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In this connection it is of interest to observe the waves of the epidemic as they occurred in this country since the first week in September, the beginning of the first wave. The figures here given relate to 35 cities from which approximately complete statistics were available. The total estimated population thus represented was estimated at about 20,000,000 in 1918...

Owing to the large territory included in these reports, the waves do not appear as marked as they actually were in the individual sections of the country. Nevertheless, one can trace here a very high wave with a sharp crest about the end of October, followed by two somewhat lower waves, one with its crest about the third week in December, the other in the fourth week in January.

Deaths from influenza and pneumonia (all forms) in 35 cities of the United States froin

Sept. 8, 1918, to Mar. 22, 1919, by weeks. (Population about 20,000,000.)

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SUMMARY OF FEBRUARY REPORT OF THE DIVISION OF

VENEREAL DISEASES, PUBLIC HEALTH SERVICE.

1

Some States and the District of Co umbia have not complied with the provisions of the Chamberlain-Kahn Act by making the appropriation necessary to qualify them as beneficiaries under this act. The following is a list of those not qualifying and the appropriations required of them in order that they shall receive an equal amount from the Federal appropriation: District of Columbia .

$3,599. 66 Missoi.i.....

35, 607.91 New Wexico.

3,558.70 Pennsylvania.. Tennessee..

33, 341. 55 23, 754. 87

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Reports to date show that legislation bearing on venereal disease
control has been introduced in the following States:
Alabama.
Minnesota.

Rhode Island.
Arizona.
Missouri.

South Carolina.
Arkansas.
Nebraska.

Tennessee.
California.
Nevada.

Utah.
Connecticut.
New Jersey.

Vermont.
Delaware.
New York,

Washington.
Idaho.
North Carolina.

Maine.
Iowa.
Ohio.

New Hampshire.
Kansas.
North Dakota.

New Mexico.
Massachusetts.
Oklahoma.

Wisconsin.
Michigan.
Oregon.

Wyoming
The following bills have been passed:

North Carolina: Vice repressive act, injunction and abatement act, venereal disease act.

Alabama: Injunction and abatement act, ouster law, venereal disease bar to marriage, State board of control.

Oregon: Venereal disease control act.
Oklahoma: Venereal disease control act.
South Carolina: Venereal disease control act.
New York: Venereal disease control act.
Arizona: State board of control.

Appropriation bills have been passed by the State legislatures of the following States, which makes these States eligible during the next fiscal year for their share of the Federal appropriation: North Dakota.

$12, 548.48 Oregon....

25,000.00 South Carolina.

10,000.00 Wisconsin..

50,000.00 Wyoming

4,000.00 West Virginia

7,000.00

Excerpts From Report of Educational Activities, February, 1919.

Requests for publications received from health officers, physicians, hospitals, nurses, civic organizations, city officials, libraries, churches, editors, Y. M. C. A.'s, educators, and the like...

16, 718 Publications distributed....

793, 454 Publications purchased or reprinted by State boards of health..... 473, 800 Number of lectures, exhibitions of films, addresses, and conferences (reports

irom the field not complete)... Number of articles published in magazines... Additional pledges of cooperation received from druggists.

2,896 Additional pledges of cooperation received from physicians.

40,000 Number of ministers agreeing during the month to cooperate in the Government's program in combating venereal diseases....

11, 821 Number of States equipped with full sets of venereal disease pamphlets.

The accompanying table covers the activities of only 48 clinics (including 27 detention homes in direct cooperation with the clinics, and 1 training school for girls) operated by, or in cooperation with,

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the United States Public Health Service during the month of February. Reports from the remaining clinics had not been received at the time of the compilation of this report.

Census of all patients under care of 48 of the clinics operated by, or in conjunction with,

the U.S. Public Health Service, for the month of February, 1919.

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Anniston, Ala'.
Arcadia, Fla..
Atlanta, Ga...
Augusta, Ga.
Chillicothe, Ohio!.
Columbia, s. C.

Charlotte, N.C.'.
- Council Bluffs, Iowa.

Davenport, lowa..
Denver, Colo..
Des Moines, Iowa l.
El Paso, Tex.!
Evansville, Ind.
Fort Worth, 'i'ex.
Galveston, Tex.
Greenville, S. (..
Houston, Tex..
Indianapolis, Ind.
Ithaca, N. Y
Johnstown, N. Y
Kansas (ity, Mo.
Laurel, Miss..
Leavenworth, Kanf.
Los Angeles, Calil.:

No. 1.

No. 2.
Louisville, Ky..
Macon, Ga.
Miami, Fla..
Montgomery, Ala!
Newport News, Va.'
Niagara Falls, N. Y
Norfolk, Va....
Pasadena, Calif
l'awtucket, RI
Frovidence, R. I.:

No.1.

No. 2
Rome, N. Y
San Antonio, Tex.'.
San Francisco, Calil.:

No. 1.
No.2.

No. 3.
Santa Barbara, Calif..
Jlattiesburg, Miss.
Savannah, Ga.
Spartanburg, S. (.!
Stockton, Calif.
Troy N. Y
Utica, N. Y

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DRUGGISTS COOPERATE IN VENEREAL DISEASE CONTROL

WORK.

Some time ago the Division of Venereal Diseases of the Public Health Service circularized druggists with literature and pledge cards. Druggists were asked to sign a card on which the following pledges appear:

“1. Not to prescribe or recommend any remedy for a venereal disease.

"2. After this date, not to purchase a proprietary remedy to be sold to the public for the self-treatment of a venereal disease, and not to sell any such remedy after January 15, 1919.

"3. To refill only such prescriptions for the treatment of venereal disease as were given originally to the customer by a reputable physician who is still in charge of the case.

"4. To cause literature furnished by the Surgeon General to be handed to every person asking, without a physician's prescription, for a remedy customarily confined to the treatment of a venereal disease. Further, to direct the applicant to a reputable physician, to a board of health, or to an approved venereal clinic.”

The cards were sent to 48,500 retail druggists and 26,049 of the druggists (over 50 per cent) returned their pledge cards properly signed. These signed cards have been sent to the State health officers for their information and in order that they may supply the druggists with the literature mentioned in paragraph 4 of the pledge cards. The campaign among druggists is now in the state of attempting to enlist those members of the trade who failed to sign the first request of the Public Health Service. Retail druggists are now receiving through the mails a copy of the special bulletin, “Responsibility of Druggists for the Public Health,” designed to impress upon the members of the trade the fact that they occupy a peculiar position in their relationship to the communities they serve. Druggists and drug clerks should consider it their imperative duty to cooperate in the venereal-disease control program.

DEATHS DURING WEEK ENDED MARCH 22, 1919, IN CITIES.

The following table shows the registered deaths from all causes and from pneumonia (all forms) and influenza combined in certain large cities of the United States during the week ended March 22, 1919. The annual death rates per 1,000 population for the week and for the corresponding week of previous years are also shown.

The data are taken from the "Weekly Health Index,” March 25, 1919, issued by the Bureau of the Census, Department of Commerce. The populations used in computing the rates are estimated by the Bureau of the Census as of July 1, 1918.

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