City of Melrose annual report 1916, Part 4

Author: Melrose (Mass.)
Publication date: 1916
Publisher:
Number of Pages: 266


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INSPECTION OF RANGE BOILERS


Section 9. No range boiler shall be installed unless its capacity is plainly marked thereon in terms of the Massachusetts Standard Liquid Measure, together with the maker's business name in such manner that it may easily be identified.


No copper, iron or steel pressure range boiler, whether plain or gal- vanized, or other vessel or tank in which water is to be heated under pressure, shall be installed without having stamped thereon the maker's guarantee that it has been tested to not less than two hundred-pound hydraulic pressure to the square inch.


And no such boiler or other vessel or tank in which water is to be heated under pressure shall be installed if the working pressure is greater than forty-two and one-half per cent of the guaranteed test pressure marked thereon by the maker.


And no such boiler or other vessel or tank in which water is to be heated under pressure, shall be installed unless it has safety and vacuum valves to prevent siphonage and expansion or explosion, satisfactory to the Inspector of Plumbing.


The Plumbing Inspector must be notified when this work has been completed.


55


HEALTH REPORT


MELROSE HEALTH WEEK


The Board of Health, with the assistance of the State Department of Health and the co-operation of the public schools designated the weck beginning February 6th as Health Week.


The Child Welfare Exhibit of the State Department of Health was displayed in the High School building and open daily during the whole week. There were illustrated lectures in all the grammar schools of the city and also in the High School during this week and a public meeting was also held in the City Hall Auditorium with an illustrated lecture by Professor Selskar M. Gunn of the State Department of Health. All of these meetings were addressed by the Mayor and the Chairman of the Board of Health and it was the universal opinion that Melrose Health Week was a great success. It certainly aroused a good degree of interest and, it is hoped, did some good.


MOSQUITOS


A large number of stagnant pools located in the residential districts of the city were treated by petroleum oil during the summer to prevent the hatching of successive groups of mosquitos. This work ought to be continued on a larger scale.


BARBER SHOPS


The barber shops have been inspected, and are rated from a sanitary viewpoint as good, fair and unclean.


8 are rated good. 1 is rated fair.


O are rated unclean.


BAKERIES


Bakeries have been inspected as required, and all were found in good, sanitary condition.


DAIRY INSPECTION


All dairies in Melrose, and in nearby cities and towns, supplying milk to Melrose, ahve been inspected. The general conditions in and near Melrose are much improved since our present method of milk inspection was adopted, and the facts given publicity.


Dairies are not scored, but are rated excellent, good, fair and unclean.


Number rated excellent . 1


Number rated good 13


Number rated fair


8


Number rated unclean 0


-


Total number inspected 22


Milk licenses issued . 50


To sell milk from stores 36


To sell milk from wagons. 14


56


CITY OF MELROSE


NUISANCES


The following is a list of nuisances abated by order of the Board of Health or its agent, during the year and in parallel column, nuisances abated during the previous year.


1915


1916


Privy nuisances


3


2


Privies abolished .


3


6


Cesspool nuisances


3


11


Cesspools abolished.


25


14


Premises connected with sewer by order of Board.


1


2


Hen nuisances


5


4


Dumping nuisances.


13


11


Uncleanly premises.


17


17


Pig nuisances


1


0


Stable nuisances and exposed manure.


2


4


Stagnant water.


1


4


Insufficient sanitary provision.


2


1


Defective plumbing.


4


4


Defective drainage.


8


1


Animals in apartments.


1


1


Committing nuisance


2


0


Failure to observe quarantine.


2


0


Flies.


1


1


Complaints investigated and no cause for complaint.


9


12


Dead animals burieq .


56


62


Other nuisances


9


57


HEALTH REPORT


Table I FINANCIAL STATEMENT


Total Appropriations .


Expenditures


General Administration


1,146.16


1,199.14


Salaries of Board.


$650.00


$650.00


Salary of Clerk .


270.86


310.51


Stationery and postage.


58.75


48.27


Telephone.


50.02


51.16


Office furnishings.


55.20


30.54


Reports and adds.


