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The following table shows the number of deaths and the monthly death rate per 1,000 population, in each of the 37 largest cities in Ohio, for the month of September, 1917. Cities. Number. Rate.

Cities.

Number. Rate. Akron 168 1.9 Lorain

35 Alliance 31 1.6 Mansfield

33 1.4 Ashtabula 23 1.0 Marietta

13 1.0 Bellaire 17 1.1 Marion

27 1.2 Canton 84 1.3 Massillon

21 1.4 Cambridge 16 1.2 Middletown

20 1.2 Chillicothe 27 1.7 Newark

31 1.0 Cincinnati 479 1.2 Norwood

18

.8 Cleveland 837 1.2 Piqua

22

1.5 Columbus 254 1.1 Portsmouth

40 1.4 Dayton

148
1.1 Sandusky

34

1.7 East Liverpool. 33 1.4 Steubenville

41 1.4 Elyria

33
Springfield

75 1.4 Findlay 15 1.0 Tiffin

9 Ironton 21 1.5 Toledo

249 1.3 Hamilton 45 1.0 Warren

20 1.5 Lakewood 2.0 Youngstown

73

.7 Lancaster 16 1.0 Zanesville

46 1.5 Lima

46 1.4

1.7

32

Public Health Nursing Service

Report for November, 1917

144

Home Other
visits. visits.

90 40
83 32
67

6
130 32

97 129 534

Ashtabula
Athens
Bellefontaine
Bucyrus
Cambridge
Canton
Cincinnati--Anti-Tuberculosis League..
Cincinnati-V. N. A...
Circleville
Columbus-Anti-Tuberculosis League..
Columbus-D. N. A..
Cuyahoga Falls
Delaware
Elyria
Greenfield
Kenton
Lancaster
Lima
Lorain
Mansfield
Marietta
Marion
Massillon
Norwalk
Piqua

Number Number

patients nurses under care. employed. 80

1 69

1 19

1 16 25

66 1,202

907 1,567 176

6 1,197 2,342

320 18 162 22 129 13

84 54 270 38 122 37 554 48 164 196

6 25 40 161

30 365 28 95 63 74

7 331

12 49

1 5 11 2 1 1 1 1 1 3 1 1 1 1 1 1 1

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The 5,765 patients under care, except the 65 given as "not listed," were grouped as follows, according to the nature of their cases : Communicable diseases Tuberculosis

2,875 All others.

170 Maternity – Prenatal

205 Postnatal

193 Infants under two years old.

608 EyeInfants under 2 years old..

24 All others

39 Other diseases Medical

796 Surgical

462 Social service

328

Total

5,700

For pre

SUICIDE TOTAL LESS

IN SIX CITIES OF OHIO Ohio's suicide rate dropped greatly during 1916. if statistics for the cities of Cleveland, Cincinnati, Columbus, Toledo, Dayton and Massillon, recently published by the Spectator, New York insurance monthly, can be accepted as indicative of conditions in the stateat-large.

The average

suicide rate per 100,000 population in these six cities in 1916 was 12.9. vious years

the

averages were: 1901-05, 16,5; 1906-10, 19.3; 191115, 19.8.

Individual averages in the six cities for 1916 were: Dayton 27.5, Toledo 20.9, Cleveland 20.5, Cincinnati 16.6, Columbus 15.4, Massillon 6.5.

sary to effect the corrections for age and sex, crude death-rates for such limited areas can only be misleading and may cause unnecessary alarm and distress.

“Undue importance should not be attached to the interruption in 1915 of the steady yearly increase of cancer mortality, the first since 1907. The conditions are abnormal, and as was pointed out in the Annual Report two years ago, the dislocation and diminution of the civil medical service by war conditions, may well affect the fidelity with which the national mortality figures reflect the absolute incidence of such a disease as cancer."

WAR AIDS STUDY OF

CANCER STATISTICS Following are extracts from the statement of Dr. J. A. Murray, Director of the Imperial Cancer Research Fund, in the Fifteenth Annual Report of the Fund, 19161917:

"The importance which has always been attached by statisticians to the age-constitution of populations in which cancer mortality has to be studied, receives striking justification by the results recorded in the Seventy-eighth Report of the Registrar-General (1915) published this year. The withdrawal of a large number of young men from civil life constitutes a most valuable statistical experiment, showing the effects of a sudden alteration in the age-constitution of a population." "The majority of the men withdrawn from civil life are under 35 years of age, and the cancer mortality figures for 1915 show the effects on a population of retaining the female sex in its normal proportions, while profoundly altering the relative proportions of the males above and below the age at which cancer is an important cause of death. .

“The change in the male population is on a large scale, affecting the whole country, and has taken place abruptly. It is analogous to those minor differences in ageconstitution which have been attained slowly in isolated communities, and which go far to account for the phenomena of cancer villages and cancer streets. It is obvious that the varying conditions in limited areas at the present time must produce anomalies, and in fact, in some districts the deaths of males from cancer equal, or even exceed, those of females. Without the data neces

HEALTH IN CAMPS His friends had known him for a number of years as a young man who had his "good times" and plenty of them. He had been raised under conditions approximating those of the average Sandusky home, with neither luxuries nor hardships, and had received a fair education. Then he had taken up clerical work and later had become a salesman. He was, in short, an average, good sort of young chap, unaccustomed to manual labor and certainly unused to self-denial.

