Reports of town officers of the town of Attleborough 1934, Part 5

Author: Attleboro (Mass.)
Publication date: 1934
Publisher: The City
Number of Pages: 282


USA > Massachusetts > Bristol County > Attleboro > Reports of town officers of the town of Attleborough 1934 > Part 5


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62


ANNUAL REPORT


The Doctors Club always interested and always influential in local health matters continues to devote at least one of its meetings each year to some health subject. The opinions of this group of physicians on public health are author- itative and should have recognition as such.


We have during the year enjoyed hearty cooperation with other officials and non-official agencies in the city. The welfare department has been of material help in promptly furnishing facts regarding settlement of aided cases.


Many private citizens have shown an unusual interest in local public health problems and we have been glad to receive their suggestions.


In this country today the people enjoy a higher level of health than they did in the previous generation. There has been a marked reduction in the last twenty-five years in the so-called preventable diseases, and an increase in the span of life. In spite of the economic and social difficulties of the past four years the general health, and nutrition of our population has been well maintained.


Statistical evidence in every part of the country indicates that the health of the unemployed, and their dependents has not suffered seriously or generally as one might suppose.


The total death rate, and the infant and tuberculosis mortality rate have declined to the lowest figures on record during the recent years of ecomonic depression.


We would like to be assured that these figures tell the whole story; that our people have not as a result of deprivation suffered from undernourishment or physical impairment which might later cause ill health, and resulting incapacity.


Tuberculosis, the anaemias and other deficiency diseases associated with poor nutrition are surely less common, and so also is malnutrition among school children.


The improved nutrition of the people as a whole, the marked decline of preventable diseases, and other conditions that may result from insufficient and improper food are, it is fair to assume, due in no small measure to application of public health principles.


These problems and their solution have enlisted an awakening interest in public health administration. The situation calls for the education of the public in personal health for the dessemination of the lessons and truths con- cerning hygiene and sanitation, and for the bringing about of a better knowledge about the selection of foods, and the needs of the body.


In the future there will be an increasing demand for still better community health, and this demand will be met by the adoption of many important measures. More effective health education will call for a sanitary environment, better housing, and less over-crowding, for the provision of better facilities for rest, exercise, fresh air, and cleanliness, and for a better understanding about the importance of proper nourishment, clean food, safe, clean milk and shorter hours of labor.


Preventive medicine and public medical services will have a wider appli- cation, with a better coordination of public and private welfare and health agencies, and we hope the elimination of politics from public health.


Respectfully submitted,


William O. Hewitt,


Health Officer.


63


ANNUAL REPORT


ANNUAL REPORT OF MILK INSPECTOR AND AUTHORIZED AGENT


December 28, 1934


Dear Dr. Hewitt:


I hereby submit my second annual report as Milk Inspector and Authorized Agent of the Attleboro Health Department.


There are 58 licensed milk dealers, 101 dairy farms and 75 one or two cow farms producing and distributing milk in the City of Attleboro. In order that all dairy farms be certified as required by law, is has been necessary for me to score each and approve them. Mr. Elmer Morton, dairy inspector for the Massachusetts Department of Agriculture, worked with me for three days during January aiding me in developing a uniform system in the use of the state dairy score card. Of the 100 farms scored, two have not yet been approved, and two others because of absolute refusal to better the existing unsanitary conditions on their farms have had their permits revoked.


There have been many improvements on several of the farms due to the above scoring. Fifteen new milk rooms have been built in which to cool and strain milk. The majority of the farmers are using sanitary single service straining pads instead of the old fashioned strainer cloths which are rapidly being discarded. Twelve farmers have installed electrical refrigerators with which to cool the milk, the effects of which are very noticeable in the bacteria counts of the milk compared to what they were before the new coolers were used. I have tried to impress the farmers with the necessity of keeping the cattle clean especially during the winter when the cows are kept in the barn most of the time. This winter has shown a big improvement over last in this respect. Many farmers are using contrivances to hold the cows' tails still during milking to prevent switching dirt and hair into the milk pail.


The amount of pasteurized milk being consumed in the city has shown an appreciable increase over last year (74.7% in 1933 and 82.9% in 1934). Within the past four months, two new pasteurizing plants have been installed in this vicinity, one in South Attleboro and the other just over the Attleboro Jine in Rehoboth. Two raw milk dealers sold out to pasteurized milk dealers. There are 28 pasteurizing plants handling milk for the Attleboro market, 9 are in Attleboro, the rest are scattered about in the towns and cities surrounding Attleboro.


