USA > Massachusetts > Middlesex County > Somerville > Report of the city of Somerville 1933 > Part 14
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1
99B Chronic Bronchitis
100A Broncho Pneumonia
101A Lobar Pneumonia
1
1
1
1
2
1
1
1
1
1
1
1
2
3
118A Hernia
118B Intestinal Obstruction 119 Other Diseases of In- testines
1
1
1
1
124 Other Diseases of the Liver 126 Peritonitis without specified cause
...
1
1
2
1
246
ANNUAL REPORTS
MORTALITY IN SOMERVILLE IN 1933-Continued
January.
February.
March.
April.
May.
June.
July.
August
September.
October.
November.
December.
Total.
VIIJ. THE PUERPERAL STATE
144 Puerperal hemorrhage .. ...
145C Others under this Title
146 Puerperal Septicaemia
148 Convulsions
IX. DISEASES OF THE SKIN AND OF THE CELLULAR TISSUE.
151 Gangrene
X. DISEASES OF THE BONE AND ORGANS OF LOCOMOTION.
XI. MALFORMATIONS.
159A Congenital Hydrocepha- lus
1
1
159B Congenital Malformation of the Heart.
159C Spina Bifida
XII. EARLY INFANCY.
160 Congenital Debility
1
1
2
1
1
3
1
2
1
3
2
3
17
161B Injury at Birth
1
1
2
1
1
6
162 Other Diseases peculiar to Early Infancy
1
1
3
XIII. SENILITY
164 Senility and Debiliy
XIV. EXTERNAL CAUSES
167 Suicide by Illuminating Gas
1
1
2
1
1
1
1
1
179
Accidental Burns ..
1
1
2
6
180
Asphyxia
1
1
1
3
181 Accidential Absorption of Poisonous Gas
1
1
182
Accidental Drowning
1
183
Accidental Traumatism by Firearms ..
1
1
185 Accidental Fall
2
3
3
2
10
188A Railroad Accident
1
1
1
1
4
188C
Automobile Accident.
1
1
2
5
9
194
Heat Prostration ..
1
1
201
Fracture cause not Speci- fied
1
2
1
4
XV. ILL DEFINED CAUSES
205 Ill Defined Causes
1
1
125
93
95
71
78
57
76
67
63
75
84
105
989
...
1
1
2
1
1
1
..
1
2
1
3
1
1
2
2
1
1
1
1
2
6
168 Suicide by Hanging
1
1
2
170 Suicide by Firearms
...
161A Prematurity
....
1
1
1
1
Totals
1
247
BOARD OF HEALTH
MORTALITY
There were 989 deaths and 51 still-births in the city dur- ing the year, as specified in the following table :
Deaths at Central Hospital
81
Deaths at Somerville Hospital
87
Deaths at hospital for contagious diseases
12
Deaths at home for aged poor (Highland Avenue)
33
Deaths at City Home
12
Deaths at Other Institutions
15
DEATHS BY AGES
Ages
Total
Male
Female
Under one
64
41
23
One to two
11
4
7
Two to three
4
1
3
Three to five
7
2
5
Five to ten
5
3
2
Ten to fifteen
8
5
3
Fifteen to twenty
8
5
3
Twenty to thirty
22
10
12
Thirty to forty
42
16
26
Forty to fifty
79
39
40
Fifty to sixty
129
66
63
Sixty to seventy
229
117
112
Seventy to eighty
241
109
132
Eighty to ninety
123
45
78
Ninety and over
17
6
11
Total
989
469
520
248
ANNUAL REPORTS
TOTAL DEATHS DURING LAST TEN YEARS
Year
No. of Deaths
Rate per 1,000
1924
979
9.79
1925
1,110
11.20
1926
1,084
10.73
1927
931
9.04
1928
1,059
10.18
1929
947
9.10
1930
1,009
9.73
1931
938
9.05
1932
930
8.95
1933
989
9.51
Average death rate per 1,000 for ten years
9.72
Table Showing the Five Principal Causes of Deaths in Somerville in 1933
HEART DISEASE.
CANCER ALL FORMS.
ARTERIO SCLEROSIS
PNEUMONIA 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.
