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 1936 > Part 10
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"Clinic" Children's
Attendance for the year 1323
New cases added to clinic register 195
Number of contact examinations made 599
Mantoux tests done 198
Number of X-rays taken at Norfolk County Hospital .. 108
Number of children admitted to the Norfolk Preven- torium for 8 weeks during the summer 43
Children referred for T & A operations 22
There was a decrease in the number of children need- ing dental work Vaccinations done 11
Nursing visits made 1791 Relief work: Miss Russell assisted Mrs. Gifford in audiometer tests and physical examinations in parochial schools.
Respectfully submitted, GERTRUDE T. RUSSELL, R.N., HAZEL R. GIFFORD, R.N., Dispensary Nurses.
164
CITY OF QUINCY
REPORT OF THE CHILD WELFARE CLINIC
JANUARY 28, 1937.
DR. RICHARD M. ASH, Commissioner of Health
Department of Health,
Quincy, Massachusetts.
DEAR DR. ASH:
It is my privilege to submit to you the report of the Child Welfare Clinics of Quincy for the year ending December 31, 1936.
Statistics
Total Clinic Registration
1,588
Well Baby Clinic Registration 1,203
New Registrations 1936 541
Pre-school Clinics
202
New Registrations 1936 39
Orthopedic Clinics
183
New Registrations 1936 .
27
Total New Registrations
607
Number of Clinics
289
Well Baby Clinics
268
Pre-school Clinics
11
Orthopedic Clinics
10
Total Clinic Attendance
7,938
Well Baby Clinics
7,587
Pre-school Clinics
248
Orthopedic Clinics
103
Total Home Visits by Nurses
4,866
Babies under 1 year
2,676
Babies 1 to 2 years
1,193
Pre-school Children
798
Boarding Homes
199
The Well Baby Clinics were held weekly in South Quincy, Quincy Centre, Quincy Point, Atlantic, Wollaston; bi-monthly in Houghs Neck; monthly at Squantum. The Pre-school Clinic and the Ortho- pedic Clinics were each held monthly.
The Clinic attendance has been as follows :-
Attendance New Cases
South Quincy
Monday
1,303
59
Wollaston
Tuesday
1,511
89
Houghs Neck
Tuesday
469
45
Quincy Point
Wednesday
1,283
105
Quincy Centre
Thursday
14,22
137
Squantum
Thursday
110
8
Atlantic
Friday
1,489
108
.
Station
Day
165
REPORT OF DEPARTMENT OF HEALTH
Reference of Children
The number of children referred from the clinics for care by the local physicians during the past year was 208, which is a slight decrease. The parents of these children had not appreciated the need for seeking medical care and would not have chosen to do so unless it had been recommended by the Clinic workers. These references represent children who would not have reached medical service unless they had previously attended clinic.
Referred for Medical Care 136
Referred for Dental Care 31
Referred for Hospital Care
41
Volunteer Help and Acknowledgments
The volunteer service of the members of the Junior Welfare League, who have assisted in the Clinics as secretaries, has become an indispensable part of the routine set-up. Miss Alice G. Thompson has completed her sixth year as recorder at the Atlantic Clinic. Members of the Wollaston Women's Club have attended the Wol- laston Clinic and helpfully assisted in recording the weights of babies. The faithfulness in attendance of these volunteers and their motive efficiency has greatly aided the management of the larger clinics.
We appreciate the privilege of holding clinics in Woodward School. Wollaston Branch of the Thomas Crane Public Library, Knights of Columbus Hall at Atlantic, Italian Hall South Quincy, Methodist Church at Squantum, and the City School Building at Quincy Point and Houghs Neck.
The Child Welfare Nurses-Mrs. Nettie D. Fowler and Miss Mary Marr-have continued their teaching in the homes this year with the same degree of enthusiasm and patience which has characterized their work in the past. Their work is regarded by the medical profession and the parents with a high degree of confidence.
For your co-operation, I wish to thank you as Commissioner and the members of your Department of Health.
Respectfully yours,
RACHEL L. HARDWICK, M.D., Child Welfare Physician.
