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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