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to the homes of worthy poor people city, just as it already is a model in the city. The visiting nurses do city in so many other respects. their part in this good work by furnishing the names of all such families. The general public can assist Springfield Diphtheria Rate by conserving ice and by aiding. Dr. E. B. Starr, director of pubthose who are actively interested lic health of Springfield, calls atin the campaign.

tention to the fact that an error was If all the plans of the health made in stating Springfield's 1917 department could be carried out, diphtheria rate in the Health Offiwith other authorities co-operating cers' Roundtable for June. The with the board and people, Dayton rate was 3.8 per 100,000 instead of would soon become a model health 11.9 as given.

PUBLIC HEALTH NOTES FROM OVER THE STATE

*

The Springfield council recently clinic offers free treatment to men amended an ordinance so as to per- earning less than $28 a week. It mit the assistant director of public is treating from twenty to thirty health of the city to accept com- patients daily. pensation from private sources for managing a venereal disease clinic. This official receives $1,620 salary

Vaccination will be required as per year and may not, by the terms a prerequisite to employment of all of the existing ordinance, engage in employees of the new nitrate plant private practice.

to be established by the Air Nitrate Corporation at Cincinnati.

*

School children at Willard (formerly Chicago Junction) must pre

Regular monthly inspection of all sent proof of recent successful food-handling establishments was vaccination before they may enter

instituted by the Portsmouth board school this fall, according to recent of health last month. action of the village health author

* * * ities.

The Hamilton County branch of

the Council of National Defense Hostility toward Toledo's new has appropriated $2,385 from the venereal clinic has been displayed county war chest to aid child welby quack doctors whose trade it is fare work in the county. The exundermining. One such doctor has penditure of this amount will be been arrested for tearing down supervised by the Cincinnati health placards advertising the clinic and department in connection with its substituting his own cards. The own child hygiene activities.

TABLE OF CONTENTS

PAGE

The Department's Roll of Honor..

378

EDITORIALS:

A Word in Regard to Ohio's Influenza Outbreak..

378

Million Children Need Help Which Ohio Fails to Give.

379

School Hygiene Programs May Be Simple and Yet Comprehensive.

379

To John H. Landis, Builder in the field of Public Health...

381

Apply Recently Gained Knowledge and Lower Pneumonia Mortality 381

Call to Arms Again Sounded in Campaign to Save Babies..

382

The Mahoning Sanitary Problem and Its Importance to Ohio..

Wassermann Totals and Venereal Case Reports Indicate Progress..

383

Some Thoughts Suggested by the 1917 Mortality Figures....

384

Employers, Guard Your Workers' Health and Increase Your Profits. 385

Health Council Member Goes to Italy with_Red Cross...

386

Existing System of Antitoxin Distribution Explained.

387

Instructions for Control of Influenza..

388

"Spanish Influenza” — "Three-Day Fever" "The Flu".

389

Influenza - How to Avoid It - How to Care for Those Who Have It.. 392

Influenza Has Been Epidemic in Past Years....

393

Ohio Birth and Death Statistics for 1917, compiled by State Bureau of Vital

Statistics, DR. JOHN EMERSON MONGER, Director.

394

The Mahoning River as a Sanitary Problem.

400

The Modern Health Department.

407

Cincinnati Loses Noted Health Officer by Death.

408

Baby-Saving Results for Seven Months..

410

Child Pamphlet Issued...

412

A Recent Word on Pneumonia Prevention (abstract of article by Dr. RUFUS

Core)

413

Federal Funds May Aid State's Child Hygiene Activities.

415

Tuberculosis Case Estimate May Be Too Small..

415

Statistical Study of Reports of Inflammation of Eyes of Newborn, arranged

by Miss JESSIE B. DOERSAM and Miss ESTHER MCCLAIN, Ohio State

University

416

Public Health Nursing Service, report for July, 1918.

418

DEPARTMENTAL REPORTS BY DIVISIONS:

Division of Communicable Diseases, August, 1918..

420

Division of Communicable Diseases, September, 1918.

425

Division of Public Health Education and Tuberculosis, August, 1918.. 428

Division of Public Health Education and Tuberculosis, September, 1918. 430

Division of Industrial Hygiene, August, 1918.

431

Division of Laboratories, August, 1918....

431

Division of Laboratories, September, 1918.

432

Division of Sanitary Engineering, August, 1918.

433

Division of Sanitary Engineering, September, 1918.

433

Division of Plumbing, August, 1918..

434

Bureau of Publicity, Division of Administration, August, 1918.

134

Bureau of Publicity, Division of Administration, September, 1918. 434

Conserve Milk and Supply Children First.....

