USA > Massachusetts > Middlesex County > Somerville > Report of the city of Somerville 1907 > Part 22
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All ashes and refuse matter for removal must be placed on the outer edge of the sidewalk, on or before seven o'clock in the morning of the day when the collection is to be made.
Earth, gravel, bricks, mortar, stones, lime, plaster, cement, concrete, or refuse material from repairs or construction of buildings will not be removed by this department.
The department will remove tree trimmings, vine cuttings, and yard cleanings during the spring and summer months.
Employees of this department are not allowed to enter cellars, cellar- ways, bulkheads, or areas for the removal of ashes or offal.
Offal .- During the year the board has continued to dispose of the city offal at its garbage plant adjacent to the city stables. This offal is sold direct to farmers and others, and is handled in a thoroughly sanitary and satisfactory manner. The demand for the garbage has exceeded the supply, and in its disposal there has been an entire absence of objectionable features. The finan- cial returns to the city are large.
During the year 6,986 loads of offal have been collected.
Two collections are made in each district weekly, and dur- ing the summer months an extra collection is made at hotels, stores, and other establishments producing large quantities of offal.
Stables.
Under the provisions of sections 69 and 70 of chapter 102 of the revised laws of 1902, thirty petitions for licenses to erect and use stables were received and disposed of as follows :-
Number granted 17 . 13
Number refused
.
Board of Infants.
Eighteen parties, whose applications were first approved by this board, have been licensed by the state board of charity to care for forty children, in this city, under the provisions of chap- ter 83 of the revised laws of 1902.
Deaths.
There were 997 deaths and seventy-five stillbirths in the city during the year, as specified in the following table, which shows a decrease of deaths from the previous year of seven :-
Deaths at Somerville hospital during the year 60
Deaths at Cherry-street hospital 5
Deaths at hospital for contagious diseases 13
Deaths at home for aged poor (Highland avenue), 69
Deaths at City home . 6
285
HEALTH DEPARTMENT.
DEATHS BY AGES.
AGES.
Total.
Male.
Female.
Under one
One to two
17
5
12
Two to three.
12
6
6
Three to four
9
4
5
Four to five .
9
7
2
Five to ten
25
14
11
Ten to fifteen
16
9
7
Fifteen to twenty
15
8
7
Twenty to thirty
€6
32
34
Thirty to forty
55
24
31
Forty to fifty
75
37
38
Fifty to sixty
111
55
56
Sixty to seventy
152
65
87
Seventy to eighty .
165
70
95
Eighty to ninety
90
36
54
Ninety and over
14
5
9
Total
997
455
542
166
78
88
Of the stillborn, 47 were males and 28 females,
286
ANNUAL REPORTS.
Mortality in Somerville in 1907.
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
I. - GENERAL DISEASES. (A. Epidemic Diseases.)
Whooping cough .
1
1
2
Scarlet fever
3
2
1
2
1
1
2
12
Diphtheria .
1
1
1
1
1
1
4
3
11
Erysipelas
1
1
1
1
1
2
1
1
15
24
Measles
(B. Other General Diseases.)
Septicemia
1
1
2
Rheumatism
2
1
1
1
2
1
8
Pernicious anæmia
1
1
1
Cancer of anus
1
1
1
1
2
2
2
2
14
Cancer intestines
1
1
1
3
1
2
1
10
Cancer liver and kidneys
3
2
1
1
8
Cancer of oesophagus
1
1
4
2
3
3
2
2
16
Cancer of throat
1
1
1
1
4
Cancer of tongue and jav
1
1
2
1
1
1
1
8
Cancer of vulva
1
1
. .
1
1
1
6
Tuberculosis
8
6
11
8
1
6
4
4
4
12
9
13
86
Tubercular meningitis
1
1
1
1
6
Tuberculosis of hip
1
1
1
1
2
II. DISEASES OF THE SYSTEM.
NERVOUS
Meningitis
Apoplexy
8
4
7
9
5
5
6
3
9
S
3
10
Paralysis
2
1
2
1
1
2
Brain diseases
1
1
1
1
1
Neuritis .
1
2
1
1
Epilepsy
2
1
1
1
1
1
1
3
1
4
III. DISEASES OF THE CIRCULA- TORY SYSTEM.
Heart disease
6
5
5
4
5
10
3
3
1
3
S
8
61
Endocarditis
1
1
3
2
1
1
1
3
2
15
Myocarditis .
