TABLE II. REPORTED CASES, TEN NOTIFIABLE DISEASES, TOTAL CASE RATE UER 1,000 POPULATION, OHIO CITIES, 1 Barberton, Dover, Gallipolis, Greenville, Kenton, Marietta, Martins Ferry, Mt. Vernon, Niles, Norwalk, Painesville and Wellston reported no cases of the diseases listed. 2 East Liverpool, Lancaster, St. Bernard, Van Wert, Warren and Youngstown failed to submit the regular summary report by date of going to press. DIVISION OF LABORATORIES. Summary of Activities in November, 1918. The Division made 1,153 examinations during November, of which 927 were bacteriological and 226 were chemical. The bacteriological examinations, with their results, are summarized as follows: The chemical samples examined included 47 specimens of foods and 28 of drugs. Results of the food examinations were: satisfactory 22. misbranded 3, adulterated 12, insufficient information 10. The misbranded foods were two egg substitutes and one miscellaneous. Those found adulterated were: milk 3, vinegar 4, oysters 3. lemon extract 2. Reports on the drugs were: satisfactory 16, misbranded 4, adulterated 6. insufficient information 2. Those misbranded were: tincture of iodine 1, camphorated oil 1, bay rum 1, proprietaries 1. Adulterated products were three each of camphorated oil and miscellaneous drugs. DIVISION OF SANITARY ENGINEERING. Summary of Activities in November, 1918. Investigations by representatives of the Division during the month dealt with two proposed and three existing sewerage and sewage disposal systems and with one proposed and eleven existing water supplies and water purification plants. The disposal of industrial wastes from the plant of the army chemical warfare service, Nela Park, Cleveland, was also the subject of an investigation. Nine sets of plans were received during the month. Among these were plans for proposed sanitary sewers for Niles and for proposed new water supplies for Jewett and Mansfield. Four samples of sand to be used as filtering material were approved. Five conferences were held. Four certificates of approval of railroad water supplies were issued, the city water supplies of Mansfield and Conneaut being approved for railroad use. The Conneaut approval was due to the fact that since November the purification plant in that city has been under the supervision of a technical operator, who makes regular analyses of the water. Approval of water from wells at Dillonvale and Phalanx was refused the New York Central Railroad. DIVISION OF INDUSTRIAL HYGIENE. Summary of Activities in November, 1918. The Division received, investigated and closed two industrial hygiene complaints during November. Eight requests for advice were answered and two such requests were pending at the end of the month. Reports on the coal mining industry in Ohio and Illinois were in progress. Twenty-one abstracts and one editorial were prepared for the American Journal of Public Health.. BUREAU OF PUBLICITY, DIVISION OF ADMINISTRATION. Summary of Activities in November, 1918. Thirteen publicity stories were released during the month, twelve of which, issued through the weekly New Letter, reached a total of 1,403,483 printed copies (an average of 116,956 per story), appearing in 106 newspapers in 89 cities and villages in 60 counties. A new edition of the Department's Soda Fountain Regulations (Administrative Bulletin 126B) was issued. In the hands of the printer were new editions of the three social hygiene pamphlets of the Department-Health Education Bulletin 124B, "Some Things a Young Man Should Know About Sex and Sex Diseases"; H. E. B 125B, "How Any Boy Can Develop His Health and Strength"; H. E. B. 126B, “Instructing Your Child in the Facts of Sex"-and a series of three educational circulars (E. C. 114, E. C. 115 and E. C. 116) on gonorrhea, syphilis and chancroids, respectively. Distribution of publications during the month totaled 11,730. By elimination of duplications (addresses to which two or more copies were being sent monthly) from the OHIO PUBLIC HEALTH JOURNAL mailing list, a net saving of 408 copies a month was effected. Seven volumes were added to the Department Library. DIVISION OF PUBLIC HEALTH EDUCATION AND Summary of Activities in November, 1918. Miss Norah D. Abbe and Mrs. Jean K. Graham joined the Division's staff of public health nurses in November. A new system for the following up by the Division of positive sputum reports made by the Division of Laboratories was installed. In accordance with orders from the Governor, instructions were issued and forms were supplied to the 155 local draft boards of the State for the reporting of notifiable disease cases disclosed by their physical examinations; it is believed that the closing of draft board work December 10 will interfere with the success of this arrangement. At a meeting of commissioners from four counties of Proposed Hospital District No. 7, in New Philadelphia Nov. 15, no definite action. was taken and another meeting was set for January 16, at St. Clairsville. Notifications of tuberculosis hospital admissions and discharges received in November were as follows: Total notifications 220: referred to local public health nurses 167, investigated Pending investigation November 1 from October 63: investigated by Division Changes in the local public health nursing service were as follows: Miss Marie Mueller, Lima, resigned; succeeded by Miss Ethel Montague, Miss Edith Heddrick, Cuyahoga County, resigned; succeeded by Miss Blanche Mrs. Rosezella Fischer, Springfield public schools, resigned; succeeded by Miss L. G. Walters, Norwalk public schools, resumed her duties. Miss Celina Dunbar, Bucyrus, resigned to take charge of public health nursing Work among discharged tuberculous soldiers during the month, November reports of inflammation of the eyes of the newborn, with Cases reported 105, classified as follows: (by race) white 92, colored 10, un- *One patient spent time in two institutions during month of November. HEALTH OFFICERS' ROUNDTABLE Dr. Starr With U. S. P. H. S. Dr. E. B. Starr, Springfield director of public health, is on a six month's leave of absence, beginning December 24, during which time he will be in the industrial hygiene division of the United States Public Health Service. Dr. C. G. Augustus, assistant director under Dr. Starr, is serving as acting director. Dr. Augustus has been in the Public Health Service since last August, but has been released to take Dr. Starr's place in Springfield. Dr. Starr is stationed in Washington. Promotion for Dr. Craven. Dr. Oscar M. Craven, formerly district physician in the Cincinnati health department, has been promoted to chief medical inspector and assistant health officer, which position was held by Health Officer W. H. Peters before the latter's promotion to his present position as successor to the late Dr. J. H. Landis. Dairy Inspection Favored. Health officers of the United States are almost unanimously in favor of farm inspection as a method of insuring safe milk supplies, according to a vote taken during the summer of 1918 by the Bureau of Animal Industry, United States Department of Agriculture, on the question, "Do you consider farm inspection important enough to be continued?" Of the 323 health officers who returned de cided answers, 309 said, "Yes," and 14 said, "No." "This does not imply," comments the Bureau, "that inspection should be at the expense of bacteriological and chemical control; but that there should be co-ordination between laboratory control and dairy farm inspection. Which is the more important depends entirely upon local conditions. "Dairy inspection is of greatest importance in the smaller cities where the bulk of the milk is sold in the raw state. The milk supply might not be large enough to justify compulsory pasteurization; and from a public health standpoint, every safeguard must be thrown about its production and handling. Dairy inspection is especially important in communities where milk control activities are being inaugurated, since the producer must be taught how to produce, handle, and transport milk in a cleanly, safe manner. "To be satisfactory, the inspection of dairy farms must be carried on by competent inspectors. They should have a practical, sympathetic knowledge of dairy farm conditions; they should know the essential features in the production and handling of safe and clean milk; and they must be able to distinguish between those factors which make for public health and those having relation to cleanliness or economy of production and handling of the product. "Dairy inspection has broader meaning than simply looking into |