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CA

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County
Nov. Dec. County

Nov. Dec. Hamilton 7 35 Perry

1 Hancock

14 Pickaway Henry

36

Pike
Highland

3
Portage

23 Hocking

30

Preble Holmes

Putnam

20 Huron

Ross

6 Jackson

9
Sandusky

1 Knox

1 Scioto

78 29 Lake

1 Shelby

150 95 Lawrence 4 10 Stark

19 31 Logan

Summit

104 114 Lorain

Trumbull

6 16 Lucas

15
Tuscarawas

7 Mahoning

5
5 Van Wert.

1 Medina 14 41 Vinton

1 Mercer

3

5
Warren

14 Miami 26 10 Washington

2 Montgomery 20 22 Wayne

10 43 Morrow

1 Williams

2 Paulding

2
Total

775 1,050 Chickenpox. For two months chickenpox has headed the notifiable diseases listed as to greatest reported prevalence. The December total exceeded the November reports by 220 cases and as shown by the table for December, 1915-17, was higher than the totals for the month both years. Toledo recording 388 cases in November, reported 279 cases for December. Cleveland recorded 119 cases for December, Cincinnati 99, Akron 80 and Columbus 62 cases. Complete reports for Dayton have not been received to date but at least 50 cases were recorded during the month. The six cities reported 689 of the 1,438 cases for the month, 48 percent.

Diphtheria. Excluding the 435 cases in the eight cities listed immediately following, the remainder of the December cases, 317, were scattered, having been reported from 140 health districts in 58 counties. Cleveland reported 176 cases, Cincinnati 81, Toledo 46, Akron 43, Dayton 36 (incomplete), Columbus 29, Lima 17 and Findlay 7 cases. The latter two cities have had high case rates for three months past, the reduction for Lima for December not being so marked as the reduction for November, Lima having reported 32, 19 and 17 cases, Findlay 17, 12 and 7 cases for the three months.

Scarlet Fever. The total of 752 cases recorded to date of January 15, for scarlet fever was the same figure recorded for diphtheria for the month and 6 cases less than reported for November, although previous years of record show tendency for increase in December over November

Meningitis, Epidemic Cerebrospinal. The reports for December, 1917, more than double the figure for December, 1916, 30 cases against 13. The cases were reported as follows by counties and health districts; Adams Co., Winchester Tp. 1; Athens Co., Nelsonville 1; Cuyahoga Co., Cleveland 5; Franklin Co., Columbus 1; Madison Tp. 3; Hamilton Co. Cincinnati 1. Addyston 1; Lucas Co., Toledo 3; Mahoning Co., Smith Tp. 1; Medina Co.. Wadsworth 1; Montgomery Co., Dayton 4; Ross Co., Camp Sherman 8.

REPORTED CASES OF NOTIFIABLE DISEASES, DECEMBER, 1915-17, DISTRIBUTION DECEMBER, 1917, FOR CITIES AND FOR

VILLAGES AND TOWNSHIPS.

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Chickenpox
Diphtheria
Gonorrhea
Measles
Measles, German.
Meningitis, Epidemic Cerebrospinal..
Mumps
Ophthalmia Neonatorum.
Pneumonia
Poliomyelitis, Acute Infectious.
Scarlet Fever..
Smallpox
Syphilis
Trachoma
Tuberculosis, All Forms.
Typhoid Fever.
Whooping Cough.
Cancer
Continued Fever..
Malaria
Paratyphoid Fever.
Septic Sore Throat.
Tetanus

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934

124 1,560

37 13 130 136 404

7 860 228 74 34 416 159 344

8

1,113 1,064

173 1,847

28 18 222

99 659

15 1,369 244 85 22 459 375 910

2 48 31 249 24

1

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DIVISION OF PUBLIC HEALTH EDUCATION AND TUBER

CULOSIS

December, 1917 Educational Work

Literature. 879 pieces of 16 varieties of literature were forwarded from this department during the month.

Publicity. Nine newspaper publicity stories were released, as follows: Two of general interest to state, released to three press associations, which together serve 100 papers; seven of interest to particular localities, sent to 61 papers. The December number of the Ohio Public Health Journal, comprising 48 pages, frontispiece and cover, completed Volume 8. Nursing Service

On December 1 Miss Jessie L. Chapman succeeded Miss Margaret R. Simpson as prevention of blindness nurse,

On December 1 Miss Gertrude R. Steckel resigned from her position as public health nurse for Bellefontaine. She will be succeeded by Miss Annie J. Cunningham.

