USA > Massachusetts > Bristol County > Attleboro > Reports of town officers of the town of Attleborough 1926 > Part 5
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As diphtheria is a disease more common and more serious in early childhood our plans have been to reach this age group and thus to im- munize those most in need of protection. There can be no further ex- cuse on the part of any parents that we have not repeatedly called their attention to the importance of having their children protected. The protection afforded by immunization is safe, sure and harmless.
No cases of diphtheria have occurred among the large group now on our list of immunes. Statistical tables are submitted of the work ac- complished during the year, and also of a study of the incidence of and deaths from diphtheria in Attleboro during the last ten years. It is evi- dent from a perusal of these tables that diphtheria is being gradually but surely brought under control.
DIPHTHERIA PREVENTION CLINIC RECORD, 1926
New cases under 6 Positive years re-
Total Number treated at Clinic
Re- schick Tests
New Negative after ceiving New Schick Toxin- re-schick re-schick Toxin- Tests anti-toxin Tests
Tests anti-toxen
Oct. 2 to Dec. 31, 1926. ... 1146
125
36
270
93
21
196
DIPHTHERIA IN ATTLEBORO Rates per 100,000 population
Cases
Case Rate 252
Deaths
Death Rate 16
6.2
1918
13
67
1
5
7.6
1919
59
302
1
5
1.6
1920
41
206
2
10
4.8
1921
37
1S4
2
9
5.4
1922
11
54
1923
13
63
1924
6
28
1
4
16.6
1925
S
37
1926
9
43
Fatality Rate per cent
1917
48
3
LTH
ATTLEBORO HEALTH CAMP ON ADMISSION
-
ATTLEBORO HEALTH CAMP
ATTLEBORO HEALTH CAMP AT DISCHARGE
65
ANNUAL REPORT
CASES OF DIPHTHERIA IN ATTLEBORO
By Age Groups
0-4
5-9
10-14
15-19
20-29
30-39
40 Plus Unk'n Tot.
1919
6
30
1.0
3
2
1
3
4
59
1920
13
13
5
1
2
1
2
4
41
1921
4
16
9
1
7
37
1922
4
2
2
1
1
1
11
1923
5
3
2
1
1
1
13
1924
2
1
1
1
1
6
1925
3
2
1
1
1
8
1926
4
4
1
9
Total
.
41
71
29
7
8
3
8
17
184
HEALTH SHOW
The second Attleboro Health Show opened on April 7, 1926, at the Y. M. C. A. and continued for two days and nights. Weather conditions during both days of the show were bad, but the attendance was unusually good. By actual count nearly seven thousand people attended this ex- hibit. Through the courtesy of the Y. M. C. A. directors the whole building was thrown open for use of the public and a great deal of in- terest was shown in the lectures, and demonstrations. The health de- partment with the aid of a very efficient committee put on an attractive an entertaining symposium on public health including instructive talks by health authorities and moving pictures on health subjects. There were speakers on mental hygiene, diphtheria prevention, periodic health examinations, dental hygiene, milk inspection, tuberculosis and health education. Entertaining health plays by the school children pleased the audience and about thirty booths each with its health message attracted considerable attention.
Clinics on child welfare, dental hygiene, tuberculosis, and diphtheria prevention, all in actual operation, demonstrated clearly how this work of health conservation is being done in the community. Representatives of local official and non-official health agencies side by side told the story of their endeavors and their mission in the field of public health.
Literature on health obtained from various sources all over the country was distributed in abundance.
The health show making use of unusual and interesting methods of illustrating health work to the public attracted the attention of many guests, and health workers from other cities who were entertained and made comfortable by members of the Doctors' Club at their booth.
The department feels that the presentaton of this porton of its . program of health education met wth a reasonable degree of success.
ATTLEBORO HEALTH CAMP
The selection of the proper subjects for this camp begins six months before camp opens. Every available means is used to obtain a list of the city's most undernourished boys. The forty finally selected through examinations held at the health department clinic are those whom we feel are most in need of treatment.
The results obtained by the 1926 camp have been a source of grati- fication to the camp management and to all who are interested in its
66
ANNUAL REPORT
activities. The individual and group photographs of the boys taken on admission and on discharge tell the story of gains in weight and general health most effectively, but we strive for other gains in these children. The teaching of health habits and of other subjects closely related to health forms an important part of the camp routine.
