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The 9,982 patients under care were grouped as follows, according to the nature of their cases :

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Akron's 948 patients under care were listed as 382 infant welfare, 516 tuberculosis and 50 general nursing cases. This accounts for the difference between the two totals of patients.

BILL FOR FEDERAL AID OF
VENEREAL DISEASE WORK

To establish a government board of social hygiene and make permanent the present activities of the government for the control of venereal disease are objects of a bill introduced into Congress by Senator Chamberlain and Representative Kahn. The proposed board would consist of the surgeons-general of the Army, the Navy and the Public Health Service, and any other members whom these three might designate, with the secretaries of war, navy and treasury as ex officio members.

Provision for aiding the states by advisory measures and by financial assistance are included. The money grants would be paid to the states in amounts equal to state appropriations for venereal disease control, although for the first year the apportionment would be on the basis of state population, the "fiftyfifty” arrangement going into effect

in 1919

The sixteenth annual conference of state and territorial health officials with the United States Public Health Service, meeting in Washington in June, adopted a resolution endorsing this bill.

DEPARTMENTAL REPORTS BY DIVISIONS

DIVISION OF COMMUNICABLE DISEASES

Reported Cases of Notifiable Diseases, June, 1918 Prevalence. In order of greatest prevalence for June, the notifiable diseases list as follows, with comparative figures for May given : Disease

Reported Cases

June May 1. Whooping cough

1,635 1,341 2. Measles

1,362 2,750 3. Gonorrhea

1,215

358 4. Smallpox

610 1,214 5. Tuberculosis

606 656 6. Mumps

522 966 7. Syphilis

386 147 8. Scarlet fever

701 9. Diphtheria

355 335 10. Chickenpox

272 633 11. Typhoid fever

168 122 12. Measles, German

164

1,660 13. Ophthalmia neonatorum

121 134 14. Pneumonia, Acute lobar

77 238 15. Trachoma

56 22

357

For no other notifiable disease was a total of 50 or more cases recorded for June. Whooping cough, which was indicated to be on the increase in May, changing to third place in order of prevalence from fifth in April, is first in June. Measles, although ranking second as to prevalence, shows only half the number of reported cases for June as recorded for May. For German measles, only one-tenth as many cases as reported in May were recorded for June. The marked increases in the number of cases of gonorrhea and syphilis are to be accounted for by cases recorded from the camps and do not signify the improve general reporting of these diseases which is being insisted upon by state and federal authorities.

Smallpox. Reported cases for May, 1914, were cut in half in June, 610 cases. The highest county totals for June follow: Scioto 81 cases, Cuyahoga 68, Butler 46, Summit 44, Ashtabula 35, Henry 32, Hamilton 29, Mercer 20, Jackson and Mahoning 17 each. For no other county was a total of 15 or more cases recorded for the month.

Typhoid Fever. The reported total of 168 cases for June slightly exceeds the figure for June, 1917, 152 cases, but is below the figure for June, 1916, 281 cases. The reported cases for June of this year have been checked against death certificates, with the resultant addition of Il cases not previously reported. The reported cases were well scattered in 62 of the counties of the state, only 20 counties reporting 3 or more cases as follows: Adams 3 cases, Allen 4, Franklin 8, Gallia 3, Hamilton 6, Jefferson 8, Lawrence 6, Licking 3, Logan 7, Lucas 16, Mahoning 4, Medina 3, Montgomery 9, Portage 4, Scioto 8, Stark 4, Summit 3, Trumbull 3, Van Wert 5, Wayne 3. ,

, Meningitis, Cerebrospinal. The 18 cases recorded for June were reported from cities as follows: Cleveland 12, Cincinnati 3, Massillon i, Dayton i, Youngstown I.

Poliomyelitis. The seven cases were reported from the following districts: Cleveland 3, Cincinnati 1, Springfield 1, Lawrence County, Fayette Township, 2, and Scioto County, Rarden Township 1.