23.15


73.62


Sundries .


35.04


Other expenses.


978.15


1,048.23


Examination of cultures.


6.00


4.00


Sanitary inspection.


40.80


34.30


Plumbing inspection.


650.00


660.75


Fumigation and disinfection


128.28


.86


Dumps.


8.71


9.40


Burial of dead animals.


43.00


41.00


Office furnishings.


13.72


49.08


Care of insane .


12.00


46.00


Inspection of ice.


33.00


28.50


Use of automobile and carriages.


8.00


6.81


Tank wagon and cesspool cleaning .


92.82


Educational.


45.93


Sundries .


34.64


28.78


Quarantine and Contagious Disease Hosp. Outside aid.


84.37


1.20


Maintenance of Contagious Hospital


1.80


Maintenance of patients a hospitals. . .


1,909.16


1,100.61


Board while in quarantine.


59.29


Reimbursement of other cities


253.07


51.00


Transportation .


54.75


109.50


Printing .


7.75


Repairs on hospital.


48.35


Inspection. .


880.00


875.00


Inspection of school children.


225.00


273.00


Inspection of animals and slaughtering


155.00


102.00


Inspection of milk.


100.00


100.00


Milk analyses


400.00


400.00


Refuse and garbage removal.


1,096.45


2,299.18


Tuberculosis.


1,686.63


1,635.71


Outside aid.


314.10


239.11


Board in hospitals.


1,329.20


1,375.88


Sundries


43.33


20.72


Total expenditures.


' $8,749.83 1,224.42


$8,375.67 491.13


Revenues of Board of Health


Licenses .


42.50


43.00


Reimbursements


1,181.92


448.13


1916 Totals $8,475.00


1915


1915 Totals $9,525.00


1916


2,362.44


1,318.41


Table II CASES AND DEATHS OF DISEASES DANGEROUS TO THE HEALTH BY MONTHS


This table includes all cases (with their deaths) irrespective of whether cases were transported into the city from elsewhere or were contracted outside of the City, also all deaths of Melrose cases dying in hospitals out of town.


Tuberculosis


Diphtheria


Scarlet


Fever


Typhoid


Fever


Measles


Whooping


Deaths


Smallpox


Ophthalmia Neonatorum


Pul. and


Miliary


Menin-


geal


Other


Forms


Months .


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


January . . .


1


22


. .


11


3


54


1


12


February . . .


. .


1


. .


.


·


22


1


.


March. ..


N.


1


. .


. .


. .


.


..


2


2


2


May. .


2.


. .


2.


1


1


. .


4


2


July . .


1


1


.


.


1


1


. .


. .


3


August .


1


1


.


.


September . .


6


. .


.


.


October .


.


. .


.


. .


1


2


. .


..


. .


. .


. .


2


. .


..


.


.


.


. .


. .


1


1


200


23


Total ..


41


1


11


1


4


1


11


107


A


3


17


3


22


12


..


.


13


3


2


1


. .


. .


1


1


5


2


1


. .


. .


..


. .


1


.


..


.


. .


. .


.


. .


6


1


Dlcember ...


2


5


1


·


. .


. .


..


. .


. .


3


2


2


.


. .


14


2


..


.


. .


. .


.


20


5


November . .


. .


..


1


.


.


1


1


. .


00


. .


. .


6


3


·


. .


. .


. .


1


. .


. .


.


. .


. .


. .


.


..


N.


2


. .


5


1


June. .


1


..


31


. .


29


.


1


26


4


2


April. . .


. .


7


. .


68


. .


. .


0 0r


1


33|


122


. .


·


ـت


.


1


· 2


Cough


Total for Months


Polio-


myelitis


Table III CASES AND DEATHS OF CERTAIN DISEASES EACH YEAR FOR TEN YEARS


This table includes all cases (with their deaths) irrespective of whether the cases were transported into the city from elsewhere or were contracted outside of the city, also all deaths of Melrose cases dying' out of town.


