USA > Massachusetts > Middlesex County > Somerville > Report of the city of Somerville 1936 > Part 22
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FROZEN DESSERTS AND ICE CREAM MIX-Chapter 373, Acts of 1934 provides that all persons manufacturing frozen desserts or ice cream mix must obtain a license so to do from the Board of Health. Under the provisions of the above law, 19 licenses for the manufacture of frozen desserts or ice cream mix were granted by this board. The fees for such li- censes shall be as follows : License for wholesale manufacturer, not more than twenty-five thousand gallons, not less than five nor more than twenty-five dollars; more than twenty-five thou- sand but not more than one hundred thousand gallons, fifty dol- lars ; more than one hundred thousand but not more than two hundred and fifty thousand gallons, one hundred dollars; more than two hundred and fifty thousand but not more than five hundred thousand gallons, one hundred and fifty dollars ; more than five hundred thousand gallons, two hundred dollars. Li- cense for retail manufacturer, five dollars for each plant.
373
BOARD OF HEALTH
SALE OF FROZEN DESSERTS AND ICE CREAM MIX -Regulation 109 adopted by the Board of Health, October 17, 1934, provides that no person, either by himself, or by his ser- vant or agent, or as the servant or agent of any person, firm or corporation, shall have in his custody or possession with intent to sell, or to offer or expose for sale, or to deliver in the City of Somerville, any frozen dessert or ice cream mix, without first obtaining from the Board of Health a permit authorizing him so to do. 380 such permits were granted and a fee of one dollar was received for each permit.
SALE OF POULTRY - Regulation 110 adopted by the Board of Health July 1, 1932, provides that no live chickens, geese, turkeys, ducks or other live fowl shall be brought into or kept or held or offered for sale, in any place in the City of Som- erville, and no person, firm or corporation shall sell or deliver chickens, geese, turkeys, ducks or other live foul in the City of Somerville without having obtained a permit therefor from the Board of Health. There was one such permit granted.
STABLES -- No person has the legal right to erect, oc- cupy or use any building in this city, as a stable, without ob- taining a license from the Board of Health 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. There was one application received for oc- cupancy of a stable.
BOARD INFANTS - Fifteen applications having been made to the State Department of Public Welfare for licenses to care for children in this city were referred to this board and under provisions of Chapter 119 of the General Laws, and all were approved.
LYING-IN HOSPITALS - One application was made to the State Department of Public Welfare for a license to main- tain a lying-in hospital in the city, was referred to this board under the provisions of Section 71, of Chapter 111 of the Gen- eral Laws, and was approved.
374
ANNUAL REPORTS
MORTALITY
There were 965 deaths and 41 still-births in the city dur- ing the year, as specified in the following table :
Deaths at Central Hospital
.74
Deaths at Somerville Hospital
160
Deaths at hospital for Contagious Diseases
5
Deaths at home for Aged Poor (Highland Avenue) ..
28
Deaths at City Home
6
Deaths at other institutions
34
DEATHS BY AGES
Ages
Total
Male
Female
Under one
46
25
21
One to two
11
6
5
Two to three
0
0
0
Three to five
3
3
0
Five to ten
11
7
4
Ten to fifteen
5
2
3
Fifteen to twenty
9
4
5
Twenty to thirty
27
15
12
Thirty to forty
45
30
15
Forty to fifty
62
32
30
Fifty to sixty
153
79
74
Sixty to seventy
210
104
106
Seventy to eighty
241
112
129
Eighty to ninety
123
41
82
Ninety and over
19
4
15
Totals
965
464
501
375
BOARD OF HEALTH
MORTALITY IN SOMERVILLE IN 1936
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
1. Infectious and Parasitic
7 Measles
8 Scarlet Fever
2
9 Pertussis
1
1
11A Influenza with respira- tory complications specified
1
1
11B Influenza, without re- spiratory complications specified
1
1
18 Epidemic Cerebrospinal Meningitis
1
1
23 Tuberculosis of the re- spiratory system
2
1
1
1
1
1
24 Tuberculosis of the Meinges and Central
1
1
2
26 Tuberculosis of the Ver- tebral Column
1
1
34 Syphilis
36 Purulent infection, sep- ticemia
1
2
11. Cancers and other Tumors
45 Cancer of the buccal cavity and Pharynx
3
7
3
3
9
6
3
5
2
8
6
9
3
64
47 Cancer of the respira- tory system
1
2
1
2
6
2
1
1
1
1
1
1
..
