78. Slaughter house, New Salem, Fayette county. 85. Insanitary conditions, Wallingford, Delaware county. 88. Insanitary conditions, Spring Forge, York county. 89. Pollution of river, Steelton, Dauphin county. 90. Creamery nuisance, Hopbottom, Susquehanna county. 91. Slaughter house, Perkiomen Junction, Montgomery county. 93. Pollution of stream, Mill City, Wyoming county. 98. Insanitary conditions, Radnor, Delaware county. 99. Pollution of stream, Scranton, Lackawanna county. 100. Typhoid fever at Normal school, Slippery Rock, Butler county. 101. Dead horse in creek, Flushing, Bucks county. 102. Drainage, Tyrone, Blair county. 103. Insanitary conditions, Freeland, Luzerne county, were all acted on by correspondence after investigation. APPENDIX F. 1. Form 24. CIRCULARS AND FORMS. Annual Reports of Boards of Health. 2. Form 25. 3. Circular No. 20. 4. Circular No. 22. 5. Circular No. 34. Circular No. 35. 7. Circular No. 36. Circular No. 7. German Edition, revised. Treatment of the Apparently Drowned. Sanitary Protective Associations. 9 Circular Letter to Boards of Health and Municipal Authorities. 1. FORM 24. ANNUAL REPORTS OF BOARDS OF HEALTH. Annual report of the health officer or secretary of the board or bureau of health of the . of . made to the State Board of Health of Pennsylvania, for the year beginning January 1, 189, and ending December 31, 189. (Include nothing outside of these dates.) The annual report of the local board of health should be made as early in January as possible.-Write in the blank space after each question, or, if more room is needed, write on the accompanying blank sheet placing the appropriate figure before each answer. 1. Give the name and address of each member of your board. 2. How many meetings have been held by the board during the year? 3. Have any improvements or changes been made in your . . . as regards water supply, drainage and sewerage, or in the methods employed in disposing of excreta? If so what, briefly? 4. Nuisances. How many have been reported to your board? How many have been removed? Please report the facts in regard to any nuisances of unusual character, or which have given unusual trouble in respect to decisions regarding them, or in which there has been unusual difficulty in securing abatement. 5. Communicable diseases. Please give the facts called for in the following table: 6. Are these diseases reported to your Board by the physicians in attendance in accordance with the law ordinance or regulation requiring such reports? 7. What action has been taken by your board when cases of the communicable diseases have been reported to it? 8. Were houses in which cases of small-pox, diphtheria and scarlet fever occurred placarded? 9. What diseases were more than usually prevalent during the year? (Measles, scarlet fever, small-pox, whooping-cough, German measles, pneumonia, cerebro-spinal meningitis, diarrhoeal diseases of children, etc.) Erase those not prevalent. 10. Please communicate the facts regarding any cases of disease which were interesting from a sanitary point of view. (Unusual course of epidemic prevalence, unusual symptoms or want of certain symptoms, observations as regards period of incubation, communication of diseases by contagion, spread of contagious diseases by public funerals, long periods of vitality of infection, concurrent or consecutive prevalence of diseases, etc.) 11. Schools. Have any special cases come under your observation in which unhealthy conditions existed? Have contagious diseases entered any of the schools? If so, what action was taken? 12. Are there in your . . any particularly unhealthy localities? If so, what appears to be the cause of such unhealthfulness? 13. What methods can you suggest for improving the sanitary condi-tion of your. ? 14. Accidents. Has sickness or death resulted from accidental causes; drowning, fires, and kerosene accidents? If accidents have occurred from the last cause, please report in full to this Board. 15. Please communicate the facts regarding any cases of disease which appeared to have been caused by polluted water, cess-pool or sewer-gas, defective ventilation, lead, arsenical, or other forms of poisoning. 16. Have any instances of food adulteration, or injurious effects from it, come to your knowledge? 17. Diseases of animals. Please report any cases of diseases of anials which have occurred, and any cases of relation or apparent relation between such diseases and human diseases. 18. Were any by-laws adopted by your board in 189? If so please forward copies of all such to the office of the State Board. 19. Please give an account of any other work of interest which has been done by your board during the year. 20. Has the experience of your board suggested any changes which ought to be made in the health laws of the State? If so, please report them. 21. What compensation or pay has been received by the secretary or health officer of your board, or by other members? If payment has not been received, for what reason? Signed,.. 189. To the Secretary of the State Board of Health: DISTRICT. Medi € 189. SIR: I have the honor to report that in compliance with instructions received from you. . . 189, I visited. NOTE.-Inspectors are requested to follow as nearly as possible the following order: Population. Whether incorporated. Name of health officer or chief burgess. Location and Geological formation. Drainage. Water supply. Prevalent diseases. Present epidemic, if any. Verification of diagnosis. Number of cases. Duration of epidemic. Type of disease. Precautions already taken. Precautions suggested. Inspectors will issue orders only when especially so instructed. 3. CIRCULAR NO. 35. PREVENTION OF BLINDNESS. The preparation of this circular is the result of representations made to the State Board of Health by two prominent medical societies of the city of Philadelphia at different times, and each without the knowledge of the action of the other. Their belief upon which it is based, may therefore be said to present the deliberate opinion and judgment of the medical profession at the present day. The facts presented are drawn from the communications above referred to, but they may be found abundantly in the current medical literature of the past ten years. It is not necessary to enter into an argument to show that every case of blindness is a money-loss to the State, or that, consequently, every case of blindness prevented will be a money-gain to the State. The following facts therefore have a significance to the political economist quite apart from their bearing upon a most important factor in the world's total of suffering and privation. First. There is in the State of Pennsylvania, as in the United States, an apparently rapid increase in the number of the blind. Second. A large percentage of blindness is due to the disease known as purulent ophthalmia of the new born. Third. By the use of known methods this could be very materially lessened. |