USA > Massachusetts > Middlesex County > Somerville > Report of the city of Somerville 1910 > Part 20
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I hope your board may carefully consider this recommen- dation.
The library has received the following donations of books, pamphlets, and periodicals during the past year :-
263
PUBLIC LIBRARY.
List of Donations.
Vols.
Pamph. Periods. 1
Abbot, E. Stanley .
2
Aldrich, E., and Batchellor, A. S.
1
American Telephone and Telegraph Co. Amherst College
2
Arnold, Allen
1
Booth, Edward C., M. D. Boston, Mass. .
8
Bowman, Ethel
1
Brown, Mrs. Abram E. .
1
Brown Alumni Monthly
1
Brown University
1
Chase, Mabel J.
1 1
10
Dalton, Mrs. Adelaide A.
1 1
-
Dartmouth College
Dennison, Mrs. E. W. .
1
Deutsche Bank, Berlin
1
Dryden, John F. ·
1
Durrell, Harold Clarke
2
Edison Electric Illuminating Co.
1 2
Gillette, King C.
1
Gilman, Emma A. .
2
Gordon, Hanford L.
1
Greene, J. D.
1
Guild, Hon. Curtis .
1
Hadley, S. Henry
Harvard University
Homan, J. A.
Hubbard, Elbert
1 2
Iowa State Library
1
Lawrence, Sir Edwin Durning
1
Lee, Thomas Z.
1
Library of Congress
3
Lummis, Charles F.
33
Melvin, James C. .
1
Metropolitan Water and Sewerage Board
1
Middlesex County
1
Mitchell, J. M.
1
Moffat, R. Burnham
1
Moore, Clarence B.
4
National Child Labor Commission
1
New Bedford Textile School
1
New York State School for the Blind . Oberlin College, Ohio
1 1
Ohio State Library
1
Ohio Wesleyan University
Pennsylvania Prison Association
Perkins Institution for the Blind
1 1
1
Carried forward .
118
15
19 2 1
Indian Rights Association
Massachusetts.
1 2
Acheson Oildag Co.
,
1
1
1
Children's Institutions Department
Clark, George H.
Foss, Sam Walter
264
ANNUAL REPORTS.
LIST OF DONATIONS .- Concluded.
Vols.
Pamph.
Periods.
Brought forward
118
15
Public Libraries
1
102
Publicity Club, Minnesota
1
Randall, Charles F.
1
Riverton Press .
1
Russ, George H.
26
Salem Press
1
Smithsonian Institution
1
Somerville, Mass.
1
Standard Oil Co.
2
Tufts College
1
United States
22
United States Brewers' Association
2
Valentine, H. E.
12
Westborough, Mass. .
1
Western Reserve University
1
Western Theological Seminary
1
1
Wood, Miss Katharine
1
Totals
181
123
12
West Somerville Branch Library.
Upon the appointment of Miss Nellie M. Whipple, former branch librarian, to the position of assistant librarian at the main library, Miss Alice W. Sears was appointed branch libra- rian to succeed Miss Whipple, and I am very glad to say that she has carried forward the work with great efficiency.
The West Somerville branch library has really been a phe- nomenal success from its very opening. The amount of busi- ness done in this institution has been a surprise even to those of us who predicted a large work in this locality. There are many cities of considerable size whose main libraries, some of them established for many years, do not perform as much work for the public or have nearly as large a circulation as we have in our West Somerville branch.
The people in the western part of the city are very loyal to the branch library, and each one seems to take an individual in- terest in its success. It does not seem like a branch library. It seems like a main library.
The call upon the resources of this branch has been so great that we deem ourselves fortunate that we were enabled, through the generosity of the board of aldermen, to expend $2,500, more than was at first called for in the annual budget, and $1,000 of this money was granted us on condition that it should be used for the purchase of new books. These books were bought last summer under the charge of a committee con-
Tilton Seminary
265
PUBLIC LIBRARY.
sisting of Messrs. Barber, Hamilton, and Noyes; and they are books of real excellence and add materially to the resources of the library. They are greatly appreciated by the library's patrons.
Already the old question of over-crowding has come up in this new branch, and there is no doubt that at an early date the children's room should be transferred to some other part of the building. This could be done, but it would be a matter of some expense, by finishing the room in the basement. This would segregate the children from the older patrons, and relieve them from the noise and confusion that now must necessarily pre- vail at certain hours of the day.