1
3
1
1
2
2
2
3
4
5
24
Pericarditis
1
1
1
1
1
1
1
6
Cyanosis
1
1
2
IV. DISEASES OF THE RESPIRA- TORY SYSTEM.
Pneumonia .
20
14
16
9
8
5
4
2
1
5
12
23
119
Bronchitis
4
5
3
2
3
1
1
2
1
22
Hemorrhage
1
Asthma .
Pulmonary œdema
1
1
1
1
1
Emphysema
1
1
Pleurisy .
....
. .
.
1
Laryngitis
1
1
1
. .
..
3
..
1
2
1
3
1
2
2
. .
1
Spinal disease
1
Hemiplegia .
1
Myelitis
Eclampsia
Paresis.
1
Tetanus
Cerebro-spinal meningitis .
1 9 1 1 3 1 PAGANDO-ICHHASSE 2
1
5
Angina pectoris
1
1
1
...
...
2
Tubercular peritonitis
...
4
Dysentery
1
1
2
1
3
1
1
2
Cancer of breast
1
2
1
1
1
1
1
Tumor
1
1
3
Leukæmia
1
Diabetes
3
...
..
1
4
9
Typhoid fever
1
1
1
5
La grippe
2
5
4
Cancer of stomach
1
Cancer of uterus
1
. .
.
1
1
1
. .
1
-
. .
Convulsions
1
287
HEALTH DEPARTMENT.
MORTALITY IN SOMERVILLE IN 1907. - Concluded.
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
V. DISEASES OF THE DIGESTIVE SYSTEM.
Acute indigestion
1
2
1
1
2
Colitis
Gastritis .
2
1
1
4
1
1
1
11
Peritonitis
2
1
1
Diarrhea
1
1
5
2
1
9
Paralysis of intestines
1
...
..
1
1
...
. .
1
7
Enteritis
1
1
1
2
1
7
3
16
Hernia
1
1
2
Rupture of gall bladder
2
1
3
Cirrhosis liver
1
2
1
1
1
6
Gall stones .
1
....
. .
....
...
. .
....
....
. .
...
VI. DISEASES OF GENITO-URI- NARY SYSTEM.
Bright's disease
2
2
1
2
1
1
3
1
2
1
4
.
2
1
6
Nephritis
8
2
11
5
7
2
5
8
7
6
5
12
78
Pyelitis
2
1
2
5
VII. CHILDBIRTH.
Childbirth
2
2
1
1
.
1
1
1
2
11
VIII. DISEASES OF THE SKIN AND CELLULAR TISSUE.
Abscess
1
1
2
1
5
Gangrene
1
1
1
1
1
. .
..
1
IX. MALFORMATIONS.
Hydrocephalus
2
1
1
1
5
Malformation
1
1
1
1
1
2
7
X. EARLY INFANCY.
4
Inanition
2
1
1
1
2
1
3
Premature birth and congenital
1
2
2
4
3
2
9
2
4
3
4
36
XI. OLD AGE.
Old age
2
1
1
2
1
2
2
1
12
Senile dementia
1
2
1
. .
..
1
1
1
1
8
XII. VIOLENCE.
Alcoholism
1
1
1
3
Drowning
1
2
3
Railroad .
1
2
4
1
. .
1
1
1
..
Burning .
1
2
2
5
2
Poisoning
1
Suffocation
1
1
1
1
Fracture of skull
1
1
2
1
5
Fracture of spine .
1
1
1
1
1
Injury to lungs
1
. .
. .
Total
95
74
103
75
72
72
63
69
65
92
86
131
997
Stillborn
8
4 -
7
11
5
6
3
9
10
5
2
5
75
Population ( estimated ) Death rate per thousand
74,000
13.5
..
1
Gastric ulcer
2
1
1
. . .
1
1
2
Appendicitis
1
1
1
Hepatitis
1
1
2
20
Cystitis
1
1
1
1
3
1
1 2
2
....
2
9
4
1
1
3
Cholera infantum
1
Ptomaine poisoning
1
1
...
1
Intestinal obstruction
.. .
5
Ulcer
1
Marasmus
1
1
1
1
8
Asphyxia neonatorum
1
1
1
.
1
1
...
9
Suicide
4
12
1
Fracture of hip
2
1
Fracture of thigh
1
Bullet wound
.
. .
debility
Jaundice
. .
