USA > Massachusetts > Middlesex County > Somerville > Report of the city of Somerville 1901 > Part 22
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Peddlers.
One hundred and twenty-three certificates of registration were issued to hawkers and peddlers during the year under the provisions of ordinance No. 27-a decrease of seventeen from the year 1900. Each peddler is required to present a writing from the Sealer of Weights and Measures, showing that his measures have been properly sealed, before a certificate is issued to him. Peddlers are also required to present their vehicles at the Police Station the first Monday of each month for inspection by the agent of the Board, that he may see they are kept in a clean con- dition, and are properly marked with the owner's name and number.
-
Ashes.
During the past year the ashes have been removed by this department with teams owned and men hired by the city, under
280
ANNUAL REPORTS.
a competent superintendent, who also superintends the collection of house offal.
Twenty-two men, with twelve horses, ten carts, and two wagons for the collection of waste paper, are employed in the work.
The number of loads collected each month during the year was as follows :-
January
2,517
February
2,584
March
2,500
April
2,471
May
2,746
June
2,235
July
2,456
August
2,266
September
2,017
October
2,160
November
2,468
December
2,692
Total
29,112
The collections are made weekly, as follows :-
Monday
in district one.
Tuesday
66 two.
Wednesday
66 three.
Thursday
66 four.
Friday
66
five.
Saturday
six.
Materials for removal must be free from filth and offal, must be placed in barrels or boxes, and must be set on the outer edge of the sidewalk before seven o'clock in the morning of the day when the collection is to be made.
The districts were established by the Board of Health of 1890, and are bounded as follows :-
District 1 .- Beginning at the Boston line and bounded by the northeasterly line of Pearl street, the southeasterly line of Walnut street, the northeasterly line of Highland avenue, the easterly line of Medford street, the northerly line of Washington street, the northwesterly line of Prospect street, the northerly line of Concord avenue, extended across Beacon street to the Cambridge line, and by the Cambridge and Boston lines.
District 2 .- Beginning at the Boston line and bounded by the northeasterly line of Pearl street, the southeasterly line of Walnut street, the northeasterly line of Broadway, the north- easterly line of Main street, and by the Medford and Boston lines.
District 3 .- Beginning at the Medford line and bounded by the southeasterly line of Cedar street, the northeasterly line of Highland avenue, the southeasterly line of Walnut street, the northeasterly line of Broadway, the northeasterly line of Main street, and by the Medford line.
281
HEALTH DEPARTMENT.
District 4 .- Beginning at the intersection of Medford and Washington streets, and bounded by the northerly line of Wash- ington street, the northwesterly line of Prospect street, the north- easterly line of Somerville avenue, the southeasterly line of School street, the northeasterly line of Summer street, the south- easterly line of Cedar street, the northeasterly line of Highland avenue, and the easterly line of Medford street to Washington street.
District 5 .- Beginning at the intersection of Prospect street and Somerville avenue, and bounded by the northwesterly line of Prospect street, the northerly line of Concord avenue, prolonged to the Cambridge line, the Cambridge line (extending west- wardly), the southeasterly lines of Oxford, Mossland, and Cedar streets, the northeasterly line of Summer street, the southeasterly line of School street, and the northeasterly line of Somerville avenue to Prospect street.
District 6 .- All of that portion of the city lying west of the southeasterly lines of Cedar, Mossland, and Oxford streets.
It will be seen by these descriptions that the side lines of streets are used as boundaries, and not the middle lines ; so that ashes are removed from the sidewalks on both sides of a street on the same day.
House Offal.
The house offal has been collected by the city during the year under the same system that has been employed in the re- moval of ashes, and which was adopted in both departments in the year 1895.
The force employed consists of twenty men, with twelve horses and twelve wagons.
The following table, showing the number of loads collected each month during the year, may be of interest :-
January
540
February
420
March
520
April
530
May
540
June
500
July
540
August
605
September
532
October
565
November
517
December
536
Total
6,345
Stables.
Under the provisions of Chapter 213 of the Acts of the Legislature of 1895, relating to the licensing and regulating of
282
ANNUAL REPORTS.
stables in cities, as amended by Chapter 332 of the Acts of 1896, and Section 3 of Chapter 300 of the Acts of 1897, thirty-nine. petitions for licenses to erect stables were received and disposed. of as follows :-
Number granted
23
Number refused
14
Petitions referred to next Board
2
Board of Infants.
