USA > Massachusetts > Middlesex County > Somerville > Report of the city of Somerville 1923 > Part 7
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Under the provisions of this act eighteen licenses have been issued. A fee of one dollar was received for each license.
BOTTLING. CARBONATED BEVERAGES. Chap- ter 303, Acts of 1921 provides that no person shall engage in the manufacture or bottling of carbonated non-alcoholic bev- erages, soda waters and mineral and spring water without a permit from the board of health. Seven such permits were granted. a fee of ten dollars being charged in each case.
Stables
No person has the legal right to erect, occupy or use any building in this city, as a stable, without obtaining a li- cense from the board for such occupancy. Each application is referred 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 1922
7
Applications received during 1923 .
5
12
Licenses granted
4
Licenses refused (Applications
with-
drawn)
7
Licenses pending ·
11 1
.
124
ANNUAL REPORTS.
Board of Infants
Eleven applications having been made to the State De partment of Public Welfare for licenses to care for children in this city were referred to this board under provisions of Chapter 119 of the General Laws, and were approved.
There were 1108 deaths and ninety-five stillbirths in the city during the year, as specified in the following table:
Deaths at Somerville Hospital . 108
Deaths at hospital for contagious diseases . 13
Deaths at home for aged poor (Highland Ave.) 52
Deaths at city home . · .
11
Deaths at other institutions
44
125
HEALTH DEPARTMENT
Mortality in Somerville in 1923
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
I. EPIDEMIC, ENDEMIC AND INFECTIOUS DISEASES.
1A Typhoid Fever
7 Measles
8 Scarlet Fever
9 Whooping Cough
5
4
1
3
1
1
15
3
2
1
1
2
3
1
2
1
16
11
Influenza
·2
3
1
2
1
1
....
1
1
1
1
3
5
1
7
3
2
6
3
2
2
2
6
4
43
1
1
3
5
1
1
1
2
1
1
1
1
3
II. GENERAL DISEASES NOT INCLUDED ABOVE
43 Cancer of Buccal Cavity
1
1
1
3
4
4
1
1
2
2
1
1
2
6
4
28
1
1
2
1
1
1
3
1
13
1
2
1
3
2
1
1
1
1
2
15
1
1
1
1
2
3
2
1
1
2
12
3
4
1
1
2
1
2
1
1
2
18
1
1
1
1
1
1
1
9
1
1
2
1
1
2
1
1
1
1
6
1
3
III. DISEASES OF THE NERVOUS SYSTEM AND ORGANS OF THE SPECIAL SENSE.
71A Simple Meningitis
71B Non-Epidemic Cerebro- Spinal Meningitis
74A Cerebral Hemorrhage.
10
7
13
9
12
5
2
10
8
10
11
9
106
1
1
2
3
1
1
2
IV. DISEASES OF THE CIRCULA- TORY SYSTEM.
88 Myocarditis
14
10
15
11
10
8
7
6
5
8
5
5
104
89 Angina Pectoris.
1
2
1
1
2
2
1
3
2
2
17
90 Other Diseases of the Heart
91A Aneurysm
91B Arterio Sclerosis
18
11
26
19
8
7
8
10
5
7
16
13
148
91C Other Diseases of the Ar- teries
2
2
1
1
1
1
4
94
Status Lymphaticus
1
1
1
1
4
23
Lethargic Encephalitis
31 Tuberculosis of Lungs
32 Tubercular Meningitis
33 Tuberculosis of Intestines ..
34
Tuberculosis of the Spine ..
36A Miliary Tuberculosis
41 Septicaemia
1
1
2
1
4
1
7.
1
4
21 Erysipelas
5
22 Acute Poliomyelitus
1
1
1
24
Cerebro-Spinal Meningitis
45 Cancer of Intestines.
46 Cancer of Female Genital Organs
47
Cancer of breast.
1
1
5
49 Cancer of other Organs
57 Diabetes Mellitus.
58A Pernicious Anæmia.
