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 1932 > Part 8
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Respectfully submitted,
C. J. LYNCH, M.D.
127
REPORT OF DEPARTMENT OF HEALTH
REPORT OF DISPENSARY NURSES
JANUARY 1, 1933.
DR. C. J. LYNCH, Health Commissioner.
DEAR DOCTOR :- We herewith submit to you our annual report for the year ending December 31, 1932.
Total number of all kinds of tuberculosis on record in the city 518
Cases of pulmonary tuberculosis in the city 301
Active cases 111
Arrested cases 127
Cases in sanatoria 63
Cases of childhood type of tuberculosis in the city. 184
Active cases 55
Arrested cases 120
Cases in sanatoria 9
T. B. other cases in the city 24
Cases in the sanatorium 3
Cases at home under treatment 16
Arrested cases 5
New cases of tuberculosis reported during the year
69
Pulmonary
51
Miliary tuberculosis 1
Childhood type and T. B. Kidney
1
T. B. Meningitis
2
Cervical adenitis
1
Childhood type
11
T. B. lymph nodes of the neck
1
T. B. spine
1
Disposition of new pulmonary cases
Admitted to sanatoria
23
Waiting on list to be admitted
1
At home under treatment 12
At home and able to work 1
Died at home 6
1
Died at Tewksbury State Infirmary
1
Died at the Quincy City Hospital
1
Diagnosis revoked by physicians 2
Reported by death certificate 3
Disposition of new childhood type of tuberculosis
4
At home attending clinic
7
At Quincy City Hospital 1
Disposition of new T. B. other cases
At the Quincy City Hospital 1
Admitted to Lakeville Sanatorium 2
Under treatment at Mass. General Hospital 1
Died at the Quincy City Hospital 1
At home attending clinic and school 1
Total number of adult tuberculosis clinics held
51
Total attendance
373
Total registration
56
Total number of T. B. skin tests done Positive reactions 43
133
Negative reactions 13
Total number of adults X-rayed
67
Died at Norfolk County Hospital
Admitted to sanatoria
128
CITY OF QUINCY
Total number of "Minimal T. B." cases reported
Admitted to sanatorium 2
At home working 1
Total number of deaths during the year 34
Died at home 15
Died at Norfolk County Hospital 9
Died at Quincy City Hospital 6
Died at Tewksbury State Infirmary 1
Died at Saranac Lake 1
Died at Medfield State Hospital Insane 1
Died at Plymouth County Hospital
1
Number of adult contacts examined during the year at the dispensary 83
Old contacts 18
New contacts 65
All ex-sanatoria cases who can be located are visited by the dis- pensary nurses and all private cases are followed through the at- tending physician. All homes visited upon report by physician of new case to the health department, instructions given, booklets provided for those patients who are going to stay at home-spu- tum boxes provided free to all cases so that further spread of the disease may be checked. Suggestions are made as to examination of all contacts of every case (T. B. skin test, physical examination and X-ray). Homes are visited after a death and instructions are given. All cases going to Braintree Hospital for X-ray were trans- ported by the nurses every Tuesday A. M. This year we have made a special effort to have all old cases of tuberculosis X-rayed. This is all done free of charge through the dispensary, Dr. Pills- bury, superintendent of the Norfolk County Hospital, taking all X-rays. No home is visited by nurses without permission of the attending physician.
"Undernourished and Contact Children's Clinic"
Total number of clinics held 53
Attendance at clinics 1,940
Registration at clinics 453
Total number of contacts examined 675
Total number of "New" contacts examined 101
Cases referred to Q. C. H. for T. and A. operation 51
Nearly every case was referred for dentistry.
T. B. skin tests done 270
Negative reactions 174
Positive reactions 96
Children taken to Norfolk County Hospital for X-rays 182
Total number of children sent to "Camp Norfolk" for eight weeks
50
Total number of boys (ages 8-13 incl.)
18
Total number of girls (ages 8-13 incl.) 23
Total number of girls (ages 14-18 incl.) 9
These children were carefully chosen by the dispensary physi- cian (family history, T. B. skin test, physical examination, includ- ing per cent underweight, and X-ray-the X-ray being taken by Dr. Pillsbury, Norfolk County Hospital superintendent and su- perintendent of Camp Norfolk) before being admitted to camp.