Five parties have been licensed to care for ten children, under the provisions of Chapter 318, Acts of 1892.
Deaths.
There were 831 deaths and sixty-two stillbirths in the city during the year, as specified in the following table, which shows a decrease of deaths from the previous year of one hundred and thirty-six :-
Deaths at Somerville Hospital during the year . 48
Deaths at Home for Aged Poor (Highland avenue) 46
Deaths at City Home .
2
DEATHS BY AGES.
AGES.
Total.
Male.
Female.
Under one
174
108
66
One to two .
Two to three .
19
10
9
Three to four
9
5 01-1
4
Five to ten
17
9
8
Ten to fifteen
16
6
10
Fifteen to twenty .
17
5
12
Twenty to thirty
55
29
26
Thirty to forty
55
20
35
Forty to fifty
67
31
36
Fifty to sixty
68
37
31
Sixty to seventy
129
53
76
Seventy to eighty .
115
56
59
Eighty to ninety
54
21
33
Ninety and over
13
6
7
Total
831
409
422
13
6
Four to five .
10
6
4
Of the stillborn, 32 were males and 30 females.
283
HEALTH DEPARTMENT.
Mortality in Somerville in 1901.
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
ZYMOTIC DISEASES.
MIASMATIC.
Scarlet fever
4
1
Diphtheria
10
4
2
3
1 12
1
3
2
1
28
Typhoid fever
1
2
1
3
1
3
12
Erysipelas
1
1
3
2
Cholera morbus
1
6
7
Whooping cough
2
4
1
1
2
1
5
Dysentery
5
3
1
1
1
1
1
14
La grippe
4
1
2
2
3
4
2
3
1
22
Meningitis
1
1
1
1
1
5
Measles .
1
1
1
3
Syphilis
CONSTITUTIONAL DISEASES
DIATHETIC.
Anæmia .
1
1
1
1
1
1
6
Cancer
2
4
4
3
4
2
2
3
4
9
39
Tumor
1
1
2
1
1
6
Gangrene
Leukaemia
TUBERCULAR.
Tuberculosis
5
9
7
8
9
4
9
4
6
10
11
10
92
Tubercular meningitis .
1
3
1
2
7
LOCAL DISEASES.
NERVOUS SYSTEM.
Apoplexy
1
3
8
5
6
3
6
1
4
2
4
1
44
Paralysis
2
3
3
2
2
1
2
1
1
3
1
21
Brain diseases
1
1
1
1
1
1
2
7
Spinal disease
1
Hemiplegia .
1
Epilepsy
Myelitis .
1
1
2
ORGANS OF CIRCULATION.
Heart disease
7
8
4
9
5
1
3
2
7
11
8
9
74
Angina pectoris
1
1
1
1
1
1
6
Cyanosis
1
1
1
1
4
RESPIRATORY ORGANS.
Pneumonia .
10
13
18
11
9
4
1
1
2
5
5
6
85
Bronchitis
7
4
5
7
2
2
1
1
3
3
35
Hemorrhage
2
Asthma
1
1
1
1
Laryngitis
1
1
Pulmonary œdema
1
1
1
. .
1
1
3
8
Emphysema
2
1
1
1
5
Diarrhœa
1
1
18
Cholera infantum
....
6
.
3
Septicaemia
1
Rheumatism
1
1
. .
1
1
2
1
Convulsions
1
1
1
1
1
2
1
5
2
..
. .
. .
1
1
2
5
3
6
1
2
284
ANNUAL REPORTS.
Mortality in Somerville in 1901 .- Concluded.
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
LOCAL DISEASES. DIGESTIVE ORGANS.
Rupture of stomach
1
Gastritis .
1
1
2
3
1
2
1
1
14
Peritonitis
1
1
2
1
1
1
2
1
10
Hepatitis
1
2
1
1
4
Gastric ulcer
1
1
1
3
Enteritis
1
1
1
2
2
3
1
2
2
15
Hernia
1
1
3
1
5
·Cirrhosis
1
1
1
. .
1
4
GENITO-URINARY ORGANS.
Bright's disease
4
2
2
2
2
1
2
2
4
2
23
Diabetes
Cystitis
1
1
2
1
1
.
..
1
2
1
23
Childbirth
1
1
.
1
1
1
. .
INTEGUMENTARY SYSTEM.
