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TABLE i. REPORTED CASES OF NOTIFIABLE DISEASES, OHIO.

SEPTEMBER, 1916-1918, WITH DISTRIBUTION FOR CITIES AND
FOR VILLAGES AND TOWNSHIPS, SEPTEMBER, 1918, AND CASE
RATES PER 1,000 POPULATION, SEPTEMBER, 1916-1918.

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All Notifiable Dis

eases
Chickenpox
Diphtheria
Gonorrhea
Measles
Measles, German..
Meningitis, cerebro-

spinal
Mumps
Ophthalmia neonatorum
Pneumonia, acute lobar
Poliomyelitis
Scarlet fever
Smallpox
Syphilis
Trachoma
Tuberculosis, all forms.
Typhoid fever..
Whooping cough.
Other notifiable diseases

20 94 143 122

40 345

4 69

1 19 16 123 36 20 13 56 383 169 19

142 47 24 219

41 192

77

25 5 .004 59 24 .018 114 112 .027 79 74 .023 79 147 .008 394 465 .066 178 37 .015 74 61 .074 25 14 .003 517 398 .085 695 1,072 .146 800 249 .088 38 47 .013

.005 .011 .022 .015 .015 .076 .034 .013 .005 .099 .132 .153 .007

.001 .005 .022 .014 .029 .090 .007 .012 .003 .077 209 .048 .009

392

28

15
391
386
296
25

447
770
465
68

* 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,

SEPTEMBER, 1918.

City.

Cough.

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Total

.648 (1,800 326 7701 Akron

1.474 134 24 7601 Alliance

.200 4 301 Ashland

.777 7 401 Ashtabula .495 11 501 Athens

.680 5 7702 Barberton .949 13 4 701 Bellaire

.378 6 4601 Bellefontaine 420 4 3901 Bellevue

.326 2 8701 Bowling Green .748 1701 Bucyrus 1.166 11 3001 Cambridge 7602 Canton

.480 32 10 7101 Chillicothe 1.323 21 13 3101 Cincinnati .402 201 60 6501 Circleville

.444 3 1801 Cleveland

412 87 2501 Columbus .328 82 19

402 Conneaut .428 4 1601 Coshocton? 5701 Dayton

.399 57 6 2001 Defiance

.816 6 2101 Delaware .700 7 1 201 Delphos

.366 2 2 7901 Dover

1.048 8 1802 East Cleveland 1.173 17 1501 E. Liverpool.. | .172 4 4701 | Elyria

.550 11 8 3201 Findlay

11.139 17 7401 Fostoria

.720 8 7201 Fremont

.901 9 1702 Galion 2701 Gallipolis ? 1901 Greenville .584 4

901 Hamilton' 4401 Ironton' 4001 Jackson

.652 4 3301 Kenton

.135 1 1803 Lakewood

.205 5 4 2301 Lancaster .122

2 202 Lima

1.290 43 4 4702 Lorain

.725 29 5 7001 Mansfield .602 14 8401 Marietta

.938 14 5101 Marion 12.040 51

702 Martins Ferry. .291 3 2 7603 Massillon .064 1 902 Middletown?

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TABLE II. REPORTED CASES, TEN NOTIFIABLE DISEASES, WITH TOTAL CASE RATE PER 1,000 POPULATION, OHIO CITIES,

SEPTEMBER, 1918 — Concluded.

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4201

502 7902 4501 7801 3902 3102 4301 5501 7301 6701 3103

601 1502 2201 7501 1201 4101 7102 1801 5502 1101 8101

602 7802 2401

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Mt. Vernon...

.567
Nelsonville 1.057
New Philadel. |1.045
Newark

.608
Niles

.220
Norwalk?
Norwood

.123
Painesville
Piqua

.345
Portsmouth .594
Ravenna?
St. Bernard. .158
St. Marys.
Salem

1.287
Sandusky .343
Sidney

.408
Springfield 1.102
Steubenville .805
Tiffin

.228
Toledo

.820 Troy

.632
Urbana

.351
Van Wert.
Wapakoneta?
Warren

1.628
Washington

C. H.'.
Wellston

.580
Wellsville
Wooster

.161
Xenia

15.060 Youngstown .792 Zanesville .372

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Cambridge, Coshocton, Gallipolis, Hamilton, Ironton, Middletown and Washington C. H. failed to submit the regular summary report by date of going to press.

Galion, Norwalk, Painesville, Ravenna, St. Marys, Wapakoneta and Wells ville reported no cases of the diseases listed.

DIVISION OF PUBLIC HEALTH EDUCATION AND

TUBERCULOSIS

Summary of Activities in August, 1918 Change in Personnel

The Director of Exhibits, H. J. Southmayd, was appointed Acting Director August 1, upon the resignation of Director R. G. Paterson, who joined a Red Cross mission to Italy.