65A Leukemia
65B Hodgkins Disease
66 Acute Alcoholism
69 Other General Diseases.
1
1
2
2
1
1
1
3
74B Cerebral Thrombosis.
75A Hemiplegia
1
14
5
9
6
6
4
9
6
5
11
1
76
1
2
3
92 Embolism
80 Infantile Convulsions
..
...
41 Cancer of Stomach & Liver
......
2
1
1
10 Diphtheria
5
1
126
ANNUAL REPORTS.
Mortality in Somerville in 1923-continued
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
V. DISEASES OF THE RESPIRA- TORY SYSTEM.
99A Acute Bronchitis
99 B Chronic Bronchitis
99C Bronchitis
100A Broncho Pneumonia
26
12
12
12
6
1
2
5
2
3
7
10
98
100B Capillary Bronchitis
13
13
11
4
5
1
1
1
4
7
60
103
Pulmonary Oedema
1
1
105 Asthma:
106 Hypostatic Pneumonia.
3
2
1
1
7
VI. DISEASES OF THE DIGESTIVE SYSTEM.
109 Tonsilitis
111A Ulcer of Stomach
113 Diarrhea and Enteritis (under 2 years)
2
1
2
1
1
1
3
11
114 Diarrhea and Enteritis (over 2 years)
2
1
1
4
1
1
....
1
2
3
1
4
9
2
1
1
1
1
1
1
8
123 Gall Stones.
1
1
1
B
124 Other Diseases of the Liver 126 Peritonitis
1
-
127 Cholecystitis
1
1
VII. NON VENEREAL DISEASES OF THE GENITO-URINARY SYSTEM AND ANNEXA.
129 Nephritis
2
5
3
6
4
2
3
2
3
5
41
135 Diseases of the Prostate
1
1
VIII. THE PUERPERAL STATE
144 Puerperal Hemorrhage
147 Puerperal Phlegmasia.
148 Puerperal Eclampsia.
IX. DISEASES OF THE SKIN AND OF THE CELLULAR TISSUES.
151 Gangrene
2
2
1
152 Carbuncle
154 Herpes Zoster
1
1
2
1
1
1
1
3
1
1
1 1 119
1
2
2
1
1
4
1
1
1
1
1011
Lobar Pneumonia
2
1
1
4
1
1
1
1
2
117 Appendicitis
3
118A Hernia
1
118B Intestinal Obstruction.
122B Cirrhosis of Liver
1
1
1
1
1
1
6
6
1
127
HEALTH DEPARTMENT
Mortality in Somerville in 1923-continued
January.
February.
March.
April.
May.
June.
July.
August
September.
October.
November
December.
Total.
X. DISEASES OF THE BONES AND OF THE ORGANS OF LOCOMOTION
XI. MALFORMATIONS.
159 A Hydrocephalus
159B Congenital Malformation of Heart
1
1
1
1
4
XII. EARLY INFANCY.
160 Congenital Debility
4
3
3
1
1
2
·2
16
161A Premature Birth
5
2
11
7
2
1
1
1
1
5
41
161B
Injury at Birth
162 Hemorrhagic Disease of New Born
1
1
1
3
XIII. OLD AGE.
164
Senility
1
1
3
XIV. EXTERNAJ. CAUSES.
165
Suicide by Arsenic ..
1
1
167 Suicide by Gas Poisoning
1
1
1
1
4
170 Suicide by Fire Arms.
1
172 Suicide by Jumping from Window
1
2
179 Accidental Burns ..
1
1
4
181 Accidental Gas Poisoning
1
1
1
3
182 Accidental Drowning
1
183 Accidental Gun Shot wounds
1
1
2
185
Accidental. Fall.
1
1
2
1
2
2
9
188A
Railroad Accident ..
1
3
188C
Auto Accident
1
1
1
2
2
2
4
13
188F Crushed by Falling Wall
1
1
194
Heat Exhaustion ..
1
1
197 Homicide by Firearms
1
1
XV. ILL-DEFINED CAUSES.
Total.
