteen were found whose histories were unobtainable and twenty-one were pending investigation May 1. Of the fifty-six cases pending investigation April 1. twenty were investigated by Division nurses and one was referred to a local public health nurse. The twenty-one new pending cases made the total of cases pending May 1 fifty-six. DIVISION OF SANITARY ENGINEERING Summary of Activities in April, 1918 Investigations by representatives of the Division dealt with ten existing water supplies, four proposed water supplies, three existing sewerage systems and sewage treatment plants, ten proposed sewerage improvements and sewage disposal plants, one case where general sanitary conditions were inspected and one case involving proposed disposal |