254
24.4
127
12.2
120
11.5
113
10.87
82
7.89
Table Showing Comparisons Between 1932 and 1933 in Prevalence, Deaths and Percentage of Deaths of Scarlet Fever, Diphtheria, Typhoid Fever and Tuberculosis
TUBERCULOSIS ALL FORMS.
SCARLET FEVER.
YEAR.
Cases
Reported.
Number of
Deaths.
Percentage
Reported.
Number of
Deaths.
Percentage
Reported.
Number of
Percentage
Reported.
Number of
Deaths.
Percentage
of Deaths.
1932.
270
4
1933
Deaths from Scarlet Fever, Diphtheria, Typhoid Fever, and Tuberculosis in the Last Ten Years
TUBERCULOSIS ALL FORMS.
SCARLET FEVER.
MONTHS.
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933 1
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1
1
7
5
6
2
3
3
4
. .
:
:
5
2
2
4
5
2
2
2
3
1
11
.
1
2
:
6
7
3
3
1
7.
2
4
1| 2
January
1
4
7
6
4
1
2
2
1
2
3
February
1
1
1
1
..
2
1
2
April
1
2
1
1
May
2
June
1
1
1
...
...
. . .
1
1
...
...
...
..
.. .
.. .
..
September
1
October.
1
November
2
4
1
3
1
...
1
1
1
1
2
0
2
0
0
2
14
3 10
5
6
5 28
2
3
0
4
2
1
0
1
Total
TYPHOID FEVER.
DIPHTHERIA.
1
2 ..
1
~
1
1
..
2
2
2
3
1
5
6
4
3
4
3
1;
3
1
3
4
2
6
1
2
1
2
4 1;
1
1
July
2
1
5
4
3
3
3
1
2
1
August
1
...
...
1
2
1
2
3
}
3
4
1
4
1|
1
2
2
2
2
..
3i
2
1
3
6
2
L
1
1
1
3
2
1
3
4
3
3
..
...
1
2
1
1
1
..
...
..
...
1
4
2
...
2
December
38 34 34 29 24 15 17
249
BOARD OF HEALTH
TYPHOID FEVER.
DIPHTHERIA.
11.8
127
15
.0
4
3
4.7
377
0
.0
63
17
15.04
33.3
113
6
2
4.8
1.4
62
3
of Deaths.
Cases
Deaths.
of Deaths.
Cases
Cases
of Deaths.
1
7
4
5
March
1
1
...
1
1
...
...
6 1 1971
..
...
...
]
2
...
1
1
1
6
5
2
1
1
0
1
46 52 35
250
ANNUAL REPORTS
DISEASES DANGEROUS TO THE PUBLIC HEALTH
This board has adjudged that the diseases known as actinomycosis, anterior poliomyelitis, anthrax, Asiatic cholera, cerebro-spinal meningitis, chicken pox, diphtheria, dog bite, dysentery, German measles, glanders, hookworm disease, in- fectious disease of the eye, leprosy, malaria, measles, mumps, pellagra, plague, pneumonia (lobar only), rabies, scarlet fever, septic sore throat, small pox, tetanus, trichinosis, tuberculosis, (all forms), typhoid fever, whooping cough, yellow fever, are infectious 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 resides and State Board of Helath are notified.
SPECIMENS AND SUPPLIES
Outfits for specimens to be examined for tuberculosis, diph- theria and typhoid fever and diphtheria anti-toxin, vaccine lymph and nitrate of silver solution may be obtained at the laboratory and at the following places :
Edward Edwards, 23 Union Square
Estate of E. M. McClure, 528 Medford Street
Ernest M. Vose, 310 Broadway
George E. Wardrobe, 716 Broadway
Willis S. Furbush & Co., 1153 Broadway
George R. Reed, Hobbs Building, Davis Square Somerville Drug Co., 288 Highland Avenue
George E. Grover, 146 Broadway Henry L. White, 52 Union Square
Physicians desiring reports on the following day, must de- posit specimens at the City Hall, in the receptacles provided, before nine p. m.
Results of all examinations of specimens received at the City Hall prior to nine 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
251
BOARD OF HEALTH
the year. The value of the system has been constantly demon- strated 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, the school principals, and teachers have very generally co-operated with the inspectors in making the system as successful as possible.