On December 31 Miss Virginia Lewis and Miss Annie J. Cunningham of the Portsmouth Bureau of Community Service resigned. Miss Lewis will take charge of the nursing work of the Columbus Society for the Prevention of Tuberculosis.

Mrs. Grace Burbank is doing public health nursing work throughout Portage County. This service is being supported by a private organization.

The James B. Clow Co. of Chicago has appointed a public health nurse for the employes of its plant in Newcomerstown. Tuberculosis Hospitals

Site committee of tentative Tuberculosis Hospital District No. 3 inspected several sites during the month, and expected to call upon the Department in the near future for the approval of one or more of these sites.

Admissions and Discharges. From December 1 to 31, 182 notifications were received, 85 of which were of admitted patients, 97 of discharged patients. Of these, 136 were referred to local public health nurses for instruction, investigation and report. Twenty-one were investigated by Division nurses, 14 were found whose histories were unobtainable and I were pending investigation.

Of the 57 pending notifications December 1, 36 were investigated by division nurses, three were referred to local nurses, four had histories which were unobtainable, and nine were returned uninvestigated. Eleven new pending cases were added, making a total of 34 pending cases January 1.

NOTIFICATION OF TUBERCULOSIS HOSPITAL ADMISSIONS AND

DISCHARGES RECEIVED BY THE DIVISION OF TUBERCULOSIS,
STATE DEPARTMENT OF HEALTH, DURING THE MONTH OF
DECEMBER, 1917.

Total No.
Total No. No. of No. of Admissions
Institution.

Patients Admis- Dis- and Dis

Reported. sions. charges. charges. Ohio State Sanatorium..

36
13
23

36 Butler County Sanatorium.

2
1
1

2 Franklin County Sanatorium.

19
12
10

22 Lucas County Tuberculosis Hos. 24

15

27 Dayton District Hospital..

5 Lima District Hospital.

6
12

18 Springfield District Hospital.

9
5

5 Springfield Lake Sanatorium.. 23

18
11

29 Rocky Glen Sanatorium....

7
3

5 St. Anthony's Hospital.

15
10
10

20

10 16

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85

97

Prevention of Blindness
Cases Reported

White
Colored
Unknown

101 98

M小21

Male Female Unknown

45 54

34 40

24

Cases reported by physicians..
Cases reported by midwives.
Cases reported by nurses..
Cases reported by institutions.
Cases reported by laymen...
Instructions to health officers by telephone.
Cases investigated by Department...
Cases provided with nursing care by Department nurse.
Cases provided with nursing care by special nurse.
Cases reported as having impaired vision

Right eye totally.
Left eye partially.
(November case not reported then.)

2 399212532

1 1

DIVISION OF INDUSTRIAL HYGIENE

Summary for December Dr. E. R. Hayhurst assumed his duties December 18 as consultant to the division. Plans have been made for the direction of the energies of the department toward the industries manufacturing war materials. Assistance was given the Division of Tuberculosis during the month in listing by counties in the order of their importance the industrial pursuits in Ohio. Attention was given to plans for the issuance of certificates of vaccination to the students of Ohio State University.

Investigations
Airplane dope poisoning
Munition survey
Occupational histories of tuberculosis cases.
Experiments with apparatus..
Oil infections

1 1 1 2

Cases of Tuberculosis arranged according to the U. S. Census Classification, reported in connection with gainful occupations:

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U.S.: Census

U. S. Census Classification.
Symbol

000 Agriculture, Forestry and Animal Husbandry...
100 Extraction of Minerals...
200
300 Manufacturing and Mechanical Pursuits..
400
500 Transportation
600 Trade
700 s Public Service

| Private Service
800 Domestic and Personal Service.
900 Clerical

Not Designated

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Total

222

33

DIVISION OF LABORATORIES

December, 1917

307

Examinations and Analyses —
Bacteriological Examinations:

Tuberculosis, pos. 75, neg. 232.
Diphtheria, pos. 118, neg. 289, susp. 24, no growth 5..
Typhoid, pos. 9, neg. 31, susp. 5..
Rabies, pos. 6, neg. 2, susp. 3.
Water
Miscellaneous

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Adult- Insufficient terated. information. 5

3 0

6 3

0 0

Food and Drug Samples Tested —

Satis- Mis-
Material.

Total factory. branded.
Milk

23 15

0 Cream

6
0

0 Lard

10
7

0 Sausages

9
4

0 Hamburg

1

0 Vinegar

3

3 Cider

1

1 Maple Syrup

2

0 Candy

1

1 Catsup

4
4

0 Vanilla Ext.

6
0

2 Lemon Ext.

3

1 Miscellaneous Exts.

0

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