3
129
REPORT OF DEPARTMENT OF HEALTH
These children are prepared as nearly as possible before enter- ing camp (dentistry done, adenoid and tonsils removed when neces- sary) so that there will be no drawbacks from focal infections. The usual program of rest, sun baths, shower baths, swimming, camp fires, band concerts, flag raising, camp community singing, etc., were carried on for eight weeks. The children are under constant medical attention and a graduate nurse is on duty day and night. For every ten children there is a well chosen counsel- lor who is also in constant attendance. Both the boys and girls did considerable hand work-boys doing woodwork and art, and the girls sewing and embroidering. There was also a period for nature study set aside for each day. The same special attention was paid to diet and the children returned to Quincy with a coat of tan and the picture of health.
There were 4,500 quarts of milk given free through the dispen- sary to 87 different individuals. The money for this milk was given us through our regular milk appropriation in the council and through the Christmas Seal Sale.
"Norfolk County Hospital"
Total number of cases admitted during the year 24
Total registration of cases during the year 76
Total registration of cases at end of the year 48
Condition of patients on discharge from the sanatorium
"Arrested" cases 12
Left against advice "Improved" 3
Left against advice "Unimproved" 2
Discharged "Dead"
8
Discharged "No Tuberculosis"-"Hyperthyroidism" 1
North Reading State Sanatorium for Children
Cases admitted during the year 5
Total registration during the year 20
Total registration at end of the year 4
Condition of patients on discharge from sanatorium
"Apparently Arrested" 12
"Well" no diagnosis-malnutrition 2
Against advice-Improved 2
Westfield State Sanatorium for Children
Cases admitted during the year 3
Total registration during the year
Total registration at end of the year 4
Condition of patients on discharge from sanatorium
"Apparently Arrested" 2
Mattapan Sanatorium
One case registered from Quincy having a Boston settlement.
Massachusetts State School for Crippled Children, "Canton" One case registered (T. B. knee) from Quincy.
Rutland Veterans' Hospital
All cases referred to this hospital are handled by Veterans' Bureau.
130
CITY OF QUINCY
Plymouth County Hospital
Two cases of pulmonary tuberculosis were admitted from Quincy having a settlement in Plymouth County.
Tewksbury State Infirmary
Cases of pulmonary tuberculosis admitted during the year ... 2
Total registration of cases for the year 2
Total registration at the end of the year 1
Condition on discharge from the hospital "Dead" 1
Total number of visits made during the year 2,422
Both nurses attended the annual Norfolk County Health meet- ing at Braintree, at which Miss Russell gave a resume of the pub- lic health course awarded her by the scholarship given by that association for the New York University Extension Course in Pub- lic Health Nursing at the State House, Boston. Both nurses at- tended this course of study, taking periodic examinations during the year. This year the nurses are attending the second year of a four-year course in which they are studying Syphiolology and So- cial Hygiene. Both nurses assisted in the T. A. T. drive for diph- theria immunization in public schools, relieving at Baby Welfare Clinics when necessary, and contagious disease work. During the past year Miss Russell has given lectures on the public health phase of tuberculosis nursing to the training school at the Quincy City Hospital.
Respectfully submitted, MARY E. KEELEY, R.N., GERTRUDE T. RUSSELL, R.N., Dispensary Nurses.
131
REPORT OF DEPARTMENT OF HEALTH
REPORT OF CHILD WELFARE PHYSICIAN
JANUARY 1, 1933.
CORNELIUS J. LYNCH, M.D. Commissioner of Health, City of Quincy, Massachusetts.
DEAR DOCTOR LYNCH :- It is my privilege to submit to you the report of the Child Welfare Clinics for the year ending December 31, 1932.
Statistics
Total Clinic Registration
3,133
Well Baby Clinics
2,440
Preschool Clinics
205
Orthopedic Clinics
488
Number of Clinics
367
Well Baby Clinics
297
Preschool Clinics
48
Orthopedic Clinics
22
Total Clinic Attendance
8,217
Well Baby Clinics
7,459
Preschool Clinics
348
Orthopedic Clinics
410
Total Home Visits by Nurses
1,933
Babies
1,607
Preschool children
216
Boarding Homes
110
A more detailed analysis of these figures may be found in the report of the Child Welfare Nurses and the Orthopedic Clinic report.
