USA > Massachusetts > Middlesex County > Somerville > Report of the city of Somerville 1893 > Part 21
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Asthma
Influenza
1
1
1
1
1
1
1
Pulmonary edema
1
. .
. .
DIGESTIVE ORGANS.
Gastritis
1
1 2
3
3 co
Peritonitis
1
4
1
6
Gastric ulcer
Enteritis
1
12.
Intestinal catarrh
3
Jaundice
4
Appendicitis
1
. .
.
: N.
1
.
5
3
3
29
Meningitis
3
3
1
2
2
2
1
1
1
.
4
Hemiplegia
Epilepsy
1
. .
. .
1
1
· ·
1
1
2 1
8 1
16 108
Bronchitis
3
3
1
. .
17
Hemorrhage
1
1
1
1
1
3
6
Laryngitis
1
3
Congestion of lungs
·
:
:
1
·
2010 2
2
2
1 5
16 23
Brain diseases
1
3
1
1
2
17
Convulsions
1
1
1
.
1
·
1
1
2
1 1 1 2 1 HAN. --: : : N.
15
11
1
1
1
2
. .
5
Rheumatism
Measles
5
Croup
. .
1 -:
-
:
. :
:
2
2
13
Erysipelas
34
Septicemia
Whooping cough
1
3
Tumor
2
1
3
21
·
1
1
1
1 1
.
.
1
5
4
.
1
2
5
4
1
1
4
16
21
Liver disease
1 1 11122
1. 1
1
7
19
11
.
. .
1
1 : -.
1
1
REPORT OF THE BOARD OF HEALTH.
MORTALITY IN SOMERVILLE IN 1893 .- Continued.
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
LOCAL DISEASES.
GENITO-URINARY ORGANS.
Bright's disease
Diabetes
1
1:1: 1
: : : : 6
4
Uræmia .
Childbirth
Eclampsia
.
1
.
·
1
·
·
2
DEVELOPMENTAL DISEASES.
OF CHILDREN.
Inanition
2
2
1
2
1
2
1
3
9
2
4
29
Premature birth and congenital debility
2
1
1
1
1
1
2
4
1
4
20
OF OLD PEOPLE.
Old age .
1
5
4
5
4
4
1
2
6
4
3
42
VIOLENT DEATHS.
Railroad
Suicide
1
·
1
.
1
Accidental drowning
1
. .
.
. .
1
1
1
3
Fracture of hip
1
.
.
1
. .
. .
. .
.
1
Fracture of thigh
1
. .
.
.
1
1
Internal injuries
.
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
Total
61
58
67
78
70
46
61
69
62
58
71
101
802
Stillborn
2
4
2
3
4
2
6
4
5
2
4
4
42
Population (estimated)
Death rate per thousand -
.
50,000 16
·
. .
.
2
1
3
Asphyxia
1
2
Sunstroke
1
1
·
.
1
1
3
Alcoholism
1
2
Fracture of skull
3
Concussion of brain
Fracture of ribs
. .
1
Rupture of blood vessel
.
..
. .
. .
. .
. .
.
1
1
.
.
·
.
1
1
2 1 1 HAN. . 10
.
Cystitis
3
Nephritis
1
2
.
3
2
.
.
.
2
Burning
1
·
.
1
1
. .
1
.
.
.
2
20
1
13
. .
.
379
380
ANNUAL REPORTS.
DISEASES DANGEROUS TO THE PUBLIC HEALTH.
This Board has adjudged small pox, scarlet fever, diphtheria, typhus fever, and typhoid fever to be contagious and dangerous to the public health, within the meaning of the statutes. Physi- cians are required to report immediately to the Board, every case of either of these diseases coming under their care, and postal cards conveniently printed and addressed, are supplied to them for the purpose.
Scarlet Fever .- 314 cases of scarlet fever, generally of a mild type, have been reported during the year, 19 of which re- sulted fatally. In 1892 there were 371 cases, 14 of which resulted fatally.
