USA > Massachusetts > Middlesex County > Melrose > City of Melrose annual report 1920 > Part 4
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The Board deems the following facts worthy of special comment: There were two deaths from diphtheria, which should have been pre- vented by early diagnosis and proper treatment; only four cases of typhoid fever and no deaths. Modern medical science has conquered typhoid fever. Whooping cough and measles, generally considered of little importance, each caused one death. Influenza and pneumonia were responsible for 36 deaths. There were 24 cases of tuberculosis on the list Jan. 1 and 2 not added in 1919; there were 22 new cases reported and 4 cases in which the report of death was the first and only report, making a total of 52 cases. Their disposition during the year was as follows: Removed from the active list to the arrested list, 1; removals from the city, 4; deaths, 13; revocation of diagnosis, 1; total, 19; leaving a list of 33 cases Dec. 31, 1920. Thirteen cases were cared for a longer or shorter time in various hospitals and sanatoria. The expenditure by the Board was considerably below the average for the past ten years, during which time the death rate from tuberculosis has remained fairly constant; two years there being 10; three years 13; two years 14, and 13 in 1920. It is estimated by the best scientific opinion that for every death from tuberculosis in a community there are at least 10 active cases. It will be seen from this test that the Board should have record of 130 cases instead of 52. In other words then, 78 eases of tuberculosis, some of which are ignor- ant they have the disease, some which the physicians diagnose as something else, and many probably where a better conception of pub- lic duty would impel the patient or the physician to make a report.
MELROSE PUBLIC LIBRARY MELROSE, MASS.
58
CITY OF MELROSE
This picture is not overdrawn and outlines the work of the Board of Health for the coming year. It will be met, first by a more care- ful examination of the school children than ever before; second by furnishing a FREE examination by a competent physician of any cases which desire to know whether or not they have tuberculosis, third by providing for free sanatorium treatment for suitable cases which are unable to pay for it themselves. In addition to this certain cases will be aided in their homes as heretofore with milk, clothing, etc. The City of Melrose, through its Board of Health, is ready to do its whole duty for every case of tuberculosis of which it has knowledge.
There is a class of diseases-the cause of many deaths, not trans- missible, but largely preventable, to wit :- Diseases of the lieart, blood- vessels and kidneys, which caused the deaths of 28 persons under 70 years of age, which was the standard of natural life fixed by the psalmist King David more than 2,000 years ago. That is to say, 28 persons dying in Melrose before their time by reason of a lack of proper hygiene as to food and drink, work, rest and play. during the whole or a part of their lives.
The loss of life and the efficiency of life from these causes in the United States of America in an age which likes to call itself en- liglitened, is very great. In no civilized nation in the world is the loss of life among men and women in their prime so appalling as in this country. This statement can be substantiated from careful In- surance Statistics of the world for the past 50 years.
Bacteriology .- The bacteriological examination of milk is done by the Inspector of Milk, whose report follows in detail. Other bac- teriological work is sent to the laboratories of the State Department of Health.
Vaccination .- Forty-five successful vaccinations have been per- formed at this office and eighty-nine certificates of successful vaccina- tion have been issued.
Work Certificates .-- Healthı certificates to work were given to one hundred and one children.
SCHOOL INSPECTION
School Inspection under the Board of Health was continued dur- ing the year as heretofore. The Public Health Nurse is employed one- half time as School Nurse and her report will be found of interest in this connection.
59
REPORT OF THE BOARD OF HEALTH
GARBAGE COLLECTION
The recommendation of the Board of Health that the work of gar- bage collection be transferred to the Public Works Department and the contract system abolished not being approved by the City Govern- ment, new contracts for three years ending May, 1923, were made as follows, viz :-
District No. 1-George W. Higgins.
District No. 2-Frank H. Hamilton.
District No. 3-Alfred E. Swain.
The collection of garbage on the whole has been better under these contracts than ever before.
GARBAGE AND RUBBISH
Chapter 6, Section 1, of the Regulations of the Board of Health lias been amended and reads as follows, viz:
"Householders and the proprietors of stores, groceries and markets, or any other places where garbage is made, kept or stored, and the landlords of all apartment and tenement houses shall provide separate receptacles, of sufficient size, for household waste and garbage.
