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State representatives. Conferences are encouraged with State boards of health officers, to be followed by a statement to the Public Health Service Bureau of proposed recommendations for future operations.

The following services were rendered by the nurses engaged in venereal-disease control in the extra-cantonment zones: Number of clinics reporting, ..

34 Number of nurses on duty...

61 Number of social workers...

27 Number of visits made by nurses....

579 Number of visits made by social workers..

622 Number of follow-up visits (home work)....

140 Number of follow-up visits (delinquent patients).

948 Number of treatments administered to female patients..

15, 461 Number assisted at examination and consultation....

1,475 Nun ber of arsphenamine treatments given..

4,842 Total number of treatments given.....

34, 972 Total number examined.....

3, 279 Educational Activities. Requests for publications from individuals..

4, 369 Requests for publications from health officers, physicians, hospitals, nurses,

civic organizations, city officials, libraries, editors, Y. M. C. A., and educators (campaign for churches closed)..

3, 303 Number of requests for publications referred to State boards of health...

4, 109 Publications purchased or reprinted by State boards of health (report not complete)...

200,000 Publications distributed....

942, 702 Number of States which have purchased framed placards for railroad stations.. 24 Number of States organized to carry on campaign among boys......

39 Number of articles published in magazines..... Number of lectures, exhibitions of films, addresses and conferences (reports from the field not complete).....

280 Additional pledges of cooperation received from druggists (report not complete).......

2, 896 Additional pledges of cooperation from physicians (report not complete).... 10, 271 Number of States equipped with full sets of venereal-disease pamphlets...

Legislation. Bills providing for appropriations for combating venereal disease have been passed in the following States: Arizona. $4,500.00 | South Dakota ......

$10,000.00 Arkansas..

17,000.00 Texas (appropriation last Delaware.. 2,500.00 year)....

45,000.00 Maine.. 8,000.00 Utah..

8, 120.00 Montana..

8,177.42 | Washington (venereal-disease Nebraska. 25, 925. 50 control).......

25, 000.00 55,000.00 Washington (for women's reNorth Dakota.

12, 548. 48 formatory)..... 150, C00.00 86,000.00 West Virginia (annually).... 7,000.00 25,000.00 Wisconsin.

50,000.CO South Carolina... 10,000.00 | Wyoming.

4,000.00 Mississippi, Kentucky, Louisiana, Maryland, and Virginia have no legislativo session this year. The Georgia Legislature meets in June, 1919; the Florida Legislature convened April 8, 1919.

New York.

Oklahoma. Oregon..

The following bills on venereal diseases have been passed:

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

Delaware: Injunction and abatement act, venereal disease-control act.
Montana: Venereal disease-control act.
Nebraska: Venereal disease-control act.
New York: Venereal disease-control act.

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

Oregon: Venereal disease-control act.
South Carolina: Venereal disease-control act.
South Dakota: Venereal disease-control act.

Utah: Venereal disease-control act, act relating to control of venereal diseases in women's reformatories, act prohibiting sale of venereal disease drugs except on prescription of a physician.

Washington: Venereal disease-control act, act relating to control of venereal diseases in women's farms and reformatories. Michigan: Venereally diseased persons barred from handling food.

The following States have laws prohibiting marriage on account of venereal disease: Maine, New Jersey, New York, Oklahoma, Oregon, Vermont, and Wisconsin.

THE NOTIFIABLE DISEASES.

PREVALENCE DURING 1917 IN CITIES OF 10,000 TO 100,000.

CEREBROSPINAL MENINGITIS, DIPHTHERIA, GONORRHEA, MALARIA, MEASLES, PELLA

GRA, POLIOMYELITIS (INFANTILE PARALYSIS), RABIES IN ANIMALS, RABIES IN MAN, SCARLET FEVER, SMALLPOX, SYPHILIS, TUBERCULOSIS (PULMONARY), TUBERCULOSIS (ALL FORMS), AND TYPHOID FEVER-CASES AND DEATHS REPORTED, INDICATED CASE RATES PER 1,000 POPULATION, INDICATED FATALITY RATES PER 100 CASES.

The tables shown on the following pages were compiled from data furnished by health officers of cities of the United States in response to requests from the Public Health Service for information of the reported prevalence of disease during the calendar year 1917. These requests were sent to all cities of 10,000 population or over.

The data for cities of over 100,000 population have been published (Reprint from the Public Health Reports, No. 498). A similar publication for States, giving the reported cases and deaths by months, has been issued (Reprint 505).

The present article contains reports from cities of between 10,000 and 100,000 population which responded to the request for information. Many cities did not respond, and some stated frankly that the desired data were not available, as reports had not been received from physicians. It is believed that practically all cities are included which have records of morbidity from communicable diseases which are of value for statistical purposes.

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It will be noted that some of the cities are apparently much more successful in obtaining reports of the notifiable diseases than are others. This may be due to the greater activity of their health departments or to a greater interest in the public welfare on the part of their practicing physicians. That the health departments of certain cities are securing sufficiently complete information of the prevalence of preventable diseases to make possible their control is indicated in a number of instances by the large numbers of cases reported as compared with the numbers of deaths registered from the same causes.