10
288
ANNUAL REPORTS.
1
Social Relations of Decedents.
340
Single
368
Widow
193
Widower
93
Divorced
2
Unknown
1
Total
997
Nativity of Decedents.
Somerville
. 233
Massachusetts
232
Other New England states
152
Other states
33
Canada
97
England, Scotland, and Wales
34
Ireland
176
Italy
10
Norway and Sweden
8
Russia
3
Other countries
10
Unknown
9
Total
997
Nativity of Parents of Decedents.
Father. Mother.
Somerville
13
27
Massachusetts
180
165
Other New England states .
179
167
Other states
31
32
Canada and provinces
121
136
England, Scotland, and Wales Ireland
62
60
Italy
31
25
Norway and Sweden
14
12
8
8
Other countries
30
2-4
Unknown
31
34
Total
997
997
.
297
307
Russia
Of the parents of the stillborn, 28 fathers and 36 mothers were na- 1 tives of the United States, and 47 fathers and 39 mothers were of foreign birth.
Diseases Dangerous to the Public Health.
This board has adjudgd that the diseases known as small- pox, scarlet fever, diphtheria, membraneous croup, typhus fever, typhoid fever, chicken pox, pulmonary tuberculosis, cerebro- spinal meningitis, and cholera are infectious, or contagious, and dangerous 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 receipt of a card from a physician, the superintendent of schools,
Married
289
HEALTH DEPARTMENT.
the principal of the school in the district in which the patient re- sides, and the librarian of the public library are notified, and state board of health.
Scarlet Fever .- Four hundred cases of scarlet fever have been reported during the year, twelve of which resulted fatally. In 1906 there were 154 cases, one of which resulted fatally.
Diphtheria .- One hundred ninety-four cases of diphtheria have been reported during the year, nine of which were fatal. In 1906 there were 136 cases, fifteen 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. Cul- ture tubes for diphtheria and sputum bottles for suspected tuber- culosis 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 sani- tary defects discovered are required to be remedied as soon as possible.
Tuberculosis .- Eighty-three cases of tuberculosis have been reported during the year. There were eighty-six deaths from this disease.
Typhoid Fever .- Ninety-one cases of typhoid fever have been reported during the year, eleven of which have proved fatal. In 1906 there were ninety-three cases reported, eleven of which were fatal.
Typhus Fever, Cholera .- No cases of typhus fever or cholera have been reported the past year.
Smallpox .- One case of smallpox has been reported during the year.
Number of cases of scarlet fever and diphtheria for which houses were placarded
594
Number of premises disinfected by agent
983
Disinfection.
It will be seen by the foregoing figures that, in addition to the 594 premises infected with scarlet fever or diphtheria, 399 other premises were disinfected. Forty disinfections were made at the request of attending physicians whose patients had been ill with typhoid fever or cancer. Two hundred and twenty-six schoolrooms were disinfected for scarlet fever or diphtheria, and 128 premises for tuberculosis, in compliance with the regulations passed by this board.
Many library books have also been disinfected, and quan- tities of infected bedding and other material have been burned.
290
ANNUAL REPORTS.
TABLES.
The prevalence of scarlet fever, diphtheria, and typhoid fever in the city during the several months of the year 1907 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 1907.
SCARLET FEVER.
DIPHTHERIA.
TYPHOID FEVER.
MONTHS.
Cases
Reported.
Number of
Deaths.
Percentage
of Deaths.
Reported.
Number of
Percentage
of Deaths.
Reported.
Number of
Deaths.
Percentage
of Deaths.
January
191
3
1.5
30
1
3.3
1
20.0
February
41
2
4.9
14
March .
25
·
. .
13
....
2
April
17
13
1
7.7
22
1
4.5
3
.. ..
. .
June.
19
....
28
1
3.6
3
1
33.3
July .
15
.
....
6
1
16.7
4
...
August
6
2
3.3
7
. .
. .
....
43
4
9.3
November .
35
1
2.9
15
1
6.7
4
3
75.0
December .
20
10.0
31
4
1.29
2
....
..
Total .
400
12
3.0
194
9
4.6
91
11
12.1
Deaths from Scarlet Fever, Diphtheria, and Typhoid Fever in the Last Ten Years.
SCARLET FEVER.
DIPHTHERIA.
TYPHOID FEVER.
MONTHS.
1898.
1900.
1901.
1902.
1903.
1904.
1905.
1906.