2
1
1
1
1
2
2
1
11
51 Cancer of the male genitourinary organs
1
1
2
4
53 Cancer of other or un- specified organs
2
1
1
2
3
1
10
54D Non-malignant Tumors of Brain
1
1
54E Non-malignant Tumors of other organs
1
2
3
55B Tumors of the Uterus
55E Tumor of other organs
1
1
2
111. Rheumatic Diseases, Nutritional Diseases, Diseases of the En- docrine Glands and Other General Dis- eases
56 Acute rheumatic fever
1
1
57 Chronic rheumatism - osteoarthritis
1
.....
1 1
1
2
11
66B Exophthalmic Goiter
IV. Diseases of the Blood and Blood - Making Organs
71A Pernicious Anemia
72a True Leukemia
1
1
......
......
.....
1
1
4
2
...
2
7
48 Cancer of the uterus 49 Cancer of other Female Genital Organs
3
50 Cancer of the breasts
2
1
46 Cancer of the Digestive tract and Peritoneum
7 .
Nervous System
1
1
1
1
1
2 2
2
59 Diabetes mellitus
2
1
1
3
1
1
2
1
1
...
...
376
ANNUAL REPORTS
MORTALITY IN SOMERVILLE IN 1936-Continued
January.
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
V. Chronic Poisonings and Intoxications
VI. Diseases of the Nervous System and of the Organs of Special Sense
78 Encephalitis (non-epi-
demic)
9
7
11
11
7
15
7
3
5
6
14
95
82B Cerebral embolism and thrombosis
1
1
1
1
1
5
82D Hemiphlegia and other paralysis - cause un- specified
1
1
85 Epilepsy
1
1
2
87B Other Diseases of the nervous system
1
1
2
88 Diseases of the Organs of Vision
1
1
VII. Diseases of the Cir- culatory System
90 Pericarditis
1
2
2
91B Endocarditis, unspeci- fied (under 45 years)
1
1
92A Chronic Endocarditis fied (over 45 years)
1
4
2
1
1
1
1
1
12
93A Acute Myocarditis
1
2
·2
5
93B Myocarditis, unspecified (under 45 years)
1
8
6
7
4
4
2
4
7
3
6
61
5
7
3
1
6
1
2
1
3
33
2
2
3
2
1
1
1
2
2
16
94B Other Diseases of the
1
2
3
3
2
1
2
4
2
2
22
95 Other diseases of the
15
12
19
7
9
4
9
11
6
10
12
12
126
97 Arteriosclerosis
8
9
12
10
8
6
"11
10
9
13
13
8
117
100 Diseases of the Veins ( varies, hemorrhoids,
phlebitis, etc.)
1
1
VIII. Diseases of the Re- spiratory System
2
106B Chronic bronchitis
2
106C Bronchitis, unspecified (under 5 years)
1
1
107A Broncho pneumonia
6
8
6
7
7
3
2
3
4
8
4
5
63
108
Lobar pneumonia
14
7
5
1
2
1
3
45
1
1
109
Pneumonia, unspecified. Pleurizy
1
1
110
111 Congestion, edema, em- bolism, hemorrhagic in- farct and thrombosis of lung
3
4
1
1
4
1
1
4
19
112 Asthma
1
1
...
...
98 Gangrene
1
1
2
106A Acute bronchitis
2
1
1
..
1
93C Chronic Myocarditis
1
9
4
..
93D Myocarditis, unspecified 94A Angina Pectoris
Coronary Arteries
Heart
1
91A Acute Endocarditis
1
1
82A Cerebral Hemorrhage ....
3
9
377
BOARD OF HEALTH
MORTALITY IN SOMERVILLE IN 1936-Continued
January
February.
March.
April.
May.
June.
July.
August
September.
October.
November.
December.
Total.
IX. Diseases of the Diges- tive System
117A Ulcer of the stomach
117B Ulcer of the duodenum ..