Diphtheria .- 56 cases of diphtheria have been reported during the year, 11 of which were fatal. In 1892 there were 39 cases, 8 of which proved fatal. Warning cards are used in deal- ing with these two diseases, and the premises are fumigated im- mediately after the termination of a case. An inspection is made by the agent of the Board, of the premises where diphtheria is re- ported, and all sanitary defects discovered are required to be rem- edied, as soon as possible.
Typhus Fever .- This disease has not appeared in our city during the past year.
Typhoid Fever .- 59 cases of typhoid fever have been report- ed during the year, 13 of which have proved fatal. In 1892 there were 74 cases reported, 11 of which were fatal.
Small Pox .- Friday evening, December 8, the City Physician was called to a patient, whom he found in a high fever. On in- quiry the doctor learned that nine days before, the patient had visited a family in Boston in which a case of small pox was dis- covered a few days after such visit.
In the house with this patient were two families ; one consist- ing of two adults and one child, with the patient as a boarder, and the other consisting of two adults and three children. Two of the children had been vaccinated about ten days before, and the doc- tor immediately vaccinated all the other members of both families.
381
REPORT OF THE BOARD OF HEALTH.
The house was quarantined the next day, but the yellow flag was not displayed until Sunday, when it first became evident that the patient had small pox.
Against the orders of the City Physician, the fathers of the families left the house the morning after his first visit, and did not return ; but all the other members of both families remained.
A female nurse was first obtained from a bureau in Boston, but on learning that she had not had the disease nor been successfully vaccinated, the doctor did not wish to accept her. She, however, was desirous of taking the case, and as a nurse was needed im- mediately, the doctor vaccinated her and took her to the house of the patient, where she remained until his recovery. Her vaccina- tion proved successful. A male nurse, who had had the disease, was also employed later, and the patient was attended, throughout his illness, by the City Physician.
No other case of the disease has occurred, and Saturday, January 20, the patient was discharged, cured. This case has afforded a good illustration of the power of vaccination as a pre- ventative.
In order to protect the public, four physicians, - one from each ward-have been employed by this Board to vaccinate all persons who might apply to them in the month of January, free of charge ; and notice of this action has been given by publication in the newspapers, and by distributing circulars throughout the city.
Tables .- The prevalence of scarlet fever, diphtheria, and typhoid fever in the city during the several months of the year 1893, is shown by the following table, and in the table next fol- lowing is given the number of deaths from these three diseases, by months, during the last ten years :-
382
ANNUAL REPORTS.
SCARLET FEVER, DIPHTHERIA, AND TYPHOID FEVER REPORTED IN 1893.
SCARLET FEVER.
DIPHTHERIA.
TYPHOID FEVER.
MONTHS.
Cases
Reported
Number of
Deaths.
Percentage
of Deaths.
Cases
Reported.
Number of
Deaths.
Percentage
of Deaths.
Reported.
Number of
Deaths.
Percentage
of Deaths.
January .
21
1
4.7
2
28.5
February
25.
March
18
-
April
14
May
16
Tune
7
-
ʻ
3
4
1
25.
8
2
25.
October .
33
10
1
10.
15
3
20.
November
70
9
12.6
12
2
16.6
12
2
16.6
December
72
7
9.6
4
-
-
Total
314
19
6.
56
11
19.6
59
13
22.
DEATHS FROM SCARLET FEVER, DIPHTHERIA, AND TYPHOID FEVER IN THE LAST TEN YEARS.
SCARLET FEVER.
DIPHTHERIA.
TYPHOID FEVER.
MONTHS.
1884.
1885.
1886.
1887.
1888.
1889.
1890.
1891.
1892.
1893.
1884.
1885.
1886.
1887.
1888.
1889.
1890.
1891.
1892.
1893.
1884.
1885.
1886.
1887.
1888.
1889.
1890.
1891.
1892.
1893.
-
-
-
-
- -
1 1
1
1
3
2
1
6
1
NONIHN0
-
-
1
February .
March
April
5
2
4
.
.
1
2
2
1
2
1
1
July .