148
113
149
94
93
71
61
61
€4
71
82
101 1108
Population estimated 98,000 Death rate per thousand 11.30
1
159C Others Under This Title
1
1
2
1
1
1
4
1
1
2
180 Accidental Asphyxiation
1
1
2
1
2
.....
128
ANNUAL REPORTS.
DEATHS BY AGES
AGES.
Total.
Male.
Female.
Under one
One to two
·
29
12
17
Two to three
16
7
9
Three to five
18
9
9
Five to ten
25
9
16
Ten to fifteen
9
3
6
Fifteen to twenty
17
8
9
Twenty to thirty
43
22
21
Thirty to forty
53
19
34
Forty to fifty
70
29
41
Fifty to sixty
146
79
67
Sixty to seventy
200
81
119
Seventy to eighty
218
82
136
Eighty to ninety
106
46
60
Ninety and over
19
4
15
Total
1108
490
618
Table of Deaths During the Last Ten Years
Year.
1914
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
1920
1,137
12.22
1921
986
10.38
1922
1,019
10.41
1923
1,108
11.30
Average death rate per 1000 for ten years
.
.
11.95
Table Showing the Five Principal Causes of Death in Somerville in 1923
HEART DISEASE.
PNEUMONIA ALL FORMS.
ARTERIO SCLEROSIS
APOPLEXY.
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
10,000 of Pop.
Number of
Deaths.
Number per
10,000 of Pop.
197
20.10
165
16.83
148
15.10
106
10.81
76
7.75
.
139
80
59
Rate per
No. of Deaths. 990
1,000
HEALTH DEPARTMENT
TUBERCULOSIS ALL FORMS.
SCARLET FEVER.
MONTHS.
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
January
1
2
3.
·2
2
5
2
·2
9
February
1
1
1
March
5 10
..
...
7
1
..
4
1
1
1
2
2
1
3
May
4
4
4 7
9
9
0
4
1
3
July
-
3
1
1
...
..
...
1
1
1
...
1
1
1
21
3
1
·2
2
..
1
..
5
3
3
1
2
2
1
1
21
...
..
..
1
..
..
1
2
2
1
4
2
2
+2
2
4
2
6
1
..
December
-
95 74
103 85 84
90
69 64
54
9 19 27 19 16
=
1
6
2
1
3
1
4
1
Total
Table Showing Comparisons Between 1922 and 1923 in Prevalence, Deaths and Percentage of Deaths of Scarlet Fever, Diphtheria, Typhoid Fever and Tuberculosis.
TUBERCULOSIS ALL FORMS.
TYPHOID FEVER.
DIPHTHERIA.
SCARLET FEVER.
Cases
Reported.
Number of
Deaths.
Percentage
of Deaths.
Reported.
Number of
Deaths.
Percentage
of Deaths.
Reported.
Number of
Deaths.
Percentage
Reported.
Number of
Deaths.
Percentage
of Deaths.
1922
319
4
1.4
218
16
7.3
10
1
10.0
131
54
41.22
201
3
1.5
177
19
10.7
18
4
22.2
113
32
28.31
129
1923
Deaths from Scarlet Fever, Diphtheria, Typhoid Fever, and Tuberculosis in the Last Ten Years
TYPHOID FEVER.
DIPHTHERIA.
5
8
:
14 10
5000
5
9 12
16 7
6. 7
7
5
3
:
1
..
11| 7
6
6
9
1|
3
1
1
4
...
1
3
3
1
April
4
·2
6|11|
4
5
6
7
...
1
1
1
2
1
...
..
00
3!
11
6
8
8
7
8
2
5
2
2
3
August
1
...
...
...
3
...
..
...
7
6
10
A
6 10 0
4
2
3
6
October.
6 11
4
2
8
5
8
2
1
I
...
25 18 21 24 19
3
3
A
NHA
CA1
cc :
1
1
10|14
1
..
2
4
1
3
:
..
8|10|12|11|
2
7.