First .- A covered, watertight, flyproof bucket for offal, refuse, ani- mal, and vegetable waste, such receptacles to be kept covered, in a place secure from the depredation of dogs and other animals, and con- venient of access. The contents thereof to be removed only by the persons authorized by the Board of Health.
Second .- All garbage must be drained and water kept out of the garbage bucket. No tin cans, broken crockery or glass bottles shall be put in the offal bucket, but these should be put in the ash barrel. Raw meat, fish or fowl or any parts thereof shall be wrapped in paper before placing them in a garbage receptacle. OFFAL ON THE GROUND WILL NOT BE COLLECTED.
Third .- Barrels, preferably of iron, shall be provided for ashes and other household waste, to be removed by or under the super- vision of the Superintendent of Public Works. All paper should be sccurely bundled or baled, and kept separate from the ashes."
ORDINANCES RELATIVE TO HEALTH An Ordinance Relative to Cesspools and Privies
Section 1 .- No cesspool shall hereafter be constructed and after May 1, 1917, no cesspool shall be maintained within the limits of the ('ity of Melrose, unless the same shall conform to the following re-
60
CITY OF MELROSE
quirements: Where the ground is suitable, a leaching cesspool shall be built of concrete construction within three feet from the top, tight- ly covered and made flyproof; where the ground is not suitable for a leaching cesspool, a watertight cesspool shall be constructed, tightly covered and made flyproof. The kind and size of cesspool shall be determined by the Board of Health and shall depend upon the soil foundation and the amount of sewage or drainage to be emptied into such cesspool. No cesspool shall be covered until inspected and ap- proved by an agent or inspector of the Board of Health.
Section 2. No privy shall hereafter be constructed and after May 1, 1917, no privy shall be maintained within the limits of the City of Melrose unless the same shall conform to the following requirements. The privy vault shall be watertight with eight-inch concrete wall, sides, ends and bottom and properly covered at the rear and made fly- proof, the size to be four feet by four feet by four feet, inside measure- ments. Provided, however, that this section of the ordinance shall not apply to temporary privies constructed by contractors or builders who receive a permit from the Board of Health to maintain a vault for the use of employees: such temporary privy, however, to be kept and maintained under such restrictions and regulations as the Board of Health may from time to time prescribe.
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 makers' business name, in such manner that it may easily be identified.
No copper, iron or steel pressure range boiler, whether plain or galvanized, or other vessel or tank in which water is to be heated un- der 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, sat- isfactory to the Inspector of Plumbing.
61
REPORT OF THE BOARD OF HEALTH
The Plumbing Inspector must be notified when this work has been completed.
Note .- for further information see the report of the Plumbing Inspector.
BARBER SHOPS
The barber shops have been inspected, and are rated from a sani- tary viewpoint as good, fair and unclean.
7 are rated good 2 are rated fair 0 are rated unclean
DAIRY INSPECTION
Dairies are rated as food, fair and unclean.
14 were rated good £ 12 were rated fair 0 were rated unclean 85 licenses were issued :- 43 to sell milk from stores; 64 to sell milk from wagons; 21 to sell oleomargerine.
During the war and since there have been many disturbing factors as to milk. For the producer, the high cost of cows, feed and labor ; for the distributor, the increased cost of transportation and labor; for the consumer, the increase in price, an increase much less than in the cost of meat and other foods, however.
The fact holds now, as well as before the war, that milk remains about the cheapest food that can be bought, and that the householder, especially where there are children, should economize in other direc- tions than in a diminishing milk supply.
For detailed facts as to the milk supply in Melrose, you are re- ferred to the report of the Inspector of Milk.
BAKERIES
Under Chapter 418 of the Acts of 1920 the State Department of Public Health has formulated rules for the registration and inspection of all bakeries by local boards of health. Previous to this registration the Board has inspected the bakeries of Melrose and rated them as follows, viz:
4 were rated good 3 were rated fair 1 was rated unclean
In the bakery rated unclean the production and sale of food was forbidden until the changes required by the Board were made, and the premises cleaned; this bakery is now rated as fair.
Seventy-three places selling food products, including confectionery and ice cream, have been inspected. From a sanitary viewpoint
48 are classed as good 25 are classed as fair
62
CITY OF MELROSE
NUISANCES
The following is the list of nuisances abated by order of the Board of Health or its agent, during the year and in parallel column, nuis. ances abated during the previous year.
