USA > Massachusetts > Bristol County > Attleboro > Reports of town officers of the town of Attleborough 1928 > Part 5
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Twenty diphtheria cases were reported during the year with no deaths. There was an almost entire absence of whooping cough and measles, both of which are dangerous diseases among children. Only a few scattering cases of these two diseases occurred during the colder months.
Typhoid fever was an unknown disease in this city for nearly three years. Two cases were reported to the department in the fall at about the same time, and were rigidly investigated. No common cause was apparent, and neither case could be traced to unsanitary conditions of our milk, food or water supply. The report of a third case of typhoid near the end of the year has suggested that the presence of a carrier may be responsible for these cases. The cause is being investigated. Only one case of infantile paralysis was reported.
DIPHTHERIA PREVENTION
The department has just completed the sixth year of its campaign against diphtheria. This important work has continued to expand each year, and a successful local clinic is now an established fact.
There has been an encouraging response on the part of parents toward our efforts to protect the children of the city from this unneces- sary and preventable disease. The diphtheria prevention clinic con- ducted during the last three months of each year has been well at- tended, and there has been some difficulty under present conditions dur- ing the last year in caring for all the children who have applied for immunization.
For the last two years in addition to the clinic work at the hospital, immunization has also been done in the schools with a traveling clinic. The department has co-operated with the school physician and nurse in
69
ANNUAL REPORT
this work. The department now plans to limit its diphtheria prevention work to pre-school children in which age group the disease is more com- mon and more serious. It is believed that diphtheria will by these methods be gradually but surely controlled.
It is interesting to note that a larger ratio of tlie cases of diphtheria has occurred in adults during the last twelve months than in previous years. This increasing percentage in adults over that in children is due without question to the fact that a large proportion of the children in the city have been protected against this disease which now selects for its victims, non-immunized children and adults.
In several instances locally diphtheria has occurred in families where some or all of the children have been made immune by treatment. In none of these instances, however, has it affected the immune children. Such evidence is a most convincing argument, if indeed at this time any further evidence need be submitted in favor of immunization against diphtheria.
An intensive educational campaign in diphtheria prevention was begun early in October. Over 3,000 large envelopes each marked "Is Your Child Safe?" and containing appropriate literature were distributed through the schools. Use was also made of posters, paid advertisements and newspaper articles to bring the subject to the attention of parents.
Valuable assistance in the work was contributed by the nurses on the district and in the school and health departments. As a result of this effort during October, November and December, 1,170 children were treated in the schools, and in the diphtheria prevention clinic. Below is a tabulation of the work accomplished in prevention and also a study of the incidence and deaths from diphtheria in the city over a period of 12 years.
DIPHTHERIA PREVENTION CLINIC RECORD, 1928
Total number treated at clinics.
1,170
Reschick tests.
806
New schick tests
12
New toxin antitoxin (3 doses)
314
Negative reschick tests
510
Positive after reschick tests.
196
New cases under 6 years receiving toxin antitoxin.
108
DIPHTHERIA IN ATTLEBORO Rates per 100,000 Population
Cases
Case Rate
Deaths
Year
48
252
3
1917
13
67
1
1918.
59
302
1
1919.
41
206
1
1920.
37
184
2
1921.
11
54
0
1922
13
63
0
1923.
6
28
1
1924.
S
37
0
1925.
9
43
0
1926.
23
109
2
1927.
1928.
20
95
0
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ANNUAL REPORT
CASES OF DIPHTHERIA IN ATTLEBORO By Age Groups
Year
0-4
5-9
10-14
15-19
20-29
30-39 40 plus Unk'n Total
1919.
6
30
10
3
2
1
3
4
59
1920.
13
13
5
1
2
1
2
4
41
1921.
4
16
9
0
0
0
1
7
37
1922.
4
2
2
1
1
0
0
1
11
1923.
5
3
2
1
1
1
0
0
13
1924.
