USA > Massachusetts > Norfolk County > Quincy > Inaugural address of the mayor, with the annual report of the officers of the city of Quincy for the year 1930 > Part 9
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149
REPORT OF DEPARTMENT OF HEALTH
CHILD GUIDANCE CLINIC
JANUARY 9, 1931.
DR. EDMUND B. FITZGERALD, Health Commissioner, Quincy, Mass .:
DEAR DOCTOR FITZGERALD :- I take pleasure in submitting to you a statistical resumé of the first year's work of the Quincy Child Guidance Clinic.
I feel that the success of the clinic during the past year has been due largely to the splendid spirit of cooperation which the various community organizations have shown towards us. The clinic has shown such a healthy growth during the year that we are now planinng to hold it on two afternoons a week instead of one.
My staff is now complete and is functioning very smoothly. It consists of :
Dr. William E. McLellan, Examining Physician.
Miss Nina Eldridge, Chief of Social Service Department.
Miss Mary Morris, Social Worker.
Mrs. Dorothy Clarke, Social Worker.
Miss Frances A. Reed, Psychologist.
The analysis of the work is as follows:
Clinics held 49
Total number of cases
80
Continued 8
New cases :
Male 47
Female 25
Referred by:
School authorities
39
Newspaper publicity or lectures
7
Family Welfare Society
6
School nurses 6
Other clinics
5
Board of Health
4
Physicians
3
S. P. C. C.
1
Other sources
9
Referred to physicians
12
Psychometric (mental) Examinations:
Very superior intelligence
5
Superior intelligence
7
Normal intelligence
17
Dull normal intelligence
9
Borderline intelligence
13
Feebleminded intelligence
12
Test could not be performed
2
Test not necessary
15
Problems:
Bad associates
2
Borderline or deficient mentality
24
Correction of sleep habits
2
Dawdling
1
150
CITY OF QUINCY
Day dreaming
4
Enuresis
4
Food fussiness
4
Homosexual tendencies
2
Mal-adjustment due to nationality
7
Masturbation
1
Nail biting
5
Nervousness
3
Neurotic adults
4
Night terrors
2
Non-reader
2
Pathological desire for attention
2
Physical defects as a factor in behavior
20
Birth injury
Incipient tuberculosis
Chorea
Mal-nutrition
Deafness
Nephritis
Defective vision
Spastic paralysis
Fainting
Tonsils and adenoids
Endocrine involvement
Pre-psychotic symptoms
1
School adjustment
11
School offences
9
Show-off behavior
1
Sleep walking
1
Stammering
3
Other speech defects
1
Stealing
2
Stubbornness
2
Teasing
2
Temper tantrums
1
Truancy
3
Unfavorable home environment
8
Unsatisfactory school progress
19
Vocational guidance
6
Note: It is obvious that many cases present more than one prob- lem.
Intake of cases according to age and sex:
Age
Male
Female
Age
Male
Female
9
9
6
16
3
3
10
9
5
18
1
0
11
9
1
20
1
0
12
4
5
Over 21
0
5
13
1
0
14
10
0
52
28
15
5
3
Social Service Activities:
Interviews at Clinic
107
Home visits
97
Visits to effect adjustment
161
Co-operating agencies:
Boston Community Health Association
Boston Trade School for Girls
Catholic Charitable Bureau
2
Mimicry
151
REPORT OF DEPARTMENT OF HEALTH
Children's Hospital, Boston
Church Home Society, Boston
Harvard Institute of Psychology
Massachusetts General Hospital New England Home for Little Wanderers
Quincy Welfare Society
Quincy Hospital
Quincy Public Schools
Rowe Clinic, Evans Memorial, 80 E. Concord Street, Boston S. P. C. C.
Union Industrial School, Walpole
Wrentham State School
Y. M. C. A., Dorchester
Yours very truly, SAMUEL H. COTTRELL, Medical Director, Quincy Child Guidance Clinic.
152
CITY OF QUINCY
REPORT OF DENTAL CLINIC (Parochial Schools)
JANUARY 1, 1931.
DR. EDMUND B. FITZGERALD, Health Commissioner.
