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 1941 > Part 6
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Norfolk County Preventorium
The number of our camp children this year, due to war priority and scarcity of help and certain food commodities, may have to be materially diminished. This is of course unfortunate for the camp is our best method of spreading health education and Tuber- culosis control. The children are taught the health regime, both in
101
REPORT OF DEPARTMENT OF HEALTH
theory and practice, and then carry their knowledge back to their homes; thus active cases are found and segregated and contacts are discovered and examined, so you can see, active Tuberculosis is hospitalized and new cases prevented.
May I in closing extend my thanks to you for your splendid co- operation, to Miss Russell, Dispensary Nurse, and to all the other public health nurses who liberally offered their help at the clinics during the past year.
Respectfully submitted,
C. J. LYNCH, M. D., Dispensary Physician.
102
CITY OF QUINCY
REPORT OF THE TUBERCULOSIS DISPENSARY NURSE
January 1, 1942.
I herewith submit to you my annual report for the year ending December 31, 1941.
Total number of all kinds of Tuberculosis on record in the city 396 Pulmonary Tuberculosis 362
Active Pulmonary Tuberculosis 111
Arrested Pulmonary Tuberculosis 230 Pneumothorax Cases 21
Other Forms
34
Childhood Type Cases Not reportable to State
New cases of Tuberculosis reported during the year .. 58
Pulmonary Tuberculosis 51
Childhood Type Cases 3
Other Forms 4
Disposition of New Pulmonary Tuberculosis Cases:
Admitted to Norfolk County Hospital 34
At home under medical check up 10
Admitted to Rutland State Hospital 2
Admitted to Veteran's Hospital, Rutland 1
Reported by death certificate 3
Waiting to be admitted to Norfolk County Hospital 1
Disposition of New Childhood Type Cases:
Admitted to North Reading State Sanatorium 1
Working-being followed through clinic 1
At school-being followed through clinic 1
Disposition of New T. B. Other Forms:
Admitted to Lakeville Sanatorium 2
Reported by death certificate 1
Post Operative Case-Mass. General Hospital 1
"Norfolk County Hospital"
Registration of patients at the end of the year 58
Cases admitted during the year 53
Minimal cases admitted during the year 8
Cases readmitted during the year 11
Cases discharged during the year 63
Condition of patients on discharge: Pulmonary Tuberculosis "Arrested" 24
Pneumothorax Case-on indefinite leave of absence
to return to hospital weekly for "refills" 12
Left against advice "Apparently Arrested" 1
Left against advice "Improved" 1
Left against advice "Unimproved" 2
Left against advice but readmitted 1 Transferred to Deaconess Hospital for surgery- non T. B. 2 ...
Rt. Pyo-Pneumothorax-Bronchiectasis 1
Lung Abscess 1
Transferred to Saranac Lake Sanatorium 1 Transferred to Boston Sanatorium 1
T. B. of Pleura "Arrested" 1
103
REPORT OF DEPARTMENT OF HEALTH
T. B. of Adrenals "Improved"-Pul. T. B. "Inactive" 1 Bronchiectasis "Improved"-Pul. T. B. "Inactive" 1 .... Chronic Asthmatic Bronchitis "Improved"-Non T. B. 1 Period of observation-Non T. B. 2 Dead 12
"North Reading State Sanatorium"
Registration of patients at the end of the year 4 Cases admited during the year 2
Cases discharged during the year 2.