1
1
1
1
4
Eczema
DEVELOPMENTAL DIS- EASES. OF CHILDREN.
Inanition
3
1
2
1
2
2
3
5
3
2
24
Premature birth and congenital
1
3
1
2
1
1
3
4
3
4
23
Mal-formation
1
1
1
3
OF OLD PEOPLE.
Old age
2
3
1
4
4
2
4
4
3
27
VIOLENT DEATHS.
Railroad .
1
1
1
3
Suicide
1
1
2
1
5
Accidental poisoning
1
1
Sunstroke
1
3
4
Burning .
1
2
Alcoholism
1
1
Fracture of thigh
1
1
2
Fracture of skull .
1
1
1
3
Fracture of spine
1
1
Accidental shooting
1
. .
..
. .
. .
1
Total
86
82
81
76
69
40
64
55
61
68
77
72
831
Stillborn
6
10
2
5
1
3
5
2
8
8
3
9
62
Population ( estimated ) Death rate per thousand
63,000 13.2
7
Nephritis
1
4
2
5
1
2
3
1
1
1
Eclampsia
Abcess
1
..
.
..
.
. .
1
1
1
2
1
1
4
Liver disease
1
2
Appendicitis
1
. .
. . .
2
2
Injury to head
1
2
1
.
5
1
debility
1
285
HEALTH DEPARTMENT.
Social Relations of Decedents.
Married
272
Single
357
Widow
143
Widower
55
Divorced
2
Unknown
2
Total
831
Nativity of Decedents.
Somerville
225
Massachusetts
214
Other New England states
108
Other states
13
Canada
62
England, Scotland, and Wales
28
Ireland
135
Italy
6
Norway and Sweden
19
Russia
5
Other countries
13
Unknown
3
Total
831
Nativity of Parents of Decedents.
Father. Mother.
Somerville
15
11
Massachusetts
132
140
Other New England states
144
130
Other states
19
23
Canada
102
121
England, Scotland, and Wales
53
41
Ireland
259
263
Italy
13
11
Norway and Sweden
13
9
Russia
8
8
Other countries
26
23
Unknown
47
51
Total
831
831
Of the parents of the stillborn, 35 fathers and 29 mothers were natives of the United States, and 27 fathers and 33 mothers were of foreign birth.
Diseases Dangerous to the Public Health.
This Board has adjudged that the diseases known as small- pox, scarlet fever, diphtheria, membranous croup, typhus fever, typhoid fever, and cholera are infectious, or contagious, and dan- gerous to the public health and safety within the meaning of the statutes. Physicians are required to report immediately to the Board every case of either of these diseases and all cases of measles coming under their care, and postal cards conveniently printed and addressed are supplied to them for the purpose. On
286
ANNUAL REPORTS.
receipt of a card from a physician, the Superintendent of Schools, the principal of the school in the district in which the patient re- sides, and the Librarian of the Public Library are notified.
Scarlet Fever .- One hundred and thirty cases of scarlet fever have been reported during the year, five of which resulted fatally. In 1900 there were two hundred and thirty-one cases, seven of which resulted fatally.
Diphtheria .- Three hundred and forty cases of diphtheria have been reported during the year, twenty-nine of which were fatal. In 1900 there were five hundred and twenty cases, forty- nine of which proved fatal. Anti-toxin has been provided by the State Board of Health, and placed by this Board in central locations for use by physicians in cases where people are unable to purchase the same. Culture tubes for diphtheria and sputum bottles for suspected tuberculosis have been obtainable at the same stations.
Warning cards are used in dealing with scarlet fever and with diphtheria, and the premises are fumigated by the use of the Formaldehyde gas regenerator, immediately after the termi- nation of the case. An inspection is made by the agent of the Board of the premises where diphtheria is reported, and all sanitary defects discovered are required to be remedied as soon as possible.
Typhoid Fever .- Seventy-eight cases of typhoid fever have been reported during the year, twelve of which have proved fatal. In 1900 there were seventy-two cases reported, nine of which were fatal.
Typhus Fever, Cholera .- No cases of typhus fever or cholera have been reported the past year.
Smallpox .- Seven cases of smallpox have been reported during the year, none of which thus far have proved fatal. The City Physician, by direction of this Board, attended all but one of these cases to the exclusion of all other medical work.
Of the November and December cases, three men and a child aged two were cared for at the smallpox hospital, and one, a young mother, was treated at her own home and her family quarantined.