It has been my practice, in order to control the handling of milk coming from pasteurizing plants, and to aid the plant operators to produce a better product to spend one morning at least once in three months at each pasteurizing plant in Attleboro. I observe and correct the technique used by the operators, and take samples from each farmer's cans as they arrive at the plant. Samples are also taken from the various parts of the process as the milk is respectively pasteurized, cooled, and bottled, to determine if all parts of the apparatus have been sterlized thoroughly and are working efficiently. The milk dealers appreci- ate this service and have called on me to give them extra tests at times when they felt that their milk has had too high a bacteria count.


Each pastuerizing plant in Attleboro is inspected by me at least once a week for cleanliness. It is rare that anything is found dirty or unsanitary as each plant is cleaned and sterilized daily.


I have made monthly collections of milk samples from each dealer during morning deliveries. The samples are taken to the laboratory and tested for bacteria, butter fat, total solids and specific gravity. The bacterial content is an index of the sanitary conditions under which the milk is produced and handled. During the warmest part of the year the milk sold in Attleboro averages 50,000 bacteria per cubic centimeter for raw milk and 5,000 for pasteruized milk. During the winter raw milk averages 5,000 and pasteurized 500 to 1,000.


The butterfat and total solids content indicates the richness of the milk. The state law requires milk to contain at least 5.35% butterfat and 12.0% total solids. Our milk supply averages over 4.00% butterfat and 12.8% total solids.


64


ANNUAL REPORT


Each dealer is notified within two days by mail how his milk tests. The dealers do not seem to feel that I am imposing upon them to take samples but are pleased to give them to me for testing and frequently bring samples to me to be tested. They are as much interested in keeping up the quality of their milk as I am.


In September the price of milk paid to the farmer was increased to 7c per quart by the Massachusetts Milk Control Board, making it necessary for the dealers to increase the retail price of milk to 13c per quart. Although this was a help to the farmers, it unfortunately decreased the amount of milk consumed, as people could not afford to purchase as much milk at the new price. The total amount of milk consumed on November 1 was only 6,991 quarts as compared with 7,184 quarts on May 1, a drop of 193 quarts.


I am also general sanitary inspector for the Attleboro Health Department, which makes it necessary for me to investigate all nuisance complaints and inspect all food handling establishments.


There have been an unusual greater number of nuisance complaints this year than ever before. I have made 71 investigations of 57 separate nuisances. The nuisances have consisted of unsanitary backyards, rubbish heaps, unsanitary disposal of garbage, pig pens, and overflowing cesspools.


Food handlers in this city are usually careful to keep themselves and their places of business in a clean and neat condition. There is still a tendency, how- ever, to allow food to be exposed so that it might easily be contaminated by customers. On several occasions I have had to send warning letters to proprietors asking them to protect their food with a covering.


In April I had the responsibility of the Health Department booth at the Attleboro Exposition held in the State Armory. We tried to portray the nature and extent of our work through the various exhibits we had on display there.


Many people have installed wells upon their own property and have brought samples of the water to me to test for its safety for drinking. I have also tested well waters for the local manufacturing plants.


I have revoked two milk producer's permits and suspended one permit and one milk dealer's license for short periods. 19 warnings have been sent to dealers and producers for keeping unsanitary premises or for otherwise violating milk regulations.


During the early spring I found seven dealers coming in from Rhode Island and delivering milk in South Attleboro without license. These dealers were summonsed into court and fined. Several more Rhode Island dealers immediately applied for licenses and these were granted after investigation.


I appeared in Court three times as witness for state milk inspectors against a local dealer who had been operating an unsanitary milk plant.


Each Saturday morning during the months of October, November and December, it has been my duty to transport mothers and young children from their homes to the Sturdy Hospital and back, making it possible for those living at a distance to have the benefit of the toxoid treatment.


During November I visited each garage and filling station in Attleboro to check up on the kind of antifreeze solutions which were being sold. A new state law requires that any one selling a solution containing more than 3% methyl alcohol shall be licensed by the local health department.


New state health regulations on the manufacture and handling of ice cream will require periodic testing of all makes of ice cream made or sold in the city.


