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 1933 > Part 6
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$17,814 77
Assessors
2 00
$17,816 77
Charge by Auditor
1,695 53
Credit by Auditor
793 15
$18,719 15
Amount abated during year 1933.
2,214 69
$16,504 46
Amount collected during year 1933 6,082 16
Amount uncollected January 1, 1934 $10,422 30 Amount of interest collected 296 24
74 50
316 40
Amount of interest collected
21 43
$19,512 30
6,082 16
100
CITY OF QUINCY
Main Sewer Apportionments of 1931
Amount uncollected January 1, 1933
$15 10
Charge by Auditor
72 90
$88 00
Credit by Auditor
22 32
$65 68
Amount abated during year 1933.
6 42
$59 26
Amount collected during year 1933. ... 2 13
Amount uncollected January 1, 1934 ....
$57 13
Committed Interest on Main Sewer Apportionments of 1931
Amount uncollected January 1, 1933
$5 18
Charge by Auditor
19 47
$24 65
Credit by Auditor
6 78
$17 87
Amount abated during year 1933
1 28
$16 59
Amount collected during year 1933 ....
11
Amount uncollected January 1, 1934
$16 48
Street Betterment Apportionments of 1931
Amount uncollected January 1, 1933
$100 89
Charge by Auditor
244 58
$345 47
Credit by Auditor
85 00
$260 47
Amount abated during year 1933.
165 01
$95 46
Amount collected during year 1933.
3 59
Amount uncollected January 1, 1934 ....
$91 87
Committed Interest on Street Betterment Apportionments of 1931
Amount uncollected January 1, 1933 ....
$26 91
Charge by Auditor
165 02
$191 93
Credit by Auditor
31 23
$160 70
2 13
11
3 59
101
REPORT OF COLLECTOR OF TAXES
Amount abated during year 1933 .. ...... 125 52
$35 18
Amount collected during year 1933 .... 52
Amount uncollected January 1, 1934 ....
$34 66
Sidewalk Apportionments of 1931
Amount uncollected January 1, 1933
$33 30
Charge by Auditor
44 38
$77 68
Credit by Auditor
61 30
$16 38
Amount collected during year 1933 ...
5 00
Amount uncollected January 1, 1934
$11 38
Committed Interest on Sidewalk Apportionments of 1931
Amount uncollected January 1, 1933
$17 29
Charge by Auditor
14 47
$31 76
Credit by Auditor
26 82
$4 94
Amount abated during year 1933.
1 67
$3 27
Amount collected during year 1933 ....
30
Amount uncollected January 1, 1934
$2 97
Old Age Assistance Tax of 1931
Amount uncollected January 1, 1933 ....
$454 00
Charge by Auditor
253 00
$707 00
Credit allowed by State
ยท111 00
$596 00
Credit by Auditor
66 00
$530 00
Amount collected during year 1933
16 00
Amount uncollected January 1, 1934
$514 00
Tax of 1932
Amount uncollected January 1, 1933 .... $1,793,863 69 Additional Warrant by Assessors .. 12 00
$1,793,875 69
52
5 00
30
16 00
102
CITY OF QUINCY
Reconsideration of abatements by
Assessors
45 45
Charge by Auditor $1,793,921 14
120,597 07
Credit by Auditor
407,782 11
Amount abated during year 1933.
21,520 55
$1,485,215 55
Amount collected during year 1933 .. 1,440,038 56
Amount uncollected January 1, 1934
$45,176 99
Amount of interest collected
54,784 93
Main Sewer Apportionments of 1932
Amount uncollected January 1, 1933
$11,479 16
Charge by Auditor
1,015 89
$12,495 05
Credit by Auditor
3,555 54
$8,939 51
Amount abated during year 1933. 11 85
$8,927 66
Amount collected during year 1933 .... 8,721 14
Amount uncollected January 1, 1934
$206 52
Committed Interest on Main Sewer Apportionments of 1932
Amount uncollected January 1, 1933
$3,126 97
Charge by Auditor
272 51
$3,399 48
Credit by Auditor ....
984 34
$2,415 14
Amount abated during year 1933. ..... 2,358 08
Amount uncollected January 1, 1934
$55 95
Street Betterment Apportionment of 1932
Amount uncollected January 1, 1933 ....