9 8
June ..
1
..
1
...
...
1
1
1
1
..
..
6
1
:
..
N:
-
..
..
14
6
November
0000-100000000
968968
3
4
1
1
...
...
...
1
...
3
1 ...
11
1
September.
3
7
4
1
2
...
2
...
..
..
..
...
1
1
5
6
3
2
1|
1
:
1
...
4
...
982696
7
1
..
8
2
2
YEAR.
Cases
Cases
of Deaths.
Cases
130
ANNUAL REPORTS.
Diseases Dangerous to the Public Health
This board has adjudged that the diseases known as actinomycosis, anterior poliomyelitis, anthrax, Asiatic chol- era, cerebro-spinal meningitis, chicken pox, diphtheria, dog- bite (requiring anti-rabie treatment), dysentery, German measles, glanders, hookworm disease, infectious disease of the eye, influenza, 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 pub- lic 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 sup- plied 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 resides, 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 :
Edward Edwards. 25 Union Square. R. A. Peckham, 154 Perkins Street.
Richardson Pharmacy, 310 Broadway.
Ernest B. McClure, 529 Medford Street. George E. Wardrobe, 693 Broadway. Willis S. Furbush & Co .. 1153 Broadway. Hall Drug Co., Hobbs Building, Davis Square John Morrison, 2SS Highland Avenue.
Hereafter the Agent of this Board will collect, daily, at five o'clock, p. m., all specimens left at culture stations for examination, prior to that hour.
Physicians desiring reports on the following day, of specimens 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 City Hall Annex prior to nine-thirty p. m., will be re- ported to the physicians on the following morning.
131
HEALTH DEPARTMENT
Medical Inspection at 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 constant- ly demonstrated, and the work has been done in a very satis- factory manner. There has been harmony of action between the board of health and the school board, and the school prin- cipals 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 evidences of disease or abnormal conditions. Children who are found to be unfit to remain in school are sent home, ac- companied by a slip properly filled out advising that the fam- ily physician be consulted. The inspectors also make an annual inspection of all the children in the schools, and any defects discovered are called to the attention of the parents. Monthly inspections of the school buildings and premises are made, and suggestions or criticisms are referred to the proper authorities. Every effort is made to protect the health of the children and to co-operate with the parents in keeping the children in as normal a condition as possible.
In accordance with the provisions of the statute, tests of sight and hearing are made by the principals or teachers.
District No. 1
Inspector Dr. Francis Shaw, 57 Cross Street. Schools Eastern Junior High, Prescott, Hanscom, Edgerly and Boys' Vocational Schools.
District No. 2
Inspector Dr. Edward J. Dailey, 46 Bow Street. Schools Baxter, Knapp, Perry and Southern Junior High Schools.
District No. 3
Inspector Dr. Walter Jellis, 1028 Broadway.
Schools Bennett, Pope, Cummings and Proctor Schools.
District No. 4
Inspector Dr. W. L. Bond, 322 Highland Avenue. Schools Morse, Carr, Durell, Burns and Girls' vo- cational Schools.
132
ANNUAL REPORTS.
District No. 5
Inspector Dr. H. M. Stoodley, 283 Highland Avenue.
Schools Brown, Bingham, Forster and Northern Junior High Schools.
District No. 6
Inspector Dr. H. Cholerton, 94 College Avenue.
Schools Western Junior High, Lincoln, Highland, Cutler and Lowe Schools.
District No. 7
Inspector Dr. E. F. Sewall, 281 Broadway.
Schools Glines and High Schools.
Inspector Dr. M. W. White, 21 Walnut Street. Schools Parochial.
During the year 7,767 children have been referred to the inspectors during their daily visits, and 608 have been sent home because of illness.
The following list will show the classes of diseases and defects which have been found in the schools, except defects of sight and hearing :-
List of Diseases and Number of Cases Reported
1. Infectious diseases :-
55
Measles
23
Mumps .
79
Scarlet Fever
4
Whooping Cough
8
Diphtheria .