166
CITY OF QUINCY
REPORT OF CHILD WELFARE NURSES
JANUARY 1, 1937.
DR. RICHARD M. ASH,
Health Commissioner.
Total registration during 1936 1615
Total registration active on January 1, 1937 1097
Total number of new registrations under 1 year 413
Total number of new registrations between 1 & 2 years 137
Total number of registrations in the pre-school group 52 . .
(pre-school clinic 39)
(orthopedic clinic 13)
Total number seen at Orthopedic Clinic over 6 years-not registered
6
Total new registrations for 1936
608
Removed from file 518
Deaths 6
Bernard Falco-Acute Otitis Media
Kenneth Owens-Status Lymphaticus
Ruth Leaf-Bronchopneumonia
Shirley Martell-Intersusception
Janet Tully-Pulmonary Edema James Peneau-Bronchopneumonia
Inactive for 6 months or more 237
Entered pre-school clinic 30
Returned to institutions 14
Moved from city 231
Number of visits to clinics under 1 year 5102
Number of visits to clinics between 1 & 2 years 2518
Number of visits to clinic pre-school age 318
Total attendance 7938
290
Number of clinics held
Well baby 268
Pre-school 12
Orthopedic 10
Number of babies visited in homes
4667
Under 1 year 2676
Between 1 & 2 years 1193
Pre-school group 798
Boarding home inspections
199
Total visits to boarding homes
4866
Number pieces literature given out
1094
Temporary homes found for
17
Number of registered boarding homes January 1, 1937
7
Number of nonregistered boarding homes January 1, 1937
11
Children referred to various hospitals
41
Children referred to local M.D. for treatment or check 136
Children referred to dental clinic or private dentist 31
Children referred to habit clinic 14
167
REPORT OF DEPARTMENT OF HEALTH
Various reasons for referring :
Growth on neck and other excess growths Hemangioma Ringworm T & A Cystitis
Otitis Media
Bronchitis & other respiratory conditions
Pyloric stenosis
Pyloric spasm
Mongolianism
Cervical adenitis
? of contagious diseases
burn
anemia
Clinic Attendance
Atten- Exam-
Day
Station
Time
dance
ined New
every Monday
So. Quincy . 2:00-4:00 p.m.
1303
966
59
every Tuesday
Wollaston
9:00-11:00 a.m.
1511
1132
89
third Tuesday
Woodward
(pre-school)
2:00-4:00 p.m.
248
193
39
every other Tues.
Houghs Neck
9:00-11:00 a.m.
469
371
45
every Wednesday
Quincy Point
2:00-4:00 p.m.
1283
820
105
every Thursday
Woodward
2:00-4:00 p.m.
1422
1148
137
second Thursday
Squantum
9:00-11:00 a.m.
110
110
8
third Thursday
Orthopedic
2:00-4:00 p.m.
103
103
18
every Friday
Atlantic
2:00-4:00 p.m.
1489
1231
108
7938
6074
608
Relieved other nurses when necessary.
We extend our deep appreciation to Dr. Hardwick, Dr. Doherty and Dr. Costanza for their kindness and valued help to us all the year and to Miss Alice Thompson, who for five years has been a volunteer at the Atlantic clinic. To Mrs. Frances Knight and Mrs. Martin and other members of the Junior Welfare League who have assisted us we extend our thanks. The Wollaston Women's Club we thank for assistance given at the Wollaston Clinic.
Respectfully submitted,
NETTIE D. FOWLER, R.N., MARY E. MARR., R.N., Child Welfare Nurses.
168
CITY OF QUINCY
REPORT OF ORTHOPEDIC CLINIC
The following is a report of eleven clinics attended by Dr. John L. Doherty from January 1936-December 1936 inclusive.
111 children have been examined-thirty-seven were new ad- missions, and seventy-six were follow-up examinations.
Classification of Conditions Found in New Patients
Pronated feet
14
Knock knees
1
Bow legs ..
3
Faulty posture
0
Flat feet
14
Spastic paralysis
0
Congenital varus
0
Infantile
2
Hammer toes
.....