$28,432 73
Charge by Auditor
2,600 27
$31,033 00
Credit by Auditor
8,472 94
$22,560 06
Amount abated during year 1933. 271 45
$22,288 61
Amount collected during year 1933. 22,048 62
Amount uncollected January 1, 1934 ....
$239 99
1,440,038 56
8,721 14
2,358 08
22,048 62
$1,914,518 21
$1,506,736 10
REPORT OF COLLECTOR OF TAXES
103
Committed Interest on Street Betterment Apportionments of 1932
Amount uncollected January 1, 1933 ....
$10,379 09
Charge by Auditor
912 41
$11,291 50
Credit by Auditor ........ 3,049 56
$8,241 94
Amount abated during year 1933. 129 57
$8,112 37
Amount collected during year 1933. ... 7,986 09
Amount uncollected January 1, 1934
$126 28
Sidewalk Apportionments of 1932
Amount uncollected January 1, 1933
$7,596 50
Charge by Auditor
365 68
$7,962 18
Credit by Auditor
1,428 26
$6,533 92
Amount abated during year 1933.
16 01
$6,517 91
Amount collected during year 1933 .... 6,468 47
Amount uncollected January 1, 1934
$49 44
Committed Interest on Sidewalk Apportionments of 1932
Amount uncollected January 1, 1933 ....
$2,452 13
Charge by Auditor
131 70
$2,583 83
Credit by Auditor ...... 470 30
$2,113 53
Amount abated during year 1933.
8 64
$2,104 89
Amount collected during year 1933 .... 2,084 34
Amount uncollected January 1, 1934
$20 55
Gypsy Moth of 1932
Amount uncollected January 1, 1933
$801 52
Charge by Auditor
5 00
$806 52
Credit by Auditor
55 00
$751 52
Amount collected during year 1933 .... 751 52 751 52
7,986 09
6,468 47
2,084 34
104
CITY OF QUINCY
Old Age Assistance Tax of 1932
Amount uncollected January 1, 1933 .... $5,005 00 Additional Warrant by Assessors. 6 00
$5,011 00
Charge by Auditor
7 00
$5,018 00
Credit allowed by State
165 00
$4,853 00
Amount collected during year 1933 ....
1,788 00
Amount uncollected January 1, 1934
$3,065 00
Tax of 1933
Total amount committed by Assessors .. $3,819,569 94 Reconsideration of abatement by
Assessors
20 07
$3,819,590 01
Charge by Auditor
3,031 85
$3,822,621 86
Amount abated during year 1933. 21,698 74
$3,800,923 12
Amount collected during year 1933 .... 2,033,427 70
Amount uncollected January 1, 1934 $1,767,495 42 Amount of interest collected
Main Sewer Apportionments of 1933
Total amount committed by Assessors
$20,885 47 Charge by Auditor 6 42
$20,891 89
Amount abated during year 1933.
11 78
$20,880 11
Amount collected during year 1933 .... 7,455 75
Amount uncollected January 1, 1934
$13,424 36
Sidewalk Apportionments of 1933
Total amount committed by Assessors $10,423 32
Amount collected during year 1933 ... 4,221 17
Amount uncollected January 1, 1934
$6,202 15
Street Betterment Apportionments of 1933
Total amount committed by Assessors $39,802 26
Charge by Auditor 120 29
$39,922 55
1,788 00
2,033,427 70
2,304 42
7,455 75
4,221 17
105
REPORT OF COLLECTOR OF TAXES
Amount abated during year 1933. .. 417 43
$39,505 12
Amount collected during year 1933 .... 15,060 33
Amount uncollected January 1, 1934
$24,444 79
15,060 33
Committed Interest on Betterments of 1933
Total amount committed by Assessors $22,611 99
Charge by Auditor
71 83
$22,683 82
Amount abated during year 1933
265 40
$22,418 42
Amount collected during year 1933. 8,385 03
Amount uncollected January 1, 1934
$14,033 39
Poll Tax of 1933
Total amount committed by Assessors $46,038 00
Charge by Auditor 12 00
$46,050 00
Amount abated during year 1933.
