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

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*Ashland, Bowling Green, Coshocton, Gallipolis, Kenton, Marietta, Troy and Wapakoneta reported no cases of the diseases listed during May, Alliance forwarded incomplete report for May and Ironton, Marion and Wooster failed to submit any report.

DIVISION OF PUBLIC HEALTH EDUCATION AND
TUBERCULOSIS

Summary of Activities in May, 1918

Changes in Organization. — Miss Bertha A. Sells, public health nurse in the bureau of public health nursing, resigned May 31 on account of her approaching marriage.

Educational Work. Literature totaling 9,675 pieces, on twentyseven subjects, was distributed. Four lectures were delivered by representatives of the Division. Fifteen newspaper publicity stories were released, twelve of which were issued through the weekly News Letter and attained a story circulation (total number of printed copies of stories) of 1,789,285, or an average of 149,107 per story. Copy for three venereal disease pamphlets - "Some Things a Young Man Should Know About Sex and Sex Diseases," "How Any Boy Can Develop His Health and Strength" and "Instructing Your Child in the Facts of Sex"and for a revised edition of the folder "Your Baby's Eyes: How to Save Them" was prepared for printing. Copy for the OHIO PUBLIC HEALTH JOURNAL, Volume IX, Number 5 (May, 1918), a special typhoid fever number, was prepared for the printer.

Public Health Nursing Service. Miss Helena R. Stewart, director of the bureau of public health nursing, was elected second vice president of the National Organization for Public Health Nursing at the organization's meeting in Cleveland, May 6-11. The following nurses employed in local centers in the state resigned during the month: Miss Clara M. Dodds, Xenia; Miss Louise Isabel Hebson, Bryan, and Miss H. L. Dye, Marietta.

Prevention of Blindness. — One hundred and thirty cases of inflammation of the eyes of the newborn were reported. Instructions were given to health officers by telephone in two cases, ten cases were investigated by Department nurses and two cases were provided with nursing

care.

Tuberculosis Hospitals. The commissioners of Erie, Lorain. Ottawa and Sandusky counties agreed to appropriate $125,000 for a district hospital. Proposed district hospital Number 7 was discussed at a public meeting in Bellaire and at a meeting of the Jefferson County commissioners. Lima and Springfield district hospitals were inspected. The fifteenth conference of Ohio Tuberculosis Hospital Superintendents was held in Columbus, May 14. Notifications of hospital admissions and discharges received during the month are summarized as follows:

Ohio State Sanatorium, admissions 54, discharges 48; Butler County Sanatorium, admissions 5, discharges 2; Franklin County Sanatorium, admissions 35, discharges 39; Lucas County Tuberculosis Hospital, admissions 29, discharges 16; Dayton District Hospital, admissions 28, discharges 9; Lima District Hospital, admissions 1, discharges 7; Springfield District Hospital, admissions 5, discharges 10: Springfield Lake Sanatorium, admissions 20, discharges 37; Rocky Glen Sanatorium, admissions 2, discharges 1; St. Anthony's Hospital, admissions 11, discharges 10. Total admissions 190, total discharges 179. Total notifications 369, referred to local public health nurses 264. referred to health departments of other states 4, investigated by Divi

sion nurses 33, unobtainable histories 29, pending investigation June 1, 39.

Pending investigation May 1, 56; investigated by Division nurses 32, referred to local public health nurses 3, returned by local public health nurses 7, net total pending cases from April, 28. Total cases pending June 1, 67.

Discharged Tuberculous Soldiers. Notifications for May, with totals since the beginning of work in behalf of discharged soldiers, are summarized as follows:

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DIVISION OF SANITARY ENGINEERING

Summary of Activities in May, 1918

Investigations by the Division during May dealt with thirteen existing and six proposed water supplies and water purification systems, and with seven existing and fifteen proposed sewerage systems and sewage treatment plants. Three days were devoted to a study of sewage disposal at Camp Sherman. The pollution of the Mad River at Springfield and a typhoid fever epidemic in Coitsville Township, Mahoning County, were also the subjects of investigations.