The follow up work so essential in any camp program is being carried on through the courtesy of the Lions Club. Through the kindness of that organization the boys assemble every Saturday morning at the Y. M. C. A. where as a special class they receive instruction and exercises suitable to their needs in the gymnasium and their weight and progress is noted.
A large part of the success of the 1926 camp was due to the efforts of Miss Brown whose work as supervisor here for the past two years was all that could be desired. Her report follows.
Dr. W. O. Hewitt, Director
Attleboro Health Camp
Attleboro, Mass.
Dear Sir:
My report as supervisor of the Attleboro Health Camp for 1926 is sub- mitted herewith.
Camp opened July 6th, with an attendance of forty boys ranging in age from seven to fourteen years, and from ten to twenty-six and one half percent underweight The group, as a whole, was younger than the group last year. Their attitudes toward discipline and camp were ex- cellent.
The personnel of the camp this year was increased by the addition of two new workers-an additional councillor and a woman for cleaning. After the first week it seemed advisable to change from a man recre- ational supervisor to a girl councillor, thereby changing the staff to include two girl councillors and one high school boy. This arrangement worked out very satisfactorily, and seems best suited to the needs of a camp of this type. We were extremely fortunate in the matter of coun- cillors. Miss Helen Gould, a student at the Posse School of Gymnastics, acted in the capacity of head councillor, and was assisted by Miss Ethel Swanson, a local girl experienced in girl scout work and by Clarence Gay, a Reading High School student. The training, personality, and sympa- thetic understanding of the needs of each boy of these workers were largely responsible for the fine spirit which pervaded the camp.
The gains were consistent and satisfactory, especially in view of the fact that the boys were younger than in previous years. The minimum gain for the six weeks was two and one half pounds, and the maximum gain twelve and one-quarter pounds. The aggregate gain netted two hundred and ninety-one and one quarter pounds, with an average of 7.28 lbs. The average gain in height was one half inch. The weekly weights stand as follows:
1st week. 811/2 lbs.
2nd
week.
471/2 lbs.
3rd week. 391/2
lbs.
4th week. 471/4
1bs.
5th
week. 331/2
lbs.
6th
week. 42
lbs.
67
ANNUAL REPORT
With the exception of a few slight changes the program was similar to last year's. A marked improvement was made in the rest periods before meals because a larger staff permitted a much closer supervision of these periods. During this time the boys were required to lie quietly in the beds, but might read if they wished. The afternoon rest pericd was devoted to sleeping; on an average thirty-five boys took a nap every afternoon for the entire six weeks. The innovation of barring out visitors from one to three-thirty by the use of a "no admission" sign was very effective, and assisted greatly in keeping the rest period undisturbed. The boys retired at eight o'clock, and from eight to eight-thirty used up any surplus energy in cheers and songs. At eight thirty, the whistle was blown, and silence was maintained in camp.
The menu was generous, and the food of excellent quality. The slogan of "it's good for you" seemed sufficient, and even though an in- dividual boy or so had never eaten certain foods before, a brave effort was made and plates were empty before the boys left the tables. Milk was popular throughout the camp season-seventy-five quarts being the average daily consumption. The new solid tables and seats were an ad- ded comfort, and the new white plates an added luxury, both of which were appreciated.
Five boys were unfortunately confined to bed for periods of from three to six days because of slight illness. No accident occurred during the six weeks of camp.
Through the generosity of Miss Anna May Knights, a graduate of Sargent, corrective posture work was carried on throughout five weeks of camp. Miss Knights was with us from nine-thirty to twelve one or two mornings a week. The children were divided into groups according to postural defects, given exercises suited to their needs, and Miss Gould was instructed in the follow-up work. The follow-up classes were held each day, and individual coaching was done in the more needy cases. The results obtained even in so short a time were remarkable.
The problem of keeping the boys happy and amused, though quiet, is an ever present one in a health camp. This problem was partially met by means of class instruction. Nine-thirty to ten-thirty each morning found the boys busily engaged. They were divided into four groups according to age making the groups small, and easily handled. Classes in health. toy making, basketry, archery, gardening, camp making, rustic wood carving, nature study, etc. were carried on. The exhibition of handwork at the end of camp was creditable, and a source of delight to the boys. Toy elephants, rabbits, squirrels, reed baskets, rustic candle sticks and paper knives, as well as interesting booklets were among the treasures of their own handiwork which the boys carried home with them.
