Report of the city of Somerville 1914, Part 26

Author: Somerville (Mass.)
Publication date: 1914
Publisher: Somerville, Mass.
Number of Pages: 596


USA > Massachusetts > Middlesex County > Somerville > Report of the city of Somerville 1914 > Part 26


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OFFICE OF THE BOARD OF HEALTH, - City Hall, January 1, 1915.


To His Honor, the Mayor and the Board of Aldermen :-


Gentlemen,-We respectfully submit the following as the thirty-seventh 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, 1914.


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 :-


Complaints investigated and causes removed :-


Animals kept in cellars


4


Biacksmith shops whitewashed


11


Cellars, water in


10


Cellars, filthy


16


Cesspools removed


3


Chimney too low


1


Defective garbage houses


4 30


Factories filthy


4


Fish exposed for sale .


3


Fish, foul odors from .


10


Garbage thrown in yards .


5


Hens being kept without permit


24


Manure heaps, foul odors from


8


Plumbing unsanitary .


3


Roosters crowing .


7 23 1


Sewer openings, foul odors from


5


Stables whitewashed


37


Stables ventilated


4


Stores (bakeries) whitewashed


7


Stores and utensils dirty


40


Tenements filthy .


3


Tenements unsanitary


11


Unlicensed animals


18


Unclassified


.


54


Water-closets without water


18


Water pipes burst


6


Water turned off, house not tenantable


7


Yards filthy


.


194


Total - - -


?


· 612


.


Milk license not posted


10


Milk rooms, screens not on ,


14


Privy vaults, foul odors from


1


Hens running at large .


4


Rubbish on vacant land .


Stables offensive


Water closets, foul odors from ·


12


Dirty milk utensils


342


ANNUAL REPORTS.


Complaints referred from 1913 1


Complaints received from 1914 612


Complaints referred to 1915 . 6


Nuisances abated 1914 607


Second, third, and fourth notices sent on


nuisances


33


Total notices sent . 640


In addition to the above, 257 dead animals have been re- 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-six cases of glanders have been reported during the year. Prompt action was taken in every case, and twenty-eight of the horses were killed, eight being released 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 .- Twelve applications were received for permits to keep twenty-four cows, which were granted.


Swine .- Fifteen applications were received for permits to keep thirty-one swine, twelve of which were granted to keep twenty-four swine. The fee is one dollar for each swine.


Goats .- Three applications were received for permits to keep four goats, which were granted. The fee is one dollar for each goat.


Hens .- One hundred and eight applications for per- mits to keep 1,652 hens were received. Eighty-three permits to keep 1,263 hens were granted, and twenty-five permits were refused.


Grease .- Thirteen applications were received for permits for thirteen teams to collect grease, which were granted. The fee is two dollars for each team.


Melting and Rendering .- Two 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, for which a fee of one dollar is charged.


Pedlers.


Three hundred and sixty-three certificates of registration were issued to hawkers and pedlers during the year under the provisions of ordinance number 29- an increase of seventy- nine over the year 1913. Each pedler is required to present a statement from the sealer of weights and measures, showing that his measures and scales have been properly sealed, before


1


343


HEALTH DEPARTMENT.


a certificate is issued to him. Pedlers 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 if they are kept in a clean condition, and are properly marked with the owner's name and number. A fee of one dollar is charge for each registration.


Stables.


Under the provisions of sections 69 and 10 of chapter 102 of the revised laws of 1902, sixteen petitions for licenses to occupy stables were received, eleven were granted, four were refused, and action on one is still pending.


Board of Infants.


Nineteen parties, whose applications were first approved by this board, have been licensed by the state board of charity to care for thirty-eight children in this city, under the provi- sions of chapter 83 of the revised laws of 1902.


Deaths.


There were 990 deaths and sixty-three stillbirths in the city during the year, as specified in the following table, which shows a decrease of deaths under the previous year of three.


Deaths at Somerville hospital during the year


71


Deaths at hospital for contagious diseases and


tuberculosis


51


Deaths at home for aged poor (Highland avenue),


41


Deaths at city home


.


18


Deaths at other institutions .


20


DEATHS BY AGES.


AGES.


Total.


Male.


Female.