Tuberculos


Diphtheria


Scarlet


Fever


Typhoid


Fever


Measles


Whooping


Smallpox


Ophthalmia


Neonatorum


Polio-


myelitis


Pul. and


Miliary


Menin-


geal


Other


Forms


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


Cases


Deaths


1907.


50


3


80


1


CO


1


18


2


14


12


. .


.


1908


58


2


89


13


2


379


1


7


1


124


.


.


. .


.


. .


.


.


32


14


1


18


.


129


1


39


· .


. .


. .


.


.


1


17


9


1


381


1


94


1


. .


. .


· .


·


22


13


1


2


. .


1913


17


2


71


·


1914.


86


3


69


3


5


2


29


1


. .


. .


..


..


. . ·


15


13


1


3


1


1


1915


41


1


62


2


15


476


1


16


. .


. .


. .


3


17


3


22


12


1


1


1916


14


1


11


1


14


1


11


. .


107


4


12


. .


21


15


=


1


3


·


. .


1


1


. .


. .


4


5


15


10


2


2


1911


20


36


1


6


. .


1912


18


. .


7


2


46


. . .


1


. .


. .


. .


2


27


17


3


. .


1910


41


3


106


1


15


3


24


1


2


39


17


4


.


1909


18


1


3


1


15


10


.


. .


. .


.


.


. .


. .


22


23


1


28


15


.


21


5


7


6


. .


.


.


Cough


Years


1


Table IV INFANT MORTALITY


AGES


YEAR


1916


Total


under


1 yr.


Under


1 day


1 to 2


days


2 to 3


days


3 days to


1 week


1 to 2


weeks


2 to 3


weeks


3 weeks


to 1 mo.


1 to 2


months


2 to 3


months


3 to 6


months


6 to 9


months


9 to 12


months


January . .


3


2


1


February.


1


March .


5


1


1


1


1


April.


3


1


1


May ..


3


1


1


1


June.


1


1


1


1


September


1


1


October.


November


1


1


December


2


1


1


Male.


15


3


3


2


1


2


3


1


Female


7


1


1


1


1


3


. White.


22


4


3


1


2


2


3


00


4


Colored .


.


.


.


.


.


.


.


. .


.


.


.


.


.


.


.


. .


. .


.


.


.


. . .


.


.


.


. .


.


.


.


.


.


.


.


. .


July .


.


2


August.


.


Table V INFANT MORTALITY


AGES


YEAR


1916


Total


under


Under


1 day


1 to 2


2 to 3


days


3 days to 1 week


1 to 2


2 to 3


weeks


3 weeks


to 1 mo.


months


2 to 3


months


3 to 6


months


6 to 9


months


9 to 12


months


Class


Cause of Death


No.


8


Whooping Cough


3


1


1


1


37


Syphilis


M


1


1


F


91 Broncho-pneumonia . .


M


2


1


1


F


1


1


92


Pneumonia .


M


2


1


1


F


104


Diarrhoea and Enteritis ...


M


1


1


F


3


2


150-2 Congenital malformations of the heart.


F


1


1


M


4


3


1


F


1


1


M


1


1


F


M


1


1


F M


.


1


1


1


M


.


151-1 Congenital debility, icterus and sclerema, premature birth.


151-2 Congenital debility, icterus and sclerema ....


152-2 Other causes peculiar to early infancy . .. 168 .... Absorption of deleterious gases (conflagration ex- cepted) ..


F


1 yr.


days


weeks


1 to 2


62


CITY OF MELROSE


Table VI INFANT MORTALITY


Year


Births


Deaths of Children under 1 year


Rate of Mortality of Children under 1 year per 100 of Children born


1910


312


36


11.53


1911


325


18


5.54


1912


305


10


3.21


1913


331


19


6.23


1914


333


22


6.61


1915


393


26


6.61


1916


384


22


5.67


Table VII ESTIMATED POPULATION JULY 1, 1916, 17,317


19II


1912


1913


1914


1915


1916


Apparent death rate per


10,00 population.


10.98


10.33


11.30


11.59


12.58


12.13


Corrected death rate per


1,000 population .


