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 7
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Accordingly, the Health Department passed a regulation to the effect this year forbidding the sale of any raw milk within this city unless it is certified. The scarlet fever cases from milk borne
113
REPORT OF DEPARTMENT OF HEALTH
epidemic cost the city about $600 for hospitalization. During the year also more samples were taken from milk before pasteuriza- tion and about half as many from ice cream as in previous years, inasmuch as the comparative importance of one from the public health angle is much greater than the other. There are now only about 500 quarts of raw milk sold daily in contrast with more than 33,000 quarts of pasteurized milk.
Sanitation
There are still too many privies in one ward in this city. Rats are still a definite problem in certain areas-particularly so when one realizes that typhus fever -which is spread by the rat flea- is gradually creeping north.
Laboratory Service
The City of Quincy Laboratory is one that should not be tol- erated in a city of this size. The quarters are totally inadequate and are constructed in such a way that they cannot be kept clean.
Popular Health Instruction
Much emphasis has been laid upon health instruction during the year. There has been a weekly health column in both newspapers under the heading, "Quincy's Health Officer says." There have been 84 newspaper articles-usually printed in two newspapers simul- taneously. The excellent health films furnished by the Metropoli- tan Life Insurance Company were used nine times. Twenty-two talks were given before Women's Clubs, Mothers' Clubs and other organizations. Special articles were written for the newspapers whenever it seemed necessary. There have been quite a few groups of high school children coming into the Health Department offices seeking general information about how a modern city health de- partment functions.
Heart Disease and Cancer Control
There has been very little done with both these problems. The first seems so closely connected with the general morale and spirit of the age that it almost seems impossible for anything to be ac- complished until people go back to a calmer-less neurotic-"Mid- Victorian" way of living. With the exception of an occasional newspaper article on both subjects we can claim credit for nothing.
In February, 1933, following the death of Superintendent Smith, the Sanitary Inspector, Howard E. Porter, consolidated both posi- tions, thereby saving the city $1,750. In a check up of tuberculosis settlements it was found that because of faulty settlements and omissions of subsidy claims, the city was paying unnecessarily. Four thousand one hundred and ninety-nine dollars was recovered, although some of this was legally not recoverable.
Recommendations for Improvement
1. This city certainly needs a new dispensary. In this small wooden building are held weekly:
(1) Two Venereal clinics.
(2) One Infantile Paralysis clinic.
(3) Two Tuberculosis clinics.
(4) Three Welfare clinics.
(5) One Pre-natal clinic.
114
CITY OF QUINCY
One-half of this small building is given up for the milk labora- tories. If a larger, more central, building was erected it could also accommodate the offices of the Health Department.
2. Some of the staff are underpaid for the highly technical serv- ices that they render in a most efficient manner.
3. Establishment of generalized nursing service wherein each nurse could handle all the public health problems in her own dis- trict. This could not properly function without the services of a nursing supervisor.
4. The immediate purchase of two new or good second-hand automobiles.
5. Establishment of a sufficient sum in the annual budget for the running of a preventive dentistry clinic as recommended by the South Shore Dental Society and the Council of the Family Welfare Society.
This department incorporates the reports of the Quincy Child Guidance Clinic-conducted by Medfield State Hospital; and the Quincy Habit Clinic-conducted by the State Department of Mental Hygiene-because in this way one can get a clear idea of all the public health activities in Quincy.
During the year the Health Department suffered the loss from death of the Superintendent, Thomas Smith. For years he has worked faithfully and patiently-oftentimes under great handi- caps, and never complained.
Miss Mary Keeley resigned to get married. She had given de- voted service to the department for eight years as Tuberculosis nurse.
For all the cooperation and assistance that the Health Depart- ment has received, I should like to thank the State Department of Health, the Quincy Visiting Nurses, Quincy Physicians, Quincy School Department, the South Shore Dental Society, both the "Quincy Patriot Ledger" and the "Quincy Evening News" and the president and members of the City Council. I particularly wish to thank Mr. Alexander Robertson for his continued interest in the work of this department.