Under one


One to two


Two to three


31


17


14


Three to four


9


4


5


Four to five


12


1


5


Five to ten


8


-1


1


Fifteen to twenty


48


16


32


Thirty to forty


.


60


32


28


Fifty to sixty


151


73


78


Seventy to eighty


189


70


119


Eighty to ninety


86


32


54


Ninety and over


13


8


5


Total


990


466


524


.


17


9


8


Twenty to thirty


71


31


40


Forty to fifty


114


56


58


Sixty to seventy


26


20


6


Ten to fifteen


145


79


66


10


5


5


344


ANNUAL REPORTS.


Mortality in Somerville in 1914.


January.


February.


March.


April.


May.


June.


July.


August.


September.


October.


November


December.


Total.


I. GENERAL DISEASES. (A. Epidemic Diseases.)


Scarlet fever


1


3


1


1


1


2


11


Diphtheria


1


2


4


1


1


2


3


3


4


25


Typhoid fever .


1


2


1


1


1


6


Dysentery .


1


1


2


La grippe


2


1


1


1


Cerebro-spinal meningitis .


1


Pertussis


1


..


. .


1


2


Infantile Paralysis


1


1


(B. Other General Diseases.)


Septicemia


1


1


Rheumatism


1


1


1


3


Pernicious anæmia


1


1


1


4


2


9


Cancer of thorax


1


1


1


2


Cancer of thigh


1


...


.


.


.


6


Cancer of face


2


1


1


1


1


3


2


11


Cancer liver and kidneys


1


..


. .


....


2


2


1


2


1


3


1


2


3


17


Cancer of uterus .


. .


...


1


1


2


1


1


2


Cancer of rectum .


1


.


..


...


1


3


4


1


2


1


2


2


16


Tuberculosis


8


14


4


5


4


5


3


6


6


12


83 9


Tuberculosis of peritoneum


1


Tuberculosis of bowels


2


1


1


2


1


7


Hodgkins' disease


1


1


Erysipelas


2


1


1


1


Uterine Hemorrhage


1


...


1


1


Adeno carcinoma


1


.. .


..


1


II. DISEASES OF THE NERVOUS SYSTEM.


Meningitis


1


1


2


3


7


Apoplexy


6


5


11


9


10


7


2


5


9


7


7


11


89


Paralysis


6


Hemiplegia


1


1


2


1


1


6


Epilepsy


1


2


3


1


1


1


1


1


Eclampsia


1


1


2


1


....


1


III. DISEASES OF THE CIRCULA- TORY SYSTEM.


Atheroma


Heart disease


8


8


4


10


9


1


3


1


6


3


6


9


68


Endocarditis


17


Myocarditis


1


2


5


3


2


1


2


3


19


Phlebitis


1


1


Angina pectoris


1


2


3


Aneurism of aorta


1


Regurgitation


1


2


3


1


. . .


3


5


2


1


1


19


IV. DISEASES OF THE RESPIRA- TORY SYSTEM.


Pneumonia


12


21


23


13


14


9


2


3


7


6


10


16


136


Bronchitis .


1


1


1


3


2


2


3


13


Pulmonary œdema


1


2


2


1


6


Pleurisy .


Pulmonary embolism


1


1


Asthma


1


1


. .


. .


2


Tonsilitis


.


. .


. . . .


2


Cancer of lung


.. . .


1


1


2


..


...


3


Cancer of prostate gland


1


2


Cancer of jaw and throat


.


..


1


Tumor


1


Tubercular meningitis


..


. .


2


1


3


1


1


1


1


1


1


2


Abscess .


. .


3


Haemophilia


1


Cancer of vagina .


.


1


1


1


.


..


. .


1


1


2


...


. . .


. .


....


. .


.


..


. .


1


.


. .


1


..


1


1


2


1


1


Cancer intestines


. .


1


...


1


3


2


6


Diabetes


.. .


1


Cancer of bladder


1


..


2


Cancer of breast


1


. .


1


3


Measles


. .


.


. .


Locomotor ataxia


Haematomyelia


1


1


1


1


4


2


3


.. .


....


. .


1


1


..


9


7


1


1


Cancer of stomach


..


.


..


1


Myelitis .


345


HEALTH DEPARTMENT.


Mortality in Somerville in 1914 .- Concluded.