1919
1920
Privy nuisance
1
2
Cesspool nuisance
6 13
Premises connected with sewer by order of Board.
Hen nuisance
6
3
Dumping nuisance
9 12
Uncleanly premises
8
7
Pig nuisance
7 2
Stagnant water
1 2
Defective plumbing
4
1
Defective drainage
3
3
Exposed or offensive garbage
8
1
No water or defective supply
1
4
Collecting garbage without a permit
0 10
Other nuisances 8
4
Complaints investigated and no cause for complaint. 9 6
Dead animals buried 44 .
63
63
REPORT OF THE BOARD OF HEALTH
Table I FINANCIAL STATEMENT
1919
1919 Totals $12,450.00
1920
1920 Totals $14,700.00
EXPENDITURES
General Administration
Salary of Board
$705.00
$870.00
Salary of Clerk
315.71
653.42
Telephone
57.84
62.44
Stationery and Postage.
16.30
80.62
Transportation and Use of Car
133.07
96.63
Sundries
12.15
15.14
Other Expenses
$1,674.28
Plumbing Inspection
724.96
875.00
Sanitary Inspection
250.04
250.00
Burial of Dead Animals
31.00
57.75
Dumps and Dump Signs
8.10
34.00
Medicine
21.89
27.09
Serving Notices
2.50
Office Supplies
71.31
102.94
Transportation and Use of Car
62.32
95.54
Ads. and Reports
178.25
116.75
Office Furnishings
5.70
Inspection of Slaughtering and Food
20.00
98.00
Sundries
26.59
17.21
Quarantine and Contagious Disease Hospital
$2,215.12
$1,180.00
Maintenance of patients at Hospitals
2,119.87
835.06
Reimbursement cities
14.00
Transportation and Use
68.00
90.00
Outside Aid
13.25
254.94
Inspection
$1,595.00
$1,815.08
Inspection of School Chil- dren
375.00
450.00
Inspection of Milk
100.00
100.00
Inspection of Animals and
Slaughtering
120.00
165.08
Public Health Nurse Milk Analyses
400.00
400.00
Refuse and Garbage Disposal Tuberculosis
$1,514.00
Outside Aid
91.24
1.85
Board
and
Supplies in
1,422.76
321.94
Total Expenditures
$11,800.43
$11,998.02
Revenues of Board of Health Licenses
$760.28
$515.63
Reimbursements
$40.00 720.28
$49.00 466.63
Reimbursed to Quar. & Cont .. Dis. Hosp ...
13.93
$5,226.62 $323.79
Hospitals
600.00
700.00
$3,833.38
of Car
of other
$1,402.66
$1,240.27
$1,778.25
Total AAppropriations
Table II CASES AND DEATHS OF DISEASES DANGEROUS TO THE PUBLIC HEALTH, BY MONTHS
This table includes all cases (with their deaths) irrespective of whether cases were transported into the city from cle- where 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
Cough
Smallpox
Opthalmia
Neonatorum
Poliomyelitis
Pulmonary
Miliary
Meningeal
Other
Form3
Totals for
Months
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
49
February
131
2
March
106
1
102
1
April
66
May
40
1
June
2
July
9
3
August
3
=
1
September
6
10
3
October
3
12
November
2
23
December
7
Totals
32
2
42
..
A
367
1
34
1
1
4
12
9
2
4
3
1500
15
23
2
12
29
1
62
32
20
15
-N.
1
3
07
1
. .
2
=
2
. .
·
and
1
Table III CASES AND DEATHS OF CERTAIN DISEASES FOR TEN YEARS
This table includes all cases (with their deaths) irrespective of whether cases were transported into the city from else- where or were contracted outside of the city; also all deaths of Melrose cases dying out of town.
Tuberculosis
Diphtheria
Scarlet
Fever
Typhoid
Fever
Measles
Whooping
Smallpox
Opthalmia
Neonatorum
Poliomyelitis
Pulmonary
and
Miliary
Other
Forms
Years
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
1911
20
36
1
6
.
1
381
1
94
1
31
1
1913
17
2
71
7
2
46
. .
1
. .
.
1
16
·
..
.
.
1915
41
-
62
2
15
. . ·
1
14
1
11
107
4
. .