During the writer's experience Mayor Charles Ross has shown a much greater interest than any previous mayor in the work of the Health Department. The employees of the Health Depart- ment have been most loyal and interested in their work.
I feel that I can close this report with no more fitting statement than a statement from the American Public Health Association which I might adopt as the motto of the Quincy Health Depart- ment-"Our permanent objective is the effective control of pre- ventable disease, and the security of health for all people."
Very truly yours,
E. B. FITZGERALD, M.D., Health Commissioner.
115
REPORT OF DEPARTMENT OF HEALTH
REPORT OF STATISTICIAN
JANUARY 1, 1934.
DR. E. B. FITZGERALD, Health Commissioner.
DEAR SIR: I hereby submit the following report for the year 1933:
List of Causes of Death
Mortality Statistics
Communicable Disease Morbidity and Mortality Rates for 1933
Some Comparative Morbidity Rates
Some Comparative Morbidity Cases
Reportable Diseases by Wards
Reportable Diseases by Months
Classification by months of deaths from important communicable diseases
Infant Mortality
Corrected Birth Rate for 1933
All the facts and data for the graphs and charts in this report were computed and compiled by me, but the actual drawing of these graphs was done by Mr. Howard E. Porter, the Sanitary Inspector. The routine statistics during the year were among my duties.
Mortality Statistics
In 1933, 682 deaths occurred in Quincy. Based on the estimated population of 79,730 on July 1, 1933, the general death rate for the year was 8.6 per 1,000 population. Corrected for residents and non-residents, 748 residents who died give the city a "resident" death-rate of 9.4 per 1,000 population. Of these 682 deaths, 342 or slightly more than 50 per cent were males, while 403 or 59.9 per cent were native born.
The largest number of deaths in any one month occurred in Janu- ary, when there were 77, the next largest in February, when there were 69. The fewest deaths (per month) came in August when 28 were registered.
DISEASES OF THE CIRCULATORY SYSTEM-This type of disease created a death rate of 24.8 per 10,000 population. Myocar- ditis, which caused 103 deaths (42 men and 61 women) was the chief contributor to this highest specific death rate.
DISEASES OF THE RESPIRATORY SYSTEM obtained a mor- tality rate of 10.3 per 10,000 population. Lobar pneumonia caused 40 deaths and Broncho-pneumonia accounted for 36, a combined total of 76, a rate of nearly one death per 1,000 population.
CANCERS OF ALL KINDS caused 79 deaths in 1933, for a rate of approximately one per 1,000 population.
DISEASES OF THE NERVOUS SYSTEM brought 77 deaths for a rate of 9.7 per 10,000 population. Of these 77 deaths, 68 (over 90 per cent) were caused by cerebral hemorrhage, cerebral em- bolism, thrombosis and apoplexy.
DISEASES OF THE GENITO-URINARY SYSTEM accounted for 63 deaths with a mortality rate of 7.9 per 10,000 population. Acute nephritis and chronic nephritis combined caused 59 deaths, more than 90 per cent of the deaths from this type of disease.
116
CITY OF QUINCY
VIOLENT AND ACCIDENTAL DEATHS in 1933 numbered 52 for a rate of 6.5 per 10,000 population. Included in this group were 5 suicides, 2 homicides and 45 accidents (one of which was ill-defined). Automobile accident deaths for 1933 numbered 12 for a rate of 15.4 per 100,000 population.
INFECTIOUS AND PARASITIC DISEASES brought a mor- tality rate of 6.3 per 10,000 population. (Rates for specific dis- eases will be found in another part of this report.)
DISEASES OF THE DIGESTIVE SYSTEM caused 25 deaths with a rate of 3.2 per 10,000 population. Among the 25 deaths were 9 from appendicitis, 1 from diarrhea (child under 2 years old), 1 from gall stones and 1 from cirrhosis of the liver.
DISEASES OF EARLY INFANCY brought 20 deaths to Quincy for a rate of 2.5 per 10,000 population. Fourteen prematurely- born babies were numbered in this group and one died from an injury at birth.