4
Total
173
Enlarged tonsils and adenoids .
765
Inflammatory diseases
244
Other abnormal conditions
34
Total
1,043
3. Diseases of the eyes :-
Inflammatory conditions
22
Foreign bodies .
0
Other abnormal conditions
37
Total
4. Diseases of the ears :-
Inflammatory conditions .
47
Other abnormal conditions
10
.
57
Total
.
.
.
.
.
.
59
Chicken Pox
.
2. Diseases of the nose and throat :-
133
HEALTH DEPARTMENT
5. Diseases of the skin:
Eczema
72
Herpes .
.
.
36
Impetigo
199
Pediculosis .
262
Scabies
56
Tinea
3
Miscellaneous conditions
228
Total
6. Miscellaneous diseases : -
Diseases of the circulatory system .
12
Diseases of the digestive system
102
Diseases of the lymphatic system
60
Diseases of the nervous system
16
Diseases of the respiratory system
83
Wounds and injuries .
75
Diseases of the teeth
26
Other conditions
14
Total
388
Total number of diseases reported
2,576
Vaccinations performed
143
Examinations for vaccinations
1,161
Certificates to work .
221
Bacteriological Work
The report of the work of this department is made by Frank L. Morse, M. D., on a subsequent page and becomes a part of this report.
Undertakers
Under the provisions of Section 49 of Chapter 114 of the General Laws, twenty-six persons have been duly licensed as undertakers.
Examination of Plumbers
The public statutes provide for a board of examiners of plumbers, consisting of the chairman of the board of health, the inspector of buildings, and an expert at plumbing, to be appointed by the board of health. This board appointed Dun- can 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 five nurses employed by this board. Two of these are employed as school nurses and the work of the others consists of follow-up work regarding tuberculosis cases and post-natal baby hygiene work.
856
134
ANNUAL REPORTS.
The reports of the school nurses are made a part of the report of the School Committee and those of the other nurses are made a part of this report being submitted in detail in subsequent pages.
Infant Hygiene Clinics
During the past year under the supervision of this board, clinics have been held every Thursday afternoon at the Ben- nett Schoolhouse and every Friday afternoon at the Bingham Schoolhouse except when those days were holidays. 618 babies have been under supervision at these clinics. The average weekly attendance at the Bennett Schoolhouse was 40 and at the Bingham Schoolhouse 60.
This work is of inestimable value and the results are very far reaching.
C. A. C. RICHARDSON, WESLEY M. GOFF, JAMES A. KILEY,
Board of Health.
Attest:
LAURENCE S. HOWARD, Clerk.
135
HEALTH DEPARTMENT
REPORT OF HEALTH NURSES
Somerville, Mass., January 1, 1924.
To the Board of Health, Somerville, Mass.,
Gentlemen :-
We submit the following report of work performed by us in infant hygiene, post natal and tuberculosis cases for the year ending December 31, 1923.
Infant Hygiene
Infants reported as born in Somerville during 1923 . 1647
Infants born elsewhere resident in Somerville . 239
Pairs of twins born in Somerville
15
Sets of triplets born in Somerville
1
Still-births in Somerville
89
Infants who moved away from Somerville .
263
Infants reported with Ophthalmia Neonatorum
5
Infants reported with Conjunctivitis
10
Infants reported with Infantile Paralysis
3
There were one hundred and thirty-nine deaths of infants under one year of age in Somerville during the past year as shown in the following table:
Prematurity
29
Congenital diseases
24
Intestinal diseases (Breast fed 1-Artificially fed 6) .
7
Accidental injury
2
Pneumonia and other diseases
56
Infants dying in Somerville residence elsewhere .
21
Total 139
Infants under supervision at Baby Welfare Clinics
Jan. 1, 1923
435
Registration during 1923
183
Total under supervision during 1923
618
Tuberculosis
Pulmonary tuberculosis cases reported in 1923 . 109 .
Other forms of tuberculosis reported in 1923 .