90 00
$45,960 00
Amount collected during year 1933 ... 30,056 00
Amount uncollected January 1, 1934
$15,904 00
Old Age Assistance Tax of 1933
Total amount committed by As- sessors
$23,108 00
Charge by Auditor
6 00
$23,114 00
Amount collected during year 1933 .... 15,100 00
Amount uncollected January 1, 1934 $8,014 00
Water Liens of 1933
Amount committeed by Treasurer.
$45,528 02
Credit by Treasurer. 1,378 64
$44,149 38
Amount abated during year 1933.
3 10
Amount collected during year 1933 ....
6,931 13
Amount uncollected January 1, 1934 .... $37,215 15
8,385 03
30,056 00
15,100 00
$44.146 28
6,931 13
106
CITY OF QUINCY
Motor Excise Tax of 1929
Amount uncollected January 1, 1933 ....
$2,448 77 Reconsideration of Abatement by
Assessors
91 70
$2,540 47
Charge by Auditor.
117 49
$2,657 96
Credit by Auditor.
159 34
Amount abated during year 1933.
1,127 56
$1,371 06
Amount collected during year 1933 .... 205 40
Amount uncollected January 1, 1934 ....
$1,165 66
Amount of interest collected.
16 29
Motor Excise Tax of 1930
Amount uncollected January 1, 1933 ....
$5,189 13
Reconsideration of abatement by
9 44
$5,198 57
Charge by Auditor
57 47
$5,256 04
Amount abated during year 1933.
1,918 99
$3,337 05
Credit by Auditor.
52 64
$3,284 41
Amount collected during year 1933 .... 406 17
Amount uncollected January 1, 1934 ....
$2,878 24
Amount of interest collected.
Motor Excise Tax of 1931
Amount uncollected January 1, 1933 ....
$11,036 88
Reconsideration of abatement by
Assessors
6 44
$11,043 32
Charge by Auditor
476 26
Credit by Auditor
68 67
$11,450 91
Amount abated during year 1933 94 77
$11,356 14
Amount collected during year 1933 .... 1,532 16
Amount uncollected January 1, 1934 ....
$9,823 98 Amount of interest collected. 247 71
406 17
39 74
$11,519 58
1,532 16
205 40
Assessors
$2,498 62
107
REPORT OF COLLECTOR OF TAXES
Motor Excise Tax of 1932
Amount uncollected January 1, 1933 ....
$29,925 09 Additional Warrant by Assessors. ..... 298 71
$30,223 80
Reconsideration of abatement by
Assessors
15 40
Charge by Auditor
243 42
$30,482 62
Amount abated during year 1933.
870 30
$29,612 32
Amount collected during year 1933 ....
15,863 93
Amount uncollected January 1, 1934 ....
$13,748 39
Amount of interest collected.
754 24
Motor Excise Tax of 1933
Total amount committed by Assessors $114,345 10 Reconsideration of abatement by
Assessors
95
$114,346 05
Charge by Auditor.
943 68
Amount abated during year 1933
4,455 55
$110,834 18
Amount collected during year 1933 ..
74,377 95
Amount uncollected January 1, 1934 ....
$36,456 23
Main Sewer
Amount collected during year 1933 on Main Sewer 7,486 79 Amount of interest collected. 22 73
Street Betterment
Amount collected during year 1933 on Street Bet- terment
4,057 84
Amount of interest collected
71 44
Permanent Sidewalk
Amount collected during year on Permanent side- walk
859 48
Amount of interest collected.
22 42
Amount of costs collected during year 1933.
4,843 04
Amount of bank interest collected during year 1933
28 13
Total amount of cash collected during year 1933 .... $3,787,680 63
EDWARD G. MORRIS, Collector of Taxes.
74,377 95
Amount of interest collected. 34 82
$115,289 73
15,863 93
$30,239 20
108
CITY OF QUINCY
REPORT OF DEPARTMENT OF HEALTH
FEBRUARY 7, 1934.
To His Honor the Mayor and the President and Members of the City Council.