The influence of the girl councillors was reflected in the type of rec- reation which the boys indulged in. Very few of the more strenuous games were played. The Attleboro Health Camp could not even boast of a volley ball team this year nor baseball. The boys were especially fond of being read to, and the scene of a councillor surrounded by a group of interested listeners was a familiar one about camp. Bean bag, cards, guessing games, bull's eye and catch were common games. Ukelele con- certs, songs and cheers were popular, and provided an outlet for energy, During the first week of camp the children went to the circus as guests of the Elks. Two picnics were held, one at the Sharon Heights Health Camp, when the boys visited the zoo at the Salvation Army Camp, and the other to Nippinicket.
68
ANNUAL REPORT
The improvements and additions made to camp this year proved use- ful and worth while. The storeroom provided ample space for extra sup- plies. The hot water installation was satisfactory, and added much to the comfort of camp life.
Respectfully submitted, MABEL M. BROWN, Camp Supervisor
CONCLUSION
The Health Officer desires to express his sincere appreciation of the encouragement given his efforts during the year by the general public. The valuable cooperation and assistance rendered the department by the non-official agencies and the other official departments of the city have made our duties easier to accomplish and have contributed in great measure to any success that may have been obtained. Many conferences on matters of importance were held with the Mayor whose advice and counsel during the four years of his administration have been of great help to this department.
The Doctors' Club has always shown a favorable attitude toward the general health program and during the past year especially we have come more than ever to realize the effectiveness of close cooperation with the physicians of the city.
Working side by side with the school department and cooperating at every opportunity with the school physician and school nurse we have all been able to make more progress in effective quarantine and communi- cable disease prevention than would have been otherwise possible.
While there has been in the past a real coordination between this department and the various private health agencies we have in mind the establishment of a more definite plan of action with these societies. With their help we believe it will be possible to prepare an effective pro- gram of needed public health activities for the immediate future, and to be assured that such a program will be carried out.
Public health work is becoming more constructive and more powerful each year, and yet is still in its infancy. As a community we need to take note of and to combat the current losses from unnecessary sickness and death. The knowledge for such disease control is available. It is ob- vious that we must make use of it. The average life span in man is in- creasing. The present expectation of life has now reached fifty-eight to fifty-nine years. That is fifteen years more than was enjoyed seventy-five years ago, and most of this improvement has come within the last twenty years. It has been estimated that the adoption of a wisely directed public health policy in any community might reasonably be supposed to increase this life expectancy by at least five years. We may conclude that the strongest asset enjoyed by any city lies in the health of its citizens.
"When the whole of our society is permeated by the sense of pre- vention of disease, and conservation of health, then the mist of emotional- ism and ignorance now clouding our better judgment will scatter in the dawn of wisdom, in the light of a new fredom-the freedom from disease."
Respectfully submitted,
WILLIAM O. HEWITT,
Health Officer
1926
ATTLEBORO HEALTH CAMP BEFORE AND AFTER TREATMENT
69
ANNUAL REPORT
EXPENDITURES Salaries
Health Officer
$1,000.00
Nurse
1,500.00
Milk Inspector
750.00
Inspector of Slaughtering
600.00
Inspector of Animals
300.00
Attending Physician at Tuberculosis Clinic.
50.00
Garbage Collector
1,600.00
Caretaker of Dump
726.00
Clerk
518.33
$7,044.33
General Expenses
Incidentals
Printing
$183.18
Stationery and postage.
17.60
Measles serum
21.00
Miscellaneous
138.27
$360.05
Automobile
Cost of maintenance
$353.21
Dump
Supplies for caretaker
$37.11
Plumbing Inspection
Arthur B. Read
$186.00
J. M. Seagraves
30.00
$216.00
Physicians' Fees
Tuberculosis cases
$3.00
Laboratory
Rent and light
$156.38
Supplies
143.78
$300.16
Tuberculosis and Diphtheria Prevention Clinics
Printing
$91.91
Advertising
34.00
Supplies
172.62
Rent
50.00
$348.53
Fees to Other Cities and Towns
Fall River-Tuberculosis
$16.00
Norton-Tuberculosis
275.60
Providence-Diphtheria
84.00
$375.60
State Sanatoria
Westfield
$1,027.00
Bristol County
5,491.20
Lakeville
106.00
$6,624.20
70
ANNUAL REPORT
Care at Home
Supplies for tuberculosis patients
$150.58
Aid to scarlet fever patients. .
84.00
Supplies for scarlet fever patients.