435

HEALTH OFFICERS' ROUNDTABLE: Better Reporting Sought – Cities

Have New Health Officers — City Has Two Health Boards - Pasteuri-

zation Kills Germs — Akron Charter on Health Social Disease..

436

Public Health Notes From Over the State......

438

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EDITORIALS A Word in Regard to Ohio's Since the last previous number of the Influenza Outbreak

OHIO PUBLIC HEALTH JOURNAL was

issued, the influenza situation has been claiming the attention of Ohio health officials. The disease which for the past year had been epidemic in Europe reached the United States late in the summer and made its first appearance in Ohio at the close of September.

With the first outbreak of the disease in this country, the United States Public Health Service took prompt steps to secure action by state and local health officials for the control of the threatened epidemic. The states responded to the Federal call without delay and as this is written a well-organized country-wide fight is in progress.

The course of the influenza outbreak in Ohio can not be predicted at this time, although it is hoped that, by the time this magazine reaches its readers, the disease will have been brought under control. The historical aspects of the present outbreak must therefore be left to a later issue of the JOURNAL while in this number we content ourselves with outlining the official action of the State Department of Health and reproducing some of the mass of educational matter which has been published.

Million Children Need Help At the top of a list of "Neglected Which Ohio Fails to Give Fields for Public Health Work,” if

we were to compile one, would appear this entry: “The Public Schools of Ohio." With nearly a million pupils enrolled, there is, outside of the larger cities and a few smaller places, practically no effort being made to supervise health conditions in the public schools. Nearly a million citizens of the state, at the stage of life when they are most in need of protection and when constructive health work can accomplish results greater than at any later stage, are being allowed to grow up without such attention.

Within a few years many men and women-now numbered among these million school children-will be laboring under the handicaps of ill-health and physical defects traceable directly to the lack of efficient health supervision in their childhood. A portion of the burden under which they must struggle will inevitably be shifted to society in general: the next generation will foot the bill for the present generation's lack of foresight.

And it must be admitted that that is the method of payment which is prevailing now: the present generation inherited the debt due to the preceding generation's limited vision. One phase of the situation has come sharply to light with the rejection of thousands of young men as soldiers because of physical disabilities which might have been forestalled by proper precautions in childhood, but which are no longer remediable. Military service is only one of the activities in which these unfortunate individuals are unable to play their part; constantly through life the well members of society must be bearing burdens for those who lack the strength to carry their own, and constantly such extra, avoidable loads act as a drag upon society in its efforts to progress.

Shall we pass on to our descendants this same kind of dead weight? Or shall we take the simple steps which if taken now will open the way for a healthier, more prosperous and happier state to be?

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School Hygiene Programs May Be Plans for giving greater attenSimple and Yet Comprehensive tion to health supervision in any

community's schools, or in any individual school, need not include a complex program or an elaborate organization.

The things to be accomplished are essentially simple and any organi ization which will accomplish them will be adequate. Here are the chief things to be done:

Study the physical condition of each pupil (this should be done by a physician if possible) and provide for the immediate correction of remediable defects which may be disclosed.

Remove any conditions in the school building and its surroundings which may promote the spread of disease or may endanger in any other way the physical well-being of the pupils.

Develop as comprehensive a program of physical training as may be practicable and inspire in the pupils an enthusiasm for healthful recreation.

Make whatever provision may be possible for the prompt detection of communicable disease cases and rigidly exclude such cases from school until recovery is complete, in the meantime co-operating with the health officials in measures for checking any possible spread due to exposures which may have occurred.

Educate the parents of the children so as to bring them into sympathy with the school program and secure their cooperation in carrying it out.

Such a program as is here outlined can be begun by any teacher or school official with sufficient enthusiasm to interest his coworkers and, if possible, a few outsiders in the need which exists. Such medical assistance as is needed can in most cases be obtained without cost for a time, at least, if funds for the purpose are not available, although plans should provide for the ultimate replacement of volunteer service by a paid organization. At least one nurse is of course to be desired, but if she can not be obtained immediately, volunteer workers may to a certain extent take her place until her employment becomes possible. Existing unhealthful conditions can in most cases be detected by the inexperienced person, with the aid of advice which the State Department of Health will cheerfully supply; if the correction of these demands expenditures for which money is not available, agitation 10 obtain the necessary funds should be started immediately and in the meantime such remedies as are available without cost should be applied. A program of physical education, which in the beginning at least needs no equipment other than the school grounds or a vacant lot, can be set in motion by anyone with the right kind of enthusiasm for healthful recreation.

Recognizing the simplicity of the problem of school health improvement, one cannot condone the failure of Ohio school officials in general to meet the situation. Recognition of the need should be immediately followed by action to correct the present conditions.

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