The statistical report for the year 1932 presents approximately the same registration and attendance as for the year 1931. The great decrease in number of home visits made by the nurses is ac- counted for by the reduction in transportation facilities provided for the work of the Child Welfare Nurses this year.
Comparison of Annual Reports of Well Baby Clinics
Year
Registration
New Enrollments
Attendance
1927
1,752
622
7,047
1928
2,130
693
7,293
1929
2,783
652
6,795
1930
2,887
717
7,145
1931
2,826
992
8,257
1932
3,133
846
8,218
References of Children
During the year 305 children have been referred by clinic doctors or nurses to the care of local physicians, dentists, or hospitals.
In the report of the Child Welfare Nurses may be found a clas- sification of these references.
The larger than usual number of children referred from the clinics to the care of the local physicians is coincident with the increasingly large number of sick infants and children who have been brought to the clinics during the months of October, November and December.
132
CITY OF QUINCY
Previous to this year acutely ill children were very rarely seen at the Well-Baby Clinics. Financial hardship is the explanation given in a large per cent of the cases seen and referred from the clinics in the past three months. This is a new problem which should be considered immediaately. since upon its solution is de- pendent both safety and service for the well children who are those eligible to clinic advice.
Acknowledgments
To the clinic executives, Mrs. Nettie D. Fowler, R.N., and Miss Mary Marr, R.N., is due great credit for the efficiency with which the clinics are managed, and the satisfaction provided through the educational help which is given in the homes of clinic infants and children.
Volunteer workers in the clinics have included members of the Wollaston Women's Club, who have assisted the nurses at the Wollaston Clinic, and Miss Alice G. Thompson of Wollaston, who has attended the Atlantic Clinic regularly each week, acting as re- corder. Her generosity and ability have made it possible to care for the largest clinic in the city, with a minimum of strain which the handicap of overcrowding would ordinarily present.
The courtesy extended by the School Department for the use of the school buildings for clinics, the North Quincy Council of Knights of Columbus, and Woodward Institute is acknowledged with appreciation.
May I express thanks for the cooperation given to the clinic work by the Commissioner of Health, personnel of the Health Depart- ment office, and other members of the staff of the Health Depart- ment.
Respectfully submitted,
RACHEL L. HARDWICK, M.D., Child Welfare Physician.
133
REPORT OF DEPARTMENT OF HEALTH
REPORT OF CHILD WELFARE NURSES
JANUARY 10, 1933.
DR. C. J. LYNCH, Health Commissioner.
DEAR SIR :- Enclosed is the report of the activities for the Child Welfare work for the year ending December 31, 1932.
Well baby clinics were held each day from 2 to 4 P. M., except on Saturdays, Sundays and holidays. There were clinics held in each ward as stated in the clinic attendance.
Preschool Clinics were held each Wednesday afternoon except as stated above.
Orthopedic Clinics were held the second and third Thursdays of each month, with the exception of the month of August, at the Woodward Institute.
At the Well Baby Clinics there were 2,440 babies registered dur- ing the year. The floating population has been quite noticeable during the past year, possibly due to the unemployment situation, causing a fluctuation in clinic registration.
There were 261 who attended clinics from one to four times. 184 for four months, 437 for six months, and 57 who were referred to the Preschool Clinic and 42 were returned to various infant asylums.
There were seven deaths, five of which were congenital mal- formations, and two were infections. Two of these were registered at the clinic but only came once.
It was very evident that the unemployment situation was the cause of the number of sick babies who were seen at the clinic this year, who were referred to the clinic from various sources.
There were 1,453 babies active at the end of the year.
The causes of deaths were as follows:
Bacterial endocarditis, age 312 years.
Congenital heart, age 11 months.
Pneu, endocrine disturbance, age 7 months.
Congenital malformation, age 2 months.
Pneumonia, age 10 months.
(Secondary anemia)
(Congenital heart), age 9 months.
Little's disease. age 2 years.
Child Welfare nurses assistance at other clinics when needed.
Transferred to School Department
34
Transferred to T. B. clinic
7
Visits to babies under 1 year 1,280
Visits to babies between 1 and 2 years
327
Visits to Preschool group 216
Total number of visits 1,823
Boarding house inspections
95
Temporary board found for babies
15
Referred to the Quincy City Hospital
1
Intestinal toxemia
X-rays 4
T & A 5
19
Surgical Clinic
1
Sprengels deformity 1
Hernia
Referred to the Massachusetts Children's Hospital.