Below is given in detail the statistics of the work accom- plished :-
Fiction.
Other Works.
Total.
January
.
6,540
1,609
8,149
February
7,341
1,964
9,305
March
9,964
2,619
12,583
April
7,380
1,882
9,262
May .
5,938
1,529
7,467
June
6,916
1,493
8,409
July .
6,478
1,243
7,721
August
7,924
1,611
9,535
September
7,113
1,446
8,559
October
7,872
1,762
9,634
November
10,592
3,064
13,656
December
7,438
1,941
9,379
91,496
22,163
113,659
Below is given circulation by classes, exclusive of fiction :-
General works
7,410
Philosophy
374
Religion
345
Sociology
524
Philology
18
Natural science
585
Useful arts .
785
Fine arts
1,234
Literature
2,097
History
2,645
Total of general delivery .
15,997
Delivered from children's room
6,166
Total of other works
22,163
Fiction
91,496
Other works
22,163
i
Total
113,659
Percentage, fiction
80%
other works
20%
266
PUBLIC LIBRARY.
The branch library has received the following donations of books during the past year :-
Vols.
Anonymous
3
Clark, George H.
12
Cobb, Bessie S.
1
Edison Electric Illuminating Co.
1
Hamilton, F. W., D. D.
1
Lawrence, Sir Edwin Durning .
1
Nason, George W.
1
Noyes, Marion I., and Ray, Blanche H.
1
Wallace, T. C.
1
Total
22
Conclusion.
I wish to convey my thanks to the members of the staff for their efficient service during a trying year.
I want, also, to take this occasion to thank your board for your uniform kindness to me through all my long illness during the past year. Your forbearance during my enforced absence from the library, at a time when my absence brought many extra burdens upon the members of your board, excites my heartfelt gratitude. Your personal acts of kindness to me, both as a board and as individuals, I greatly appreciate. I trust that you may not be obliged to put your forbearance to a much more extended test.
Respectfully submitted,
SAM WALTER FOSS, Librarian.
December 27, 1910.
BOARD OF HEALTH. 1910.
WESLEY T. LEE, M. D., Chairman. JACKSON CALDWELL. WILLIAM P. FRENCH.
Clerk and Agent to Issue Burial Permits. WILLIAM P. MITCHELL.
Agent. CALEB A. PAGE.
Medical Inspector. FRANK L. MORSE, M. D.
Inspector of Animals and Provisions. CHARLES M. BERRY.
Milk Inspector. HERBERT E. BOWMAN.
Plumbing Inspector. DUNCAN C. GREENE.
Superintendent Collection of Ashes'and Offal.
EDGAR T. MAYHEW.
REPORT OF THE BOARD OF HEALTH.
OFFICE OF THE BOARD OF HEALTH, City Hall, January 1, 1911.
To His Honor, the Mayor, and the Board of Aldermen :-
Gentlemen,-We respectfully submit the following as the thirty-third annual report of the board of health, in which is presented a statement, tabulated and otherwise, of the sanitary condition of the city and the business of the board for the year ending December 31, 1910 :-
Nuisances.
A record of nuisances abated during the year, in compli- ance with notices issued by the board, or under the board's direction, is presented in the following table :-
NUISANCES ABATED IN THE CITY IN 1910.
Bakery offensive .
7
Cellar damp
16
Cow barn offensive
4
Cows kept without license
2
Drainage defective
38
Drainage emptying into cellar
15
Drainage emptying on surface . Fish offal
2
Food exposed to dust
6
Goats kept without license
2 4 21
Hennery offensive
20
Hens without permit .
2
Manure exposed and offensive .
23
Manure pit defective
18
Offal on land
6
Offensive odor in and about dwellings
4
Pigeons in cellar
2
Premises dirty
175
Privy-vault offensive .
28
Slops thrown on surface
39
Stable and stable premises filthy and offensive
41
Stable without drainage
9
Stagnant water on surface
10
Water-closet defective
36
Water under stable
6
Total
567
Number of nuisances abated 567
Number of nuisances referred to board of 1911 29
Number of nuisances complained of 596
· Number of complaints (many covering more than one nuisance) 539
In addition to the above, 267 dead animals have been re-
.
.
22
.
.
.