The 5 deaths occurring from diseases of the Puerperal State all took place at home.
THE INFANT MORTALITY rate, corrected for residents and non-residents in 1933 was 47.6 per 1,000 live births, a jump over the previous year when the rate was 36.7 per 1,000 live births.
The corrected birth rate for Quincy in 1933 was 14.2 per 1,000 population, a loss since 1932, when the corrected birth rate was 20.7 per 1,000 population.
Very truly yours,
FRANCIS C. DRISCOLL, Statistician.
Morbidity and Mortality Rates for 1933
No. of Cases
Morbidity rate per 10,000 Population
No. of Deaths
Mortality rate per 100.000 Population
Anterior poliomyelitis.
9
1.1
1
1.26
Cerebrospinal fever
1
.126
1
1.26
Chicken pox
278
35.00
0
0.0
Diphtheria
25
3.1
4
5.05
Encephalitis lethargica .. German measles
12
1.51
0
0.0
Influenza
4
.51
8
10.08
Lobar pneumonia
54
6.9
43
54.1
Measles
55
6.92
0
0.0
Mumps
20
2.51
0
0.0
Scarlet fever
547
69.0
4
5.05
Septic sore throat.
7
.88
0
0.0
T. B. pulmonary ...
67
8.45
37
46.6
T. B. other forms
20
2.51
2
2.51
Typhoid fever
3
.375
0
0.0
Whooping cough
158
19.8
1
1.26
Amebic dysentery
1
.126
0
0.0
Mumps meningitis.
1
.126
0
0.0
1
126
1
1.26
REPORTABLE DISEASES BY MONTHS-1933
Disease
Jan. Feb.
Mar
Apr.
May
June
July
Aug
Sept.
Oct.
Nov.
Dec.
Total
Anterior poliomyelitis
0
0
0
0
1
0
0
0
0
Cerebro-spinal fever
32
28
57
31
26
21
1
1
0
16
31
34
278
Chickenpox
2
3
4
0
2
0
3
0
0
3
3
5
25
Diphtheria
2
1
6
6
14
11
12
7
6
6
4
3
78
Dog bite
1
0
0
0
0
0
0
0
0
0
0
0
1
Encephalitis lethargica
1
0
0
1
1
8
0
0
0
0
0
0
0
0
4
Influenza
9
10
4
5
3
3
1
1
0
3
6
9
54
Lobar pneumonia
1
3
3
4
13
23
3
0
1
0
1
3
55
Measles
2
2
8
2
1
0
3
12
6
14
19
14
547
Mumps . .
61
96
109
99
80
34
1
0
0
0
0
0
7
Scarlet fever
0
5
1
0
0
0
12
5
5
5
3
6
67
Septic sore throat
5
3
5
7
3
8
3
3
1
1
0
1
20
T. B. pulmonary
0
3
2
2
3
1
0
1
0
1
0
0
3
T. B. other forms
0
0
0
0
1
0
2
13
23
7
16
10
158
Typhoid fever
3
4
7
10
42
21
Whooping cough
0
0
0
1
0
0
0
0
0
0
0
0
1
Amebic dysentery
0
0
0
0
0
0
1
0
0
0
0
0
1
Mumps meningitis
0
0
0
1
0
1
0
0
0
0
0
0
2
Ophthalmia neonatorum
Total
123
158
206
169
190
131
43
48
47
57
83
88
1343
0
0
0
0
5
4
0
0
0
9
0
0
0
0
1
0
0
0
0
1
12
German measles
4
0
0
0
0
0
0
1
0
1
1
0
2
20
REPORT OF DEPARTMENT OF HEALTH
117
.
..
118
DEATHS FROM IMPORTANT COMMUNICABLE DISEASES BY MONTHS-1933
Total
Jan.
Feb.
Mar
Apr.