The family to which the child with smallpox belonged con- sisted of the parents and seven children ; both parents were vac- cinated years ago; two of the children were successfully vacci- nated one and two years ago respectively, upon entering school, and four others had been successfully vaccinated about a month before at one of the free vaccination offices nominated by the Board of Health ; the vaccination of the baby alone was neglected. As this child had been kept sedulously at home, she probably contracted smallpox from the clothing of her father, who was a hack driver in Boston, where that disease was then more or less prevalent. Such a striking exemplification of the protection
287
HEALTH DEPARTMENT.
against smallpox afforded by vaccination, and the danger heed- lessly incurred by neglecting to comply with the urgent and re- iterated request of this Board, that every person, however young or old, not recently successfully vaccinated should be vaccinated forthwith, needs no comment.
Number of houses placarded for various diseases . 475 Premises disinfected by agent . . 536
DISINFECTION.
By special request of attending physicians, the agent has disinfected rooms that have been occupied by patients with con- sumption, typhoid fever, and cancer. He has also disinfected a large number of library books, and has burned a quantity of in- fected bedding and other material.
TABLES.
The prevalence of scarlet fever, diphtheria and typhoid fever in the city during the several months of the year 1901 is shown by the following table, and in the table next following is given the number of deaths from these three diseases, by months, during the last ten years :--
Scarlet Fever, Diphtheria and Typhoid Fever Reported in 1901.
SCARLET FEVER.
DIPHTHERIA.
TYPHOID FEVER.
MONTHS.
Cases
Reported.
Number of
Deaths.
Percentage of Deaths.
Reported.
Number of
Deaths.
Percentage
of Deaths.
Reported.
Number of
Deaths.
Percentage
of Deaths.
January
37
87
10
11.5
10
1
10.0
February
20
4
20.0
40
4
10.0
8
2
25.0
March
20
1
5.0
26
2
7.7
1
....
....
May .
7
32
3
9.4
1
....
...
..
August
3
....
16
12.5
9
1
11.1
September .
4
...
11
1
9.0
19
3
15 8
October
4
. .
21
3
14 3
16
1
6.2
November .
5
....
. .
. .
. .
13
1
7.7
4
3
75 0
Total .
130
5
3.8
340
29
8.5
78
12
15.4
. .
June .
13
29
1
3.5
July
...
17
.
27
7.8
8
.
.
December .
6
....
Cases
Cases
April
21
.
Q
1
50.0
288
ANNUAL REPORTS.
Deaths from Scarlet Fever, Diphtheria and Typhoid Fever in the Last Ten Years.
SCARLET FEVER.
DIPHTHERIA.
TYPHOID FEVER.
MONTHS.
1892.
1893.
1894.
1895.
1896.
1897.
1898.
1899.
1900.
1901.
1892.
1893.
1894.
1895.
1896.
1897.
1898.
1899.
1900.
1901.
1892.
1893.
1894.
1895.
1896.
1897.
1898,
1899.
1900.
1901.
-
---
-
-
-
-
-
-
-
-
January
1 1
2
4 12
2
1
7
10
2
February .
March
2
·
4
1
3
4
4
7
1
1
5
3
1
1
1
1
June
4
.
2
1
2
5
1
1
1
1
1
August
.
.
1
2
2
7
1
4
2
2
6
2
2
1
3
October
1
1
1
4
3
1
5
1
3
3
4
3
2
1
1
3
1
November
3
7
2
1
. .
.
3
1
.
:
1
8
6
1
1
5
1
2
2
1
1
1
. .
3
Total
14 19 51 17
5
6037
5
8 11 28 43 54 44 10 11 49 29
11:13 13 10 26 11 11 15
9|12
Smallpox Hospital.
The old Cook farmhouse between the City Home and the newly acquired Russell house, at the corner of Broadway and North street, was moved to the rear of the city land to serve as a hospital for cases of smallpox. It stands close to the other house where the smallpox patients have been confined. The two build- ings will soon be joined together. The original smallpox hos- pital has but two rooms, whereas the Cook house addition con- tains five rooms ; both together, therefore, affording accommo- dation for all the smallpox cases that the city is liable to have in charge. This new hospital is equipped with a telephone, electric lights, bathtub, and other conveniences. The patients were transferred to the new quarters about the middle of December, 1901.