Condition of patients on discharge:
Pulmonary Tuberculosis "Arrested"
1
Childhood Type "Arrested" 1
"Lakeville State Sanatorium"
Registration of patients at the end of the year 4
Cases admitted during the year 2
Cases discharged during the year 2
Condition of patients on discharge:
T. B. of Intestines-Left against advice "Improved"
1
T. B. Cervical Adenitis-Left against advice to re-
turn to clinic
1
"Mass. State Hospital for Crippled Children"-Canton
T. B. Knee
1
"Deaths"
Total number of deaths recorded during the year
24
Pulmonary Tuberculosis
21
T. B. of the Genito-Urinary System
1
T. B. of the Meninges and Central Nervous System
1
T. B. Meningitis
1
"Adult Clinic"
Attendance 252
New cases added to the clinic register 32
Number of contacts examined 40
Number of sputum examinations made 259
Clinic registration
110
Patients X-rayed at Norfolk County Hospital
132
Number of clinics held during the year 51
"Undernourished and Contact Children's Clinic"
Attendance
632
New cases added to register 109
Number of contact examinations made 106
Mantoux tests done
94
Positive reactions
30
Negative reactions
64
Children admitted to Norfolk County Preventorium for eight weeks during summer 50
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CITY OF QUINCY
Children sent to Prendergast Preventorium not eligible for N. C. Preventorium 6
Vaccinations done 5
Referred for dentistry 20
6
Referred for T. & A. operations
X-rayed at Norfolk County Hospital 79
51
Number of clinics held during the year
Total number of visits made to and in behalf of Tuberculosis cases
1524
Number of cases moved away and addresses forwarded to the State Department 7
I assisted at well-baby clinics, parochial school work and con- tagious disease work, during vacations of these nurses.
Respectfully submitted, GERTRUDE T. RUSSELL, R. N,. Dispensary Nurse.
REPORT OF THE CHILD WELFARE PHYSICIAN
January 1, 1942.
The birth rate in Quincy continues to rise-18.3 for 1941-as compared to 15.5 for 1940. America does not need more but healthier children-when army examinations show that between 40 and 50 per cent of our young men are physically unfit for military service. In spite of the rise in birth rate the attendance and registration at the Child Welfare Conference was lower than in the preceding year.
I am sorry to say that the infant mortality (33.6) was higher than in 1940 (29.8). Sixty-four per cent of the mortality occurred in infants under one month of age. This shows that two-thirds of the infant deaths are due to neo-natal causes. There were only 3 deaths among the 1,302 babies registered in the clinics. It is well to remember, however, that the clinic registration comprises babies during the first two years of life. The three deaths above mentioned were due to Pneumonia (2) and Streptococcus Infection (1). As you see there were no deaths from nutritional causes.
There were no deaths from Whooping Cough, Scarlet Fever, Diphtheria or Poliomyelitis.
There has been a decrease of 45 per cent in the death rate of infants in the United States since 1921 (according to the yearly report of the American Institute of Actuaries). I believe that the infant mortality in Quincy during the same period has dropped even more rapidly (1921 = 54.4 1941 = 33.6).
Very truly yours,
E. B. FITZGERALD, M. D., Child Welfare Physician.
REPORT OF DEPARTMENT OF HEALTH
105
REPORT OF CHILD WELFARE NURSES
January 1, 1942.
Report of the Child Welfare Nurses for the year ending De- cember 31, 1941.
Total clinic registration during year
1,302
Total clinic registration active December 31st
862
Total new registration during year
659
Total clinic attendance
4,181
Number of clinics held
298
Well baby clinics
277
Preschool clinics
11
Orthopedic clinics
10
Number of deaths
3
Lobar Pneumonia
1
Bronchopneumonia
1
Streptococcus Infection
1
Clinics Held
Day
Station
Attendance
Examined
New Cases 100
Monday
Woodward (preschool)
171
163
56
Tuesday
Wollaston
657
643
94
Wednesday
Quincy Point
620
427
72
Thursday
Woodward
715
689
124
Thursday
Houghs Neck
328
274
56
Thursday
Woodward (orthopedic)
112
101
45
Friday
Atlantic
813
730
112
4,181
3,561
659
The Houghs Neck clinic is held twice a month; Preschool and Orthopedic clinics are held once a month and all others are held weekly.
Clinic Registration
Active Dec. 31st Inactive 1 year Reg. in 1941
South Quincy
112
72
184
Wollaston
124
50
174
Houghs Neck
55
39
94
Woodward
153
66
219
Preschool
121
50
171
Orthopedic
60
42
102
Quincy Point
89
70
159
Atlantic
148
51
199
862
440
1,302
Boarding homes registered
10
Boarding homes not registered
5
Children now in boarding homes
25
Boarding homes inspections
80
Total number of visits made
2,641
Number of visits made to babies under 1 year
1,591
Number of visits made to babies between 1 and 2 years
747
..