9.35
$243.93
EXPENDITURES
Health Show
Decorating
$53.00
Erection booths
43.32
Advertising and Printing.
38.50
Literature
32.92
Miscellaneous
81.13
$248.87
Total
$16,154.99
WILLIAM O. HEWITT,
Health Officer
HEALTH DEPARTMENT RECEIPTS
1926
State subsidy on patients at Bristol County Tuberculosis Hos- pital, on cases settled in Attleboro.
$2,865.70
State reimbursement on state cases, cases not settled in At- tleboro, nor any city or town in Massachusetts, and cared for at the Bristol County Tuberculosis Hospital .. 50.80
Reimbursement from town of North Attleboro, Mass., for case cared for at Bristol County Tuberculosis Hospital, and having settlement in town of North Attleboro, Mass.
481.00
License fees collected 1926.
171.50
Total
$3,569.00
WILLIAM O. HEWITT, Health Officer
RECOMMENDATIONS
1. The appointment by the Mayor of a special committee to study the tuberculosis situation in Attleboro.
2. The appointment in the event of the resignation of the present in- spector of a full time milk and sanitary inspector.
3. The taking of sufficient land on the shore of Orr's Pond to safeguard this auxiliary source of municipal water supply.
4. The installation of apparatus to be used for emergency chlorination of our water supply.
5. Sewer extensions on North Avenue from West Street to Car Barn and on Park Street, east of the junction of Park and Emory Streets.
WILLIAM O. HEWITT, Health Officer
71
ANNUAL REPORT
DEATHS, 1926
No. Deaths
Still Births
January
29
2
February
16
1
March
28
1
April
25
2
May
32
1
June
26
2
July
23
0
August
8
2
September
17
1
October
14
0
November
19
0
December
20
0
Totals
257
12
. .
-
DEATHS BY AGES AND MONTHS
Number of
Deaths
Female
Male
Under 1 year
1-2 years
2-3 years
3-4 years
4-5 years
5-10 years
10-15 years
15-20 years
20-30 years
30-40 years
40-50 years
50-60 years
60-70 years
70-80 years
Over 80 years
.29
18
11
4
0
1
0
0
0
1
4
2
4
1
4
4
2
2
February
23
13
15
3
3
0
2
0
1
0
1
2
2
2
6
2
3
1
March
.25
11
14
3
2
2
0
0
0
0
1
0
2
4
4
0
2
6
2
7
April
.33
18
15
2
2
1
0
0
0
0
1
2
1
2
2
0
3
2
5
5
May
.26
9
10
13
2
1
0
1
0
0
0
0
0
0
0
1
2
1
1
2
0
August
17
7
10
4
1
0
0
0
-
0
0
0
0
1
1
3
1
2
5
1
October
November
19
10
CC
2
0
0
-
0
0
0
C
0
2
4
3
5
2
1
December
20
11
9
1
0
1
0
0
-
0
0
1
2
1
4
00
4
0
Totals
258
129
129
25
10
8
2
0
00
3
11
17
21
19
32
37
44
23
Still Births Excluded
ANNUAL REPORT
72
8
4
4
1
0
0
-
0
0
0
1
1
0
2
2
3
4
2
January
.16
10
00
17
3
2
0
0
0
0
1
3
1
4
2
1
4
1
0
0
1
0
0
1
1
2
2
3
1
September
.14
00
6
June
23
July
2
0
1
0
1
0
2
3
8
1
73
ANNUAL REPORT
INFANT MORTALITY
Totals
Male
Female
Under 1 day
1-2 days
2-3 days
3d-1 wk.
1-2 wks.
2-3 wks.
3-4 wks.
3 wks .- 1 mo.
1-2 mos.
2-3 mos.
3-6 mos.
6-9 mos.
9-12 mos.
January
4
2
2
2
1
1
February
1
1
1
1
1
1
April
3
1
2
1
1
1
May
3
1
2
2
1
June
3
2
1
3
July
2
1
1
1
1
August
0
September
4
2
2
1
1
1
2
October
0
November
1
1
1
December
1
1
1
Totals
25 12 13
1012 1 0 1 0 2 0 2 7
Premature Birth.
6
3
3
5
1
Cerebral Haemorrhage
4
1
3
2
1
1
Pneumonia-Broncho .
3
2
1
2 1
Whooping Cough
3
1
2
1
2
Toxaemia
1
1
1
Birth Injury
1
1
1
Pneumonia-Lobar
2
1
1
2
Cholera-Infantum. .
