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DIVISION OF COMMUNICABLE DISEASES
Reported Cases of Notifiable Diseases, Ohio, July, 1918

Prevalence. In order of greatest reported prevalence during the month of July, the notifiable diseases list as follows with comparative figures for June given :

REPORTED CASES.
Disease.

July. June.
1. Whooping cough..

1,612 1,733 2. Gonorrhea

688 1,223 3. Measles

679

1,450 4. Tuberculosis, all forms.

501 655 5. Smallpox

341

628 6. Diphtheria

322

361 7. Mumps

282 580 8. Syphilis

264 387 9. Scarlet fever

243

399 10. Typhoid fever

206

192 11. Chickenpox

172

281 12. Ophthalmia neonatorum

114 121 For no other one notifiable disease was a total of 100 or more cases reported for July. For the twelve diseases listed in order of prevalence, the July total is 5.424 compared with June's total of 8,010 reported cases, marked decrease in reported prevalence occurring for all diseases with the exception of typhoid fever, which shows an increase in July over June of 14 reported cases, making the total for typhoid fever practically the same as for July last year (Table 1).

Whooping Cough. For both July and June whooping cough has headed the list of greatest reported prevalence. Delinquent reports for July will probably bring the month's figure in excess of June's total. A rapid checking of deaths from whooping cough for the first six months of this year places the number as high as 406. Reported cases for the six months total 6,869 and, with July added, 8,481-only 244 fewer than reported for the whole of last year.

Smallpox. From the cities were reported 178 of the 341 cases for the month (Table II), Cleveland reporting the largest number, 37 cases. For Hamilton, the 18 reported cases, for Lima and Bucyrus, the 12 cases each, continue the high case rates of several months for these cities.

Diphtheria. Although the July reported cases number only 322, health officers should bear in mind that this disease may be expected to increase in prevalence during succeeding months as past records indicate. For five years July's average of reported cases has been 385, increases continuing to the month of October with an average of 1,470 reported cases and with gradual decreases thereafter until spring.

- 50 and

Meningitis, Cerebrospinal. The 18 reported cases occurred by counties as follows: Athens I, Belmont 1, Cuyahoga 4, Hamilton 2,

, Lucas 3, Mahoning, Medina, Meigs, Montgomery, Perry, Ross and Summit I each.

Poliomyelitis. Table I shows the total for July — 31 reported cases well below the two past years' figures for the month 100 reported cases. From the northeastern and southwestern parts of the state have been reported the largest number of the cases, 15 in the one and 13 in the other section. By districts, the cases were recorded as follows: Cincinnati 13, Cleveland 5, Canton, Niles, Youngstown and Weathersfield Township, Trumbull County, 2 cases each; Akron, Toledo, Warren, Willoughby Township, Lake County, and Hopewell Township, Perry County, I case each.

TABLE 1- REPORTED CASES OF NOTIFIABLE DISEASES, OHIO,

JULY, 1916-1918, WITH DISTRIBUTION FOR CITIES AND FOR VIL-
LAGES AND TOWNSHIPS JULY, 1918, AND CASE RATES PER 1,000
POPULATION, JULY, 1916-1918.

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

TABLE II - REPORTED CASES, TEN NOTIFIABLE DISEASES, WITH

TOTAL CASE RATE PER 1,000 POPULATION, OHIO CITIES,
JULY, 1918.

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Akron
Alliance
Ashland
Ashtabula
Athens
Barberton
Bellaire
Bellefontaine
Bellevue
Bowling Green.
Bucyrus
Cambridge
Canton
Chillicothe
Cincinnati
Circleville
Cleveland
Columbus
Conneaut
Coshocton
Dayton
Defiance
Delaware
Delphos
Dover
East Cleveland..
East Liverpool.
Elyria
Findlay
Fostoria
Fremont
Galion
Gallipolis
Greenville
Hamilton
Ironton
Jackson
Kenton ?
Lakewood
Lancaster
Lima
Lorain
Mansfield
Marietta
Marion'
Martins Ferry
Massillon

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TABLE II - REPORTED CASES, TEN NOTIFIABLE DISEASES, WITH

TOTAL CASE RATE PER 1,000 POPULATION, OHIO CITIES,
JULY, 1918 — Concluded.

City.

Cough.

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Middletown

.244 Mt. Vernon.

.243 Nelsonville

.604 New Philadelphia....665 Newark

.128 Niles

.220 Norwalk

1.872 Norwood

.656 Painesville ? Piqua

.621 Portsmouth

.429 Ravenna

.780 St. Bernard.

.316 St. Marys.

.166 Salem

1.683 Sandusky

.539 Sidney

1.224 Springfield

3.268 Steubenville

.210 Tiffin

.304 Toledo

11.510 Troy

.632 Urbana

1.053 Van Wert.

.258 Wapakoneta

.153 Warren

.814 Washington C. H.. .468 Wellston

.290 Wellsville

.110 Wooster

1.288 Xenia

.345 Youngstown

11.071 Zanesville

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* Alliance report incomplete.

Ashland, Gallipolis, Kenton, Marietta and Painesville reported no cases for July

Conneaut, Ironton and Marion reports delinquent for July.

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DIVISION OF PUBLIC HEALTH EDUCATION AND

TUBERCULOSIS

Summary of Activities in July, 1918 Changes in Organization.- Miss Hulda A. Cron was appointed child welfare nurse in the Bureau of Public Health Nursing July 1. Dr. R. G. Paterson, Director, resigned July 31 to take up tuberculosis work with a Red Cross unit in Italy.

Public Health Nursing Service.-Dr. Anna L. Preston was appointed public health nurse at Marietta. Reported cases of inflammation of the eyes of the newborn numbered 143. Six cases were investigated by the Department, instructions were given to health officers by telephone in four cases, six cases were provided with nursing care, and one case of impared vision was reported.

Tuberculosis Hospitals.-Proposed District No. 2 organized by resolution; permanent officers were elected and a resolution to appropriate $100,000 was adopted. Meetings of commissioners in proposed districts 4, 7 and 8 were attended. Chillicothe district hospital was inspected. A joint meeting of commissioners in Springfield Lake district was attended; the meeting rejected the plan of extension recommended by the State Department of Health. Notifications of hospital admissions and discharges received during the month are summarized as follows:

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Total notifications, 3.7; reierred to local public health nurses, 261; reierred to health department of another state, 1; investigated by Division nurses, 42; histories unobtainable. 23; pending investigation August 1, 30.

Pending investigation July 1, 59: Investigated by Division nurses, 18; referred to local public health nurses, 2; histories unobtainable, 2; returned by local public health nurses, 2; net total pending from June, 39. Total cases pending August 1, 69.

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

July. Summary. Notifications received

52: Cases referred to public health nurses.

361 Reports received from public health nurses.

40

200 Cases written directly.

150 Replies received

13

44 Cases visited by Division nur-es.

28

13.3 Cases admitted to hospitals. Cases not found..

16

91 Cases not heard fröm.

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