DEAR SIR :- The following dental service was performed on the children of the first grade in St. John's and St. Joseph's Parochial Schools of Quincy:
The children were examined in their respective classrooms and classified as to their need of dental attention. The most urgent cases were disposed of first.
Most of the children had never been in a dental chair, so my service of necessity was primarily one of education, which was greatly assisted by the Sisters of the respective schools, who pre- pared the children so as not to fear my service.
The kind attention given the children by the attending nurses of your department was sufficient reason for the great degree of suc- cess attained.
Number of clinics
37
Number of patients
298
Number of operations 531
Extractions 157
Prophylaxis
19
Fillings
354
Copper amalgams
170
Zinc oxide cements
145
Silver amalgams
31
Copper cements
8
Gum treatment
1
Yours very truly,
ALFRED E. O'MALLEY, D.D.S.
REPORT OF PRE-SCHOOL DENTAL CLINIC (Sponsored by Red Cross)
JANUARY 1, 1931.
DR. EDMUND B. FITZGERALD, Health Commissioner :
DEAR SIR :- I beg to inform you that the Pre-school Dental Clinic started operating January 2, 1930, and continued once a week on Thursday morning at the City Dispensary throughout the year.
The children on which this service was rendered ranged from two years up to school age. They were referred by the Child Wel- fare Physician and Health Department nurses, when they found such treatment necessary. My service was primarily that of pre- ventive dentistry, together with educating the child and instruct- ing the mother in proper care of the mouth.
Number of clinics 52
Number of operations 521
Number of fillings 449
Number of extractions
72
Yours very truly,
ALFRED E. O'MALLEY, D.D.S.
REPORT OF DEPARTMENT OF HEALTH
153
REPORT OF MILK INSPECTOR
JANUARY 1, 1931.
DR. EDMUND B. FITZGERALD, Health Commissioner.
DEAR SIR :-- I herewith submit the report for the year ending December 31, 1930.
The following statistics refer to milk, cream, ice cream, oleo- margarine and buttermilk, consumed and produced in Quincy :-
Dairies in City of Quincy
1 cow
8
2 to 5 cows
3
5 to 10 cows
1
11 to 25 cows
5
26 to 50 cows
1
Total number of cows in Quincy
130
Total number of cows in nearby dairies who serve the City of Quincy with milk and cream 132
2,120
Milk produced in Quincy and nearby dairies (quarts-raw) Milk contractors' processing and storage plants in the City of Quincy
7
Out-of-town plants supplying Quincy
11
Teams, auto cars and trucks employed in the distribution
of milk, cream, buttermilk and ice cream in Quincy inspected
164
Milk consumed in Quincy per day (quarts)
30,154
Pasteurized milk consumed per day in Quincy (quarts) 28,034
Raw milk consumed in Quincy per day (quarts).
2,130
Certified milk consumed in Quincy per day (quarts)
183
Grade A milk consumed in Quincy per day 3,147
Per cent pasteurized
Per cent raw
93 7
Cream consumed in Quincy (quarts)
2,936
Ice cream consumed in Quincy (gallons)
1,700
Ice cream manufactured in Quincy (gallons)
790
Buttermilk consumed in Quincy (quarts)
319
Milk processing plants in Quincy (quarts)
4
Milk processed in Quincy (quarts) 23,300
Retail licenses issued-milk, ice cream and oleomargarine 922
Revenue from same
$505.00
Table Classification of Dairies Inspected and Scored
Scoring 41 to 50
1
Scoring 51 to 60
19
Scoring 61 to 70
9
Scoring over 71
1
Milk samples collected and tested for chemical analysis and bacteria
1,392
Samples taken from teams 700
Samples taken from stores and schools 356
Samples taken from dairies
336
Total
1,392
154
CITY OF QUINCY
PERCENT OF MILK SUPPLY
PASTEURIZED
100
94
95
93
90
80
77
70
66
64
.60
500
60
40
20
=1921.
:19221923 -- 1924- 1925 -1926
1927 1 19281- 1929
1930
155
REPORT OF DEPARTMENT OF HEALTH
Ice cream and cream samples collected and tested for chemical analysis and bacteria
160
Ice cream manufacturing plants in Quincy 11
Ice cream manufacturing plants outside Quincy which serve Quincy 16
Milk and ice cream samples are taken from the schools and tested each month during the school year.