22
Patients admitted to Sanatoria
66
Patients previously reported in Sanatoria .
40
Deaths in Somerville (Pulmonary 43-Other Forms 11)
54
Deaths in Sanatoria 24-Discharged 30 .
54
Patients now in Sanatoria . .
52
Patients temporarily out of Somerville .
.
15
Patients who have moved away from Somerville . .
39
.
136
ANNUAL REPORTS.
TABLES SHOWING AGES AND SEX OF CASES IN THIS CITY. Pulmonary Tuberculosis.
SEX
Ages
Total
Male
Female
Under fifteen years.
2
0
2
From fifteen to twenty years.
0
4
4
From twenty to thirty years.
13
16
29
From thirty to forty years
6
9
15
Over forty years
15
6
21
Total
36
35
71
1
Other Forms of Tuberculosis.
Ages
SEX
Total
Male
Female
Under fifteen years
5
3
8
From fifteen to twenty years
3
1
4
From twenty to thirty years
1
1
2
From thirty to forty years.
1
1
2
Over forty years.
0
0
0
Total
10
6
16
1
Miscellaneous.
Typhoid Fever cases reported (died 1) .
10
Baby Hygiene
8638
Tuberculosis
.
.
.
715
Miscellaneous
.
532
Total visits
9885
Respectfully submitted, HELEN B. BERRY, MARY L. SCOTT, R. N., GRACE E. PICKERING, R. N. Health Nurses.
.
Recapitulation of Visits.
137
HEALTH DEPARTMENT
.
REPORT OF DEPARTMENT OF MEDICAL INSPECTION
Somerville, Mass., January 1, 1924.
To the Board of Health, Somerville, Mass.
Gentlemen :-
I herewith present the report of the Department of Medi- cal Inspection for the year 1923 including statistics of the Contagious Hospital.
Visits
Scarlet Fever-Each case must be inspected before release from quarantine to see that the condition of the patient is suitable for release
237
Diphtheria-Before patients are released from quarantine two successive negative cultures must be obtained .
170
Contagious Hospital
365
Total number of visits
772
Contagious Disease Hospital
Disease
In Hospital Ad- Jan. 1, 1923 mitted
Discharged Well or improved
Dead
Hospital Jan. 1, 1924
Diphtheria
8
111
107
8
4
Scarlet Fever
8
109
98
2
17
Miscellaneous
0
7
4
3
0
The daily average of patients was 10.8.
LABORATORY EXAMINATIONS Diphtheria
Negative
Positive
Total
January
89
11
100
February
78
17
95
March
113
28
141
April
98
33
131
May
101
18
119
June
92
19
111
July
40
3
43
August
26
1
27
September
52
3
55
October
103
10
113
November
74
12
86
December
130
20
150
Totals
996
175
1171
138
ANNUAL REPORTS.
Tuberculosis
Negative
Positive
Total
January
11
4
15
February
6
3
9
March
12
2
14
April
20
2
22
My
10
2
12
June
7
2
9
July
9
1
10
August .
3
0
3
September
13
3
16
October
3
1
4
November
10
3
13
December
17
6
23
Totals
121
29
150
Typhoid
Negative
Positive
Total
January
.
3
0
3
February
2
0
2
March
2
0
2
April
2
0
2
May
3
0
3
June
3
0
3
July
1
0
1
August .
7
0
7
September
3
2
5
October
0
0
0
November
5
1
6
December
5
0
5
Totals
36
3
39
Examinations made for Malaria, Oph-
thalmia, Paratyphoid, Gonorrhea
and Pneumonia
18
Total examinations .
1378
Tuberculosis
During 1923 there were 54 deaths from Tuberculosis in- cluding all forms, 43 of which were of the pulmonary type. This record shows an increase over the previous year when 32 deaths were reported.
All patients ill with the disease coming to the attention of the board have either been supervised at their homes by the Public Health Nurses, or have been placed in sanatoria when such treatment was needed.