Monday
South Quincy
765
534
Clinic
106
CITY OF QUINCY
Number of visits made to preschool group
303
Referred to local doctor by clinic doctor or nurse 92
Referred to private or clinic dentist 42
Referred to Habit Clinic 53
Each Monday and Wednesday morning was spent in St. Mary's and St. Joseph's Parochial Schools.
Each Saturday morning Mrs. Kerr assisted at the Undernour- ished Children's Clinic.
Respectfully submitted,
MARY M. McLENNAN, R. N., HAZEL R. KERR, R. N., Child Welfare Nurses.
REPORT OF ORTHOPEDIC CLINIC
February 4, 1942.
The following is a report of the eleven clinics attended by me from January, 1941, to December, 1941, inclusive. 128 patients were examined; 58 were new admissions and 70 were old. The following is a classification of conditions found in these patients.
Poor posture 15
Pronated feet
60
Flat feet and knock knees 26
Bow legs 12
Genu recurvation 5
Flat feet 10
The decrease in the number of patients seen over last year's report is due to the fact that the children examined this year were all pre-school age, and those not of school age in other years were treated at the High School.
Sincerely yours, JOHN L. DOHERTY, M. D.
107
REPORT OF DEPARTMENT OF HEALTH
REPORT OF THE QUINCY CHILD GUIDANCE CLINIC
February 27, 1942.
I take pleasure in submitting the fifteenth annual report of the Quincy Child Guidance Clinic for the fiscal year ending November 30, 1941.
This clinic, established in 1926 by the Division of Mental Hy- giene, has been functioning efficiently since that time without in- terruption. The success of the clinic is due to the continued sup- port and cooperation of the several social agencies, the School and Health Departments, the physicians, and many individuals inter- ested in promoting health activities for children.
The increased demand for service during the year has made it necessary to establish a waiting list for admission to the clinic. This policy was established only after the whole problem was carefully reviewed, and it was believed that this procedure was advisable in the interest of intensive treatment.
A few changes have occurred in the clinic personnel, but this has not interfered with the efficient operation of the clinic. The staff at the present time consists of Ella P. Cahill, M. D., Psychia- trist; Miss Elizabeth Starkweather, Psychologist; and Miss Doro- thy Parkhurst, Psychiatric Social Worker.
The procedure of the Quincy Child Guidance Clinic has been described in detail in previous annual reports, but, for your edifi- cation, I will briefly review these standard procedures. The first thought given to a child admited to the clinic is the matter of his physical health. Because of the important relationship existing between the mental and physical bodily functions, each case ac- cepted for treatment must have a physical examination by the family physician or a children's clinic. Next, a social study is made of the child by the psychiatric social worker. The child's background and environments are given special attention. The psychologist then examines and evaluates the child with regard to his intellectual endowment, his special aptitudes, and his educa- tional abilities and disabilities. Following these examinations, the psychiatrist makes a study of the child's total personality, includ- ing his behavior and reactions, his inner mental life and all other related factors. This is brought about through interviews with both the parent and child. A conference of the clinic personnel is held for the purpose of summarizing the findings and discussing treatment. In most cases, treatment must be carried on through the parent. The psychiatric social worker, cooperating with other social agencies, assists the psychiatrist in the administering of treatment.
As part of the therapeutic service of the Quincy Child Guidance Clinic, a speech therapist in training at Emerson College has taken an active part in the treatment program of the child pre- senting speech difficulties under the direction of our Supervisor of Education. It is her function to give individual speech instruction to all children referred to her by the psychiatrist. Occupational Therapy classes have been conducted weekly by a student thera- pist from the Boston School of Occupational Therapy under the direction of the Supervisor of the School. This treatment is pre- scribed by the psychiatrist for certain children for the purpose of
108
CITY OF QUINCY
aiding them to develop self-assurance, self-expression and social response.