Recurvatum of knees
.. . . .. .
1
-
37
Classification of Conditions Found in Old Patients
Pronated feet
29
Knock knees
1
Bow legs
3
Faulty posture
3
Flat feet
34
Spastic paralysis
1
Congenital varus
1
Infantile
2
Hammer toes
1
Recurvatum of knees
. . . . . . . . ...
76
QUINCY HABIT CLINIC STATISTICS 1936
Boys
Girls
Total
Total number of clinics held
47
Total number of cases carried
142
72
214
School age-149-pre-school age-65
Total number of new cases
82
47
129
School age-86-pre-school age 43
Total number of old cases
60
25
85
School age-63-pre-school age-22
590
173
763
Sources from Which Cases Were Referred
Health agencies
13
Schools
55
Relatives and Friends
38
Physicians 14
Family agencies
3
Community Education
3
Clinic Staff
2
Churches
1
Children's agencies
0
.
Total Number of New Cases
129
. .
.
.
2
. ....
1
Total number of visits by children
169
REPORT OF DEPARTMENT OF HEALTH
ANNUAL REPORT OF THE QUINCY HABIT CLINIC Year-1936
Nineteen thirty-six brings to a close the tenth year of the Quincy Habit Clinic and a review of the activities of the past year, as well as those of the preceding years, presents evidence of steady and active growth both as regards the scope and the quality of the service rendered. The program of the clinic in its general outline has not differed greatly from that of the pre- vious year, in that its two main objectives have been clinical and educational. The prime aim of all medicine is prevention, and this has been the nucleus around which the activities of the clinic have been centered. Prevention has been the goal toward which all endeavors have been directed through clinic service and an extensive educational program.
The continued increase in attendance at the Quincy Habit Clinic has made an increase in staff imperative; this, in lieu of the practicability of devoting another day to clinical acvitities. The demands for clinics elsewhere have precluded the possibility of the Division of Mental Hygiene giving an additional day to Quincy, and the only practical solution to the problem seemed to be to double the staff on the day already assigned to that com- munity.
The clinic in Quincy, as well as the clinics elsewhere in the State, has represented a real force in the educational system, as witnessed by the fact that the schools are enthusiastically in- corporating mental hygiene principles into their methods of teaching. As a result of mental hygiene education, many teachers have shifted their emphasis from subject matter to an interest in the whole child. One writer has said, "The teacher has become child conscious, rather than curriculum conscious". Character, personality and social development, which were formerly considered as being outside the field of education, today hold an important place in the schools' objectives. Their increasing realization of their responsibility in the matter of broader education of the whole child, in order to adequately prepare him for a successful adjustment to later life, has directed their attention to the value of mental hygiene clinics as an aid in achieving the desired re- sults. They are more and more appreciating that the child's needs extend beyond academic instruction and realize that they must include not only instruction in the more formal school subjects, but also observation and direction of personality and behavior deviations. It is in such matters as these that the clinic has served as a source of assistance to the schools.
The introduction of mental hygiene teaching and psychiatric techniques in any educational program not only modifies or cor- rects behavior problems manifest at the moment, but also con- tributes substantially to the possibility of the child's making a better adjustment to life in the future. Mental hygiene assistance given to teachers enables them to understand more about the child in his totality (both as regards his past and present en- vironment), so that problems presented to them may become bet- ter understood, and constructive cooperative guidance can be given to each child according to his needs and capacities.
One of the tasks confronting teachers of the primary grade is that of estimating the capabilities of the child on entering the school, so that a curriculum may be arranged to best serve
170
CITY OF QUINCY
his individual needs, and also that he may be assisted in his progress toward scholastic achievment and a well-rounded out maturity. In Quincy, as well as in other communities, the clinic has examined selected children before their entrance to school to determine the most satisfactory grade placement. It is significant that this school system has established a rule whereby certain children will not be admitted to school without an appraisal and recommendations from the clinic in the question of proper placement. While this has obviously brought an additional pres- sure on the clinic personnel, the service has been rendered by careful and efficient application of clinic resources.
