USA > Massachusetts > Middlesex County > Somerville > Report of the city of Somerville 1919 > Part 15
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Glanders. - Five cases of glanders have been reported dur- ing the year. Prompt action was taken in every case, and three of the horses were killed, two being released from quarantine by order of the cattle commissioners.
Record of Permits and Licenses Issued.
Cows. - Eight applications were received for permits to keep eleven cows, seven of which were granted to keep ten COWS.
Swine. - Thirty-nine applications were received for per- mits to keep eighty-two swine, thirty-two of which were grant-
216
ANNUAL REPORTS.
ed to keep sixty-three swine. The fee is one dollar for each swine. On June 3, 1919, the Board of Health voted that no further licenses to keep swine in this city be granted.
Goats. - Ten applications were received for permits to keep twelve goats, all of which were granted. The fee is one dollar for each goat.
Hens. - Two hundred and sixty-one applications for per- mits to keep 4,031 hens were received. Two hundred and forty- four permits to keep 3,809 hens were granted, and seventeen permits were refused.
Grease. - Thirteen applications were received for permits for fifteen teams to collect grease, which were granted. The fee is two dollars for each team.
Melting and Rendering. - Three parties have been li- censed to carry on the business of melting and rendering, un- der the provisions of the revised laws of 1902, chapter 75, Sec- tion 111, for which a fee of one dollar is charged.
Massage and Manicure. - Four persons have been licensed to practice massage and manicure. The fee is one dollar for each license.
Sales of Alcohol. - Chapter 360, Acts of the Legislature of Massachusetts for the year 1919 provided that no person, firm or corporation other than a registered druggist shall en- gage in the business of manufacturing, buying, selling or deal- ing in methyl alcohol, or wood alcohol, so called or denatured alcohol, or any preparation containing more than three per cent of any of the said alcohols, without being licensed so to do by the board of health.
Under the provisions of this act sixteen licenses have been issued. The fee is one dollar for each license.
Stables.
No person has the legal right to erect, occupy or use any building in this city, as a stable, without obtaining a license from this Board for such occupancy. Each application is re- ferred to the Agent of this Board and no license is granted unless all regulations of the Board are complied with. The following is a record of applications received and licenses granted.
Applications pending from 1918
Applications received during 1919
6
28
34
Licenses granted
12
Licenses refused
15
27
Licenses pending
7
217
HEALTH DEPARTMENT.
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-four children in this city, under the provisions of chapter 83 of the revised laws of 1902.
Deaths.
There were 1,074 deaths and fifty-four stillbirths in the city during the year, as specified in the following table, which shows a decrease of deaths under the previous year of 459 due largely to a return to normal conditions without any epidemic.
Deaths at Somerville hospital during the year . 68
Deaths at hospital for contagious diseases and tuberculosis 26
Deaths at home for aged poor (Highland Ave- nue) 42
Deaths at city home 8 Deaths at other institutions 30 · .
218
ANNUAL REPORTS.
Mortality in Somerville in 1919.
1
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
I. GENERAL DISEASES.
(A. Epidemic Diseases.)
Cerebro-spinal meningitis.
2
1
3
2
2
9
Influenza
27
4
3
1
2
1
38
Pertusses
1
1
1
3
Scarlet fever
1
1
Typhoid fever.
1
1
(B. Other General Diseases. )
Abscess
1
1
1
1
1
1
2
1
1
6
Cancer of intestines
2
2
2
1
1
1
2
11
1
1
3
1
2
1
1
1
11
Cancer of stomach
2
2
1
2
3
1
1
4
3
1
2
22
Cancer uterus
1
1
3
2
2
8
1
1
3
1
4
38
Convulsions
1
2
1
1
3
1
1
3
1
2
1
16
Erysipelas
1
2
Pernicious anæmia
1
1
2
1
1
1
7
Pleurisy
1
1
1
1
1
1
1
6
Status Lymphaticus.
1
1
11
5
7
6
9
7
7
8
4
2
9
1
76
1
2
1
4
2
2
1
1
14
Tumor
1
II. DISEASES OF THE NERVOUS SYSTEM.
Apoplexy
5
9
10
8
6
6
5
7
11
4
5
10
86
Locomotor Ataxia
3
Meningitis.