65


ANNUAL REPORT


Statistical Report for 1934


Laboratory analyses-


Milk-chemical.


669 samples "


bacteriological. 805


Cream-chemical.


63


"


Water-bacteriological 17


Ice cream-chemical


4


Inspections and Investigations-


Dairy farms .


501


Pasteurizing plants. 428


Food stores and restaurants 175


Bottling plants. 5


10


Nuisance investigations.


71


"No dumping of rubbish" signs erected .


18


Visits to City Dump


15


Licenses and Permits-


Number milk licenses issued to dealers. 61


Number milk licenses issued to stores and restaurants. 118


Number of oleomargarine licenses to stores . 7


Number producers holding dairy certificates 96


Number producers permits . 176


8


Milk Supply November 1, 1934


Number quarts milk consumed in Attleboro . .6991


Number quarts pasteurized milk consumed in Attleboro .5797


Number quarts raw milk consumed in Attleboro . 1194


Percentage pasteurized milk consumed in Attleboro. 82.9


Percentage raw milk consumed in Attleboro. 17.1


Approximate amount of quarts of milk coming from outside area 797


Number of licensed dealers . 58


Number of dealers who went out of business 3


Number of stores and restaurants licensed to sell milk. 118


Number of pasteurizing plants in Attleboro 8


Number of pasteurizing plants handling milk for Attleboro 28


Respectfully submitted,


Henry T. Smith,


Inspector of Milk.


SUPERIOR COURT DECISION ON RULE XVIIIA REQUIRING CERTIFI- CATION OR PASTEURIZATION OF ALL MILK SOLD IN ATTLEBORO Commonwealth of Massachusetts


Bristol, s.s.


Superior Court In Equity No. 2040


MEMORANDUM OF DECISION


This is a bill in equity in which the complainant who is a licensed producer and distributor of milk in the City of Attleboro seeks to have the respondent, who is the Health Officer of said city, restrained from enforcing, as against him, a regulation of the Health Department of Attleboro which requires that all milk sold therein shall be either certified or pasteurized as provided in t .. e General Laws.


Ice cream plants.


Number pasteurizing plant licenses issued


66


ANNUAL REPORT


After hearing the evidence, I find that the allegations contained in par- agraphs 1, 2, 3, and 4 of the plaintiff's bill are true.


As to the allegations contained in paragraph 5, in view of the evidence regarding the spread of disease by impure milk, I find that the regulation adopted was not an unreasonable one.


I also find that while the enforcement of the regulation will entail additional expense to the complainant, it will not destroy his business and will not deprive him of his property without due process of law.


I rule that the regulation is not contrary to the provisions of the Constitution.


I find that while the legislature has never passed a general law requiring the certification or pasteurization of milk in the state it has delegated the power to local health departments to enact such regulations, and that this power has already been used in many communities by the adoption of regulations similar to the one under consideration.


Inasmuch as the bill was fully tried upon its merits and these findings have accomplished all that was sought by the demurrer I have not ruled upon it.


In consequence of these findings a decree may be drawn dismissing the bill and dissolving the stupilation.


John M. Gibbs, Justice of the Superior Court


The several requests for rulings filed by the complainant are refused.


It seems quite certain at this time that the plaintiff's exceptions to the above ruling will be withdrawn in the Supreme Court.


In that event the decision stands, the right of a health department to make such a regulation is upheld, and the regulation itself may be considered reasonable and valid. As a result of this ruling, similar measures will undoubtedly be adopted by other communities throughout the state as a matter of protection to their citizens against the sale of unsafe milk. The regulation should now be enforced in this city after a reasonable notice has been given the milk· producers and dealers.


If, however, this order which was adopted after much thought and con- sideration is repealed or annulled, if the health protection which it affords to our citizens especially babies and children is denied then it is obvious that our com- munity will take a step backward in that it refuses to align itself with other progressive cities and town throughout the state.


REPORT OF HEALTH DEPARTMENT NURSE


Dr. William O. Hewitt,


Health Officer,


Attleboro, Mass.


Dear Sir:


I herewith submit my annual report as Health Department Nurse for the year ending December 31, 1934.


All cases of tuberculosis are known to this department also all contact, active, suspicious or arrested cases are under my supervision. Tuberculosis clinics are held at Sturdy Memorial Hospital every Wednesday from four to six p. m. Dr. Garnet P. Smith, Superintendent of Bristol County Tuberculosis Hospital has generously assisted Dr. Hewitt at the clinic. Thanks to Dr. Smith we have been able to have patients X-rayed at Bristol County Hospital tree of charge.