Another interesting and beneficial service rendered by the clinic to the schools has been that which treats various educational handicaps in the form of reading disabilities and related difficulties, so frequently met with in children of the primary grades. There is a recognized relationship between behavior problems, personal- ity defects and reading disabilities, a frequently occurring situa- tion which the clinic has aided in no small measure through the special resources which it has secured from the Boston University Graduate School of Education, who has provided the clinic with three remedial teachers working on a volunteer basis. These specially trained workers have participated in the treatment programs of these particular cases, and results have been most gratifying. Not only have the children been aided to a better adjustment in the classroom curriculum, but there has also been effected in many cases correction of conspicuous personality and behavior disorders that had previously served as a real impedi- ment in the child's adaptation to his other environments.
The continued monthly conferences with the Quincy Schools have served a two fold purpose; namely, a more comprehensive understanding by the school regarding the nature of the child's difficulty through the knowledge given them of the theoretical aspects of the problem, and a broader understanding of the aims and purposes of the field of mental hygiene. More than this it has provided the clinic staff with a clearer appreciation of the school environment in all its implications, and has given them a per- spective that might not have been otherwise achieved; that is, through the more routine and formal approach to it.
The staff of the Division of Mental Hygiene is indeed grate- ful to the Health Commissioner, the School Department, and others in the community whose cooperation has been invaluable
171
REPORT OF DEPARTMENT OF HEALTHI
REPORT OF PART TIME PAROCHIAL SCHOOL NURSE
JANUARY 1, 1937.
DR. RICHARD M. ASH,
Health Commissioner.
DEAR SIR:
I hereby submit my report for part time Parochial School
Nurse from May 15, 1936 to December 31, 1936. 107
Number of visits to Parochial School
Number of children weighed and measured 790
Number of children given vision examination 1072
Number of children given Audiometer Test, (first) 733
Number of children given Audiometer Test, (second) 237
Number of children given Audiometer Test, (third) 48
Number of children examined for various causes, in nurses' room 220
Number of children referred to family doctor All pupils were given health inspection after vacations, when returning to school after an illness, and at request of teacher.
56
Pupils were instructed in healthful living, both in groups and individually.
Number of house calls made to pupils absent for three days or more 72
Approximately 75% of all defects of the pupils have been corrected.
Relief work from July 6, 1936 to July 27, 1936.
Child welfare work, assisted at clinics, patients 48
Contagious work, calls made 50
Respectfully submitted,
HAZEL R. GIFFORD, R. N.
REPORT OF THE POLIO CLINIC
JANUARY 1, 1937.
DR. RICHARD M. ASH,
Health Commissioner.
MY DEAR DR. ASH:
Below is a fairly detailed account of the work being done at the Polio Clinic by Miss Greeley and Miss Dwyer.
During 1936 there were fifty-two active cases and of this number forty-one attended the Treatment Clinic, receiving seven hundred and eighty-nine (789) treatments.
Outstanding among the patients at the Quincy Treatment Clinic are Mary Medico, William Murphy and Elizabeth Scott.
Mary Medico started with a short brace which was discarded last summer following a foot operation.
William Murphy had a foot stabilization operation last summer which resulted in improved weight bearing, improved position of the foot and an improved gait. The hospitalization for both of these cases was paid for by the Birthday Ball Fund.
Elizabeth Scott has been able to discard her left platform splint during the past year.
Sincerely yours, ARTHUR T. LEGG, M. D.
172
CITY OF QUINCY
REPORT OF THE CONTAGIOUS DISEASE NURSE
JANUARY 1, 1937.
RICHARD M. ASH, M.D.
Health Commissioner.
DEAR DOCTOR :
I hereby submit my annual report as Contagious Disease Nurse for the year ending December 1936.