1
1
1
5
Myelitis
1
1
Neuritis
1
1
Paralysis
1
1
1
3
Spasmophilia
1
1
III. DISEASES OF THE CIRCULA- TORY SYSTEM.
Aneurism of aorta
2
1
1
4
Angina pectoris
1
1
3
2
1
2
1
11
Endocarditis
4
1
2
3
1
2
2
1
1
17
Heart disease
19
13
9
4
11
9
5
3
8
10
12
9
112
Myocarditis
3
5
3
2
3
1
3
1
1
5
9
36
Pericarditis
2
Regurgitation
2
1
1
2
1
1
1
1
1
1
1
13
IV. DISEASES OF THE RESPIRA- TORY SYSTEM.
Bronchitis
2
2
2
2
1
1
1
11
Empyema
2
Laryngitis
1
1
39
22
14
21
6
3
2
5
3
12
3
11
141
Pulmonary œdema
1
1
1
1
4
Acidosis
3
Cancer of breast
1
1
3
1
12
Cancer other forms
2
1
5
2
8
1
Diabetes
1
Septicemia
1
1
Tetanus.
Tuberculosis pulmonary
Tubérculosis other forms
1
1
1
1
2
1
1
. .
1
1
Pneumonia
3
1
1
Diphtheria
Cancer of rectum
1
......
219
HEALTH DEPARTMENT.
Mortality in Somerville in 1919. - Concluded.
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total:
V. DISEASES OF THE DIGESTIVE SYSTEM.
Acute indigestion
3
2
1
3
Appendicitis
1
1
1
Cirrhosis liver
1
1
1
1
1
1
2
Diarrhea
1
1
1
1
1
5
Enteritis
2
1
1
2
2
3
1
2
2
16
Gastritis
2
1
1
1
4
Intestinal obstruction
1
1
1
1
1
1
1
1
7
VI. DISEASES OF THE GENITO- URINARY SYSTEM.
Cystitis
1
1
2
6
1
9
5
3
9
5
2
2
4
2 3
51 6
VII. CHILDBIRTH.
Placenta previa
1
VIII. DISEASES OF THE SKIN AND CELLULAR TISSUES.
Gangrene
1
2
1
4
IX. MALFORMATIONS.
X. EARLY INFANCY.
1
1
Premature birth and congenital debility
13
9
2
2
5
2
2
2
3
4
3
6
53
XI. OLD AGE.
Arterio sclerosis
13
14
13
10
7
7
3
8
4
9
10
10
108
Senile dementia.
1
1
2
1
1
3
1
10
XII. VIOLENCE.
Accidental burns from fire
1
1
2
1
5
Accidental fall
2
5
Accidental gas poisining
1
Accidental poisining
1
Drowning
·2
1
3
Fracture of skull
2
Homicide
1
1
Railroad
1
1
2
1
1
6
Rupture of the intestines
1
1
Struck by automobile
1
2
2
5
Suicide
1
1
1
1
1
5
Surgical shock
1
Total
166
125
108
84 90
73
63
61
55
71
85
93
|1074
Population (estimated). Death rate per thousand
95,000
11.30
1
1
2
1
1
5
Nephritis
Uræmia.
3
1
1
1
Atalectasis Malnutrition
2
1
1
1
1
6
1
1
1
1
1
Cholecystitis
5
Colitis
1
1
4
Intestinal toxæmia
Peritonitis
5
1
1
2
1
220
ANNUAL REPORTS.
DEATHS BY AGES.
AGES.
Total.
Male.
Female.
Under one
118
59
59
One to two
24
15
9
Two to three
11
5
6
Three to four
9
6
3
Four to five
8
5
3
Five to ten
18
11
7
Ten to fifteen
10
5
5
Fifteen to twenty
25
9
16
Twenty to thirty
69
32
37
Thirty to forty
69
31
38
Forty to fifty
84
43
41
Fifty to sixty
123
64
59
Sixty to seventy
188
84
104
Seventy to eighty
206
96
110
Eighty to ninety
99
31
68
Ninety and over
13
6
7
Total
1074
502
572
Table of Deaths During the Last Ten Years.
Rate
1910
.
1,043
13.45
1911
1,035
12.93
1912
983
12.13
1913
993
12.11
1914
990
11.65
1915
1,003
11.55
1916
1,081
12.01
1917
1,067
11.85
1918
1,533
16.84
1919
1,074
11.30
Average death rate per 1,000 for ten years
.