67


ANNUAL REPORT


Diphtheria prevention clinics are held each Saturday morning during the months of October, November and December. Extra nurses doing part-time work have aided in doing a house-to-house canvas throughout the city. Clinics have been held at Finberg School and also Washington Street School in order to give the residents of the outlying districts the benefit of diphtheria immunization.


The Health Camp has been in operation for twelve years. A great deal of time and work is given to select forty of the most underweight and undernourished boys in the city. Practically all of these children have tonsils and adenoids re- moved and dental defects corrected before entering camp. The Lions Club provides a year's membership for these boys at the Y. M. C. A. for posture ex- ercises and regular gymnasium work.


Contagious diseases have been placarded by me and mothers instructed in a technique to be carried out in the home as a means of preventing the spread of the disease to other members of the family. Where conditions are such that fair isolation is not possible, daily visits are made.


I wish to acknowledge with appreciation the splendid cooperation of the Lions Club, the school physician, school nurse, district nurses, Family Welfare, Public Welfare, Doctors' Club, Superintendent of the Sturdy Memorial Hospital, and all others who have contributed to the success of the Department.


Statistical Report


Number of visits to tuberculosis patients.


639


Number of pulmonary tuberculosis cases reported 1934.


16


Number of deaths from tuberculosis 1934. 7


Contagious disease visits . .


173


Home visits to health camp boys.


304


Diphtheria Prevention home visits


448


Respectfully submitted,


Mary E. McMahon, R. N., Health Department Nurse.


EXPENDITURES-1934


Salaries


Health Officer.


$ 948.20


Inspector of Milk


1,353.35


Inspector of Animals .


300.00


Inspector of Slaughter


475.00


Tuberculosis Nurse


1,443.88


Care of Dump-Labor.


694.59


Garbage Collection.


1,400.00


Clerk.


496.15


Total


$ 7,111.17


State Sanatoria


Bristol County Hospital.


$ 3,594.50


North Beading


143.00


Tewksbury.


53.00


Lakeville


77.50


Total.


$ 3,868.00


68


ANNUAL REPORT


General Expenses


Nursing and Care at Home --


Antitoxin for Tetanus case


$ 98.63


Miscellaneous


6.40


Rent .


135.00


Light


11.89


Phone


52.81


Laboratory Maintenance.


180.78


Dump material .


76.70


Auto Maintenance .


500.57


Tuberculosis and Diphtheria Prevention Clinics.


365.67


Physicians' Fees ---


Venereal Disease


597.00


Tetanus.


44.83


Diphtheria


153.00


Inspector of Flumbing ---


Arthur B. Read


114.00


J. W. Bullock.


28.00


Office Supplies


58.45


Incidentals.


125.89


Quarantine and Contagious Disease Hospitals ---


Whooping cough


4.00


Venereal Diseases


87.61


Rabies


45.00


Total


$ 2,686.23


Total expended for 1934


$13,665.40


HEALTH DEPARTMENT RECEIPTS 1934


License fees collected $ 247.00


State subsidy on patients at Bristol County Tuberculosis Hospital on cases settled in Attleboro 1,815.28


State reimbursement on State cases, cases not settled in Attleboro, nor in any city or town in Massachusetts


273.80


Total $ 2,336.08


69


ANNUAL REPORT


ESTIMATED APPROPRIATIONS 1935


Salary and Wages


$ 1,000.00


Salary of Inspector of Milk.


1,353.35


Salary of Inspector of Slaughtering.


300.00


Salary of Inspector of Animals 500.00


Salary of Tuberculosis Nurse.


1,600.00


Care of Dump-Labor


732.66


Garbage Disposal.


1,400.00


Clerical


523.34


State Sanatoria


State Sanatoria


4,000.00


Other Expenses


Rent.


135.00


Light.


12.00


Phone


50.00


Laboratory Maintenance


100.00


Care of Dump-Material.


50.00


Auto Maintenance


550.00


Tuberculosis and Diphtheria Prevention Clinics.


300.00


Contagious Disease Hospitals


400.00


Nursing and Care at Home


100.00


Physicians' Fees.