TABLE I. REPORTED CASES OF NOTIFIABLE DISEASES, OHIO, JUNE, 1916-1918, WITH DISTRIBUTION FOR CITIES AND FOR VILLAGES AND TOWNSHIPS, JUNE, 1918, AND CASE

RATES PER 1,000 POPULATION, JUNE, 1916-1918.

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en June, 1917

All notifiable diseases...... 4,339 2,130 8,009* 7,282 8,086 1.531 (1.398

1.569

.050 .065

409

Chickenpox
Diphtheria
Gonorrhea
Measles
Measles, German
Meningitis, cerebrospinal
Mumps
Ophthalmia neonatorum
Pneumonia, acute lobar.
Poliomyelitis
Scarlet fever
Smallpox
Syphilis
Trachoma
Tuberculosis
Typhoid fever
Whooping cough
Other notifiable diseases.

.050 .068 .028 .880 .010 .004 .030 .022

185 255

70 985 74

18 232 114 48

7 243 283 36 54 501

85 1,106

43

87 272 483 259
86 355 552 350
9 1,215 108

143
363 1,362 2,410 4,534
90 164

54 19 62 21 249 522 294 155

7 121 91 113 20 77 145 113

5 12 25 7 114 357 608 432 326 610 445 129 31 386 46 60

56 30 20 104 606 588 582

83 168 152 281 529 1,635 784 803 27 72 50 30

.231
.259
.031
.003
.099
.023
.014

.093 .106 .020 .463 .078 .012 .056 .017 .028 .004 .116 .085 .009 .006 .113

.022

.002

.067 .116 .073 .010 .115 .031 .310

.001 .084 .025 .011 .004 .113 .054 .156 .006

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.014

* Reported cases from Camp Sherman and Wright Aviation Field included in total figures.

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

CITIES, JUNE, 1918.

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

CITIES, JUNE, 1918 — Concluded.

City.

Cough.

.427

1.057
.950

128
.770

.351 3.708

Middletown
Mt. Vernon.
Nelsonville
New Philadelphia.
Newark
Niles
Norwalk
Norwood
Painesville
Piqua ...
Portsmouth
Ravenna
St. Bernard.
St. Marys.
Salem
Sandusky
Sidney
Springfield
Steubenville
Tiffin
Toledo
Troy
Urbana
Van Wert.
Wapakoneta
Warren
Washington C. H.
Wellston
Wellsville..
Wooster*
Xenia....
Youngstown
Zanesville

.621 .924 1.248 .158 .332 1.485 .343

.680 3.040 .315 .076 1.140

.790 1.287 .645 .153 1.332

.585 2.175

7
1

6
(No cases reported)
7 1 1

1

1 10

1 6 2 1 4 1 1

2 7

5

2 3 1

1

1
88 2 26

3
3

53
(No cases reported)
9 1

1

4 2 1
28

1
1 18 1

7
8 2 6
1

1 2

2
15
9

1
1 2

2 7

5 2 5

2 160 60

2 12 1 83 9

3

2

1 1

1 228 12 29

14 7 37 16

113
5 4
11
6
1

2 2
5
2

3
1

1
18
12

4
5

1 15

15 (No cases reported) 31 3 11............................ 2 1......

(No cases reported) 140 | 8 | 35 | 1 1 1 1 | 3 | 14 | 7 41 66 5 1

2 2

అ: నిరి:

.483

1.260

. 155

* Reports from Ironton and Wooster were incomplete.

Case Reports. Death certificates reveal unreported cases of notifiable diseases. It has not been possible in Ohio to check deaths against case reports until recent arrangements with the State Bureau of Vital Statistics gave to the State Department of Health information, not only as to the names and addresses of persons dying of notifiable diseases but also as to the physician in attendance. Certain local departments of health make it a practice to check reports against deaths, calling unreported cases resulting in deaths to the attention of the physician who has failed to report. All local departments should fol

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