1
11
Bacterial endocarditis
134
CITY OF QUINCY
.
Consultation
1
Hip dislocation
1
Orthopedic Clinic X-ray of foot
1
Check up
1
Birth injury
1
Medical Clinic
Rickets and anemia
1
Hospital care. T. B. tests
1
Malnutrition (now at Wellesley)
1
Eczema
2
Gland
1
Neurological Clinic
Basal metabolism
2
Consultation
1
Psychological test
1
Skin Clinic
1
Heart Clinic
1
Referred to Massachusetts Eye and Ear Hospital
3
Eye infection
1
Nasal infection
1
Eyes examined 1
Referred to N. E. Hospital for Women and Children
1
Referred to local M.D. by nurses
84
187
Referred to local M.D. by clinic doctor Total
271
Discharging mastoid
1
Upper respiratory
71
Bronchitis
11
Gland infections
8
Discharging
11
Ear abscess
2
Feedings
8
Diarrheas
2
Anemia
1
Pyloric spasm
2
Pyloric stenosis
1
Malnutrition 2
5
Strabismus
2
Infections
3
Impetigo
12
General advice
4
Trench mouth
2
Stomatitis
1
Vincents angina
1
Thrush
2
Adenectomy
2
Tonsilectomy
38
Curvature of the spine
1
X-ray treatments
3
X-ray picture 4
(chest)
(elbow)
(nose) (finger)
Boils
1
Granuloma of the navel
15
Eye conditions
.....
135
REPORT OF DEPARTMENT OF HEALTH
Scabies
17
Mongolism
2
Tongue tie
6
Hernias
(double inguinal)
(left inguinal) (right inguinal)
14
? of chickenpox
3
Mumps
4
Worms
4
Nail in foot
1
Irritability and loss of weight
1
Phimosis
8
Skin lesions
22
(rashes as eczema and excoriations)
Urinalysis
4
Heart conditions
2
Clinics
Old Cases Re- opened
Days
Stations
Attendance Examined
New
Mondays
South Quincy
1,482
1,192
118
87
Mondays
Houghs Neck.
608
521
69
Tuesdays
Wollaston
1,274
1,136
148
Wednesdays
Quincy Point.
1,257
1,038
148
Thursdays
Woodward
1,403
1,215
129
Fridays
Atlantic
1,579
1,076
137
Fridays
West Quincy
297
279
34
Totals
7,900
6,457
784
87
Orthopedic, Woodward
410
404
106
Preschool, Woodward
348
345
90
Totals
8,558
7,206
970
The West Quincy and Houghs Neck Clinics were held twice a month instead of each week.
There were 488 children registered at the Orthopedic clinics dur- ing the year. Of these there are 273 active on Dcember 31, 1932. There were 51 referred to other clinics as they were over age, 35 corrected and 129 not located.
At this time the Child Welfare nurses wish to thank for their kindness and assistance to us during the year, the members of the Health Department, local doctors, and to Miss Alice Thompson for her untiring help at the Atlantic clinics; to Dr. Hardwick, Dr. Gorin and Dr. Green, we extend our deepest appreciation, and also the doctors who assisted Dr. Hardwick from time to time.
Respectfully submitted,
NETTIE D. FOWLER, R.N., MARY E. MARR, Child Welfare Nurses.
4
? of pertussis
136
CITY OF QUINCY
REPORT OF ORTHOPAEDIC CLINICS
JANUARY 3, 1933.
DR. C. J. LYNCH, Health Commissioner, Quincy, Mass.
DEAR DR. LYNCH :- The following is the report of the Ortho- paedic Clinics maintained by the City of Quincy as part of its Child Welfare Program for the year 1932.
There have been twenty-two (22) clinics. The clinic days have been the second and third Thursdays of each month, except during the month of August.
The total yearly attendance was 410. Of this number 106 were new cases.
The types of orthopaedic conditions found at the clinics were: faulty posture, pronated feet, knock-knees, wry neck, generalized muscular weakness and rachitic deformities.
As in previous years, the success of the Clinic is due to the co- operation and assistance given by those interested in Child Wel- fare.