An analysis of the statistical report of the clinic for the year 1941 reveals practically no difference in the number of children served. The fact that sixty per cent of the new cases referred to the clinic were sent in by the school personnel is indicative of the close relationship and cooperation existing between the School Guidance Department and the clinic. In past years, the physicians of Quincy have supported the Child Guidance Clinic in this com- munity better than in any other section of the State where clinical facilities are available. This past year has seen a marked de- crease in the number of new cases referred by the medical pro- fession, but no explanation of this change can be made at this time. It is hoped that this is only a temporary reversal of policy, as we have always looked forward to the physicians' support for the success of the clinic in its preventive work.
I have brought to your attention on several occasions the in- creasing need for supplementing the present Child Guidance Clinic facilities. Other progressive communities in the State have already expanded this type of service. It is anticipated that future plans will include the development of the Child Guidance Clinic program in this community where so much attention has been given to preventive health activities. If preventive measures have been emphasized in the past, now that a state of emergency exists greater emphasis must be placed on preserving the health of the civilian population. All agencies availing themselves of the treat- ment offered by the Quincy Child Guidance Clinic have constantly brought to our attention the need for additional facilities. We may expect increased service in the immediate future only through the cooperation and active support of the public-minded citizens of Quincy.
Quincy Child Guidance Clinic-1941
Total Number of Clinics Held 47
Total Number of Cases Carried
161
Total Number of New Cases
87
Total Number of Old Cases
74
Total Number of Visits by Children to Clinic 833
Total Number of Interviews
2,614
Sources From Which Cases Were Referred
Schools
53
Health Agencies
12
Friends and Relatives
9
Physicians
6
Family Agencies
6
Children's Agencies
1
Total Number of New Cases Referred 87
Sincerely yours,
EDGAR C. YERBURY, M. D., Director, Massachusetts Division of Mental Hygiene and Research.
109
REPORT OF DEPARTMENT OF HEALTH
REPORT OF NURSE WORK IN PAROCHIAL SCHOOLS
January 1, 1942.
We hereby jointly submit a report of our combined activities in the Parochial Schools for the year ending December 31, 1941.
Number of visits to schools
203
Number of vision tests given 1,570
Number of pupils seen by nurses in office 677
Number of pupils referred to private M. D. 40
Number of pupils weighed and measured
1,098
Number of home visits 103
Number of health inspections
2,012
Respectfully submitted,
CATHERINE F. COLEMAN, R. N., MARY M. McLENNAN, R. N., HAZEL R. KERR, R. N.
INFANTILE PARALYSIS TREATMENT CLINIC REPORT
January 21, 1942.
The following is a report of the activities of the Quincy Treat- ment Clinic for Infantile Paralysis cases during 1941.
Forty-seven clinics were held at the Dispensary on High School Avenue.
Of the forty-eight active cases in the district, thirty-six were registered in the Clinic. These patients received five hundred and sixty-five treatments and were instructed in the best methods of carrying out home therapy.
Five new cases were admitted to the Clinic during the year, four of them with their onsets of poliomyelitis in the late summer of 1941.
One hundred and forty-six visits were made to the Central Clinic at the Children's Hospital for consultation and examination by the Clinic surgeon.
Very truly yours,
WILLIAM T. GREEN, M. D., Director of Clinics.
110
CITY OF QUINCY
REPORT OF COMMUNICABLE DISEASE NURSE
January 1, 1942.
I herewith submit my annual report as Communicable Disease Nurse for the year ending December, 1941.
Two thousand and sixty-two cases of notifiable diseases were reported as follows :
Anterior Poliomyelitis
5
Chickenpox
434
Dog Bite
223
German Measles
15
Lobar Pneumonia
112
Measles
494
Meningitis Meningococcus
4
Meningitis Pneumonoccus
1
Mumps
363
Ophthalmia neonatorum
1
Pellagra
1
Rocky Mountain Spotted Fever
1
Scarlet Fever
138
Tetanus
2
Whooping Cough
268
Total number of visits
1,842
Scarlet Fever
546
Measles
881
Whooping Cough
230
Typhoid Fever (cultures 46)
87
Bacillary Dysentery
13
V. Disease
19
Meningococcus Meningitis
10
Anterior Poliomyelitis
5
Chickenpox
2
Public Schools
24
Kindergarten
16
Q. Social Service
6
Tuberculosis
3
Diphtheria
This is the second consecutive year without a case of diphtheria. Immunization of children by their family physician and in the Health Department clinics has been a big factor in keeping this city free from the disease.