He was called to the colors and a month or so ago he left with a contingent for a training camp. Within a few days he had discarded his citizens' clothes, donned a uniform, and became a private in the ranks, doing his regular turn at drills and other work, washing his own dishes and clothes, and eating very ordinary food that wouldn't have tempted him at home. Not only this but he was going to bed early each night and was out early in the morning.

The other day he came home,

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In other words, barring accidents and casualties in the service, the average life of a man in the military service has been considerably lengthened.

In comparison with our experiences in previous wars, notably in the Spanish-American war, this showing of health in the camps is so excellent as to be most encouraging. Our surgeons and army officersofficers have learned that the prime essential is good, substantial food and sanitary surroundings. The results attained are so altogether excellent as to make us hope that the day is not far distant when we shall have universal military training. Even though there should be no further use for armies in the future, the training would at least be good for our young men. Sandusky StarJournal

along with some other comrades, for a few hours' visit. And everywhere he went his friends commented upon his fine appearance. He stood more erect, with head and shoulders back. His uniform and overcoat of khaki fit him excellently. His face was clear and ruddy, like that of a healthy, robust farmer boy. He had gained slightly in weight and his muscles were like iron. He said he had a fine appetite, hadn't touched a drink of liquor since he left home, and in every way was feeling “fit.”

The case is typical of many. Almost without exception, the boys who come home from camp appear stronger and better, physically, than when they left home. The rigorous training has done them a world of good. They enjoy hard work and the coarse, substantial food. They find that they can get along very well without strong drink, and with only occasional sweets sent them by the “folks back home." They have

They have come through the period of vaccination and inoculation, making them immune to typhoid fever, smallpox, etc., and life in the open air, with plenty of exercise, has developed them and toughened them wonderfully. They have acquired, in fact, what they would have paid a physician a good-sized fee to assure to them.

Ail reports indicate that the 'health of the men in the military camps is remarkably good. Of course there are some cases of illness and occasionally some man is found who is physically unfit to undergo the rigorous program of training. The percentage of cases of sickness, however, is really lower than among the same number of civilians at home, ard the death rate, not only in the camps in this country, but "somewhere in France," is far below the average.

DEPARTMENT TO LEND
WATER CHLORINATOR

IN EMERGENCY CASES The division of sanitary engineering of the State Department of Health now possesses an emergency apparatus for the chlorination of water, which will be available for use by any city of the state when need suddenly arises for temporary disinfection of water. The division has been hampered by difficulty in obtaining chemicals for the machine, but as soon as this difficulty is overcome, no obstacles will be in the way of its services.

The chlorinator was used for several weeks recently in Hamilton, where the calling into use of an emergency water supply made disinfection necessary.

The Hamilton city authorities in this case obtained the materials which the department could not supply.

DEPARTMENTAL REPORTS BY DIVISIONS

DIVISION OF COMMUNICABLE DISEASES

Notifiable Diseases, December, 1917 Prevalence. For the month of December, 6,785 cases of notifiable diseases were recorded to date of January 15, 32 cases less than were reported for December, 1916, (6,817 cases) and 1,929 less than for December, 1915, (8,714 cases). The cities of the state, together with Camp Sherman and the aviation field at Fairfield, reported 4,212 cases, 62 percent of the December total, as compared with 66 percent of the total reported by the same health districts for November and 70 percent for October. In order of greatest reported prevalence for the month, the diseases list as follows: (1) Chickenpox 1,438 cases, (2) smallpox 1,050, (3) diphtheria 752, (3) scarlet fever 752, (4) whooping cough 540, (5) mumps 471, (6) measles 456, (7) tuberculosis 382, (8) pneumonia 369, (9) measles (German) 149, and (10) ophthalmia neonatorum 105 cases. For no other one notifiable disease was a total of 100 or more cases recorded for December. A total of 645 health districts, 30 percent of all districts, recorded the presence of one or more cases of notifiable diseases during December, compared with 25 percent recording disease in November and 26 percent in October.

Smallpox. The total of 1,050 cases of smallpox recorded to date of January 15, for the month of December exceeds by almost 200 cases the total for any month on record for the past five years, the January, 1914, total of 883 being the next highest. With the increased prevalence of the disease when prompt case reports are most valuable, health officers have unfortunately failed to submit as great a proportion of case cards as usual. It is the aim of the reporting system to secure the case history card for every case of notifiable disease. The system should not fall down in times of epidemics when it is most valuable. Health officers will endeavor to submit all back cards if they desire their records and their reputations valued. The following table shows the distribution of cases by counties for the past two months. REPORTED CASES OF SMALLPOX. BY COUNTIES, NOVEMBER AND

DECEMBER, 1917.
County

N07.
Dec. County

Nov. Dec. Allen

Cuyahoga

84 135 Athens

4
Darke

10 28 Auglaize 6 Defiance

3 Belmont

Delaware Butler

10

Erie Clark

Fairfield Clermont

Favette Clinton

Franklin Columbiana

2 Fulton Coshocton

Greene Crawford

1 Guernsey

1 15

4

11

3

38
7
1
1

40

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