800.00


Fees to Other Cities and Towns


100.00


Inspection of Plumbing.


150.00


Office Supplies


50.00


Incidentals


75.00


Totals.


$14,281.35


NUISANCES INVESTIGATED BY THE HEALTH DEPARTMENT


Unsanitary premises. 4


Keeping of swine.


2


Improper sewage disposal 2


Unsanitary hen yard 1


Dog kennels 1


Referred to other departments. 5


Smoke nuisance-dump.


3


Dumping of rubbish. 14


Overflowing cesspool. 6


Unsanitary plumbing .


1


Privy vaults-unsanitary 2


Unjustified cause for complaint. 4


North Avenue drain. 2


Salary of Health Officer.


70


DEATHS BY AGES 1934


Total


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


29


16


13


1


0


0


0


0


0


0


1


2


0


3


5


8


5


4


February


22


16


6


0


0


1


0


0


0


0


1


0


2


1


1


3


2


3


4


March


19


12


7


1


=


2


0


0


0


0


0


0


0


0


0


0


0


2


4


3


2


5


0


4


May.


15


4


11


0


0


0


0


0


0


0


0


0


C


2


0


2


0


2


2


3


7


1


August.


21


15


6


2


0


0


0


0


1


0


0


0


1


0


1


2


2


5


3


2


September


16


9


7


0


0


0


0


0


0


0


0


0


2


1


0


0


5


3


5


3


October


21


12


9


2


0


0


0


0


0 0


1 0


0 0


0


3 3


3


0


5 4


6 4


5


3


December


26


9


17


1


C


0


1


1


0


0


4


1


10


18


9


20


36


56


52


32


TOTALS


249


126


123


14


1


0


0


0


0


1


3


0


0


i


5


8


3


4


1


0


0


0


0


3


3


7


=


1


0


1


0


0


0


0


1


July


16


6


22


7


15


November


0


--


-


Stillbirths Excluded


ANNUAL REPORT


8


0


April.


24


13


18


1


2


1


4


4


2


June.


0


1


2


0


4


3


0


0 0


0


. .


6


5


0


10


71


ANNUAL REPORT


CORRECTED DEATH RATES


Popula- tion


No. of deaths


Death Rate


1922


20,141


209


10.3


1923


20,346


263


12.9


1924


20,551


254


12.3


1925.


20,756


261


12.5


1926


20,961


257


12.2


1927


. 21,166


267


12.6


1928


21,371


269


12.5


1929


21,576


300


13.9


1930


21,777


224


10.2


1931


21,982


269


12.2


1932


22,187


284


12.8


1933


22,389


250


11.1


1934


22,594


249


11.0


DEATHS BY MONTHS


Deaths


Stillborn


January .


29


4


February


22


0


March


19


3


April


24


1


May


18


1


June.


15


1


July


16


0


August.


21


3


September


16


2


October.


21


0


November.


22


1


December


26


0


Total


249


16


72


ANNUAL REPORT


Lobar Pneumonia


Deaths


2


10


2


6 1


1 1


2 1


1


20 13


Influenza


Cases


1


1


Ophthalmia Neonatorum


Cases


1


1


Deaths


Mumps


Cases


Deaths


Measles


Cases


2


17


35


24


49


20


2


1


1


151


23 .60


Whooping Cough


Deaths


Cases


20


12


20


20


4


1


91


Deaths


Chicken Pox


5


3


10


2


1


12


Deaths


Cases


Deaths


Scarlet Fever


Cases


3


1


1


1


3


9


Deaths


Diphtheria


Cases


2


1


76 30 3


Other Forms Tuberculosis


Cases.


2


0


1


4


Deaths


Cases


Deaths


German Measles


Cases


Deaths


Anterior Poliomylitis


Cases.


Deaths


Trichinosis


Cases.


Deaths


1


Tetanus


Cases


1


Deaths


Dog Bite


Cases


42388364 7


2


57


Septic Sore Throat


Cases.


1


Undulant Fever


Deaths


Cases.


Jan. . . .


Mar .. ..


Apr .. . .


May .. .


June. .


July . .


Aug .. . .


Sept. .


Oct. .


Nov. .


Dec. . .


Totals


Typhoid fever cases admitted to Sturdy Hospital from adjoining towns.