1
1
1
Cong. Dis. of Liver ..
1
1
1
Meningitis
1
1
1
Influenza
1
1
1
Septicaemia
1
1
1
Totals
25 11 14 8 1 01 2 1 0 1 0 2 0 2 7
CORRECTED DEATH RATE
Year
Population
No. of Deaths
Death Rate
1916
18,730
249
13.3
1917
18,980
244
12.9
1918
19,230
303
15.8
1919
19,480
256
13.1
1920
19,731
258
13.1
1921
19,909
205
10.3
1922
20,087
209
10.5
1923
20,265
263
13.0
1924
20,443
254
12.4
1925
20,623
261
12.7
1926
*** 20,801
257
12.4
1
March
3
2
*** Estimated
DEATH RATE
The city's death rate for 1926 based on the estimated population of 20,801 was 12.4 per one thousand inhibitants.
The infant mortality rate based on 519 live births during the year was 48.1.
74
ANNUAL REPORT
CAUSES OF DEATHS, 1926
Month
January
February
March
April
May
June
July
August
September
October
November
December
Totals
Accident, Automobile
1
1
3
1
1
1 8
Accidental burns
1
1
Accidental drowning
1
1
Accidental strangulation
1
1
Acute yellow atrophy of liver.
1
1
Angina Pectoris
1
1
1
3
Appendicitis
1
2
3
Arterio-sclerosis
1
3
1
3
1
1 2 2
14
Asthma, bronchial
.... .
1
1
Bright's disease
1
1
Bronchitis, acute
1
1
Bronchitis, 'chronic.
1
1
Cancer
1
2
2
3
3
3
5
19
Cerebral embolism
1
1
1
3
Cerebral haemorrhage
4
1
4 2
1
1
1
2
18
Cholera infantum
1
1
Cholecystitis
1
1
Colitis
1
1
Congenital dis. of liver
1
1
Convulsions
1
1
Diabetes mellitus
1
1
1
3
Endocarditis, acute, septic
1
2
3
Endocarditis, chronic
1
1
Gastric ulcer, perforated
1
1
Gastro enteritis
1
1
General paralysis
1
1
Haemorrhage, internal
1
1
Heamorrhage, post partum.
1
1
Heart disease
2
41211
3
3
2
19
Hernia, strangulated
1
Hodgkin's disease
1
1
Influenza
3
2
2
7
Leukaemia
1
1
Meningitis
1
2
1
4
Meningitis, cerebro-spinal
1
1
Myocarditis, chronic
1
1
1
1
3
2
1
10
Nephritis, chronic
2
1
2
1
1
1
2
1
11
Pancreatitis, acute
1
1
Peritonitis, general
1
1
2
Pleurisy
1
1
Pneumonia, broncho
2
5
2
1
1
1
12
1
1
Birth injury
. . . .
. .
. .
...
1
1
Duodenal ulcer, perforated.
Empyema
1
1
1
1
1
Measles
2
75
ANNUAL REPORT
CAUSES OF DEATHS, 1926-Continued
Month
January
February
March
April
May
June
July
August
September
October
November
December
Totals
Pneumonia, lobar
2
2
3
3
1
11
Poisoning, illuminating gas
1
1
Premature birth
1
1
1
1
1
1
6
Pulmonary embolism
1
1
2
Pulmonary haemorrhage
1
1
Senile Dementia
1
1
Septicaemia
1
1
1
2
5
Suicide poisoning
1
1
2
Toxaemia
1
1
Tubercular peritonitis
1
1
Tuberculosis, pulmonary
11
1
4 2
6
3
2
4
2
4
2
45
Vomiting of pregnancy
1
1
2
Whooping cough
6
4 2
12
Still born
2
1
1
2
2
2
2
1
13
Totals
31 17 29 27 35 28 23 10 18 14 19 20 271
76
CONTAGIOUS DISEASES REPORTED 1926 DEATHS FROM CONTAGIOUS DISEASES 1926
Trachoma
Poliomylitis
Anterior
Measles
German
Meningitis
Cerebro-spinal
Lethargica
Encephalitis
Tuberculosis
Other Causes
Tuberculosis
Pulmonary
Diphtheria
Fever
Scarlet
Fever
Pox
Chicken
Cough
Whooping
Measles
Mumps
Opthalmia
Influenza
Pneumonia
Lobar
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
Cases
Deaths
January . .
1
5 11
1
8
2
40
8
February .