GENTLEMEN :- I am re-establishing the policy instituted in my report for 1927 in that this report for Health Department activi- ties for 1933 is modelled on the scoring system adopted by the American Public Health Association. During the years 1930, 1931 and 1932 there was no such report made. Early in 1933 the score for 1932 was made out by Mr. Francis Driscoll-statistician- assisted by Mr. Alec Robertson, who was formerly connected with this department. Although this score properly does not belong here, I believe it is necessary for purposes of record.
The score is easily understood and by this method one can com- pare the health work of this city with all others using this scoring system. It will be seen that the numerical values assigned to each subject automatically inform one as to the more important health activities. Two are especially important-"Communicable Disease Control" and "School Hygiene."
Activities
Attain- able Points
1928
1929
1930 & 1931
1932
1933
Vital statistics
50
50
50
No
26
44.5
Communicable disease control
160
142
150
score 127.2
124.8
Venereal disease control.
50
20
23
27
32
Tuberculosis control
90
83
80
81.4
84.6
Maternity hygiene
80
56
56
56
56.8
Infant hygiene
80
64
66
45.6
72
Pre-school hygiene
80
32
44
30.4
29.6
School hygiene
120
73
76
64.8
81.6
Milk and food control
70
49
54
55.3
55.3
Sanitation
80
53
56
52
52
Laboratory
60
43
49
45.6
46.8
Popular health instruction.
40
37
38
0
27.6
Cancer control
20
2
2
1.2
3
Heart disease control
20
8
2
.40
3
1000
712
746
612.4 714.20
It will be seen that there were gains in all subjects except Com- municable Disease Control and Preschool Hygiene. The total loss in both these subjects amounted to only 3.2 points. There was a gain of 101.7 points in spite of the fact that the budget was smaller than the previous year.
The appraisal form should be looked upon as capable of present- ing a reasonably accurate picture of health service actually per- formed in a city as evidenced by selected typical activities.
The following paragraphs will take up each one of the Health Department activities individually-along with comments that might be of interest in a report of this nature.
109
REPORT OF DEPARTMENT OF HEALTH
Vital Statistics
Statistical tables and charts have been kept of each of the locally important causes of death for the past sixty years. The City Clerk's department deserves much credit for this good score.
Communicable Disease Control
During February there was an outbreak of forty-nine cases of scarlet fever directly traced to a supply of infected raw milk from a neighboring town. This dealer delivered approximately one hun- dred and fifty quarts daily-mostly in the Cranch Hill district. On the same milk route were also many cases of so-called septic- sore throat and one or two cases of erisypelas. One case of erisypelas died. On account of the quick work of the health agent in the town where the milk was produced, who ordered immediate pasteurization of this infected milk supply, the epidemic was checked before it reached alarming proportions. The State Depart- ment of Health made a careful investigation of this outbreak and have added this additional milk-borne epidemic to their ever-grow- ing list of epidemics produced by unsafe raw milk. The actual cost to the city because of hospitalization of scarlet fever cases from this epidemic was $600.00.
There were twenty-five cases of diphtheria-one less than the year before-but the mortality rate of these cases was much higher. This is either due to a delay in receiving anti-toxin or perhaps these fewer cases were due to a more virulent organism. Almost all of these cases occurred in Quincy Point. There were no diphtheria prevention clinics during the year on account of a marked reduction in the Health Department Budget. Many news- paper articles stressing the importance of preventing diphtheria were written. The parents of every baby born in Quincy received a notice when the baby was six months old about the necessity of using toxin-antitoxin or diphtheria toxoid.
During the last of the year, however, four small clinics were run for welfare recipients only. The Health Department encour- ages the hospitalization of scarlet fever cases in order to cut down the number of secondary cases.
During the coming year an effort is to be made to accumulate a supply of scarlet fever convalescent serum which can be used most effectively in preventing secondary cases in the same family.
Venereal Disease Control
There was approximately a twenty-five per cent increase in visits to the Venereal Disease Clinic. The Health Commissioner and the Venereal Disease Physician are strongly of the opinion that more follow-up of lapsed cases is necessary. Until such time that this department can secure one or two trained social workers this will of necessity be impractical. The facilities for treatment in the Quincy Dispensary are wretched. Surely this city needs a newer and larger building!