January.


February.


March.


April.


May.


June.


July.


August.


September.


October.


November.


December.


Total.


V. DISEASES OF THE DIGESTIVE SYSTEM.


Acute indigestion


1


1


2


2


1


7


Colitis


1


1


2


6


Gastritis


1


1


Peritonitis


1


1


2


1


1


1


1


8


Diarrhea


1


Cholera infantum


1


1


Gastric ulcer


1


1


2


3


2


2


5


6


3


3


1


29


Jaundice


1


1


1


1


1


2


7


Appendicitis


1


1


Cirrhosis liver


1


1


Enlargement of spleen


1


1


VI. DISEASES OF GENITO-URI- NARY SYSTEM.


Bright's disease


1


2


1


2


1


7


Uraemia .


1


1


2


1


3


5


8


1


1


1


6


6


5


4


3


44


Pyelitis


1


1


Cystitis


2


2


Prostatis


1


1


2


VII. CHILDBIRTH.


Childbirth


1


1


2


VIII DISEASES OF THE SKIN AND CELLULAR TISSUES.


Gangrene .


1


1


1


1


4


IX. MALFORMATIONS.


Hydrocephalus


X. EARLY INFANCY.


3


2


4


1


2


1


1


14


Asphyxia neonatorum


6


8


5


6


3


2


1


3


5


3


4


4


50


A talectosis


1


1


XI. OLD AGE.


Old age


1


1


1


1


. .


1


5


Senile dementia


5


5


4


7


7


6


5


2


8


7


2


6


64


XII. VIOLENCE.


1


1


Railroad


1


3


1


i


1


1


8


Suffocation


1


1


Accidental gas poisoning.


1


1


1


1


4


Surgical shock


1


1


1


3


Accidental poisoning


1


Fracture of spinal column


1


Acciden tal fall


1


Run over by team


1


1


2


Starvation


1


1


Accidental burns


2


1


3


74


97


98


110


93


74


50


65


77


66


74


112


990


Population (estimated) Death rate per thousand,


85,000


11,65


.


2


2


Ptomaine poisoning


1


1


1


. .


1


4


Enteritis


1


1


2


Intestinal obstruction


1


1


1


1


4


Intestinal toxaemi


Malnutrition


1


. .


1


1


1


4


Premature birth and congenital debility


1


1


1


3


Overlaying


1


1


1


1


2


1


7


Arterio-sclerosis .


Drowning


1


3


4


Suicide


1


1


Accidental burns from hot water


1


Fracture of skull .


1


1


1


. .


1


. .


Total


1


2


7


Nephritis


. .


.


1


1


1


346


ANNUAL REPORTS.


Diseases Dangerous to the Public Health.


This board has adjudged that the diseases known as actinomycosis, anterior polimyelitis, anthrax, Asiatic cholera, cerebro-spinal meningitis, chicken-pox, diphtheria, dog-bite (requiring anti-rabic treatment,) dysentery, German measles, glanders, hookworm disease, infectous disease of the eye, leprosy, malaria, measles, mumps, pellagra, plague, rabies, scarlet fever, septic sore throat, small pox, tetanus, trichinosis, tuberculosis (all forms), typhoid fever, typhus fever, whooping cough, yellow fever, are infectious, or contagious and dangerous to the public health and safety within the mean- ing of the statutes. Physicians are required to report immedi- ately to the board every case of either of these diseases com- ing under their care, and postal cards conveniently printed and addressed are supplied to them for the purpose. On receipt of a card fromn a physician, the superintendent of schools, the principal of the school in the district in which the patient re- sides, the librarian of the public library and state board of health are notified.


Scarlet Fever .- Three hundred seventy-six cases of scarlet fever have been reported during the year, eleven of which re- sulted fatally. In 1914 there were 208 cases, four of which re- sulted fatally.


Diphtheria .- Three hundred seven cases of diphtheria have been reported during the year, twenty-five of which were fatal. In 1913 there were 161 cases, thirteen 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. Cutlure tubes for diphtheria, and sputum bottles for suspected tuberculosis are obtainable at the same stations.


Warning cards are used in dealing with scarlet fever and diphtheria, and the premises are fumigated by the use of formaldehyde gas, immediately after the termination 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.