12.03


11.88


12.91


11.84


12.00


12.70


Note .- The corrected death rate is found by eliminating the records of all non-residents dying in Melrose and adding the records of all Melrose residents dying elsewhere, as shown by the records of the City Clerk.


63


CITY OF MELROSE


UNDERTAKERS


The following named undertakers have been licensed: Albert J. Walton, John H. Gately, Stephen W. Harvey, Fred T. Churchill, Henry W. Clark and F. Stetson Sears.


BOARDING HOUSES FOR INFANTS


The Board has approved the applications of the following named persons to maintain boarding-houses for infants: Ida R. Atwood, Mary Bourne, Annie Brodrick, Nellie Crosby, Marie Fester, Victoria Hobart, Clara J. Manley, Phoche E. A. Morris, Mary E. Silver.


CLARENCE P. HOLDEN, RALPH R. STRATTON, PHILIP B. CARTER, Board of Health.


Report of Inspector of Plumbing


January 1, 1917


To the Board of Health, City of Melrose :-


Gentlemen :- I submit the following as the annual report of plumbing inspection for the year ending December 31, 1916.


Number of applications received 241


Number of permits granted. 241


Number of sinks installed . 178


Number of wash trays installed . 141


Number of water closets intsalled


221


Number of bath tubs installed .


171


Number of wash bowls installed


195


Number of traps replaced.


45


Number of urinals installed


2


Number of drinking fountains installed.


1


Number of shower baths installed


9


Number of floor drainers installed . 3


Number of lead bands replaced . 1


Number of old buildings connected with sewer . 14


Number of old buildings connected with cesspools 2


Number of new buildings connected with sewer . 66


Number of new houses connected with cesspools 18


Number of refrigerator connections. 3


Total number of fixtures installed . 951


Respectfully submitted, ANDREW J. BURNETT, Inspector of Plumbing


Report of Inspector of Animals


The Melrose Board of Health :--


Gentlemen :-


I herewith submit to you my report as Inspector of Animals for the year of 1916.


Made physical examinations of 315 cows and about 65 swine for purpose of ascertaining presence of any contagious disease, also examined and held under observation 5 horses under suspicion of having glanders, and 4 dogs which had bitten persons were also held under observation for further development.


F. P. STURGES, V. S.


Report of Inspector of Milk


Wellesley Hills, Mass., Feb. 6, 1917.


The Board of Health, City of Melrose :-


Gentlemen :-- Herewith I submit my report as your Milk Inspector for the year, 1916:


I. THE CO-OPERATING BOARDS OF HEALTH ORGANIZATION


The duties of Milk Inspector have been performed by me as Director of the Co-operating Boards of Health Organization and Laboratory, founded in 1913 by the Massachusetts Institute of Technology and supervised by a Consulting Staff of five professors from Massachusetts Institute of Technology, the United States Public Health Service and Harvard University. The Administrative Staff has consisted of a corps of experts, and the Laboratory has been well equipped for both bacterio- logical examinations and chemical analyses. This Laboratory has the approval of the State Department of Health.


II. EXTENT OF MILK SUPERVISION


My duties have included the collection and analysis of samples of milk from the public supplies. The inspection of dairies, the issuing of licenses and the detection and control of infected supplies has been per- formed by you. The supervision of the milk supply has been governed by twofold purpose: (1) to secure clean milk through bacteriological examinations; and (2) to secure unadulterated milk through chemical analyses.


65


CITY OF MELROSE


III. METHODS EMPLOYED


The same principles as were employed by us in previous years have been followed throughout this year, always however, keeping our methods up to date and in conformity with the Standard Methods as recommended by the Laboratory Section of the American Public Health Association which is the highest authority of Milk Standards.


Monthly collections, of usually pints or quarts, have been made at irregular dates to insure the collection of milks which would be representa- tive of bottles received by consumers. Occasionally some samples are collected in sterile bottles supplied by the collector. All the samples are thoroughly packed in ice and brought by automobile to the laboratory and immediately analyzed.


As soon as results are obtained, reports of each analysis together with comments and advice for the individual dealers are sent to you for dis- tribution.


