Meningitis, Cerebrospinal. The 18 reported cases occurred by counties as follows: Athens 1, Belmont 1, Cuyahoga 4, Hamilton 2, Lucas 3, Mahoning, Medina, Meigs, Montgomery, Perry, Ross and Summit I each.

Poliomyelitis. Table 1 shows the total for July 31 reported cases well below the two past years' figures for the month-50 and 100 reported cases. From the northeastern and southwestern parts of the state have been reported the largest number of the cases, 15 in the one and 13 in the other section. By districts, the cases were recorded as follows: Cincinnati 13, Cleveland 5, Canton, Niles, Youngstown and Weathersfield Township, Trumbull County, 2 cases each; Akron, Toledo, Warren, Willoughby Township, Lake County, and Hopewell Township, Perry County, I case each.

TABLE I-REPORTED CASES OF NOTIFIABLE DISEASES, OHIO, JULY, 1916-1918, WITH DISTRIBUTION FOR CITIES AND FOR VILLAGES AND TOWNSHIPS JULY, 1918, AND CASE RATES PER 1,000 POPULATION, JULY, 1916-1918.

* Reported cases from Camp Sherman and Wright Aviation Field included in total figures.

TABLE II-REPORTED CASES, TEN NOTIFIABLE DISEASES, WITH TOTAL CASE RATE PER 1,000 POPULATION, OHIO CITIES, JULY, 1918.

TABLE II-REPORTED CASES, TEN NOTIFIABLE DISEASES. WITH TOTAL CASE RATE PER 1,000 POPULATION, OHIO CITIES, JULY, 1918- Concluded.

Alliance report incomplete.

Ashland, Gallipolis, Kenton, Marietta and Painesville reported no cases

for July.

Conneaut, Ironton and Marion reports delinquent for July.

DIVISION OF PUBLIC HEALTH EDUCATION AND
TUBERCULOSIS

Summary of Activities in July, 1918

Changes in Organization.—Miss Hulda A. Cron was appointed child welfare nurse in the Bureau of Public Health Nursing July 1. Dr. R. G. Paterson, Director, resigned July 31 to take up tuberculosis work with a Red Cross unit in Italy.

Public Health Nursing Service.-Dr. Anna L. Preston was appointed public health nurse at Marietta. Reported cases of inflammation of the eyes of the newborn numbered 143. Six cases were investigated by the Department, instructions were given to health officers by telephone in four cases, six cases were provided with nursing care, and one case of impared vision was reported.

Tuberculosis Hospitals.-Proposed District No. 2 organized by resolution; permanent officers were elected and a resolution to appropriate $100,000 was adopted. Meetings of commissioners in proposed districts 4, 7 and 8 were attended. Chillicothe district hospital was inspected. A joint meeting of commissioners in Springfield Lake district was attended; the meeting rejected the plan of extension recommended by the State Department of Health. Notifications of hospital admissions and discharges received during the month are summarized as follows:

Total notifications, 357; referred to local public health nurses, 261; referred to health department of another state, 1; investigated by Division nurses, 42; histories unobtainable, 23; pending investigation August 1, 30.

Pending investigation July 1, 59: Investigated by Division nurses, 18; referred to local public health nurses, 2; histories unobtainable, 2; returned by local public health nurses, 2; net total pending from June, 39. Total cases pending August 1, 69.

Discharged Tuberculosis Soldiers. - Notifications for July, with totals since the beginning of work in behalf of discharged soldiers, are summarized as follows:

DIVISION OF LABORATORIES

Summary of Activities in July, 1918

The Division made 1,546 examinations in July, of which 1,118 were bacteriological and 428 were chemical. The bacteriological examinations, with their results, were as follows:

The chemical samples examined included 120 specimens of foods and 48 of drugs. Results of the food examinations were: satisfactory 56, misbranded 1, adulterated 40, insufficient information 23. The misbranded substance was a sample of pop. The adulterated products included: milk 15, vinegar 12, lemon extract 2, vanilla extract 7, miscellaneous extracts 2, grape juice 1, pop 1.

Reports on the drugs were as follows: satisfactory 31, misbranded 2, adulterated 12, insufficient information 3. The misbranded drugs were listed as one hair tonic and one miscellaneous. Adulterated drugs were: tincture of iodine 3, hair tonic 1, turpentine 2, proprietaries 2, miscellaneous 4.

DIVISION OF INDUSTRIAL HYGIENE

Summary of Activities in July, 1918

The Division has continued the study of coal mines in Ohio for the purpose of collecting data for the Health and Old Age Insurance. Commission. A survey has alse been undertaken of representative munition plants in the state in co-operation with the United States Public Health Service. A survey of one establishment, employing more than 3,000 people, has been completed.

One case of stonecutter's consumption has been reported and 168 cases of tuberculosis among industrial workers were included in physicians' reports during this time.