Four hundred and thirty-nine children were immunized during 1941. Immunized by the family physician 234, in the clinics 205.
Age groups as follows:
Under 1 year
25
1 year
77
2 years
38
3 years
17
4 years
14
5 years
86
6 years
153
7 years
26
8 years
2
11 years
1
111
REPORT OF DEPARTMENT OF HEALTH
Scarlet Fever
One hundred and thirty-eight cases reported, one case more than in 1940.
Fourteen cases were hospitalized at John Haynes Memorial.
Typhoid Fever
Not a case reported during the year as against nine cases in 1940.
During the year routine monthly visits were made to patients having had the disease in 1940, specimens obtained and sent to the State laboratory.
Anterior Poliomyelitis
Five cases reported, all were hospitalized.
Whooping Cough
Four cases of the 268 reported were hospitalized.
Clinics attended
53
V. D. 46
T. A. T. 3
Preschool dental 4
Office hours daily 9-9:30 - 1-1:30 P. M. 642
Children seen in office
Certificates were given children to return to school as follows:
Chickenpox
251
German Measles
6
Measles 33
Mumps
239
Scarlet Fever
12
Whooping Cough 101
In the follow-up work, the 1,842 visits made included placard- ing, settlement histories, revisits, investigation of complaints, school visits and examination of contacts for release from quar- antine.
ยท Monday and Wednesday afternoons were spent at St. John's Parochial School as school nurse.
Respectfully submitted,
CATHERINE F. COLEMAN, R. N., Contagious Disease Nurse
112
CITY OF QUINCY
DENTAL CLINIC REPORT
January 1, 1942.
The attendance at the Dental Clinic has been very good during the past year. In September 1941, when I examined the children, the fourth, fifth and sixth grades were included, making a total of six grades. Because of this I am able to follow up the treatment started in the first grades through the following grades up to the sixth inclusive.
It has been shown from experience that it is not primarily be- cause of lack of money that children do not have dental cor- rections made, but rather through ignorance and the fear of the Dentist. Therefore, a School Dental Clinic provides an educational means of stimulating the child and parent to be interested in the proper growth and health of the teeth.
As you know, clinics are held every school day from 9 until 12 o'clock in the morning and from 1 until 2 in the afternoon. On Monday, Wednesday and Friday afternoon, Miss Della Lucca does prophylactic work from 2 until 4 o'clock and Saturday morn- ing from 9 until 12 noon.
I would like to mention here the able and efficient assistance I have received from Miss Della Lucca, Dental Hygienist, and I take pleasure in extending my thanks to you as Health Commis- sioner, and also to the members of the Health Department and to the School Nurses for the cooperation I have received during the past year.
Respectfully submitted,
LOUIS E. SULLIVAN, D. M. D., School Dental Clinician.
REPORT OF PRE-SCHOOL DENTAL CLINIC
January 1, 1942.
I herewith submit to you the report of the Pre-School Dental Clinic for the year ending December 31, 1941.
Number of clinics 99
Number of children attending clinics 940
Number of different children treated 212
Number of appointments not kept 162
Number of children refusing treatment
19
Number of children referred for gas anesthesia 15
Number of teeth filled 610
Number of teeth extracted 53
Number of prophylactic treatments 124
Number of treatments (drainage, grinding)
91
Respectfully submitted,
DOROTHY A. DELLA LUCCA, Dental Assistant.
113
REPORT OF SCHOOL DENTAL CLINIC
January 1, 1942.
I herewith submit to you the annual report of the School Dental Clinic for the year ending December 31, 1941.