603
Number of stores visited and milk chests inspected 398
Number of dairies visited and inspected 120
Number of milk rooms visited and inspected
130
Number of milk processing plants visited and inspected Number of ice cream manufacturing plants visited
125
Number of restaurants visited
71
Number of bakeries visited
21
Number of complaints investigated
5
The price of cream and milk has dropped far below what it has been in many years, retailing in cash and carry stores for 11 cents a quart and cream selling for 15 cents per jar, the quality remaining the same.
Respectfully submitted,
JAMES O'DOWD,
Milk Inspector.
REPORT OF THE BACTERIOLOGIST
JANUARY 1, 1931.
DR. EDMUND B. FITZGERALD, Health Commissioner :
DEAR SIR :- The work in the laboratory the past year has in- cluded the following:
Bacteriologic examinations of milk (38 collections). 608
Chemical examinations of milk (49 collections) 784
Bacteriologic examinations of ice cream. 80
Chemical examinations of ice cream (5 collections) 80
Total number of examinations 1,552
Respectfully submitted,
EDWIN E. SMITH, M.D.
156
CITY OF QUINCY
REPORT OF INSPECTOR OF MEATS AND PROVISIONS
DECEMBER 31, 1930.
To the Commissioner of Health, Quincy, Massachusetts :
DEAR SIR :- I submit the report of the work in this office for the year ending December 31, 1930.
Inspections made
.... 1,335
Meats and Foodstuffs Condemned as Unfit for Food
Beef (pounds)
35
Lamb (pounds)
20
Fresh pork (pounds)
15
Poultry (pounds)
32
Sausage (pounds)
10
Frankforts (pounds)
8
Corned shoulders (pounds)
7
Fresh shoulders (pounds) Fresh salmon (pounds)
15
Haddock (pounds)
350
Prunes (pounds)
10
Candy (pounds)
5
Oysters (quarts)
6
Strawberries (quarts)
192
Sweet corn (bushels)
1
Clams (bushels)
1
Financial Statement
Appropriation
$250 00
Expended :
Transportation
$212 00
Office
) 00
Telephone
15 00
237 00
Balance
$13 00
Food Establishments in Quincy
Markets
145
Stores
192
Restaurants and lunch rooms
69
Creameries
12
Fish markets
39
Delicatessens
17
Fruit stores
49
With the large increase in population the past few years, we are always sure to have a demand for more small business blocks for stores of all kinds in each section of our city.
All our large markets and many small ones have installed re- frigeration systems of some kind, which will enable the owner to keep his meat and provisions at an even temperature regardless of the weather conditions, always cool, dry and sanitary at all times, and a big money saver to the merchant.
14
157
REPORT OF DEPARTMENT OF HEALTH
Merrymount and Adams Shore are a part of our city that is de- veloping fast. This last year two large markets fully equipped with the most modern fixtures for doing business have been opened. Early next summer one more market will open its doors to the public on Sea Street, Houghs Neck, which will be a great benefit to that section, with a full line of meats, provisions and fruits of all kinds in their season.
Any complaints made at this office have its full attention at once. This year we have had only five complaints of any kind which I consider remarkable for any city with the population of ours.
At the present time we have eighty so-called chain stores. Out of that number twenty are full-equipped markets of the most mod- ern type with sanitary fixtures. The managers of this class of stores are thoroughly trained and experts in this line of business.
Our holiday trade was especially good, and our market men ex- pressed themselves as more than pleased with the large demand for poultry of all kinds. Prices were the lowest in many years.
Respectfully submitted,
HOWARD ROGERS,
Inspector of Meats and Provisions.
158
CITY OF QUINCY
REPORT OF SANITARY INSPECTOR
JANUARY 1, 1931.
DR. EDMUND B. FITZGERALD, Health Commissioner :
DEAR SIR :- The following report is respectfully submitted:
I received a provisional Civil Service appointment with the Health Department on June 12, 1930, lasting until September 20, 1930, a period of 15 weeks. During this time, I acted as sanitary inspector and to a certain extent as statistician.
Ninety-two nuisances were closed by an average of 2.6 visits each.
Two mornings and three afternoons were given over to in- specting the vehicles of farmers who buy city garbage to feed the hogs. These had been a source of offence. Twenty-six con- veyances were inspected as to canvas covers and tightness, then rechecked, some three times or more.