119 Diarrhea and enteritis (under 2 years of age) ..
120 Diarrhea and enteritis (over 2 years of age).
121 Appendicitis
1
1
2
1
2
1
2
1
1
12
122A Hernia
122B Intestinal obstruction
1
1
2
1
1
1
7
123 Other diseases of the intestines
1
1
1
1
1
1
2
6 1
X. Diseases of the Genito- Urinary System
130 Acute Nephritis
131 Chronic Nephritis
2
1
1
1
4
1
1
3
1
1
16 3
139 Diseases of the Female Genital Organs, not specified as venereal
1
1
XI. Diseases of Pregnancy, Childbirth and the Puerperal State
140 Aborption with septic Conditions
1
1
142 Ectopic Gestation
143 Other accidents of Child- birth
145a Puerperal Septicemia and Pyema
1
1
146 Puerperal Albuminuria and Eclampsia
1
1
147 Other Toxemias o f Pregnancy
1
1
2
XII. Diseases of the Skin and Cellular Tissue
151 Furuncle, carbuncle
1
1
153 Other diseases of the Skin and annexa and cellular tissue
1
1
XIll. Diseases of the Bones and Organs of Loco- motion
1
1
2
.1
1
1
1
2
1
5
1
1
124 Cirrhosis of the Liver
126 Biliary Calculi
2
1
5
137 Diseases of the Prostate
1
1
1
....
1
1
1
1
1
2
378
ANNUAL REPORTS
MORTALITY IN SOMERVILLE IN 1936-Continued
January
February
March
April
May
June
July
August
September
October
November
December
Total.
XIV. Congenital Malforma- tions
157B Spina Bifida and men- ingocele
1
1
2
157C Congenital malforma- tions of heart
1
1
1
3
157D Other congenital mal- formations
XV. Diseases of Infancy
Early
158 Congenital debility
159 Premature Birth
2
2
1
1
1
2
11
160 Injury at Birth
1
1
1
1
1
1
3
XVI. Senility
162 Senility
2
1
3
XVII. Violent and Acciden - tal Deaths
163 Suicide by solid or liquid poisons or ab- sorption of corrosive substances
1
1
gas
165 Suicide by hanging
167 Suicide by firearms
1
1
2
169 Suicide by jumping from places
1
1
174 Homicide by cutting or piercing instruments
1
1
177 Poisoning by food
1
1
181 Accidental burns
1
1
2
5
184 Accidental traumatism by firearms
1
1
186A Accidental fall
2
1
1
3
8
3
4
3
2
24
207 Other railroad accidents
1
2
1
1
5
210 Automobile accidents
2
2
1
2
·2
1
2
1
3
16
XVIII. Ill Defined Causes of Death
Totals
102
90
100
91
76
72
63
51
70)
74
88
88
965
1
1
3
161A Atelectases
4
7
164 Suicide by poisonous
1
1
1
1
2
194 Other Accidents
1
1
209 Other Street Car Ac- cidents
1
1
..
..
...
1
1 2
1
1
379
BOARD OF HEALTH
TOTAL DEATHS DURING LAST TEN YEARS
Year
No. of Deaths
Rate per 1,000
1927
931
9.04
1928
1,059
10.18
1923
947
9.10
1930
1,009
9.73
1931
938
9.05
1932
930
8.95
1933
989
9.51
1934
900
8.66
1935
862
8.21
1936
965
9.58
Average death rate per 1,000 for ten years
9.20
Table Showing the Five Principal Causes of Deaths in Somerville in 1936.
HEART DISEASE.
ARTERIO SCLEROSIS
PNEUMONIA ALL FORMS.
CANCER ALL FORMS.
APOPLEXY.
Number of Death .
Number per
10,000 of 'op.
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.
280
27.78
117
11.61
109
10.81
108
10°71
95
9.42
Table Showing Comparisons between 1935 and 1936 in Prevalence, Deaths and Percentage of Deaths of Scarlet Fever, Diphtheria, Typhoid Fever and Tuberculosis.
YEAR.
Cases
Reported.
Number of
Deaths.
Percentage
Reported.
Number of
Deaths.