Hens in cellar
Horses kept in shed
Rubbish in cellar
6
Stable infected with glanders
·
·
269
HEALTH DEPARTMENT.
moved from the public streets, and many nuisances have been abated on verbal notice from the agent, without action by the board, of which no record has been made. Each spring the whole city is examined, and cellars, yards, and alleyways where rubbish and filth have collected are required to be cleaned.
Glanders .- Thirty-nine cases of glanders have been re- ported during the year. Prompt action was taken in every case, and thirty-seven of the horses were killed, two being re- leased from quarantine by order of the cattle commissioners.
Permits.
The record 'of permits to keep cows, swine, goats, and hens, and to collect grease is as follows :-
Cows .- Thirty-three applications were received for permits to keep eighty-one cows. Thirty-one permits to keep seventy- eight cows were granted, and two permits were refused.
Swine .- Seventeen applications were received for permits to keep thirty-seven swine, all of which were granted. The fee is one dollar for each swine.
Goats .- Three applications were received for permits to keep three goats, all of which were granted. The fee is one dollar for each goat.
Hens .- Ninety-three applications for permits to keep 1,645 hens were received. Sixty permits to keep 1,088 hens were granted, and thirty-three permits were refused.
Grease .- Fourteen applications were received for permits to collect grease. Thirteen permits were granted, and one per- mit was refused. The fee is two dollars. Five of the parties licensed reside in Somerville, three in Charlestown, three in Cambridge, and two in Boston.
Melting and Rendering .- Four parties have been licensed to carry on the business of melting and rendering, under the pro- visions of the revised laws of 1902, chapter 75, section 111.
Pedlers.
One hundred and eighty-nine certificates of registration were issued to hawkers and pedlers during the year under the provisions of ordinance number 27-an increase of fifty-one over the year 1909. One hundred and fifty certificates have been renewed during the year. Each pedler is required to pre- sent a statement from the sealer of weights and measures, showing that his measures have been properly sealed, before a certificate is issued to him. Pedlers are also required to pre- sent their vehicles at the police station the first Monday of each month for inspection by the agent of the board, that he may see if they are kept in a clean condition, and are properly marked with the owner's name and number. .
Ashes and Offal.
The collection and disposal of ashes, garbage, and other
270
ANNUAL REPORTS.
refuse materials is under the control of the board of health, and a competent superintendent is employed to take charge of this department.
To do this work eighty-two men are employed, and the de- partment owns and uses thirty-five horses, twenty ash carts, five paper wagons, and fourteen garbage wagons.
Ashes .- The ashes and non-combustible materials are de- posited upon the city dumps at Winter Hill and West Somer- ville. Since the incinerator was built at the city farm, the com- bustible waste materials have been burned, at considerable cost to the city for labor, and the income from materials saved and sold has been comparatively small. After a fair trial by two responsible parties of one month each, bids were 'called for covering a period of three years, with the stipulation that the successful bidder was to have the 'use of the incinerator plant and the materials brought there by the board of health wagon. The contract was awarded to Paul N. Raymond, and he agreed to pay the city $112.50 on the tenth day of each month, begin- ning in August, for a term of three years.
During the year 51,680 loads of ashes and 3,316 loads of refuse material have been collected and disposed of.
In September the board adopted a new regulation by which the employees remove the receptacles for waste from the yards and return them when emptied. The regulation is as follows :-
All receptacles containing refuse matter for removal must be placed in an easily accessible location, nearly on the level of the sidewalk in front of the lot on which the building stands, from which they will be taken by the department employees, and to which they will be returned after emptying. If there is no easily accessible spot where they can be placed, they may be set on the edge of the sidewalk, opposite the build- ing from which they come, as short a time before the arrival of the board of health wagons as convenient. Employees are not allowed to enter cellars, cellar-ways, or bulkheads for the removal of refuse.
The board also changed the districts and days of collection to conform with the requirements of the rapid growth of the West Somerville section, and the new arrangement is a's fol- lows :-
DISTRICT NO. 1-MONDAY COLLECTION.
All the territory between Boston and Cambridge lines and the fol- lowing line: Beginning at Mystic avenue, running through Cross street, Prospect-hill avenue, Stone avenue, across Union square to Webster avenue, Prospect street to Cambridge line.
DISTRICT NO. 2-TUESDAY COLLECTION.