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
Disease
0
0
0
0
0
0
0
1
Anterior poliomyelitis
0
0
0
1
1
0
0
Diphtheria
1
0
0
0
0
0
0
Encephalitis lethargica
0
0
0
0
1
0
0
0
0
0
0
0
0
Cerebro-spinal meningitis
0
0
0
0
0
0
0
2
2
1
0
2
4
10
43
Measles
4
9
2
4
3
Lobar pneumonia
0
0
1
0
3
0
0
0
0
0
0
0
37
Scarlet fever
0
3
4
6
1
2
T. B. pulmonary
0
2
0
0
0
0
0
0
0
0
0
0
0
T. B. other forms
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
Typhoid fever
0
0
0
0
0
1
Whooping cough
Totals
5
14
7
11
9
5
6
5
4
8
6
14
CITY OF QUINCY
1
0
0
0
0
0
0
0
1
1
1
0
0
0
0
1
0
0
0
0
0
4
2
4
3
4
6
1
3
0
0
0
0
4
..
94
N. B .- This list includes not only deaths within the city, but also deaths of Quincy residents in the Contagious Hospital and the various Tuberculosis Sanatoria.
COMPARATIVE MORBIDITY RATES-TEN YEARS
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
Anterior poliomyelitis
0.7
0.7
0.3
2.8
0.1
1.1
1.8
3.2
.26
Chicken pox
26.6
9.8
17.2
12.5
29.
8.9
14.7
8.5
18.8
1.1 35.00
Diphtheria
22.0
22.0
8.6
8.3
2.8
2.6
1.
1.2
3.3
3.1
Influenza
22.9
27.2
1.6
1.8
5.5
11.9
1.1
3.1
.52
.51
Lobar pneumonia.
6.4
8.1
7.
5.7
7.2
6.7
7.6
5.1
4.94
6.9
Measles
22.9
27.2
1.6
1.8
5.5
14.1
106.7
27.6
13.00
6.92
Mumps
4.9
4.4
23.1
12.2
0.9
7.7
10.8
8.7
23.1
2.9
Ophthalmia neonatorum
0.5
0.2
0.5
0.3
0.0
0.1
0.1
0.0
0.0
.25
Scarlet fever
28.0
21.
38.8
57.5
35.4
38.2
47.7
12.9
27.3
69.00
T. B., pulmonary.
13.9
10.2
9.4
10
10.8
9.7
13.3
11.2
7.5
8.45
T. B., other forms ..
4.9
3.1
3.3
1.2
15.7
3.4
6.5
4.3
2.1
2.51
Typhoid fever
1.4
3.8
1.3
0.6
0.0
0.6
0.4
0.4
0.0
.375
Whooping cough
14.8
32.3
10.4
14.1
13.4
24.3
12.2
12.5
9.1
19.8
Amebic dysentery
..
..
..
..
........
.. .....
.125
Mumps, meningitis
..
..
REPORT OF DEPARTMENT OF HEALTH
125
.....
Rates per 10,000 population
119
COMPARATIVE MORBIDITY CASES-TEN YEARS
120
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
Anterior poliomyelitis
1
4
2
18
1
8
13
24
2
9
Cerebrospinal fever.
1
0
1
0
2
2
1
2
1
Chicken pox
151
59
108
82
196
62
106
64
134
278
Conjunctivitis
0
2
0
0
0
0
0
1
2
0
129
131
54
54
19
18
7
9
26
25
Diphtheria
0
0
0
11
22
40
39
71
62
78
Dog bite
0
1
0
2
0
0
0
4
1
1
Encephalitis, lethargica German measles
0
0
47
13
8
8
78
6
6
12
Influenza
17
165
10
12
37
83
8
23
4
4
Lobar pneumonia.
