Report of the city of Somerville 1936, Part 22

Author: Somerville (Mass.)
Publication date: 1936
Publisher:
Number of Pages: 438


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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