2
1
1
0
1
0
1
0
6
1925.
3
2
0
1
0
0
1
1
S
1926.
4
4
0
0
1
0
0
0
9
1927.
5
8
1
4
1
3
1
0
23
1928.
4
6
4
0
4
1
1
0
20
Total. . .
50
85
34
11
13
7
10
17
227
DUMPING AND GARBAGE
Efforts have been made during the year to prevent the promiscuous dumping of garbage and rubbish in certain sections of the city. Such efforts have not been entirely successful. Signs have been posted in many places as a warning to careless individuals. In some instances this has been effective. In others the signs have been torn down and the warning has been disregarded. The Police Department has given assist- ance, and its aid will be sought again if the practice continues. Legal action will follow if any person is found in the act of dumping such ma- terial on posted land. The proper place for the disposal of such material is at the city dump on Bishop Street, where a man is employed to look after the work.
For those persons who accumulate a great deal of rubbish on their premises, who can afford the cost of installation, the department sug- gests the purchase of one of the several types of "home incinerator" which effectually disposes of all such accumulation including kitchen garbage.
The garbage collection has received careful attention from Walter H. Follett, who works under contract with this department, and few com- plaints have been received from householders during the year.
SEWER EXTENSIONS AND CONNECTIONS
The following sewer extensions have been laid by the Public Works Department:
Sadler Street
Park Street
Emory Street
Lamb Street
Dennis Street
Jefferson Street to Eldridge Street
Knight Avenue
Bliss Avenue
Bourne Avenue
Hebron Avenue
Church Street
For some years it has been the policy of the Health Department to require every householder abutting on new extensions of the municipal sewer to connect his house with the sewer within a reasonable time after its installation. Notices were sent to every house owner abutting on the above extensions, and connection has been promptly made in every instance. The Public Works Department has co-operated with the Healtlı Department in this important health measure.
71
ANNUAL REPORT
HEALTH CAMP SUPERVISOR
MABEL M. BROWN, R. N.
72
ANNUAL REPORT
ATTLEBORO HEALTH CAMP
The camp for undernourished boys was established in 1923, and now ranks as one of the city's major health projects. The work of selection of the boys started early in February and when camp opened a fairly representative group of 40 boys ranging from 7 to 14 years of age and averaging 15.2 per cent. underweight was turned over to the camp super- visor for treatment.
The children that are finally chosen as suitable for treatment at the Atttleboro Health Camp are not tuberculosis, and as a rule they are not contact cases. All these boys are mal-nourished, however, and most of them are noticeably so. This type of child which we feel is the proper one to be accepted for treatment in a summer health camp lacks many of the characteristics found in the well nourished normal boy. While malnutrition is a relative term and the children vary in degree most of them appear thin with poor color, rough skin, coarse dry hair, and flabby and poorly developed muscles. The undernourished child tires easily, is apt to be called lazy in school, and his expression is lifeless and dull. In disposition he is inclined to be irritable, and nervousness and fear are common symptoms. There is an entire absence of that concentration and alertness found in the normal child. His chest may be flat, and almost without exception the posture is poor. He is restless, sleeps poorly, and is finicky with his diet. Every such child is a case of chronic fatigue, and shows it in his facial expression, his mental condition and in his actions and posture.
The 1928 camp has a wonderful record of weight gains and improve- ment in general nutrition among the boys. This is shown in the indi- vidual photographs taken on admission, and at discharge. Follow up work continues each Saturday during the fall and winter at the Y. M. C. A. where these boys are instructed in a special class.
Miss Brown has served four years as camp supervisor. Much of the camp's success is due to her efforts. Her report follows:
DR. WILLIAM O. HEWITT,
Director Attleboro Health Camp,
Attleboro, Mass.