Tuberculosis.' One hundred fifty-nine cases of tuberculosis have been reported during the year. There were eighty-three deaths from this disease.


Typhoid Fever .- Thirty cases of typhoid fever have been reported during the year, six of which have proved fatal. In 1913 there were sixty-six cases reported, six of which were fatal.


Number of persons with diphtheria or scarlet fever taken in ambulance to hospital by agent 352


Number of cases of scarlet fever and diphtheria for which houses were placarded . 370


Number of premises disinfected by agent 889


It will be seen by the foregoing figures that 889 premises were disinfected. Twenty disinfections were made at the re- quest of attending physicians whose patients had been ill with


-


347


HEALTH DEPARTMENT.


typhoid fever, cancer, or other diseases. One hundred eighty- six schoolrooms were disinfected, ninety-nine for scarlet fever, eighty-seven for diphtheria, and 116 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.


TABLES.


The prevalence of scarlet fever, diphtheria, and typhoid fever in the city during the several months of the year 1914 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 1914.


SCARLET FEVER.


DIPHTHERIA.


TYPHOID FEVER.


MONTHS.


Cases


Reported.


Number of


Deaths.


Percentage


of Deaths.


Reported.


Number of


Deaths.


Percentage


Reported.


Number of


Deaths.


Percentage


of Deaths.


January


40


.


. . .


....


14


1


7.1


1


100.


February


32


. .


1


1.5


20


April


50


3


6.


14


May


68


2


2.9


36


4


11.1


June


32


1


3.1


18


4


22,2


July


13


1


7.7


17


1


5.9


1


3


.


September


8


. .


.


..


26


2


7.7


4


1


25.


October


15


1


6.6


50


3


6.


7


1


14.2


November


16


....


49


3


6.


4


1


25.0


December .


25


2


8.0


42


4


9.5


G


Total


376


11


2.9


307


25


8.1


30


6


20.


Deaths from Scarlet Fever, Diphtheria and Typhoid Fever in the Last Ten Years.


SCARLET FEVER.


DIPHTHERIA.


TYPHOID FEVER.


MONTHS.


1905.


1906.


1907.


1908.


1909.


1910.


1911.


1912.


1913.


1914.


1905.


1906.


1907.


1908.


1909.


1910.


1911.


1912.


1913.


1914.


1905.


1906.


1907.


1908.


1909.


1910.


1911.


1912.


Į 1913.


| 1914.


January


3


1


1


1


1


:


February


1


March


1


1.


1


5


2


2


2


1


1


1


3


1


1


1


May


1


1


2


1


1


1


2


1


2


1


June


1


1


1


1


2


2


1


1


4


2


2


1


1


1


1


July


1


1


1


2


2


September


1


1


2


4


1


1


November


1


1


1


3


1


1


2


1


1


4


3


3


3


1


1


1


1


December


2


2


2


3


1


4


2


3


1


3


1


4


1


1


:


-


11


Total .


4 1 12


4


9


5


3


2


4


17 15 9.11 27 20 15 14 13 25


9 11 11


9 8 6 6 4


6


6


1


-


-


-


1 : 1


.


1


April


1


1.2812


-


-


1


1


1


2


2


1


1


1


1


1


. .


1


2


2


2


1


.


2


1


1


1


1


2


1


October


1


2


1


1


1


3


1


: 1


:


1


: : :


1 2 2.1


August·


2 .


1


3


1


1


1


1


.


August


10


. .


6


1


16.6


1 0 0 0 002K01


2


100.


March .


67


15


13.3


. .


. ..


. .


. .


1


2


1


1


1


1


1


.


Cases


Cases


of Deaths.


348


ANNUAL REPORTS.


Table of Deaths During the Last Ten Years.


Year.


No. of Deaths.


Rate per 1,000.


1905


968


13.83


1906


1,004


13.94


1907


997


13.47


1908


903


11.96


1909


988


13.08


1910


1,043


13.45


1911


1,035


12.93


1912


983


12.13


1913


993


12.11


1914


990


11.65


Average death rate per 1,000 for ten years


12.85


Table Showing the Five Principal Causes of Death in Somerville in 1914.


PNEUMONIA.


HEART DISEASE.


APOPLEXY.


TUBERCULOSIS.


