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and bathing facilities and sewer there is no hope of saving the life connections, etc.

of the young man, immediately in That certain changes be made in question. They believe, also, that the system of filing records in the many lives could be saved in this department and that there be added way, that otherwise must be sacto this file. a record of expenses. rificed to this dangerous malady.

That the work of the department be systematized and that rules be published showing the exact duties, OHIO CITIES GETTING authority, and jurisdiction of the

PURE WATER BY NEW various employes.

FILTRATION SYSTEMS

East Liverpool's new water PROPOSES FUND FOR pumping and filtration plant will be

TUBERCULOSIS VICTIMS in operation by New Year's Day. In the hope that a fund of $1,000

The system has been installed at might be established for the treat

a cost of $425,000. of which $375,ment of tuberculosis victims in all

000 was met by a bond issue. The cases when they are not in a posi- pumping capacity of the former tion, financially, to protect them- plant

plant — 6,000,000 gallons a day –

is doubled by the new one. A selves, a Dayton physician has offered to donate $100, providing standpipe with a capacity of 275,

000 gallons will supply pressure nine others can be found, who will

for the higher sections of the city. contribute similar amounts, says the Dayton News.

Sebring has provided for a bond The offer was inspired by the

issue of $105,000 to pay for the fact that there has been found in purchase and improvement of the this city a man of about 35 years

city waterworks, now under private of age, who has contracted this

ownership. The improvement will

consist of the addition of a filtradisease, but it has not yet advanced beyond the curable stage. It is be- tion plant. lieved he can be saved if he can be new filtration plant, under given a month or two of rest and private ownership, is now in operatreatment. He has a family, con

tion in Warren. It has a capacity sisting of a wife and five children, of 6,000,000 gallons a day. however, and declares he cannot The State Department of Health afford to stop work as he has has urged that the Fostoria counnot sufficient means to care for his cil go on record with some definite family in the meantime.

action in the matter of the filtraThe health department will ad- tion plant which the department minister treatment to this young has ordered Fostoria to build. A man and any others in his condi- committee report on the question tion, free of charge, if the means opposed the construction because can be found to enable them to of present high prices of material, retire from actual employment dur- but the Fostória authorities have ing a sufficiently long period. It been advised that if they would is estimated that a cure could be take definite preliminary steps the effected in about five or six weeks. state would be disposed to grant a Unless arrangements to this end reasonable extension of time for can be made, the physicians say, carrying out its orders.

ILLINOIS HEALTH DEPARTMENT ALSO SUPPORTS

WAR ON VENEREAL DISEASES Illinois has recently added her of venereal infections in their jurname to the list of states which isdictions. have enlisted for the fight against The penalty for violations is a venereal disease. Ohio's beginning fine of not over $200 or six months' steps in the same direction were imprisonment or both. outlined in last month's issue of Discussing the program adopted THE PUBLIC HEALTH JOURNAL. by the health department, the PeThe thorough-going set of regu

oria Journal made this editorial lations adopted by the Illinois

comment : health department to stamp out the

"In formulating rules for the evil included the following provis

control of venereal disease the Il-. ions :

linois department of health has Cases must be reported by phy- physicians and other special author

adopted a course which leading sicians, druggists, hospital superintendents or any other person

ities have been urging for some having knowledge of them.

time. And in making the rules

strict and even drastic the health Reports are to be treated as con

department has placed Illinois fidential.

above all other states in working Cases must be under care of rep- for the elimination of this dreaded utable physicians and so far as and dangerous disease. practicable shall be hospitalized. "The time is past when prudery Premises suspected of immoral

should hide the fact that venereal use and occupied by an infected diseases claim thousands of deaths person who refuses to go to a hos- during the course of a year and pital shall be placarded.

that they spread in such a manner Medical care for indigent in

as to weaken the very forces of the

nation. fected persons shall be provided by

Those who affect rigid counties.

correctness in their air may be asInfected persons are prohibited

tounded at the action of the state

board of health and at the action of from engaging in occupations which may make possible transmis

newspapers in editorializing on it,

however, the disease has been sion of infection to other persons. Such occupations are: milk and

spreading rapidly under a laissez

faire policy of the state and the food handling, nursing or caring

time has come for drastic action. for children and the sick, barber

"The state administration is to ing, etc.

be congratulated upon adopting the Removal of an infected person rigid rules for the regulation of this from one community to another is disease." made subject to official permission,

The Chicago city council has also and notification in advance must

taken steps against venereal infecbe given health authorities at pro- tions by passing an ordinance which posed destination.

provides for the reporting and surHealth authorities must use all veillance of venereally diseased lawful means to ascertain presence persons.

Ohio Mortality Statistics for Month of August

Furnished by Department of State, Bureau of Vital Statistics, Dr.

J. E. Monger, State Registrar

34

Perry

24

NUMBER OF DEATHS AND MONTHLY DEATH RATE, PER 1,000 POP-

ULATION, IN EACH COUNTY OF OHIO, FOR AUGUST, 1917
Counties.
Number. Rate. Counties.