Free Vaccination.
Promptly with the entrance of the first of the autumn small- pox patients to the hospital, the Board authorized the three phy- sicians that were associated with the Board to perform free vac- cinations to such as might apply to them therefor at their re- spective offices during the remainder of the year. An appeal to the public through the press was authorized, and the co-operation of other city departments was asked in getting their employees vaccinated. A few days later the following physicians were em- ployed by the Board to perform free vaccination, and 15,000 copies of the following circular were printed and were distributed to the several householders through the Police department :-
.
2
1
1
2
2
1
2
1
1
2
3
3
2
1
3
1
1
2
1
.
2
1
.
3
1
July
1
4
NN. HN
1
9911 6
5
1
2
Nº
: :
5
2
:
1
May
4
.
.
6 9 4 AWWW.
2
. .
.
5
1
3
2
.
December
:
2
5
4
7
8
2
1
2
.
2. 2
4
3
September
.
·
-1
.21
1
April
4
-
3
1
: :
..
289
HEALTH DEPARTMENT.
FREE VACCINATION.
BOARD OF HEALTH, CITY HALL, SOMERVILLE, November 26, 1901. 5
Since smallpox is increasing rapidly, the Somerville Board of Health hereby most earnestly urges that all persons, the vaccinated as well as the unvaccinated, protect themselves and the community by an immediate vaccination.
All persons may obtain free vaccination upon application therefor at the offices of the following physicians :--
Dr. Henry F. Curtis, 145 Perkins street.
Dr. Francis Shaw, 124 Pearl street.
Dr. Arthur R. Perry, 18 Bow street (who made no charge to the city for his services).
Dr. Charles H. Tozier, 12 Highland avenue.
Dr. Louis P. O'Donnell, 46 Bow street.
Dr. Lewis N. Bump, 97 Sycamore street (who subsequently declined to serve).
Dr. Henry C. Hach 464 Broadway.
Dr. Charles E. Bedell, 162 Highland avenue.
Dr. W. Morrill Colby, 287 Beacon street.
Dr. Horace P. Makechnie, 238 Elm street.
Dr. George E. Osgood, 333 Highland avenue.
Dr. Ernest D. Pillsbury, 1156 Broadway.
Dr. Freeman L. Lowell, 50 College avenue.
ALLEN F. CARPENTER, ALVANO T. NICKERSON, ARTHUR R. PERRY, M. D., Somerville Board of Health.
The response by the public was most gratifying. About a month later the following additional physicians were appointed similarly by the Board to vaccinate free :-
Dr. John M. Homan, 7 Broadway.
Dr. George F. Hughes, Jr., 212 Medford street.
Dr. John F. Couch, 42 Bow street.
Dr. Edward J. Mever, 14 Bow street.
Dr. Michael W. White, 41 Bow street.
Dr. Charles K. Cutter, 175 School street.
Dr. Charles F. Maguire, 511 Medford street.
Dr. Winfield H. Ames, 417 Highland avenue.
Dr. Herbert Cholerton, 1150 Broadway.
Medical Inspection of Schools.
We renew our earnest recommendation of the last two years for the speedy inauguration of a system of daily medical inspec- tion of the public and private schools of the city. We are grati- fied at the steadily-increasing popularity of the advocated system as formally expressed by the following unanimous endorsement of it by the Somerville Medical Society addressed to the Chair- man of the Board of Health :-
The Somerville Medical Society, at its last regular meeting, Decem- ber 13, 1900, unanimously resolved that the Society approves of a medical inspection of schools under direction of the local Board of Health.
(Signed)
ARTHUR R. PERRY, Secretary Somerville Medical Society.
290
ANNUAL REPORTS.
And by the following similar action from the School Com- mittee :-
November, 1900.
Ordered, that the Secretary be instructed to inform the Board of Health that the School Committee and all its employees stand ready to co-operate in every way possible in the establishment and execution of a system of daily medical inspection in the Somerville schools.
Ordered, that the Board of Aldermen be requested to give the Board of Health whatever financial support may be needed to defray the ex- penses of the daily medical inspection of schools in Somerville.
The Superintendent of Schools has endorsed the detailed system which was introduced late in the year 1901, and was then referred to the next Board for its early favorable consideration. A thorough canvass of the teachers has shown only the sincerest desire on their part to co-operate with the Board.
Bacteriological Examinations.