The inspectors are required to make daily visits to the schools under their charge, and to them are referred all child- ren who show evidences of disease or abnormal conditions. Children who are found to be unfit to remain in school are sent home, accompanied 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 co-operate with the parents in keep- ing the children in as normal a condition as possible. In ac- cordance with provisions of the statute, tests of sight and hearing are made by the principals and teachers.
DISTRICT NO. 1
Inspector Dr. Francis Shaw, 144 School Street
Schools Prescott, Hanscom, Edgerly and Boys' Vocational Schools.
DISTRICT NO. 2
Inspector Dr. John D. Bennett, 72 College Avenue
Schools Baxter, Knapp, Perry and Southern Junior High Schools.
DISTRICT NO. 3
Inspector Dr. Crawford K. Sweeley, 25 Curtis Street
Schools Bennett, Pope, Cummings and Proctor Schools.
DISTRICT NO. 4
Inspector Dr. Wilfrid C. Macdonald, 189 Summer Street Schools Morse, Carr, Durell and Burns Schools.
DISTRICT NO. 5
Inspector Dr. H. M. Stoodley, 283 Highland Avenue Brown, Bingham, Forster and Northeastern Ju- nior High.
Schools
252
ANNUAL REPORTS
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, Grimmons and High Schools.
DISTRICT NO. 8
Inspector Dr. M. W. White, 21 Walnut Street
Schools Parochial
During the year 7,422 children have been referred to the inspectors during their daily visits and 1,097 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 :-
Chicken Pox
33
Diphtheria
0
Infantile Paralysis
0
Influenza
0
Measles
1
Mumps
31
Scarlet Fever
4
Tuberculosis
0
Whooping Cough
24
Total
93
2. Diseases of the Nose and Throat :-
Enlarged Tonsils and Adenoids
580
Inflammatory Diseases 132
Other abnormal conditions
64
Total
776
3. Diseases of the Eyes :-
Foreign Bodies
8
Inflammatory conditions
2
Other abnormal conditions
26
Total 36
253
BOARD OF HEALTH
4. Diseases of the Ear :- -
Inflammatory. conditions
5
Other abnormal conditions
0
Total
5
5. Diseases of the Skin :- -
Eczema
13
Herpes
53
Impetigo
669
Dermatitis
12
Pediculosis
388
Scabies
21
Tinea
54
Miscellaneous conditions
1382
Total
6. Miscellaneous Conditions :-
Diseases of the Circulatory System
3
Diseases of the Digestive Organs
9
Diseases of the Lymphatic System
0
Diseases of the Nervous System
2
Diseases of the Respiratory System
92
Wounds and Injuries
50
Other conditions
78
Total
234
Total number of diseases
2526
Vaccinations performed
52
Examinations for vaccinations
144
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, 23 persons have been duly licensed as under- takers.
EXAMINATIONS 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-
172
254
ANNUAL REPORTS
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 seven nurses employed by this board, four of these are employed as school nurses and the work of the others consists of follow-up work regarding tuberculosis cases and post natal hygiene work, together with the other work connected with this board.
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 Tuesday afternoon at the Edgerly Schoolhouse, every Wednesday afternoon at the Lincoln School- house, and every Friday afternoon at the Bingham Schoolhouse except when the days were holidays.
On September 20, 1933, the Lincoln School clinic was transferred to the Hodgkins Schoolhouse on Holland Street, on account of a more satisfactory location.
The average weekly attendance at the Edgerly School- house was 32, at the Bingham Schoolhouse 47 and at the Lin- coln Schoolhouse 28. The attendance for the year at these clinics was 5,361.
This work is of inestimable value and the results are very far reaching.
Respectfully submitted, LOUIS J. GRANDISON, M.D., Chairman .JAMES A. KILEY GERALD L. MCSWEENEY
Board of Health.
Attest : LAURENCE S. HOWARD, Executive Clerk.
255
BOARD OF HEALTH
REPORT OF HEALTH NURSES
Somerville, Mass.
January 2, 1934.
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, 1933.
INFANT HYGIENE
Infants reported as born in Somerville during 1933 1041
Infants born elsewhere resident in Somerville ...