Tuberculosis Control
The rapid increase in the cost of tuberculosis control is beyond question. However, the other side of the picture is that the rapid decrease in the cases of tuberculosis is also beyond question. In 1923-ten years ago-tuberculosis cost the City of Quincy $14,098, in a total Health Department Budget of $45,555. This amounted to almost 31 cents of the Health Department dollar. In 1933 the cost of tuberculosis prevention went up to $39,395 in a total health
1
110
CITY OF QUINCY
budget. of $77,808. This came to almost 51 cents of the Health Department dollar. I believe, however, that this is probably the peak.
No one would ever suggest that the number of tuberculous pa- tients admitted to the sanatoria be reduced, if there are cases to be admitted, but it is unfortunate that so large a percenage of the Health Department budget goes for hospitalizing these cases. While hospitalization of these cases is of great importance, never- theless, other Health Department activities of equal importance must necessarily suffer because of lack of funds. The waiting list for admission to the Norfolk County Sanatorium is much shorter and at times cases have been admitted with no delay whatsoever. During the year the State Department of Health carried on the "Ten Year Program" as before. In this way it is hoped to reach more and more of the childhood cases. The State Department of Labor also carried on an investigation as to the percentage of stone cutters showing "silicosis"-a condition which is very apt to encourage tuberculosis in the same individual. This investigation was done because practically all the industrial insurance companies refused to cover the stone-cutting industry.
The Norfolk Health Camp took care of 34 children as compared with 50 children during the previous year. The Ten Year Tubercu- losis program in the schools will undoubtedly pick up a number of cases of childhood tuberculosis. Most of these will be able to con- tinue in school, but steps should be taken to provide rest periods for these children at the schoolhouses. Open air classrooms are no longer considered necessary, but rest and improved nutrition are important.
Maternity Hygiene
Maternity Hygiene service in Quincy is provided almost entirely by the Visiting Nursing Association. For three years the Quincy Hospital has also managed a pre-natal clinic held in the Quincy Dispensary once a week. There should be more pre-natal cases under clinic supervision. The neonatal death rate is the lowest since 1919 (when records were first kept) and probably the lowest in the history of the city.
Infant Hygiene
Because of the fact that automobile transportation was secured for each child welfare nurse the number of nursing visits increased from 1,918 visits in 1932 to 3,755 visits in 1933. It is always cheaper to the city for their nurses to have automobile transporta- tion because then a much larger number of visits can be made in a given time. It is poor economy to pay a nurse for a walking tour.
There was only one death among the registered babies under one year. This was from pneumonia-which certainly cannot be considered a preventable death. This record (no deaths from nutritional disturbances) shows the effectiveness of this particular phase of preventive medicine.
The West Quincy Conference, which was the most poorly at- tended clinic in the city, was abolished on grounds of economy. The present quarters for the Baby Conferences are about as good as can be secured. Through the cooperation of the School Depart- ment and Woodward Institute three of the conferences are now held in school buildings. There were about 250 fewer babies regis- tered than in the previous year.
111
REPORT OF DEPARTMENT OF HEALTH
Pre-School Hygiene
The nurses' visits to the pre-school child increased from 216 to 458. On grounds of economy the Pre-school Clinic was temporarily discontinued. The attendance at this clinic was rather poor. Cer- tainly the public should take more interest in the child's health at this period of life. An attempt will be made in the coming year to arouse interest in the "Summer Round Up" whereby each child is examined about four months before entering school and all physical defects corrected as soon as possible.
Health of the School Child
This is under the care of the School Department as far as the public schools are concerned.
Early in March, following permission of His Honor, the Mayor, a half-time nurse was appointed who devoted every morning to health work in the parochial schools. Your Health Commissioner also examined the first-grade children in each one of the three pa- rochial schools. The commonest defect seemed to be carious teeth. This existed to such an extent that there is no doubt in my mind but that a program to preserve teeth must start during the child's pre-school life to be effective. Through the courtesy of the Speech Reader's Guild it was also possible to secure audiometer tests for the entire school population in the parochial schools. All possible hearing defects thus discovered were corrected. The school nurse carried out accurate sight tests, using the usual Snellen test types.
Unfortunately, as far as the public schools are concerned, there has been no dental program whatsoever during the year.
