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MORTALITY STATISTICS IN OHIO FOR 1916.
FURNISHED BY J. E. MONGER, M. D.,

State Registrar.
Total Number of Deaths in Each County of the State For the Year

1916, From All Causes, and the Various Diseases, With Rates.

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Adams
Allen
Ashland
Ashtabula
Athens
Auglaize
Belmont
Brown
Butler
Carroll
Champaign
Clark
Clermont
Clinton
Columbiana
Coshocton
Crawford
Cuyahoga
Darke
Defiance
Delaware
Erie
Fairfield
Fayette
Franklin
Fulton
Gallia
Geauga
Greene
Guernsey
Hamilton
Hancock
Hardin
Harrison
Henry
Highland
Hocking
Holmes
Huron
Jackson
Jefferson
Knox
Lake
Lawrence
Licking
Logan
Lorain
Lucas
Madison
Mahoning

303
865
352
924
673

392
1,241.

316 1,119

206

383 1,077

478

324 1.121

356

434
11,233

493
329
390
683
420

267
3,942

298
428
195
465

Rate per

1,000 Population.

12.2 12.3 14.6 14.3 12.5 12.5 14.3 12.7 14.2 11.8 14.5 15.1 16.2 13.7 13.7 11.6 12.7 14.7 11.4 13.4 14.1 17.6

9.9 12.3 11.0 12.1 16.6 13.3 15.6 10.1 15.5 13.0 15.6 10.8

Marion
Medina
Meigs
Mercer
Miami
Monroe
Montgomery
Morgan
Morrow
Muskingum
Noble
Ottawa
Paulding
Perry
Pickaway
Pike
Portage
Preble
Putnam
Richland
Ross
Sandusky
Scioto
Seneca
Shelby
Stark
Summit
Trumbull
Tuscarawas
Union
Van Wert..
Vinton
Warren
Washington
Wayne
Williams
Wood
Wyandot

494 344 330 313 609

213 3,018

219 230 829 222 246 194 345 303 188 468 330 335 626 540 464 807 610

315 2,034 2,541

891

Rate per

1,000 Population.

13.2 13.9 12.9 11.4 13.2

8.8 16.3 13.6 13.7 13.8 11.9 11.0 8.5 9.2 11.6 12.0 15.1 13.8 11.2 12.6 13.5 13.0 15.2 14.1 12.8 14.4 19.4 15.7 12.2 12.4

724

485 7,654

492 475 206 238 398 284 199 457

330 1,053

391 335 523 807

395 1,149 3,848

265 2,499

9.5 13.9 12.0 11.1 12.9 10.7 13.4 12.3 14.1 13.2 13.2 13.1 12.9 17.7 13.3 17.2

8.7 12.6 16.5 12.0 13.6 12.5 11.7 11.3

272 253 165 403 544 520. 317 544 245

Total

74,230

14.4

Lowest Rate-Paulding.
Highest Rate-Summit.

8.5 19.4

Total Deaths--1915....
Rate-1915

66.070
12.98

1915 Lowest Rate-Paulding..
1915 Highest Rate-Erie....

7.7 16.3

The number of deaths in ten cities of the State for years 1915 and 1916 with rates for the following diseases: (Rate per 100,000 population.)

1915 1915 1916 1916 Diseases.

No. Rate. No. Rate. Typhoid Fever

718 14.1 772 14.9 Smallpox

8
.2
9

.2 Measles

219 4.3 782 15.2 Scarlet Fever

225 4.4 208 4.0 Whooping Cough

356
6.9
674

13.1 Influenza

969 19.0 1,610 31.3 Tuberculosis, all forms.

6,668

131.0 6,825 132.5 Cancer

4,309

84.6 4,702 91.3 Alcoholism

222
4.4

348 6.7 Cerebrospinal Fever

82
1.6
50

. 9 Cerebral hemorrhage

5,061 99.5 5,479 106.3 Organic disease of heart..

7,766 120.6 8,360 160.3 Lobar Pneumonia

3,473 68.3 4,354 84.5 Diarrhoea and enteritis, under two years of age..

2,307 45.3 3,105 60.2 Appendicitis

527 10.4

669 12.9 Brights Disease

4,122 81.0 4,455 88.6 Deaths from suicide.

777 15.3

767 14.8 Deaths from accidents.

4.030 79.2 5,164 100.2 Railroad accidents

749 14.8

1,087 21.1 Automobile accidents

304
5.9
414

8.3 Deaths from homicide.

314
6.2

454 8.8 The number of deaths in ten cities of the State for years 1915 and 1916, from all causes and the various diseases with rates :

1915 1915 1916 1916

No. Rate. No. Rate. Cleveland

8,792 13.3 9,975 14.5 Cincinnati

6,359 15.7 6,743 16.5 Columbus

2,949 14.0 3,336 15.4 Toledo

2,892 15.8 3,587 19.3 Dayton

1,707 12.8 1,935 13.8 Youngstown

1,408 14.5 1,901 18.9 Akron

1,178 14.2 1,692 19.1 Canton

716

11.8 864 13.8 Hamilton

428 10.4

507 11.9 Lima

440 13.8 494 15.0

REPORTS OF NOTIFIABLE DISEASES IN OHIO FOR

JUNE, 1917 The total of 6,865 reported cases of notifiable diseases for June, 1917, as recorded to date of July ioth, is lower by 3,000 cases than the total reported for May, 1917, and lower than any recorded total for the month of June during the past five years, with the exception of June, 1914, having a total of 4,380 cases, 2,500 cases less than June of this year.