399
Pairs of twins born in Somerville 9
Sets of triplets born in Somerville
0
Stillbirths in Somerville 51
Infants reported with Ophthalmia Neonatorum
2
Infants reported with Conjunctivitis
2
Infants reported with Infantile Paralysis
13
There were 64 deaths of infants under one year of age in
Somerville during the past year as shown in the following table :
Prematurity
16
Congenital Diseases
8
Intestinal Diseases
2
Accidental Injury
7
Pneumonia and other Diseases
31
Total
64
Total attendance at Baby Welfare Clinics during
1933
5,361
New registrations during 1933
626
Average attendance during 1933
35
TUBERCULOSIS
Pulmonary Tuberculosis cases reported during 1933 91
Other Forms of Tuberculosis reported in 1933 22
Patients in Sanatoria January 1, 1933
76
Patients admitted to Sanatoria during 1933
57
Deaths in Sanatoria 11, Discharged 35
46
Patients now in Sanatoria
87
Patients temporarily out of Somerville
20
Patients who have moved out of Somerville
26
256
ANNUAL REPORTS
TABLE SHOWING AGES AND SEX OF CASES REPORTED DURING 1933
Pulmonary Tuberculosis
-Sex-
Male
Female
Total
Under fifteen years
0
3
3
From fifteen to twenty years
4
12
16
From twenty to thirty years
7
16
23
From thirty to forty years
12
8
20
Over forty years
19
10
29
Totals
42
49
91
Other Forms of Tuberculosis
-Sex-
Male
Female
Total
Under fifteen years
7
3
10
From fifteen to twenty years ...
0
0
0
From twenty to thirty years
3
2
5
From thirty to forty years
2
2
4
Over forty years
2
1
3
Totals
14
8
2.2
Miscellaneous
Typhoid Fever cases reported
6
Recapitulation of Visits
Baby Hygiene
4,180
Tuberculosis
883
Miscellaneous
946
Total visits
6,009
Respectfully submitted,
HELEN B. BERRY GRACE E. PICKERING, R. N.
MARY V. RYAN, R. N.
Health Nurses.
-
...
257
BOARD OF HEALTH
REPORT OF THE DEPARTMENT OF MEDICAL INSPECTION
Somerville, Mass.
January 2, 1934.
To the Board of Health,
Somerville, Mass.
Gentlemen :
I herewith present the Report of the Department of Med- ical Inspection for the year 1933 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
269
DIPHTHERIA-Before patients are released from quaran- tine two successive negative cultures must be obtained CONTAGIOUS HOSPITAL
393
Total number of visits
820
CONTAGIOUS DISEASE HOSPITAL
In Hospital
Disease
Jan. 1, 1933
Admitted
Discharged Well or Improved
Dead
In Hospital Jan. 1, 1934
Diphtheria
0
38
32
3
3
Scarlet Fever
7
102
102
5
2
Tuberculosis
0
4
2
1
1
Miscellaneous
1
5
3
2
1
Daily average
10.53
LABORATORY EXAMINATIONS Diphtheria
Negative
Positive
Total
January
37
1
38
February
36
2
38
March
39
2
41
April
27
6
33
May
42
18
60
June
48
28
76
July
28
28
56
August
31
35
66
September
46
27
73
October
39
25
64
November
82
38
120
December
71
64
135
Totals
.....
526
274
800
158
258
ANNUAL REPORTS
Tuberculosis
Negative
Positive
Total
January
20
3
23
February
12
2
14
March
11
4
-
15
April
16
3
19
May
5
1
6
June
10
1
11
July
11
3
14
August
9
0
9
September
4
4
8
October
11
1
12
November
5
6
11
December
9
3
12
Totals
123
31
154
Typhoid Fever
Negative
Positive
Total
January
0
0
0
February
0
0
0
March
0
0
0
April
2
0
2
May
1
0
1
June
2
0
2
July
0
0
0
August
0
1
1
September
0
0
0
October
0
0
0
November
1
1
2
December
0
0
0
Totals
6
2
8
Examinations made for Ophthalmia and Gonorrhea
95
Total examinations
1,057
TUBERCULOSIS
During 1933 there were 17 deaths from Tuberculosis in- cluding all forms, 16 of which were of the pulmonary type. .
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.