CANCER.


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.


136


16


123


14.4


89


10.4


83


9.8


62


7.3


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 de- monstrated, and the work has been done in a very satisfactory manner. There has been harmony of action between the board of health and the school board, and the school principals and teachers have very generally co-operated with the inspec- tors in making the system as successful as possible.


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, accom- panied 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.


10,000 of Pop.


349


HEALTH DEPARTMENT.


It is extremely desirable that one or more additional school nurses should be employed to supplement and make more effective the work of the inspectors, and it is to be hoped that funds will be available to carry out this project. One nurse has been employed since September, 1913.


In accordance with the provisions of the statute, tests of sight and hearing are made by the principals or teachers.


During the year, 6,989 children have been referred to the inspectors during their daily visits, and 411 have been sent home because of illness.


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 :-


LIST OF DISEASES AND NUMBER OF CASES REPORTED.


1. Infectious diseases :-


Measles


59


Whooping cough


14


Chicken pox


74


Mumps


13


Scarlet fever


12


Total


2. Diseases of the nose and throat :-


172


Enlarged tonsils and adenoids


321


Inflammatory diseases


50


Other abnormal conditions


10


Total


381


3. Diseases of the eyes :--


Inflammatory conditions of the eyes and


20


Foreign bodies and injuries


4


Other abnormal conditions


15


Total


39


4. Diseases of the ears :-


Inflammatory conditions


9


Other abnormal conditions


5


Total


14


5. Diseases of the skin :---


Pediculosis


502


Impetigo


31


Scabies


21


Eczema


46


Tinea


5


Herpes


4


Miscellaneous conditions


101


Total


710


6. Miscellaneous diseases :-


48


Diseases of the digestive system


8


.


Diseases of the respiratory system .


.


44


Constitutional diseases


lids


350


ANNUAL REPORTS.


Diseases of the circulatory system 20


Diseases of the lymphatic system 41


Diseases of the nervous system . 11


Diseases of the urinary system .


12


Wounds and injuries


25


Diseases of teeth


233


Other conditions


47


Total 489


Total number of diseases reported 1,805


Vaccinations performed


506


Examinations for vaccinations


604


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. Edward J. Dailey, 46 Bow street.


District No. 3 .- Bennett, Pope, Cummings, and Proctor schools. Inspector, Dr. L. H. Raymond, 146 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, 283 Highland avenue.


District No. 6 .- Lincoln, Hodgkins, Highland, Cutler, and Lowe schools. Inspector, Dr. H. Cholerton, 94 College avenue.


District No. 7 .- Glines and High schools. Inspector, Dr. R. F. Gibson, 76 College avenue.


Parochial Schools .- Inspector, Dr. M. W. White, 21 Wal- nut street.


On August 17, 1914, Dr. R. F. Gibson, inspector of Dis- trict No. 6, died, and on September 4, 1914, the Board ap- pointed Dr. Edgar F. Sewall, 258 Broadway, to fill the va- cancy.


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 ex- amined and reported upon the morning following their re- ception.


SPECIMENS AND ANTI-TOXIN,


Outfits for specimens to be examined for tuberculosis, diphtheria, and typhoid fever, and diphtheria anti-toxin, vac- cine lymph and nitrate of silver solution may be obtained at the laboratory and at the following places :-


Adams Pharmacy, Willow and Highland. avenues.


R. A. Peckham, 154 Perkins street.


351


HEALTH DEPARTMENT.


Bay State Pharmacy, 173 Washington street.


Edward Edwards, 25 Union square.


Fred W. Gay, 524 Somerville avenue.


John Morrison, Highland avenue, corner Cedar street.


Percy A. Hall, 2 Studio building, Davis square.


Henry W. Perry, 529 Medford street, Magoun square.


Eugene B. Carpenter, 10 Broadway.


Richardson Pharmacy, 310 Broadway.


George E. Wardrobe, 693 Broadway.


Willis S. Furbush & Co., 1153 Broadway.


After the specimen is collected, it must be taken to the culture station or sent directly to the laboratory at the city hall.


Undertakers.


Under the provisions of section 44 of chapter 18 of the revised laws of 1902, twenty-two persons have been duly li- censed as undertakers.


Examination 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 ex- pert. The number of licenses granted will be found in the report of the inspector of buildings.