Percentage
of Deaths.
Reported.
Number of
Deaths.
Percentage
Reported.
Number of
Deaths.
Percentage
of Deaths.
1936
Deaths from Scarlet Fever, Diphtheria, Typhoid Fever, and Tuberculosis in the Last Ten Years
TUBERCULOSIS ALL FORMS.
MONTHS.
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1
1
2
3
3
4 3
1
2
1
2
January
1
3
1
2
7.
4
1
2
2
0
February
1
6
March
...
..
116:
2
...
2
1
May
1
-
1
1
June ..
4
2
July
1
2
3
B
4
3
3
1
0
...
1
1
...
...
. .
4
3
3
3
1
2 1
6
2
1
September
2
..
...
.
...
2
3
..
...
1
3
1
..
..
..
...
..
..
1
38
34 34
29
1
4
2
0
4
1
1
2
5
6
5
28
0
2
0
0
2
0
0
0
7
1
0
4
0
Total.
SCARLET FEVER.
DIPHTHERIA.
TYPHOID FEVER.
TUBERCULOSIS ALL FORMS.
1935.
193
I
.51
20
1
5.
4
0
.0
83
16
19.2
205
2
.97
4
0
0
0
0
.0
113
10
88.4
ANNUAL REPORTS
...
1
21
1
1
:
1
N:
4
5
2
2
2
3
1
2
...
..
.
:
1
4
1
2
2
1
2
3
1
2
3
1
1
April
1
4
3
4
1
1
1
2
1
1
1
2
3
1
2
3
1
...
...
..
...
...
. .
2
1
2
4
1
1
1
2
0
1
..
...
...
...
October.
1
. .
. .
4
1
1
2
2
2
1
3
1
November
..
1
2
.. .
December
-
16 10
0
..
...
3
6
2
1
-
1
2
1
1
1
1
1
2
6
7
4
2
5
2
1
..
4
1
August
..
..
1
1
..
1
1
1 111
TYPHOID FEVER.
SCARLET FEVER.
DIPHTHERIA.
Cases
Cases
Cases
of Deaths.
of Deaths.
380
1
1
...
1
24 15 17 21
381
BOARD OF HEALTH
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, diptheria, 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 the State Board of Health are notified.
SPECIMENS AND SUPPLIES
Outfits for specimens to be examined for tuberclosis, diph- theria and typhoid fever and diphtheria anti-toxin, vaccine lymph and nitrate of silver solution, and other supplies, may be obtained at the laboratory and at the following places :
David Brisk, 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 Fermoyle Pharmacy, 217b Highland Avenue
Physicians desiring reports on the following day, must de- posit specimens at the City Hall, in the receptacles provided, before 9:00 P. M.
Results of all examinations of specimens received at the City Hall prior to 9:00 P. M., will be reported to the physicians on the following morning.
382
ANNUAL REPORTS
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 demon- strated and the work has been done in a very satisfactory man- ner. There has been harmony of action between the Board of Health and the school board, the school principals, and teach- ers have very generally co-operated with the inspectors in mak- ing 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 keeping the children in as normal a condition as possible. In accordance with provisions of the statute, tests of sight and hearing are made by the principals and teachers.
DISTRICT NO. 1
Inspector Dr. Francis Shaw, 57 Cross Street
Schools Prescott, Hanscom and Vocational School.
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. E. Goduti, 434 Broadway
Schools Bennett, Pope, Cummings and Proctor Schools.
BOARD OF HEALTII 383
DISTRICT NO. 4
Inspector Dr. Wilfrid C. Macdonald, 150 Summer Street
Schools Morse, Carr, Durell and Burns Schools.
DISTRICT NO. 5
Inspector Dr. H. M. Stoodley, 277a Highland Avenue
Schools Brown, Bingham, Forster, and Northeastern 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, 380 Broadway
Schools Glines, Grimmons and High Schools.
DISTRICT NO. 8
Inspector Dr. M. W. White, 21 Walnut Street
Schools Parochial Schools.
