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Application made for entry under second class mailing privileges at the post office at Sacramento. California.

Vol. I, No. 1

FEBRUARY 18, 1922


Volume One, Number One.

In order to distribute quickly and
more extensively current information
concerning the prevalence of commu-
nicable diseases, and in order to give
public health workers closer coopera-
tion in the control of outbreaks of
these diseases, the California State Board
of Health, with this issue, begins the
publication of the Weekly Bulletin.
This publication takes the place of the
mimeographed Public Health News.
The Monthly Bulletin is discontinued:
in its place there will be issued a Quar-
terly Bulletin which will contain full
statistical data and complete summaries
and reports of the Board's wide variety
of activities. It is planned in the new
weekly to provide full information re-
garding the current prevalence of com-
municable diseases throughout the state
and general public health news, as well.
On the back page, each week, will be
found the morbidity table and summary
which heretofore have been sent to
health officers and public health nurses
in mimeographed form. Through this
new weekly bulletin the Board hopes to
keep in closer touch with public health
workers throughout the state.

Dr. Walter Lindley Dies.

By the death of Dr. Walter Lindley,
the State Board of Health has suffered
an irreparable loss. To the solution of
our many difficult problems he brought
his wealth of experience as a physician
and as a man of public affairs, and his

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Mild Epidemic Influenza Returns.

It will be noted in the morbidity report that nearly 1000 cases of influenza and an increased number of cases of pneumonia were reported in California last week. This means that epidemic influenza, in a mild form, has definitely made its reappearance in California. l;ew fatal cases have been reported so far and it is apparent that the disease in California is of the same mild type that has prevailed recently in New York City and in other eastern communities.

While some California communities are reporting rather large numbers of cases, they are nearly all of a very mild form, and in no way comparable with the severe type of the disease that caused so much damage and loss of life during the winter of 1918-1919. While it is probable that a larger number of cases will be reported this week, the State Board of Health does not view the situation with alarm. The Board emphasizes the importance of providing the !>est ot nursing care for all persons who may suffer from influenza. Skilled nursing is of first importance in cases of influenza. In some cities of the state lists of resident nurses are being prepared in order that if a large number of cases of the disease appear all patients may receive adequate care.

Ear May Harbor Diphtheria

The recent experience of Dr. Frank W. Hodgdon, Jr., health officer of Pasadena, emphasizes the importance of making careful examination of all diphtheria cases and carriers. It sometimes happens that discharges, other than those from the nose and throat, may contain diphtheria organisms. In Pasadena, the health officer found a boy with a chronic discharging ear, a culture from which showed the presence of many dipththeria organisms. Since isolating the patient, that district of the city where 40 cases of diphtheria and one death had occurred has been entirely free from the disease. Dr. Hodgdon feels sure that this carrier was responsible for the outbreak. The occurrence proves that it is necessary to examine thoroughly all cases and carriers of diphtheria before releasing them.

California Birth Registration

When California was admitted to the United States Registration Area by the Bureau of the Census in 1919, the state had a birth rate of 16.8, the lowest of any state in the Union. The Board, through its Bureau of Vital Statistics, immediately set to work to improve birth registration in California. Inquiries and reminders concerning unregistered births were sent to some 1500 physicians and midwives throughout the state. In fact, a checking system has been worked out so effectively that the state registrar is now able to point to those physicians and midwives who are consistent in their failure to register births. As a result of the campaign undertaken, the birth registration rate for 1920 increased to 19.3. The, extension of the system during 1921 resulted in an increase of more than 20 per cent over the 1919 figures, making the birth rate for last year 20.3, the highest birtli registration ever achieved in California.

To be sure, the cooperation of other bureaus and of various organizations and officials not connected with the State Hoard of Health have contributed to bringing about better registration. It is believed, however, that through the determination of those physicians and midwives who habitually neglect to file birth certificates there has been developed an important factor in permanently raising the birth rate of California.

Ignorance is a vice, and when it results in injury to anyone it becomes a crime, a moral if not a statdtory one. To infect another with disease, either directly or indirectly, as a result of ignorance, is an immoral act. The purpose of government is to protect its citizens, and a government which fails to sheltei its citizens against infection is neither intelligent nor moral. To transmit disease of body or mind to offspring is an unpardonable sin. In a reasonable sense it is worse than murder, because it projects suffering into the future indefinitely.—Victor C. Vaughan.

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;>& Sw e»s

Why worry about heredity? Take what you have inherited into your own hands and under your own will shape it into what you would have it to be. If you have inherited a weak body, by right living you can strengthen it: if you have inherited weak lungs, you can make them strong by keeping them filled with fresh air day and night; if you have inherited any predisposition to any disease or weakness, you can overcome this tendency by cultivating good habits, especially those counteracting the weak tendencies. Why worry?—Bulletin Arizona State Board of Health.

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