Financial Statement for 1914.


CREDIT.


Appropriation


$11,000 00


Appropriation


2,379 54


Excess in Deficiency, balance transferred


2,010 70


Total credit


$15,390 24


DEBIT.


Salaries


4,300 00


Burying dead animals


88 25


Office supplies .


248 20


Bacteriological Laboratory


51 95


Board of agent's horse


336 00


Maintenance of vehicles and harnesses


453 65


Horseshoeing


58 10


Telephones


166 68


Care of tuberculosis cases in state institu- tions and cities and towns


6,035 98


Care of diseases other than tuberculosis


3,524 76


Incidentals


126 67


Total credit


$15,390 24


352


ANNUAL REPORTS.


Inspection of Animals and Provisions.


CREDIT.


Appropriation


$1,250 00


Excess and Deficiency, balance transferred . 18 85


.


Total credit


$1,231 15


DEBIT.


Salary of Inspector .


1,200 00


Incidental expenses


31 15


1


Total debit


$1,231 15


Inspection of Milk and Vinegar.


CREDIT.


Appropriation


$2,050 00


Appropriation


300 00


Excess and deficiency, balance transferred .


23 03


Total credit


$2,326 97


DEBIT.


Salaries


$1,378 05


Maintenance of laboratory


154 22


Maintenance of automobile


409 78


Telephone


11 40


Incidentals and printing


373 52


Total debit


$2,326 97


Inspection of School Children.


CREDIT.


Appropriation


$2,400 00


Appropriating


Excess and deficiency, balance transferred .


93 63


Total credit


$2,306 37


DEBIT.


Salaries ·


2,267 04


Sundry expenses


39 33


Total debit


$2,306 37


Contagious Hospital.


:


CREDIT.


J


Appropriation


2,500 00


Appropriation


2,200 00


Appropriation


Excess and deficiency, balance transferred .


277 24


$21,777 24


Total credit


$16,800 00


300 00


353


HEALTH DEPARTMENT.


DEBIT.


Salaries


$9,364 88


Groceries and provisions


9,262 57


Supplies


2,191 28


Incidentals


958 51


Total debit


$21,777 24 WESLEY T. LEE, M. D., Chairman, JACKSON CALDWELL, JOHN A. BLASER,


Board of Health.


REPORT OF THE MEDICAL INSPECTOR


Somerville, January 1, 1915.


To the Board of Health of the City of Somerville :-


Gentlemen,-I herewith present the report of the medical inspector for the year 1914, including the statistics of the con- tagious disease hospital and the bacteriological laboratory.


Scarlet Fever. During the year 376 cases of this disease were reported in the city, an increase of 168 in number over the previous year. 258 cases were reported during the first five months of the year when the disease was particularly prevalent. Each case has been inspected before the fumigation and 272 visits were made at residences to determine when des- quamation was complete.


Diphtheria. During the year 307 cases of diphtheria were reported in the city, an increase of 146 in number over the previous year. 141 cases were reported during the last three months of the year when the disease was particularly preva- lent. Before patients are released from quarantine two suc- cessive negative cultures must be obtained and during the year 397 visits were made at houses for this purpose.


Typhoid Fever. During the year thirty cases of this disease were reported, a decrease of thirty-three cases from the previous year.


Tuberculosis. During the year 159 cases of this disease were reported, a decrease of twenty-one cases from the previous year.


Ophthalmia Neonatorum. During the year thirty-eight cases of this disease were reported, an increase of five cases from the previous year. A visit was made to all of these patients.


Contagious Disease Hospital.


During the year 397 visits were made at the hospital.


Scarlet Fever. During the year two hundred and four cases were admitted, eight of which proved fatal. The average stay in the hospital was 40 days.


Diphtheria. During the year one hundred and ninety- four cases were admitted, nineteen of which proved fatal. The average stay in the hospital was 15 days.


353


HEALTH DEPARTMENT.


Tuberculosis. During the year seventy-four cases were admitted, twenty of which proved fatal. The aver- age stay in the hospital was seventy-five days.


Other Diseases. Seven cases of measles were ad- mitted, one of which proved fatal, one case of Erysipelas, one of Retropharyngeal abscess, and one Mental case.




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