August
September
1
1
1
6
1
3
2
11
1
1
10
-
1
4
1
Total
8 14
3 31 15
-1
5
2 14 19
21 28 20 11 21 28 21 18
8 11
8|11|
3 11 17
7 10 11 11 13
8
August
14
14
3
21.4
September
24
2
8.
4
2
50.
5 3 COOr ,
1
20.
July
1
1
1
2
200.
June .
NI
1
1
2
2
1
4
.
4
3
·2
1
1
1
3
4
2
October
November
4
IN-HI
· NHANH: HHN !!
3
January
1
2
May .
1
1
1
December
.
·
ʻ
2
50.
Cases
-
-
MAP OF SOMERVILLE OF
1894
SHOWING HEALTH DISTRICTS
4
0 200 400 600 800 1000
2000
2.500
3.000
.3500
4000
4500
5000
AILE
RAILROAD.
M
E
D
F
R
BROADWAY
37.1
SON
DOSTON
TUFTS
LOWELL
-
.04
NTS.
RA
ANNET
Nº15.
NP/Z.
PROFESSORS
LONDEN
CEDAR
ROA
AVE
CONKELL
AVE
STOR
LINDENS
LEN ST.
RAILES
FITCHBURG
CLARK
CONCORD SE
OAK
O
775M
IV
III
SOMERVILLE
Nº13.
Nº 12.
LINE
C
A
M
B
R
I
D
E
R
MYSTIC
RIVER.
ST
MIDDLES
125
EASTE
VIII
CHELSEA
AVE
MYSTIC
S
ROADWAY
BROADWAY
N
MAIN
OAKLAND
AV
BOSTON
AND
FISK
ONI7
Nº 18
Nº 19
COLLEGE
FILLER':
$49904
CARSON
PRESCOTT
BEA
ST
WALL ST.
V
AN
INJE
X
HOLLAND
NOSÓWIS
SAT NOSIVETS
ANE
37.
C
Nº13
SEWERS SHOWN THUS-
AMBRIDGE
RAYMOND
STON
SOMERVILLE
HAMON
FAIRMOUNT
ON
ING
N
CAD
Nº 19.
LEX
HELIOTYPE PRINTING CO., BOSTON
ARLINGT
ASYLUM
COLLEGE
AND
ST.
30's
383
REPORT OF THE BOARD OF HEALTH.
DISTRICTS.
The accompanying map shows the boundaries of the ten health districts into which the city was divided by the Board of Health of 1878 ; also the locations of common sewers.
A record has been kept from year to year of the number of deaths, the death rate per thousand, the prevalence of dangerous diseases, and the number of nuisances abated in these several districts, and is continued in the following tables.
The estimated population in the several districts was originally based on the number of assessed polls in each, and upon the popul- ation of the entire city ; the ratio of polls to population being presumed to be the same in all the districts. It has been assumed that the growth in population has been at the same rate as the increase in the number of assessed polls, and has been uniform throughout the city ; the census of every fifth year being taken as a basis for calculation.
TABLE OF DEATHS IN EACH DISTRICT DURING THE LAST TEN YEARS, EXCLUSIVE OF DEATHS IN THE MCLEAN ASYLUM.
Districts
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
Entire City.
Area
337 A.
107 A.
93 A.
171 A.
361 A.
285 A.
194 A.
482 A.
174.A.
456 A.
2,660 A.
Population ·
8,804
8,601
3,758
5,785
8,775
3,193
5,004
1,760
2,858
1,462
50,000
Dwellings
938
959
896
584
1,640
1,064
733
554
534
439
8,341
Average in each dwelling . .
9.3
8.9
4.1
9.8
5.3
3.
6.8
3.1
5.3
3.3
5.9
YEAR.
Number of
Deaths.
Rate
per 1,000.
Number of
Deaths.
Rate
per 1,000.
Number of
Deaths.
Rate
Deaths.
Rate
per 1,000.
Deaths.
Rate
Rate
per 1,000.
Number of
Deaths.
Rate per 1,000.
Number of
Deaths.
Rate per ·1,000.
Deaths.
Rate
per 1,000.
Number of
Deaths.
Rate
Number of
Deaths.
Rate
per 1,000.