Tuberculosis Hospitals —

Two meetings of county commissioners in Proposed District 8 were held. At the first a committee was appointed to investigate the proposed purchase of Rocky Glen Sanitarium for use as a district hospital. At the second this committee reported unfavorably on this proposition and after an inconclusive discussion the meeting adjourned sine die.

At a meeting of the joint board of Proposed District 2, a representative of the Lima District Hospital proposed combining the new district with the Lima district. The meeting adjourned to consider the proposition.

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

Patients Admis- Dis-
Institutions

reported sions charges
Ohio State Sanatorium..

90
50

46
Butler County Sanatorium.

5
3

3
Franklin County Sanatorium.

55
31

37
Lucas County Tuberculosis Hospital.

21

18 Dayton District Hospitali..

11

5 Lima District Hospital..

7

3 Springfield District Hospital.

14

6
Springfield Lake Sanatorium.

36
18

23
Mt. Logan Sanatorium...

10

9 Rocky Glen Sanatorium.

4

3 St. Anthony's Hospital..

7

6

34

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Totals

273

153

154

Total notifications, 307; referred to local public health nurses, 224; referred to health departments of other states, 4; investigated by Division nurses, 32 ; histories unobtainable, 21; pending investigation at end of month, 26.

Pending investigation at beginning of month, 69; investigated by Division nurses, 48; histories unobtainable, 2; pendng investigation at end of month, 19. Returned by local public health nurse, 1. Total pending at end of month, 46. Public Health Nursing Service

Resignations of local public health nurses during the month incuded: Miss E. Laverne Gamble, Piqua; Miss Helen E. Johnson, Cambridge ; Miss Maud Barnard, Tuscarawas County; Mrs. M. Blanche Morrisey, Elyria; Miss Norah D. Abbe, Greenfield; Mrs. Margaret Gibbons, Zanesville (Federation of Women's Clubs). All will enter the Red Cross service. New appointments included: Miss Naomi Blosser, Piqua ; Miss Minnie McGee (assistant), Massillon; Mrs. Dorothy Howell, Zanesville (Federation of Women's Clubs).

Reported cases of inflammation of the eyes of the newborn numbered 138, classified as follows: (race) white 130, colored 6, unknown 2; (sex) male 65, female 70, unknown 3; (source of report) physician 53, midwife 38, nurse 39, physician and nurse 2, institution 6. Instructions were given to health officer by telephone in one case, seven cases were investigated by the Department and six cases were provided with

nursing care. Discharged Tuberculous Soldiers

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

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Summary of Activities in September, 1918 Public Health Nursing Service. — Mrs. Marjory McCarthy resigned as county nurse in Hamilton County and was succeeded by Mrs. Dorothy Howell. Miss Naomi Blosser was appointed public health nurse in Piqua and Miss Isles was appointed school nurse in Niles.

Reported cases of inflammation of the eyes of newborn numbered 142, classified as follows: (by color) white 133, colored 7, unknown 2; (by sex) male 79, female 63; (by source of report) reported by physicians 28, by midwives 51, by nurses 25, by physician and nurse 3, by institutions 34, by laymen 1. In one case instructions were given to health officer by telephone, six cases were investigated by the Department, three cases of gonorrhea were investigated and placed under treatment and one case was provided with nursing care.

Three inspections of maternity homes and one visit to such an institution were made by the child welfare nurse during the month. Child hygiene exhibits were sent to four cities.

Tuberculosis Hospitals. — Proposed enlargement of Springfield Lake Sanatorium was discussed at Youngstown with the commissioners of Mahoning and Columbiana counties, who are opposed to the change on the ground that all cases brought to their attention are properly provided for and that extension is therefore unwarranted. Newspaper reports indicate that the joint board of Proposed District 2 favors uniting with the Lima district, which plan the Department opposes. A resolution to meet commissioners from other counties for the formation of a hospital district was passed by the Fairfield County commissioners September 30. Notifications of hospital admissions and discharges received during the month are summarized as follows:

Patients Admis- Dis

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

93

48
Butler County Sanatorium.

3
2

2
Franklin County Sanatorium.

52
24

33
Lucas County Tuberculosis Sanatorium. 54

26

33 Dayton District Hospital.

25

9

18
Lima District Hospital..

14
9

7
Springfield District Hospital.

12

9 Springfield Lake Sanatorium.

38

15 Mt. Logan Sanatorium.

11

8 Rocky Glen Sanatorium.

2 St. Anthony's Hospital.

12

8
Total ...

318
160

184 Total notifications 344, referred to local public health nurses 262, referred to health departments of other states 5, investigated by Department nurses 22, histories unobtainable 33, pending investigation October 1, 22.

48

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