Table Showing the Five Principal Causes of Death in Somerville in 1919.
HEART DISEASE.
PNEUMONIA.
CANCER ALL FORMS.
TUBERCULOSIS ALL FORMS.
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
10,000 of Pop.
Number of
Deaths.
Number per
10,000 of Pop.
195
21.4
141
15.0
100
10.9
90
9.9
86
9.4
.
12.58
Year.
No. of Deaths.
per 1,000
HEALTH DEPARTMENT.
DIPHTHERIA.
SCARLET FEVER.
MONTHS.
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1
1
:
:
:
:
:
1
1
3
4
4
2
1
3
4
2
1
1
February
1
1
1
1
1
1
3
3
2
4
3
2
1
1
..
. . .
7| 9 4
8
5
3
2
1
1
1
1
4
1
March
]
..
1
1
...
...
1
1
4
1
1
1
May
1
1
2
1
1
1
1
2
1
June
2 10
9
7
6
9
8
3
9 10
July
1
1
1
1
3
1
1
4. 7
6
4
3
4
11
6
8 6
August
2
2
1
·2
1
1
1
1
10 6
2 10
6
8
7
8 2
September
1
...
1
1
1
3
1
1
1
... ...
...
..
..
October
1
...
1
1
3
1
4
2:
2!
2
*2
November
2
December
5
تت
4 11
2
3
1
20
15:14
13 25 18 21 24 19
9
6
6
4
6
6 11
1
6
2
1
92,99 91 87 95 74
108|85 84 90
Total
Deaths from Scarlet Fever, Diphtheria, Typhoid Fever, and Tuberculosis in the Last Ten Years.
TUBERCULOSIS ALL FORMS.
5 4
9 12
1
1
10
5 12
8 8
..
·
6 13 11 10 14 10
January
8| 5 10
6 9 10
:
:
1
2
1
1
. ..
...
7 6 13
8
8
5 10
.. .
12 10
4
7
8
5
...
2
1
5 5
7
3
4
4
4 7
9 11
..
.
...
...
..
.. .
...
...
...
1
1
2
...
...
6 65 97
6
10
4
4
3
5
3
3
1
1
1
1
2
.. .
...
...
. . .
1
..
...
...
. ..
. .
...
:
-
-
11|11|10
4|14
6
6.11
4 2
1
...
:
1
1
17
.. .
...
. . .
1
...
...
1
1
...
. .
1
2
. . .
...
..
...
..
1
...
4
2
2
4
...
1
1
..
3
1
...
. .
9| 8
6 11
April
1
...
...
9
8 10
1
1
1
...
...
2
3
..
...
16 7 6 7
-
1
10 14 9 7
11 7
7 6
...
1
1
6 10
...
...
...
:
TYPHOID FEVER.
221
Table Showing Comparison Between 1918 and 1919 in Prevalence, Deaths Reported and Percentage of Deaths of Scar- let Fever, Diphtheria, Typhoid Fever and Tuberculosis.
SCARLET FEVER.
DIPHTHERIA.
TYPHOID FEVER.
Cases
Reported.
Number of
Deaths.
Percentage
Reported.
Number of
Deaths.
Percentage
of Deaths.
1918 1919 1918 1919 1918 1919
|1918 1919 1918 1919
1918
1919
1918 1919 1918 1919
1918
1919
1918 1919 1918 1919
1918
1919
January
12
15
17
30
3
16.47
3
15
2
12
60.0 100.9
February
17
26
14
35
2
3
14.29
8.5
16
12
7
37.5
58.3
March
14
28
25
32
2
1
8.00
3.1
1
1
19
14
9
7
47.2
50.0
April
14
24
24
17
1
6.67
3
3
21
17
7
6
33.3
35.3
May
14
27
20
13
1
7.7
1
1
21
26
8
10
38.1
34.6
June ..
3
7
16
12
1
6.25
2
2
1
50
13
23
6
11
46.1
47.8
3
9
15
7
1
6.67
2
1
16
14
9
7
52.2|
50.00
July
1
5
12
9
1
8.33
1
2
11
10
1
10
30.9, 100.00
September
3
10
19
8
1
5.26
1
9
15
8
6
90.8
40.00
October.