1884
148
27
55
10
42
20
52
14 20
69
12
32
25
11
14 13
15 14
27 25
16 15
5=00
15
531
18
1886 .
115
20
51
9
38
17
59
15
85
14
37
28
44
13
11
11
20
=
24
479
15
1887 .
182
29
54
45
19
81
19
87
13
37
25
62
17
20
19
26
14
12
14 15
606 579
16
1889 .
125
16
67
9
48
17
85
17
105
14
28
17
62
15
19
15
26
12
17
17
582
15
1890 .
140
19
69
48
17
94
19
139
18
46
27
59
14
27
22
26
12
15
15
663
16
1891 .
169
22
71
9
68
23
103
20
120
15
75
42
77
17
33
25
33
14
12
1.2
761
18
1892 .
139
17
75
9
42
13
76
14
144
16
65
34
59
1.2
27
19
44
17
25
22
696
16
1893 .
161
18
80
9
63
16
94
16
180
20
64
20
72
14
23
13
26
9
27
18
790
15
Average death rate per 1000 for ten years
21
9
17
16
5
26
14
16
13
16
16
. .
· .
ANNUAL REPORTS.
384
482
16
1885 .
152
28
56
=
40
19
72
78
14
31
24
35 53
50
13
16
14
28
14
13
1888 .
148
23
68
44
50
62
14
117
18
33
22
per 1,000.
Number of
Deaths.
Number of
Number of
per 1,000.
per 1,000.
=
17
18
10
In 1893.
Number of
385
REPORT OF THE BOARD OF HEALTH.
TABLE SHOWING THE FIVE PRINCIPAL CAUSES OF DEATH IN SOMERVILLE IN 1893, WITH THE NUMBER AND RATE IN EACH DISTRICT.
CONSUMP- TION.
HEART DISEASE.
PNEUMONIA.
CHOLERA INFANTUM.
OLD AGE.
DISTRICTS.
Number of
Deaths
Number per
1,000 of pop.
Number of
Deaths.
Number per
1,000 of pop
Number of
Deaths.
Number per
Number of
Deaths.
1,000 of pop.
Number of
Deaths
Number per
1,000 of pop.
I.
26
2.95
6
0 68
3.29
16
1.81
3
0 24
II.
5010
0.58
5
0.58
10
1.16 .
1
0 11
3
0.34
III.
2 66
5
1 33
00
2.11
3
0.79
2
0.52
IV.
15
2.59
6
1.03
14
2 41
5
0.86
5
0.86
V.
00
2.06
17
1.93
22
2 50
6
0 68
19
2 16
VI.
8
2.50
3
0.93
9
2.81
2
0.62
1
0.31
VII.
6
1.19
4
0.79
8
1.59
VIII
6
2.09
2.05
1
0 6.
3
2 05
1
0.68
1
0.68
Total
97
1.94
49
0.98
108
2.16
34
0.68
42
0.84
TABLE OF SCARLET FEVER, DIPHTHERIA, AND TYPHOID FEVER IN EACH DISTRICT IN 1893.
SCARLET FEVER.
DIPHTHERIA.
TYPHOID FEVER. .
DISTRICTS.
Reported.
5
8.66
0.57
10
1.13
0.23
12
1
1.36
0.11
II.
37
4.07
-
8
2
0.93
0.23
C
4
1.04
0.47
III.
36
2
9 58
0.53
3
1
0 79
0.27
6
IV.
33
5
5.70
0.86
2
0.35
2
1
0 34
0 17
V.
48
1
5.47
0.11
10
2
1 13
0.23
15
5
1.71
0 57
VI.
20
6 26
0.62
5
1
1 56
0.31
4
1.25
VII.
23
1
4 59
0 19
7
1
1 39
0.19
4
1
0.79
0.19
VIII.
10
1
5.68
0.57
2
1.13
3
1
1.70
0 65
IX.
16
5.59
5
1 75
4
2 73
X.
13
10
8.89
1.36
4
2
2.73
1.37
-
-
Total .
314
19
6.28
0.38
56
11
1.12
0.22
59
13
1.18
0 26
1,000 of pop.