Food and Milk Control
As yet we have no system of scoring food establishments. With only one half-time food inspector restaurant inspection is impos- sible.
During the early spring of 1933 Quincy had its FOURTH MILK BORNE EPIDEMIC. There were previously three small typhoid epidemics in 1913, 1915 and 1925.
This year the city experienced a milk borne scarlet fever epi- demic-in spite of the fact that there is only about one and three- tenths per cent of the milk sold in this city unpasteurized. An- other striking fact is that the six months' average of the bacterial counts from the particular milk producer involved showed an aver- age of about half of the counts of the other raw milk producers selling in Quincy. This shows the fallacy of depending upon bac- terial counts as indices of the safety of various milk supplies. It also shows that the only safe milk supply for any city is one that is either completely pasteurized or one that allows only certified raw milk to be sold. About 85 per cent of the milk sold in the state is now pasteurized. The following cities and towns have adopted regulations preventing the sale of raw milk unless said milk is pasteurized or certified: Boston, Brookline, Newton, Ded- ham, Watertown, Waltham, Chelsea, Winchester, Salem, Fall River, Lexington and Ayer. The city of Attleboro has adopted such a regulation, taking effect January 1, 1934. The following extract is from the milk sanitation program of the United States Public Health Service.
"SHOULD THE HEALTH OFFICER RECOMMEND COM- PULSORY PASTEURIZATION OR SHOULD HE PROMOTE PASTEURIZATION BY PURELY EDUCATIONAL METHODS?
112
CITY OF QUINCY
There can no longer be any question but that authoritative and expert opinion is almost unanimously to the effect that all milk should be pasteurized.
Tuberculin testing, while a necessary and valuable public health measure, is nearly, but never quite, 100 per cent protective against tuberculosis. Laboratory examinations of dairy employees will eliminate many typhoid fever carriers, but no bacteriologist be- lieves that all carriers can thus be excluded from dairies. The washing and sterilization of utensils, and the sanitation of farm water and supplies and privies, are important items of sanitation, but they cannot be assumed to protect against septic sore throat organisms which gain access to the milk from the throat of an infected milker, or from an infected udder which has escaped rec- ognition.
On the other hand, opinion, even authoritative opinion, is sharply divided as to whether pasteurization should be secured by compul- sion or through education.
Many health officers are coming to adopt the method of com- pulsion and are urging their legislative bodies to pass ordinances requiring all milk to be pasteurized before delivery to the con- sumer. They take a position which has the appeal of logic, namely, that THE PRINCIPAL VICTIMS OF INFECTED RAW MILK ARE CHILDREN WHO HAVE NOT THE POWER OF DECID- ING FOR THEMSELVES EVEN IF THEY COULD BE EDU .. CATED WITH REFERENCE TO THE IMPORTANCE OF PAS- TEURIZATION.
On the other hand, there are many health officers who feel that pasteurization should be promoted by education rather than by compulsion. This is particularly true of the smaller municipalities in which a valid fear is frequently entertained that compulsory pasteurization may lead to a milk monopoly in the hands of a single pasteurization plant. Furthermore, in many, particularly the smaller communities, there is still a widespread lack of infor- mation on the subject, and raw milk is demanded by a large section of the population. Health officers of such communities, however convinced they may personally be as to the necessity for pas- teurization, may feel that they cannot afford to proceed faster than the majority of public opinion will follow, and that unless that opinion is in favor of pasteurization, stubborn insistence upon com- pulsion may do more harm than good.
It is believed, therefore, that the health officer may wisely un- dertake a campaign of education regarding pasteurization extend- ing over a period of a year or more before attempting to secure compulsory pasteurization. After that has been done and it is found that the vast majority of opinion is in favor of pasteuriza- tion, there would seem to be no valid reason why the health officer should not attempt to bring the public face to face with the deci- sion as to whether or not pasteurization should be made compul- sory.
Finally, it is believed that every health officer should persistently recommend that all milk be properly produced, and then properly pasteurized either in a commercial pasteurization plant or at home. The health officer who has done this will occupy a defensible posi- tion when the inevitable epidemic is caused by one of the raw milk supplies, whereas the health officer who has not done this may have much uncomfortable explaining to do."
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