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low this practice in efforts to secure complete case reports, prosecuting, if necessary, on the evidence thereby secured. The State Department of Health will hereafter likewise resort to this checking to improve reporting. It is to be hoped that few physicians will permit evidence of unreported cases to be found against them.

DIVISION OF PUBLIC HEALTH EDUCATION AND

TUBERCULOSIS

Summary of Activities in June, 1918 Educational Work

Literature distributed totaled 34,909 pieces, of which 31,728 pieces were distributed by the Division of Child Hygiene.

Three addresses were delivered by representatives of the Division.

Nineteen newspaper publicity stories were released during the month, of which the fourteen issued through the weekly News Letter attained a story circulation of 3,972,393.

A circular letter to physicians, in regard to enforcement of the venereal disease regulations, was prepared for printing, as were two four-page folders containing, respectively, the venereal disease regulations and the whooping cough regulations. Three pamphlets of the social hygiene series and the folder, "Your Baby's Eyes — How to Save Them,” were in the hands of the printer.

Volume IX, Number 6 (June, 1918) of the Ohio PUBLIC HEALTH JOURNAL was prepared for the printer and a venereal disease number was planned for July. Application was made for admission of the JOURNAL to the special second-class postal rate for publications educational, scientific, etc., in their nature, under the provisions of secondclass regulations effective July 1.

Requisitions for fifteen pieces of printing and bindery work were filed with the Supervisor of Printing. Public Health Nursing Service

Nurses appointed during the month were: Miss Katharine Wallenfelsz, Chillicothe; Miss Anza Johnson, Xenia ; Miss M. Ray Lloyd, Jefferson County ; Mrs. Emily D. Schmid, industrial nurse, Richardson Paper Co., Lockland. Miss Marguerite L. Binley resigned as school nurse at Findlay to join the Red Cross Nursing Service.

One hundred and forty-seven cases of inflammation of the eyes of the newborn were reported to the prevention of blindness nurse. Five cases were investigated by the Department, one was provided with nursing care and in one case instructions were given to the health officer by telephone. Tuberculosis Hospitals

Temporary organizations were effected for proposed District No. 7 (Tuscarawas, Carroll, Harrison, Jefferson and Belmont counties) and District No. 2 (Wood, Hancock, Seneca, Crawford and possibly Wyandot counties). Piqua residents interested in establishing a hospital for proposed District No. 10 were interviewed.

1

Inspections were made at Springfield, Chillicothe, Lucas County and Lima hospitals. Two meetings to discuss proposed extension of the activities of Springfield Lake Sanatorium were attended.

Notifications of hospital admissions and discharges received during the month are summarized as follows:

Ohio State Sanatorium, admissions 37, discharges 38; Butlei County Sanatorium, admissions 1, discharges 0; Franklin County Sanatorium, admissions 35, discharges 31; Lucas County Tuberculosis Hospital, admissions 14, discharges 21;. Dayton District Hospital, admissions 12, discharges 5; Lima District Hospital, admissions 11, discharges 14; Springfield District Hospital, admissions 14, discharges 6; Springfield Lake Sanatorium, admissions 47, discharges 43; Rocky Glen Sanatorium, admissions 6, discharges 4; St. Anthony's Hospital, admissions 5, discharges 10. Total admissions 182, total discharges 172.

Total notifications 354, referred to local public health nurses 252, referred to health departments of other states 7, investigated by Division nurses 40, histories unobtainable 22, pending investigation July 1, 33. Pending investigation June 1, 67; investigated by Division nurses 42, referred to local public health nurses 3, returned by local public health nurses 4; net total pending July 1 from May, 26. Total pending July

1, 59. Discharged Tuberculous Soldiers

Notifications for June, with totals since the beginning of work in behalf of discharged soldiers, are summarized as follows:

Total to

June July 1
No. notifications received...

153 522
No. of cases referred to P. H. N's.

94

361 No. reports received from P. H. N.'s.

25 166 No. cases written directly.