All the territory between the line of District No. 1 and the follow- ing line: Beginning at Mystic avenue, through Temple street, across Broadway, through Marshall street, to Medford street, Walnut street, to Bow street, Somerville avenue to Hawkins street, Washington street, Perry street, Wyatt street, to Concord avenue, to Cambridge line.
DISTRICT NO. 3-WEDNESDAY COLLECTION.
All the territory between the line of District No. 2 and the follow- ing line: Beginning at Mystic avenue, Medford line to Main street, to
271
PUBLIC LIBRARY.
Broadway, to Central street, to Somerville avenue, Park street to Cam- bridge line.
DISTRICT NO. 4-THURSDAY COLLECTION.
All the territory between the line of District No. 3 and the follow- ing line: Medford line, Broadway to Cedar street, to Elm street, Moss- land street, to Cambridge line.
DISTRICT NO. 5-FRIDAY COLLECTION.
All the territory between the line of District No. 4 and the follow- ing line: Medford line, Warner street to College avenue, to Davis square, Elm street, to Russell street, to Cambridge line.
DISTRICT NO. 6-SATURDAY COLLECTION.
All the territory west of the line of District No. 5.
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 financial returns to the city are large.
During the year 8,100 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.
The following circular was distributed to the householders of the city :-
Notice to Householders, Tenants, Etc.
Beginning October 3, 1910, it will 'not be necessary to place ash barrels and rubbish on the sidewalk on the day when the city teams make collections, provided they are located in an easily accessible spot nearly on the level of the sidewalk in front of the lot on which the building is situated. The city employees will transfer the receptacles to the sidewalk, and will return them after they are emptied. The em- ployees are not allowed to enter cellars, cellar-ways, or bulkheads.
If the receptacles are not in an easily accessible location, the house- holder or tenant must. place them at the edge of the sidewalk as short a time as possible before the arrival of the city teams.
The following requirements of the board of health must be ob- served: Ashes, broken glass, metals, and other non-combustible waste materials must be placed in suitable receptacles not larger than an ordi- nary flour barrel, and must be kept free from other refuse materials and garbage. All other refuse matter, such as paper, rags, excelsior, straw, leather, etc., must be kept free from ashes and garbage, and must be placed in suitable receptables or packages so secured that they will not be blown about or scattered in handling.
PUT IN GARBAGE PAIL
Table waste. Vegetables. Meats. Fruit. Fish. Bones. Fat.
PUT IN ASH BARREL
Ashes.
Floor sweepings.
Broken glass. Shells.
Tin cans.
Metals. Sawdust.
PUT IN RUBBISH
Paper.
Bottles.
Rags. Cloth.
Leather.
Straw.
Excelsior.
272
ANNUAL REPORTS.
Earth, gravel, bricks, mortar, stones, lime, plaster, cement, con- crete, refuse materials from repairs or construction of buildings, refuse materials from manufacturing establishments, dead animals, or ashes other than those accumulated from the burning of coal for heating or domestic purposes will not be removed by the city teams.
Fruit tree trimmings, vine cuttings, and yard cleanings will be re- moved during the spring and summer months.
No person is allowed to overhaul the contents of receptacles for waste materials set upon the sidewalks for removal by the city teams.
Stables.
Under the provisions of sections 69 and 70 of chapter 102 of the revised laws of 1902, fourteen petitions for licenses to erect and use stables were received and disposed of as fol- lows :-
Number granted . 14
Board of Infants.
Seventeen parties, whose applications were first approved by this board, have been licensed by the state board of charity to care for thirty-seven children, in this city, under the pro- visions of chapter 83 of the revised laws of 1902.
Deaths.
There were 1,043 deaths and sixty-one stillbirths in the city during the year, as specified in the following table, which shows an increase of deaths over the previous year of fifty-five.
Deaths at Somerville hospital during the year
61
Deaths at hospital for contagious diseases
14
Deaths at home for aged poor (Highland avenue),
51
Deaths at City home . .
10
Deaths at other institutions
10
DEATHS BY AGES.
AGES.
Total.
Male.
Female.