..
. .
1917
85
4
42
.
20
1
3
1
50
. .
1919
13
3
48
3
3
. . ·
.
65
.
·
1920
32
2
42
..
. . .
367
1
34
.. 1
1
. .
..
12
9
211
1
2
1918
24
2
. .
.
. .
1
13
6
.
.
. .
. .
22
12
. .
.
1
1
1916
14
-
11
3
5
2
29
1914
86
3
69
·
15
11
1
3
·
15
13
1
3
1
1
.
290
2
6
.
.
.
.
18
10
. .
. .
·
10
2
00
23
10
.
.
·
9298
.
.
15
10
2
1912
18
1
17
· .
4
3
22
13
1
2
1
. .
.
129
1
39
1
15
10.
3
·
.. .
1
12
2
co
17
3
16
1
1
3
11
3
4
4
16
4
476
9
Meningeal
Cough
Table IV INFANT MORTALITY (Not Including Stillbirths)
AGES
YEAR 1920
Total
Under
1 year
Under
1 day
1-2
days
2-3
days
3 days
1 week
1-2
2-3
weeks
3 weeks
1 month
months
months
months
months
months
January
February
March
April
2
May
2
1
June
1
July
August
September
4
October
3
1
November
2
December
2
2
Male
12
2
2
1
1
1
1
2
2
Female
10
4
1
2
White
22
6
1
2
2
1
1
2
3
2
Colored
1
1
1
2
to
1-2
2-3
3-6
6-9
to
weeks
9.12
1
1
Table V INFANT MORTALITY
AGES
YEAR 1920
Class No. Cause of Death
Total
under 1 year
Under 1 dav
1-2 days
2-3 days.
3 days to
1-2 weeks
2-3 weeks
3 weeks to
1 month
1-2 months
2-3 months
3-6 months
6-9 months
9-12 months
SM
31 Abdominal Tuberculosis
SM 4
71 Convulsions of Infants ...
[M
79 Organic Diseases of the
Heart
1
M 1
104 Diarrhea and Enteritis. . . F M
109 Hernia (intestinal obstruc- tion )
SM 2
1
150 Congenital Malformations .. F 3 [M.
2
151-1 Premature Birth (not still- born )
F 3
151-2 Congenital Debility
F
152 Other causes peculiar to
Early Infancy
F
168 Absorption of deleterious gases (conflagration ex- cepted ) F
[M ]
1 week
Table VI CONTAGIOUS DISEASES Age and Sex
1
Diseases
Under 5
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75 and Over
Total
1
4
3
M
2
1
Anterior Poliomyelitis
F
. ·
9
M
1
5
3
15
Chicken-pox
F
3
7
1
18
M
4
10
4
Diphtheria
F
3
3
5
1
2
8
M
5
1
2
-
F
.
M
3
9
5
4
10
1
46
Influenza
F
2
6
4
5
6
10
9
6
1
52
Mİ
53
117
8
3
1
2
F
44
112
15
6
2
2
3
184
Measles
M
2
7
1
1
1
1
F
1
3
2
Mumps
M
1
3
2
1
Ophthalmia Neonatorum
F
2
2
2
6
German Measles
181
11
7
1
1
1
17
M
1
2
1
2
1
1
2
10
Pneumonia, Lobar
F
1
2
1
4
M
5
9
2
1
3
20
Scarlet Fever
F
3
9
4
1
2
2
22
M
11
11
Suppurative Conjunctivitis
F
11
11
M
1
1
2
4
Tuberculosis (Pulmonary)
F
2
2
4
2
11
M
Tubercular Meningitis
IF
2
2
M
1
Tuberculosis (Other forms)
F
1
2
2
2
2
Typhoid Fever
IF
1
8
9
17
Whooping Cough
F
11
7
1
19
There were no cases reported of Actinomycosis, Anthrax, Asiatic Cholera, Cebro-Spinal Meningitis, Dysentery, Glanders, Hook- worm Disease, Leprosy, Malaria, Pellagra, Plague, Rabies, Septic Sore Throat, Small-pox, Tetanus, Trachoma, Trichi- nosis, Typhus Fever or Yellow Fever.