37
19
44
37
49
47
51
38
38
54
Malaria
0
0
0
0
1
0
1
0
0
0
Measles
889
819
204
109
1,855
99
771
207
106
55
Mumps
28
26
145
80
6
54
78
65
167
20
Ophthalmia neonatorum
3
1
3
2
0
1
1
0
0
2
Rabies
0
0
0
0
0
0
1
0
0
0
Scarlet fever
161
129
24"
376
241
268
343
322
211
547
Smallpox
0
0
0
0
1
0
0
0
0
0
Tetanus
1
2
0
0
0
1
0
0)
0
0
Trachoma
0
0
0
0
1
0
0
0
1
0
T. B., pulmonary ..
80
62
59
65
73
68
96
84
58
67
T. B., other forms ..
28
19
21
8
106
24
47
32
16
20
Typhoid fever
8
23
8
4
0
4
3
3
4
3
Whooping cough
86
194
65
92
91
170
88
94
70
158
Amebic dysentery.
0
0
0
0
0
0
0
0
0
1
Mumps, meningitis
0
0
0
0
0
0
0
0
0
1
Total
1,623
1,686
1,020
1,267
2,713
957
1,737
1,052
811
1,343
CITY OF QUINCY
Septic sore throat.
0
0
0
2
4
0
5
3
2
7
1
....
121
REPORT OF DEPARTMENT OF HEALTH
REPORTABLE DISEASES BY WARDS-1933
Disease
Wd. 1
Wd. 2
Wd. 3
Wd. 4
Wd. 5
Wd. 6
Total
Anterior poliomyelitis
1
0
2
3
2
1
9
Cerebro-spinal meningitis
0
1
0
0
0
0
1
Chickenpox
93
31
24
46
71
13
278
Diphtheria
3
13
7
0
0
2
25
Dog bite
15
8
8
9
19
22
78
Encephalitis lethargica.
0
1
0
0
0
0
1
German measles
4
1
3
2
1
1
12
Influenza
1
0
0
0
2
1
4
Lobar pneumonia
7
8
7
10
9
13
54
Measles
8
11
18
7
4
55
Mumps
5
2
1
2
6
3
20
Scarlet fever
190
34
88
96
88
51
547
Septic sore throat
5
0
0
0
0
2
7
T. B. pulmonary
10
11
13
11
10
12
67
T. B. other forms
3
5
3
3
1
4
20
Typhoid fever
2
0
1
0
0
0
3
Whooping cough
62
7
3
35
32
18
158
Ophthalmia neonatorum
0
0
1
1
0
0
2
Amebic dysentery
0
0
0
0
1
0
1
Mumps meningitis
0
0
0
0
1
0
1
Totals
409
133
179
225
250
147
1343
122
CITY OF QUINCY
REPORT OF CONTAGIOUS DISEASE NURSE
JANUARY 1, 1934.
EDMUND B. FITZGERALD, M.D., Health Commissioner.
DEAR DOCTOR: I herewith submit my annual report as contagious disease nurse for the year ending 1933.
One thousand two hundred and fifty-six cases of notifiable dis- eases were reported as follows:
Scarlet fever
547
Chicken pox .. 278
Whooping cough
158
Measles
55
Dog bite
78
Diphtheria
25
German measles
12
Mumps
20
Lobar pneumonia
54
Anterior poliomyelitis
9
Septic sore throat
7
Typhoid fever
3
Influenza
4
Cerebro-spinal meningitis
1
Encephalitis lethargica
1
Ophthalmia
2
Mumps-Meningitis
1
Amebic dysentery
1
Total visits
2,762
Nursing visits
2,695
By other nurses 67
Scarlet fever
2,149
Whooping cough
205
Diphtheria (cultures, 159)
129
Measles
101
Anterior poliomyelitis
109
Typhoid fever (cultures, 18)
43
Venereal disease
22
Streptoccus laryngitis
4
Scarlet Fever
Five hundred and forty-seven cases reported as compared with 211 in 1932. Of this number 76 cases were hospitalized at the Haynes Memorial Hospital in Brighton. There were four deaths. Three died in the hospital, and one case died at home.
Diphtheria
There were 25 cases reported, 10 cases were hospitalized. Four deaths occurred from this disease. Three died in the Brighton Hospital and one child died at home.
In co-operation with the Welfare Department three clinics for immunization were held during December, 1933, at the Quincy Dis- pensary. Twenty-five children received the three treatments, 17 were of pre-school age and 8 were of school age.