Plans of proposed sewerage and sewage disposal improvements were received from East Palestine, Bethel Township, Miami County; Hills and Dales sewer district, Clark County; Standard Home Company, Masury, Trumbull County; Liberty Subdivision, West Park; Kidder Country Club, Montgomery County; Crawford Land Company Addition, West Park, and Highview, Mahoning County.

Water supply and water purification plans were received from Chagrin Falls, East Palestine, Ravenna, Wadsworth, Dennison and Alliance.

Seventeen conferences were held with city and school officials, engineers and other persons, regarding water and sewer systems.

Five certificates of approval of railroad water supplies were issued, to five railroad companies. Seven such certificates, requested by two railroad companies, were refused. The public water supplies of Lima, Newark and Zanesville were among the sources disapproved in these refusals.

DIVISION OF LABORATORIES

Summary of Activities in May, 1918

The Division made 1,814 examinations in May, of which 1,424 were bacteriological and 390 were chemical. The bacteriological examinations, with their results, were as follows:

Tuberculosis, pos. 114, neg. 378....

Diphtheria, pos. 50, neg. 190, susp. 3, no growth 19..
Typhoid, pos. 15, neg. 43.

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Outfits were distributed in the following quantities: Tuberculosis `821, diphtheria 254, typhoid 126, malaria 60, Wassermann 529, ophthalmia 3,823, water (chemical) 13, water (quarts) 6, water (bacteriological) 93, total 5,725.

The chemical samples examined included 103 specimens of foods and 30 of drugs. Results of the food examinations were: Satisfactory 42, misbranded 8, adulterated 18, insufficient information 35. The eight misbranded products were miscellaneous extracts and those found adulterated were: Milk 12, condensed milk 1, hamburg 2, vinegar 1, lemon extract 1, grape juice 1. Reports on the drugs were as follows: Satisfactory 15, misbranded none, adulterated 8, insufficient information 7. The adulterated drugs were: Tincture of iodine 6, spirits of camphor 1, miscellaneous drugs 1.

DIVISION OF INDUSTRIAL HYGIENE

Summary of Activities in May, 1918

There were reported during the month four cases of occupational diseases, including three cases of wood alcohol poisoning. The diagnoses were investigated in three instances. In addition, 189 cases of tuberculosis among industrial workers were included in physicians' reports during this time.

Assistance was given in the prevention of boils among machinists to a munition factory employing 800 people.

Complaints were investigated in regard to the dangers of poisoning by wood alcohol in several shoe factories. A number of other requests for advice in regard to the elimination of health hazards have also been taken care of.

Inquiry was made during the month of 58 shoe manufacturers in regard to the use of celluloid box toes, in connection with which several cases of wood alcohol poisoning have been reported.

Assistance has been given the Industrial Commission in determining the cause of death.

A number of abstracts of current industrial hygiene literature have been prepared and published in the American Journal of Public Health. A number of miscellaneous conferences have been held and ten lectures and four examinations have been given in the local aviation school.

DIVISION OF PLUMBING

Summary of Activities in May, 1918

Seventy-nine investigations were made by the Division in May, in public, semi-public and private buildings of various kinds. Certificates of approval were issued for the town hall at Perrysburg, a store at Wauseon and schools in Erie County and at Empire. Six conferences were held and eight sets of plans were examined.

HEALTH OFFICERS' ROUNDTABLE

Vaccination Again!

The North Carolina state board of health in a recent bulletin notes the existence of 117 cases of smallpox in 31 counties in the state, and adds: "No cases are reported from Nash, Wilson or Northampton Counties. In Nash County there has been a county ordinance requiring vaccination of all school children since 1914. Similar ordinances have been recently passed in Wilson and Northampton Counties."

Fifty-Four Cents for Health

In the next six months the city of Akron is going to spend $40,000 to safeguard the health of its citi

zens.

This is a large sum, compared to appropriations of two or three years ago, but it is very small when judged by the size of the community and the health problems peculiar to the city.

Spending $80,000 a year for health purposes amounts to no more than 54 cents a person. In time we will learn that we can afford to spend much more than that.

One of the principal reasons we are not spending more now is the average persons's inability to comprehend that the city's health work is of direct benefit to him, to his family and to his neighbors. He can understand the need for paying $2 or more for a physician's call to his home but, frequently, begrudges the expenditure of 54

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