In studying these tables it should be kept in mind that a relatively large number of reported cases of a communicable disease, as indicated by a high case rate (and more especially when accompanied by a relatively small number of deaths, as indicated by a low fatality rate) usually means that the health department of that city is active and that the cases of the disease are being well reported by the practicing physicians. It does not usually mean that the disease is more prevalent in that city than in other cities. A high fatality rate may mean that the disease was unusually virulent in a city, that the physicians did not treat the disease in that city with the success usual elsewhere, or that the practicing physicians did not report all of their cases to the health department. On the other hand, an unusually low fatality rate may be due to the fact that the disease in the city was unusually mild, that the physicians treated it with unusual success, that the practicing physicians reported their cases satisfactorily, or that the registration of deaths was incomplete, or the assignment of the causes of death inaccurate.

REPORTED PREVALENCE FOR THE YEAR 1917.

CEREBROSPINAL MENINGITIS.

City.

Cases IndiEstimated popula

Cases Deaths report-cated

report-registion July

ed per fatality

1,000 rate 1, 1917.

tered.

inhabit- per 100

ants, cases,

Akron, Ohio..

93, 604 142 42 1.517 Alexandria, La.

16, 232

4. Alton, II..

23, 783

042 Altoona, Ps.

59,712 5

084 Amarillo, Tex.

20, 882

287 Amsterdam, N. Y.

38,043 Anderson, Ind.

24, 230

. 165 Appleton, Wis.

18,005

2 . 111 Ashtabula, Ohio..

22,008 3

2. . 136 Astoria, Oreg.

10, 487

4 381 Atlantic City, NJ.

59,515 3

2 .050 Attleboro, Mass.

19,776 2

1 101 Barberton, Ohio.

14, 187

5

4 Battle Creek, Mich.

30, 159

2 Bay City, Mích.

48, 390

9 Bayonne, N.J.

72, 204 Beacon, N. Y

.042

11,674 Beatrice, Nebr.

10, 437

2 Beaumont, Tex...

192 28, 851

035 1 Cities in which no cases of this disease were reported are not included in this table.

REPORTED PREVALENCE FOR THE YEAR 1917-Continued.

CEREBROSPINAL MENINGITIS --Continued.

City.

Estimated

population July 1, 1917.

Cases Indic Cases Deaths report..cied report-regis

ed per fetality

1.000 rate ed. tered.

inhabit.

ants. Cases.

per 100

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Bellaire, Ohio. Belleville, N. J Berkeley, Calll. Bessemer, Ala. Bethlchem, Pa. Beverly, Mass. Billings, Mont Binghamton, N. Y Bloomfield, N.J. Bradford, Pa. Bridgeton, N.J. Bristol, Conn. Brockton, Mass. Brookline, Mass. Brunswick, ca. Burlington, Vt. Butler, Pa.. Canton, Ohio. Carnegie, Pa. Cedar Rapids, Iowa. Charleston, W. Va. Chelsea, Mass.. Chester, Pa. Chicago Heights, nl. Cicero, nl. Cleburne, Tex. Cohoes, N. Y Columbus, Ga. Connellsville, Pa. Corsicana, Tex. Coshocton, Ohio.. Council Blufts, Iowa.. Cumberland, Md. Cumberland, R.I. Davenport, Iowa. Decatur, ul. Du Bois, Pa. Dubuque, Iowa. Duluth, Minn. Dunkirk, N. Y Dunmore, Pa.. East Chicago, Ind. East Orange, N. J East St. Louis, ill. Eau Claire, Wis. Edwardsville, Pa. Flizabeth, N.'J. Elmira, N. Y. El Paso, Tex Elwood, Ind Eric, Pa.. Escanaba, Mich Everett, Mass. Everett, Wash. Fairmont, W. Va.. Farrell, Pa.. Flint, Mich.. Fond du Lac, Wis. Fort Wayne, Ind. Fostoria, Ohio. Franklin, Pa. Fremont, Ohio. Galveston, Tex. Gardner, Mass. Gary, Ind. Grand Forks, N. Dak. Grand Island, Nebr. Granite City, Ill. Greenfield, Wass. Greenville, S.C. Greenwich, Conn. Hackensack, N.J.. Hammond, Ind.. Harrisburg, Pa.

. 133

14,575 12,797 60, 427 17, 156 14,353 22, 128 15, 123 54,861

19, 013 114,544

14, 425 16,318 69, 152 33, 526 10.944 21, 302 28,677 62,566 11,963 38,033 31.060 49, 105 41,457 22,03 20, 216 12,353 25, 292 26, 306 15, 576 10,066 11,17 31,38 26,6% 10,65 49,018 41,483 14,991 40,0196 97,077 21.311 21, 286 30, 25 43,761 77,312 18, 887 10,771 S8.30 39,272 69, 149 111,028 76,592 15,34 40, 100 37, 205

16, il! 110, 190

57, 356 21,496 78,014 10,959 11,535 11,034 42,050 17,534 56,000 16,312 13, 133 15, 890 12, 251 18.574 19, 594 17, 412 27,016

73, 276 Population April 15, 1910.

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