IV. IMPROVEMENTS IN CLEANLINESS AND CARE IN HANDLING MILK


The "bacteria count", which means the number of bacteria per cubic centimeter, may be considered an index of cleanliness. Milk with a high bacteria count may be either dirty, or not fresh, or not properly cooled, or the high count may be due to any combination of these three causes. Fresh milk, produced in a sanitary manner and properly cooled should show a low bacteria count. Clean methods of producing and handling milk are more necessary than expensive or elaborate equipment. In selecting a milk supply cleanliness should be considered before food value.


Table I shows a comparison of the bacterial results obtained in 1916 with hose of the preceding year. It will be seen that practically the same number of samples were analyzed in both years and that the record of 1916 shows a slight improvement over that of 1915, which in turn showed a marked improvement over 1914. In 1915, 34.8% of all the samples showed less than 10,000 bacteria per cubic centimeter. This percentage was improved in 1916 as showed by 42.9%. In both ycars the percentage of samples containing less than 20,000 was very gratifying. In general, the milk dealers are glad to co-operate with us in securing a clean supply for the city. The publication of results in the papers, and personal rivalry prompt cach man to do his best.


Melrose has established 500,000 bacteria per cubic centimeter as a maximum imit over which milk is rated as very poor or bad, from a health standpoint. Here again 1916 shows a slight improvement over 1915 in that almost 96% were found to be within the limit set by the city. It is to be hoped that another year will show still greater achievements in this respect.


66


HEALTH REPORT


Table I RESULTS OF BACTERIOLOGICAL EXAMINATIONS OF MILK 1915 AND 1916


Bacteria per cubic centimeter


1915 No. of Samples


1916 No. of Samples


No.


%


No.


%


Below 10,000


124


34.8


142


42.9


10,000 to 20,000.


40


11.2


40


12.1


20,000 to 50,000.


78


21.9


48


14.5


50,000 to 100,000.


48


13.5


37


11.2


100,000 to 500,000*


48


13.5


50


15.1


Total No. samples under 500,000*


338


94.9


317


95.8


500,000 to 1,000,000.


7


2.0


9


2.7


1,000,000 to 5,000,000


9


2.5


4


1.2


Above 5,000,000.


2


.6


1


.3


Total No. samples above 500,000*


18


5.1


14


4.2


Total No. samples collected .


356


100.


331


100.


Extra regular and special samples .


23


Grand total samples collected.


356


354


*Maximum count allowed by Board of Health is 500,000.


67


CITY OF MELROSE


The records of individual dealers are given below in terms of the median of the bacteria counts. This resembles the average, and is the middle number selected when all the bacteria counts are arranged in order of size.


Table II MILK ANALYSIS Medium Number of bacteria per cubic centimeter for each dealer 1916.


Dealer


Median No. Bacteria per cubic Centimeter


No. of Samples


Alley's Lunch. .


160,000


1


Atwood, F. C ..


87,000


12


Baby Milk Station


500


3


Bloss, W. C.


3,300


12


Bucci, Alexander


45,000


11


Burns, Mrs. Mary


30,000


11


Chisam, S. A.


38,000


12


City Farm


2,500


12


Dunn, W. F.


5,300


6


Fleming, R. P.


7,500


1


Forbes Bros.


35,000


12


Friend Bros.


67,000


6


Goldsmith, G. B


26,000


12


Gittes, Harry.


2,500


12


Hood, H. P. & Sons.


83,000


12


Howard Farm


17,000


12


Leach, F. N.


7,000


12


Levy, George


46,000


12


Luce, R. A.


95,000


12


Manning, J. S.


11,000


12


Marble, W. H.


2,800


2


Marshall, E. B.


14,000


11


Munn, T. J. & Co.


10,000


12


Murphy, J. W.


31,000


6


Outram, A. W.


7,500


12


Penney Farm.


40,000


12


Quinn, M. J ..


11,000


12


Roulston, R. R ..


21,000


12


Sellers, F. W.


8,500


2


Smith, A. M ..


3,300


12


Spratt, Mrs. Abbie


3,300


12


Sturges, Dr. F. P ..


43,000


2


Turner Centre Cr. Co.