Dear Sir:
I herewith submit my fourth annual report as supervisor of the At- tleboro Health Camp:
Camp opened July 5th and closed August 16th, a period of six weeks. As in previous years, the boys were a well chosen, underweight group ranging in weight from 8-22 per cent. below normal for age and height. The mediums for the group were as follows: Age, 10 years; height, 5212 inches; weight, 55 pounds; underweight, 15.6 per cent. Of the forty boys admitted to camp July 5th, no boy left or was discharged before the end of camp. There was little sickness and no accidents throughout the camp season. On the whole, the boys, who represented thirty-five indi- vidual families, proved to be good campers. Owing to the immaturity of the group, it was difficult, however, to develop a camp spirit to the extent that is possible with older boys.
One of the objectives of the Attleboro Health Camp is to develop the boys mentally and socially as well as physically. To this end, class- work was an important and valuable part of the camp program. The boys were taught basketry, nature study, campcraft, wood carving, toy
73
ANNUAL REPORT
making, archery and paper construction. In addition, classes in healthi and dramatics were a part of the daily program. Harry W. Gibson, who has had years of experience in camp work, has said that the camp is the highest form of social organization inasmuch as it represents the most ideal form of community life. I believe this is true and know of no place where the business of living together can be taught more effectively than at camp. It is indeed gratifying to note the development of many worth- while habits and qualities that result from a six weeks stay in camp.
While the standard of measuring the success of a health camp by the gains in weights has been questioned as to its value, it perhaps still is the best single index of whether the program designed for this type of camp has functioned or not. Measured by this standard, the season of 1928 might be considered the most successful in the history of the camp. The net gain this year was 308 pounds; the maximum gain, 1234 pounds; the minimum gain, 514 pounds; and the average gain, 734 pounds. A record of the weekly gains is as follows:
1st week 9914 lbs.
2nd week. 62 Ibs.
3rd week. 361/2 lbs. 4th week. 43 34 lbs. 5th week. 491/2 lbs.
6th week. 2814 lbs.
The extremely hot weather encountered the last week of camp ac. counts for the small gain the sixth week and is responsible for a reduc tion in the net gain for the season as many of the boys showed a loss that particular week.
Posture work was again an important feature of the camp pro- gram. Each morning the boys attended special posture classes where they were given corrective exercises. As improvement was made, the boy was advanced to the next class. A skimetograph machine would assist greatly in the posture work.
The staff this year consisted of Clarence Gay, who served in the capacity of junior counselor two years ago; Miss Avis Blanchard, an Attleboro girl, and Miss Elizabeth Francis, a graduate of Posse-Nissen, who had charge of the physical education and corrective work. In order to operate the camp on the highest level, a fourth counselor is desirable Ten children to one counselor is the usual unit in camp work. This number is about all one person can handle in a camp of this type where the program is so complex. An additional counselor would permit a division of the boys into groups of ten with a counselor responsible for each group. By rearrangement of the salary schedule, I feel that this could be taken care of within the limits of the budget. Mrs. Florence Richardson and Miss Eva Anderson served in the same capacity as in previous years.
In closing, I wish to thank you for your continued support and through you, to thank Miss McMahon who acted in the capacity of su- pervisor during the week that I was called away on account of illness in my family.
Respectfully submitted,
MABEL M. BROWN,
Camp Supervisor
74
ANNUAL REPORT
BEFORE
AFTER
ATTLEBORO HEALTH CAMP
Photographs of the Boys Taken on Admission and at Dis- charge Show Marked Improvement in General Nutrition.
ANNUAL REPORT
75
BEFORE
AFTER
ATTLEBORO HEALTH CAMP
Comparative Pictures Also Show Decided Changes in Facial Expression After Six Weeks Treatment.
76
ANNUAL REPORT
CONCLUSION
In conclusion acknowledgment is expressed of the helpful assistance given the department during the year by the press, and by the general public. All the physicians of the city have shown unusual interest in the public health in their prompt reporting of contagion. The superin- tendent of schools and the school physician, and nurse have as in other years made our work more effective by their co-operation. The other city departments and the various private health agencies have been generous with their support of our efforts. The members of this depart- ment appreciate also the work of many volunteer citizens who have given freely of their time when requested.