70
CITY OF MELROSE
Table VII INFANT MORTALITY
Year
Births
Deaths of children under 1 year
Rate of Mortality of children under 1 year per 1,000 of children born
1914
333
22
66.10
1915
393
26
66.10
1916
384
22
56.70
1917
339
23
67.84
1918
430
28
65.11
1919
405
21
51.85
1920
390
22
56.41
There were sixteen stillbirths during the year 1920.
Table VIII
ESTIMATED POPULATION JULY 1, 1920, 18,371 .
1915
1916
1917
1918
1919
1920
Apparent death rate per 1,000 population
12.58
12.13
15.35
16.00
11.88
12.82
Corrected death rate per
1,000 population
12.00
12.70
15.29
17.00
12.05
12.46
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.
71
REPORT OF THE BOARD OF HEALTH
UNDERTAKERS
The following named undertakers have been licensed: Henry W. Clark, Jolın H. Gately, Fred T. Churchill, F. Sears Stetson, Albert J. Walton and Harry F. Ferguson.
BOARDING HOUSES FOR INFANTS
The Board has approved the applications of the following named persons to maintain boarding-houses for infants :- Mary E. Silver, Jen- nie Ross, Agnes Thomson and Nellie Crosby.
Respectfully submitted,
CLARENCE P. HOLDEN
RALPH R. STRATTON, M. D.
WILLIAM A. TOMER
Board of Health
Report of Inspector of Plumbing
January 25, 1921
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, 1920.
Number of applications received
287
Number of permits granted .
287
Number of sinks installed
132
Number of wash trays installed.
106
Number of water closets installed.
217
Number of bath tubs installed.
124
Number of wash bowls installed. 173
Number of traps replaced. 61
Number of urinals installed.
17
Number of shower baths installed
1
Number of floor drains installed
7
Number of lead bends replaced. 5
Number of washing machines installed.
9
Number of dish washers installed.
1
Number of potato peelers installed
2
Number of pressure boilers installed
57
Number of refrigerators connected.
6
Number of soil pipes renewed.
2
Number of cleanouts replaced. 1
Number of old buildings connected with sewer. 19
Number of old buildings connected with cesspools 1
Number of new buildings connected with sewer. 23
Number of new buildings connected with cesspools.
Respectfully submitted, 8
ANDREW J. BURNETT Plumbing Inspector
Report of Inspector of Animals
January 21, 1921
To the Board of Health, City of Melrose-
Gentlemen :- I herein submit my annual report as Inspector of Animals for the City of Melrose. The annual inspection of all cattle, sheep, swine, etc., within the city limits, was ordered early in 1920. At that time I examined about four hundred and fifty head of cattle, one hundred and fifty swine, and the premises where they were kept. In several places where conditions were not satisfactory, suggestions for betterment were made which were cheerfully received and satisfac- torily carried out.
Many dogs which have injured persons (no doubt in a playful man- ner), were examined, but I am pleased to state none showed any signs of rabies or other communicable disease.
The dairies which are located in this city, while supplying only part of the milk used, compare very favorably with those of other cities, and even surpass some.
The next annual inspection will be made soon, and I hope even better conditions can be reported.
Respectfully submitted,
CALVERT H. PLAYDON, M. D. V.
Report of Inspector of Milk
To the Melrose Board of Health.
Gentlemen :- The following is my report as Milk Inspector for 1920:
During the year two hundred and twenty-three samples were analysed by the Inspector. Samples were taken from each dealer sell- ing over twenty quarts and analysed chemically and bacteriologically. The results of these analyses are presented in the following tables. As a whole, the results are good. The median count of various dealers is quite gratifying, but the chemical results are in some instances quite poor. Of the eighteen dealers from whom samples were taken, five have averages of total solids which fall below state requirements. The Inspector finds that milk must test at least 3.7% fats in order that the total solids shall be 12.0. The Holstein cow is undoubtedly the rea-
73
REPORT OF THE BOARD OF HEALTH
son for the deficiency in total solids. The average producer of milk today is trying to obtain the greatest quantity with minimum expense. The Holstein breed of cattle produce large quantities, but the chemical value of the milk is not so good as that from other breeds.
Owing to the difficulty of travelling in the early months of the year, the Inspector was unable to collect samples during this period. By July sufficient extra samples had been taken to make up the num- ber lost during obligatory idleness.