Two thousand and six hundred cases of notifiable diseases were reported as follows:
Anterior Poliomyelitis
1
Chickenpox
340
Diphtheria
1
Dog Bite
155
Dysentery (Amebic)
1
Lobar Pneumonia
41
Measles
1177
Meningococcus meningitis
2
Malaria
1
Mumps
564
Rubella
29
Hookworm
1
Scarlet Fever
189
Typhoid Fever
2
Undulant Fever
1
Whooping-Cough
95
Total Number of visits
3017
Scarlet Fever
736
Measles
2004
Whooping Cough
235
Typhoid Fever (cultures 58)
35
Diphtheria (cultures 6)
3
Anterior Poliomyelitis
2
Amebic Dysentery
1
Malaria
1
Diphtheria
One case reported. Cared for at home. During the year 782 children were immunized; 601 were done at the various clinics held by the Health Department and 181 children were immunized by their family physician.
Measles
1177 cases reported from the various wards of the city. Two cases were hospitalized.
Scarlet Fever
Twenty-three cases of the 189 reported were hospitalized at the Haynes Memorial. No deaths occurred from this disease.
Whooping Cough
Ninety-five cases reported, two of which were sent to Haynes Memorial Hospital.
Typhoid Fever
Two cases reported, both hospitalized.
173
REPORT OF DEPARTMENT OF HEALTH
Clinics
Eighty-five various clinics were attended during the year. In the follow-up work, 3017 visits were made including placard- ing, re-visiting, checking, on quarantine regulations, taking cultures, examinaton of contacts and releases from quarantine.
Office hours daily 9:00-9:30 a.m.
1:00-1:30 p.m. Respectfully submitted, CATHERINE F. COLEMAN, R.N., Contagious Disease Nurse.
REPORT OF THE DENTAL CLINIC
RICHARD M. ASH, M.D. Health Commissioner.
JANUARY 1, 1937.
DEAR DR. ASH:
During the past year attendance at the Dental Clinic has been exceptionally good, which gives evidence that the parents appre- ciate what we are doing for their children.
Clinics are held every school day from 9:00 to 1:00 at the Coddington School for the children of the first and second grades. Appointments are made by the nurses in attendance and the children are brought to the clinic by their parent or an adult.
On a child's first visit, ordinarily a prophylaxis is done, which not only puts the mouth in a cleaner condition, but enables me to gain the confidence of the child so that when he returns the element of fear is reduced. Only one operation is done at each visit; therefore the child is not tired out and is willing to return if necessary. This also enables me to see more children in a morning and hence a wider distribution of service.
When all work is completed, a short talk on the importance of caring for his teeth is given as is also a leaflet which describes in detail brushing the teeth and the proper diet for a healthy body. The child is also given a Dental Certificate which he in turn brings to his teacher and his name is put on the Dental Honor Roll.
I consider the work which we are doing at the Dental Clinic a very important branch of the Health Department, because its main object is prevention of disease. Sir William Osler has said- "There is not one single thing in preventive medicine that equals mouth hygiene and the preservation of the teeth". Prevention of disease not only costs much less than does its cure, but also is possible to a much greater extent than is its cure.
I would be lacking in appreciation if I did not mention the able and efficient assistance I have received from Mrs. Gladys Imray and Miss Katherine Wiseman, Dental Nurses.
I take pleasure in extending my thanks to you as Commissioner and also to the members of the Health Department for the co- operation I have received during the past year.
Respectfully submitted, LOUIS E. SULLIVAN, D.M.D., School Dental Clinician.
174
CITY OF QUINCY
JANUARY 1, 1937.
RICHARD M. ASH, M.D.
Health Commissioner.
DEAR DOCTOR:
I herewith submit to you my annual report for the year ending December 31, 1936.
Number children examined in school (grades 1 & 2) 1,869
Number dental clinics 133
Number denta! appointments made 1,774
Total attendance at clinics 1,553
Number different children
503
Number extractions
1,013
Number permanent extractions 56
Number temporary extractions 957
Number fillings Number temporary fillings 540 356
Number permanent fillings
184
Number prophylactic treatments
348
Number first grade children treated
436
Number second grade children treated
67
Number home visits
781
Number cancelled appointments
195
Number children refusing treatment
14
Number emergency cases treated
13
Diphtheria Prevention
Number immunization clinics
20
Number diphtheria immunization home calls
904
Number children immunized by private physicians 73
Typhoid Survey
Number home calls
155
Respectfully submitted, · KATHERINE WISEMAN, R. N.
