INNOCULATION OF MEN ASSISTS SEARCH FOR TRENCH FEVER CAUSE Sixty United States soldiers, selected from among 500 volunteers, performed a notable service in the interest of military medical progress recently, when they submitted to inoculation with trench fever for experimental work in discovering means of controlling that disease. Human beings had to be used in these experiments, as it was found that the disease could not be transmitted to animals. The experiments proved that trench fever is transmitted by the bites of body-lice and that the necessary step toward preventing it is to exterminate lice in the trenches. Trench fever placed ten percent of the British army on the sick list last year. The disease is not fatal, but incapacitates the victim for two or three months. FOLLOW CO-OPERATIVE SCHEME IN 36 STATES In a summary published in Public Health Reports June 28, it was stated that, up to the date of writing, 24 of the 48 states had completed arrangements to co-operate with the United States Public Health Service in the control of venereal disease, by having an officer of the Public Health Service assume charge of this work in the state, under the joint supervision of the state health department and the Public Health Service. In addition to these 24 states, of which Ohio is one, it was stated that arrangements of a like nature were being completed as rapidly as possible with 12 other states whose health officials had expressed a desire for such co-operation. Two other states have had Army medical officers assigned to take charge of their venereal disease work. Thirty-seven states, according to this summary of existing conditions, have regulations or laws requiring reporting of venereal diseases. The states in which the cooperative plan is in operation are, in general, dealing with venereal diseases along the lines of the plan outlined several months ago by the surgeons-general of the Army, the Navy and the Public Health Service (see the OHIO PUBLIC HEALTH JOURNAL for January, 1918). CALIFORNIA REPORTS Nearly three times as many cases of gonococcus infection were reported in California during 1917 as during the preceding year. The total was 2,873 cases in 1917 against 1,091 cases during 1916. The increase in the number of cases of syphilis reported was not so marked, 1,790 cases being reported during 1917 against 1,538 cases reported during 1916. The reports of these cases of venereal disease were received from fortyfive out of the fifty-eight counties of California. The only counties. not reporting cases of these diseases were those of very low population in the Sierra Nevadas and other mountainous districts of the state. Nearly all of the large cities reported their cases of venereal disease regularly at the end of each week. It would appear that the old barriers of false modesty regarding the reporting of these cases are gradually breaking down, and the venereal diseases are now being placed on the same plane as any other reportable communicable disease. Bulletin California State Board of Health. The 9,982 patients under care were grouped as follows, according to the nature of their cases: * Akron's 948 patients under care were listed as 382 infant welfare, 516 tuberculosis and 50 general nursing cases. This accounts for the difference between the two totals of patients. BILL FOR FEDERAL AID OF VENEREAL DISEASE WORK To establish a government board of social hygiene and make permanent the present activities of the government for the control of venereal disease are objects of a bill introduced into Congress by Senator Chamberlain and Representative Kahn. The proposed board would consist of the surgeons-general of the Army, the Navy and the Public Health Service, and any other members whom these three might designate, with the secretaries of war, navy and treasury as ex officio members. Provision for aiding the states by advisory measures and by financial assistance are included. The money grants would be paid to the states in amounts equal to state appropriations for venereal disease control, although for the first year the apportionment would be on the basis of state population, the "fiftyfifty" arrangement going into effect in 1919. The sixteenth annual conference of state and territorial health officials with the United States Public Health Service, meeting in Washington in June, adopted a resolution endorsing this bill. DEPARTMENTAL REPORTS BY DIVISIONS DIVISION OF COMMUNICABLE DISEASES Reported Cases of Notifiable Diseases, June, 1918 Prevalence. In order of greatest prevalence for June, the notifiable diseases list as follows, with comparative figures for May given: For no other notifiable disease was a total of 50 or more cases recorded for June. Whooping cough, which was indicated to be on the increase in May, changing to third place in order of prevalence from fifth in April, is first in June. Measles, although ranking second as to prevalence, shows only half the number of reported cases for June as recorded for May. For German measles, only one-tenth as many cases as reported in May were recorded for June. The marked increases in the number of cases of gonorrhea and syphilis are to be accounted for by cases recorded from the camps and do not signify the improved general reporting of these diseases which is being insisted upon by state and federal authorities. Smallpox. Reported cases for May, 1914, were cut in half in June, 610 cases. The highest county totals for June follow: Scioto 81 cases, Cuyahoga 68, Butler 46, Summit 44, Ashtabula 35, Henry 32, Hamilton 29, Mercer 20, Jackson and Mahoning 17 each. For no other county was a total of 15 or more cases recorded for the month. Typhoid Fever. The reported total of 168 cases for June slightly exceeds the figure for June, 1917, 152 cases, but is below the figure for June, 1916, 281 cases. The reported cases for June of this year have been checked against death certificates, with the resultant addition of II cases not previously reported. The reported cases were well scattered in 62 of the counties of the state, only 20 counties reporting 3 or Notifiable Diseases more cases as follows: Adams 3 cases, Allen 4, Franklin 8, Gallia 3, Hamilton 6, Jefferson 8, Lawrence 6, Licking 3, Logan 7, Lucas 16, Mahoning 4, Medina 3, Montgomery 9, Portage 4, Scioto 8, Stark 4, Summit 3, Trumbull 3, Van Wert 5, Wayne 3. Meningitis, Cerebrospinal. The 18 cases recorded for June were reported from cities as follows: Cleveland 12, Cincinnati 3, Massillon 1, Dayton 1, Youngstown 1. Poliomyelitis. The seven cases were reported from the following districts: Cleveland 3, Cincinnati 1, Springfield 1, Lawrence County, Fayette Township, 2, and Scioto County, Rarden Township 1. TABLE I. REPORTED CASES OF NOTIFIABLE DISEASES, OHIO, All notifiable diseases.. 4,339 2,130 8,009* 7,282 8,086 1.531 1.398 1.569 Chickenpox 888 Gonorrhea 70 87 272 483 259 .050 .093 .050 .068 .028 .259 .463 .880 *Reported cases from Camp Sherman and Wright Aviation Field included in total figures. 1918 1917 1916 |