123
REPORT OF DEPARTMENT OF HEALTH
Measles
Half as many cases reported as in the previous year.
Typhoid Fever
Three cases reported, two of which were cared for at the Quincy Hospital. One case placarded at home.
Whooping Cough
Four cases of the total number reported were hospitalized. One death occurred at home.
Anterior Poliomyelitis
Nine cases reported, two cared for in Quincy Hospital and one was sent to Brighton Hospital. One death in the hospital. During August, 81 visits were made in the follow up work to contact people who had the disease to obtain donors of blood at a clinic at the Dispensary. This was done in co-operation with the State Department of Health.
Fifty-eight various clinics were attended during the year.
In the follow up work, 2,762 visits were made, including placard- ing, checking up of quarantine rules, taking of cultures, examina- tion of contacts and releases from quarantine.
Office hours were held daily from 9-9.30 A. M. and 1-1.30 P. M.
Respectfully submitted,
CATHERINE F. COLEMAN, R.N., Contagious Disease Nurse.
124
CITY OF QUINCY
REPORT OF THE VENEROLOGIST
JANUARY 1, 1934.
DR. E. B. FITZGERALD, Health Commissioner.
DEAR SIR :- The figures for the two clinics show an aggregate increase of 25 per cent over the figures for 1932, which in turn were double those of 1931.
Male Clinic
Treated for gonorrhea (patients)
31
Referred to private physicians
8
Discharged cured
6
Remaining under treatment
17
Visits for treatment for gonorrhoa
322
Contacts examined
10
Treated for syphilis
38
Discharged arrested
4
Died
1
Referred to private physicians
3
Remaining under treatment
30
Visits for treatment for syphilis
664
Total visits by males
990
Female Clinic
Treated for gonorrhoa (patients)
8
Visits for treatment for gonorrhœa
Contacts
22
Treated for syphilis
17
Left town
3
Remaining under treatment
14
Visits for treatment for syphilis
480
Total visits by females
553
Respectfully submitted,
EDWIN E. SMITH, M.D.
32
125
REPORT OF DEPARTMENT OF HEALTH
REPORT OF DISPENSARY PHYSICIAN
JANUARY 1, 1934.
EDMUND B. FITZGERALD, M.D., Health Commissioner.
DEAR SIR :- Clinic records of the past year reveal that Tubercu- losis is still increasing in the City of Quincy and this increase will probably continue during the depression. However, the surgical procedures now being used for lung collapse are very efficient in preventing the spread of the disease and the outlook is now better than at any time in the history of the fight against Tuberculosis.
However, there is still much time and money needed to educate the public and the community, for the two fundamental factors in overcoming Tuberculosis are early diagnosis and early hospitaliza- tion of the disease.
At the present time, municipal clinics are the most efficient means of spreading this education. How well this is being done in Quincy is manifest from the great increase in registration and at- tendance during the past year.
The total adult attendance in 1932 was 373. Total adult attend- ance in 1933 was 833. Registration of the adult clinic in 1932 was 133. Registration of the adult clinic in 1933 was 329. Another encouraging sign in our clinic work is the increasing number of physicians making use of the clinic for diognasis and disposition of their Tuberculosis patients. If all physicians would immediately turn over their indigent cases to the clinics, I believe better work would result in finding and classifying contacts.
At present too many cases are reported either for the first time by death certificate or some few months previous. This not only produces poor vital statistics, but also causes unnecessary spread of Tuberculosis.
With the great increase in attendance of the adult patients dur- ing the year, there was also a great increase in X-rays taken, tuberculin skin tests and focal infections corrected. There was over 100 per cent increase over the preceding year.
The clinic has suffered a great loss in the resignation of Miss Keeley, one of the two efficient. Tuberculosis nurses. Both Miss Russell and Miss Keeley have proved themselves very competent in the department. Both nurses have natural qualities for public health nursing and participated with honors in a post-graduate extension course in Public Health given by New York University during the past two years.