Under one
175
99
76
Two to three
14
6
8
Three to four
17
12
5
Four to five
10
6
4
Five to ten
17
7
10
Ten to fifteen
11
6
5
Fifteen to twenty
14
8
6
Twenty to thirty
55
20
35
Thirty to forty
70
31
39
Forty to fifty
74
35
39
Fifty to sixty
126
66
60
Sixty to seventy
178
87
91
Seventy to eighty
169
69
100
Eighty to ninety
79
31
48
Ninety and over
10
1
9
Total
1,043
497
546
24
13
11
One to two
Of the stillborn, 41 were males and 20 females,
273
HEALTH DEPARTMENT.
Mortality in Somerville in 1910.
January.
February.
March.
April.
May.
June.
July.
'August.
September.
October.
November.
December.
Total.
I. GENERAL DISEASES.
(A. Epidemic Diseases.)
Scarlet fever
1
2
5
Diphtheria .
5
3
2
2
1
2
1
20
Typhoid fever
1
1
1
1
1
1
6
Erysipelas
1
1
2
4
1
9
Dysentery
2
2
1
1
6
Measles
(B. Other General Diseases.)
Septicemia
1
1
1
Rheumatism
2
1
1
1
Pernicious anæmia
1
2
2
2
1
1
Cancer of anus
1
1
2
1
1
1
Cancer of bladder
2
1
Cancer of breast
2
3
2
2
1
1
3
14 1
Cancer of face
2
1
1
1
2
2
1
2
Cancer of lung .
1
1
1
2
3
Cancer of stomach
1
1
2
1
5
2
1
1
1
2
17 1
Cancer of uterus
1
1
1
2
1
1
9
Cancer of vulva
1
Multiple sarcoma
1
Sarcoma of throat
1
1
1
1
Syphilis
1
1
1
..
3
Diabetes
1
2
1
1
2
1
10
Scorbutus
1
5
4
9
9
2
3
10
6
9
76
Tubercular meningitis
2
2
3
3
1
2
13
Tuberculosis of intestines
2
2
Tuberculosis of knee .
1
1
II. DISEASES OF THE NERVOUS SYSTEM.
Meningitis
1
2
3
1
. .
8
5
8
6
12
5
5
5
4
6
13
4
81
Paralysis
1
1
Convulsions
1
1
1
2
1
1
1
1
12
Epilepsy
1
1
1
1
1
1
.
1
Paresis
1
1
1
1
III. DISEASES OF THE CIRCULA- TORY SYSTEM.
Heart disease
11
9
8
8
3
7
2
4
2
6
6
8
74
Endocarditis
1
1
2
1
1
3
1
10
Myocarditis .
2
1
2
2
2
2
3
1
1
3
19
Pericarditis .
1
Angina pectoris
1
1
1
3
IV. DISEASES. OF THE RESPIRA- TORY SYSTEM.
Pneumonia .
24
14
34
15
13
9
3
2
4
5
9
18
150
Bronchitis
3
3
1
2
3
2
1
1
1
3
22
Pulmonary œdema
1
1
1
2
4
1
2
2
2
16
Enıpyema
1
1
1
2
1
1
Pleurisy .
1
1
2
Laryngitis
1
1
1
..
3
. .
1
1
2
La grippe
1
1
1
3
Cancer arm-pit
3
Cancer of ear
1
1
1
Cancer intestines
1
Cancer liver and kidneys
7
Cancer of tongue
1
2
Cancer of jaw and throat
1
1
1
1
4
3
Tumor
2
1
1
Tuberculosis
8
3
8
Hemiplegia .
5
2
1
1
5
Myelitis
2
Eclampsia
1
Cerebro-spinal meningitis
2
Encephalitis
1
. .
7
Apoplexy
2
1
Neuritis
1
1
2
7
.
22
3
1
6
2
14
2
2
274
ANNUAL REPORTS.
MORTALITY IN SOMERVILLE IN 1910 .- Concluded.
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
V. DISEASES OF THE DIGESTIVE SYSTEM.
Acute indigestion
1
1
1
1
1
1
1
1
8
Colitis
1
2
4
4
1
12
Gastritis .
1
1
1
4
1
1
2
1
12
Peritonitis
1
1
1
1
1
1
1
7
Diarrhœa
1
1
1
Cholera infantum .
1
1
Gastric ulcer
2
1
1
Enteritis
1
1
1
1
1
4
6
3
4
3
1
26
Hernia
1
1
1
1
5
Abscess of kidney .
1
1
Appendicitis
1
3
3
1
1
1
1
11
Cirrhosis liver .