Respectfully, H. E. BERGER Milk Inspector
74
CITY OF MELROSE
Table No. I.
*MEDIAN NUMBER OF BACTERIA PER C. C. FOR EACH DEALER AND CHEMICAL ANALYSIS AVERAGE 1920
Dealer
Median no. of
bacteria per
Cu. centimeter
No. of samples
% Fat
% Solids
Bloss, W. C.
67,500
12
3.6
11.65
Bucci, John
68,000
7
4.1
12.10
** Forbes Bros.
38,500
24
3.82
12.0
Goldsmith, G. B ..
44,000
12
3.8
12.18
** Hood, H. P. & Sons Howard, Mrs. E. J.
17,000
24
3.55
11.85
** Kiley, R. J
43,000
12
4.35
12.7
Lord, C. G.
58,000
12
3.64
11.83
Manning. J. S.
40,000
12
3.86
12.5
Munn, T. J. & Son
49,000
12
3.6
12.2
Outram, A. W
30,000
5
3.8
12.0
Penney, H.
60,000
12
3,6
11.83
Quinn, M. J ..
31,500
12
3.5
11.92
Roulston, R. R.
58,000
12
3.9
12.4
Spear, Clinton W.
66,000
7
3.8
12.20
Spratt, Mrs. Abbie
18,500
12
3.8
12.15
** Turner Centre.
17,000
12
3.8
12.1
** Whiting, D. & Son
38,500
12
3,6
12.0
19,500
12
4.7
12.20
*Median-The middle term selected after the counts have been arranged in the order of their magnitude.
** Pasteurized.
75
REPORT OF THE BOARD OF HEALTH
Table No. II.
PERCENTAGE OF SAMPLES WITHIN CERTAIN LIMITS
Dealer
Excellent
Under 10,000
Very Good 10,000-20,000
Good
20,000-50,000
Fair
50.000-100,000
100,000-300,000
Over 300,000
Bloss, W. C ..
8.3
. .. .
33.3
33.3
25.
Bucci. J ..
28.5
28.5
43.
Forbes Bros.
4.15
4.15
54.2
20.8
16.7
Goldsmith, G. B.
25.
33.3
33.3
8.4
Hood, H. P. & Sons
45.9
8.4
20.7
25.
Howard, Mrs. E. J.
25.
25.
16.7
33.3
Kiley, R. J.
8.3
25.
25.
41.7
Lord, C. G ..
8.3
41.7
25.
25.
Manning, J. S.
25.
8.3
50.
16.7
Munn, T. J ..
8.3
40.
20.
40.
25.
33.3
Quinn, M. J.
8.3
16.7
50.
25.
Roulston, R. R
16.7
16.7
8.3
25.
25.
8.3
Spear, C. W.
Spratt, Mrs. Abbie.
41.7
16.7
33.3
8.3
Turner Centre
50.
16.7
33.3
Whiting, D. & Son
16.7
8.3
41.7
33.3
..
41.8
33.3
8.3
8.3
Outram, A. W
Penney, H. J.
41.7
14.3
71.4
14.3
.
Poor
Bad
. . .
1
Report of Public Health Nursing Service
INFANT WELFARE
In the past year over one hundred and fifty infants have been visited in the homes. Some of these cases are on our visiting list and follow-up calls are made as long as these can be of assistance to the mothers. Help is given in the care of infected eyes, and instruction in the general care of the baby. Milk has been sent to one family for the baby where it seemed to be needed, and diet lists for children one year, eighteen months and two years of age are provided. These are a help to the mothers when they are changing from milk to solid diet.
Clothing has been given for babies and sometimes for older chil- dren which was much appreciated and the mothers are generally grate- ful for supervision and assistance. A book containing an outline of the fundamental care every baby should receive is provided by the Health Department for the mothers.
Our school work and Infant Welfare work is so closely allied that most every family where there are children or an infant is visited at some time during the year by the nurse.
SCHOOL NURSING
The general routine of the school work does not vary much from year to year. Visiting the schools and the homes, carrying on regular class-room inspection and examination of the pupils, keep me busy dur- ing the school hours. Children absent from school on account of illness are visited, and in this way valuable information is obtained which often prevents serious sickness. The same method is used in cases of exclusion, visits are made to see that proper treatment has been re- ceived.
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