110,000


12


Varley Lunch.


450,000


2


Wilkinson, B. E.


2,000


1


Whitford & Brown


86,000


4


Whiting, D. & Sons


47,000


12


68


HEALTH REPORT


A more accurate method of rating milk supplies is given in Table III, which shows the months during which the bacteria counts of individual dealers fell within certain limits which may be described as excellent, very good, good, fair, poor and bad.


Table III


NUMBER OF MONTHS DURING WHICH THE BACTERIA COUNTS OF INDIVIDUAL MILK DEALERS FELL WITHIN CERTAIN LIMITS


Dealer


No. of Months 10,000


Exc Below 10,000 20,000


V. Good Good 10,000 to 50,000


20,000 to 50,000


Fair 50,000 to 100,00


Poor 100,000 to 500,000


500,000


Alley's Lunch.


1


-


1


Atwood, F. C ..


12


3


1


1


1


5


1


Baby Milk Station.


3


3


Bloss, W. C ..


12


8


1


1


1


1


Bucci, Alexander.


11


3


1


2


1


4


-


Burns, Mrs. Mary


11


3


2


1


2


1


2


Chisam, S. A.


12


2


1


5


3


1


City Farm


12


10


2


Dunn, W. F


6


5


1


Fleming, R. P.


1


1


Friend Bros.


6


Forbes Bros.


12


5


1


1


4


1


Goldsmith, G. B.


12


4


1


6


1


Gittes, Harry


12


9


2


1


5


1


Howard Farm


12


6


-


3


2


1


1


Levy, George


12


3


1


2


1


4


1


Luce, R. A.


12


Manning, J. S.


12


6


3


1


1


1


Marble, W. H ..


2


2


Marshall, E. B.


11


5


2


3


Munn, T. J. & Co.


12


6


4


Murphy, J. W


6


1


-


3


1


1


Outram, A. W.


12


7


3


2


2


3


1


Quinn, M. J ..


12


6


4


1


1


-


Roulston, R. R.


12


3


3


2


2


2


-


Sellars, F. W.


2


1


1


Smith, A. M ..


12


12


Spratt, Mrs. Abbie. . .


12


10


1


1


-


Sturges, Dr. F. P.


2


1


-


1


Turner Center Cr Co ..


12


1


1


2


2


4


2


Whitford & Brown .. .


4


1


1


2


Wilkinson, B. E ..


1


1


-


Whiting, D. & Sons. . .


12


2


1


4


4


1


Totals


331


142


40


48


37


50


14


1


1


2


2


Leach, F. N.


12


8


1


1


4


3


4


1


-


1


1


1


Penney Farm


12


3


2


1


2


2


2


Hood, H. P. & Sons.


12


1


-


-


Bad Over


69


CITY OF MELROSE


V. FOOD VALUE OF THE MILK


The food value of milk is expressed in the percentage of butter fat and the percentage of total solids (all of the milk except the water naturally contained in it). The State Law requires that all milk shall contain at least 3.35% butter fat and 12.15% total solids. Table IV below shows the average chemical analyses of each dealer for the year, expressed in percent fats and percent total solids.


Respectfully submitted, HENRY E. BERGER, Jr., Milk Inspector


Table IV MILK ANALYSES Average Percentage of Butter Fats and total Solids for Each Dealer


Dealer


% Fat


% Solids


No. of Months


Alley's Lunch.


3.0


11.6


1


Atwood, F. C ..


3.9


12.4


12


Baby Milk Station.


3.7


12.2


3


Bloss, W. C.


3.6


12.1


12


Bucci, Alexander


3.8


12.5


11


Burns, Mrs. Mary


3.9


12.4


10


Chisam, S. A.


3.7


12.4


12


City Farm.


3.8


12.5


12


Dunn, W. F.


5.4


14.5


5


Fleming, R. P


3.8


12.3


1


Forbes Bros.


4.0


12.7


12


Friend Bros.


3.7


12.4


6


Goldsmith, G. B.


3.9


12.9


11


Gittes, Harry


3.8


12.8


12


Hood, H. P. & Sons


3.6


12.2


12


Howard Farm.