1
1
2
1
2
1
27
116
March
2
6
4
1
1
38
6
93
12
3
2 2
April
1
23
2
7
6
3
12
2
31
3
2
6
3
May ..
.
.
2
3
3
1
1
2
2
1
1
3
July
2
2
2
3
1
1
2 2 2 2
1
September
5
2
1
11
3
3
4
3
11
24
1
November
9
N
21
20
Totals .
1
1
60
2
6
1 62 45
9
67
62
181 12 285 1
5 20
7 23 11
3
June
31
2
6
4
2
5
4
11
2
3
August
1
4
4
3
5
1
1
4
24
1
3
10
2
10
2
2
Pulmonary Tuberculosis cases non-resident ...... 53
1
1
December
2
October
ANNUAL REPORT
2
56
Typhoid
77
ANNUAL REPORT
Nuisances Investigated and Followed Up
Unsanitary plumbing
1
Unjustifiable cause for complaint.
3
Unsanitary premises
9
Privy vaults
3
Dumping of rubbish
7
Overflowing cesspools.
2
Sewage dumped on land.
2
Referred to Public Works Department
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REPORT OF MILK INSPECTOR AND AUTHORIZED AGENT
Health Department Laboratory Attleboro, Massachusetts December 31, 1926
Wiliam O. Hewitt, M. D., Heath Officer Attleboro, Massachusetts
Sir:
I herewith submit my second annual report as Inspector of Milk and Authorized Agent of the Health Department of the City of Attleboro for the year ending December 31, 1926.
Progress in all public health activities is in the end determined by the desire of the public to be protected. No matter how faultless the health laws governing a community may be, their enforcement depends primarily upon the interest in, and the demand for, protection which the community is educated to require. Let us consider the matter of our milk supplies. The average person in Attleboro uses milk 365 days in the year and is satisfied if it tastes sweet and has a good cream line. It is a safe conclusion that not one person in one hundred takes the trouble to visit his dairyman and see the conditions under which the milk is pro- duced. They depend on the part-time milk inspector or a certain pro- portion of them buy only pasteurized milk, and there all interest ends.
If but a small proportion of the consumers visited the dairy once a year the matter of enforcing rules of cleaniness would take care of itself. As it is now, the Health Department frequently finds conditions within a few minutes ride of the center of the city which necessitates with- holding producer's permits.
While we may feel proud of the fact that during the past two years not a single epidemic has occurred which has thrown any suspicion on our milk supplies, nevertheless potential dangers have been encountered which have served to show the need of full-time supervision of milk production.
The milk inspector has, during the past year, sent out a series of milk letters to the milk men enclosing federal government pamphlets on dairy subjects, and on inspection trips has made such recommenda- tions as were felt necessary for the protection of the health of the com- munity. The greatest menace which is met daily is the large number of cows which have not been tuberculin tested for periods of over a year or have never been tested. There are at present no state or city laws re-
2
78
ANNUAL REPORT
quiring such a test. Dr. Frederick L. Briggs makes annual physical ex- aminations, of herds supplying this city with milk, but unless he has the owner's permission he is unable to detect tuberculosis in its early stages by means of the tuberculin test. We do not feel that it is advisable to ask for city legislation in this matter unless the proposed amendment to the state laws is not passed in the near future. This proposed amendment reads as follows: Section 22A. Whoever, himself or by his servant, or agent, sells, exchanges or delivers, or has in his custody or possession with intent so to do, milk drawn from a cow, unless such cow has been tested within a period of one year by a tuberculin test, approved by the director of animal industry, and has been found not to react thereto, shall be punished for the first offense by a fine of not less than fifty dollars nor more than two hundred dollars, for the second offense by a fine of not less than one hundred dollars nor more than three hundred dollars, and for a subsequent offense by a fine of fifty dol- lars and by imprisonment for not less than two nor more than three months. This section shall not apply to milk delivered or intended to be delivered for pasteurization nor to pasteurized milk as defined in section one, nor to milk from producers who have applied to the division of animal industry for an official test under the provisions of Chapter 353 of the Acts of 1922. Section 2. This act shall take effect in towns having a population of twenty thousand or more on the first day of January, nineteen hundred and twenty-eight, and in towns having a popu- lation of more than five thousand but less than twenty thousand, it shall take effect on the first day of January, nineteen hundred and twenty- nine. This act shall apply to towns having a population of less than five thousand only if accepted at an annual town meeting.
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