Number of children examined (Gr. I-VI)
6,043
Number of dental clinics
200
Number of different children treated
678
Number of appointments given out
3,152
Number of appointments not kept
451
Number of emergency cases
71
Number of children attending clinics 2,772
Number of children refusing treatment
30
Number of completed cases 406
Number of permanent teeth filled
1,115
Number of temporary teeth filled
482
Total number of teeth filled
1,597
Number of permanent teeth extracted
101
Number of temporary teeth extracted
925
Total number of teeth extracted
1,026
Number of prophylaxis (Gr. 1-111)
441
Number of prophylaxis (Gr. IV-VI)
902
Number of prophylaxis during summer (Gr. VI and upper grades)
250
Total number of prophylaxis
1,593
Respectfully submitted,
DOROTHY A. DELLA LUCCA, Dental Assistant.
REPORT OF SANITARY MILK INSPECTOR
January 1, 1942.
I herewith submit my report for the year ending December 31, 1941.
The following statistics refer to all milk, cream and other milk products, including butter and oleomargarine.
Dairies in the City of Quincy
1 dairy with 60 cows 1 dairy with 30 cows 1 dairy with 2 cows 3 dairies with 1 cow
Total quarts of milk produced daily by dairies in Quincy 1,000 Total number of cows (approx.) in nearby dairies pro- ducing milk for Quincy 1,500 Total quarts of milk produced daily in nearby dairies for Quincy (approx.). 17,000 Number of producers in New England Milk Shed contrib- uting to Quincy (approx.) 9,000 ..
REPORT OF DEPARTMENT OF HEALTH
114
CITY OF QUINCY
Milk contractors' processing plants, storage plants, and creameries distributing milk, cream and ice cream in Quincy
57
Vehicles used for the delivery of milk products and ice cream in Quincy (approx.). All are inspected fre- quently
200
Amount of milk pasteurized daily in Quincy (quarts)
41,840
Milk consumed in Quincy daily; all pasteurized except certified raw (approx.) 40,000
Ice cream manufactured daily in Quincy (gallons) 800
3,000
Ice cream sold daily in Quincy (gallons). All pasteurized Certified milk sold in Quincy daily, raw and pasteurized (quarts)
100
Grade A milk sold in Quincy daily (quarts)
2,000
Cream, all grades, sold in Quincy daily (quarts)
2,000
Buttermilk sold in Quincy daily (quarts)
500
Retail licenses issued for sale of milk, ice cream and oleo- margarine in Quincy (1941)
814
Milk samples collected for bacteria and chemical analysis 1,200
Milk samples collected for Phosphatase test 646
Milk samples collected from trucks
1,294
Milk samples collected from stores, restaurants and schools
242
Milk samples collected from dairies
310
Raw milk samples before pasteurization
44
Ice cream samples collected for bacteria and fats and solids
48
Number of delivery truck inspections
1,127
Number of dairy inspections and reinspections
759
Number of processing plant inspections 358
Store milk and ice cream cabinets inspected and rein- spected (approx.) 700
In the control of milk I recommend that the following be adopted from a point of public health.
1. Registration of all vehicles used in the distribution and delivery of all milk and milk products in the City of Quincy.
2. Inclusion of phosphatase test of all laboratory samples.
3. Inspection of country collection plants at least twice a year.
4. Dated caps on all milk delivered or sold in Quincy.
I urge the adoption of regulations covering these items.
The rationing of tires of course will have an effect on the de- livery of fresh milk but I believe with full cooperation of the deal- ers and handlers that the trouble can be minimized.
Respectfully submitted,
JOHN J. CURTIN, Sanitary Milk Inspector.
115
REPORT OF DEPARTMENT OF HEALTH
REPORT OF BACTERIOLOGIST
January 1, 1942.
Plate counts (milk)
736
Plate counts (ice cream)
24
Babcock tests (ice cream)
24
Microscopic examinations (milk)
736
Chemical examinations (milk)
768
Total
2,288
EDWIN E. SMITH, M. D.
REPORT OF VENEREOLOGIST
January 1, 1942.
Female Clinic
Patients treated for syphilis
20
Patients discharged
6
Patients lapsed treatment
4
Patients remaining under treatment
10
Total visits to clinic
389
Contacts examined
4
Male Clinic
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