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TABLE I- REPORTED CASES OF NOTIFIABLE DISEASES, OHIO,

APRIL, 1916-1918, WITH DISTRIBUTION FOR CITIES AND FOR
VILLAGES AND TOWNSHIPS, APRIL, 1918, AND CASE RATES
PER 1,000 POPULATION, APRIL, 1916-1918.

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All notifiable diseases. 15,394 15,132 | 10,526 ( 11,992

19,397 2.000 2.302 i 3.763

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Chickenpox

264

111 Diphtheria

270 88 Gonorrhea

28 Measles

1,184 1,110 Measles, German

495 1,710 Meningitis, cerebrospinal

29 8 Mumps

296 727 Ophthalmia torum

96 16 Pneumonia,

acute lobar

395 145 Poliomyelitis

6 3 Scarlet fever.

430 324 Smallpox

647 468 Syphilis

44 4 Trachoma

6 3 Tuberculosis

505

70 Typhoid fever..

41 Whooping cough

625 240 Other notifiable dis

36

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TABLE 1I-REPORTED CASES OF TEN NOTIFIABLE DISEASES, WITH TOTAL CASE RATE PER 1.000 POPULATION, BY

CITIES, APRIL, 1918.

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TABLE II-REPORTED CASES OF TEN NOTIFIABLE DISEASES, WITH TOTAL CASE RATE PER 1,000 POPULATION, BY

CITIES, APRIL, 1918- Continued.

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Ashtabula

.720 16 Athens

1.474 11 Barberton

1.387 19 Bellaire

.630 10 Bellefontaine 4.620 44 Bellevue

.489

3 Bowling Green.. .187 1 Bucyrus

1.272 12 Cambridge

.284 4 Canton

,420 28 Chillicothe

5.418 86 Cincinnati

1.040 520 Circleville

.740 5 Cleveland

11.052 1,057 Columbus

1.444 361 Conneaut

.642 6 Coshocton

.164 2 Dayton

.672 96 Defiance

1.224 9 Delaware

.600 6 Delphos

2.562 14 Dover

.262 2 East Cleveland. 1.725 25 East Liverpool. 1.548

36 Elyria

.400 8 Findlay

19.380 140 Fostoria

.450 5 Fremont

12.673 27 Galion

.417 3 Gallipolis* Greenville

.292 2 Hamilton

1.232 56 Ironton

11.050 15
Jackson
Kenton*
Lakewood

1.107 27 Lancaster

6.039 99 Lima

1.710 57 Lorain

.625 25 Mansfield

11.290 30 Marietta

2
Marion*
Martins Ferry. 291 3
Massillon

.960

15 Middletown

2.501 | 41 Mt. Vernon.

.081 1 Nelsonville

1.661 11 New Philadelphia. . 14.465 47

5 3 3

131

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TABLE II-REPORTED CASES OF TEN NOTIFIABLE DISEASES, WITH TOTAL CASE RATE PER 1.000 POPULATION, BY

CITIES, APRIL, 1918 - Concluded.

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Newark

.576 Niles

.660 Norwalk* Norwood

.779 Painesville* Piqua

11.794 Portsmouth

2.607 Ravenna

.624 St. Bernard.

632
St. Marys.
Salem
Sandusky

.931 Sidney

2.312 Springfield

1.159 Steubenville

.665 Tiffin

5.624 Toledo*

.830 Troy* Urbana

6.552 Van Wert.

1.419 Wapakoneta

.153 Warren

(1.110 Washington C. H...| .351 Wellston

1.015 Wellsville

11.320 Wooster* Xenia

.690 Youngstown

1.998 Zanesville

.248

10 19 17 61 19 74 166

2 7 10 2

5 3 1 2 2

3 22

2 1
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* 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.

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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

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.

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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 I fifty-six.

Discharged Tuberculous Soldiers

Notifications received
Cases referred to P. H.Nurses..
Reports received from P. H. Nurses.
Cases written directly.
Replies received
Cases visited by Division Nurses.
Cases admitted to hospitals.
Cases not heard from..
Cases not found....

April.
36
26
9
8
2
9
4
34
11

Summary to Date,

344 242 124 92 28 53 11 99 58

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

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