139
HEALTH DEPARTMENT
The tuberculosis ward at the Contagious Hospital which was closed on September 1, 1921, still remains closed, as there has been no apparent necessity of its being reopened.
Infant Hygiene Clinics
On January 1, 1922 the board with the approval of His Honor the Mayor, assumed the care of the Infant Hygiene Clinics previously maintained by Somerville Chapter of the American Red Cross. These clinics have been held on Thurs- day afternoon at the Bennett School and Friday afternoon at the Bingham School throughout the year. An average atten- dance of 60 at the Bingham School and 40 at the Bennett School has been attained. 618 new babies have been under supervision at the clinics where advice has been given to the mothers by the attending physician, and in many instances the infants have been visited at home by the Public Health Nurses in order that the advice may be properly followed out. This work is unquestionably of great value in conserving the health of new born infants.
Respectfully submitted, FRANK L. MORSE,
Medical Inspector and Bacteriologist.
140
ANNUAL REPORTS.
REPORT OF THE INSPECTOR OF ANIMALS AND PROVISIONS
Somerville, Mass., January 1, 1924
To the board of Health, Somerville, Mass.
Gentlemen :-
I submit the following as my report for the year ending December 31, 1923.
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. Lunch carts and restaurants have been inspected weekly.
Under the provisions of the General Laws of 1920 all bakeries are required to register with the board of health. The law provides that all doors and windows shall be properly screened and that all food exposed for sale shall be kept covered. Careful inspections of all bakeries have been made to see that this law has been complied with.
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
475
Milk and Cream plants
133
Barber shops
510
Pedlers and Wagons and stock
2708
Billiard Halls and Bowl- ing alleys
122
Public Halls
65
Blacksmiths' shops
14
Rendering plants
101
Slaughter houses
316
Candy and Ice Cream plants
170
Stores and markets
4795
Factories
210
Stables
258
Fish markets
701
Theatres
88
Hen houses and yards .
244
Vacant lots and dumps
9
Hide houses .
4
Yards and cellars .
680
.
.
Lunch rooms and cars
877
141
HEALTH DEPARTMENT
Articles Condemned The following is a list of the articles condemned :
Fish
Haddock
400 lbs.
Halibut
204 lbs.
Mackerel
447 lbs.
Salmon
127 lbs.
Smelts
33 1bs.
Sword Fish
94 lbs.
Fruit
Apples
4 bus.
Bananas
32 doz.
Blackberries
18 qts.
Canteloupes
13 cts.
Grape Fruit
111/2 box
Grapes
15 bas.
Grapes
4 box
Oranges
271/2 box
Pears
2 bas.
Raspberries
23 qts.
Strawberries
554 qts.
Meats
Beef (corned) .
371 lbs.
Beef (fresh)
.
138 1bs.
Fowl .
726 1bs.
Frankfurts
5 1bs.
Hamburg steak
160 lbs.
Lamb
407 lbs.
Liver
9 lbs.
Pork (fresh)
58 1bs.
Sausages
28 1bs.
Shoulder
(corned )
63/4 lbs.
Turkey
106 lbs.
Veal .
106 lbs.
Vegetables
Beans (string)
1212 bus.
Beans (string)
2 bas.
Beets
2 bus.
Carrots
1 bus.
Cucumbers
11/2 bus.
Cucumbers
3 bas.
Cucumbers
50
Greens
27 bus.
Lettuce
5 box
Lettuce
8 doz.
Onions
41/2 bus.
Potatoes (white)
2 bbl.
Potatoes
(white).
10 bus.
Potatoes
(sweet)
?
4 bbl.
Squash
1 bbl.
Turnips
7 bus.
.
142
ANNUAL REPORTS.
Miscellaneous
Candy
170 lbs.
Eggs
14 doz.
Lard
20 1bs.
Lemon filling
138 pkg.
Macaroni
147 pkg.
Slaughter Houses
During the year weekly inspections have been made at all slaughtering establishments and these plants were never in a more sanitary condition than at present.
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