The function of a health department primarily is disease prevention. With this thought in the foreground all committed appropriations should be expended wisely in the interests of the public health. The results obtained may be far from ideal, but the citizens should expect and receive a reasonable protection from the preventable diseases.
The passing and enforcement of laws, and city ordinances will not alone serve to create a community health. A desire of the citizens them- selves for better standards of health must be awakened and promoted.
A city may grow careless about its milk, and food inspection only to be aroused as other cities have been by the occurrence of an epidemic of typhoid fever or septic sore throat directly traceable to its milk supply.
The hygiene and care of teeth among school, and pre-school children may receive little or no attention until it has been demonstrated clearly that such neglect in any community is in the end expensive, as well as unhealthful and undesirable.
The tuberculous were formerly cared for locally in their homes. A few years of hospitalization, and strict follow up of these cases has proven the wisdom of furnishing adequate attention to such persons, for there are now fewer cases of tuberculosis, and the cost of such care has been greatly reduced. The same results might easily be obtained in our incidence rate, and costs as applied to other communicable diseases if proper isolation of cases in a hospital were afforded. The putting into practice of other public health advances discovered in the last decade might prove to be of much worth if we all gave some thought of their value, and means of attainment.
The occurrence of sickness and disease had better be given wide publicity than to be suppressed and ignored. Much disease exists today because of the half hearted interest of the public in its prevention. Effective public health efforts must be stimulated and maintained not by the health department alone but with the co-operaion and assistance of our private and public health agencies, and with the help of interested citizens themselves.
The introduction of such a policy wisely directed will result in the awakening of the people to a real conception of the modern meaning of the word "Health."
Respectfully submitted,
WILLIAM O. HEWITT, Health Officer
77
ANNUAL REPORT
ESTIMATED APPROPRIATIONS FOR 1929
Salary of Health Officer.
$1,000.00
Salary of Inspector of Milk
2,000.00
Salary of Inspector of Slaughtering.
600.00
Salary of Inspector of Animals
300.00
Salary of Tuberculosis Nurse
1,700.00
Care of Dump-Labor.
760.00
Garbage Disposal.
1,600.00
Clerk . .
523.34
Quarantine and Contagious Disease Hospital ..
350.00
Nursing and Care at Home.
350.00
State Sanatoria
4,500.00
Rent.
150.00
Light
15.00
Phone.
35.00
Laboratory Maintenance.
100.00
Care of Dump material
70.00
Auto Maintenance
275.00
Tuberculosis and Diphtheria Prevention Clinics
450.00
Physicians Fees.
50.00
Fees to Cities and Towns
400.00
Inspection of Plumbing
300.00
Office Supplies.
250.00
Necessary expenses within Massachusetts for securing information to improve department service.
50.00
Incidentals
75.00
$15,903.34
EXPENDITURES, 1928
Salaries
Health Officer
$1,000.00
Inspector of Milk
750.00
Inspector of Slaughtering.
600.00
Inspector of Animals
300.00
Tuberculosis Nurse.
1,500.00
Care of Dump-labor
751.35
Garbage Disposal
1,600.00
Clerk
521.67
$7,023.02
State Sanatoria
Westfield.
$128.00
Bristol County
2,904.20
Lakeville.
366.00
$3,398.20
EXPENDITURES, 1928
Quarantine and Contagious Disease Hospitals
Providence City Hospital. $272.00
$272.00
78
ANNUAL REPORT
Nursing and Care at Home
Supplies Th. Patients
$99.65
Aid to Scarlet Fever Patients
96.00
Aid to Diphtheria Patients.
36.00
Aid to Chicken Pox Patients
20.00
$251.65
General Expenses
Rent.
$150.00
Light
8.99
Phone .
36.19
Laboratory Maintenance.
19.57
Dump Material.
71.77
Automobile Maintenance.