Respectfully submitted,
M. G. KATZEFF, M.D., Orthopaedic Physician.
REPORT OF DEPARTMENT OF HEALTH
137
REPORT OF QUINCY HABIT CLINIC
JANUARY 17, 1933.
CORNELIUS J. LYNCH, M.D., Quincy Health Department, City Hall, Quincy, Mass.
MY DEAR MR. LYNCH :- I am enclosing a report of the activities of the Habit Clinic in Quincy for the past year.
During the year ending December 31, 1932, the Quincy Habit Clinic observed an appreciable and encouraging widening of the scope of its activities together with an increase in clinic attendance. All phases of the work were in excess of those of the previous year.
Although there has been an evidence increase in clinic attend- ance as seen numerically, that alone has not been the convincing factor in the clinic's growth but rather the general acceptance of the clinic by the community and the occasions on which the clinic has been called in to consult in problems that were not primarily of a psychiatric nature. The service rendered by the clinic to ad- jacent communities has also shown a proportionate growth so that at the present time Braintree, Weymouth, Milton and towns on the Cape are all participating in the service.
The general community response has been most gratifying and the personnel expresses genuine appreciation to those whose co- operation and efforts have helped to make the clinic a success.
Number of weekly clinics held 48
Number new cases
89
Number old cases seen
17
Number visits by children
318
Number visits by social worker to homes. 407
Referring Agencies
Schools
28
Relatives
29
Physicians
15
Well Baby and T. B. Clinics
14
Children's agencies
2
Clinic staff
1
Problems for Which Referred
Poor school adjustment
17
Thumb and finger sucking
16
Enuresis
10
Disobedience.
10
Masturbation
8
Speech defect
Nervousness
5
Food capriciousness
5
Nail biting
4
Soiling
3
Stealing
3
Whining
3
Sleep disturbance
3
Temper tantrums
Day dreaming
2
7
5
Poor social adjustment
3
138
CITY OF QUINCY
Eating wood
2
Lying
2
Hyperactivity 2
Truancy
2
Diagnosis and advice
2
Fears and shyness
2
I want to thank you and your assistants at this time for the splendid cooperation and support we have always met in your office.
Very sincerely yours,
OLIVE A. COOPER, M.D., Assistant to Director.
139
REPORT OF DEPARTMENT OF HEALTH
REPORT OF QUINCY CHILD GUIDANCE CLINIC
DECEMBER 30, 1932.
DR. CORNELIUS J. LYNCH, Health Commissioner, 1309 Hancock Street, Quincy, Massachusetts.
DEAR DOCTOR :- Enclosed please find the annual report of the Quincy Child Guidance Clinic which you requested in your letter of December 13th.
Sincerely yours,
NINA ELDRIDGE, Head Social Worker.
Approved by EARL K. HOLT, M.D. Superintendent.
Conducted by Medfield State Hospital from January 1, 1932, to January 1, 1933
To the Commissioner of the Dept. of Health of Quincy, Dr. Cor- nelius J. Lynch.
I beg to submit the following report on the Quincy Child Guid- ance Clinic from January 1, 1932 to January 1, 1933 :-
Personnel
Psychiatric Director-Dr. Grace T. Cragg
Social Service-Nina Eldridge Mary A. Morris
Psychometrist-Frances A. Reed
Number of Clinics Held 39
Clinics omitted during July, August and other school vacations.
Numerical Summary of Cases
New
Renewed Continued
Total
Boys
44
5
9
58
Girls
22
0
7
29
66
5
16
87
Distribution according to age-
Male
Female
Total
Under 12 years
17
10
27
12 to 16 inclusive.
21
12
33
4
2
6
Over 16 years
42
24
66
140
CITY OF QUINCY
New cases were referred as follows:
By school principals and teachers-
High Schools
3
Trade Schools
5
Grammar Grades 35
43
By School Nurses
6
By Parents
3
By Juvenile Court
11
By S. P. C. C.