Four emergency cases of tuberculosis have been admitted temporarily to the Contagious Hospital while waiting for their admission to the Middlesex County Sanatorium at Waltham.
The tuberculosis ward at the Contagious Hospital was opened from June 26, 1933 to September 2, 1933 as a Pre-
259
BOARD OF HEALTH
ventorium for children who were undernourished or lived in families where tuberculosis existed.
During this time 97 children were residents at the Pre- ventorium for a total of 1100 days, the average stay being 12 days. Much good was accomplished among these children, marked improvement being observed in their physical condi- tion, and it should be maintained each summer.
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 Amercian Red Cross. These clinics have been held on Wednes- day afternoon at the Lincoln School and Friday afternoon at the Bingham School throughout the year. On September 29, 1925, a clinic was established at the Edgerly School and has been held on Tuesday afternoon weekly. An average atten- dance of 47 at the Bingham School, 28 at the Lincoln School and 32 at the Edgerly School has been attained. 626 new bab- ies 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.
On September 20, 1933 the Lincoln School Clinic was transferred to the Hodgkins School on account of a more satis- factory location.
Respectfully submitted, FRANK L. MORSE,
Medical Inspector and Bacteriologist.
260
ANNUAL REPORTS
REPORT OF THE INSPECTOR OF ANIMALS AND PROVISIONS
January 2, 1934.
To the Board of Health,
Somerville, Mass.
Gentlemen :
I submit the following as my report for the year ending December 31, 1933.
The word establishment may be construed as including all places coming within the board's jurisdiction.
Number of visits to establishments
10,118
Complaints investigated
144
License committee meetings attended
35
Notices sent
28
All complaints were satisfactorily adjusted.
CONDEMNATIONS
Beef
276 lbs.
Candy
800 1bs.
Pork
436 1/2
Vegetables
144
Lamb
52
Flour
5,501
"
Veal
4
Ice Cream
55 gals.
Poultry
109
Oranges
3 doz.
Fish
100
Carrots
4 bun.
Fruit
241
Beets
3
"
Bread
31 lvs.
Celery
3
Eggs
25 doz.
Peaches
5 cans
Miscellaneous
931 lbs.
Peas
1
Lemons
31/2 doz.
Lettuce
9 hds.
Malt
1 can
Cucumbers
2
During the year 1933 we have made some progress with respect to raising the sanitary condition of many of our es- tablishments. However some of the property owners of places coming under our supervision, who have been seriously handi- capped by the economic upheaval, have requested time exten- sion, in order to comply with recommended constructional al- terations. These periods of grace have been granted in cases where the health of the community would not be seriously im- paired.
261
BOARD OF HEALTH
I have confidence in the owners and proprietors of the establishments in our city and look forward with great op- timism, to the end that the year 1934 will be a banner one in the sanitary life of Somerville.
Respectfully submitted,
HENRY T. MURRAY, Inspector of Animals and Provisions.
262
ANNUAL REPORTS
. REPORT OF THE INSPECTOR OF ANIMALS AND VETERINARIAN
Somerville, Mass.,
January 2, 1934.
To the Board of Health
Somerville, Mass.
Gentlemen :-
The following is my report for the year ending December 31, 1933 :
During the year there were 634 calls made on cases involv- ing dog bites in the City of Somerville. Dogs were quarantined for a period of fourteen days, in most cases, after they had bitten anybody. During quarantine they were observed to see if any cases of rabies developed. If at the end of fourteen days no symptoms of rabies developed said animals were released from quarantine. Some chronic offenders were recommended to be destroyed, in fact, I think that it should be made a law to destroy dogs who habitually bite people particularly child- ren.
There were fifteen dogs destroyed and of the brains which I brought over to the State House to be examined, four posi- tive cases of rabies were found.
All people bitten by known rabid dogs were followed up by me personally and urged to take the Pasteur Treatment to prevent them from being afflicted with rabies. All people bit- ten by stray dogs were likewise requested to take the Pasteur Treatment. My service in this respect is of paramount impor- tance as it insures people of the correct course to follow after having been exposed to a dog bite.
In all cases of dogs being exposed to a known rabid dog they are restrained for a period of ninety days and kept under observation from time to time. In this way the disease is helped to be kept in check, as it is only spread by the bite of animals affected with the disease.