Cases
Deaths.
Cases per
Deaths per
1,000 of pop.
Reported.
Deaths.
Cases per
1,000 of pop.
Deaths per
1,000 of pop.
Reported.
Cases
Deaths.
Cases per
1,000 of pop.
Deaths per
Cases
4
2.27
1
0:6
IX.
1
0 35
3
1.05
4
0.79
1.13
X.
3
1,000 of pop.
I.
78
1 59
-
1,000 of pop.
Number per
RATES PER THOUSAND OF POPULATION OF CASES OF SCARLET FEVER, DIPHTHERIA, AND TYPHOID FEVER REPORTED, AND OF DEATHS FROM THE SAME IN THE LAST SEVEN YEARS.
1887.
1888.
1889.
1890.
1891.
1892.
1893.
Average for Seven Yrs.
DISTRICTS.
Scarlet Fever.
Diphtheria.
Typhoid Fever.
Scarlet Fever.
Scarlet Fever.
Diphtheria.
Typhoid Fever.
Scarlet Fever.
Diphtheria.
Typhoid Fever.
Scarlet Fever.
Diphtheria.
Scarlet Fever.
Diphtheria.
Typhoid Fever.
Scarlet Fever.
Diphtheria.
Typhoid Fever.
Scarlet Fever.
Diphtheria.
Typhoid Fever.
I.
.
Cases Deaths
10.48 1.45 2.74
3.51 2.44
2.29
4.24 3.24 3.11 0.28 0.84 0.42
- 3.55 1.51 0.82 0.55 0.14
0.77 0.38 -
0.95 6.43 0.83 0.36 0.12 0.12
8.86 1.13 1.36 0.57 0.23 0.11
5.59 1.77 1.72 0.56 0.5 0.27
2.10 0.32 0.64
0.61 1.07 0.46
4.07 0.94 0.78
2.32 2.17 1.01 - 0.43|0.29
0.42 2.37 0.69 - 0.42
0.28
0.66 0.39
-
-
-
0.17
0.47 0.31
0.31
2.43
1.19 1.11|
4.11
7.97 3.18 1.09 0.73 0.37 -
8.53 4.44 0.34|1.02
2.39 0.61
11.38 1.89 0.95 0.63 0.95 0.31
9.58 0.79 1.59 0.27 - 0.53
6.18 2.09 1.91 0.57 0.54 0.42
III.
( Cases . Deaths
1.71 0.43 0.43
0.40 0.40 1.21
0.37
-
1.24| 2.52 0.84 0.88 0.63 0.21
3.28 6.57 0.21 1.64
1.03
3.47 1.35 1.16 0.19 0.39 0.39
5.19 0.36
0,89 0.18
- 0.17 5.70 0.35 0.34 0.86
3,44 2,36 0,95 0.49 0,74 0,24
4.76 2.10 1.56 0,26 0,28 0.34
V.
( Cases Deaths
4.00
1.54 0.93
2.04
2.89 1.59
4.04
4.58 0.95 0.94 0.13
6.34 0.26 0.26 0.26
-
-
6.58 -
4.19/2.39 0.59 1.19
2.25 0.56 2.81 - 0.56 0.56
14.57 2,08 4.16 0.52 - -
- 6.26 1.56 1,25 0.31
6.13 1,77 2,35 0.19 0.30 0.32
VI.
( Cases Deaths
6.96
1.39 2.08
2.63 1.98
1.32
3.65
0.61 2.43
-
-
3.45 4.68 0.41
0.53
-
-
-
-
0.24
0.45
9.17 0.21
1.46 0.21
4.59 1.39 0.79 0.19 0.19 0.19
5.47 1.75 1.22 0.20 0.36 0.25
VII.
Cases Deaths
0.56
0.28 0.28
0.27
3.79
7.17
4.52
2.49 4.14
-
-
-
0.81
3.06 1.53 - 0.76
5.68 1.13 1.70 - 0.57 0.65
4.99 1.71 1.64
VIII.
( Cases ¿ Deaths
1.89
-
1.77
0.88
0.83
IX.