2
By Children's Aid Association
1
66
Mental Ratings
(Percentages)
Superior Intelligence
3
Normal Intelligence
26
Dull Normal Intelligence. 20
Borderline Intelligence 16
Feebleminded Intelligence
29
Not done
6
Above Borderline Intelligence
49
Borderline and below
45
Social Service Activities
Interviews with children at Clinic
254
Interviews with interested persons
75
Histories taken
60
Follow-up visits
86
Problems
School
Miscellaneous
Behavior
Awkwardness
Progress
Cheating in school
Placement
Disobedience
Enuresis
Delinquency
Food fussiness
Destroying of property
Home adjustment
Malicious mischief
Hyperactive
Larceny
Inability to concentrate
Idle and disorderly conduct
Incorrigibility
Lewd and Lascivious conduct
Breaking and entering
Nervousness
Personal hygiene
Personality Defects
Desire for attention
Indifference
Irritability
Poor memory
Pre-psychotic tendencies
Profanity
Racial sensitiveness
Moodiness Rebellion against authority
Truancy Vocational guidance
Seclusiveness
Stubborness
Limited interests
Physical factors Pilfering
Poor choice of companions
Lack of self-control Lying
Wayward tendencies
141
REPORT OF DEPARTMENT OF HEALTH
The Clinic is held each Thursday afternoon at 2:30 at the Home Making School. The particular feature of the work this past year has been the increase in the number of Juvenile Court cases re- ferred for advice and assistance in supervision. The year just closed is the third year of the establishment of the Clinic.
Respectfully submitted GRACE T. CRAGG, M.D. Psychiatric Director.
142
CITY OF QUINCY
REPORT OF MILK INSPECTOR
JANUARY 1, 1933.
DR. C. J. LYNCH, Health Commissioner.
DEAR SIR :- I herewith submit my report for the year ending December 31, 1932.
The following statistics refer to milk, cream, ice cream, oleo- margarine and buttermilk, produced and consumed in Quincy:
Dairies in City of Quincy
1 cow
. to 6 cows 3
7 to 15 cows 3
16 to 42 cows 1
Total number of cows in Quincy
86
Total number of cows in nearby dairies who serve the city of Quincy with milk and cream 347
Milk produced in Quincy and nearby dairies (quarts) 4,330
Milk sold raw in Quincy (quarts) 1,160
Milk contractors processing plants, storage and creameries in the City of Quincy. 10
Milk contractors from out of town supplying milk to the City of Quincy 20
Teams, auto cars and trucks employed in distribution of milk, cream, ice cream and buttermilk in the City of Quincy (all have been inspected)
193
Milk consumed in Quincy per day (quarts)
32,376
Pasteurized milk consumed per day (quarts) 31,216
Raw milk consumed per day (quarts) 1,160
(All from Tuberculin tested cows)
Certified milk consumed per day in Quincy (quarts)
131
Grade A milk consumed per days in Quincy (quarts) 4,187
Percentage pasteurized milk consumed in Quincy.
97
Percentage raw milk consumed in Quincy .... 03
Cream consumed in Quincy per day (qts.) all pasteurized 2,711
Ice cream manufactured in Quincy per day (gallons) 540
Ice cream consumed in Quincy per day (gallons) 1,760
(All ice cream is pasteurized)
Buttermilk consumed in Quincy (quarts)
426
Milk processing plants doing business in Quincy
4
Amount of milk processed in Quincy (quarts)
23,350
Retail licenses issued in Quincy for milk, ice cream and oleomargarine 791
Revenue from licenses
$417.50
Table Classification of Dairies Inspected and Scored
Scoring 50 to 60
15
Scoring 61 to 70
3
Number of dairies remodelled
6
Number of new dairies installed
8
Number of sanitary inspections made
17
Milk samples collected and tested for chemical analysis and bacteria
1,395
Samples taken from teams 857
Samples taken from schools and stores .. 285
Samples taken from dairies
253
1,395
8
143
REPORT OF DEPARTMENT OF HEALTH
Milk samples below State Standard for butter fats 5
Milk samples with high bacteria count .. 14
Ice cream samples collected. 160
Samples taken for butter fats. 80
Samples taken for bacteria 80
160
Ice cream manufacturers doing business in Quincy 8 Ice cream manufacturing plants serving Quincy from out of town 31
Milk and ice cream samples are taken from all schools and tested each month during the School year. All samples met the State Standard.
Ice cream complaint investigated 1
Milk complaint investigated
Number of schools and stores visited and milk and cream cabinet inspected 689
1
Number of dairies visited and inspected.
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