During the year 9,639 children have been referred to the inspectors during their daily visits and 533 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
30
Diphtheria
0
Infantile Paralysis
0
Influenza
0
Measles
19
Mumps
114
Scarlet Fever
1
Tuberculosis
0
Whooping Cough
5
Total
169
-
384
ANNUAL REPORTS
2. Diseases of the Nose and Throat:
Enlarged Tonsils and Adenoids 635
Inflammatory Diseases 57
Other abnormal conditions 28
Total 720
3. Diseases of the Eyes :-
Foreign Bodies
13
Inflammatory conditions
10
Other abnormal conditions
13
Total 36
4. Diseases of the Ear :-
Inflammatory conditions
15
Other abnormal conditions
0
Total
15
5. Diseases of the Skin:
Eczema
16
Herpes
18
Impetigo
272
Dermatitis
10
Pediculosis
267
Scabies
91
Tinea
5
Miscellaneous conditions
59
Total 738
6. Miscellaneous Conditions :-
Diseases of the Circulatory System
47
Diseases of the Digestive Organs
12
Diseases of the Lymphatic System 197
Diseases of the Nervous System
2
Diseases of the Respiratory System
75
Wounds and Injuries
82
Other Conditions
77
Total 492
Total number of diseases
2170
Vaccinations performed
41
Examinations for Vaccinations
136
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.
385
BOARD OF HEALTH
UNDERTAKERS
Under the provisions of Section 49 of Chapter 114 of the General Laws, 26 persons have been duly licensed as under- takers.
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 sub- sequent pages.
INFANT HYGIENE CLINICS
During the past year under the supervision of this board. clinics have been held every Tuesday afternoon at the Han- scom Schoolhouse, every Wednesday'afternoon at the Hodgkins Schoolhouse and every Friday afternoon at the Bingham Schoolhouse, except when the days were holidays. November 10, 1936 the Hanscom School Clinic was transferred to the New Vocational Schoolhouse corner of Cross and Otis Streets. The average weekly attendance at the Hanscom Schoolhouse was 25, at the Bingham Schoolhouse 30, and at the Hodgkins Schoolhouse 31. The attendance for the year at these clinics was 4,479. This work is of inestimable value and the results are very far reaching.
Respectfully submitted,
CRAWFORD K. SWEELEY, M.D., Chairman, JAMES A. KII.EY, CHARLES L. MCCROSSAN, M.D.,
Board of Health.
Attest :
LAURENCE S. HOWARD,
Executive Clerk.
386
ANNUAL REPORTS
REPORT OF THE HEALTH NURSES
Somerville, Mass., January 2, 1937.
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, 1936.
INFANT HYGIENE
Infants reported as born in Somerville during 1936 .... 1039
Infants born elsewhere resident of Somerville 503
Pairs of twins born in Somerville 5
Sets of triplets born in Somerville 0
Stillbirths in Somerville 41
Infants reported with Ophthalmia Neonatorum
2
Infants reported with Conjunctivitis
4
Infants reported with Infantile Paralysis
0
There were 46 deaths of infants under one year of age in Somerville during the past year as shown in the following table :
Prematurity
11
Congential Diseases
11
Intestinal Diseases
2
Accidental Injury
8
Pneumonia and other Diseases
14
Total
46
Total attendance at Baby Welfare Clinic during 1936
4479
New registration during 1936 508
Average attendance during 1936
29
.
TUBERCULOSIS
Pulmonary Tuberculosis cases reported during 1936. 89
Other Forms of Tuberculosis reported in 1936 24
Patients in Sanatoria January 1, 1936
76
Patients admitted to Sanatoria during 1936
73
Deaths in Sanatoria 20, Discharged 50 70
Patients now in Sanatoria 79
387
BOARD OF HEALTH
TABLE SHOWING AGES AND SEX OF CASES REPORTED DURING 1936
Pulmonary Tuberculosis
-Sex-
Male
Female
Total
Under fifteen years
2
2
4
From fifteen to twenty years
4
6
10
From twenty to thirty years
19
16
35
From thirty to forty years
11
9
20
Over forty years
14
6
20
Totals
50
39
89
Other Forms of Tuberculosis
-Sex
Male
Female
Total
Under fifteen years
3
4
7
From fifteen to twenty years
0
2
2
From twenty to thirty years
1
5
6
From thirty to forty years
2
2
4
Over forty years
2
3
5
Totals
8
16
24
MISCELLANEOUS
Typhoid Fever cases reported
0
RECAPITULATION OF VISITS
Baby Hygiene
4231
Tuberculosis
858
Miscellaneous
720
Total visits
5809
Respectfully submitted,
HELEN B. BERRY, GRACE E. PICKERING, R.N., MARY V. RYAN, R.N.,
Health Nurses.