To further prevent the outbreak of rabies in all dogs in
263
BOARD OF HEALTH
the city, I would recommend that all the dogs in the city be innoculated by me through the agency of the Board of Health. It has been shown in other cities that rabies can be practically prevented by this method.
The annual inspection of barns in the city was carried out. At the City Home I recommended that the cows be tested for tuberculosis, and as a result there were two found to be affected with the disease and were destroyed which was very important as milk from these cows was consumed by the in- mates.
Respectfully submitted, EINER WILLIAM JOHANSEN, City Veterinarian and Inspector of Animals
264
ANNUAL REPORTS
DEPARTMENT OF DENTAL HYGIENE
February 13, 1934
To the Board of Health,
Somerville, Mass.
Getnlemen :----
I herewith present the Report of the Department of Dental Hygiene for the year 1933 with statistics.
Respectfully submitted, ANTHONY F. BIANCHI, Supervisor of Dental Hygiene
- SCHOOL CHILDREN
Hospital Clinic
Number examined
New patients
Old patients
Emergency patients
Special patients
Total number of patients
Number of fillings
Number of extractions
Number of cleanings
Number of treatments
Number of patients
Number of extractions
Number of patients
Number of extractions
Number patients at clinic
w Number at hospital
Number novocaine
Number gas
Number ether
Number of patients
Number extractions
Number at hospital
Number novocaine
Number gas
Number gas and ether
January
237
601
140
or 983
461
554
182
60
29
132
38
121
35
29
6
H
2
2
2
2
February
216
614
155
6 991
545
537
201
64
24
117
35
155
29
9
30
2
00
4
8
4
3
1
March
253
627
142
8
1030
512
549
184
52
65
353
32
98
27
5
27
1
4
8
18
8
8
April
174
529
109
5 817
393
421
140
66
40
180
50
189
37
17
37
6
1
6
3
30
2
1
2
1
May
153
478
79
8
718
327
414
145
51
19
76
42
101
39
3
28
10
1
2
1
1
2
1
1
June
*850
136
382
72
4
594
232
335
159
45
16
61
33
144
28
5
2.5
4
1
2
:1
6
7
6
6
July
School Clinics Closed
34
134
31
121
26
5
20
8
1
2
3
5
3
3
August
School Clinics Closed
64
285
30
77
27
3
21
8
1
5
8
5
1
4
September
School Clinics Closed
31
120
17
34
15
2
16
1
4
17
4
4
October 10782
215
6
36
0
257
88
212
19
15
57
222
42
90
37
5
32
6
3
1
4
5
4
4
November
224
791
123
4
1142
643
636
174
107
29
113
22
56
20
2
19
3
4
20
3
1
3
1
December
154
491
57
11
713
423
335
161
49
22
106
23
70
21
2
19
3
H
2
3
2
2
Totals 11632
1762
4519
913
51
7245
3624
3993
1365
509
430
1899
395
1256
341
54
303
57
6
26
2
46
125
44
2
39
5
to
* Pre-School. 1 6 at City Home. # Prophyl.
WELFARE CASES
- SOLDIERS' RELIEF CASES -
to Number gas and ether
Number ethyl chloride
Number patients at clinic
.
٠
1
£
-
265
BOARD OF HEALTH
REPORT OF THE INSPECTOR OF MILK AND VINEGAR Chemical and Bacteriological Laboratory City Hall, Somerville, Mass., January 2nd, 1934.
To the Board of Health, Somerville, Mass.
Gentlemen :-
During the year seven hundred and thirty-five stores were licensed to sell milk, ninety-five dealers were licensed to dis- tribute milk and thirty-one stores were registered to sell oleo- margarine. Nine dealers located in Somerville are licensed to operate a milk pasteurizing plant. Five dealers sell cream ex- clusively. Thirty-six dealers purchase bottled pasteurized milk for distribution. One out-of-town dealer sells raw milk from tuberculin tested cows. Three dealers sell raw certified milk and three dealers handle pasteurized certified milk. Two deal- ers handle raw and pasteurized Vitamin D milk. Fifteen dealers have discontinued business and two were refused a license. An average of 38,555 quarts of milk and 2,000 quarts of cream were distributed daily in Somerville according to records submitted by the dealers.
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