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OHIO DEATH RATE BY COUNTIES FOR JANUARY 1917.
STATISTICS FURNISHED BY J. E. MONGER M. D.
State Registrar.

The following table shows the number of deaths and the monthly death rate per one thousand (1000) population, in each county of Ohio, for the month of January, 1917.

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The following table shows the number of deaths and the monthly death rate per one thousand (1000) population, in each of the thirty

seven largest cities in the State of Ohio, for the month of January,

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RED CROSS SEAL SALES FOR 1916.

At a meeting of Red Cross Seal Agents, held in Washington, D. C., on February 10, 1917, a report was made by the National Association for the Study and Prevention of Tuberculosis which indicated that 100,000,000 seals had been sold during the recent campaign. Subjects for the 1917-18 sale were discussed as follows: the methods to be employed in the mail sale campaign; the use of school children in selling seals; the design of the Red Cross Seal; the uses to be made of Red Cross Seal money; the ratio of seals per capita to be furnished state agents; the best types of advertising and the number of seals to be allowed for advertising uses. State Chairman S. Livingston Mather, Cleveland, and the Executive Secretary were present at the meeting. Mr. Mather reported that Ohio had exceeded one seal per capita for the entire state.

The report of the Red Cross Christmas Seal sale in Ohio for the year 1916 follows:

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The estimated sum available for state work on these outstanding seals is about $125.00.

PUBLIC HEALTH NURSES.

Blue Envelope Day in Toledo this year brought to the District Nurse Association of that city a gift of $31,000 from John Cummings as a memorial to his wife who died three years ago and who was a founder of the District Nurse association. The fund will furnish an income of $2,000 a year, insuring two nurses permanently. There also is a Barnes Memorial nurse and a fourth supported by Edward Ford.

On March 1 Mrs. Blanche Trost was appointed to succeed Miss Clara P. Wheeler as public health nurse in Zanesville..

On March 1 Miss Elizabeth Bell was appointed public health nurse by the Public Welfare League in Wapakoneta. She is jointly employed by the Board of Education and the Public Health League.

On March 7 Miss Gertrude Steckel was employed as public health nurse in Bellefontaine. The work is to be supervised by the Board of Health while the necessary funds are raised by the various circles of King's Daughters.

On March 8 Miss Virginia Lewis was employed as public health nurse by the Portsmouth Bureau of Community Service.

On March 15 Miss Mary A. Beaver was appointed to succeed Miss Margaret Simpson, as public health nurse in Cambridge.

On March 15 Mrs. Anna S. Curtis resigned as public health nurse for Portage County.

On March 16 Mrs. Anna S. Curtis was employed as public health nurse in Martins Ferry.

Plans are being made by the Oxford Women's Club to secure a public health nurse for community service.

The Delaware Health and Welfare League held a meeting with the superintendents and principals of the schools throughout the county and urged the employment of a county public health nurse.

WHAT OHIO TUBERCULOSIS HOSPITALS ARE DOING. The annual report of the Springfield Lake Sanatorium, supported by Columbiana, Mahoning, Portage, Stark and Summit counties, shows the per capita cost during 1916 to have been $1.93 as compared with $2.02 in 1915. The institution admitted a total of 301 patients during the year.

An appropriation of $100,000 to operate the Springfield Lake Sanatorium until Maarch, 1918, was voted by the commissioners of the five counties maintaining the institution.

This appropriation also will cover a deficit of $20,000 caused by changinng the beginning of the fiscal year from January to March 1, making the last fiscal years 14 months long.

At a meeting of the Hamilton County commissioners held on March 27, the semi-annual appropriations were made for the first six months of the fiscal year beginning March 1. The commissioners have appropriated $25,000 for the maintenance of the Cincinnati Tuberculosis Sanatorium and $6,000 for the maintenance of tuberculosis patients cared for at the Ohio State Sanatorium.

Erection of a $100,000 addition to the Cleveland Tuberculosis Sanatorium at Warrensville has started. It is estimated that there are 4,500 tuberculosis cases in Cleveland and that more than 400 bed cases need immediate hospital treatment. The present number of beds available for tuberculosis in the Cleveland City Hospital and at the Warrensville institution is 335. The addition should increase this number to 435.

The Anti-Tuberculosis and Disease Prevention Society in Canton has opened a dispensary in the offices of the city health department.

The publication of a monthly technical journal devoted exclusively to tuberculosis has been announced by the National Association for the Study and Prevention of Tuberculosis. Dr. Allen K. Krause, of Baltimore, has been selected as managing editor. The editorial policy of the new journal will be determined by a staff of seven experts appointed by the board of directors of the National Association. The journal will be known as the American Review of Tuberculosis. The subscription price will be $3.00 per year but it will be sold to members. of the National Association at $2.00 per year.

Lucas County Commissioners have under advisement the employment of Dr. C. G. Souder as full time medical superintendent of the county tuberculosis hospital. At present Dr. Souder gives only a part of his time to the institution.

HEALTH OFFICERS' ROUNDTABLE

Jurisdiction of Local Registrars Limited to their Own Districts, Attorney General Holds.

In an opinion to Dr. J. E. Monger, State Registrar of the Bureau of Vital Statistics under date of April 16, Attorney General Joseph McGhee answers the question: "Would it be legal for a local registrar to issue burial permits for another township, when the death occurred in the other township and the undertaker lives in the township of the registrar?" The reason assigned for the desire to issue such permit is that it would be a convenience to the undertaker, who would be saved many miles drive over bad roads to the office of the registrar of the township in which the death occurred.

After quoting the law on the subject the attorney general makes the following conclusion:

"Without any detailed discussion, it is apparent, from a mere reading of the sections constituting the scheme of the vital statistics. law, especially section 204 G. C., supra, that the local registrars are empowered and authorized to perform their duties only in the districts. for which they are appointed. Their jurisdiction, it is plainly evident, is limited by the confines of the particular territory for which they have been selected. It would cause interminable confusion if, merely to afford convenience for undertakers, permits might be issued indiscriminately without the district for which the local register was appointed. If the local register could issue a burial permit to an undertaker who had his place of business in the township of the local registrar, for the burial of a person who had died in one township, there would be nothing to prevent him issuing burial permits to the same undertaker and for the same reason of convenience, to any township that this particular undertaker might happen to be called to conduct funerals. The statutes themselves limit his jurisdiction to his own. territory, and any other provision of the statutes, much less a strained. construction of them, would cause confusion and probably break down the very system that was sought to be put in force.

"It is therefore my opinion that the local registrar is limited in the granting of permits for burial to deaths occurring within the territory for which he has been appointed and in this particular case that the local registrar of Atwater township (Portage Co.) is without authority to issue a permit for burial in another township when the death occurred in the other township."

The measles epidemic in the rural schools is cutting considerable figure these days and the closing exercises of school in some localities have been postponed until a later date because of it. This is true in Salem township, where it is said that there are 100 pupils of the Kings

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