Number. Rate.
Adams
17 .7 Logan

19 .6
Allen
78 1.2 Lorain

72

.8
Ashland
27 1.1 Lucas

297 1.2
Ashtabula
70 1.1 Madison

19 1.0
Athens
53 1.0 Mahoning

273
Auglaize

1.8
31 1.0 Marion

45
Belmont

1.2
114 1.3 Medina

19

.8
Brown

13

.5
Meigs

28 1.1
Butler
85 1.1 Mercer

23
Carroll

17
1.1 Miami

.8

52
Champaign

22

.9
Monroe

1.1

12
Clark
91 1.3 Montgomery

.5

236
Clermont

21
.7

1.1
Morgan

22
Clinton

14

.6
Morrow

1.4

13
Columbiana
85 1.0 Muskingum

.8

75
Coshocton

13
.4

1.2
Noble

16
Crawford
1.0 Ottawa

.9

22
Cuyahoga

.1,128
1.4

1.0
Paulding

16
Darke
42 1.0

.7

24
Defiance
1.0 Pickaway

.6

25
Delaware

21

.8
Pike

1.0

15
Erie

72
1.9 Portage

1.0

35
Fairfield

49 1.1
Preble

15
Fayette

25 1.1
Putnam

.6

16
Franklin
319 1.2 Richland

35
Fulton

17
.7 Ross

.7

61
Gallia

24
.9 Sandusky

1.5

31
Geauga

12
.8 Scioto

.9

63
Greene

29
1.0

1.2
Seneca

41
Guernsey

38
.8 Shelby

.9

16
Hamilton
566 1.1 Stark

.6

204
Hancock

30
.8

1.4
Summit

286

2.1
Hardin
29 1.0 Trumbull

88

1.5
Harrison

25 1.3
Tuscarawas

48
Henry

13
.5

.8
Union

21
Highland

1.0
31 1.1
Van Wert

12
Hocking

.4
23 1.0
Vinton

14
Holmes

1.1
17

.9
Warren

30
Huron

1.2
42
1.2 Washington

48 1.1
Jackson

39 1.3
Wayne

35

.9
Jefferson
82 1.0 Williams

29 1.1
Knox

23
.7 Wood

43
Lake

.9
27 1.1 Wyandot

17

.8
Lawrence

60 1.5
Licking
66 1.1

6,169 1.2

1.1

NUMBER OF DEATHS AND MONTHLY DEATH RATE PER 1,000 POP-
ULATION, IN EACH OF THE THIRTY-SEVEN LARGEST

CITIES IN OHIO, FOR AUGUST, 1917
Cities.
Number. Rate. Cities.

Number. Rate.
Akron

201
2.3 Lorain

27 .7
Alliance
20 1.0 Mansfield

22
Ashtabula
27 1.2 Marietta

15 1.2
Bellaire
19 1.3 Marion

29 1.3
Canton
99 1.5 Massillon

18 .8
Cambridge

12
.9 Middletown

24 1.5
Chillicothe
24 1.5 Newark

29
Cincinnati
492 1.2 Norwood

17

.7
Cleveland
.1,020 1.5 Piqua

15 1.0
Columbus

258 1.2
Portsmouth

33 1.2
Dayton

164 1.2
Sandusky

34 1.7
East Liverpool
33 1.4 Steuben ville

37 1.3
Elyria

18
.9 Springfield

77 1.4
Findlay
18 1.2 Tiffin

19 1.5
Ironton
23 1.6 Toledo

268 1.4
Hamilton
44 1.0 Warren

31 2.4
Lakewood

23 1.4
Youngstown

203 1.9
Lancaster
21 1.3 Zanesville

44 1.4
Lima

53 1.6

Public Health Nursing Service

Report for October, 1917

City.

Home
Visits.
129

Ashland
Ashtabula
Athens
Bellefontaine
Bucyrus
Cambridge
Canton
Cincinnati (Anti-Tuberculosis League)
Cincinnati (V. N. A.)...
Circleville
Columbus (Anti-Tuberculosis League)
Cuya hoga Falls
Dayton
Delaware
Elyria
Greenfield
Lancaster
Lima
Lorain
Mansfield
Marietta
Marion
Massillon
Norwalk
Piqua
Shelby
Sidney
Springfield (City Health Department)

88
92
140

84
661
830
968

243
1,094

153
4,088
210
95
91
94
598
177
244

96
198
311
151

64
219
101
217

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2,660

154

The 5,787 patients under care were grouped as follows: Communicable diseases

Tuberculosis

All others Maternity

Prenatal

Postnatal
Infants under two years.
Eye -

Infants under two years.

All others Other diseases -

Medical

Surgical Social service

178 139 292

8 46

699 187 86

ANOTHER INSTANCE OF sistant epidemiologist in the State DEFECTIVE DIAGNOSIS Department of Health, officially

confirmed Dr. Lummis' judgment, Disagreement of physicians as to

and vaccination and other precauwhether several cases of supposed tions were immediately put into smallpox in the village of Monroe, effect. near Middletown, really were Mistakes in diagnosis, easy besmallpox, caused considerable dis

cause of the mild form of the pressension in the town last month. ent outbreak of smallpox in the Dr. G. D. Lummis, Middletown state, have been noted frequently health officer, who was called to by the department investigators as express his opinion on the cases, important contributory factors in pronounced them smallpox but the spread of the disease. The dephysicians in Monroe declared partment urges physicians to exthey were chickenpox or some other ercise the utmost care in cases of mild disease. Dr. W. E. Obetz, as- suspected smallpox.

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