Pulmonary Tuberculosis


6 3


7 2


3 2


13 1


1


2


2


2


4


20


5


Cases


33


20 19


423 9


Deaths


1


1 1


2


4 1 33


Typhoid Fever


CONTAGIOUS DISEASES REPORTED 1934 DEATHS FROM CONTAGIOUS DISEASES 1934


1


Cases


2716


12


1


Pulmonary Tuberculosis deaths, non-resident .


Pulmonary Tuberculosis cases, non-resident.


Cerebro-Spinal Meningitis


Deaths


14 1


1 1


Deaths


Feb ..


Deaths


Deaths


1


Cases


73


ANNUAL REPORT


CAUSES OF DEATHS, 1934


January . . .


February ...


March .


April.


May .


June .


July .


August


September . .


October .. . .


November . .


December ..


Totals . .


Accident-Auto.


1


1


1


1


1


5


Accident-Burns.


1


1


Accident-Drowning


1


1


Accident-Electricity.


1


1


Accident-Fall.


1


1


1


3


Angina Pectoris.


1


1


Appendicitis, Acute.


1


1 1


1


1


5


Aterio sclerosis


2


4


2


1


1


2 15


1


19


Arthritis, Chronic


1


1


Brain Tumor .


1


1


2


Bronchial Asthma


1


1


Bronchitis, Acute


1


1


Cancer


2


1


8


2


22 21 3


1


27


Carbuncle.


1


1


Cellulitis of arm.


1


1 2


Cerebral Haemorrhage.


2


1 2


1


1


13121


15


Cerebral Thrombosis


1


1


Cirrhosis of liver


1


1


4 2


1


1


1


11


Coronary disease. Diabetes .


1


1


1


1


2


1


1


8


Embolism


1


Empyema.


1


1


Endocarditis, acute


1


1


Endocarditis, sub-acute


1


1


Endocarditis, chronic


1


1


1


1


1


5


Erysipelas.


1


1


Heart Disease, organic.


1


1


1


4


3


12 2


15


La Grippe.


1


Meningitis, acute.


1


Myocarditis, chronic.


6


3


1


2


1


1


3


4


1


3


1


1


2


1


1


1


5


5


16


Pneumonia, Bronchial


1


1 5


2


1


1


1


1


13


Premature Placental Separation.


1


Prostatic Obstruction ..


1


Pulmonary embolism.


1


Pulmonary tuberculosis


3


2


2


1


1


2


2


1


2


4 5


5


30


Still Porn


4


3


1


1


1


3


2


1


16


Tetanus


Typhoid fever


1


1


Totals


32 22 21 23 17 16 15 22 18 19 23 21 249


Total number of deaths.


249


Infant mortality


16


Total number of deaths including children under one year.265 Still births excluded


16


Total


249


The infant mortality rate based on


live births during the year was


.


1


1


3


Suicide


1


1


3


Pneumonia, Lobar.


1


1


1


·


1


Cholecystitis


1


1


1 1 26


Nephritis.


2


1 1 1


1


1


Accident-Fracture of Skull.


1


1


Cerebral Embolism.


1


74


ANNUAL REPORT


INFANT MORTALITY


Totals


Male


Female .


Under 1 day ...


1-2 days


2-3 days.


3 days-1 week .


1-2 weeks.


2-3 weeks ..


3-4 weeks.


1-2 months.


2-3 mouths. . .


3-6 months ...


6-9 months.


9-12 months ...


January


1


1


1


February


March


1


1


1


April


2


1 1


1


1


May


2


2


1


1


June.


July


1


1


1


August


2


2


1 1


September


October


2111


1


November


December.


5


5


1


1


3


Totals


16


9


320201110600


Apnoea Neonatorum 2


2


1 1


Asphyxia


1


1


1


Atelectasis.


1


1


1


Birth Injury


1


1


1


Bronchial Pneumonia. 2


1


1 2


Bronchitis


1


1


1


Cerebral Haemorrhage 1


1


1


Gastro Enteritis 1


1


1


Inanition 1


1


1


Prematurity 2


2


1


1


Spina Bifida


1


1


1


Unknown


1


1


1


Uraemia


1


1


1


Totals 9732 02 0 11 10 600 16


75


ANNUAL REPORT


REPORT OF THE INSPECTOR OF PLUMBING To Health Officer Dr. William O. Hewitt


Sir:


The following report of work performed by the Inspector of Plumbing during the year 1934:




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