251.42
Tuberculosis and Diphtheria Prevention Clinics:
Supplies
145.64
Printing.
134.52
Advertising
30.75
Express
12.54
Transportation (school clinics)
30.00
Physicians' Fees.
64.00
Fees to Other Cities and Towns:
Fall River-Scarlet Fever. .
142.86
Fall River-Pulmonary Tuberculosis.
5.00
Springfield-Measles
35.00
Inspection of Plumbing:
Arthur B. Reed.
200.00
J. M. Seagraves
24.00
Office Supplies
206.60
Incidentals.
62.74
$1,631.59
Auto Trade In
New Ford and painted sign on auto
$484.50
(Value of old Ford deducted)
$484.50
$13,060.96
WILLIAM O. HEWITT, Health Officer
HEALTH DEPARTMENT RECEIPTS, 1928
State subsidy on patients at Bristol County Tuberculosis Hospital on cases settled in Attleboro State reimbursement on State cases, cases not settled in Attleboro, nor any city or town in Massachusetts, and cared for at the Bristol County Tuberculosis Hospital. ... Reimbursement from Town of Orange, Mass., for case cared for at home, and having settlement in Town of Orange .. Reimbursement from Town of Webster, Mass., for case cared for at home, and having settlement in Town of Webster ..
$364.45
611.95
20.00
30.00
79
ANNUAL REPORT
Reimbursement from Town of North Attleboro, Mass., for case cared for at home, and having settlement in Town of North Attleboro.
12.00
License fees collected, 1928 213.50
$1,251.90
RECOMMENDATIONS
1-The appointment of a full time milk and sanitary inspector.
2-Appropriation for a properly supervised dental clinic.
3-Isolation facilities for contagious diseases.
WILLIAM O. HEWITT, Health Officer
DEATHS BY MONTHS, 1928
Deaths
Stillborn
January
28
2
February
32
1
March.
23
2
April
21
2
May.
26
1
June
21
2
July .
15
1
August.
11
0
September
15
2
October
24
1
November
22
2
December.
31
0
Total.
269
16
80
DEATHS BY AGES, 1928
Deaths.
Number of
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
January .
28
14
14
5
0
0)
0
0
1
1
5
1
2
5
4
2
2
February.
32
21
11
5
0
0
1
0
0
0
2
2
4
3
7
6
2
March ..
23
15
co
1
0
0
0
0
1
0
0
0
1
1
2
7
6
4
April.
21
11
10
1
0
0
1
0
1
0
0
2
1
2
1 3
6 3
S
2
May.
26
14
12
6
0
0
0
0
0
0
0
0
1
2
0
0
4
3
3
4
June.
15
7
8
1
0
0
0
0
0
0
1
2
0
1
4
1
4 3
1 0
September.
15
7
8
3
0
0
0
0
0
0
0
0
0
0
2
5
3
2
October.
24
12
12
1
0
0
0
2
0
0
0
2
1
0
3
4
6
5
November
22
10
12
0
0
-
0
0
1
3
2
1
4
3
5
2
December.
31
12
19
1
1
0
0
1
2
0
2
2
2
10
5
5
Totals.
269
141
128
29
1
1
2
2
3
2
19
11
17
35
54
56
30
Still Births Excluded.
ANNUAL REPORT
1
0
0
0
0
1
0
0
2
2
1
August. .
=
4
7
1
0
0
0
0
0
0
1
1
2
21
14
7
4
5
1
July ..
0 0
1 0
81
ANNUAL REPORT
-
INFANT MORTALITY
Totals
Male. .
Female. ..
Under 1 Day. .
1-2 Days.
2-3 Days ..
3 Ds 1 Wk.
1-2 Wks. .
2-3 Wks.
3-4 Wks.
3 Wks-I Mo. ...... 0 0
1-2 Mos.
2-3 Mos
3-6 Mos.
6-9 Mos.
9-12 Mos.