4.0


12.8


11


Leach, F. N.


4.5


13.2


11


Levy, George


3.7


12.4


12


Luce, R. A.


3.7


12.6


12


Manning, J. S.


4.1


13.1


12


Marble, W. H ..


4.1


13.1


2


Marshall, E. B.


4.0


12.9


11


Munn, T. J. & Co.


4.1


13.0


12


Murphy, J. W.


3.8


12.1


6


Outram, A. W.


4.3


13.0


12


Penney Farm.


3.8


12.1


12


Quinn, M. J.


3.7


12.5


12


Roulston, R. R.


3.8


12.6


12


Sellars, F. W.


3.8


12.5


2


Smith, A. M ..


3.9


12.5


12


Spratt, Mrs. Abbie


4.3


12.1


12


Sturges, Dr. F. P.


4.8


13.8


1


Turner Center Cr. Co.


3.9


12.7


12


Varley Lunch.


3.6


12.1


2


Wilkinson, B. E.


5.6


13.6


1


Whitford & Brown.


3.5


12.1


4


Whiting, D. & Sons.


3.8


12.4


12


State Chemical Standard requires


3.35


12.15


Report of the Public Health Nursing Service


DISPENSARY


During the year we have had eleven patients under the care of the Dispensary and a visiting list of twenty-five; six of these are at present considered arrested cases; twenty-six, who were known to have been in contact with tuberculosis were examined through the Dispensary and two were found to be incipient cases; with supervision in the home these are now considered arrested cases. One hundred sixty-eight visits of super- vision and instruction have been made at the homes during the year.


During the month of December the sale of the Red Cross Christmas Seals was enthusiastically taken up by the school children and three hundred dollars was raised for our local Tuberculosis Fund. We feel that this is valuable as a means of education as well as a method of raising money.


PUBLIC SCHOOLS


Although the school work was begun during the latter part of 1915; little, except for short health talks, which were given in the class room, was accomplished until the beginning of 1916, when the regular class room inspection was taken up. Each school was visited at least once a week. We have also carried out the plan, as far as possible, of visiting each child who has been absent from school more than one day. This not only tends to prevent unnecessary absences, but puts in our hands valuable means of preventing and controlling unnecessary sickness. If a child is sent home the same method is carried out. Frequently we find other members of the family who are not in school also needing treatment.


The causes for which children are most often sent home, except during epidemics, are pediculosis, impetigo, scales, sore throat and colds.


In the past year an increasing interest in the care of neglected teeth have been noticed among the children. We have recorded over 250 pupils who have had repair work done this year, who have never visited a dentist before. During our regular inspections we have found so many children from eight to ten years old with their six-year molars gone or past repair that we are giving a good deal of time to the primary grades. We hope with the assistance of the Free Dental Clinic that much valuable preventive work will be done during the coming year.


One boy who was badly crippled by infantile paralysis and was rather a problem in the school, has been admitted to the Grade School for Crippled Children in Boston where he is receiving treatment and learning a trade.


71


CITY OF MELROSE


INFANT WELFARE


During the year the Baby Conferences have been held each week and a prenatal clinic has been carried on with it.


Through July, August and September a Milk Station was established in Memorial Building where pasteurized milk could be bought at a nominal cost. Special formulae were prepared at the station for babies under the care of the family physician and the mothers were given instruction in the care of milk as well as the care of babies. Fifteen babies were daily supplied with milk. We feel that this is the best means of carrying on educational and preventive work and the result seems to warrant its continuance.


When our Baby Conference was established in 1915 we had thirteen babies enrolled, most of whom had been discharged from the hospital after weeks of sickness or had been sick at home. During the summer of 1916 we not only had no sickness among our babies enrolled at the Station, but they each showed a surprising increase in weight through the hot weather, even those who had not been doing well before. Further- more, we had no sick babies brought to the hospital.


Over three hundred visits have been made at the homes during the year; one hundred thirty have been made where nursing care was needed, as instruction in the care of infected eyes, the care of new-born babies, and supervision of work of the district nurse.




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