Cerebro Spinal Meningitis. Last month attention was called to the increased prevalence of epidemic cerebrospinal meningitis during April and May, a total of 150 cases having been reported in April and in cases in May. The June total of 58 cases shows a marked decrease from the figures for the two previous months, but is more than twice larger than the total for this disease during any month for June for the past five years of more accurate reports. The totals for June, 1915, and 1916, as shown in the table following, were 16 and 6 cases. For June, 1912, 1913 and 1914, 6, 26, and 17 cases were recorded. The figures for April

, 1917, 150 cases, reached the exact total of all cases reported for this disease during April of the four preceding years.

Poliom yelitis. Acute poliomyelitis (infantile paralysis) shows an increase for June over May of 3 reported cases, 23 compared with 20 cases. The highest recorded total for June of the past five years was the monthly total in 1915 of 8 cases, 5, 6, and 5 cases having been the figures for the month in 1912, 1913 and 1914. In 1916 the number of reported cases for the year reached 546, a higher figure by 100 cases than for any previous year of record, but the total for June of last year was only 7 cases, less than a third of the cases reported for June of this year. The 23 cases reported to date for June, 1917, occurred in the following health districts: Martin's Ferry, 9; Akron, 4; Morristown, 2; Cleveland, Cincinnati, Columbus, Toledo, Massillon, Circleville, Huntington Township in Gallia county, and Bridgewater Township in Williams county, I case each.

Diphtheria and Scarlet Fever. Diphtheria and scarlet fever continue to reach higher monthly totals than for the same months of other years on record. The distribution for June for these diseases was similar to that of May, diphtheria being fairly well scattered over the entire state, while scarlet fever is confined chiefly to the northwestern half. Higher case incidence rates for diphtheria are noted, however, in Summit and Cuyahoga counties, the city of Akron having reported 102 cases and Cleveland 129 cases.

Smallpox. Reported cases of smallpox recorded for June from reports received by July roth totalled exactly 400 cases, 89 less than the total for May. As has been stated for several months, smallpox has been unusually prevalent in Ohio for the first part of the year, 2,048 cases having been reported for the first six months, with delayed reports for June to be expected to raise the figure. The total for the whole year 1916 was 2,085 cases, only exceeding the total to date for the first six months of this year by 37 cases, with prospects of this difference being more than equalled by late reports. Of those health districts reporting a large number of cases in May, Akron alone showed an increase for June, 34 cases in May compared with 50 cases in June. In Middletown the total of 74 cases for May fell to 29 in June, in Cleveland, 57 in May to 47 in June, in Springfield, 15 in May to 10 in June, in Sidney, 10 to 9, in Barberton, 10 to none, a total for May of 200 cases and for June of 145 cases in the six cities. Bergholz, Jefferson county, reported 16 cases for June; Ada, Hardin county, 14 cases; and Shadyside, Belmont county, 13 cases. From Greenville and four townships in Darke county a total of 17 cases were reported. Xenia and the remainder of Greene county reported II cases.

Typhoid Fever. It is to be hoped that the continued decrease in typhoid fever is actual, in that health officers are securing reports of all cases.

Health officers are urged to send in at once any late reports for the first half of the year in order that the summary for the six months may be completed and the report of notifiable diseases for the fiscal year just ended submitted.

Reported Cases of Notifiable Diseases, June 1915-17, Showing Distribution June 1917, For Cities and For Villages

and Townships.

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Chickenpox
Diphtheria
Gonorrhea
Measles
Measles, German
Meningitis, Epidemic Cerebrospinal.
Mumps
Ophthalmia Neonatorum.
Pneumonia
Poliomyelitis, Acute Infectious.
Scarlet Fever
Smallpox
Syphilis
Trachoma
Tuberculosis, all forms.
Typhoid Fever ...,
Whooping Cough.
Anthrax
Cancer
Dystntery
Malaria
Paratyphoid fever.
Pellagra
Plumbism
Rabies
Septic Sore Throat.
Tetanus

475 518 105 2299 401

58 274 113 140

23 539 400 43 22 535 131 753

1 25 1

244 337 131 4325

50 16 151 113 101

7 419 97 52 20 548 273 736

557 376 239 3364 110

6 437

56 160

8 121 370 86

162
151

20

68 55 207

583 272 822

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REPORT OF DIVISION OF LABORATORIES, STATE

DEPARTMENT OF HEALTH, FOR JUNE, 1917. Tuberculosis, positive 11, negative 345, unsatisfactory 3...

459 Diphtheria, pos. 623, neg. 252, susp. 31, no growth 10..

355 Typhoid, pos. 12, neg. 53, susp. 7.

72 Malaria, pos. 1, neg. 3, susp. 1., Rabies, pos. 15, neg. 14, unsat. 3.

32 Miscellaneous, bacteriological

55 Miscellaneous, chemical

4 Water, bacteriological..

134 Water, chemical ..

38 Samples submitted by State Board of Agriculture Foods

54 Drugs

11 Miscellaneous

1 Fertilizers

120 Limestones

19 Stock Foods Insecticides

46

32

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THE CASE OF TWO MEN. Health Officer Landis urges the importance of exercise as part of a healthy constitution, in an editorial in the weekly bulletin of the Cincinnati Health Department. He cites the case of two business men, both past 50 years of age, who four years ago visited a specialist because of the fact that slight exercise brought on palpitation of the heart. Dr. Landis says that the following facts were developed on inquiry: "Both men were hearty eaters, rode to and from their business, drank ‘moderately' of alcoholics, used tobacco to excess and eliminated everything in the way of exercise. One followed the specialist's advice, the other did not. The one who did not is occupying, permanently, six feet of earth in a beautiful suburban cemetery. The other sold his auto, reduced his allowance of food and tobacco and eliminated liquor. He took up a form of exercise that necessitated long continuous excursions in the open air and sunshine. He now is in prime physical condition."

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