5
20
14
15
1
7.14
2
1
1
12
8
2
114.3
16.66
November
11
16
31
7
2
2
6.45
2.9
1
1
11
12
1
2
36.3
16.66
Total
103
204
1
5
260
205
19
9
7.3
4.4
15
17
2
1
13.3
5.9
167
169
84
90
50.3
53.2
ANNUAL REPORTS.
222
Cases
Reported.
Number of
Deaths.
Percentage
Reported.
Number of
Deaths.
Percentage
of Deaths.
of Deaths.
TUBERCULOSIS ALL FORMS.
MONTHS.
Cases
of Deaths.
5.8
53
20
1
2
1.88
10.
2
2
1
50.00
8
12
6
10
175.0|
83.33
6
17
1
December
August
..
Cases
223
HEALTH DEPARTMENT.
Diseases Dangerous to the Public Health.
This board has adjudged that the diseases known as acti- nomycosis, anterior poliomyelitis, anthrax, Asiatic cholera, cerebro-spinal meningitis, chicken-pox, diphtheria, dog-bite (re- quiring anti-rabic treatment), dysentery, German measles, glanders, hookworm disease, infectious disease of the eye, in- fluenza, leprosy, malaria, measles, mumps, pellagra, plague, pneumonia (lobar only), 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 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 conveniently printed and addressed are supplied to them for the purpose. On receipt of a card from a physician, 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.
Specimens and Supplies.
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 :-
R. A. Peckham, 154 Perkins street. Edward Edwards, 25 Union square. Willis S. Furbush & Co., 1153 Broadway.
Hall Drug Co., Hobbs building, Davis square. Ernest B. McClure, 529 Medford street. John Morrison, 288 Highland avenue. Richardson Pharmacy, 310 Broadway.
George E. Wardrobe, 693 Broadway.
Hereafter the Agent of this Board will collect, daily, at five o'clock, p. m., all specimens left at culture stations for ex- amination, prior to that hour.
Physicians desiring reports on the following day, of speci- mens taken after this collection has been made must deposit the same at the City Hall Annex, in the receptacle provided, before nine-thirty p. m.
Results of all examinations of specimens received at the
·
224
ANNUAL REPORTS.
City Hall Annex prior to nine-thirty p. m., will be reported to the physicians on the following morning.
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 dem- onstrated, 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 inspectors 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 authori- ties. Every effort is made to protect the health of the chil- dren 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.
The districts and inspectors are as follows :-
District No. 1. - Eastern Junior High, Prescott, Hanscom, Edgerly and Boys' Vocational schools. Inspector, Dr. Francis Shaw, 57 Cross street.
District No. 2. - Baxter, Knapp, Perry and Southern Jun- ior High 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, Burns and Girls' Vo- cational schools. Inspector, Dr. W. L. Bond, 322 Highland avenue.
District No. 5. - Brown, Bingham, Forster and Northern Junior High schools. Inspector, Dr. H. M. Stoodley, 283 High- land avenue.
HEALTH DEPARTMENT.
225
District No. 6. - Western Junior High, Lincoln, Highland, Cutler and Lowe schools. Inspector, Dr. H. Cholerton, 94 Col- lege avenue.
District No. 7. - Glines and High schools. Inspector, Dr. Edgar F. Sewall, 281 Broadway.
Parochial Schools. - Inspector, Dr. M. W. White, 21 Wal- nut street.
During the year, 11,512 children have been referred to the inspectors during their daily visits, and 718 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
2
Whooping cough
3
Chicken pox
88
Mumps
32
Scarlet fever
8
Diphtheria
2
Influenza
29
Infantile paralysis Total .
165
2. Diseases of the nose and throat :-
Enlarged tonsils and adenoids
657
Inflammatory diseases
175
Other abnormal conditions .
16
Total
848
3. Diseases of the eyes :-
Inflammatory conditions of the eyes and lids
46
Foreign bodies and injuries
1
Other abnormal conditions
42
Total
89
4. Diseases of the ears :-
Inflammatory conditions
34
Other abnormal conditions
10
Total
44
5. Diseases of the skin :-
Pediculosis
666
Impetigo
113
Scabies
61
Eczema
59
Tinea
17
Herpes
13
Miscellaneous conditions
169
Total
1,098
.
.
·
1
.
226
ANNUAL REPORTS.
6. Miscellaneous diseases :-
Diseases of the digestive system
23
Diseases of the respiratory system
145
Diseases of the circulatory system
19
Diseases of the lymphatic system
110
Diseases of the nervous system
15
Wounds and injuries .