1907.
1898.
1899.
1900.
1901.
1902.
1903.
1904.
1905.
1906.
1907.
1898.
1899.
1900.
1901.
1902.
1903.
1904.
1905.
1906.
1907.
-
-
--
-
-
-
January
February .
March
April
May
1
1
1
3
4
1
1
1
1
1
1
1
1
August
1
2
2
2
1
1
2
1
1
1
1
September
2
1
3
1
2
1
1
October
1
1
3
2
2
2
1
1
3
1
1
2
2
4
November
2
1
1
2
3
2
3
1
1
3
3
3
3
December
3
1
1
3
1
2
1
1
2
3
1
4
1
..
3
1
1
1
..
Total
0
3 75
3|10
3
4
1 12
10
11
49 29
19 19 14
17 15
9
11 15
9 12: 6 10 11
9 11 11
. .
....
..
18
3
. . .
....
October
12
1
83
5
.
18
1
5.5
September.
6
...
-
-
-
-
-
:21
118
: :
:
1
1
1
1
2
2
1
July
.
:
.
:
.
.
·
..
:
:
1 1 OHH.
9 3 6 Aw000.
2 Or WON.
12.821
1
.
1
1
.
co .
1
1
2
1
1
1
June
2
1 HW. NÃO 3
-
1
1
3
1
33.3
5
. .
1
.. .
May .
Cases
Cases
Deaths.
N:
:
1
1
1899.
291
HEALTH DEPARTMENT.
Table of Deaths During the Last Ten Years.
Year.
Rate per 1,000.
No. of Deaths.
1898
880
15
1899
801
13
1900
967
16
1901
831
13
1902
890
13
1903
955
14
1904
964
14
1905
968
14
1906
1,004
14
1907
997
14
Average death rate per 1,000 for ten years
14
Table Showing the Five Principal Causes of Death in Somerville in 1907.
PNEUMONIA.
HEART DISEASE.
NEPHRITIS.
TUBERCULO- SIS.
APOPLEXY.
Number of Deaths.
Number per
10,000 of Pop.
Number of
Deaths.
Number per
10,000 of Pop.
Number of
Deaths.
Number per
10,000 of Pop.
Number of
Deaths.
Number per
Number of
Deaths.
Number per
10,000 of Pop.
119
16.1
113
15.3
98
13.1
86
11.1
10.4
Hospital for Contagious Diseases.
During the past year this hospital has proved its value and usefulness to the city. In January an epidemic of scarlet fever occurred, and every available space, including the temporarily- equipped attics, was utilized for the accommodation of patients. At no time has the hospital been without patients, and there has been a considerable financial income from paying patients and those having settlements in other cities.
Miss Nellie J. Van Cor has continued as matron during the year, and under her efficient management the care of the patients has been satisfactorily conducted and the business details have been economically arranged and carried out.
Additional room is needed for nurses and help, and several improvements and alterations would greatly increase the effec- tiveness of the hospital. It is to be hoped that these changes may be made in the near future.
Undoubtedly the removal of patients to the hospital has pre- vented the development of many cases of contagious diseases in our city, besides saving some lives which would have been sac- rificed under less favorable conditions.
10,000 of Pop.
292
ANNUAL REPORTS.
The statistical report of the hospital will be found in the re- port of the medical inspector.
Medical Inspection of Schools.
The medical inspection of the schools of Somerville, which was instituted in December, 1907, has been continued during the year. The value of the system has been constantly demon- strated, and the work has been done in a very satisfactory man- ner. There has been harmony of action between the board of health and the school board, and the school principals and teach- ers have very generally co-operated with the inspectors in mak- ing the system as successful as possible. During the scarlet fever epidemic, which occurred early in the year, the children were constantly watched and inspected, and every effort was made to prevent the spread of the disease.
The inspectors make daily visits to the schools under their charge, and to them are referred all children who show evi- dences of disease or abnormal conditions. Children who are found to be unfit to remain in school are sent home, accompanied by a slip properly filled out advising that the family physician be consulted. The inspectors also make an annual inspection of all the children in the schools, and any defects discovered are called to the attention of the parents. Monthly inspections of the school buildings and premises are made, and suggestions or criticisms are referred to the proper authorities. Every effort is made to protect the health of the children and to co-operate with the parents in keeping the children in as normal a condition as possible.
In accordance with the provisions of the statute, tests of sight and hearing are made by the principals or teachers.