January. February
5
2
3
3
0
0
0
0
0
0
0
0
0
0
0
0
April.
1
0
1
0
1
0
0
0
0
0
0
0
0
0
0
May.
6
3
3
3
0
0
0
0
0
0
0
0
0
1
0
2
June
4
2 0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
September
3
1
2
1
0
0
0
0 0
0 0
0
0
0 0
0 1 0
0
October.
1
0
1
0
0
0
0
0
0
0
0
0
1
November
0
0
0
0
0
0
0
0
0
December
1
1
0
0
0
Total:
29 12 17 10
03 4 5
Accidental Poisoning .. Acute Bronchitis.
1
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
Atelectasis.
1
0
1
1
3
0
1
0
2
0
0
0
0
0
0
0
2
0
Fracture of the Skull Heart Disease.
1
1
0
0
0
0
1
0
0
0
0
0
0
0
0
0
1
1
0
0
0
1
0
0
0
0
0
0
0
0
0
0
Pneumonia-Bronchial .. . Pneumonia-Lobar
1
0
1
0
0
0
0
0
0
0
0
0 0
0
0
1
Premature Birth
1
0
1
0
0
0
0 0
0 0
0
0
0
0
0 0 0
0 0 0
0 1 0
0 0
Totals
29 12 17 10
1 1 4 1
0
0
0
0
0 3 4 5
1
0
1
1
0
0
0
1
0
0
0
0
0
0
0
0
2
1
July. August.
1
1
0
1
0
0
0
0
0
0
0
0
0
0
Cerebral Hemorrhage .. Enterocolitis.
1
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
Hemorrhage, Newborn. Incomplete Development Meningitis.
1 1
3
1
2
0
0
0
0
0
0
0
0
0
0
1
0
2
3
4
6
0
0
1
0
0
0
0
0
0
0
Pul. Tuberculosis Rachitis.
1
1
0 1
0
0 0
0 0
0
0
0 0
0 0
0 0
0 0
Strangulation.
1
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
Asphyxiation.
1
0
1
0
0
0
0
0
0
0
5
2
1
0
1
0 0
1 0 0
1 0 0
0 0 0
0 0
0 0 0
0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0 1 0
0 0 141000 0 0 0
0
1 1
01
0
0
0
0
0 0
0 2
1
0
0
1
March
5
2
2
0
1
0
0
0 1
0 0
0 0
0
0
1 0
0
0 0
1
1
82
ANNUAL REPORT
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
1927.
*20,980
267
12.7
1928.
*21,330
269
12.6
*Estimated.
The city's death rate for 1928 based on the estimated population of 21,330 was 12.6 per one thousand inhabitants.
The infant mortality rate based on live births during the year was 61.5.
CAUSES OF DEATHS, 1928
January .
February.
March.
April .
May.
June.
July.
August.
September.
October ..
November.
December. . .
0 0
1 4
Accident, Burns
1
0
0
0
0
0
0
0
1
0
0
0
0
1
Accident, Fall.
0
0
0
0
0
0
0
0
0
1
0
0
0
0
1
Alcoholism .
0
0
0
0
0
0
1
0
0
0
0
0
1
Angina Pectoris
0
0
0
0
1
0
0
0
1
0
0
3
Aortic Aneurysm.
0
0
0
0
0
0
0
0
0
0
0
1
Appendicitis
1
1
0
0
0
0
0
0
0
0
0
0
2
Arterio Sclerosis
1
1
0
1
1
2
1
0
2
0
0
0
0
1 2
Auto Intoxication.
0
1
0
0
0
0
0
0
0
0
0
0
1
Bronchitis, Acute.
0
0
0
0
0
0
0
0
0
0
0
1
1 1
Bronchitis, Purulent.
0
1
0
0
0
0
0
0
0
0
0
0
0 1 1 2 19 1 3
Cerebral Hemorrhage.