REPORT OF SCHOOL DENTAL CLINIC Year Ending December 31, 1936.
DR. RICHARD M. ASH,
Health Commissioner.
DEAR DR. ASH:
Number of first and second grade children examined 1,097
Number of dental clinics 72
Number of total attendance at clinics 957
Number of different children attending clinics 258
Number of extractions 641
Number of fillings 290
Number of prophylactic treatments 157
Number of first grade children treated
215
175
REPORT OF DEPARTMENT OF HEALTH
Number of second grade children treated
43
Number of permanent teeth filled
94
Number of temporary teeth filled
196
Number of permanent teeth extracted
6
Number of temporary teeth extracted
635
Number of home visits
422
Number of school visits
17
Number of finished cases
96
Number of appointments cancelled
106
Number refused treatment
21
Number of emergency cases
11
I did not assist at clinics from March 6th to April 14th because of illness.
Respectfully submitted,
GLADYS IMRAY, R.N.
REPORT OF PRE-SCHOOL DENTAL CLINIC Year Ending December 31, 1936.
RICHARD M. ASH, M.D.
Health Commissioner.
DEAR DOCTOR:
Number of clinics
79
Number total attendance 665
Number of different children treated 196
Number of operations 714
Number of fillings 547
Number of extractions
54
Number of treatments
34
Number of examinations
7
Number of cleanings
79
Referred for gas anesthesia extraction
8
Refused treatment
17
Appointments not kept
99
Home calls
67
I did not assist at clinics from March 6th to April 14th because of illness.
In addition to Dental Clinic work I assisted at 14 Diphtheria Pre- vention Clinics, and made 1,040 diphtheria prevention home calls.
I also made 168 typhoid survey calls.
Respectfully submitted,
GLADYS IMRAY, R.N.
176
CITY OF QUINCY
JANUARY 1, 1937.
DR. RICHARD M. ASH,
Health Commissioner.
DEAR SIR:
I herewith submit my report for the year ending. December 31, 1936.
The following statistics refer to milk, cream, ice cream, chocolate milk, buttermilk and oleomargarine, produced and consumed in the City of Quincy.
Dairies in City of Quincy 1 dairy having 56 cows 1 37 "
1
", 7 1
3
5 dairies having 1 COW
Total number of cows 108
Total number of quarts of milk produced by dairies in the City of Quincy 1,080
Total number of cows in nearby dairies who serve consumers in Quincy 685
Milk produced in nearby dairies (quarts) 6,850
Milk contractors' processing plants, storage and creameries doing business in the City of Quincy 10
Milk contractors' processing plants, storage and creameries who come from out of the City of Quincy 41 Teams, auto cars and trucks employed in distribution of milk, ·cream, ice cream, chocolate milk and buttermilk 205
(All have been inspected)
Milk processing plants doing business in the City of Quincy 4
Amount of milk pasteurized in Quincy (quarts) 36,350
Milk consumed in the City of Quincy (quarts) 36,553
Raw milk consumed in the City of Quincy at the present time-none since April 1, 1936
Prior to April 1, 1936 (quarts) 685
Ice cream manufacturers in Quincy 10
Certified raw milk consumed in Quincy (quarts) 121
Grade A milk consumed in Quincy (quarts) 2,620
Chocolate milk consumed in Quincy (quarts) 2,561
131
Cream consumed in Quincy (quarts)
Ice cream manufactured in Quincy (gallons) 591
Ice cream consumed in Quincy (gallons) per day 1,941
Ice cream manufactured outside of Quincy (gallons) 1,361 (All ice cream is pasteurized)
Buttermilk consumed in Quincy (quarts) 451
Retail licenses issued in Quincy for milk, cream, ice cream and oleomargarine 762
Revenue for licenses $414.50
Milk samples collected 1,440
Samples taken from teams 1,001
Samples taken from stores and schools 216
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