Eight visits were made to the City Dump at the request of the mayor to ensure that private collectors of rubbish properly cov- ered the refuse. In regard to this, complaints had been made that it was allowed to blow about the streets.
Business blocks within the city were rigorously inspected as to rear of premises. Frequent inspection remedied disorderly condi- tions in many cases. No record was made of the number of in- spections, as most of these were made when in vicinity of a nuisance.
As statistician, I drew up the monthly morbidity and mortality tables. A scarlet fever study comparing the records of parochial and public schools was made.
Health education by medium of the newspapers was carried on by me.
After regular hours I acted as truant officer to persons venereally diseased reported to me by the Massachusetts Depart- ment of Public Health, or the Quincy Clinic, as lapsing treatments. Twelve persons were followed up by 23 visits. Three had moved out of the city, two had given wrong names or addresses, and the rest induced to resume treatment.
During the vacation of the superintendent I "subbed" for him by answering telephone calls and taking charge of permits, re- ceipts, and physicians' reports, and upon absence of the clerk one week I acted as office typist, in addition to my regular duties.
Other isolated details were incorporated into my office, such as making out the alcohol report for the Federal Prohibition Admin- istration, issuing poultry permits, inspecting homes for the aged, and answering questionnaires.
Very truly yours, A. S. PACTOVIS.
159
REPORT OF DEPARTMENT OF HEALTH
REPORT OF INSPECTOR OF ANIMALS AND SLAUGHTERING
JANUARY 1, 1931.
DR. EDMUND B. FITZGERALD, Health Commissioner:
DEAR SIR :- I hereby submit my report for year ending January 1, 1931.
Number of cows inspected
148
Number of dogs quarantined
140
Yours truly, E. A. deVARENNES,
Inspector of Animals and Slaughtering.
REPORT OF INSPECTOR OF PLUMBING
JANUARY 1, 1931.
DR. EDMUND B. FITZGERALD, Health Commissioner :
DEAR SIR :- As Inspector of Plumbing I have the honor to sub- mit my thirty-seventh annual report.
Number of applications filed
547
Received for permits
$1,026 00
New Buildings for Which Permits were issued
Dwellings
180
Schools
3
Apartment blocks
21
Restaurants
1
Cottages
2
Block of stores
2
Apartments and stores.
1 Machine shop
1
Offices and stores.
1 Mercantile
1
Gas stations
8 Dance hall
1
Garages
4 Warehouses
2
Offices
4 Hospital
1
Stores
3 Work shop
1
Old Buildings for Which Permits Were Issued
Dwellings
229
Offices
2
Summer cottages
3
Restaurants
5
Apartments
2
Work shops
2
Schools
8
Drug store
1
Stores
31 Stone shed
1
Beauty parlors
3
Factories
3
Dormitory
1 Waiting room
1
Church
1
Warehouse
1
Theatre
1 Stone shed
1
Dental parlors
4 Bowling alley
2
Barber shops
7 Theatre
1
160
CITY OF QUINCY
New Buildings Connected with Sewer
Dwellings
127 Schools
3
Apartment blocks
19 Block of stores.
2
Gas stations
6 Stores and apartments. 1
Offices
3 Warehouse
1
Garages
3 Work shop
1
Restaurants
1 Stores and offices
1
Stores
2 Hospital
1
New Buildings Connected with Cesspools
Dwellings
53 Office
1
Summer cottages
2 Garage
1
Gas station
1 Mercantile
1
Machine shop
1
Dance hall and dine.
1
Old Buildings Connected to Sewer (New Connections)
Dwellings
77 Restaurants
1
Work shops
3
Warehouse
1
Stores
3
Stone shed
1
Old Buildings Connected to Cesspools (New Connections)
Dwellings
8
Fixtures Installed
Flush closets
730
Bath tubs
441
Wash bowls
586
Sinks
513
Wash trays
349
Shower baths
16
Floor drains
10
Dental spittoons
8
Urinals
26
Stop sinks
14
Sterilizers
4
Respectfully submitted,
J. J. KENILEY,
Inspector of Plumbing.