55 156 No. of replies received,

3

31 No. of cases visited by Division nurses.

29 107 No. of cases admitted to hospitals.

1

14 No. of cases not found....

9

75 No. of cases not heard from..

129 172

DIVISION OF LABORATORIES

Summary of Activities in June, 1918 The Division made 1,780 examinations in June, of which 1,365 were bacteriological and 415 were chemical. The bacteriological examinations, with their results, were as follows: Tuberculosis, pos. 106, neg. 293. ...

399 Diphtheria, pos. 23, neg. 146, no growth 11.

180 Typhoid, pos. 27, neg. 39, susp. 1...

67
Wassermann, pos. 113, neg. 427, unsat. 16.

556
Malaria, neg. 1..
Rabies, pos. 8, neg. 21, unsat. 2..

31
Water

118 Sewage

6 Miscellaneous

Outfits were distributed in the following quantities: Tuberculosis 539, diphtheria 204, typhoid 111, malaria 21, Wassermann 415, ophthalmia 4,580, typhoid vaccine 6, miscellaneous 6, water (chemical) 19, water (bacteriological) 90, total 5,991.

The chemical samples examined included 136 specimens of foods and 39 of drugs. Results of the food examinations were: satisfactory 66, misbranded 14, adulterated 29, insufficient information 27. The 14 misbranded products included eight egg substitutes, one vinegar, one lemon extract and four miscellaneous extracts. Foods found adulterated included: milk 4, vinegar 17, vanilla extract 4, lemon extract 1, miscellaneous extracts 3. Reports on the drugs were: satisfactory 23, misbranded 8, adulterated 5, insufficient information 3. The adulterated products were one sodium salicylate, two ammonias and two miscellaneous drugs, while those misbranded included four proprietaries and four miscellaneous.

DIVISION OF CHILD HYGIENE

Summary of Activities in June, 1918 The Director held conferences with the Fairfield County child welfare chairman at Lancaster, with representatives of the Springfield health department at Springfield regarding that city's baby camp and with Cleveland health Officials at Cleveland regarding supervision of baby boarding homes in the city.

District meetings of county child welfare chairmen of the Council of National Defense were attended, one at Oberlin and one at Sidney. Plans call for the holding of such conferences in other sections of the state.

The Director attended the annual meeting of the American Medical Association and of the National Association for Teachers of Pediatrics in Chicago. One meeting of the state committee on child welfare of the Woman's Committee, Council of National Defense, was held.

A large part of the Division's activities were devoted to the Children's Year campaign in the state. Literature totaling 31,728 pieces was distributed for use in this campaign.

Notifications from maternity boarding homes and lying-in hospitals give the following data for the month of June : Admissions 76, living births 37, stillbirths none, removals of mothers 47, removals of children 52, illegitimate births 24, deaths of mothers none, deaths of children 8.

DIVISION OF SANITARY ENGINEERING

Summary of Activities during June, 1918 Investigations by the Division during June dealt with eleven existing and six proposed water supplies and water purification systems, and with six existing and nine proposed sewerage and sewage disposal systems. The pollution of the Mahoning River at Girard and its effects upon the Youngstown water supply were studied. Other investigations dealt with insanitary conditions at a rendering plant, a typhoid fever epidemic at Van Wert, a proposed garbage disposal system and a case in regard to disposal of dairy wastes.

Plans of proposed sewerage and sewage disposal improvements were received from Hotel Grace, Portage County; Kidder Country Club, Montgomery County; Shaker Farm, Dayton State Hospital;

Masury, Trumbull County; Eden Township, Wyandot County; Liberty Subdivision, West Park; Butler County Infirmary, and Barberton. Plans of the existing sewerage system of the Cleveland Brass and Copper Company, Euclid, were received.

Water supply and water purification plans received covered proposed improvements and additions at Hamilton, Alliance, East Palestine, Loveland Farms (Mahoning County), and the existing system at Westerville.