1
2
3
1
0
0
0
0 0
0 0 0 0
1 0
0 0 0
0 0 0
0
2
Cirrhosis of Liver
0
1
0
0
0
Cystitis, Chronic.
0
0)
0
0 1
0
0
0
0
0
1
.
Abortion
Accident, Automobile.
0
0
2
00
00
0
0
0
021 2
100 0 0
0
2
Accident, Drowning
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
Cancer Cellulitis
Cerebral Embolism.
0
0
0
0 0
0 2 3
0
0
0
0 0
0
0
1
1
3 19
Cholecystitis.
1
0
2 2
1
2
3
0
0
1
2
3
0
0
0
0
0
0
0
1
0
0
Asthma, Cardiac.
0
0 1
0
0
0
0
0
0
0
0
0
0
0 1
2
2
0
1 4 14
Asphyxia.
Acute Dilatation-Stomach 0
0
0
0
1 1
0 0
1
0
0
0
Totals
. .
1 2
2 3
0
83
ANNUAL REPORT
CAUSES OF DEATHS, 1928
January ..
February.
March.
April.
May.
June. .
July . .
August ..
'September.
October.
November.
December. ..
Totals.
Diabetes Mellitus.
0
0
1
0
0
1
Ectopic Pregnancy
1
1
0
0
0
0
0
1
0
0
0
0
0
0
1
Found Dead
0
0
1
0
0
0
0
0
0
0
0
0
1
Gangrene
0
0
0
0
0
0
0
1
0
0
0
0
1
Gastric Ulcer
0
0
1
0
1
0
0
0
0
0
0
0 2
Heart Disease, Organic.
4
3
3
1
0
2
0
3
2
4
0
0
0
1
Hypertrophied Prostate.
0
0
0
0
1
0
0
0
0
0
1
0
2 3
Intestional Obstruction
0
0
0
0
1
0
0
0
0
0
0
0 1
Myocarditis, Chronic.
2
1
4
4
0
3
3
0
1
3
0
3
0
0
0
0
1
Peritonitis, General.
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
2
Pneumonia, Bronchial
0
0
0 0
0
1
0
0
1
0
0
1
1
4
Pneumonia Lobar
2
3
0
2
0
0
0
1
1
2
2
1
0
2 1
Suicide, Illuminating Gas.
2 0
0
0
0
0
0
0
0
0
0
1
0
1
Suicide, Rifle Shot Wound
0
0
0
0
1
0
0
0
0
0
0
0
1
Suicide, Hanging.
0 1
1
0
0
0
0
0
0
0
0
0
0
1
Thrombosis, Coronary
0
0
0
0
0
0
0
0 0
0 1
0
0
0
0
0
1
Tuberculosis, Pulmonary.
5
1
1
3
3 0
2 0
3 0 0
2 0 0
0 0 0
1 0
1 0
0 1
1
Vincent's Angina
0 0
0
0
0
0
0
1
Totals
25 28 24 22 21 19 15 10 14 24 24 30 256
0
0
0
0 1 22 4 1 0
Nephritis, Acute.
0
1
0
0
0
0
1
1
0
0
0
3 2 18
Nephritis, Chronic.
1
3
2
1
2
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
2
2
1
2
1
0
2
1
0
0
1
0
1
Tuberculosis, Peritonitis
0
0
0
0
0
1 0
0
0
0
0
0
1
0
0
1
Toxaemia of Pregnancy
0
1
0
0
1
0
0
0
1 0
1
3
Phlebitis
0 0
1
1
0
0
0
0
Scarlet Fever
0
Stillborn.
0
0
0
0
0
1
0
0
0
Influenza.
1
0
0
1
0
0
0
1
0
Pericarditis.
0
1
0
0
0
0
1
Placenta Praevia.
0
Pulmonary Embolism.
0 0
Tetanus
0
0
0 0
0
0
0
0
0
Typhoid Fever ..
0
0
0
0 0
0
0
Embolism ..
0
0
0 0
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