25
Diseases of the teeth .
369
Other conditions
124
Total
830
Total number of diseases reported
3,074
Vaccinations performed
263
Examinations for vaccinations
.
1,013
Certificate to work
·
184
Bacteriological Department.
The work of this department was performed by Herbert E. Bowman, Ph. G., Inspector of Milk and Vinegar until August 15, 1919.
Upon the above date Dr. Frank L. Morse having been dis- charged as Lieutenant Colonel from the U. S. Army returned to duty. On December 11, 1919 he was incapacitated by ill- ness and his work was again assumed by Mr. Bowman to the end of the year.
Undertakers.
Under the provisions of Section 44 of Chapter 78 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 expert. The number of licenses granted will be found in the report of the inspector of buildings.
Health Nurses.
There are at present four nurses employed by this Board.
Two of these are employed as school nurses and as a result of the recommendations of this Board two additional nurses were provided for and assumed their duties on January 14, 1919.
227
HEALTH DEPARTMENT.
The work of these nurses consists of follow-up work re- garding tuberculosis cases and post-natal baby hygiene work.
The reports of the school nurses are made a part of the re- port of the School Committee and those of the other nurses are made a part of this report being submitted in detail in subsequent pages.
R. M. LAVENDER, Chairman, WARREN C. BLAIR, JOHN E. GILLIS, M. D.,
Board of Health.
Attest:
LAURENCE S. HOWARD,
Clerk.
228
ANNUAL REPORTS.
REPORT OF HEALTH NURSES.
To the Board of Health,
Somerville, Mass.
Gentlemen : -
We submit the following report of work performed by us in post natal, infant hygiene and tuberculosis cases from the date of our appointment January 14, 1919, to December 31, 1919.
Infant Hygiene.
Number of visits made to infants in good condition 3433
Number of visits made to infants in fair condition 622
Number of visits made to infants in poor condition . 226
Number of visits made where infants have died 46
Number of visits made where infants have moved out of Somerville
129
Number of visits made where wrong address was
given
164
Number of visits made where infants were not at home
401
Number of visits made to infants with Ophthalmia . 37
Number of visits made to boarding places for infants 25
Total number of visits to infants
5083
Number of infants born in Somerville during 1919 . 1810
Number of pairs of twins born in Somerville, 1919 .
27
Number of infants who have died in Somer. ville, 1919 65
Number of still born infants during 1919 56
Total number of dead infants for 1919 121
Number of infants who have moved out of Somerville, 1919 119
Number of Mothers who had insufficient breast milk . 400
Tuberculosis.
Number of cases of tuberculosis in Somerville, 1919 289
Number of visits made to patients in good condition 560
Number of visits made to patients in fair condition . 292
Number of visits made to patients in poor condition
Number of visits made where patients have died 301
267
Number of visits made where patients have gone to Sanatoriums .
151
Number of visits made where patients were not at
home ·
231
·
229
HEALTH DEPARTMENT.
Number of visits made where wrong address was given
. Number of visits made where patients had moved out of Somerville
Total number of visits made to patients with tuberculosis .
2293
Number of cases of pulmonary tuberculosis report- ed during 1919
Number of cases of other forms of tuberculosis dur- ing 1919 . Total number of cases of tuberculosis reported during 1919 .
178
30
208
Number of cases of Tuberculosis moved out of Som- erville during 1919 .
26
Number of cases of Tuberculosis who died in Somerville during 1919 90
Number of cases of Tuberculosis who died out of Somerville during 1919 24
Total number of deaths from tuberculosis during 1919
114
Number of cases of tuberculosis admitted to Sana- toriums, 1919
33
Number of cases of tuberculosis previously admitted to Sanatoriums, 63
Total number of Somerville cases of tuberculosis now in Sanatoriums 96
Total number of cases of tuberculosis living in Somer- ville, 1919
289
Number of homes where there are school children where there is or has been a case of tuberculosis . 199 Number of children who attend school from homes where there is or has been a case of tuberculosis, the children having been reported to the schools . 360
Number of houses from which the second case of tuberculosis has been reported 22
Miscellaneous.
Number of cases of typhoid fever reported during 1919 Number of visits made to patients with typhoid fever Number of visits made to patients with venereal diseases 87
17
30
Number of visits made to patients with trachoma 2
324
173
119
230
ANNUAL REPORTS.