Cases Deaths
5.82
0.53 1.06
7.51 3.00 2.00
4.63
1.85
1.79 2.23 0.45
-
-
-
-
-
-
-
-
4.67 2.26 1.54 0.29 0.19 0.25
X.
{ Cases ¿ Deaths
8.40 4.80
-
4.54 2.27 3.40 1.13 1.13 -
2.10 8.40 - 4.20
4.13 1.03 2.06 - - 1.03
9.71 0.97 0.97 -
3.59
0.9
1.8
8.89 2.73 1.36 1.37
-
1
§ Cases Deaths
5.94 1.29 1.20 0.91 0.32 0.32|
3.42 2.09 1.75 0.42 0.59 0.48
4.94 3.34 1.57 0.18 0.72 0.18
4.01 2.89 0.97 0.07 0.54 0.24
2.97 1.62 1,26 0.05 0.42 0.25
0.17 0.24
0.38 0.22 0.26
8.06 0,85 1.61 0.3
6.28
1.12 1.18
5.09 | 1.88 1.36 0.29 0.42 0.28
386
ANNUAL REPORTS.
.
Cases Deaths
0.96 1.20 0.48
-
0.31
0.55
0.15 0.45
-
0.62 0.31|
0.70
-
.
8.45
0.85 1.41
5.59 1.07 1.07
0.98
5.26 3.37 0.95
1.80 0.88 2.47
-
-
-
4.96 0.71 -
-
-
-
- 7.79 0.78 2.73
0.53
-
-
1.50| 0.50 1.00
0.45
4.20 2.94 0.42 -
-
-
-
-
-
-
0.19|1.24 0.16
II.
Cases . Deaths
9.75 0.37 0.24
0.49 0.37
4.07|
0.93
1.04 0.23 0.47
3.32 1.29 0.89 0.12 0.33 0.27
3.84 0.85 0.85
0.81 2.43
1.36 2.72 1.71
1.14 0.45
-
2.34 0.91
3.65 1.22
0.97 0.12
7.78| 1,02 3.83 0.34 0.11 0.56
5.47 1,13 1,71 0.11 0.23 0.57
0.62
-
17.05
-
-
0.60 0.22 0.33
5.59 1.75 2.73 0.78
-
5.91 3.01 1.04
City
· ·
3.85 2.16 1.20
IV.
-
0.36
Typhoid Fever.
2.05 1.80
0.79 1.45 1.18
1.82 0.66 1.16
Diphtheria.
Typhoid Fever.
-
-
3.27 4.08 1.63
0.66
1
REPORT OF THE BOARD OF HEALTH.
NUISANCES ABATED IN EACH DISTRICT IN 1893.
I.
II.
III.
IV.
V.
VI.
VII.
IIIA
IX.
X.
Total
Population (estimated)
8.804 8,601 3,758
5,785 8,775 3,193
5,004
1,760 2,858
1,462
50,000
Cellar damp
11
2
. .
1
2
2
1
19
Cesspool offensive
1
1
2
7
Cesspool overflowing
3
. .
. .
..
1
1
4
9
Connections of drainage pipes defective .
7
2
3
1
1
Decomposed meat offensive
1
·
.
. .
Dogs kept in kitchen
1
1
Dog house offensive
2
3
1
6
1
1
1
15
Drainage emptying into cellar
3
1
1
·
1
1
.
.
. .
1
Drain-pipe defective
1
. .
1
1
1
2
. .
6
Hens kept in cellar
2
2
1
1
6
- Horses kept in cellar
1
. .
. .
1
Manure exposed and offensive Manure-pit defective .
6
3
1
1
1
5
1
1
21
Manure-pit too close to house Offal on land
1
1
Offensive odor in dwellings
and
about
6
2
2
3
2
3
18
Opening in drain-pipe in cellar . Pigs kept without license
Premises filthy
17
4
2
3
.
·
1
27
Premises untidy
26
6
3
6
2
.
. .
. .
. .
47
Privy-vault full .
68
5
2
10
13
e
8
1
4
4
124
Privy-vault offensive
103
8
3
12
17
9
11
2
2
9
176
Rubbish in cellar
4
· ·
. .