A great many children have been referred to the inspectors during the year, and over 2,000 have been sent home on account of illness, or found to have abnormal physical conditions.
The following list will show the classes of diseases and de- fects which have been found in the schools, except defects of sight and hearing. The prevalence of pediculosis was found to be unusual, in some schools over half the children being affected ; but owing to the persistent efforts of the inspectors, the number of cases has been greatly reduced :-
LIST OF DISEASES AND NUMBER OF CASES REPORTED.
1. Infectious diseases :-
Chicken pox
42
Scarlet fever
13
Influenza
11
Mumps
9
Whooping cough
Measles
4
Total
87
.
-
-
HEALTH DEPARTMENT.
293
2. Diseases of the nose and throat :-
Enlarged tonsils and adenoids 996
Inflammatory diseases 391
Other abnormal conditions
24
Total 1,411 .
3. Diseases of the eye :-
Inflammatory conditions of the eyes and lids, 137
Foreign bodies and injuries 12
Total
149
4. Diseases of the ear :-
34
Inflammatory conditions . Wax
11
Total
5. Diseases of the skin:
Pediculosis
2,154
Impetigo contagiosa
81
Eczema
50
Herpes
42
Itch
26
Ring-worm
23
Miscellaneous conditions
100
Total
2,470 .
6. Miscellaneous diseases :--
Constitutional diseases 84
Diseases of the digestive system
96
Diseases of the respiratory system
39
Diseases of the circulating system
7
Diseases of the lymphatic system .
62
Diseases of the nervous system
26
Diseases of the urinary system
35
Wounds and injuries
76
Other conditions
119
Total 544
Total number of diseases reported 4.712
The districts and inspectors are as follows :-
District No. 1 .- Prescott. Hanscom, Davis. and Edgerly schools. Inspector, Dr. Francis Shaw, 57 Cross street.
District No. 2 .- Baxter. Knapp, Perry, and Bell schools. Inspector. Dr. D. M. Flewelling. 9 Carlton street.
District No. 3 .- Bennett. Pope. Cummings, and Proctor schools. Inspector. Dr. L. H. Raymond, 66 Highland avenue. District No. 4 .- Morse. Carr, Durell, and Burns schools. Inspector, Dr. W. L. Bond, 322 Highland avenue.
District No. 5 .- Brown. Bingham. and Forster schools. In- spector. Dr. H. M. Stoodley, 383 Highland avenue.
District No. 6 .- Lincoln. Hodgkins. Highland. and Lowe schools. Inspector, Dr. H. Cholerton. 396 Highland avenue. District No. 7 .- Glines. English High. and Latin High schools. Inspector, Dr. R. F. Gibson. 108 Highland avenue.
Parochial Schools .- Inspector, Dr. M. W. White, 4? Bow street.
·
.
15
294
ANNUAL REPORTS.
Bacteriological Department.
The work of this department was performed by Frank L. Morse, M. D., medical inspector of the board, whose report is appended to this report :-
Specimens will be received at the laboratory at the city hall daily, including Sunday, at any time, and they will be examined and reported upon the morning following their reception.
SPECIMENS AND ANTI-TOXIN.
Outfits for specimens for tuberculosis, diphtheria, and typhoid fever, and diphtheria anti-toxin and vaccine lymph may be obtained at the laboratory and at the following places :-
Claude Curtis, 154 Perkins street.
Bay State Pharmacy, 173 Washington street.
Herbert E. Bowman, 25 Union square.
Fred W. Gay, 524 Somerville avenue.
Hart Brothers, 263 Highland avenue. -
Percy A. Hall, 2 Studio building, Davis square.
Herbert E. Bowman, 529 Medford street, Magoun square.
Eugene B. Carpenter, 10 Broadway,
Julius E. Richardson, 310 Broadway.
Paul S. Eaton, 693 Broadway.
Willis S. Furbush & Co., 1153 Broadway.
After the specimen is collected, it must be taken or sent directly to the laboratory at the city hall.
Undertakers.
Under the provisions of section 44 of chapter 778 of the revised laws of 1902, nineteen persons have been duly licensed as undertakers.
Examiners of Plumbers.
The public statutes provide for a board of examiners of plumbers, consisting of a chairman of the board of health, the inspector of buildings, and an expert at plumbing, to be ap- pointed by the board of health. This board appointed Duncan C. Greene, the inspector of plumbing, to fill the place of expert. The number of licenses granted will be found in the report of the inspector of buildings.