Total number of visits made to infants . 5083 Total number of visits made to patients with tuber- . 2299
culosis
Total number of visits made to miscellaneous cases 119
Total of visits made during year of 1919 7501
Respectfully submitted, H. B. BERRY, M. L. SCOTT, Health Nurses.
231
HEALTH DEPARTMENT.
REPORT OF DEPARTMENT OF MEDICAL INSPECTION.
Somerville, Mass., January 1, 1920.
To the Board of Health, Somerville, Mass.
Gentlemen : -
I herewith present the report of the Department of Medical Inspection for the year 1919 including statistics of the Con- tagious Disease Hospital.
From January 1 to August 4, 1919, Ralph F. Hodgdon, M. D., served as Acting Medical Inspector and from August 5 to August 15, 1919, Loring H. Raymond, M. D.,filled this posi- tion. Frank L. Morse, M. D., returned from the service of the United States having been commissioned as a Lieutenant Colonel and resumed his duties August 15th. On Dec. 10th Dr. Morse became incapacitated through illness and Dr. Hodg- don assumed the duties of the position for the balance of the year.
Visits.
Scarlet Fever - Each case must be inspected before release from quarantine to see that the condition of the pa- tient is suitble for release ·
158
Diphtheria - Before patients are released from quarantine two successive negative cultures must be obtained
175
Contagious Hospital
399
For investigation and diagnosis
43
Total number of visits
775
Contagious Disease Hospital.
Dis-
In Hospital
Diseases
In Hospital Ad- charged, Well Jan. 1, 1919. mitted or improved Dead Jan. 1, 1920.
Diphtheria
5
102
101
4
2
Erysipelas
I
10
8
3
0
Scarlet Fever
3
53
52
0
4
Tuberculosis .
11
42
23
15
15
Whooping Cough .
0
1
1
0
0
20.
208
185
22
21
The daily average of patients was 9.93 in the contagious de- partment, 12.52 in the tuberculosis department, a total of 22.45.
Respectfully submitted, RALPH F. HODGDON, M. D., Acting Medical Inspector.
232
ANNUAL REPORTS.
REPORT OF THE INSPECTOR OF ANIMALS AND PROVISIONS.
Somerville, Mass., January 1, 1920.
To the Board of Health, Somerville, Mass.,
Gentlemen : -
I submit the following as my report for the year ending December 31, 1919;
Inspections.
The following table shows the number of inspections made during the past year. In order to safeguard the consumer, all establishments handling foodstuffs are under constant su- pervision. Bakeries, lunch carts and restaurants have been in- spected weekly.
Conditions in the Ice Cream and Candy factories have been greatly improved during the last year. All the factories in the city have been inspected monthly.
The Barber Shops are under very careful inspection and must be kept in a sanitary condition and the barbers are re- quired to keep themselves neat and clean and to properly sterilize their instruments.
Number of Inspections.
Bakeries
250
Milk and Cream Plants 149
Barber Shops
325 Pedlers' Wagons and Stocks 1808
Billiard Halls and Bowling
Public Halls
30
Alleys
Rendering Plants
118
Candy and Ice Cream Plants
184
Slaughter Houses
241
Factories
266
Stores and Markets
4588
Fish Markets
617
Stables
.
362
Grease Wagons
82
Swine Pens
88
Hen Houses and Yards
581
Theatres
84
Hide Houses .
35
Vacant Lots
78
Lunch Rooms and Cars
.
548
Yards and Cellars
469
Articles Condemned.
Owing to market conditions dealers have been obliged to purchase very conservatively and, therefore, no large surplus has been carried by any dealer. There have been less articles condemned than during previous years as the following table will show :
233
HEALTH DEPARTMENT.
Fish.
Butter Fish .
16 Lbs.
Clams
.
.
1/2 Bush.
Flounders
65 Lbs.
Haddock
.
100 Lbs. ·
Lobsters (each)
·
12
Mackerel
144 Lbs. .
Salmon
188 Lbs.
Sword Fish
· 16 Lbs.
Fruit.
Apples
1 Bbl.
Apples
2 Bush.
Bananas
5 Doz.
Blackberries
29 Qts.
Blueberries
22 Qts.
Canteloupes
3 Crates
Grape Fruit
3 Boxes
Grapes .
14 Doz.
Lemons
11/2 Boxes
Oranges
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