Reports were submitted to the Commissioner of Health regarding proposed water purification plant for Ravenna, improvement of the public water supply at Fostoria, public water supply at Rocky River, proposed additions to the Alliance water purification. plant, proposed additional water supply for Martins Ferry, proposed sewage treatment plants for Kidder Country Club (Montgomery County), Eden Township centralized school (Wyandot County) and Shaker Farm buildings at Dayton State Hospital; proposed sewerage for District No. 3, East Liverpool, and proposed sewage disposal for school at Loveland.

Seven conferences were held with engineers, city officials and others regarding sewerage and water supply matters.

A Canal Winchester ordinance prohibiting location of cesspools and privy vaults near the water plant was approved. The passage of this ordinance fulfills the first condition of the approval of a proposed new water supply for Canal Winchester, granted by the State Board of Health September 21, 1916.

Samples of the sand to be used in a sewage disposal plant at Atwater Township school, Portage County, were approved, complying with the first condition of approval of plans for the plant, as granted August 8, 1917.

The public water supply of Leipsic was approved for railroad use in the only such certificate issued. In the only refusal of such a certificate, use of the Pomeroy public water supply was disapproved.

DIVISION OF PLUMBING

Summary of Activities in June, 1918 Eighty-one inspections and five investigations were made by the Division in June. Five orders were issued, fourteen certificates of approval were granted and one recommendation was made. Five sets of plans were approved and one set was disapproved. Four conferences were held.

DIVISION OF INDUSTRIAL HYGIENE

Summary of Activities in June, 1918 The Division has undertaken a study of the coal mines in Ohio for the purpose of collecting data for the Health and Old Age Insurance Commission. Approximately 25 coal mines have been visited in the vicinities of Salem, Salineville, Leetonia, West Point, Glouster, Coshocton, Cambridge and Byesville. The types and amount of sickness, the conditions under which miners live and work, and the methods of caring for sickness and accidents, have been given particular attention. Two cases of lead poisoning and one case of carbon disulphide poisoning have been reported during the month. In addition, 252 cases of tuberculosis among industrial workers were included in physician's reports during this time.

Fourteen requests for advice in regard to various features in connection with occupational diseases and industrial hygiene have been taken care of.

Abstracts of current industrial hygiene literature have been prepared and published in the American Journal of Public Health.

HEALTH OFFICERS' ROUNDTABLE

on

What School Head Thinks self while visiting a suburban The following comments

"movie" house, and

and thereupon school health are found in the an

adopted his new plan of campaign. nual report of Superintendent John

Herods of To-day S. Goshorn of the Canal Fulton public schools:

Dr. J. H. Landis, health officer "The first compulsory health

of Cincinnati, has served notice on measure was a success. The fact the public that his department herethat no pupil contracted smallpox

after will be most vigorous in the proves the value of vaccination, apprehension and conviction of and no pupil will be admitted to people violating the city's quaranour school next year who has not

tine regulations. There is no quesa certificate of vaccination.

tion that a great number of the "For the sake of the child's men- contagious and infectious diseases tal and physical condition those among children are communicated children having diseased tonsils, in public places, such as movingadenoids and weak eyes should picture houses, because parents of have these defects remedied during

sick children are careless of the vacation. Don't allow a pupil to

public health. Scarlet fever, diphbe handicapped on account of a

theria, measles and whooping cough poor physique; it is not patriotic, are among the diseases thus translet alone humane."

mitted to children.

Dr. Landis asks the assistance of To Catch Quarantine Violators the public in the apprehension of

To detect violations of whoop- quarantine violators. Such offenses ing cough quarantine regulations, certainly form a legitimate provHealth Officer J. H. Landis of Cin- ocation for informing. Any man cinnati has announced that he will or woman who takes his or her insend a district physician and a fected child to a public place and sanitary policeman on visits to knowingly jeopardizes the lives of motion picture theaters. The phy- other children should feel the punisician will seek out whooping cough tive effect of our health regulacases in the audience and the police- tions. Indeed, Dr. Landis' threat man will arrest the person respon- to appeal to the grand jury in the sible for the sick child's presence. more flagrant cases is entirely Dr. Landis discovered a case him- justified.

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