161
REPORT OF DEPARTMENT OF HEALTH
REPORT OF NUTRITIONIST
JANUARY 31, 1931.
DR. EDMUND B. FITZGERALD, Health Commissioner.
DEAR SIR :- Herewith is submitted my report as nutritionist for the City of Quincy under the auspices of the Quincy Chapter of the American Red Cross from April 1, 1930, to October 1, 1930. From October 1st until December 31st, I was employed by the Quincy Health Department.
Child Welfare Clinics
The program of general health education through the use of demonstrations and conferences held last year in two of the clinics was extended to the seven clinics throughout the city. Literature distributed to the mothers was obtained from the Department of Labor and Agriculture, the State, and the New England Dairy and Food Council. Home visits were made upon the recommendation of the doctor, or when the nutritionist deemed it necessary after talking to the mother.
The Girl Scouts assisted by entertaining the children of run- about age, both by personal service at the clinics and by making many scrap-books.
Number of clinics attended 98
Number of conferences held at clinics 1,860
Number of visits to homes 82
Number of families reached through visits 31
Clinics for Undernourished Children
At the Saturday morning clinics for undernourished and T. B. contact children, individual instruction in normal high caloric diets was given, as well as encouragement in correct health habits.
On alternate Wednesdays a health club for a small group of junior and high school girls was held at the Dispensary. This has been meeting since September. As they come immediately from school, simple refreshments were served, followed by a talk and informal discussion of various health topics.
Number of clinics attended 30
Number of conferences at clinics 285
Number of children reached through conferences 83
Average number of conferences per child 3.4
Number of Girls' Club meetings 7
Number of active members
12
Number of visits to homes 74
Number of families reached through visits
28
Welfare Work
Home visits and conferences were made on several families de- pendent on the Family Welfare Society and the Public Welfare Department. It was felt that these families needed assistance and close supervision in budgeting and correct food buying.
Number of visits to homes made through Family Welfare 9
Number of visits to homes made through Public Welfare 41
Number of families reached through Family Welfare 4
Number of families reached through Public Welfare 3
162
CITY OF QUINCY
School Classes
Health instruction by a nutritionist was inaugurated in each of the Parochial Schools. Fifteen-minute lessons were given to each grade alternate weeks.
Total number of lessons taught 92
St. Joseph's (April-June), Grades I to IV 16
St. Joseph's (Oct.,-Dec.), Grades I to V 20
St. John's (Sept .- Dec.), Grades I to VIII 56
Total number of pupils taught 667
Additional Activities
The newspapers were extremely cooperative in accepting many publicity articles, as well as a series of letters, addressed to the mothers, on "Food Problems."
The library bought for each branch a number of books on health recommended for both children and adults.
As a part of the Tercentenary celebration, the Red Cross Chap- ter had a booth at the exposition on the "Progress of Industry," showing both First Aid and Nutrition Services. An exhibit on the progress of nutrition from 1630 to 1930 was shown. It was not given with the direct intention of educating the people, but to arouse their interest in it. Approximately 1,000 leaflets of educa- tional material were distributed to mothers, in addition to the many taken by children.
The last ten days of August were spent in Washington at the Nutritionists' Conference held at the American Red Cross build- ings.
Additional Statistics
Total number of visits to homes 206
Total number of families reached through visits 66
Number of babies reached through visits 22
Number of pre-school children reached through visits 35
Number of school children reached through visits 59
Number of adults reached through visits 23
Total number of people reached through visits 139
Number of conferences with mothers at St. John's School. 34
Number of children weighed at St. Joseph's School (April) 160
Number of children weighed at St. Joseph's School (June) 153 Number of children weighed at St. Joseph's School (Sept.) 202
Number of cases referred to dentist 1
Number of cases referred to Pre-school Dental Clinic 2
Number of cases referred to Family Welfare Society 2
Number of cases referred to Public Welfare Department
2
Number of cases referred to M. G. H. Outpatient Department Number of cases referred to Dispensary
1
10
Number of cases referred to Habit Clinic 1
Number of bi-weekly letters to newspapers. 30
Expenditures
Amount received from Quincy Chapter, American Red Cross
$106.85
Amount received from City as a special appropriation for
work at Dispensary 30.00
$136.85
163
REPORT OF DEPARTMENT OF HEALTH
Recommendations
Child Welfare Clinics
That the nutritionist attend only the clinic at Woodward Insti- tute because of the following reasons :-
1. The doctors, supplemented by the nurses, give practically all the information that the mothers really need for the care of their infants.