The system of free bacteriological examinations tentatively inaugurated last year by this Board to facilitate the early diagno- sis of diphtheria, tuberculosis and typhoid fever has been an un- qualified success from the start, and now it has become a necessity.
Upon April 3, 1901, immediately after an appropriation had been granted by the city to carry on the bacteriological examina- tions, which had been performed until then by Dr. Arthur R. Perry as City Physician, the Board secured a continuance of the prompt and efficient service through the appointment of an ex- pert microscopist and trained bacteriologist in the person of Dr. Freeman L. Lowell, of 50 College avenue, to fill the newly- created office of Bacteriologist of Somerville.
In the absence of municipally-provided accommodation for the laboratory, the work, until November 1, 1901, was carried on in the house of the medical member of this Board. It is ex- pected, however, that very soon a suitable laboratory for the work will be provided at City Hall.
The Board would express its gratification at the hearty co- operation of the physicians of Somerville, which speaks well for their mental alertness, progressiveness, and professional con- scientiousness, that, though thus far the taking of cultures for diagnosis and release has been not strictly compulsory, still, in the very first three months of the system, less than half a dozen physicians of the city had failed to make use of the added scien- tific facilities freely accessible to them for the prompter detection of disease. We hope soon, through school inspectors, to relieve such physicians as deem it a hardship to take release cultures from the necessity of taking them, and that thus we may be able to know through the report of the Bacteriologist, in every case of diphtheria, that the applicant for discharge from quarantine is really free of the bacilli characteristic of that disease.
291
HEALTH DEPARTMENT.
The increasing demand for sputum examinations for tuber- culosis is gratifying evidence that our physicians are alive to the vital importance of early diagnoses in such pulmonary cases, and fully realize the valuable data that the microscope may furnish when physical signs are doubtful or absent.
The Widal or Serum test is very generally used now as an aid to the detection of typhoid fever, and examinations for that test have been made at the laboratory throughout the year. De- tailed reports of the acting Bacteriologist and of the Bacteriolo- gist are printed elsewhere in this report.
The several outfits for submitting cultures, sputum and blood may be had at the following pharmacies, which have been selected by this board to be "Culture Stations." Collections therefrom are made at 5 P. M. daily.
Charles H. Crane, 154 Perkins street.
Milton H. Plummer, 25 Union square.
Julius E. Richardson, 310 Broadway.
Frank W. Robie, 482-A Medford street.
Herbert E. Bowman, 529 Medford street.
Adam T. McColgan, 55 Elm street.
Charles S. Lombard, 2 Holland street.
Report of the Bacteriologist.
Office of the City Physician, May 1, 1901.
Board of Health, City of Somerville :-
Gentlemen,-I would present the following report of the work done by me as acting Bacteriologist from January 1, 1901, to April 3, 1901, inclusive.
Through the several culture stations fifty-one (51) different physicians within the above-mentioned period have sent to my office for bacteriological examination three hundred and sixty (360) "cultures," taken from two hundred and thirty-nine (239) different patients who were then presenting signs more or less suggestive of diphtheria. Fifteen (15) culture tubes presented for examination no satisfactory growth, and were therefore re- ported as "no growth," and new cultures were requested. One hundred and fifty-four (154) cultures were found to contain bacilli of diphtheria and were reported as "positive." Of these ninety-three (93) represent separate cases of diphtheria in Som- erville, and may be styled "positive diagnosis," and the other sixty-one (61) positive cultures represent the premature trials to liberate diphtheritic patients from quarantine.
One hundred and ninety-one (191) cultures were found not to contain diphtheria bacilli, and were consequently reported as "negative"; of these, one hundred and forty-seven (147) cultures represented patients who did not have diphtheria at all, and may be styled as "negative diagnosis," and forty-four (44) cultures
292
ANNUAL REPORTS.
represented the final successful attempts to release convalescents from quarantine, called therefore "negative release." The three hundred and sixty (360) cultures may therefore be summarized thus :-
"No growth"
15
"Positive - Diagnosis"
93
( Release"
61 154
"Negative [ Diagnosis"
147
Release"
44 191 360
Nine (9) specimens of sputum were examined for "tuber- culosis"; four (4) were "positive," five (5) "negative."
One (1) blood specimen was examined for typhoid fever with a "positive" result.
Respectfully submitted,
ARTHUR R. PERRY, M. D.
To the Board of Health :-
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