1
2
2
1
2
....
Gall stones .
VI. DISEASES OF GENITO-URI- NARY SYSTEM.
Bright's disease
1
3
1
1
1
1
1
2
11
Cystitis
1
1
1
1
. 7
Nephritis
12
10
6
8
9
5
8
1
5
5
5
5
79 1
VII. CHILDBIRTH.
Childbirth
2
1
2
1
1
1
1
2
11
VIII. DISEASES OF THE SKIN AND CELLULAR TISSUE.
Abscess
1
1
2
Carbuncle
2
Gangrene
1
1
2
IX. MALFORMATIONS.
Hydrocephalus
1
2
2
1
6
X. EARLY INFANCY.
1
1
2
1
7
Inanition
2
1
·
1
1
3
Premature birth and congenital debility
3
3
2
8
1
1
2
1
4
2
27
XI. OLD AGE.
Old age
1
1
2
1
1
1
1
8
Senile dementia
1
1
1
1
1
1
1
1
1
9
Arterio-sclerosis
2
2
2
2
1
2
2
1
4
1
3
3
25
XII. VIOLENCE.
1
Railroad .
1
1
1
1
2
2
2
1
2
13
Suicide
1
1
2
1
5
Burning
2
1
1
1
5
Suffocation
1
1
Fracture of hip
1
1
1
3
Fracture of skull
3
1
2
1
1
1
9
Fracture of ribs
1
Fracture of thigh .
1
Morphine poison
1
1
Total
121
85
109
94
99
79
80
65
66
69
86
90
1043
Stillborn
4
5
5
4
3
4
7
4
8
4
8
5
61
Population ( estimated ) Death rate per thousand
77,500
13.5
. .
. .
5
5
10
Ptomaine poisoning
4
1
..
Intestinal obstruction
1
1
1
1
2
...
1
1
1
Pyelitis
1
2
5
Asphyxia neonatorum
1
Drowning
1
...
1
Ether asphyxia
1
....
1
1
1
1
..
3
. .
1
9
Malnutrition
2
. .
275
HEALTH DEPARTMENT.
Social Relations of Decedents.
Married
366
Single
403
Widow
189
Widower
79
Divorced
6
Total
1,043
·
Nativity of Decedents.
Somerville
247
Massachusetts
254
Other New England states
169
Other states
22
Canada
102
England, Scotland, and Wales
26
Ireland
112
Italy
24
Norway and Sweden
27
Russia
9
Other countries
44
Unknown
7
Total
1,043
Nativity of Parents of Decedents.
Father. Mother.
Somerville
32
29
Massachusetts
178
204
Other New England states Other states
220
160
Canada and provinces
120
104
England, Scotland, and Wales
11
13
Ireland
282
317
Italy
45
42
Norway and Sweden
18
16
Russia
10
11
Other countries
28
21
Unknown
80
102
Total
1,043 1,043
Of the parents of the stillborn, 32 fathers and 33 mothers were na- tives of the United States, and 29 fathers and 28 mothers were of foreign birth.
Diseases Dangerous to the Public Health.
This board has adjudged that the diseases known as acti- nomycosis, anterior poliomyelitis, Asiatic cholera, cerebro- spinal meningitis, diphtheria, glanders, leprosy, malignant pus- tule, measles, ophthalmia neonatorum, scarlet fever, smallpox, tetanus, trachoma, trichinosis, tuberculosis, typhoid fever, typhus fever, varicella, whooping-cough, and yellow fever 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 coming under their care, and postal cards con- veniently printed and addressed are supplied to them for the
.
·
.
19
24
276
ANNUAL REPORTS.
purpose. On receipt of a card from a physician, the superin- tendent of schools, the principal of the school in the district in which the patient resides, and the librarian of the public library are notified, and state board of health.
Scarlet Fever .- Three hundred thirty-six cases of scarlet fever have been reported during the year, five of which resulted fatally. In 1909 there were 320 cases, nine of which resulted fatally.
Diphtheria .- Two hundred twenty-six cases of diphtheria have been reported during the year, twenty of which were fatal. In 1909 there were 334 cases, twenty-seven 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 sus- pected 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 sani- tary defects discovered are required to be remedied as soon as possible.
Tuberculosis .- One hundred forty-nine cases of tubercu- losis have been reported during the year. There were seventy- six deaths from this disease.
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