2. The attention of the mothers is absorbed in the immediate care of the baby and not on what the nutritionist is trying to teach.
3. The physical surroundings, on the whole, are not conducive to either teaching purposes or conferences.
4. As everything has to be carried from place to place, the exhibit has to be of the simplest, so that it is difficult to get variety of subject matter, as well as interest. More- over, the interest of the mother of the tiny baby is limited to few things except formulas.
5. The number of children over one year of age, the nutri- tionists' field, is comparatively small.
That the nutritionists supply the nurses with printed material, posters and exhibits, if they so desire, for use at the clinics.
That the doctors and nurses refer cases to the nutritionist which need attention to be followed up in the homes.
N. B .- When one sees the home conditions, more valuable sug- gestions can be made, both for the baby in question and for other members of the family.
That, if the numbers warrant, the nutritionist attend the pre- school clinic, where she can have individual conferences with each mother, as well as group teaching for the children, provided they arrive at the same hour.
Dispensary Clinics
That the nutritionist continue the work with the undernourished and contact children, both at the Dispensary and with visits to their homes.
That the Health Club for the older girls be continued with an increased membership.
That specific diet lists be given to adults with active T. B. who remain at home.
Welfare Department
That more extensive and intensive work be done with families depending on the city for aid, in the effort to teach them the value of proper food, and how to buy it.
That this can be done by class work, as well as by home visits.
That cases still be taken which are referred by the Family Wel- fare Society.
Schools
That class work in the upper grade only of the Parochial Schools be continued if they so desire.
That the nutritionists be referred to cases by the nurses of the public schools that would be benefited by proper food, to be followed up in the homes.
Dental Clinics
That the nutritionist attend the Dental Clinic and advise mothers in diets and their relation to good teeth.
164
CITY OF QUINCY
Acknowledgments
The nutritionist is greatly indebted to members of the Health Department for their cooperation in every way. Without their assistance it would have been extremely difficult to carry on the work. Gratitude is also extended to the Boston Dispensary and New England Dairy and Food Council for their many helpful sug- gestions for exhibits.
Respectfully submitted, DOROTHY M. LANE,
Nutritionist, American National Red Cross.
165
REPORT OF DEPARTMENT OF HEALTH
MORTALITY STATISTICS
During 1930, there were 603 deaths which occurred in Quincy. This represented a decrease of 10 from the figure in 1929, namely 613. Based on the estimated population of 72,234 on July 1, 1930, the crude death rate was 8.3 per 1,000 population as compared with 8.8 in 1929. Correcting for residents and non-residents, 674 Quincy residents who died during the year indicate a rate of 9.3 as compared with a rate of 10.3 in 1929.
SEX. Of the 603 deaths in 1930, 321 were males (53.2 per cent) and 282 were females (46.8 per cent).
AGE. Of the 603 deaths in 1930, 56, or 9.3 per cent, were under one year of age as compared with 8.8 per cent in 1929. There were 11 deaths over 90 years of age. The oldest age was in the 100 years or over group. The largest number of deaths was in the 70-74 years group and the smallest number in the 5-9 years group (excepting the 100 years or over group). The average age at death fell in the 50-54 years group.
NATIVITY. Three hundred and sixty, or 59.7 per cent, of the 603 deaths, were native.
SEASONAL DISTRIBUTION OF DEATHS. The largest num- ber of deaths in any one month occurred in February, when there were 61, and the next largest in January, when there were 60. The lowest number occurred in September, when 36 deaths were registered.
INFANT MORTALITY. The infant mortality rate in 1930 was 46 per 1,000 live births. In 1930 there occurred 26 deaths in the first week of life, or 46 per cent of all deaths under one year of age, compared with 59.3 per cent in 1929. Sixteen of the 26 deaths in the first week of life occurred on the first day, constituting 29 per cent of all deaths under one year of age, compared with 35.2 per cent in 1929. In the first month there were 33 deaths, or 58.9 per cent of the total, as compared with 68.5 per cent in 1929.
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