I trust the nurse appointed to fill the vacancy in the Tuberculosis Department, caused by Miss Keeley's resigning, will prove equally efficient.
Undernourished and Children's Contact Clinic
This clinic is in a very flourishing condition in Quincy. It is in- creasing at the rate of 10 to 15 per cent a year and now has passed the 2,000 mark in yearly attendance. This contact clinic is prob- ably the most important factor in the prevention of the spread of Tuberculosis. Here early diagnosis is possible, and cure of in- fected cases practically assured. Also, discovering the case in the child, it is an easy matter to go into the home and probably find an active Pulmonary case which is the source of the trouble. Thus one can attack the problem in a comprehensive manner and stop the spread of the disease.
.
126
CITY OF QUINCY
The clinic has also a great educational value. The parents come to the clinic with the children and thus you can teach precautions in general hygiene to the whole family.
The money the city spends in this prevention clinic is well re- paid in health dividends. Also the taxpayer directly benefits in diminishing county assessments.
As in the past several years, I again strongly advise that this clinic idea be incorporated in the schools as a complsory part of their health program. Many cities-at very little expense-have undernourished classes and rest periods for these children and much good results. Also it saves "repeats" amongst the children and here again the taxpayer is benefited.
Camp Norfolk
We were able to send only 34 children to camp during the past year. This was due to the cutting of the usual $2,000 appropria- tion to $1,000. From both an economical and a health standpoint this is poor policy.
The usual $2,000 not only gives direct health benefits and assur- ance to some 50 children, but indirectly aids the morale of the Undernourished Clinic. More children and parents attend the clinic because they hope to have their children sent to camp. Hence, more preventive education can be spread among more families. In a word, the whole success of this prevention clinic is closely allied to the success of Camp Norfolk. I trust that the usual $2,000 will be appropriated and continued.
Respectfully submitted,
C. J. LYNCH, M.D.
REPORT OF DEPARTMENT OF HEALTH
127
REPORT OF DISPENSARY NURSES
EDMUND B. FITZGERALD, M.D., Health Commissioner.
DEAR DOCTOR :- We herewith submit to you our annual report for the year ending December 31, 1933.
Total number of all kinds of tuberculosis on record in the city 573
Pulmonary tuberculosis cases 340
Childhood type
T. B. other forms 30
94
Childhood type 13
T. B. wrist
T. B. ear (also pulmonary T. B.)
1
T. B. hip (1 also pulmonary T. B.)
2
T. B. cervical adenitis
1
T. B. kidney
1
T. B. spine
1
T. B. mesentary
1
T. B. meningitis
1
T. B. ankle
1
"Disposition of new pulmonary tuberculosis cases"
Admitted to sanatoria and living
39
Died at sanatoria
3
Died at Quincy City Hospital
3
Died at Wellington Home
1
Died at home
3
Moved to another city
1
Diagnosis revoked
2
Waiting to be admitted to sanatorium
7
At home under treatment or working 12
"Disposition of new childhood type of cases" Admitted to sanatoria
76
At home attending school under supervision 3
"Disposition of new T. B. other cases"
Reported to the Health Dept. by death certificate 2
Admitted to sanatoria 4
At home under supervision 1
Moved away 1
Total number of "adult" clinics held
Total attendance 833
Total registration 329
130
Negative reactors 50
Number of adults X-rayed 162
Contacts X-rayed
93
Non-contacts X-rayed
69
Contacts examined
152
Non-contacts examined 681
These X-rays include new clinical cases and ex-sanatoria cases.
Total number of "Minimal" pulmonary tuberculosis cases re- ported 3
Two cases have been admitted to sanatorium.
One on waiting list for sanatorium.
One case was referred to the M. G. H. for the Lipiodol Test and was negative.
203
"New Cases of Tuberculosis reported during the year" Pulmonary tuberculosis
71
1
49
Number of T. B. skin tests done (Mantoux) Positive reactors 80
128
CITY OF QUINCY
Total number of deaths for the year 37
Died at the Wellington Home
1
Died at the Quincy City Hospital 8
Died at home 14
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