388
ANNUAL REPORTS
REPORT OF THE DEPARTMENT OF MEDICAL INSPECTION
Somerville, Mass., January 2, 1937.
To the Board of Health, Somerville, Mass.
Gentlemen :
I herewith present the report of the Department of Med- ical Inspection for the year 1936, including statistics of the Contagious Hospital.
VISITS
SCARLET FEVER-Each case must be inspected before release from quarantine to see that condition of the patient is suitable for release 127
DIPHTHERIA-Before patients are released from quaran- tine two successive negative cultures must be obtained
2
CONTAGIOUS HOSPITAL
363
Total number of visits
492
CONTAGIOUS DISEASE HOSPITAL
Disease
In Hospital Jan. 1, 1936
Admitted
Discharged Well or Improved
Dead
In Hospital Jan. 1, 1937
Diphtheria 0
3
3
0
0
Scarlet Fever 12
105
109
1
7
Tuberculosis 3
17
14
2
4
Miscellaneous
0
12
10
2
0
Daily average
11.42
LABORATORY EXAMINATIONS Diphtheria
Negative
Positive
Total
January
21
1
22
February
21
0
21
March
21
1
22
April
25
1
26
May
20
0
20
June
12
0
12
July
16
4
20
August
17
4
21
September
9
3
12
October
11
0
11
November
8
0
8
December
23
1
24
Totals
204
15
219
389
BOARD OF HEALTH
Tuberculosis
Negative
Positive
Total
January
12
1
13
February
8
1
9
March
18
0
18
April
18
3
21
May
7
2
9
June
9
2
11
July
3
3
6
August
9
4
13
September
11
2
13
October
9
2
11
November
19
2
21
December
19
0
19
Totals
142
22
164
Typhoid Fever
Negative
Positive
Total
January
...
0
0
0
February
1
0
1
March
1
0
1
April
1
0
1
May
0
0
0
June
0
0
0
July
0
0
0
August
0
0
0
September
0
0
0
October
0
0
0
November
0
0
0
December
1
0
1
Totals
4
0
4
Examinations made for Opthalmia and Gonorrhea
74
Total examinations
461
Tuberculosis
During 1936 there were 10 deaths from tuberculosis, 7 from pulmonary tuberculosis and 3 from other forms.
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 treatement was needed.
Sixteen emergency cases of tuberculosis have been ad- mitted temporarily to the Contagious Hospital while waiting for their admission to the Middlesex County Sanatorium at Waltham.
390
ANNUAL REPORTS
The tuberculosis ward at the Contagious Hospital was opened from June 22, 1936 to September 5, 1936, as a Pre- ventorium for children who were undernourished or lived in families where tuberculosis existed.
During this time 103 children were residents at the Pre- ventorium for a total of 1157 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.
DIPHTHERIA IMMUNIZATION
The diphtheria immunization program was continued dur- ing the year and applied to pre-school and school children up to the Junior High grade. The same arrangements were in force as in previous years and clinics were established in the schools during the week of May 11-15, during which time 871 children were inoculated. On December 5, and December 12, clinics were established at two schools during which time 343 children were inoculated, making a total of 1214 children im- munized.
These immunizations were accomplished with the use of alum percipitate toxoid in a single dose and no abscess oc- curred following these inoculations.
The following is a complete resume of the diphtheria im- munizations performed in the schools in the city with the addi- tion of those inoculations made among pre-school children.
Toxin-Antitoxin
November 1931 to January 1932
First inoculations
4191
Second inoculations
3654
Third inoculations
3651
Total
11,496
Of this group one abscess occurred.
Toxoid
June 1935-School children
4851
October 1935-Pre-school children
3178
May 1936-Pre-school children and school children 871
December 1936-Pre-school children and school child-
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