Milk Regulations.
Milk is an essential factor in the dietary of nearly every per- Son. If milk is impure or adulterated, it not only has a dimin- ished food value, but it may be a positive menace to the health of the users. Contaminated milk has frequently been proven to be the carrier of disease and the cause of epidemics.
It is evident that too much care cannot be exercised to maintain the standard of quality and purity of the milk supplied to our citizens, not only for the purpose of preventing the devel- opment and spread of contagious diseases, but to furnish infants,
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HEALTH DEPARTMENT.
invalids, and others who depend for their nutrition largely upon milk, as safe and nutritious a food as possible.
An inspector of milk is employed by the board whose duty it is to constantly test the milk, inspect the sources of supply, license the carriers and dealers, prosecute those who do not con- form to the requirements, and in every way endeavor to keep the milk supplied in the city up to the standard.
Believing that the rules governing the sale and care of milk which have been made by the board in the past were not suffi- ciently stringent or comprehensive to safeguard the health of the citizens, the board passed and is enforcing the following regula- tions :-
REGULATIONS FOR THE SALE AND CARE OF MILK.
In Board of Health,
Somerville, Mass., May 7, 1907.
It is the opinion of the board of health of the city of Somerville that producing, storing, cooling, mixing, selling, delivering, or distributing milk under conditions contrary in any respect to the following regula- tions is a cause of sickness within said city, and is and may be injurious and dangerous to the public health, and that milk produced, stored, cooled, mixed, sold, delivered, or distributed under such conditions is capable of containing and conveying infection and contagion and of creating sickness. This board hereby adjudicates that the following regulations are necessary for the public health and safety, and the same are hereby made and adopted. This board hereby prohibits producing, storing, cooling, mixing, selling, delivering, or distributing milk within the limits of this city contrary to any of said regulations.
REGULATION I.
SECTION 1. All persons in the city of Somerville engaged in the production of milk for sale, or in the business of selling, delivering, or distributing milk in said city, shall annually before the first day of June make written application to the inspector of milk for a license, on forms prescribed by the board of health.
SECT. 2. No person in the city of Somerville shall engage in the business of producing milk for sale, or in the sale or distribution of milk without a license so to do, under these regulations and such other conditions as the board of health may impose; and said license shall be revoked if the licensee fails to comply with the conditions of his license or the regulations of this board.
SECT. 3. All persons having a license to sell, deliver, or distribute milk in the city of Somerville shall keep a copy of the license constantly posted in a conspicuous place on the premises, and every person using a carriage or other vehicle for the delivery of milk for the purpose of sale in the city of Somerville shall have his name, license number, and place of business legibly placed on each outer side of such carriage or vehicle.
SECT. 4. The conditions under which every cow is kept whose milk is brought into the city of Somerville, or kept, delivered, distributed, sold, or offered for sale in said city, shall be made known to the in- spector of milk by the licensee in such detail as he may require, and shall be approved by the board of health. No milk except that derived from such cow shall be brought, kept, delivered, distributed, sold, or offered for sale in said city,
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ANNUAL REPORTS.
REGULATION II.
SECTION 1. No milk for sale or distribution shall be stored in that portion of a building which is used for the stabling of horses, cows, or other animals, or for the storing of manure, or in any room used in whole or in part for domestic or sleeping purposes.
SECT. 2. No person in the city of Somerville engaged in the busi- ness of producing milk for sale, or of storing or delivering milk in said city, shall store, cool, or mix said milk in any room which is occupied by horses, cows, or other animals. All rooms in which milk is stored, cooled, or mixed shall be provided with tight walls, and floor, and shall be kept constantly clean, the walls and floor to be so constructed as to allow of easy and thorough cleansing. The room or rooms aforesaid shall contain proper appliances for washing or sterilizing all utensils actually employed in the storage, sale, or distribution of milk, and all such utensils shall be washed with boiling water or sterilized by steam each time after being used.
SECT. 3. No urinal, water closet, or privy shall be located in the rooms specified in the preceding section, or so situated as to pollute the atmosphere of said rooms.
SECT. 4. All milk produced for the purpose of sale shall be strained and cooled as soon as it is drawn from the cow.
SECT. 5. All wagons used in the conveyance of milk for sale or distribution shall be kept in a cleanly condition and free from offensive odors.
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