1 2
Sewer-gas in house
2
. .
1
4
1
2
10
Slops thrown on surface
1
1
3
. .
1
2
Stable and stable premises filthy and offensive
3
4
2
I
.
1
11
Stable without drainage
1
4
. .
1
2
1
3
11
Ventilation under window offen- sive -
1
. .
. .
·
. .
1
Waste-pipe defective
6
1
2
1
. .
. ·
.
1
11
Waste-pipe not trapped
4
·
1
2
1
4
2
2
1
4
2
20
Water-closet insufficiently sup- plied with water
4
4
4
2
·
. .
14
Water-closet offensive
1
1
2
1
2
1
3
13
Water in cellar
. .
1
2
.
. .
. .
. .
5
Total
345
68
155
54
86
32
52
5
19
30
706
.
. .
. .
. .
1
. .
1
Drainage emptying on surface
4
2
·
.
8
Drainage not ventilated
1
. .
1
. .
. .
2
Hennery offensive .
1
1
1
1
1
1
. .
. .
2
1
1
1
1
.
1
. .
4
Privy-vault defective
39
1
2
2
1
2
. .
. .
.
3
Stable infected with glanders
.
14
Stagnant water on surface
5
2
1
2
2
. .
.
9
Water-closet defective
1
1
4
Sewage flowing under floor
1
.
1
. .
.
2
Drainage defective
·
1
2
14
1
5
. .
5
2
·
. .
1
43
5
1
8
8
22 2 2
1
.
387
388
ANNUAL REPORTS.
REGULATIONS OF THE BOARD OF HEALTH.
Pub. Stat., Chap. 80, § 18.
IN BOARD OF HEALTH, CITY OF SOMERVILLE, - March 22, 1892. 3
WHEREAS, It is the opinion of the Board of Health of the City of Somerville, and it does hereby adjudicate that the following regu- lations are necessary for the public health and safety, respecting nuisances, sources of filth, and causes of sickness within the City of Somerville, and that it is necessary to make the following regula-" tions for the public health and safety ; now therefore it is
Ordered, That the following regulations, designated, respec- tively, as Chapters I. to X., both inclusive, be and hereby are made and adopted, and all regulations previously adopted by this board are hereby repealed :-
CHAPTER I.
CONTAGIOUS DISEASES.
SECTION 1. It is adjudged that the diseases known as small- pox, scarlet fever, diphtheria, typhus fever, and typhoid fever are contagious and dangerous to the public health and safety, and may easily be contracted from persons or apartments, or at funerals from dead bodies which may been infected by such diseases, and that the following provisions of this chapter are 'necessary for the public health and safety in regard to said diseases.
SECT. 2. Householder to give Notice .- When a house- holder knows that a person within his family, or any member of his household, is sick of small-pox, scarlet fever, diphtheria, typhus fever, or typhoid fever, he shall immediately give notice thereof to the Board of Health.
SECT. 3. Physician to give Notice .- When a physician knows that a person whom he is called to visit is infected with
389
REPORT OF THE BOARD OF HEALTH.
small-pox, scarlet fever, diphtheria, typhus fever, or typhoid fever, he shall immediately give notice thereof to the Board of Health.
SECT. 4. Pupils not to attend School .- No pupil shall attend the public schools while any member of the household to which such pupil belongs, or any occupant of the house in which such pupil resides, is sick of small-pox, scarlet fever, diphtheria, or typhus fever, or during a period of two weeks after the death, recovery, or removal of such sick person ; and any pupil coming from such household shall be required to present to the teacher of the school which such pupil desires to attend a certificate from the attending physician or Board of Health of the facts necessary to entitle him or her to admission, in accordance with this regulation.
SECT. 5. Dwelling to be Labelled .- Every dwelling where a case of small-pox, scarlet fever, diphtheria, or typhus fever is known to exist shall be immediately conspicuously labelled at its entrance with a card marked "Small-pox here," "Scarlet fever here," " Diphtheria here," or " Typhus fever here," as the case may be, such card there to remain until removed by said Board or its agent, or by permission of said Board.
SECT. 6. Label not to be removed or Persons to visit Dwelling .- No person shall, without permission from the Board of Health, remove from any dwelling in said city any card affixed thereto by said Board, or its agent, or any other person, indicating that any of said diseases exist in said dwelling ; nor shall any person obliterate or deface such card; nor shall the occupant of any dwelling to which such card may be affixed permit the same to be removed, obliterated, or defaced without immediately notifying said Board; nor shall any person, except members of the im- mediate family occupying the same, and those whose business calls them there, visit, or be permitted by the householder, or any oc- cupant thereof, to visit, a dwelling labelled with a card as aforesaid without the written permission of said Board.
SECT. 7. No Public Funeral .- No Public funeral, and no funeral attended by other persons than members, occupying the dwelling in which the funeral is held, of the immediate family of which the deceased was a member, or those whose business calls them there, shall be held over the remains of any person having died of small-pox, scarlet fever, diptheria, or typhus fever, except
390
ANNUAL REPORTS.
by written consent of the Board of Health, and under such regula- tions as said Board may prescribe ; and every householder, under- taker, or other person who shall attend or permit any funeral held in violation of the foregoing provisions of this section shall be liable to the penalty provided by law for violation of any regulation of the Board of Health. No persons, except members of the immediate family of which the deceased was a member, and those whose busi- ness calls them there, shall, without the written permission of said Board, be admitted to the house where such death has occurred until after the interment has taken place and the premises have been fumigated.
SECT. 8. Undertaker to prepare Body and notify Board of Health, and Burial to be made immediately .- In case of any person dying of small-pox, scarlet fever, diphtheria, or typhus fever the undertaker, his assistant, or agent shall immediately, upon the death of such person, or immediately upon his being notified of the death, or called upon to perform any services, wrap the entire body, including the face, in a sheet saturated with a ten per cent solution of chloride of zinc, and shall immediately place it in a tight coffin, which shall be securely fastened and shall not thereafter be opened. He shall notify the Board of Health or its agent of the time when the body is to be removed, and shall sign a certificate containing a true statement of the facts, that he has complied with the foregoing provisions of this section ; and he, and every other person having charge or custody or the right of disposal of the body, shall cause the burial to take place immediately, and in all cases within not more than eight hours after the time of death, unless further time shall be allowed by the said Board of Health.
SECT. 9. Patient or Body not to be carried in Public Carriage .- No owner, driver, or other person having charge of any hackney carriage or other vehicle used as public conveyance shall receive, or permit to be placed, or convey in any manner, in or upon said carriage or other vehicle any person sick or infected with small-pox, scarlet fever, diphtheria, or typhus fever, or the body of any person who has died of either of said diseases, except by written consent of the Board of Health, and under such regula- tions as said board may prescribe.
391
REPORT OF THE BOARD OF HEALTH.
SECT. 10. Dwelling not to be visited until Fumigated. -Upon the death, removal, or recovery of a person sick of small- pox, scarlet fever, diphtheria, or typhus fever, no persons except members of the immediate family of which such sick person was a member, and those whose business calls them there, shall thereafter visit, or be permitted by the householder or any other occupant thereof to visit, the dwelling in which such person was sick as afore- said until such dwelling shall have been fumigated or disinfected by the Board of Health or its agent, or to their or his satisfaction.
CHAPTER II.
STABLES AND THE REMOVAL OF MANURE.
SECITON 1. Washing of Carriages and Horses, Care of Stables and Yards, and Accumulation of Manure .- The owners or occupants of livery or other stables within the city of Somerville shall not wash or clean carriages or horses, or cause them to be washed or cleaned, in the streets or public ways; they shall keep their stables and stable yards clean, and no manure shall be allowed to accumulate or remain uncovered outside of the stable building.
SECT. 2. Removal of Manure at certain times, without permit, prohibited .- No person shall remove any manure, or cause or suffer the same to be removed, between the first day of May and the first day of November, except between twelve o'clock at night and two hours after sunrise, without a written permit from the Board of Health.
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